Evidence map›Paper›PMID 42558964›Full record

ArticleFrontiers in pharmacology2026

Polysaccharide-rich birch sap attenuates kainic acid-induced acute seizures by suppressing TLR4/NF-κB-mediated inflammation and preserving blood-brain barrier and glutamate homeostasis.

Cheng-Wei Lu, Chia-Chan Wu, Kuan-Ming Chiu, Ming-Yi Lee, Wun-Jing Pan, Tzu-Yu Lin, Su-Jane Wang

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Article in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Cheng-Wei Lu *Department of Anesthesiology, Far-Eastern Memorial Hospital, New Taipei, Taiwan.
Chia-Chan Wu *Department of Anesthesiology, Far-Eastern Memorial Hospital, New Taipei, Taiwan.
Kuan-Ming ChiuDivision of Cardiovascular Surgery, Cardiovascular Center, Far-Eastern Memorial Hospital, New Taipei, Taiwan.
Ming-Yi LeeDepartment of Medical Research, Far-Eastern Memorial Hospital, New Taipei, Taiwan.
Wun-Jing PanPh.D. Program in Pharmaceutical Biotechnology, College of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan.
Tzu-Yu LinDepartment of Anesthesiology, Far-Eastern Memorial Hospital, New Taipei, Taiwan.
Su-Jane WangSchool of Medicine, Fu Jen Catholic University, New Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Plant polysaccharides possess significant anticonvulsant potential. This study investigated the neuroprotective effects of polysaccharide-rich birch sap (PRBS), previously characterized as primarily low-molecular-weight polysaccharides (MW·1.29 kDa), in a rat model of kainic acid (KA)-induced acute seizures. Methods: Rats received oral PRBS (6/10 mL/kg) for 7 days before KA-induced (15 mg/kg, i.p.) seizures. Seizure severity was evaluated using behavioral, electroencephalographic (EEG), and cerebral blood flow (CBF) monitoring. Brain tissues were analyzed via histology, Western blotting, and high-performance liquid chromatography (HPLC) for neuronal damage, neuroinflammation, blood-brain barrier (BBB) integrity, and glutamate metabolism. Results: Results demonstrated that the higher dose (10 mL/kg) exerted potent anticonvulsant effects, significantly reducing tonic convulsion scores and EEG ictal spikes. Furthermore, the treatment mitigated KA-induced CBF deficits and prevented neuronal damage in the cortex and hippocampus. Mechanistically, PRBS suppressed glial activation, indicated by a decrease in GFAP+ and OX42+ cells and reduced expression of markers associated with a pro-inflammatory state (C3 and CD86). It also inhibited neuroinflammatory signaling by downregulating TLR4 and p-IkB levels while suppressing the overall activation of NF-kB p65, thereby decreasing the release of pro-inflammatory cytokines (IL-1b, IL-6, and TNF-a). Additionally, the treatment attenuated BBB disruption by reducing albumin extravasation and upregulating tight junction proteins (claudin-5 and occludin). Finally, it restored glutamate homeostasis by upregulating the astrocytic transporter GLT-1 and glutamine synthetase, while downregulating glutamine transporters (SNAT1/3), glutaminase, and the vesicular glutamate transporter VGLUT1. Conclusion: PRBS exhibits potent antiseizure and neuroprotective properties that are closely associated with the modulation of TLR4/NF-kB-mediated inflammation, the preservation of BBB integrity, and the regulation of glutamate homeostasis, highlighting its potential as a natural therapeutic agent for seizures.

Indexed as

Birch sap polysaccharidesepilepsyglutamate homeostasiskainic acidneuroprotectionTLR4/NF-kB signaling pathway

Identifiers

PMID42558964
PMCPMC13438314

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