Entacapone Treatment Modulates Hippocampal Proteins Related to Synaptic Vehicle Trafficking

Entacapone, a reversible inhibitor of catechol-O-methyl transferase, is used for patients in Parkinson’s disease because it increases the bioavailability and effectiveness of levodopa. In the present study, we observed that entacapone increases novel object recognition and neuroblasts in the hippocampus. In the present study, two-dimensional electrophoresis (2-DE) and matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry were performed to compare the abundance profiles of proteins expressed in the hippocampus after entacapone treatment in mice. Results of 2-DE, MALDI-TOF mass spectrometry, and subsequent proteomic analysis revealed an altered protein expression profile in the hippocampus after entacapone treatment. Based on proteomic analysis, 556 spots were paired during the image analysis of 2-DE gels and 76 proteins were significantly changed more than two-fold among identified proteins. Proteomic analysis indicated that treatment with entacapone induced expressional changes in proteins involved in synaptic transmission, cellular processes, cellular signaling, the regulation of cytoskeletal structure, energy metabolism, and various subcellular enzymatic reactions. In particular, entacapone significantly increased proteins related to synaptic trafficking and plasticity, such as dynamin 1, synapsin I, and Munc18-1. Immunohistochemical staining showed the localization of the proteins, and western blot confirmed the significant increases in dynamin I (203.5% of control) in the hippocampus as well as synapsin I (254.0% of control) and Munc18-1 (167.1% of control) in the synaptic vesicle fraction of hippocampus after entacapone treatment. These results suggest that entacapone can enhance hippocampal synaptic trafficking and plasticity against various neurological diseases related to hippocampal dysfunction.


Introduction
The hippocampus, one of the major components of the limbic system, plays essential roles in the integration of spatial memory [1] and aversive contextual memory [2]. In addition, the hippocampus is a neurogenic region, including the subventricular zone, and new neurons are associated with object recognition performance in the hippocampus [3]. Several studies have demonstrated that damage to the hippocampus causes impairment in object recognition performance [4,5], and novel object recognition is inhibited by blocking neurogenesis in the hippocampus [6]. The hippocampus receives synaptic inputs from various brain regions, including the entorhinal cortex, hypothalamus, amygdala, ventral tegmental area, and locus coeruleus [7,8]. Among these connections, the dopaminergic system is very important because dopamine receptors are expressed in the hippocampus and dopaminergic transmission is associated with learning, memory, and synaptic plasticity [9,10].
However, to date, there are no considerable studies on the effects of entacapone on protein expression in the hippocampus. In the present study, therefore, we investigated protein expression following entacapone treatment using two-dimensional D-gel electrophoresis (2DE) followed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) in the hippocampus. In addition, we validated the significantly altered proteins related to synaptic vesicle trafficking in the hippocampus.

Experimental Animals and Entacapone Treatment
Male seven-week-old C57BL/6J mice (n = 60) were obtained from Orient Bio (Sungnam, South Korea). Animals were housed in a specific pathogen-free facility at the Seoul National University College of Veterinary Medicine under adequate temperature, humidity, and light/dark cycle. Experimental protocols for animal experiments were approved by the Institutional Animal Care and Use Committee (Approval no. SNU-130730-1).

Entacapone Treatment
After acclimating for 1 week, mice (n = 30 in each group) were divided into a vehicle-treated group and a 50 mg/kg entacapone-treated group. Entacapone was dissolved in 0.9% physiological saline, and vehicle or entacapone was administered orally to the mice once a day for 21 days using a feeding needle.

Protein Preparation for 2DE
Two hours after the last entacapone or vehicle treatment, mice were deeply anesthetized with a mixture of 75 mg/kg alfaxalone and 10 mg/kg xylazine. Hippocampal tissues, which were isolated from the brains of vehicle-or entacapone-treated mice (n = 20 in each group), were processed as described in previous studies [21,22]. Suspensions were sonicated 5 times for 10 s and were centrifuged at 45,000 rpm for 45 min. Proteins in the supernatants were quantified using a 2D Quant kit (GE Healthcare, Uppsala, Sweden).

Trypsin Digestion of Master Gels
Protein spots of interest were picked from the preparative gel into 1.5-mL Eppendorf tubes. The gel pieces were washed with distilled water and shaken in 50 mM ammonium bicarbonate and acetonitrile (6:4) until Coomassie brilliant blue G 250 was washed out. Proteins in the spots (100 ng per spot) were digested on ice with 5 µL trypsin (Promega, Southhampton, UK) in 50 mM ammonium bicarbonate for 45 min, and then incubated at 37 • C for 12 h.

Protein Identification Using MALDI-TOF MS
MALDI-TOF MS was performed as described previously [21,22]. Tryptic peptides were desalted and purified using the Poros 10 R2 resin (Applied Biosystems, Foster City, CA, USA) and Oligo R3 (Applied Biosystems). Mass spectra of peptides were obtained using the 4800 MALDI-TOF analyzer (Applied Biosystems) in reflection/delayed extraction mode with an accelerating voltage of 20 kV, and the data were summed from 500 laser pulses. The spectrum was calibrated with trypsin auto-digested peaks (m/z: 842.5090 and 2211.1046), and monoisotopic peptide masses were obtained with the Data Explorer 4.4 (PerSeptive Biosystems Inc., Framingham, MA, USA). A mass range of 800-4000 m/z was used with 1000 shots per spectrum. At the end of the macro process, raw data were generated about the centroid mass, resolution, height, and S/N ratio of each peak. These data were converted to an Excel file and were used for MASCOT (Matrix Science, London, UK) search to identify peptide sequences that were present in the protein sequence database NCBInr (mouse). Protein scores higher than 67 were considered significant (p < 0.05).

Western Blot Analyses
To validate the proteins related to synaptic vehicles selected from 2-DE and MALDI-TOF MS, mice (n = 5 per group) were euthanized with a mixture of alfaxalone and xylazine. The left and right hippocampal tissues were quickly removed from the brain and left hippocampi were homogenized in a buffer, as described previously [21,22], while the right hippocampi were treated with Syn-PER Reagent and homogenized. The homogenate was centrifuged at 15,000× g for 20 min to obtain the synaptosome fraction. Briefly, protein-transferred nitrocellulose membranes were sequentially treated with rabbit anti-dynamin 1 (1:500, Abcam), rabbit anti-Munc18-1 (1:1000), and rabbit anti-synapsin I (1:500). Data were normalized to β-actin levels as demonstrated in previous studies [21,22].

Immunohistochemistry
To visualize the proteins related to synaptic vehicles selected from 2-DE and MALDI-TOF MS, mice (n = 5 per group) were anesthetized with a mixture of alfaxalone and xylazine and perfused transcardially with 0.9% saline and 4% paraformaldehyde in phosphate buffer. Serially sectioned tissues (30-µm thickness) were used for immunohistochemical staining for dynamin 1, synapsin I, and Munc18-1 between 1.7 and 2.3 mm caudal to the bregma, referring to the mouse atlas by Paxinos and Franklin [23]. Briefly, three sections, 150 µm apart, were selected and sequentially treated with 5% normal goat serum (Vector Lab.), primary antibodies, and FITC-conjugated goat anti-rabbit IgG (1:200; Jackson ImmunoResearch). The optical density of dynamin 1, synapsin I, and Munc18-1 was calculated using ImageJ software (National Institutes of Health, Bethesda, MD, USA) as described previously [20]. Briefly, the density of immunoreactive structures was measured based on 256 gray scale and the sum of density of pixel × pixel number was calculated in three sections per animal. The relative optical density was expressed as percentages of the vehicle-treated group.

Statistical Analysis
Results are shown as mean ± standard deviation. Results were statistically analyzed with Student's t-test using SPSS (IBM, Armonk, NY, USA). A value of p < 0.05 was considered statistically significant.

Proteomic Profiles Changed by Entacapone Treatment
To elucidate significantly altered protein expression caused by entacapone treatment, proteomic analysis was performed using the hippocampi of vehicle-and 50 mg/kg entacapone-treated mice. Figure 1 shows representative 2-DE gel images with separated protein spots obtained from the hippocampi of vehicle-and entacapone-treated mice. In both groups, more than 600 protein spots were detected on each 2-DE gel, and every spot was located within the ranges of pH 3-10 and 10-200 kDa. In this study, 556 spots were paired during the image analysis of 2-DE gels ( Figure 1). Image analysis revealed that the expression of 106 protein spots had more than a 2.0-fold difference, and 76 proteins, except for unnamed and clustered proteins, were identified with MALDI-TOF MS and the subsequent MASCOT search. Identified proteins were classified according to the following criteria: (1) proteins involved in vesicular trafficking and endocytosis (Table 1); (2) proteins involved in cellular signaling and various cellular processes including cell cycle, mitosis, and differentiation (Table 2); (3) proteins involved in the regulation of cell structure and morphology (Table 3); (4) proteins involved in carbohydrate and energy metabolism (Table 4); and (5) proteins with other enzymatic activities (Table 5).
Cells 2020, 9, x FOR PEER REVIEW 5 of 19 Figure 1. Two-dimensional electrophoresis (2-DE) gel pattern of hippocampal proteins extracted from the vehicle-and entacapone-treated groups. The spots labeled with red numbers indicate that the expression level of corresponding proteins is upregulated (A) or downregulated (B) more than twofold following entacapone treatment. Proteins extracted from both groups were applied to immobilized pH 3-10 non-linear gradient strips, and then were separated with 9-16% sodium dodecyl sulfate (SDS)-polyacrylamide gels. Gels were stained with Coomassie brilliant blue G 250 solution. The spots labeled with red numbers indicate that the expression level of corresponding proteins is upregulated (A) or downregulated (B) more than two-fold following entacapone treatment. Proteins extracted from both groups were applied to immobilized pH 3-10 non-linear gradient strips, and then were separated with 9-16% sodium dodecyl sulfate (SDS)-polyacrylamide gels. Gels were stained with Coomassie brilliant blue G 250 solution.
Based on 2-DE, synapsin I spot was larger in entacapone-treated group than in the vehicle-treated group ( Figure 3A). Western blot analysis demonstrated that synapsin I protein levels were significantly increased to 148.8% and 254.0% of the vehicle-treated group in the whole hippocampus and synaptic vesicle fractions, respectively ( Figure 3B). Synapsin I immunoreactivity in vehicle-and entacapone-treated groups was observed in the stratum lucidum of the hippocampal CA3 regions and mossy fibers in the dentate gyrus. Synapsin I immunoreactivity in the entacapone-treated group was significantly increased to 188.8% of vehicle-treated group ( Figure 3C).
Dense Munc18-1 spot was detected in the 2-DE gels of entacapone-treated group compared to that in the vehicle-treated group ( Figure 4A). Munc18-1 protein levels based on western blot study did not show any significant differences in the hippocampal homogenates of vehicle-and entacapone-treated groups. However, in the synaptic vesicle fraction, Munc18-1 showed significantly higher levels (167.1% of vehicle-treated group) in the entacapone-treated group ( Figure 4B). Munc18-1 immunoreactivity in vehicle-and entacapone-treated groups was detected in the stratum lucidum of the hippocampal CA3 regions. Munc18-1 immunoreactivity in the entacapone-treated group was significantly increased to 145.7% of vehicle-treated group ( Figure 4C). , and immunohistochemical (C) study. Dynamin 1 are detected in three different spots using proteomic analysis and western blot analysis shows significant increases in dynamin 1 protein levels of entacapone-treated group compared to that in the control group. Western blot assays were performed in at least triplicate and bar graph represents the mean ± standard deviation. Dynamin 1 immunoreactivity is shown in the stratum radiatum (SR) and oriens (SO) of hippocampal CA1-CA3 region and mossy fibers (MFs). Scale bar = 400 μm (low magnification), 50 μm (high magnification). Three sections, 150 μm apart, are selected between 1.7 and 2.3 mm caudal to the bregma in each animal. Relative optical densities (ROD) are expressed as a percentage of the value of dynamin 1 protein levels and immunoreactivity in the vehicle-treated group (n = 5 in each group; * p < 0.05, significantly different from the vehicle-treated group). The bars indicate the mean values ± standard deviation.
Based on 2-DE, synapsin I spot was larger in entacapone-treated group than in the vehicletreated group ( Figure 3A). Western blot analysis demonstrated that synapsin I protein levels were significantly increased to 148.8% and 254.0% of the vehicle-treated group in the whole hippocampus and synaptic vesicle fractions, respectively ( Figure 3B). Synapsin I immunoreactivity in vehicle-and entacapone-treated groups was observed in the stratum lucidum of the hippocampal CA3 regions and mossy fibers in the dentate gyrus. Synapsin I immunoreactivity in the entacapone-treated group was significantly increased to 188.8% of vehicle-treated group ( Figure 3C). , and immunohistochemical (C) study. Dynamin 1 are detected in three different spots using proteomic analysis and western blot analysis shows significant increases in dynamin 1 protein levels of entacapone-treated group compared to that in the control group. Western blot assays were performed in at least triplicate and bar graph represents the mean ± standard deviation. Dynamin 1 immunoreactivity is shown in the stratum radiatum (SR) and oriens (SO) of hippocampal CA1-CA3 region and mossy fibers (MFs). Scale bar = 400 µm (low magnification), 50 µm (high magnification). Three sections, 150 µm apart, are selected between 1.7 and 2.3 mm caudal to the bregma in each animal. Relative optical densities (ROD) are expressed as a percentage of the value of dynamin 1 protein levels and immunoreactivity in the vehicle-treated group (n = 5 in each group; * p < 0.05, significantly different from the vehicle-treated group). The bars indicate the mean values ± standard deviation. Dense Munc18-1 spot was detected in the 2-DE gels of entacapone-treated group compared to that in the vehicle-treated group ( Figure 4A). Munc18-1 protein levels based on western blot study did not show any significant differences in the hippocampal homogenates of vehicle-and entacapone-treated groups. However, in the synaptic vesicle fraction, Munc18-1 showed significantly higher levels (167.1% of vehicle-treated group) in the entacapone-treated group ( Figure 4B). Munc18-1 immunoreactivity in vehicle-and entacapone-treated groups was detected in the stratum lucidum of the hippocampal CA3 regions. Munc18-1 immunoreactivity in the entacapone-treated group was significantly increased to 145.7% of vehicle-treated group ( Figure 4C).  , and immunohistochemical (C) study. Munc18-1 was detected in a single spot. Munc18-1 protein levels were not significantly different between the hippocampi of vehicle-and entacapone-treated groups, while protein levels are significantly increased in the synaptic vesicle fraction of entacapone-treated group compared to that in the control group. Relative optical density in the entacapone-treated group versus that in the vehicle-treated group is shown in percentages for western blot analysis (* p < 0.05, significantly different from the vehicle-treated group). Western blot assays were performed in at least triplicate and bar graph represents the mean ± standard deviation. Munc18-1 immunoreactivity is observed in the stratum lucidum (SL) of CA3 region. Scale bar = 400 μm (low magnification), 50 μm (high magnification). Three sections, 150 μm apart, are selected between 1.7 and 2.3 mm caudal to the bregma in each animal. Relative optical densities (ROD) are expressed as a percentage of the value of Munc18-1 protein levels and immunoreactivity in the vehicle-treated group (n = 5 in each group; * p < 0.05, significantly different from the vehicle-treated group). The bars indicate the mean values ± standard deviation.

Discussion
In the present study, we performed 2-DE and MALDI-TOF MS to elucidate the effects of entacapone on protein expression in the mouse hippocampus. We determined the identity of 76 protein spots, and the identified proteins were categorized into five groups.

Vesicular Trafficking and Endocytosis
Dynamin 1 was identified from three spots, and its expression level was markedly increased after entacapone administration. Dynamin 1, highly enriched in presynaptic terminals, is a GTPbinding protein, and is implicated in clathrin-mediated endocytosis [24]. In addition, the EH domaincontaining protein 3 and adaptin ear-binding coat-associated protein 1 regulate endosomal transport and endocytosis [25,26]. Expressional changes in proteins belonging to this category support that , and immunohistochemical (C) study. Munc18-1 was detected in a single spot. Munc18-1 protein levels were not significantly different between the hippocampi of vehicleand entacapone-treated groups, while protein levels are significantly increased in the synaptic vesicle fraction of entacapone-treated group compared to that in the control group. Relative optical density in the entacapone-treated group versus that in the vehicle-treated group is shown in percentages for western blot analysis (* p < 0.05, significantly different from the vehicle-treated group). Western blot assays were performed in at least triplicate and bar graph represents the mean ± standard deviation. Munc18-1 immunoreactivity is observed in the stratum lucidum (SL) of CA3 region. Scale bar = 400 µm (low magnification), 50 µm (high magnification). Three sections, 150 µm apart, are selected between 1.7 and 2.3 mm caudal to the bregma in each animal. Relative optical densities (ROD) are expressed as a percentage of the value of Munc18-1 protein levels and immunoreactivity in the vehicle-treated group (n = 5 in each group; * p < 0.05, significantly different from the vehicle-treated group). The bars indicate the mean values ± standard deviation.

Discussion
In the present study, we performed 2-DE and MALDI-TOF MS to elucidate the effects of entacapone on protein expression in the mouse hippocampus. We determined the identity of 76 protein spots, and the identified proteins were categorized into five groups.

Vesicular Trafficking and Endocytosis
Dynamin 1 was identified from three spots, and its expression level was markedly increased after entacapone administration. Dynamin 1, highly enriched in presynaptic terminals, is a GTP-binding protein, and is implicated in clathrin-mediated endocytosis [24]. In addition, the EH domain-containing protein 3 and adaptin ear-binding coat-associated protein 1 regulate endosomal transport and endocytosis [25,26]. Expressional changes in proteins belonging to this category support that COMT inhibition may influence the release of neurotransmitters in hippocampal neurons as well as the expression and elimination of synaptic molecules in the synaptic cleft.

Cellular Signaling and Various Cellular Processes Including the Cell Cycle, Mitosis, and Differentiation
Proteins categorized into this group are involved in various cellular processes, including signal transduction and regulation of the cell cycle. Transformation/transcription domain-associated protein is an adaptor protein with histone acetyltransferase activity and controls cell cycle progression in adult neurogenesis [27]. Additionally, it is implicated in the transcription of Myc, which plays important roles in the regulation of cell cycle, signaling, and cell growth [28]. Similarly, nuclear receptor-binding SET-domain protein 1 and guanine nucleotide-binding protein are implicated in cellular signaling [29,30]. In addition, COP9 signalosome complex subunit 4 and fizzy/cell division cycle 20 related 1 are key players in the control of the cell cycle, and they perform additional cellular functions [31,32]. Protein tyrosine phosphatase eliminates the phosphate groups from tyrosine residues of proteins, and acts as a key regulator of various cellular processes, such as the cell cycle, signal transduction, proliferation, and differentiation [33,34]. Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein (14-3-3) is implicated in the mitogen-activated protein kinase pathway and regulates cell division and apoptosis [35]. In addition, the inhibition of 14-3-3 promotes neuronal loss and synaptic deficits in brain diseases [36,37]. Double knockout of 14-3-3ε and 14-3-3ζ, not its single knockout, significantly increases the proliferating cells during embryogenesis in mice [35]. Expressional changes in these proteins support the idea that entacapone treatment promotes the cell proliferation and neuroblast differentiation with consistent to our previous study that entacapone enriched the hippocampal functions and neurogenesis in mice [20].

Cell Structure and Morphology
Administration of entacapone induced expressional changes in proteins that are responsible for the construction of cell structure and the induction of cell migration. The expression of tubulin alpha and beta chains, which are major constituents of microtubules and the cytoskeleton, was changed, and the actin-associated proteins twinfilin 1 and actin-related protein 2/3 complex subunit 2 had increased expression levels. It has been reported that twinfilin 1 plays an essential role in the regulation of cytoskeletal structure [38], and actin-related protein 2/3 complex subunit 2 is a regulator of cell migration in neural stem cell-derived oligodendrocytes in electric fields [39]. Depletion of twinfilin gene in flies showed defects in axonal growth of brain [40,41]. Expression of the dihydropyrimidinase-related proteins 1 and 2 was changed; these proteins are necessary for cytoskeleton remodeling, and they play a role in neuroprotection and synaptic plasticity [42,43]. In addition, the expression of spectrin, an actin crosslinking scaffold protein, and the expression of neurofilament light polypeptide was significantly changed [44]. Expressional changes in proteins belonging to this category support that COMT inhibition modulates protein related to cell structure and migration in the hippocampus, which promotes the hippocampal neurogenesis described in the previous study [20].

Energy Metabolism
After the administration of entacapone, the expression of proteins associated with carbohydrate and energy metabolism was significantly changed. Both alpha enolase, which was identified from two spots showing an increase upon entacapone treatment, as well as pyruvate kinase are glycolytic enzymes, and dihydrolipoamide S-acetyltransferase precursor participates in the metabolic pathway that links glycolysis and the tricarboxylic acid (TCA) cycle. Altered expression of proteins that regulate energy production might indicate that cellular functions with a high energy demand were initiated after entacapone treatment. In our previous study, we demonstrated that treatment with entacapone increased cell proliferation and neuroblast differentiation in the mouse hippocampus [20]. It has been reported that glucose metabolism and neurogenesis are closely related [45,46], and energy production is necessary not only for synaptic transmission but also for the proliferation, survival, and differentiation of neural stem cells [45]. We previously demonstrated that the neuronal type of glucose transporter plays an important role in postnatal development and neurogenesis in the hippocampus [47]. In addition, the treatment with phosphoglycerate mutase 1, a glycolytic enzyme, significantly increases the proliferation cells and neuroblasts in the hippocampus by promoting the phosphorylation of cAMP response element-binding protein [48]. A recent study showed entacapone directly bound to fat mass and obesity-associated gene (FTO) and inhibited the activity of FTO [49]. In addition, entacapone reduced the body weight and blood glucose concentration in obese mice [49]. In the present study, altered expression of proteins implicated in energy metabolism may increase the hippocampal neurogenesis as described in the previous study [20].

Various Enzymatic Activities
The proteins categorized into this group mediate various enzymatic reactions. In this category, proteins essential for glutamate synthesis were also identified. Glutamate is an excitatory neurotransmitter that plays an important role in the neuronal activation of the hippocampus [50,51].
Activation of dopaminergic neurotransmission induces long-term synaptic plasticity by facilitating glutamatergic NMDA receptors [52], and inhibition of dopamine-receptor signaling impaired passive avoidance memory and induction of long-term potentiation (LTP) in the hippocampus [53]. Glutamate receptors are closely involved in LTP-induced synaptic enhancement [54] and dopamine signal is required in the late LTP [55]. Glutamate dehydrogenase 1 plays a key role in the synthesis and degradation of glutamate, and is involved in hippocampal synapse formation [56,57]. Aspartate aminotransferase (AST) is closely involved in catalyzing glutamate formation and oxidation in brain [58], and administration of cytosolic AST increased axonal growth in cultured cortical neurons and enhanced memory function [59]. In the present study, the inhibition of COMT changes the metabolism of glutamate and this may be related to promotion of synaptic formation and axonal growth.

Validation of Synaptic Vesicle Trafficking-Related Proteins
In this study, we confirmed that dynamin 1 immunoreactivity was found in the presynaptic terminals of the hippocampus, and entacapone treatment significantly increased dynamin 1 expression in the hippocampus, which controls vesicular trafficking and endocytosis. Aged rodents show significantly lower levels of dynamin 1 in the hippocampus compared to adult rodents [60,61]. In addition, dynamin 1 expression is significantly decreased in an animal model of Alzheimer's disease [62,63].
Munc18-1 is a member of the synaptic vesicle fusion protein complex, and has an important role in the exocytosis of neurotransmitters [64] and neurite outgrowth during development [65]. Munc18-1 interacts with the SNARE complex [66,67] and facilitates the zippering of trans-SNARE complexes and promotes the SNARE-dependent membrane fusion in synaptosomes [68]. In contrast, knockdown of Munc18-1 shows abnormalities in cortical development [69] and diminished secretion of brain-derived neurotrophic factor [70]. In the present study, we observed Munc18-1 expression in the stratum lucidum in the hippocampus and its significant increase by entacapone treatment.
Synapsin I, a presynaptic marker protein, acts as a modulator of neurotransmitter release and synaptic vesicles [71], and inhibition of synapsin I decreased activity of both excitatory and inhibitory synapses in hippocampal cells [72]. Knockout of all synapsins showed lower serotonin levels in the hippocampus and behavioral dysfunctions [73]. Neurodegenerative diseases involve synaptic dysfunction, and synapsin I was significantly decreased in plasma neuronal-derived exosomes of Alzheimer's disease patients [74]. In the present study, we observed synapsin I immunoreactivity in the stratum lucidum of the hippocampal CA3 regions and mossy fibers in the dentate gyrus, and synapsin I expression was significantly elevated after entacapone treatment.
Neurotransmission is modulated by various factors such as presynaptic vesicular exocytosis, postsynaptic receptor expression, recycling of neurotransmitters, and activation of glial cells [75,76]. Administration of a COMT inhibitor activates dopaminergic neurotransmission in cerebral cortex [77].
In the hippocampus, dopaminergic innervation is well-detected and modulates hippocampal network and specific types of dopaminergic receptors are expressed in each hippocampal subregion [78,79]. In the present study, we confirmed expressional changes of the proteins which are closely related to vesicular trafficking in the hippocampal subregions following entacapone treatment. We are not sure that the proteins, which showed increased expression level in CA1, CA3, and dentate gyrus in this study, are expressed by hippocampal glutamatergic neurons, but increased level of vesicle trafficking-related proteins in the hippocampus is closely involved in synaptic plasticity and behavioral functions [80].
In conclusion, proteomic analysis indicated that entacapone induced changes in the expression of proteins involved in synaptic transmission, cellular processes, cellular signaling, the regulation of cytoskeletal structure, energy metabolism, and various other cellular reactions. In particular, increased vesicle trafficking-related proteins may be closely related to enhance synaptic plasticity and hippocampal functions.

Conflicts of Interest:
All authors have approved the manuscript for submission, and we have no conflict of interest to disclose.