Review Article

Effect and Mechanisms of Quercetin for Experimental Focal Cerebral Ischemia: A Systematic Review and Meta-Analysis

Table 1

Characteristics of 14 included studies.

AuthorSpecies (sex)WeightModelAnestheticTreatmentControlOutcome indexIntergroup differences

Ahmad et al. 2011Male Wistar rats250-300 gtMCAO for 2 hChloral hydrate (400 mg/kg, IP)Quercetin, 30 mg/kg, IP, at 1 h before MCAO and then 0, 24, 48, and 72 h after MCAOThe same volume of 0.1% DMSO, IP, at 30 min before MCAO and then 0, 24, 48, and 72 h after MCAO(1) Infarct volume (TTC), 72 h after MCAO (8/8)
(2) TBARS level, 72 h after MCAO (8/8)
(3) GSH content, 72 h after MCAO (8/8)
(4) Activities of antioxidant enzymes, 72 h after MCAO (8/8)
(5) Activity of Na+-K+-ATPase, 72 h after MCAO (8/8)
(6) PARP activity, 72 h after MCAO (8/8)
(7) Activity of caspase-3, 72 h after MCAO (8/8)
(8) Number of p53 positive cells, 72 h after MCAO (8/8)
Pandey et al. 2011Male SD rats240-260 gtMCAO for 1 hKetamine (50 mg/kg IP)Quercetin, 10 mg/kg, IP, at 30 min before MCAOThe same volume of normal saline, IP, at 30 min before MCAO(1) NFS (Longa), 24 h after MCAO (6/10)
(2) Infarct volume (TTC), 24 h after MCAO (6/10)
(3) Nitrite levels, 20 min after MCAO (6/6)
(4) MDA levels, 20 min after MCAO (6/6)
(5) Spectrin breakdown products (SBDPs) expression, 24 h after MCAO (6/6)
Yao et al. 2012Male SD rats250-270tMCAO for 1.5 h10% chloral hydrate (0.4 ml/kg, IP)Quercetin, 10, 20 mg/kg, IG, at 3 h after MCAO and then once dailyThe same volume of 0.1% dH2O/0.1% tween-80, IG, at 3 h after MCAO and then once daily(1) NFS (mNSS), 28 d after MCAO (12/12)
(2) Infarct volume, 7 d after MCAO (4/4)
(3) TUNEL-positive cells, 7 d after MCAO (4/4)
(4) Bcl-2 levels, 7 d after MCAO (4/4)
(5) Bax levels, 7 d after MCAO (4/4)
(6) Cleaved caspase-3/caspase-3, 7 d after MCAO (4/4)
(7) BDNF levels, 7 d after MCAO (4/4)
(8) TrkB levels, 7 d after MCAO (4/4)
(9) p-AKT/AKT levels, 7 d after MCAO (4/4)
Zhang et al. 2016Male SD rats200-300 gtMCAO for 2 h10% chloral hydrateQuercetin, 7.5 mg/kg, IP, at 1 h after MCAO and then every 12 h for 3 daysThe same volume of 0.1% DMSO, IP, at 1 h after MCAO and then every 12 h for 3 days(1) NFS (mNSS), 28 d after MCAO (6/6)
(2) Infarct volume (TTC), 28 d after MCAO (4/4)
(3) IL-6 levels, 14 d after MCAO (12/12)
(4) IL-1β levels, 14 d after MCAO (12/12)
(5) IL-4 levels, 14 d after MCAO (12/12)
(6) IL-10 levels, 14 d after MCAO (12/12)
(7) Caspase-3 immunoreactive staining, 28 d after MCAO (4/4)
Shah et al. 2018Male SD rats200-230 gpMCAO for 24 hZoletil (50 mg/kg, IM)Quercetin, 10 mg/kg, IP, at 30 min before MCAOThe same volume of 0.05% DMSO, IP, at 30 min before MCAO(1) NFS (Bederson), 24 h after MCAO (15/15)
(2) Infarct volume (TTC), 24 h after MCAO (7/7)
(3) ICDH and ICDH mRNA levels, 24 h after MCAO (4/4)
(4) Adenosylhomocysteinase and mRNA levels, 24 h after MCAO (4/4)
(5) Pyruvate kinase and mRNA levels, 24 h after MCAO (4/4)
(6) Ubiquitin carboxy-terminal hydrolase L1 (UCHL1) and UCHL1 mRNA levels, 24 h after MCAO (4/4)
(7) Heat shock protein 60 (HSP60) and HSP60 mRNA levels, 24 h after MCAO (4/4)
(8) Collapsin response mediator protein 2 (CRMP2) and CPM2 levels, 24 h after MCAO (4/4)
Park et al. 2018Male SD rats200-220 gpMCAO for 24 hZoletil (50 mg/kg, IM)Quercetin, 30 mg/kg, IP, at 1 h before MCAOThe same volume of 0.05% DMSO, IP, at 1 h before MCAO(1) NFS (Bederson), 24 h after MCAO (4/4)
(2) Infarct volume (TTC), 24 h after MCAO (4/4)
(3) Brain water content, 24 h after MCAO (4/4)
(4) Fluoro-Jade B staining, 24 h after MCAO (4/4)
(5) PARP levels, 24 h after MCAO (4/4)
(6) Caspase-3 levels, 24 h after MCAO (4/4)
Ma et al. 2019Male SD rats180-220 gtMCAO for 2 h10% chloral hydrateQuercetin, 25, 50, 100 mg/kg, IG, once daily for 14 days before MCAOThe same volume of 0.5% CMC-Na, IG, once daily for 14 days before MCAO(1) NFS (Bederson), 24 h after MCAO (6/6)
(2) Brain water content, 24 h after MCAO (6/6)
(3) LDH/MDA/SOD, 24 h after MCAO (6/6)
(4) Beclin, 24 h after MCAO (6/6)
(5) LC3II/LC3I levels, 24 h after MCAO (6/6)
(6) p62/Bax/Bcl-2, 24 h after MCAO (6/6)
(7) p-AMPK, 24 h after MCAO (6/6)
(8) p-mTOR, 24 h after MCAO (6/6)
(9) p-ULK1, 24 h after MCAO (6/6)
Park et al. 2019Male SD rats220-230 gpMCAO for 24 hZoletil (50 mg/kg, IM)Quercetin, 10 mg/kg, IP, at 30 min before MCAOThe same volume of 0.1% DMSO, IP, at 30 min before MCAO(1) NFS (Bederson), 24 h after MCAO (4/4)
(2) Infarct volume (TTC), 24 h after MCAO (4/4)
(3) MALDI-TOF analysis for protein phosphatase 2A (PP2A) subunit B levels, 24 h after MCAO (4/4)
(4) RT-PCR analysis for PP2A subunit B levels, 24 h after MCAO (4/4)
(5) Western blot analysis for PP2A subunit B levels, 24 h after MCAO (4/4)
Wang el al.2020Male SD rats250-300 gtMCAO for 1.5 h2–4% isoflurane25 mg/kg, IP. Once daily for 21 days before MCAOThe same volume of saline vehicle, IP, once a day for 21 days before MCAO(1) NFS (Longa), 72 h after MCAO (6/6)
(2) Infarct volume (TTC), 72 h after MCAO (6/6)
(3) BBB permeability (EB), 72 h after MCAO (6/6)
(4) Caspase 3 activity, 72 h after MCAO (6/6)
(5) MDA content, 72 h after MCAO (6/6)
(6) TNF-α and IL-1β mRNAs, 72 h after MCAO (6/6)
(7) p-ERK and p-AKT levels, 72 h after MCAO (6/6)
Park et al. 2020aMale SD rats210-230 gpMCAO for 24 hZoletil (50 mg/kg, IM)Quercetin, 10 mg/kg, IP, at 1 h before MCAOThe same volume of 0.1% DMSO, IP, at 1 h before MCAO(1) Infarct volume, 24 h after MCAO (4/4)
(2) Brain water content, 24 h after MCAO (4/4)
(3) MALDI-TOF analysis for thioredoxin, 24 h after MCAO (4/4)
(4) Thioredoxin mRNA, 24 h after MCAO (4/4)
(5) Thioredoxin levels, 24 h after MCAO (4/4)
(6) Immunofluorescence for thioredoxin, 24 h after MCAO (4/4)
Park et al. 2020bMale SD rats210-220 gpMCAO for 24 hZoletil (50 mg/kg, IM)Quercetin, 10 mg/kg, IP, at 1 h before MCAOThe same volume of 0.1% DMSO, IP, at 1 h before MCAO(1) NFS (Bederson), 24 h after MCAO (20/20)
(2) Infarct volume (TTC), 24 h after MCAO (3/3)
(3) Hippocalcin protein level, 24 h after MCAO (4/4)
(4) Hippocalcin and NeuN-positive cells, 24 h after MCAO (5/5)
Fan et al. 2020Male SD rats220-240 gtMCAOPentobarbital sodium (30 mg/kg, IP)Quercetin, 25, 50, 100 mg/kg, IG, once daily for 12 days before MCAOThe same volume of normal saline, IG, once daily for 12 days before MCAO(1) NFS (Longa), 72 h after MCAO (20/20)
(2) Infarct volume (TTC), 72 h after MCAO (3/3)
(3) ROS levels, 72 h after MCAO (3/3)
(4) MDA, 72 h after MCAO (3/3)
(5) SOD, 72 h after MCAO (3/3)
Park et al. 2021Male SD rats220-230 gpMCAO for 24 hZoletil (50 mg/kg, IM)Quercetin, 10 mg/kg, IP, at 30 min before MCAOThe same volume of 0.1% DMSO, IP, at 30 min before MCAO(1) NFS (Bederson), 24 h after MCAO (4/4)
(2) Proteomic for parvalbumin, 24 h after MCAO (4/4)
(3) Parvalbumin mRNA, 24 h after MCAO (4/4)
(4) Parvalbumin levels, 24 h after MCAO (4/4)
(5) Immunostaining of parvalbumin, 24 h after MCAO (4/4)
Yang et al. 2021Male Wistar rats280-320 gtMCAO for 1.5 h4.5% isofluraneQuercetin, 10, 30, and 50 mg/kg, IP, at onset of reperfusionThe same volume of DMSO/normal saline, IP, at onset of reperfusion(1) NFS (mNSS), 24 h after MCAO (7/7)
(2) Infarct volume (TTC), 24 h after MCAO (7/7)
(3) BBB permeability (EB), 24 h after MCAO (8/8)
(4) ROS levels, 24 h after MCAO (6/6)
(5) ZO-1 expression, 24 h after MCAO (8/8)
(6) Claudin-5 expression, 24 h after MCAO (8/8)