Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation

Patients with non-alcoholic fatty liver disease (NAFLD) may show mild cognitive impairment. Neuroinflammation in the hippocampus mediates cognitive impairment in rat models of minimal hepatic encephalopathy (MHE). Treatment with rifaximin reverses cognitive impairment in a large proportion of cirrho...

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Main Authors: Paola Leone, Gergana Mincheva, Tiziano Balzano, Michele Malaguarnera, Vicente Felipo, Marta Llansola
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/6/1263
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author Paola Leone
Gergana Mincheva
Tiziano Balzano
Michele Malaguarnera
Vicente Felipo
Marta Llansola
author_facet Paola Leone
Gergana Mincheva
Tiziano Balzano
Michele Malaguarnera
Vicente Felipo
Marta Llansola
author_sort Paola Leone
collection DOAJ
description Patients with non-alcoholic fatty liver disease (NAFLD) may show mild cognitive impairment. Neuroinflammation in the hippocampus mediates cognitive impairment in rat models of minimal hepatic encephalopathy (MHE). Treatment with rifaximin reverses cognitive impairment in a large proportion of cirrhotic patients with MHE. However, the underlying mechanisms remain unclear. The aims of this work were to assess if rats with mild liver damage, as a model of NAFLD, show neuroinflammation in the hippocampus and impaired cognitive function, if treatment with rifaximin reverses it, and to study the underlying mechanisms. Mild liver damage was induced with carbon-tetrachloride. Infiltration of immune cells, glial activation, and cytokine expression, as well as glutamate receptors expression in the hippocampus and cognitive function were assessed. We assessed the effects of daily treatment with rifaximin on the alterations showed by these rats. Rats with mild liver damage showed hippocampal neuroinflammation, reduced membrane expression of glutamate N-methyl-D-aspartate (NMDA) receptor subunits, and impaired spatial memory. Increased C-C Motif Chemokine Ligand 2 (CCL2), infiltration of monocytes, microglia activation, and increased tumor necrosis factor α (TNFα) were reversed by rifaximin, that normalized NMDA receptor expression and improved spatial memory. Thus, rifaximin reduces neuroinflammation and improves cognitive function in rats with mild liver damage, being a promising therapy for patients with NAFLD showing mild cognitive impairment.
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spelling doaj.art-2bcde08e9aac429c97c9d15e1a6e14032023-11-23T15:41:46ZengMDPI AGBiomedicines2227-90592022-05-01106126310.3390/biomedicines10061263Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated NeuroinflammationPaola Leone0Gergana Mincheva1Tiziano Balzano2Michele Malaguarnera3Vicente Felipo4Marta Llansola5Mar Lab Department of Neuroscience, NYU Grossman School of Medicine Science Building, New York, NY 10016, USALaboratory of Neurobiology, Centro de Investigación Príncipe Felipe, 46012 Valencia, SpainCentro Integral de Neurociencias, A.C. HM Hospital Universitario Puerta del Sur CINAC, 28938 Madrid, SpainDepartment of Psychobiology, Facultad de Psicología, Universitat de Valencia, 46010 Valencia, SpainLaboratory of Neurobiology, Centro de Investigación Príncipe Felipe, 46012 Valencia, SpainLaboratory of Neurobiology, Centro de Investigación Príncipe Felipe, 46012 Valencia, SpainPatients with non-alcoholic fatty liver disease (NAFLD) may show mild cognitive impairment. Neuroinflammation in the hippocampus mediates cognitive impairment in rat models of minimal hepatic encephalopathy (MHE). Treatment with rifaximin reverses cognitive impairment in a large proportion of cirrhotic patients with MHE. However, the underlying mechanisms remain unclear. The aims of this work were to assess if rats with mild liver damage, as a model of NAFLD, show neuroinflammation in the hippocampus and impaired cognitive function, if treatment with rifaximin reverses it, and to study the underlying mechanisms. Mild liver damage was induced with carbon-tetrachloride. Infiltration of immune cells, glial activation, and cytokine expression, as well as glutamate receptors expression in the hippocampus and cognitive function were assessed. We assessed the effects of daily treatment with rifaximin on the alterations showed by these rats. Rats with mild liver damage showed hippocampal neuroinflammation, reduced membrane expression of glutamate N-methyl-D-aspartate (NMDA) receptor subunits, and impaired spatial memory. Increased C-C Motif Chemokine Ligand 2 (CCL2), infiltration of monocytes, microglia activation, and increased tumor necrosis factor α (TNFα) were reversed by rifaximin, that normalized NMDA receptor expression and improved spatial memory. Thus, rifaximin reduces neuroinflammation and improves cognitive function in rats with mild liver damage, being a promising therapy for patients with NAFLD showing mild cognitive impairment.https://www.mdpi.com/2227-9059/10/6/1263hepatic encephalopathymild liver damagerifaximinmicrogliaNMDA receptorspatial learning and memory
spellingShingle Paola Leone
Gergana Mincheva
Tiziano Balzano
Michele Malaguarnera
Vicente Felipo
Marta Llansola
Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation
Biomedicines
hepatic encephalopathy
mild liver damage
rifaximin
microglia
NMDA receptor
spatial learning and memory
title Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation
title_full Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation
title_fullStr Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation
title_full_unstemmed Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation
title_short Rifaximin Improves Spatial Learning and Memory Impairment in Rats with Liver Damage-Associated Neuroinflammation
title_sort rifaximin improves spatial learning and memory impairment in rats with liver damage associated neuroinflammation
topic hepatic encephalopathy
mild liver damage
rifaximin
microglia
NMDA receptor
spatial learning and memory
url https://www.mdpi.com/2227-9059/10/6/1263
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AT tizianobalzano rifaximinimprovesspatiallearningandmemoryimpairmentinratswithliverdamageassociatedneuroinflammation
AT michelemalaguarnera rifaximinimprovesspatiallearningandmemoryimpairmentinratswithliverdamageassociatedneuroinflammation
AT vicentefelipo rifaximinimprovesspatiallearningandmemoryimpairmentinratswithliverdamageassociatedneuroinflammation
AT martallansola rifaximinimprovesspatiallearningandmemoryimpairmentinratswithliverdamageassociatedneuroinflammation