PMID- 29561292 OWN - NLM STAT- MEDLINE DCOM- 20190731 LR - 20190731 IS - 1473-5849 (Electronic) IS - 0955-8810 (Linking) VI - 29 IP - 5 DP - 2018 Aug TI - Behavioral effects of toll-like receptor-4 antagonist 'eritoran' in an experimental model of depression: role of prefrontal and hippocampal neurogenesis and gamma-aminobutyric acid/glutamate balance. PG - 413-425 LID - 10.1097/FBP.0000000000000390 [doi] AB - Depression is the disease of the modern era. The lack of response to the available antidepressants, which were developed on the basis of the monoaminergic deficit hypothesis of depression, has encouraged scientists to think about new mechanisms explaining the pathogenesis of depression. In this context, the inflammatory theory has emerged to clarify many aspects of depression that the previous theories have failed to explain. Toll-like receptor-4 (TLR-4) has a regulatory role in the brain's immune response to stress, and its activation is suggested to play a pivotal role in the pathophysiology of depression. In this study, we tested eritoran (ERI), a TLR-4 receptor-4 antagonist, as a potential antidepressant. We investigated the effect of long-term administration of ERI in three different doses on behavioral changes, hippocampal and prefrontal cortex (PFC) neurogenesis, and gamma-aminobutyric acid (GABA)/glutamate balance in male Wistar rats exposed to chronic restraint stress (CRS). Long-term administration of ERI ameliorated CRS-induced depressive-like symptoms and hypothalamic-pituitary-adrenal axis hyperactivity alongside reducing levels of hippocampal and PFC inflammatory cytokines, restoring GABA and glutamate balance, and enhancing PFC and hippocampal neurogenesis, by increasing BDNF gene and protein expression in a dose-dependent manner. The results demonstrate an antidepressant-like activity of ERI in Wistar rats exposed to CRS, which may be largely mediated by its ability to reduce neuroinflammation, increase BDNF, and restore GABA/glutamate balance in prefrontal cortex and hippocampus. Nonetheless, further studies are needed to characterize the mechanism of the antidepressant effect of ERI. FAU - Aboul-Fotouh, Sawsan AU - Aboul-Fotouh S AD - Department of Pharmacology. AD - Department of Pharmacology, Clinical Pharmacology Unit. FAU - Habib, Mohamed AU - Habib M AD - Department of Pharmacology. FAU - Asaad, Tarek AU - Asaad T AD - Department of Neuropsychiatry. FAU - Kassim, Samar K AU - Kassim SK AD - Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - Ghanem, Mohamed H AU - Ghanem MH AD - Department of Neuropsychiatry. LA - eng PT - Journal Article PL - England TA - Behav Pharmacol JT - Behavioural pharmacology JID - 9013016 RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Disaccharides) RN - 0 (Sugar Phosphates) RN - 0 (Tlr4 protein, rat) RN - 0 (Toll-Like Receptor 4) RN - 3KX376GY7L (Glutamic Acid) RN - 551541VI0Y (eritoran) RN - 56-12-2 (gamma-Aminobutyric Acid) MH - Animals MH - Antidepressive Agents/pharmacology MH - Brain-Derived Neurotrophic Factor/metabolism MH - Depression/*drug therapy/etiology MH - Depressive Disorder/physiopathology MH - Disaccharides/metabolism/*pharmacology MH - Disease Models, Animal MH - Glutamic Acid/drug effects MH - Hippocampus/drug effects MH - Hypothalamo-Hypophyseal System/drug effects MH - Male MH - Neurogenesis/drug effects MH - Pituitary-Adrenal System/drug effects MH - Prefrontal Cortex/drug effects MH - Rats MH - Rats, Wistar MH - Stress, Psychological/physiopathology MH - Sugar Phosphates/metabolism/*pharmacology MH - Toll-Like Receptor 4/antagonists & inhibitors/drug effects/metabolism MH - gamma-Aminobutyric Acid/drug effects EDAT- 2018/03/22 06:00 MHDA- 2019/08/01 06:00 CRDT- 2018/03/22 06:00 PHST- 2018/03/22 06:00 [pubmed] PHST- 2019/08/01 06:00 [medline] PHST- 2018/03/22 06:00 [entrez] AID - 10.1097/FBP.0000000000000390 [doi] PST - ppublish SO - Behav Pharmacol. 2018 Aug;29(5):413-425. doi: 10.1097/FBP.0000000000000390.