Donepezil, an acetylcholinesterase inhibitor, enhances adult hippocampal neurogenesis

https://doi.org/10.1016/j.cbi.2008.04.004Get rights and content

Abstract

Donepezil hydrochloride is a potent and selective acetylcholinesterase inhibitor and has been treated for Alzheimer's disease, in which the cholinergic dysfunction is observed. Recently, the degeneration of medial septal cholinergic nuclei in adult rat suppressed the neurogenesis in hippocampal dentate gyrus (DG) was reported. Then, we determined whether donepezil which activated the brain cholinergic system could modulate hippocampal neurogenesis in normal rats. After the injection of 5′-bromo-2′-deoxyuridine (BrdU) to label dividing cells, we orally treated with donepezil (0.5 or 2 mg/kg) once a day for 4 weeks. In the other group, we performed 4-week subcutaneous infusion of scopolamine (0.75 or 3 mg/day), a muscarinic acetylcholine receptor blocker. The doses of donepezil and scopolamine we used in this study were reported to activate and inhibit cholinergic activity in rats, respectively. One day after the completion of drug treatment, the animals were sacrificed, and immunohistochemical analysis was performed. Donepezil increased, but scopolamine decreased, the number of BrdU-positive cells in the DG as compared with the vehicle-treated control. Neither drug had any effects on the percentage of BrdU-positive cells that were also positive for a neuronal marker NeuN, nor the number of proliferating cell nuclear antigen-positive cells in the DG. These results indicate that donepezil enhances and scopolamine suppresses the survival of newborn neurons in the DG without affecting the proliferation of neural progenitor cell and the neuronal differentiation. We also found that chronic treatment of donepezil enhanced, and scopolamine suppressed phosphorylation of cAMP response element binding protein (CREB), which was involved in cell survival, in the DG. These results suggest that donepezil activates the central cholinergic transmission and enhances the survival of newborn neurons in the DG via CREB signaling.

Introduction

Donepezil is a potent and selective acetylcholinesterase (AChE) inhibitor [1]. Donepezil upregulates brain ACh contents by microdialysis study in rats [2] and this action leads to the improvement of cognitive impairment [3]. And now it has been treated for Alzheimer's disease (AD) in which the degeneration of cholinergic nuclei is observed [4], [5].

The central cholinergic system is likely to affect hippocampal neurogenesis. Neural progenitor cells exist in the subgranular zone (SGZ) of the hippocampal dentate gyrus (DG) of adult animals, including humans, and new neurons are continuously produced [6], [7]. These processes are known to be modulated by some kinds of neurotransmitter [8], [9]. Lesion of septal cholinergic nuclei projecting to the hippocampus suppresses neurogenesis in rats [10], [11]. Then, it is considered that activation of the central cholinergic system enhances hippocampal neurogenesis.

The purpose of this study is to clarify how chronic pharmacological manipulation to activate or inhibit cholinergic transmission modulates adult hippocampal neurogenesis. We investigated the effect of donepezil and scopolamine, which was a potent muscarinic acetylcholine receptor (mAChR) blocker. Finally, we examined the expression of phosphorylated cAMP response element binding protein (p-CREB) and brain-derived neurotrophic factor (BDNF) in the hippocampus after these treatments to address the mechanism of modulation of neurogenesis by the cholinergic system.

This work has already been published as a journal article [12].

Section snippets

Animals

Male Sprague–Dawley rats (5-week old) were used (Japan SLC, Hamamatsu, Japan). They were housed in groups of five or six per cage maintained at 24 ± 2 °C under a 12:12-h light/dark cycle (lights on at 07:00 h) and allowed food and water ad libitum. All animal experiments were approved by the Animal Care and Use Committee of Eisai.

Drug treatment

Animals were administered with 50 mg/kg of 5′-bromo-2′-deoxyuridine (BrdU) (Sigma, St. Louis, MO, USA) intraperitoneally three times at 4 h intervals. After that, the

Results

Daily treatment with donepezil was started after BrdU injection, and the animals were sacrificed after 4 weeks. The treatment with donepezil significantly increased the number of BrdU-positive cells in the SGZ and granule cell layer (GCL) (Table 1; F(2, 31) = 5.23, P = 0.011, one-way ANOVA). Post hoc analyses revealed that donepezil significantly increased BrdU-positive cells at both 0.5 mg/kg (t = 2.96, P = 0.011, Dunnett's test) and 2 mg/kg (t = 2.56, P = 0.029). To examine the involvement of mAChR in

Discussion

Our results indicate that the AChE inhibitor donepezil enhances the hippocampal neurogenesis, in particular, the survival of newborn cells. In contrast, mAChR blockade by scopolamine suppresses it. These suggest that central cholinergic system is critically involved in neurogenesis in the adult hippocampal DG.

In the present study, dividing neural progenitor cells were labeled with BrdU just before starting the drug treatment. After 4-week donepezil or scopolamine treatment, the number of

References (33)

  • H. Ogura et al.

    Comparison of inhibitory activities of donepezil and other cholinesterase inhibitors on acetylcholinesterase and butyrylcholinesterase in vitro

    Methods Find. Exp. Clin. Pharmacol.

    (2000)
  • H. Ogura et al.

    Donepezil, a centrally acting acetylcholinesterase inhibitor, alleviates learning deficits in hypocholinergic models in rats

    Methods Find. Exp. Clin. Pharmacol.

    (2000)
  • P.J. Whitehouse et al.

    Alzheimer's disease and senile dementia: loss of neurons in the basal forebrain

    Science

    (1982)
  • J.T. Coyle et al.

    Alzheimer's disease: a disorder of cortical cholinergic innervation

    Science

    (1983)
  • P.S. Eriksson et al.

    Neurogenesis in the adult human hippocampus

    Nat. Med.

    (1998)
  • F.H. Gage

    Mammalian neural stem cells

    Science

    (2000)
  • Cited by (98)

    • An Overview of Nicotinic Cholinergic System Signaling in Neurogenesis

      2020, Archives of Medical Research
      Citation Excerpt :

      CREB needs to be phosphorylated on Ser133 to form p-CREB so that it can act as a transcriptional activator (102). CREB-dependent transcription can be triggered by the stimulation of membrane receptors, which leads to the activation of intracellular pathways to the cell nucleus (105). CREB phosphorylation stimulates gene transcription associated with cognitive performance, learning, and short- and long-term memory formation (106).

    View all citing articles on Scopus
    View full text