Article Ejbps Volume 6 August Issue 8 1564793897
Article Ejbps Volume 6 August Issue 8 1564793897
Article Ejbps Volume 6 August Issue 8 1564793897
918
ABSTRACT
Pregnenolone and its derivatives have been implicated in neuroprotection and enhance NMDA receptor
neurotransmission pointing out their therapeutic potential in schizophrenia. This study was aimed to evaluate the
effects of pregnelonone sulphate (Preg S) on behavioural changes and markers of oxidative stress induced by
ketamine (Ket) in rats. All rats received intraperitoneal (i.p) injection daily for 14 days with different drug
treatments viz. Preg S (11.86 mg/kg), risperidone (2 mg/kg/day) alone and in combination with ketamine (30
mg/kg). Different behavioural tests which included elevated plus maze, spontaneous alternation behaviour,
locomotor activity tests were performed after 24 hrs of last dosing followed by the estimation of markers of
oxidative stress and acetylcholine esterase (AchE) activity in rat’s brain. Ket produced significant changes in
behaviour resembling to that of negative symptoms and memory impairment seen in schizophrenic patients. Preg
S treated rats spent more time in open arm in elevated plus maze test, decreased percentage alternation and
improved locomotor activity as compared to Ket treated rats. The levels of antioxidants such as superoxide
dismutase (SOD) and reduced glutathione (GSH) were reduced while thiobarbituric acid reactive substances
(TBARS) were elevated. Preg S administration normalized the antioxidant parameters. Preg S improved learning
and memory in elevated plus maze, spontaneous alternation behaviour, locomotor activity, decreased AChE
activity and reduced oxidative stress. Thus, we may conclude that Preg S offered neuroprotective and antioxidant
effect in Ket induced behavioural symptoms.
www.ejbps.com 443
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
allosteric modulator of the GABAA receptor and a symptoms like locomotor activity changes seen in
weak positive allosteric modulator of the NMDA elevated plus maze.[25]
receptor and agonist of the sigma receptor.[17-19]
2.3. Treatment schedule
With respect to SCZ, Pregnenolone actions on learning Wistar albino rats of either sex were used in the present
and memory in rodent models have been studied as study. The duration of study was 14 days. The Animals
cognitive symptoms were improved and it may be were divided randomly into 6 groups each containing of
hypothesized that their long-term treatment may improve 6 animals. Group-I Normal Control, Group-II Ketamine,
the outcome and quality of life in patients with SCZ.[20,21] Group-III, Preg S per se, Group-IV Risperidone per se,
The neurosteroid pregnenolone may represent a Group-V Preg S + Ketamine, Group-VI Risperidone +
promising and mechanistically novel agent for cognitive Ketamine. In group I, rats were administered normal
and negative symptoms in SCZ. Pregnenolone and its saline (1 ml/kg body weight, i.p). Group II, Ketamine (30
sulphated derivative, Preg S enhance learning and mg/kg/d, i.p), Group III, received Preg S per se (11.86
memory in animal models at concentrations that are mg/kg/d, i.p. dissolved in 0.9% NaCl), Group IV,
physiologically relevant and known to be present in received Risperidone Per se (2 mg/kg/day, i.p), Group V,
human brain.[22-24] received Preg S (11.86 mg/kg, i.p) + Ketamine (30
mg/kg i.p) and Group-VI- Risperidone (2 mg/kg/day, i.p)
In lab animals, the symptoms of SCZ are produced by + Ketamine (30 mg/kg i.p) respectively.
various techniques including use of chemicals etc.
Becker et al reported that sub-chronic treatment of After 24 hrs of last dosing, the behavioural tests were
Ketamine (Ket) (30 mg/kg, i.p) induced changes in rat carried out followed by the estimation of markers of
behaviour resembling to that of the symptoms of SCZ[25] oxidative stress and acetylcholine esterase activity in
and this model was employed in the present research rat’s brain.
study to observe the schizophrenic behavioural
symptoms of animals. Further, the role of oxidative 2.4. Behavioural tests
stress has been implicated in the pathophysiology of 2.4.1. Spontaneous Alternation Behaviour (SAB)
SCZ[26-28] thus, the present study was carried out to This method was used to study the effect of drugs on
determine the effect of Preg S on behavioural changes learning and memory. Spontaneous alternation behaviour
and markers of oxidative stress in Ket induced (SAB) was performed in a plus maze to assess effect of
behavioural changes in rats resembling to schizophrenic drugs on short term memory with respect to spatial
symptoms in humans. orientation and perception as per earlier reported
method.[30] The animals were placed in plus maze. The
2.0. MATERIALS AND METHODS maze (85 cm height) was constructed of wood painted
2.1. Animals grey and contained a central platform (25 cm diameter),
Wistar albino rats, weighing 200-230 gm, were procured from which radiated four symmetrical arms (55cm long×
from the Central Animal House Facility, Hamdard 10 cm wide), with 12 cm wall. After being placed in the
University, New Delhi, India. The animals were kept in central platform, rats were allowed to traverse the maze
polypropylene cages under standard laboratory freely for 12 min. The number and sequence of entries
conditions (12 hours’ light/dark cycles) and had free were recorded. An alternation was defined as entry into
access to a commercial pellet diet and water ad libitum. four different arms on an overlapping quintuple set. Five
The animal house temperature was maintained at 25 ±2 consecutive arm choices within the total set of arms
ºC. This study was approved by the Institutional Animal choices constitute a quintuple set. A quintuple consisting
Ethics Committee (IAEC) [Reg. No1115] Jamia of arm choices A, B, A, C, D was considered as an
Hamdard, New Delhi on dated 25 Feb 2016. alternation, while the set with A, B, A, C, B did not.
Using this procedure, percentage alternation is equal to
2.2. Preparation and drug Administration the ratio of actual alternation to possible alternation ×
All the drugs solutions were administered 100. Possible alternation sequences are equal to the no of
intraperitoneally (i.p) for 14 days to rats. Preg S was arms entries minus 4.
procured from Sigma Aldrich Bangalore and was
administered at a dose of 11.86 mg/kg/day, i.p. It was Elevated Plus Maze Test (EPMT)
dissolved in 0.9% normal saline and sonicated for 10 min Behavioural symptoms were measured in the elevated
in ultrasonicated bath.[15] Ketamine was purchased from plus-maze 2 weeks after the final injection. The maze
Troikaa Pharmaceutical Ltd and was administered (30 was made of black polyvinyl chloride and had two open
mg/kg/day, i.p).[25] Risperidone (2 mg/kg/day, i.p) was and two closed arms (50×10×40 cm) mounted 50 cm
dissolved in 0.4 molL-1 tartaric acid.[29] above the floor. The floor of the arms was smooth. Light
levels were 30 or 400 lx. Bright illumination is
Behavioural symptoms were induced by intraperitoneal considered more stressful to animals. A rat was placed in
injection of Ket (30 mg/kg/day) for two weeks. Sub- the central platform of the apparatus facing a closed arm.
anaesthetic dose of ketamine produced behavioural This is expressed as the animal spending more time in
the enclosed arms. This model is based on rodent’s
www.ejbps.com 444
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
www.ejbps.com 445
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
3.3. Locomotor activity monitoring study demonstrated relieving and improvement in the
Total movements, move time, move distance, mean stress and anxiety by Preg S which may be useful in
velocity were increased and rest time was decreased in ameliorating the symptoms of SCZ.
Ket treated group as compared with control group.
However combination of Preg S and Ris pre-treated SAB has been used as a measure of recording short term
groups showed highly significant reduction in total memory.[37] In the present study it was also observed that
movements, move time, move distance, mean velocity upon administration of Ket, the % alteration was
and increased in rest time as compared with Ket group increased as compared with saline treated groups in
(P<0.001) (Table 2). elevated plus maze- test. Combination of Preg S with Ket
reduced the % alternation suggesting its role in learning
3.4. Biochemical parameters and memory and anti-amnestic effect. These behavioural
3.4.1. GSH observations were corroborated with a decrease in AChE
Preg S (11.86 mg/kg) treatment showed significant activity in rat brain by Preg S thus, confirming its anti-
increase in GSH levels (p<0.05) and Ket administration amnesic activity against Ket induced amnesia in elevated
(30 mg/kg) resulted in decrease in GSH level however, plus maze model.
co-administration showed an increase in GSH level as
compared to their respective controls (Table 3). Total movement time, rest time and horizontal activity
were recorded in activity monitoring system to assess the
3.4.2. TBARS LA. Total movement time was increased in ketamine
Ket pre-treatment produced increased in TBARS value treated groups as compared with control groups. Preg S
as compared to control group (p<0.01). Preg S showed a combination groups showed a highly significant
reduction in TBARS level (p<0.05) as compared to reduction in LA as compared with ketamine group. N-
control group. Combination of Preg S and ketamine Methyl-D Aspartate (NMDA) receptor antagonists,
administration resulted in reduction of TBARS value phencyclidine and dizocilpine (MK-801), also produce
slightly more than control groups (Table 3). similar behavioural effects in rodents characterized by
increased LA similarly as our observations. In particular,
3.4.3. SOD activity NMDA antagonist-induced hyperlocomotion has been
SOD activity was significantly reduced in ketamine used to compare the effects of typical and atypical anti-
group (P< 0.001), however combination of Preg S and psychotic drugs in the NMDA-model of schizophrenic
Ket showed marked increased in SOD activity as symptoms.[38] Thus, Preg S may be a good candidate to
compared to control groups. (Table 3). have effects produced by NMDA receptor antagonistic
activity.[8] Recent studies provide additional evidence
3.4.4. AChE activity that Preg S may function as an endogenous
Ket (30 mg/kg) produced significant increased in acetyl neurotransmitter or neuromodulator, creating renewed
cholinesterase activity as compared to their control interest in the identification of novel neuroactive steroid
(p<0.05). Combination of Preg S and Ket treated animals targets for pharmacological intervention.[24,39]
showed decreased in AChE activity as compared to
control group (Fig. 2). Evidence for increased oxidative stress in chronic SCZ
patients is primarily based on the altered levels of
4.0. DISCUSSION antioxidants enzymes, free radical production or reactive
Intraperitoneal injection of multiple sub-anaesthetic dose oxygen species (ROS) can cause cellular damage or
of Ket (30 mg/kg) for two weeks as reported by earlier neuronal death, because oxidation of cellular components
reported study[25] demonstrated behavioural symptoms like lipid, protein and DNA and alteration of signalling
and memory impairment similar to that of schizophrenic pathway that finally promote the damage of cells.[40]
symptoms. The present study evaluated Preg S in
behavioural tests which include EPMT and SAB Multiple Sub-anaesthetic dose of Ket (30 mg/kg, i.p)
including the locomotor activity (LA) in rats. showed significant (p<0.01) increased in TBARS value
as compare to control treated groups. Impaired
During the EPMT, total time spent in closed arm, total antioxidant defences are suggested to participate in the
time spent in open arms, % preference to closed arm and pathophysiology of schizophrenia and other
open arm were recorded, animal spent more time in neurodegenerative conditions. Altered SOD and
closed arm as compared to open arm in group treated increased lipid peroxidation, measured by the TBARS,
with ketamine but when it was treated with Preg S, there are increased in schizophrenic patients.[41] Preg S showed
was an enhancement in the time spent in open arms as a highly significant reduction in TBARS level,
compared to closed arm which showed that rat suggesting its neuroprotective and/or anti-oxidant
demonstrated aversion toward open arm entries which properties.
indicates that anxiety and stress like symptoms were
reduced which is a core symptoms of schizophrenia. GSH represents main cellular non-protein antioxidant
Others symptoms also recorded in elevated plus maze and redox regulator in protecting nervous tissue against
like freezing to open space for long time. The present ROS[42] and in modulating redox sensitive sites,
www.ejbps.com 446
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
including NMDA receptors. GSH level was significantly showed that neurosteroids play important role to
(p< 0.001) decreased in ketamine treated group as preventing oxidative damage cause neuronal cell death
compared to control group, after Preg S administration and apoptosis in schizophrenia by restoring this enzyme.
GSH level was increased, combination of Preg S and
ketamine show slightly increased in GSH level as AChE was increased in Ket treated rats (p<0.001) as
compared to Ket which also showed neuroprotective compared to control, Preg S showed marked decreased in
and/or anti-oxidant properties of drug. AChE activity. ACh release from rat hippocampus is
linked to cognitive function[43]s. Thus, indirectly our
SOD is an important enzyme in reducing oxidative study confirms that Preg S increased the Ach levels and
stress, in the present study there was a decrease in Ket improved the cognitive function.
treated rats, but highly increased in Preg S treated group
www.ejbps.com 447
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
All values were expressed as mean ± SEM, analyzed by ANOVA followed by Tukey- Kramer multiple comparison
test. P values <0.05 was considered significant and P value <0.001 was considered extremely significant. N= 6 number
of animals in each group* p<0.05, **p<0.01, *** p<0.001 when compared with control, ## p<0.01, ### p<0.001 when
compared with ketamine. Preg S =Pregrenolone Sulphate; Risp =Risperidone; ket=Ketamine
www.ejbps.com 448
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
distinct mechanisms? Proceedings of the National of the National Academy of Sciences, 1992; 89:
Academy of Sciences, 2001; 98: 14033-7. 1567-71.
9. Baulieu E-E. Steroids and Brain, a Rising Bio- 23. Flood JF, Morley JE and Roberts E. Pregnenolone
Medical Domain: a Perspective. Frontiers in sulfate enhances post-training memory processes
endocrinology, 2018; 9. when injected in very low doses into limbic system
10. Marx CE, VanDoren MJ, Duncan GE, Lieberman structures: the amygdala is by far the most sensitive.
JA and Morrow AL. Olanzapine and clozapine Proceedings of the National Academy of Sciences,
increase the GABAergic neuroactive steroid 1995; 92: 10806-10.
allopregnanolone in rodents. 24. Marx CE, Keefe RS, Buchanan RW, et al. Proof-of-
Neuropsychopharmacology, 2003; 28: 1. concept trial with the neurosteroid pregnenolone
11. Stoffel-Wagner B. Neurosteroid metabolism in the targeting cognitive and negative symptoms in
human brain. European Journal of Endocrinology, schizophrenia. Neuropsychopharmacology, 2009;
2001; 145: 669-79. 34: 1885.
12. Grube M, Hagen P and Jedlitschky G. Neurosteroid 25. Becker A, Peters B, Schroeder H, Mann T, Huether
Transport in the Brain: Role of ABC and SLC G and Grecksch G. Ketamine-induced changes in rat
Transporters. Frontiers in pharmacology, 2018; 9: behaviour: a possible animal model of
354. schizophrenia. Progress in Neuro-
13. Le Mellédo J-M and Baker G. Role of progesterone Psychopharmacology and Biological Psychiatry,
and other neuroactive steroids in anxiety disorders. 2003; 27: 687-700.
Expert Review of Neurotherapeutics, 2004; 4: 26. Bentsen H, Solberg D, Refsum H and Andreassen O.
851-60. T24. Redox Regulators And Oxidative Stress In
14. Pinna G, Costa E and Guidotti A. Fluoxetine and Schizophrenia. Schizophrenia Bulletin, 2018; 44:
norfluoxetine stereospecifically and selectively S122-S.
increase brain neurosteroid content at doses that are 27. Monin A, Baumann P, Griffa A, et al. Glutathione
inactive on 5-HT reuptake. Psychopharmacology, deficit impairs myelin maturation: relevance for
2006; 186: 362-72. white matter integrity in schizophrenia patients.
15. Vallée M, Mayo W, DARNAUDEry M, et al. Molecular psychiatry, 2015; 20: 827.
Neurosteroids: deficient cognitive performance in 28. Emiliani FE, Sedlak TW and Sawa A. Oxidative
aged rats depends on low pregnenolone sulfate stress and schizophrenia: recent breakthroughs from
levels in the hippocampus. Proceedings of the an old story. Current opinion in psychiatry, 2014;
National Academy of Sciences, 1997; 94: 14865-70. 27: 185.
16. Maurice T, Phan V-L, Urani A, Kamei H, Noda Y 29. Kapur S, VanderSpek SC, Brownlee BA and
and Nabeshima T. Neuroactive neurosteroids as Nobrega JN. Antipsychotic dosing in preclinical
endogenous effectors for the sigma1 (σ1) receptor: models is often unrepresentative of the clinical
pharmacological evidence and therapeutic condition: a suggested solution based on in vivo
opportunities. The Japanese Journal of occupancy. Journal of Pharmacology and
Pharmacology, 2001; 81: 125-55. Experimental Therapeutics, 2003; 305: 625-31.
17. Noda Y, Kamei H, Kamei Y, Nagai T, Nishida M 30. Ragozzino ME, Pal SN, Unick K, Stefani MR and
and Nabeshima T. Neurosteroids ameliorate Gold PE. Modulation of hippocampal acetylcholine
conditioned fear stress: an association with sigma1 release and spontaneous alternation scores by
receptors. Neuropsychopharmacology, 2000; 23: intrahippocampal glucose injections. Journal of
276-84. Neuroscience, 1998; 18: 1595-601.
18. Marx CE, Bradford DW, Hamer RM, et al. 31. Miyazaki S, Imaizumi M and Onodera K.
Pregnenolone as a novel therapeutic candidate in Ameliorating effects of histidine on scopolamine-
schizophrenia: emerging preclinical and clinical induced learning deficits using an elevated plus-
evidence. Neuroscience, 2011; 191: 78-90. maze test in mice. Life sciences, 1995; 56: 1563-70.
19. Cai H, Cao T, Zhou X and Yao JK. Neurosteroids in 32. Ohkawa H, Ohishi N and Yagi K. Assay for lipid
Schizophrenia: Pathogenic and Therapeutic peroxides in animal tissues by thiobarbituric acid
Implications. Frontiers in psychiatry, 2018; 9: 73. reaction. Analytical biochemistry, 1979; 95: 351-8.
20. Green MF, Kern RS, Braff DL and Mintz J. 33. Ellman GL. Tissue sulfhydryl groups. Archives of
Neurocognitive deficits and functional outcome in biochemistry and biophysics, 1959; 82: 70-7.
schizophrenia: are we measuring the “right stuff”? 34. Marklund S and Marklund G. Involvement of the
Schizophrenia bulletin, 2000; 26: 119-36. superoxide anion radical in the autoxidation of
21. Harvey CA, Curson DA, Panteus C, Taylor J and pyrogallol and a convenient assay for superoxide
Barnes TR. Four behavioural syndromes of dismutase. European journal of biochemistry, 1974;
schizophrenia. The British Journal of Psychiatry, 47: 469-74.
1996; 168: 562-70. 35. Ellman GL, Courtney KD, Andres Jr V and
22. Flood JF, Morley JE and Roberts E. Memory- Featherstone RM. A new and rapid colorimetric
enhancing effects in male mice of pregnenolone and determination of acetylcholinesterase activity.
steroids metabolically derived from it. Proceedings Biochemical pharmacology, 1961; 7: 88-95.
www.ejbps.com 449
Iqbal et al. European Journal of Biomedical and Pharmaceutical Sciences
www.ejbps.com 450