Title Melatonin prevents diabetes-associated cognitive dysfunction from microglia-mediated neuroinflammation by activating autophagy via TLR4/Akt/mTOR pathway
Authors Cui, Yixin
Yang, Mengmeng
Wang, Yilin
Ren, Jianmin
Lin, Peng
Cui, Chen
Song, Jia
He, Qin
Hu, Huiqing
Wang, Kexin
Sun, Yu
Affiliation Shandong Univ, Qilu Hosp, Dept Endocrinol, Jinan, Peoples R China
Shandong Univ, Inst Endocrine & Metab Dis, Jinan, Peoples R China
Peking Univ, Dept Traumat Orthoped, Peoples Hosp, Beijing, Peoples R China
Shandong Prov Med & Hlth, Key Lab Endocrine & Metab Dis, Jinan, Peoples R China
Jinan Clin Res Ctr Endocrine & Metab Dis, Jinan, Peoples R China
Shandong Univ, Qilu Hosp, Dept Gen Surg, Jinan 250012, Shandong, Peoples R China
Issue Date Apr-2021
Publisher FASEB JOURNAL
Abstract Cognitive dysfunction often occurs in diabetes mellitus patients. This study aimed to investigate the efficacy of melatonin (MLT) in improving diabetes-associated cognitive decline and the underlying mechanism involved. Type 2 diabetic mice and palmitic acid (PA)-stimulated BV-2 cells were treated by MLT, and the potential mechanisms among MLT, cognition, and autophagy were explored. The results showed that type 2 diabetic mice showed obvious learning and memory impairments in the Morris water maze test compared with normal controls, which could be ameliorated by MLT treatment. Meanwhile, MLT administration significantly improved neuroinflammation and regulated microglial apoptosis. Furthermore, autophagy inhibitor 3-methyladenine (3-MA) increased the microglial inflammation and apoptosis, indicating that the treatment effect of MLT was mediated by autophagy. Lastly, MLT treatment significantly decreased the levels of toll-like receptors 4 (TLR4), phosphorylated-protein kinase B (Akt), and phosphorylated-mechanistic target of rapamycin (mTOR), indicating that blocking TLR4/Akt/mTOR pathway might be an underlying basis for the anti-inflammatory and anti-apoptosis effects of MLT. Collectively, our study suggested that MLT could improve learning and memory in type 2 diabetic mice by activating autophagy via the TLR4/Akt/mTOR pathway, thereby inhibiting neuroinflammation and microglial apoptosis.
URI http://hdl.handle.net/20.500.11897/611374
ISSN 0892-6638
DOI 10.1096/fj.202002247RR
Indexed SCI(E)
Appears in Collections: 人民医院

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