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DOI: 10.1055/s-0045-1814092
Senkyunolide A Attenuates OGD/R-Induced HT22 Cell Injury by Inhibiting Oxidative Stress and Apoptosis
Authors
Funding This study was supported by the National Natural Science Foundation of China (82574916) and the Joint Fund of Henan Province (232301420018).
Abstract
Objective
This study aimed to investigate the protective effect and mechanism of Senkyunolide A (SenA) on oxygen-glucose deprivation/reoxygenation (OGD/R)-induced injury in mouse hippocampal neuronal HT22 cells, providing experimental evidence for elucidating the application of SenA in the prevention and treatment of cerebral ischemia–reperfusion injury.
Methods
An HT22 cell injury model was established using the OGD/R method and divided into the Control group, Model (OGD/R) group, Edaravone (EDA) group (OGD/R + EDA), and SenA group (OGD/R + SenA). Cell viability was detected by Cell counting kit-8 (CCK-8) assay; live and dead cells were observed by Calcein AM/PI cell viability assay kit (Calcein-AM/PI) double staining; intracellular reactive oxygen species (ROS) levels were measured using the H2DCFDA (DCFH-DA) fluorescent probe; levels of malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione (GSH) were determined by biochemical kits; apoptosis rate was detected by flow cytometry; protein expression levels of Bcl-2-associated X protein (Bax), B-cell lymphoma 2 (Bcl-2), and Cysteine-dependent aspartate-specific protease-3 (Caspase-3) were measured by Western blot.
Results
Compared with the Control group, the OGD/R group showed significantly reduced cell viability (p < 0.001), increased proportions of dead cells, ROS and MDA levels, and apoptosis rate (p < 0.001), decreased SOD activity and GSH levels (p < 0.05; p < 0.001), significantly upregulated protein expression of Bax and Caspase-3 (p < 0.01; p < 0.001), and downregulated Bcl-2 expression (p < 0.001). Compared with the OGD/R group, both SenA and EDA significantly increased cell viability (p < 0.001), reduced the proportion of dead cells, ROS and MDA levels, and apoptosis rate (p < 0.001), upregulated SOD activity and GSH levels (p < 0.01; p < 0.001), downregulated protein expression of Bax and Caspase-3 (p < 0.01; p < 0.001), and upregulated Bcl-2 expression (p < 0.001).
Conclusion
SenA can alleviate OGD/R-induced neuronal injury by mitigating oxidative stress and inhibiting cell apoptosis. This study provides modern experimental evidence for the traditional theory of Chuanxiong in “promoting blood circulation, removing blood stasis, and unblocking brain collaterals,” and offers new insights for the prevention and treatment of ischemia–reperfusion brain injury with traditional Chinese medicine.
Keywords
ischemic stroke - senkyunolide A - oxygen-glucose deprivation/reoxygenation - oxidative stress - apoptosisIntroduction
Stroke is a major global cause of disability and death, characterized by high incidence, disability, and mortality rates in China,[1] [2] with ischemic stroke (IS) accounting for approximately 80% of cases.[3] Although thrombolysis and anticoagulation therapies can restore cerebral blood flow, reperfusion often leads to cerebral ischemia–reperfusion injury (CIRI), exacerbating neurological dysfunction.[4] Due to the narrow therapeutic window and limited efficacy of existing treatments, there is an urgent need to develop safe and effective novel neuroprotective agents.
Modern pharmacological studies have confirmed that oxidative stress is a key mechanism in the pathogenesis of CIRI.[5] [6] During ischemia–reperfusion, excessive generation of reactive oxygen species (ROS) leads to redox imbalance, mitochondrial dysfunction, and lipid peroxidation, ultimately resulting in neuronal apoptosis.[7] [8] Therefore, alleviating oxidative stress and inhibiting apoptosis are critical therapeutic strategies for reducing neuronal damage caused by CIRI. Edaravone (EDA) was initially approved in Japan in 2001 for the treatment of IS[9]; however, recent clinical studies have shown side effects such as hepatotoxicity, increased bleeding risk, and lipid metabolism disorders.[10]
Traditional Chinese medicine (TCM) considers stroke to fall under the category of “wind stroke,” with the core pathogenesis being disorder of qi and blood, and obstruction of collaterals by wind, fire, phlegm, and stasis. The basic treatment principle is “promoting blood circulation to remove stasis, calming wind, and unblocking collaterals.” As stated in the Chapter on the Ultimate Truth in The Yellow Emperor's Inner Classic: Basic Questions (Huangdi Neijing Suwen): “When blood and qi flow disorderly in the meridians and settle in the brain, it affects the marrow,” suggesting that impaired cerebral blood circulation is closely related to mental disorders. Chuanxiong (Chuanxiong Rhizoma), pungent in taste and warm in nature, acts on the liver, gallbladder, and pericardium meridians. It has the effects of promoting blood circulation, moving qi, dispelling wind, and relieving pain, and has been commonly used in TCM for stroke treatment throughout history. Senkyunolide A (SenA) is a major bioactive component extracted from Chuanxiong (Chuanxiong Rhizoma), with anti-inflammatory, antioxidant, and neuroprotective effects.[11] [12] Some studies have shown that SenA can alleviate CIRI-induced central nervous system injury in rats[13] and function by inhibiting NOD-like receptor thermal protein domain associated protein 3 (NLRP3)-mediated ferroptosis.[14] However, its direct protective mechanisms on central neurons remain unclear. This study is the first to investigate the effect and mechanism of SenA on oxygen-glucose deprivation/reoxygenation (OGD/R)-induced injury in HT22 hippocampal neurons, revealing that it exerts neuroprotective effects by alleviating oxidative stress and inhibiting apoptosis, providing new evidence for elucidating the modern scientific connotation of Chuanxiong (Chuanxiong Rhizoma) in “promoting blood circulation, unblocking collaterals, and nourishing the brain to protect the spirit.”
Materials
Cells
The mouse hippocampal neuronal cell line HT22 (CL-0697) was purchased from Wuhan Procell Life Science and Technology Co., Ltd.
Drugs and Reagents
SenA (purity >98%) was purchased from Shanghai Yuanye Bio-Technology Co., Ltd.; EDA (purity >99%) was purchased from Merck and Co., Inc.; Dulbecco's modified Eagle medium (DMEM), fetal bovine serum (FBS), and penicillin–streptomycin were all purchased from HyClone Laboratories; glucose-free DMEM was purchased from Gibco (Thermo Fisher Scientific); CCK-8 assay kit was purchased from Absin Bioscience Inc. (Shanghai); Calcein-AM/PI staining kit and ROS assay kit were purchased from Beyotime Biotechnology (Shanghai); malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione (GSH) assay kits were purchased from Nanjing Jiancheng Bioengineering Institute; Bicinchoninic acid (BCA) protein assay kit and Annexin V-Fuorescein isothiocyanate (FITC)/PI apoptosis detection kit were purchased from Beijing Solarbio Science and Technology Co., Ltd.; Caspase-3 (D3R8Y) antibody was purchased from Cell Signaling Technology; Bax (AB32503) antibody was purchased from Abcam, United Kingdom; Bcl-2 (A19693) antibody, β-actin (AC026) antibody, and goat anti-rabbit secondary antibody (AS014) were all purchased from ABclonal Technology Co., Ltd. (Wuhan).
Instruments
Multimode microplate reader (SYNERGY-LX, BioTek Instruments); chemiluminescence imaging system (ChemiDoc™ Imaging System, Bio-Rad Laboratories); fluorescence inverted microscope (ECLIPSE Ts2-FL, Leica Microsystems); CO2 incubator (3111, Thermo Fisher Scientific); and flow cytometer (CytoFLEX, Beckman Coulter).
Methods
Cell Culture
HT22 cells were cultured in complete DMEM supplemented with 10% FBS and 100 U/mL penicillin–streptomycin, and maintained in a 37 °C, 5% CO2 incubator.
Oxygen-Glucose Deprivation/Reoxygenation Model
HT22 cells were seeded in culture dishes at a density of 8 × 105 cells/mL. When cell density reached 60% to 70%, the medium was replaced with glucose-free DMEM, and the cells were placed in a hypoxic chamber (95% N2 and 5% CO2) at 37 °C for 10 hours of hypoxia. Subsequently, the medium was replaced with high-glucose DMEM, and the cells were reoxygenated under normoxic conditions for 6 hours. The durations of hypoxia and reoxygenation were based on our preliminary studies.[15] Both SenA and EDA were added to the medium during the reoxygenation phase for intervention.
CCK-8 Assay for Cell Viability
HT22 cells were seeded in 96-well plates at a density of 5 × 104 cells/mL and cultured for 24 hours, followed by OGD/R treatment. During reoxygenation, different concentrations of SenA (5, 10, 20, 40, 60, and 80 μM) or EDA (50 μM) were added and incubated for 6 hours. Then, 10 μL of CCK-8 reagent was added to each well and incubated at 37 °C in the dark for 30 minutes. Absorbance was measured at 450 nm.
Live/Dead Cell Staining
HT22 cells were seeded in 24-well plates (1.5 × 105 cells/mL) and cultured for 24 hours, followed by OGD/R treatment. SenA (40 μM) or EDA (50 μM) was added and incubated for 6 hours. Cells were stained using the Calcein-AM/PI double staining kit, observed under a fluorescence microscope, and the proportion of dead cells was calculated.
Reactive Oxygen Species Level Detection
Intracellular ROS levels were detected using the DCFH-DA staining kit. HT22 cells were seeded in 6-well plates (3 × 105 cells/mL) and cultured for 24 hours, followed by OGD/R treatment. SenA (40 μM) or EDA (50 μM) was added and incubated for 6 hours. The DCFH-DA probe was diluted at a 1:1,000 ratio (final concentration 10 μmol/L) and incubated at 37 °C in the dark for 25 minutes. After washing three times with PBS, images were captured under a fluorescence microscope.
Malondialdehyde, Superoxide Dismutase, and Glutathione Detection
HT22 cells were seeded in 60-mm culture dishes (5 × 105 cells/mL). OGD/R treatment and drug administration were consistent with the above methods. Cells were collected and lysed with radio immunoprecipitation (RIPA) lysis buffer via sonication (300 W, 5 s ON, 10 s OFF, 30 cycles), centrifuged at 12,000 g for 20 minutes, and the supernatant was collected. MDA, SOD, and GSH levels were determined according to the kit instructions. Protein concentration was measured using the BCA method.
Apoptosis Detection
Cell apoptosis rate was detected by flow cytometry using the Annexin V-FITC/PI double staining method. After OGD/R modeling, SenA (40 μM) or EDA (50 μM) was added for intervention. Subsequently, 5 μL each of Annexin V-FITC and PI were added and incubated at room temperature for 5 minutes before detection. Total apoptosis rate = Early apoptosis rate + Late apoptosis rate.
Western Blot
Protein was extracted from the collected cells of each group, and protein concentration was determined using the BCA method. Protein samples were mixed with loading buffer and boiled, then separated by SDS-PAGE and transferred to PVDF membranes. The membranes were blocked with 5% skim milk for 1 hour, then incubated with primary antibodies against Caspase-3 (1:4,000), Bcl-2 (1:500), and Bax (1:2,000) at 4 °C overnight. The next day, membranes were incubated with secondary antibody (1:10,000) at room temperature for 1 hour. After washing, bands were visualized using ECL chemiluminescence. β-actin was used as an internal reference for protein expression quantification.
Statistical Analysis
Data are expressed as mean ± standard error of the mean (mean ± SEM). Statistical analysis was performed using SPSS 27.0 software. Intergroup comparisons were conducted using one-way analysis of variance (ANOVA) followed by Tukey's post hoc test. A p-value of <0.05 was considered statistically significant.
Results
Effect of Senkyunolide A on Oxygen-Glucose Deprivation/Reoxygenation-Induced HT22 Cell Injury
The effect of different concentrations of SenA on cell viability is shown in [Fig. 1A]. SenA significantly reduced cell viability at concentrations greater than 100 μM (p < 0.001). SenA significantly increased the survival rate of HT22 cells induced by OGD/R ([Fig. 1B]), with 40 μM showing the most pronounced effect (p < 0.001), comparable to EDA. Therefore, the concentration of 40 μM was selected for subsequent experiments. Calcein-AM/PI staining results further confirmed that both SenA and EDA significantly reduced the proportion of dead cells (p < 0.001), indicating that SenA effectively alleviates OGD/R-induced HT22 cell injury ([Fig. 1C, D]).


Effect of Senkyunolide A on Oxygen-Glucose Deprivation/Reoxygenation-Induced Oxidative Stress
As shown in [Fig. 2A, B], OGD/R significantly increased ROS levels (p < 0.001), while both the SenA and EDA groups showed significantly reduced ROS levels (p < 0.001). Compared with the Control group, the OGD/R group showed significantly increased MDA levels (p < 0.001) and significantly decreased SOD activity and GSH levels (p < 0.05; p < 0.001). SenA and EDA significantly reduced MDA levels (p < 0.001) while increasing SOD activity and GSH levels (p < 0.01; p < 0.001; [Fig. 2C–E]). These results indicate that SenA can effectively alleviate OGD/R-induced cellular oxidative stress injury.


Effect of Senkyunolide A on Oxygen-Glucose Deprivation/Reoxygenation-Induced Apoptosis
As shown in [Fig. 3], compared with the Control group, the OGD/R group showed a significantly increased apoptosis rate (p < 0.001). Treatment with SenA and EDA significantly reduced the apoptosis rate (p < 0.001), indicating that SenA can inhibit OGD/R-induced cell apoptosis.


Effect of Senkyunolide A on Bax, Bcl-2, and Caspase-3 Protein Expression
As shown in [Fig. 4], compared with the Control group, the OGD/R group showed significantly increased protein expression levels of Bax and Caspase-3 (p < 0.01; p < 0.001) and a significantly decreased Bcl-2 level (p < 0.001). Compared with the OGD/R group, the SenA and EDA groups showed significantly reduced protein expression levels of Bax and Caspase-3 (p < 0.01; p < 0.001) and a significantly increased Bcl-2 level (p < 0.001). The results indicate that SenA exerts its antiapoptotic effect by regulating the Bax/Bcl-2 balance and inhibiting Caspase-3 activation.


Discussion
This study confirms that SenA has a significant protective effect against OGD/R-induced HT22 cell injury. It not only increases cell survival rate but also effectively alleviates OGD/R-induced oxidative stress and apoptosis, which are core pathological links in CIRI, suggesting that SenA has good application potential in CIRI intervention. From the perspective of TCM, Chuanxiong (Chuanxiong Rhizoma) is pungent in taste and warm in nature, acting on the liver, gallbladder, and pericardium meridians. It has the effects of promoting blood circulation, moving qi, dispelling wind, and relieving pain. It has been commonly used by physicians throughout history for patterns such as “wind stroke with unconsciousness” and “headache and dizziness,” which are related to obstruction of the brain collaterals. As an important active component of Chuanxiong (Chuanxiong Rhizoma), modern pharmacology finds that SenA aligns with the traditional efficacy of Chuanxiong (Chuanxiong Rhizoma) in “promoting blood circulation to remove stasis and unblocking the brain collaterals,” providing modern scientific evidence for the TCM treatment of cerebral ischemic diseases.
Apoptosis is a key mechanism leading to neuronal loss in CIRI,[16] and excessive neuronal apoptosis can exacerbate brain tissue damage and impair neurological functional recovery.[17] [18] This study found that SenA significantly enhanced cell viability in the OGD/R model, with the optimal protective effect observed at 40 μM, comparable to the clinical neuroprotective agent EDA. Live/dead cell staining further confirmed that SenA markedly alleviated OGD/R-induced cell injury. Mechanistically, SenA downregulated the expression of proapoptotic proteins Bax and Caspase-3 while upregulating the antiapoptotic protein Bcl-2, thereby inhibiting apoptosis. Caspase-3 is a key executor of apoptosis, and its excessive activation is closely associated with various neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, and stroke.[19] [20] [21] [22] Bax promotes mitochondrial membrane permeability and activates the caspase cascade, whereas Bcl-2 exerts antiapoptotic effects by antagonizing Bax activity.[23] [24] The results of this study demonstrate that SenA significantly reduces OGD/R-induced neuronal apoptosis by modulating the Bcl-2/Bax balance and inhibiting Caspase-3 activation, thereby maintaining neuronal survival and functional stability.[25]
Oxidative stress is another core mechanism in CIRI injury, characterized by excessive ROS generation and exhaustion of the endogenous antioxidant system.[26] Accumulation of ROS can lead to lipid peroxidation, DNA damage, and cell death.[27] This study revealed that OGD/R treatment significantly increased ROS and MDA levels in HT22 cells while reducing SOD activity and GSH content. However, the SenA intervention markedly improved these indicators, suggesting its potent antioxidant activity. Previous studies have reported that SenA can regulate redox homeostasis and alleviate oxidative stress injury by activating the SIRT6/Nrf2 pathway.[28] Additionally, SenA inhibits NLRP3-mediated ferroptosis and reduces lipid peroxidation.[14] The findings of this study are consistent with these reports, further confirming that SenA mitigates neuronal oxidative stress damage by enhancing cellular antioxidant capacity and scavenging excess free radicals.
Conclusion
In summary, this study demonstrates for the first time that SenA exerts significant protective effects against OGD/R-induced neuronal injury, likely through mitigating oxidative stress and inhibiting apoptosis. As a key active component of Chuanxiong (Chuanxiong Rhizoma), the neuroprotective effects of SenA provide modern pharmacological evidence for its traditional efficacy in “promoting blood circulation to remove stasis and unblocking brain collaterals,” offering new insights and scientific rationale for TCM-based intervention in CIRI.
Conflict of Interest
The authors declare no conflict of interest.
CRediT Authorship Contribution Statement
Roujia Guo: Methodology, investigation, visualization, and writing original draft. Yufang Zhao: Investigation, and data curation. Zhouli Yue: Conceptualization, investigation, formal analysis, and visualization. Yucheng Li: Project administration, supervision, conceptualization, funding acquisition, and writing-review & editing.
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References
- 1 Zhao SY, Zhang H, Shao XX. et al. Progress on pharmacological mechanism of Chinese medicine Chuanxiong (Chuanxiong Rhizoma) in cerebral ischemic stroke. Liaoning Zhongyiyao Daxue Xuebao 2024; 26 (09) 185-189
- 2 Paul S, Candelario-Jalil E. Emerging neuroprotective strategies for the treatment of ischemic stroke: An overview of clinical and preclinical studies. Exp Neurol 2021; 335: 113518
- 3 Walter K. What is acute ischemic stroke?. JAMA 2022; 327 (09) 885
- 4 Li W, Xu P, Kong L. et al. Elabela-APJ axis mediates angiogenesis via YAP/TAZ pathway in cerebral ischemia/reperfusion injury. Transl Res 2023; 257: 78-92
- 5 Shen M, Zheng Y, Li G. et al. Dual antioxidant DH-217 mitigated cerebral ischemia–reperfusion injury by targeting IKKβ/Nrf2/HO-1 signal axis. Neurochem Res 2023; 48 (02) 579-590
- 6 Liu K, Zhou Y, Song X. et al. Baicalin attenuates neuronal damage associated with SDH activation and PDK2-PDH axis dysfunction in early reperfusion. Phytomedicine 2024; 129: 155570
- 7 Yuan Q, Yuan Y, Zheng Y. et al. Anti-cerebral ischemia reperfusion injury of polysaccharides: A review of the mechanisms. Biomed Pharmacother 2021; 137: 111303
- 8 Zhou S, Gao X, Chen C. et al. Porcine cardiac blood - Salvia miltiorrhiza root alleviates cerebral ischemia reperfusion injury by inhibiting oxidative stress induced apoptosis through PI3K/AKT/Bcl-2/Bax signaling pathway. J Ethnopharmacol 2023; 316: 116698
- 9 Yoshida H, Yanai H, Namiki Y, Fukatsu-Sasaki K, Furutani N, Tada N. Neuroprotective effects of edaravone: A novel free radical scavenger in cerebrovascular injury. CNS Drug Rev 2006; 12 (01) 9-20
- 10 Lyu SX, Qian DF, Feng YF. et al. Safety of butylphthalide and edaravone in patients with ischemic stroke: A multicenter real-world study. J Geriatr Cardiol 2023; 20 (04) 293-308
- 11 Chan SS, Cheng TY, Lin G. Relaxation effects of ligustilide and senkyunolide A, two main constituents of Ligusticum chuanxiong, in rat isolated aorta. J Ethnopharmacol 2007; 111 (03) 677-680
- 12 Shao M, Lv D, Zhou K, Sun H, Wang Z. Senkyunolide A inhibits the progression of osteoarthritis by inhibiting the NLRP3 signalling pathway. Pharm Biol 2022; 60 (01) 535-542
- 13 Lin H. Protective effect of senkyunolide A against rats cerebral ischemia-reperfusion injury. J North Pharm 2016; 13: 114-115
- 14 Zhang Q, Wang Y, Xiu Y. et al. Senkyunolide A attenuates cerebral ischemia-reperfusion injury by inhibiting NLRP3-mediated ferroptosis in PC12 cells. Gen Physiol Biophys 2025; 44 (01) 51-61
- 15 Guo R, Quan S, Liu Y. et al. Protective effects of atractylenolide III on oxygen-glucose-deprivation/reperfusion-induced injury in HT22 cells. Hum Exp Toxicol 2024; 43: 96 03271241288508
- 16 Wan J, Xiao T. MiR-1224 downregulation inhibits OGD/R-induced hippocampal neuron apoptosis through targeting Ku protein. Metab Brain Dis 2022; 37 (02) 531-543
- 17 Jin GY, Jin LL, He JB. The pathological complexity of stroke and rational treatment principles of Chinese herbal medicine. Chin Med Natural Prod 2025; 5 (01) 1-22
- 18 Qiao S, Yang D, Li X, Li W, Zhang Y, Liu W. Silencing PAQR3 protects against oxygen-glucose deprivation/reperfusion-induced neuronal apoptosis via activation of PI3K/AKT signaling in PC12 cells. Life Sci 2021; 265: 118806
- 19 Eskandari E, Eaves CJ. Paradoxical roles of caspase-3 in regulating cell survival, proliferation, and tumorigenesis. J Cell Biol 2022; 221 (06) e202201159
- 20 Huang Q, Zhang C, Dong S. et al. Asafoetida exerts neuroprotective effect on oxidative stress induced apoptosis through PI3K/Akt/GSK3β/Nrf2/HO-1 pathway. Chin Med 2022; 17 (01) 83
- 21 Tan Y, Zhou F, Yang D, Zhang X, Zeng M, Wan L. MicroRNA-126a-5p exerts neuroprotective effects on ischemic stroke via targeting NADPH oxidase 2. Neuropsychiatr Dis Treat 2021; 17: 2089-2103
- 22 Zhang J, Ma YZ. Effect of Fuzhi capsule on apoptotic timing of hippocampal neurons in rats with vascular dementia. Acta Chin Med 2019; 34 (03) 551-554
- 23 Guan Y, Wan Z, Wang S. et al. Combination of components from Tripterygii Radix et Rhizoma-Chuanxiong Rhizoma affects RA-FLSs by regulating NF-κB, Nrf2/HO-1 signaling pathways and Bcl-2/Caspase-3 expression. Chin J Exp Tradit Med Formul 2025; 17-26
- 24 Bortner CD, Oakley RH, Cidlowski JA. Overcoming apoptotic resistance afforded by Bcl-2 in lymphoid tumor cells: A critical role for dexamethasone. Cell Death Discov 2022; 8 (01) 494
- 25 Duan J, Gao S, Tu S, Lenahan C, Shao A, Sheng J. Pathophysiology and therapeutic potential of NADPH oxidases in ischemic stroke-induced oxidative stress. Oxid Med Cell Longev 2021; 2021: 6631805
- 26 Ye F, Zhang SY, Liu JL. et al. Research progress of regulation of PI3K/AKT signaling pathway with Yin-restoring pill. Henan Trad Chin Med 2024; 44 (03) 445-452
- 27 Zhao H, Zhai L, Wang J. et al. Ghrelin-mediated HO-1/PGC-1α signaling pathway regulates mitochondrial oxidative stress to improve traumatic brain injury in rats. J Chin Med Univ 2025; 54 (04) 351-358
- 28 Ko JH, Jung TW, Pyo MK. et al. Senkyunolide A mitigates lipid deposition in hyperlipidemic hepatocytes through SIRT6-mediated suppression of oxidative stress and fetuin-A. Biochem Biophys Res Commun 2025; 771: 152046
Address for correspondence
Publication History
Received: 21 July 2025
Accepted: 17 September 2025
Article published online:
30 December 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Zhao SY, Zhang H, Shao XX. et al. Progress on pharmacological mechanism of Chinese medicine Chuanxiong (Chuanxiong Rhizoma) in cerebral ischemic stroke. Liaoning Zhongyiyao Daxue Xuebao 2024; 26 (09) 185-189
- 2 Paul S, Candelario-Jalil E. Emerging neuroprotective strategies for the treatment of ischemic stroke: An overview of clinical and preclinical studies. Exp Neurol 2021; 335: 113518
- 3 Walter K. What is acute ischemic stroke?. JAMA 2022; 327 (09) 885
- 4 Li W, Xu P, Kong L. et al. Elabela-APJ axis mediates angiogenesis via YAP/TAZ pathway in cerebral ischemia/reperfusion injury. Transl Res 2023; 257: 78-92
- 5 Shen M, Zheng Y, Li G. et al. Dual antioxidant DH-217 mitigated cerebral ischemia–reperfusion injury by targeting IKKβ/Nrf2/HO-1 signal axis. Neurochem Res 2023; 48 (02) 579-590
- 6 Liu K, Zhou Y, Song X. et al. Baicalin attenuates neuronal damage associated with SDH activation and PDK2-PDH axis dysfunction in early reperfusion. Phytomedicine 2024; 129: 155570
- 7 Yuan Q, Yuan Y, Zheng Y. et al. Anti-cerebral ischemia reperfusion injury of polysaccharides: A review of the mechanisms. Biomed Pharmacother 2021; 137: 111303
- 8 Zhou S, Gao X, Chen C. et al. Porcine cardiac blood - Salvia miltiorrhiza root alleviates cerebral ischemia reperfusion injury by inhibiting oxidative stress induced apoptosis through PI3K/AKT/Bcl-2/Bax signaling pathway. J Ethnopharmacol 2023; 316: 116698
- 9 Yoshida H, Yanai H, Namiki Y, Fukatsu-Sasaki K, Furutani N, Tada N. Neuroprotective effects of edaravone: A novel free radical scavenger in cerebrovascular injury. CNS Drug Rev 2006; 12 (01) 9-20
- 10 Lyu SX, Qian DF, Feng YF. et al. Safety of butylphthalide and edaravone in patients with ischemic stroke: A multicenter real-world study. J Geriatr Cardiol 2023; 20 (04) 293-308
- 11 Chan SS, Cheng TY, Lin G. Relaxation effects of ligustilide and senkyunolide A, two main constituents of Ligusticum chuanxiong, in rat isolated aorta. J Ethnopharmacol 2007; 111 (03) 677-680
- 12 Shao M, Lv D, Zhou K, Sun H, Wang Z. Senkyunolide A inhibits the progression of osteoarthritis by inhibiting the NLRP3 signalling pathway. Pharm Biol 2022; 60 (01) 535-542
- 13 Lin H. Protective effect of senkyunolide A against rats cerebral ischemia-reperfusion injury. J North Pharm 2016; 13: 114-115
- 14 Zhang Q, Wang Y, Xiu Y. et al. Senkyunolide A attenuates cerebral ischemia-reperfusion injury by inhibiting NLRP3-mediated ferroptosis in PC12 cells. Gen Physiol Biophys 2025; 44 (01) 51-61
- 15 Guo R, Quan S, Liu Y. et al. Protective effects of atractylenolide III on oxygen-glucose-deprivation/reperfusion-induced injury in HT22 cells. Hum Exp Toxicol 2024; 43: 96 03271241288508
- 16 Wan J, Xiao T. MiR-1224 downregulation inhibits OGD/R-induced hippocampal neuron apoptosis through targeting Ku protein. Metab Brain Dis 2022; 37 (02) 531-543
- 17 Jin GY, Jin LL, He JB. The pathological complexity of stroke and rational treatment principles of Chinese herbal medicine. Chin Med Natural Prod 2025; 5 (01) 1-22
- 18 Qiao S, Yang D, Li X, Li W, Zhang Y, Liu W. Silencing PAQR3 protects against oxygen-glucose deprivation/reperfusion-induced neuronal apoptosis via activation of PI3K/AKT signaling in PC12 cells. Life Sci 2021; 265: 118806
- 19 Eskandari E, Eaves CJ. Paradoxical roles of caspase-3 in regulating cell survival, proliferation, and tumorigenesis. J Cell Biol 2022; 221 (06) e202201159
- 20 Huang Q, Zhang C, Dong S. et al. Asafoetida exerts neuroprotective effect on oxidative stress induced apoptosis through PI3K/Akt/GSK3β/Nrf2/HO-1 pathway. Chin Med 2022; 17 (01) 83
- 21 Tan Y, Zhou F, Yang D, Zhang X, Zeng M, Wan L. MicroRNA-126a-5p exerts neuroprotective effects on ischemic stroke via targeting NADPH oxidase 2. Neuropsychiatr Dis Treat 2021; 17: 2089-2103
- 22 Zhang J, Ma YZ. Effect of Fuzhi capsule on apoptotic timing of hippocampal neurons in rats with vascular dementia. Acta Chin Med 2019; 34 (03) 551-554
- 23 Guan Y, Wan Z, Wang S. et al. Combination of components from Tripterygii Radix et Rhizoma-Chuanxiong Rhizoma affects RA-FLSs by regulating NF-κB, Nrf2/HO-1 signaling pathways and Bcl-2/Caspase-3 expression. Chin J Exp Tradit Med Formul 2025; 17-26
- 24 Bortner CD, Oakley RH, Cidlowski JA. Overcoming apoptotic resistance afforded by Bcl-2 in lymphoid tumor cells: A critical role for dexamethasone. Cell Death Discov 2022; 8 (01) 494
- 25 Duan J, Gao S, Tu S, Lenahan C, Shao A, Sheng J. Pathophysiology and therapeutic potential of NADPH oxidases in ischemic stroke-induced oxidative stress. Oxid Med Cell Longev 2021; 2021: 6631805
- 26 Ye F, Zhang SY, Liu JL. et al. Research progress of regulation of PI3K/AKT signaling pathway with Yin-restoring pill. Henan Trad Chin Med 2024; 44 (03) 445-452
- 27 Zhao H, Zhai L, Wang J. et al. Ghrelin-mediated HO-1/PGC-1α signaling pathway regulates mitochondrial oxidative stress to improve traumatic brain injury in rats. J Chin Med Univ 2025; 54 (04) 351-358
- 28 Ko JH, Jung TW, Pyo MK. et al. Senkyunolide A mitigates lipid deposition in hyperlipidemic hepatocytes through SIRT6-mediated suppression of oxidative stress and fetuin-A. Biochem Biophys Res Commun 2025; 771: 152046








