Traditional Chinese Medicine for Stroke Treatment Inhibits Abnormal Amyloid Precursor Processing in Alzheimer’s Disease
Abstract Ethnopharmacological relevance: Traditional Chinese Medicine (TCM) has a long history in oriental countries for its therapeutic benefits with stroke therapy, and improves cognitive deficits in those patients, but the potential impact on Alzheimer’s disease therapy remains unknown. Objective: To address this issue, in vitro, we have examined the effects of four types of TCMs selected from the ginsenoside family of drugs that are currently used in clinical stroke therapy on APP processing, DengZhanXiXin (D1), TongLuoJiuNao (T2), QingKaiLing (Q3) and HuangQinGan (H4). Materials and methods: APP, BACE1 and C99 stable transfected cells have been used to test the APP processing. The Aβ production, BACE1, NEP and γ-secretase activity were assessed by ELISA, RT-PCR and Western blot analysis. Results: In this study, D1 increases Aβ production but reduces the ratio of Aβ42/Aβ40 by up-regulating BACE1 activity; T2 reduces Aβ production and Aβ42/Aβ40 ratio by down-regulating BACE1 activity and modulating γ-secretase expression; Q3 reduces Aβ production by down-regulating BACE1 activity; H4 does not change Aβ production by the compromising effects on down-regulating BACE1 and NEP activity. Conclusion: These studies suggest that these four anti-stroke TCMs show different mechanisms on APP processing, and have the potential to be used in Aβ clearance; particularly, T2 with relatively simple components and evident effects in APP processing may be a promising candidate for the treatment of AD.