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Urolithin B Attenuates Cerebral Ischemia-reperfusion Injury by Modulating Nrf2-regulated Anti-oxidation in Rats
Zhi-Wei Li1, Hua Tang2, Xin-Xin Chen3
1Department of Neurosurgery, Wenzhou Central Hospital, Wenzhou, China.
Neuroscience
|December 18, 2023
Summary
Urolithin B (UB) protects against cerebral ischemia-reperfusion injury (IRI) by reducing oxidative stress. UB activates the Nrf2/HO-1 pathway, offering a potential new treatment for brain damage after stroke.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Ischemia-reperfusion (IR) causes irreversible brain injury (IRI), with no current effective treatments.
- Oxidative stress is a key factor in IRI initiation and progression.
- Urolithin B (UB), an ellagitannin metabolite, shows antioxidant properties but its mechanism in IRI is unknown.
Purpose of the Study:
- To investigate the neuroprotective effects of Urolithin B (UB) against cerebral ischemia-reperfusion injury (IRI).
- To elucidate the underlying mechanisms of UB's action, focusing on oxidative stress and the Nrf2/HO-1 pathway.
Main Methods:
- Assessed neurological deficit scores and cerebral infarction (TTC, Nissl staining) in an IRI model.
- Evaluated neuronal apoptosis (TUNEL assay, Caspase-3) and oxidative stress markers (MDA, SOD, iNOS, 8-OHdG).
- Investigated the role of the Nrf2/HO-1 pathway using an Nrf2 inhibitor (ATRA).
Main Results:
- UB administration significantly reduced neurological impairment and cerebral infarction.
- UB inhibited neuronal apoptosis and decreased oxidative stress markers.
- UB activated the Nrf2/HO-1 signaling pathway, confirmed by reduced neuroprotection with ATRA.
Conclusions:
- Urolithin B effectively mitigates cerebral ischemia-reperfusion injury.
- UB exerts its neuroprotective effects by inhibiting oxidative stress via activation of the Nrf2/HO-1 pathway.
- UB shows promise as a therapeutic agent for treating cerebral IRI.

