{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T06:52:49Z","timestamp":1781679169768,"version":"3.54.5"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008047","name":"Hebei University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008047","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003787","name":"Natural Science Foundation of Hebei Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003787","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Aging Neurosci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Alzheimer\u2019s disease (AD) poses a significant threat to human health, and with the number of patients increasing annually, developing effective prevention and treatment strategies has become an urgent priority. Early intervention is a viable strategy for treating AD, as biomarker changes associated with\n                      <jats:italic>\u03b2<\/jats:italic>\n                      -amyloid (A\u03b2) can emerge 20 or more years before cognitive impairment becomes apparent. Traditional Chinese medicine (TCM) offers a potential avenue for treatment at this early stage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study investigated the potential therapeutic effects of the Yin Huang Ge compound on cognitive function in a mouse model of AD and evaluated its efficacy in mitigating A\u03b2 accumulation, a key pathological feature of AD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      APP\/PS1 mice were randomly assigned to the following groups: Controls (C57BL\/6\u202fJ mice) group, the Model group, YHG group, and donepezil (DNP) group. The YHG group and the DNP group were administered their respective drugs through gastric gavage, whereas the normal group and the Model group were supplied with saline. Administration sustained for a period of 30 consecutive days. We assessed mouse learning, memory, and spatial cognition using the Morris water maze, novel object recognition, Y-maze spontaneous alternation, and novel arm tests. Western blotting quantified the protein levels of\n                      <jats:italic>\u03b2<\/jats:italic>\n                      -amyloid 1\u201342 (A\u03b2\n                      <jats:sub>1-42<\/jats:sub>\n                      ), insulin-degrading enzyme (IDE), neprilysin (NEP), matrix metalloproteinase-2 (MMP-2), and matrix metalloproteinase-9 (MMP-9). ELISA measured IDE and NEP enzymatic activity, while immunohistochemistry evaluated the expression of brain-derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In contrast to the Control group, mice in the Model group exhibited significant impairments in learning, memory, and spatial cognition. The protein expression levels of A\u03b2\n                      <jats:sub>1-42<\/jats:sub>\n                      , MMP-2, and MMP-9 were markedly elevated (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01), whereas the expression of IDE and NEP was significantly reduced (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). ELISA analysis further revealed a substantial decrease in IDE and NEP activity (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). A concomitant reduction in the expression of NT-3 and BDNF was also observed (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). Compared to the Model group, mice treated with YHG or DNP exhibited significantly improved learning, memory, and spatial cognition. The protein expression of A\u03b2\n                      <jats:sub>1-42<\/jats:sub>\n                      , MMP-2, and MMP-9 was reduced (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01), whereas the expression of IDE and NEP was elevated (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). ELISA results confirmed the increased activity of IDE and NEP (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). These assays also revealed a marked upregulation in the expression of NT-3 and BDNF (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The YHG compound reduces cerebral A\u03b2 deposition via a bidirectional regulatory mechanism, upregulating IDE and NEP to promote clearance while downregulating MMP-2 and MMP-9 to mitigate associated damage. It also elevates the expression of the neurotrophic factors BDNF and NT-3, which enhances endogenous neuroprotection and ameliorates core Alzheimer\u2019s disease pathology. Consequently, this treatment markedly improves cognitive function in APP\/PS1 mice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnagi.2026.1821074","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:55:46Z","timestamp":1781675746000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining of the mechanism by which Yin Huang Ge compound alleviates cognitive dysfunction in Alzheimer\u2019s disease mice through modulation of A\u03b2 degrading enzymes and neurotrophic factors"],"prefix":"10.3389","volume":"18","author":[{"given":"Yaxuan","family":"Hao","sequence":"first","affiliation":[{"name":"Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Hebei University of Chinese Medicine","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoyue","family":"Yang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Hebei University of Chinese Medicine","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianmin","family":"Zhong","sequence":"additional","affiliation":[{"name":"Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Hebei University of Chinese Medicine","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Hebei University of Chinese Medicine","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoping","family":"He","sequence":"additional","affiliation":[{"name":"Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Hebei University of Chinese Medicine","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhui","family":"Dong","sequence":"additional","affiliation":[{"name":"Key Laboratory of Traditional Chinese Medicine for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Hebei University of Chinese Medicine","place":["Shijiazhuang, Hebei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"113293","DOI":"10.1016\/j.phytochem.2022.113293","article-title":"Astragalus species: Phytochemistry, biological actions and molecular mechanisms underlying their potential neuroprotective effects on neurological diseases","volume":"202","author":"Abd Elrahim Abd Elkader","year":"2022","journal-title":"Phytochemistry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"742408","DOI":"10.3389\/fnagi.2022.742408","article-title":"Alzheimer's disease: An update and insights into pathophysiology","volume":"14","author":"Abubakar","year":"2022","journal-title":"Front. Aging Neurosci."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s13041-024-01118-1","article-title":"The duality of amyloid-\u03b2: its role in normal and Alzheimer's disease states","volume":"17","author":"Azargoonjahromi","year":"2024","journal-title":"Mol. Brain"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"6527","DOI":"10.3390\/ijms23126827","article-title":"Recent advances on the role of brain-derived neurotrophic factor (BDNF) in neurodegenerative diseases","volume":"23","author":"Azman","year":"2022","journal-title":"Int. J. Mol. Sci."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3389\/fnagi.2010.00008","article-title":"Intracellular accumulation of amyloid-Beta - a predictor for synaptic dysfunction and neuron loss in Alzheimer's disease","volume":"2","author":"Bayer","year":"2010","journal-title":"Front. Aging Neurosci."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1186\/s13024-018-0299-8","article-title":"Advances in developing novel therapeutic strategies for Alzheimer's disease","volume":"13","author":"Cao","year":"2018","journal-title":"Mol. Neurodegener."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1007\/s12035-012-8251-3","article-title":"A\u03b2 toxicity in Alzheimer's disease","volume":"45","author":"Cavallucci","year":"2012","journal-title":"Mol. Neurobiol."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e1534","DOI":"10.1016\/s2214-109x(24)00264-x","article-title":"The global macroeconomic burden of Alzheimer's disease and other dementias: estimates and projections for 152 countries or territories","volume":"12","author":"Chen","year":"2024","journal-title":"Lancet Glob. Health"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e36157","DOI":"10.1097\/md.0000000000036157","article-title":"Effects of oxidative stress regulation in inflammation-associated gastric cancer progression treated using traditional Chinese medicines: a review","volume":"102","author":"Chen","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"139359","DOI":"10.1016\/j.ijbiomac.2024.139359","article-title":"Recombinant neurotrophin-3 with the ability to penetrate the blood-brain barrier: a new strategy against Alzheimer's disease","volume":"293","author":"Ding","year":"2025","journal-title":"Int. J. Biol. Macromol."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1319","DOI":"10.3892\/etm.2015.2234","article-title":"Neuroprotective effect of the active components of three Chinese herbs on brain iron load in a mouse model of Alzheimer's disease","volume":"9","author":"Dong","year":"2015","journal-title":"Exp. Ther. Med."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1042\/bst20051101","article-title":"Abeta-degrading enzymes: modulators of Alzheimer's disease pathogenesis and targets for therapeutic intervention","volume":"33","author":"Eckman","year":"2005","journal-title":"Biochem. Soc. Trans."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"8501693","DOI":"10.1155\/2016\/8501693","article-title":"Current research therapeutic strategies for Alzheimer's disease treatment","volume":"2016","author":"Folch","year":"2016","journal-title":"Neural Plast."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"937133","DOI":"10.3389\/fnmol.2022.937133","article-title":"Neuronal cell death mechanisms in Alzheimer's disease: An insight","volume":"15","author":"Goel","year":"2022","journal-title":"Front. Mol. Neurosci."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e70131","DOI":"10.1002\/prp2.70131","article-title":"Multi-target drug Design in Alzheimer's disease treatment: emerging technologies, advantages, challenges, and limitations","volume":"13","author":"Hossain","year":"2025","journal-title":"Pharmacol. Res. Perspect."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1146\/annurev.neuro.24.1.677","article-title":"Neurotrophins: roles in neuronal development and function","volume":"24","author":"Huang","year":"2001","journal-title":"Annu. Rev. Neurosci."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.ejphar.2018.10.006","article-title":"An outline for the pharmacological effect of icariin in the nervous system","volume":"842","author":"Jin","year":"2019","journal-title":"Eur. J. Pharmacol."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.arr.2005.06.002","article-title":"Age-related neuropathology, cognitive decline, and Alzheimer's disease","volume":"5","author":"Keller","year":"2006","journal-title":"Ageing Res. Rev."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3950","DOI":"10.1039\/d4md00660g","article-title":"Pathogenesis of Alzheimer's disease and therapeutic strategies involving traditional Chinese medicine","volume":"15","author":"Li","year":"2024","journal-title":"RSC Med. Chem."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"3617","DOI":"10.1007\/s12035-022-02809-3","article-title":"Tau toxicity in neurodegeneration","volume":"59","author":"Liang","year":"2022","journal-title":"Mol. Neurobiol."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e41694","DOI":"10.1097\/md.0000000000041694","article-title":"Traditional Chinese medicine as a viable option for managing vascular cognitive impairment: a ray of hope","volume":"104","author":"Liu","year":"2025","journal-title":"Medicine (Baltimore)"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1007\/s11655-025-4009-4","article-title":"Natural anti-aging herb: role and potential of Astragalus membranaceus","volume":"31","author":"Ma","year":"2025","journal-title":"Chin. J. Integr. Med."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"131","DOI":"10.3390\/cells12010131","article-title":"Pharmacotherapy evolution in Alzheimer's disease: current framework and relevant directions","volume":"12","author":"Miculas","year":"2022","journal-title":"Cells"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1124\/jpet.109.154724","article-title":"Matrix metalloprotease-9 inhibition improves amyloid beta-mediated cognitive impairment and neurotoxicity in mice","volume":"331","author":"Mizoguchi","year":"2009","journal-title":"J. Pharmacol. Exp. Ther."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.4103\/1673-5374.141791","article-title":"Neuroprotective effects of Buyang Huanwu decoction on cerebral ischemia-induced neuronal damage","volume":"9","author":"Mu","year":"2014","journal-title":"Neural Regen. Res."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"212","DOI":"10.2174\/156720508783954785","article-title":"Amyloid-degrading enzymes as therapeutic targets in Alzheimer's disease","volume":"5","author":"Nalivaeva","year":"2008","journal-title":"Curr. Alzheimer Res."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"7185","DOI":"10.1007\/s00018-021-03954-z","article-title":"Amyloid \u03b2 structural polymorphism, associated toxicity and therapeutic strategies","volume":"78","author":"Oren","year":"2021","journal-title":"Cell. Mol. Life Sci."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"5650","DOI":"10.1074\/jbc.M111.264473","article-title":"Structural basis for increased toxicity of pathological a\u03b242:a\u03b240 ratios in Alzheimer disease","volume":"287","author":"Pauwels","year":"2012","journal-title":"J. Biol. Chem."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1962","DOI":"10.3390\/molecules22101692","article-title":"\u0392-Amyloid and the Pathomechanisms of Alzheimer's disease: a comprehensive view","volume":"22","author":"Penke","year":"2017","journal-title":"Molecules"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1007\/s40120-022-00338-8","article-title":"Alzheimer's disease: epidemiology and clinical progression","volume":"11","author":"Tahami Monfared","year":"2022","journal-title":"Neurol. Ther."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"921794","DOI":"10.3389\/fphar.2022.921794","article-title":"Research progress in traditional Chinese medicine in the treatment of Alzheimer's disease and related dementias","volume":"13","author":"Tan","year":"2022","journal-title":"Front. Pharmacol."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"a006148","DOI":"10.1101\/cshperspect.a006148","article-title":"The clinical problem of symptomatic Alzheimer disease and mild cognitive impairment","volume":"2","author":"Tarawneh","year":"2012","journal-title":"Cold Spring Harb. Perspect. Med."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"695479","DOI":"10.3389\/fncel.2021.695479","article-title":"Relationship between amyloid-\u03b2 deposition and blood-brain barrier dysfunction in Alzheimer's disease","volume":"15","author":"Wang","year":"2021","journal-title":"Front. Cell. Neurosci."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"58406","DOI":"10.1155\/jbb\/2006\/58406","article-title":"beta-amyloid degradation and Alzheimer's disease","volume":"2006","author":"Wang","year":"2006","journal-title":"J. Biomed. Biotechnol."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"41","DOI":"10.2147\/dnnd.S475290","article-title":"Based on the dual pathway of interaction-mediated NF-\u03baB in cell apoptosis and immune inflammation to study the effect of Danzhi Xiaoyao powder on the learning and cognitive ability of AD model rats","volume":"15","author":"Wang","year":"2025","journal-title":"Degener. Neurol. Neuromuscul. Dis."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1049\/syb2.12100","article-title":"Mechanism of action of \"Cistanche deserticola-Polygala\" in treating Alzheimer's disease based on network pharmacology methods and molecular docking analysis","volume":"18","author":"Wang","year":"2024","journal-title":"IET Syst. Biol."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1068","DOI":"10.1007\/s11064-021-03235-y","article-title":"The effect of TCM-induced HAMP on key enzymes in the hydrolysis of AD model cells","volume":"46","author":"Xian-Hui","year":"2021","journal-title":"Neurochem. Res."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"6611","DOI":"10.3390\/jcm14186611","article-title":"Vascular dementia: from pathophysiology to therapeutic Frontiers","volume":"14","author":"Yang","year":"2025","journal-title":"J. Clin. Med."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"11186","DOI":"10.18632\/aging.102522","article-title":"Active compounds of herbs ameliorate impaired cognition in APP\/PS1 mouse model of Alzheimer's disease","volume":"11","author":"Yu","year":"2019","journal-title":"Aging (Albany NY)"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"105705","DOI":"10.1016\/j.neuint.2024.105705","article-title":"Icariin, astragaloside a and puerarin mixture attenuates cognitive impairment in APP\/PS1 mice via inhibition of ferroptosis-lipid peroxidation","volume":"175","author":"Zhang","year":"2024","journal-title":"Neurochem. Int."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"2","DOI":"10.31083\/j.jin2201002","article-title":"A review of the pathogenesis and Chinese medicine intervention of Alzheimer's disease","volume":"22","author":"Zhao","year":"2022","journal-title":"J. Integr. Neurosci."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"e21226","DOI":"10.1016\/j.heliyon.2023.e21226","article-title":"A literature review on Epimedium, a medicinal plant with promising slow aging properties","volume":"9","author":"Zhuang","year":"2023","journal-title":"Heliyon"}],"container-title":["Frontiers in Aging Neuroscience"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2026.1821074\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:55:47Z","timestamp":1781675747000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2026.1821074\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":42,"alternative-id":["10.3389\/fnagi.2026.1821074"],"URL":"https:\/\/doi.org\/10.3389\/fnagi.2026.1821074","relation":{},"ISSN":["1663-4365"],"issn-type":[{"value":"1663-4365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,17]]},"article-number":"1821074"}}