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Table 2 Potential mechanisms of TCM natural products for AD

From: A review on traditional Chinese medicine natural products and acupuncture intervention for Alzheimer’s disease based on the neuroinflammatory

No

Type of compounds

Compound

Chemical structure

Host model

Cellular stress response

Effect of compounds Treatment on the Animal Model

Refs.

1

Polyphenol

Resveratrol

3xTg-AD mice; aluminum chloride (AlCl) and d-galactose(d-gal)-induced AD model mice

Sirt1/miRNA-134/GSK3β; TXNIP/TRX/NLRP3

Reduce toxicity of Aβ oligomers; Suppress of neuronal autophagy; Decrease apoptosis; Inhibit inflammation; Prevent phosphorylation of tau

[80, 81, 83, 85, 216]

2

Polyphenol

Curcumin

ICV-STZ induced AD model rat; MPTP induced PD model mice; LPS induced AD model rat

AMPK; NF-κB; Akt/GSK-3β

Reduce Aβ production; Inhibit Aβ aggregation; Inhibit neuroinflammation; Reduce oxidative damage

[89, 90, 92]

3

Polyphenol

Epigallocatechin gallate (EGCG)

Aβ1-42-induced AD rat model; APP/PS1 transgenic mice

IL-1β,IL-10, IL-13, AchE, Ach

Disrupt Aβ fibril; Reduce Aβ cytotoxicity; Exert neuro-protective effects; Reduce amyloid generation; Diminish the hyperphosphorylation of the Tau protein

[217,218,219]

4

Flavonoid

kaempferol

I/R model rat; LPS-induced neuroinflammation model mice;

NF-κB, PI3K/Akt, HMGB1 / TLR4

Attenuate neuroinflammation and blood brain barrier dysfunction; Inhibit the microglia pyroptosis

[94, 95, 98, 99]

5

Flavonoid

Quercetin

acute seizure models in mice; Olfactory bulbectomy (OB) animal model; 5xFAD amyloid model mice; SCI model rat; LPS induced rats

AMPK; PI3K/Akt; NF-κB; STAT1

Increase apoE levels; Reduce ROS production; Inhibit Aβ aggregation

[101,102,103, 220]

6

Flavonoid

Dihydroquercetin

LPS-induced neuroinflammation model mice

IL-6;NO

Inhibit neuroinflammation

[221]

7

Flavonoid

Naringenin

APP/PS1 Transgenic Mic; APPswe / PS1dE9 mice

TNFα, IL1β

Decrease Aβ plaques; Inhibit Aβ aggregation

[109, 110]

8

Flavonoid

Baicalein

BV-2 cell; PD model mice;

TLR4/MyD88/NF-κB; NOX2/STAT1/NF-κB; NLRP3/caspase-1/GSDMD;

Inhibit neuroinflammation

[114,115,116]

9

Flavonoid

Luteolin

3 × Tg-AD mice

TNF-α, IL-1β, IL-6, NO, COX-2, and iNOS protein

Inhibit ER stress in astrocytes and subsequent neuroinflammation

[222]

10

Flavonoid

Dihydromyricetin

APP/PS1 transgenic mice

NLRP3

Inhibit of NLRP3 inflammasome-based microglia-mediated neuroinflammation

[223]

11

Flavonoid

Icariin

APP/PS1 mice; 3xTg-AD mice

Pyruvate dehydrogenase-E1α (PDHE1α), post synaptic density protein 95 (PSD95)

Reduce hippocampus Aβ deposition; Modulate the differentiation of CD4+ T cells; Modulate the release of inflammatory cytokines; Preserve the expression of mitochondrial and synaptic functional proteins

[224, 225]

12

Terpenoid

Ginsenoside Rg1

APP / PS1; Aβ1-42-induced AD rat model; HT22 cells; 3xTg-AD mice

NOX2-NLRP1; NF-κB/NLRP3; CPLX2, SYN2, SNP25

Reduce Aβ deposition; Decrease CDK5 expression; Inhibit PPARγ phosphorylation at serine 273; Decrease NOX2-NLRP1 inflammasome activation and ROS production

[119, 226,227,228]

13

Terpenoid

Oleuropein

5xFAD model mice; SH-SY5Y cells; APPswe / PS1dE9 mice

NF-κB; RAGE / HMGB1

Inhibit neuroinflammation; Inhibit the formation and aggregation of Aβ fibers

[123, 124]

14

Terpenoid

Oleanolic acid

AD rat model

IL-6, TNF-α, IL-1β

Protect neurons from injury caused by neighboring astrocyte activation

[229]

15

Phenylpropanoids

Verbascoside

APP/PS1 mice

NF- κ B-p65

Inhibit neuroinflammation

[230]