Abstract
Chemotherapy-induced cognitive impairment (CICI) is a common detrimental effect of cancer treatment, occurring in up to 75% of cancer patients. The widely utilized chemotherapeutic agent doxorubicin (DOX) has been implicated in cognitive decline, mostly via cytokine-induced neuroinflammatory and oxidative and mitochondrial damage to brain tissues. C-phycocyanin (CP) has previously been shown to have potent anti-inflammatory, antioxidant, and mitochondrial protective properties. Therefore, this present study was aimed to investigate the neuroprotective effects of CP against DOX-elicited cognitive impairment and explore the underlying mechanisms. CP treatment (50 mg/kg) significantly improved behavioral deficits in DOX-treated mice. Furthermore, CP suppressed DOX-induced neuroinflammation and oxidative stress, mitigated mitochondrial abnormalities, rescued dendritic spine loss, and increased synaptic density in the hippocampus of DOX-treated mice. Our results suggested that CP improves established DOX-induced cognitive deficits, which could be explained at least partly by inhibition of neuroinflammatory and oxidant stress and attenuation of mitochondrial and synaptic dysfunction.
Abbreviations
- CICI:
-
Chemotherapy-induced cognitive impairment
- CP:
-
C-phycocyanin
- DOX:
-
Doxorubicin
- mPTP:
-
Mitochondrial permeability transition pore
- GSH:
-
Glutathione
- MM:
-
Mitochondrial membrane potential
- MDA:
-
Malondialdehyde
- MWM:
-
Morris water maze
- PSD95:
-
Postsynaptic density protein 95
- ROS:
-
Reactive oxygen species
- SOD:
-
Superoxide dismutase
References
Asher A (2011) Cognitive dysfunction among cancer survivors. Am J Phys Med Rehabil 90:S16-26
Janelsins MC, Kohli S, Mohile SG, Usuki K, Ahles TA, Morrow GR (2011) An update on cancer- and chemotherapy-related cognitive dysfunction: current status. Semin Oncol 38:431–438
Carvalho C, Santos RX, Cardoso S, Correia S, Oliveira PJ, Santos MS, Moreira PI (2009) Doxorubicin: the good, the bad and the ugly effect. Curr Med Chem 16:3267–3285
Aluise CD, Sultana R, Tangpong J, Vore M, St Clair D, Moscow JA, Butterfield DA (2010) Chemo brain (chemo fog) as a potential side effect of doxorubicin administration: role of cytokine-induced, oxidative/nitrosative stress in cognitive dysfunction. Adv Exp Med Biol 678:147–156
Kwatra M, Jangra A, Mishra M, Sharma Y, Ahmed S, Ghosh P, Kumar V, Vohora D, Khanam R (2016) Naringin and sertraline ameliorate doxorubicin-induced behavioral deficits through modulation of serotonin level and mitochondrial complexes protection pathway in rat hippocampus. Neurochem Res 41:2352–2366
Aluise CD, Miriyala S, Noel T, Sultana R, Jungsuwadee P, Taylor TJ, Cai J, Pierce WM, Vore M, Moscow JA, St Clair DK, Butterfield DA (2011) 2-Mercaptoethane sulfonate prevents doxorubicin-induced plasma protein oxidation and TNF-alpha release: implications for the reactive oxygen species-mediated mechanisms of chemobrain. Free Radic Biol Med 50:1630–1638
Tangpong J, Cole MP, Sultana R, Joshi G, Estus S, Vore M, St Clair W, Ratanachaiyavong S, St Clair DK, Butterfield DA (2006) Adriamycin-induced, TNF-alpha-mediated central nervous system toxicity. Neurobiol Dis 23:127–139
Tacar O, Sriamornsak P, Dass CR (2013) Doxorubicin: an update on anticancer molecular action, toxicity and novel drug delivery systems. J Pharm Pharmacol 65:157–170
Marques-Aleixo I, Santos-Alves E, Oliveira PJ, Moreira PI, Magalhaes J, Ascensao A (2018) The beneficial role of exercise in mitigating doxorubicin-induced mitochondrionopathy. Biochim Biophys Acta Rev Cancer 1869:189–199
Marques-Aleixo I, Santos-Alves E, Balca MM, Moreira PI, Oliveira PJ, Magalhaes J, Ascensao A (2016) Physical exercise mitigates doxorubicin-induced brain cortex and cerebellum mitochondrial alterations and cellular quality control signaling. Mitochondrion 26:43–57
Romay C, Gonzalez R, Ledon N, Remirez D, Rimbau V (2003) C-phycocyanin: a biliprotein with antioxidant, anti-inflammatory and neuroprotective effects. Curr Protein Pept Sci 4:207–216
Bermejo-Bescos P, Pinero-Estrada E, Villar del Fresno AM (2008) Neuroprotection by Spirulina platensis protean extract and phycocyanin against iron-induced toxicity in SH-SY5Y neuroblastoma cells. Toxicol In Vitro 22:1496–1502
Chamorro G, Perez-Albiter M, Serrano-Garcia N, Mares-Samano JJ, Rojas P (2006) Spirulina maxima pretreatment partially protects against 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine neurotoxicity. Nutr Neurosci 9:207–212
Penton-Rol G, Martinez-Sanchez G, Cervantes-Llanos M, Lagumersindez-Denis N, Acosta-Medina EF, Falcon-Cama V, Alonso-Ramirez R, Valenzuela-Silva C, Rodriguez-Jimenez E, Llopiz-Arzuaga A, Marin-Prida J, Lopez-Saura PA, Guillen-Nieto GE, Penton-Arias E (2011) C-Phycocyanin ameliorates experimental autoimmune encephalomyelitis and induces regulatory T cells. Int Immunopharmacol 11:29–38
Fernandez-Rojas B, Rodriguez-Rangel DS, Granados-Castro LF, Negrette-Guzman M, Leon-Contreras JC, Hernandez-Pando R, Molina-Jijon E, Reyes JL, Zazueta C, Pedraza-Chaverri J (2015) C-phycocyanin prevents cisplatin-induced mitochondrial dysfunction and oxidative stress. Mol Cell Biochem 406:183–197
Liao D, Xiang D, Dang R, Xu P, Wang J, Han W, Fu Y, Yao D, Cao L, Jiang P (2018) Neuroprotective Effects of dl-3-n-butylphthalide against doxorubicin-induced neuroinflammation, oxidative stress, endoplasmic reticulum stress, and behavioral changes. Oxid Med Cell Longev 2018:9125601
Mitra S, Siddiqui WA, Khandelwal S (2015) C-Phycocyanin protects against acute tributyltin chloride neurotoxicity by modulating glial cell activity along with its anti-oxidant and anti-inflammatory property: a comparative efficacy evaluation with N-acetyl cysteine in adult rat brain. Chem Biol Interact 238:138–150
Wang D, Liu X, Liu Y, Shen G, Zhu X, Li S (2017) Treatment effects of Cardiotrophin-1 (CT-1) on streptozotocin-induced memory deficits in mice. Exp Gerontol 92:42–45
Wang D, Liu L, Li S, Wang C (2018) Effects of paeoniflorin on neurobehavior, oxidative stress, brain insulin signaling, and synaptic alterations in intracerebroventricular streptozotocin-induced cognitive impairment in mice. Physiol Behav 191:12–20
Lin S, Ren A, Wang L, Huang Y, Wang Y, Wang C, Greene ND (2018) Oxidative stress and apoptosis in benzo[a]pyrene-induced neural tube defects. Free Radic Biol Med 116:149–158
Dragicevic N, Mamcarz M, Zhu Y, Buzzeo R, Tan J, Arendash GW, Bradshaw PC (2010) Mitochondrial amyloid-beta levels are associated with the extent of mitochondrial dysfunction in different brain regions and the degree of cognitive impairment in Alzheimer’s transgenic mice. J Alzheimers Dis 20(Suppl 2):S535–S550
Wang D, Liu X, Liu Y, Li S, Wang C (2017) The effects of cardiotrophin-1 on early synaptic mitochondrial dysfunction and synaptic pathology in APPswe/PS1dE9 mice. J Alzheimers Dis 59:1255–1267
Dragicevic N, Smith A, Lin X, Yuan F, Copes N, Delic V, Tan J, Cao C, Shytle RD, Bradshaw PC (2011) Green tea epigallocatechin-3-gallate (EGCG) and other flavonoids reduce Alzheimer’s amyloid-induced mitochondrial dysfunction. J Alzheimers Dis 26:507–521
Dragicevic N, Delic V, Cao C, Copes N, Lin X, Mamcarz M, Wang L, Arendash GW, Bradshaw PC (2012) Caffeine increases mitochondrial function and blocks melatonin signaling to mitochondria in Alzheimer’s mice and cells. Neuropharmacology 63:1368–1379
Wang D, Dong X, Wang B, Liu Y, Li S (2019) Geraniin attenuates lipopolysaccharide-induced cognitive impairment in mice by inhibiting toll-like receptor 4 activation. J Agric Food Chem 67:10079–10088
Zimmer P, Mierau A, Bloch W, Struder HK, Hulsdunker T, Schenk A, Fiebig L, Baumann FT, Hahn M, Reinart N, Hallek M, Elter T (2015) Post-chemotherapy cognitive impairment in patients with B-cell non-Hodgkin lymphoma: a first comprehensive approach to determine cognitive impairments after treatment with rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone or rituximab and bendamustine. Leuk Lymphoma 56:347–352
Butterfield DA (2014) The 2013 SFRBM discovery award: selected discoveries from the butterfield laboratory of oxidative stress and its sequela in brain in cognitive disorders exemplified by Alzheimer disease and chemotherapy induced cognitive impairment. Free Radic Biol Med 74:157–174
Cardoso CV, de Barros MP, Bachi ALL, Bernardi MM, Kirsten TB, de Fatima MMM, Rocha PRD, da Silva RP, Bondan EF (2020) Chemobrain in rats: behavioral, morphological, oxidative and inflammatory effects of doxorubicin administration. Behav Brain Res 378:112233
Varatharaj A, Galea I (2017) The blood-brain barrier in systemic inflammation. Brain Behav Immun 60:1–12
Joshi G, Sultana R, Tangpong J, Cole MP, St Clair DK, Vore M, Estus S, Butterfield DA (2005) Free radical mediated oxidative stress and toxic side effects in brain induced by the anti cancer drug adriamycin: insight into chemobrain. Free Radic Res 39:1147–1154
Patel A, Mishra S, Ghosh PK (2006) Antioxidant potential of C-phycocyanin isolated from cyanobacterial species Lyngbya, Phormidium and Spirulina spp. Indian J Biochem Biophys 43:25–31
Vichaya EG, Chiu GS, Krukowski K, Lacourt TE, Kavelaars A, Dantzer R, Heijnen CJ, Walker AK (2015) Mechanisms of chemotherapy-induced behavioral toxicities. Front Neurosci 9:131
Doll DN, Rellick SL, Barr TL, Ren X, Simpkins JW (2015) Rapid mitochondrial dysfunction mediates TNF-alpha-induced neurotoxicity. J Neurochem 132:443–451
Marin-Prida J, Penton-Rol G, Rodrigues FP, Alberici LC, Stringhetta K, Leopoldino AM, Naal Z, Polizello AC, Llopiz-Arzuaga A, Rosa MN, Liberato JL, Santos WF, Uyemura SA, Penton-Arias E, Curti C, Pardo-Andreu GL (2012) C-Phycocyanin protects SH-SY5Y cells from oxidative injury, rat retina from transient ischemia and rat brain mitochondria from Ca2+/phosphate-induced impairment. Brain Res Bull 89:159–167
Lomeli N, Di K, Czerniawski J, Guzowski JF, Bota DA (2017) Cisplatin-induced mitochondrial dysfunction is associated with impaired cognitive function in rats. Free Radic Biol Med 102:274–286
Chiu GS, Maj MA, Rizvi S, Dantzer R, Vichaya EG, Laumet G, Kavelaars A, Heijnen CJ (2017) Pifithrin-mu prevents cisplatin-induced chemobrain by preserving neuronal mitochondrial function. Cancer Res 77:742–752
Winocur G, Berman H, Nguyen M, Binns MA, Henkelman M, van Eede M, Piquette-Miller M, Sekeres MJ, Wojtowicz JM, Yu J, Zhang H, Tannock IF (2018) Neurobiological mechanisms of chemotherapy-induced cognitive impairment in a transgenic model of breast cancer. Neuroscience 369:51–65
Acknowledgements
The present work was supported by National Natural Science Foundation of China (U1804174), Science and Technology Innovation Talents in the Universities of Henan Province (20HASTIT044), Henan Provincial Key Research and Development and Promotion Project (192102310081).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Wang, C., Zhao, Y., Wang, L. et al. C-phycocyanin Mitigates Cognitive Impairment in Doxorubicin-Induced Chemobrain: Impact on Neuroinflammation, Oxidative Stress, and Brain Mitochondrial and Synaptic Alterations. Neurochem Res 46, 149–158 (2021). https://doi.org/10.1007/s11064-020-03164-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11064-020-03164-2