Abstract

BackgroundThe pathophysiology of schizophrenia (SCZ) remains unclear, and its treatment is far from ideal. We have previously reported that yokukansan (YKS), which is a traditional Japanese medicine, is effective as an adjunctive therapy for SCZ. However, the mechanisms underlying the action of YKS have not yet been completely elucidated. A recent meta-analysis study has shown that adjuvant anti-inflammatory drugs are effective for SCZ treatment, and it has been proposed that some of the cognitive deficits associated with inflammation may in part be related to inflammation-induced reductions in adult hippocampal neurogenesis. Although certain ingredients of YKS have potent anti-inflammatory activity, no study has determined if YKS has anti-inflammatory properties.MethodsUsing the Gunn rat, which has been reported as a possible animal model of SCZ, we investigated whether YKS affects cognitive dysfunction in an object-location test and the suppression of microglial activation and neurogenesis in the hippocampus.ResultsWe found that YKS ameliorated spatial working memory in the Gunn rats. Furthermore, YKS inhibited microglial activation and promoted neurogenesis in the hippocampal dentate gyrus of these rats. These results suggest that the ameliorative effects of YKS on cognitive deficits may be mediated in part by the suppression of the inflammatory activation of microglia.ConclusionsThese findings shed light on the possible mechanism underlying the efficacy of YKS in treating SCZ.

Highlights

  • The pathophysiology of schizophrenia (SCZ) remains unclear, and its treatment is far from ideal

  • Effect of YKS on the performance of Gunn rats in the object-location test (OLT) Previous reports have indicated that YKS treatment stimulates neurogenesis related to cognitive function [20]

  • We examined the effect of YKS on cognitive deficits in Gunn rats using the OLT, which is a cognitive test for spatial memory based on the spontaneous tendency of rodents to explore novel stimuli [23]

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Summary

Introduction

The pathophysiology of schizophrenia (SCZ) remains unclear, and its treatment is far from ideal. A recent meta-analysis study has shown that adjuvant anti-inflammatory drugs are effective for SCZ treatment, and it has been proposed that some of the cognitive deficits associated with inflammation may in part be related to inflammation-induced reductions in adult hippocampal neurogenesis. The pathophysiology of SCZ is still far from being completely elucidated, researchers have indicated hippocampal neurogenesis as a key target for the pathogenesis and treatment of this disease [2]. A positron emission tomography-based study has shown activated microglial cells in the hippocampus of patients with SCZ during the psychotic state [5]. Previous studies have suggested that adjuvant anti-inflammatory drugs are effective for treating SCZ [6]

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