Abstract:Objective To observe the effects of total alkaloids of coptis chinensis on neurological function impairment following cerebral ischemia-reperfusion in rats. Methods A model of middle cerebral artery occlusion (MCAO) was established in 45 healthy male SD rats, which were randomly assigned into sham operation group, model group, and treatment groups with high, medium, and low concentrations of total alkaloids of coptis chinensis, each with 9 rats. The sham operation group and model group rats were handled daily and administered saline intraperitoneally. The treatment groups were given different concentrations of total alkaloids of coptis chinensis via gavage. After 7 days of treatment, the neurological deficit scores of the rats in each group were evaluated using the 5-point scoring system proposed by longa, and the pathological changes in the hippocampal tissue were observed. The activities of superoxide dismutase (SOD), malondialdehyde (MDA), and reduced glutathione (GSH) in the hippocampal tissue were measured, and the expression of Brain-Derived Neurotrophic Factor (BDNF) and Tropomyosin Receptor Kinase B (TrkB) proteins in the hippocampal region was detected by Western blotting. Results Compared with the sham operation group, the neurologic deficit score of the model group was significantly increased (P < 0.05), the activity of SOD and the content of GSH in serum were significantly decreased (P < 0.05), while the content of MDA was significantly increased (P < 0.05). The cells of hippocampus were disordered and irregularly arranged, the reticular fibers were destroyed, the brain cells were swollen and necrotic, and formed glial scar with obvious nuclear pyknosis, and the expression of BDNF protein and TrkB protein were obviously decreased (P < 0.001). Compared with the model group, the neurologic deficit scores of rats in the total alkaloid treatment group were significantly decreased after 7 days (P < 0.05), and the glial scar in the hippocampus was significantly reduced, the activities of SOD and GSH were significantly increased (P < 0.05), and the activities of MDA were significantly decreased (P < 0.05) in each dose group of total alkaloids of coptis chinensis western blotting showed that the expression levels of BDNF and TrkB in the high and middle concentration groups were significantly higher than those in the model group (P < 0.001). Conclusion The protective effect of total alkaloids of rhizoma coptidis on hippocampal neurons can be alleviated by up-regulating the expression of BDNF and its receptor TrkB.