PMID- 35265143 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2022 DP - 2022 TI - The Role of PKC and HIF-1 and the Effect of Traditional Chinese Medicinal Compounds on Cerebral Ischemia-Reperfusion Injury. PG - 1835898 LID - 10.1155/2022/1835898 [doi] LID - 1835898 AB - Neuronal death occurs during cerebral ischemia. However, when hemoperfusion and oxygen supply are resumed to the ischemic focus of the brain tissue, the brain tissue damage is further aggravated, resulting in cerebral ischemia-reperfusion injury (CIRI) to the patients. Protein kinase C (PKC) plays an important role in CIRI. Through the IP3/DAG/Ca(2+) signaling pathway, it promotes the influx of calcium ions in neurons and causes calcium overload, which aggravates the damage. At the same time, when brain cells are hypoxic, hypoxia-inducible factor-1 (HIF-1) is expressed, which regulates the expression of Bcl-2 and Bax through the PI3K/Akt signaling pathway and reduces nerve cell injury. It also fights hypoxic-ischemic injury by increasing the production of vascular endothelial growth factor (VEGF) to promote blood vessel formation. The PKC and HIF-1 signaling pathways are also linked to CIRI. HIF-1 activates the PKC and ERK pathways via the upregulation of VEGF, leading to increased Cx43 phosphorylation and dysfunction and aggravating CIRI. Existing studies have shown that certain traditional Chinese medicine (TCM) compounds regulate the PKC and HIF-1 signaling pathways and alleviate CIRI. These compounds downregulate the PKC and the activity of the PKC-related signaling pathways to alleviate CIRI. They can also promote the expression of HIF-1, increase the content of VEGF in ischemic tissues to promote the generation of blood vessels, and improve microcirculation. TCM compounds can inhibit the cascade of reactions underlying disease occurrence and development by targeting multiple components using different herbal formulations to improve the structural and material changes in the brain cells, which alleviate CIRI and protect the brain tissue. This study briefly describes the role of PKC and HIF-1, their relationship in CIRI, and the effect of TCM on them. CI - Copyright (c) 2022 Zheyu Fang et al. FAU - Fang, Zheyu AU - Fang Z AUID- ORCID: 0000-0002-0374-9506 AD - The First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Zhang, Yangyang AU - Zhang Y AUID- ORCID: 0000-0003-0989-0890 AD - School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Zhao, Xixi AU - Zhao X AUID- ORCID: 0000-0003-3178-9561 AD - School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Jin, Weifeng AU - Jin W AUID- ORCID: 0000-0001-9222-8819 AD - School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Yu, Li AU - Yu L AUID- ORCID: 0000-0003-4133-5483 AD - School of Life Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China. LA - eng PT - Journal Article PT - Review DEP - 20220227 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC8898791 COIS- The authors have no conflicts of interest to declare. EDAT- 2022/03/11 06:00 MHDA- 2022/03/11 06:01 PMCR- 2022/02/27 CRDT- 2022/03/10 05:44 PHST- 2021/11/03 00:00 [received] PHST- 2022/01/26 00:00 [revised] PHST- 2022/02/07 00:00 [accepted] PHST- 2022/03/10 05:44 [entrez] PHST- 2022/03/11 06:00 [pubmed] PHST- 2022/03/11 06:01 [medline] PHST- 2022/02/27 00:00 [pmc-release] AID - 10.1155/2022/1835898 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2022 Feb 27;2022:1835898. doi: 10.1155/2022/1835898. eCollection 2022.