Abstract:
Depression is a complex and heterogenous mental health condition which affects the
overall well-being of an individual by influencing thoughts, emotions, sleep, behavior, and
physical health. Reports from the world health organization (WHO) have affirmed that the
global impact of depression is substantially increasing to the level that it is anticipated that
by 2020, it will become the primary cause of disease worldwide. Currently, the treatment
of depression involves selective serotonin reuptake inhibitors, serotonin and
norepinephrine reuptake inhibitors, monoamine oxidase inhibitors, tricyclic and tetracyclic
antidepressants. These synthetic antidepressants, although widely prescribed, have
significant limitations since they focus exclusively on one aspect of pathogenesis, resulting
in the majority of them exhibiting a slow-acting nature. Moreover, they have multiple side
effects that include insomnia, nausea, weight changes and sexual dysfunction. In contrast,
natural plant-based flavonoid compounds having lesser side effects are known to produce
anti-depressant like effects by targeting multiple pathways simultaneously. The study
explored the effect of intraperitoneal administration of 10mg/kg Luteolin (LUT) on nine
weeks of unpredictable chronic mild stress (UCMS) mouse model of depression in
comparison with Fluoxetine (FXT). The mice were assigned randomly to six distinct study
groups, with each group consisting of six mice (n=6). Coat state was examined each week
as an indicator of stress. The UCMS group showed significantly altered coat state from
week 4 (1.50±0.183) (p<0.001) till week 9 (1.583±0.154) (p<0.0001). The chronic LUT
treatment showed significant (p<0.01) improvement in the coat state in the ninth week of
UCMS (0.583±0.154). Behavioral tests were carried out to evaluate the impact of UCMS
and LUT on anhedonia, anxiety, short-term spatial memory, helplessness, and behavioral
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despair through SST, NSFT, Y-maze test, TST, and FST. The LUT treated UCMS group
indicated significantly (p<0.0001) reduced anhedonia by increasing the grooming time
(185±9.473 seconds) and decreasing the latency to initiate grooming behavior (p<0.001)
(2±0.4472 seconds). The present study however showed no significant impairment in
anxiety and short-term spatial memory in UCMS in comparison to control group. The
results in TST indicated significant reduction (p<0.0001) in immobility time in
UCMS+LUT treated group when compared to UCMS (98±9.2 seconds). The latency to
immobility was significantly (p<0.05) increased in FST after LUT treatment (29±3.5
seconds) while the immobility time (p<0.0001) (20±5.3) and number of immobile episodes
(p<0.001) (8.8±1.5) were significantly reduced when compared to UCMS group.
Histopathological assessment using hematoxylin and eosin staining showed significant
(p<0.0001) reduction in neuronal cells in the hippocampal dentate gyrus area in UCMS treated group (13±0.865), however the LUT treated UCMS group significantly (p<0.0001)
restored this neuronal damage (25.00±1.683). For investigating the role of LUT on
neurogenesis and endoplasmic reticulum (ER) stress, the expression levels of NeuN and
ATF6 were examined through real time quantitative PCR. The LUT treated UCMS group
(1.0±0.030) showed significant (p<0.01) improvement in NeuN expression in comparison
to UCMS group (0.38±0.051). The ATF6 levels were significantly (p<0.001) decreased
after LUT administration in UCMS group (3.3±0.018) indicating its potential role in
neurogenesis by inhibiting the ER stress.
The results of the study strongly indicated the potential antidepressant effects of LUT by
reducing anhedonia and improving helplessness and behavioral despair through behavioral
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analysis in UCMS model of depression. Meanwhile, it also exhibits neuroprotective role
by significantly improving neurogenesis along with enhancing the NeuN expression in the
hippocampus. The study also suggests its potential involvement in alleviating the observed
ER stress in depression. Hence, LUT can serve as an effective treatment strategy for
depression