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Methylphenidate exerts neuroprotective effects through the AMPK signaling pathway
Purpose:
Cerebral ischemia is the main cause of permanent adult disabilities worldwide. This study investigated the reparative effects and potential mechanisms of methylphenidate (MPH), a medication for the treatment of attention-deficit/hyperactivity disorder.
Methods:
In vitro oxygen-glucose deprivation/reperfusion (OGD/R) and in vivo cerebral ischemia-reperfusion models were established. Sprague-Dawley (SD) rats were randomly divided into four groups (n = 20): Sham, Model, and MPH (0.5 and 1 mg/kg). Rats in MPH groups were treated with 0.5 or 1 mg/kg MPH via intraperitoneal injection for 7 days. Rats in the Sham and Model groups were treated with PBS during the same period. Cell viability was measured using MTT assay. Apoptosis was detected by Annexin V/PI staining. Protein expression was detected by Western blot. The volume of cerebral infarction was detected by triphenyltetrazolium chloride (TTC) staining. The DNA damage in ischemic brain tissues was detected by terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay.
Results:
MPH treatment significantly reduced OGD/R-induced cell damage, shown by the increased cell viability and decreased apoptotic rate. p-AMPK and p-ACC protein expression increased in the OGD/R model after MPH treatment. The addition of AMPK inhibitor largely abolished the neuroprotective effects of MPH, evidenced by the reduced cell viability, increased apoptotic rate, and decreased protein expression of p-AMPK as well as p-ACC. Moreover, MPH treatment significantly alleviated the cerebral ischemia-reperfusion injury and decreased apoptosis in brain tissues, which may be associated with the AMPK/ACC pathway.
Conclusions:
MPH exerted protective activities against oxidative stress in the OGD/R model and ameliorated brain damage of rats in the middle cerebral artery occlusion model, at least in part, through activating the AMPK pathway. These data demonstrated neuroprotective properties of MPH and highlighted it as a potential therapeutic agent against cerebral ischemia-reperfusion injury.
Insights
Methylphenidate (MPH) shows neuroprotective effects against cerebral ischemia-reperfusion injury by activating the AMPK pathway. This study suggests MPH as a potential therapeutic agent for stroke and related brain damage.
Area of Science:
- Neuroscience
- Pharmacology
- Cell Biology
Background:
- Cerebral ischemia is a leading cause of permanent adult disability globally.
- Understanding reparative mechanisms is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the neuroprotective effects of methylphenidate (MPH) in cerebral ischemia-reperfusion injury.
- To elucidate the underlying molecular mechanisms, particularly the role of the AMPK pathway.
Main Methods:
- Established in vitro oxygen-glucose deprivation/reperfusion (OGD/R) and in vivo cerebral ischemia-reperfusion models in Sprague-Dawley rats.
- Assessed cell viability (MTT assay), apoptosis (Annexin V/PI staining), protein expression (Western blot), cerebral infarction volume (TTC staining), and DNA damage (TUNEL assay).
- Investigated the involvement of the AMPK/ACC pathway and the effect of an AMPK inhibitor.
Main Results:
- MPH treatment significantly reduced OGD/R-induced cell damage, increasing cell viability and decreasing apoptosis.
- MPH administration upregulated p-AMPK and p-ACC protein expression in OGD/R models.
- Inhibition of AMPK largely abolished MPH's neuroprotective effects, indicating pathway involvement.
- MPH treatment ameliorated cerebral ischemia-reperfusion injury and reduced apoptosis in brain tissues.
Conclusions:
- Methylphenidate (MPH) demonstrates protective effects against oxidative stress and brain damage in cerebral ischemia-reperfusion models.
- These neuroprotective properties are, at least partly, mediated by the activation of the AMPK pathway.
- MPH emerges as a potential therapeutic agent for mitigating cerebral ischemia-reperfusion injury.
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