Activation of Nrf2 signaling by sitagliptin and quercetin combination against β-amyloid induced Alzheimer's disease in rats

Drug Dev Res. 2019 Sep;80(6):837-845. doi: 10.1002/ddr.21567. Epub 2019 Jul 13.

Abstract

The objective of this study was to evaluate the neuroprotective effect of sitagliptin (Sita), quercetin (QCR) and its combination in β-amyloid (Aβ) induced Alzheimer's disease (AD). Male Sprague-Dawley rats, weighing between 220 and 280 g were used for experiment. Rats were divided into 5 groups (n = 10) and the groups were as follows: (a) Sham control; (b) Aβ injected; (c) Aβ injected + Sita 100; (d) Aβ injected + QCR 100; and (e) Aβ injected + Sita 100 + QCR 100. Cognitive performance was observed by the Morris water maze (MWM), biochemical markers, for example, MDA, SOD, CAT, GSH, Aβ1-42 level, Nrf2/HO-1 expression and histopathological study of rat brain were estimated. Pretreatment with Sita, QCR and their combination showed a significant increase in escape latency in particular MWM cognitive model. Further co-administration of sita and QCR significantly reduced Aβ1-42 level when compared with individual treatment. Biochemical markers, for example, increased SOD, CAT and GSH, decreased MDA were seen, and histopathological studies revealed the reversal of neuronal damage in the treatment group. Additionally, Nrf2/HO-1 pathway in rat's brain was significantly increased by Sita, QCR and their combination. Pretreatment with QCR potentiates the action of Sita in Aβ induced AD in rats. The improved cognitive memory could be because of the synergistic effect of the drugs by decreasing Aβ1-42 level, antioxidant activity and increased expression of Nrf2/HO-1 in rat brain.

Keywords: Alzheimer's disease; HO-1; Nrf2; quercetin; sitagliptin; β-amyloid.

MeSH terms

  • Alzheimer Disease / drug therapy*
  • Alzheimer Disease / metabolism
  • Alzheimer Disease / pathology
  • Amyloid beta-Peptides / metabolism
  • Animals
  • Brain / drug effects
  • Brain / metabolism
  • Brain / pathology
  • Catalase / metabolism
  • Disease Models, Animal
  • Drug Therapy, Combination
  • Glutathione / metabolism
  • Heme Oxygenase (Decyclizing) / metabolism
  • Male
  • Maze Learning / drug effects
  • NF-E2-Related Factor 2 / metabolism
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use*
  • Oxidative Stress / drug effects
  • Peptide Fragments / metabolism
  • Quercetin / pharmacology
  • Quercetin / therapeutic use*
  • Rats, Sprague-Dawley
  • Signal Transduction / drug effects
  • Sitagliptin Phosphate / pharmacology
  • Sitagliptin Phosphate / therapeutic use*
  • Superoxide Dismutase / metabolism

Substances

  • Amyloid beta-Peptides
  • NF-E2-Related Factor 2
  • Neuroprotective Agents
  • Nfe2l2 protein, rat
  • Peptide Fragments
  • amyloid beta-protein (1-42)
  • Quercetin
  • Catalase
  • Heme Oxygenase (Decyclizing)
  • Hmox1 protein, rat
  • Superoxide Dismutase
  • Glutathione
  • Sitagliptin Phosphate