Research progress on the mechanism of curcumin in cerebral ischemia/reperfusion injury: a narrative review

Apoptosis. 2023 Oct;28(9-10):1285-1303. doi: 10.1007/s10495-023-01869-7. Epub 2023 Jun 26.

Abstract

Cerebral ischemia/reperfusion (I/R) injury can result in different levels of cerebral impairment, and in severe cases, death. Curcumin, an essential bioactive component of turmeric, has a rich history as a traditional medicine for various ailments in numerous countries. Experimental and clinical research has established that curcumin offers a protective effect against cerebral I/R injury. Curcumin exerts its protective effects by acting on specific mechanisms such as antioxidant, anti-inflammatory, inhibition of ferroptosis and pyroptosis, protection of mitochondrial function and structure, reduction of excessive autophagy, and improvement of endoplasmic reticulum (ER) stress, which ultimately help to preserve the blood-brain barrier (BBB) and reducing apoptosis. There is currently a shortage of drugs undergoing clinical trials for the treatment of cerebral I/R injury, highlighting the pressing need for research and development of novel treatments to address this injury. The primary objective of this study is to establish a theoretical basis for future clinical applications of curcumin by delineating the mechanisms and protective effects of curcumin against cerebral I/R injury. Adapted with permission from [1].

Keywords: Cerebral ischemia/reperfusion (I/R) injury; Curcumin; Ferroptosis; Oxidative stress; Pyroptosis.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis
  • Brain Ischemia* / drug therapy
  • Curcumin* / pharmacology
  • Curcumin* / therapeutic use
  • Humans
  • Neuroprotective Agents* / pharmacology
  • Neuroprotective Agents* / therapeutic use
  • Reperfusion Injury* / prevention & control

Substances

  • Curcumin
  • Neuroprotective Agents