Abstract
Background
Millions of people around the globe are affected by Alzheimer’s disease (AD). This crippling condition has no treatment despite intensive studies. Some phytocompounds have been shown to protect against Alzheimer’s in recent studies.
Methods
Thus, this work aimed to examine Bacopa monnieri phytocompounds’ synergistic effects on neurodegeneration, antioxidant activity, and cognition in the scopolamine-induced AD mice model. The toxicity study of two phytocompounds: quercetin and bacopaside X revealed an LD50 of more than 2000 mg/kg since no deaths occurred.
Results
The neuroprotection experiment consists of 6 groups i.e., control (saline), scopolamine (1 mg/kg), donepezil (5 mg/kg), Q (25 mg/kg), BX (20 mg/kg), and Q + BX (25 mg/kg + 20 mg/kg). Visual behavioral assessment using the Morris water maze showed that animals in the diseased model group (scopolamine) moved more slowly toward the platform and exhibited greater thigmotaxis behavior than the treatment and control groups. Likewise, the concentration of biochemical NO, GSH, and MDA improved in treatment groups concerning the diseased group. mRNA levels of different marker genes including ChAT, IL-1α, IL-1 β, TNF α, tau, and β secretase (BACE1) improved in treatment groups with respect to the disease group.
Conclusion
Both bacopaside X and quercetin synergistically have shown promising results in neuroprotection. Therefore, it is suggested that Q and BX may work synergistically due to their antioxidant and neuroprotective property.




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Data availability
The data used to support the findings of this study are included within the supplementary information file(s).
References
Khalil M et al (2018) Neurofilaments as biomarkers in neurological disorders. Nat Reviews Neurol 14(10):577–589
Anwar MM et al (2022) Assessing the role of primary healthy microglia and gap junction blocker in hindering Alzheimer’s disease neuroinflammatory type: early approaches for therapeutic intervention. Front NeuroSci, 16
WHO (2023) Dementia https://www.who.int/news-room/fact-sheets/detail/dementia
Bhat AH et al (2015) Oxidative stress, mitochondrial dysfunction and neurodegenerative diseases; a mechanistic insight. Biomed Pharmacother 74:101–110
Dai Y et al (2022) Amyloid-beta targeted therapeutic approaches for Alzheimer’s disease: long road ahead. Curr Drug Targets 23(11):1040–1056
Fjell AM et al (2014) What is normal in normal aging? Effects of aging, amyloid and Alzheimer’s disease on the cerebral cortex and the hippocampus. Prog Neurobiol 117:20–40
Sibat HF, Valdés L (2013) Uncommon clinical manifestations of cysticercosis. Novel Aspects on Cysticercosis and Neurocysticercosis 8:199–233
Prasad K (2019) AGE–RAGE stress: a changing landscape in pathology and treatment of Alzheimer’s disease. Mol Cell Biochem 459(1–2):95–112
Bateman RJ et al (2011) Autosomal-dominant Alzheimer’s disease: a review and proposal for the prevention of Alzheimer’s disease, vol 3. Alzheimer’s research & therapy, pp 1–13. 1
Andrews SJ et al (2023) The complex genetic architecture of Alzheimer’s disease: novel insights and future directions. EBioMedicine, 90
Bertram L, Tanzi RE (2008) Thirty years of Alzheimer’s disease genetics: the implications of systematic meta-analyses. Nat Rev Neurosci 9(10):768–778
Alam J, Sharma L (2019) Potential enzymatic targets in Alzheimer’s: a comprehensive review. Curr Drug Targets 20(3):316–339
Martorana A, Esposito Z, Koch G (2010) Beyond the cholinergic hypothesis: do current drugs work in Alzheimer’s disease? vol 16. CNS neuroscience & therapeutics, pp 235–245. 4
Vecchio I et al (2021) The state of the art on acetylcholinesterase inhibitors in the treatment of Alzheimer’s disease. J Cent Nerv Syst Disease 13:11795735211029113
Chen Z-R et al (2022) Role of cholinergic signaling in Alzheimer’s disease. Molecules 27(6):1816
Hampel H et al (2018) The cholinergic system in the pathophysiology and treatment of Alzheimer’s disease. Brain 141(7):1917–1933
Wess J, Eglen RM, Gautam D (2007) Muscarinic acetylcholine receptors: mutant mice provide new insights for drug development. Nat Rev Drug Discovery 6(9):721–733
Alhazmi HA, Albratty M (2022) An update on the novel and approved drugs for Alzheimer disease. Saudi Pharm J,
Prasansuklab A, Brimson JM, Tencomnao T (2020) Potential thai medicinal plants for neurodegenerative diseases: a review focusing on the anti-glutamate toxicity effect. J Traditional Complement Med 10(3):301–308
Simpson T, Pase M, Stough C (2015) Bacopa monnieri as an antioxidant therapy to reduce oxidative stress in the aging brain Evidence-based complementary and alternative medicine, 2015
Chaudhari KS et al (2017) Neurocognitive effect of nootropic drug Brahmi (Bacopa monnieri) in Alzheimer’s disease. Annals of neurosciences 24(2):111–122
Fatima U et al (2022) Investigating neuroprotective roles of Bacopa monnieri extracts: mechanistic insights and therapeutic implications. Biomed Pharmacother 153:113469
Fatima U et al (2022) Pharmacological attributes of Bacopa monnieri extract: current updates and clinical manifestation. Front Nutr 9:972379
Basheer A et al (2022) Use of Bacopa monnieri in the treatment of Dementia due to Alzheimer Disease: systematic review of Randomized controlled trials. Interact J Med Res 11(2):e38542
Abdul Manap AS et al (2019) Bacopa monnieri, a neuroprotective lead in Alzheimer disease: a review on its properties, mechanisms of action, and preclinical and clinical studies. Drug target insights 13:1177392819866412
Nandy S, Dey A, Mukherjeeb A (2019) Advances in dammarane-type triterpenoid saponins from Bacopa monnieri: structure, bioactivity, biotechnology and neuroprotection. Stud Nat Prod Chem 63:489–533
Sangeet S, Khan A (2021) In-silico studies of Neurocognitive and Neuropharmacological effect of Bacopa monnieri (L.) bioRxiv, : p. 2021.01. 20.427542
Brimson JM et al (2021) The effectiveness of Bacopa monnieri (Linn.) Wettst. As a nootropic, neuroprotective, or antidepressant supplement: analysis of the available clinical data. Sci Rep 11(1):596
Giacobini E (2003) Cholinergic function and alzheimer’s disease. Int J Geriatr Psychiatry 18(S1):S1–S5
Yusufzai SK et al (2018) Molecular docking studies of coumarin hybrids as potential acetylcholinesterase, butyrylcholinesterase, monoamine oxidase A/B and β-amyloid inhibitors for Alzheimer’s disease. Chem Cent J 12(1):1–57
Levin LA et al (2022) Neuroprotection in neurodegenerations of the brain and eye: Lessons from the past and directions for the future. Front Neurol 13:964197
Banerjee S et al (2021) Bacosides from Bacopa monnieri extract: an overview of the effects on neurological disorders. Phytother Res 35(10):5668–5679
Guideline P-BT (2001) OECD guideline for the testing of chemicals. The Hershberger 601:858
Vaghasiya Y, Dave R, Chanda S (2011) Phytochemical analysis of some medicinal plants from western region of India. Res J Med Plant 5(5):567–576
Mukinda JT, Syce JA (2007) Acute and chronic toxicity of the aqueous extract of Artemisia afra in rodents. J Ethnopharmacol 112(1):138–144
Eppley BL, Woodell JE, Higgins J (2004) Platelet quantification and growth factor analysis from platelet-rich plasma: implications for wound healing. Plast Reconstr Surg 114(6):1502–1508
Orlandi M, Graziani F, D’Aiuto F (2020) Periodontal therapy and cardiovascular risk. Periodontol 2000 83(1):107–124
Lowe D et al (2022) Alkaline phosphatase, in StatPearls [internet]. StatPearls Publishing
Chanda S et al (2012) Acute oral toxicity of Polyalthia longifolia var. Pendula leaf extract in Wistar albino rats. Pharm Biol 50(11):1408–1415
Harizal S et al (2010) Acute toxicity study of the standardized methanolic extract of Mitragyna speciosa Korth in rodent. J Ethnopharmacol 131(2):404–409
Salawu O et al (2009) Acute and sub-acute toxicological evaluation of the methanolic stem bark extract of Crossopteryx febrifuga in rats. Afr J Pharm and Pharmacol 3(12):621–626
Madhyastha S et al (2011) Neuroprotective effects of Mucuna pruriens against stress-induced oxidative damage. J Physiological Biomedical Sci 24(2):28–33
Atanu FO et al (2021) Evaluation of antimalarial potential of extracts from Alstonia boonei and Carica papaya in Plasmodium berghei-infected mice Evidence-Based Complementary and Alternative Medicine, 2021: p. 1–11
Chen J et al (2019) Neuroprotective effects of red ginseng saponins in scopolamine-treated rats and activity screening based on pharmacokinetics. Molecules 24(11):2136
Alikatte KL et al (2012) Antiamnesic activity of Syzygium cumini against scopolamine induced spatial memory impairments in rats. Brain Develop 34(10):844–851
Cai H et al (2001) BACE1 is the major β-secretase for generation of Aβ peptides by neurons. Nat Neurosci 4(3):233–234
Wang F et al (2021) Mitochondrial protein translation: emerging roles and clinical significance in disease. Front Cell Dev Biology 9:675465
Das B, Yan R (2017) Role of BACE1 in Alzheimer’s synaptic function. Translational neurodegeneration 6:1–8
Decourt B, Lahiri DK, Sabbagh MN (2017) Targeting tumor necrosis factor alpha for Alzheimer’s disease. Curr Alzheimer Res 14(4):412–425
Zaky AM et al (2017) Tumor-vessel relationships in pancreatic ductal adenocarcinoma at multidetector CT: different classification systems and their influence on treatment planning. Radiographics 37(1):93–112
Shi C, Pamer EG (2011) Monocyte recruitment during infection and inflammation. Nat Rev Immunol 11(11):762–774
Griffin W et al (1989) Brain interleukin 1 and S-100 immunoreactivity are elevated in Down syndrome and Alzheimer disease. Proc Natl Acad Sci 86(19):7611–7615
Depino A et al (2005) Differential effects of interleukin-1β on neurotoxicity, cytokine induction and glial reaction in specific brain regions. J Neuroimmunol 168(1–2):96–110
Pugh KR et al (2001) Neurobiological studies of reading and reading disability. J Commun Disord 34(6):479–492
Gad SC, Chengelis CP (1997) Acute toxicology testing. Academic Press
Kraus SI et al (2023) Toxicological and pharmacological effects of Eugenia brasiliensis Lam.(Myrtaceae) leaves in mice. J Ethnopharmacol 309:116309
Manwani B et al (2011) Functional recovery in aging mice after experimental stroke. Brain Behav Immun 25(8):1689–1700
Worasuttayangkurn L et al (2012) Safety evaluation of longan seed extract: acute and repeated oral administration. Food Chem Toxicol 50(11):3949–3955
Sabogal-Guáqueta AM et al (2015) The flavonoid quercetin ameliorates Alzheimer’s disease pathology and protects cognitive and emotional function in aged triple transgenic Alzheimer’s disease model mice. Neuropharmacology 93:134–145
Palle S, Neerati P (2017) Quercetin nanoparticles attenuates scopolamine induced spatial memory deficits and pathological damages in rats. Bull Fac Pharm Cairo Univ 55(1):101–106
Singh B et al (2022) Bacopaside-I ameliorates motor dysfunction and neurodegeneration in rat model of parkinson’s disease
Morris R (1984) Developments of a water-maze procedure for studying spatial learning in the rat. J Neurosci Methods 11(1):47–60
Bromley-Brits K, Deng Y, Song W Morris water maze test for learning and memory deficits in Alzheimer’s disease model mice. J visualized experiments: JoVE, 2011(53).
Ellman G, Courtney K (1961) A new and rapid colorimetric determination of acetylcholinesterase activity. Biochem Pharmacal 7a:88–95
Wilbur K (1949) The thiobarbituric acid reagent as a test for the oxidation of unsaturated fatty acids by various agents. Archs Biochem Biophys 24:305–313
Sun J et al (2003) Measurement of nitric oxide production in biological systems by using Griess reaction assay. Sensors 3(8):276–284
Farhat F et al (2021) Akt/GSK3β/Nrf2/HO-1 pathway activation by flurbiprofen protects the hippocampal neurons in a rat model of glutamate excitotoxicity. Neuropharmacology 196:108654
Hestrin S (1949) The reaction of acetylcholine and other carboxylic acid derivatives with hydroxylamine, and its analytical application. J Biol Chem 180(1):249–261
Acknowledgements
The authors extend their appreciation to the Researchers Supporting Project number (RSP-2023R369), King Saud University, Riyadh, Saudi Arabia. The authors are thankful to National Institute for Genomics and Advanced Biotechnology (NIGAB), Islamabad, Pakistan for facilitating and providing research funds throughout this study.
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Conceptualization of study, S.S., M.A.Z, and S.A.; methodology, S.S.; software, S.S.; validation, M.A.Z., S.A., S.S., and S.S.; formal analysis, S.S., S.F., and M.U.; investigation, S.S.; resources, S.A.; writing—original draft preparation, S.S., K.A.A, I.K, K.S, M.A.Z; writing—review and editing, S.S., S.S., S.A., R.A.A., and G.M.A.; visualization, M.A.Z., S.S., and M.U.; supervision, S.A.; project administration, S.A.; funding acquisition, R.A.A., S.F., and M.U. All authors have read and agreed to the published version of the manuscript.”
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Shoukat, S., Zia, M.A., Uzair, M. et al. Synergistic neuroprotection by phytocompounds of Bacopa monnieri in scopolamine-induced Alzheimer’s disease mice model. Mol Biol Rep 50, 7967–7979 (2023). https://doi.org/10.1007/s11033-023-08674-0
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DOI: https://doi.org/10.1007/s11033-023-08674-0

