You are on page 1of 19

NeuroMolecular Medicine

https://doi.org/10.1007/s12017-019-08566-2

ORIGINAL PAPER

Butanol Extract of Tinospora cordifolia Ameliorates Cognitive Deficits


Associated with Glutamate‑Induced Excitotoxicity: A Mechanistic
Study Using Hippocampal Neurons
Anuradha Sharma1 · Shikha Kalotra1 · Payal Bajaj1 · Harpal Singh1 · Gurcharan Kaur1 

Received: 1 April 2019 / Accepted: 21 August 2019


© Springer Science+Business Media, LLC, part of Springer Nature 2019

Abstract
Overstimulation of glutamate receptors leads to development of excitotoxicity, which is implicated as final destructive path-
way in neurodegenerative diseases. Development of alternative therapeutic strategies effective against glutamate-induced
excitotoxicity is much in demand. Herbal drug development is emerging as a major research area for the treatment of vari-
ous debilitating diseases due to multimodal action and least side effects of herbal products. The current study was aimed to
investigate neuroprotective potential of butanol extract of Tinospora cordifolia (B-TCE) against glutamate-induced excito-
toxicity using primary hippocampal neurons as in vitro and Wistar strain albino rats as in vivo model systems. Molecular
and behavioral parameters were studied to elucidate the underlying mechanism of beneficial effects of B-TCE. B-TCE treat-
ment was also effective in prevention of anxiety, cognition, and motor-coordination deficits induced by glutamate. B-TCE
pre-treatment protected the hippocampal neurons from glutamate-induced neurodegeneration and impaired plasticity. At
molecular level, B-TCE was observed to attenuate overactivation of glutamate receptors. B-TCE promoted upregulation of
ERK and AKT pathways of synaptic plasticity and cell survival in the hippocampus region of brain. This study provides first
evidence of neuroprotective potential of B-TCE against glutamate-induced excitotoxicity in hippocampus region and suggests
that B-TCE may act as a potential candidate for neuroprotective therapeutic approaches. A single compound ‘tinosporicide’
was further isolated from B-TCE, which was found to be effective at 800× lower concentration against glutamate-induced
neurodegeneration under in vitro conditions.

Keywords Hippocampus · Tinospora cordifolia · Synaptic plasticity · Glutamate · Excitotoxicity · Tinosporicide

Introduction incidence of neurodegenerative diseases is also increasing


worldwide, but the therapeutic options are limited (Flana-
Glutamate, a major excitatory molecule of neurotransmitter gan et al. 2018). Various studies have reported the under-
pool in CNS, plays an important role in the development lying mechanisms of glutamate-induced excitotoxicity and
of memory, learning, and synaptic plasticity in mammals its implication in ischemia, stroke, and neurodegenerative
(Mattson 2008). However, elevated levels of glutamate are diseases (Vaarmann et al. 2014; Shah et al. 2014; Zhang
known to cause excitotoxicity and are being implicated et al. 2015).
in synaptic dysfunction and neurodegenerative diseases Atomistic approach of allopathic medicines leads to the
(Ambrosi et al. 2014). With an increase in life expectancy, improvement of the health of one organ but at the cost of
imparting some adverse effects, specifically on liver and
stomach. In addition to common side effects such as nausea,
Electronic supplementary material  The online version of this
vomiting, diarrhea, and headaches (Jost 2014), complica-
article (https​://doi.org/10.1007/s1201​7-019-08566​-2) contains
supplementary material, which is available to authorized users. tions like cervical dystonia (Ikeda et al. 2014), myoclonus
(Bougea et al. 2014), fluctuations in non-motor and motor
* Gurcharan Kaur response, dyskinesia (Lowin et al. 2017; Willows et al. 2017)
gk.biotech@gndu.ac.in develop over time with long-term administration of acetyl
1
Medical Biotechnology Lab, Department of Biotechnology, cholinesterase and glutamatergic inhibitors for treatment of
Guru Nanak Dev University, Amritsar, Punjab 143005, India cognitive deficits in Alzheimer’s disease (Tan et al. 2014).

13
Vol.:(0123456789)
NeuroMolecular Medicine

Similar side effects have also been reported with levodopa et al. 2017). Another recent study from our lab provided pre-
medication for Parkinson’s disease (Lowin et al. 2017; Wil- liminary data on the neuroregenerative and neuroprotective
lows et al. 2017). So, development of therapies with holistic potential of B-TCE against glutamate-induced excitotoxicity
approach and least side effects is most intriguing for health in primary cerebellar neurons (Sharma and Kaur 2018).
science researchers, which will benefit not only the indi- Hippocampus region plays a critical role in memory,
vidual health but also reduce societal and economic burden learning, and thinking processes; and decline in memory
on the global healthcare system. is suggested to be the outcome of neurotoxic effect of glu-
Herbs with medicinal properties have been used for thera- tamate on neuronal population of forebrain, especially hip-
peutic purposes since times immemorial in India, China, pocampus (Moneim et al. 2018). The current study was
and other Asian countries. Herbal medicines are believed planned to further investigate the neuroprotective potential
to be beneficial in strengthening the internal defence sys- of B-TCE against glutamate-induced excitotoxicity in hip-
tem as well as revitalization of body (Basnyat and Kola- pocampus region of brain using in vitro and in vivo model
sinski 2014; Lundstrom et al. 2017). Herbal formulations systems. Preliminary investigation on neuroprotective activ-
have been reported to be equipped with broad spectrum of ity of B-TCE was carried out using rat primary hippocam-
therapeutic potential and bestow relief without substantial pal neuronal and explant cultures. Further, in vivo model
adverse effects. A number of herbs like Withania somnif- system comprising of Wistar strain female rats was used
era, Bacopa monnieri, Mucuna pruriens, Centella asiatica, for behavioral and underlying mechanistic study. Expres-
Tinospora cordifolia, etc. have been tested for the treatment sion of different molecular markers of structural plasticity,
of neurodegenerative diseases due to their antioxidant and reactive gliosis, glutamatergic neurotransmission, and cell
immunomodulatory activities (Kastenholz and Garfin 2009; survival pathways in rat brain hippocampus were studied to
Mohanta et al. 2014; Kosaraju et al. 2014; Manchanda and investigate the role of B-TCE in modulating these pathways
Kaur 2017). Extracts or isolated compounds from these against glutamate neurotoxicity. We also isolated a single
herbs have been reported to improve mental health, cog- pure compound from B-TCE, which was identified as tino-
nitive abilities, and to prevent protein misfolding or neu- sporicide and showed neuroprotective activity at much lower
ronal degeneration against various neurotoxic insults such concentration as compared to B-TCE.
as β-amyloid, 6-OHDA (6-hydroxydopamine), or lifestyle
disorders (Kosaraju et al. 2014; Mishra et al. 2016).
Tinospora cordifolia, also known as Guduchi or Amrita Methodology
in India, is considered as “Heavenly elixir” due to its adap-
togenic properties. Growing number of reports support the Herbal Extract Preparation and Isolation
medicinal properties of this Rasayana herb in the treatment of Bioactive Compounds
of hepatotoxicity, diarrhea, fever, stomach ulcers, microbial
infections, and cancers (Saha and Ghosh 2012; Dhama et al. Tinospora cordifolia stem was collected in the month of
2016). However, the studies validating its neuroprotective January from a forest located in Ropar district, Punjab and
activity are limited. Ethanolic extract of T. cordifolia was B-TCE was prepared using the method described earlier
found to improve the motor coordination and exert neuropro- (Sharma and Kaur 2018). Briefly, 50% aqueous ethanolic
tection against 6-OHDA-induced degeneration of dopamin- extract of T. cordifolia stem was prepared and further frac-
ergic neurons by restoration of antioxidant levels (Kosaraju tionated with hexane, chloroform, ethyl acetate, and butanol.
et al. 2014). Different extracts and polyherbal formulations Each fraction was collected and dried in rotavapor. Dried
containing T. cordifolia have been shown to exhibit anti- butanol fraction was designated as B-TCE. To further isolate
inflammatory activity by regulating the expression of inflam- bioactive compounds, B-TCE was further fractionated using
matory mediators such as iNOS, COX-2, pro-inflammatory column chromatography. Silica Gel 70–230 was dissolved in
cytokines, and transcription factor NF-κB in animal models chloroform and poured into a column to achieve the desired
of asthma and edema (Tiwari et al. 2014; Patgiri et al. 2014; height while allowing the chloroform to drain slowly from
Nipanikar et al. 2017; Philip et al. 2018). Oral administration column. Further, granular slurry of B-TCE was made by
of different extracts such as petroleum ether, aqueous etha- mixing it with Silica gel 230–400 and was used as station-
nolic extracts of T. cordifolia exhibited anti-depressant activ- ary phase. Stationary phase was covered with cotton layer
ity, memory improvement, and anxiolytic activities (Dhingra and mobile phase was slowly added to the column and bot-
and Goyal 2008; Mishra et al. 2016). In a recent study from tom outlet was opened to allow drop-wise elution. Column
our lab, oral feeding of T. cordifolia stem powder in com- was eluted from low polarity to high polarity mobile phase
bination with Withania somnifera leaf powder was found to prepared by mixing chloroform and methanol in different
ameliorate neuroinflammation-induced anxiety and showed ratios. Different fractions (100 mL each) were collected
synergistic activity with dietary restriction regimen (Singh in small conical flasks, pooled on the basis of their TLC

13
NeuroMolecular Medicine

profile and allowed to settle down/precipitate overnight. Pre- seeding and incubated for next 24 h. For treatment with com-
cipitates were filtered, washed, dried, and weighed. Other pound C1, B-TCE was replaced with 25 ng/mL of C1 (dose
physical parameters like solubility and melting points were was standardized by using MTT assay). Cultures were estab-
also checked. Isolated compounds were investigated using lished and propagated in neurobasal medium (Invitrogen,
Silica Gel G60 TLC plates (Millipore, MA, USA). Isolated CA, USA) containing bFGF and B27 supplement (Invitro-
compound 1 (C1) was spotted onto base line drawn on the gen) and were incubated at 37 °C in ­CO2 incubator.
TLC plate and TLC was run. Plate was dried and developed
using 20% H ­ 2SO4 as developing solution. C1 obtained in
powder form was used for HRMS, NMR, and IR spectrom- Immunostaining
etry analysis and was identified as Tinosporicide, which is a
furanoid diterpenoid in nature. Cultures were harvested post treatment regimen and immu-
nostaining was carried out using the method described ear-
In Vitro Studies lier (Sharma and Kaur 2018). Briefly, after harvesting, cul-
tures were fixed with acetone:methanol (1:1), permeabilized
Primary Neuronal and Explant Cultures and Their Treatment with 0.3% PBS-Triton × 100 and then blocked with 2% BSA.
Cultures were then incubated with primary antibody [mouse
Primary neuronal cultures (hippocampal and cerebellar) monoclonal antibody anti-α-Tubulin (1:500), anti-MAP-2
were obtained from 2- to 6-day-old Wistar albino rat pups (1:250), anti-Cyclin D1 (1:250), anti-Bcl-xL (1:200), rabbit
by following the method reported earlier (Sharma and Kaur monoclonal anti-AP-1(1:250) (all from Sigma-Aldrich), and
2018). Briefly, after sacrificing rat pups, cerebellum and hip- mouse polyclonal anti-PSA-NCAM (1:250) (Millipore)] at
pocampus regions from brain were dissected out in chilled 4 °C for 24 h. Permeabilization was not performed for PSA-
1 × PBS, removed meninges, and trypsinization was carried NCAM immunostaining. After washing with 0.1% PBST,
out. Trypsin digestion was stopped by adding equal volume cultures were incubated with secondary antibody (goat anti-
of neurobasal medium and tissue was pelleted down by cen- mouse/rabbit IgG/IgM Alexa Fluor 488/543) for 2 h at room
trifugation for 2 min at 1000 rpm. The pellet suspended in temperature. Coverslips containing cultures were mounted
neurobasal medium was triturated by pipetting and undi- with anti-fading agent Fluoromount (Sigma-Aldrich) and
gested chunks were allowed to settle down. After 5–10 min, images were captured with Nikon A1R Confocal Microscope
suspension was collected in fresh tube and centrifuged again (Nikon Corporation, Japan). All the experiments were per-
for 2 min. The pellet obtained was then resuspended in neu- formed in triplicates. Fluorescence intensity was measured
robasal medium, cells were counted and seeded in PLL- using NIS elements AR analysis software version 4.11.0.
coated plates according to the experiments.
For primary hippocampal explant culture, hippocampus Mitotracker Staining
region was chopped in fine chunks with the help of scal-
pels and microscissors. These small pieces were then care- Mitotracker green FM stain was added to each well at final
fully placed onto PLL-coated coverslips and were allowed concentration of 100 mM after completion of treatment and
to attach to the substratum followed by slow addition of incubated for 45 min. After incubation, cells were fixed with
medium in the well without disturbing the explants. Mini- acetone:methanol (1:1) and coverslips containing cells were
mum three explants were placed onto one coverslip and each mounted on the glass slides using anti-fading medium Fluo-
experiment was performed in triplicates. romount. Imaging was carried out on the same day using
Nikon A1R Confocal Microscope.
Cell Culture Treatment

Primary neuronal cultures were seeded at a plating density of Wound Scratch Assay
40,000–50,000 cells/mL in 24-well plates containing PLL-
coated substratum. Primary neuronal and explant cultures Migration promoting effect of B-TCE was studied using
were divided into four experimental groups: control, gluta- wound scratch assay as described earlier (Sharma and Kaur
mate (2 mM), B-TCE alone (20 μg/mL), and B-TCE+ glu- 2018). Briefly, confluent monolayer of primary hippocam-
tamate treatment groups. B-TCE and B-TCE+ glutamate pal neurons was scratched with microtip followed by treat-
treatment groups were given treatment of B-TCE (20 μg/ ment with glutamate, B-TCE, and B-TCE+ glutamate. Phase
mL) after 24 h of seeding. Monosodium salt of l-Glutamic contrast images were captured at zero hour and after 24 h
acid (MSG) (Sigma-Aldrich, MO, USA) was used for gluta- of treatment using EVOS FL microscope (Invitrogen) and
mate (2 mM) treatment, which was given to glutamate alone image analysis was done using Image Pro Plus software ver-
and B-TCE+ glutamate groups in next 24 h, i.e., 48 h after sion 4.5.1 (Media Cybernetics).

13
NeuroMolecular Medicine

In Vivo Studies licking, and movement of vibrissae by animal towards object


were considered as defining parameters of object explora-
Animals tion. Number of episodes with each object, time spent in
exploration of old and novel objects as well as total time
Wistar albino female rats aged 2–3 months were procured spent in object exploration were assessed and object prefer-
from National Institute of Pharmaceutical Science and ence index was calculated using the following formula.
Research (NIPER), Mohali, India and housed under con- Preference Index (PI): Time spent in exploration of novel
trolled environment of constant temperature (25 ± 2 °C), object/total time spent in object exploration (Old + novel).
constant dark/light cycle (12 h each) with ad libitum food Preference index greater than 0.5 is considered as higher
and water supply. All animal experiment protocols were preference for novel object. Videos were analyzed by an
approved by Institutional Animal Ethical Committee, Guru observer blind to the experiment.
Nanak Dev University, Amritsar registered to “Committee
for the Purpose of Control and Supervision of Experiments Elevated Plus Maze (EPM) Test (n = 9 in  Each Group)  EPM
on Animals (CPCSEA), GOI” (Registration no. 226/CPC- test for exploratory activity and anxiety-like behavior was
SEA) (permission number 226/CPCSEA/2017/01). The performed using the method described earlier (Mishra et al.
experiments were performed in accordance with the relevant 2016). Briefly, on 15th day of treatment, all the animals of
guidelines of ‘Animal Care and Use’ laid down by the same four groups were subjected to EPM test and were allowed
committee. to explore the maze freely for 5  min in dim light. Whole
Animals were randomly divided into four groups— session was recorded by a video camera fitted exactly above
(I) Vehicle control: Animals given water orally and the apparatus. Videos were analyzed by a person blind to
injected 0.9% saline intraperitoneally for 15  days, (II) the study groups to analyze the animal behavior and differ-
Glutamate alone group: Animals given water orally and ent parameters were noted down such as time spent in open
injected MSG (2 g/kg) intraperitoneally for 15 days, (III) and closed arms, entries and crossings into closed and open
B-TCE  alone group: Animals given B-TCE (35  mg/kg) arms, number of rearing episodes and number of head dips.
orally and injected 0.9% saline intraperitoneally for 15 days, Time spent and number of entries and crossings in each arm
and (IV) B-TCE+ glutamate treatment group: Animals given were measured as indication of anxiety levels and explora-
B-TCE (35 mg/kg) orally and injected with monosodium tory behavior of animals. Additionally, we also measured
glutamate (2 g/kg) intraperitoneally for 15 days. All the ani- the frequency of (I) rearing and (II) head dipping episodes.
mals were fed with normal chow feed and treatment was
given for 15 days. There were 9 animals each in group I, Rotarod Test (n = 9 in Each Group)  To examine the impact
III, and IV, whereas, 12 animals were kept in group II due of glutamate excitotoxicity and B-TCE treatment on motor-
to expected mortality. 25% mortality was observed in glu- coordination, performance of animals on rotating rod (at
tamate-treated group, whereas, no mortality was observed constant speed of 10  rpm) was evaluated. Test was per-
in other groups. Dose of extract was obtained by multiply- formed on each animal of all the four experimental groups
ing the reported dose of TCE (140 mg/kg) from our lab for 5 min. Time spent on rotating rod and number of falls
(Mishra et al. 2016) with yield factor of B-TCE (dry weight were recorded for each animal and averaged for each group.
of B-TCE/dry weight of TCE, ~ 0.26). The in vivo dose of The rotarod apparatus used was an automatic motor-driven
MSG was selected from thorough literature review (Tamás treadmill Rotamex-5 from Columbus instrument (fall
et al. 2004; Ramanathan et al. 2007; Tawfik and Al-Badr height: 44.5 cm, Spindle diameter: 7.0 × 9.5 cm2).
2012; Swamy et al. 2013).
Molecular Studies
Behavioral Studies
Immunohistochemistry  For immunostaining of GFAP and
Novel Object Recognition Test (NORT) (n = 9 in  Each PSA-NCAM in hippocampus region, experimental animals
Group)  To study the working memory and cognition, Novel (n = 4–5 for each group) were transcardially perfused and
Object Recognition Test was performed using method immunostained by using method described earlier (Mishra
reported earlier (Mishra et al. 2016). Briefly, after habitua- et  al. 2016). Briefly, coronal sections of 30  μm thickness
tion with empty box and training session with two odorless were cut using cryomicrotome (Thermo Fischer Scientific,
objects, one of the objects was replaced with new object MA, USA), collected in 1 × PBS, permeabilized with 0.3%
and animal behavior was monitored. Animal behavior was PBST for 15 min, and washed thrice with 1 × PBS (5 min
recorded with video camera from training sessions to final each). Sections were then incubated with 5% Normal Goat
testing session and analyzed for exploration, time spent with Serum in 1 × PBS (blocking solution) for 30  min before
objects, rearing, and preference index. Sniffing, chewing, incubation with specific primary antibodies, i.e., rabbit

13
NeuroMolecular Medicine

IgG GFAP (1:500) (Sigma-Aldrich) and mouse IgM PSA- for each gene of interest. The relative gene expression of
NCAM (1:300) (Millipore) for 48 and 72  h, respectively. each candidate gene was calculated by ‘Livak method’
After completion of primary antibody incubation, sections and represented as ­2−ΔΔCt and final gene expression as
were again washed thrice with 1 × PBS (5  min each) and ­2−ΔΔCt ± SEM. Final results were obtained as average of
incubated with respective secondary antibody anti-rabbit three different observations.
IgG or anti-mouse IgM labeled with Alexa Fluor 488 (Inv-
itrogen) for 2 h at room temperature. Tissue sections were Pro‑inflammatory Cytokine ELISA‑Based Determination 
then washed and mounted on glass slides with anti-fading Serum was isolated from blood collected from all the ani-
agent Fluoromount. Images were captured using Nikon mals of four experimental groups and used for determina-
A1R Confocal Laser Scanning Microscope at 10× objec- tion of pro-inflammatory cytokines using sandwich ELISA-
tive. Intensity analysis was performed using ImageJ (Public based kits from Cayman Chemicals, MI, USA (TNF-α and
domain software from NIH). IL-6) and Thermo Fischer Scientific, MA, USA (IL-1β)
according to the manufacturer’s protocol.
Western Blotting  Animals (n = 4–5 for each group) were
anesthetized using sodium thiopentone injection (1 U/10 g Statistical Analysis
body weight), sacrificed, and brains were extracted out
from skull. Hippocampus region was dissected out fol- Values were expressed as mean ± SEM from at least three
lowed by homogenization, sample preparation, SDS-PAGE, independent observations. Sigma stat software (Version 3.5)
and semidry transfer onto PVDF membrane as described for windows was used for statistical analysis. Results were
earlier (Mishra et  al. 2016). PVDF membrane containing analyzed using one-way ANOVA followed by Holm–Sidak
transferred proteins was then blocked with 5% skimmed post hoc test. Values (p < 0.05) were considered as statisti-
milk in 0.1% TBST (0.1% Tween-20 in IX TBS) for 1  h cally significant.
at room temperature. After a single wash with 0.1% TBST
(5 min), membrane was then incubated overnight with pri- Results
mary antibody [mouse anti-MAP-2, anti- CamKIIα, anti-
Calcineurin (1:2500), anti-GFAP, anti-α-Tubulin (1:5000); In Vitro Studies
rabbit anti-NMDAR2A (1:1500), anti-pSynapsin I (1:1500)
(from Sigma-Aldrich); rabbit anti-pGluR1, anti-pGluR2, B‑TCE and Tinosporicide (C1 Compound) Pre‑treatment
anti-pMEK1/2, anti-pErk1/2, anti-pAkt (1:500), rabbit anti- Suppressed Glutamate‑Induced Neurodegeneration
GluR1, anti-GluR4, anti-TrkB, anti-Bcl-xL (1:1000) (All
from Cell Signaling, MA, USA)] prepared in 5% skimmed Tinosporicide was obtained as a white amorphous powdery
milk or 5% BSA (according to specification on product cata- single compound (C1) from silica gel column chromatog-
logue) at 4  °C. On the next day, membrane was washed, raphy of B-TCE and was detected as a single spot in TLC
followed by probing with HRP-conjugated goat-anti-mouse (Supplementary Fig. S1). Both B-TCE and tinosporicide
or goat-anti-rabbit IgG secondary antibody at room temper- were tested on primary cerebellar neurons for their neuro-
ature. The membrane was then given three washings with protective activity against glutamate-induced excitotoxicity
0.1% TBST and immunoreactive bands were detected with and the cells were immunostained for MAP-2. Glutamate
Amersham ECL solution (GE Healthcare, UK) using Image induced degeneration of neuronal processes as well as down-
Quant LAS 4000 GE (GE Healthcare, UK) detection sys- regulation of MAP-2 expression, whereas, B-TCE and tino-
tem. Expression of immunoprobed proteins was normalized sporicide suppressed degeneration and maintained MAP-2
using α-Tubulin as internal control. expression in glutamate-exposed primary cerebellar neurons
to near control levels (Fig. 1a). Tinosporicide was effective
mRNA Expression  Total RNA was extracted from hip- at very less concentration (25 ng/mL) as compared to parent
pocampus region, cDNA was prepared, and Real-Time B-TCE extract (20 µg/mL). After NMR, HRMS, IR, and lit-
PCR was carried out using method reported earlier erature-based analysis (Rahman et al. 1991), compound C1
(Mishra et al. 2016). Briefly, 50 ng of cDNA was used for was decoded as tinosporicide (Supplementary Figs. S2–S4;
a reaction mixture of 5 μL which was containing 2.5 μL of Table S1; Fig. 1b).
2 × Syber Green Master mix, 0.5 μL of 20 × predesigned
Primer–Probe mix (Applied Biosystem, CA, USA) and
1 μL of water. Amplification was carried out using Step
One Plus Real-Time PCR system (Applied Biosystem)
using the amplification conditions described by Mishra
et al. (2016). GAPDH was used as an endogenous control

13
NeuroMolecular Medicine

Fig. 1  Activity elucidation and a b


characterization of Tinospori- Control Glu B-TCE B-TCE + Glu
cide. a Confocal micrographs of
MAP-2 immunostained primary
cerebellar neurons pre-treated
with B-TCE (20 μg/mL) and
C1 (tinosporicide) (25 ng/
mL) with or without glutamate Control Glu C1 C1 + Glu
(2 mM) exposure. b Structure
of compound C1 deduced as
tinosporicide
C1: Tinosporicide
Glu: 2 mM; B-TCE: 20 µg/mL; C1: 25 ng/mL

B‑TCE Pre‑treatment Protected Primary Hippocampal In Vivo Studies


Neurons Against Excitotoxic Injury, Promoted Neuronal
Plasticity, and Suppressed Apoptosis B‑TCE Treatment Suppressed Glutamate‑Induced
Impairment in Cognition, Exploratory Behavior, and Motor
Primary hippocampal neurons pre-treated with B-TCE Coordination
before glutamate exposure and immunostained for MAP-2
showed similar results (Fig. 2a, 1st panel) as seen in cer- NORT: Glutamate-treated animals showed more number of
ebellar neurons (Fig. 1b). B-TCE (20 μg/mL) pre-treatment episodes and time spent with old object over the new one
suppressed glutamate-induced neurodegeneration and down- (Fig. 3a, b) and exhibited less preference (PI: 0.43 < 0.5)
regulation in MAP-2 expression (Fig. 2a, 1st panel; Sup- towards novel object (Fig. 3d). On the other hand, animals
plementary Fig. S5a). Further, upregulated expression of from B-TCE alone and B-TCE+ glutamate treatment groups
plasticity marker PSA-NCAM was observed in B-TCE+ glu- spent more time in exploring new object as compared to old
tamate-treated primary hippocampal neurons, whereas, object as exhibited by higher number of episodes for new
glutamate alone-treated cultures showed downregulation in object and significantly high preference for the novel object
the expression of PSA-NCAM (Fig. 2a, 2nd panel). B-TCE (PI: 0.61 and 0.69, respectively > 0.5) (p ≤ 0.01) (Fig. 3a, b,
pre-treatment also promoted neurite outgrowth and neuronal d). Glutamate-treated animals also spent significantly less
migration from primary explants, whereas, no outgrowth and time (total) in object exploration as compared to animals of
migration were observed from primary explants treated with B-TCE-treated groups (p ≤ 0.01) (Fig. 3c).
glutamate alone (Fig. 2b). Observations from wound scratch EPM: Animals of glutamate-treated group spent more
assay supported migration promoting potential of extract, as time in closed arm and significantly less time in open
B-TCE alone and B-TCE pre-treated glutamate-challenged arm (p ≤ 0.05) as compared to control, B-TCE alone, and
hippocampal neurons showed 132% and 127% gap closure, B-TCE+ glutamate groups (Fig.  3e). Further, glutamate
respectively, whereas, glutamate alone treatment inhibited alone-treated animals attempted lesser number of entries and
migration as is evident from widened gap with negative crossings in closed and open arms as compared to animals of
(− 82%) gap closure in this group (considering gap closure other groups, whereas, B-TCE alone and B-TCE+ glutamate
as 100% in control) (Fig. 2c, d). Further, upregulation in treatment groups showed significantly higher number of total
the expression of AP-1 and Cyclin D1 and elevated mito- entries and crossings (p ≤ 0.05) in both the arms as compared
chondrial dysfunction were observed in glutamate-treated to glutamate-treated animals (Fig. 3f, g). Higher number of
cultures, which was suppressed by B-TCE pre-treatment rearing episodes and head dips were also observed in both
(Fig. 2a, 3rd, 4th, and 6th panel). B-TCE pre-treatment also the B-TCE-treated groups as compared to glutamate alone
enhanced the expression of anti-apoptotic protein Bcl-xL, group (Fig. 3h).
which was otherwise markedly reduced by glutamate alone Rotarod Test: Glutamate-administered animals showed
treatment (Fig. 2a, 5th panel). significantly higher frequency of falls and lesser time spent
on rotating rod as compared to control animals (p ≤ 0.001)
(Fig. 3i, j). B-TCE alone- and B-TCE+ glutamate-treated
animals performed better with more time spent on the rotat-
ing rod and less number of falls as compared to both gluta-
mate alone-treated and control animals (p ≤ 0.001) (Fig. 3i,
j).

13
NeuroMolecular Medicine

a Control Glu B-TCE B-TCE + Glu c Zero hour After 24 hour

MAP-2

Control
PSA-NCAM

Glu
AP-1

B-TCE
Cyclin D1

B-TCE + Glu
Bcl-xL

# #
d 150
* *
Mitotracker

100
%age Gap Closure

50

b Control Glu B-TCE B-TCE + Glu 0


Control Glu B-TCE B-TCE+
1° Explant

-50 Glu

-100 *

e 300
*
*
250
Relative Intensity

#
200 Control
# # *
# Glu
150 # # # # * #
* ## # * *
100 * * * B-TCE
* B-TCE+Glu
50
0
MAP-2 PSA-NCAM AP-1 Cyclin D1 Bcl-xL Mitotracker

Fig. 2  B-TCE protects primary hippocampal cultures from gluta- in migration assay. d Histogram presenting percentage gap closure
mate-induced neurotoxicity. a Confocal micrographs of control, after 24 h of treatment. Confocal images were captured at 60× objec-
glutamate (2  mM)-, B-TCE (20  μg/mL)-, and B-TCE+ glutamate- tive (Scale bar: 50 μm). Phase contrast images were captured at 10×
treated primary hippocampal neurons immunostained for MAP-2, objective. *p ≤ 0.001 presents statistically significant difference of
PSA-NCAM, AP-1, Cyclin D1, Bcl-xL, and mitotracker green FM. glutamate, B-TCE and B-TCE+ glutamate treatment groups as com-
b Confocal images of primary explants with dual immunostaining for pared to Control. #p ≤ 0.001 presents statistically significant differ-
PSA-NCAM and NCAM. c Phase contrast images of control, gluta- ence of B-TCE and B-TCE+ glutamate treatment groups as compared
mate (2  mM)-, B-TCE (20  μg/mL)-, and B-TCE+ glutamate-treated to glutamate
primary hippocampal neurons captured at 0 and 24  h of treatment

13
NeuroMolecular Medicine

a 12
Old Novel
b 60 Old Novel

Total time spent with


# #

No. of episodes with


10 50

object (in sec)


Novel Object Recognition Test 8 40
* *

object
6 30

4 20 *

2 10

0 0
Control Glu B-TCE B-TCE+ Control Glu B-TCE B-TCE+
c 80 Glu d 1 Glu
Total exploration

# #

Preference Index
#
time (in sec)

60 0.8 #
* 0.6 *
40
0.4
20
0.2
0 0
Control Glu B-TCE B-TCE+ Control Glu B-TCE B-TCE+
Glu Glu
e 250 Closed arm Open arm f Closed arm Open arm
8
Total time spent (in sec)

# #
200 7 #
#

No. of entries
# 6
150 5 #
Elevated Plus Maze Test

*
4
100 * 3 *
50 2
1
0 0
Control Glu B-TCE B-TCE+ Control Glu B-TCE B-TCE+
Glu Glu
5 Closed arm Open arm
g 4.5
#
#
h 25 #
#
4
No. of crossings

No. of rearings and

# 20 # #
3.5
Control
3
head dips

15
2.5 Glu
2
* 10 *
1.5 B-TCE
1 5
0.5 B-TCE+
0 Glu
0
Control Glu B-TCE B-TCE+ Rearings Head dips
Glu
i # # j 12
300
* * *
Time spent (in sec)

250 10
Rotarod Test

*
No. of falls

200 8
#
150 6 #
*
*
100 4
50 2
0 0
Control Glu B-TCE B-TCE+ Control Glu B-TCE B-TCE+
Glu Glu

B‑TCE Treatment Suppressed Glutamate‑Induced Alteration (p ≤ 0.01) (Fig. 4a, b). On the other hand, B-TCE alone and
in Neuronal Structural Marker MAP‑2 B-TCE+ glutamate treatment groups showed significantly
higher expression of MAP-2 as compared to glutamate treat-
MAP-2 expression in hippocampus region of gluta- ment group, thus supporting our in vitro findings of this
mate-treated animals was significantly downregulated structural protein (Fig. 4a, b). The change in MAP-2 protein

13
NeuroMolecular Medicine

◂Fig. 3  B-TCE treatment suppresses glutamate-induced behavioral as compared to control animals. B-TCE treatment signifi-
deficits. Histograms presenting performance of animals in NORT (a– cantly downregulated the pGluR1-2 expression as compared
d), EPM (e–h) and Rotarod test (i–j). Histogram presenting a number
of episodes and b time spent by animal with old and novel objects c
to both glutamate and control group animals (Fig. 5a, b).
total time spent in object exploration and d preference index of ani- We further studied the expression of NMDAR2A at
mal assessed from NORT suggested improved memory and cognition transcriptional and translational levels along with expres-
by B-TCE treatment as compared to glutamate treatment group. EPM sion of postsynaptic protein pSynapsin I in hippocampus
test suggested improved exploratory behavior and reduced anxiety in
B-TCE-treated animals as compared to glutamate treatment group as
region (Fig. 5c–e). Glutamate treatment led to significant
indicated by e Time spent f Number of entries and g crossing into downregulation (p ≤ 0.01) of NMDAR2A expression as
open and closed arms along with number of rearing and head dipping compared to control group. Although NMDAR2A expres-
episodes. Motor coordination deficits induced by glutamate were pre- sion in B-TCE+ glutamate treatment group showed marginal
vented by B-TCE administration as suggested by i time spent in rotat-
ing rod and j number of falls during the performing session. *p ≤ 0.05
increase as compared to glutamate alone treatment group,
presents statistically significant difference of glutamate, B-TCE, the protein level was still significantly low as compared
and B-TCE+ glutamate treatment groups as compared to Control. to control group (Fig. 5c, d). On the other hand, the fold
#
p ≤ 0.05 presents statistically significant difference of B-TCE and change in NMDAR2A mRNA expression was significantly
B-TCE+ glutamate treatment groups as compared to glutamate
higher in B-TCE+ glutamate treatment group as compared
to glutamate alone group at transcriptional level (Fig. 5e).
expression in hippocampus region was also supported by pSynapsin I expression was also found to be significantly
similar changes observed at its mRNA level (Fig. 4c). downregulated by glutamate treatment (Fig.  5c, d). On
the contrary, animals receiving B-TCE prior to glutamate
B‑TCE Pre‑treatment Attenuated Glutamate‑Induced administration showed significant reversal of pSynapsin
Astrogliosis and Pro‑inflammatory Cytokine Secretion I expression (Fig. 5c, d). Animals of B-TCE alone group
showed NMDAR2A and pSynapsin I levels similar to con-
Reactive gliosis was clearly observed in DG region of trol animals (Fig. 5c–e).
hippocampus as is evident from activated morphology of Activation of NMDAR2A and phosphorylation of Syn-
astrocytes and higher expression of glial marker GFAP, apsin I to promote its dissociation from synaptic vesicles
observed in immunostaining Confocal micrographs (Fig. 4d; and availability at active front of presynaptic terminals is
Supplementary Fig. S5b). Animals of B-TCE alone- and facilitated by CaMKIIα, a C ­ a 2+/Calmodulin-dependent
B-TCE+ glutamate-treated groups showed reduction in acti- kinase which modulates synaptic strength (Menegon et al.
vation of astrocytes, which was also evident from down- 2002; Colbran 2004). As compared to the control group, sig-
regulation in expression of GFAP in DG region of their nificant downregulation was observed in CamKIIα at trans-
hippocampus (Fig. 4d). Immunostaining data were further lational level (p ≤ 0.01) in glutamate-treated animals with
supported by Western blotting results, where B-TCE+ glu- non-significant change in expression at transcriptional level
tamate-treated animals showed significant downregulation (Fig. 5c–e). On the other hand, B-TCE treatment restored
in the expression of GFAP as compared to glutamate-treated glutamate-induced downregulation of CamKIIα expression
group (Fig. 4e, f) (p ≤ 0.01). to significant level (p ≤ 0.01) (Fig. 5c–e). Further, expres-
In pro-inflammatory cytokines estimation in serum, sion of calcineurin, another calcium-dependent effector
glutamate-treated group showed significant increase in molecule was significantly upregulated in glutamate-treated
TNF-α and IL-6 expression, whereas, treatment of B-TCE group. Animals of B-TCE- and B-TCE+ glutamate-treated
along with glutamate administration suppressed this change groups showed significantly lower expression of calcineurin
(p ≤ 0.01) (Fig. 4g). Glutamate induced marginal increase in (p ≤ 0.01) (Fig. 5c–e).
IL-1β level, but the change was not statistically significant
(Fig. 4g). Modulation of Structural Plasticity, ERK and Akt Pathways

B‑TCE Treatment Modulated the Expression of Glutamate To further investigate the changes in neuronal structural
Receptors and Downstream Plasticity Pathway plasticity proteins, expression of PSA-NCAM was studied
by immunostaining (Fig. 6a). A pronounced decrease in
Glutamate treatment for 15  days led to the elevation in PSA-NCAM expression in DG region of hippocampus was
expression of GluR1 and GluR4 (p ≤ 0.01) in hippocam- observed in glutamate-treated group. However, B-TCE alone
pus region (Fig. 5a, b), whereas, significant decrease in the and B-TCE+ glutamate treatment showed pronounced upreg-
expression of these proteins was observed in B-TCE+ glu- ulation in its expression as compared to control and gluta-
tamate-treated group (p ≤ 0.01) (Fig. 5a, b). Expression of mate-treated groups (Fig. 6a). Further, expression studies at
phosphorylated forms of AMPARs (pGluR1 and pGluR2) in transcriptional level also showed significant increase in PST
glutamate treatment group was also enhanced significantly expression (Polysialyltransferase, an enzyme responsible for

13
NeuroMolecular Medicine

B-TCE
a Control Glu B-TCE + Glu

MAP-2 280-135kDa

α-Tubulin 52kDa

b 140 c 1.6 #
Relative change in MAP-2

120 #
1.4

fold change in mRNA


#

expression of MAP-2
100 1.2
expression

*
80 1
0.8
60
0.6
40 *
0.4
20 0.2
0 0
Control Glu B-TCE B-TCE+ Control Glu B-TCE B-TCE+
Glu Glu
d
Control Glu B-TCE B-TCE + Glu

e f 120
Relative change in GFAP

*
B-TCE 100 #
Control Glu B-TCE
+Glu
80
expression

GFAP 50kDa
60
α-Tubulin 52kDa
40

20
1800 0
g Control Glu B-TCE B-TCE+
1600 *
inflammatory cytokines (in

Glu
1400
Concentration of pro-

1200 * Control
#
1000 * Glu
pg/ml)

* # #
800 * B-TCE
*
600
B-TCE+ Glu
400
200
0
TNFα IL-6 IL-1β

polysialylation of NCAM) in B-TCE and B-TCE+ glutamate accompanied by enhanced expression of NCAM, whereas,
groups (p ≤ 0.001) (Fig. 6b). Upregulation of PSA-NCAM significantly reduced expression of NCAM was observed in
in hippocampus region of B-TCE-treated groups was also glutamate-treated animals (p ≤ 0.001) (Fig. 6c).

13
NeuroMolecular Medicine

◂Fig. 4  B-TCE treatment maintained the structural integrity and sup- We also observed significant downregulation in Bcl-
pressed reactive gliosis induced by glutamate. a Representative xL protein expression after glutamate treatment (Fig. 7a).
immunoblot and b histogram showing relative change in MAP-2
expression after normalization with internal control α-Tubulin. c His-
B-TCE treatment restored the levels of this anti-apoptotic
togram presenting fold change in mRNA expression of MAP-2 in all protein and the expression was significantly higher than con-
the four experimental groups. d Representative confocal images of trol levels in B-TCE alone and B-TCE+ glutamate treatment
GFAP immunostaining from DG region of hippocampus of control, groups (p ≤ 0.01) (Fig. 7a, b). The changes in expression of
glutamate, B-TCE, and B-TCE+ glutamate-treated animals. Images
were captured at 10× objective (Scale bar: 200  μm). e Representa-
Bcl-xL mRNA with glutamate and B-TCE treatment were
tive immunoblot and f histogram showing relative change in GFAP not found statistically significant (Fig. 7c).
expression at protein levels. g Pro-inflammatory cytokine secretory
levels were assessed by ELISA and presented as histogram. *p ≤ 0.01
depicts statistically significant difference of glutamate, B-TCE,
and B-TCE+ glutamate treatment groups as compared to Control.
Discussion
#
p ≤ 0.01 depicts statistically significant difference of B-TCE and
B-TCE+ glutamate treatment groups as compared to glutamate The rationale of current study was to investigate the ben-
eficial effects of Butanol extract of T. cordifolia against
glutamate-induced excitotoxicity in primary hippocampal
Neurons orchestrate survival mechanisms against cel- neuronal cultures and to further validate the neuroprotective
lular apoptosis induced by excitotoxic concentrations of potential of B-TCE using Wistar albino rat model system.
glutamate by activating proteins of ERK pathway, Akt,
and anti-apoptotic proteins. In the present study, glutamate Neuroprotection Against Glutamate‑Induced
treatment was found to significantly reduce the expres- Excitotoxicity in Primary Neuronal Cultures
sion of phosphorylated MEK1/2 which further reduced the
activation/phosphorylation of Erk1/2 (p ≤ 0.01) (Fig. 6d, From column chromatography of B-TCE, tinosporicide (C1)
e). Erk1/2 mRNA expression also supported the Western was isolated, which showed neuroprotective activity at much
blotting results (Fig. 6f). Further, B-TCE treatment prior lower dose (25 ng/mL) as compared to B-TCE (20 μg/mL)
to glutamate administration or B-TCE  alone treatment in glutamate-exposed primary cerebellar neurons. Immu-
was found to reverse the expression pattern of pMEK nostaining for MAP-2 revealed that B-TCE and tinosporicide
and pErk1/2 as is evident from their significantly higher pre-treatment suppressed the glutamate-induced neurode-
expression in these groups as compared to glutamate alone generation and maintained the expression of neuronal struc-
treatment (p ≤ 0.01) (Fig. 6d–f). tural proteins. This is the first ever study reporting the bio-
Glutamate excitotoxicity has been reported to down- logical activity of tinosporicide. It was initially reported to
regulate TrkB activation and downstream survival pathway be present in Tinospora malabarica by Rahman et al. (1991)
Akt/PI3K, which plays important role in neuronal survival as a furanoid diterpenoid, which was isolated from fresh
and synaptic plasticity. Glutamate treatment was observed stems of the herb. Since our main objective was to study the
to significantly downregulate TrkB expression, both at pro- effect of glutamate and B-TCE on synaptic plasticity, we
tein and mRNA level (p ≤ 0.01) (Fig. 7a–c). TrkB expres- carried out all other experiments in primary hippocampal
sion was significantly upregulated in both B-TCE- and neurons. Neuroregenerative potential of B-TCE observed
B-TCE+ glutamate-treated animals as compared to glu- in primary hippocampal cultures is also supported by our
tamate-treated group at mRNA level (p ≤ 0.01); however, preliminary study with primary cerebellar neurons (Sharma
no significant change was observed at translational level and Kaur 2018).
(Fig. 7a–c). B-TCE treatment was also found to restore B-TCE pre-treatment prevented glutamate-induced
the mRNA expression of PI3K to near control levels, decrease in PSA-NCAM and NCAM expression, which play
which is upstream regulatory molecule of Akt (cell sur- important role in synaptic plasticity and may explain the
vival marker) and responsible for Akt phosphorylation neuroprotective role of B-TCE. Inhibition of neurite out-
(p ≤ 0.01) (Fig. 7c). Further, expression of Akt was stud- growth from primary explants as well as migration of pri-
ied at protein and mRNA levels. The protein expression mary hippocampal neurons in scratched area also supported
of pAkt was significantly reduced in hippocampus region glutamate-induced neurodegeneration which was associ-
of glutamate-treated animals as compared to other groups ated with downregulation in expression of PSA-NCAM and
(p ≤ 0.01). At mRNA level also, glutamate treatment sig- NCAM. Upregulation in the expression of Cyclin D1 and
nificantly downregulated the mRNA expression of Akt, AP-1 observed in glutamate-treated group suggests aber-
which was recovered to some extent in B-TCE+ glutamate rant cell cycle progression and induction of apoptosis by
group (p ≤ 0.01) (Fig. 7c). Expression of pAkt protein was glutamate exposure (Hitomi and Stacey 2010; Atabay and
not recovered significantly by B-TCE treatment. Karabay 2012). Transcription factor AP-1 promotes the
activation of pro-apoptotic genes (Chen et al. 2003). This

13
NeuroMolecular Medicine

a b 160 Control Glu B-TCE B-TCE+ Glu


B-TCE 140

Relative change in expression


* # #
Control Glu B-TCE +Glu *
120 *
*
pGluR1 100 kDa * # #
100 * #
100 kDa # * #
pGluR2 * *
80 *
GluR1 100 kDa 60
GluR4 100 kDa 40

α-Tubulin 52 kDa 20

0
pGluR1 pGluR2 GluR1 GluR4

c d
Control Glu B-TCE B-TCE+ Glu
B-TCE
Relative change in expression
Control Glu B-TCE + Glu 120
# # #
NMDAR2A # # * *
170 kDa #
100 * *
* * *
pSynapsin I 78 kDa *
80

CamKIIα 58 kDa 60

Calcineurin 50 kDa 40

20
α-Tubulin 52 kDa
0
NMDAR2A pSynapsin I CamkIIα CaN

e
2
#
1.8
1.6 *
fold change in mRNA

1.4
#
expression

1.2 Control
*
1 Glu
0.8 # # B-TCE
* * #
0.6 B-TCE+ Glu
* *
0.4
0.2
0
NR2A CamkIIα CaN

Fig. 5  B-TCE treatment suppressed glutamate-induced overactiva- animals after normalization with internal control α-Tubulin. e Fold
tion of AMPA receptors, modulated NMDAR pathway, and pro- change in mRNA expression of NMDAR2A, CamkIIα, and Calcineu-
moted plasticity. a Representative immunoblots and b histograms rin was also assessed in all the four experimental groups and pre-
showing relative change in AMPA receptors in hippocampus region sented as histogram. *p ≤ 0.01 presents statistically significant differ-
of control, glutamate-, B-TCE-, and B-TCE+ glutamate-treated ani- ence of glutamate, B-TCE, and B-TCE+ glutamate treatment groups
mals after normalization with internal control α-Tubulin. c Repre- as compared to Control. #p ≤ 0.01 presents statistically significant dif-
sentative immunoblots and d histograms showing relative change in ference of B-TCE and B-TCE+ glutamate treatment groups as com-
NMDAR2A, pSynapsin I, CamkIIα, and calcineurin in hippocampus pared to glutamate
region of control, glutamate-, B-TCE-, and B-TCE+ glutamate-treated

13
NeuroMolecular Medicine

a Glu B-TCE B-TCE + Glu


Control

b 160 # c 1.6
* 1.4 #
140

fold change in mRNA


expression of NCAM
fold change in mRNA

1.2
expression of PST

120 #
100 1

80 0.8
60 # 0.6
* *
40 0.4
20 0.2
0 0
Control Glu B-TCE B-TCE+ Control Glu B-TCE B-TCE+
Glu Glu
e 140 #
d B-TCE # # * #
Control Glu B-TCE +Glu 120
Relative change in

100 * *
pMEK 1/2 30kDa
expression

Control
80
pErk 1/2 44kDa Glu
42kDa 60
B-TCE
α-Tubulin 40
52kDa B-TCE+ Glu
20
0
pMEK1/2 pErk1/2

f 1.2
fold change in mRNA

1
#
0.8
expression

Control
0.6 Glu
0.4 B-TCE
B-TCE+ Glu
0.2 *
0
Erk1/2

Fig. 6  B-TCE treatment modulated structural plasticity and ERK way. α-Tubulin was used as internal control to normalize the protein
pathway. a Confocal images of PSA-NCAM immunostaining from expression. f Histogram showing fold change in Erk1/2 expression at
DG region of hippocampus of control, glutamate-, B-TCE-, and mRNA level. *p ≤ 0.01 presents statistically significant difference of
B-TCE+  glutamate-treated animals. Images were captured at  × 
10 glutamate, B-TCE, and B-TCE+ glutamate treatment groups as com-
(Scale bar: 200  μm). Histograms presenting fold change in mRNA pared to Control. #p ≤ 0.01 presents statistically significant difference
expression of b PST and c NCAM in all the four experimental of B-TCE and B-TCE+ glutamate treatment groups as compared to
groups. d Representative immunoblot and e histograms depicting glutamate
relative change in the expression of molecular markers of ERK path-

13
NeuroMolecular Medicine

a b Control Glu B-TCE B-TCE+ Glu


140 #
B-TCE
*
Control Glu B-TCE +Glu 120 #

Relative change in
TrkB 140kDa 100
90kDa * *

expression
pAkt 80
60kDa *
60
Bcl-xL 30kDa 40
α-Tubulin 52kDa 20
0
Trk B pAkt1 Bcl-xL

c 5
Fold change in mRNA expression

4.5
4
3.5
3 Control
2.5 Glu

2 # B-TCE
* B-TCE+ Glu
1.5
# #
1 * *
* * *
0.5 * *

0
Trk B PI3K Akt Bcl-xL

Fig. 7  B-TCE promoted cell survival and suppressed glutamate- senting fold change in mRNA expression of TrkB, PI3K, Akt, and
induced apoptosis by modulating AKT pathway and Bcl-xL expres- Bcl-xL in all the four experimental groups. *p ≤ 0.01 depicts statis-
sion. a Representative immunoblots and b histograms showing tically significant difference of glutamate, B-TCE, and B-TCE+ glu-
relative change in expression of TrkB, pAkt, and Bcl-xL of control, tamate treatment groups as compared to Control. #p ≤ 0.01 depicts
glutamate-, B-TCE-, and B-TCE+ glutamate-treated animals after statistically significant difference of B-TCE and B-TCE+ glutamate
normalization with endogenous control α-Tubulin. c Histogram pre- treatment groups as compared to glutamate

observation was also supported by mitochondrial dysfunc- impairment. Glutamate exposure has been recently reported
tion, as indicated by higher intensity of mitotracker staining to impair memory and learning capabilities in rodents
in glutamate-treated primary hippocampal neurons. B-TCE (Araujo et al. 2017; Moneim et al. 2018). The current study
pre-treatment suppressed the glutamate-induced changes in reinforces these findings as animals treated with glutamate
cell cycle regulatory proteins, mitochondrial dysfunction, exhibited reduced exploratory activity, impaired cogni-
and induction of apoptosis as was evident from observa- tion, and working memory as is evident from preference
tions of downregulation in the expression Cyclin D1, AP-1, index (PI < 0.5), significantly lesser number of episodes
and reduced intensity of mitotracker green FM stain in and less time spent with novel object (in NORT). However,
B-TCE+ glutamate treatment group. Upregulated expression B-TCE treatment in both B-TCE alone and B-TCE+ glu-
of anti-apoptotic protein Bcl-xL in B-TCE-treated groups tamate treatment groups improved learning and memory
further supports the role of B-TCE in suppressing glutamate- functions as suggested by higher preference towards novel
induced apoptosis. object (PI > 0.5), significantly higher time spent with novel
object and in overall exploration in animals of these groups.
B‑TCE Ameliorated Glutamate‑Induced Behavioral Improvement in learning and memory by B-TCE may also
Deficits in Wistar Albino Rats be attributed to enhanced expression of plasticity mark-
ers PSA-NCAM and NCAM, which play important role in
Glutamate treatment also resulted in cognitive deficits synaptic plasticity and memory consolidation (Maness and
and anxiety-like behavior as well as motor coordination Schachner 2007; Markram et al. 2007).

13
NeuroMolecular Medicine

Decline in exploratory activity may also be due to anxi- cytokines and GFAP expression may also be responsible
ety-like behavior induced by glutamate treatment (Rosa et al. for anxiolytic effect of B-TCE as observed in EPM test.
2016). Confinement of glutamate-treated animals to closed Most of the excitatory neurotransmission in the CNS is
arm suggested their lack of interest in novel space explora- mediated by AMPA receptors and their function is altered in
tion and anxiety-like behavior as was evident from EPM test neurodegenerative diseases (Chang et al. 2012). Increase in
parameters. However, B-TCE treatment suppressed the anxi- expression of GluR1, GluR3, as well as enhanced phospho-
ety and improved the exploratory activity as clearly evident rylation of GluR1 and GluR2 subunits in the hippocampus
from significantly more time spent in open arm, higher num- region of glutamate-treated animals was suggestive of gluta-
ber of entries and crossings to both the arms by animals of mate-induced overactivation of AMPARs and excitotoxicity.
B-TCE treatment groups. Improved exploratory activity was These data are in line with the previous reports showing ele-
further supported by more number of head dips and rearings, vated AMPARs (GluR2/3/4) as well as pAMPAR (GluR1)
which are considered as parameters of exploring tendency expression by glutamate-induced excitotoxicity in hip-
towards novel space (Mishra et al. 2016). Antioxidant-rich pocampus and cortex regions of developing rat brain (Shah
nature of T. cordifolia is considered as the basis of anxiolytic et al. 2014). B-TCE exerted neuroprotection by significantly
potential of this herb (Kosaraju et al. 2014). B-TCE treat- downregulating the expression of total and phosphorylated
ment also suppressed glutamate-induced neuro-muscular AMPARs. In addition to fast excitatory neurotransmission
and motor coordination impairment as suggested by lesser by AMPARs, NMDARs also mediate comparatively slow
number of falls and more time spent on rotating rod by these and prolonged excitatory neurotransmission. Overactivation
animals. Impaired locomotion and poor rotarod performance of NMDARs also leads to impaired synaptic plasticity and
have been earlier reported in glutamate-treated Wistar albino neurodegeneration, which has been implicated in various
rat pups (Kiss et al. 2005). Alcoholic extract of T. cordifolia neurodegenerative diseases (Benarroch 2011; Zhou et al.
has been reported to improve motor coordination in albino 2013). Out of the three subunits of NMDARs, NRDAR2A is
rat models of Radiculopathy (Santharani and Lavanya 2012). being implicated in the induction of long-term potentiation
(LTP) (Liu et al. 2004; Fox et al. 2006). Glutamate-induced
B‑TCE Modulated the Expression of Molecular downregulation in NMDAR2A expression was suggestive
Markers of Structural Plasticity, Inflammation of impaired LTP induction, which was further supported by
and Survival Pathway decrease in expression of presynaptic protein pSynapsin I in
the current as well as in literature reports (Fang et al. 2017;
B-TCE treatment was effective to suppress neurodegenera- Marsh et al. 2017; Shi et al. 2017). Animals in B-TCE+ glu-
tion as evidenced by MAP-2 expression and the changes tamate treatment group showed recovery in NR2A and
were similar to in vitro observations. Loss of MAP-2 expres- pSynapsin I expression as compared to glutamate treatment
sion is associated with neurotoxin-induced or age-related group, thus, supporting the neuroprotective role of B-TCE.
neurodegeneration (Melo et al. 2013; Taylor-Walker et al. Further, we studied the effect of B-TCE treatment
2016; Lana et al. 2017). Glutamate-mediated excitotox- on expression of ­C a 2+/Calmodulin-dependent kinase,
icity has also been reported to cause reactive gliosis and CaMKIIα and phosphatase, calcineurin. CaMKIIα acts as
neuroinflammation (Tilleux and hermans 2007; Shah et al. a basic substrate for initial memory formation and phos-
2016). The current data also showed that pro-inflamma- phorylates various synaptic proteins (Moyano et al. 2005),
tory cytokine production was accompanied by astrocyte whereas, calcineurin modulates the expression of CaMKIIα.
activation. Increase in GFAP expression and the activated B-TCE prevented the glutamate-induced downregulation of
morphology of astrocytes in DG region of brain of gluta- CaMKIIα, thus ameliorating neuronal vulnerability to cell
mate-treated animals are suggestive of glutamate excito- death and promoting synaptic plasticity (Ashpole and Hud-
toxicity-induced reactive gliosis. Further, enhanced circu- mon 2011; Ashpole et al. 2013). Upregulation in the expres-
latory levels of pro-inflammatory cytokines TNF-α, IL-6, sion of CaMKIIα may also explain the improvement in
and IL-1β in glutamate-treated animals also suggested the memory by B-TCE as CaMKII has been reported to enhance
induction of neuroinflammation. B-TCE treatment abrogated post-learning tasks (Moyano et al. 2005). Elevated levels of
this glutamate-induced astrocytic activation and increase calcineurin by hyperactivation of glutamate receptors are
in pro-inflammatory cytokines levels. Different alcoholic known to be associated with apoptosis induction in primary
extracts of T. cordifolia have been previously reported to hippocampal neurons as well as in different cell lines (Wang
suppress neuroinflammation in animal models of sleep dep- et al. 1999; Szado et al. 2008; Dong et al. 2009; Ruiz et al.
rivation and carrageenan-induced edema (Hussain et al. 2010). Significant downregulation of calcineurin expression
2015; Mishra et al. 2016). The anti-inflammatory potential by B-TCE treatment further confirms the role of B-TCE in
of B-TCE suggested by suppression of pro-inflammatory prevention of impaired plasticity and excitotoxic damage.

13
NeuroMolecular Medicine

PSA-NCAM and NCAM are the key molecules regulat- to exert neuroprotection against glutamate-induced excito-
ing structural plasticity, which play a major role in cognition toxicity. Alkaloids such as palmatine, tetrahydropalmatine,
(Nacher et al. 2013). Pronounced decrease in PSA-NCAM and magnoflorine have been reported to reduce oxidative
expression in hippocampus region of glutamate-treated stress, thus may prevent neurodegeneration by suppressing
animals may indicate derangement in structural plasticity ROS generation and neuroinflammation (Gupta and Sharma
due to glutamate exposure. B-TCE treatment group showed 2011). Further, tinosporicide was isolated as pure compound
higher expression of PSA-NCAM and mRNA expression of from B-TCE, which exhibited neuroprotective activity at
NCAM and PST as compared to glutamate-treated animals considerably lower concentrations (~ 800 folds).
and changes in PSA-NCAM expression were in line with
in vitro observations. Higher expression of PSA-NCAM in
B-TCE-treated animals is supported by increase in NCAM Conclusion
protein and mRNA expression of PST, which catalyzes poly-
sialylation of NCAM (Aonurm-Helm et al. 2016). The current data revealed that B-TCE prevented glutamate-
B-TCE treatment induced activation of ERK pathway and induced neurotoxicity in both primary culture of hippocam-
promoted synaptic plasticity as was evident from signifi- pal neurons as well as in hippocampus region of brain by
cantly high expression of pMEK1/2 and pErk1/2 in B-TCE- targeting glutamatergic neurotransmission (via glutamate
treated animals as compared to glutamate treatment group. receptors) and downstream NMDAR, ERK, PI3K/Akt path-
Further, ionotropic glutamate receptors regulate neurotro- ways of synaptic plasticity and cell survival. Additionally,
phin receptor activation, which further activates the survival our study provided the first evidence of neuroprotective
PI3K/Akt pathway in neurons under glutamate-mediated activity of tinosporicide, an active compound from B-TCE.
excitotoxicity conditions (Zhu et al. 2005). The current data The findings of current study may encourage future transla-
also showed downregulation in expression of TrkB and tional research for management of glutamate-induced neu-
downstream effectors PI3K and Akt by glutamate. B-TCE rotoxicity and neurodegeneration.
treatment, however, attenuated glutamate-induced changes
in TrkB-PI3K/Akt pathway, thus promoting cell survival. Acknowledgements  AS, SK, and PB are thankful to Department of
Science and Technology (DST), New Delhi, India for their Research
B-TCE treatment also suppressed glutamate-induced apop- Fellowship. HS is thankful to UGC, India for his research fellowship.
tosis as suggested by enhanced expression of anti-apop- Infrastructure provided by University grants commission (UGC),
totic protein Bcl-xL. The signaling pathways involved in India under UPE and CPEPA schemes and DBT under DISC scheme
neuroprotection by various agents such as BDNF, VEGF, is highly acknowledged. Dr. Bikram Singh (Institute of Himalyan
Bioresource Technology), Dr. Amrita K. Cheema, Ms. Kirandeep Gill
17β-estradiol, and stem cell factor have been extensively (Georgetown University, USA), and Dr. Shreyans Jain (IIT-BHU, Vara-
studied. Ras-MAPK pathway, i.e., ERK and PI3K/Akt are nasi) are deeply acknowledged for their kind support to characterize
major pathways which get activated and promote various the compound. Ms. Muskan Gupta, Dr. Taranjeet Kaur, and Dr. Shaffi
functions including LTP, synaptic plasticity, and survival Manchanda are acknowledged for their technical help during experi-
mental study.
(Zhu et al. 2005; Almeida et al. 2005; Melo et al. 2013). Akt
promotes release of anti-apoptotic proteins such as Bcl-2 and Author Contributions  AS and GK designed the study. AS conducted
Bcl-xL via inhibitory phosphorylation of another molecule the experiments and analyzed data. SK, PB, and HS performed behav-
BAD (Tang et al. 2000). ioral studies and analyzed the behavioral data. Manuscript was written
Medicinal properties of T. cordifolia have been attrib- by AS and GK. Funding to carry out the reported work was provided
by GK. All the authors reviewed and approved the final manuscript.
uted to phytochemical constituents including glycosides,
alkaloids, diterpenoids, polysaccharides, sesquiterpenes, Funding This work was funded by Department of Biotech-
and phenolics (Saha and Ghosh 2012). Alkaloids, glyco- nology (DBT), GOI to Prof. Gurcharan Kaur [BT/PR12200/
sides, and phenolics have been reported to be responsible MED/30/1439/2014]. The funding agencies had no role in design of
for neuroprotective and immunomodulatory activities of study, data collection and interpretation, manuscript preparation, and
decision to publish the study.
this plant (Saha and Ghosh 2012; Joshi and Kaur 2016).
In LCMS-based analysis, we previously reported that pal-
matine, oblongine, norcoclaurine, tetrahydropalmatine, mag-
Compliance with Ethical Standards 
noflorine, tinocordiside, cordifolioside A, and 11-hydroxy Conflict of interest  Authors declare no conflict of interest.
mustakone are present in B-TCE (Sharma and Kaur 2018).
Few other studies also reported the presence of glycosides Ethical Approval  All procedures performed in studies involving ani-
cordifolioside A, tinocordiside, and some alkaloids in mals were in accordance with the ethical standards of the Institutional
Animal Ethical Committee, Guru Nanak Dev University, Amritsar
n-Butanol fraction of T. cordifolia stem extract (Ghosal and registered to “Committee for the Purpose of Control and Supervision
Vishwakarma 1997; Patel et al. 2013). It may be suggested of Experiments on Animals (CPCSEA), GOI” (Registration no. 226/
that multiple components present in B-TCE act in synergism CPCSEA) (permission number 226/CPCSEA/2017/01).

13
NeuroMolecular Medicine

References Dhingra, D., & Goyal, P. K. (2008). Evidences for the involvement of
monoaminergic and GABAergic systems in antidepressant-like
activity of T. cordifolia in mice. Indian Journal of Pharmaceu-
Almeida, R. D., Manadas, B. J., Melo, C. V., Gomes, J. R., Mendes,
tical Sciences, 70(6), 761–767. https​://doi.org/10.4103/0250-
C. S., Graos, M. M., et al. (2005). Neuroprotection by BDNF
474x.49118​.
against glutamate-induced apoptotic cell death is mediated by
Dong, X. X., Wang, Y., & Qin, Z. H. (2009). Molecular mechanisms
ERK and PI3-kinase pathways. Cell Death and Differentiation,
of excitotoxicity and their relevance to pathogenesis of neurode-
12(10), 1329–1343. https​://doi.org/10.1038/sj.cdd.44016​62.
generative diseases. Acta Pharmacologica Sinica, 30(4), 379–387.
Ambrosi, G., Cerri, S., & Blandini, F. (2014). A further update on
https​://doi.org/10.1038/aps.2009.24.
the role of excitotoxicity in the pathogenesis of Parkinson’s dis-
Fang, Z., Zhu, Q., Gu, T., Shen, X., Yang, Y., Liang, Y., et al. (2017).
ease. Journal of Neural Transmission, 121(8), 849–859. https​://
Anti-androgenic effects of bisphenol-A on spatial memory
doi.org/10.1007/s0070​2-013-1149-z.
and synaptic plasticity of the hippocampus in mice. Hormones
Aonurm-Helm, A., Jaako, K., Jürgenson, M., & Zharkovsky, A.
and Behavior, 93, 151–158. https​: //doi.org/10.1016/j.yhbeh​
(2016). Pharmacological approach for targeting dysfunc-
.2017.05.014.
tional brain plasticity: Focus on neural cell adhesion molecule
Flanagan, E., Müller, M., Hornberger, M., & Vauzour, D. (2018).
(NCAM). Pharmacological Research, 113, 731–738. https​://
Impact of flavonoids on cellular and molecular mechanisms under-
doi.org/10.1016/j.phrs.2016.04.011.
lying age-related cognitive decline and neurodegeneration. Cur-
Araujo, P. C. O., Quines, C. B., Jardim, N. S., Leite, M. R., & Nogue-
rent Nutrition Reports, 7, 49–57. https​://doi.org/10.1007/s1366​
ira, C. W. (2017). Resistance exercise reduces memory impair-
8-018-0226-1.
ment induced by monosodium glutamate in male and female
Fox, C. J., Russell, K. I., Wang, Y. T., & Christie, B. R. (2006). Con-
rats. Experimental Physiology, 102(7), 845–853. https​: //doi.
tribution of NR2A and NR2B NMDA subunits to bidirectional
org/10.1113/EP086​198.
synaptic plasticity in the hippocampus in vivo. Hippocampus.,
Ashpole, N. M., Chawla, A. R., Martin, M. P., Brustovetsky, T.,
16(11), 907–915. https​://doi.org/10.1002/hipo.20230​.
Brustovetsky, N., & Hudmon, A. (2013). Loss of calcium/calm-
Ghosal, S., & Vishwakarma, R. A. (1997). Tinocordiside, a new rear-
odulin-dependent protein kinase II activity in cortical astrocytes
ranged cadinane sesquiterpene glycoside from T. cordifolia. Jour-
decreases glutamate uptake and induces neurotoxic release of
nal of Natural Products, 60(8), 839–841. https​://doi.org/10.1021/
ATP. Journal of Biological Chemistry, 288(20), 14599–14611.
np970​169z.
https​://doi.org/10.1074/jbc.M113.46623​5.
Gupta, R., & Sharma, V. (2011). Ameliorative effects of T. cordifo-
Ashpole, N. M., & Hudmon, A. (2011). Excitotoxic neuroprotection
lia root extract on histopathological and biochemical changes
and vulnerability with CaMKII inhibition. Molecular and Cel-
induced by aflatoxin-b (1) in mice kidney. International Journal of
lular Neuroscience, 46(4), 720–730. https​://doi.org/10.1016/j.
Toxicology, 18, 94–98. https​://doi.org/10.4103/0971-6580.84259​.
mcn.2011.02.003.
Hitomi, M., & Stacey, D. W. (2010). The checkpoint kinase ATM pro-
Atabay, K. D., & Karabay, A. (2012). Pin1 inhibition activates
tects against stress-induced elevation of cyclin D1 and potential
cyclin D and produces neurodegenerative pathology. Journal
cell death in neurons. Cytometry A, 77(6), 524–533. https​://doi.
of Neurochemistry, 120(3), 430–439. https​: //doi.org/10.111
org/10.1002/cyto.a.20885​.
1/j.1471-4159.2011.07259​.x.
Hussain, L., Akash, M. S., Ain, N. U., Rehman, K., & Ibrahim, M.
Basnyat, S., & Kolasinski, S. L. (2014). Ayurvedic medicine for
(2015). The analgesic, anti-inflammatory and anti-pyretic activi-
rheumatoid arthritis. Current Rheumatology Reports, 16(8),
ties of T. cordifolia. Advances in Clinical and Experimental Medi-
435. https​://doi.org/10.1007/s1192​6-014-0435-6.
cine, 24(6), 957–964. https​://doi.org/10.17219​/acem/27909​.
Benarroch, E. E. (2011). NMDA receptors: Recent insights and
Ikeda, K., Yanagihashi, M., Sawada, M., Hanashiro, S., Kawabe, K.,
clinical correlations. Neurology, 76(20), 1750–1757. https​://
& Iwasaki, Y. (2014). Donepezil-induced cervical dystonia in
doi.org/10.1212/WNL.0b013​e3182​1b7cc​9.
Alzheimer’s disease: A case report and literature review of dys-
Bougea, A., Gerakoulis, S., Anagnostou, E., Paraskevas, G., Kapaki,
tonia due to cholinesterase inhibitors. Internal Medicine, 53(9),
E., & Kararizou, E. (2014). Donepezil-induced myoclonus in
1007–1010. https​://doi.org/10.2169/inter​nalme​dicin​e.53.1857.
a patient with Alzheimer disease. Annals of Pharmacotherapy,
Joshi, G., & Kaur, R. (2016). T. cordifolia: A phytopharmacologi-
48(12), 1659–1661. https​://doi.org/10.1177/10600​28014​55033​
cal review. Int J Pharm Sci Res., 7(3), 890–897. https​://doi.
4.
org/10.13040​/ijpsr​.0975-8232.7(3).890-97.
Chang, P. K. Y., Verbich, D., & McKinney, R. A. (2012). AMPA recep-
Jost, W. H. (2014). Unwanted effects and interaction of intrajejunal lev-
tors as drug targets in neurological disease–advantages, caveats,
odopa/carbidopa administration. Expert Opinion on Drug Safety,
and future outlook. European Journal of Neuroscience, 35(12),
13(4), 447–458. https​://doi.org/10.1517/14740​338.2014.89633​6.
1908–1916. https​://doi.org/10.1111/j.1460-9568.2012.08165​.x.
Kastenholz, B., & Garfin, D. E. (2009). Medicinal plants: A natural
Chen, R. W., Qin, Z. H., Ren, M., Kanai, H., Chalecka-Franaszek, E.,
chaperones source for treating neurological disorders. Protein and
Leeds, P., et al. (2003). Regulation of c-Jun N-terminal kinase,
Peptide Letters, 16(2), 116–120. https​://doi.org/10.2174/09298​
p38 kinase and AP-1 DNA binding in cultured brain neurons:
66097​87316​234.
Roles in glutamate excitotoxicity and lithium neuroprotection.
Kiss, P., Tamas, A., Lubics, A., Szalai, M., Szalontay, L., Lengvari,
Journal of Neurochemistry, 84(3), 566–575. https​://doi.org/10
I., et al. (2005). Development of neurological reflexes and motor
.1046/j.1471-4159.2003.01548​.x.
coordination in rats neonatally treated with monosodium gluta-
Colbran, R. J. (2004). Targeting of calcium/calmodulin-dependent
mate. Neurotoxicity Research, 8(3–4), 235–244.
protein kinase II. Biochemical Journal, 378(1), 1–16. https​://
Kosaraju, J., Chinni, S., Roy, P. D., Kannan, E., Antony, A. S., &
doi.org/10.1042/BJ200​31547​.
Kumar, M. S. (2014). Neuroprotective effect of T. cordifolia
Dhama, K., Sachan, S., Khandia, R., Munjal, A., Iqbal, H., Latheef,
ethanol extract on 6-hydroxy dopamine induced Parkinsonism.
S., et al. (2016). Medicinal and beneficial health applications of
Indian Journal of Pharmacology, 46(2), 176–180. https​://doi.
T. cordifolia (Guduchi): A miraculous herb countering various
org/10.4103/0253-7613.12931​2.
diseases/disorders and its immunomodulatory effects. Recent Pat-
Lana, D., Ugolini, F., Nosi, D., Wenk, G. L., & Giovannini, M. G.
ents on Endocrine, Metabolic & Immune Drug Discovery, 10(2),
(2017). Alterations in the interplay between neurons, astrocytes
96–111. https​://doi.org/10.2174/18722​14811​66617​03011​05101​.
and microglia in the rat dentate gyrus in experimental models of

13
NeuroMolecular Medicine

neurodegeneration. Frontiers in Aging Neuroscience, 9, 296. https​ Nipanikar, S., Chitlange, S., & Nagore, D. (2017). Evaluation of anti-
://doi.org/10.3389/fnagi​.2017.00296​. inflammatory and antimicrobial activity of AHPL/AYCAP/0413
Liu, L., Wong, T. P., Pozza, M. F., Lingenhoehl, K., Wang, Y., Sheng, capsule. Pharmacognosy Research, 9(3), 273–276. https​://doi.
M., et al. (2004). Role of NMDA receptor subtypes in govern- org/10.4103/0974-8490.21032​8.
ing the direction of hippocampal synaptic plasticity. Science, Patel, A., Bigoniya, P., Singh, C. S., & Patel, N. S. (2013). Radiopro-
304(5673), 1021–1024. https​://doi.org/10.1126/scien​ce.10966​15. tective and cytoprotective activity of T. cordifolia stem enriched
Lowin, J., Sail, K., Baj, R., Jalundhwala, Y. J., Marshall, T. S., Konwea, extract containing cordifolioside-A. Indian Journal of Pharmacol-
H., et al. (2017). The cost-effectiveness of levodopa/carbidopa ogy, 45(3), 237–243. https​://doi.org/10.4103/0253-7613.11191​9.
intestinal gel compared to standard care in advanced Parkinson’s Patgiri, B., Umretia, B. L., Vaishnav, P. U., Prajapati, P. K., Shukla,
disease. Journal of Medical Economics, 20(11), 1207–1215. https​ V. J., & Ravishankar, B. (2014). Anti-inflammatory activity of
://doi.org/10.1080/13696​998.2017.13794​11. Guduchi Ghana (aqueous extract of T. cordifolia Miers.). Ayu,
Lundstrom, K., Pham, H. T., & Dinh, L. D. (2017). Interaction of plant 35(1), 108–110. https​://doi.org/10.4103/0974-8520.14195​8.
extracts with central nervous system receptors. Medicines (Basel), Philip, S., Tom, G., & Vasumathi, A. V. (2018). Evaluation of the anti-
4(1), 12. https​://doi.org/10.3390/medic​ines4​01001​2. inflammatory activity of T. cordifolia (Willd.) Miers chloroform
Manchanda, S., & Kaur, G. (2017). Withania somnifera leaf allevi- extract: A preclinical study. Journal of Pharmacy and Pharma-
ates cognitive dysfunction by enhancing hippocampal plasticity cology, 70(8), 1113–1125. https​://doi.org/10.1111/jphp.12932​.
in high fat diet induced obesity model. BMC Complementary and Rahman, A., Ahmad, S., Choudhary, M. I., & Malik, S. (1991). A
Alternative Medicine, 17(1), 136–149. https​://doi.org/10.1186/ furanoid diterpenoid from Tinospora malabarica. Phytochemistry,
s1290​6-017-1652-0. 30(1), 356–358. https​://doi.org/10.1016/0031-9422(91)84155​-L.
Maness, P. F., & Schachner, M. (2007). Neural recognition molecules Ramanathan, M., Sivakumar, S., Anandvijayakumar, P. R., Sara-
of the immunoglobulin superfamily: Signaling transducers of axon vanababu, C., & Pandian, P. R. (2007). Neuroprotective evalua-
guidance and neuronal migration. Nature Neuroscience, 10(1), tion of standardized extract of Centella asciatica in monosodium
19–26. https​://doi.org/10.1038/nn182​7. glutamate treated rats. Indian Journal of Experimental Biology,
Markram, K., Gerardy-Schahn, R., & Sandi, C. (2007). Selective learn- 45(5), 425–431.
ing and memory impairments in mice deficient for polysialylated Rosa, S. G., Quines, C. B., Stangherlin, E. C., & Nogueira, C. W.
NCAM in adulthood. Neuroscience, 144(3), 788–796. https​://doi. (2016). Diphenyl diselenide ameliorates monosodium glutamate
org/10.1016/j.neuro​scien​ce.2006.10.024. induced anxiety-like behavior in rats by modulating hippocam-
Marsh, J., Bagol, S. H., Williams, R. S., Dickson, G., & Alifragis, pal BDNF-Akt pathway and uptake of GABA and serotonin
P. (2017). Synapsin I phosphorylation is dysregulated by beta- neurotransmitters. Physiology & Behavior, 155, 1–8. https​://doi.
amyloid oligomers and restored by valproic acid. Neurobiology of org/10.1016/j.physb​eh.2015.11.038.
Diseases, 106, 63–75. https​://doi.org/10.1016/j.nbd.2017.06.011. Ruiz, A., Matute, C., & Alberdi, E. (2010). Intracellular Ca 2 + release
Mattson, M. P. (2008). Glutamate and neurotrophic factors in neuronal through ryanodine receptors contributes to AMPA receptor-medi-
plasticity and disease. Annals of the New York Academy of Sci- ated mitochondrial dysfunction and ER stress in oligodendrocytes.
ences, 1144(1), 97–112. https​://doi.org/10.1196/annal​s.1418.005. Cell Death & Disease, 1(7), e54. https​://doi.org/10.1038/cddis​
Melo, C. V., Okumoto, S., Gomes, J. R., Baptista, M. S., Bahr, B. .2010.31.
A., Frommer, W. B., et al. (2013). Spatiotemporal resolution of Saha, S., & Ghosh, S. (2012). T. cordifolia: One plant, many
BDNF neuroprotection against glutamate excitotoxicity in cul- roles. Ancient Science of Life, 31(4), 151–159. https​: //doi.
tured hippocampal neurons. Neuroscience, 237, 66–86. https​:// org/10.4103/0257-7941.10734​4.
doi.org/10.1016/j.neuro​scien​ce.2013.01.054. Santharani, A., & Lavanya, Y. (2012). Ameliorative effects of T. cordi-
Menegon, A., Verderio, C., Leoni, C., Benfenati, F., Czernik, A. J., folia in sciatica pain induced rats. International Research Journal
Greengard, P., et al. (2002). Spatial and temporal regulation of of Pharmacy, 3(5), 208–215. https​://doi.org/10.7897/2230-8407.
Ca2 +/calmodulin-dependent protein kinase II activity in develop- Shah, S. A., Amin, F. U., Khan, M., Abid, M. N., Rehman, S. U., Kim,
ing neurons. Journal of Neuroscience, 22(16), 7016–7026. T. H., et al. (2016). Anthocyanins abrogate glutamate-induced
Mishra, R., Manchanda, S., Gupta, M., Kaur, T., Saini, V., Sharma, AMPK activation, oxidative stress, neuroinflammation, and neuro-
A., et al. (2016). T. cordifolia ameliorates anxiety-like behavior degeneration in postnatal rat brain. Journal of Neuroinflammation,
and improves cognitive functions in acute sleep deprived rats. 13(1), 286. https​://doi.org/10.1186/s1297​4-016-0752-y.
Scientific Reports, 6, 25564. https​://doi.org/10.1038/srep2​5564. Shah, S. A., Lee, H. Y., Bressan, R. A., Yun, D. J., & Kim, M. O.
Mohanta, T. K., Tamboli, Y., & Zubaidha, P. K. (2014). Phytochemi- (2014). Novel osmotin attenuates glutamate-induced synaptic dys-
cal and medicinal importance of Ginkgo biloba L. Natural Prod- function and neurodegeneration via the JNK/PI3 K/Akt pathway
uct Research, 28(10), 746–752. https​://doi.org/10.1080/14786​ in postnatal rat brain. Cell Death & Disease, 5(1), e1026. https​://
419.2013.87930​3. doi.org/10.1038/cddis​.2013.538.
Moneim, W. M. A., Yassa, H. A., Makboul, R. A., & Mohamed, N. Sharma, A., & Kaur, G. (2018). T. cordifolia as a potential neurore-
A. (2018). Monosodium glutamate affects cognitive functions in generative candidate against glutamate induced excitotoxicity: An
male albino rats. Egyptian Journal of Forensic Sciences, 8(1), 9. in vitro perspective. BMC Complementary and Alternative Medi-
https​://doi.org/10.1186/s4193​5-018-0038-x). cine, 18(1), 268–285. https:​ //doi.org/10.1186/s12906​ -018-2330-6.
Moyano, S., DelRio, J., & Frechilla, D. (2005). Acute and chronic Shi, Z., Zhu, L., Li, T., Tang, X., Xiang, Y., Han, X., et al. (2017). Neu-
effects of MDMA on molecular mechanisms implicated in mem- roprotective mechanisms of Lycium barbarum polysaccharides
ory formation in rat hippocampus: Surface expression of CaM- against ischemic insults by regulating NR2B and NR2A contain-
KII and NMDA receptor subunits. Pharmacology, Biochemis- ing NMDA receptor signaling pathways. Frontiers in Cellular
try and Behavior, 82(1), 190–199. https​://doi.org/10.1016/j. Neuroscience, 11, 288. https​://doi.org/10.3389/fncel​.2017.00288​.
pbb.2005.07.020. Singh, H., Kaur, T., Manchanda, S., & Kaur, G. (2017). Intermittent
Nacher, J., Guirado, R., & Castillo-Gómez, E. (2013). Structural plas- fasting combined with supplementation with Ayurvedic herbs
ticity of interneurons in the adult brain: Role of PSA-NCAM and reduces anxiety in middle aged female rats by anti-inflamma-
implications for psychiatric disorders. Neurochemical Research, tory pathways. Biogerontology, 18(4), 601–614. https​://doi.
38(6), 1122–1133. https​://doi.org/10.1007/s1106​4-013-0977-4. org/10.1007/s1052​2-017-9706-8.

13
NeuroMolecular Medicine

Swamy, A. V., Patel, N. L., Gadad, P. C., Koti, B. C., Patel, U. M., Tiwari, M., Dwivedi, U. N., & Kakkar, P. (2014). T. cordifolia extract
Thippeswamy, A. H. M., et al. (2013). Neuroprotective activity of modulates COX-2, iNOS, ICAM-1, pro-inflammatory cytokines
pongamia pinnata in monosodium glutamate-induced neurotoxic- and redox status in murine model of asthma. Journal of Eth-
ity in rats. Indian J Pharm Sci., 75(6), 657–663. nopharmacology, 153(2), 326–337. https​://doi.org/10.1016/j.
Szado, T., Vanderheyden, V., Parys, J. B., De Smedt, H., Rietdorf, K., jep.2014.01.031.
Kotelevets, L., et al. (2008). Phosphorylation of inositol 1,4,5-tris- Vaarmann, A., Kovac, S., Holmström, K. M., Gandhi, S., & Abramov,
phosphate receptors by protein kinase B/Akt inhibits C ­ a2+ release A. Y. (2014). Dopamine protects neurons against glutamate-
and apoptosis. Proceedings of the National academy of Sciences induced excitotoxicity. Cell Death & Disease, 4(1), e455. https​
of the United States of America, 105(7), 2427–2432. https​://doi. ://doi.org/10.1038/cddis​.2012.194.
org/10.1073/pnas.07113​24105​. Wang, H. G., Pathan, N., Ethell, I. M., Krajewski, S., Yamaguchi, Y.,
Tamás, A., Gábriel, R., Rácz, B., Dénes, V., Kiss, P., Lubics, A., ­ a2+-induced apoptosis through cal-
Shibasaki, F., et al. (1999). C
et al. (2004). Effects of pituitary adenylate cyclase activating cineurin dephosphorylation of BAD. Science, 284(5412), 339–
polypeptide in retinal degeneration induced by monosodium- 343. https​://doi.org/10.1126/scien​ce.284.5412.339.
glutamate. Neuroscience Letters, 372(1–2), 110–113. https​://doi. Willows, T., Dizdar, N., Nyholm, D., Widner, H., Grenholm, P.,
org/10.1016/j.neule​t.2004.09.021. Schmiauke, U., et al. (2017). Initiation of Levodopa–Carbidopa
Tan, C. C., Yu, J. T., Wang, H. F., Tan, M. S., Meng, X. F., Wang, intestinal gel infusion using telemedicine (video communication
C., et al. (2014). Efficacy and safety of donepezil, galantamine, system) facilitates efficient and well-accepted home titration in
rivastigmine, and memantine for the treatment of Alzheimer’s patients with advanced Parkinson’s disease. Journal of Parkinsons
disease: A systematic review and meta-analysis. Journal of Alz- Disease, 7(4), 719–728. https​://doi.org/10.3233/JPD-16104​8.
heimers Disease, 41(2), 615–631. https​://doi.org/10.3233/JAD- Zhang, L. N., Hao, L., Wang, H. Y., Su, H. N., Sun, Y. J., Yang, X.
13269​0. Y., et al. (2015). Neuroprotective effect of resveratrol against
Tang, X., Downes, C. P., Whetton, A. D., & Owen-Lynch, P. J. (2000). glutamate-induced excitotoxicity. Advances in Clinical and
Role of phosphatidylinositol 3-kinase and specific protein kinase Experimental Medicine, 24(1), 161–165. https:​ //doi.org/10.17219​
B isoforms in the suppression of apoptosis mediated by the Abel- /acem/38144​.
son protein-tyrosine kinase. Journal of Biological Chemistry, Zhou, X., Hollern, D., Liao, J., Andrechek, E., & Wang, H. (2013).
275(17), 13142–13148. https:​ //doi.org/10.1074/jbc.275.17.13142.​ NMDA receptor-mediated excitotoxicity depends on the coac-
Tawfik, M. S., & Al-Badr, N. (2012). Adverse effects of monosodium tivation of synaptic and extrasynaptic receptors. Cell Death &
glutamate on liver and kidney functions in adult rats and potential Disease, 4(3), e560. https​://doi.org/10.1038/cddis​.2013.82.
protective effect of vitamins C and E. Food and Nutrition Sci- Zhu, D., Wu, X., Strauss, K. I., Lipsky, R. H., Qureshi, Z., Terhako-
ences, 3, 651–659. https​://doi.org/10.4236/fns.2012.35089​. pian, A., et al. (2005). N-Methyl-d-aspartate and TrkB receptors
Taylor-Walker, G., Lynn, S. A., Keeling, E., Munday, R., Johnston, protect neurons against glutamate excitotoxicity through an extra-
D. A., Page, A., et al. (2016). The Alzheimer’s-related amyloid cellular signal-regulated kinase pathway. Journal of Neuroscience
beta peptide is internalised by R28 neuroretinal cells and dis- Research, 80(1), 104–113. https​://doi.org/10.1002/jnr.20422​.
rupts the microtubule associated protein 2 (MAP-2). Experi-
mental Eye Research, 153, 110–121. https​://doi.org/10.1016/j. Publisher’s Note Springer Nature remains neutral with regard to
exer.2016.10.013. jurisdictional claims in published maps and institutional affiliations.
Tilleux, S., & Hermans, E. (2007). Neuroinflammation and regula-
tion of glial glutamate uptake in neurological disorders. Jour-
nal of Neuroscience Research, 85(10), 2059–2070. https​://doi.
org/10.1002/jnr.21325​.

13

You might also like