LW-AFC, a new formula from the traditional Chinese medicine Liuwei Dihuang decoction, as a promising therapy for Alzheimer's disease: Pharmacological effects and mechanisms

Adv Pharmacol. 2020:87:159-177. doi: 10.1016/bs.apha.2019.10.005. Epub 2020 Jan 3.

Abstract

LW-AFC is a new formula derived from the Liuwei Dihuang decoction, a classical traditional Chinese medicine prescription. Based on our research, LW-AFC is a promising drug for Alzheimer's disease (AD). The studies were conducted primarily in two typical AD mouse models: SAMP8 and APP/PS1 mice. The results showed that LW-AFC could improve many cognitive behaviors, such as spatial learning and memory ability, passive and active avoidance response, and object recognition memory capability. In addition, LW-AFC could also alleviate the AD-like pathology in animal models, such as neuron loss and Aβ deposition. Subsequent studies found that LW-AFC could rebalance hypothalamic-pituitary-adrenal (HPA) axis and hypothalamic-pituitary-gonadal (HPG) axis, and modulate the disturbance of immune system and gut flora. These data suggested that the anti-AD effects of LW-AFC might be mainly via modulating the neuroendocrine immunomodulation (NIM) network. As inhibiting the immune function by immunosuppressant could abolish the protective effects of LW-AFC against long-term potentiation (LTP) impairment model, it is likely that LW-AFC balancing the NIM network is initiated by modulating the immune system.

Keywords: Alzheimer's disease; Hypothalamic-pituitary-adrenal axis; Hypothalamic-pituitary-gonadal axis; Liuwei Dihuang decoction; Neuroendocrine immunomodulation network.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease / drug therapy*
  • Alzheimer Disease / physiopathology
  • Animals
  • Cognition / drug effects
  • Drugs, Chinese Herbal / therapeutic use*
  • Gastrointestinal Microbiome / drug effects
  • Glycosylation
  • Humans
  • Medicine, Chinese Traditional*

Substances

  • Drugs, Chinese Herbal
  • Liuwei Dihuang Decoction