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Tanshinone-IIA mediated neuroprotection by modulating neuronal pathways

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Abstract

The progression of neurological diseases is mainly attributed to oxidative stress, apoptosis, inflammation, and trauma, making them a primary public concern. Since no drugs can stop these neurological disorders from happening, active phytochemical intervention has been suggested as a possible treatment. Among the several phytochemicals being studied for their potential health advantages, tanshinone-IIA (Tan-IIA ) stands out due to its wide range of therapeutic effects. Tan-IIA, derived from the Salvia miltiorrhiza plant, is a phenanthrenequinone. The pharmacological characteristics of Tan-IIAagainst various neurodegenerative and neuropsychiatric illnesses have led researchers to believe that the compound possesses neuroprotective potential. Tan-IIA has therapeutic potential in treating neurological diseases due to its capacity to cross the blood-brain barrier and its broad range of activities. In treating neurological disorders, Tan-IIA has been shown to have neuroprotective effects such as anti-apoptotic, anti-inflammatory, BBB protectant, and antioxidant properties. This article concisely summarises the latest scientific findings about the cellular and molecular aspects of Tan-IIA neuroprotection in relation to various neurological diseases. The results of preclinical studies on Tan-IIA provide insight into its potential application in future therapeutic development. This molecule rapidly establishes as a prominent bioactive compound for clinical research.

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Abbreviations

AChE:

acetylcholinesterase

AD:

Alzheimer's disease

ADHD:

attention deficit hyperactivity disorder

AQP4:

aquaporin-4

Bax:

Bcl-2 associated x-protein

BBB:

Blood-brain barrier

Bcl-2:

B cell lymphoma 2

BDNF:

brain-derived neurotrophic factor

BMSCs:

bone marrow mesenchymal stem cells

BSCB:

blood-spinal cord barrier

CNS:

central nervous system

Cyt c:

cytochrome-c

DN:

diabetic neuropathy

EAE:

experimental autoimmune encephalomyelitis

ERK:

extracellular signal regulated kinase

FGF-2:

fibroblast growth factor-2

FTY720:

fingolimod

GABA:

gamma-amino-butyric acid

GFAP:

glial fibrillary acidic protein

GPx:

glutathione peroxidase

GSH:

glutathione

HO-1:

heme oxygenase-1

IBI:

ischemic brain injury

ICAM-1:

intercellular cell adhesion molecule-1

IL:

interleukin

iNOS:

inducible nitric oxide synthase

LPS:

lipopolysaccharide

MDA:

malondialdehyde

MDD:

major depressive disorder

MIF:

migration inhibitory factor

MNCV:

motor nerve conduction velocity

MP:

methylprednisolone

MPTP:

1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine

MS:

multiple sclerosis

NADPH:

nicotinamide adenine dinucleotide phosphate

NF-ĸB:

nuclear factor kappa B

NO:

nitric oxide

NrF-2:

nuclear factor (erythroid-derived 2) like 2

p-CREB:

cAMP-response element binding protein

PD:

Parkinson’s disease

PTZ:

Pentylenetetrazole

RasGRF1:

Ras-selective guanyl exchange factors

ROS:

reactive oxygen species

SCI:

spinal cord injury

SNc:

substantia nigra pars compacta neurons

SOD:

superoxide dismutase

STS:

sodium tanshinone IIA sulfonate

STZ:

streptozotocin

Tan-IIA:

Tanshinone-IIA

TBI:

traumatic brain injury

TH:

tyrosine hydroxylase

TNF-α:

tumor necrosis factor

VCAM-1:

vascular cell adhesion molecule-1

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Acknowledgements

The authors are grateful to Mr. Parveen Garg, Chairman, and Dr. G. D. Gupta, Director-cum-Principal, ISF College of Pharmacy (An Autonomous College), Moga (Punjab), India, for their great vision and support.

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Writing – original draft of the review, Kajal Sherawat; Original concept, Supervision, Sidharth Mehan. All authors agree to be accountable for all aspects of work, ensuring integrity and accuracy.

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Correspondence to Sidharth Mehan.

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sherawat, K., Mehan, S. Tanshinone-IIA mediated neuroprotection by modulating neuronal pathways. Naunyn-Schmiedeberg's Arch Pharmacol 396, 1647–1667 (2023). https://doi.org/10.1007/s00210-023-02476-8

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