The relationship between thiamin, folic acid and cognitive function in a rat model of uremia

End-stage renal disease is a worldwide health burden, but the pathogenesis of uremia-associated cognitive impairment (CI) is poorly recognized. We hypothesized that uremia brings about deficiency of thiamin and folic acid and causes CI by inducing oxidative stress. Therefore, 24 Sprague-Dawley rats...

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Main Authors: Yifei Lu, Chenqi Xu, Kewei Xie, Bingru Zhao, Minzhou Wang, Cheng Qian, Xuemei Chen, Leyi Gu, Wangshu Wu, Renhua Lu
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Renal Failure
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Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2024.2329257
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author Yifei Lu
Chenqi Xu
Kewei Xie
Bingru Zhao
Minzhou Wang
Cheng Qian
Xuemei Chen
Leyi Gu
Wangshu Wu
Renhua Lu
author_facet Yifei Lu
Chenqi Xu
Kewei Xie
Bingru Zhao
Minzhou Wang
Cheng Qian
Xuemei Chen
Leyi Gu
Wangshu Wu
Renhua Lu
author_sort Yifei Lu
collection DOAJ
description End-stage renal disease is a worldwide health burden, but the pathogenesis of uremia-associated cognitive impairment (CI) is poorly recognized. We hypothesized that uremia brings about deficiency of thiamin and folic acid and causes CI by inducing oxidative stress. Therefore, 24 Sprague-Dawley rats were randomly divided into two groups: a 5/6 nephrectomy group (n = 12) and a sham-operated group (n = 12). The Morris water maze was used to assess the cognitive function eight weeks post-surgery, and serum levels of thiamin, folic acid and homocysteine were detected subsequently. Brain and kidney tissues were collected for pathological examination and 8-Hydroxy-2’-deoxyguanosine (8-OHdG) immunochemistry staining. Results showed that the escape latency on training days 1-2 was longer, and the time in quadrant IV on experimental day 6 was significantly shorter in 5/6 nephrectomy group. Meanwhile, the uremic rats showed decreased thiamin, folic acid and increased homocysteine. We also found the time in quadrant IV was positively correlated with thiamin and folic acid level, while negatively correlated with the blood urea nitrogen and 8-OHdG positive cell proportion. Furthermore, in 5/6 nephrectomy group, the hippocampal neuron count was significantly reduced, and a greater proportion of 8-OHdG positive cells were detected. Pretreating LPS-stimulated rat microglial cells with thiamin or folic acid in vitro alleviated the inflammatory impairment in terms of cell viability and oxidative stress. In summary, we applied a uremic rat model and proved that uremia causes serum thiamin and folic acid deficiency, homocysteine elevation, along with neuron reduction and severe oxidative stress in hippocampus, finally leading to CI.
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publishDate 2024-12-01
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spelling doaj-art-bbdfd816fcdf456cb1911020f805ac122025-01-23T04:17:48ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2329257The relationship between thiamin, folic acid and cognitive function in a rat model of uremiaYifei Lu0Chenqi Xu1Kewei Xie2Bingru Zhao3Minzhou Wang4Cheng Qian5Xuemei Chen6Leyi Gu7Wangshu Wu8Renhua Lu9Department of Pharmacy, Shanghai University of Traditional Chinese Medicine, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaEnd-stage renal disease is a worldwide health burden, but the pathogenesis of uremia-associated cognitive impairment (CI) is poorly recognized. We hypothesized that uremia brings about deficiency of thiamin and folic acid and causes CI by inducing oxidative stress. Therefore, 24 Sprague-Dawley rats were randomly divided into two groups: a 5/6 nephrectomy group (n = 12) and a sham-operated group (n = 12). The Morris water maze was used to assess the cognitive function eight weeks post-surgery, and serum levels of thiamin, folic acid and homocysteine were detected subsequently. Brain and kidney tissues were collected for pathological examination and 8-Hydroxy-2’-deoxyguanosine (8-OHdG) immunochemistry staining. Results showed that the escape latency on training days 1-2 was longer, and the time in quadrant IV on experimental day 6 was significantly shorter in 5/6 nephrectomy group. Meanwhile, the uremic rats showed decreased thiamin, folic acid and increased homocysteine. We also found the time in quadrant IV was positively correlated with thiamin and folic acid level, while negatively correlated with the blood urea nitrogen and 8-OHdG positive cell proportion. Furthermore, in 5/6 nephrectomy group, the hippocampal neuron count was significantly reduced, and a greater proportion of 8-OHdG positive cells were detected. Pretreating LPS-stimulated rat microglial cells with thiamin or folic acid in vitro alleviated the inflammatory impairment in terms of cell viability and oxidative stress. In summary, we applied a uremic rat model and proved that uremia causes serum thiamin and folic acid deficiency, homocysteine elevation, along with neuron reduction and severe oxidative stress in hippocampus, finally leading to CI.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2329257End-stage renal diseaseuremic rat modelcognitive impairmentvitamin Boxidative stress
spellingShingle Yifei Lu
Chenqi Xu
Kewei Xie
Bingru Zhao
Minzhou Wang
Cheng Qian
Xuemei Chen
Leyi Gu
Wangshu Wu
Renhua Lu
The relationship between thiamin, folic acid and cognitive function in a rat model of uremia
Renal Failure
End-stage renal disease
uremic rat model
cognitive impairment
vitamin B
oxidative stress
title The relationship between thiamin, folic acid and cognitive function in a rat model of uremia
title_full The relationship between thiamin, folic acid and cognitive function in a rat model of uremia
title_fullStr The relationship between thiamin, folic acid and cognitive function in a rat model of uremia
title_full_unstemmed The relationship between thiamin, folic acid and cognitive function in a rat model of uremia
title_short The relationship between thiamin, folic acid and cognitive function in a rat model of uremia
title_sort relationship between thiamin folic acid and cognitive function in a rat model of uremia
topic End-stage renal disease
uremic rat model
cognitive impairment
vitamin B
oxidative stress
url https://www.tandfonline.com/doi/10.1080/0886022X.2024.2329257
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