Chronic paracetamol treatment induces neuroinflammation and microglia activation in rat hippocampus

Authors

  • Laddawan Lalert Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Preecha Ruangvejvorachai Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Supang Maneesri-le Grand Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

Paracetamol, pro-inflammatory cytokine, microglia activation, Nrf2, hippocampus

Abstract

Background: Several studies have demonstrated multidirectional effects of paracetamol (acetaminophen; APAP) treatment on the central nervous system. Recently, an alteration of learning and memory have been reported following long-term APAP exposure; however, the mechanism underlying these detrimental effects of APAP treatment is not fully clarified.

Objectives: To investigate the effect of chronic APAP treatment on the microglia activation and neuroinflammation in the hippocampus.

Methods: Male Wistar rats (weighting 250 - 300 g) in the APAP-treated group was once a day gavaged with 200 mg/kg bodyweight APAP for 30 days, while distilled water at the same volume was orally delivered to the rats in the control group. Expression of pro-inflammatory cytokines was evaluated using Western blotting analysis, while the ionized calcium-binding adaptor molecule 1 (Iba-1) and nuclear factor erythroid-2-related factor 2 (Nrf2) protein expressions were determined by using immunohistochemistry and immunofluorescence, respectively.

Results: As compared with the control rats, the expression of tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) were significantly higher in the APAP-treated rats then in the control rats. A significant increase in Iba-1 protein was demonstrated in rats with 30-day APAP exposure. In addition, an increment of Nrf2 protein expression was also observed in the APAP-treated group.

Conclusion: The present results suggest that chronic APAP treatment can induce microglia activation and upregulation of proinflammatory cytokines in the hippocampus. An increment of the Nrf2 expression may involve neuroinflammatory response following prolonged treatment with APAP.

Downloads

Download data is not yet available.

References

Dimova S, Hoet PH, Nemery B. Paracetamol (acetaminophen) cytotoxicity in rat type II pneumocytes and alveolar macrophages in vitro. Biochem Pharmacol 2000;59:1467-75.

https://doi.org/10.1016/S0006-2952(00)00257-4

Nassini R, Materazzi S, Andre E, Sartiani L, Aldini G, Trevisani M, et al. Acetaminophen, via its reactive metabolite N-acetyl-p-benzo-quinoneimine and transient receptor potential ankyrin-1 stimulation, causes neurogenic inflammation in the airways and other tissues in rodents. Faseb J 2010;24:4904-16.

https://doi.org/10.1096/fj.10.162438

Curhan GC, Bullock AJ, Hankinson SE, Willett WC, Speizer FE, Stampfer MJ. Frequency of use of acetaminophen, nonsteroidal anti-inflammatory drugs, and aspirin in US women. Pharmacoepidemiol Drug Saf 2002;11:687-93. https://doi.org/10.1002/pds.732

Dedier J, Stampfer MJ, Hankinson SE, Willett WC, Speizer FE, Curhan GC. Nonnarcotic analgesic use and the risk of hypertension in US women. Hypertension 2002;40:604-8.

https://doi.org/10.1161/01.HYP.0000035856.77718.DA

Forman JP, Rimm EB, Curhan GC. Frequency of analgesic use and risk of hypertension among men. Arch Intern Med 2007;167:394-9. https://doi.org/10.1001/archinte.167.4.394

Sudano I, Flammer AJ, Periat D, Enseleit F, Hermann M, Wolfrum M, et al. Acetaminophen increases blood pressure in patients with coronary artery disease. Circulation 2010;122:1789-96.

https://doi.org/10.1161/CIRCULATIONAHA.110.956490

Brandlistuen RE, Ystrom E, Nulman I, Koren G, Nordeng H. Prenatal paracetamol exposure and child neurodevelopment: a sibling-controlled cohort study. Int J Epidemiol 2013;42:1702-13.

https://doi.org/10.1093/ije/dyt183

Vlenterie R, Wood ME, Brandlistuen RE, Roeleveld N, van Gelder MM, Nordeng H. Neurodevelopmental problems at 18 months among children exposed to paracetamol in utero: a propensity score matched cohort study. Int J Epidemiol 2016;45:1998-2008. https://doi.org/10.1093/ije/dyw192

Posadas I, Santos P, Blanco A, Munoz-Fernandez M, Cena V. Acetaminophen induces apoptosis in rat cortical neurons. PLoS One 2010;5:e15360. https://doi.org/10.1371/journal.pone.0015360

Myksis S, Tyndale RF. The unique regulationof brain cytochrome P450 2 (CYP2) family enzymes by drugs and genetic. Drug Metab Rev 2004;36:313-33. https://doi.org/10.1081/DMR-120034149

Euston DR, Gruber AJ, McNaughton BL. The role of medial prefrontal cortex in memory and decision making. Neuron 2012;76:1057-70. https://doi.org/10.1016/j.neuron.2012.12.002

Blecharz-Klin K, Piechal A, Pyrzanowska J, Joniec-Maciejak I, Kiliszek P, Widy-Tyszkiewicz E. Paracetamol-the outcome on neurotransmission and spatial learning in rats. Behav Brain Res 2013;253:157-64. https://doi.org/10.1016/j.bbr.2013.07.008

Ishida T, Sato T, Irifune M, Tanaka K, Nakamura N, Nishikawa T. Effect of acetaminophen, a cyclooxygenase inhibitor, on Morris water maze task performance in mice. J Psychopharmacol 2007;21:757-67. https://doi.org/10.1177/0269881107076369

Viberg H, Eriksson P, Gordh T, Fredriksson A. Paracetamol (acetaminophen) administration during neonatal brain development affects cognitive function and alters its analgesic and anxiolytic response in adult male mice. Toxicol Sci 2014;138:139-47. https://doi.org/10.1093/toxsci/kft329

Fakunle PB, Ajibade AJ, Oyewo EB, Alamu OA, Daramola AK. Neurohistological Degeneration of the hippocampal formation following chronic simultaneous administration of ethanol and acetaminophen in adult wistar rats (Rattus norvegicus). J Pharmacol Toxiol 2011;6:701-9.

https://doi.org/10.3923/jpt.2011.701.709

Chantong C, Yisarakun W, Thongtan T, Maneesri-le Grand S. Increases of pro-inflammatory cytokine expression in hippocampus following chronic paracetamol treatment in rats. Asian Arch Pathol 2013;9:137-46.

Brites D, Fernandes A. Neuroinflammation and depression: microglia activation, extracellular microvesicles and microRNA dysregulation. Front Cell Neurosci 2015;9:476.

https://doi.org/10.3389/fncel.2015.00476

Perry VH, Nicoll JAR, Holmes C. Microglia in neurodegenerative disease. Nat Rev Neurol 2010;6:193-201. https://doi.org/10.1038/nrneurol.2010.17

Chen Z, Trapp BD. Microglia and neuroprotection. J Neurochem 2016;136 Suppl 1:10-7.

https://doi.org/10.1111/jnc.13062

Vinet J, Weering HR, Heinrich A, Kalin RE, Wegner A, Brouwer N, et al. Neuroprotective function for ramified microglia in hippocampal excitotoxicity. J Neuroinflammation 2012;9:27.

https://doi.org/10.1186/1742-2094-9-27

Dheen ST, Kaur C, Ling EA. Microglial activation and its implications in the brain diseases. Curr Med Chem 2007;14:1189-97. https://doi.org/10.2174/092986707780597961

Kraft AD, Harry GJ. Features of microglia and neuroinflammation relevant to environmental exposure and neurotoxicity. Int J Environ Res Public Health 2011;8:2980-3018.

https://doi.org/10.3390/ijerph8072980

Downloads

Published

2023-07-19

How to Cite

1.
Lalert L, Ruangvejvorachai P, Maneesri-le Grand S. Chronic paracetamol treatment induces neuroinflammation and microglia activation in rat hippocampus. Chula Med J [Internet]. 2023 Jul. 19 [cited 2024 May 20];65(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/139