Effect of Xiaoyaosan Decoction on Learning and Memory Deficit in Rats Induced by Chronic Immobilization Stress

Xiaoyaosan (XYS) decoction is a famous prescription which can protect nervous system from stress and treat liver stagnation and spleen deficiency syndrome (LSSDS). In this experiment, we observed the effect of XYS decoction on chronic immobilization stress (CIS) induced learning and memory deficit in rats from behaviors and changes of proteins in hippocampus. We used XYS decoction to treat CIS induced learning and memory deficit in rats with rolipram as positive control, used change of body weight and behavioral tests to determine whether the rats have LSSDS and have learning and memory deficit or not. We used Western blotting to determine the content of postsynaptic density protein 95 (PSD-95) and synaptophysin (SYP) in hippocampus. Results showed that XYS could improve the situation of slow weight gain induced by CIS, improve the ability of learning and memory, reverse the symptom of liver stagnation and spleen deficiency syndrome (LSSDS) in rats, and increase the levels of PSD-95 and SYP on the hippocampal nerve synapses. These findings suggested that XYS decoction may be helpful in reversing CIS induced learning and memory deficit by increasing the levels of PSD-95 and SYP on the hippocampal nerve synapses and improving synaptic plasticity.


Introduction
Learning and memory deficit is a very important symptom in central nervous system injury [1,2]. Hippocampal synaptic plasticity plays a key role in learning and memory [3]. Hippocampus is a target of stress [4]. CIS significantly decreases the hippocampal volume by 3%-6.3% [5,6], attenuates long-term potentiation (LTP) in hippocampal slices [7], and causes hippocampal CA3 apical dendritic retraction which parallels spatial memory impairments in male rats [8]. CIS causes dendritic atrophy of the hippocampal pyramidal neurons and alterations in the levels of neurotransmitters in the hippocampus [9]. Research found 602 genes in the hippocampus were differentially expressed in CIS (3 h per day for a 7-day period) induced rats, as well as 566 genes in hippocampus were differentially expressed in CIS (3 h per day for a 21-day period) induced rats [10]. CIS can not only induce spatial learning and memory deficit [11], but also result in rats with liver stagnation and spleen deficiency syndrome (LSSDS) in traditional Chinese medicine [12].
Traditional Chinese medicine (TCM) has an active effect on chronic disease and psychiatry. XYS decoction which was created in Song Dynasty (960-1127 AD) contains Radix Angelicae Sinensis, Poria, Radix Paeoniae Alba, Radix Glycyrrhizae, Radix Bupleuri, Rhizoma Atractylodis Macrocephalae, Herba Menthae, and Rhizoma Zingiberis Recens. The chemical constituent of XYS includes peoniflorin, saikoside, ferulic acid, atractylol, glycyrrhetate, curcumin, and menthone [13]. XYS decoction has been mainly used to treat LSSDS and mental disorders in TCM clinic [14,15]. The function of XYS decoction is to soothe the liver, improve the circulation of qi, relieve depression, strengthen the spleen, and nourish blood. It is a safe and useful prescription in clinic. XYS decoction can protect nervous system from stress [16] and play a good role in the treatment of LSSDS [15,17].
Our recently studies showed the XYS decoction reverse CIS-induced decreases in brain-derived neurotropic factor (BDNF) and increases tyrosine hydroxylase (TrkB) and neurotropic 3 (NT-3) in the frontal cortex and the hippocampal CA1 subregion [18]. The XYS decoction can significantly downregulate the contents of leptin and leptin receptor (ob-R) at the arcuate nucleus (ARC) in the basal of hypothalamus of chronic stressed rats [19]. Meanwhile, the XYS decoction containing serum significantly improves mitochondrial membrane potential and apoptotic rate of hippocampus neuron induced by oxidative stress [20].
The purpose of this study was to observe the effect of XYS decoction on chronic immobilization stress-induced learning and memory deficit in rats from behaviors and changes of proteins in hippocampus.

Drugs and
Treatments. XYS decoction (3.854 g/kg/d) was mixed by XYS powder and saline. Saline was mixed by NaCl (purchased from Fisher Scientific) and deionized water. The volume for XYS decoction or saline (i.g.) is 1 mL/100 g body weight. Rolipram was purchased from A. G. Scientific and was dissolved in saline containing 5% dimethyl sulfoxide (DMSO). The injection (i.p.) volume was 1 mL/kg body weight. Rolipram (0.3 mg/mL) was given once daily through the whole experiment.
Rats were divided into 4 groups, that is, control group, CIS + saline group, CIS + rolipram group, and CIS + XYS group. Every group had 10 rats. All groups, except control group, were immobilized for 3 hours per day through the whole experiment [11,21,22]. Saline or rolipram or XYS was given 30 min prior to CIS in the whole experiment. On 21st day, behavior tests such as locomotor activity, object recognition, or Morris water maze were taken after stress.

CIS Procedure.
All groups, except the control group, were exposed to CIS. CIS was performed by putting rats in a breathable plastic decapicones for 3 h per day in the whole experiment until rats were sacrificed. It took first 21 days in the experiment to impair the ability of learning and memory and induce symptom of LSSDS in rats. The control group had access to food and water freely; however, food and water were not provided during stress.

Body Weight Monitoring and Behavioral Test Procedures.
Body weight and general state were recorded before treatments. On day 21, behavior tests such as locomotor activity, Evidence-Based Complementary and Alternative Medicine  Figure 2: Effects of XYS on body weights and locomotor activity test. (a) After 1-week treatment, body weight gain of the CIS + saline group, and the CIS + rolipram group, the CIS + XYS group decreased markedly compared with that of the control group ( < 0.01). After 2-week treatment, body weight gain of the CIS + saline group, the CIS + rolipram group, and the CIS + XYS group increased compared with themselves after 1-week treatment. These differences were not significant. After 2-week treatment, body weight gain of the CIS + saline group, the CIS + rolipram group, and the CIS + XYS group decreased markedly compared with that of the control group ( < 0.01). Body weight gain of the CIS + XYS group increased compared with that of the CIS + saline group significantly ( < 0.05). After 3-week treatment, body weight gain of the CIS + saline group, the CIS + rolipram group, and the CIS + XYS group decreased markedly compared with that of the control group ( < 0.01). Body weight gain of the CIS + rolipram group and the CIS + XYS group increased compared with the CIS + saline group significantly ( < 0.05). (b) There is no significant difference between any two groups in four groups in locomotor activity, as assessed by line crossings and rears after stress on day 21. Values shown are means ± SD of ten rats per group. * * < 0.01 versus the control group. # < 0.05, ## < 0.01 versus the CIS + saline group.
object recognition, or Morris water maze were performed after stress. Rats were placed in the testing room 30 min before the behavioral tests for habituation. All the behavioral data were recorded manually by an unbiased observer.

Locomotor Activity
Test. This was performed as described previously [23] with minor modifications. On day 21 (Figure 1(a)), after the stress rats were placed individually in a black wooden box (80 × 80 × 40 cm) which was with the  Figure 3: Effects of XYS on object recognition test. (a) There was no significant difference in RI between any two groups in the control group, the CIS + saline group, the CIS + rolipram group, and the CIS + XYS group when object A and object B were identical. (b) When object A was different from object C, RI of the CIS + saline group was lower than that of the control group significantly ( < 0.05). RIs of the CIS + rolipram group and the CIS + XYS group were higher than these of the CIS + saline group significantly ( < 0.05). Values shown are means ± SD of ten rats per group. * < 0.05 versus the control group. # < 0.05 versus the CIS + saline group.
floor divided into four identical squares. Line crossings (with all four paws placed into a new square) and rears (with both front paws raised from the floor) were recorded in a 5-min period.

Object Recognition Test.
The test was carried out as described previously [23]. On day 21 (Figure 1(a)), each rat was allowed to move freely in a black wooden box for 5 min as habituation; locomotor activity was simultaneously recorded (see locomotor activity test part). Twenty-four hours later, rats were individually placed in the center of the box containing two identical objects (Lego blocks) located in the two diagonal corners. The cumulative time spent in exploring each object (object A and object B) was recorded separately during 5-min period. Exploration was defined as touching or smelling or being close to (within 2 cm) the object. On day 23, each rat was tested for memory using the same procedure except that one of the familiar objects was replaced with a totally novel object (object C replacing object B). The cumulative time spent in exploring each object was recorded, respectively, during 5min period. Formula RI = 2/( 1+ 2) was used to calculate the recognition index (RI). 2 is the cumulative time in exploring object B or object C. 1 is the cumulative time in exploring object A.

Morris Water Maze
Test. The role of XYS in memory was further confirmed using the Morris water maze test. This test was carried out as described previously [23]. The apparatus consisted of a circular, plastic pool (174 cm diameter, 72.5 cm high) located in a well-illuminated room with external cues visible from the inside of the pool, which was filled with opaque water (22-24 ∘ C). On day 21 (Figure 1(b)), a visible circular platform (10 cm diameter) was 2 cm higher than the water in one of the four quadrants. Rats were trained to escape by swimming to the platform. On day 22, a hidden circular platform (10 cm diameter) was submerged 2 cm under the water in one of four quadrants. The acquisition trials (training to escape to the hidden platform) were carried out for three consecutive days (6 trials for 2 days and 4 trials for 1 day) (Figure 1(b)). The latency (the time taken to climb onto the platform) for each rat was recorded and the cutoff time is 90 sec. On day 25, the probe trial was performed with the platform removed to assess spatial memory. Rat was allowed to swim for 90 sec. The numbers of entries into the target quadrant and time spent in the target quadrant where the platform was previously located were recorded.

Western
Blotting. Hippocampal tissues were processed and Western blot analysis was performed as described previously [24]. Samples were separated using SDS-PAGE and then transferred to PVDF membranes. Sample loading quantility for PSD-95 is 10 g and that for SYP is 3 g. Membranes were incubated with Mouse Anti-PSD-95 (1 : 500) or Mouse Anti-Synaptophysin (1 : 50000). Both of antibodies were purchased from BD Transduction Laboratories. Betaactin (1 : 1000) was purchased from Sigma. Membranes were incubated overnight with primary antibodies. After washing, the membranes were incubated with goat anti-mouse secondary antibody (1 : 10000, Li-COR) for 1 h. The detection and quantification of specific bands were carried out using a fluorescence scanner (Odyssey Infrared Imaging System, LI-COR Biotechnology) at 800 nm wavelength.

Statistical
Analysis. Data shown were expressed as mean value ± standard deviation (SD) and analyzed using oneway ANOVA except for the data of the body weight and acquisition training of the Morris water maze, which were analyzed by two-way ANOVA. Newman-Keuls tests were used for post hoc multiple treatment comparisons. Statistical significance was considered when < 0.05.

Effects of XYS on Body Weights and Locomotor Activity
Test. In this experiment, body weights of rats were monitored throughout 21 days to evaluate the potential effect of XYS. Body weight gain in all groups except the control group tended to be decreased statistically from the control group through whole 21 days. After 2-week and 3-week treatments, XYS and rolipram led to a slower gain of body weights. (Figure 2(a)) The treatment did not display significant changes in locomotor activity (Figures 2(b) and 2(c)).

Effects of XYS on Object Recognition Test.
In this experiment, rats in the CIS + saline group displayed worse recognition index in object recognition test compared with the control group. Rolipram or XYS treatments increased the recognition index compared with the CIS + saline group (Figure 3).

Effects of XYS on Morris Water
Maze. In the experiment, rats displayed progressive decreases in the escape latency to reach the hidden platform during the 3-day acquisition training, especially in the 3rd and 4th acquisition trials for the CIS + saline group (Figure 4(a)). CIS + saline group displayed significant decrease compared with the control group in duration in target quadrant. CIS + rolipram group and CIS + XYS group displayed significant increase compared with the CIS + saline group in duration in target quadrant (Figure 4(b)). As entries in target quadrant, there are no significant changes in groups (Figure 4(c)).

Effect of XYS on PSD-95, SYP in the Hippocampus.
In this experiment, Western blotting results indicated that the CIS + saline group displayed decrease significantly in PSD-95 ( Figure 5(a)) and SYP ( Figure 5(b)) in the hippocampus compared with the control group. The CIS + rolipram group and CIS + XYS group displayed significant increase in PSD-95 ( Figure 5(a)) and SYP ( Figure 5(b)) in the hippocampus compared with the CIS + saline group ( Figure 5).

Discussion
The purpose of this experiment was to dig out the mechanism of XYS on CIS induced learning and memory deficit in rats.
In TCM, the syndrome of stagnation of liver qi can lead to poor digestion and weight loss [25]. CIS can slow weight gain of rats; especially CIS was given in the morning [26,27]. Symptoms of LSSDS include poor digestion, weight loss, diarrhea, bad appetite, and so on. Stress exposure 3 hours per day for 21 days leads to LSSDS, XYS decoction can soothe the liver and strengthen the spleen, and our previous study suggests that leptin receptor (ob-R) in the arcuate nucleus may act as the target of XYS in regulating the symptoms such as appetite and bodyweight loss under chronic stress with LSSDS [19]. Normal function of the liver and the spleen plays a beneficial role in turning the foods and drinks into nutrition. Nutrition can not only keep physical normality such as regular weight gain but also keep mental health such as memory and learning. CIS leads to learning and memory deficit in object recognition test [28]. Chronic stress prolongs the latent period and decreases the times crossing the target quadrant in Morris water maze [29]. Chronic multiple stress can prolong the escape latency and duration of exploring in the target quadrant [30]. The memory enhancing effect of XYS is verified in Morris water maze task [31,32].
Synaptic plasticity is the important part of neurobiology for learning and memory ability [33]. Synapse is the key to neuron networking and information transmission [34]. Reduction of neuronal synaptic plasticity and function deficit do harm to the ability of learning and memory [35]. PSD-95 is the postsynaptic membrane marker and SYP is the presynaptic membrane marker [36].
PSD-95 knocked out mice or PSD-95-mutant mice have LTP and learning and memory deficit [37,38]. Chronic restraint stress leads to PSD-95 decreases in hippocampal CA3 areas of rats and the stress leads to the impairment of learning and memory ability [39]. Analog 165 can obviously improve the learning and memory ability and also increase the expression of PSD-95 [40]. Environmental enrichment significantly improves the memory damage induced by cerebral ischemia and upregulated the expression of PSD-95 mRNA in the ipsilateral cortex and hippocampus of occluding the right middle cerebral artery rats [41].
Immobilization stress exposure decreases expression of SYP in the hippocampus [42]. Patients with Alzheimer's disease were found that their PSD-95 and SYP decrease in the hippocampus [43,44]. Cognitive decline of patients Evidence-Based Complementary and Alternative Medicine 7 with Alzheimer's disease correlates with changes in the hippocampus and the content of cortical presynaptic vesicle protein SYP content [45,46].
The above data suggested that XYS could improve the situation of slow weight gain induced by CIS, improve the ability of learning and memory, reverse the symptom of liver stagnation and spleen deficiency syndrome (LSSDS) in rats, and increase the levels of PSD-95 and SYP on the hippocampal nerve synapses to improve synaptic plasticity. Several groups of bioactive nature products have been identified from the herbs in the XYS decoction as cited by our previous published paper [18], combined with our previously reported data that XYS decoction ameliorates impairment of cellular plasticity and resilience underlying pathophysiology of mood disorders [18], and there were some inclusions appearing that low-dose XYS (1.927 g/kg/d) decoction containing serum decreases apoptotic rate of neuron significantly in vitro and XYS decoction (3.854 g/kg/d) improved chronic immobilization stress induced learning and memory deficit in vivo [20].
Further studies will be focused on the relationship between different doses of XYS decoction serum concentration and improvement of learning and memory deficit induced by CIS in rats.

Ethical Approval
The study was approved by the Ethics Committee of Beijing University of Chinese Medicine in China.