PMID- 28464236 OWN - NLM STAT- MEDLINE DCOM- 20180316 LR - 20200930 IS - 2042-7158 (Electronic) IS - 0022-3573 (Linking) VI - 69 IP - 7 DP - 2017 Jul TI - Neuroprotection by plumbagin involves BDNF-TrkB-PI3K/Akt and ERK1/2/JNK pathways in isoflurane-induced neonatal rats. PG - 896-906 LID - 10.1111/jphp.12681 [doi] AB - OBJECTIVES: This study was designed to assess the effects of plumbagin on isoflurane-induced neurotoxicity. METHODS: Neonatal Sprague Dawley rat pups were treated with plumbagin (50, 100 or 150 mg/kg body weight, orally) from postnatal day 2. The pups on postnatal day 7 were subjected to isoflurane (0.75%) exposure for 6 h. Neuronal apoptosis in the hippocampal tissues was detected by TUNEL assay and FluroJade B staining following isoflurane exposure. Protein expressions were analysed by immunoblotting. RT-PCR was performed to assess mRNA levels of brain-derived neurotrophic factor (BDNF) and TrkB. KEY FINDINGS: We observed reduced apoptosis in hippocampal CA1, CA3 and dentate gyrus regions along with severely reduced pro-apoptotic factors (Bad, Bax and cleaved caspase-3) expression and raised levels of Bcl-2, Bcl-xL, survivin, xIAP and cIAPs (cell survival proteins) in plumbagin supplemented rats. Decrease in the levels of JNK, phospho-JNK, c-Jun and phospho-c-Jun with enhanced ERK1/2 levels was observed on plumbagin pretreatment. Down-regulated PI3K/Akt signalling following isoflurane was activated by plumbagin as evidenced by raised PI3K/Akt pathway proteins - mTORc1, Akt, phospho-Akt, GSK-3beta, phospho-GSK-3beta, PTEN and NF-kappaBp65 in the hippocampal tissues as detected by Western blotting. The mRNA levels were enhanced on plumbagin supplementation. CONCLUSIONS: Plumbagin exerted its neuroprotective effects by effectively suppressing isoflurane-induced neuronal apoptosis via regulating BDNF-TrkB-PI3/Akt and ERK/JNK signalling. CI - (c) 2017 Royal Pharmaceutical Society. FAU - Yuan, Jun-Hui AU - Yuan JH AD - Department of Neonatology, Wenling Maternal and Child Health Hospital, Wenling, Zhejiang, China. FAU - Pan, Feng AU - Pan F AD - Department of Neonatology, Wenling Maternal and Child Health Hospital, Wenling, Zhejiang, China. FAU - Chen, Jie AU - Chen J AD - Taizhou University Medical School, Taizhou, Zhejiang, China. FAU - Chen, Cai-Er AU - Chen CE AD - Department of Neonatology, Wenling Maternal and Child Health Hospital, Wenling, Zhejiang, China. FAU - Xie, Deng-Pan AU - Xie DP AD - Department of Neonatology, Wenling Maternal and Child Health Hospital, Wenling, Zhejiang, China. FAU - Jiang, Xing-Zhu AU - Jiang XZ AD - Department of Neonatology, Wenling Maternal and Child Health Hospital, Wenling, Zhejiang, China. FAU - Guo, Su-Juan AU - Guo SJ AD - Department of Neonatology, Wenling Maternal and Child Health Hospital, Wenling, Zhejiang, China. FAU - Zhou, Jun AU - Zhou J AD - Taizhou University Medical School, Taizhou, Zhejiang, China. LA - eng PT - Journal Article DEP - 20170502 PL - England TA - J Pharm Pharmacol JT - The Journal of pharmacy and pharmacology JID - 0376363 RN - 0 (Anesthetics, Inhalation) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Naphthoquinones) RN - 0 (Neuroprotective Agents) RN - CYS9AKD70P (Isoflurane) RN - EC 2.7.10.1 (Ntrk2 protein, rat) RN - EC 2.7.10.1 (Receptor, trkB) RN - YAS4TBQ4OQ (plumbagin) SB - IM MH - Anesthetics, Inhalation/toxicity MH - Animals MH - Animals, Newborn MH - Apoptosis/*drug effects MH - Brain-Derived Neurotrophic Factor/metabolism MH - Dose-Response Relationship, Drug MH - Hippocampus/drug effects/pathology MH - In Situ Nick-End Labeling MH - Isoflurane/toxicity MH - MAP Kinase Signaling System/drug effects MH - Naphthoquinones/*pharmacology MH - Neuroprotective Agents/*pharmacology MH - Neurotoxicity Syndromes/*prevention & control MH - Phosphatidylinositol 3-Kinases/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Receptor, trkB/metabolism MH - Signal Transduction/drug effects OTO - NOTNLM OT - PI3K/Akt signalling cascade OT - brain-derived neurotrophic factor OT - isoflurane OT - mitogen-activated protein kinases OT - plumbagin EDAT- 2017/05/04 06:00 MHDA- 2018/03/17 06:00 CRDT- 2017/05/03 06:00 PHST- 2016/06/13 00:00 [received] PHST- 2016/11/12 00:00 [accepted] PHST- 2017/05/04 06:00 [pubmed] PHST- 2018/03/17 06:00 [medline] PHST- 2017/05/03 06:00 [entrez] AID - 10.1111/jphp.12681 [doi] PST - ppublish SO - J Pharm Pharmacol. 2017 Jul;69(7):896-906. doi: 10.1111/jphp.12681. Epub 2017 May 2.