4-aminopyridine exerts anxiolytic and pro-cognitive effects in mice model of medial prefrontal cortex ischemia

Esmaeil Imani-Almas1,2, Javad Mahmoudi2, Mehdi Farhoudi2

  • 1Department of Neuroscience, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

Metabolic Brain Disease
|September 10, 2025
PubMed

Insights

4-aminopyridine (4-AP) treatment significantly improved anxiety and memory deficits in a mouse model of brain ischemia. This suggests 4-AP may offer therapeutic potential for psychoneurological issues following brain injury.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Biochemistry

Background:

  • Brain ischemia is a leading cause of global disability, often resulting in psychoneurological problems.
  • Medial prefrontal cortex (mPFC) ischemia is a specific type of brain injury impacting cognitive and emotional functions.
  • Understanding the molecular mechanisms behind these deficits is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the therapeutic effects of 4-aminopyridine (4-AP) on anxiety and cognitive impairment in a mouse model of mPFC ischemia.
  • To explore the underlying mechanisms, including the modulation of stress hormones, oxidative stress, inflammation, and apoptosis.

Main Methods:

  • Mice with mPFC ischemia were treated with varying doses of 4-AP or saline for 14 days.
  • Behavioral tests (open field, elevated plus maze, Barnes maze, novel object recognition) assessed anxiety and memory.
  • Biochemical analyses (ELISA, Western blotting) measured serum corticosterone, oxidative stress markers, and inflammatory/apoptotic markers.

Main Results:

  • mPFC ischemia induced anxiety-like behaviors and impaired spatial and recognition memory.
  • Ischemia elevated serum corticosterone, increased oxidative stress, and upregulated inflammatory and apoptotic markers.
  • The highest dose of 4-AP significantly reversed these behavioral and molecular changes.

Conclusions:

  • 4-aminopyridine demonstrates significant potential in alleviating anxiety and cognitive deficits caused by mPFC ischemia.
  • The therapeutic effects of 4-AP may be mediated by its ability to modulate corticosterone levels, oxidative stress, inflammation, and apoptosis.