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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">857081</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.857081</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>KRIBB11: A Promising Drug that Promotes Microglial Process Elongation and Suppresses Neuroinflammation</article-title>
<alt-title alt-title-type="left-running-head">Su et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">KRIBB11 Suppresses Neuroinflammation</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Su</surname>
<given-names>Jianbin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<xref ref-type="fn" rid="FN1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1690780/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dou</surname>
<given-names>Zhihua</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="FN1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hong</surname>
<given-names>Hongxiang</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="fn" rid="FN1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Feng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lu</surname>
<given-names>Xu</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lu</surname>
<given-names>Qun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ye</surname>
<given-names>Ting</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Huang</surname>
<given-names>Chao</given-names>
</name>
<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/778146/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>
<institution>Department of Endocrinology</institution>, <institution>Affiliated Hospital 2 of Nantong University</institution>, <institution>First People&#x2019;s Hospital of Nantong City</institution>, <addr-line>Nantong</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>
<institution>Department of Pharmacy</institution>, <institution>Nantong Third Hospital Affiliated to Nantong University</institution>, <addr-line>Nantong</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>
<institution>Department of Spine Surgery</institution>, <institution>Affiliated Hospital 2 of Nantong University</institution>, <institution>First People&#x2019;s Hospital of Nantong City</institution>, <addr-line>Nantong</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<label>
<sup>4</sup>
</label>
<institution>Department of Pharmacology</institution>, <institution>School of Pharmacy</institution>, <institution>Nantong University</institution>, <addr-line>Nantong</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/287519/overview">Fabio Tascedda</ext-link>, University of Modena and Reggio Emilia, Italy</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/1112833/overview">Tingjun Chen</ext-link>, Mayo Clinic, United&#x20;States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/431330/overview">Zhiyou Yang</ext-link>, Guangdong Ocean University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Jianbin Su, <email>sujbzjx@163.com</email>; Chao Huang, <email>huachao@ntu.edu.cn</email>
</corresp>
<fn fn-type="equal" id="FN1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Experimental Pharmacology and Drug Discovery, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>18</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>857081</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>01</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Su, Dou, Hong, Xu, Lu, Lu, Ye and Huang.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Su, Dou, Hong, Xu, Lu, Lu, Ye and Huang</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&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Microglia are key components of the central innate immune system. The over-activation of microglia, which occurs in nervous system disorders, is usually accompanied with retractions of their ramified processes. Reversing of microglial process retraction is a potential strategy for the prevention of neuroinflammation. Our previous studies have reported some endogenous molecules and drugs that can promote microglial process elongation at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>, such as butyrate and &#x3b2;-hydroxybutyrate, sulforaphane, and diallyl disulfide. Here, reported another compound that can promote microglial process elongation. We found that KRIBB11, a compound which has been reported to suppress nitric oxide production in microglia, induced significant elongations of the processes in microglia in cultured and <italic>in vivo</italic> conditions in a reversible manner. KRIBB11 pretreatment also prevented lipopolysaccharide (LPS)-induced shortenings of microglial process in cultured conditions and <italic>in vivo</italic> conditions, inflammatory responses in primary cultured microglia and the prefrontal cortex, and depression-like behaviors in mice. Mechanistic studies revealed that KRIBB11 incubation up-regulated phospho-Akt in cultured microglia and Akt inhibition blocked the pro-elongation effect of KRIBB11 on microglial process in cultured conditions and <italic>in vivo</italic> conditions, suggesting that the regulatory effect of KRIBB11 is Akt-dependent. Akt inhibition was also found to abrogate the preventive effect of KRIBB11 on LPS-induced inflammatory responses in primary cultured microglia and prefrontal cortexes as well as LPS-induced depression-like behaviors in mice. Collectively, our findings demonstrated that KRIBB11 is a novel compound that can prevent microglial activation and neuroinflammation-associated behavioral deficits possibly through inducing the Akt-mediated elongation of microglial process.</p>
</abstract>
<kwd-group>
<kwd>KRIBB11</kwd>
<kwd>microglia</kwd>
<kwd>process elongation</kwd>
<kwd>Akt</kwd>
<kwd>neuroinflammation</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Microglia are innate immune cells in the central nervous system which make great contributions to brain homeostasis regulation (<xref ref-type="bibr" rid="B17">Hammond et&#x20;al., 2021</xref>). In physiological conditions, the microglia usually present morphologies with ramified processes which are known to be in charge of synaptic pruning, synaptic remodeling, and debris clearance (<xref ref-type="bibr" rid="B19">Harry, 2013</xref>; <xref ref-type="bibr" rid="B3">Bar and Barak, 2019</xref>; <xref ref-type="bibr" rid="B15">Gosselin, 2020</xref>). In pathological conditions, the microglia would be over-activated and show amoeboid morphologies and typical pro-inflammatory phenotypes, which subsequently mediate neuronal damage and behavioral deficits (<xref ref-type="bibr" rid="B18">Hanlon et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B27">Matta et&#x20;al., 2020</xref>).</p>
<p>The induction of amoeboid morphology has been shown to be accompanied with microglial over-activation and the progression of neuroinflammatory responses in the brain (<xref ref-type="bibr" rid="B32">Reichert and Rotshenker, 2019</xref>; <xref ref-type="bibr" rid="B37">Takagi et&#x20;al., 2019</xref>), while the ramified morphology shows positive correlations with anti-neuroinflammation and neuroprotection (<xref ref-type="bibr" rid="B41">Vinet et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B50">Yang R. et&#x20;al., 2019</xref>). Studies by McWhorter et&#x20;al. had provided direct evidence for the correlations between immune cell process elongation and anti-neuroinflammation: they found that promotion of macrophage elongation by control of cell shape directly increases the expression of anti-inflammatory mediators and meanwhile reduces the secretion of pro-inflammatory cytokines (<xref ref-type="bibr" rid="B30">Neubrand et&#x20;al., 2014</xref>). In recent studies, we and others had reported that molecules like butyrate (<xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>), adenosine (<xref ref-type="bibr" rid="B28">Matyash et&#x20;al., 2017</xref>), &#x3b2;-hydroxybutyrate (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>), diallyl disulfide (<xref ref-type="bibr" rid="B49">Xu et&#x20;al., 2020</xref>), and sulforaphane (<xref ref-type="bibr" rid="B48">Wu et&#x20;al., 2019</xref>) simultaneously promote microglial process elongation and transform the microglia into an anti-inflammatory phenotype, which was manifested by the decreased expression of pro-inflammatory cytokines, such as interleukin-1&#x3b2; (IL-1&#x3b2;) and IL-6, and the increased expression of anti-inflammatory mediators, such as IL-4 and IL-10. These results demonstrated that promotion of microglial process elongation may be a potential strategy for the prevention of neuroinflammation, and searching drugs that induce microglial process elongation may be of great significance for the development of strategies that can prevent microglial activation and neuroinflammation-associated behavioral deficits.</p>
<p>KRIBB11 is a compound that is preliminarily developed as an inhibitor of heat shock factor 1 (HSF1) (<xref ref-type="bibr" rid="B53">Yoon et&#x20;al., 2011</xref>). As HSF1 is highly correlated with heat shock response and tumor pathogenesis, the KRIBB11 is usually used to investigate the correlation between HSF1 and cancers: the inhibition of HSF1 activity by KRIBB11 treatment can suppress the growth of tumor cells (<xref ref-type="bibr" rid="B10">Fok et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B25">Lee et&#x20;al., 2021</xref>). One of our previous studies had reported that KRIBB11 treatment, possibly by inhibiting the activity of HSF1, prevents the expression or production of inducible nitric oxide synthase (iNOS) and nitric oxide (NO) in lipopolysaccharide (LPS)-stimulated primary cultured microglia or in brain tissues in mice treated with a toxic dosage of LPS by reducing the binding of nuclear factor-&#x3ba;B (NF-&#x3ba;B) and signal transducer and activator of transcription 1 (STAT1) to the DNA elements in iNOS gene promoters (<xref ref-type="bibr" rid="B20">Huang et&#x20;al., 2015</xref>). As increased iNOS and NO are known to represent a high level of neuroinflammatory response (<xref ref-type="bibr" rid="B22">Ivan et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B44">Wang T. et&#x20;al., 2021</xref>), this finding demonstrated that the KRIBB11 may possess an ability to suppress microglial activation.</p>
<p>In further analysis, we found that KRIBB11 not only reduced the expression or production of iNOS and NO but also induced dramatic elongations of the processes in the primary cultured microglia. Considering the negative correlations between microglial process elongation and the neuroinflammatory phenotypes (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B48">Wu et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B49">Xu et&#x20;al., 2020</xref>), we assumed that the KRIBB11 treatment may prevent neuroinflammation in a manner that is dependent on its pro-elongation effect on microglial process. In this study, we designed a series of experiments to examine this hypothesis, and found that the KRIBB11 treatment induced remarkable elongations of the processes in microglia in cultured and <italic>in vivo</italic> conditions by activating protein kinase B (Akt), a molecule that has been proved to mediate the rearrangement of cellular actin filaments and microtubule cytoskeletons (<xref ref-type="bibr" rid="B34">Seiberlich et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B1">Antonosante et&#x20;al., 2020</xref>). KRIBB11 pretreatment was also found to prevent LPS-induced shortenings of microglial process in cultured and <italic>in vivo</italic> conditions, as well as LPS-induced neuroinflammatory responses and depression-like behaviors. These results not only identified a candidate for the regulation of microglial process dynamics, but also revealed that the KRIBB11 could be developed as a drug for the suppression of neuroinflammation and neuroinflammation-associated behavioral abnormalities.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Materials</title>
<p>LPS (<italic>Escherichia coli</italic>, serotype 0111: B4, &#x23;L2630) and poly-L-lysine (&#x23;25988-63-0) were purchased from Sigma (Saint Louis, MO, United&#x20;States) and Santa Cruz Biotechonology (Santa Cruz, CA, United&#x20;States), respectively. Both Hoechst 33258 (&#x23;HY-15558) and KRIBB11 (&#x23;HY-100872) are the products of MedChem Express (Princeton, NJ, United&#x20;States). Antibodies against protein kinase B (Akt, &#x23;4691), phospho-Akt (&#x23;4060), and glyceraldehyde-3-phosphate dehydrogenase (GAPDH, &#x23;5174) are the products of Cell Signaling Technology (Beverly, MA, United&#x20;States). The antibody against Iba-1 (&#x23;ab178846) was purchased from Abcam (Cambridge, MA, United&#x20;States). Both LY294002 (&#x23;440202) and VIII (&#x23;124018) were purchased from Calbiochem (San Diego, CA, United&#x20;States). Dulbecco&#x2019;s Modified Eagle&#x2019;s Medium/F12 (DMEM/F12) was obtained from Biotium and Gibco Invitrogen Corporation. Other agents were purchased from commercial suppliers. Stocked drugs solutions were stored at &#x2212;20&#xb0;C and diluted to the final concentration immediately before use. The final concentration of dimethyl sulfoxide (DMSO) is &#x3c;0.05%. No toxic effect of DMSO was observed.</p>
</sec>
<sec id="s2-2">
<title>Animals</title>
<p>Eight-week old male C57BL6/J mice were purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. (Beijing, China) and were housed five per cage under standard conditions (12-h light/dark cycle, 07:00&#x2012;19:00 light, 23&#x20;&#xb1; 1&#xb0;C of temperature, and 55&#x20;&#xb1; 10% of humidity) for 1&#xa0;week before use with free access to food and water. Animal experiments were conducted in accordance with internationally accepted guidelines for the use of animals in toxicology as adopted by the Society of Toxicology in 1999) and were approved by the University Animal Ethics Committee of Nantong University (Permit Number: 2110836).</p>
</sec>
<sec id="s2-3">
<title>Preparation of Primary Cultured Microglia</title>
<p>Primary cultured microglia were prepared according to our previous studies (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>). Brain cortexes obtained from newborn mice (day 0&#x2013;1) were removed and digested with 0.125% trypsin at 37&#xb0;C for 15&#xa0;min. Followed by trituration and centrifugation at 118&#xa0;g for 5&#xa0;min, mixed cells were re-suspended and plated on poly-L-lysine (1&#xa0;mg/ml)-coated culture flasks. The individual cell suspensions were cultured in DMEM/F12 supplement with 10% FBS and 1% penicillin-streptomycin (100&#xa0;U/mL). This medium was replaced every 3&#xa0;days. After 10&#xa0;days, the mixed cells were shaken gently 2&#xa0;h at 37&#xb0;C and the supernatants were collected and plated on the new poly-L-lysine-coated culture flasks. Cells were maintained in an incubator (37&#xb0;C) containing 95% air and 5% CO<sub>2</sub>. The purity of microglia (&#x3e;99%) was identified by the anti-Iba-1 antibody.</p>
</sec>
<sec id="s2-4">
<title>Cell Viability Assay</title>
<p>The microglial viability was measured using an MTT&#x20;Cell Proliferation and Cytotoxicity Assay Kit purchased from Bi Yuntian Biological Technology Institution (Shanghai, China). The methylthiazolyldiphenyl-tetrazolium bromide (5&#xa0;mg/ml) was firstly dissolved in prepared MTT solutions and kept at &#x2212;20&#xb0;C. After washing, 20&#xa0;&#x3bc;L of MTT solutions were incubated with the microglia in at 37&#xb0;C for 4&#xa0;h. The blue crystals were dissolved in formazan-dissolved solutions. The absorbance was read at 570&#xa0;nm.</p>
</sec>
<sec id="s2-5">
<title>Experimental Arrangement</title>
<p>In the dose-dependent experiment in <xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>, the primary cultured microglia were incubated with different dosages of KRIBB11, including 0.5, 1, and 3&#xa0;&#x3bc;M, for 5&#xa0;h. In the time-dependent experiment in <xref ref-type="fig" rid="F1">Figure&#x20;1D</xref>, the primary cultured microglia were incubated with 3&#xa0;&#x3bc;M of KRIBB11 for different time period, including 1, 3, and 5&#xa0;h. In the reversible experiments, the primary cultured microglia incubated with 5&#xa0;h of KRIBB11 (3&#xa0;&#x3bc;M) were collected 24&#xa0;h after KRIBB11 washout, and the dorsolateral prefrontal cortexes in mice injected with 5&#xa0;days of KRIBB11 (once daily, i.p.,&#x20;5&#xa0;mg/kg) were collected 5&#xa0;days after the discontinuation of KRIBB11 injection (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Dose- and time-dependent effects of KRIBB11 on the processes in primary cultured microglia. <bold>(A,B)</bold> Representative images <bold>(A)</bold> and quantitative analysis <bold>(B)</bold> showed that KRIBB11 induced significant elongations of the processes in primary cultured microglia at the dosages of 1 and 3&#xa0;&#x3bc;M (&#x2a;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle). <bold>(C)</bold> Quantitative analysis showed the effect of KRIBB11 (0.5, 1, 3&#xa0;&#x3bc;M; 5&#xa0;h) on microglial viability (<italic>n</italic>&#x20;&#x3d; 8). <bold>(D,E)</bold> Representative images <bold>(D)</bold> and quantitative analysis <bold>(E)</bold> showed the pro-elongation effect of KRIBB11 on primary cultured microglial process at time points ranging from 1 to 5&#xa0;h (&#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle). <bold>(F)</bold> Quantitative analysis showed the effect of KRIBB11 at different time points (3&#xa0;&#x3bc;M; 1, 3, and 5&#xa0;h) on microglial viability (<italic>n</italic>&#x20;&#x3d; 8). For cell shape investigation, 30 cells per condition were selected in three independent experiments. Scale bars: 25&#xa0;&#x3bc;m. Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Reversible effects of KRIBB11 on microglial process at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>. <bold>(A)</bold> A schematic diagram showing the timeline for the evaluation of the reversal effect of KRIBB11 treatment on microglial process elongation at conditions <italic>in&#x20;vitro</italic> (left) and <italic>in vivo</italic> (right). <bold>(B,C)</bold> Representative images <bold>(B)</bold> and quantitative analysis <bold>(C)</bold> showed the effect of KRIBB11 treatment (3&#xa0;&#x3bc;M, 5&#xa0;h) and washout on primary cultured microglial process (&#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11). <bold>(D,E)</bold> Representative images <bold>(D)</bold> and quantitative analysis <bold>(E)</bold> showed the changes in microglial process in the dorsolateral prefrontal cortex before, during, and 5&#xa0;days after KRIBB11 treatment (5&#xa0;mg/kg; &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11). For cell shape investigation at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>, 30 cells per condition were analyzed in three independent experiments. Scale bars for <italic>in&#x20;vitro</italic> analysis is 25&#xa0;&#x3bc;m, and scale bars for <italic>in vivo</italic> analysis in the low and high magnification images are 100 and 8&#xa0;&#x3bc;m, respectively. Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g002.tif"/>
</fig>
<p>To evaluate the functional consequence of KRIBB11 pretreatment on microglial morphology, neuroinflammatory response, and behavioral abnormalities, the primary cultured microglia or the experimental mice were allocated into vehicle, KRIBB11 (<italic>in&#x20;vitro</italic> studies: 1&#xa0;h of pretreatment, 3&#xa0;&#x3bc;M; <italic>in vivo</italic> studies: 5&#xa0;days of pretreatment, 5&#xa0;mg/kg), LPS treatment (<italic>in&#x20;vitro</italic> studies: 1&#xa0;&#x3bc;g/ml, 8&#xa0;h; <italic>in vivo</italic> studies: 100&#xa0;&#x3bc;g/kg, 5&#xa0;h), KRIBB11 &#x2b; LPS groups (morphology analysis: <italic>n</italic>&#x20;&#x3d; 30, in each group; inflammation analysis: <italic>n</italic>&#x20;&#x3d; 8, in each group; behavioral assays: <italic>n</italic>&#x20;&#x3d; 10, in each group).</p>
<p>To evaluate the role of Akt in the pro-elongation effect of KRIBB11 on microglial process and inflammatory response, the cultured microglia were allocated into six groups, including the vehicle, KRIBB11, LY294002, KRIBB11 &#x2b; LY294002, VIII, KRIBB11 &#x2b; VIII groups. During this experiment, the inhibitor of the Akt signaling, LY294002 (20&#xa0;&#x3bc;M) or VIII (10&#xa0;&#x3bc;M), was pre-incubated 30&#xa0;min before KRIBB11 treatment. To evaluate the role of Akt in the regulatory effect of KRIBB11 on microglial process, inflammatory response, or behavioral abnormalities at normal and inflammatory conditions, the cultured microglia or the experimental mice were allocated into eight groups, including the vehicle, KRIBB11, LY294002, KRIBB11 &#x2b; LY294002, vehicle &#x2b; LPS, KRIBB11 &#x2b; LPS, LY294002 &#x2b; LPS, KRIBB11 &#x2b; LY294002 &#x2b; LPS groups. For <italic>in vivo</italic> studies, the LY294002 was infused into the lateral ventricle during KRIBB11 treatment; for <italic>in&#x20;vitro</italic> studies, the LY294002 was given before KRIBB11 treatment, and cells were collected 8&#xa0;h after LPS treatment. Behavioral assays were conducted 5&#xa0;h after the single LPS injection, and the fresh dorsolateral prefrontal cortexes were collected immediately after the discontinuation of behavioral assays. The dosages of LPS and KRIBB11 used in animal studies were selected according to our previous studies (<xref ref-type="bibr" rid="B20">Huang et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>). Both KRIBB11 and LPS were administered intraperitoneally in a volume of 10&#xa0;ml/kg.</p>
</sec>
<sec id="s2-6">
<title>Immunofluorescence and Form Factor Analysis</title>
<p>This experiment was conducted according to our previous studies (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>). The experimental mice were anaesthetized with pentobarbital sodium and perfused transcardially with 4% paraformaldehyde in PBS, and their brains were frozen and sectioned with a cryostat at 20&#xa0;&#x3bc;m. The brain sections in a 24-well plate were permeabilized with 0.3% Triton X-100 for 30&#xa0;min and incubated with 3% bovine serum albumin-PBS solution for another 30&#xa0;min at room temperature, followed by a further incubation in a PBS solution containing 0.3% Triton X-100, 1% BSA, and anti-Iba-1 antibody (1:500) overnight at 4&#xb0;C. After that, the sections were incubated in fluorescein isothiocyanate-labeled horse anti-rabbit IgG (1:50) for 2&#xa0;h at room temperature, followed by a further Hoechst 33258 incubation (10&#xa0;min). The final cover-slipped slides were examined using an Olympus FV-500 confocal microscope and camera (Tokyo, Japan). The changes in process length were analyzed using the form factor. Each image was processed by the median filter at a radius of eight pixels under a black and white threshold image using ImageJ software. Cell surroundings drawn by the wand tracing tool were used to determine the area and the perimeter of each cell. Cells touching the borders of the image were excluded from the statistical analysis. The form factor was calculated using the formula 4&#x3c0;&#x2a;area/(perimeter)<sup>2</sup> (<xref ref-type="bibr" rid="B47">Wilms et&#x20;al., 1997</xref>). A value close to one corresponds to round cells and approaching 0 indicate highly ramified cells. At least 80 cells per condition were analyzed in at least three independent experiments.</p>
</sec>
<sec id="s2-7">
<title>Real-Time Polymerase Chain Reaction</title>
<p>The total RNA in the primary cultured microglia and dorsolateral prefrontal cortex in mice with or without vehicle, KRIBB11, LPS, and/or LY294002 treatment was extracted by using an RNeasy mini kit according to manufacturer&#x2019;s instructions (Qiagen, GmbH, Hilden, Germany). The first-strand of cDNA was generated by using a reverse transcription system (Promega, Madison, WI, United States), and the real-time PCR was conducted with a reaction system which contained 1&#x20;&#xd7; Faststart SYBR Green Master Mix (Roche Molecular Biochemicals), 2&#xa0;&#x3bc;L of diluted cDNA, 2&#xa0;mM MgCl<sub>2</sub>, and 0.5&#xa0;&#x3bc;M of primers. Primers for IL-1&#x3b2;, IL-6, IL-4, IL-10, arginase-1, and CD206 are cited as follows (<xref ref-type="bibr" rid="B49">Xu et al., 2020</xref>; <xref ref-type="bibr" rid="B16">Gu et al., 2021</xref>; <xref ref-type="bibr" rid="B42">Wang K. et al., 2021</xref>): IL-&#x3b2;: 5&#x2032;-TGG&#x200b;AAA&#x200b;AGC&#x200b;GGT&#x200b;TTG&#x200b;TCT&#x200b;TC-3&#x2019; (F), 5&#x2032;-TAC&#x200b;CAG&#x200b;TTG&#x200b;GGG&#x200b;AAC&#x200b;TCT&#x200b;GC-3&#x2032; (R); IL-6: 5&#x2032;-AGA&#x200b;GAT&#x200b;ACA&#x200b;AAG&#x200b;AAA&#x200b;TGA&#x200b;TGG&#x200b;A-3&#x2032; (F), 5&#x2032;-AGC&#x200b;TAT&#x200b;GGT&#x200b;ACT&#x200b;CCA&#x200b;CAA&#x200b;GAC&#x200b;CA-3&#x2032; (R); IL-4: 5&#x2032;-CAG&#x200b;CTA&#x200b;GTT&#x200b;GTC&#x200b;ATC&#x200b;CTG&#x200b;CTC&#x200b;TTC-3&#x2032; (F), 5&#x2032;-GCC&#x200b;GAT&#x200b;GAT&#x200b;CTC&#x200b;TCT&#x200b;CAA&#x200b;GTG&#x200b;A-3&#x2032; (R); IL-10: 5&#x2032;-GGC&#x200b;AGA&#x200b;GAA&#x200b;CCA&#x200b;TGG&#x200b;CCC&#x200b;AGA&#x200b;A-3&#x2032; (F), 5&#x2032;-AAT&#x200b;CGA&#x200b;TGA&#x200b;CAG&#x200b;CGC&#x200b;CTC&#x200b;AGC&#x200b;C-3&#x2032; (R); arginase-1: 5&#x2032;-CTT&#x200b;GCG&#x200b;AGA&#x200b;CGT&#x200b;AGA&#x200b;CCC&#x200b;TG-3&#x2032; (F), 5&#x2032;-TGA&#x200b;GTT&#x200b;CCG&#x200b;AAG&#x200b;CAA&#x200b;GCC&#x200b;AA-3&#x2019; (R); CD206: 5&#x2032;-CTT&#x200b;CGG&#x200b;GCC&#x200b;TTT&#x200b;GGA&#x200b;ATA&#x200b;AT-3&#x2032; (F), 5&#x2032;-TAG&#x200b;AAG&#x200b;AGC&#x200b;CCT&#x200b;TGG&#x200b;GTT&#x200b;GA-3&#x2032; (R). The primers for the GAPDH are 5&#x2032;-GGC&#x200b;CTT&#x200b;CCG&#x200b;TGT&#x200b;TCC&#x200b;TAC-3&#x2032; (F) and 5&#x2032;-TGT&#x200b;CAT&#x200b;CAT&#x200b;ATC&#x200b;TGG&#x200b;CAG&#x200b;GTT-3&#x2032; (R). The PCR products were detected by monitoring the increase in intensity of fluorescence emitted by the double-stranded DNA-binding dye SYBR Green. An analysis of gene expression was performed by using the &#x2212;&#x394;&#x394;Ct method, and their values were normalized to GAPDH.</p>
</sec>
<sec id="s2-8">
<title>Western Blot</title>
<p>This experiment was performed according to our previous studies (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>). Briefly, the cell lysates were firstly centrifuged at 12,000&#xa0;g for 16&#xa0;min, and the supernatants were harvested. After being denatured, 30&#xa0;&#x3bc;g of protein was separated on 10% SDS/PAGE gels and then transferred to nitrocellulose membranes (Bio-Rad, Hercules, CA, United&#x20;States). After being blocked with 5% nonfat dried milk powder/Tris-buffered saline Tween-20 (TBST) for 1&#xa0;h, the nitrocellulose membranes were probed with the anti-phospho-Akt (1:1,000), anti-Akt (1:1,000), or anti-GAPDH (1:10000) antibody overnight at 4&#xb0;C. The primary antibody was then removed by washing the membranes three times in TBST. Membranes were further incubated for 2&#xa0;h at room temperature with IRDye 680-labeled secondary antibodies (1:3,000&#x2013;1:5,000). The immunoblots were visualized using the Odyssey CLx western blot detection system, and their band densities were quantified using ImageJ software.</p>
</sec>
<sec id="s2-9">
<title>Tail Suspension Test and Forced Swimming Test</title>
<p>The TST and FST were performed according to our previous studies (<xref ref-type="bibr" rid="B16">Gu et&#x20;al., 2021</xref>). For the TST, the experimental mice were suspended by taping their tail (1&#xa0;cm from top) to an elevated (50&#xa0;cm above ground) wooden bar and applied plastic tubes over tails to avoid mice climb to their tails. For the FST, the experimental mice were placed in a clear glass cylinder (height: 25&#xa0;cm; diameter: 10&#xa0;cm) filled to 10&#xa0;cm with water at 25&#x20;&#xb1; 1&#xb0;C for 6&#xa0;min and were considered immobile when they make only necessary movements to keep their heads above the water. The duration of immobility during the last 4&#xa0;min of suspension or forced swimming was recorded by a video (Zhenghua, Anhui, China). In the FST, the water in the glass cylinder was replaced after each trial. Behavioral assays were carried out between 9:00 and 11:00 a.m. to avoid circadian variation.</p>
</sec>
<sec id="s2-10">
<title>Intracerebroventricular Infusion of LY294002</title>
<p>The intracerebroventricular infusion of LY294002 was conducted according to our previous studies (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>). Briefly, the mice were anaesthetized with pentobarbital sodium and secured onto a stereotactic head frame (Quintessential Stereotaxic Injector, STELING Corporation, DALE, IL, United&#x20;States). The cannulas were implanted into the left lateral brain ventricle (&#x2212;0.2&#xa0;mm anterior and 1.0&#xa0;mm lateral relative to bregma and 2.3&#xa0;mm below the surface of the skull) (<xref ref-type="bibr" rid="B24">Kleinridders et&#x20;al., 2009</xref>) and connected to an osmotic minipump (Alzet model 2002 for chronic injections and Alzet model 1003D for acute injections, Alza Corporation, Cupertino, CA, United&#x20;States). Minipumps were filled with 5&#xa0;&#x3bc;g/ml of LY294002 (dissolved in 3% DMSO) or vehicle in sterile artificial cerebrospinal fluid (ACSF, 0.1&#xa0;&#x3bc;g per day) and were implanted subcutaneously in the interscapular region (injection rate 0.5&#xa0;&#x3bc;L/h). The dose of LY294002 was in the range of that reported in previous studies (<xref ref-type="bibr" rid="B31">Quesada et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B11">Fortress et&#x20;al., 2013</xref>).</p>
</sec>
<sec id="s2-11">
<title>Statistical Analysis</title>
<p>Statistical analyses were performed using Graphpad Prism 8 (Graphpad Software, Inc., La Jolla, CA, United&#x20;States). Differences between mean values were evaluated using a one-way analysis of variance (ANOVA) or two-way ANOVA, as appropriate, followed by a post-hoc Bonferroni test to assess isolated comparisons. When any two factors in the experiment did not interact (e.g., <italic>p</italic>&#x20;&#x3e; 0.05) in the ANOVA, we used a t-test that has been described by <xref ref-type="bibr" rid="B46">Wei et&#x20;al. (2012)</xref> to make further comparisons between different factors (<xref ref-type="bibr" rid="B46">Wei et&#x20;al., 2012</xref>). Data are expressed as mean&#x20;&#xb1; standard error of mean (SEM). Differences were considered significant at <italic>p</italic>&#x20;&#x3c;&#x20;0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>KRIBB11 Reversibly Induces Microglial Process Elongation at Conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>
</title>
<p>Based on our preliminary observations, we first investigated the dose-dependent effect of KRIBB11 on microglial process. 5&#xa0;h of KRIBB11 incubation at the dose of 1 and 3&#xa0;&#x3bc;M but not 0.5&#xa0;&#x3bc;M was found to induce remarkable elongations of the processes in the primary cultured microglia (F<sub>3,116</sub> &#x3d; 8.15, <italic>p</italic>&#x20;&#x3c; 0.001, <xref ref-type="fig" rid="F1">Figures 1A,B</xref>) with no significant toxic effects observed in MTT assays (F<sub>3,28</sub> &#x3d; 0.47, <italic>p</italic>&#x20;&#x3d; 0.71, <xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). The time-dependent analysis showed that it was the 3 and 5&#xa0;h but not 1&#xa0;h of KRIBB11 incubation (3&#xa0;&#x3bc;M) induced remarkable elongations of the processes in the primary cultured microglia (F<sub>3,116</sub> &#x3d; 12.49, <italic>p</italic>&#x20;&#x3c; 0.001, <xref ref-type="fig" rid="F1">Figures 1D,E</xref>) with no significant toxic effects observed in MTT assays (F<sub>3,28</sub> &#x3d; 1.43, <italic>p</italic>&#x20;&#x3d; 0.25, <xref ref-type="fig" rid="F1">Figure&#x20;1F</xref>). Further analysis showed that the length of the processes in the primary cultured microglia incubated with 5&#xa0;h of KRIBB11 (3&#xa0;&#x3bc;M) returned to the basal levels 24&#xa0;h after KRIBB11 washout (F<sub>2,87</sub> &#x3d; 34.57, <italic>p</italic>&#x20;&#x3c; 0.001, <xref ref-type="fig" rid="F2">Figures 2B,C</xref>). The pro-elongation effect of KRIBB11 on microglial process was also observed at conditions <italic>in vivo</italic>: 5&#xa0;days of KRIBB11 injection at the dose of 5&#xa0;mg/kg induced remarkable elongations of the processes in the microglia in the dorsolateral prefrontal cortex in mice (<xref ref-type="fig" rid="F2">Figures 2D,E</xref>). Moreover, we found that the length of the processes in microglia in the dorsolateral prefrontal cortex in mice injected with 5&#xa0;days of KRIBB11 (once daily, 5&#xa0;mg/kg) returned to the basal levels 5&#xa0;days after the discontinuation of KRIBB11 treatment (F<sub>2,87</sub> &#x3d; 20.84, <italic>p</italic>&#x20;&#x3c; 0.001, <xref ref-type="fig" rid="F2">Figures 2D,E</xref>). These results demonstrated that the pro-elongation effect of KRIBB11 on microglial process is reversible.</p>
</sec>
<sec id="s3-2">
<title>Pro-Elongation Effect of KRIBB11 on Microglial Process at Inflammatory Conditions</title>
<p>In pathological conditions, the microglia usually display amoeboid morphologies with retracted processes. Thus, we examined whether KRIBB11 can prevent LPS-induced changes in microglial morphology. To this end, the primary cultured microglia were pre-incubated with KRIBB11 for 1&#xa0;h (3&#xa0;&#x3bc;M), and then stimulated with 1&#xa0;&#x3bc;g/ml of LPS for 8&#xa0;h. A two-way ANOVA for the length of the processes in the primary cultured microglia showed significant effects for LPS treatment (F<sub>1,116</sub> &#x3d; 8.35, <italic>p</italic>&#x20;&#x3c; 0.01), KRIBB11/vehicle pretreatment (F<sub>1,116</sub> &#x3d; 116.50, <italic>p</italic>&#x20;&#x3c; 0.001), and the LPS &#xd7; KRIBB11/vehicle interaction (F<sub>1,116</sub> &#x3d; 4.89, <italic>p</italic>&#x20;&#x3c; 0.05) (<xref ref-type="fig" rid="F3">Figures 3A,B</xref>). Post hoc analysis revealed that KRIBB11&#x20;pre-incubation (3&#xa0;&#x3bc;M, 1&#xa0;h) prevented the LPS (1&#xa0;&#x3bc;g/ml, 8&#xa0;h)-induced shortenings of the processes in the primary cultured microglia (<xref ref-type="fig" rid="F3">Figures&#x20;3A,B</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Pro-elongation effects of KRIBB11 on microglial process in inflammatory conditions. <bold>(A)</bold> Representative images showed that KRIBB11 pretreatment (3&#xa0;&#x3bc;M, 1&#xa0;h) prevented LPS (1&#xa0;&#x3bc;g/ml, 8&#xa0;h)-induced retractions of primary cultured microglial process. <bold>(B)</bold> Quantitative analysis showed the changes in the form factor in primary cultured microglia treated with or without LPS and/or KRIBB11 (&#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). <bold>(C)</bold> Representative images showed that KRIBB11 pretreatment (5&#xa0;mg/kg, 5&#xa0;days) prevented LPS (100&#xa0;&#x3bc;g/kg, 5&#xa0;h)-induced retractions of microglial process in the dorsolateral prefrontal cortex. <bold>(D)</bold> Quantitative analysis showed the changes in the form factor in microglial processes in the dorsolateral prefrontal cortex in mice treated with or without LPS and/or KRIBB11 (&#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). For cell shape investigation at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>, 30 cells per condition were analyzed in three independent experiments. Scale bars for <italic>in&#x20;vitro</italic> analysis is 25&#xa0;&#x3bc;m, and scale bars for <italic>in vivo</italic> analysis in the low and high magnification images are 100 and 8&#xa0;&#x3bc;m, respectively. Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g003.tif"/>
</fig>
<p>Then, we examined the above mentioned phenomenon can occur at conditions <italic>in vivo</italic>. The mice were pre-treated with KRIBB11 (5&#xa0;mg/kg) for 5&#xa0;days, after which the mice accepted a single dose injection of LPS (100&#xa0;&#x3bc;g/kg). 5&#xa0;h after LPS injection, the mice were sacrificed for brain collections for immunofluorescence. The two-way ANOVA for the length of the processes in the microglia in the dorsolateral prefrontal cortex showed significant effects for LPS treatment (F<sub>1,116</sub> &#x3d; 9.74, <italic>p</italic>&#x20;&#x3c; 0.01), KRIBB11/vehicle pretreatment (F<sub>1,116</sub> &#x3d; 89.02, <italic>p</italic>&#x20;&#x3c; 0.001) but not the LPS &#xd7; KRIBB11/vehicle interaction (F<sub>1,116</sub> &#x3d; 2.49, <italic>p</italic>&#x20;&#x3d; 0.12) (<xref ref-type="fig" rid="F3">Figures 3A,B</xref>). Post hoc analysis revealed that KRIBB11 pretreatment (5&#xa0;mg/kg, 5&#xa0;days) prevented the LPS (100&#xa0;&#x3bc;g/kg, 5&#xa0;h)-induced shortenings of the processes in the microglia in the dorsolateral prefrontal cortex (<xref ref-type="fig" rid="F3">Figures 3C,D</xref>). These results demonstrated that the KRIBB11 can render the microglia to resist against process retractions induced by pro-inflammatory stimuli.</p>
</sec>
<sec id="s3-3">
<title>Preventive Effect of KRIBB11 on Lipopolysaccharide-Induced Inflammatory Responses in Primary Cultured Microglia</title>
<p>Considering that the elongation of microglial process is associated with anti-neuroinflammation, we assumed that KRIBB11 incubation may prevent the progression of inflammatory responses in microglia. To examine this hypothesis, the primary cultured microglia were pre-incubated with KRIBB11 for 1&#xa0;h (3&#xa0;&#x3bc;M), and then stimulated with 1&#xa0;&#x3bc;g/ml of LPS for 8&#xa0;h. As shown in <xref ref-type="fig" rid="F4">Figures 4A&#x2013;C</xref>, a two-way ANOVA for the expression levels of IL-1&#x3b2;, IL-6, and TNF-&#x3b1; mRNA in the primary cultured microglia incubated with or without LPS and/or KRIBB11 showed significant effects for LPS treatment (IL-1&#x3b2;: F<sub>1,28</sub> &#x3d; 38.64, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>1,28</sub> &#x3d; 25.18, <italic>p</italic>&#x20;&#x3c; 0.001; TNF-&#x3b1;: F<sub>1,28</sub> &#x3d; 15.92, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/vehicle pretreatment (IL-1&#x3b2;: F<sub>1,28</sub> &#x3d; 29.31, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>1,28</sub> &#x3d; 13.97, <italic>p</italic>&#x20;&#x3c; 0.001; TNF-&#x3b1;: F<sub>1,28</sub> &#x3d; 5.76, <italic>p</italic>&#x20;&#x3c; 0.05), and the LPS &#xd7; KRIBB11/vehicle interaction (IL-1&#x3b2;: F<sub>1,28</sub> &#x3d; 26.29, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>1,28</sub> &#x3d; 9.79, <italic>p</italic>&#x20;&#x3c; 0.01; TNF-&#x3b1;: F<sub>1,28</sub> &#x3d; 5.16, <italic>p</italic>&#x20;&#x3c; 0.05). Post hoc analysis revealed that KRIBB11 pretreatment (3&#xa0;&#x3bc;M) prevented the LPS (1&#xa0;&#x3bc;g/ml, 8&#xa0;h)-induced increases in the expression levels of IL-1&#x3b2; (<xref ref-type="fig" rid="F4">Figure&#x20;4A</xref>), IL-6 (<xref ref-type="fig" rid="F4">Figure&#x20;4B</xref>), and TNF-&#x3b1; (<xref ref-type="fig" rid="F4">Figure&#x20;4C</xref>) mRNA in the primary cultured microglia.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Effects of KRIBB11 on LPS-induced inflammatory responses in primary cultured microglia. <bold>(A&#x2012;C)</bold> Quantitative analysis showed the preventive effect of KRIBB11 pretreatment (3&#xa0;&#x3bc;M, 1&#xa0;h) on LPS (1&#xa0;&#x3bc;g/ml, 8&#xa0;h)-induced increases in the expression levels of IL-1&#x3b2; <bold>(A)</bold>, IL-6 <bold>(B)</bold>, and TNF-&#x3b1; <bold>(C)</bold> mRNA in primary cultured microglia (<italic>n</italic>&#x20;&#x3d; 8, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). <bold>(D&#x2012;G)</bold> Quantitative analysis showed the preventive effect of KRIBB11 pretreatment (3&#xa0;&#x3bc;M, 1&#xa0;h) on the expression levels of IL-4 <bold>(D)</bold>, IL-10 <bold>(E)</bold>, arginase-1 <bold>(F)</bold>, and CD206&#x20;<bold>(G)</bold> mRNA in primary cultured microglia treated with or without LPS (1&#xa0;&#x3bc;g/ml, 8&#xa0;h; <italic>n</italic>&#x20;&#x3d; 8, &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g004.tif"/>
</fig>
<p>In <xref ref-type="fig" rid="F4">Figures 4D&#x2012;G</xref>, the two-way ANOVA for the expression levels of IL-4, IL-10, arginase-1, and CD206 mRNA in the primary cultured microglia incubated with or without LPS and/or KRIBB11 showed significant effects for LPS treatment (IL-4: F<sub>1,28</sub> &#x3d; 4.41, <italic>p</italic>&#x20;&#x3c; 0.05; IL-10: F<sub>1,28</sub> &#x3d; 7.03, <italic>p</italic>&#x20;&#x3c; 0.05; arginase-1: F<sub>1,28</sub> &#x3d; 12.34, <italic>p</italic>&#x20;&#x3c; 0.01; CD206: F<sub>1,28</sub> &#x3d; 5.95, <italic>p</italic>&#x20;&#x3c; 0.05) and KRIBB11/vehicle pretreatment (IL-4: F<sub>1,28</sub> &#x3d; 40.53, <italic>p</italic>&#x20;&#x3c; 0.001; IL-10: F<sub>1,28</sub> &#x3d; 31.15, <italic>p</italic>&#x20;&#x3c; 0.001; arginase-1: F<sub>1,28</sub> &#x3d; 19.83, <italic>p</italic>&#x20;&#x3c; 0.001; CD206: F<sub>1,28</sub> &#x3d; 20.32, <italic>p</italic>&#x20;&#x3c; 0.001), but not for the LPS &#xd7; KRIBB11/vehicle interaction (IL-4: F<sub>1,28</sub> &#x3d; 1.16, <italic>p</italic>&#x20;&#x3d; 0.29; IL-10: F<sub>1,28</sub> &#x3d; 0.16, <italic>p</italic>&#x20;&#x3d; 0.69; arginase-1: F<sub>1,28</sub> &#x3d; 0.04, <italic>p</italic>&#x20;&#x3d; 0.84; CD206: F<sub>1,28</sub> &#x3d; 0.82, <italic>p</italic>&#x20;&#x3d; 0.37). Post hoc analysis revealed that KRIBB11 pretreatment (3&#xa0;&#x3bc;M) prevented the LPS-induced decreases in the expression levels of IL-4 (<xref ref-type="fig" rid="F4">Figure&#x20;4D</xref>), IL-10 (<xref ref-type="fig" rid="F4">Figure&#x20;4E</xref>), arginase-1 (<xref ref-type="fig" rid="F4">Figure&#x20;4F</xref>), and CD206 (<xref ref-type="fig" rid="F4">Figure&#x20;4G</xref>) mRNA in the primary cultured microglia. These results demonstrated that the KRIBB11 possesses an ability to prevent the pro-inflammatory responses in microglia.</p>
</sec>
<sec id="s3-4">
<title>Preventive Effect of KRIBB11 on LPS-Induced Neuroinflammatory Responses and Depression-like Behaviors in Mice</title>
<p>Next, we examined whether KRIBB11 pretreatment can prevent the neuroinflammatory response and neuroinflammation-associated behavioral deficits. To this end, the mice were firstly pre-treated with KRIBB11 (5&#xa0;mg/kg) for 5&#xa0;days and then accepted a single dose of LPS injection (100&#xa0;&#x3bc;g/kg). 5&#xa0;h after LPS injection, the mice were sacrificed for cortex collections for mRNA detection (<xref ref-type="fig" rid="F5">Figure&#x20;5A</xref>). A two-way ANOVA for the expression levels of IL-1&#x3b2;, IL-6, and TNF-&#x3b1; mRNA in the dorsolateral prefrontal cortex in mice treated with or without LPS and/or KRIBB11 showed significant effects for LPS treatment (IL-1&#x3b2;: F<sub>1,28</sub> &#x3d; 9.28, <italic>p</italic>&#x20;&#x3c; 0.01; IL-6: F<sub>1,28</sub> &#x3d; 12.27, <italic>p</italic>&#x20;&#x3c; 0.01; TNF-&#x3b1;: F<sub>1,28</sub> &#x3d; 37.57, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/vehicle pretreatment (IL-1&#x3b2;: F<sub>1,28</sub> &#x3d; 7.53, <italic>p</italic>&#x20;&#x3c; 0.05; IL-6: F<sub>1,28</sub> &#x3d; 9.32, <italic>p</italic>&#x20;&#x3c; 0.01; TNF-&#x3b1;: F<sub>1,28</sub> &#x3d; 33.97, <italic>p</italic>&#x20;&#x3c; 0.001), and the LPS &#xd7; KRIBB11/vehicle interaction (IL-1&#x3b2;: F<sub>1,28</sub> &#x3d; 6.19, <italic>p</italic>&#x20;&#x3c; 0.05; IL-6: F<sub>1,28</sub> &#x3d; 8.25, <italic>p</italic>&#x20;&#x3c; 0.01; TNF-&#x3b1;: F<sub>1,28</sub> &#x3d; 32.10, <italic>p</italic>&#x20;&#x3c; 0.001) (<xref ref-type="fig" rid="F5">Figures 5B&#x2012;D</xref>). Post hoc analysis revealed that KRIBB11 pretreatment (5&#xa0;mg/kg) could prevent the LPS (100&#xa0;&#x3bc;g/kg)-induced increases in the expression levels of IL-1&#x3b2; (<xref ref-type="fig" rid="F5">Figure&#x20;5B</xref>), IL-6 (<xref ref-type="fig" rid="F5">Figure&#x20;5C</xref>), and TNF-&#x3b1; (<xref ref-type="fig" rid="F5">Figure&#x20;5D</xref>) mRNA in the dorsolateral prefrontal cortex in&#x20;mice.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Effects of KRIBB11 on LPS-induced inflammatory responses in the dorsolateral prefrontal cortex and depression-like behaviors in mice. <bold>(A)</bold> Time-line showing the investigation of the effects of KRIBB11 on LPS-induced inflammatory responses in the dorsolateral prefrontal cortex and depression-like behaviors. <bold>(B&#x2012;D)</bold> Quantitative analysis showed the preventive effect of KRIBB11 pretreatment (5&#xa0;mg/kg, 5&#xa0;days) on LPS (100&#xa0;&#x3bc;g/kg, 5&#xa0;h)-induced increases in the expression levels of IL-1&#x3b2; <bold>(B)</bold>, IL-6 <bold>(C)</bold>, and TNF-&#x3b1; <bold>(D)</bold> mRNA in the dorsolateral prefrontal cortex (<italic>n</italic>&#x20;&#x3d; 8, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). <bold>(E&#x2012;H)</bold> Quantitative analysis showed the effect of KRIBB11 pretreatment (5&#xa0;mg/kg, 5&#xa0;days) on the expression levels of IL-4 <bold>(E)</bold>, IL-10 <bold>(F)</bold>, arginase-1 <bold>(G)</bold>, and CD206&#x20;<bold>(H)</bold> mRNA in the dorsolateral prefrontal cortex in mice treated with or without LPS (100&#xa0;&#x3bc;g/kg, 5&#xa0;h; <italic>n</italic>&#x20;&#x3d; 8, &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). <bold>(I,J)</bold> Quantitative analysis showed the preventive effect of KRIBB11 pretreatment (5&#xa0;mg/kg, 5&#xa0;days) on LPS (100&#xa0;&#x3bc;g/kg, 5&#xa0;h)-induced increases in the immobility time in the TST <bold>(I)</bold> and FST <bold>(J)</bold> in mice (<italic>n</italic>&#x20;&#x3d; 10, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS). Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g005.tif"/>
</fig>
<p>The two-way ANOVA for the expression levels of IL-4, IL-10, arginase-1, and CD206 mRNA in the dorsolateral prefrontal cortex in mice treated with or without LPS and/or KRIBB11 showed significant effects for LPS treatment (IL-4: F<sub>1,28</sub> &#x3d; 5.77, <italic>p</italic>&#x20;&#x3c; 0.05; IL-10: F<sub>1,28</sub> &#x3d; 15.98, <italic>p</italic>&#x20;&#x3c; 0.001; arginase-1: F<sub>1,28</sub> &#x3d; 12.40, <italic>p</italic>&#x20;&#x3c; 0.01; CD206: F<sub>1,28</sub> &#x3d; 7.09, <italic>p</italic>&#x20;&#x3c; 0.05) and KRIBB11/vehicle pretreatment (IL-4: F<sub>1,28</sub> &#x3d; 15.53, <italic>p</italic>&#x20;&#x3c; 0.001; IL-10: F<sub>1,28</sub> &#x3d; 12.44, <italic>p</italic>&#x20;&#x3c; 0.01; arginase-1: F<sub>1,28</sub> &#x3d; 16.05, <italic>p</italic>&#x20;&#x3c; 0.001; CD206: F<sub>1,28</sub> &#x3d; 13.66, <italic>p</italic>&#x20;&#x3c; 0.001) but not for the LPS &#xd7; KRIBB11/vehicle interaction (IL-4: F<sub>1,28</sub> &#x3d; 1.33, <italic>p</italic>&#x20;&#x3d; 0.26; IL-10: F<sub>1,28</sub> &#x3d; 0.21, <italic>p</italic>&#x20;&#x3d; 0.65; arginase-1: F<sub>1,28</sub> &#x3d; 1.02, <italic>p</italic>&#x20;&#x3d; 0.32; CD206: F<sub>1,28</sub> &#x3d; 0.09, <italic>p</italic>&#x20;&#x3d; 0.77) (<xref ref-type="fig" rid="F5">Figures 5E&#x2012;H</xref>). Post hoc analysis revealed that KRIBB11 pretreatment (5&#xa0;mg/kg) prevented the LPS (100&#xa0;&#x3bc;g/kg)-induced decreases in the expression levels of IL-4 (<xref ref-type="fig" rid="F5">Figure&#x20;5E</xref>), IL-10 (<xref ref-type="fig" rid="F5">Figure&#x20;5F</xref>), arginase-1 (<xref ref-type="fig" rid="F5">Figure&#x20;5G</xref>), and CD206 (<xref ref-type="fig" rid="F5">Figure&#x20;5H</xref>) mRNA in the dorsolateral prefrontal cortex in&#x20;mice.</p>
<p>As high levels of neuroinflammatory responses can induce behavioral deficits, we investigated whether KRIBB11 pretreatment prevents LPS-induced depression-like behaviors. A two-way ANOVA for the immobility time in the TST and FST in mice treated with or without LPS and/or KRIBB11 showed significant effects for LPS treatment (TST: F<sub>1,36</sub> &#x3d; 9.46, <italic>p</italic>&#x20;&#x3c; 0.01; FST: F<sub>1,36</sub> &#x3d; 15.64, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/vehicle pretreatment (TST: F<sub>1,36</sub> &#x3d; 4.14, <italic>p</italic>&#x20;&#x3c; 0.05; FST: F<sub>1,36</sub> &#x3d; 6.51, <italic>p</italic>&#x20;&#x3c; 0.05), and the LPS &#xd7; KRIBB11/vehicle interaction (TST: F<sub>1,36</sub> &#x3d; 5.50, <italic>p</italic>&#x20;&#x3c; 0.05; FST: F<sub>1,36</sub> &#x3d; 8.19, <italic>p</italic>&#x20;&#x3c; 0.01) (<xref ref-type="fig" rid="F5">Figures 5I,J</xref>). Post hoc analysis revealed that KRIBB11 pretreatment (5&#xa0;mg/kg) prevented the LPS (100&#xa0;&#x3bc;g/kg)-induced increases in the immobility time in the TST (<xref ref-type="fig" rid="F5">Figure&#x20;5I</xref>) and FST (<xref ref-type="fig" rid="F5">Figure&#x20;5J</xref>) in mice. Taken together, these results demonstrated that KRIBB11 pretreatment can prevent the LPS-induced neuroinflammatory response and depression-like behaviors in&#x20;mice.</p>
</sec>
<sec id="s3-5">
<title>Activating Protein Kinase B Activation Mediates the Pro-Elongation Effect of KRIBB11 on Primary Cultured Microglial Processes</title>
<p>Our previous studies had reported that Akt activation is required for the pro-elongation effect of different molecules, such as butyrate and &#x3b2;-3-hydrobutyrate, on microglial process (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>). Here, we hypothesized that the activation of Akt may mediate the pro-elongation effect of KRIBB11 on microglial process. We first checked influence of KRIBB11 on Akt phosphorylation in primary cultured microglia. Results showed that KRIBB11 treatment (3&#xa0;&#x3bc;M, 1&#xa0;h) induced a significant increase in the phosphorylation levels of Akt in the primary cultured microglia (t<sub>10</sub> &#x3d; 3.85, <italic>p</italic>&#x20;&#x3c; 0.01) (<xref ref-type="fig" rid="F6">Figures 6A,B</xref>). Then, we used the Akt inhibitor, LY294002 and VIII, to investigate the obligatory role of Akt in the pro-elongation effect of KRIBB11 on microglial process. In this experiment, a two-way ANOVA showed significant effects for KRIBB11 incubation (F<sub>1,174</sub> &#x3d; 16.03, <italic>p</italic>&#x20;&#x3c; 0.001), Akt inhibitor pretreatment (F<sub>2,174</sub> &#x3d; 13.24, <italic>p</italic>&#x20;&#x3c; 0.001), and the KRIBB11 &#xd7; Akt inhibitor interaction (F<sub>2,174</sub> &#x3d; 9.97, <italic>p</italic>&#x20;&#x3c; 0.001) (<xref ref-type="fig" rid="F6">Figures 6C,D</xref>). Post hoc analysis revealed that inhibition of Akt by LY294002 (20&#xa0;&#x3bc;M, <xref ref-type="fig" rid="F6">Figures 6C,D</xref>) or VIII (10&#xa0;&#x3bc;M, <xref ref-type="fig" rid="F6">Figures 6C,D</xref>) pretreatment blocked the pro-elongation effect of KRIBB11 on primary cultured microglial process.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Akt activation mediates the pro-elongation effect of KRIBB11 on primary cultured microglial process. <bold>(A,B)</bold> Representative images <bold>(A)</bold> and quantitative analysis <bold>(B)</bold> showed that KRIBB11 incubation (3&#xa0;&#x3bc;M, 30&#xa0;min) induced a significant increase in the phosphorylation levels of Akt in primary cultured microglia (<italic>n</italic>&#x20;&#x3d; 6, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle). <bold>(C,D)</bold> Representative images <bold>(C)</bold> and quantitative analysis <bold>(D)</bold> showed that inhibition of Akt activity by LY294002 (20&#xa0;&#x3bc;M, 30&#xa0;min) or VIII (10&#xa0;&#x3bc;M, 30&#xa0;min) pre-incubation prevented the pro-elongation effect of KRIBB11 (3&#xa0;&#x3bc;M, 5&#xa0;h) on primary cultured microglial process (&#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; KRIBB11). For cell shape investigation, 30 cells per condition were analyzed in three independent experiments. Scale bars: 25&#xa0;&#x3bc;m. Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g006.tif"/>
</fig>
</sec>
<sec id="s3-6">
<title>Activating Protein Kinase B Inhibition Abrogates the Regulatory Effect of KRIBB11 on Inflammatory Responses in Primary Cultured Microglia</title>
<p>We also investigated whether the inhibition of microglial process elongation could influence the regulatory effect of KRIBB11 on inflammatory responses. In experiments involving the measurement of the expression levels of IL-1&#x3b2;, IL-6, and TNF-&#x3b1; mRNA in primary cultured microglia incubated with or without KRIBB11, LY294002, and/or LPS, a two-way ANOVA showed significant effects for LPS treatment (IL-1&#x3b2;: F<sub>1, 56</sub> &#x3d; 164.70, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>1, 56</sub> &#x3d; 73.50, <italic>p</italic>&#x20;&#x3c; 0.001; TNF-&#x3b1;: F<sub>1, 56</sub> &#x3d; 46.94, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/LY294002/vehicle incubation (IL-1&#x3b2;: F<sub>3, 56</sub> &#x3d; 16.10, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>3, 56</sub> &#x3d; 8.47, <italic>p</italic>&#x20;&#x3c; 0.001; TNF-&#x3b1;: F<sub>3, 56</sub> &#x3d; 3.66, <italic>p</italic>&#x20;&#x3c; 0.05), and the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (IL-1&#x3b2;: F<sub>3, 56</sub> &#x3d; 16.07, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>3, 56</sub> &#x3d; 7.93, <italic>p</italic>&#x20;&#x3c; 0.001; TNF-&#x3b1;: F<sub>3, 56</sub> &#x3d; 3.48, <italic>p</italic>&#x20;&#x3c; 0.0) (<xref ref-type="fig" rid="F7">Figures 7A,B</xref>). Post hoc analysis revealed that pre-incubation of the primary cultured microglia with LY294002 (20&#xa0;&#x3bc;M) abrogated the reversal effect of KRIBB11 (3&#xa0;&#x3bc;M) on LPS (1&#xa0;&#x3bc;g/ml)-induced increases in the expression levels of IL-1&#x3b2; (<xref ref-type="fig" rid="F7">Figure&#x20;7A</xref>), IL-6 (<xref ref-type="fig" rid="F7">Figure&#x20;7B</xref>), and TNF-&#x3b1; (<xref ref-type="fig" rid="F7">Figure&#x20;7C</xref>)&#x20;mRNA.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Akt inhibition abrogates the preventive effect of KRIBB11 on LPS-induced inflammatory responses in primary cultured microglia. <bold>(A&#x2012;C)</bold> Quantitative analysis showed that LY294002 pretreatment (20&#xa0;&#x3bc;M, 30&#xa0;min) abrogated the preventive effect of KRIBB11 on LPS-induced increases in the expression levels of IL-1&#x3b2; <bold>(A)</bold>, IL-6 <bold>(B)</bold>, and TNF-&#x3b1; <bold>(C)</bold> mRNA in primary cultured microglia (<italic>n</italic>&#x20;&#x3d; 8, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS; &#x26;&#x26;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11 &#x2b; LPS). <bold>(D&#x2012;G)</bold> Quantitative analysis showed the abrogation effect of LY294002 pretreatment (20&#xa0;&#x3bc;M, 30&#xa0;min) on KRIBB11-induced increases in the expression levels of IL-4 <bold>(D)</bold>, IL-10 <bold>(E)</bold>, arginase-1 <bold>(F)</bold>, and CD206&#x20;<bold>(G)</bold> mRNA in primary cultured microglia treated with or without LPS (<italic>n</italic>&#x20;&#x3d; 8, &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, $<italic>p</italic>&#x20;&#x3c; 0.05 or $$<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS; &#x26;&#x26;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11 &#x2b; LPS). Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g007.tif"/>
</fig>
<p>In the experiments involving the measurement of anti-inflammatory mediators, the two-way ANOVA for the expression levels of IL-4, IL-10, arginase-1, and CD206 mRNA in primary cultured microglia incubated with or without KRIBB11, LY294002, and/or LPS showed significant effects for LPS treatment (IL-4: F<sub>1,56</sub> &#x3d; 10.96, <italic>p</italic>&#x20;&#x3c; 0.01; IL-10: F<sub>1,56</sub> &#x3d; 14.03, <italic>p</italic>&#x20;&#x3c; 0.001; arginase-1: F<sub>1,56</sub> &#x3d; 10.09, <italic>p</italic>&#x20;&#x3c; 0.01; CD206: F<sub>1,56</sub> &#x3d; 13.80, <italic>p</italic>&#x20;&#x3c; 0.001) and KRIBB11/LY294002/vehicle incubation (IL-4: F<sub>3,56</sub> &#x3d; 42.04, <italic>p</italic>&#x20;&#x3c; 0.05; IL-10: F<sub>3,56</sub> &#x3d; 14.46, <italic>p</italic>&#x20;&#x3c; 0.001; arginase-1: F<sub>3,56</sub> &#x3d; 14.40, <italic>p</italic>&#x20;&#x3c; 0.001; CD206: F<sub>3,56</sub> &#x3d; 10.99, <italic>p</italic>&#x20;&#x3c; 0.001) but not for the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (IL-4: F<sub>3,56</sub> &#x3d; 0.32, <italic>p</italic>&#x20;&#x3d; 0.81; IL-10: F<sub>3,56</sub> &#x3d; 0.48, <italic>p</italic>&#x20;&#x3d; 0.76; arginase-1: F<sub>3,56</sub> &#x3d; 0.29, <italic>p</italic>&#x20;&#x3d; 0.83; CD206: F<sub>3,56</sub> &#x3d; 0.12, <italic>p</italic>&#x20;&#x3d; 0.95) (<xref ref-type="fig" rid="F7">Figures 7D&#x2012;G</xref>). Post hoc analysis revealed that compared with the KRIBB11/LPS-treated microglia, the primary cultured microglia co-treated with LY294002, KRIBB11, and LPS exhibited significant decreases in the expression levels of IL-4 (<xref ref-type="fig" rid="F7">Figure&#x20;7D</xref>), IL-10 (<xref ref-type="fig" rid="F7">Figure&#x20;7E</xref>), arginase-1 (<xref ref-type="fig" rid="F7">Figure&#x20;7F</xref>), and CD206 (<xref ref-type="fig" rid="F7">Figure&#x20;7G</xref>)&#x20;mRNA.</p>
</sec>
<sec id="s3-7">
<title>Activating Protein Kinase B Inhibition Abrogates the Pro-elongation Effect of KRIBB11 on Microglial Process in the Dorsolateral Prefrontal Cortex</title>
<p>To investigate whether Akt activation is involved in the pro-elongation effect of KRIBB11 on microglia process at conditions <italic>in vivo</italic>, we used the intracerebroventricular infusion method to inhibit the activity of Akt in the brain (<xref ref-type="fig" rid="F8">Figure&#x20;8A</xref>). As shown in <xref ref-type="fig" rid="F8">Figures 8B,C</xref>, a two-way ANOVA showed significant effects for LPS injection (F<sub>1,232</sub> &#x3d; 6.18, <italic>p</italic>&#x20;&#x3c; 0.05), KRIBB11/LY294002/vehicle treatment (F<sub>3,232</sub> &#x3d; 31.11, <italic>p</italic>&#x20;&#x3c; 0.001), but not for the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (F<sub>3,232</sub> &#x3d; 0.81, <italic>p</italic>&#x20;&#x3d; 0.49). Post hoc analysis revealed that the intracerebroventricular LY294002 infusion prevented the KRIBB11 (5&#xa0;mg/kg)-induced elongations of the processes in the microglia in the dorsolateral prefrontal cortex in both stress-na&#xef;ve and LPS-stimulated mice (<xref ref-type="fig" rid="F8">Figures&#x20;8B,C</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>LY294002 infusion abrogates the pro-elongation effect of KRIBB11 on microglial process in the dorsolateral prefrontal cortex in mice treated with or without LPS. <bold>(A)</bold> Time-line showing the investigation of the effects of intracerebroventricularly LY294002 infusion on the pro-elongation effect of KRIBB11 on microglial process in the dorsolateral prefrontal cortex in mice treated with or without LPS. <bold>(B,C)</bold> Representative images <bold>(B)</bold> and quantitative analysis <bold>(C)</bold> showed that intracerebroventricularly LY294002 infusion abrogated the pro-elongation effect of KRIBB11 on microglial process in the dorsolateral prefrontal cortex in mice treated with or without LPS (&#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS, aa<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11, cc<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11 &#x2b; LPS). For cell shape investigation, 30 cells per condition were analyzed in three independent experiments. Scale bars in the low and high magnification images are 100 and 8&#xa0;&#x3bc;m, respectively. Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g008.tif"/>
</fig>
</sec>
<sec id="s3-8">
<title>Activating Protein Kinase B Inhibition Abrogates the Preventive Effect of KRIBB11 on LPS-Induced Neuroinflammatory Responses in the Brain and Depression-Like Behaviors in Mice</title>
<p>Finally, we investigated whether Akt inhibition could abrogate the preventive effect of KRIBB11 on LPS-induced neuroinflammatory responses and depression-like behaviors. We first evaluated the effect of LY294002 on the preventive effect of KRIBB11 on LPS-induced neuroinflammatory responses in the dorsolateral prefrontal cortex (<xref ref-type="fig" rid="F9">Figure&#x20;9A</xref>). A two-way ANOVA for the expression levels of IL-1&#x3b2;, IL-6, and TNF-&#x3b1; mRNA showed significant effects for LPS injection (IL-1&#x3b2;: F<sub>1,56</sub> &#x3d; 44.74, <italic>p</italic>&#x20;&#x3c; 0.001; IL-6: F<sub>1,56</sub> &#x3d; 37.17, <italic>p</italic>&#x20;&#x3c; 0.001; TNF-&#x3b1;: F<sub>1,56</sub> &#x3d; 70.32, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/LY294002/vehicle treatment (IL-1&#x3b2;: F<sub>3,56</sub> &#x3d; 3.44, <italic>p</italic>&#x20;&#x3c; 0.05; IL-6: F<sub>3,56</sub> &#x3d; 4.74, <italic>p</italic>&#x20;&#x3c; 0.01; TNF-&#x3b1;: F<sub>3,56</sub> &#x3d; 4.01, <italic>p</italic>&#x20;&#x3c; 0.05), and the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (IL-1&#x3b2;: F<sub>3,56</sub> &#x3d; 3.38, <italic>p</italic>&#x20;&#x3c; 0.05; IL-6: F<sub>3,56</sub> &#x3d; 5.07, <italic>p</italic>&#x20;&#x3c; 0.01; TNF-&#x3b1;: F<sub>3,56</sub> &#x3d; 4.12, <italic>p</italic>&#x20;&#x3c; 0.05) (<xref ref-type="fig" rid="F9">Figures 9B&#x2012;D</xref>). Post hoc analysis revealed that the intracerebroventricular LY294002 infusion abrogated the preventive effect of KRIBB11 on LPS-induced increases in the expression levels of IL-1&#x3b2; (<xref ref-type="fig" rid="F9">Figure&#x20;9B</xref>), IL-6 (<xref ref-type="fig" rid="F9">Figure&#x20;9C</xref>), and TNF-&#x3b1; (<xref ref-type="fig" rid="F9">Figure&#x20;9D</xref>) mRNA in the dorsolateral prefrontal cortex.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>LY294002 infusion abrogates the preventive effect of KRIBB11 on LPS-induced neuroinflammatory responses and depression-like behaviors in mice. <bold>(A)</bold> Time-line showing the investigation of the effect of intracerebroventricular LY294002 infusion on the preventive effect of KRIBB11 on LPS-induced neuroinflammatory responses and depression-like behaviors. <bold>(B&#x2012;D)</bold> Quantitative analysis showed that intracerebroventricularly LY294002 infusion abrogated the preventive effect of KRIBB11 on LPS-induced increases in the expression levels of IL-1&#x3b2; <bold>(B)</bold>, IL-6 <bold>(C)</bold>, and TNF-&#x3b1; <bold>(D)</bold> mRNA in the dorsolateral prefrontal cortex in mice (<italic>n</italic>&#x20;&#x3d; 8, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS, &#x26;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x26;&#x26;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11 &#x2b; LPS). <bold>(E&#x2012;H)</bold> Quantitative analysis showed the abrogation effect of intracerebroventricular LY294002 infusion on KRIBB11-induced increases in the expression levels of IL-4 <bold>(E)</bold>, IL-10 <bold>(F)</bold>, arginase-1 <bold>(G)</bold>, and CD206&#x20;<bold>(H)</bold> mRNA in the dorsolateral prefrontal cortex in mice treated with or without LPS (<italic>n</italic>&#x20;&#x3d; 8, &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle; $<italic>p</italic>&#x20;&#x3c; 0.05 vs. KRIBB11; &#x23;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS; &#x26;<italic>p</italic>&#x20;&#x3c; 0.05 or &#x26;&#x26;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11 &#x2b; LPS). <bold>(I,J)</bold> Quantitative analysis showed that intracerebroventricular LY294002 infusion abrogated the preventive effect of KRIBB11 on LPS-induced increases in the immobility tine in the TST <bold>(I)</bold> and FST <bold>(J)</bold> in mice (<italic>n</italic>&#x20;&#x3d; 10, &#x2a;&#x2a;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle, &#x23;&#x23;<italic>p</italic>&#x20;&#x3c; 0.01 vs. vehicle &#x2b; LPS, &#x26;&#x26;<italic>p</italic>&#x20;&#x3c; 0.01 vs. KRIBB11 &#x2b; LPS). Data are shown as mean&#x20;&#xb1; SEM.</p>
</caption>
<graphic xlink:href="fphar-13-857081-g009.tif"/>
</fig>
<p>For the expression levels of IL-4, IL-10, arginase-1, and CD206 mRNA, the two-way ANOVA showed significant effects for LPS injection (IL-4: F<sub>1,56</sub> &#x3d; 5.53, <italic>p</italic>&#x20;&#x3c; 0.05; IL-10: F<sub>1,56</sub> &#x3d; 18.14, <italic>p</italic>&#x20;&#x3c; 0.001; arginase-1: F<sub>1,56</sub> &#x3d; 22.94, <italic>p</italic>&#x20;&#x3c; 0.001; CD206: F<sub>1,56</sub> &#x3d; 12.88, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/LY294002/vehicle treatment (IL-4: F<sub>3,56</sub> &#x3d; 29.36, <italic>p</italic>&#x20;&#x3c; 0.001; IL-10: F<sub>3,56</sub> &#x3d; 12.14, <italic>p</italic>&#x20;&#x3c; 0.001; arginase-1: F<sub>3,56</sub> &#x3d; 5.38, <italic>p</italic>&#x20;&#x3c; 0.01; CD206: F<sub>1,56</sub> &#x3d; 11.68, <italic>p</italic>&#x20;&#x3c; 0.001), but not for the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (IL-4: F<sub>3,56</sub> &#x3d; 2.55, <italic>p</italic>&#x20;&#x3d; 0.07; IL-10: F<sub>3,56</sub> &#x3d; 0.20, <italic>p</italic>&#x20;&#x3d; 0.90; arginase-1: F<sub>1,56</sub> &#x3d; 0.21, <italic>p</italic>&#x20;&#x3d; 0.89; CD206: F<sub>1,56</sub> &#x3d; 0.24, <italic>p</italic>&#x20;&#x3d; 0.87) (<xref ref-type="fig" rid="F9">Figures 9E&#x2012;H</xref>). Post hoc analysis revealed that the intracerebroventricular LY294002 infusion abrogated the KRIBB11-induced increases in the expression levels of IL-4 (<xref ref-type="fig" rid="F9">Figure&#x20;9E</xref>), IL-10 (<xref ref-type="fig" rid="F9">Figure&#x20;9F</xref>), arginase-1 (<xref ref-type="fig" rid="F9">Figure&#x20;9G</xref>), and CD206 (<xref ref-type="fig" rid="F9">Figure&#x20;9H</xref>) mRNA in the dorsolateral prefrontal cortex in mice treated without or with&#x20;LPS.</p>
<p>Then, we evaluated whether Akt inhibition could abrogate the preventive effect of KRIBB11 on LPS-induced depression-like behaviors (<xref ref-type="fig" rid="F9">Figure&#x20;9A</xref>). For the immobility time in the TST, the two-way ANOVA showed significant effects for LPS injection (F<sub>1,72</sub> &#x3d; 20.86, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/LY294002/vehicle treatment (F<sub>3,72</sub> &#x3d; 4.08, <italic>p</italic>&#x20;&#x3c; 0.01), and the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (F<sub>3,72</sub> &#x3d; 3.36, <italic>p</italic>&#x20;&#x3c; 0.05) (<xref ref-type="fig" rid="F9">Figure&#x20;9I</xref>). For the immobility time in the FST, the two-way ANOVA showed significant effects for LPS injection (F<sub>1,72</sub> &#x3d; 31.76, <italic>p</italic>&#x20;&#x3c; 0.001), KRIBB11/LY294002/vehicle treatment (F<sub>3,72</sub> &#x3d; 3.36, <italic>p</italic>&#x20;&#x3c; 0.05), and the LPS &#xd7; KRIBB11/LY294002/vehicle interaction (F<sub>3,72</sub> &#x3d; 4.35, <italic>p</italic>&#x20;&#x3c; 0.01) (<xref ref-type="fig" rid="F9">Figure&#x20;9J</xref>). Post hoc analysis revealed that the intracerebroventricular LY294002 infusion abrogated the preventive effect of KRIBB11 on LPS-induced increases in the immobility time in the TST (<xref ref-type="fig" rid="F9">Figure&#x20;9I</xref>) and FST (<xref ref-type="fig" rid="F9">Figure&#x20;9J</xref>). Taken together, our results demonstrated that Akt inhibition can abrogate the preventive effect of KRIBB11 on LPS-induced neuroinflammatory responses and depression-like behaviors.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>One of the major contributions of the present study was the identification of a novel compound that induces microglial process elongation KRIBB11. The KRIBB11 incubation was found to induce a dramatic elongation of the processes in the primary cultured microglia in a dose- and time-dependent manner. The microglia in the dorsolateral prefrontal cortex in mice administered with KRIBB11 also displayed elongated processes, suggesting that the pro-elongation effect of KRIBB11 on microglial process can occur at conditions <italic>in vivo</italic>. We also observed that the pro-elongation effect of KRIBB11 on microglial process at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic> disappeared along with KRIBB11 washout or the discontinuation of KRIBB11 treatment, which was consonant with the plasticity nature of microglia (<xref ref-type="bibr" rid="B50">Yang R. et&#x20;al., 2019</xref>) and indicated that the pro-elongation effect of KRIBB11 on microglial processes is reversible.</p>
<p>The high ramified processes in microglia are important structures that can respond to the surrounding environment and pathological damages in the developing and adult brain. The microglia utilize their ramified processes to exert various functions such as synaptic pruning, synapse remodeling, and debris clearance (<xref ref-type="bibr" rid="B19">Harry, 2013</xref>; <xref ref-type="bibr" rid="B3">Bar and Barak, 2019</xref>; <xref ref-type="bibr" rid="B15">Gosselin, 2020</xref>), and the abnormal retraction of their ramified processes would disrupt brain homeostasis and even promote or mediate the development of central nervous system disorders, which has been widely confirmed by previous studies (<xref ref-type="bibr" rid="B14">Giunti et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B7">Davies et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B18">Hanlon et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B27">Matta et&#x20;al., 2020</xref>). Thus, using drugs that make the retracted processes in microglia return into a ramified state would help to develop novel strategies for the prevention or treatment of central nervous system disorders. The present findings may provide a potential candidate for that purpose, as KRIBB11 was not only found to induce elongations of microglial process at physiological conditions, but also prevent the LPS-induced retractions of microglial processes at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>, which represented an activated&#x20;state.</p>
<p>The pathologically activated microglia usually display dynamic changes in morphology and cell functions, such as the shortening of the ramified process, the overproduction of pro-inflammatory cytokines, and the impairment of the anti-inflammatory ability. The shortening of microglia process is positively associated with the progression neuroinflammatory response (<xref ref-type="bibr" rid="B32">Reichert and Rotshenker, 2019</xref>; <xref ref-type="bibr" rid="B37">Takagi et&#x20;al., 2019</xref>), while the elongation of microglia process produces an anti-neuroinflammatory phenotype (<xref ref-type="bibr" rid="B41">Vinet et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B50">Yang R. et&#x20;al., 2019</xref>). Suppression of the neuroinflammatory response by methods such as the supplementation of &#x3b2;-hydroxybutyrate (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>), butyrate (<xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>), diallyl disulfide (<xref ref-type="bibr" rid="B49">Xu et&#x20;al., 2020</xref>), and sulforaphane (<xref ref-type="bibr" rid="B48">Wu et&#x20;al., 2019</xref>) or the use of mesenchymal stem cells (<xref ref-type="bibr" rid="B30">Neubrand et&#x20;al., 2014</xref>), astrocyte-conditioned media (<xref ref-type="bibr" rid="B26">Liu et&#x20;al., 1994</xref>), epithelial cells-conditioned media (<xref ref-type="bibr" rid="B47">Wilms et&#x20;al., 1997</xref>) have been shown to skew the primary cultured microglia toward a morphology phenotype with elongated processes. Our findings showed that the KRIBB11 incubation not only promoted microglial process elongation but also induced remarkable increases in the gene expression levels of anti-inflammatory mediators such as IL-4, IL-10, arginase-1, and CD206 in primary cultured microglia and dorsolateral prefrontal cortexes, suggesting that the KRIBB11 may have neuroprotective functions at physiological conditions. Our results also showed that the KRIBB11 pretreatment prevented the LPS-induced increases in the expression levels of IL-1&#x3b2;, IL-6, and TNF-&#x3b1; mRNA as well as the LPS-induced decreases in the expression levels of IL-4, IL-10, arginase-1, and CD206 mRNA in primary cultured microglia and dorsolateral prefrontal cortexes. These findings, together with a previous finding that the elongation of macrophage process by shaping macrophage morphology directly induces an anti-inflammatory phenotype (<xref ref-type="bibr" rid="B30">Neubrand et&#x20;al., 2014</xref>), provide further evidence to establish the correlations between microglial process elongation and anti-neuroinflammation. The over-production of pro-inflammatory mediators indicates an M1 polarization state, and the increase in anti-inflammatory mediators shows an M2 polarization state (<xref ref-type="bibr" rid="B38">Tang and Le, 2016</xref>). The M1 and M2 polarization state are functionally interconnected, as the M2 polarization mediators, such as the IL-4, can promote anti-inflammation and debris clearance (<xref ref-type="bibr" rid="B51">Yang et&#x20;al., 2019a</xref>; <xref ref-type="bibr" rid="B52">Yang et&#x20;al., 2019b</xref>). In the present study, although the KRIBB11 treatment induced a remarkable increase in the expression levels of IL-4, at the present stage we still do not know whether it is the increased IL-4 that mediates the inhibitory effect of KRIBB11 on neuroinflammation in LPS-stimulated microglia and dorsolateral prefrontal cortexes.</p>
<p>Our functional studies also showed that the 5&#xa0;days of KRIBB11 treatment almost completely prevented the LPS-induced depression-like behaviors in the TST and FST in mice, suggesting that the KRIBB11 may have an ability to ameliorate depressive symptoms in animal models of depression and could be developed as a novel drug for depression treatment. However, as the herein-used model of depression was induced by LPS treatment, and the mostly-used models of depression was usually induced by some other types of chronic stresses, such as the chronic social defeat stress (<xref ref-type="bibr" rid="B45">Wang W. et&#x20;al., 2021</xref>) and chronic unpredictable stress (<xref ref-type="bibr" rid="B36">Strekalova et&#x20;al., 2022</xref>), the above-mentioned hypotheses should be investigated carefully in future studies by using the other models of depression. Furthermore, as our results showed that the KRIBB11 treatment prevented the development of the M1&#x20;phenotype-associated pro-inflammatory responses in the brain in LPS-challenged mice, we suppose that the KRIBB11 may also have therapeutic values in the other central nervous system disorders associated with neuroinflammation, such as Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="B40">Uddin et&#x20;al., 2022</xref>) and Parkinson&#x2019;s disease (<xref ref-type="bibr" rid="B2">Badanjak et&#x20;al., 2021</xref>). Another limitation that should be pointed out is that we only presented the pro-elongation effect of KRIBB11 on microglia process at conditions <italic>in vivo</italic> in the dorsolateral prefrontal cortex. In fact, the pro-elongation effect of KRIBB11 on microglia process at conditions <italic>in vivo</italic> could be also observed in other regions of the brain such as the hippocampus (data not shown). As neuroinflammation in different regions of the brain such as the prefrontal cortex, hippocampus, and amygdala are highly associated with the pathogenesis of depression, we hypothesize that the herein-observed antidepressant-like effects of KRIBB11 may be due to its effects on microglial process and neuroinflammatory responses in different regions of the brain. However, this hypothesis should be examined by future studies.</p>
<p>The elongation of microglial process induced by compounds, such as &#x3b2;-hydroxybutyrate (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>), butyrate (<xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>), diallyl disulfide (<xref ref-type="bibr" rid="B49">Xu et&#x20;al., 2020</xref>), and sulforaphane (<xref ref-type="bibr" rid="B48">Wu et&#x20;al., 2019</xref>), has been shown to be mediated by Akt activation. We showed here that the Akt activation may be also required for the pro-elongation effect of KRIBB11 on microglial process, as 1) KRIBB11 incubation can induce a significant increase in the phosphorylation levels of Akt in the primary cultured microglia, and 2) Akt inhibition can abrogate the pro-elongation effect of KRIBB11 on microglial process at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>. If the pro-elongation effect of KRIBB11 on microglia process was suppressed by Akt inhibition, the regulatory effects of KRIBB11 on neuroinflammatory response and neuroinflammation-associated behavioral abnormalities would also be suppressed. As anticipated, inhibition of Akt by LY294002, a classical of the Akt signal, abrogated the preventive effect of KRIBB11 on LPS-induced increases in the expression levels of IL-1&#x3b2;, IL-6, and TNF-&#x3b1; mRNA as well as LPS-induced decreases in the expression levels of IL-4, IL-10, arginase-1, and CD206 mRNA in primary cultured microglia and dorsolateral prefrontal cortexes. Furthermore, the Akt inhibition was found to abrogate the preventive effect of KRIBB11 on LPS-induced depression-like behaviors in the TST and FST. These results may also help to establish a causal correlation between the pro-elongation of KRIBB11 on microglial process and the anti-neuroinflammatory effect of KRIBB11. A major limitation for the present findings is that we did not check the changes in the phosphorylation levels of Akt in the primary cultured microglia and the dorsolateral prefrontal cortexes treated with or without LPS and/or LY294002. In future studies, we would check the role of the Akt signal in pro-inflammatory stimuli (such as LPS)-induced changes in microglial morphology and inflammatory responses.</p>
<p>How exactly KRIBB11 induces microglial process elongation remains unclear. KRIBB11 is initially identified as an inhibitor of HSF1 (<xref ref-type="bibr" rid="B53">Yoon et&#x20;al., 2011</xref>). Our previous studies had reported that the inhibition of HSF1 by KRIBB11 can prevent the expression and production of iNOS and NO in primary cultured microglia and brain tissues (<xref ref-type="bibr" rid="B20">Huang et&#x20;al., 2015</xref>). Thus, we suppose that the HSF1 inhibition may be a core mechanism that mediates the pro-elongation effect of KRIBB11 on microglial process. However, through analysis of previously published literatures, we found no evidence that can support the direct involvement of HSF1 in microglial process regulation, and no evidence could be available to support the regulation of Akt by HSF1. By contrary, it is the HSF1 that has been widely reported to be regulated by Akt (<xref ref-type="bibr" rid="B33">Schulz et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B5">Carpenter et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B12">Frezzato et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B39">Tang et&#x20;al., 2020</xref>). For example, Tang et&#x20;al. had reported that the Akt can enhance the heat shock response in human embryonic kidney (HEK) 293T&#x20;cells by inducing the phosphorylation of HSF1 at Ser230 (<xref ref-type="bibr" rid="B39">Tang et&#x20;al., 2020</xref>). High levels of heat shock protein 70 (Hsp70) in chronic lymphocytic leukemia cells were found to express high levels of phospho-Akt at Ser473, thereby inducing a strong activation of HSF1 (<xref ref-type="bibr" rid="B12">Frezzato et&#x20;al., 2019</xref>). In addition, the Akt has been reported to phosphorylate and activate HSF1 independently of heat-shock, leading to epithelial-mesenchymal transition in breast cancer cells (<xref ref-type="bibr" rid="B33">Schulz et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B5">Carpenter et&#x20;al., 2015</xref>). Thus, we hypothesize that the overactivated HSF1 triggered by Akt may in turn reduce Akt activity as a negative feedback mechanism, through which the HSF1 inhibition may induce Akt activation and promote microglial process elongation.</p>
<p>Some early studies have also reported that the Akt activation relies on the Gi protein signal pathway (<xref ref-type="bibr" rid="B23">Kim et&#x20;al., 2004</xref>), and the Gi signal activation in microglia is capable of inducing microglial process elongation and chemotaxis (<xref ref-type="bibr" rid="B9">Eyo et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B4">Bernier et&#x20;al., 2019</xref>). Therefore, the signal that is associated with Gi activation may also mediate the pro-elongation effect of KRIBB11 on microglial process. This hypothesis could be also evidenced by a previous finding that the activation of the complement C3a receptor, a Gi-coupled receptor, in microglia can promote microglial process chemotaxis (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2020</xref>). It is known that the 5-hydroxyteyptamine (5-HT) is a key molecule that mediates the antidepressant actions of many clinically available antidepressants, such as sertraline and paroxetine (<xref ref-type="bibr" rid="B13">Furukawa et&#x20;al., 2019</xref>). In a previous study by <xref ref-type="bibr" rid="B8">Etienne et&#x20;al. (2019)</xref>, researchers have found that a local application of 5-HT in acute brain slices can induce microglia process elongation, suggesting that the promotion of an anti-neuroinflammation-associated elongation of microglial process may be correlated with the antidepressant effects of 5-HT. Here, considering that the KRIBB11 pretreatment prevented the LPS-induced depression-like behaviors in mice, the KRIBB11 may induce microglial process elongation by promoting the release of 5-HT in microglia. Generally, all of these hypotheses provide more possible insight into the molecular mechanisms underlying the regulatory effect of KRIBB11 on microglia process, which should be investigated carefully in future studies, such as by using the proteomics technique to identify the intracellular signal pathway that mediates the pro-elongation effect of KRIBB11 on microglial process.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>Conclusion</title>
<p>Our results showed that the KRIBB11 can induce microglial process elongation at conditions <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>, which is correlated with anti-neuroinflammation. As this is the first report showing the regulatory effect of KRIBB11 on microglial process, this finding may provide an opportunity to develop novel mechanisms-based drugs for the treatment of central nervous system disorders associated with neuroinflammation. In future studies, in-depth studies should be conducted to explore more pharmacological characteristics of KRIBB11 in the central nervous system. For instance, we should investigate whether it has an ability to penetrate the blood-brain-barrier and whether it produces toxic effects when it is given at a high dosage. Furthermore, as we had previously identified a series of compounds that promote microglial process elongation, such as &#x3b2;-hydroxybutyrate (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>), butyrate (<xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2018</xref>), diallyl disulfide (<xref ref-type="bibr" rid="B49">Xu et&#x20;al., 2020</xref>), and sulforaphane (<xref ref-type="bibr" rid="B48">Wu et&#x20;al., 2019</xref>), we should further compare the properties between KRIBB11 and those compounds on microglial process regulation, which may help to investigate the exact mechanisms underlying the pro-elongation effect of KRIBB11 on microglial process. For example, as the histone deacetylase (HDAC) inhibitor (such as trichostatin A) has been reported to promote microglial process elongation (<xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>), and the &#x3b2;-hydroxybutyrate, butyrate, diallyl disulfide, and sulforaphane (<xref ref-type="bibr" rid="B29">Myzak and Dashwood, 2006</xref>; <xref ref-type="bibr" rid="B35">Shimazu et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B21">Huang et&#x20;al., 2018</xref>) can suppress the activities of HDACs, it is reasonable to speculate that the KRIBB11 may have an ability to inhibit HDAC activities.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s7">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Animal experiments were conducted in accordance with internationally accepted guidelines for the use of animals in toxicology as adopted by the Society of Toxicology in 1999) and were approved by the University Animal Ethics Committee of Nantong University (Permit Number: 2110836).</p>
</sec>
<sec id="s8">
<title>Author Contributions</title>
<p>JS, HH, XL, and CH designed the experiments; JS, ZD, HH, XL, and CH writed, reviewed and edited the main text; JS, HH, FX, XL, and CH Investigated the experiments; JS, ZD, HH, QL, and CH conducted formal analysis and validation; JS, HH, and CH supervised this experiment. All data were generated in-house, and no paper mill was used. All authors agree to be accountable for all aspects of work ensuring integrity and accuracy.</p>
</sec>
<sec id="s9">
<title>Funding</title>
<p>This work was supported by the Social Development Project of Nantong (HS2020005), the Natural Science Foundation of China (81771467 and 81974216), the Science and Technology Project of Nantong City (JC2020020 and JC2020013), the Six Talent Peaks Project in Jiangsu Province (SWYY-071), the Natural Science Foundation of the Higher Education Institutions of Jiangsu Province (20KJB310025), and the Postgraduate Research and Practice Innovation Program of Jiangsu Province (KYCX20-2855).</p>
</sec>
<sec sec-type="COI-statement" id="s10">
<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="s11">
<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>
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