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Neuroscience Letters
journal homepage: www.elsevier.com/locate/neulet
Research article
The effect of the anti-diabetic drug metformin on behavioral manifestations
associated with ovariectomy in mice
Iman Fatemi
a,b
, Fatemeh Delrobaee
c
, Maryam Bahmani
c
, Ali Shamsizadeh
a,b
,
Mohammad Allahtavakoli
a,b,
⁎
a
Physiology-Pharmacology Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
b
Department of Physiology and Pharmacology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
c
Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
ARTICLE INFO
Keywords:
Ovariectomy
Metformin
Anxiety
Cognition
ABSTRACT
The aim of this study was to evaluate the anti-diabetic drug metformin (Met) effects on the anxiety and cognitive
impairment in ovariectomized mice. Thirty-two female adult mice were distributed into four groups: control,
sham ovariectomy, ovariectomy + Met 7 mg/kg and ovariectomy + Met 15 mg/kg. The vaginal cytology was
used to confirm the ovariectomy surgery. Anxiety was monitored using elevated plus maze test and cognitive
function was assessed by novel object recognition task. Animal’s brains were analyzed for the brain-derived
neurotrophic factor (BDNF). Our results demonstrated that ovariectomy caused cognitive impairments and
anxiety, as well as decreased BDNF levels. Moreover, administration of Met improves ovariectomy-related dis-
orders such as cognitive impairments and anxiety, as well as increased BDNF levels. The results of the present
study suggest that Met could be used as a novel therapeutic strategy for the treatment of ovariectomy-related
conditions.
1. Introduction
It is expected that the global population of menopausal women will
increase over 1.2 million by the year 2030 [5]. Menopause is defined by
the loss of ovarian follicular activity and decline in gonadal hormones
in the females [1,18]. After menopause women usually suffer from
menopausal symptom including tender breasts, low bone density, hot
flushes, cognitive decline and anxiety [32]. It has been demonstrated
that gonadal hormones play an important role in mood and cognition;
and sex hormones deficiency is related with anxiety and cognition
impairment in menopause [7]. It is well demonstrated that Brain-de-
rived neurotrophic factor (BDNF) levels decrease in the ovariectomized
rat which contributed to cognition impairment [10]. Hormone re-
placement therapy is considered as a therapeutic intervention in an-
xiety and cognitive impairments, particularly after menopause in
women [34]. Nevertheless, clinically administration of these hormones
especially estrogen has controversy due to the fact that long-term
consumption of it may increase the risk of endometrial and breast
cancer development in women [39].
Metformin (Met) is recommended as the first-line drug in patients
with type 2 diabetes which reduces hyperglycemia via improving glu-
cose utilization and synthesis [12,23]. This drug has also been reported
that has pleiotropic effects including anti-inflammatory, antioxidant
and neuroprotective effects which may extend its clinical indications
[2,25]. It is well established that Met passes the blood-brain barrier and
distributes within CNS [27]. Furthermore, several studies have reported
the positive effects of this agent on behavioral disorders such as anxiety
and cognitive impairment [1,3,13,14].
Due to behavioral manifestations associated with ovariectomy and
the effects of Met on behavioral disorders, we hypothesized that Met
may has positive effects on anxiety-like behavior and cognitive im-
pairment in ovariectomized (OVX) mice. For this purpose, we compared
the anxiety-like behavior, cognitive impairment and BDNF levels of
sham and OVX mice with or without Met treatment by elevated plus-
maze (EPM) and the novel object recognition task (NORT).
2. Materials and methods
2.1. Animals
In this study 32 female mice (22–27 g) were kept under standard
laboratory conditions with food and water ad libitum and housed 8 per
cage on a reversed 12-h light: 12-h dark cycle. The experiments were
done base on the Animal Ethics Committee Guidelines for the use of
https://doi.org/10.1016/j.neulet.2018.10.024
Received 1 July 2018; Received in revised form 6 October 2018; Accepted 11 October 2018
⁎
Corresponding author at: Physiology-Pharmacology Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, 7717684884, Iran.
E-mail address: m_alahtavakoli@rums.ac.ir (M. Allahtavakoli).
Neuroscience Letters 690 (2019) 95–98
Available online 12 October 2018
0304-3940/ © 2018 Published by Elsevier B.V.
T