Abstract
Background: Salvia miltiorrhiza (Danshen), a traditional Chinese herbal medicine, can effectively improve the high-altitude adverse reactions of high-altitude patients. While, the mechanism of how they exert neuroprotective effect to intervene the hypoxic at high altitudes is still not well understood.Methods: The study established high altitude hypoxia mouse model and CoCl2 -induced PC12 cell hypoxia model , the protective effects of S. miltiorrhiza radix extract (SE), Tanshinone IIA (Tan IIA) and salvianic acid A sodium (SAS) on hypoxia model were studied in vitro and in vivo.Results: The results showed that SE, TanⅡA, and SAS are able to improve biochemical level in high altitude hypoxia mouse model, increase in Ca2+ concentration, and decrease in MMP, inhibit apoptosis in CoCl2 -induced PC12 cell hypoxia model by activating Akt signaling pathway, protecting neurons, thus improving the oxygen carrying capacity of brain tissue.Conclusion: This study confirms the efficacy of SE, Tan Ⅱ A, and SAS with respect to therapeutic treatment of hypoxia, shown that S. miltiorrhiza and its active monomers can protect neurons by activating Ngb/Akt intracellular signaling pathway, and attenuate cerebral anoxia and neuronal damage, subsequently nerve injury caused by hypoxia at high altitude. Providing important information for the clinical treatment of nerve injury caused by hypoxia at high altitude.