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柴胡疏肝散通过JAK/STAT3 - GSK3β/PTEN/Akt通路抑制神经炎症以治疗中风后抑郁症。

Chaihu-Shugan-San inhibits neuroinflammation in the treatment of post-stroke depression through the JAK/STAT3-GSK3β/PTEN/Akt pathway.

作者信息

Fan Qiqi, Liu Yuanyue, Sheng Lei, Lv Shuang, Yang Li, Zhang Zhaoming, Guo Jiaping, Fan Yafei, Hu Dan

机构信息

Department of Neurology, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu 210017, China.

Department of Neurology, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu 210017, China; School of Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China.

出版信息

Biomed Pharmacother. 2023 Apr;160:114385. doi: 10.1016/j.biopha.2023.114385. Epub 2023 Feb 10.


DOI:10.1016/j.biopha.2023.114385
PMID:36774722
Abstract

Post-stroke depression (PSD) is one of the most common neuropsychiatric consequence of stroke, affecting cognitive function, recovery of somatic function, and patient survival. The aim of this study was to evaluate whether Chaihu-Shugan-San, a traditional Chinese medicine formula used clinically to treat depression, could improve symptoms in a rat model for PSD, to investigate the potential mechanisms, and to validate the findings in an in vitro oxygen and glucose deprivation (OGD) model. Male rats were subjected to middle cerebral artery occlusion (MCAO) and to chronic unpredictable mild stress (CUMS). The rats were then allocated to experimental groups (n = 15) that were treated with Chaihu-Shugan-San, a JAK-STAT3 inhibitor, a GSK3β overexpressing virus, or an empty virus (control). The subjects allocated to each group, as well as those that received no treatment and rats that did not undergo MCAO/CUMS, were then subjected to forced swimming, tail suspension, and sugar water preference tests, and their neurological deficit score was determined. Inflammatory factor levels and the expression of proteins related to the JAK/STAT3-GSK3β/PTEN/Akt pathway were measured, and the synaptic ultrastructure was observed using transmission electron microscopy. Flow cytometry showed microglia polarization towards the M1 phenotype in an in vitro PSD model, which was reversed after treatment with a GSK3β overexpression virus, Chaihu-Shugan-San, or a JAK-STAT3 inhibitor. The results showed that Chaihu-Shugan-San has a therapeutic effect on an in vivo model for PSD and can regulate microglia polarization through the activation of the JAK/STAT3-GSK3β/PTEN/Akt pathway, suggesting that it exerts its effect via the inhibition of neuroinflammation.

摘要

中风后抑郁症(PSD)是中风最常见的神经精神后果之一,会影响认知功能、躯体功能恢复和患者生存。本研究的目的是评估临床用于治疗抑郁症的中药方剂柴胡疏肝散是否能改善PSD大鼠模型的症状,探究其潜在机制,并在体外氧糖剥夺(OGD)模型中验证研究结果。雄性大鼠接受大脑中动脉闭塞(MCAO)和慢性不可预测轻度应激(CUMS)。然后将大鼠分为实验组(n = 15),分别用柴胡疏肝散、JAK-STAT3抑制剂、GSK3β过表达病毒或空病毒(对照)进行治疗。将分配到每组的实验对象,以及未接受治疗的对象和未进行MCAO/CUMS的大鼠,进行强迫游泳、悬尾和糖水偏好测试,并测定其神经功能缺损评分。检测炎症因子水平以及与JAK/STAT3-GSK3β/PTEN/Akt通路相关的蛋白表达,并使用透射电子显微镜观察突触超微结构。流式细胞术显示在体外PSD模型中,小胶质细胞向M1表型极化,在用GSK3β过表达病毒、柴胡疏肝散或JAK-STAT3抑制剂治疗后这种极化得到逆转。结果表明,柴胡疏肝散对PSD体内模型具有治疗作用,并且可以通过激活JAK/STAT3-GSK3β/PTEN/Akt通路调节小胶质细胞极化,提示其通过抑制神经炎症发挥作用。

相似文献

[1]
Chaihu-Shugan-San inhibits neuroinflammation in the treatment of post-stroke depression through the JAK/STAT3-GSK3β/PTEN/Akt pathway.

Biomed Pharmacother. 2023-4

[2]
Chaihu-shugan san inhibits inflammatory response to improve insulin signaling in liver and prefrontal cortex of CUMS rats with glucose intolerance.

Biomed Pharmacother. 2018-5-7

[3]
Proteomics Study Reveals the Anti-Depressive Mechanisms and the Compatibility Advantage of Chaihu-Shugan-San in a Rat Model of Chronic Unpredictable Mild Stress.

Front Pharmacol. 2022-1-17

[4]
exerts an antidepressive effect by downregulating miR-124 and releasing inhibition of the MAPK14 and Gria3 signaling pathways.

Neural Regen Res. 2018-5

[5]
[Screening of specific microRNA in hippocampus of depression model rats and intervention effect of Chaihu Shugan San].

Zhongguo Zhong Yao Za Zhi. 2013-5

[6]
The antidepressant-like effects of Chaihu Shugan San: Dependent on the hippocampal BDNF-TrkB-ERK/Akt signaling activation in perimenopausal depression-like rats.

Biomed Pharmacother. 2018-5-26

[7]
Network Pharmacology and Experimental Evidence: PI3K/AKT Signaling Pathway is Involved in the Antidepressive Roles of Chaihu Shugan San.

Drug Des Devel Ther. 2021

[8]
Resveratrol exerts a protective effect in chronic unpredictable mild stress-induced depressive-like behavior: involvement of the AKT/GSK3β signaling pathway in hippocampus.

Psychopharmacology (Berl). 2018-10-29

[9]
Pharmacokinetic study of the prokinetic compounds meranzin hydrate and ferulic acid following oral administration of Chaihu-Shugan-San to patients with functional dyspepsia.

J Ethnopharmacol. 2011-5-13

[10]
Exploration of a Brain-Liver-Communication-Related Mechanism Involved in the Experimental Perimenopausal Depression Rat Model using Chaihu-Shugan-San.

Neurochem Res. 2022-5

引用本文的文献

[1]
Antidepressant-Like Effects of Electroacupuncture by Regulating NLRP3-mediated Hippocampal Inflammation and Pyroptosis in Rats With Post-Stroke Depression.

Brain Behav. 2025-7

[2]
Innovative strategies for post-stroke depression: integrating traditional Chinese medicine with neurobiological insights, including the gut-brain axis.

Front Pharmacol. 2025-6-3

[3]
Perimenopausal depression: Targeting inflammation and oxidative stress (Review).

Mol Med Rep. 2025-6

[4]
Downregulation of the HCN1 Channel Alleviates Anxiety- and Depression-Like Behaviors in Mice With Cerebral Ischemia-Reperfusion Injury by Suppressing the NLRP3 Inflammasome.

J Am Heart Assoc. 2025-4-15

[5]
Alamandine enhanced spatial memory in rats by reducing neuroinflammation and altering BDNF levels in the hippocampus and prefrontal cortex.

Sci Rep. 2025-4-9

[6]
Investigating the Potential Therapeutic Targeting of the JAK-STAT Pathway in Cerebrovascular Diseases: Opportunities and Challenges.

Mol Neurobiol. 2025-3-18

[7]
Research progress on Chaihu Shugan San in treating perimenopausal syndrome: A review.

Medicine (Baltimore). 2024-12-27

[8]
Research progress on the molecular mechanisms of Saikosaponin D in various diseases (Review).

Int J Mol Med. 2025-3

[9]
in the treatment of depression: a comprehensive review and perspectives.

Front Pharmacol. 2024-10-30

[10]
The AMPK-mTOR Pathway Is Inhibited by Chaihu Shugan Powder, Which Relieves Nonalcoholic Steatohepatitis by Suppressing Autophagic Ferroptosis.

Mediators Inflamm. 2024

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