Mitragynine Reverses LPS-Induced Anxiety and Oxidative Stress in Rats via Modulation of Toll-Like Receptor 4 and Malondialdehyde (MDA)

Main Article Content

Hanisah Muhammad Faiz
Suleiman Yunusa
Muhammad Hazim Abdullah
Zurina Hassan

Abstract

Neuroinflammation marked by increased toll-like receptor 4 (TLR4) expression contributes to the pathogenesis of anxiety disorders. Mitragynine, an indole alkaloid derived from the kratom plant (Mitragyna speciosa Korth), shows promise as a potential pharmacotherapeutic agent for anxiety due to its anti-inflammatory activity. However, the mechanism involved in its anxiolytic effect remains unclear. This study investigated the effects of mitragynine on anxiety-like behaviours, TLR4 expression and oxidative stress in the brains of rats treated with lipopolysaccharide (LPS). Rats received a single 1 mg/kg LPS injection intraperitoneally (i.p.) to induce anxiety. Mitragynine was then administered at doses of 1 mg/kg, 5 mg/kg or 10 mg/kg body weight 1 hour post-LPS administration. The impact of mitragynine on anxiety was assessed using the elevated plus maze (EPM). TLR4 expression was measured using a Western blot, while oxidative stress markers (MDA, GSH, GPx, CAT) were measured using protein assays. Mitragynine ameliorated LPS-induced anxiety behaviours in the EPM. Mitragynine (5 mg/kg and 10 mg/kg) reversed the effect of LPS on TLR4 expression in the rats’ brains. All doses of mitragynine reduced lipid peroxidation in the frontal cortex of LPS-treated rats. As conclusion, the Mitragynine effects on LPS-induced anxiety may be associated with the reduction in TLR4 expression and MDA level.

Article Details

Section

Original Article

How to Cite

Hanisah Muhammad Faiz, Suleiman Yunusa, Muhammad Hazim Abdullah, & Zurina Hassan. (2026). Mitragynine Reverses LPS-Induced Anxiety and Oxidative Stress in Rats via Modulation of Toll-Like Receptor 4 and Malondialdehyde (MDA). Tropical Life Sciences Research, 37(3), 159-179. https://doi.org/10.21315/tlsr2026.37.3.8

References

Alshehri S and Imam S S. (2021). Rosinidin attenuates lipopolysaccharide-induced memory impairment in rats: Possible mechanisms of action include antioxidant and anti-inflammatory effects. Biomolecules 11(12): 1747. https://doi.org/10.3390/biom11121747

Arab Z, Hosseini M, Mashayekhi F and Anaeigoudari A. (2020). Zataria multiflora extract reverses lipopolysaccharide-induced anxiety and depression behaviors in rats. Avicenna Journal of Phytomedicine 10: 78–88.

Atrooz F, Liu H and Salim S. (2019). Stress, psychiatric disorders, molecular targets, and more. In D Lahiri, M Nag, D Bhattacharya and G. Bhattacharya (eds.), Progress in Molecular Biology and Translational Science, vol. 224, Elsevier Ireland, 77–105. https://doi.org/10.1016/bs.pmbts.2019.06.006

Banks W A, Gray A M, Erickson M A, Salameh T S and Damodarasamy M. (2015). Lipopolysaccharide-induced blood-brain barrier disruption: Roles of cyclooxygenase, oxidative stress, neuroinflammation, and elements of the neurovascular unit. Journal of Neuroinflammation 12: 223. https://doi.org/10.1186/s12974-015-0434-1

Bath R, Bucholz T, Buros A F, Singh D, Smith K E, Veltri C A and Grundmann O. (2020). Self-reported health diagnoses and demographic correlates with kratom use: Results from an online survey. Journal of Addiction Medicine 14(3): 244–252. https://doi.org/10.1097/ADM.0000000000000570

Bednarczuk G, Bandura W, Rutkowska I and Starczewski M. (2025). Balance level and fundamental motor skills of youth with visual impairments: Pilot study. Journal of Clinical Medicine 14(10): 3483. https://doi.org/10.3390/jcm14103483

Beheshti F, Hashemzehi M, Hosseini M, Marefati N and Memarpour S. (2020). Inducible nitric oxide synthase plays a role in depression- and anxiety-like behaviors chronically induced by lipopolysaccharide in rats: Evidence from inflammation and oxidative stress. Behavioural Brain Research 392: 112720. https://doi.org/10.1016/j.bbr.2020.112720

Bellettato C M and Scarpa M. (2018). Possible strategies to cross the blood-brain barrier. Italian Journal of Pediatrics 44: 131. https://doi.org/10.1186/s13052-018-0563-0

Berggren N, Curtis H M and Derakshan N. (2017). Interactions of emotion and anxiety on visual working memory performance. Psychonomic Bulletin & Review 24: 1274–1281. https://doi.org/10.3758/s13423-016-1213-4

Bradford M M. (1976). A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein dye binding. Analytical Biochemistry 72(1-2): 248–254. https://doi.org/10.1016/0003-2697(76)90527-3

Brown S M, Henning S and Wellman C L. (2005). Mild, short-term stress alters dendritic morphology in rat medial prefrontal cortex. Cerebral Cortex 15(11): 1714–1722. https://doi.org/10.1093/cercor/bhi048

Chen L, Fei S and Olatunji O J. (2022). LC/ESI/TOF-MS characterization, anxiolytic and antidepressant-like effects of Mitragyna speciosa Korth extract in diabetic rats. Molecules 27(7): 2208. https://doi.org/10.3390/molecules27072208

Choubey P, Kwatra M, Pandey S N, Kumar D, Dwivedi D K, Rajput P, Mishra A, Lahkar M and Jangra A. (2019). Ameliorative effect of fisetin against lipopolysaccharide and restraint stress-induced behavioral deficits via modulation of NF-κB and IDO-1. Psychopharmacology 236: 741–752. https://doi.org/10.1007/s00213-018-5105-3

Ciesielska A, Matyjek M and Kwiatkowska K. (2021). TLR4 and CD14 trafficking and its influence on LPS-induced pro-inflammatory signaling. Cellular and Molecular Life Sciences 78: 1233–1261. https://doi.org/10.1007/s00018-020-03656-y

Coe M A, Pillitteri J L, Sembower M A, Gerlach K K and Henningfield J E. (2019). Kratom as a substitute for opioids: Results from an online survey. Drug and Alcohol Dependence 202: 24–32. https://doi.org/10.1016/j.drugalcdep.2019.05.005

Cohen S, Janicki-Deverts D, Doyle W J, Miller G E, Frank E, Rabin B S and Turner R B. (2015). Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. PNAS 109(16): 5995–5999. https://doi.org/10.1073/pnas.1118355109

Cortez I, Brocardo P S and Leasure J L. (2021). Changes in affective behavior and oxidative stress after binge alcohol in male and female rats. Brain Sciences 11(9): 1250. https://doi.org/10.3390/brainsci11091250

Cunningham E T, Wada E, Carter D B, Tracey D E, Battey J F and De Souza E B. (1992). In situ histochemical localization of type I interleukin-1 receptor messenger RNA in the central nervous system, pituitary, and adrenal gland of the mouse. Journal of Neuroscience 12(3): 1101–1114. https://doi.org/10.1523/JNEUROSCI.12-03-01101.1992

Dantzer R, O’Connor J C, Freund G G, Johnson R W and Kelley K W. (2008). From inflammation to sickness and depression: When the immune system subjugates the brain. Nature Reviews Neuroscience 9: 46–56. https://doi.org/10.1038/nrn2297

de Gregório E, Mendes G C, Somensi L B, Geremia Freire C, Freitas Lopes L, Lima K R, Carrazoni G S, Neves B-H S, Picua S S, et al. (2022). Neuroprotective effects of strength training in a neuroinflammatory animal model. BMC Neuroscience 23: 22. https://doi.org/10.1186/s12868-022-00708-w

Eastlack S C, Cornett E M and Kaye A D. (2020). Kratom-pharmacology, clinical implications, and outlook: A comprehensive review. Pain and Therapy 9: 55–69. https://doi.org/10.1007/s40122-020-00151-x

Ellmers T J, Durkin M, Sriranganathan K, Harris D J and Bronstein A M. (2024). The influence of postural threat-induced anxiety on locomotor learning and updating. Journal of Neurophysiology 131(3): 562–575. https://doi.org/10.1152/jn.00364.2023

Fedoce A, das G, Ferreira F, Bota R G, Bonet-Costa V, Sun P Y and Davies K J A. (2018). The role of oxidative stress in anxiety disorder: Cause or consequence. Free Radical Research 52(7): 737–750. https://doi.org/10.1080/10715762.2018.1475733

Femenia T, Qian Y, Arentsen T, Forssberg H and Diaz Heijtz R. (2018). Toll-like receptor-4 regulates anxiety-like behavior and DARPP-32 phosphorylation. Brain, Behavior, and Immunity 69: 273–282. https://doi.org/10.1016/j.bbi.2017.11.022

Forman H J, Zhang H and Rinna A. (2009). Glutathione: Overview of its protective roles, measurement, and biosynthesis. Molecular Aspects of Medicine 30: 1–12. https://doi.org/10.1016/j.mam.2008.08.006

Garcia-Romeu A, Cox D J, Smith K E, Dunn K E and Griffiths R R. (2020). Kratom (Mitragyna speciosa): User demographics, use patterns, and implications for the opioid epidemic. Drug and Alcohol Dependence 208: 107849. https://doi.org/10.1016/j.drugalcdep.2020.107849

Goshen I, Kreisel T, Ounallah-Saad H, Renbaum P, Zalzstein Y, Ben-Hur T, Levy-Lahad E and Yirmiya R. (2007). A dual role for interleukin-1 in hippocampal-dependent memory processes. Psychoneuroendocrinology 32(8–10): 1106–1115. https://doi.org/10.1016/j.psyneuen.2007.09.004

Hadwan M H and Abed H N. (2016). Data supporting the spectrophotometric method for the estimation of catalase activity. Data in Brief 6: 194–199. https://doi.org/10.1016/j.dib.2015.12.012

Harro J. (2018). Animals, anxiety, and anxiety disorders: How to measure anxiety in rodents and why. Behavioural Brain Research 352: 81–93. https://doi.org/10.1016/j.bbr.2017.10.016

Hassan R, Pike See C, Sreenivasan S, Mansor S M, Müller C P and Hassan Z. (2020). Mitragynine attenuates morphine withdrawal effects in rats: a comparison with methadone and buprenorphine. Frontiers in Psychiatry 11: 411. https://doi.org/10.3389/fpsyt.2020.00411

Hassan Z, Suhaimi F W, Ramanathan S, Ling K H, Effendy M A, Müller C P and Dringenberg H C. (2019). Mitragynine (Kratom) impairs spatial learning and hippocampal synaptic transmission in rats. Journal of Psychopharmacology 33(7): 908–918. https://doi.org/10.1177/0269881119844186

Hazim A I, Ramanathan S, Parthasarathy S, Muzaimi M and Mansor S M. (2014). Anxiolytic-like effects of mitragynine in the open-field and elevated plusmaze tests in rats. The Journal of Physiological Sciences 64(3): 161–169. https://doi.org/10.1007/s12576-014-0304-0

Johnson L E, Balyan L, Magdalany A, Saeed F, Salinas R, Wallace S, Veltri C A, Swogger M T, Walsh Z and Grundmann O. (2020). The potential for kratom as an antidepressant and antipsychotic. The Yale Journal of Biology and Medicine 93(2): 283–289.

Khaiyom J H A, Mukhtar F and Oei T P. (2019). Treatments for anxiety disorders in Malaysia. Malaysian Journal of Medical Sciences 26(3): 24–36. https://doi.org/10.21315/mjms2019.26.3.2

Khalili M, Alavi M, Esmaeil-Jamaat E, Baluchnejadmojarad T and Roghani M. (2018). Trigonelline mitigates lipopolysaccharide-induced learning and memory impairment in the rat due to its anti-oxidative and anti-inflammatory effect. International Immunopharmacology 61: 355–362. https://doi.org/10.1016/j.intimp.2018.06.019

Kikuchi D S, Campos A C P, Qu H, Forrester S J, Pagano R L, Lassègue B, Sadikot R T, Griendling K K and Hernandes M S. (2019). Poldip2 mediates bloodbrain barrier disruption in a model of sepsis-associated encephalopathy. Journal of Neuroinflammation 16: 241. https://doi.org/10.1186/s12974-019-1575-4

Kpemissi M, Eklu-Gadegbeku K, Veerapur V P, Negru M, Taulescu M, Chandramohan V, Hiriyan J, Banakar S M, Thimmaiah N V, Suhas D S, et al. (2019). Nephroprotective activity of Combretum micranthum G. Don in cisplatin induced nephrotoxicity in rats: In-vitro, in-vivo and in-silico experiments. Biomedicine and Pharmacotherapy 116: 108961. https://doi.org/10.1016/j.biopha.2019.108961

Lee B, Yeom M, Shim I, Lee H and Hahm D H. (2020). Inhibitory effect of carvacrol on lipopolysaccharide-induced memory impairment in rats. The Korean Journal of Physiology & Pharmacology 24(1): 27–37. https://doi.org/10.4196/kjpp.2020.24.1.27

Leitner G R, Wenzel T J, Marshall N, Gates E J and Klegeris A. (2019). Targeting toll-like receptor 4 to modulate neuroinflammation in central nervous system disorders. Expert Opinion on Therapeutic Targets 23(10): 865–882. https://doi.org/10.1080/14728222.2019.1676416

Life Science Group. (2013). DC Protein assay instruction manual. Bio-Rad Laboratories. https://www.biorad.com/webroot/web/pdf/lsr/literature/LIT448.pdf

Lowry O H, Rosebrough N J, Farr A L and Randall R J. (1951). Protein measurement with the folin phenol reagent. Journal of Biological Chemistry 193(1): 265–275. https://doi.org/10.1016/S0021-9258(19)52451-6

Luduvico K P, Spohr L, Soares M S P, Teixeira F C, de Farias A S, Bona N P, Pedra N S, Felix A d O C, Spanevello R M and Stefanello F M. (2020). Antidepressant effect and modulation of the redox system mediated by tannic acid on lipopolysaccharide-induced depressive and inflammatory changes in mice. Neurochemical Research 45: 2032–2043. https://doi.org/10.1007/s11064-020-03064-5

Matsunaga T, Morikawa Y, Kamase K, Horinouchi M, Sasajima Y, Suenami K, Sato K, Takekoshi Y, Endo S, El-Kabbani O and Ikari A. (2017). Enhancement of endothelial barrier permeability by mitragynine. Biological and Pharmaceutical Bulletin 40(10): 1779–1783. https://doi.org/10.1248/bpb.b17-00117

Mohamad N E, Sidik S M, Akhtari-Zavare M and Gani N A. (2021). The prevalence risk of anxiety and its associated factors among university students in Malaysia: A national cross-sectional study. BMC Public Health 21: 438. https://doi.org/10.1186/s12889-021-10440-5

Nakao A, Matsunaga Y, Hayashida K and Takahashi N. (2021). Role of oxidative stress and Ca 2+ signaling in psychiatric disorders. Frontiers in Cell and Developmental Biology 9: 615569. https://doi.org/10.3389/fcell.2021.615569

Nandeesh R, Vijayakumar S, Munnolli A, Alreddy A, Veerapur V P, Chandramohan V and Manjunatha E. (2018). Bioactive phenolic fraction of Citrus maxima abate lipopolysaccharide-induced sickness behaviour and anorexia in mice: In-silico molecular docking and dynamic studies of biomarkers against NF-κB. Biomedicine and Pharmacotherapy 108: 1535–1545. https://doi.org/10.1016/j.biopha.2018.10.004

Norouzi F, Abareshi A, Anaeigoudari A, Shafei M N, Gholamnezhad Z, Saeedjalali M, Mohebbati R and Hosseini M. (2016). The effects of Nigella sativa on sickness behavior induced by lipopolysaccharide in male Wistar rats. Avicenna Journal of Phytomedicine 6(1): 104–116.

Olivares A, Rodríguez-Fuentes G, Mascaró M, Arteaga A S, Ortega K, Monsreal C C, Tremblay N and Rosas C. (2019). Maturation trade-offs in octopus females and their progeny: Energy, digestion and defence indicators. PeerJ 7: e6618. https://doi.org/10.7717/peerj.6618

Pardridge W M. (2012). Drug transport across the blood-brain barrier. Journal of Cerebral Blood Flow & Metabolism 32(11): 1959–1972. https://doi.org/10.1038/jcbfm.2012.126

Peng X, Luo Z, He S, Zhang L and Li Y. (2021). Blood-brain barrier disruption by lipopolysaccharide and sepsis-associated encephalopathy. Frontiers in Cellular and Infection Microbiology 11: 768108. https://doi.org/10.3389/fcimb.2021.768108

Roustaei Rad N, Movahedian A, Feizi A, Aminorroaya A and Aarabi M. (2022). Antioxidant effects of astaxanthin and metformin combined therapy in type 2 diabetes mellitus patients: A randomized double-blind controlled clinical trial. Research in Pharmaceutical Sciences 17(2): 219–230. https://doi.org/10.4103/1735-5362.335179

Salmani H, Hakimi Z, Arab Z, Marefati N, Reza Mahdinezhad M, RezaeiGolestan A, Beheshti F, Soukhtanloo M, Mahnia A and Hosseini M. (2022). Carvacrol attenuated neuroinflammation, oxidative stress and depression and anxiety like behaviors in lipopolysaccharide-challenged rats. Avicenna Journal of Phytomedicine 12(5): 514–526. https://doi.org/10.22038/AJP.2022.20005

Seguella L, Pesce M, Capuano R, Casano F, Pesce M, Corpetti C, Vincenzi M, Maftei D, Lattanzi R, Del Re A, Sarnelli G, Gulbransen B D and Esposito G. (2021). High-fat diet impairs duodenal barrier function and elicits glia-dependent changes along the gut-brain axis that are required for anxiogenic and depressive-like behaviors. Journal of Neuroinflammation 18: 115. https://doi.org/10.1186/s12974-021-02164-5

Shih R H, Wang C Y and Yang C M. (2011). NF-kappaB signaling pathways in neurological inflammation: A mini review. Frontiers in Molecular Neuroscience 4: 3.

Swogger M T and Walsh Z. (2018). Kratom use and mental health: A systematic review. Drug and Alcohol Dependence 183: 134–140. https://doi.org/10.1016/j.drugalcdep.2017.10.012

Todd D A, Kellogg J J, Wallace E D, Khin M, Flores-Bocanegra L, Tanna R S, McIntosh S, Raja H A, T. Graf T N, Hemby S E, Paine M F, Oberlies N H and Cech N B. (2020). Chemical composition and biological effects of kratom (Mitragyna speciosa): In vitro studies with implications for efficacy and drug interactions. Scientific Report 10: 19158. https://doi.org/10.1038/s41598-020-76119-w

Utar Z, Abdul Majid M I, Adenan M I, Jamil M F A and Tan M L. (2011). Mitragynine inhibits the COX-2 mRNA expression and prostaglandin E 2 production induced by lipopolysaccharide in RAW264.7 macrophage cells. Journal of Ethnopharmacology 136: 75–82. https://doi.org/10.1016/j.jep.2011.04.011

Uti D E, Atangwho I J, Eyong E U, Umoru G U, Egbung G E, Nna V U and Udeozor P A. (2020). African walnuts attenuate ectopic fat accumulation and associated peroxidation and oxidative stress in monosodium glutamateobese Wistar rats. Biomedicine and Pharmacotherapy 124: 109879. https://doi.org/10.1016/j.biopha.2020.109879

Vargas-Caraveo A, Sayd A, Maus S R, Caso J R, Madrigal J L M, García-Bueno B and Leza J C. (2017). Lipopolysaccharide enters the rat brain by a lipoprotein-mediated transport mechanism in physiological conditions. Scientific Reports 7: 13113. https://doi.org/10.1038/s41598-017-13302-6

Wang P, Liu B Y, Wu M M, Wei X Y, Sheng S, You S W, Shang L-X and Kuang F. (2019). Moderate prenatal alcohol exposure suppresses the TLR4-mediated innate immune response in the hippocampus of young rats. Neuroscience Letters 699: 77–83. https://doi.org/10.1016/j.neulet.2019.01.049

Yeung K S, Hernandez M, Mao J J, Haviland I and Gubili J. (2018). Herbal medicine for depression and anxiety: A systematic review with assessment of potential psycho-oncologic relevance. Phytotherapy Research 32(5): 865–891. https://doi.org/10.1002/ptr.6033

Yusoff N H M, Suhaimi F W, Vadivelu R K, Hassan Z, Rümler A, Rotter A, Amato D, Dringenberg H C, Mansor S M, Navaratnam V and Müller C P. (2016). Abuse potential and adverse cognitive effects of mitragynine (kratom). Addiction Biology 21(1): 98–110. https://doi.org/10.1111/adb.12185

Zhang L, Previn R, Lu L, Liao R F, Jin Y and Wang R K. (2018). Crocin, a natural product attenuates lipopolysaccharide-induced anxiety and depressive like behaviors through suppressing NF-kB and NLRP3 signaling pathway. Brain Research Bulletin 142: 352–359. https://doi.org/10.1016/j.brainresbull.2018.08.021

Zusso M, Lunardi V, Franceschini D, Pagetta A, Lo R, Stifani S, Frigo A C, Giusti P and Moro S. (2019). Ciprofloxacin and levofloxacin attenuate microglia inflammatory response via TLR4/ NF-kB pathway. Journal of Neuroinflammation 16: 148. https://doi.org/10.1186/s12974-019-1538-9