Tacrolimus Decreases Cognitive Function by Impairing Hippocampal Synaptic Balance: a Possible Role of Klotho

Yoo Jin Shin, Sun Woo Lim, Sheng Cui, Eun Jeong Ko, Byung Ha Chung, Hong Lim Kim, Tae Ryong Riew, Mun Yong Lee, Chul Woo Yang

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The influence of long-term tacrolimus treatment on cognitive function remains to be elucidated. Using a murine model of chronic tacrolimus neurotoxicity, we evaluated the effects of tacrolimus on cognitive function, synaptic balance, its regulating protein (Klotho), and oxidative stress in the hippocampus. Compared to vehicle-treated mice, tacrolimus-treated mice showed significantly decreased hippocampal-dependent spatial learning and memory function. Furthermore, tacrolimus caused synaptic imbalance, as demonstrated by decreased excitatory synapses and increased inhibitory synapses, and downregulated Klotho in a dose-dependent manner; the downregulation of Klotho was localized to excitatory hippocampal synapses. Moreover, tacrolimus increased oxidative stress and was associated with activation of the PI3K/AKT pathway in the hippocampus. These results indicate that tacrolimus impairs cognitive function via synaptic imbalance, and that these processes are associated with Klotho downregulation at synapses through tacrolimus-induced oxidative stress in the hippocampus.

Original languageEnglish
Pages (from-to)5954-5970
Number of pages17
JournalMolecular Neurobiology
Volume58
Issue number11
DOIs
StatePublished - Nov 2021

Bibliographical note

Funding Information:
This work was supported by the Korean Health Technology R&D Project, Ministry for Health & Welfare, Republic of Korea (HI14C3417), and the Basic Science Research Program through a National Research Foundation of Korea (NRF) grant funded by the Ministry of Education (NRF-2018R1D1A1B07044219) and the Ministry of Science, ICT & Future Planning (NRF-2020R1A2C2012711).

Funding Information:
We thank all the administrative and research staff in the Transplantation Research Center, The College of Medicine, The Catholic University of Korea.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • Cognitive dysfunction
  • Hippocampus
  • Klotho
  • Oxidative stress
  • Synaptic imbalance
  • Tacrolimus

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