Evidence map›Paper›PMID 42216494›Full record

ArticleCNS neuroscience & therapeutics2026

Toosendanin Alleviates Cerebral Ischemia/Reperfusion Injury via Inhibiting Neural Ferroptosis Through Lipid Metabolic Reprogramming in MCAO Mice.

Xinyun Li, Zhiyong Zhao, Jingting Zhao, Xiangming Ye, Zhenfei Xiong, Jiejin Zhao

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xinyun LiSchool of Rehabilitation, Hangzhou Medical College, Hangzhou, China.
Zhiyong ZhaoChildren's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Jingting ZhaoDepartment of Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China.
Xiangming YeDepartment of Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China.
Zhenfei XiongDepartment of Foot and Ankle, Department of Foot and Ankle Surgery, Xiaoshan District Hospital of Traditional Chinese Medicine, Hangzhou, China.
Jiejin ZhaoDepartment of Rehabilitation Medicine, The First People's Hospital of Xiaoshan District, Hangzhou, China.ORCID 0009-0007-4382-691X

Funding

Basic Scientific Research Project of Hangzhou Medical College KYQN2024002"Pioneer and Leading Goose + X" Technology Program 2025C02200Zhejiang Province Medical and Health Science and Technology Project 2024XY017Zhejiang Provincial Rehabilitation Medicine Association Scientific Research Special Fund Project ZKKY2024009Zhejiang Traditional Chinese Medicine Science and Technology Program 2024ZL368
6 · The paper itself

Abstract

backgroundThe crosstalk between ferroptosis and neuroinflammation plays an important role in the pathogenesis of cerebral ischemia-reperfusion injury. Toosendanin (TSN), a triterpenoid compound, exhibits a wide range of pharmacological activities in human diseases. Here we investigated the potential neuroprotective effects of TSN in cerebral ischemia-reperfusion injury.

methodsIn our study, in vivo murine middle cerebral artery occlusion (MCAO) model and in vitro oxygen-glucose deprivation/reoxygenation (OGD/R) model were constructed to mimic cerebral ischemia-reperfusion injury. TTC staining, open-field test, Morris water maze test, hanging wire test, rotarod test, foot-fault test, hematoxylin and eosin (H&E) staining, flow cytometry, western blot and reverse transcription-quantitative PCR were conducted to evaluate the potential influence of TSN in cerebral ischemia-reperfusion injury.

resultsOur results indicated that post-stroke administration of TSN significantly reduced infarct volume and improved long-term functional recovery of MCAO mice. Mechanistically, TSN alleviated neural oxidative stress, lipid peroxidation, and ferroptosis in MCAO mice or in vitro after OGD/R. In addition, TSN modulated the infiltrating of immune cells in MCAO mice in vivo and T cell differentiation in vitro. Mechanistically, TSN directly interacted with ACSL4 and suppressed its enzymatic activity, thus suppressing the ACSL4/LPCAT3 axis to reduce the incorporation of pro-ferroptotic polyunsaturated fatty acids (PUFA) into phospholipids, and finally inhibiting lipid peroxidation and neural ferroptosis. In addition, the induction of ferroptosis abrogated the influence of TSN on immune infiltration and lipid metabolism in MCAO mice.

conclusionOur findings identify TSN as a promising therapeutic agent for cerebral ischemia-reperfusion injury via inhibiting ACSL4-mediated ferroptosis.

Indexed as

Brain IschemiaDrugs, Chinese HerbalFerroptosisInfarction, Middle Cerebral ArteryLipid MetabolismNeuroprotective AgentsReperfusion InjuryAnimalsMaleMiceMice, Inbred C57BLNeuronsDrugs, Chinese HerbalNeuroprotective AgentsACSL4cerebral ischemia/reperfusion injuryferroptosislipid metabolic reprogramming (LMR)Toosendanin

Identifiers

PMID42216494
PMCPMC13240430

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.