Abstract
Purpose
Most cancer patients treated with systemic adjuvant chemotherapy endure long-lasting side effects including decrease in concentration, forgetfulness and slower thinking, which are globally termed “chemobrain.” Cotinine, the main derivative of nicotine, improved visual and spatial working memory and decreased depressive-like behavior in an animal model of chemotherapy-induced cognitive impairment.
Methods
In this study, we investigated the effect of cotinine on weight gain, locomotor activity, cognitive abilities and depressive-like behavior in rats treated with the chemotherapy mix, cyclophosphamide, methotrexate and 5-fluorouracil. Locomotor activity and depressive-like behavior were assessed using the rotarod and Porsolt’s tests, respectively. Changes in cognitive abilities were determined using the novel place recognition test.
Results
Female rats treated with cotinine after chemotherapy, recovered weight faster, showed superior cognitive abilities and lower levels of depressive-like behavior than chemotherapy, vehicle-treated rats.
Conclusions
This evidence suggests that treatment with cotinine may facilitate the recovery and diminish the cognitive consequences of chemotherapy.
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Abbreviations
- AD:
-
Alzheimer’s disease
- ANOVA:
-
Analysis of variance
- CMF:
-
Cyclophosphamide, methotrexate and 5-fluorouracyl
- CYP:
-
Cytochrome P450
- DG:
-
Dentate gyrus
- DI:
-
Discrimination index
- FANFT:
-
N-[4-(5-nitro-2-furyl)-2-thiazolyl] formamide
- GSK3β:
-
Glycogen synthase kinase 3 beta
- IP:
-
Intraperitoneal
- IL:
-
Interleukin
- MRI:
-
Magnetic resonance imaging
- nAChR:
-
Nicotinic acetylcholine receptor
- NLR:
-
Novel location recognition
- PI3K:
-
Phosphoinositide-3 kinase
- PT:
-
Porsolt’s test
- Akt:
-
Protein kinase B
- TNF:
-
Transforming neurotrophic factor
References
Belcher EC-GK, Desantis C, Edwards B, Ferlay J, Forman D, Grey N, Harford J, Kramer J, McMikel A, McNeal B, O’Brien M, Pace L, Parkin M, Robbins A, Sankaranarayanan R, Sitas F, Slona R, Sullivan K, Wagner D, Ward E (2011) Global cancer facts and Figures, 2nd edn. American Cancer Society, Atlanta
de Ruiter MB, Reneman L, Boogerd W, Veltman DJ, van Dam FS, Nederveen AJ, Boven E, Schagen SB (2011) Cerebral hyporesponsiveness and cognitive impairment 10 years after chemotherapy for breast cancer. Hum Brain Mapp 32(8):1206–1219
Christie LA, Acharya MM, Parihar VK, Nguyen A, Martirosian V, Limoli CL (2012) Impaired cognitive function and hippocampal neurogenesis following cancer chemotherapy. Clin Cancer Res 18(7):1954–1965
Myers JS (2009) Chemotherapy-related cognitive impairment. Clin J Oncol Nurs 13(4):413–421
Harrington CB, Hansen JA, Moskowitz M, Todd BL, Feuerstein M (2010) It’s not over when it’s over: long-term symptoms in cancer survivors–a systematic review. Int J Psychiatry Med 40(2):163–181
Seliktar N, Polek C, Brooks A, Hardie T (2015) Cognition in breast cancer survivors: hormones versus depression. Psychooncology 24(4):402–407. doi:10.1002/pon.3602
Joly F, Rigal O, Noal S, Giffard B (2011) Cognitive dysfunction and cancer: which consequences in terms of disease management? Psychooncology 20(12):1251–1258
Fardell JE, Vardy J, Johnston IN, Winocur G (2011) Chemotherapy and cognitive impairment: treatment options. Clin Pharmacol Ther 90(3):366–376. doi:10.1038/clpt.2011.112
Brauch H, Mürdter TE, Eichelbaum M, Schwab M (2009) Pharmacogenomics of tamoxifen therapy. Clin Chem 55(10):1770–1782. doi:10.1373/clinchem.2008.121756
Fouladi M, Chintagumpala M, Laningham FH, Ashley D, Kellie SJ, Langston JW, McCluggage CW, Woo S, Kocak M, Krull K, Kun LE, Mulhern RK, Gajjar A (2004) White matter lesions detected by magnetic resonance imaging after radiotherapy and high-dose chemotherapy in children with medulloblastoma or primitive neuroectodermal tumor. J Clin Oncol 22(22):4551–4560. doi:10.1200/JCO.2004.03.058
Choi SM, Lee SH, Yang YS, Kim BC, Kim MK, Cho KH (2001) 5-fluorouracil-induced leukoencephalopathy in patients with breast cancer. J Korean Med Sci 16(3):328–334. doi:10.3346/jkms.2001.16.3.328
Koppelmans V, de Groot M, de Ruiter MB, Boogerd W, Seynaeve C, Vernooij MW, Niessen WJ, Schagen SB, Breteler MM (2014) Global and focal white matter integrity in breast cancer survivors 20 years after adjuvant chemotherapy. Hum Brain Mapp 35(3):889–899. doi:10.1002/hbm.22221
Raffa RB (2011) Cancer ‘survivor-care’: I. the alpha7 nAChR as potential target for chemotherapy-related cognitive impairment. J Clin Pharm Ther 36(4):437–445. doi:10.1111/j.1365-2710.2010.01208.x
Terry AV Jr, Hernandez CM, Hohnadel EJ, Bouchard KP, Buccafusco JJ (2005) Cotinine, a neuroactive metabolite of nicotine: potential for treating disorders of impaired cognition. CNS Drug Rev 11(3):229–252
Zeitlin R, Patel S, Solomon R, Tran J, Weeber EJ, Echeverria V (2012) Cotinine enhances the extinction of contextual fear memory and reduces anxiety after fear conditioning. Behav Brain Res 228(2):284–293
Grizzell JA, Mullins M, Iarkov A, Rohani A, Charry LC, Echeverria V (2014) Cotinine reduces depressive-like behavior and hippocampal vascular endothelial growth factor downregulation after forced swim stress in mice. Behav Neurosci 128(6):713–721. doi:10.1037/bne0000021
Levin ED (2012) alpha7-Nicotinic receptors and cognition. Curr Drug Targets 13(5):602–606
Rubboli F, Court JA, Sala C, Morris C, Perry E, Clementi F (1994) Distribution of neuronal nicotinic receptor subunits in human brain. Neurochem Int 25(1):69–71
Grizzell JA, Iarkov A, Holmes R, Mori T, Echeverria V (2014) Cotinine reduces depressive-like behavior, working memory deficits, and synaptic loss associated with chronic stress in mice. Behav Brain Res 268:55–65. doi:10.1016/j.bbr.2014.03.047
Macleod JE, DeLeo JA, Hickey WF, Ahles TA, Saykin AJ, Bucci DJ (2007) Cancer chemotherapy impairs contextual but not cue-specific fear memory. Behav Brain Res 181(1):168–172
Lyons L, ElBeltagy M, Umka J, Markwick R, Startin C, Bennett G, Wigmore P (2011) Fluoxetine reverses the memory impairment and reduction in proliferation and survival of hippocampal cells caused by methotrexate chemotherapy. Psychopharmacology 215(1):105–115. doi:10.1007/s00213-010-2122-2
Lyons L, ElBeltagy M, Bennett G, Wigmore P (2012) Fluoxetine counteracts the cognitive and cellular effects of 5-fluorouracil in the rat hippocampus by a mechanism of prevention rather than recovery. PLoS ONE 7(1):e30010. doi:10.1371/journal.pone.0030010
Briones TL, Woods J (2011) Chemotherapy-induced cognitive impairment is associated with decreases in cell proliferation and histone modifications. BMC Neurosci 12:124
Schagen SB, van Dam FS, Muller MJ, Boogerd W, Lindeboom J, Bruning PF (1999) Cognitive deficits after postoperative adjuvant chemotherapy for breast carcinoma. Cancer 85(3):640–650
Koppelmans V, Breteler MM, Boogerd W, Seynaeve C, Schagen SB (2013) Late effects of adjuvant chemotherapy for adult onset non-CNS cancer; cognitive impairment, brain structure and risk of dementia. Crit Rev Oncol Hematol. doi:10.1016/j.critrevonc.2013.04.002
Echeverria V, Zeitlin R (2012) Cotinine: a potential new therapeutic agent against Alzheimer’s disease. CNS Neurosci Ther 18(7):517–523
Hatsukami DK, Grillo M, Pentel PR, Oncken C, Bliss R (1997) Safety of cotinine in humans: physiologic, subjective, and cognitive effects. Pharmacol Biochem Behav 57(4):643–650
Terry AV Jr, Buccafusco JJ, Schade RF, Vandenhuerk L, Callahan PM, Beck WD, Hutchings EJ, Chapman JM, Li P, Bartlett MG (2012) The nicotine metabolite, cotinine, attenuates glutamate (NMDA) antagonist-related effects on the performance of the five choice serial reaction time task (5C-SRTT) in rats. Biochem Pharmacol 83(7):941–951
Ennaceur A, Delacour J (1988) A new one-trial test for neurobiological studies of memory in rats. 1: Behavioral data. Behav Brain Res 31(1):47–59
Porsolt RD, Bertin A, Jalfre M (1977) Behavioral despair in mice: a primary screening test for antidepressants. Arch Int Pharmacodyn Ther 229(2):327–336
Castagne V, Moser P, Roux S, Porsolt RD (2010) Rodent models of depression: forced swim and tail suspension behavioral despair tests in rats and mice. Curr Protoc Neurosci 49:5.8.1–5.8.14
Jones BJ, Roberts DJ (1968) A rotarod suitable for quantitative measurements of motor incoordination in naive mice. Naunyn Schmiedebergs Arch Exp Pathol Pharmakol 259(2):211
Ayres A, Hoon PW, Franzoni JB, Matheny KB, Cotanch PH, Takayanagi S (1994) Influence of mood and adjustment to cancer on compliance with chemotherapy among breast cancer patients. J Psychosom Res 38(5):393–402
Fremouw T, Fessler CL, Ferguson RJ, Burguete Y (2012) Preserved learning and memory in mice following chemotherapy: 5-Fluorouracil and doxorubicin single agent treatment, doxorubicin-cyclophosphamide combination treatment. Behav Brain Res 226(1):154–162. doi:10.1016/j.bbr.2011.09.013
Fardell JE, Vardy J, Johnston IN (2013) The short and long term effects of docetaxel chemotherapy on rodent object recognition and spatial reference memory. Life Sci. doi:10.1016/j.lfs.2013.05.006
Grizzell JA, Echeverria V (2015) New insights into the mechanisms of action of cotinine and its distinctive effects from nicotine. Neurochem Res 40:2032–2046
Matsunaga M, Isowa T, Yamakawa K, Fukuyama S, Shinoda J, Yamada J, Ohira H (2014) Genetic variations in the human cannabinoid receptor gene are associated with happiness. PLoS ONE 9(4):e93771. doi:10.1371/journal.pone.0093771
Rehani K, Scott DA, Renaud D, Hamza H, Williams LR, Wang H, Martin M (2008) Cotinine-induced convergence of the cholinergic and PI3 kinase-dependent anti-inflammatory pathways in innate immune cells. Biochim Biophys Acta 1783(3):375–382
J. GAO B-LA, J. M. CHAPMAN, D. BERTRAND, A. V. TERRY1; (2012) Neuroprotective effects of the nicotine metabolite, cotinine, and several structural analogs of cotinine Paper presented at the Society for Neuroscience, New Orleans
Wong HP, Yu L, Lam EK, Tai EK, Wu WK, Cho CH (2007) Nicotine promotes colon tumor growth and angiogenesis through beta-adrenergic activation. Toxicol Sci 97(2):279–287. doi:10.1093/toxsci/kfm060
Doolittle DJ, Winegar R, Lee CK, Caldwell WS, Hayes AW, de Bethizy JD (1995) The genotoxic potential of nicotine and its major metabolites. Mutat Res 344(3–4):95–102
LaVoie EJ, Shigematsu A, Rivenson A, Mu B, Hoffmann D (1985) Evaluation of the effects of cotinine and nicotine-N’-oxides on the development of tumors in rats initiated with N-[4-(5-nitro-2-furyl)-2-thiazolyl]formamide. J Nat Cancer Inst 75(6):1075–1081
Barbieri RL, Gochberg J, Ryan KJ (1986) Nicotine, cotinine, and anabasine inhibit aromatase in human trophoblast in vitro. J Clin Invest 77(6):1727–1733
Acknowledgments
This material is the result of work supported with resources and the use of facilities at the Bay Pines VA Healthcare System. The contents do not necessarily represent the views of the Department of Veterans Affairs or the United States Government. This work was in part supported by the Bay Pines Foundation and the grant Fondecyt 1150194 (to VE).
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Iarkov, A., Appunn, D. & Echeverria, V. Post-treatment with cotinine improved memory and decreased depressive-like behavior after chemotherapy in rats. Cancer Chemother Pharmacol 78, 1033–1039 (2016). https://doi.org/10.1007/s00280-016-3161-0
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DOI: https://doi.org/10.1007/s00280-016-3161-0