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Effect of modified wuzi yanzong granule on patients with mild cognitive impairment from oxidative damage aspect
Xue-mei Wang1, Hong Fu, Geng-xin Liu
1Department of Integrated Chinese and Western Medicine of Peking University First Hospital, Beijing, 100034, China. wangxuemei64@sohu.com
Objective:
To observe the effects of modified Wuzi Yanzong Granule (WYG) on memory function and the activity of serum superoxide dismutase (SOD), malondialdehyde (MDA) levels, leukocyte mitochondrial DNA (mtDNA) deletion rate and beta-amyloid protein(1-28) (A beta(1-28)) in patients with mild cognitive impairment (MCI).
Methods:
Thirty-six patients with MCI were selected based on the internationally recognized Petersen's criteria, and equally and randomly assigned to two groups. The treated group was treated with WYG and the control group was treated with placebo for 3 months. In addition, 20 healthy subjects were included in the study as the normal control group. Changes of memory function, SOD activity, MDA content, leukocyte mtDNA deletion rate and A beta(1-28) content were observed before and after treatment.
Results:
Compared with the normal control group, the memory quotient and SOD activity in patients with MCI decreased significantly (P < 0.01), while MDA, A beta(1-28) levels and the leukocyte mtDNA deletion rate increased significantly (P < 0.01). After treatment, levels of memory quotient and serum SOD activity increased while the serum MDA level, leukocyte mtDNA deletion rate and A beta(1-28) level decreased in the treated group compared with those before treatment (P<0.01, P<0.05). Meanwhile, leukocyte mtDNA deletion rate and A beta(1-28) content in the treated group were all lower than those in the control group (P<0.05).
Conclusion:
WYG could improve memory function in patients with MCI and the therapeutic mechanism is possibly related to the increased activity of anti-oxidase, the improved free radical metabolism and the alleviation of leukocyte mtDNA oxidation damage. WYG shows clinical significance in delaying the progression of MCI.
Insights
Modified Wuzi Yanzong Granule (WYG) improved memory function in mild cognitive impairment (MCI) patients. WYG treatment reduced oxidative stress markers and mitochondrial DNA damage, suggesting it may delay MCI progression.
Area of Science:
- Neuroscience
- Pharmacology
- Gerontology
Background:
- Mild cognitive impairment (MCI) is characterized by memory decline and increased oxidative stress.
- Biomarkers such as serum superoxide dismutase (SOD), malondialdehyde (MDA), leukocyte mitochondrial DNA (mtDNA) deletion rate, and beta-amyloid protein (A beta(1-28)) are associated with MCI.
- Identifying effective interventions to slow MCI progression is crucial.
Purpose of the Study:
- To evaluate the efficacy of modified Wuzi Yanzanzong Granule (WYG) in improving memory function in MCI patients.
- To assess the impact of WYG on oxidative stress markers and mtDNA integrity in MCI.
- To explore the therapeutic potential of WYG in mitigating MCI progression.
Main Methods:
- A randomized controlled trial involving 36 MCI patients and 20 healthy controls.
- Participants were assigned to receive either WYG or a placebo for 3 months.
- Measurements included memory function, serum SOD and MDA levels, leukocyte mtDNA deletion rate, and A beta(1-28) levels before and after treatment.
Main Results:
- MCI patients exhibited significantly lower memory quotient and SOD activity, and higher MDA levels, A beta(1-28) levels, and mtDNA deletion rates compared to controls.
- WYG treatment significantly improved memory quotient and SOD activity, while reducing MDA levels, A beta(1-28) levels, and mtDNA deletion rates in MCI patients.
- The treated group showed significantly lower mtDNA deletion rates and A beta(1-28) content compared to the placebo group.
Conclusions:
- Modified WYG demonstrates potential in enhancing memory function in individuals with MCI.
- The therapeutic effects of WYG may be attributed to its antioxidant properties, improved free radical metabolism, and reduced oxidative damage to leukocyte mtDNA.
- WYG shows clinical promise for delaying the progression of mild cognitive impairment.
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