Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism

Ischemia/reperfusion (I/R) injury is a pathological process wherein reperfusion of an ischemic organ or tissue exacerbates the injury, posing a significant health threat and economic burden to patients and their families. I/R triggers a multitude of physiological and pathological events, such as inf...

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Main Authors: Ting Zheng, Taotao Jiang, Zilong Huang, Hongxiang Ma, Manxia Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1220862/full
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author Ting Zheng
Taotao Jiang
Zilong Huang
Hongxiang Ma
Manxia Wang
author_facet Ting Zheng
Taotao Jiang
Zilong Huang
Hongxiang Ma
Manxia Wang
author_sort Ting Zheng
collection DOAJ
description Ischemia/reperfusion (I/R) injury is a pathological process wherein reperfusion of an ischemic organ or tissue exacerbates the injury, posing a significant health threat and economic burden to patients and their families. I/R triggers a multitude of physiological and pathological events, such as inflammatory responses, oxidative stress, neuronal cell death, and disruption of the blood-brain barrier (BBB). Hence, the development of effective therapeutic strategies targeting the pathological processes resulting from I/R is crucial for the rehabilitation and long-term enhancement of the quality of life in patients with cerebral ischemia/reperfusion injury (CIRI). Traditional Chinese medicine (TCM) monomers refer to bioactive compounds extracted from Chinese herbal medicine, possessing anti-inflammatory and antioxidative effects, and the ability to modulate programmed cell death (PCD). TCM monomers have emerged as promising candidates for the treatment of CIRI and its subsequent complications. Preclinical studies have demonstrated that TCM monomers can enhance the recovery of neurological function following CIRI by mitigating oxidative stress, suppressing inflammatory responses, reducing neuronal cell death and functional impairment, as well as minimizing cerebral infarction volume. The neuroprotective effects of TCM monomers on CIRI have been extensively investigated, and a comprehensive understanding of their mechanisms can pave the way for novel approaches to I/R treatment. This review aims to update and summarize evidence of the protective effects of TCMs in CIRI, with a focus on their role in modulating oxidative stress, inflammation, PCD, glutamate excitotoxicity, Ca2+ overload, as well as promoting blood-brain barrier repairment and angiogenesis. The main objective is to underscore the significant contribution of TCM monomers in alleviating CIRI.
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spelling doaj.art-beb45f5b7bf64de7985ef63d3f92eda82023-08-17T12:24:11ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-08-011410.3389/fphar.2023.12208621220862Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanismTing ZhengTaotao JiangZilong HuangHongxiang MaManxia WangIschemia/reperfusion (I/R) injury is a pathological process wherein reperfusion of an ischemic organ or tissue exacerbates the injury, posing a significant health threat and economic burden to patients and their families. I/R triggers a multitude of physiological and pathological events, such as inflammatory responses, oxidative stress, neuronal cell death, and disruption of the blood-brain barrier (BBB). Hence, the development of effective therapeutic strategies targeting the pathological processes resulting from I/R is crucial for the rehabilitation and long-term enhancement of the quality of life in patients with cerebral ischemia/reperfusion injury (CIRI). Traditional Chinese medicine (TCM) monomers refer to bioactive compounds extracted from Chinese herbal medicine, possessing anti-inflammatory and antioxidative effects, and the ability to modulate programmed cell death (PCD). TCM monomers have emerged as promising candidates for the treatment of CIRI and its subsequent complications. Preclinical studies have demonstrated that TCM monomers can enhance the recovery of neurological function following CIRI by mitigating oxidative stress, suppressing inflammatory responses, reducing neuronal cell death and functional impairment, as well as minimizing cerebral infarction volume. The neuroprotective effects of TCM monomers on CIRI have been extensively investigated, and a comprehensive understanding of their mechanisms can pave the way for novel approaches to I/R treatment. This review aims to update and summarize evidence of the protective effects of TCMs in CIRI, with a focus on their role in modulating oxidative stress, inflammation, PCD, glutamate excitotoxicity, Ca2+ overload, as well as promoting blood-brain barrier repairment and angiogenesis. The main objective is to underscore the significant contribution of TCM monomers in alleviating CIRI.https://www.frontiersin.org/articles/10.3389/fphar.2023.1220862/fullcerebral ischemia/reperfusion injury (CIRI)traditional Chinese medicine monomersinflammationprogrammed cell deathprotective mechanism
spellingShingle Ting Zheng
Taotao Jiang
Zilong Huang
Hongxiang Ma
Manxia Wang
Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism
Frontiers in Pharmacology
cerebral ischemia/reperfusion injury (CIRI)
traditional Chinese medicine monomers
inflammation
programmed cell death
protective mechanism
title Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism
title_full Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism
title_fullStr Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism
title_full_unstemmed Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism
title_short Role of traditional Chinese medicine monomers in cerebral ischemia/reperfusion injury:a review of the mechanism
title_sort role of traditional chinese medicine monomers in cerebral ischemia reperfusion injury a review of the mechanism
topic cerebral ischemia/reperfusion injury (CIRI)
traditional Chinese medicine monomers
inflammation
programmed cell death
protective mechanism
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1220862/full
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AT zilonghuang roleoftraditionalchinesemedicinemonomersincerebralischemiareperfusioninjuryareviewofthemechanism
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