Review Article

Neuroprotective Phytochemicals in Experimental Ischemic Stroke: Mechanisms and Potential Clinical Applications

Table 6

Neuroprotective terpenoids and their functional mechanisms and targetsd.

CompoundsMechanisms and targetsRef.

Monoterpenoids (14)
 BorneolAntiapoptosis; anti-inflammation; neurovascular unit function↑[289, 290]
 CarvacrolFerroptosis↓; antioxidation; GPx4↑; TRPM7↓; antiapoptosis: Bcl-2/Bax↑, PI3K/Akt↑; anti-inflammation: NF-κB↓[46, 291293]
 CatalpolAngiogenesis↑; JAK2/STAT3↑; ATPase activity↑; excitatory amino acid toxicity↓[294, 295]
 CorninMitochondrial protection; antioxidation[296]
 GenipinAntiapoptosis; UCP2/SIRT3↓[297]
 GeniposideAntiapoptosis; BBB protection; GluN2A/Akt/Erk↑[41]
 LinaloolPhospholipid homeostasis↑[298]
β-MyrceneAntioxidation: free radical scavenging[299]
 PaeoniflorinCalcium modulation: Ca2+↓/CaMKII↑/CREB↑; anti-inflammation: MAPK/NF-κB↓; antiapoptosis[300302]
 PerillaldehydeAnti-inflammation: JNK↓; antiapoptosis: Akt↑[303]
 Perillyl alcoholAnti-inflammation; antioxidation[304]
α-PineneAntioxidation; anti-inflammation[305]
 Picroside IIAntioxidation: Rac-1/NOX2↓; antiapoptosis: mPTP permeability↓; anti-inflammation: MEK/Erk1/2/COX-2↓; BBB protection: ROCK/MLCK/MMP-2↓/claudin-5↑[56, 79, 100, 306, 307]
 SafranalAntioxidation[308]
Sesquiterpenoids (8)
 AlantolactoneAnti-inflammation: MAPK/NF-κB↓[312]
 Atractylenolide IIIAnti-inflammation: mitochondrial fission in microglia↓, JAK2/STAT3/Drp-1↓[86]
 Bakkenolide IIIaAntioxidation; anti-inflammation: Erk↓, Akt/NF-κB↓[313]
 BilobalideMitochondrial protection: complex I function↑; antiexcitotoxicity; anti-inflammation: JNK1/2↓, p38 MAPK↓; antiautophagy; antiapoptosis; angiogenesis↑: Akt/eNOS↑[314317]
 (−)-α-BisabololAnti-inflammation[318]
 ParthenolideBBB permeability↓; caspase-1/p38/NF-κB↓[319]
 Patchouli alcoholAnti-inflammation[320]
β-CaryophylleneAnti-inflammation: microglial M2 polarization↑, TLR4↓[321]
Diterpenoids (11)
 AndrographolideAnti-inflammation: microglial activation↓, PI3K/Akt-NF-κB/HIF-1α↓, astrocyte activation↓, iNOS; BBB permeability↓; antioxidation: p38/Nrf2/HO-1↑, gp91phox/NOX2↓; BDNF/TrkB↑[57, 325328]
 Erinacine AAnti-inflammation: iNOS, p38, and CHOP↓[329]
 Ginkgolide BAnti-inflammation: microglial M2 polarization↑, NF-κB↓; PAF receptor↓; antiapoptosis; antiexcitotoxicity: imbalance of excitatory and inhibitory amino acids↓; BBB permeability↓[38, 72, 330, 331]
 Ginkgolide KAntioxidation; neurogenesis: JAK2/STAT3↑[11, 332]
 Pseudopterosin AAntioxidation; anti-inflammation; antiapoptosis: Akt↑[333]
 Salvinorin AMitochondrial function↑: AMPK/Mfn2↑, kappa opioid receptor↑[334]
 Tanshinone INeuronal death↓; anti-inflammation[335]
 Tanshinone IIAAntiapoptosis: PI3K/Akt↑; anti-inflammation: HMGB1/NF-κB↓, MIF/NF-κB↓, astrocyte activation, MAPKs↓, PPARγ↑; antioxidation; TORC1↑; BDNF/CREB↑[75, 336343]
 TotarolAntioxidation: Akt/HO-1↑[344]
 TriptolideBBB permeability↓; anti-inflammation: p38/NF-κB↓; autophagy↑; antiapoptosis[113, 345, 346]
 (1S,2E,4R,6R,-7E,11E)-2,7,11-Cembratriene-4,6-diolAntiapoptosis: PI3K/Akt↑; ICAM-1↓[347]
Triterpenoids (20)
 Arjunolic acidAntioxidation[357]
 Asiatic acidAntiapoptosis and mitochondrial protection: cytochrome c and AIF release↓; MMP-9↓[358, 359]
 Acetyl-11-keto-β-boswellic acidAntioxidation: Nrf2/HO-1↑; anti-inflammation: 5-LOX, NF-κB↓[81, 360, 361]
 11-Keto-β-boswellic acidAntioxidation: Nrf2/HO-1↑Ding et al. (2015)
 28-O-Caffeoyl betulinAnti-inflammation; hypothermic effects[362]
 CelastrolAnti-inflammation: microglial M2 polarization↑, IL-33/ST2↓, JNK/c-Jun/NF-κB↓[73, 363]
 Echinocystic acidAntiapoptosis; anti-inflammation: JNK↓[364]
 18β-Glycyrrhetinic acidAntioxidation; antiapoptosis[365]
 Maslinic acidSynaptogenesis↑: axonal regeneration↑, Akt/GSK-3β[366]
 Ursolic acidAnti-inflammation; antioxidation: Nrf2↑[367]
 MadecassosideAntioxidation; antiapoptosis; anti-inflammation[368]
 Astragaloside IVAntiapoptosis: P62-LC3-autophagy↑; antioxidation: Nrf2↑; mitochondrial protection: Akt/hexokinase-II↑; anti-inflammation[62, 114, 369, 370]
 GlycyrrhizinAnti-inflammation: HMGB1/TLR4/IL-17A↓; antioxidation; antiexcitotoxicity; antiapoptosis[91, 371373]
 Diammonium glycyrrhizinateAnti-inflammation[374]
 Ginsenoside Rb1BBB protection; anti-inflammation; antioxidation: NOX4-derived ROS production↓; abnormal microenvironment↓: glutamate toxicity↓, Ca2+ accumulation↓, GLT-1↑, NMDAR↓; autophagy↑; neurogenesis↑; BDNF↑; caspase-3↓[34, 55, 115, 375, 376]
 Ginsenoside RdAnti-inflammation: microglial proteasome-mediated NF-κB activation↓, PARP-1↓; antioxidation: free radical scavenging; antiapoptosis; mitochondrial protection; energy restoration; Ca2+ modulation: TRPM7↓, ASIC1 a↓, ASIC2 a↑; DNA damage↓: NEIL1/3↑[49, 377383]
 Ginsenoside Rg1Anti-inflammation: microglial proteasome-mediated NF-κB activation↓; BDNF↑; excitatory amino acid↓; antioxidation: miR-144↓/Nrf2↑/ARE↑; angiogenesis↑: PI3K/Akt/mTOR↑; BBB permeability↓: aquaporin-4↓, PAR-1↓[384389]
 20(R)-Ginsenoside Rg3Antiapoptosis: calpain I↓, caspase-3↓[390]
 Pseudoginsenoside F11Antiapoptosis; autophagic/lysosomal defects↓; Ca2+ overload↓[391, 392]
 Notoginsenoside R1Antiapoptosis; mitochondrial protection; estrogen receptor-Akt/Nrf2↑[393]
Tetraterpenoids (3)
 AstaxanthinAntioxidation; antiapoptosis; neurogenesis↑; neurotrophin expression: BDNF↑, NGF↑[120, 400, 401]
 FucoxanthinAntioxidation: Nrf2/HO-1↑[402]
 LuteinAntiapoptosis; antioxidation; anti-inflammation[403]

dNotes: ↑: activation or upregulation; ↓: inhibition or downregulation. Abbreviations do not appear in the text. CHOP: C/EBP homologous protein; GPx4: glutathione peroxidase 4; MLCK: myosin light chain kinase; PAR-1: protease-activated receptors; ROCK: Rho-associated kinase.