PMID- 29379991 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1432-1912 (Electronic) IS - 0028-1298 (Linking) VI - 391 IP - 4 DP - 2018 Apr TI - Metformin potentiates cognitive and antidepressant effects of fluoxetine in rats exposed to chronic restraint stress and high fat diet: potential involvement of hippocampal c-Jun repression. PG - 407-422 LID - 10.1007/s00210-018-1466-8 [doi] AB - Several hypotheses link high fat diet (HFD) with the pathophysiology of depression and its response to antidepressants. This study aimed to determine the effect of metformin (MET) on the cognitive and antidepressant activity of fluoxetine (FLU) through its effect on c-Jun expression. Behavioral, cognitive function, biochemical, and histopathological studies were performed in non-HFD- and HFD-fed rats exposed to chronic restraint stress (CRS). Stressed group showed cognitive impairment, depressive-like symptoms, disturbed glucose homeostasis and lipid profile, reduced adiponectin level, brain-derived neurotrophic factor (BDNF) expression, and increased corticosterone and c-Jun. All these were aggravated by HFD. MET, FLU and their combination produced significant improvement in lipid profile with significant increase in adiponectin and BDNF expression. Corticosterone, body weight and insulin resistance showed significant decrease in the treated groups. Moreover, there was a significant decrease in hippocampal c Jun expression. There was a significant preferable effect toward the combination. Conclusion, MET may decrease the refractoriness to FLU and improves the cognition in individuals who are fed on HFD. FAU - Khedr, Sara A AU - Khedr SA AD - Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - Elmelgy, Ahmed A AU - Elmelgy AA AD - Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - El-Kharashi, Omnyah A AU - El-Kharashi OA AUID- ORCID: 0000-0003-2825-2907 AD - Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. omnyah2011@gmail.com. FAU - Abd-Alkhalek, Hadwa A AU - Abd-Alkhalek HA AD - Department of Histology and Cell Biology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - Louka, Manal L AU - Louka ML AD - Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - Sallam, Hoda A AU - Sallam HA AD - Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - Aboul-Fotouh, Sawsan AU - Aboul-Fotouh S AD - Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20180129 PL - Germany TA - Naunyn Schmiedebergs Arch Pharmacol JT - Naunyn-Schmiedeberg's archives of pharmacology JID - 0326264 RN - 0 (Antidepressive Agents) RN - 0 (Bdnf protein, rat) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Hypoglycemic Agents) RN - 0 (Proto-Oncogene Proteins c-jun) RN - 01K63SUP8D (Fluoxetine) RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Antidepressive Agents/*pharmacology MH - Behavior, Animal/drug effects MH - Brain-Derived Neurotrophic Factor/genetics MH - Cognition/drug effects MH - Diet, High-Fat MH - Drug Synergism MH - Fluoxetine/*pharmacology MH - Hippocampus/drug effects/metabolism MH - Hypoglycemic Agents/*pharmacology MH - Male MH - Metformin/*pharmacology MH - Proto-Oncogene Proteins c-jun/metabolism MH - Rats, Wistar MH - Restraint, Physical MH - Stress, Psychological/*metabolism/*psychology OTO - NOTNLM OT - Depression OT - Fluoxetine OT - HFD OT - Metformin OT - Rat OT - c-Jun EDAT- 2018/01/31 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/01/31 06:00 PHST- 2017/09/30 00:00 [received] PHST- 2018/01/09 00:00 [accepted] PHST- 2018/01/31 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/01/31 06:00 [entrez] AID - 10.1007/s00210-018-1466-8 [pii] AID - 10.1007/s00210-018-1466-8 [doi] PST - ppublish SO - Naunyn Schmiedebergs Arch Pharmacol. 2018 Apr;391(4):407-422. doi: 10.1007/s00210-018-1466-8. Epub 2018 Jan 29.