SUN Yuting,ZHANG Wen,PU Yuting,et al.Research progress on traditional Chinese herbal medicine interventions in ischemic stroke through RhoA/ROCK signaling pathway[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(11):97-100.
SUN Yuting,ZHANG Wen,PU Yuting,et al.Research progress on traditional Chinese herbal medicine interventions in ischemic stroke through RhoA/ROCK signaling pathway[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(11):97-100. DOI: 10.16305/j.1007-1334.2024.2309059.
Research progress on traditional Chinese herbal medicine interventions in ischemic stroke through RhoA/ROCK signaling pathway
This review discusses the advancements in research on interventions using traditional Chinese herbal medicine (TCHM) for ischemic stroke through the RhoA/Rho-associated coiled-coil containing protein kinase (ROCK) signaling pathway. The RhoA/ROCK pathway plays a crucial role in the pathological process of ischemic stroke, primarily involving cellular apoptosis, excitotoxicity, neuroinflammation, the blood-brain barrier, and neural function. Various TCHM compound formulas and its active ingredients regulate the RhoA/ROCK signaling pathway and the expression of its upstream and downstream target genes to reduce neuronal apoptosis, alleviate inflammatory responses, decrease the size of cerebral infarctions, protect the blood-brain barrier, and promote synaptic repair and regeneration. These findings provide new insights for the study of mechanisms underlying TCHM treatments for ischemic stroke and the development of novel therapeutic targets.
关键词
缺血性脑卒中RhoA/ROCK信号通路中药作用机制研究进展
Keywords
ischemic strokeRhoA/ROCK signaling pathwaytraditional Chinese herbal medicinemechanisms of actionresearch progress
references
MARKUS H S. The global burden of stroke[J]. Int J Stroke, 2023, 18(6): 632-633.
ZHAO Y, HUA X, REN X, et al. Increasing burden of stroke in China: A systematic review and meta-analysis of prevalence, incidence, mortality, and case fatality[J]. Int J Stroke, 2023, 18(3): 259-267.
AYKAN S A, XIE H, ZHENG Y, et al. Rho-Kinase inhibition improves the outcome of focal subcortical white matter lesions[J]. Stroke, 2022, 53(7): 2369-2376.
LU W, CHEN Z, WEN J. RhoA/ROCK signaling pathway and astrocytes in ischemic stroke[J]. Metab Brain Dis, 2021, 36(6): 1101-1108.
PARADA L F,TABIN C J,SHIH C,et al. Human EJ bladder carcinoma oncogene is homologue of Harvey sarcoma virus ras gene[J]. Nature, 1982, 297(5866): 474-478.
BROS M, HAAS K, MOLL L, et al. RhoA as a key regulator of innate and adaptive immunity[J]. Cells, 2019, 8(7): 733.
BOUEID M J, MIKDACHE A, LESPORT E, et al. Rho GTPases signaling in zebrafish development and disease[J]. Cells, 2020, 9(12): 2634.
ISHIZAKI T, MAEKAWA M, FUJISAWA K, et al. The small GTP-binding protein Rho binds to and activates a 160 kDa Ser/Thr protein kinase homologous to myotonic dystrophy kinase[J]. EMBO J, 1996, 15(8): 1885-1893.
KIMURA K, ITO M, AMANO M, et al. Regulation of myosin phosphatase by Rho and Rho-associated kinase (Rho-kinase)[J]. Science, 1996, 273(5272): 245-248.
LEUNG T,MANSER E,TAN L,et al. A novel serine/threonine kinase binding the Ras-related RhoA GTPase which translocates the kinase to peripheral membranes[J]. J Biol Chem, 1995, 270(49): 29051-29054.
NAKAGAWA O, FUJISAWA K, ISHIZAKI T, et al. ROCK-I and ROCK-Ⅱ, two isoforms of Rho-associated coiled-coil forming protein serine/threonine kinase in mice[J]. FEBS Letters, 1996, 392(2): 189-193.
LOIRAND G, GUÉRIN P,PACAUD P. Rho kinases in cardiovascular physiology and pathophysiology[J]. Circ Res, 2006, 98(3): 322-334.
LIU B, CHANG R, DUAN Z, et al. The level of ROCK1 and ROCK2 in patients with pulmonary hypertension in plateau area[J]. Sci Rep, 2018, 8(1): 9356.
WEI L, ROBERTS W, WANG L, et al. Rho kinases play an obligatory role in vertebrate embryonic organogenesis[J]. Development, 2001, 128(15): 2953-2962.
JULIAN L, OLSON M F. Rho-associated coiled-coil containing kinases (ROCK):structure, regulation, and functions[J]. Small GTPases, 2014, 5(2): e29846.
KIMURA T, HORIKOSHI Y, KURIYAGAWA C, et al. Rho/ROCK pathway and noncoding RNAs: Implications in ischemic stroke and spinal cord injury[J]. Int J Mol Sci, 2021, 22(21): 11573.
BENARROCH E. What is the role of the Rho-ROCK pathway in neurologic disorders?[J]. Neurology, 2023, 101(12): 536-543.
HARRE J, HEINKELE L, STEFFENS M, et al. Potentiation of brain-derived neurotrophic factor-induced protection of spiral ganglion neurons by C3 Exoenzyme/Rho inhibitor[J]. Front Cell Neurosci, 2021, 15: 602897.
HONG L, CHEN W, HE L, et al. Effect of Naoluoxintong on the NogoA/RhoA/ROCK pathway by down-regulating DNA methylation in MCAO rats[J]. J Ethnopharmacol, 2021, 281: 114559.
ZHANG Y, HU Y, LI M, et al. The traditional Chinese medicine compound, GRS, alleviates blood-brain barrier dysfunction[J]. Drug Des Devel Ther, 2020, 14: 933-947.
SIMPSON J E. Potential mechanisms underlying the dysfunction of the blood-brain barrier[J]. Int J Mol Sci, 2023, 24(9): 8184.
THOMSEN M S, ROUTHE L J, MOOS T. The vascular basement membrane in the healthy and pathological brain[J]. J Cereb Blood Flow Metab, 2017, 37(10): 3300-3317.
PAN X,WANG M, GONG S, et al. YiQiFuMai Lyophilized Injection ameliorates tPA-induced hemorrhagic transformation by inhibiting cytoskeletal rearrangement associated with ROCK1 and NF‑κB signaling pathways[J]. J Ethnopharmacol, 2020, 262: 113161.
LU W, CHEN Z, WEN J. The role of RhoA/ROCK pathway in the ischemic stroke-induced neuroinflammation[J]. Biomed Pharmacother, 2023, 165: 115141.
HUANG D, QIN J, LU N, et al. Neuroprotective effects of nobiletin on cerebral ischemia/reperfusion injury rats by inhibiting Rho/ROCK signaling pathway[J]. Ann Transl Med, 2022, 10(24): 1385.
ZHANG M, LIN L, WANG C, et al. Double inhibition and activation mechanisms of Ephexin family RhoGEFs[J]. Proc Natl Acad Sci U S A, 2021, 118(8): e2024465118.
FRYE M, STRITT S, ORTSÄTER H, et al. EphrinB2-EphB4 signalling provides Rho-mediated homeostatic control of lymphatic endothelial cell junction integrity[J]. Elife, 2020, 9: e57732.
ZHOU D, CEN K, LIU W, et al. Xuesaitong exerts long-term neuroprotection for stroke recovery by inhibiting the ROCKII pathway,in vitro and in vivo[J]. J Ethnopharmacol, 2021, 272: 113943.
Experimental research of different effects of Fuzi on the heart of healthy and chronic heart failure mice based on the "Yougu Wuyun" theory
Research progress on traditional Chinese medicine treatment and mechanisms for blood stasis syndrome in colorectal cancer based on deficiency⁃excess syndrome differentiation
Related Author
CHAI Yu
CHEN Jing
CHEN Liwen
LING Wang
WU Meiping
QIAN Jiahao
ZHOU Lihong
GONG Hangjun
Related Institution
Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Oncology Research Lab, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Department of Gastrointestinal Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Department of Spleen and Stomach, Pudong New Area Traditional Chinese Medicine Hospital