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Hydroalcoholic extract from Abelmoschus


Cite this: Food Funct., 2020, 11, 8978
manihot (Linn.) Medicus flower reverses sleep
deprivation-evoked learning and memory deficit†
Hai-rui Zhou, Jing-ru Wu, Lei Bei, Bai-xin Wang, Hui Xu, Jing-tao Wang* and
Shu-xia Ma *

Previous researches have indicated that sleep plays a vital role in cognitive functions. Sleep deprivation
(SD) causes learning and memory damage, which is associated with oxidative stress. This study was per-
formed to investigate the neuroprotective effects of an extract of Abelmoschus manihot flower (EAM)
against memory deficit induced by SD in mice. The SD model was evoked by multiple platform method
for 5 days, successively. The learning and memory-improving effects of EAM were assessed by behavioral
trials and the underlying mechanism was investigated by measuring the oxidative stress alteration. Our
findings indicated that the SD-induced memory deficit and the EAM treatment improved the cognitive
functions of mice in the object location recognition test and passive avoidance task. In addition, EAM
effectively improved the activities of the antioxidant enzyme, decreased the content of malondialdehyde
Received 16th August 2020, (MDA), and restored the protein expression of the brain-derived neurotrophic factor (BDNF), tyrosine
Accepted 12th September 2020
kinase B (TrkB) and glutamate receptor 1 (GluR1) in brain tissues. In conclusion, EAM could improve the
DOI: 10.1039/d0fo02158j SD-evoked learning and memory impairments. The possible underlying mechanisms of EAM may be
rsc.li/food-function related to its antioxidant capacity and enhanced BDNF/TrkB/GluR1 levels in the hippocampal memory.

Introduction otine, modafinil, and donepezil could alleviate memory


impairment evoked by SD in animal models.8,11 However, the
Sleep plays an important role in the human mental and phys- application of these drugs is limited due to the side effects,
iological performance and is necessary for human health life.1 such as disorientation, daytime fatigue, and memory loss.12
Sleep deprivation (SD), including fragmented, insufficient and Therefore, it is urgent to develop a novel therapy with low side
absent sleep, is a universal phenomenon in the modern fast- effects and high efficacy to alleviate the cognitive impairment
paced lifestyles.2 A number of laboratory and epidemiological of SD.
studies have demonstrated that cognitive impairments are the Abelmoschus manihot (Linn.) Medicus, also known as
results of SD in numerous behavioral tasks.3–6 In addition, “Huang Shukui”, is a traditional Chinese medicine. A. manihot
sleep deprivation is also associated with some health pro- flowers, the major medicinal part of this herb, have been
blems, such as hyperlipidemia, depression, Alzheimer’s demonstrated to possess numerous pharmacological activities
disease, hypertension, and diabetes.7 Moreover, a sleep dis- such as treatment of chronic kidney disease, oral ulcers,
order may induce obvious damage in the endocrine, immune, burns, and inflammatory diseases.13 Flavonoids, resins, pig-
and cardiovascular systems as well as memory and learning ments, and polysaccharides have been isolated and purified
ability.8 Though the detailed mechanism of cognitive impair- from the A. manihot flowers in the past decade.14 Total flavo-
ments evoked by SD remains unknown, it is widely believed noid of A. manihot has been demonstrated to have neuropro-
that SD may influence the hippocampus region of the brain by tective activity and it could prevent the cerebral ischemia
damaging the memory formation.9 This impairment is damage in animal models.15–17 In addition, flavonoids might
believed to be caused by the production of reactive oxygen represent the potential bioactive constituents of the A. manihot
species and elevation of oxidative stress in different brain ethanol extract and possess the antidepressant-like and antic-
regions.10 Pharmacological interventions, such as caffeine, nic- onvulsant effects in vivo.14 Nonetheless, there is no study
related to the effects of the extract of the A. manihot flower
(EAM) on SD-induced memory impairment.
Basic medical college of Jiamusi University, Heilongjiang 154007, China.
Therefore, in the present study, we hypothesized that EAM
E-mail: wjingtao@sina.com, mshuxia0808@163.com
† Electronic supplementary information (ESI) available. See DOI: 10.1039/ could prevent the SD-induced deficit of the hippocampal
D0FO02158J memory owing to its antioxidative effect. To validate this

8978 | Food Funct., 2020, 11, 8978–8986 This journal is © The Royal Society of Chemistry 2020
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hypothesis, SD was induced by the multiple platform method. measured by the peak area of their maximum absorption
Behavioral studies were performed to explore the neuroprotec- wavelength.
tive effects of EAM on cognitive impairments induced by SD.
Animals and drug administration
The animal experiment was approved by the Local Ethics
Materials and methods Committee and performed in accordance with the National
Institutes of Health Guide of the Care and Use of Laboratory
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Chemicals and drugs


Animals. Four-week-old male ICR mice (20 ± 2 g) were
Rutin, hyperoside, isoquercetin, myricetin, quercetin-3-O-glu- obtained from the Laboratory Animal Center of Guangdong
coside and quercetin were purchased from Macklin Chemicals (Guangzhou, China) and were kept in Experimental Animal
Co., Ltd (Shanghai, China). HPLC grade acetonitrile and Center of Basic Medical College of Jiamusi university under a
formic acid were purchased from Sigma-Aldrich (St Louis, standard laboratory environment (humidity 50–60%, air temp-
USA). The flowers of A. manihot were harvested in October erature 20–25 °C, and 12 h light/dark cycle), with free access to
2018 from Jiangyan County of Jiangsu Province and were water and food.
identified by Dr Hui Xu according to the Pharmacopeia of the After a habituation period of 14 days, all the animals were
People’s Republic of China. All other chemical reagents used arbitrarily divided into five groups: control group mice treat-
in the experiment were of analytical grade and purchased from ment with distilled water (Con), sleep deprivation group mice
Aladdin Chemicals Co., Ltd (Shanghai, China). treatment with distilled water (SD), sleep deprivation group
with the daily administration dose of 50 mg kg−1 EAM (SD +
Preparation of EAM LEAM), sleep deprivation group with the daily administration
The preparation process of the hydroalcoholic extract from an dose of 100 mg kg−1 EAM (SD + MEAM), sleep deprivation
A. manihot flower was referenced in the previous report.18 group with the daily administration of 200 mg kg−1 EAM (SD +
Briefly, 8 L of 75% ethanol was added to a 0.5 kg dried HEAM). The doses of EAM were based on a previous study.14
A. manihot flower. Then, the mixture was extracted in a hot EAM was dissolved in distilled water by ultrasound. The
water bath at 90 °C for 1 h. The extract was subsequently fil- LEAM, MEAM, and HEAM groups were treated with EAM at
tered and the filtrate was evaporated using vacuum rotary evap- 8:00 am daily for 20 days via oral gavage. Moreover, the Con
oration; then, the concentrated liquid was further dried using group and SD group of rats were treated with equal amounts of
a freeze-dryer. The total flavonoid content of EAM was distilled water via oral gavage. The experimental design pro-
measured using a colorimetric method with minor modifi- cedure is illustrated in Fig. 1.
cation.13 The total flavonoid content was expressed as mg
rutin equivalents per g of the dry EAM weight. The induction of sleep deprivation
SD was induced using the modified multiple platform
Analysis of the flavonoids in EAM by HPLC method.19 The water tank (length: 110 cm, height: 40 cm,
The HPLC analysis was carried out on a liquid chromatography width: 60 cm) contained 15 small platforms (the diameter is
system (Waters 2695, USA) equipped with a degasser, quatern- 3.5 cm). Water is filled till two centimeters below the surface
ary pumps, and UV detection. The temperature of an Agilent of the platform. Mice were arranged above the platforms, and
ZORBAX Eclipse Plus C18 (150 mm × 4.6 mm, 5 μm) column they were allowed to jump and move freely from one platform
was maintained at 35 °C, and the wavelength was recorded at to another. Once the mice experienced the paradoxical of sleep
360 nm. The mobile phase consisting of acetonitrile (A) and and muscle atonia set in, the mice were awakened by throwing
0.02% formic acid aqueous solution (B) was applied in gradi- them into the water. In the study, the SD was carried out for
ent for elution: 0–4 min, 15% A–17% A; 4–20 min, 17% A–30% successive 5 days. All the mice were having free access to food
A; 20–35 min, 30% A–80% A; 35–45 min, 80% A at a flow rate and water. The water in the tank was changed every day and
of 0.8 mL min−1.18 The content of flavonoid ingredients were maintained at the temperature of 23–25 °C.

Fig. 1 Schematic design of the animal experiment.

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Open field test (OFT) vious research with minor modification.22 The test apparatus
After the SD for 5 days, OFT was performed to evaluate was divided into a dark chamber and a white illuminated
whether the EAM treatment had an effect on the locomotor chamber (length: 17 cm, height: 25 cm, width: 13.5 cm). After
activity of the mice according to a previous research.20 The 180 s of acclimatization, each animal was placed into the light
apparatus was made up of four plastic tanks (length: 30 cm, chamber to freely explore for 300 s in the training experiment.
height: 35 cm, width: 28 cm) using a 120 lx light intensity. A The 0.5 mA electric foot shock of 0.5 mA for 5 s was given
camera was installed on top of the tank to record the path of when the animal entered the dark chamber. The consolidation
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the animal. After the EAM treatment for 30 min, each mouse experiment was carried out in the same way as training after
was allowed to explore freely around the tank for 3 min. The 24 h. The time of latency into the dark chamber was recorded
total distance traveled and average speed (during a 10 min in the 300 s test process.
test) was recorded as a measure of the locomotor activity. A Preparation of biochemical test samples
video-tracking system (Shanghai Jiliang Software Technology
Co Ltd) was used to record and analyze the behavioral tests. The mice were immediately anesthetized by a combination
of xylazine and ketamine (10 mg kg−1 and 90 mg kg−1, intra-
Object location recognition (OLR) test peritoneal, respectively) and executed by decapitation after
the behavioral test. The brains were collected quickly, and
Memory and learning capacity was measured by the OLR test the hippocampus and cortex were isolated from the midsa-
according to a previous report with minor modification.21 This gittal plane, and quickly stored at −80 °C. The hippocampus
test occurred in the target recognition test system with an and cortex of different groups were homogenated with ice
enclosed field (length: 40 cm, width: 50 cm) surrounded by a normal saline (1/10, m v−1) using a homogenizer. The super-
wall (height: 50 cm). The cabinets were equipped with LED natant was obtained by centrifugation at 4000 rpm for 5 min
floodlights on both the sides, for avoiding the disturbance of at 4 °C.
strong light on the behavior of mice. The exploratory behavior
of mice was observed by the camera on the ceiling. The whole Determination of oxidative stress markers
experiment consisted of three stages: habituation stage, fam- The activities of superoxide dismutase (SOD), glutathione
iliarization stage, and test stage. The habituation stage lasted (GSH) and catalase (CAT) and the level of malonaldehyde
for three days, and the animals were then exposed to the stage (MDA) were assayed using commercial assay kits according to
alone, in turn, to explore a new environment for 10 min to the manufacturer’s protocol (Nanjing Jiancheng
eliminate the fear of mice. The trials were performed on the Bioengineering Institute, Nanjing, China).
fourth day, which were divided into a familiarization stage and
test stage (30 min interval between the two stages). At the fam- Western blotting
iliarization stage, the mouse was put in an arena that con- Hippocampal tissues were lysed using the RIPA lysis buffer.
tained the object A1 and A2 and allowed the free exploration of Then, the samples were centrifuged at 10 000 rpm for 20 min.
5 min for each trial. The test trial was performed after a The total protein content of the supernatant was quantified
30 min delay. The mouse was returned to the area in which with a BCA assay kit. 100 µg of protein was separated by 10%
one of the primary objects had altered position (“novel”) and SDS-polyacrylamide gel and transferred to nitrocellulose mem-
another object was maintained in the original location (“fam- branes. The membranes were blocked for 1 h using 5% nonfat
iliar”). Objects were put in the center of the arena about 10 cm dried milk in the TBST buffer. Blotted membranes were incu-
from the wall. At the end of each trial, the floor of the objects bated overnight at 4 °C with the following primary antibodies:
and arena were washed with alcohol (70%) to eliminate the anti-BDNF (1:1000; Abcam), anti-GluR1 (1:1000; Abcam), anti-
odor cues. Only when a mouse sniffs or touches an object, it TrkB (1:1000; Abcam), and β-actin (1:1000; Abcam). After
was identified as the exploratory behavior. We recorded the washing with TBST, the membranes were incubated with the
time of contact between each object during each trial. The HRP-labeled goat anti-mouse IgG antibody at room
animal with exploratory behavior was recorded and scored temperature for 1 h. Visualization was carried out with the
with a video camera. The discrimination index (DI) was used Immobilon Western ECL system. The relative protein levels
to evaluate the recognition memory; the calculation formula is were assayed using the Gel Pro Analysis software and normal-
as given below: ized to β-actin.
DI ¼ ðT N  T F Þ=ðT N þ T F Þ
The data statistical analysis
where TN and TF represent the exploration time of the novel Data from the behavioral assessment, oxidative stress bio-
and familiar object, respectively. The total exploration time markers, and western blot were reported as the means ± SEM,
was recorded during the familiarization stage. and the statistical analyses were performed using the
GraphPad Prism Software (GraphPad Software, Inc., La Jolla,
Passive avoidance (PA) CA, USA). Differences between the groups were analyzed using
To evaluate the effect of EAM on the memory and learning, the one-way ANOVA, followed by the Tukey’s multiple comparison
passive avoidance trial was carried out according to the pre- test. P < 0.05 was usually considered as statistical significance.

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Table 1 Determination of representative flavonoids in extract of


Results Abelmoschus manihot flower (EAM). Data are presented as the mean ±
HPLC profiles of EAM extract standard deviation (SD) of three independent experiments

As shown in Fig. 2A, the HPLC-UV analysis indicated the major


Component Content (mg g−1 extract)
bioactive constituents in the EAM extract. The six flavonoid
compounds were identified as (1) rutin; (2) hyperoside; (3) iso- Rutin 6.81 ± 0.18
Hyperoside 126.50 ± 2.54
quercetin; (4) myricetin; (5) quercetin-3-O-glucoside; and (6) Isoquercetin 59.86 ± 1.08
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quercetin, via the HPLC method by comparing with an auth- Myricetin 119.46 ± 2.40
entic standard. As shown in Table 1, the contents of rutin, Quercetin-3-O-glucoside 146.37 ± 2.91
Quercetin 4.93 ± 0.06
hyperoside, isoquercetin, myricetin, quercetin-3-O-glucoside, Total flavonoids 766.59 ± 4.43
and quercetin in EAM were 6.81 ± 0.18 mg g−1, 126.50 ±
2.54 mg g−1, 59.86 ± 1.08 mg g−1, 119.46 ± 2.40 mg g−1, 146.37
± 2.91 mg g−1, and 4.93 ± 0.06 mg g−1, respectively. In The effect of EAM on the PA test of SD mice
addition, the total flavonoid content in the EAM was 766.59 ± In the present study, the PA test was performed to measure the
4.43 mg g−1 dry extract via a UV spectrophotometer. non-spatial memory of mice. As shown in Fig. 3B and D, the
SD-evoked memory impairments of mice showed obvious
decrease in the time of latency into the dark chamber and
The effect of EAM on the locomotor activities of SD mice
increased the number of errors as compared to the control
The OFT was carried out to assess the locomotor activities of mice (P < 0.01). However, the EAM (100 and 200 mg kg−1) treat-
animals that may influence the cognitive behavior. There were ment prevented the increase in error numbers and the
no obvious differences in the average speeding and total dis- reduction of the latency into the dark chamber as compared to
tance among all the groups (P > 0.05). The findings showed the SD group (P < 0.05 and P < 0.01).
that the EAM administration did not influence the locomotor
activities of the ICR mice (Fig. 2B and C). The effect of EAM on oxidative stress biomarkers in the brain
tissue of SD mice
The effect of EAM on the OLR task of SD mice As shown in Fig. 4 and 5, compared with the control group,
In the present study, the OLR task was performed to investi- the activities of SOD, GSH, and CAT in the cortex and hippo-
gate the effect of EAM on the spatial memory and learning. As campus obviously reduced in the SD groups (P < 0.01).
shown in Fig. 3A, the finding showed that there was no Administration of EAM (100 and 200 mg kg−1) increased the
obvious difference in the total exploration time of the two activities of SOD, GSH and CAT levels (P < 0.05 and P < 0.01).
objects (A1 and A2) as compared to the other groups (P > 0.05). In addition, compared with the control group, the MDA con-
The finding implied that there was no significant difference in tents of the cortex and hippocampus were obviously increased
the exploration ability of mice for the objects. in the SD group (P < 0.01). Treatment with EAM (100 and
As shown in Fig. 3C, our findings indicated that SD impairs 200 mg kg−1) decreased the content of MDA in the SD group (P
memory as evidenced by the obvious decrease in the DI of the < 0.05 and P < 0.01).
SD model group when compared to the control group (P <
0.01). However, the EAM (100 and 200 mg kg−1) treatment The effect of EAM on BDNF, TrkB and GluR1 levels in the
obviouly increased the DI of the SD group (P < 0.05 and P < hippocampus of SD mice
0.01). Our result showed that the administration of EAM could As shown in Fig. 6, the protein expression of BDNF, TrkB, and
improve the SD-evoked spatial memory impairment. GluR1 was downregulated in the hippocampus of SD mice (P <

Fig. 2 (A) Chromatograms of flavonoids occurring in the hydroalcoholic extract of Abelmoschus manihot flower. (1) Rutin; (2) hyperoside; (3) iso-
quercetin; (4) myricetin; (5) quercetin-3-O-glucoside; (6) quercetin. The effect of EAM on the locomotor in the SD-induced memory impairment. (B)
Total distance. (C) Average speeding. Results are expressed as the means ± SEM, n = 12 animals per group.

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Fig. 3 The effect of EAM on OLR and PA task in the SD-induced memory impairment. (A) Total exploration time in the familiar phase, (B) latency
into the dark chamber, (C) DI in the test phase. (D) Error numbers. Results are expressed as the means ± SEM, n = 12 animals per group. #P < 0.01
(vs. Control group); **P < 0.01, *P < 0.05 (vs. SD group).

Fig. 4 The effect of EAM on the oxidative stress in the cortex of SD mice. Results are expressed as the means ± SEM, n = 12 animals per group. #P <
0.01 (vs. Control group); **P < 0.01, *P < 0.05 (vs. SD group). Cortex SOD (A), GSH (B), CAT (C) and MDA (D) level in different groups.

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Fig. 5 The effect of EAM on the oxidative stress in the hippocampus of SD mice. Results are expressed as the means ± SEM, n = 12 animals per
group. #P < 0.01 (vs. Control group); **P < 0.01, *P < 0.05 (vs. SD group). Hippocampus SOD (A), GSH (B), CAT (C) and MDA (D) level in different
groups.

Fig. 6 The effect of EAM on BDNF, TrkB and GluR1 levels in the hippocampus of SD mice. Results are expressed as the means ± SEM, n = 3 animals
per group. #P < 0.01 (vs. Control group); **P < 0.01, *P < 0.05 (vs. SD group).

0.01). However, treatment with EAM (100 and 200 mg kg−1) EAM improved the activities of antioxidant enzymes and decreased
restored the SD-induced inhibition of BDNF, TrkB and GluR1 the content of MDA in the SD-induced cognitive deficit. In the
protein expression (P < 0.05 and P < 0.01). present study, we used EAM at three different doses of 50, 100, and
200 mg kg−1. However, treatment with 100 mg kg−1 of EAM also
exerted improvement effects in the behavioral assessment and oxi-
Discussion dative stress biomarkers, while 200 mg kg−1 of EAM exerted more
obvious protective effects in the SD-induced cognitive and memory
Our results indicated that the administration of EAM reversed the disorders mice model. So, the maximal protective effect of EAM
learning and memory impairments evoked by SD. Moreover, the was achieved at a dose of 200 mg kg−1.

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Sleep plays an important role in the memory formation and related to the impairment of spatial memory.34 In the present
cognitive functions of humans. Sleep insufficiency could study, the hippocampal protein expression levels of BDNF,
obviously weaken the learning and memory ability. Cognitive TrkB, and GluR1 decreased in the SD group, and EAM could
functions and sleep are considered to be associated with each modulate the BDNF, TrkB, and GluR1 protein expression to
other. Thus, numerous researches are focused on the effects of improve synaptic plasticity, and these findings were in agree-
SD on the cognitive functions.23,24 Also, a previous study indi- ment with the behavioral result.
cated that the modified multiple platform model induced SD The neuroprotective effect of EAM on SD-evoked memory
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to memory impairment.5 Moreover, numerous studies have deficits has not been previously reported. In the present study,
indicated SD induced memory deficits in numerous behavioral we observed that the treatment of EAM reverses the non-
tasks.25,26 The OLR test utilizes the exploratory ability of spatial and spatial memory deficiency induced by SD by alle-
animals toward spatial novelty, and it was used to evaluate the viating the oxidative stress markers of brain tissue. In addition,
spatial relocation of the familiar object.25 The PA test exploits the HPLC analysis of the EAM revealed the presence of flavo-
the animal’s tendency to avoid darkness and this test was suit- noids, including rutin, hyperoside, isoquercetin, myricetin,
able to evaluate the non-spatial memory performance.25 In quercetin-3-O-glucoside, and quercetin (Fig. 1). Previous
accordance with the previous studies, the present results indi- studies have indicated that flavonoids possess neuroprotection
cated that the SD damaged non-spatial and spatial memories effects against SD-induced neuro behavioural
in rodents.25,27 impairments;35,36 quercetin is effective in alleviating manic-
Previous studies indicated that the SD-induced memory like behavior and brain oxidative stress induced by SD37 and
impairment was involved in the increase in the oxidative stress myricetin alleviates the cognitive impairment and neuro
of the brain tissue.28,29 Oxidative stress is an imbalance status degeneration in Parkinsonism.38 In accordance with previous
between the antioxidant defense system and the reactive studies, our findings showed the involvement of the anti-
oxygen species. Superfluous reactive oxygen species could oxidant effect of flavonoids in its memory protective effect.
evoke neuronal impairment via antioxidant enzyme inacti- In summary, the results of the present study indicate that
vation, DNA modification, and lipid peroxidation, and even- the EAM treatment for twenty consecutive days improves the
tually cause the damage of cognitive functions.30 Previous memory and learning performances of sleep-deprived mice. In
studies indicated that the SD could induce the oxidative stress addition, the neuroprotection effect of EAM involved in inhi-
of brain tissue by increasing the content of MDA as well as biting the oxidative stress of the brain tissue was also indi-
decreasing the activities of antioxidant enzymes in the brain cated. Therefore, EAM has the potential to become a thera-
tissue.19,25 In agreement with the previous report, the present peutic agent for the treatment of cognition deficits disease.
findings indicate that the cognitive deficit induced by SD was
accompanied by elevated oxidative stress of the brain tissue.
Non-enzymatic and enzymatic antioxidant defense systems Ethical statement
could eliminate lipid peroxide and alleviate the impairment of
neurons from the reactive oxygen species.19 Thus, those com- All animal procedures were performed in accordance with the
pounds with antioxidant ability could protect the neurons National Institutes of Health Guide of the Care and Use of
against the impairment of reactive oxygen species and there- Laboratory Animals and approved by the Animal Ethics
fore prevent the occurrence of cognition dysfunctions.8,19 Committee of Jiamusi University.
Meanwhile, the flavonoid extract from A. manihot flowers could
alleviate the D-galactose-evoked oxidative stress via the acti-
vation of Nrf2 signaling.31 Therefore, the extract from Conflicts of interest
A. manihot flowers might be a therapeutic drug to alleviate the
learning and memory damage associated with the SD related The authors declare that they have no competing interests.
conditions. In our study, after the treatment of EAM, the activi-
ties of SOD and CAT as well as the content of GSH and MDA,
were obviously normalized. These results provide strong proof Acknowledgements
supporting the effect of oxidative stress in the learning and
memory deficits after SD. This study was financially supported by the Science and
A previous study has indicated that BDNF plays a vital role Technology Innovation Team Project of Heilongjiang province
in synaptic plasticity through the improvement of the (No. 2018-KYYWF-0915) and Innovation Team Project of
efficiency of synaptic transmission via activating the protein Jiamusi University (No. cxtdpy-2016-02).
kinases.32 In addition, brain tissue with poor antioxidant
defenses and high mitochondrial energy metabolism might be
influenced by the oxidative stress induced by increasing free References
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