151. Antidepressant Active Components of Bupleurum chinense DC-Paeonia lactiflora Pall Herb Pair: Pharmacological Mechanisms
- Author
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Shimeng Lv, Yifan Zhao, Le Wang, Yihong Yu, Jiaxin Li, Yufei Huang, Wenhua Xu, Geqin Sun, Weibo Dai, Tingting Zhao, Dezhong Bi, Yuexiang Ma, and Peng Sun
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Hypothalamo-Hypophyseal System ,General Immunology and Microbiology ,Animals ,Pituitary-Adrenal System ,General Medicine ,Paeonia ,Antidepressive Agents ,General Biochemistry, Genetics and Molecular Biology ,Bupleurum ,Randomized Controlled Trials as Topic - Abstract
Depression is a serious psychological disorder with a rapidly increasing incidence in recent years. Clinically, selective serotonin reuptake inhibitors are the main therapy. These drugs, have serious adverse reactions, however. Traditional Chinese medicine has the characteristics of multiple components, targets, and pathways, which has huge potential advantages for the treatment of depression. The antidepressant potential of the herbal combination of Bupleurum chinense DC (Chaihu) and Paeonia lactiflora Pall (Baishao) has been extensively studied previously. In this review, we summarized the antidepressant active components and mechanism of Chaihu-Baishao herb pair. We found that it works mainly through relieving oxidative stress, regulating HPA axis, and protecting neurons. Nevertheless, current research of this combined preparation still faces many challenges. On one hand, most of the current studies only stay at the level of animal models, lacking of sufficient clinical double-blind controlled trials for further verification. In addition, studies on the synergistic effect between different targets and signaling pathways are scarce. On the other hand, this preparation has numerous defects such as poor stability, low solubility, and difficulty in crossing the blood-brain barrier.
- Published
- 2022
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