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Molecular medicine reports

ISSN 1791-3004

2 papers in the library · 37 citations · publishing 2018-2025

Papers

Protective effects of tetrahydropalmatine against ketamine-induced learning and memory injury via antioxidative, anti-inflammatory and anti-apoptotic mechanisms in mice.

Molecular medicine reports May 1, 2018 Yonglai Zhang, Rui Sha, Kaiguo Wang et al. 26 citations

Tetrahydropalmatine, a compound with known analgesic and other pharmacological effects, protected against ketamine-induced learning and memory impairment in mice. In the Morris water maze and open field tests, tetrahydropalmatine treatment reduced escape latency and increased platform site crossings. It also lowered oxidative stress, inflammation, and acetylcholinesterase activity, and decreased acetylcholine levels. The treatment suppressed iNOS, caspase-3, caspase-9, nuclear factor-κB, glial fibrillary acidic protein, cytochrome c, and phospholipase C-γ1 protein expression, while increasing glial cell-derived neurotrophic factor. These findings suggest tetrahydropalmatine may counteract ketamine's cognitive side effects through antioxidative, anti-inflammatory, and anti-apoptotic mechanisms.

Advances in research on the pathogenesis and signaling pathways associated with postoperative delirium (Review).

Molecular medicine reports August 1, 2025 Weiqing Li, Qin Shi, Ronghua Bai et al. 11 citations

Postoperative delirium (POD) is a common complication after surgery, marked by acute, fluctuating changes in consciousness and attention, with incidence rising with age. It is linked to longer hospital stays, higher costs, and increased morbidity and mortality, and may signal long-term cognitive decline. The underlying mechanisms are not fully understood but likely involve neuroinflammation, oxidative stress, neurotransmitter imbalances, and protein changes like β-amyloid deposition and tau hyperphosphorylation. Disruptions in sleep, brain activity, and gut-brain or olfactory-brain axes, along with genetic factors, may also contribute. Multiple signaling pathways, including Wnt/β-catenin and PI3K/AKT, are implicated. Prevention and treatment prioritize non-pharmacological strategies like cognitive training and the Hospital Elder Life Program, with pharmacological options such as dexmedetomidine and melatonin, and anesthesia management also playing a role.