Jia-Wei-Kai-Xin-San Treatment Alleviated Mild Cognitive Impairment through Anti-Inflammatory and Antiapoptotic

Xiaolu Zhang1, Yingxin Sun2, Qun Yu1

  • 1Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China.

Mediators of Inflammation
|November 13, 2023
PubMed
Abstract

Insights

Jia-Wei-Kai-Xin-San (JWKXS) improves learning and memory in mild cognitive impairment (MCI) models by reducing neuroinflammation and neuronal apoptosis. This study elucidates JWKXS

Area of Science:

  • Neuroscience
  • Pharmacology
  • Traditional Chinese Medicine

Background:

  • Mild cognitive impairment (MCI) is a precursor to Alzheimer's disease (AD), necessitating effective interventions.
  • Jia-Wei-Kai-Xin-San (JWKXS) is a traditional Chinese medicine used for AD with MCI, but its mechanism remains unclear.
  • This study investigates the therapeutic effects and underlying mechanisms of JWKXS in a mouse model of MCI.

Purpose of the Study:

  • To evaluate the efficacy of JWKXS in improving cognitive function in a mouse model of MCI.
  • To elucidate the molecular mechanisms by which JWKXS exerts its neuroprotective effects.
  • To identify key signaling pathways modulated by JWKXS in the context of MCI.

Main Methods:

  • Establishment of MCI models in SAMP8 mice at different ages (4, 6, and 8 months).
  • Administration of JWKXS for 8 weeks, followed by behavioral tests (Morris water maze) and histological analyses (HE/Nissl, immunohistochemistry).
  • Integration of UPLC-Q-TOF/MS and system pharmacology for mechanism prediction, with in vitro and in vivo validation using cell cultures and mouse models.

Main Results:

  • SAMP8 mice at 4 months exhibited MCI; JWKXS treatment for 2 months improved learning and memory and reduced hippocampal damage.
  • Network pharmacology identified four key pathways: TLR4/NF-κB, NLRP3 inflammasome, and intrinsic/extrinsic apoptosis.
  • JWKXS attenuated neuroinflammation by inhibiting microglial activation and suppressed both TLR4/NF-κB and NLRP3 inflammasome pathways, thereby blocking neuronal apoptosis.

Conclusions:

  • JWKXS demonstrates neuroprotective effects against MCI by promoting anti-inflammatory and anti-apoptotic responses.
  • The study provides mechanistic insights into JWKXS's efficacy, highlighting its potential for treating MCI.
  • Further research with larger sample sizes and longer durations is warranted to fully explore its clinical applicability for Alzheimer's disease.