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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">840567</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.840567</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Mangiferin Alleviates Postpartum Depression&#x2013;Like Behaviors by Inhibiting MAPK Signaling in Microglia</article-title>
<alt-title alt-title-type="left-running-head">Yan et al.</alt-title>
<alt-title alt-title-type="right-running-head">Mangiferin Alleviates Postpartum Depression-Like Behaviors</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yan</surname>
<given-names>Meichen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1372079/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bo</surname>
<given-names>Xuena</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1553145/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Xinchao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Jingdan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liao</surname>
<given-names>Yajin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1036531/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Haiyan</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cheng</surname>
<given-names>Yong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/550471/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guo</surname>
<given-names>Junxia</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1371601/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Cheng</surname>
<given-names>Jinbo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/858545/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Center on Translational Neuroscience</institution>, <institution>College of Life and Environmental Science</institution>, <institution>Minzu University of China</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Key Laboratory of Modern Preparation of TCM</institution>, <institution>Ministry of Education</institution>, <institution>Jiangxi University of Traditional Chinese Medicine</institution>, <addr-line>Nanchang</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Beijing Key Laboratory of Bioactive Substances and Functional Foods</institution>, <institution>Beijing Union University</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>The Brain Science Center</institution>, <institution>Beijing Institute of Basic Medical Sciences</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/28921/overview">Karl Tsim</ext-link>, Hong Kong University of Science and Technology, Hong Kong SAR, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/525413/overview">Xiang Cao</ext-link>, Nanjing Drum Tower Hospital, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/466602/overview">Wenting Wang</ext-link>, Fourth Military Medical University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Jinbo Cheng, <email>cheng_jinbo@126.com</email>; Junxia Guo, <email>junxia@buu.edu.cn</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Neuropharmacology, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>03</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>840567</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>12</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Yan, Bo, Zhang, Zhang, Liao, Zhang, Cheng, Guo and Cheng.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Yan, Bo, Zhang, Zhang, Liao, Zhang, Cheng, Guo and Cheng</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Postpartum depression (PPD), a severe mental health disorder, is closely associated with decreased gonadal hormone levels during the postpartum period. Mangiferin (MGF) possesses a wide range of pharmacological activities, including anti-inflammation. Growing evidence has suggested that neuroinflammation is involved in the development of depression. However, the role of MGF in the development of PPD is largely unknown. In the present study, by establishing a hormone-simulated pregnancy PPD mouse model, we found that the administration of MGF significantly alleviated PPD-like behaviors. Mechanistically, MGF treatment inhibited microglial activation and neuroinflammation. Moreover, we found that MGF treatment inhibited mitogen-activated protein kinase (MAPK) signaling <italic>in vivo</italic> and <italic>in vitro</italic>. Together, these results highlight an important role of MGF in microglial activation and thus give insights into the potential therapeutic strategy for PPD treatment.</p>
</abstract>
<kwd-group>
<kwd>postpartum depression</kwd>
<kwd>mangiferin</kwd>
<kwd>microglia</kwd>
<kwd>neuroinflammation</kwd>
<kwd>MAPK signaling</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Postpartum depression (PPD) is a mental health disorder that frequently occurs in women during the postpartum period. The disorder is characterized by emotional changes, including melancholic and languid mood, low self-evaluation, lack of confidence, and even suicidal tendencies. Self-harm behaviors have been reported to be common in PPD patients, ranging from 5 to 14% (<xref ref-type="bibr" rid="B32">Lindahl et al., 2005</xref>). The average prevalence rate of PPD was previously reported to be approximately 13% (<xref ref-type="bibr" rid="B52">Weissman et al., 2004</xref>); however, recent studies have shown that the global prevalence rate of PPD was higher than the earlier estimate varying across countries (<xref ref-type="bibr" rid="B18">Hahn-Holbrook et al., 2017</xref>). Currently, drugs for the treatment of PPD in clinics are mainly monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and selective 5-HT reuptake inhibitors (SSRIs). However, owing to the associated side effects, such as anorexia, nausea, diarrhea, headache, nervousness, anxiety, and insomnia (<xref ref-type="bibr" rid="B17">Gjerdingen, 2003</xref>), the development of new anti-PPD drugs with higher efficacy and fewer side effects is urgently needed.</p>
<p>The levels of progesterone and estrogen increase steadily during pregnancy but decrease rapidly and remain at lower levels for a long time after childbirth (<xref ref-type="bibr" rid="B20">Hendrick et al., 1998</xref>). Dramatic changes in postpartum gonadal hormone levels are thought to be an important reason for the occurrence of PPD in the clinic. Based on this theory, multiple studies have established a PPD animal model by injecting progesterone and estrogen to mimic postpartum gonadal hormone changes (<xref ref-type="bibr" rid="B56">Zhang S et al., 2017</xref>; <xref ref-type="bibr" rid="B60">Zhu and Tang, 2020</xref>; <xref ref-type="bibr" rid="B55">Zhang et al., 2021</xref>). However, to date, the potential etiology of PPD has remained unclear, and the regulatory mechanisms are largely unknown. Growing evidence has suggested that neuroinflammation is involved in the development of depression. Increased levels of inflammatory cytokines, such as interleukin-1 beta (IL-1&#x3b2;), IL-8, and tumor necrosis factor-&#x3b1; (TNF-&#x3b1;), have been found in depressed patients in the clinic (<xref ref-type="bibr" rid="B3">Bauer et al., 2014</xref>; <xref ref-type="bibr" rid="B49">Walker et al., 2014</xref>). Microglia are one of the major types of immunological cells in the central nervous system and are involved in multiple neurological diseases, including Alzheimer&#x2019;s (<xref ref-type="bibr" rid="B21">Heneka et al., 2013</xref>; <xref ref-type="bibr" rid="B37">Pan et al., 2019</xref>; <xref ref-type="bibr" rid="B9">Cheng et al., 2021</xref>), Parkinson&#x2019;s (<xref ref-type="bibr" rid="B16">Gao et al., 2002</xref>; <xref ref-type="bibr" rid="B27">Lee et al., 2018</xref>; <xref ref-type="bibr" rid="B10">Cheng et al., 2020</xref>), and stroke (<xref ref-type="bibr" rid="B59">Zhao et al., 2016</xref>; <xref ref-type="bibr" rid="B31">Liao et al., 2020</xref>). For mental health disorders, it has been documented that microglial activation and NLRP3 inflammasome contribute to the development of post-traumatic stress disorder (<xref ref-type="bibr" rid="B11">Dong et al., 2020</xref>; <xref ref-type="bibr" rid="B28">Li S et al., 2021</xref>). In addition, it has been reported that the knockout of Dlg1 in microglia alleviated LPS-induced depression in mice by inhibiting microglial activation and neuroinflammation (<xref ref-type="bibr" rid="B38">Peng et al., 2021</xref>). Recently, too, neuroinflammation was reported to be involved in PPD pathology (<xref ref-type="bibr" rid="B26">Kendall-Tackett, 2007</xref>; <xref ref-type="bibr" rid="B33">Maes et al., 2000</xref>; <xref ref-type="bibr" rid="B1">Anderson and Maes, 2013</xref>; <xref ref-type="bibr" rid="B36">O&#x27;Mahony et al., 2006</xref>; <xref ref-type="bibr" rid="B57">Zhang X. L et al., 2017</xref>).</p>
<p>Mangiferin (MGF) is a type of tetrahydroxy pyrone carbonate, which can be extracted from several plants, such as <italic>Mangifera indica L</italic> and <italic>Amygdalus communis L</italic>. MGF possesses a wide range of pharmacological properties, including antitussive, anti-asthmatic, antiviral, immunoregulatory, antitumor, and anti-inflammatory activities (<xref ref-type="bibr" rid="B41">Saleh et al., 2014</xref>; <xref ref-type="bibr" rid="B43">Sellamuthu et al., 2014</xref>; <xref ref-type="bibr" rid="B4">Benard and Chi, 2015</xref>; <xref ref-type="bibr" rid="B23">Jang et al., 2016</xref>; <xref ref-type="bibr" rid="B44">Shi et al., 2016</xref>; <xref ref-type="bibr" rid="B14">Fan et al., 2017</xref>). In this study, we established a hormone-simulated pregnancy PPD mouse model and found that MGF alleviated PPD-like behaviors in mice. Mechanistically, MGF inhibited mitogen-activated protein kinase (MAPK) signaling <italic>in vivo</italic> and <italic>in vitro</italic>, thus inhibiting microglial activation and neuroinflammation.</p>
</sec>
<sec sec-type="results" id="s2">
<title>Results</title>
<sec id="s2-1">
<title>MGF Treatment Alleviates Depression-Like Behavior</title>
<p>To study the effects of MGF on PPD, we established a hormone-simulated pregnancy (HSP) mouse model combined with ovariectomy (OVX). As shown in <xref ref-type="fig" rid="F1">Figure 1</xref>, behavioral tests began 10 days after progesterone (P4) withdrawal. Two doses of MGF (20 and 60&#xa0;mg/kg) were orally administered once per day. Moreover, the novelty-suppressed feeding (NSF) test was used to evaluate exploration and anhedonia behaviors, while the forced swim test (FST) and tail-suspension test (TST) were utilized to assess depression-like behaviors. We found that mice in the PPD model group showed increased immobility time in the NSF test, FST, and TST (<xref ref-type="fig" rid="F2">Figures 2A&#x2013;F</xref>), indicating impaired emotional functions. Interestingly, administration of MGF significantly decreased the immobility time in the NSF test in a dose-dependent manner compared with the PPD group (<italic>p</italic> &#x3c; 0.001) (<xref ref-type="fig" rid="F2">Figures 2A,B</xref>). Consistently, administration of MGF significantly decreased the immobility time in the FST and TST, suggesting alleviated depression-like behaviors (<xref ref-type="fig" rid="F2">Figures 2C&#x2013;F</xref>). Furthermore, we compared the PPD/MGF groups with the control groups through behavioral tests and found that PPD/MGF groups reduced the immobility time of PPD mice in NSF, which was still higher than that in the control groups. However, there was no difference in immobility time between high doses of the MGF and the control group in TST and FST, indicating a protective effect of MGF. Collectively, these results suggest that the administration of MGF could alleviate HSP-induced depression-like behavior in mice.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Timeline of experimental design, including the schedule of the hormone-stimulated pregnancy (HSP)-induced postpartum depression (PPD) mice model and drug administration and behavior tests. Female BALA/c mice were ovariectomized bilaterally for 7&#xa0;days. The ovariectomized mice were injected intraperitoneally with &#x3b2;-estradiol (E2, 0.5&#xa0;&#x3bc;g/day) and progesterone (P4, 0.8&#xa0;mg/day) for 16 consecutive days. Progesterone was then withdrawn, and a high dose of &#x3b2;-estradiol (10&#xa0;&#x3bc;g/day) was administrated alone. At the same time, two-dose concentrations of mangiferin (MGF) were administrated to the treatment group mice.</p>
</caption>
<graphic xlink:href="fphar-13-840567-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>MGF-alleviated HSP-induced depression-like behavior in mice. <bold>(A)</bold> Schematic representation of the novelty suppressed feeding test (NST). <bold>(B)</bold> Analysis of immobility time in the NST [control, n &#x3d; 8, PPD, n &#x3d; 7, PPD/MGF (L), n &#x3d; 8, and PPD/MGF (H), n &#x3d; 6]. <bold>(C)</bold> Schematic representation of the forced swim test (FST). <bold>(D)</bold> Analysis of immobility time in the FST, n &#x3d; 9 in each group. <bold>(E)</bold> Schematic representation of the tail-suspension test (TST). <bold>(F)</bold> Analysis of immobility time in the TST, n &#x3d; 9 in each group; Error bars are mean &#xb1; S.E.M. &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-13-840567-g002.tif"/>
</fig>
</sec>
<sec id="s2-2">
<title>MGF Treatment Decreases Inflammatory Cytokine Levels in the Mouse Brain</title>
<p>To further study the mechanism underlying the protective effect of MGF, we examined the expression of synaptic plasticity&#x2013;related protein 95 (PSD95) and brain-derived neurotrophic factor (BDNF) in the hippocampus. However, no significant differences were observed between the MGF-treated groups and the PPD model groups (<xref ref-type="fig" rid="F3">Figures 3A&#x2013;C</xref>). Multiple studies have suggested that neuroinflammation is involved in the development of depression (<xref ref-type="bibr" rid="B13">Engler et al., 2017</xref>; <xref ref-type="bibr" rid="B35">Moisan et al., 2021</xref>). To determine whether neuroinflammation is involved in this process, we first examined the protein levels of IBA1 and GFAP in the mouse brain. We found that the expression level of IBA1 was increased in the PPD group compared to that in the control group. MGF treatment inhibited this increase in a dose-dependent manner. There were no significant changes in the protein levels of GFAP among the four groups (<xref ref-type="fig" rid="F3">Figures 3D&#x2013;F</xref>). Moreover, we found that the levels of inflammatory cytokines TNF-&#x3b1;, IL-6, and IL-1&#x3b2; were significantly increased in the PPD group mice. Interestingly, treatment with MGF significantly inhibited the increase in the levels of these cytokines (<xref ref-type="fig" rid="F3">Figures 3G&#x2013;I</xref>). Together, these results show that MGF treatment inhibited inflammatory cytokine levels in the PPD mouse brain.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>MGF decreased inflammatory cytokine levels in the mouse brain. <bold>(A&#x2013;C)</bold> Immunoblotting and quantitative analysis of plasticity-related protein 95 (PSD95) and brain-derived neurotrophic factor (BDNF) levels in the hippocampus of mice. <bold>(D&#x2013;F)</bold> Immunoblotting and quantitative analysis of IBA1 and GFAP protein levels in the cortex of the indicated-group mice. <bold>(G&#x2013;I)</bold> RT-PCR analysis of TNF-&#x3b1;, IL-6, and IL-1&#x3b2; mRNA levels in the hippocampus of mice. Error bars are mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-13-840567-g003.tif"/>
</fig>
</sec>
<sec id="s2-3">
<title>MGF Treatment Inhibits Microglia Numbers in the Mouse Brain</title>
<p>Next, we investigated whether microglial activation is involved in this process. To address this, we performed an IBA1 immunofluorescence staining assay, which showed that a higher number of microglia existed in the hippocampus of PDD mice (<xref ref-type="fig" rid="F4">Figures 4A,B</xref>). Using Image-Pro Plus software, we analyzed the number of microglia in the CA1 and DG areas of the hippocampus in these four groups of mice. The number of microglia was significantly increased in the CA1 and DG areas of the hippocampus in the PPD group mice (<italic>p</italic> &#x3c; 0.001 and <italic>p</italic> &#x3c; 0.01, respectively), while treatment with a high concentration of MGF significantly inhibited this increase, with a decreasing trend seen in the low concentration of MGF treatment groups (<xref ref-type="fig" rid="F4">Figures 4C,D</xref>). Thus, these results suggest that microglia were activated in the PPD model mouse brain and that MGF treatment could significantly inhibit microglial activation.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>MGF inhibited microglial numbers <italic>in vivo</italic>. <bold>(A&#x2013;B)</bold> Immunofluorescent staining of IBA1 in CA1 and DG areas of the hippocampus. The scale bar represents 50&#xa0;&#x3bc;m. <bold>(C&#x2013;D)</bold> Quantitative analysis of IBA1 cell numbers. Error bars are mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-13-840567-g004.tif"/>
</fig>
</sec>
<sec id="s2-4">
<title>MGF Inhibits Microglial Activation by Targeting MAPK Signaling</title>
<p>To find the potential molecular targets of MGF, bioinformatic analysis of 3D similarity searching, ranking, and superposition was performed using ChemMapper (<ext-link ext-link-type="uri" xlink:href="http://www.lilab-ecust.cn/chemmapper/index.html">http://www.lilab-ecust.cn/chemmapper/index.html</ext-link>). Among the predicted targets (MAP kinase&#x2013;activated protein kinase 2, amine oxidase [flavin-containing] A, sialidase, fatty acid synthase, and transcription factor p65), MAP kinase&#x2013;activated protein kinase 2 (MAPK) was ranked first, with a 3D similarity score of 1.0 (<xref ref-type="fig" rid="F5">Figures 5A,B</xref>). Next, to study changes in MAPK signaling in the hippocampus of the mouse brain, the levels of p-JNK, p-p38, and p-ERK were investigated. As shown in <xref ref-type="fig" rid="F5">Figure 5C</xref>, increased levels of these three markers were observed in the PPD group compared to the control group. Notably, administration of MGF inhibited the increase in p-JNK, p-p38, and p-ERK levels, suggesting downregulation of MAPK signaling in the mouse brain. To further confirm the effects of MGF on microglia, we cultured microglial BV2 cells and studied the effect of MGF on LPS-induced MAPK signaling activation <italic>in vitro</italic> (<xref ref-type="fig" rid="F5">Figure 5D</xref>). As shown in <xref ref-type="fig" rid="F5">Figure 5E</xref>, LPS treatment increased the protein levels of iNOS, p-JNK, and p-p38, whereas pretreatment with MGF largely inhibited increased levels. Consistently, the levels of the downstream inflammatory cytokines TNF-&#x3b1;, IL-6, and IL-1&#x3b2; were significantly inhibited in the MGF treatment group (<xref ref-type="fig" rid="F5">Figures 5F&#x2013;H</xref>). Collectively, these results show that MGF inhibits microglia-mediated inflammation by targeting MAPK signaling.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>MGF-regulated mitogen-activated protein kinase (MAPK) signaling <italic>in vivo</italic> and <italic>in vitro</italic>. <bold>(A)</bold> MGF structure. <bold>(B)</bold> Potential protein targets of MGF ranked by the standard score of the probabilities. <bold>(C)</bold> Immunoblotting analysis of p-JNK, JNK, p-p38, p38, p-ERK, ERK, and &#x3b2;-tubulin protein levels in the hippocampus of mice. The number represents the normalized quantitative value of the protein. <bold>(D)</bold> The schematic representation of LPS stimulation in BV2 cells. <bold>(E)</bold> Immunoblotting analysis of iNOS, p-JNK, JNK, p-p38, p38, p-ERK, ERK, and &#x3b2;-tubulin protein levels from BV2 cells after being treated with MGF for 0.5&#xa0;h and then stimulated LPS (1&#xa0;&#x3bc;g/ml) for 6&#xa0;h. The number represents the normalized quantitative value of the protein. <bold>(F&#x2013;H)</bold> RT-PCR analysis of TNF-&#x3b1;, IL-6, and IL-1&#x3b2; mRNA levels in BV2 cells after being treated with MGF for 0.5&#xa0;h and then stimulated LPS (1&#xa0;&#x3bc;g/ml) for 6&#xa0;h. Error bars are mean &#xb1; SEM. &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-13-840567-g005.tif"/>
</fig>
<p>In summary, our results show that treatment with MGF significantly alleviated PPD-like behaviors in mice. Mechanistically, we found that MGF inhibited microglial activation by targeting MAPK signaling <italic>in vivo</italic> and <italic>in vitro</italic> (<xref ref-type="fig" rid="F6">Figure 6</xref>), providing a potential therapeutic strategy for PPD treatment.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Schematic representation of the mechanism of MGF in treatment of PDD in mice. Treatment of MGF could significantly alleviate the HSP-induced PPD-like behaviors in mice. Mechanistically, MGF inhibited microglial activation by targeting MAPK signaling <italic>in vivo</italic> and <italic>in vitro</italic>.</p>
</caption>
<graphic xlink:href="fphar-13-840567-g006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s3">
<title>Discussion</title>
<p>As a common but severe mental health disorder, PPD poses a serious global burden worldwide. Multiple animal models of PPD have been established to explore its pathogenesis, including stress-induced (<xref ref-type="bibr" rid="B6">Boccia et al., 2007</xref>; <xref ref-type="bibr" rid="B19">Haim et al., 2016</xref>), HSP-induced (<xref ref-type="bibr" rid="B46">Stoffel and Craft, 2004</xref>; <xref ref-type="bibr" rid="B42">Schiller et al., 2013</xref>), and transgenic animal models (<xref ref-type="bibr" rid="B48">Tillmann et al., 2019</xref>; <xref ref-type="bibr" rid="B34">McDonnell et al., 2020</xref>). Among these, the HSP-induced model is commonly used due to its advantages such as good reproducibility and easier procedure. In this study, increased immobility times were found in the NSF test, FST, and TST in the PPD model group mice, indicating impaired emotional functions. Based on this mouse model, we found that MGF significantly alleviated PPD-like behaviors. Mechanistically, we found that MGF modulated MAPK signaling in microglia, thus inhibiting microglial activation and neuroinflammation.</p>
<p>Multiple studies have shown that reproductive hormone levels rapidly decline after delivery and are considered the main contributor to the occurrence of PPD (<xref ref-type="bibr" rid="B5">Bloch et al., 2000</xref>; <xref ref-type="bibr" rid="B15">Galea et al., 2001</xref>; <xref ref-type="bibr" rid="B47">Studd, 2015</xref>). Neuroinflammation, GABAergic inhibition, and hippocampal neurogenesis impairment are associated with the development of PPD (<xref ref-type="bibr" rid="B58">Zhang et al., 2016</xref>; <xref ref-type="bibr" rid="B53">Yang et al., 2017</xref>; <xref ref-type="bibr" rid="B60">Zhu and Tang, 2020</xref>). In this study, we found no significant changes in the levels of synaptic plasticity&#x2013;related proteins PSD95 and BDNF in the hippocampus of PPD group mice. However, the IBA1 levels, a microglial marker, were significantly increased, and higher levels of the inflammatory cytokines TNF-&#x3b1;, IL-6, and IL-1&#x3b2; were also noted, suggesting involvement of neuroinflammation. IL-6 and IL-1&#x3b2; levels have been reported to be positively correlated with depression scores in postpartum women (<xref ref-type="bibr" rid="B8">Cassidy-Bushrow et al., 2012</xref>). Herein, the dose of MGF was determined based on previous <italic>in vivo</italic> experiments. Administration of 20&#xa0;mg/kg of MGF possesses several beneficial biological activities, including inhibition of mastitis induced by LPS (<xref ref-type="bibr" rid="B40">Qu et al., 2017</xref>), ameliorating learning deficits (<xref ref-type="bibr" rid="B25">Jung et al., 2009</xref>), and antidepressant effects in a chronic mild stress mouse model (<xref ref-type="bibr" rid="B7">Cao et al., 2017</xref>). Moreover, concentrations of 30, 40, and 60&#xa0;mg/kg were used in previous studies (<xref ref-type="bibr" rid="B24">Jangra et al., 2014</xref>; <xref ref-type="bibr" rid="B45">Song et al., 2020</xref>). Therefore, concentrations of 20 and 60&#xa0;mg/kg MGF were chosen for this study. Notably, we found that treatment with MGF effectively suppressed the increase in inflammatory levels and alleviated HSP-induced depression-like behavior in mice, suggesting that the beneficial role of MGF in PPD may be due to its anti-inflammatory effects.</p>
<p>As resident immune cells of the central nervous system, microglia play a critical role in neuroinflammation. Microglial activation is closely associated with neurodegenerative diseases, strokes, and psychiatry disorders (<xref ref-type="bibr" rid="B11">Dong et al., 2020</xref>; <xref ref-type="bibr" rid="B31">Liao et al., 2020</xref>; <xref ref-type="bibr" rid="B28">Li S et al., 2021</xref>; <xref ref-type="bibr" rid="B9">Cheng et al., 2021</xref>). Here, we found that the number of microglia significantly increased in the hippocampus of the PPD group mouse brain, suggesting that microglial activation might be involved in the development of PPD. Moreover, treatment with MGF significantly inhibited the increase in microglial number in the hippocampus, suggesting that the neuroprotective role of MGF might be associated with its inhibitory effect on microglial activation. To further elucidate the potential targets of MGF, we performed bioinformatics analysis and found that MGF targets MAPK signaling, which regulates cell proliferation, stress response, inflammation, cell differentiation, and apoptosis (<xref ref-type="bibr" rid="B30">Li Z et al., 2021</xref>; <xref ref-type="bibr" rid="B39">Qin et al., 2021</xref>; <xref ref-type="bibr" rid="B51">Wang et al., 2021</xref>; <xref ref-type="bibr" rid="B54">Yang et al., 2021</xref>). More importantly, the MAPK signal pathway has been linked to several diseases, including depression (<xref ref-type="bibr" rid="B12">Duman et al., 2007</xref>; <xref ref-type="bibr" rid="B50">Wang and Mao, 2019</xref>; <xref ref-type="bibr" rid="B22">Humo et al., 2020</xref>). In this study, we confirmed the inhibitory effect of MGF on MAPK signaling <italic>in vivo</italic> and <italic>in vitro</italic>. Nevertheless, further regulatory mechanisms must be clarified in the future.</p>
<p>Our results demonstrate that treatment with MGF attenuated HSP-induced PPD-like behaviors in mice. Mechanistically, we found that MGF suppressed microglial activation by targeting and inhibiting MAPK signaling activation, thus inhibiting downstream inflammatory cytokine levels, suggesting a potential therapeutic target for the clinical treatment of PPD.</p>
</sec>
<sec sec-type="materials|methods" id="s4">
<title>Material and Methods</title>
<sec id="s4-1">
<title>Reagents and Antibodies</title>
<p>MGF (purity &#x2265;98%) was purchased from Chengdu Desite Biotechnology (Chengdu, China). &#x3b2;-estradiol (E8875), dimethyl sulfoxide (DMSO), and LPS were purchased from Sigma-Aldrich (St. Louis, MO, United States). Progesterone was obtained from VETEC (V900699). The antibodies used for western blotting were as follows: Iba1/AIF-1 (E4O4W) (&#x23;17198), GFAP (E4L7M) (&#x23;80788), PSD95 (D27E11) (&#x23;3450), BDNF (&#x23;47808), iNOS (D6B6S) (&#x23;13120), anti-p-ERK1/2 (Thr202/Tyr204) (&#x23;9101), anti-ERK1/2 (&#x23;9102), anti-p-p38 MAPK (Thr180/Tyr182) (&#x23;4511), anti-p38 MAPK (&#x23;9212), and anti-p-JNK (Thr183/Tyr185) (&#x23;9251) were purchased from Cell Signaling Technology (Beverly, MA, United States). &#x3b2;-tubulin (&#x23;CW0098A) and &#x3b2;-actin (&#x23;CW0096M) were procured from CWBiotech (Beijing, China).</p>
</sec>
<sec id="s4-2">
<title>Mice</title>
<p>Female BALA/c mice (8&#xa0;weeks old, 20&#x2013;25&#xa0;g) were housed in the animal care facility of our institute. All animal experimental procedures were approved by the Biological and Medical Ethics Committee of Minzu University of China. All mice were maintained under conditions of a 12-h light/dark cycle at 23&#xb0;C and were provided with food and water.</p>
</sec>
<sec id="s4-3">
<title>Cell Culture and Treatment</title>
<p>BV-2 microglial cell lines were maintained in Dulbecco&#x2019;s Modified Eagle&#x2019;s Medium (DMEM, &#x23;11965-092, Life Technologies, Waltham, MA, United States) supplemented with 10% heat-inactivated fetal bovine serum (FBS, &#x23;04-001-1A, Biological Industries, Israel) and 1% penicillin-streptomycin solution (&#x23;03-031-1B, Biological Industries) at 37&#xb0;C in a humidified atmosphere with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s4-4">
<title>PPD Model</title>
<p>Two-month-old female mice were chosen, and hormone-induced pseudopregnancy (HSP)-induced PPD models were established as previously described (<xref ref-type="bibr" rid="B29">Li et al., 2018</xref>; <xref ref-type="bibr" rid="B55">Zhang et al., 2021</xref>). Mice were randomly divided into four groups (control, PPD, PPD/low MGF, and PPD/high MGF). OVX was performed under isoflurane anesthesia. After 7&#xa0;days of recovery from OVX operation, mice in the PPD and PPD with MGF treatment groups were intraperitoneally injected with &#x3b2;-estradiol (E2, 0.5&#xa0;g/day) and progesterone (P4, 0.8&#xa0;mg/day) dissolved in 0.1&#xa0;ml sesame oil daily for 16&#xa0;days, resulting in a gradual increase in the concentration of E2 and P4 in mice to mimic the increases in hormone levels. Subsequently, mice were intraperitoneally injected with E2 (10&#xa0;&#xb5;g/day) alone for seven consecutive days to mimic high levels of E2 during pregnancy. Meanwhile, MGF was administered intragastrically at two different doses (20 and 60&#xa0;mg/kg), as indicated in <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
</sec>
<sec id="s4-5">
<title>NST</title>
<p>The NST was performed as previously described, with minor modifications (<xref ref-type="bibr" rid="B2">Barbieri et al., 2021</xref>). Briefly, before the test, the mice were deprived of food but had free access to water for 24&#xa0;h. Each mouse was positioned into the device with food placed on white paper in the same direction and allowed to freely explore for 5&#xa0;min. The immobility time of each mouse was recorded.</p>
</sec>
<sec id="s4-6">
<title>FST</title>
<p>One day before the test, mice were allowed to swim in water for 5&#xa0;min. During the test, the mice were placed in a beaker (volume, 3&#xa0;L) filled with water at 23&#x2013;25&#xb0;C. The total test time was 6&#xa0;min, and the immobility time of the mice in the last 4&#xa0;min was recorded.</p>
</sec>
<sec id="s4-7">
<title>TST</title>
<p>Mice were placed in the test room 2&#xa0;h before the test and hung on the instrument with a clip. Similar to the FST, the total experimental time was 6&#xa0;min, and the immobility time of the mice in the last 4&#xa0;min was recorded.</p>
</sec>
<sec id="s4-8">
<title>Real-Time Quantitative and Reverse Transcription-PCR</title>
<p>Total RNA was isolated from the hippocampus of mice in each group using a TRIzol reagent (Invitrogen, cat&#x23;15596018), and 1&#xa0;&#x3bc;g of RNA was used to synthesize cDNA using a one-step first-strand cDNA synthesis kit (Transgen Biotech, cat&#x23;AT341). Quantitative real-time PCR was performed using a 2 &#xd7; SYBR Green PCR master mix (Transgen Biotech, cat&#x23;AQ131) and an Agilent Mx3005P RT-PCR system. The expression levels of the tested genes were normalized to those of &#x3b2;-actin. The primers for mouse IL-1&#x3b2;, TNF-&#x3b1;, IL-6, and &#x3b2;-actin were as follows:</p>
<p>Mouse IL-1&#x3b2;: Forward: 5&#x2032;-TGT&#x200b;AAT&#x200b;GAA&#x200b;AGA&#x200b;CGG&#x200b;CAC&#x200b;ACC-3&#x2032;; Reverse: 5&#x2032;-TCT&#x200b;TCT&#x200b;TTG&#x200b;GGT&#x200b;ATT&#x200b;GCT&#x200b;TGG-3&#x2032;.</p>
<p>Mouse TNF-&#x3b1;: Forward: 5&#x2032;-CAG&#x200b;GCG&#x200b;GTG&#x200b;CCT&#x200b;ATG&#x200b;TCT&#x200b;C-3&#x2019;; Reverse: 5&#x2032;-CGA&#x200b;TCA&#x200b;CCC&#x200b;CGA&#x200b;AGT&#x200b;TCA&#x200b;GTA G-3&#x2032;.</p>
<p>Mouse IL-6: Forward: 5&#x2032;-CTA&#x200b;CCA&#x200b;AAC&#x200b;TGG&#x200b;ATA&#x200b;TAA&#x200b;TCA&#x200b;GGA-3&#x2032;; Reverse: 5&#x2032;-CCA&#x200b;GGT&#x200b;AGC&#x200b;TAT&#x200b;GGT&#x200b;ACT&#x200b;CCA&#x200b;GAA-3&#x2032;.</p>
<p>Mouse &#x3b2;-actin: Forward: 5&#x2032;-GGCTGTATTCCC CTCCATCG-3&#x2032;; Reverse: 5&#x2032;-CCA&#x200b;GTT&#x200b;GGT&#x200b;AAC&#x200b;AAT&#x200b;GCC&#x200b;ATG T-3&#x2032;.</p>
</sec>
<sec id="s4-9">
<title>Western Blotting Analysis</title>
<p>The concentration of the extracted protein was determined using the BCA assay. Equal amounts of protein were separated by polyacrylamide gel electrophoresis (SDS-PAGE) and incubated with the primary antibody overnight at 4&#xb0;C, followed by incubation with a secondary antibody (1:5,000) for 1&#xa0;h at room temperature. An ECL luminescent solution was used for detection.</p>
</sec>
<sec id="s4-10">
<title>Immunofluorescent Staining</title>
<p>After anesthesia, the mice were perfused with normal saline, and then the whole brain was isolated and fixed with 4% paraformaldehyde for 24&#xa0;h and dehydrated overnight in 30% sucrose solution. Whole brain tissue was embedded in OCT and sectioned using a freezing microtome (Leica CM3050S). Tissue sections were incubated with anti&#x2013;goat IBA1 antibody (1:500, WAKO, Japan) overnight at 4&#xb0;C with shaking. On the following day, tissue sections were incubated with secondary antibodies for 1&#xa0;h at room temperature. Finally, images were captured using a laser scanning confocal microscope (Nikon, Tokyo, Japan).</p>
</sec>
<sec id="s4-11">
<title>Statistical Analysis</title>
<p>All data are presented as mean &#xb1; SEM. The significance of the differences was determined by the <italic>t</italic>-test and one-way ANOVA using GraphPad Prism (GraphPad Software, San Diego, CA, United States). &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001 were considered as significant.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>; further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Biological and Medical Ethics Committee, Minzu University of China.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>MY designed and performed the experiments and analyzed the data. XB, XZ, and JZ contributed to the parts of the experiments. HZ, YL, YC, and JG analyzed data and provided suggestions. JC supervised the research.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This work was supported by grants from the National Nature Science Foundation of China (Grant No. 81870839 and No. 82071218) and the open fund of the Key Laboratory of Modern Preparation of TCM, Ministry of Education, Jiangxi University of Traditional Chinese Medicine (TCM-201915).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2022.840567/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2022.840567/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.xlsx" id="SM1" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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