The innate immune response, which is tightly regulated by
Toll-like receptor 4 (TLR4) pathway, has been shown to play a critical role in brain damage following
cerebral ischemia-
reperfusion injury.
Hydroxysafflor yellow A (HSYA) is the active component extracted from the
Flos Carthami and has been reported to decrease neurological deficit scores following
ischemia-reperfusion injury. However, the precise mechanism by which it exerts these
neuroprotective effects remains poorly understood. In this study, we demonstrated that the administration of HSYA could significantly down-regulate TLR4 expression in
middle cerebral artery occlusion (MCAO) mice. Following the down-regulation of TLR4 by HSYA treatment,
cerebral infarction and inflammatory neuronal damage was alleviated. The number of apoptotic neurons in the HSYA-treated group was significantly decreased along with the decrease in TLR4 expression in MCAO mice. Activation of the NF-κB and MAPK signaling pathways was observed at 1h following
ischemia and at 24h post-reperfusion. HSYA could significantly inhibit NF-κB p-p65, ERE1/2, JNK and p38 phosphorylation, which coincided with the suppressed secretion of inflammatory
cytokines such as
tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β) and
nitric oxide (NO). Moreover,
brain-derived neurotrophic factor (
BDNF) was up-regulated following 1h of
ischemia and continued to increase initially during reperfusion but was down-regulated at later stages. Following treatment with HSYA,
BDNF was up-regulated relative to control MCAO mice at 1h post-
ischemia and at 12 and 24h post-reperfusion. Our data suggest that HSYA exerts neurotrophic and anti-inflammatory functions against
ischemic stroke by inhibiting TLR4 pathway-mediated signaling responses.