3-Nitropropionic acid-induced neurotoxicity is characterized by behavioral alterations, memory impairment, significantly increased oxidative stress, and pro-inflammatory cytokine induction. Our results of this study showed that not only did 3-NP lead to increase the movement incoordination, depression, and memory dysfunction in behavioral tests, but also, 3-NP caused significant lipid peroxidation and diminished enzymatic and non-enzymatic antioxidant activities in the brain by decreasing levels of SOD, TAC, as well as TTM and following that increasing pro-inflammatory-related cytokine (IL-1β, IL-17, and TNF-α). On the other hand, pretreatment with silymarin in sub-chronic 3-NP-exposed mice prevented the elevation in motor incoordination, memory impairment, depression, MDA levels, NO levels, and pro-inflammatory markers. Added to these, there is seen to be a significant amelioration in behavioral deficits, oxidative stress biomarkers, and pro-inflammatory markers in mice treated with silymarin indicated with increasing antioxidant enzymes activity.
It has been approved that 3-NP is a mitochondrial toxin because of its influence on mitochondria by irreversible inhibiting of SDH, a respiratory chain complex II enzyme, and thereby inhibits the TCA cycle energy metabolism to produce ATP (Beal et al. 1993; Kumar and Kumar 2009). Due to the intense energy requirement for neurons to maintain ion gradients across the plasma membrane, mitochondrial dysfunction can lead to neuronal death (Túnez et al. 2010). Although there are some suggestions about the 3-NP neurotoxicity mechanism, in total, 3-NP induce neurotoxicity via at least three mechanisms: a) increasing the intracellular levels of Ca2+, in turn, causing glutamate release and excitotoxicity (Kumamoto et al. 2014), b) mitochondrial dysfunction (Kumar and Kumar 2009), c) free radical generation and oxido-nitrosative stress (Gao et al. 2015), and all these phenomena result in neuronal damages.
To the best of our knowledge, this is the first time that silymarin has been investigated as potential agent against 3-NP-induced neurotoxicity. 3-NP induced body weight loss which might be related to factors such as impairment in energy metabolism, bradykinesia and striatal lesions in the animals (La Fontaine et al. 2000). However, pretreatment with silymarin markedly inhibited weight loss in experimental groups. Sub-chronic administration of 3-NP resulted in anomalies of movement and motor performance and pretreatment with silymarin significantly prevented the elevation motor incoordination and balance. It should be noted that motor incoordination is related to basal ganglia lesions of the brain and silymarin ameliorated the motor and movement disorders in 3-NP-induced striatal lesions in the brain of mice (Ahuja et al. 2008; Guyot et al. 1997). Also, as seen in the open field test, 3-NP caused to decrease in motivation to move or to explore the environment which was evidenced by evaluated parameters. As a suitable test to measure anxiety and depression, in FST and TST, it was found that administration of 3-NP induces symptoms like disappointment, muscular weakness and depression, indicated by increasing immobility time. As the index for memory impairment and cognitive deficit, transfer latency and step through latency increased markedly in the 3-NP group in EPM and PAT tests, respectively. These results endorse that not only does 3-NP neurotoxicity cause neural death in the striatum but also 3-NP leads to cognitive dysfunction and severe devastation to the neurons present in other regions of the brain like the hippocampus and hippocampal CA1 and CA3 pyramidal neural injuries (Kumar and Kumar 2009; Ludolph et al. 1991). Totally, sub-chronic doses of 3-NP could lead to the development of behavioral alterations and cognitive deficits and characteristics of advanced HD phases. Several investigations have been demonstrated that the animals that were treated with sub-chronic 3-NP administrations decreased locomotor activity, movement disorders/or motor incoordination, marked gait abnormalities, significant depression, and memory deficits (Antunes et al. 2021; Danduga et al. 2018; Hariharan et al. 2014; Mu et al. 2011; Pandey et al. 2008; Picconi et al. 2006), which these results endorse our finding in the literature. On the other hand, silymarin treatment and pretreatment showed improvements since this flavonoid mitigated motor and cognitive impairments that were induced by the 3-NP treatment, as were determined by the several cognitive and motor behavioral tests. The present study showed that silymarin pretreatment had more protective effects in mice in comparison with treatment group in all behavioral studies. Silymarin could improve motor coordination and exploratory activity, as seen in the rotarod and open field test. Besides, the improvement in depression, anxiety, and spatial memory, which indicated by immobility time and transfer latency, respectively, were observed with the silymarin treatment and especially pretreatment in mice that received 3-NP. In an experimental study, Antunes et al. (2021), demonstrated that the CTK 01512-2 (a recombinant peptide, which is derived from the spider venom) treatment prevented motor impairments, anxious behavior, and spatial memory impairment that were induced by the 3-NP in rats (Antunes et al. 2021).
As mentioned above, mitochondrial dysfunction and following that oxidative stress are two main neurotoxicity mechanisms of 3-NP. It has been reported that administration of 3-NP is associated with mitochondrial dysfunction, ATP depletion, increased influx of Ca2+, ROS generation, and oxidative stress (Shalaby et al. 2018). As stated, 3-NP is an irreversible inhibitor of SDH, resulting in ATP depletion and anomalies of the intracellular Ca2+, in turn, activating oxidative damages and excitotoxicity, and subsequently neuronal cell death (Maya-López et al. 2017). The excitotoxicity is might be due to the Na+/K+-ATPases dysfunction, and gradually depolarization of the neuronal cells, resulting in the glutamate receptor activation of the NMDA (Liot et al. 2009). Furthermore, oxidative stress is strongly believed to play a crucial role in 3-NP-induced neurotoxicity. Herein, our data precisely has shown that 3-NP significantly increased the MDA and NO levels in the brain mice, while the level of enzymatic and non-enzymatic antioxidants such as SOD, TAC, and TTM was decreased. Several studies have been demonstrated that 3-NP led to decreased succinate dehydrogenase and GSH levels, and increased the MDA, NO, and ROS levels in rats (Dhadde et al. 2016; Kumar et al. 2007). Also, in a model of HD in rats, Tunez et al. (2004), reported that 3-NP administration caused to decrease the succinate dehydrogenase activity and increased the MDA level in the brain striatum (Túnez et al. 2004). As the main characteristic feature of oxidative stress, lipid peroxidation can be occurred by degradation of polyunsaturated acids in the cell membrane due to excessive production of ROS. Following administration of 3-NP increased NO can lead to nitrosative stress. The reaction between NO and superoxide anion produces Peroxynitrite (ONOO-) which can damage unsaturated fatty acids in the cell wall and intensify lipid peroxidation (Korkmaz and Kolankaya 2013). In this regard, silymarin showed an inhibitory effect on oxido-nitrosative stress by decreasing the MDA and NO levels, which is in agreement with the previous findings (Haddadi et al. 2014). Antioxidant enzymes, such as SOD, TAC, and GPx, are considered to be the first line of cellular defense to inactivate ROS and inhibit ROS-induced deterioration (Ighodaro and Akinloye 2018). Among these, the enzyme of SOD catalytically converts the superoxide radical anions into hydrogen peroxide (H2O2) and oxygen molecules, following that GPx can use thiol molecules such as glutathione, as a reductant, to minimize the destructive effects of H2O2. According to our results, reduced SOD activity might be related to excessive generation of superoxide anions because of mitochondrial dysfunction induced by 3-NP. However, pretreatment with silymarin significantly ameliorated antioxidant status and oxidative stress, which was evidenced by increasing SOD, TAC, and TTM levels in the brain mice. Also, increased TTM levels in treatment groups are associated with increased production of active thiols such as glutathione. Several studies illustrated that antioxidant features of silymarin may be related to effectively inhibiting ROS production and nitric oxide pathway (Borah et al. 2013; Haddadi et al. 2018; Raza et al. 2011).
Added to these, 3-NP administration let to marked activation of pro-inflammatory cytokines such as TNF-α, IL-6 and IL-1β, which are released by activated microglia in striatum (Sawada et al. 2006). In this regard, our results evidenced that 3-NP significantly increased pro-inflammatory markers, which is in agreement with previous studies that revealed similar pro-inflammatory cytokines enhancement following administration of 3-NP (Bhateja et al. 2012; Jamwal and Kumar 2016). It has been reported that excessive release of pro-inflammatory cytokines directly activates nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), in turn, leading to an increased production of NO and eventually neuron degeneration (Drew and Chavis 2000). Conversely, pretreatment with silymarin markedly prevented enhanced levels of TNF-α, IL-6 and IL-1β with silymarin treatment decreasing the elevated pro-inflammatory markers due to 3-NP-treated mice. Anti-inflammatory features of silymarin exerted by modulating the pro-inflammatory cytokines (IL-1β, IL-17 and TNF-α) level and probably up-regulated percentage of NF-κB mRNA expression and reduction of oxido-nitrosative stress (Ali et al. 2019; Haddadi et al. 2014; Moghaddam et al. 2020).
Furthermore, the number of healthy pyramidal cells in the hippocampus CA1 region in the 3-NP group approximately was a quarter as many as that in the control group. However, superior neuroprotective benefits of silymarin pretreatment beyond that of silymarin treatment were observed by increasing the number of intact neurons in the CA1 region. In a model of HD-like symptoms in rats, it has been demonstrated that 3-NP treatment caused a marked neuronal and neurofibrillary degeneration and decreased the viable pyramidal cells count in the hippocampus CA1 region of the brain (Danduga et al. 2018), which is in line with the literature. Moreover, Sugino et al, showed that hippocampal CA1 and CA3 regions are vulnerable in administration of 3-NP which is indicated by neuronal degeneration, such as cell shrinkage and pyknotic nuclei (Sugino et al. 1999). However, silymarin pretreatment was superior to silymarin treatment to prevent and enhance the normal morphology of the hippocampus pyramidal cells.