Review Article

A Systematic Review of Single Chinese Herbs for Alzheimer's Disease Treatment

Table 2

The mechanisms of action of single Chinese herbs in the treatment of AD.

HerbMechanisms of actions

(i) Increase in cholinergic neuron function,
(ii) Protection against the A protein induced oxidative damages (degrading hydrogen peroxide, preventing lipid from oxidation and trapping reactive oxygen species),
G. biloba [20](iii) Prevention of A protein induced fibrillogenesis as well as the formation ADDLs,
(iv) Inhibition of cholesterol-induced overproduction of APP,
(v) Anti-apoptosis (opposing mitochondria-initiated apoptosis, downgrading caspase-12, upgrading BCL2),
(vi) Regulation of gene expression

(i) Protection against the A protein and hydrogen peroxide induced oxidative damages
(ii) Anti-apoptosis (regulating gene expression: Bcl-2, Bax, P53 and caspase-3),
(iii) Modulating secretary APP and protein kinase C- ,
Huperzine A [21, 22](iv) Protection against hypoxia, ischemia and glutamate induced brain injury and cytotoxiicity,
(v) Antagonizing effects on NMDA (N-methyl-D-aspartate) receptors,
(vi) Regulation of the expression and secretion of nerve growth factor and its signaling

Uncaria rhynchophylla [23](i) Inhibition of aggregation of A protein,
(ii) Destabilization of preformed A neurofibrills

(i) Increase in the uptake of choline in central nervous system,
(ii) Release of acetylcholine from hippocampus,
Ginseng [19](iii) Increase in choline acetyltransferase,
(iv) Protection against the A protein induced neurotoxic effects,
(v) Repair of A -damaged neuron networks,
(vi) Reducing the level of A

Tenuigenin (P. tenuifolta) [24](i) Decrease of the secretion of A protein via BACE1 ( -secretase) inhibition

(i) Alteration of the processing of amyloidal precursor protein,
Berberine (C. rhizoma) [25, 26](ii) Decrease of the secretion of A protein,
(iii) Acetylcholinesterase inhibitory activity

Indirubins [27](i) Inhibition of abnormal tau phosphorylation by inhibiting glycogen synthase kinase-3 beta and CDK5/p25