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2000
Volume 12, Issue 1
  • ISSN: 2211-5560
  • E-ISSN: 2211-5579

Abstract

Background

Stress-related illnesses and depression are rising in modern society. Selective serotonin reuptake inhibitors as well as other antidepressants, are also not very effective and commonly exhibit partial remission, suggesting the need for novel therapeutic agents for treating anxiety and depression.

Objective

The present study was designed to investigate serotonergic mechanisms in the potential anxiolytic and stress-reducing effects of metformin.

Method

In the first experiment, rats were given two doses (50 and 100 mg/kg) of metformin to monitor the effects of repeated administration on motor activity, anxiety, and 5-HT-1A receptor expression in the hippocampus and raphe nuclei. The second experiment was conducted in 2 parts, in 2a. experiment, control, and metformin (50 mg/kg) treated rats were immobilized for 2 hours for 5 consecutive days. Food intake and body weight were monitored daily and anxiety-like behavior was monitored on days 2 and 6. On day 6, rats were again immobilized for 2 hours, and after termination of stress rats were sacrificed to collect the hippocampus for HPLC-EC analysis of serotonin (5-hydroxytryptamine; 5-HT) and 5-hydroxy indole acetic acid (5-HIAA). In 2b. experiment, control, and metformin (50 mg/kg) treated rats were immobilized for 2 hours, and after 2 hours rats were sacrificed to collect the hippocampus for HPLC-EC analysis of 5-HT and 5-HIAA.

Results

We found that metformin treatment exhibited anxiety reduction associated with greater expression of 5-HT-1A receptor in the hippocampus and reduced expression in the raphe nuclei. Immobilization stress-induced food intake and body weight deficits were comparable in control and metformin-treated rats, but the anxiogenic effects of stress were smaller in the metformin-treated group. Stress-induced decreases of hippocampal 5-HT were smaller in metformin-treated than in control rats.

Conclusion

Metformin can reduce stress-induced anxiety mediated an increase in hippocampal 5-HT levels and 5-HT-1A heteroreceptor expression.

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2025-03-13
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References

  1. HolmesA. SilvestriR. Rates of Mental Illness and Associated Academic Impacts in Ontario’s College Students.Can. J. Sch. Psychol.2016311274610.1177/0829573515601396
    [Google Scholar]
  2. KentorR.A. HilliardM.E. JPP Student Journal Club commentary: Considerations on depression, distress, and resilience in parents of children with chronic health conditions.J. Pediatr. Psychol.201944215015210.1093/jpepsy/jsy096 30590517
    [Google Scholar]
  3. MarasineN.R. SankhiS. LamichhaneR. MarasiniN.R. DangiN.B. Use of antidepressants among patients diagnosed with depression: a scoping review.BioMed Res. Int.202120211810.1155/2021/6699028 33791379
    [Google Scholar]
  4. Jabeen HaleemD. Drug targets for obesity and depression: From serotonin to leptin.Curr. Drug Targets201617111282129110.2174/1389450117666151209123049 26648065
    [Google Scholar]
  5. DalvieS. ChatzinakosC. Al ZoubiO. GeorgiadisF. LancashireL. DaskalakisN.P. From genetics to systems biology of stress-related mental disorders.Neurobiol. Stress20211510039310.1016/j.ynstr.2021.100393 34584908
    [Google Scholar]
  6. EgedeL.E. Diabetes, major depression, and functional disability among U.S. adults.Diabetes Care200427242142810.2337/diacare.27.2.421 14747223
    [Google Scholar]
  7. FioreV. MarciM. PoggiA. The association between diabetes and depression: a very disabling condition.Endocrine2015481142410.1007/s12020‑014‑0323‑x 24927794
    [Google Scholar]
  8. HoltR.I.G. KatonW.J. Dialogue on Diabetes and Depression: Dealing with the double burden of co-morbidity.J. Affect. Disord.2012142Suppl.S1S310.1016/S0165‑0327(12)00632‑5 23062852
    [Google Scholar]
  9. HoltR.I.G. Undoing Descartes: integrating diabetes care for those with mental illness.Pract. Diabetes Int.201128627027510.1002/pdi.1613
    [Google Scholar]
  10. LustmanP.J. AndersonR.J. FreedlandK.E. de GrootM. CarneyR.M. ClouseR.E. Depression and poor glycemic control: a meta-analytic review of the literature.Diabetes Care200023793494210.2337/diacare.23.7.934 10895843
    [Google Scholar]
  11. AtesM. DayiA. KirayM. Anxiety- and depression-like behavior are correlated with leptin and leptin receptor expression in prefrontal cortex of streptozotocin-induced diabetic rats.Biotech. Histochem.201489316117110.3109/10520295.2013.825319 24007473
    [Google Scholar]
  12. GuptaA. BishtB. DeyC.S. Peripheral insulin-sensitizer drug metformin ameliorates neuronal insulin resistance and Alzheimer’s-like changes.Neuropharmacology201160691092010.1016/j.neuropharm.2011.01.033 21277873
    [Google Scholar]
  13. Long-term safety, tolerability, and weight loss associated with metformin in the Diabetes Prevention Program Outcomes Study.Diabetes Care201235473173710.2337/dc11‑1299 22442396
    [Google Scholar]
  14. BaileyC.J. Metformin—An update.Gen. Pharmacol.19932461299130910.1016/0306‑3623(93)90411‑P 8112499
    [Google Scholar]
  15. HermannL.S. SchersténB. MelanderA. Antihyperglycaemic efficacy, response prediction and dose-response relations of treatment with metformin and sulphonylurea, alone and in primary combination.Diabet. Med.1994111095396010.1111/j.1464‑5491.1994.tb00253.x 7895460
    [Google Scholar]
  16. SarkakiA. FarboodY. BadaviM. KhalajL. KhodagholiF. AshabiG. Metformin improves anxiety-like behaviors through AMPK-dependent regulation of autophagy following transient forebrain ischemia.Metab. Brain Dis.20153051139115010.1007/s11011‑015‑9677‑x 25936719
    [Google Scholar]
  17. JiS. WangL. LiL. Effect of metformin on short-term high-fat diet-induced weight gain and anxiety-like behavior and the gut microbiota.Front. Endocrinol. (Lausanne)20191070410.3389/fendo.2019.00704 31681174
    [Google Scholar]
  18. ZemdegsJ. MartinH. PintanaH. Metformin promotes anxiolytic and antidepressant-like responses in insulin-resistant mice by decreasing circulating branched-chain amino acids.J. Neurosci.201939305935594810.1523/JNEUROSCI.2904‑18.2019 31160539
    [Google Scholar]
  19. HaoY. TongY. GuoY. Metformin attenuates the metabolic disturbance and depression-like behaviors induced by corticosterone and mediates the glucose metabolism pathway.Pharmacopsychiatry202154313114110.1055/a‑1351‑0566 33634460
    [Google Scholar]
  20. HaleemD.J. Glucocorticoids in the physiological and transcriptional regulation of 5-ht1a receptor and the pathogenesis of depression.Neuroscientist2022281596810.1177/1073858420975711 33243080
    [Google Scholar]
  21. Jabeen HaleemD. Raphe-hippocampal serotonin neurotransmission in the sex related differences of adaptation to stress: focus on serotonin-1a receptor.Curr. Neuropharmacol.20119351252110.2174/157015911796558019 22379463
    [Google Scholar]
  22. HaleemD.J. Behavioral deficits and exaggerated feedback control over raphe-hippocampal serotonin neurotransmission in restrained rats.Pharmacol. Rep.201163488889710.1016/S1734‑1140(11)70604‑1 22001976
    [Google Scholar]
  23. RiadM. GarciaS. WatkinsK.C. Somatodendritic localization of 5-HT1A and preterminal axonal localization of 5-HT1B serotonin receptors in adult rat brain.J. Comp. Neurol.2000417218119410.1002/(SICI)1096‑9861(20000207)417:2<181::AID‑CNE4>3.0.CO;2‑A 10660896
    [Google Scholar]
  24. SalmanT. AfrozR. NawazS. MahmoodK. HaleemD.J. ZarinaS. Differential effects of memory enhancing and impairing doses of methylphenidate on serotonin metabolism and 5-HT1A, GABA, glutamate receptor expression in the rat prefrontal cortex.Biochimie2021191516110.1016/j.biochi.2021.08.009 34454977
    [Google Scholar]
  25. Richardson-JonesJ.W. CraigeC.P. GuiardB.P. 5-HT1A autoreceptor levels determine vulnerability to stress and response to antidepressants.Neuron2010651405210.1016/j.neuron.2009.12.003 20152112
    [Google Scholar]
  26. SeneseN.B. RasenickM.M. TraynorJ.R. The role of g-proteins and g-protein regulating proteins in depressive disorders.Front. Pharmacol.20189128910.3389/fphar.2018.01289 30483131
    [Google Scholar]
  27. HaleemD.J. MahmoodK. Brain serotonin in high-fat diet-induced weight gain, anxiety and spatial memory in rats.Nutr. Neurosci.202124322623510.1080/1028415X.2019.1619983 31116091
    [Google Scholar]
  28. HaleemD.J. IkramH. HaleemM.A. Inhibition of apomorphine-induced conditioned place preference in rats co-injected with buspirone: Relationship with serotonin and dopamine in the striatum.Brain Res.20141586738210.1016/j.brainres.2014.06.022 25160128
    [Google Scholar]
  29. SaeedR. MahmoodK. AliS.B. HaleemD.J. Behavioral, hormonal, and serotonergic responses to different restricted feeding schedules in rats.Int. J. Tryptophan Res.20221510.1177/11786469221104729 35757086
    [Google Scholar]
  30. AliS.B. MahmoodK. SaeedR. SalmanT. ChoudharyM.I. HaleemD.J. Elevated anxiety, hypoactivity, memory deficits, decreases of brain serotonin and 5-HT-1A receptors expression in rats treated with omeprazole.Toxicol. Res.202137223724810.1007/s43188‑020‑00060‑3 33868980
    [Google Scholar]
  31. NathN. KhanM. PaintliaM.K. HodaM.N. GiriS. GiriS. Metformin attenuated the autoimmune disease of the central nervous system in animal models of multiple sclerosis.J. Immunol.2009182128005801410.4049/jimmunol.0803563 19494326
    [Google Scholar]
  32. AshrostaghiZ. GanjiF. SepehriH. Effect of metformin on the spatial memory in aged rats.Natl. J. Physiol. Pharm. Pharmacol.20155541642010.5455/njppp.2015.5.1208201564
    [Google Scholar]
  33. AfshariK. DehdashtianA. HaddadiN.S. Anti-inflammatory effects of Metformin improve the neuropathic pain and locomotor activity in spinal cord injured rats: Introduction of an alternative therapy.Spinal Cord201856111032104110.1038/s41393‑018‑0168‑x 29959433
    [Google Scholar]
  34. HaleemD.J. NawazS. Inhibition of reinforcing, hyperalgesic, and motor effects of morphine by buspirone in rats.J. Pain2017181192810.1016/j.jpain.2016.10.001 27742411
    [Google Scholar]
  35. ZafarM. AfrozR. NawazS. SalmanT. HaleemD.J. Brain serotonin-2c receptor regulation in schizophrenia rat model.Asian J Emerg Res201912919710.3923/ajerpk.2019.91.97
    [Google Scholar]
  36. HaleemD.J. InamQ.A. HaleemM.A. Effects of clinically relevant doses of methyphenidate on spatial memory, behavioral sensitization and open field habituation: A time related study.Behav. Brain Res.201528120821410.1016/j.bbr.2014.12.031 25532915
    [Google Scholar]
  37. PellowS. ChopinP. FileS.E. BrileyM. Validation of open: closed arm entries in an elevated plus-maze as a measure of anxiety in the rat.J. Neurosci. Methods198514314916710.1016/0165‑0270(85)90031‑7 2864480
    [Google Scholar]
  38. GulS. HaleemD. NaqviS. Serotonergic and Behavioral Responses to Stress with Tryptophan in Rats.Curr. Psychopharmacol.201761748710.2174/2211556006666170130123741
    [Google Scholar]
  39. GulS. SaleemD. HaleemM.A. HaleemD.J. Inhibition of hormonal and behavioral effects of stress by tryptophan in rats.Nutr. Neurosci.201922640941710.1080/1028415X.2017.1395551 29098950
    [Google Scholar]
  40. JalalK. KhanF. NawazS. Anxiolytic, anti-nociceptive and body weight reducing effects of L-lysine in rats: Relationship with brain serotonin an In-Vivo and In-Silico study.Biomed. Pharmacother.202215211323510.1016/j.biopha.2022.113235 35696944
    [Google Scholar]
  41. ŁabuzekK. SuchyD. GabryelB. BieleckaA. LiberS. OkopieńB. Quantification of metformin by the HPLC method in brain regions, cerebrospinal fluid and plasma of rats treated with lipopolysaccharide.Pharmacol. Rep.201062595696510.1016/S1734‑1140(10)70357‑1 21098880
    [Google Scholar]
  42. EdwardsL.E. MezukB. Anxiety and risk of type 2 diabetes: Evidence from the Baltimore Epidemiologic Catchment Area Study.J. Psychosom. Res.201273641842310.1016/j.jpsychores.2012.09.018 23148808
    [Google Scholar]
  43. LewkoJ. ZarzyckiW. Krajewska-KułakE. Relationship between the occurrence of symptoms of anxiety and depression, quality of life, and level of acceptance of illness in patients with type 2 diabetes.Saudi Med. J.2012338887894 22886123
    [Google Scholar]
  44. Tovilla-ZárateC. Juárez-RojopI. Peralta JimenezY. Prevalence of anxiety and depression among outpatients with type 2 diabetes in the Mexican population.PLoS One201275e3688710.1371/journal.pone.0036887 22629339
    [Google Scholar]
  45. McLaughlinK.A. HatzenbuehlerM.L. Stressful life events, anxiety sensitivity, and internalizing symptoms in adolescents.J. Abnorm. Psychol.2009118365966910.1037/a0016499 19685962
    [Google Scholar]
  46. HolmesA. Genetic variation in cortico-amygdala serotonin function and risk for stress-related disease.Neurosci. Biobehav. Rev.20083271293131410.1016/j.neubiorev.2008.03.006 18439676
    [Google Scholar]
  47. FatemiI. DelrobaeeF. BahmaniM. ShamsizadehA. AllahtavakoliM. The effect of the anti-diabetic drug metformin on behavioral manifestations associated with ovariectomy in mice.Neurosci. Lett.2019690959810.1016/j.neulet.2018.10.024 30321576
    [Google Scholar]
  48. FanJ. LiD. ChenH.S. Metformin produces anxiolytic‐like effects in rats by facilitating GABA A receptor trafficking to membrane.Br. J. Pharmacol.2019176229731610.1111/bph.14519 30318707
    [Google Scholar]
  49. HaleemD.J. ParveenT. Brain regional serotonin synthesis following adaptation to repeated restraint.Neuroreport19945141785178810.1097/00001756‑199409080‑00025 7827332
    [Google Scholar]
  50. HaleemD.J. JabeenB. ParveenT. Inhibition of restraint-induced anorexia by injected tryptophan.Life Sci.19986314PL205PL21210.1016/S0024‑3205(98)00391‑9 9771918
    [Google Scholar]
  51. MoinS. HaiderS. KhaliqS. TabassumS. HaleemD.J. Behavioral and neurochemical studies in stressed and unstressed rats fed on protein, carbohydrate and fat rich diet.Pak. Vet. J.2012322
    [Google Scholar]
  52. BaileyC.J. FlattP.R. EwanC. Anorectic effect of metformin in lean and genetically obese hyperglycaemic (ob/ob) mice.Arch. Int. Pharmacodyn. Ther.19862822233239 3767527
    [Google Scholar]
  53. SmithD.L.Jr ElamC.F.Jr MattisonJ.A. Metformin supplementation and life span in Fischer-344 rats.J. Gerontol. A Biol. Sci. Med. Sci.201065A546847410.1093/gerona/glq033 20304770
    [Google Scholar]
  54. FangW. ZhangJ. HongL. Metformin ameliorates stress-induced depression-like behaviors via enhancing the expression of BDNF by activating AMPK/CREB-mediated histone acetylation.J. Affect. Disord.202026030231310.1016/j.jad.2019.09.013 31521867
    [Google Scholar]
  55. GarabaduD. KrishnamurthyS. Diazepam potentiates the antidiabetic, antistress and anxiolytic activities of metformin in type-2 diabetes mellitus with cooccurring stress in experimental animals.BioMed Res. Int.2014201411510.1155/2014/693074 24995322
    [Google Scholar]
  56. ShivavediN. KumarM. TejG.N.V.C. NayakP.K. Metformin and ascorbic acid combination therapy ameliorates type 2 diabetes mellitus and comorbid depression in rats.Brain Res.201716741910.1016/j.brainres.2017.08.019 28827076
    [Google Scholar]
  57. LiG.F. ZhaoM. ZhaoT. ChengX. FanM. ZhuL.L. [Effects of metformin on depressive behavior in chronic stress rats].Chung Kuo Ying Yung Sheng Li Hsueh Tsa Chih2019353245249 31257807
    [Google Scholar]
  58. KakhkiF.S.H. AsghariA. BardaghiZ. (2024) The antidiabetic drug metformin attenuated depressive and anxietylike behaviors and oxidative stress in the brain in a rodent model of inflammation induced by lipopolysaccharide in male rats.Endocr. Metab. Immune Disord. Drug Targets202424Advance online publication.10.2174/0118715303275039231228065050 38284725
    [Google Scholar]
  59. LemondeS. TureckiG. BakishD. Impaired repression at a 5-hydroxytryptamine 1A receptor gene polymorphism associated with major depression and suicide.J. Neurosci.200323258788879910.1523/JNEUROSCI.23‑25‑08788.2003 14507979
    [Google Scholar]
  60. AlbertP.R. Vahid-AnsariF. LuckhartC. Serotonin-prefrontal cortical circuitry in anxiety and depression phenotypes: pivotal role of pre- and post-synaptic 5-HT1A receptor expression.Front. Behav. Neurosci.2014819910.3389/fnbeh.2014.00199 24936175
    [Google Scholar]
  61. BarnesN.M. SharpT. A review of central 5-HT receptors and their function.Neuropharmacology19993881083115210.1016/S0028‑3908(99)00010‑6 10462127
    [Google Scholar]
  62. AkimovaE. LanzenbergerR. KasperS. The serotonin-1A receptor in anxiety disorders.Biol. Psychiatry200966762763510.1016/j.biopsych.2009.03.012 19423077
    [Google Scholar]
  63. GoldbergH.L. FinnertyR.J. The comparative efficacy of buspirone and diazepam in the treatment of anxiety.Am. J. Psychiatry197913691184118710.1176/ajp.136.9.1184 382878
    [Google Scholar]
  64. Garcia-GarciaA.L. Newman-TancrediA. LeonardoE.D. P5-HT1A receptors in mood and anxiety: recent insights into autoreceptor versus heteroreceptor function.Psychopharmacology2014231462363610.1007/s00213‑013‑3389‑x 24337875
    [Google Scholar]
  65. AlbertP.R. Transcriptional regulation of the 5-HT 1A receptor: implications for mental illness.Philos. Trans. R. Soc. Lond. B Biol. Sci.201236716012402241510.1098/rstb.2011.0376 22826341
    [Google Scholar]
  66. AlbertP.R. FrançoisB.L. Modifying 5-HT1A receptor gene expression as a new target for antidepressant therapy.Front. Neurosci.201043510.3389/fnins.2010.00035 20661455
    [Google Scholar]
  67. FileS.E. KennyP.J. CheetaS. The role of the dorsal hippocampal serotonergic and cholinergic systems in the modulation of anxiety.Pharmacol. Biochem. Behav.2000661657210.1016/S0091‑3057(00)00198‑2 10837844
    [Google Scholar]
  68. DaleE. PehrsonA.L. JeyarajahT. Effects of serotonin in the hippocampus: how SSRIs and multimodal antidepressants might regulate pyramidal cell function.CNS Spectr.201621214316110.1017/S1092852915000425 26346726
    [Google Scholar]
  69. Segi-NishidaE. The Effect of Serotonin-Targeting Antidepressants on Neurogenesis and Neuronal Maturation of the Hippocampus Mediated via 5-HT1A and 5-HT4 Receptors.Front. Cell. Neurosci.20171114210.3389/fncel.2017.00142 28559799
    [Google Scholar]
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  • Article Type:
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Keyword(s): 5-HT-1A; anxiety; hippocampus; immobilization stress; Metformin; serotonin
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