Potential effects of Chinese herbs on iron metabolism for the treatment of stroke

Wen-Juan Guo, Hai-Ling Ding, Qi-Hui Zhang
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Abstract

Stroke has become the second leading cause of death and disability worldwide. Its morbidity and mortality are on the rise, seriously jeopardizing the health and quality of life of the elderly. A growing number of studies have identified ferroptosis as an important mechanism of pathological cell death during stroke and other acute brain injuries, and studies have demonstrated that ferroptosis inhibitors and ion chelators are effective in improving neurological damage and related cerebral ischemia manifestations in the development of stroke. This suggests that there are potential targets in the ferroptosis pathway to regulate stroke. The synergistic effect of Chinese herbs with multiple components, multiple pathways, and multiple targets is a unique advantage for stroke prevention and treatment. The aim of this article is to describe the role and influence of Chinese herbs in the pathology of ferroptosis injury in stroke, and to provide evidence that Chinese herbs can treat or reduce neurological injury after stroke by targeting ferroptosis.
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中草药对脑卒中铁代谢的潜在影响
中风已成为世界范围内导致死亡和残疾的第二大原因。其发病率和死亡率不断上升,严重危害老年人的健康和生活质量。越来越多的研究发现,铁下垂是脑卒中及其他急性脑损伤中病理性细胞死亡的重要机制,研究表明,铁下垂抑制剂和离子螯合剂可有效改善脑卒中发展过程中的神经损伤及相关脑缺血表现。这表明在铁下垂通路中存在调节脑卒中的潜在靶点。中药多成分、多途径、多靶点的协同作用是防治脑卒中的独特优势。本文旨在阐述中草药在脑卒中后铁下垂损伤病理中的作用和影响,并为中草药可通过靶向铁下垂治疗或减轻脑卒中后神经损伤提供证据。
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