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Current Psychopharmacology

Editor-in-Chief

ISSN (Print): 2211-5560
ISSN (Online): 2211-5579

Research Article

Hippocampal Serotonin and Responses to Immobilization Stress in Rats Treated with Metformin

Author(s): Rushda Afroz*, Tabinda Salman, Shazia Nawaz, Nazish Mustafa, Munnum Zafar and Darakhshan Jabeen Haleem

Volume 12, 2024

Published on: 29 April, 2024

Article ID: e290424229519 Pages: 13

DOI: 10.2174/0122115560289942240427041345

Price: $65

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Abstract

Background: Stress-related illnesses and depression are rising in modern society. Selective serotonin reuptake inhibitors as well as other antidepressants, are also not very effective and commonly exhibit partial remission, suggesting the need for novel therapeutic agents for treating anxiety and depression.

Objective: The present study was designed to investigate serotonergic mechanisms in the potential anxiolytic and stress-reducing effects of metformin.

Method: In the first experiment, rats were given two doses (50 and 100 mg/kg) of metformin to monitor the effects of repeated administration on motor activity, anxiety, and 5-HT-1A receptor expression in the hippocampus and raphe nuclei. The second experiment was conducted in 2 parts, in 2a. experiment, control, and metformin (50 mg/kg) treated rats were immobilized for 2 hours for 5 consecutive days. Food intake and body weight were monitored daily and anxiety-like behavior was monitored on days 2 and 6. On day 6, rats were again immobilized for 2 hours, and after termination of stress rats were sacrificed to collect the hippocampus for HPLC-EC analysis of serotonin (5-hydroxytryptamine; 5-HT) and 5-hydroxy indole acetic acid (5-HIAA). In 2b. experiment, control, and metformin (50 mg/kg) treated rats were immobilized for 2 hours, and after 2 hours rats were sacrificed to collect the hippocampus for HPLC-EC analysis of 5-HT and 5-HIAA.

Results: We found that metformin treatment exhibited anxiety reduction associated with greater expression of 5-HT-1A receptor in the hippocampus and reduced expression in the raphe nuclei. Immobilization stress-induced food intake and body weight deficits were comparable in control and metformin-treated rats, but the anxiogenic effects of stress were smaller in the metformintreated group. Stress-induced decreases of hippocampal 5-HT were smaller in metformin-treated than in control rats.

Conclusion: Metformin can reduce stress-induced anxiety mediated via an increase in hippocampal 5-HT levels and 5-HT-1A heteroreceptor expression.

Keywords: Metformin, anxiety, immobilization stress, serotonin, 5-HT-1A, hippocampus.

[1]
Holmes A, Silvestri R. Rates of Mental Illness and Associated Academic Impacts in Ontario’s College Students. Can J Sch Psychol 2016; 31(1): 27-46.
[http://dx.doi.org/10.1177/0829573515601396]
[2]
Kentor RA, Hilliard ME. JPP Student Journal Club commentary: Considerations on depression, distress, and resilience in parents of children with chronic health conditions. J Pediatr Psychol 2019; 44(2): 150-2.
[http://dx.doi.org/10.1093/jpepsy/jsy096] [PMID: 30590517]
[3]
Marasine NR, Sankhi S, Lamichhane R, Marasini NR, Dangi NB. Use of antidepressants among patients diagnosed with depression: a scoping review. BioMed Res Int 2021; 2021: 1-8.
[http://dx.doi.org/10.1155/2021/6699028] [PMID: 33791379]
[4]
Jabeen Haleem D. Drug targets for obesity and depression: From serotonin to leptin. Curr Drug Targets 2016; 17(11): 1282-91.
[http://dx.doi.org/10.2174/1389450117666151209123049] [PMID: 26648065]
[5]
Dalvie S, Chatzinakos C, Al Zoubi O, Georgiadis F, Lancashire L, Daskalakis NP. From genetics to systems biology of stress-related mental disorders. Neurobiol Stress 2021; 15: 100393.
[http://dx.doi.org/10.1016/j.ynstr.2021.100393] [PMID: 34584908]
[6]
Egede LE. Diabetes, major depression, and functional disability among U.S. adults. Diabetes Care 2004; 27(2): 421-8.
[http://dx.doi.org/10.2337/diacare.27.2.421] [PMID: 14747223]
[7]
Fiore V, Marci M, Poggi A, et al. The association between diabetes and depression: a very disabling condition. Endocrine 2015; 48(1): 14-24.
[http://dx.doi.org/10.1007/s12020-014-0323-x] [PMID: 24927794]
[8]
Holt RIG, Katon WJ. Dialogue on Diabetes and Depression: Dealing with the double burden of co-morbidity. J Affect Disord 2012; 142 (Suppl.): S1-3.
[http://dx.doi.org/10.1016/S0165-0327(12)00632-5] [PMID: 23062852]
[9]
Holt RIG. Undoing Descartes: integrating diabetes care for those with mental illness. Pract Diabetes Int 2011; 28(6): 270-5.
[http://dx.doi.org/10.1002/pdi.1613]
[10]
Lustman PJ, Anderson RJ, Freedland KE, de Groot M, Carney RM, Clouse RE. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care 2000; 23(7): 934-42.
[http://dx.doi.org/10.2337/diacare.23.7.934] [PMID: 10895843]
[11]
Ates M, Dayi A, Kiray M, et al. Anxiety- and depression-like behavior are correlated with leptin and leptin receptor expression in prefrontal cortex of streptozotocin-induced diabetic rats. Biotech Histochem 2014; 89(3): 161-71.
[http://dx.doi.org/10.3109/10520295.2013.825319] [PMID: 24007473]
[12]
Gupta A, Bisht B, Dey CS. Peripheral insulin-sensitizer drug metformin ameliorates neuronal insulin resistance and Alzheimer’s-like changes. Neuropharmacology 2011; 60(6): 910-20.
[http://dx.doi.org/10.1016/j.neuropharm.2011.01.033] [PMID: 21277873]
[13]
Long-term safety, tolerability, and weight loss associated with metformin in the Diabetes Prevention Program Outcomes Study. Diabetes Care 2012; 35(4): 731-7.
[http://dx.doi.org/10.2337/dc11-1299] [PMID: 22442396]
[14]
Bailey CJ. Metformin—An update. Gen Pharmacol 1993; 24(6): 1299-309.
[http://dx.doi.org/10.1016/0306-3623(93)90411-P] [PMID: 8112499]
[15]
Hermann LS, Scherstén B, Melander A. Antihyperglycaemic efficacy, response prediction and dose-response relations of treatment with metformin and sulphonylurea, alone and in primary combination. Diabet Med 1994; 11(10): 953-60.
[http://dx.doi.org/10.1111/j.1464-5491.1994.tb00253.x] [PMID: 7895460]
[16]
Sarkaki A, Farbood Y, Badavi M, Khalaj L, Khodagholi F, Ashabi G. Metformin improves anxiety-like behaviors through AMPK-dependent regulation of autophagy following transient forebrain ischemia. Metab Brain Dis 2015; 30(5): 1139-50.
[http://dx.doi.org/10.1007/s11011-015-9677-x] [PMID: 25936719]
[17]
Ji S, Wang L, Li L. Effect of metformin on short-term high-fat diet-induced weight gain and anxiety-like behavior and the gut microbiota. Front Endocrinol (Lausanne) 2019; 10: 704.
[http://dx.doi.org/10.3389/fendo.2019.00704] [PMID: 31681174]
[18]
Zemdegs J, Martin H, Pintana H, et al. Metformin promotes anxiolytic and antidepressant-like responses in insulin-resistant mice by decreasing circulating branched-chain amino acids. J Neurosci 2019; 39(30): 5935-48.
[http://dx.doi.org/10.1523/JNEUROSCI.2904-18.2019] [PMID: 31160539]
[19]
Hao Y, Tong Y, Guo Y, et al. Metformin attenuates the metabolic disturbance and depression-like behaviors induced by corticosterone and mediates the glucose metabolism pathway. Pharmacopsychiatry 2021; 54(3): 131-41.
[http://dx.doi.org/10.1055/a-1351-0566] [PMID: 33634460]
[20]
Haleem DJ. Glucocorticoids in the physiological and transcriptional regulation of 5-ht1a receptor and the pathogenesis of depression. Neuroscientist 2022; 28(1): 59-68.
[http://dx.doi.org/10.1177/1073858420975711] [PMID: 33243080]
[21]
Jabeen Haleem D. Raphe-hippocampal serotonin neurotransmission in the sex related differences of adaptation to stress: focus on serotonin-1a receptor. Curr Neuropharmacol 2011; 9(3): 512-21.
[http://dx.doi.org/10.2174/157015911796558019] [PMID: 22379463]
[22]
Haleem DJ. Behavioral deficits and exaggerated feedback control over raphe-hippocampal serotonin neurotransmission in restrained rats. Pharmacol Rep 2011; 63(4): 888-97.
[http://dx.doi.org/10.1016/S1734-1140(11)70604-1] [PMID: 22001976]
[23]
Riad M, Garcia S, Watkins KC, et al. Somatodendritic localization of 5-HT1A and preterminal axonal localization of 5-HT1B serotonin receptors in adult rat brain. J Comp Neurol 2000; 417(2): 181-94.
[http://dx.doi.org/10.1002/(SICI)1096-9861(20000207)417:2<181::AID-CNE4>3.0.CO;2-A] [PMID: 10660896]
[24]
Salman T, Afroz R, Nawaz S, Mahmood K, Haleem DJ, Zarina S. Differential effects of memory enhancing and impairing doses of methylphenidate on serotonin metabolism and 5-HT1A, GABA, glutamate receptor expression in the rat prefrontal cortex. Biochimie 2021; 191: 51-61.
[http://dx.doi.org/10.1016/j.biochi.2021.08.009] [PMID: 34454977]
[25]
Richardson-Jones JW, Craige CP, Guiard BP, et al. 5-HT1A autoreceptor levels determine vulnerability to stress and response to antidepressants. Neuron 2010; 65(1): 40-52.
[http://dx.doi.org/10.1016/j.neuron.2009.12.003] [PMID: 20152112]
[26]
Senese NB, Rasenick MM, Traynor JR. The role of g-proteins and g-protein regulating proteins in depressive disorders. Front Pharmacol 2018; 9: 1289.
[http://dx.doi.org/10.3389/fphar.2018.01289] [PMID: 30483131]
[27]
Haleem DJ, Mahmood K. Brain serotonin in high-fat diet-induced weight gain, anxiety and spatial memory in rats. Nutr Neurosci 2021; 24(3): 226-35.
[http://dx.doi.org/10.1080/1028415X.2019.1619983] [PMID: 31116091]
[28]
Haleem DJ, Ikram H, Haleem MA. Inhibition of apomorphine-induced conditioned place preference in rats co-injected with buspirone: Relationship with serotonin and dopamine in the striatum. Brain Res 2014; 1586: 73-82.
[http://dx.doi.org/10.1016/j.brainres.2014.06.022] [PMID: 25160128]
[29]
Saeed R, Mahmood K, Ali SB, Haleem DJ. Behavioral, hormonal, and serotonergic responses to different restricted feeding schedules in rats. Int J Tryptophan Res 2022; 15.
[http://dx.doi.org/10.1177/11786469221104729] [PMID: 35757086]
[30]
Ali SB, Mahmood K, Saeed R, Salman T, Choudhary MI, Haleem DJ. Elevated anxiety, hypoactivity, memory deficits, decreases of brain serotonin and 5-HT-1A receptors expression in rats treated with omeprazole. Toxicol Res 2021; 37(2): 237-48.
[http://dx.doi.org/10.1007/s43188-020-00060-3] [PMID: 33868980]
[31]
Nath N, Khan M, Paintlia MK, Hoda MN, Giri S, Giri S. Metformin attenuated the autoimmune disease of the central nervous system in animal models of multiple sclerosis. J Immunol 2009; 182(12): 8005-14.
[http://dx.doi.org/10.4049/jimmunol.0803563] [PMID: 19494326]
[32]
Ashrostaghi Z, Ganji F, Sepehri H. Effect of metformin on the spatial memory in aged rats. Natl J Physiol Pharm Pharmacol 2015; 5(5): 416-20.
[http://dx.doi.org/10.5455/njppp.2015.5.1208201564]
[33]
Afshari K, Dehdashtian A, Haddadi NS, et al. Anti-inflammatory effects of Metformin improve the neuropathic pain and locomotor activity in spinal cord injured rats: Introduction of an alternative therapy. Spinal Cord 2018; 56(11): 1032-41.
[http://dx.doi.org/10.1038/s41393-018-0168-x] [PMID: 29959433]
[34]
Haleem DJ, Nawaz S. Inhibition of reinforcing, hyperalgesic, and motor effects of morphine by buspirone in rats. J Pain 2017; 18(1): 19-28.
[http://dx.doi.org/10.1016/j.jpain.2016.10.001] [PMID: 27742411]
[35]
Zafar M, Afroz R, Nawaz S, Salman T, Haleem DJ. Brain serotonin-2c receptor regulation in schizophrenia rat model. Asian J Emerg Res 2019; 1(2): 91-7.
[http://dx.doi.org/10.3923/ajerpk.2019.91.97]
[36]
Haleem DJ, Inam QA, Haleem MA. Effects of clinically relevant doses of methyphenidate on spatial memory, behavioral sensitization and open field habituation: A time related study. Behav Brain Res 2015; 281: 208-14.
[http://dx.doi.org/10.1016/j.bbr.2014.12.031] [PMID: 25532915]
[37]
Pellow S, Chopin P, File SE, Briley M. Validation of open: closed arm entries in an elevated plus-maze as a measure of anxiety in the rat. J Neurosci Methods 1985; 14(3): 149-67.
[http://dx.doi.org/10.1016/0165-0270(85)90031-7] [PMID: 2864480]
[38]
Gul S, Haleem D, Naqvi S, et al. Serotonergic and Behavioral Responses to Stress with Tryptophan in Rats. Curr Psychopharmacol 2017; 6(1): 74-87.
[http://dx.doi.org/10.2174/2211556006666170130123741]
[39]
Gul S, Saleem D, Haleem MA, Haleem DJ. Inhibition of hormonal and behavioral effects of stress by tryptophan in rats. Nutr Neurosci 2019; 22(6): 409-17.
[http://dx.doi.org/10.1080/1028415X.2017.1395551] [PMID: 29098950]
[40]
Jalal K, Khan F, Nawaz S, et al. Anxiolytic, anti-nociceptive and body weight reducing effects of L-lysine in rats: Relationship with brain serotonin an In-Vivo and In-Silico study. Biomed Pharmacother 2022; 152: 113235.
[http://dx.doi.org/10.1016/j.biopha.2022.113235] [PMID: 35696944]
[41]
Łabuzek K, Suchy D, Gabryel B, Bielecka A, Liber S, Okopień B. Quantification of metformin by the HPLC method in brain regions, cerebrospinal fluid and plasma of rats treated with lipopolysaccharide. Pharmacol Rep 2010; 62(5): 956-65.
[http://dx.doi.org/10.1016/S1734-1140(10)70357-1] [PMID: 21098880]
[42]
Edwards LE, Mezuk B. Anxiety and risk of type 2 diabetes: Evidence from the Baltimore Epidemiologic Catchment Area Study. J Psychosom Res 2012; 73(6): 418-23.
[http://dx.doi.org/10.1016/j.jpsychores.2012.09.018] [PMID: 23148808]
[43]
Lewko J, Zarzycki W, Krajewska-Kułak E. Relationship between the occurrence of symptoms of anxiety and depression, quality of life, and level of acceptance of illness in patients with type 2 diabetes. Saudi Med J 2012; 33(8): 887-94.
[PMID: 22886123]
[44]
Tovilla-Zárate C, Juárez-Rojop I, Peralta Jimenez Y, et al. Prevalence of anxiety and depression among outpatients with type 2 diabetes in the Mexican population. PLoS One 2012; 7(5): e36887.
[http://dx.doi.org/10.1371/journal.pone.0036887] [PMID: 22629339]
[45]
McLaughlin KA, Hatzenbuehler ML. Stressful life events, anxiety sensitivity, and internalizing symptoms in adolescents. J Abnorm Psychol 2009; 118(3): 659-69.
[http://dx.doi.org/10.1037/a0016499] [PMID: 19685962]
[46]
Holmes A. Genetic variation in cortico-amygdala serotonin function and risk for stress-related disease. Neurosci Biobehav Rev 2008; 32(7): 1293-314.
[http://dx.doi.org/10.1016/j.neubiorev.2008.03.006] [PMID: 18439676]
[47]
Fatemi I, Delrobaee F, Bahmani M, Shamsizadeh A, Allahtavakoli M. The effect of the anti-diabetic drug metformin on behavioral manifestations associated with ovariectomy in mice. Neurosci Lett 2019; 690: 95-8.
[http://dx.doi.org/10.1016/j.neulet.2018.10.024] [PMID: 30321576]
[48]
Fan J, Li D, Chen HS, et al. Metformin produces anxiolytic‐like effects in rats by facilitating GABA A receptor trafficking to membrane. Br J Pharmacol 2019; 176(2): 297-316.
[http://dx.doi.org/10.1111/bph.14519] [PMID: 30318707]
[49]
Haleem DJ, Parveen T. Brain regional serotonin synthesis following adaptation to repeated restraint. Neuroreport 1994; 5(14): 1785-8.
[http://dx.doi.org/10.1097/00001756-199409080-00025] [PMID: 7827332]
[50]
Haleem DJ, Jabeen B, Parveen T. Inhibition of restraint-induced anorexia by injected tryptophan. Life Sci 1998; 63(14): PL205-12.
[http://dx.doi.org/10.1016/S0024-3205(98)00391-9] [PMID: 9771918]
[51]
Moin S, Haider S, Khaliq S, Tabassum S, Haleem DJ. Behavioral and neurochemical studies in stressed and unstressed rats fed on protein, carbohydrate and fat rich diet. Pak Vet J 2012; 32(2)
[52]
Bailey CJ, Flatt PR, Ewan C. Anorectic effect of metformin in lean and genetically obese hyperglycaemic (ob/ob) mice. Arch Int Pharmacodyn Ther 1986; 282(2): 233-9.
[PMID: 3767527]
[53]
Smith DL Jr, Elam CF Jr, Mattison JA, et al. Metformin supplementation and life span in Fischer-344 rats. J Gerontol A Biol Sci Med Sci 2010; 65A(5): 468-74.
[http://dx.doi.org/10.1093/gerona/glq033] [PMID: 20304770]
[54]
Fang W, Zhang J, Hong L, et al. Metformin ameliorates stress-induced depression-like behaviors via enhancing the expression of BDNF by activating AMPK/CREB-mediated histone acetylation. J Affect Disord 2020; 260: 302-13.
[http://dx.doi.org/10.1016/j.jad.2019.09.013] [PMID: 31521867]
[55]
Garabadu D, Krishnamurthy S. Diazepam potentiates the antidiabetic, antistress and anxiolytic activities of metformin in type-2 diabetes mellitus with cooccurring stress in experimental animals. BioMed Res Int 2014; 2014: 1-15.
[http://dx.doi.org/10.1155/2014/693074] [PMID: 24995322]
[56]
Shivavedi N, Kumar M, Tej GNVC, Nayak PK. Metformin and ascorbic acid combination therapy ameliorates type 2 diabetes mellitus and comorbid depression in rats. Brain Res 2017; 1674: 1-9.
[http://dx.doi.org/10.1016/j.brainres.2017.08.019] [PMID: 28827076]
[57]
Li GF, Zhao M, Zhao T, Cheng X, Fan M, Zhu LL. [Effects of metformin on depressive behavior in chronic stress rats]. Chung Kuo Ying Yung Sheng Li Hsueh Tsa Chih 2019; 35(3): 245-9.
[PMID: 31257807]
[58]
Kakhki FSH, Asghari A, Bardaghi Z, et al. (2024) The antidiabetic drug metformin attenuated depressive and anxietylike behaviors and oxidative stress in the brain in a rodent model of inflammation induced by lipopolysaccharide in male rats. Endocr Metab Immune Disord Drug Targets 2024; 24 Advance online publication.
[http://dx.doi.org/10.2174/0118715303275039231228065050] [PMID: 38284725]
[59]
Lemonde S, Turecki G, Bakish D, et al. Impaired repression at a 5-hydroxytryptamine 1A receptor gene polymorphism associated with major depression and suicide. J Neurosci 2003; 23(25): 8788-99.
[http://dx.doi.org/10.1523/JNEUROSCI.23-25-08788.2003] [PMID: 14507979]
[60]
Albert PR, Vahid-Ansari F, Luckhart C. Serotonin-prefrontal cortical circuitry in anxiety and depression phenotypes: pivotal role of pre- and post-synaptic 5-HT1A receptor expression. Front Behav Neurosci 2014; 8: 199.
[http://dx.doi.org/10.3389/fnbeh.2014.00199] [PMID: 24936175]
[61]
Barnes NM, Sharp T. A review of central 5-HT receptors and their function. Neuropharmacology 1999; 38(8): 1083-152.
[http://dx.doi.org/10.1016/S0028-3908(99)00010-6] [PMID: 10462127]
[62]
Akimova E, Lanzenberger R, Kasper S. The serotonin-1A receptor in anxiety disorders. Biol Psychiatry 2009; 66(7): 627-35.
[http://dx.doi.org/10.1016/j.biopsych.2009.03.012] [PMID: 19423077]
[63]
Goldberg HL, Finnerty RJ. The comparative efficacy of buspirone and diazepam in the treatment of anxiety. Am J Psychiatry 1979; 136(9): 1184-7.
[http://dx.doi.org/10.1176/ajp.136.9.1184] [PMID: 382878]
[64]
Garcia-Garcia AL, Newman-Tancredi A, Leonardo ED. P5-HT1A receptors in mood and anxiety: recent insights into autoreceptor versus heteroreceptor function. Psychopharmacology 2014; 231(4): 623-36.
[http://dx.doi.org/10.1007/s00213-013-3389-x] [PMID: 24337875]
[65]
Albert PR. Transcriptional regulation of the 5-HT 1A receptor: implications for mental illness. Philos Trans R Soc Lond B Biol Sci 2012; 367(1601): 2402-15.
[http://dx.doi.org/10.1098/rstb.2011.0376] [PMID: 22826341]
[66]
Albert PR, François BL. Modifying 5-HT1A receptor gene expression as a new target for antidepressant therapy. Front Neurosci 2010; 4: 35.
[http://dx.doi.org/10.3389/fnins.2010.00035] [PMID: 20661455]
[67]
File SE, Kenny PJ, Cheeta S. The role of the dorsal hippocampal serotonergic and cholinergic systems in the modulation of anxiety. Pharmacol Biochem Behav 2000; 66(1): 65-72.
[http://dx.doi.org/10.1016/S0091-3057(00)00198-2] [PMID: 10837844]
[68]
Dale E, Pehrson AL, Jeyarajah T, et al. Effects of serotonin in the hippocampus: how SSRIs and multimodal antidepressants might regulate pyramidal cell function. CNS Spectr 2016; 21(2): 143-61.
[http://dx.doi.org/10.1017/S1092852915000425] [PMID: 26346726]
[69]
Segi-Nishida E. The Effect of Serotonin-Targeting Antidepressants on Neurogenesis and Neuronal Maturation of the Hippocampus Mediated via 5-HT1A and 5-HT4 Receptors. Front Cell Neurosci 2017; 11: 142.
[http://dx.doi.org/10.3389/fncel.2017.00142] [PMID: 28559799]

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