Medicinal plants in traumatic brain injury: Neuroprotective mechanisms revisited

Biofactors. 2019 Jul;45(4):517-535. doi: 10.1002/biof.1516. Epub 2019 Jun 17.

Abstract

Traumatic brain injury (TBI) is the most prevalent health problem affecting all age groups, and leads to many secondary problems in other organs especially kidneys, gastrointestinal tract, and heart function. In this review, the search terms were TBI, fluid percussion injury, cold injury, weight drop impact acceleration injury, lateral fluid percussion, cortical impact injury, and blast injury. Studies with Actaea racemosa, Artemisia annua, Aframomum melegueta, Carthamus tinctorius, Cinnamomum zeylanicum, Crocus sativus, Cnidium monnieri, Curcuma longa, Gastrodia elata, Malva sylvestris, Da Chuanxiong Formula, Erigeron breviscapus, Panax ginseng, Salvia tomentosa, Satureja khuzistanica, Nigella sativa, Drynaria fortune, Dracaena cochinchinensis, Polygonum cuspidatum, Rosmarinus officinalis, Rheum tanguticum, Centella asiatica, and Curcuma zedoaria show a significant decrease in neuronal injury by different mechanisms such as increasing superoxide dismutase and catalase activities, suppressing nuclear factor kappa B (NF-κB), interleukin 1 (IL-1), glial fibrillary acidic protein, and IL-6 expression. The aim of this study was to evaluate the neuroprotective effects of medicinal plants in central nervous system pathologies by reviewing the available literature.

Keywords: TBI; brain; medicinal plants; signaling mechanisms; trauma.

Publication types

  • Review

MeSH terms

  • Animals
  • Blast Injuries / genetics
  • Blast Injuries / metabolism
  • Blast Injuries / pathology
  • Blast Injuries / prevention & control*
  • Brain Injuries, Traumatic / genetics
  • Brain Injuries, Traumatic / metabolism
  • Brain Injuries, Traumatic / pathology
  • Brain Injuries, Traumatic / prevention & control*
  • Catalase / genetics
  • Catalase / metabolism
  • Cerebral Cortex / drug effects
  • Cerebral Cortex / injuries
  • Cerebral Cortex / metabolism
  • Cold Injury / genetics
  • Cold Injury / metabolism
  • Cold Injury / pathology
  • Cold Injury / prevention & control*
  • Disease Models, Animal
  • Gene Expression Regulation / drug effects*
  • Glial Fibrillary Acidic Protein / genetics
  • Glial Fibrillary Acidic Protein / metabolism
  • Humans
  • Interleukin-1 / genetics
  • Interleukin-1 / metabolism
  • Interleukin-6 / genetics
  • Interleukin-6 / metabolism
  • Mice
  • NF-kappa B / genetics
  • NF-kappa B / metabolism
  • Neuroprotective Agents / isolation & purification
  • Neuroprotective Agents / pharmacology*
  • Plants, Medicinal / chemistry*
  • Rats
  • Superoxide Dismutase / genetics
  • Superoxide Dismutase / metabolism

Substances

  • Glial Fibrillary Acidic Protein
  • Interleukin-1
  • Interleukin-6
  • NF-kappa B
  • Neuroprotective Agents
  • glial fibrillary astrocytic protein, mouse
  • interleukin-6, mouse
  • Catalase
  • Superoxide Dismutase