Abstract

Depression is a common mental disorder in modern society. A traditional Chinese medicine Huanglian-Wendan decoction with potential anti-inflammation is used as a clinical antidepressant. Our previous study showed central and peripheral inflammatory responses in a rat model of depression developed by chronic unpredictable mild stress (CUMS). Here, we investigated the anti-inflammatory activity and mechanism of Huanglian-Wendan decoction in CUMS rats. LC-MS/MS and HPLC were performed to determine the major compounds in water extract of this decoction. This study showed that Huanglian-Wendan decoction significantly increased sucrose consumption and reduced serum levels of interleukin-1 beta (IL-1β), IL-6, and alanine aminotransferase (ALT) in CUMS rats. Moreover, this decoction inhibited nuclear entry of nuclear factor-kappa B (NF-κB) with the reduction of phosphorylated protein of NF-κB (p-NF-κB) and inhibitor of NF-κB alpha (p-IκBα) and downregulated protein of nod-like receptor family pyrin domain-containing 3 (NLRP3), apoptosis-associated speck-like protein containing CARD (ASC), cysteinyl aspartate-specific proteinase-1 (Caspase-1), and IL-1β in liver and brain regions of CUMS rats. These findings demonstrated that Huanglian-Wendan decoction had antidepressant activity with hepatoprotection in CUMS rats coinciding with its anti-inflammation in both periphery and central. The inhibitory modulation of NF-κB and NLRP3 inflammasome activation by Huanglian-Wendan decoction may mediate its antidepressant action.

Highlights

  • Depression is a complex psychiatric disorder with a disabling medical condition

  • Nod-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome, a multiprotein complex consisting of NLRP3, apoptosis-associated speck-like protein containing CARD (ASC), and cysteinyl aspartate-specific proteinase

  • We investigated the antidepressant effect of Huanglian-Wendan decoction and its possible underlying mechanism in chronic unpredictable mild stress (CUMS) rats

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Summary

Introduction

Depression is a complex psychiatric disorder with a disabling medical condition. The World Health Organization informs that there are over 300 million people worldwide suffering from depression, causing high health loss [1]. The underlying molecular mechanism of depression pathology remains elusive, compelling evidence suggests that inflammation may play a critical role [2]. Inflammation molecule, especially nuclear factor-kappa B (NF-κB), levels in plasma are increased in patients with major depression [3]. Neuroinflammation is observed in patients with major depressive episodes [4]. Nod-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome, a multiprotein complex consisting of NLRP3, apoptosis-associated speck-like protein containing CARD (ASC), and cysteinyl aspartate-specific proteinase-

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