Naoxin’an capsules protect brain function and structure in patients with vascular cognitive impairment

Frontiers in Pharmacology

Pharmacology

Kewei Chen¹  Junying Zhang²  Bolong Wang³  Shaokun Zhao³  Huajie Shang³  Hui Lu³  Mingxi Dang³  Xin Li³  Yaojing Chen³  Zhanjun Zhang³ 

[1] Banner Alzheimer’s Institute, Phoenix, AZ, United States;Institute of Basic Research in Clinical Medicine, China Academy of Traditional Chinese Medicine, Beijing, China;Beijing Aging Brain Rejuvenation Initiative Centre, Beijing Normal University, Beijing, China;State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China;Beijing Aging Brain Rejuvenation Initiative Centre, Beijing Normal University, Beijing, China;

关键词: vascular cognitive impairment;    traditional Chinese medicine;    Naoxin’an capsule;    brain function;    left middle frontal gyrus;    postcentral gyrus;   

DOI  :  10.3389/fphar.2023.1129125

 received in 2022-12-21, accepted in 2023-03-24,  发布年份 2023

来源: Frontiers

【 摘 要 】

Introduction: Vascular cognitive impairment (VCI) is one of the most common types of dementia. Naoxin'an capsule (NXA), a traditional Chinese medicine compound, has been used to treat VCI for a long time in the clinic. Previous studies proved that the NXA capsules could ameliorate the cerebral mitochondrion deficits of VCI animals. This study aimed to investigate the protectiveness of NXA on human brain structure and function in patients with VCI.Methods: In total, 100 VCI patients were enrolled in this 24-week trial and randomly divided into the NXA capsules group (n = 50) and the ginkgo biloba capsules control group (n = 50). Before and after the treatment, cognitive behavior tests and multimodal brain magnetic resonance imaging were analyzed to comprehensively evaluate the effectiveness of NXA treatment on VCI patients after 24 weeks.Results: We found that the NXA group significantly improved overall cognitive ability (Alzheimer's Disease Assessment Scale-Cognitive section, p = 0.001; Mini-Mental Status Examination, p = 0.003), memory (Rey-Osterrieth Complex Figure test, p < 0.001) and executive function (Trail Making Test-A, p = 0.024) performance after treatment compared with the control group. For brain function, the degree of centrality in the left middle frontal gyrus, right postcentral gyrus, and left supplementary motor area increased in the NXA group and decreased in the ginkgo biloba group after treatment. The fractional amplitude of low-frequency fluctuation (fALFF) of the left precentral and right superior parietal gyrus increased, and the fALFF of the right parahippocampal and left inferior temporal gyrus decreased in the NXA group after treatment. For brain structure, the gray matter density of the left postcentral gyrus increased in the NXA group after treatment, and the total volume of white matter hyperintensity showed a decreasing trend but was not statistically significant. Furthermore, the improvement effect of NXA on executive function was associated with changes in brain function.Conclusion: These findings suggest that the NXA capsules improved cognitive performance and multiregional brain function, as well as gray matter structure in the postcentral gyrus.

【 授权许可】

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Copyright © 2023 Lu, Dang, Chen, Shang, Wang, Zhao, Li, Zhang, Zhang and Chen.