18β-glycyrrhetinic acid ameliorates MPTP-induced neurotoxicity in mice through activation of microglial anti-inflammatory phenotype

Psychopharmacology (Berl). 2023 Sep;240(9):1947-1961. doi: 10.1007/s00213-023-06415-6. Epub 2023 Jul 12.

Abstract

Rationale: 18β-glycyrrhetinic acid (18β-GA) has been reported to have anti-inflammatory and neuroprotective effects. However, the therapeutic effect of 18β-GA in Parkinson's disease (PD) has not been defined.

Objective: The current study aimed to evaluate the potential therapeutic effects of 18β-GA in treating PD by mitigating 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced neurotoxicity.

Results: The study showed that 18β-GA has anti-inflammatory effects by upregulating TREM2 expression in BV2 cells, which correlates with the presence of NF-E2-related factor-2 (Nrf2). 18β-GA reduced inflammation in BV2 cells treated with 1-methyl-4- phenylpyridinium (MPP+) by enhancing TREM2 expression, which promotes an anti-inflammatory microglial phenotype. Repeated administration of 18β-GA in MPTP-treated mice led to therapeutic effects by enhancing TREM2 expression, resulting in the activation of anti-inflammatory microglia. Moreover, 18β-GA attenuated the decrease in brain-derived neurotrophic factor (BDNF) levels in both MPP+-induced BV2 cells and MPTP-intoxicated mice, indicating the involvement of BDNF in the beneficial effects of 18β-GA.

Conclusions: It is probable that activating microglial anti-inflammatory response through TREM2 expression might serve as a novel therapeutic strategy for PD. Additionally, 18β-GA seems to hold potential as a new therapeutic agent for PD.

Keywords: 18β-glycyrrhetinic acid; Anti-inflammation; Microglia; Neuroprotection; Parkinson’s disease.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Brain-Derived Neurotrophic Factor / metabolism
  • Disease Models, Animal
  • Mice
  • Mice, Inbred C57BL
  • Microglia / metabolism
  • Neuroprotective Agents* / pharmacology
  • Neuroprotective Agents* / therapeutic use
  • Parkinson Disease* / drug therapy
  • Phenotype

Substances

  • 18alpha-glycyrrhetinic acid
  • Brain-Derived Neurotrophic Factor
  • Anti-Inflammatory Agents
  • Neuroprotective Agents