Astaxanthin Ameliorates Doxorubicin-Induced Cognitive Impairment (Chemobrain) in Experimental Rat Model: Impact on Oxidative, Inflammatory, and Apoptotic Machineries

Mol Neurobiol. 2018 Jul;55(7):5727-5740. doi: 10.1007/s12035-017-0797-7. Epub 2017 Oct 16.

Abstract

Chemobrain refers to a common sequelae experienced by 15-80% of cancer patients exposed to chemotherapeutics. The antineoplastic agent doxorubicin (DOX) has been implicated in a strenuous neurotoxicity manifested as decline in cognitive functions, most probably via cytokine-induced oxidative and nitrosative damage to brain tissues. Astaxanthin (AST), a naturally occurring carotenoid, is reputable for its outstanding antioxidant, anti-inflammatory, and antiapoptotic activities. Therefore, the aim of the current study was to investigate the potential neuroprotective and memory-enhancing effects of AST against DOX-induced behavioral and neurobiological abnormalities. Briefly, AST treatment (25 mg/kg) significantly protected against DOX-induced memory impairment. Furthermore, AST restored hippocampal histopathological architecture, halted DOX-induced oxidative and inflammatory insults, mitigated the increase in acetylcholinesterase activity, and consistently downregulated the overactive apoptotic machineries. In conclusion, these findings suggest that AST offers neuroprotection against DOX-induced cognitive impairment which could be explained at least partly by its antioxidant, anti-inflammatory, and antiapoptotic effects.

Keywords: Apoptosis; Astaxanthin; Chemobrain; Doxorubicin; Neuroinflammation; Oxidative stress.

MeSH terms

  • Acetylcholinesterase / metabolism
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Antioxidants
  • Apoptosis* / drug effects
  • Behavior, Animal
  • Biomarkers / metabolism
  • Cognitive Dysfunction / chemically induced*
  • Cognitive Dysfunction / drug therapy*
  • Cognitive Dysfunction / pathology
  • Cognitive Dysfunction / physiopathology
  • Disease Models, Animal
  • Doxorubicin / adverse effects*
  • Glial Fibrillary Acidic Protein / metabolism
  • Hippocampus / drug effects
  • Hippocampus / enzymology
  • Hippocampus / pathology
  • Hippocampus / physiopathology
  • Inflammation / pathology*
  • Male
  • Models, Biological
  • Motor Activity / drug effects
  • Nerve Degeneration / pathology
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use
  • Oxidative Stress* / drug effects
  • Rats
  • Xanthophylls / pharmacology
  • Xanthophylls / therapeutic use

Substances

  • Anti-Inflammatory Agents
  • Antioxidants
  • Biomarkers
  • Glial Fibrillary Acidic Protein
  • Neuroprotective Agents
  • Xanthophylls
  • Doxorubicin
  • astaxanthine
  • Acetylcholinesterase