Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Advertisement

Scientific Reports
  • View all journals
  • Search
  • My Account Login
  • Content Explore content
  • About the journal
  • Publish with us
  • Sign up for alerts
  • RSS feed
  1. nature
  2. scientific reports
  3. articles
  4. article
Activation of M1mAChR’s improves spatial learning and memory deficits in rats exposed to chronic intermittent hypoxia
Download PDF
Download PDF
  • Article
  • Open access
  • Published: 13 February 2026

Activation of M1mAChR’s improves spatial learning and memory deficits in rats exposed to chronic intermittent hypoxia

  • Qin Huang1,2,
  • Ci Hu1,
  • Haijun Liu1,2,
  • Chunfei Liu1,
  • Xiaodong Liu1,
  • Zucai Xu1,2 &
  • …
  • Ping Xu1 

Scientific Reports , Article number:  (2026) Cite this article

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Cognitive neuroscience
  • Synaptic plasticity

Abstract

Obstructive sleep apnea (OSA) is characterized by chronic intermittent hypoxia (CIH), which drives neurodegeneration through oxidative and inflammatory stress and heightened synaptic vulnerability. However, the molecular circuitry linking CIH to hippocampal dysfunction remains incompletely defined. In this study, Sprague–Dawley rats were exposed to CIH for 28 consecutive days, achieved by repeated hypoxia–reoxygenation cycles in a normobaric chamber. Hematoxylin–eosin (HE) staining was used to assess hippocampal histopathology. Hippocampal protein abundance of total STAT3 (t-STAT3), phosphorylated STAT3 (p-STAT3), and the M1mAChR was quantified by immunoblotting. Immunohistochemistry was performed to determine the regional and cellular localization of t-STAT3, p-STAT3, and M1mAChR within the hippocampus. The present study demonstrated that exposure to CIH produces marked hippocampal-dependent spatial learning and memory deficits, together with reduced hippocampal neuronal density and lower expression of the M1mAChR and STAT3. Notably, AG490, a selective JAK2 inhibitor, did not improve behavioral performance in CIH-exposed rats. By contrast, the selective M1mAChR agonist VU0364572 partially rescued the CIH-induced deficits, consistent with a neuroprotective role for M1mAChR activation in CIH-related dysfunction. Taken together, CIH induces hippocampal-dependent spatial learning and memory deficits accompanied by downregulation of hippocampal STAT3 and M1mAChR. The selective M1mAChR agonist VU0364572 partially reversed these deficits; however, this benefit required intact JAK2/STAT3 signaling (abolished by AG490). These findings support functional crosstalk between M1mAChR and JAK2/STAT3 in CIH-related hippocampal dysfunction, thereby contributing to improved learning and memory in rats.

Data availability

The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.

References

  1. Jordan, A. S., McSharry, D. G. & Malhotra, A. Adult obstructive sleep apnoea. Lancet 383 (9918), 736–747 (2014).

    Google Scholar 

  2. Olaithe, M., Bucks, R. S., Hillman, D. R. & Eastwood, P. R. Cognitive deficits in obstructive sleep apnea: Insights from a meta-review and comparison with deficits observed in COPD, insomnia, and sleep deprivation. Sleep. Med. Rev. 38, 39–49 (2018).

    Google Scholar 

  3. Azarbarzin, A., Labarca, G., Kwon, Y. & Wellman, A. Physiologic consequences of upper airway obstruction in sleep apnea. Chest 166 (5), 1209–1217 (2024).

    Google Scholar 

  4. Liu, X. et al. The relationship between inflammation and neurocognitive dysfunction in obstructive sleep apnea syndrome. J. Neuroinflammation. 17 (1), 229 (2020).

    Google Scholar 

  5. Zhang, X., Zhou, H., Liu, H. & Xu, P. Role of oxidative stress in the occurrence and development of cognitive dysfunction in patients with obstructive sleep apnea syndrome. Mol. Neurobiol. 61 (8), 5083–5101 (2024).

    Google Scholar 

  6. He, Y. et al. Obstructive sleep apnea affects cognition: Dual effects of intermittent hypoxia on neurons. Sleep. Breath. 28 (3), 1051–1065 (2024).

    Google Scholar 

  7. Wen, Z. W., Liang, D. S., Cai, X. H. & Chen, J. The role of AMPK/mTOR signal pathway in brain injury following chronic intermittent hypoxia in growing rats. Eur. Rev. Med. Pharmacol. Sci. 22 (4), 1071–1077 (2018).

    Google Scholar 

  8. Wang, G. et al. The JAK2/STAT3 and mitochondrial pathways are essential for quercetin nanoliposome-induced C6 glioma cell death. Cell. Death Dis. 4 (8), e746 (2013).

    Google Scholar 

  9. Jia, T., Xing, Z. & Wang, Li, G. Protective effect of dexmedetomidine on intestinal mucosal barrier function in rats after cardiopulmonary bypass. Exp. Biol. Med. (Maywood). 247 (6), 498–508 (2022).

    Google Scholar 

  10. Sun, P. & Xue, Y. Silence of TANK-binding kinase 1 (TBK1) regulates extracellular matrix degradation of chondrocyte in osteoarthritis by janus kinase (JAK)-signal transducer of activators of transcription (STAT) signaling. Bioengineered 13 (1), 1872–1879 (2022).

    Google Scholar 

  11. Philips, R. L. et al. The JAK-STAT pathway at 30: Much learned, much more to do. Cell 185 (21), 3857–3876 (2022).

    Google Scholar 

  12. Ballinger, E. C., Ananth, M., Talmage, D. A. & Role, L. W. Basal forebrain cholinergic circuits and signaling in cognition and cognitive decline. Neuron 91 (6), 1199–1218 (2016).

    Google Scholar 

  13. Lebois, E. P. et al. Disease-modifying effects of M(1) muscarinic acetylcholine receptor activation in an alzheimer’s disease mouse model. ACS Chem. Neurosci. 8 (6), 1177–1187 (2017).

    Google Scholar 

  14. Joshi, Y. B. et al. Anticholinergic medication burden-associated cognitive impairment in schizophrenia. Am. J. Psychiatry. 178 (9), 838–847 (2021).

    Google Scholar 

  15. Stožer, A. et al. Heterogeneity and delayed activation as hallmarks of self-organization and criticality in excitable tissue. Front. Physiol. 10, 869 (2019).

    Google Scholar 

  16. Nicolas, C. S. et al. The Jak/STAT pathway is involved in synaptic plasticity. Neuron 73 (2), 374–390 (2012).

    Google Scholar 

  17. Chiba, T. et al. Amyloid-beta causes memory impairment by disturbing the JAK2/STAT3 axis in hippocampal neurons. Mol. Psychiatry. 14 (2), 206–222 (2009).

    Google Scholar 

  18. Qin Huang, P. et al. Inhibition of ERK1/2 regulates cognitive function by decreasing expression levels of PSD-95 in the hippocampus of CIH rats. (2022).

  19. Huang, Q. et al. Inhibition of ERK1/2 regulates cognitive function by decreasing expression levels of PSD-95 in the hippocampus of CIH rats. Eur. J. Neurosci. 55 (6), 1471–1482 (2022).

    Google Scholar 

  20. Verrall, C. E. et al. Neurocognitive dysfunction and smaller brain volumes in adolescents and adults with a Fontan circulation. Circulation 143 (9), 878–891 (2021).

    Google Scholar 

  21. Cerium oxide nanoparticles promote neurogenesis and abrogate hypoxia-induced memory. Impairment through AMPK-PKC-CBP signaling cascade [retraction]. Int. J. Nanomed. 17, 5163–5164 (2022).

  22. Morris, R. G., Garrud, P., Rawlins, J. N. & O’Keefe, J. Place navigation impaired in rats with hippocampal lesions. Nature 297 (5868), 681–683 (1982).

    Google Scholar 

  23. Tan, Y. J., Lee, Y. T., Mancera, R. L. & Oon, C. E. BZD9L1 sirtuin inhibitor: Identification of key molecular targets and their biological functions in HCT 116 colorectal cancer cells. Life Sci. 284, 119747 (2021).

    Google Scholar 

  24. Li, C. et al. Qishen granules inhibit myocardial inflammation injury through regulating arachidonic acid metabolism. Sci. Rep. 6, 36949 (2016).

    Google Scholar 

  25. Caffarel, M. M. et al. Constitutive activation of JAK2 in mammary epithelium elevates Stat5 signalling, promotes alveologenesis and resistance to cell death, and contributes to tumourigenesis. Cell. Death Differ. 19 (3), 511–522 (2012).

    Google Scholar 

  26. Xu, D., Shen, H., Tian, M., Chen, W. & Zhang, X. Cucurbitacin I inhibits the proliferation of pancreatic cancer through the JAK2/STAT3 signalling pathway in vivo and in vitro. J. Cancer. 13 (7), 2050–2060 (2022).

    Google Scholar 

  27. La Sala, G. et al. Selective Inhibition of STAT3 signaling using monobodies targeting the coiled-coil and N-terminal domains. Nat. Commun. 11 (1), 4115 (2020).

    Google Scholar 

  28. Bischof, R., Gjevestad, J. G. O., Ordiz, A., Eldegard, K. & Milleret, C. High frequency GPS bursts and path-level analysis reveal linear feature tracking by red foxes. Sci. Rep. 9 (1), 8849 (2019).

    Google Scholar 

  29. Mao, Y. et al. IL-15 activates mTOR and primes stress-activated gene expression leading to prolonged antitumor capacity of NK cells. Blood 128 (11), 1475–1489 (2016).

    Google Scholar 

  30. Wang, M. et al. OTUD1 promotes pathological cardiac remodeling and heart failure by targeting STAT3 in cardiomyocytes. Theranostics 13 (7), 2263–2280 (2023).

    Google Scholar 

  31. Qu, H. M., Qu, L. P., Li, X. Y. & Pan, X. Z. Overexpressed HO-1 is associated with reduced STAT3 activation in preeclampsia placenta and inhibits STAT3 phosphorylation in placental JEG-3 cells under hypoxia. Arch. Med. Sci. 14 (3), 597–607 (2018).

    Google Scholar 

  32. Zhao, H. et al. Colivelin rescues ischemic neuron and axons involving JAK/STAT3 signaling pathway. Neuroscience 416, 198–206 (2019).

    Google Scholar 

  33. Klein, P. et al. Commonalities in epileptogenic processes from different acute brain insults: Do they translate? Epilepsia 59 (1), 37–66 (2018).

    Google Scholar 

  34. Wang, W. & Hu, W. Salvianolic acid B recovers cognitive deficits and angiogenesis in a cerebral small vessel disease rat model via the STAT3/VEGF signaling pathway. Mol. Med. Rep. 17 (2), 3146–3151 (2018).

    Google Scholar 

  35. Zhang, Z. A. et al. Insight into the effects of High-Altitude hypoxic exposure on learning and memory. Oxid. Med. Cell. Longev. 2022, 4163188 (2022).

    Google Scholar 

  36. Park, S. J. et al. Inactivation of JAK2/STAT3 signaling axis and downregulation of M1 mAChR cause cognitive impairment in Klotho mutant mice, a genetic model of aging. Neuropsychopharmacology 38 (8), 1426–1437 (2013).

    Google Scholar 

  37. Mai, H. N. et al. Exposure to far-infrared rays attenuates methamphetamine-induced recognition memory impairment via modulation of the muscarinic M1 receptor, Nrf2, and PKC. Neurochem Int. 116, 63–76 (2018).

    Google Scholar 

  38. Galloway, C. R. et al. Hippocampal place cell dysfunction and the effects of muscarinic M(1) receptor agonism in a rat model of alzheimer’s disease. Hippocampus 28 (8), 568–585 (2018).

    Google Scholar 

  39. Mao, L. M., Young, L., Chu, X. P. & Wang, J. Q. Regulation of Src family kinases by muscarinic acetylcholine receptors in heterologous cells and neurons. Front. Mol. Neurosci. 16, 1340725 (2023).

    Google Scholar 

  40. Sumi, T. & Harada, K. Muscarinic acetylcholine receptor-dependent and NMDA receptor-dependent LTP and LTD share the common AMPAR trafficking pathway. iScience 26 (3), 106133 (2023).

    Google Scholar 

  41. Zent, K. H. & Dell’Acqua, M. L. Synapse-to-nucleus ERK→CREB transcriptional signaling requires dendrite-to-soma Ca(2+) propagation mediated by L-type voltage-gated Ca(2+) channels. J. Neurosci. ;45(4) (2025).

  42. Yohn, S. E., Harvey, P. D., Brannan, S. K. & Horan, W. P. The potential of muscarinic M(1) and M(4) receptor activators for the treatment of cognitive impairment associated with schizophrenia. Front. Psychiatry. 15, 1421554 (2024).

    Google Scholar 

  43. Nguyen, H. T. M. et al. Opportunities and challenges for the development of M(1) muscarinic receptor positive allosteric modulators in the treatment for neurocognitive deficits. Br. J. Pharmacol. 181 (14), 2114–2142 (2024).

    Google Scholar 

Download references

Acknowledgements

This study was funded by the Young Scientific and Technological Talent Growth Project of Guizhou Provincial Department of Education (Grant No. Qianjiaoji [2024]145) and the Zunyi Municipal Science and Technology Support Program (Grant No. Zunshikehezhicheng [2025]41).

Author information

Authors and Affiliations

  1. Department of Neurology, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Zunyi, 563003, Guizhou, China

    Qin Huang, Ci Hu, Haijun Liu, Chunfei Liu, Xiaodong Liu, Zucai Xu & Ping Xu

  2. Key Laboratory of Brain and Function and Brain Disease Prevention and Treatment of Guizhou Province, Guizhou, China

    Qin Huang, Haijun Liu & Zucai Xu

Authors
  1. Qin Huang
    View author publications

    Search author on:PubMed Google Scholar

  2. Ci Hu
    View author publications

    Search author on:PubMed Google Scholar

  3. Haijun Liu
    View author publications

    Search author on:PubMed Google Scholar

  4. Chunfei Liu
    View author publications

    Search author on:PubMed Google Scholar

  5. Xiaodong Liu
    View author publications

    Search author on:PubMed Google Scholar

  6. Zucai Xu
    View author publications

    Search author on:PubMed Google Scholar

  7. Ping Xu
    View author publications

    Search author on:PubMed Google Scholar

Contributions

QH and CH were responsible for overall supervision. QH and CH contributed to all experimental work. QJ contributed to data statistical analysis and written this article. HJ contributed to behavioral study design. XD and CF participated in biochemical parts of the experiment. FY drew these figures. ZC and PX designed this research. All the authors reviewed and approved the final manuscript.

Corresponding authors

Correspondence to Zucai Xu or Ping Xu.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary Material 1

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Huang, Q., Hu, C., Liu, H. et al. Activation of M1mAChR’s improves spatial learning and memory deficits in rats exposed to chronic intermittent hypoxia. Sci Rep (2026). https://doi.org/10.1038/s41598-025-34689-7

Download citation

  • Received: 31 March 2025

  • Accepted: 30 December 2025

  • Published: 13 February 2026

  • DOI: https://doi.org/10.1038/s41598-025-34689-7

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Keywords

  • Obstructive sleep apnea syndrome
  • Chronic intermittent hypoxia
  • M1mAChR
  • Janus kinase 2/signal transducer and activator of transcription 3
Download PDF

Advertisement

Explore content

  • Research articles
  • News & Comment
  • Collections
  • Subjects
  • Follow us on Facebook
  • Follow us on X
  • Sign up for alerts
  • RSS feed

About the journal

  • About Scientific Reports
  • Contact
  • Journal policies
  • Guide to referees
  • Calls for Papers
  • Editor's Choice
  • Journal highlights
  • Open Access Fees and Funding

Publish with us

  • For authors
  • Language editing services
  • Open access funding
  • Submit manuscript

Search

Advanced search

Quick links

  • Explore articles by subject
  • Find a job
  • Guide to authors
  • Editorial policies

Scientific Reports (Sci Rep)

ISSN 2045-2322 (online)

nature.com sitemap

About Nature Portfolio

  • About us
  • Press releases
  • Press office
  • Contact us

Discover content

  • Journals A-Z
  • Articles by subject
  • protocols.io
  • Nature Index

Publishing policies

  • Nature portfolio policies
  • Open access

Author & Researcher services

  • Reprints & permissions
  • Research data
  • Language editing
  • Scientific editing
  • Nature Masterclasses
  • Research Solutions

Libraries & institutions

  • Librarian service & tools
  • Librarian portal
  • Open research
  • Recommend to library

Advertising & partnerships

  • Advertising
  • Partnerships & Services
  • Media kits
  • Branded content

Professional development

  • Nature Awards
  • Nature Careers
  • Nature Conferences

Regional websites

  • Nature Africa
  • Nature China
  • Nature India
  • Nature Japan
  • Nature Middle East
  • Privacy Policy
  • Use of cookies
  • Legal notice
  • Accessibility statement
  • Terms & Conditions
  • Your US state privacy rights
Springer Nature

© 2026 Springer Nature Limited

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing