A medicine and food homology formula prevents cognitive deficits by inhibiting neuroinflammation and oxidative stress via activating AEA-Trpv1-Nrf2 pathway

Inflammopharmacology. 2024 Dec;32(6):3745-3759. doi: 10.1007/s10787-024-01570-4. Epub 2024 Sep 21.

Abstract

Alzheimer's disease (AD) is a neurodegenerative disorder frequently accompanied by neuroinflammation and oxidative stress. The medicine and food homology (MFH) has shown potential for treating neuroinflammation and oxidative stress. This study aimed to provide a safe and efficient therapy for AD based on MFH. In this study, we develop a MFH formula consisting of egg yolk oil, perilla seed oil, raphani seed oil, cinnamon oil, and noni puree (EPRCN). To evaluate the ameliorative effects of EPRCN on AD-related symptoms, a mouse model of AD was constructed using intraperitoneal injection of scopolamine in ICR mice. Experimental results demonstrated that EPRCN supplement restored behavioral deficits and suppressed neuroinflammation and oxidative stress in the hippocampus of scopolamine-induced mice. An in vitro study was then performed using induction of Aβ(25-35) in glial (BV-2 and SW-1783) and neuron (SH-SY5Y) cell lines to examine the improvement mechanism of EPRCN on cognitive deficits. Multi-omics and in vitro studies demonstrated that these changes were driven by the anandamide (AEA)-Trpv1-Nrf2 pathway, which was inhibited by AM404 (an AEA inhibitor), AMG9810 (a Trpv1 inhibitor), and BT (an Nrf2 inhibitor). Consequently, EPRCN is an effective therapy on preventing cognitive deficits in mouse models of AD. In contrast to donepezil, EPRCN exhibits a novel modes action for ameliorating neuroinflammation. The mechanism of EPRCN on preventing cognitive deficits is mediated by improving neuroinflammation and oxidative stress via activating the AEA-Trpv1-Nrf2 pathway.

Keywords: AEA–Trpv1–Nrf2 pathway; Alzheimer’s disease; Medicine and food homology; Neuroinflammation; Oxidative stress.

MeSH terms

  • Alzheimer Disease* / drug therapy
  • Alzheimer Disease* / metabolism
  • Alzheimer Disease* / prevention & control
  • Amyloid beta-Peptides / metabolism
  • Animals
  • Cognitive Dysfunction* / drug therapy
  • Cognitive Dysfunction* / metabolism
  • Cognitive Dysfunction* / prevention & control
  • Disease Models, Animal*
  • Endocannabinoids / metabolism
  • Endocannabinoids / pharmacology
  • Hippocampus / drug effects
  • Hippocampus / metabolism
  • Humans
  • Inflammation / drug therapy
  • Inflammation / metabolism
  • Male
  • Mice
  • Mice, Inbred ICR*
  • NF-E2-Related Factor 2* / metabolism
  • Neuroinflammatory Diseases* / drug therapy
  • Neuroinflammatory Diseases* / metabolism
  • Oxidative Stress* / drug effects
  • Plant Oils / pharmacology
  • Signal Transduction / drug effects
  • TRPV Cation Channels* / metabolism
  • alpha-Linolenic Acid

Substances

  • NF-E2-Related Factor 2
  • TRPV Cation Channels
  • TRPV1 protein, mouse
  • Nfe2l2 protein, mouse
  • Endocannabinoids
  • Amyloid beta-Peptides
  • Plant Oils
  • perilla seed oil
  • alpha-Linolenic Acid