We investigated the effects of
pyridoxine deficiency on ischemic neuronal death in the hippocampus of gerbil (n = 5 per group). Serum
pyridoxal 5'-phosphate levels were significantly decreased in
Pyridoxine-deficient diet (PDD)-fed gerbils, while
homocysteine levels were significantly increased in
sham- and
ischemia-operated gerbils. PDD-fed gerbil showed a reduction in neuronal nuclei (NeuN)-immunoreactive neurons in the medial part of the hippocampal CA1 region three days after. Reactive
astrocytosis and microgliosis were found in PDD-fed gerbils, and transient
ischemia caused the aggregation of activated microglia in the stratum pyramidale three days after
ischemia. Lipid peroxidation was prominently increased in the hippocampus and was significantly higher in PDD-fed gerbils than in Control diet (CD)-fed gerbils after
ischemia. In contrast,
pyridoxine deficiency decreased the proliferating cells and neuroblasts in the dentate gyrus in
sham- and
ischemia-operated gerbils. Nuclear factor erythroid-2-related factor 2 (Nrf2) and
brain-derived neurotrophic factor (
BDNF) levels also significantly decreased in PDD-fed gerbils
sham 24 h after
ischemia. These results suggest that
pyridoxine deficiency accelerates neuronal death by increasing serum
homocysteine levels and lipid peroxidation, and by decreasing Nrf2 levels in the hippocampus. Additionally, it reduces the regenerated potentials in hippocampus by decreasing
BDNF levels. Collectively,
pyridoxine is an essential
element in modulating cell death and hippocampal neurogenesis after
ischemia.