Table 1 TCMs to improve neuroinflammation and pyroptosis after stroke.

From: Targeting pyroptosis as a preventive and therapeutic approach for stroke

TCM drugs

Sources

Effects

Target points

Models

Refs.

Chrysophanol

Rheum Palmatum L.

Inhibits M1-type microglia activation and TRAF6-dependent pyroptosis

TRAF6/NLRP3

MCAO; OGD/R

[101, 106]

Isoquercetin

Styphnolobium japonicum (L.) Schott

Anti-inflammatory, antioxidant, and reduces neuronal apoptosis

TLR4/NLRP3;

Caspase-3; Nrf2

MCAO/R; OGD/R

[107, 108]

Baicalin

Scutellaria baicalensis Georgi

Protects glutamine synthetase, antioxidant, and anti-inflammatory

AMPK/NLRP3; ROS

MCAO/R; OGD/R

[109, 110]

Astragaloside IV

Astragalus membranaceus (Fisch.) Bunge

Inhibition of pyroptosis and regulation of autophagy

Nrf2/NLRP3;

GSDMD; LC3

MCAO/R; OGD/R

[111, 112]

Resveratrol

Polygonum cuspidatum Sieb. et Zucc.

Regulation of M1/M2 microglia, regulation of autophagy, and anti-apoptosis

PGC-1α; Sirt1;

JAK2/STAT3/PI3K/AKT/mTOR

MCRO/R; OGD

[93, 113, 114]

Mangiferin

Anemarrhena asphodeloides Bge.

Anti-inflammatory, antioxidant, and anti-apoptotic

TLR4/NLRP3;

SIRT1/PGC-1α

MCAO/R; OGD/R

[115, 116]

Salidroside

Rhodiola rosea L.

Anti-inflammatory, antioxidant, and anti-apoptotic

TLR4/NLRP3;

Bax/Bcl-2; Nrf2/Trx1

MCAO/R; OGD/R

[117, 118]

Schisandrin B

Schisandra chinensis (Turcz.) Baill.

Inhibits neuroinflammation and reduces pyroptosis

NF-κB/NLRP3;

MCAO/R

[119, 120]

Berberine

Coptis chinensis Franch.

Inhibits neuroinflammation and reduces pyroptosis

PPAR-γ/NLRP3; GSDMD

OGD

[121]

Astilbin

Astilbe chinensis (Maxim.) Franch. et Savat.

Inhibits neuroinflammation and reduces apoptosis

TLR4/NLRP3; Caspase-3

MCAO; OGD

[122]

Medioresinol

Eucommia ulmoides Oliv.

Improves BBB integrity and inhibits pyroptosis

PGC-1α/PPARα; GSDMD

MCAO; OGD/R

[58]

Ginkgo diterpene lactones

Ginkgo biloba L.

Inhibits astrocyte activation, anti-inflammatory, and antioxidant

TLR4/NF-κB; AKT/Nrf2

MCAO/R; OGD/R

[123, 124]

6-Gingerol

Zingiber officinale Rosc.

Inhibits neuroinflammation and apoptosis and upregulates autophagy

TLR4/NLRP3;TRPV1/FAF1; Akt-mTOR-STAT3

MCAO/R; OGD/R

[125, 126]

Ruscogenin

Ophiopogon japonicus (L.f.) Ker-Gawl.

Inhibits neuroinflammation and improves BBB integrity

ROS-NLRP3; TXNIP; MAPK; ICAM-1

MCAO/R; OGD/R

[127, 128]

Dendrobium alkaloids

Dendrobium officinale Kimura et Migo

Inhibits pyroptosis

Caspase-1; GSDMD

OGD/R

[129, 130]