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Advances in the pharmacological mechanism of Angelica sinensis in the treatment of ischemic stroke

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DOI: 10.23977/medcm.2023.050106 | Downloads: 12 | Views: 510

Author(s)

Zhang Hongyu 1, Chao Chenlin 1, Chen Jie 2

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Xianyang, 712046, China
2 Department of Encephalopathy, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi'an, Shaanxi, 710003, China

Corresponding Author

Chen Jie

ABSTRACT

Ischemic stroke is characterized by high lethality and disability, and is currently a serious threat to human health. By collecting and summarizing the medication patterns of several masters of national medicine such as Zhou Zhongying, Deng Tietao and other medical practitioners in the treatment of ischemic stroke and related clinical studies, the author found that Angelica sinensis is one of the most frequently used herbs in clinical practice. In addition, current studies have shown that angelica has anti-inflammatory, anti-platelet aggregation, anti-oxidative stress, anti-atherosclerosis, promotes angiogenesis, reduces cerebral infarct size, regulates blood pressure, and other therapeutic and preventive effects on ischemic strokes. Thus, it can be seen that Angelica has the potential ability and development prospect for the treatment of ischemic stroke that should not be underestimated. In this paper, we summarize the pharmacological mechanism of Angelica sinensis in the treatment of ischemic stroke in order to provide reference for the clinical application of Angelica sinensis.

KEYWORDS

Angelica; ischemic stroke; pharmacological mechanism

CITE THIS PAPER

Zhang Hongyu, Chao Chenlin, Chen Jie, Advances in the pharmacological mechanism of Angelica sinensis in the treatment of ischemic stroke. MEDS Chinese Medicine (2023) Vol. 5: 40-47. DOI: http://dx.doi.org/10.23977/medcm.2023.050106.

REFERENCES

[1] Campbell B C V, De Silva D A, Macleod M R, et al. Ischaemic stroke [J]. Nat Rev Dis Primers, 2019, 5(1): 70.
[2] Stoll G, Nieswandt B. Thrombo-inflammation in acute ischaemic stroke -implications for treatment [J]. Nat Rev Neurol, 2019, 15(8): 473.
[3] Tao T, Liu M, Chen M, et al. Natural medicine inneuroprotection for ischemic stroke: challenges and prospective [J]. Pharmacol Ther, 2020, 216: 107695.
[4]Song Y, Chen Y, Zhou D.S. Analysis of the medication pattern of 20 national medical masters in the treatment of ischemic stroke [J]. China Acute Care in Chinese Medicine, 2019, 28(11):1908-1910.
[5] Ma Yilin, Zhang Hong. Grouping rules of prescriptions containing Angelica sinensis in the Pharmacopoeia of the People's Republic of China [J]. Journal of Traditional Chinese Medicine, 2021, 36(12):2708-2712.
[6] Weng Qianqian, Zhao Jiahen, Jin Yan, et al. The herbal examination of Angelica sinensis in classic prescriptions [J]. Chinese Modern Traditional Chinese Medicine, 2021, 23(02):218-227.
[7] Niu Linqiang, Tang Jincheng, Yi Tengda, et al. The origin of Angelica sinensis and the examination of the herbal properties [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2022,24(08):147-151.
[8] Xie Yilin, Weng Jiajun. An analysis of the characteristics of the application of angelicae in Medicine in the "Ginseng and Western Medicine" [J]. Journal of Shandong University of Traditional Chinese Medicine, 2021, 45(04): 511-517.
[9] Ma YC, Wu WX, Hu JH, et al. Advances in the study of chemical composition and pharmacological effects of Angelica sinensis [J]. Journal of Traditional Chinese Medicine, 2022,50(01):111-114.
[10] Feng WM, Li Y, Luo XD, et al. Research progress on chemical composition and pharmacological effects of Angelica sinensis and predictive analysis of quality markers [J]. Chinese Journal of Traditional Chinese Medicine, 2022, 40(04): 159-166.
[11] Li Xueli, Liu Zhao, Yu Bowen, et al. Research progress on the mechanism of immune inflammatory response in ischemic stroke[J]. Chinese Journal of Disease Control, 2021, 25(03):352-358.
[12] Jin R, Yang G, Li G. Inflammatory mechanisms in ischemic stroke: role of inflammatory cells [J].J Leukoc Biol, 2010, 87(5): 779-789.
[13] Khoshnam SE, Winlow W, Farzaneh M, et al. Pathogenic mechanisms following ischemic stroke [J]. Neurol Sci, 2017, 38 (7):1167-1186.
[14] Qiaoqiu Qiao, Li Xiaoru, Lu Zhihua, et al. Anti-inflammatory effect of Angelica polysaccharide on rats with embolism during pregnancy and its effect on coagulation function [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2022, 39(03): 612-617.
[15]Yan A, Xie YL. Effects of Angelica polysaccharides on oxidative stress levels and inflammatory factor expression in brain tissue of rats with cerebral ischemia-reperfusion injury [J]. Chinese Journal of Experimental Formulary, 2018, 24(02):123-127.
[16] Shi MQ, Kuang X, Liu XJ, et al. Correlation between the neuroinflammatory inhibitory effect of ligustilide and PPARγ-dependent TLR4/NF-κB signaling pathway [J]. Natural Products Research and Development, 2017, 29(03):387-392.
[17] Senchenkova Elena Y et al. Novel Role for the AnxA1-Fpr2/ALX Signaling Axis as a Key Regulator of Platelet Function to Promote Resolution of Inflammation.[J]. Circulation, 2019, 140(4): 319-335.
[18] Yin Na, Zhang Yunfang, Ning Taoli, et al. Advances in research on the pharmacological effects related to the drugs comprising detoxification drinks [J]. Journal of Chinese Medicine Herald, 2018, 24(18):64-67.
[19] Liu H Y, Lin Q X, Ji Y L, et al. Study on the antiplatelet activity and antithrombotic effect of ferulic acid, the active ingredient of Chinese medicine[J]. Jiangxi Traditional Chinese Medicine, 2020, 51(11):63-66.
[20] XU Shanshan, ZHU Shunjuan, ZHANG Qili, et al. Fuzzy substance element model to evaluate the blood-activating effects of different extracted parts of Angelica sinensis [J]. Chinese Journal of Hospital Pharmacy, 2018, 38(24): 2508- 2511+2547.
[21] He J, Liu J, Huang Y, et al. Oxidative Stress, Inflammation, and Autophagy: Potential Targets of Mesenchymal Stem Cells-Based Therapies in Ischemic Stroke. Front Neurosci. 2021 Feb 26; 15: 641157.
[22] Zhang Y, Chen L, Li JJ, et al. Effects of Angelica polysaccharides on antioxidant system in young mice with asthma[J]. Chinese Journal of Clinical Pharmacology, 2021, 37(17):2312-2315.
[23] Pan S, Jiang L, Wu S. Stimulating effects of polysaccharide from Angelica sinensis on the nonspecific immunity of white shrimps (Litopenaeus vannamei). Fish Shellfish Immunol. 2018 Mar; 74: 170-174. 
[24] Zhu WL, Zheng JY, Cai WW, et al. Ligustilide improves aging-induced memory deficit by regulating mitochondrial related inflammation in SAMP8 mice. Aging (Albany NY). 2020 Feb 16; 12(4):3175-3189. 
[25] Li Zichao, Wang Xin, Ma Dongmei, et al. Factors influencing the number of carotid atherosclerotic plaques in patients with cerebral infarction[C]//. Compilation of papers from the 14th National Conference on Cranio-cerebral and Cervical Vascular Ultrasound of the Chinese Society of Ultrasound Medical Engineering. [publisher unknown], 2018:49.
[26] Chen Q. Study on the intervention effect of effective fractions of Astragalus and Angelica and their combinations on atherosclerosis in APoE mice [D]. Guangzhou University of Traditional Chinese Medicine, 2021.
[27] Wu G-T, Wang R-Q, Du L-D, et al. Progress of research on the pharmacological effects of Angelica volatile oil [J]. Journal of Gansu University of Traditional Chinese Medicine, 2018, 35(04):87-92.
[28] Tian Xiaoling, Zhang Yan, Hua Chuan, et al. Theoretical discussion on the treatment of atherosclerosis with Astragalus-Adanggui drug pair[J]. Journal of Liaoning University of Chinese Medicine, 2021, 23(12):182-186.
[29] Chen Yuan, Li Baoliu, Xu Erjian, et al. Exploring the mechanism of action of angelica tonic blood soup for atherosclerosis based on blood flow shear force and inflammatory response[J]. New Drugs in Chinese Medicine and Clinical Pharmacology, 2022,33(06):786-793.
[30]Pradillo JM, Hernández-Jiménez M, Fernández-Valle ME, et al. Influence of metabolic syndrome on post-stroke outcome, angiogenesis and vascular function in old rats determined by dynamic contrast enhanced MRI. J Cereb Blood Flow Metab. 2021 Jul; 41(7):1692-1706.
[31] Cheng YJ, Zhao ZR, Li XN, et al. Neuroprotective effects of Korean angelica extract on cerebral ischemia- reperfusion injury in mice and its mechanism[J]. Pharmaceutical Herald, 2020,39(01):22-26.
[32] Ren C, Li N, Gao C, et al. Ligustilide provides neuroprotection by promoting angiogenesis after cerebral ischemia. Neurol Res. 2020 Aug; 42(8):683- 692. 
[33] Cheng CY, Ho TY, Hsiang CY, et al. Angelica sinensis Exerts Angiogenic and Anti-apoptotic Effects Against Cerebral Ischemia-Reperfusion Injury by Activating p38MAPK/HIF-1[Formula: see text]/VEGF-A Signaling in Rats. Am J Chin Med. 2017; 45(8):1683-1708.
[34] Chinese Society of Neurology, Chinese Society of Neurology, Cerebrovascular Disease Group. Guidelines for secondary prevention of ischemic stroke and transient ischemic attack in China 2022[J]. Chinese Journal of Neurology, 2022, 55(10): 1071-1110. 
[35] Jiang H, Mao YJ, Yang R, et al. Effects of angelica volatile oil on PI3K/Akt/eNOS of vascular endothelium-related signaling pathway in spontaneously hypertensive rats [J]. Shi-Zhen Guomao, 2022, 33(04):794-796.
[36] Wang K, Cao P, Wang H, et al. Chronic administration of Angelica sinensis polysaccharide effectively improves fatty liver and glucose homeostasis in high-fat diet-fed mice. Sci Rep. 2016 May 18;6:26229. 
[37] YANG Yanfang, ZHANG Guijun, WANG Jingjuan. Effects of different concoction methods on the chemical composition and pharmacological effects of Angelica sinensis [C]//. Proceedings of the 4th China Academic Conference on Traditional Chinese Medicine Commodity and Workshop on Teaching Reform and Teaching Material Construction of Traditional Chinese Medicine Identification Discipline. [publisher unknown], 2015:13-17.
[38] Yang M. Effect of different concoction methods on the content of active ingredients of Angelica sinensis [J]. China Continuing Medical Education, 2019,11(03):134-136.
[39] Wang Suxia. Analysis of chemical composition of Angelica sinensis concocted by different methods[J]. Journal of Practical Chinese Medicine, 2020, 36(06):818-819.
[40] Zhong Yuchen. Exploration of the effect and mechanism of the polysaccharide fraction of Angelica sinensis before and after wine roasting on rats with blood stasis evidence [D]. Guangdong University of Pharmaceutical Sciences, 2020.

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