Phytomedicine. 2026 May 13. pii: S0944-7113(26)00520-9. [Epub ahead of print]157
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BACKGROUND: Emerging pharmacological evidence indicates that nuciferine (NF) exhibits diverse bioactivities, but its role in ameliorating cerebral ischemia-reperfusion injury (CIRI) remains insufficiently studied.
PURPOSE: This study systematically evaluates the therapeutic potential and underlying mechanisms of NF in CIRI using network pharmacology predictions integrated with in vivo and in vitro validation.
METHODS: Network pharmacology was applied to identify potential targets and signaling pathways of NF relevant to CIRI. Molecular docking, molecular dynamics simulations, alanine scanning, density functional theory calculations, and cellular thermal shift assays were used to confirm interactions between NF and core targets. An oxygen and glucose deprivation/reperfusion-induced HT22 cell model and a middle cerebral artery occlusion/reperfusion-induced C57BL/6J mouse model were used to interrogate the predicted targets and pathways. Apoptosis, mitochondrial membrane potential, intracellular reactive oxygen species, and mitochondrial permeability transition pore opening were assessed by flow cytometry, JC-1 staining, DCFH-DA staining, and a calcein fluorescence assay, respectively. Neurological impairment in mice was evaluated using standardized neurological deficit scores. Infarct volume was quantified by 2,3,5-triphenyltetrazolium chloride staining, and histopathological changes were examined by hematoxylin and eosin and Nissl staining. RT-qPCR and western blot were used to measure mRNA and protein expression of key components in the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt)/glycogen synthase kinase 3 beta (GSK3β) pathway in both in vitro and in vivo models.
RESULTS: The PI3K/Akt/GSK3β signaling pathway was identified through core target screening and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis. Molecular docking and molecular dynamics simulations further confirmed that NF exhibited strong binding potential and stability with PI3K, Akt, and GSK3β proteins. Alanine scanning further validated the molecular docking results. Density functional theory calculations showed that NF formed hydrogen bonds and electrostatic interactions with target proteins via its polar regions, and engaged in π-π stacking with aromatic amino acids through its π-conjugated system, providing the structural basis for its binding. Cellular thermal shift assays confirmed that NF enhanced the thermal stability of PI3K protein. The data indicated that NF increased the survival rate of oxygen and glucose deprivation/reperfusion-induced HT22 cells by reducing apoptosis, decreasing reactive oxygen species levels, and maintaining mitochondrial membrane potential stability. Additionally, NF reduced ischemic infarction volume, alleviated histopathological damage, and improved neurological function in middle cerebral artery occlusion/reperfusion mice. RT-qPCR analysis suggested that NF reduced mRNA expression levels of Caspase 3, Caspase 9, Bax/Bcl-2 ratio, and CypD, while increasing PI3K, Akt, and GSK3β mRNA expression. Western blot analysis demonstrated that NF decreased protein expression of Bax/Bcl-2 ratio, cleaved Caspase 3, cleaved Caspase 9, ANT1, CypD, and VDAC1, while increasing expression of p-PI3K, p-Akt, and p-GSK3β.
CONCLUSION: This study suggests that NF's protective effect against CIRI may be attributed to the regulation of the PI3K/Akt/GSK3β signaling pathway, leading to the inhibition of mitochondrial permeability transition pore opening.
Keywords: Cerebral ischemia-reperfusion injury; Ischemic stroke; Mitochondrial permeability transition pore; Nuciferine; PI3K/Akt/GSK3β pathway