PMID- 34329715 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20220117 IS - 1872-7573 (Electronic) IS - 0378-8741 (Linking) VI - 280 DP - 2021 Nov 15 TI - The role of traditional Chinese medicine in the treatment of cognitive dysfunction in type 2 diabetes. PG - 114464 LID - S0378-8741(21)00693-0 [pii] LID - 10.1016/j.jep.2021.114464 [doi] AB - ETHNOPHARMACOLOGICAL RELEVANCE: Diabetic cognitive dysfunction (DCD) is mainly one of the complications of type 2 diabetes mellitus (T2DM) with complex and obscure pathogenesis. Extensive evidence has demonstrated the effectiveness and safety of traditional Chinese medicine (TCM) for DCD management. AIM OF THE STUDY: This review attempted to systematically summarize the possible pathogenesis of DCD and the current Chinese medicine on the treatment of DCD. MATERIALS AND METHODS: We acquired information of TCM on DCD treatment from PubMed, Web of Science, Science Direct and CNKI databases. We then dissected the potential mechanisms of currently reported TCMs and their active ingredients for the treatment of DCD by discussing the deficiencies and giving further recommendations. RESULTS: Most TCMs and their active ingredients could improve DCD through alleviating insulin resistance, microvascular dysfunction, abnormal gut microbiota composition, inflammation, and the damages of the blood-brain barrier, cerebrovascular and neurons under hyperglycemia conditions. CONCLUSIONS: TCM is effective in the treatment of DCD with few adverse reactions. A large number of in vivo and in vitro, and clinical trials are still needed to further reveal the potential quality markers of TCM on DCD treatment. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Meng, Jinni AU - Meng J AD - Department of Pharmacology, School of Pharmacy, Ningxia Medical University, Ningxia, China. FAU - Zhu, Yafei AU - Zhu Y AD - College of Basic Medicine, Ningxia Medical University, Ningxia, China. FAU - Ma, Huixia AU - Ma H AD - Department of Pharmacology, School of Pharmacy, Ningxia Medical University, Ningxia, China. FAU - Wang, Xiaobo AU - Wang X AD - State Key Laboratory of Southwestern Chinese Medicine Resources, Innovative Institute of Chinese Medicine and Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China. Electronic address: 1461875871@qq.com. FAU - Zhao, Qipeng AU - Zhao Q AD - Department of Pharmacology, School of Pharmacy, Ningxia Medical University, Ningxia, China; Key Laboratory of Hui Ethnic Medicine Modernization, Ministry of Education, Ningxia Medical University, Ningxia, China. Electronic address: zhqp623@126.com. LA - eng PT - Journal Article PT - Systematic Review DEP - 20210727 PL - Ireland TA - J Ethnopharmacol JT - Journal of ethnopharmacology JID - 7903310 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Animals MH - Cognitive Dysfunction/*drug therapy/etiology MH - Diabetes Mellitus, Type 2/complications/*drug therapy/physiopathology MH - Drugs, Chinese Herbal/adverse effects/*pharmacology MH - Humans MH - Hyperglycemia/drug therapy MH - Medicine, Chinese Traditional/methods OTO - NOTNLM OT - Central nervous system OT - Hyperglycemia OT - Insulin resistance OT - Mechanisms OT - TCM EDAT- 2021/07/31 06:00 MHDA- 2022/01/18 06:00 CRDT- 2021/07/30 20:11 PHST- 2021/04/03 00:00 [received] PHST- 2021/07/04 00:00 [revised] PHST- 2021/07/24 00:00 [accepted] PHST- 2021/07/31 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/07/30 20:11 [entrez] AID - S0378-8741(21)00693-0 [pii] AID - 10.1016/j.jep.2021.114464 [doi] PST - ppublish SO - J Ethnopharmacol. 2021 Nov 15;280:114464. doi: 10.1016/j.jep.2021.114464. Epub 2021 Jul 27.