Abstract
Objective
Accumulating evidence suggests that oxidative stress plays a role in the pathophysiology of schizophrenia and that the potent antioxidants may be potential therapeutic drugs for schizophrenia. This study was undertaken to examine the effects of the potent antioxidant sulforaphane (SFN), found in cruciferous vegetables, on behavioral abnormalities (e.g., hyperlocomotion and prepulse inhibition [PPI] deficits) in mice after a single administration of the N-methyl-D-aspartate (NMDA)-receptor antagonist phencyclidine (PCP).
Methods
Effects of SFN (3, 10, and 30 mg/kg, intraperitoneally [i.p.]) on hyperlocomotion and PPI deficits in the adult male ddY mice after administration of PCP (3.0 mg/kg, subcutaneously [s.c.]) were examined.
Results
Administration of SFN (30 mg/kg, intraperitoneally [i.p.]), but not low doses (3 and 10 mg/kg, i.p.), significantly attenuated hyperlocomotion in mice after PCP administration (3.0 mg/kg, subcutaneously [s.c.]). Furthermore, administration of SFN (3, 10, and 30 mg/kg, i.p.) attenuated the PPI deficits in mice after PCP administration (3.0 mg/kg, s.c.) in a dose-dependent manner.
Conclusion
These results suggest that SFN has antipsychotic activity in an animal model of schizophrenia. Therefore, it is likely that SFN may be a potential therapeutic drug for schizophrenia.
Keywords: Schizophrenia, Phencyclidine, Prepulse inhibition, Sulforaphane, Antioxidants, Nrf2 activator
INTRODUCTION
Multiple lines of evidence suggest that a dysfunction in glutamatergic neurotransmission via the N-methyl-D-aspartate (NMDA) receptor might be involved in the pathophysiology of schizophrenia.1-8) NMDA receptor antagonists such as phencyclidine (PCP) and ketamine induce schizophrenia-like symptoms including positive symptoms, negative symptoms, and cognitive deficits in healthy subjects;1,9-12) consequently, PCP has been used widely in animal models of schizophrenia.13-20) Prepulse inhibition (PPI) of the acoustic startle response in the form of sensorimotor gating is defined as an inhibition of the startle response when a low-intensity stimulus, the prepulse, precedes the startle stimulus. Deficits in PPI have been reported in several psychiatric disorders including schizophrenia, suggesting that deficient PPI per se or abnormalities in neural circuits regulating PPI may cause some symptoms of schizophrenia.21-24) Therefore, pharmacological models of PCP-induced PPI deficits are excellent predictors of antipsychotic activity.25-28)
Accumulating evidence suggests that oxidative stress plays a role in the pathophysiology of schizophrenia and that potent antioxidants would be potential therapeutic drugs for schizophrenia.29-38) The potent antioxidant sulforaphane (SFN, 1-isothiocyanato-4-methylsulfinylbutane) (Fig. 1) is an organosulfur compound derived from a glucosinolate precursor found in cruciferous vegetables such as broccoli, Brussels sprouts, and cabbage.39-41) SFN is also derived largely from its glucosinolate through the action of endogenous myrosinase during the isolation procedure and chewing.
Nuclear factor E2-related factor 2 (Nrf2) is a master regulator that induces a battery of cytoprotective genes, including antioxidative enzymes, antiinflammatory mediators, the proteasome, and several transcription factors involved in mitochondrial biogenesis.41-43) Following its nuclear translocation, Nrf2 binds the antioxidant response elements (AREs) in the promoter regions of its target genes. The protection afforded by SFN is thought to be mediated via activation of the Nrf2 pathway and subsequent upregulation of phase II detoxification enzymes and antioxidant proteins, through an enhancer sequence referred to as the electrophilic responsive elements or AREs.41-43) We have reported that SFN prevents behavioral abnormalities and dopaminergic neurotoxicity in mice after administration of the psychostimulant methamphetamine, suggesting that SFN could be a potential therapeutic drug for neuropsychiatric diseases, including methamphetamine abuse.44)
Considering the potent antioxidant action of SFN, we hypothesized that SFN may possess antipsychotic activity in animal models of schizophrenia. Therefore, the present study was conducted to investigate whether SFN attenuates hyperlocomotion and PPI deficits in mice after PCP administration.
METHODS
Animals
Male Std:ddy mice (age, 6 weeks old; weight, 25-30 g) were purchased from SLC Japan (Hamamatsu, Shizuoka, Japan). The mice were housed in clear polycarbonate cages (22.5×33.8×14.0 cm) in groups of five or six per cage under a controlled 12/12-hour light-dark cycle (lights on from 7:00 AM to 7:00 PM), with room temperature at 23±1℃ and humidity of 55±5%. The mice were given free access to water and food pellets. This experimental procedure was approved by the Animal Care and Use Committee of Chiba University.
Drugs
SFN was purchased from Toronto Research Chemicals, Inc. (North York, Ontario, Canada) and was dissolved in 10% corn oil (Wako Pure Chemical Co., Tokyo, Japan). PCP hydrochloride was synthesized in our laboratory, and the dose (3.0 mg/kg) of PCP was expressed as a hydrochloride salt. Other drugs were purchased from commercial sources.
Effect of SFN on Hyperlocomotion after a Single Administration of PCP
After habituation (30 minutes) in the cage, SFN or vehicle was injected into mice (n=8/group). Thirty minutes after a single administration of SFN (3.0, 10, or 30 mg/kg, intraperitoneally [i.p.]) or vehicle (10 ml/kg, 10% corn oil), PCP (3.0 mg/kg) or vehicle (physiological saline; 10 ml/kg) was administered subcutaneously (s.c.) to the mice. Locomotor activity was measured using an animal movement-analysis system (SCANET MV-40; Melquest, Toyama, Japan). The system consisted of a rectangular enclosure (560×560 mm). The side walls (height, 60 mm) of the enclosure were equipped with 144 pairs of photosensors located at 6-mm intervals at a height of 30 mm from the bottom edge. An animal was placed in the observation cage 30 minutes (habituation) before injection of vehicle or SFN. Vehicle or PCP was injected 30 minutes after injection of vehicle or SFN, and locomotor activity was measured for 120 minutes after injection. A pair of photosensors was scanned every 0.1 second to detect animal movements. The intersection of paired photosensors (10 mm apart) in the enclosure was counted as one unit of locomotor activity. Data collected for 180 minutes were used in this study. The sum of locomotion in mice for 120 minutes after PCP administration was used for data analysis.
Effect of SFN on PPI Deficits after a Single PCP Injection
The mice were tested for their acoustic startle reactivity in a startle chamber (SR-LAB; San Diego Instruments, San Diego, CA, USA) using standard methods described previously.45-48) The test sessions began after an initial 10-minute acclimation period in the chamber. The mice were subjected to one of six trials: (1) pulse alone, as a 40-ms broadband burst; the pulse (40-ms broadband burst) preceded by 100 ms with a 20-ms prepulse that was (2) 4 dB, (3) 8 dB, (4) 12 dB, or (5) 16 dB above background level (65 dB); or (6) background only (no stimulus). The amount of PPI was expressed as the percentage decrease in the amplitude of the startle reactivity caused by presentation of the prepulse (% PPI). SFN (3.0, 10, or 30 mg/kg) or vehicle (10% corn oil) (10 ml/kg) was administered i.p. 30 minutes (including the 10-minute acclimation period) before the machine began recording, and PCP (3.0 mg/kg) or saline (10 ml/kg) was administered s.c. 10 minutes (including the 10-minute acclimation period) before. The PPI test lasted 20 minutes in total.
Statistical Analysis
Data are presented as the mean±standard error of the mean. Hyperlocomotion data were analyzed by one-way analysis of variance (ANOVA), followed by a post hoc Bonferroni/Dunn test. The PPI data were analyzed by multivariate analysis of variance (MANOVA). When appropriate, group means at individual dB levels were compared by one-way ANOVA, followed by a post hoc Bonferroni/Dunn test. A p-value <0.05 was considered significant.
RESULTS
A single administration of PCP (3.0 mg/kg, s.c.) markedly increased locomotion in mice. The one-way ANOVA revealed significant differences among the six groups (F [5, 42]=14.18, p<0.001]. Pretreatment with SFN (30 mg/kg), but not low doses (3 and 10 mg/kg), significantly (p<0.001) attenuated PCP-induced hyperlocomotion in mice (Fig. 2). In contrast, administration of SFN (30 mg/kg) alone did not affect spontaneous locomotion in mice.
Fig. 2 shows the effects of SFN (3.0, 10, or 30 mg/kg) on PCP (3.0 mg/kg)-induced PPI deficits in mice. The MANOVA analysis of all PPI data revealed a significant effect (Wilks lambda=0.500; p<0.001). Subsequent ANOVA analyses revealed significant differences (p<0.001) for all dB groups (69, 73, 77, and 81 dB). A post hoc analysis indicated a significant (p<0.001) difference in PPI deficits between the vehicle and vehicle+PCP (3.0 mg/kg) groups at all dB levels (Fig. 3). Pretreatment with SFN (3.0, 10, or 30 mg/kg) attenuated PCP-induced PPI deficits in a dose-dependent manner. A high SFN dose (30 mg/kg) significantly attenuated PCP-induced PPI deficits at 73 and 81 dB (Fig. 3). In contrast, PPI in mice after SFN administration (30 mg/kg) alone was similar to that in control mice (Fig. 3).
DISCUSSION
We found that SFN attenuated hyperlocomotion and PPI deficits in mice after PCP administration. This is the first report to demonstrate that SFN is effective in a PCP model of schizophrenia. We have reported that SFN attenuates acute hyperlocomotion in mice after a single administration of methamphetamine and that SFN blocks the development of behavioral sensitization after repeated administration of methamphetamine.44) Additionally, we have reported that SFN protects against dopaminergic neurotoxicity in the striatum after repeated administration of methamphetamine.44) Taken together, these findings suggest that SFN could be a potential therapeutic drug for schizophrenia.
SFN is widely reported to induce Nrf2-dependent gene expression, although its molecular targets have not been fully characterized.42,43) It remains unclear whether activation of the Nrf-2-electrophile-responsive element/ARE pathway accounts for the ability of SFN to diminish the acute behavioral effects (e.g., hyperlocomotion and PPI deficits) induced by PCP in mice. SFN increases Nrf2 protein levels in the mouse striatum, and SFN protected against methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced death of nigral dopaminergic neurons in a cell-culture model of Parkinson's disease.49) We have also reported that SFN could protect against dopaminergic neurotoxicity in the mouse striatum after repeated methamphetamine administration.44) Taken together, these results suggest the likelihood that SFN protects against dopaminergic neurotoxicity in the mouse striatum by increasing Nrf2 expression, although this needs to be confirmed. Further studies on the other mechanisms of SFN to ameliorate PCP-associated acute neurochemical and behavioral effects will also be necessary.
Adjunctive medication for antipsychotic treatment is one approach used to improve several symptoms (e.g., positive symptoms, negative symptoms, cognitive impairment) of schizophrenia. A number of potential therapeutic drugs for schizophrenia have been developed,50-53) but no reports have shown the efficacy of SFN in patients with schizophrenia, although dietary SFN-rich sprouts reduce colonization and attenuate gastritis in Helicobacter pylori-infected humans.54) Additionally, a phase II study of SFN (200µmol [35 mg] daily) in patients with recurrent prostate cancer is now in progress (NCT01228084). Therefore, it is of great interest to study the effects of SFN on symptoms of schizophrenia. A randomized, placebo-controlled study of SFN (or dietary SFN-rich sprouts) adjunctive therapy will be necessary to confirm the clinical efficacy of this effect in patients with schizophrenia.
In conclusion, the present results suggest that SFN has potential antipsychotic activity in an animal model of schizophrenia. Therefore, SFN could potentially be used to treat schizophrenia, as it is a naturally occurring compound found in cruciferous vegetables.
Acknowledgments
This study is supported partly by a grant for Intramural Research Grant (22-2: to K.H.) for Neurological and Psychiatric Disorders of NCNP, Japan.
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