Abstract:Objective To investigate the effect of cyclic adenosine monophosphate receptor binding protein 1 (CREB1) on cognitive dysfunction in rats with vascular dementia and its possible mechanism. Methods A total of 40 rats were divided into control group, model group, negative control group and CREB1 overexpression group according to random number method, 10 rats in each group. The vascular dementia model was established by using the four-vessel blockade method. The water maze test and the open field test were used to determine the cognitive function of rats. Western blotting analysis was used to determine the levels of hippocampal tissue CREB1, aspartate proteolytic enzyme-3 (Caspase-3), B lymphocyte tumor-2 gene (Bcl-2), Bcl-2 related X protein (Bax), phosphatidylinositol-3-kinase (PI3K), phosphorylated protein kinase B (p-PKB) and PKB protein. Results Compared with the control group, the number of experimental activities and the distance of activity were decreased (P < 0.05),the escape latency was increased (P < 0.05), the number of crossing the original platform was decreased. (P < 0.05), the levels of CREB1, Bcl-2, PI3K and p-PKB protein in hippocampus were decreased (P < 0.05) and the levels of Caspase-3 and Bax in hippocampus were increased (P < 0.05) in the model group, the negative control group and the CREB1 overexpression group. Compared with the model group and the negative control group, the number of experimental activities and the distance of activity were increased (P < 0.05), the escape latency were decreased (P < 0.05), the number of crossing the original platform were increased (P < 0.05), the levels of CREB1, Bcl-2, PI3K and p-PKB in hippocampus were increased (P < 0.05) and the levels of Caspase-3 and Bax in hippocampus were decreased (P < 0.05) in the CREB1 overexpression group. Conclusions The level of CREB1 in brain tissue of rats with vascular dementia is decreased. Overexpression of CREB1 can ameliorate the cognitive function of vascular dementia rats by activating PI3K/PKB signaling pathway to inhibit hippocampal neuronal apoptosis.