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Structures of ginkgolides and bilobalide in Gingko biloba . ( A ) Ginkgolide A; ( B ) ginkgolide B; ( C ) ginkgolide J; and ( D ) bilobalide. 

Structures of ginkgolides and bilobalide in Gingko biloba . ( A ) Ginkgolide A; ( B ) ginkgolide B; ( C ) ginkgolide J; and ( D ) bilobalide. 

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Alzheimer's disease (AD) is one of the most well-known neurodegenerative diseases and explains 50-60% of dementia in patients. The prevalence rate of AD is positively correlated with age and AD affects ≥ 40% of those over 85 years old. The major AD therapeutics available on the market are acetylcholinesterase inhibitors, such as tacrine and donepez...

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... extract of G. biloba leaves which contains 24% flavonoid glycosides, 6% terpenoids, and 5-10% organic acids [46] has been extensively evaluated for its neuroprotective effects [47], and terpene trilactones ginkgolides are the major pharmacologically active constituents in EGb761. For example, pre-treatment of neuronal cells with ginkgolide A and B (Figure 2A,B) protects neuronal cells from synaptic damage evaluated by the loss of synaptophysin, a presynaptic synaptic marker [48] and increases neuronal survival against Aβ-induced toxicity [49]. Ginkgolide B rescues hippocampal neurons from Aβ-induced apoptosis by increasing the production of brain-derived neurotrophic factor [50] and reduces apoptotic death of neuronal cells in hemorrhagic rat brain [51]. ...
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... B reverses the Aβ-induced reduction of ACh release from hippocampal brain slices, suggesting potential improvements in learning and memory deteriorated by Aβ [53]. Furthermore, Vitolo et al. reports that ginkgolide J ( Figure 2C) is the most potent inhibitor of Aβ-induced hippocampal neuronal cell death among the ginkgolides in EGb761 [54]. Additionally, bilobalide ( Figure 2D) reduces Aβ-induced synaptic loss and subsequently enhances hippocampal neurogenesis and synaptogenesis [55]. ...
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... Vitolo et al. reports that ginkgolide J ( Figure 2C) is the most potent inhibitor of Aβ-induced hippocampal neuronal cell death among the ginkgolides in EGb761 [54]. Additionally, bilobalide ( Figure 2D) reduces Aβ-induced synaptic loss and subsequently enhances hippocampal neurogenesis and synaptogenesis [55]. Bilobalide also rescues chick embryonic neurons from apoptosis induced by serum deprivation or staurosporine treatment [56,57]. ...

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... 127 Additionally, natural chemicals differ in both their action and structure; it is not pretentious to discover anti-AD remedies from natural herbal products. 128 Additionally, the FDA now only approves a few medicines for the treatment and diagnosis of AD. 129 Here, we are more focused on mainly current studies on the prospective benefits of employing a variety of traditional medicinal plants and their phytoconstituents to treat AD. ...
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... Several natural saponins may act as exogenous antioxidants to combat AD by managing oxidative stress [192,193]. Ginsenoside Rh2, a rare ginsenoside with few reports on its neuroprotective effects compared to other similar molecules [194], has shown significant neuroprotective effects in a scopolamine-induced model of memory impairment in ICR mice. Ginsenoside Rh2 effectively managed MDA levels while increasing glutathione (GSH) levels and SOD activity in the brain, effectively inhibiting oxidative stress [195]. ...
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Drug development for Alzheimer’s disease, the leading cause of dementia, has been a long-standing challenge. Saponins, which are steroid or triterpenoid glycosides with various pharmacological activities, have displayed therapeutic potential in treating Alzheimer’s disease. In a comprehensive review of the literature from May 2007 to May 2023, we identified 63 references involving 40 different types of saponins that have been studied for their effects on Alzheimer’s disease. These studies suggest that saponins have the potential to ameliorate Alzheimer’s disease by reducing amyloid beta peptide deposition, inhibiting tau phosphorylation, modulating oxidative stress, reducing inflammation, and antiapoptosis. Most intriguingly, ginsenoside Rg1 and pseudoginsenoside-F11 possess these important pharmacological properties and show the best promise for the treatment of Alzheimer’s disease. This review provides a summary and classification of common saponins that have been studied for their therapeutic potential in Alzheimer’s disease, showcasing their underlying mechanisms. This highlights the promising potential of saponins for the treatment of Alzheimer’s disease.
... is a bicyclic monoterpenoid of natural origin (Fig. 1). Monoterpenes are essential oil components with established beneficial effects on memory, carried out by different mechanisms of action -affecting acetylcholinesterase activity, reducing Aβ-aggregation and oxidative stress, etc. [1]. ...
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... Several studies demonstrated potential neuroprotective effects of terpenes and its derivatives, and these effects can be appointed as a decrease in apoptotic cell death, neutralization of reactive oxygen species, and stabilization of the mitochondrial membrane potential (Parmar et al. 2013), and improvement of mitochondrial function in mouse Huntington's disease (HD) model . Terpenoids such as ginsenosides, ginkgolides, and cannabinoids, in addition to oleanolic acid, tenuifolin, cryptotanshinone, and ursolic acid have also been used in therapy to AD acting directly or indirectly in the CNS (Yoo and Park 2012). Oleanolic acid derivatives (Fig. 6), 2-cyano-3,12-dioxooleana-1,9-dien-28-oic acid (CDDO), ethylamide (CDDO-EA), and CDDO trifluoroethylamide (CDDO-TFEA), induce antioxidant response element (ARE) gene expression-mediated Nrf2, increasing endogenous antioxidant defense through quinone oxidoreductase 1 (NQO-1), heme oxygenase-1 (HO-1), and glutathione S-transferase-a3 in NSC-34 cells stably transfected with mutant G93A SOD1, and besides that, upregulating the expression of antioxidant enzymes and downregulating iNOS, COX-2, FasL, and TNF-α in the spinal cord of ALS mouse models, and upregulating mitochondrial biogenesis-related proteins such as peroxisome proliferator-activated receptor-γ co-activator 1α (PGC-1α) (Neymotin et al. 2011). ...
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... Moreover, researchers had found that UA, as a ubiquitous pentacyclic triterpene with an effectively antioxidative activity, could reverse the neurotoxic effect in rat brains by improving the activities of anti-oxidant enzymes, SOD, CAT, GPx, and GR and reducing activated oxygen species content, and in this way boost the memory function in the hippocampal tissues (39). Experimental studies have also shown that UA supplementation could improve the toxic effects of free radicals in middle-aged rats' hippocampus and boost memory (40,41). Our study measured the activities of antioxidative enzymes, including CAT, SOD, GPx, and GSH, in the rat brain hippocampus. ...
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Objective(s) The increase in age-related cognitive impairment (CIs) and diabetes mellitus is a global health concern. Exercise training has been reported to activate the Nrf2/Keap1/ARE signaling and enhance the antioxidant defense pathways in some animal models. This study aimed to investigate the effects of ursolic acid (UA) associated with resistance or endurance training on antioxidant markers, and the Nrf2/Keap1/ARE pathway in the brain of older diabetic rats. Materials and Methods 23-month-aged diabetes induced male Wistar rats were randomly assigned to seven groups (n=8). UA supplementation (250 mg/kg, daily) was administered along with resistance (60% maximum capacity of voluntary carrying [MVCC], 14-20 climbs) or endurance training (60-75% velocity at maximal oxygen uptake [vVO2max]), five days/week for eight weeks. Cognitive-motor functioning was assessed through open-field and passive avoidance response tests. Nrf2, Keap1, and antioxidant markers including SOD, CAT, GPx, and GSH were measured in the hippocampus tissue. Results The results showed positive effect of resistance training (P≤0.001) on Nrf2. There was endurance training with supplementation main effect (P=0.018) on Keap1 concentration. SOD revealed a significant endurance/resistance training by supplementation interaction effect (P≤0.05); however, there was no main training or UA supplementation effects on CAT, GPx, and GSH, despite improving spatial memory changes in exercise or UA groups. Conclusion It appears that UA treatment with resistance or endurance exercise has some beneficial effects on Nrf2 and some antioxidant markers. However, more research is needed to elucidate UA’s interaction effects and exercise interventions in diabetic situations.
... sativa). Terpenes are naturally occurring aliphatic compounds that are the main constituents of essential oils that have been associated with a multitude of bioactive properties (Nuutinen, 2018), providing protection against a range of stressors associated with neurodegenerative conditions such as inflammation and oxidative stress and more specifically, mitigation of amyloid β (Aβ) protein-evoked neurotoxicity as a pathological hallmark of Alzheimer's disease (AD) (Shin et al., 2020;Yoo & Park, 2012). ...
... For example, the appearance of senile plaques or brain lesions with deposits of b-amyloid (Ab) protein among neurons is one of the first features of Alzheimer diseases' patients [15,16]. Also, the deficiency of acetylcholine is also linked to neuronal loss and hence the propagation of Alzheimer's disease [17]. ...
... The actions on LXR-mediated transcription of the isolated sterol compounds from Sargassum fusiforme using reporter assay were also reported [111]. The isolated sterols were saringosterol, fucosterol, 29-hydroperoxy-stigmasta-5,24(28)-dien-3b-ol (14), 24-hydroperoxy-24-vinylcholesterol (15), 24-keto-cholesterol (16), 24-methylene-cholesterol and 5a,8a-epidioxyergosta-5. Sterols as potential therapeutic agents in neurodegenerative illnesses 6,22-dien-3b-ol (17). The study concluded that the potent activity of saringosterol was evidenced among the tested compounds by stimulating transcriptional activities of LXR either a or b with by 3.81 AE 0.15-fold and 14.40 AE 1.10-fold, respectively. ...
... In addition, the identification of M and C in several Salvia species, such as M in S. lachnostachys leaves [38] , S. multicaulis aerial parts [39] , and flowers of S. miltiorrhiza [40] , as well as C in leaf extract of S. officinalis [41] , aerial parts of S. mellifera [42] and S. plebeia [43] , flowers of S. miltiorrhiza [40] , and S. chinensis [44] have been published. Terpenoids, including U and O , are potential AChE inhibitors and thus possible agents in the ther-apy of Alzheimer's disease [45] . However, in our HPTLC-AChE assay, none of the four identified triterpenes showed activity. ...
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Ethyl acetate extracts of Tunisian Salvia aegyptiaca and S. verbenaca aerial parts, and S. officinalis leaves, were examined via bioanalytical profiling using high-performance thin-layer chromatography (HPTLC) combined with antibacterial (Aliivibrio fischeri, Bacillus subtilis, and Rhodococcus fascians), antifungal (Bipolaris sorokiniana, and Fusarium avenaceum), radical scavenging (DPPH·), and enzyme inhibitory (α-glucosidase, acetylcholinesterase, and lipase) assays. The screening, using toluene - ethyl acetate – methanol 6:3:0.5 (V/V/V) as a mobile phase, revealed five bioactive zones (a-e) that were analyzed by HPTLC-electrospray ionization-mass spectrometry (ESI-MS). Zones b and c, observed exclusively in S. officinalis, were active in all assays except α-glucosidase, and only c inhibited F. avenaceum. Compounds in these zones were identified by HPLC-high resolution tandem MS (LC-HRMS/MS) as rosmanol/epi-rosmanol and methyl carnosate, respectively. In the bioactive zones a and e, corosolic/maslinic acids and ursolic/oleanolic acids isomer pairs were present, which could be identified in all three Salvia species after their HPTLC separation using pre-chromatographic derivatization with iodine and MS detection. The triterpenes inhibited B. subtilis and R. fascians bacteria and α-glucosidase enzyme. Linoleic and linolenic acids were detected in zone d, which showed strong lipase inhibition in all three sage species.