PMID- 28168001 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1749-8546 (Print) IS - 1749-8546 (Electronic) IS - 1749-8546 (Linking) VI - 12 DP - 2017 TI - The neuroprotective effects of Tao-Ren-Cheng-Qi Tang against embolic stroke in rats. PG - 7 LID - 10.1186/s13020-017-0128-y [doi] LID - 7 AB - BACKGROUND: Combinations of the traditional Chinese and Western medicines have been used to treat numerous diseases throughout the world, and there is a growing body of evidence showing that some of the herbs used in traditional Chinese medicine elicit significant pharmacological effects. The aim of this study was to demonstrate the neuroprotective effects of Tao-Ren-Cheng-Qi Tang (TRCQT) in combination with aspirin following middle cerebral artery occlusion (MCAO)-induced embolic stroke in rats. METHODS: A blood clot was embolized into the middle cerebral artery of rats to induce focal ischemic brain injury. After 24 h of MCAO occlusion, the rats were arbitrarily separated into five groups and subjected to different oral treatment processes with TRCQT and aspirin for 30 days before being evaluated in terms of their neurological behavior using a four-point system. The rats were sacrificed at 30 days after drug treatment and the infarct volumes were measured using a 2,3,5-triphenyltetrazolium chloride staining method. Tumor necrosis factor-alpha (TNF-alpha), c-Jun N-terminal kinases (JNK), activated caspase-3 and Bax were detected by western blot analysis. The apoptotic cells were identified by Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining. ROS generation was also measured by electron spin resonance spectrometry. RESULTS: Rats treated with TRCQT alone or in combination with aspirin showed a significantly reduced infarct volume (P < 0.001) and improved neurological outcome compared with those treated with distilled water. Rats treated with TRCQT alone (P = 0.021) or in combination with aspirin (P = 0.02) also showed significantly reduced MCAO-induced expression levels of TNF-alpha and pJNK (P < 0.001) in their ischemic regions. Rats treated with TRCQT alone or in combination with aspirin showed decreased apoptosis by a reduction in the number of TUNEL positive cells, which inhibited the expression of activated caspase-3 (P = 0.038) and Bax (P = 0.004; P = 0.003). TRCQT also led to a significant concentration-dependent reduction in the formation of hydroxyl radicals (P < 0.001). CONCLUSIONS: TRCQT reduced brain infarct volume and improved neurological outcomes by reducing apoptosis, attenuating the expression of TNF-alpha and p-JNK, and reducing the formation of hydroxyl radicals in MCAO-induced embolic stroke of rats. FAU - Hsu, Ling-Wei AU - Hsu LW AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 FAU - Shiao, Wei-Cheng AU - Shiao WC AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 AD - Department of Internal Medicine, Yuan's General Hospital, Kaohsiung, Taiwan. ISNI: 0000 0004 0622 9252. GRID: grid.417380.9 FAU - Chang, Nen-Chung AU - Chang NC AD - Department of Internal Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 FAU - Yu, Meng-Che AU - Yu MC AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 FAU - Yen, Ting-Lin AU - Yen TL AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 FAU - Thomas, Philip Aloysius AU - Thomas PA AD - Department of Microbiology, Institute of Ophthalmology, Joseph Eye Hospital, Tiruchirappalli, Tamil Nadu 620 001 India. GRID: grid.414760.0 FAU - Jayakumar, Thanasekaran AU - Jayakumar T AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 FAU - Sheu, Joen-Rong AU - Sheu JR AD - Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 AD - Department of Pharmacology, School of Medicine, Taipei Medical University, Taipei, Taiwan. ISNI: 0000 0000 9337 0481. GRID: grid.412896.0 LA - eng PT - Journal Article DEP - 20170131 PL - England TA - Chin Med JT - Chinese medicine JID - 101265109 PMC - PMC5286857 EDAT- 2017/02/09 06:00 MHDA- 2017/02/09 06:01 PMCR- 2017/01/31 CRDT- 2017/02/08 06:00 PHST- 2015/01/16 00:00 [received] PHST- 2017/01/13 00:00 [accepted] PHST- 2017/02/08 06:00 [entrez] PHST- 2017/02/09 06:00 [pubmed] PHST- 2017/02/09 06:01 [medline] PHST- 2017/01/31 00:00 [pmc-release] AID - 128 [pii] AID - 10.1186/s13020-017-0128-y [doi] PST - epublish SO - Chin Med. 2017 Jan 31;12:7. doi: 10.1186/s13020-017-0128-y. eCollection 2017.