Effects of triptolide herb on the progression of Alzheimer's disease preclinical models: a systematic review

  • 0Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

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Summary

This summary is machine-generated.

Triptolide (Tri) shows significant neuroprotective effects in Alzheimer's disease (AD) preclinical models by reducing amyloid-beta and inflammation. Further research is needed to explore its clinical potential for AD treatment.

Area Of Science

  • Neuroscience
  • Pharmacology
  • Biochemistry

Background

  • Alzheimer's disease (AD) is a leading cause of dementia with limited disease-modifying treatments.
  • Triptolide (Tri), derived from <i>Tripterygium wilfordii</i>, exhibits anti-inflammatory, antioxidant, and neuroprotective properties.
  • Existing AD therapies primarily manage symptoms, highlighting the need for treatments targeting underlying pathology.

Purpose Of The Study

  • To systematically evaluate and synthesize preclinical evidence on Triptolide's neuroprotective effects in Alzheimer's disease models.
  • To assess Tri's impact on key AD pathological hallmarks including amyloid-beta accumulation, neuroinflammation, oxidative stress, synaptic dysfunction, autophagy, and apoptosis.
  • To consolidate findings from in vivo and in vitro studies to inform future research directions.

Main Methods

  • A systematic literature search was performed across PubMed, Embase, and Web of Science up to March 16, 2024.
  • Inclusion criteria focused on English-language in vivo and in vitro studies investigating Tri's effects in AD models.
  • Methodological quality of included studies was assessed using SYRCLE and SciRAP tools.

Main Results

  • Fifteen studies (6 in vivo, 8 in vitro, 1 combined) met the inclusion criteria from an initial 403.
  • Triptolide demonstrated significant reductions in amyloid-beta (Aβ) burden.
  • Tri positively impacted memory and synaptic integrity, suppressed neuroinflammation and oxidative stress, and modulated autophagy and apoptosis pathways.

Conclusions

  • Triptolide exhibits significant multi-target neuroprotective effects in preclinical models of Alzheimer's disease.
  • The findings suggest Tri's potential as a therapeutic agent for AD.
  • Further high-quality research is necessary to optimize Triptolide's dosage, delivery methods, and safety profile for clinical application.

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