J Lee, Department of Pharmacy, College of Pharmacy, and Molecular Inflammation Research Center for Aging Intervention, Pusan National University, Busan 609-735, Korea. E-mail: firstname.lastname@example.org
Background and Purpose
Whole-brain irradiation (WBI) therapy produces learning and memory deficits in patients with brain tumours. Although the pathological cascade of cognitive deficits remains unknown, it may involve reduced neurogenesis within the hippocampus. Baicalein is a flavonoid derived from the roots of Huangqin, Scutellaria baicalensis Georgi, and has been shown to have antioxidant effects. Here, we have investigated the protective effects of baicalein on irradiation-induced impairments in hippocampal neurogenesis and cognitive function.
Radioprotective effects of baicalein were evaluated in C17.2 neural progenitor cells and 6-week-old male C57BL/6 mice during hippocampal neurogenesis. Mice were given a single dose of 5 Gy WBI. Changes in hippocampal neurogenesis, oxidative stress and BDNF-pCREB signalling were evaluated. Morris water maze and passive avoidance test were used to assess learning and memory.
Baicalein protected neural progenitor cells against irradiation-induced necrotic cell death. Pretreatment with baicalein attenuated the irradiation-induced impairment of hippocampal neurogenesis by modulating oxidative stress and elevating BDNF-pCREB signalling. Furthermore, baicalein prevented the spatial learning and memory retention deficits follwing WBI.
Conclusions and Implications
Our findings suggest that baicalein can be viewed as a potential therapeutic agent that protects against the impaired neurogenesis induced by WBI, and its neurocognitive consequences.
Whole-brain irradiation (WBI) is essential for the treatment of brain tumours. However, ionizing radiation produces long-term learning and memory deficits, particularly in young children (Monje and Palmer, 2003; Laack and Brown, 2004; Achanta et al., 2009). Although the pathological cascade remains unknown, irradiation-induced cognitive deficits might underlie reduced neurogenesis within the hippocampus, which is important for learning and memory (Crossen et al., 1994; Abayomi, 1996). Hippocampal neurogenesis occurs in the subgranular zone (SGZ) of the hippocampal dentate gyrus throughout life (Gheusi and Rochefort, 2002). Adult hippocampal neurogenesis can be altered by various environmental stimuli, but the process is considerably more active in young individuals (Pham et al., 2002; Park and Lee, 2011). Therefore, young patients might be more vulnerable to radiation therapy and intervention to reduce irradiation-induced hippocampal damage might be of clinical value.
Ionizing radiation dose-dependently induces the loss of neural progenitor cells (NPCs) in the hippocampus and subventricular zone, and is known to induce oxidative stress by generating reactive oxygen species (ROS), including the hydroxyl radical, single oxygen and hydrogen peroxide in cells (Yoshida et al., 2011; Zhang et al., 2011). These reactive entities can then cause functional damage or kill living cells. Many studies have shown that irradiation-induced cell death involves both apoptosis and necrosis (Rupnow and Knox, 1999; Delanian and Lefaix, 2007), and antioxidants are believed to protect neuronal cells exposed to ionizing radiation (Motomura et al., 2010; Pearlstein et al., 2010). The flavonoids are known to have antioxidative properties and thus might protect NPCs from irradiation-induced cell death (Liu and Yu, 2008; Zhang et al., 2011). Baicalein is a flavonoid derived from the roots of Huangqin, Scutellaria baicalensis Georgi, a plant used in oriental medicine that has been shown to have antiallergenic, antibacterial and antioxidant effects (Gabor, 1986; Srinivas, 2010; Chan et al., 2011). Furthermore, baicalein has been shown to attenuate cellular oxidative stress by decreasing ROS generation (Kang et al., 2011).
Therefore, the present study was undertaken to investigate the protective effects of baicalein on irradiation-induced oxidative stress, cognitive deficit and cell death caused by impaired neurogenesis.
Cell cultures and treatment
C17.2 NPCs were isolated from a neonatal mouse cerebellum and immortalized (Snyder et al., 1992). This C17.2 NPCs line is known to differentiate into three brain cell types, namely, neurons, astrocytes and oligodendrocytes. C17.2 NPCs were generously provided by Dr Cepko at Harvard University, Boston, MA. C17.2 NPCs were maintained in plastic culture plates in DMEM supplemented with 10% FBS, 5% horse serum and 2 mM glutamine in a humidified 5% CO2/95% air atmosphere at 37°C. The cells were incubated in DMEM containing 1% FBS medium with/without baicalein, then irradiated using a 137Cs irradiator (MDS Nordion 137Cs standard source; Hanil Co., Anyang, South Korea) at a rate of ∼5.1 Gy·min−1 at room temperature; control cells were not irradiated. After irradiation, culture dishes were returned to the incubator and maintained at 37°C in a 5% CO2/95% air mixture.
For cell viability assays, cells were seeded in a 60 mm cultured dish and allowed to attach for 24 h. They were then treated with baicalein (1 or 10 μM) for 12 h and exposed to 16 Gy of radiation. Baicalein was dissolved in DMSO and diluted in DMEM (final 0.01% DMSO). After incubation for 24 h, media containing baicalein was removed and a solution of 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl-tetrazolium bromide (MTT) in PBS (0.5 mg·mL−1) was added to each well. After incubating for 4 h, the MTT solution was removed, and cells were dissolved in solubilization solution (DMSO : ethanol, 1:1). Formazan absorbance was measured using an elisa microplate reader at 560 nm.
Nuclear staining with Hoechst 33342 and propidium iodide (PI)
Double staining with Hoechst 33342 and PI conveniently allows the detection of apoptotic and necrotic cells in same cell preparations (Kabakov et al., 2011). The plasma membrane is permeable to Hoechst 33342 regardless of membrane damage, and the dye emits a blue fluorescence after binding to the nucleus. However, PI is a polar nuclear stain and can only penetrate cells with damaged membranes. C17.2 NPCs were seeded in 60 mm culture dishes, allowed to attach for 24 h. Cells were pretreated with or without baicalein for 12 h and then irradiated at 16 Gy. After incubation for 24 h, Hoechst 33342 and PI were added to plates and incubated for 10 min. Stained cells were visualized under a fluorescence microscope (Nikon ECLIPSE TE 2000-U microscope; Nikon, Tokyo, Japan).
Cells (2 × 105 cells·mL−1) were seeded onto 60 mm culture dishes for 24 h, treated with baicalein for 12 h and irradiated at 16 Gy. Cells were then treated with 2′-7′-dichlorofluorescin diacetate (DCFDA; 80 μM) at 37°C for 30 min. Changes in fluorescence intensity were visualized under a fluorescence microscope using a Nikon ECLIPSE TE 2000-U microscope (Nikon). For hippocampal ROS measurement, 10 μL hippocampal homogenates were plated in 96-well plates, and 190 μL potassium phosphate buffer (50 mM, pH 7.4) was added to each well. After adding prepared 125 μM DCFDA, ROS generations were measured every 5 min for 30 min on a fluorescence plate reader with excitation and emission wavelengths set at 485 and 530 nm respectively. Florescence intensity is calculated a change per min.
Animals and treatments
All animal care and experimental procedures complied with the Guidelines from the Korea Food & Drug Administration (KFDA) and were approved by the Institutional Animal Care Committee of Pusan National University (#PNU-2011-000326). All studies involving animals are reported in accordance with the ARRIVE guidelines for reporting experiments involving animals (McGrath et al., 2010). A total of 60 animals were used in the experiments described here. Young (5-week-old) male C57BL/6 mice were obtained from Daehan Biolink Co. Ltd. (Chungbuk, South Korea) and housed under temperature- and light- controlled conditions (20–23°C, 12 h light/12 h dark cycle). Mice were randomly allocated to a control group, a baicalein group, an irradiation group or an irradiation plus baicalein group and acclimatized for 1 week prior to baicalein administration. Baicalein was dissolved in PBS containing 2% Tween 20 and 5% ethanol and administered (10 mg·kg·day−1 i.p.) for 7 days starting on postnatal day 42. To evaluate the proliferation of newly generated cells in the dentate gyrus, mice were injected with 5′-bromo-2′-deoxyuridine (BrdU; 100 mg·kg−1 weight, three times a day, i.p.) for two consecutive days before the administration of baicalein and irradiation. At the age of 7 weeks from postnatal day, all mice were anaesthetized with tribromethanol (240 mg kg-1; Sigma-Aldrich, St. Louis, MO, USA) and cranially irradiated at 5 Gy. In a preliminary experiment, a single dose of 5 Gy (137Cs at a dose rate of ∼1.59 Gy·min−1) was found to be sufficient to induce significant impairment of hippocampal neurogenesis (Supplemental Figure S2).
For histological staining, animals were anaesthetized with ether and perfused intracardially with 4% paraformaldehyde (PFA) in 0.1 M PBS (pH 7.4). Brains were then removed, placed in the same fixative solution at 4°C overnight and transferred to 30% sucrose solution for 48 h. The brains were then serially sectioned at 40 μm in the coronal plane using a freezing microtome (Microm, Walldorf, Germany). The sections were collected in Dulbecco's phosphate-buffered saline (DPBS) solution containing 0.1% sodium azide and stored at 4°C. Each section containing the hippocampal formation was saved.
Quantification of newly generated cells
For immunostaining, free-floating brain sections were treated with 0.6% H2O2 in Tris-buffered saline (TBS) to block endogenous peroxidase, incubated in sodium citrate buffer containing 50% formamide for 2 h, and in 2 M HCl at 37°C for 30 min to denature DNA. Sections were then neutralized with 0.1 M borate buffer, incubated in TBS, 0.1% Triton X-100, 3% goat serum (TBS-TS) at 37°C for 30 min and then with primary anti-BrdU antibody (Accurate Chemicals, Westbury, NY, USA) in TBS-TS at 4°C overnight. Sections were further incubated with a biotinylated secondary goat anti-rat lgG antibody (1:200; Vector Laboratories, Burlingame, CA, USA) at room temperature for 3 h and then with ABC solution (avidin–peroxidase complex, Vectastain ABC reagent Elite Kit, Vector Laboratories) at room temperature for 1 h. Diaminobenzidine (DAB) solution was then added for 3 min, and stained sections were mounted onto VWR Micro Slides (VWR International, Radnor, PA, USA) and coverslipped with permanent mounting medium (Fisher Scientific, Fair Lawn, NJ, USA) and coverslipped. Images were acquired using a Nikon ECLIPSE TE 2000-U microscope (Nikon). BrdU-labelled cells in every sixth section throughout the entire rostro-caudal region of the hippocampus were counted. The reference region consisted of the granular cell layer of the dentate gyrus. All cell counts were performed by the same investigator, without knowledge of the treatments.
Double- and triple-label immunostaining
Brain sections were blocked with TBS-TS at 37°C and co-labelled with primary antibodies against BrdU and several cell markers, namely, mature neuronal marker (NeuN; Chemicon International, Temecula, CA, USA), immature neuron marker (DCX; Cell Signaling Technology, Danvers, MA, USA), astrocyte marker (GFAP; Sigma-Aldrich) or microglia marker (Iba-1; rabbit polyclonal, Wako, Japan). Sections were then washed with TBS and incubated with secondary antibody labelled with Alexa Fluor 488, 568 or 633 (Invitrogen, Carlsbad, CA, USA). Stained sections were mounted onto slides with aqueous and dry mounting medium (Biomeda Corp., Foster City, CA, USA). Immunofluorescent images were taken using a FV10i FLUOVIEW laser confocal microscope (Olympus, Tokyo, Japan). To avoid cross-talk between green and red channels, channels were scanned separately in multitrack mode. NeuN/BrdU, DCX/BrdU and GFAP/Iba-1 double-positive cells were counted in the SGZ in five randomly chosen fields.
Brain-derived neurotrophic factor (BDNF) assay
BDNF protein levels were quantified using a commercially available kit (Chemicon International) according to the manufacturer's protocol. Briefly, 100 μL of hippocampal homogenate was added to wells pre-coated with rabbit anti-human BDNF polyclonal antibody. Plates were incubated at 4°C overnight and were then washed with washing buffer. Diluted biotinylated mouse anti-BDNF monoclonal antibody (100 μL) was added to each well; plates were incubated at room temperature for 2 h and then washed with washing buffer. Plates were incubated in streptavidin-HRP conjugate solution (100 μL) for 1 h. Finally, the substrate (3,3′,5,5′-tetramethylbenzidine with enhancer; 100 μL) was added, and plates were incubated at room temperature for 15 min. The reaction was stopped by adding 100 μL of stop solution, which caused the blue reaction solution to turn yellow. Absorbance was measured at 450 nm using a plate reader.
Sections were treated with 0.6% H2O2 in TBS to block endogenous peroxidase, blocked in TBS-TS for 30 min and incubated with primary anti-phospho-CREB antibody (rabbit monoclonal; 1:1000, Cell Signaling Technology) in TBS-TS at 4°C overnight. They were then incubated with biotinylated secondary goat anti-rabbit IgG antibody (1:400; Vector Laboratories) at room temperature for 3 h, and with ABC solution (Vectorstain ABC reagent Elite Kit, Vector Laboratories) at room temperature for 1 h. DAB solution was then added for 5 min, and images were acquired using a Nikon ECLIPSE TE 2000-U microscope (Nikon).
Morris water maze (MWM) analysis
MWM analysis was performed as previously described (Shukitt-Hale et al., 2007). MWM is commonly used to examine impairment of spatial learning and memory and requires mice to find a hidden platform (10 cm in diameter) just below the surface (2 cm) of a circular pool of water (120 cm in diameter × 32 cm deep, maintained at 23°C) based on distal cues learnt during previous learning trials. Accurate navigation to the platform is rewarded by escape from the water. The maze is placed in a room with dimmed lights and numerous extra maze cues on its walls. After irradiation and baicalein treatments, mice were given five consecutive days of training in the MWM (six trials per day). At the beginning of each trial, mice were immersed in the water, facing the wall, at one of three randomized start positions (located in the centre of a pool quadrant not containing the platform). Each mouse was allowed 60 s to find the platform; if a mouse failed to escape within this time, it remained there for 5 s. At the end of trials, mice were towel-dried and returned to their home cage for approximately 30 min before being returned to the maze for subsequent trials. Performances were videotaped and analyzed using image tracking software, which calculated times taken (latencies) to find the platform (s), path lengths (cm) and swimming speeds (cm s−1), and which provided information during probe trials (after platform removal), such as the number of times the quadrant containing the platform was crossed the total time spent in this quadrant (Noldus EthoVision® XT, Noldus Information Technology, Wageningen, the Netherlands).
Passive avoidance test
Passive avoidance learning memory was examined using the step-through test, which takes advantage of the natural preference of mice for a dark environment. The apparatus consists of illuminated (bright) and dark compartments. During the learning stage, mice were placed in the bright compartment and received an electric foot shock (0.25 mA, 3 s) on entering the dark compartment. During the next days, mice were placed in the bright compartment for a maximum of 300 s, and times taken to enter the dark compartment (step-through latencies) were measured. For mice that did not enter the dark compartment within the 5 min observation period, step-through latency was taken to be 300 s.
All results are presented as the mean ± SE. One-way anova with Fisher's protected least significant difference (PLSD) procedure was used to determine the significances of differences between the irradiated and baicalein-treated groups. Statview® software (Cary, NC, USA) was used throughout, and P-values of <0.05 were considered significant.
Baicalein (5,6,7-trihydroxyflavone) and 2-[4,5-dimethyl-2-ly]-2,5-diphenyltetrazolium bromide (MTT) were purchased from Sigma-Aldrich (St. Louis, MO, USA). 2′-7′-dichlorofluorescin diacetate (DCFDA), Hoechst 33342 and propidium iodide (PI) were supplied by Invitrogen (Eugene, OR, USA). 5′-Bromo-2′-deoxyuridine (BrdU) was obtained from Acros Organics (Morris Plains, NJ, USA).
Baicalein protected C17.2 NPCs against γ-ray radiation
In a preliminary experiment, we evaluated the effects of various radiation doses (0, 2, 4, 8 and 16 Gy) on the viability of cultured C17.2 NPCs. At 24 h after a single dose of radiation, cells were stained with Hoechst 33342 and PI and observed under a fluorescence microscope. Radiation caused cell death in a concentration-dependent manner, characterized by increased numbers of PI-positive cells, and at 16 Gy induced significant cell death (Supplementary Figure S1). MTT analysis showed that baicalein pretreatment significantly increased cell viability (Figure 1A). In addition, irradiation-induced morphological changes in C17.2 NPCs were assessed by Hoechst 33342 and PI staining. Significant increases in the numbers of PI-stained cells were observed after exposure to radiation and baicalein was reduced the number of PI-stained cells (Figure 1B, C). As ROS generated by ionizing radiation causes cell death, the fluorescence intensity of ROS was evaluated by DCFDA staining in C17.2 NPCs. Baicalein treatment blocked ROS generation induced by irradiation (Figure 1D).
Baicalein protected NPC proliferation in the hippocampal dentate gyrus from the effects of irradiation
To investigate the neuroprotective effects of baicalein on hippocampal neurogenesis against γ-ray radiation, baicalein was administered to C57BL/6 mice once daily i.p. at 10 mg·kg−1 for 1 week, and 5 Gy of radiation was administered immediately after treatment with BrdU (Figure 2A). Proliferating cells in the hippocampus were labelled by BrdU and visualized immunohistochemically. WBI significantly decreased numbers of BrdU-positive cells in the hippocampus as compared with non-irradiated controls. Although baicalein had no effect on numbers of newly generated cells in the hippocampi of non-irradiated controls, baicalein pretreatment significantly attenuated the impaired hippocampal proliferation of NPCs induced by WBI (Figure 2B). Furthermore, double-label immunostaining with the astrocyte marker (GFAP) and the microglia cell marker (Iba-1) revealed an elevated neuroinflammatory response in the hippocampi of irradiated mice (Figure 2C). In particular, hypertrophic microglia and bushy cells (characterized by markedly enlarged soma and short, thick processes) were concentrated in the SGZ of the dentate gyrus of irradiated mice, indicating that NPCs residing in SGZ were damaged by WBI (Figure 2C, arrows). Furthermore, less activated microglia were observed in WBI treated mice pretreated with baicalein. In addition, greater GFAP immunostaining was observed in irradiated hippocampi, and this too was attenuated by baicalein (Figure 2C). Because of the antioxidative property of baicalein (Figure 1D), its effects on ROS generation in hippocampi were also analysed. As was expected, WBI increased ROS production in hippocampal homogenates, and baicalein pretreatment reduced this irradiation-induced ROS generation (Figure 2D).
Baicalein enhanced neuronal differentiation and elevated BDNF-pCREB signalling
In order to evaluate the effects of baicalein in the neurogenic enhancement, triple-label immunohistochemistry was performed to estimate numbers of newly generated cells, using BrdU, NeuN (a mature neuron marker) and DCX (an immature neuron marker). Most BrdU-labelled cells were confined to the SGZ of hippocampi and some were co-labelled with DCX, but not with NeuN (Figure 3A). WBI dramatically decreased BrdU-positive cell numbers and DCX immunostaining, but did not affect NeuN immunostaining, indicating that NPCs are more vulnerable to irradiation. Interestingly, baicalein appeared to increase DCX staining in non-irradiated mice (Figure 3A, arrows), which suggests that baicalein has the ability to stimulate neuronal differentiation.
BDNF is known to enhance hippocampal neurogenesis (Lee et al., 2002; Rossi et al., 2006; von Bohlen und Halbach, 2010), and therefore, we measured BDNF levels in hippocampal homogenates to explore the involvement of BDNF in the impairment of neurogenesis by WBI. Hippocampal BDNF levels were significantly decreased by WBI and baicalein attenuated this loss. However, baicalein-mediated up-regulation of BDNF was not observed in non-irradiated mice (Figure 3B). The cAMP response element-binding transcription factor (CREB ) is one of the transcription factors of BDNF and is known to be associated with the regulation of neurogenesis (Hwang et al., 2011; Martin and Finsterwald, 2011). We found that the phosphorylated form of CREB (pCREB) was mainly localized in the SGZ, suggesting that NPCs in the SGZ are more actively responsive to neurogenic signals than mature neurons. Furthermore, WBI reduced pCREB-positive cells, and baicalein pretreatment blocked this loss. Interestingly, baicalein elevated pCREB immunoreactivity in the SGZ of non-irradiated mice, which suggests baicalein might have neurogenic properties (Figure 3C).
Effects of baicalein on the adverse effects of WBI on learning and memory
Hippocampal neurogenesis is often associated with hippocampus-dependent learning and memory. For example, WBI in young mice and rodents was associated with spatial cognitive deficits in the MWM (Rola et al., 2004; Shi et al., 2006). Therefore, the MWM and passive avoidance tests were used to assess spatial learning and memory, and memory retention respectively. Repeated training reduced the latencies of non-irradiated mice in the MWM test, but the latencies of irradiated mice were significantly greater. However, baicalein treatment before WBI significantly enhanced learning and memory performance relative to those in irradiated mice (Figure 4A). Similarly, baicalein pretreatment decreased swimming distance, indicating that they were more effectively found the hidden platform (Figure 4B). However, swimming velocities were unaffected by irradiation or baicalein (data not shown). Furthermore, the passive avoidance test revealed that WBI significantly reduced the step-through latencies in the passive avoidance tests, indicating that WBI impaired memory retention. More interestingly, baicalein pretreatment prevented this loss of memory retention in irradiated mice (Figure 4C).
Radiation therapy is one of the most important types of therapy and is used to treat many diseases, such as, cancer and leukaemia. However, WBI is known to cause learning and memory deficits (Roman and Sperduto, 1995; Spiegler et al., 2004). In particular, children that undergo WBI suffer serious loss of neurocognitive functions (Lamproglou et al., 2002). Several authors have suggested that irradiation-induced cognitive deficits are associated with impairments of hippocampal neurogenesis (Raber et al., 2004; Rola et al., 2004) and, thus, interventional approaches are required to protect endogenous neurogenesis in the hippocampus against irradiation-induced damage. The present study showed that baicalein attenuated intracellular ROS generation and NPC death induced by γ-ray exposure, that baicalein protected hippocampal neurogenesis after WBI; and that baicalein ameliorated neurocognitive deficits caused by radiation exposure.
Because ionizing radiation increases ROS generation, intervention designed to reduce ROS generation offers a protective strategy (Gisone et al., 2004; Guelman et al., 2004) and natural polyphenolics are known to protect biosystems from irradiation-induced damage because of their antioxidant properties (Gudkov et al., 2006). Of these, the flavonoid baicalein is known to protect HT22 cells against ROS-induced cell damage and to act as an anti-inflammatory agent (Choi et al., 2010). Baicalein is a natural flavone, used in oriental medicine and shown to have a range of therapeutic effects on inflammation, cardiovascular dysfunction and bacterial infections and on cancer (Ciesielska et al., 2002; Li-Weber, 2009). Accordingly, we examined the radioprotective effects of baicalein on C17.2 NPCs, which are multi-potent NPCs isolated from neonatal mouse cerebellum (Snyder et al., 1992). C17.2 NPCs are able to differentiate into many phenotypes, such as neurons, astrocytes and oligodendrocytes; and their proliferation is regulated by ERK and p38 kinases, similar to those of primary cultured neural stem cells (Kim et al., 2008). Several studies have reported that high concentrations of flavonoids (20 μM and above) are necessary to protect against oxidative stress-induced cell death (Chen et al., 2011; Lin et al., 2011). However, in the present study, baicalein protected NPCs from irradiation-induced cell death and ROS generation at low concentrations (1–10 μM), indicating that baicalein might specifically protect cells against irradiation and/or have the ability to protect NPCs via a mechanism other than an antioxidative mechanism.
Clinically important aspects, such as safety margins and blood–brain barrier (BBB) penetrance, must be resolved for synthetic and natural therapeutics that target the brain. In a recent study, it was suggested that flavonoids (including baicalein) have a wide safety margin and are able to permeate the BBB (Shimmyo et al., 2008). As compared with post-mitotic neurons, highly proliferating cells are much more vulnerable to ionizing radiation and the adult brain is now known to have a pool of NPCs in the hippocampus (Shirai et al., 2006), and thus, radiation therapy can damage NPCs and impair hippocampal neurogenesis. In the present study, we found that 1 week of baicalein pretreatment (at 10 mg·kg−1 daily) attenuated the loss of NPC proliferation and the generation of ROS, in irradiated hippocampi. In addition, neuroinflammation within the SGZ indicated that NPCs were susceptible to irradiation and this inflammatory response was also attenuated by baicalein. Moreover, it has been already reported that baicalein suppressed NO production, iNOS protein, and NF-κB activity in microglia (Chen et al., 2004; Cheng et al., 2007). Taken together, these findings suggest the radioprotective effects of baicalein are mediated by its antioxidative and anti-inflammatory properties. Furthermore, since 100 to 400 mg·kg−1 doses of flavonoids were required in previous studies for radioprotection (Qi et al., 2011; Sezer et al., 2011), our findings suggest that baicalein is highly effective at protecting adult NPCs in the hippocampus.
Interestingly, we observed that baicalein increased pCREB levels in the SGZ of the hippocampus in non-irradiated mice, which suggests that the stimulation of hippocampal neurogenesis by baicalein is due in part to other than an antioxidant effect. Increased levels of BDNF and pCREB signalling reflect enhanced hippocampal neurogenesis (Lee and Son, 2009; Boneva and Yamashima, 2011). Furthermore, haplo-insufficiency in BDNF impairs basal neurogenesis in the hippocampus (Lee et al., 2002), and pCREB signalling is closely associated with hippocampal neurogenesis (Nakagawa et al., 2002). In the present study, acute WBI-induced damage was seen mainly in the SGZ based on decreases in BrdU-positive cells, DCX-staining, BDNF and pCREB signalling. These findings suggest that baicalein might act as an antioxidant to prevent loss of NPCs in the hippocampus and that this flavonoid restored impaired neurogenesis, BDNF and pCREB signalling. There are several reports proposing that baicalein elevated ERK phosphorylation in brain to initiate a downstream signalling cascade including CREB and BDNF, creating a positive feedback loop (Park et al., 2010). In addition, it was proposed that baicalein has antidepressant-like effects, which have been known to restore BDNF and enhance hippocampal neurogenesis (Neto et al., 2011; Xiong et al., 2011). Thus, it is likely that the protective effect of baicalein against radiation-induced hippocampal neurogenesis is at least partly mediated by ERK-mediated signalling pathways to induce pCREB activation and BDNF production. BDNF has been suggested to play an important role in hippocampal neurogenesis and in hippocampal-dependent forms of learning and memory (Lipsky and Marini, 2007; Lee and Son, 2009; Pardon, 2010). In the present study, WBI-induced impairments in hippocampal neurogenesis and BDNF signalling were found to be well linked with impaired learning and memory performance as determined by the MWM and passive avoidance tests. However, latencies in the MWM were still improved even in irradiated mice, which indicate that 5 Gy was not sufficient to induce detrimental neurocognitive deficits in visuospatial learning and memory. In fact, the typical radiotherapy dose administered for a solid epithelial tumour ranges from 60 to 80 Gy, whereas lymphomas are treated at 20 to 40 Gy, and preventative doses are typically around 45 to 60 Gy in 1.8 to 2 Gy fractions for brain tumours (Shibamoto et al., 2009; Thariat et al., 2010). Interestingly, during memory retention testing, most of the mice treated with baicalein and WBI stayed in the bright compartment throughout testing whereas WBI-treated mice strayed apparently unimpeded into the dark compartment. These findings suggest that baicalein protected memory from irradiation. Actually, we observed a significant loss of NPC proliferation in irradiated mice pretreated with baicalein versus non-irradiated mice, but neurocognitive functions in the MWM and passive avoidance tests were conserved by baicalein treatment, which suggests that a low level of protection might be enough to prevent irradiation-induced memory impairment.
In conclusion, the present study suggested that baicalein ameliorated the side effects of WBI, particularly with respect to hippocampal neurogenesis and memory retention, via its antioxidative property and neurogenic action. We suggest that baicalein be considered a potential prophylactic treatment to reduce impaired neurogenesis and neurocognition after WBI.
This research was supported by the Basic Science Research Program via the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (grant no. 2009–0067608). This work was also supported by the National Research Foundation of Korea (NRF) funded by the Korea government (MEST) (grant no. 20090083538). The authors thank Dr C Cepko at Harvard University, Boston, MA, USA for kindly providing the C17.2 cell line.
Conflict of interest
The authors declare that there are no conflicts of interest.