PMID- 38454322 OWN - NLM STAT- MEDLINE DCOM- 20240311 LR - 20240311 IS - 1528-3658 (Electronic) IS - 1076-1551 (Print) IS - 1076-1551 (Linking) VI - 30 IP - 1 DP - 2024 Mar 7 TI - Artemisinin ameliorates cognitive decline by inhibiting hippocampal neuronal ferroptosis via Nrf2 activation in T2DM mice. PG - 35 LID - 10.1186/s10020-024-00797-9 [doi] LID - 35 AB - BACKGROUND: Neuronal ferroptosis plays a critical role in the pathogenesis of cognitive deficits. The present study explored whether artemisinin protected type 2 diabetes mellitus (T2DM) mice from cognitive impairments by attenuating neuronal ferroptosis in the hippocampal CA1 region. METHODS: STZ-induced T2DM mice were treated with artemisinin (40 mg/kg, i.p.), or cotreated with artemisinin and Nrf2 inhibitor MEL385 or ferroptosis inducer erastin for 4 weeks. Cognitive performance was determined by the Morris water maze and Y maze tests. Hippocampal ROS, MDA, GSH, and Fe(2+) contents were detected by assay kits. Nrf2, p-Nrf2, HO-1, and GPX4 proteins in hippocampal CA1 were assessed by Western blotting. Hippocampal neuron injury and mitochondrial morphology were observed using H&E staining and a transmission electron microscope, respectively. RESULTS: Artemisinin reversed diabetic cognitive impairments, decreased the concentrations of ROS, MDA and Fe(2+), and increased the levels of p-Nr2, HO-1, GPX4 and GSH. Moreover, artemisinin alleviated neuronal loss and ferroptosis in the hippocampal CA1 region. However, these neuroprotective effects of artemisinin were abolished by Nrf2 inhibitor ML385 and ferroptosis inducer erastin. CONCLUSION: Artemisinin effectively ameliorates neuropathological changes and learning and memory decline in T2DM mice; the underlying mechanism involves the activation of Nrf2 to inhibit neuronal ferroptosis in the hippocampus. CI - (c) 2024. The Author(s). FAU - Wang, Bo AU - Wang B AD - Institute of Anesthesiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China. FAU - Zhu, Sheng AU - Zhu S AD - Department of Nuclear Medicine, Affiliated Hospital of Xiangnan University, No. 25 Renmin West Road, Beihu District, Chenzhou, 423001, Hunan, China. FAU - Guo, Miao AU - Guo M AD - Department of Physiology and Institute of Neuroscience, Key Laboratory of Hunan Province for Major Brain Diseases, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China. FAU - Ma, Run-Dong AU - Ma RD AD - Institute of Anesthesiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China. FAU - Tang, Ya-Ling AU - Tang YL AD - Department of Physiology and Institute of Neuroscience, Key Laboratory of Hunan Province for Major Brain Diseases, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China. FAU - Nie, Ya-Xiong AU - Nie YX AD - Institute of Anesthesiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China. FAU - Gu, Hong-Feng AU - Gu HF AUID- ORCID: 0009-0004-2884-8246 AD - Department of Physiology and Institute of Neuroscience, Key Laboratory of Hunan Province for Major Brain Diseases, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China. ghf513@sina.com. LA - eng GR - 81500349/the National Natural Science Foundation of China/ GR - 2022JJ30509/the Natural Science Foundation of Hunan Province, China/ GR - 2022JJ30534/the Natural Science Foundation of Hunan Province, China/ GR - 21A0273/the key program of Educational Commission of Hunan Province, China/ GR - 2021SK51813/Clinical Medical Technology Innovation Guidance Project of Hunan Province/ PT - Journal Article DEP - 20240307 PL - England TA - Mol Med JT - Molecular medicine (Cambridge, Mass.) JID - 9501023 RN - 0 (NF-E2-Related Factor 2) RN - 0 (Reactive Oxygen Species) RN - 9RMU91N5K2 (artemisinin) RN - 0 (Artemisinins) SB - IM MH - Animals MH - Mice MH - *Diabetes Mellitus, Type 2 MH - NF-E2-Related Factor 2 MH - *Ferroptosis MH - Reactive Oxygen Species MH - *Cognitive Dysfunction/drug therapy/etiology MH - Hippocampus MH - *Artemisinins/pharmacology/therapeutic use MH - Neurons PMC - PMC10921734 OTO - NOTNLM OT - Artemisinin OT - Diabetic cognitive deficit OT - Ferroptosis OT - Hippocampus OT - Nrf2 COIS- There is no competing interest. EDAT- 2024/03/08 06:43 MHDA- 2024/03/11 06:44 PMCR- 2024/03/07 CRDT- 2024/03/08 00:32 PHST- 2023/11/17 00:00 [received] PHST- 2024/01/31 00:00 [accepted] PHST- 2024/03/11 06:44 [medline] PHST- 2024/03/08 06:43 [pubmed] PHST- 2024/03/08 00:32 [entrez] PHST- 2024/03/07 00:00 [pmc-release] AID - 10.1186/s10020-024-00797-9 [pii] AID - 797 [pii] AID - 10.1186/s10020-024-00797-9 [doi] PST - epublish SO - Mol Med. 2024 Mar 7;30(1):35. doi: 10.1186/s10020-024-00797-9.