Upregulation of GLT-1 Expression Attenuates Neuronal Apoptosis and Cognitive Dysfunction via Inhibiting the CB1-CREB Signaling Pathway in Mice with Traumatic Brain Injury
Department of Forensic Clinical Medicine, School of Forensic Medicine, China Medical University, Shenyang 110122, China
Key Laboratory of Forensic Bio-Evidence Science, Shenyang 110122, China
China Medical University Center of Forensic Investigation, Shenyang 110122, China
Anshan Public Security Bureau, Anshan 114031, China
First Clinical College, China Medical University, Shenyang 110001, China
Abstract
Background: Glutamate transporter 1 (GLT-1) plays a vital role in maintaining glutamate homeostasis in the body. A decreased GLT-1 expression in astrocytes can heighten neuronal sensitivity to glutamate excitotoxicity after traumatic brain injury (TBI). Despite its significance, the mechanisms behind the reduced expression of GLT-1 following TBI remain poorly understood. After TBI, the endocannabinoid 2-arachidonoyl glycerol (2-AG) is elevated several times. 2-AG is known to inhibit key positive transcriptional regulators of GLT-1. This study aims to investigate the role of 2-AG in regulating GLT-1 expression and to uncover the underlying mechanisms involved. Methods: A controlled cortical impact (CCI) model was used to establish a TBI model in C57BL/6J mice. The CB1 receptor antagonist (referred to as AM281) and the monoacylglycerol lipase (MAGL) inhibitor (referred to as JZL184) were administered to investigate the role and mechanism of 2-AG in regulating GLT-1 expression following TBI. Behavioral tests were conducted to assess neurological functions, including the open field, Y-maze, and novel object recognition tests. Apoptotic cells were identified using the TUNEL assay, while Western blot analysis and immunofluorescence were employed to determine protein expression levels. Results: The expression of GLT-1 in the contused cortex and hippocampus following TBI showed an initial decrease, followed by a gradual recovery. It began to decrease within half an hour, reached its lowest level at 2 h, and then gradually increased, returning to normal levels by 7 days. The administration of AM281 alleviated neuronal death, improved cognitive function, and reversed the reduction of GLT-1 caused by TBI in vivo. Furthermore, 2-AG decreased GLT-1 expression in astrocytes through the CB1-CREB signaling pathway. Mechanistically, 2-AG activated CB1, which inhibited CREB phosphorylation in astrocytes. This decreased GLT-1 levels and ultimately increased neuronal sensitivity to glutamate excitotoxicity. Conclusions: Our research demonstrated that the upregulation of GLT-1 expression effectively mitigated neuronal apoptosis and cognitive dysfunction by inhibiting the CB1-CREB signaling pathway. This finding may offer a promising therapeutic strategy for TBI.
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Keywords: TBI, 2-AG, GLT-1, CREB, astrocyte
Article notes
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Received 2025 Jul 30; Revised 2025 Sep 27; Accepted 2025 Oct 1; Collection date 2025 Oct.
1. Background
Traumatic brain injury (TBI) is a significant global public health and socioeconomic issue characterized by high rates of mortality and disability. TBI is categorized into two types: primary and secondary brain injuries, with secondary injuries being the primary focus for TBI treatment. Secondary injuries result from acute inflammatory responses that occur following primary brain injuries. These responses include ischemic injury, oxidative stress, excitotoxicity, and imbalances in endogenous regulatory mechanisms [1]. Among these factors, glutamate-mediated excitotoxicity plays a critical role in the progression of TBI. An imbalance in glutamate homeostasis can lead to neuronal cell apoptosis and death [2], exacerbate brain tissue damage, and result in various physical, emotional, cognitive, and other neurological dysfunctions [3]. Consequently, targeting glutamate-mediated excitotoxicity has emerged as a significant strategy in the therapeutic management of TBI.
Glutamate is the primary excitatory neurotransmitter in the central nervous system, responsible for transmitting rapid signals and playing a key role in learning, memory, and synaptic plasticity [4]. In a healthy brain, glutamate-mediated transmission occurs at the tripartite synapse, which consists of the presynaptic membrane, the postsynaptic membrane, and astrocytes, and glutamate release and clearance are tightly regulated [5]. Glutamate released from synaptic vesicles interacts with ionotropic and metabotropic receptors on presynaptic and postsynaptic membranes and astrocytes [6]. Excess glutamate is cleared from the extracellular space by excitatory amino acid transporters (EAATs) found in neurons and astrocytes [7]. Currently, five EAATs have been identified. EAAT1, also known as the glutamate and aspartate transporter (GLAST), and EAAT2, referred to as glutamate transporter 1 (GLT-1), are predominantly expressed in astrocytes [8,9]. EAAT4 and EAAT5 are primarily found in neurons. Among these, GLT-1 is the most widely distributed in the central nervous system, responsible for approximately 90% of synaptic glutamate clearance in astrocytes [10]. Therefore, any dysregulation of GLT-1 expression and function in astrocytes may significantly contribute to excitotoxicity.
Several studies have shown that GTL-1 levels decreased rapidly and were widely reduced throughout the brain following TBI [11,12,13]. However, the underlying mechanisms remain unclear. Understanding how GLT-1 expression is reduced may provide promising molecular targets for increasing GLT-1 levels and reversing glutamate excitotoxicity caused by TBI. Piao et al. found that an increase in brain thrombin levels following TBI, which induced a decrease in GLT-1 levels in hippocampal astrocytes via activation of the PAR-1 receptor [3]. A recent study has shown that TBI reduced GLT-1 and increased adenosine 2A receptor (A2AR) levels in the hippocampus, and GLT-1 levels were restored in mice treated with istradefylline (A2AR inhibitor)/ceftriaxone combination [14]. There is growing evidence that both nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) and cAMP response element-binding protein (CREB) are essential positive transcriptional regulators that increase GLT-1 expression by binding to DNA-binding sites in the GLT-1 promoters [15]. Additionally, various stimulants activate NF-κB and CREB, leading to heightened GLT-1 expression through different signaling proteins. Extracellular signal-regulated kinase (ERK), mammalian target of rapamycin (mTOR), and Akt have been shown to modulate NF-κB activation to regulate GLT-1 expression [16,17]. Furthermore, the inhibition of protein kinase A (PKA), an upstream activator of CREB, blocks the effect of 17β-estradiol and tamoxifen in promoting GLT-1 expression [18].
The endocannabinoid system (ECS) consists of endocannabinoids, cannabinoid receptors, and enzymes responsible for the synthesis and degradation of endocannabinoids. It plays a role in the pathological processes that occur following TBI. After TBI, there is an increase in the synthesis and release of endocannabinoids. Notably, 2-arachidonoyl glycerol (2-AG), the most abundant endogenous cannabinoid, can rise to more than ten times its normal level within a short period [19]. The endocannabinoids, which are released from the postsynaptic neuron, inhibit retrogradely the release of neurotransmitters from presynaptic neurons. They also regulate various functions of astrocytes by increasing cytosolic Ca2+ signals through CB1 receptor activation in these cells. Notably, 2-AG has significant inhibitory effects on NF-κB and CREB, which are important positive transcriptional regulators of GLT-1 [20,21,22]. Furthermore, recent studies have demonstrated that astrocytes express proteins related to the ECS [23], suggesting that 2-AG may play a role in regulating GLT-1 expression in astrocytes.
In summary, GLT-1, a critical transporter of glutamate, is significantly reduced following TBI. However, the underlying mechanisms for this decrease are not yet fully understood. Notably, following TBI, levels of 2-AG, the primary endocannabinoid, as well as the inhibition of essential positive transcriptional regulators of GLT-1, exhibit a significant increase [19], suggesting that 2-AG may play a role in regulating GLT-1 expression. Therefore, this study aims to clarify the regulatory effect of 2-AG on GLT-1 expression after TBI, as well as the potential molecular signaling pathways involved. In addition, we use behavioral methods to observe whether regulating the expression of GLT-1 can improve neurological dysfunction caused by TBI. Such insights may provide valuable targets for therapeutic intervention in cases of TBI.
2. Materials and Methods
2.1. Animals
All experimental procedures were approved by the Ethics Committee on Animals of China Medical University (CMU2021548). A total of 219 wild-type C57BL/6 male mice (10 weeks old, Laboratory Animal Centre of China Medical University) were randomly assigned to a TBI or sham group. Mice were housed in a controlled environment (20–22 °C; 12-h light: dark on a reversed light cycle) for 1 week before the experiments. Mice had unlimited access to food and water in their home cages, and all efforts were made to minimize the number of animals studied.
2.2. Controlled Cortical Impact (CCI) Model
CCI model was utilized to induce a moderate TBI model as described in previous studies [24,25]. Briefly, mice were placed on a stereotaxic apparatus after being anesthetized with 1.4% isoflurane. A midline scalp incision was made to expose the skull. A 4 mm craniotomy was performed 2.5 mm posterior to the bregma and 2.5 mm to the right of midline. Using a craniocerebral strike apparatus (PinPoint™ PCI3000, Hatteras Instruments, Grantsboro, NC, USA), a vertical impact was delivered to the cortex with a 3 mm diameter impactor at a velocity of 1.5 m/s for a residence time of 50 ms and a depth of 1 mm. The scalp was then sutured. The comatose mice were placed on a heating pad set to 37 °C and returned to their cages once their vital signs stabilized. Mice in the sham group underwent the same surgical procedure but without any cortical impact.
2.3. Behavior Test
The behavioral test started at 7 pm 1–15 days after TBI, with the surrounding envi-ronment kept quiet and dark.
2.3.1. Open Field Test
The open field test was used to detect locomotor activity and anxiety-like behavior as described in a previous study [26] with modifications. Briefly, the movement of the test mouse was measured with a camera in the peripheral and central zones of a 40 cm × 40 cm × 30 cm plastic box. The mouse was acclimated in the box for 5 min before the experiment. The distance and trajectory of the mouse’s movement were recorded for 10 min using the SMART2.5.21 system (San Diego Instruments, San Diego, CA, USA). The entire area of the box was cleaned and wiped with 75% alcohol before proceeding to the next test.
2.3.2. Novel Object Recognition Test
The novel object recognition test was conducted to assess learning and memory in mice as described in a previous study [27]. Briefly, the mouse was first placed in the middle of an empty box and allowed to explore freely for 10 min. Then, two identical objects were placed in opposite quadrants of the box, and the mice were introduced gently to explore the objects for 5 min. After this exploration period, the mice were returned to their home cage. After 10 min, one of the objects was replaced with a novel object that differed in color and shape. The cumulative time spent exploring each object was then recorded for an additional 5 min by using the SMART2.5.21 system. The box and objects were thoroughly cleaned with 75% ethanol after each trial. The Recognition Index (RI) was calculated as the percentage of time spent exploring the novel object relative to the total time spent exploring both objects.
2.3.3. Y-Maze Test
The Y maze was used to test the cognitive function in mice as described in a previous study [28] with modifications. The Y maze test was performed in a Y-shaped maze, which consisted of three arms (10 cm × 30 cm ×20 cm, width × length × height), with a 120° angle from each other. Three arms were randomly designated as the start arm, the novel arm, and another arm. The Y-maze test included two trials separated by a 2-h interval. In the first trial (training), the novel arm was blocked, and the mouse was placed in the center of the maze and allowed to explore the start arm and another arm for 10 min. In the second trial (retention), all three arms were opened, and the mouse was allowed to move freely for 5 min from the end of the same start arm. The number of arm entries and the time spent in each arm were recorded using the SMART2.5.21 system. Maze arms were cleaned with 75% ethanol solution between trials.
2.4. Drug Administration
AM281 (CB1 receptor antagonist, APExBIO, Houston, TX, USA) and JZL184 (the monoacylglycerol lipase (MAGL) inhibitor, APExBIO, Houston, TX, USA) were prepared and dissolved in a vehicle containing Tween 80, dimethyl sulfoxide, and saline (1:1:18, v/v).
Studies have demonstrated that AM281 significantly blocked the effect of 2-AG through CB1 receptor, while JZL184 significantly increased the concentration of 2-AG in the brain by inhibiting MAGL (2-AG degradation key enzyme) [28,29]. Mice were injected intraperitoneally with 3 mg/kg of AM281 [29], 16 mg/kg JZL184 [29] or vehicle 30 min post-TBI, respectively, and then once a day for 7 consecutive days (total 8 injections).
2.5. Brain Tissue Harvest and Protein Level Quantification
The mice were killed by decapitation (for Western blot analysis). Approximately 4 mm of cerebral cortex around the injury area and the ipsilateral-injured hippocampus were harvested separately. The harvested brain cortex and hippocampus were homogenized on ice using immunoprecipitation buffer (10 mM Tris-HCl, pH 7.4, 150 mM NaCl, 2 mM EDTA, 0.5% Nonidet P-40) plus protease inhibitors (1 μg/mL aprotinin, 1 μg/mL leupeptin, 1 μg/mL pepstatin A). The lysates were collected and centrifuged at 12,000× g for 10 min, and protein concentration was measured using a BCA kit (P0012; Beyotime Biotechnology, Shanghai, China).
2.6. Western Blot
Western blotting quantification was performed as previously described [30]. Briefly, relative band density was quantified using ImageJ software (National Institutes of Health) and normalized to the total amount of protein (20 μg) loaded in each well as determined by β-actin. The Western blot images presented in the manuscript are just for representative purposes. Antibody information is presented in Supplementary Table S1.
2.7. Immunofluorescence
Mice were anesthetized with pentobarbital sodium (80 mg/kg), followed by heart perfusion with cold phosphate-buffered saline and 4% paraformaldehyde sequentially. The whole brain was harvested. Frozen sections (20 μm) were used for the immunofluorescence (IF) staining. IF staining was performed as previously described in the same experimental conditions [25]. The peripheral area of cortical injury and the CA1, CA3, and DG subregions of the hippocampus were listed as regions of interest and 9 slices from 3 mice per group were selected. Images were acquired using a laser scanning confocal microscope (TCS SP8; Leica) and the average fluorescence intensity of the 1000 × 1000 pixel area in the images was analyzed using ImageJ 1.8.0 software (National Institutes of Health) at the same setting. The antibodies used in this study are listed in Supplementary Table S1.
2.8. TUNEL Staining
A TUNEL BrightGreen Apoptosis Detection Kit (A111-01; Vazymem, Nanjing, China) was used as directed by the manufacturer. Briefly, the frozen sections were treated with proteinase K. Afterward, the tunnel reaction solution was added, and DAPI was used to stain the nuclei. Finally, apoptotic neuronal cells were visualized using a fluorescence microscope (Zeiss Axio Scan.Z1, Oberkochen, Baden-Württemberg, Germany). 9 slices from 3 mice per group were selected and the number of apoptotic neuronal cells in the peripheral area of cortical injury and the CA1, CA3, and DG subregions of the hippocampus was counted manually within a 1000 × 1000 pixel area in the images.
2.9. Statistical Analysis
All data are expressed as means ± SEM. Statistical analysis of differences in outcome measures was determined by t-test or one-way ANOVA using GraphPad Prism 9 statistical software (Graphpad Software Inc., La Jolla, CA, USA). One-way ANOVA without repeated measures for multiple comparisons was used, followed by Tukey’s test when F ratios were significant. Significant differences between the two groups were determined using the Student’s t-test. p values less than 0.05 were considered statistically significant.
3. Results
3.1. The Downregulation of GLT-1 Expression in Astrocytes Resulting from TBI Was Effectively Reversed by Inhibiting the CB1 Receptor
The GLT-1 levels in the mouse brain were assessed through western blot analysis at various time intervals following TBI. The findings indicated a distinct pattern characterized by an initial decrease in GLT-1 levels, which was subsequently followed by a gradual recovery in both the contused cortex and hippocampus after TBI. As illustrated in Figure 1A,B, GLT-1 levels began to decline within thirty minutes, reaching their lowest point with significant reductions of 85.63% in the cortex and 85.13% in the hippocampus compared to the sham group at 2 h. GLT-1 levels gradually rose after this dip, returning to baseline levels 7 days post-TBI.
To determine whether ECS regulated GLT-1 expression, mice were intraperitoneally injected with the CB1 receptor antagonist AM281 and 2-AG degradation enzyme inhibitor JZL184. The cortex and hippocampus were collected and the GLT-1 levels were assessed using western blotting and immunofluorescence staining on days 1, 3, and 7 post-injection. The western blot results indicated a significant increase in GLT-1 expression in the cortex (Figure 1C) and hippocampus (Figure 1D) of mice injected with AM281 at 1 and 3 days, compared to the TBI group, with no significant difference compared to the sham group. Surprisingly, the injection of JZL184 did not exacerbate the decrease in GLT-1 expression (Figure 1E,F). By day 7, GLT-1 expression had returned to normal levels in both the cortex and hippocampus, and no significant differences were observed among the four groups.
The expression of GLT-1 in astrocytes was detected through immunofluorescence staining. As indicated by Figure 2 and Supplementary Figure S1, following TBI, the GFAP levels increased in the peripheral cerebral cortex of the injured area on day 3 and 7. Notably, AM281 did not have an impact on this increase. Consistent with the results from western blot analysis, the downregulation of GLT-1 expression in astrocytes from the cortex, CA1, CA3, and DG subregions was reversed by inhibiting the CB1 receptor on days 1 and 3. This suggests that the CB1 receptor is involved in the regulation of GLT-1 expression. By day 7, GLT-1 expression had returned to normal levels in both the cortex and the CA1 subregions of the hippocampus. However, there remained a 36.58% reduction in the CA3 subregion and a 48.14% reduction in GLT-1 levels in the DG subregion compared to the sham group.
3.2. Reversing the Decrease in GLT-1 Expression Reduced Neuronal Apoptosis in the CA3 and DG Subregions of Mice with TBI
The investigation of neuronal apoptosis in the brains of mice was conducted using TUNEL staining. As shown in Figure 3, a significant increase in neuronal apoptosis was observed in the cortex, CA3, and DG subregions on day 1 following TBI, but no increase was observed in the CA1 subregion. Additionally, the administration of AM281 significantly mitigated neuronal apoptosis in the CA3 and DG subregions, although no effect was observed in the cortex.
3.3. GLT-1 Expression in the Hippocampus Was Significantly Increased by Inhibiting the CB1-CREB Signaling Pathway
Given that CREB and NF-κB are the primary positive transcriptional regulators of GLT-1 expression, we initially examined the changes in the expression levels of both factors using western blot and immunofluorescence staining in vivo. We found that the expression of CREB and phosphorylated CREB (P-CREB) was significantly decreased in the hippocampus and in the astrocytes of the CA1, CA3, and DG subregions one day after TBI compared to the sham group. This decrease was reversed with an injection of AM281, although P-CREB levels in the CA1 subregion did not show improvement (Figure 4). Conversely, NF-κB (P65) expression was significantly increased; however, no changes were observed following AM281 treatment (Supplementary Figure S2). These findings suggest that 2-AG is involved in regulating GLT-1 expression through the CB1-CREB signaling pathway. Inhibiting this signaling pathway led to a significant upregulation of GLT-1 expression.
3.4. The Cognitive Impairment Resulting from TBI Was Improved by Inhibiting the CB1 Receptor
The cognitive impairment resulting from TBI was evaluated using the open-field, Y-maze, and novel object recognition tests. In the open-field test (Figure 5C), we observed depressive-like behavior characterized by significantly reduced spontaneous and exploratory activity compared to the sham group on day 1 post-TBI. Treatment with AM281 improved TBI-induced depressive-like behavior by day 5. In the Y-maze test (Figure 5E), we identified learning and memory impairments in mice after TBI, as indicated by significantly lower spontaneous alternation ratios compared to the sham group at 3 days post-injury. This significant difference persisted until day 7. Treatment with AM281 improved the learning and memory deficits associated with TBI on day 3. In the novel object recognition test (Figure 5G), we found evidence of TBI-induced learning and memory impairment at 2 days, marked by a significantly reduced recognition index. However, there was no significant difference in recognition index between the mice treated with AM281 and those receiving vehicle treatment.
4. Discussion
TBI has a high incidence and poses significant risks in daily life, leading to neurotoxicity that can trigger various post-traumatic neurodegenerative diseases [31]. TBI is associated with a decrease in glutamate transporters, specifically GLT-1, which plays a vital role in preventing excitotoxicity. However, the underlying mechanisms remain unclear. In this study, we demonstrate for the first time that the endocannabinoid 2-AG inhibits CREB phosphorylation in astrocytes through CB1 receptor. This inhibition ultimately results in a reduction of GLT-1 levels in mice following TBI.
GLT-1 is the most widely distributed glutamate transporter in the central nervous system, accounting for approximately 90% of synaptic glutamate clearance in astrocytes [10]. Goodrich et al. demonstrated that GLT-1 expression was reduced in the cortex following TBI in rats, with a notable decrease observed in the ipsilesional cortex compared to the contralesional cortex [11]. Similarly, Gupta et al. investigated the downregulation of GLT-1 expression in the pericontusional cortex of old male mice after TBI. They found a significant decrease in GLT-1 expression at both the transcript and protein levels in older TBI mice compared to adult TBI mice [12]. Our study found that GLT-1 levels decreased rapidly and were widespread throughout almost the entire hemisphere ipsilateral to the injury following TBI. GLT-1 expression exhibited a consistent pattern of initial decline followed by a gradual recovery in the contused cortex and hippocampus after TBI. Specifically, GLT-1 levels began to decrease within half an hour, reached their lowest point at 2 h, and then gradually increased, returning to normal levels by day 7. However, the underlying mechanism is still unclear, especially the rapid decline in a short period of time, which may be the internalization of transporters triggered by an increase in extracellular glutamate following TBI. Like many other membrane transporters, the trafficking of GLT-1 protein to and from the plasma membrane provided a means of rapidly regulating its activity. A study showed that an increase in extracellular glutamate reduced cell surface GLT-1 in a dose-dependent manner, which promoted the association with GLT-1 of the bridging protein β-arrestin and the ubiquitin ligase Nedd4-2, leading to increased ubiquitination of GLT-1, followed by endocytosis and lysosomal degradation [32]. We also observed changes in GLT-1 levels in the CA1, CA3, and DG subregions of the hippocampus, which are crucial for memory and cognition. By day 7, GLT-1 expression had returned to normal levels in the CA1 subregion. However, significant reductions in GLT-1 expression persisted in the CA3 and DG subregions in the TBI group compared to the sham group. Additionally, more severe neuronal apoptosis was observed in the CA3 and DG subregions on day 1 following TBI, but not in the CA1 subregion, suggesting that low GLT-1 expression has a greater impact on the apoptosis of CA3 and DG neurons. Zhang et al. found that the baseline GLT-1 expression in the CA3 and DG subregions was significantly higher than in the CA1 subregion, possibly contributing to delayed neuronal death in the CA3 and DG following cerebral ischemia. Their findings indicate that downregulation of GLT-1 expression and function can induce neuronal death [33]. Furthermore, Schumm et al. reported that the functionality of the CA3 subregion was more susceptible to impairment in a hippocampal network model of mild TBI [34]. Therefore, targeting the CA3 and DG subregions may represent an effective therapeutic strategy to mitigate neurodegeneration and improve cognitive impairments caused by TBI.
2-AG is the most abundant endogenous cannabinoid. Following TBI, its levels in the hippocampus of mice increase to more than six times the normal amount within one day and remain over three times the normal level five days post-injury [29]. Released from postsynaptic neurons, 2-AG not only inhibits the release of neurotransmitters from presynaptic neurons, but also regulates various functions of astrocytes through the activation of CB1 receptors. Interestingly, 2-AG has significant inhibitory effects on NF-κB and CREB, the crucial positive transcriptional regulators of GLT-1 [20,21,22]. This suggests that 2-AG may contribute to the downregulation of GLT-1 expression following TBI. To test this hypothesis, mice were injected intraperitoneally with a CB1 receptor antagonist AM281 after TBI. Surprisingly, the downregulation of GLT-1, CREB, and P-CREB expression in astrocytes caused by TBI was reversed by inhibiting the CB1 receptor one day after the injury, but no changes in NF-κB (P65) expression were observed. These findings indicate that 2-AG is involved in regulating GLT-1 expression via the CB1-CREB signaling pathway. However, the injection of JZL184 did not exacerbate the decrease in GLT-1 expression following TBI. It is speculated that the possible reason is that the significantly elevated 2-AG in the brain after TBI is sufficient for the activation of CB1 receptors on astrocytes, so JZL184 and TBI did not have a synergistic effect on the reduction of GLT-1 expression. In fact, we found that the expression level of GLT-1 in the cortex of mice injected with MAGL inhibitor JZL184 increased compared to the TBI group on day 1 (Figure 1E), while there was no significant difference at subsequent time points. We speculate that the elevated 2-AG may regulate GLT-1 expression through non-CB1 receptor-dependent signaling pathways, which requires further research in the future.
Our results indicate that mice with TBI display short-term memory impairment and depression-like behavior, accompanied by a significant amount of neuronal apoptosis in the CA3 and DG subregions of the hippocampus. Importantly, inhibiting the CB1 receptor through the injection of AM281 significantly reduced neuronal apoptosis and abnormal behaviors while enhancing GLT-1 expression. The DG and CA3 are critical structures involved in the editing and storing of memory within the hippocampus, each with distinct cellular structures and functions. The DG plays a vital role in forming hippocampal memories by receiving information from the entorhinal cortex and transmitting it to the CA3 region, which is responsible for encoding, storing, and retrieving memories [35]. Therefore, improving neuronal apoptosis in these specific hippocampal subregions can help mitigate memory and cognitive impairments resulting from TBI. Neuronal damage and necrosis following TBI are exacerbated by glutamate accumulation, which leads to excitotoxicity associated with downregulated GLT-1 expression. Consistent with our findings, several studies have demonstrated that increasing GLT-1 expression may provide neuroprotective effects in TBI models. For instance, Cui et al. investigated the neuroprotective effects of ceftriaxone in a rat TBI model and found that ceftriaxone treatment could upregulate GLT-1 expression and inhibit post-TBI neuronal autophagy [36]. Additionally, Sun et al. proposed a new mechanism for cognitive impairment involving astrocytic P-connexin 43, which promotes neuronal autophagy by downregulating GLT-1 expression in the hippocampus after TBI in rats [37]. Furthermore, Piao et al. provided evidence that TBI decreased astrocytic GLT-1, which correlates with increased extracellular glutamate and depressive-like behavior [3]. These findings suggest that alterations in GLT-1 expression play a crucial role in the pathophysiology of TBI, and interventions aimed at targeting GLT-1 expression may offer neuroprotective benefits in TBI models.
Previous studies provided evidence that inhibition of MAGL by injection of JZL184, which elevated 2-AG levels and enhanced 2-AG signaling, produced neuroprotective effects in TBI [38,39,40]. 2-AG accumulation derived from MAGL inhibition leads to the activation of cannabinoid receptors. Since CB1 receptors are mainly expressed in the central nervous system, the neuroprotective effects of MAGL inactivation are mediated by CB1 receptors [41]. Interestingly, the neuroprotective effects are also observed by inhibiting CB1 in our current study, which seems to be inconsistent with the above studies. However, there are reports indicating that the neuroprotective effects appear not to be guided through the cannabinoid receptor-dependent pathway, but by lowering pro-inflammatory eicosanoids. Attenuated neuroinflammatory responses in animal models of PD and AD were not reversed by cannabinoid receptor antagonists, indicating that the protective effects observed were mainly due to decreased levels of prostaglandins and cytokines in the brain [42,43]. Moreover, CB1 antagonists can not only attenuate the effects of CB1 agonists, but also act as inverse agonists, which can elicit responses opposite in direction from those elicited by CB1 agonists [44]. Studies show that blocking CB1 produces neuroprotective effects on retinal degeneration [45,46]. Those studies disclose the multiple connections of the ECS with other signaling pathways in the CNS. In addition, there are some limitations in our current research, such as the lack of positive and negative controls, and further validation with large samples is needed in the future.
5. Conclusions
Our current findings suggest a new mechanism by which TBI leads to the downregulation of astrocyte GLT-1 levels. Selectively inhibiting the CB1-CREB signaling pathway may reduce neuronal apoptosis and cognitive dysfunction, potentially providing a new therapeutic strategy for TBI. Further research is necessary to explore this avenue.
Abbreviations
| 2-AG | 2-arachidonoyl glycerol |
| CB1 | Cannabinoid type 1 |
| CCI | Controlled cortical impact |
| CREB | Cyclic-AMP response binding protein |
| DMEM | Dulbecco’s modified Eagle’s medium |
| EAATs | Excitatory amino acid transporters |
| ECS | Endocannabinoid system |
| ERK | Extracellular signal-regulated kinase |
| FBS | Fetal bovine serum |
| GFAP | Glial fibrillary acidic protein |
| GLAST | Glutamate and aspartate transporter |
| GLT-1 | Glutamate transporter-1 |
| IF | Immunofluorescence |
| MAGL | Monoacyl glycerol lipase |
| mTOR | Mammalian target of rapamycin |
| NF-κB | Nuclear factor kappa-light-chain-enhancer of activated B cells |
| PKA | Protein kinase A |
| RI | Recognition Index |
| TBI | Traumatic brain injury |
| WB | Western blot |
Supplementary Materials
The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/biom15101408/s1, Table S1: Antibodies used in the present study for WB and IF; Figure S1: TBI-induced upregulation of GFAP expression in astrocytes of cortex was not reversed by inhibiting the CB1 receptor; Figure S2: TBI-induced upregulation of P65 expression in astrocytes was not reversed by inhibiting the CB1 receptor.
Institutional Review Board Statement
Animal care and experimental procedures were reviewed and approved by the China Medical University Animal Care and Use Committee (CMU2021548), approval date: 21 November 2021.
Informed Consent Statement
Not applicable.
Data Availability Statement
The original contributions presented in this study are included in the article/supplementary material. Further inquiries can be directed to the corresponding author(s).
Conflicts of Interest
The authors declare no competing interests.
Funding Statement
This study was supported by the project of the Education Department of Liaoning Province (JYTMS20230126) and the Key Laboratory of Forensic Bio-evidence Science of Liaoning Province (2023-PYKT-004).
Footnotes
Footnote Group
References
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Data Availability Statement
The original contributions presented in this study are included in the article/supplementary material. Further inquiries can be directed to the corresponding author(s).