Doxorubicin dose-dependently induces cognitive impairment and anxiety in conditioned passive avoidance and elevated plus-maze tests in rats
https://doi.org/10.37489/2587-7836-2025-3-30-38
EDN: GFBZDY
Abstract
Background. Cognitive impairment and anxiety are common side effects of anticancer chemotherapy, particularly with doxorubicin (DOX). Therefore, there is a need to develop experimental models to assess DOX-induced dose-dependent impairments in cognitive function and emotional behavior.
The aim — study of the dose-dependent effect of the anthracycline antitumor drug doxorubicin (DOX) on the formation and reproduction of a memory trace, anxiety, and motor responses in experiments on healthy sexually mature rats.
Materials and methods. The experiments were performed on outbred male rats that were administered DOX (2.0 and 3.0 mg/kg, intraperitoneally) once a week for 4 weeks. To record exploratory behavior, assess motor reactions and anxiety behavior, the following tests were used: “open field”, “rotary rod”, “horizontal bar” and “elevated plus maze” (EPM). The influence of DOX on the processes of learning and reproduction of a memory trace was studied in the test of the conditioned reflex of passive avoidance (CPAR).
Results. DOX at doses of 2 and 3 mg/kg did not affect rat behavior in the open field test and did not impair motor coordination in the rotarod and horizontal crossbar tests. In the EPM test, DOX (3 mg/kg) increased anxiety response. DOX at a dose of 2 mg/kg, which does not induce anxiety, did not affect rat learning in the CPAR test. However, after 24 hours and 7 days, DOX (2 mg/kg) reduced the latency time of entry into the dark compartment of the setup compared to the control, which indicates a disruption in the reproduction of the CPAR.
Conclusion. The obtained data confirm the validity of using DOX (2 mg/kg) for modeling cognitive impairment and anxiety at the stage of preclinical study of biologically active substances.
About the Authors
S. O. Kotel’nikovaRussian Federation
Svetlana O. Kotel'nikova — PhD, Cand. Sci. (Biol.), Senior Researcher at the Laboratory of Pharmacology of Mental Diseases
Moscow
I. V. Alekseev
Russian Federation
Ivan V. Alekseev — Junior Research Scientist of the Laboratory of Drug Toxicology
Moscow
V. A. Kraineva
Russian Federation
Valentina A. Kraineva — Leading Researcher at the Laboratory of Pharmacology of Mental Diseases
Moscow
T. A. Voronina
Russian Federation
Tatiana A. Voronina — PhD, Dr. Sci. (Med.), professor, Chief Scientific Officer, Head of the Department of Neuropsychopharmacology, Head of the Laboratory of Pharmacology of Mental Diseases
Moscow
L. G. Kolik
Russian Federation
Larisa G. Kolik — PhD, Dr. Sci. (Biology), Professor of the Russian Academy of Sciences, Head of laboratory of medicinal toxicology
Moscow
References
1. Silberfarb PM, Philibert D, Levine PM. Psychosocial aspects of neoplastic disease: II. Affective and cognitive effects of chemotherapy in cancer patients. Am J Psychiatry. 1980 May;137(5):597-601. doi: 10.1176/ajp.137.5.597.
2. Ganz PA. Cognitive dysfunction following adjuvant treatment of breast cancer: a new dose-limiting toxic effect? J Natl Cancer Inst. 1998 Feb 4;90(3):182-3. doi: 10.1093/jnci/90.3.182.
3. Raffa RB, Duong PV, Finney J, et al. Is 'chemo-fog'/'chemo-brain' caused by cancer chemotherapy? J Clin Pharm Ther. 2006 Apr;31(2):129-38. doi: 10.1111/j.1365-2710.2006.00726.x.
4. Raffa RB. Cancer 'survivor-care': II. Disruption of prefrontal brain activation top-down control of working memory capacity as possible mechanism for chemo-fog/brain (chemotherapy-associated cognitive impairment). J Clin Pharm Ther. 2013 Aug;38(4):265-8. doi: 10.1111/jcpt.12071.
5. Wefel JS, Saleeba AK, Buzdar AU, Meyers CA. Acute and late onset cognitive dysfunction associated with chemotherapy in women with breast cancer. Cancer. 2010 Jul 15;116(14):3348-56. doi: 10.1002/cncr.25098.
6. Vitali M, Ripamonti CI, Roila F, et al. Cognitive impairment and chemotherapy: a brief overview. Crit Rev Oncol Hematol. 2017 Oct;118:7-14. doi: 10.1016/j.critrevonc.2017.08.001.
7. Mattioli R, Ilari A, Colotti B, et al. Doxorubicin and other anthracyclines in cancers: Activity, chemoresistance and its overcoming. Mol Aspects Med. 2023 Oct;93:101205. doi: 10.1016/j.mam.2023.101205.
8. Volkova M, Russell R 3rd. Anthracycline cardiotoxicity: prevalence, pathogenesis and treatment. Curr Cardiol Rev. 2011 Nov;7(4):214-20. doi: 10.2174/157340311799960645. PMID: 22758622; PMCID: PMC3322439.
9. Zordoky BN, Anwar-Mohamed A, Aboutabl ME, El-Kadi AO. Acute doxorubicin toxicity differentially alters cytochrome P450 expression and arachidonic acid metabolism in rat kidney and liver. Drug Metab Dispos. 2011 Aug;39(8):1440-50. doi: 10.1124/dmd.111.039123.
10. Aluise CD, Sultana R, Tangpong J, et al. Chemo brain (chemo fog) as a potential side effect of doxorubicin administration: role of cytokineinduced, oxidative/nitrosative stress in cognitive dysfunction. Adv Exp Med Biol. 2010;678:147-56. doi: 10.1007/978-1-4419-6306-2_19.
11. Bigotte L, Olsson Y. Cytofluorescence localization of adriamycin in the nervous system. III. Distribution of the drug in the brain of normal adult mice after intraventricular and arachnoidal injections. Acta Neuropathol. 1982;58(3):193-202. doi: 10.1007/BF00690801.
12. Eide S, Feng ZP. Doxorubicin chemotherapy-induced "chemo-brain": Meta-analysis. Eur J Pharmacol. 2020 Aug 15;881:173078. doi: 10.1016/j.ejphar.2020.173078.
13. Mizutani H, Tada-Oikawa S, Hiraku Y, et al. Mechanism of apoptosis induced by doxorubicin through the generation of hydrogen peroxide. Life Sci. 2005 Feb 11;76(13):1439-53. doi: 10.1016/j.lfs.2004.05.040.
14. Kitamura Y, Hattori S, Yoneda S, et al. Doxorubicin and cyclophosphamide treatment produces anxiety-like behavior and spatial cognition impairment in rats: Possible involvement of hippocampal neurogenesis via brain-derived neurotrophic factor and cyclin D1 regulation. Behav Brain Res. 2015 Oct 1;292:184-93. doi: 10.1016/j.bbr.2015.06.007.
15. Alekseev IV, Miroshkina IA, Sorokina AV, et al. Doxorubicin Effects on Cognitive Impairment and the Microscopic View of Brain Structures in Rats. Journal Biomed. 2024;20(3): 52-57. (In Russ.). doi: 10.33647/2074-5982-20-3-52-57.
16. John J, Kinra M, Mudgal J, et al. Animal models of chemotherapyinduced cognitive decline in preclinical drug development. Psychopharmacology (Berl). 2021 Nov;238(11):3025-3053. doi: 10.1007/s00213-021-05977-7.
17. Voronina TA, Seredenin SB, Yarkova MA, Voronin MV. Guidelines for the preclinical study of the tranquilizing (anxiolytic) effect of drugs. Guidelines for conducting preclinical studies of drugs. Part one. Moscow: Grif i K, 2012:264-275 (In Russ.).
18. Voronina TA, Ostrovskaya RU, Garibova TL. Guidelines for the preclinical study of drugs with a nootropic type of action. Guidelines for conducting preclinical studies of drugs. Part one. Moscow: Grif i K, 2012:276-296. (In Russ).
19. Dunham NW, Miya TS. A note on a simple apparatus for detecting neurological deficit in rats and mice. J Am Pharm Assoc Am Pharm Assoc. 1957 Mar;46(3):208-9. doi: 10.1002/jps.3030460322.
20. Murphy MP, Rick JT, Milgram NW, Ivy GO. A simple and rapid test of sensorimotor function in the aged rat. Neurobiol Learn Mem. 1995 Sep;64(2):181-6. doi: 10.1006/nlme.1995.1057.
21. Pellow S, Chopin P, File SE, Briley M. Validation of open:closed arm entries in an elevated plus-maze as a measure of anxiety in the rat. J Neurosci Methods. 1985 Aug;14(3):149-67. doi: 10.1016/0165-0270(85)90031-7.
22. Kraeuter AK, Guest PC, Sarnyai Z. The Y-Maze for Assessment of Spatial Working and Reference Memory in Mice. Methods Mol Biol. 2019;1916:105-111. doi: 10.1007/978-1-4939-8994-2_10.
23. Okudan N, Belviranlı M, Sezer T. Potential Protective Effect of Coenzyme Q10 on Doxorubicin-Induced Neurotoxicity and Behavioral Disturbances in Rats. Neurochem Res. 2022 May;47(5):1280-1289. doi: 10.1007/s11064-021-03522-8.
24. Aziriova S, Repova Bednarova K, Krajcirovicova K, et al. Doxorubicininduced behavioral disturbances in rats: protective effect of melatonin and captopril. Pharmacol Biochem Behav. 2014 Sep;124:284-9. doi: 10.1016/j.pbb.2014.06.021.
25. El-Agamy SE, Abdel-Aziz AK, Wahdan S, et al. Astaxanthin Ameliorates Doxorubicin-Induced Cognitive Impairment (Chemobrain) in Experimental Rat Model: Impact on Oxidative, Inflammatory, and Apoptotic Machineries. Mol Neurobiol. 2018 Jul;55(7):5727-5740. doi: 10.1007/s12035- 017-0797-7.
26. Ali AE, Elsherbiny DM, Azab SS, El-Demerdash E. The diuretic amiloride attenuates doxorubicin-induced chemobrain in rats: Behavioral and mechanistic study. Neurotoxicology. 2022 Jan;88:1-13. doi: 10.1016/j.neuro.2021.10.002.
Review
For citations:
Kotel’nikova S.O., Alekseev I.V., Kraineva V.A., Voronina T.A., Kolik L.G. Doxorubicin dose-dependently induces cognitive impairment and anxiety in conditioned passive avoidance and elevated plus-maze tests in rats. Pharmacokinetics and Pharmacodynamics. 2025;(3):30-38. (In Russ.) https://doi.org/10.37489/2587-7836-2025-3-30-38. EDN: GFBZDY







































