Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases

BackgroundNeurological diseases such as stroke and Alzheimer’s disease pose increasing challenges to global public health. Salvianolic Acid B (SalB), a major active component of Salvia miltiorrhiza, has garnered attention due to its anti-inflammatory, antioxidant, neuroprotective, and pro-angiogenic...

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Main Authors: Shijun Bi, Shibing Liu, Kunyuan Zhu, Dandan Gao, Ligang Chen, Chunyong Yu, Guobiao Liang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1606146/full
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author Shijun Bi
Shibing Liu
Kunyuan Zhu
Dandan Gao
Ligang Chen
Chunyong Yu
Guobiao Liang
author_facet Shijun Bi
Shibing Liu
Kunyuan Zhu
Dandan Gao
Ligang Chen
Chunyong Yu
Guobiao Liang
author_sort Shijun Bi
collection DOAJ
description BackgroundNeurological diseases such as stroke and Alzheimer’s disease pose increasing challenges to global public health. Salvianolic Acid B (SalB), a major active component of Salvia miltiorrhiza, has garnered attention due to its anti-inflammatory, antioxidant, neuroprotective, and pro-angiogenic properties in neurological disease treatment.PurposeThis paper aims to review the mechanisms and effects of SalB in the treatment of neurological diseases, exploring its role in improving neurological function, mitigating neuroinflammation, and reducing oxidative stress.ResultsSalB demonstrates multifaceted mechanisms in neurological disease management. In animal models of cerebral ischemia/reperfusion injury, SalB reduces infarct size and enhances neurological recovery via anti-inflammatory, anti-oxidative stress, and angiogenic pathways. It protects the blood-brain barrier and inhibits neuronal apoptosis in stroke models. In spinal cord injury models, SalB alleviates edema and promotes motor function recovery. In Alzheimer’s disease models, SalB suppresses amyloid-beta formation and neuroinflammation. Additionally, SalB exhibits antidepressant and analgesic effects in pain-depression comorbidity models. These effects are mediated through the regulation of signaling pathways, including NF-κB, AMPK, PI3K/Akt, and Nrf2, highlighting SalB’s broad therapeutic potential in neurological diseases.ConclusionSalB exhibits promising prospects in the treatment of neurological diseases. However, its clinical application faces challenges such as chemical stability and bioavailability. Further research on the mechanisms of SalB and innovative drug delivery strategies is needed to advance its application in neurological disease therapy.
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spelling doaj-art-a548be809d2f4ba5b1e4f33aa459fb0f2025-06-27T05:31:32ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-06-011610.3389/fphar.2025.16061461606146Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseasesShijun Bi0Shibing Liu1Kunyuan Zhu2Dandan Gao3Ligang Chen4Chunyong Yu5Guobiao Liang6Department of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, ChinaDepartment of Neurosurgery, The Eleventh People’s Hospital of Shenyang, Shenyang, ChinaDepartment of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, ChinaDepartment of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, ChinaDepartment of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, ChinaDepartment of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, ChinaDepartment of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, ChinaBackgroundNeurological diseases such as stroke and Alzheimer’s disease pose increasing challenges to global public health. Salvianolic Acid B (SalB), a major active component of Salvia miltiorrhiza, has garnered attention due to its anti-inflammatory, antioxidant, neuroprotective, and pro-angiogenic properties in neurological disease treatment.PurposeThis paper aims to review the mechanisms and effects of SalB in the treatment of neurological diseases, exploring its role in improving neurological function, mitigating neuroinflammation, and reducing oxidative stress.ResultsSalB demonstrates multifaceted mechanisms in neurological disease management. In animal models of cerebral ischemia/reperfusion injury, SalB reduces infarct size and enhances neurological recovery via anti-inflammatory, anti-oxidative stress, and angiogenic pathways. It protects the blood-brain barrier and inhibits neuronal apoptosis in stroke models. In spinal cord injury models, SalB alleviates edema and promotes motor function recovery. In Alzheimer’s disease models, SalB suppresses amyloid-beta formation and neuroinflammation. Additionally, SalB exhibits antidepressant and analgesic effects in pain-depression comorbidity models. These effects are mediated through the regulation of signaling pathways, including NF-κB, AMPK, PI3K/Akt, and Nrf2, highlighting SalB’s broad therapeutic potential in neurological diseases.ConclusionSalB exhibits promising prospects in the treatment of neurological diseases. However, its clinical application faces challenges such as chemical stability and bioavailability. Further research on the mechanisms of SalB and innovative drug delivery strategies is needed to advance its application in neurological disease therapy.https://www.frontiersin.org/articles/10.3389/fphar.2025.1606146/fullsalvianolic acid Bneurological diseasesanti-inflammatoryanti-oxidative stressneuroprotectiveangiogenesis
spellingShingle Shijun Bi
Shibing Liu
Kunyuan Zhu
Dandan Gao
Ligang Chen
Chunyong Yu
Guobiao Liang
Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases
Frontiers in Pharmacology
salvianolic acid B
neurological diseases
anti-inflammatory
anti-oxidative stress
neuroprotective
angiogenesis
title Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases
title_full Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases
title_fullStr Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases
title_full_unstemmed Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases
title_short Preclinical and experimental evidence of salvianolic acid B in the treatment of neurological diseases
title_sort preclinical and experimental evidence of salvianolic acid b in the treatment of neurological diseases
topic salvianolic acid B
neurological diseases
anti-inflammatory
anti-oxidative stress
neuroprotective
angiogenesis
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1606146/full
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