Research Progress on the Intervention of Traditional Chinese Medicine in Signal Pathways Related to Acute Cerebral Infarction

Authors

  • Man Sun Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China
  • Haizhe Zhou Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

DOI:

https://doi.org/10.53469/jcmp.2024.06(09).28

Keywords:

Traditional Chinese Medicine, Acute Cerebral Infarction, Signal Pathways, Research Progress

Abstract

Acute cerebral infarction is a disease with high incidence, mortality, and disability rates. Its etiology is complex, and the exact pathogenesis is not yet fully understood. Current studies often involve inflammatory responses, apoptosis, oxidative stress, atherosclerosis, excitotoxicity, and free radical chain reactions. Signal pathways play a crucial role in the occurrence and development of this condition. Traditional Chinese medicine can improve the condition of patients with acute cerebral infarction by intervening in multiple signal pathways. This paper systematically reviews recent literature, identifying 11 key signal pathways, including NLRP3, TLR4/NF-κB, Nrf2/ARE, CD40/CD40L, JAK/STAT, PI3K/AKT, JNK/p38 MAPK, Wnt, Notch, RhoA/ROCK, and ERK1/2. The aim is to provide some reference for the research on traditional Chinese medicine treatments for acute cerebral infarction.

References

Vasu S, Luis G, R D Y. Global Epidemiology of Stroke and Access to Acute Ischemic Stroke Interventions. [J]. Neurology, 2021.

Wang Yongjun, Li Zixiao, Gu Hongqiu, et al. China Stroke Report 2020 (Chinese version) (1) [J]. Chinese Stroke Journal, 2022, 17(05): 433-447.

Yi Zhen, He Xincui. Research Progress on Factors Affecting Early Neurological Recovery After Intravenous Thrombolysis Treatment for Acute Cerebral Infarction [J]. Sino-Foreign Medical Research, 2024, 22(18): 165-170.

Yi Zhen, He Xincui. Research Progress on Factors Affecting Early Neurological Recovery After Intravenous Thrombolysis Treatment for Acute Cerebral Infarction [J]. Sino-Foreign Medical Research, 2024, 22(18): 165-170.

Sun K, Zhang J, Yang Q, et al. Dexmedetomidine exerts a protective effect on ischemic brain injury by inhibiting the P2X7R/NLRP3/Caspase-1 signaling pathway. Brain Res Bull. 2021;174:11-21.

Wu Jingyue, Chen Xiaofan, Wang Xiaoqin, et al. Evaluation of serum NLRP3 inflammasome signaling pathway-related factors in assessing thrombus formation and its clinical application value in patients with acute cerebral infarction. Journal of Translational Medicine, 2023, 12(05): 255-261.

Wang Yue, Quan Xingmiao, Wang Yu, et al. Effects of Yiqi Shengqing formula on neuronal pyroptosis in ischemic stroke rats by regulating the HIF-1α/NLRP3 signaling pathway. Tianjin Medical Journal, 2024, 52(04): 350-355.

Sun Qing, Zhao Jianwen, Wang Feng, et al. Study on the efficacy of Huazhuo Jiedu Huoxue Tongluo formula combined with Tongdu Tiaoshen acupuncture in treating acute cerebral infarction and its effects on the NLRP3 signaling pathway. Chinese Journal of Emergency in Traditional Chinese Medicine, 2024, 33(07): 1200-1204.

Zhou Ying. Investigation of the effects and mechanisms of Taohong Siwu Decoction on cellular pyroptosis after acute cerebral infarction based on the DRP1/NLRP3 pathway [D]. Beijing University of Chinese Medicine, 2021. DOI:10.26973/d.cnki.gbjzu.2021.000498.

Song Shigeng, Han Ruili, Wang Yimin. Correlation between peripheral blood MIF and TLR4 levels and the severity of cerebral edema in patients with acute cerebral infarction. Guangdong Medical Journal, 2021, 42(09): 1119-1122.

TANG XH, CHEN XX, LI XJ, et al. The TLR4 mediated inflamma tory signal pathway might be involved in drug resistance in drug-re sistant epileptic rats[J]. J Neuroimmunol, 2022, 365: 577802.

Li Yajun, Li Liangyong, Wu Yunhu, et al. Investigation of the effects of Naoluotong granules on acute cerebral infarction model rats based on the TLR4/NF-κB signaling pathway. Journal of Traditional Chinese Medicine, 2023, 38(02): 360-366. DOI:10. 16368/j. issn. 1674-8999.2023.02.062.

Fu Beibei, Zheng Yongqiang, Xu Yue. Effects of astragaloside IV on improving neural motor function in rats with acute cerebral infarction and its impact on NF-κB p65 and IKKβ proteins in the infarct-side cerebral cortex. China Journal of Emergency Traditional Chinese Medicine, 2019, 28(01): 25-28.

Wang Xiuli, Feng Yulong, Ding Ru. The efficacy of modified Sanhan Qutan Kaiqiao Decoction combined with interventional thrombolysis in the treatment of acute cerebral infarction and its impact on related signaling pathways. Journal of Medical Forum, 2023, 44(23): 97-101.

Wang Xiuli, Feng Yulong, Ding Ru. The efficacy of modified Sanhan Qutan Kaiqiao Decoction combined with interventional thrombolysis in the treatment of acute cerebral infarction and its impact on related signaling pathways. Journal of Medical Forum, 2023, 44(23): 97-101.

WANG Y W J, XIANG Y, WANG R Q, et al. Sulforaphane enhances Nrf2-mediated antioxidant responses of skeletal muscle induced by exhaustive exercise in HIIT mice[J]. Food Science and Human Wellness, 2022, 11(5): 1355-1361.

Kaspar JW, Niture SK, Jaiswal AK. Nrf2:INrf2 (Keap1) signaling in oxidativestress [J]. Free Radic Biol Med 2009; 47(9):1304-1309.

Stefanson AL, Bakovic M. Dietary regulation of Keap1/Nrf2/ARE pathway: focus on plant-derived compounds and trace minerals. Nutrients. 2014;6(9):3777-3801.

Lu Zhigang, Huang Jiabian, Liu Yun, et al. "Effects of Xingnaojing Injection on the Keap1-Nrf2/ARE Oxidative Stress Pathway in Acute Cerebral Infarction." Guangdong Medical Journal, 2016, 37(20): 3127-3129.Chen Jing, Liu Jing, Wang Namei, et al. "Effects of Chuanxiongzine Injection Combined with Xingnao Kaiqiao Acupoint Acupuncture on Neurological Function and the Keap1-Nrf2/ARE Signaling Pathway in Patients with Acute Cerebral Infarction." Chinese Journal of Traditional Chinese Medicine for Emergencies, 2023, 32(05): 883-886.

Wu Yifan, Fu Chen, Luo Chaoqin, et al. "Effects of Buxin Qizhi Formula on Cognitive Function in Ischemic Stroke Rats by Regulating the Keap1/Nrf2/ARE Signaling Pathway." Journal of Beijing University of Chinese Medicine, 2022, 45(07): 654-662.

Wang Yin, Hou Lichun, Wang Chen, et al. "Relationship between Serum PAF, P-Selectin, and Carotid Atherosclerotic Plaque Stability in Patients with Acute Cerebral Infarction." Journal of Stroke and Neurological Diseases, 2018, 35(12): 1076-1078.

Angeli F, Verdecchia P, Savonitto S, et al. Soluble CD40 ligand and outcome in patients with coronary artery disease undergoing percuta neous coronary intervention [J]. Clin Chem Lab Med, 2022, 60(1):118-126.

Daub S, Lutgens E, Münzel T, et al. CD40/CD40L and related signal ing pathways in cardiovascular health and disease-the pros and cons for cardioprotection [J]. Int J Mol Sci, 2020, 21(22): 8533.

Tian Qi, Hao Chunyan, Duan Hubin. "Relationship between CD40/CD40L and Ischemic Stroke." Hainan Medical Journal, 2023, 34(15): 2269-2272.

Zhu Xing. "Experimental Study on the Intervention of Sanjie Tongmai Formula on the CD40/CD40L Signaling Pathway in Atherosclerotic Rats." Changchun University of Traditional Chinese Medicine, 2020.

Zhu Xing. "Experimental Study on the Intervention of Sanjie Tongmai Formula on the CD40/CD40L Signaling Pathway in Atherosclerotic Rats." Changchun University of Traditional Chinese Medicine, 2020.

Xin P, Xu X, Deng C, et al. The role of JAK/STAT signaling pathway and its inhibitors in diseases. Int Immunopharmacol. 2020;80:106210.

Satriotomo I, Bowen KK, Vemuganti R. JAK2 and STAT3 activation contributes to neuronal damage following transient focal cerebral ischemia. J Neurochem. 2006;98(5):1353-1368.

Satriotomo I, Bowen KK, Vemuganti R. JAK2 and STAT3 activation contributes to neuronal damage following transient focal cerebral ischemia. J Neurochem. 2006;98(5):1353-1368.

O'Callaghan JP, Kelly KA, Van Gilder RL, Sofroniew MV, Miller DB. Early activation of STAT3 regulates reactive astrogliosis induced by diverse forms of neurotoxicity. PLo S One. 2014;9(7):e102003.

Yu Xiaolan, Li Guangnan, Zhao Ting. "Effects of Puerarin on Neurological Function, Neuronal Apoptosis, and the Jak2/STAT3 Signaling Pathway in Rats with Cerebral Infarction." Shanxi Medical Journal, 2020, 49(03): 243-246.

Song Guangjie, Fang Yi, Chen Li, et al. "Mechanism of the JAK1/STAT1 Signaling Pathway in Resveratrol Mitigating Focal Cerebral Ischemia-Reperfusion Injury in Rats." Chinese Journal of Geriatrics, 2023, 43(03): 700-704.

Zhou JD, Li XX, Zhang TJ, et al. Micro RNA-335/ID4 dysregulation predicts clinical outcome and facilitates leukemogenesis by activating PI3K/Akt signaling pathway in acute myeloid leukemia [J]. Aging (Albany NY), 2019, 11(10): 3376-3391

Xiong LL, Xue LL, Jiang Y, et al. Suppression of PDGF induces neu ronal apoptosis after neonatal cerebral hypoxia and ischemia by in hibiting P-PI3K and P-AKT signaling pathways [J]. Brain Res, 2019; 1719: 77-88.

Palabiyik O, Tastekin E, Doganlar ZB, et al. Alteration in cardiac PI3K/Akt/m TOR and ERK signaling pathways with the use of growth hormone and swimming, and the roles of mi R21 and mi R133 [J]. Biomed Rep, 2019, 0(0): 1-10

Xie Taobo, Zhong Chunzheng, Fu Yaotian, et al. "Effects and Mechanism of Ginkgo Biloba Extract on Blood-Brain Barrier Function and the PI3K/AKT Signaling Pathway in a Rat Model of Acute Cerebral Infarction." Chinese Journal of Geriatrics, 2021, 41(20): 4467-4471.

Liang Qun, Yang Yang, Li Shuai, et al. "Effects of 'Stroke No. 1' on the PI3K/Akt Signaling Pathway and GSK-3β Protein Expression in Rats with Acute Intracerebral Hemorrhage." Chinese Journal of Traditional Chinese Medicine for Emergencies, 2022, 31(04): 565-567+572.

Sun Jiahe. "Neuroprotective Effect of Rhei Radix et Rhizoma Extract on Rat Cerebral Ischemia-Reperfusion Injury by Regulating the PI3K/Akt Signaling Pathway." Clinical Research of Traditional Chinese Medicine, 2024, 16(16): 81-86.

Dou Yawei, Wang Hongtao, Tian Wei, et al. "Expression of Insulin Signaling Pathway-Related Proteins in Lung Tissue of Patients with Pulmonary Emphysema." Shaanxi Medical Journal, 2017, 46(10): 1386-1388.

Xu Zuqing, Wang Shiyang, Wang Xiao, et al. "Effects of Oleuropein on Neuronal Apoptosis and the JNK/p38 MAPK Signaling Pathway in Rats with Cerebral Ischemia-Reperfusion Injury." Chinese Journal of Geriatrics, 2021, 41(02): 334-338.

Yue Yun, Wang Peipei, Yuan Zhaohe, et al. "Mechanism of Baduo Powder in Intervening Cerebral Ischemia-Reperfusion Injury by Affecting JNK/p38 MAPK and Neuronal Apoptosis in the Cortical Region of Rats." Chinese Journal of Tissue Engineering Research, 2024, 28(08): 1186-1192.

Wang Xianli, Liu Yan, Li Ting, et al. "Effects of Astragaloside on Neurological Function in a Rat Model of Acute Cerebral Infarction by Activating the JNK/p38 MAPK Signaling Pathway." Hebei Medical Journal, 2024, 46(06): 816-820.

Li Lin, Zhou Yunpeng, Liu Xican, et al. "Effects of Baicalin on Rotational Behavior and Apoptosis of Dopaminergic Neurons in the Substantia Nigra of Parkinson's Rats Based on the Wnt/β-Catenin Signaling Pathway." Chinese Journal of Immunology, 2022, 38(04): 395-401.

[44] Nusse R, Clevers H. Wnt/β-Catenin Signaling, Disease, and Emerging Therapeutic Modalities. Cell. 2017;169(6):985-999.

De A. Wnt/Ca2+ signaling pathway: a brief overview. Acta Biochim Biophys Sin (Shanghai). 2011; 43(10): 745-756.

Liao Kexin, Xiao Aijiao, Xiao Yisheng. "Research Progress on Traditional Chinese Medicine in the Treatment of Cerebral Ischemia/Reperfusion Injury Based on the Wnt Signaling Pathway." Chinese Pharmacological Bulletin, 2022, 38(09): 1297-1302.

Yu Lihua, Hu Jianpeng, Wang Jian, et al. "Effects of Two Traditional Chinese Medicine Formulas on the Expression of LRP5 and β-Catenin in the Frontal and Parietal Cortex of Rats with Focal Cerebral Ischemia-Reperfusion." Journal of Liaoning University of Traditional Chinese Medicine, 2014, 16(04): 17-20.

Li Li, Wang Mengzhe, Liu Saisai, et al. "Soy Isoflavones Mitigate Calcium Overload Induced by Cerebral Ischemia-Reperfusion in Rats by Inhibiting the Wnt/Ca²⁺ Signaling Pathway." Journal of Southern Medical University, 2024, 44(06): 1048-1058.

Chen Meilin, Li Zhiqi, Fan Qiqi, et al. Research progress on pharmacological action of berberine and its related mechanism [J]. Chinese Herbal Medicine, 2022, 53(18): 5861-5872.

Yao Yan, Gu Juxian, Zhao Li, et al. Therapeutic effect of berberine on acute cerebral infarction in rats and its mechanism [J]. Shandong Medicine, 2023, 63(12):48-52.

Vieceli Dalla Sega F, Fortini F, Aquila G, Campo G, Vaccarezza M, Rizzo P. Notch Signaling Regulates Immune Responses in Atherosclerosis. Front Immunol. 2019;10:1130.

Zhou Qiang, Li Zhaohui. Research progress of Notch signaling pathway in cerebral ischemia [J]. Journal of Clinical Pathology, 2015, 35(03):449-454.

Wang Lifeng, Chen Li, Peng Daozhen, et al. Research progress on the mechanism of Notch signaling pathway in cerebral ischemia injury [J]. Journal of Practical Medicine, 2011, 27(23):4337-4338.

Cheng YL, Choi Y, Seow WL, et al. Evidence that neuronal Notch-1 promotes JNK/c-Jun activation and cell death following ischemic stress. Brain Res. 2014; 1586:193-202.

Li S, Zyang X, Wang Y, Ji H, Du Y, Liu H. DAPT protects brain against cerebral ischemia by down - regulating the expression of Notch 1 and nuclear factor κB in rats. Neurol Sci. 2012;33(6):1257-1264.

Al Haj Zen A, Oikawa A, Bazan-Peregrino M, Meloni M, Emanueli C, Madeddu P. Inhibition of delta-like-4- mediated signaling impairs reparative angiogenesis after ischemia. Circ Res. 2010; 107(2): 283-293.

Chen Pingting, Zhou Xiaoqing, Cao Zebiao, et al. Effect of Danlong Xingnao recipe on Notch signaling pathway related protein expression in hippocampus of rats with cerebral ischemia-reperfusion [J]. journal of traditional chinese medicine university of hunan, 2016, 36(01): 10-14.

Xie Qing, Wei Danxia, Gu Lihua, et al. Protective effect and mechanism of Sangqi Shouwu tablet on cerebral ischemia-reperfusion injury in rats [J]. China Journal of Gerontology, 2022, 42(15):3791-3796.

Mueller BK, Mack H, Teusch N. Rho kinase, a promising drug target for neurological disorders. Nat Rev Drug Discov. 2005;4(5):387-398.

Zhao Y, Xu J. Sanggenon C Ameliorates Cerebral Ischemia-Reperfusion Injury by Inhibiting Inflammation and Oxidative Stress through Regulating RhoA-ROCK Signaling. Inflammation. 2020;43(4):1476-1487.

Na Lisha, Qu Na, Yu Xue, et al. Effects of Hirudin on the Apoptosis and Inflammatory Reaction of Neurons in Rats with Cerebral Infarction [J]. China Journal of Immunology, 2024, 40(08):1640-1645.

Wang Yue, Shao Yue, Quan Xingmiao, et al. Effects of YiQi Shengqing recipe on blood-brain barrier and neuroinflammation in stroke rats by regulating RhoA/ROCK signaling pathway [J]. China Journal of Gerontology, 2024, 44(17):4266-4270.

Zhu YM, Wang CC, Chen L, et al. Both PI3K/Akt and ERK1/2 pathways participate in the protection by dexmedetomidine against transient focal cerebral ischemia/reperfusion injury in rats. Brain Res. 2013; 1494:1-8.

Gao Bai, Xian Jianfei, Cong Shuyan, et al. Effect of polydatin on ERK1/2 signal pathway in brain tissue of mice with acute cerebral infarction [J]. China Journal of Gerontology, 2023, 43(13):3297-3301.

Ba Qinghua, Cui Chuanju. Effect and mechanism of salidroside on cerebral ischemia-reperfusion in rats [J]. chinese journal of practical nervous diseases, 2022, 25(01):92-97.

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Published

2024-09-26

How to Cite

Sun, M., & Zhou, H. (2024). Research Progress on the Intervention of Traditional Chinese Medicine in Signal Pathways Related to Acute Cerebral Infarction. Journal of Contemporary Medical Practice, 6(9), 153–159. https://doi.org/10.53469/jcmp.2024.06(09).28