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ArticleChinese journal of integrative medicine2026

Mechanisms of Tianma Gouteng Yin in Treating Hypertension-Associated Vascular Cognitive Impairment: Insights from Experiments, Network Pharmacology, and Molecular Docking.

Na-Chuan Li, Ya-Wei Du, Hong-Xiao Zhang, Fan-Ying Zhao, Liu-Feng Yi, Xiang-Zhao Wang, Zi-Wang Liu

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Article in Chinese journal of integrative medicine, 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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5 · Who and what money

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7 authors.

Na-Chuan LiDepartment of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.
Ya-Wei DuDepartment of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.
Hong-Xiao ZhangDepartment of Neurology, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100029, China.
Fan-Ying ZhaoDepartment of Neurology, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100029, China.
Liu-Feng YiDepartment of Gastroenterology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.
Xiang-Zhao WangDepartment of Neurology, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, 100029, China.
Zi-Wang LiuDepartment of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China. liuziw@163.com.

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6 · The paper itself

Abstract

objectiveTo evaluate active components of Tianma Gouteng Yin (TMGTY) and its mechanisms in treating hypertension-associated vascular cognitive impairment (VCI).

methodsNetwork pharmacology and molecular docking were used to identify major active ingredients and potential targets of TMGTY in treating hypertension-associated VCI. An in vivo model was established using spontaneously hypertensive rats subjected to unilateral common carotid artery occlusion and a high-salt diet. Rats were randomly divided into 7 groups by a simple randomization method: control, model, sham, low-, medium-, and high-dose TMGTY, and nimodipine groups (n=6). After 28 days of oral administration, blood pressure, behavioral studies, pathological staining, and molecular mechanisms were assessed via tail artery blood pressure monitoring, the morris water maze test, HE staining, immunofluorescence staining, ELISA, and Western blotting.

resultsNetwork analysis identified quercetin, kaempferol, beta-sitosterol, and stigmasterol as key ingredients. Pathway enrichment analysis identified the NF-κB signaling pathway as a key pathway through which TMGTY antagonizes the development of hypertension combined with VCI. Core targets included glyceraldehyde-3-phosphate dehydrogenase (GAPDH), interleukin 6 (IL-6), insulin (INS), tumor necrosis factor (TNF), and tumor protein p53 (TP53), and molecular docking confirmed stable binding to TNF and INS. In vivo experiments demonstrated that TMGTY significantly enhanced cognitive performance and reduced blood pressure. Furthermore, it lowered the levels of pro-inflammatory factors (IL-1β, IL-6, TNF-α, Ang-II) and malondialdehyde (MDA), while elevating superoxide dismutase (SOD) expression (P<0.05 or P<0.01). Immunofluorescence staining further revealed that TMGTY treatment reduced the number of Iba1- and CD16-labeled microglia in the hippocampal CA1 region, thereby alleviating neuroinflammation. Additionally, TMGTY inhibited the expression levels of p-NF-κB p65/NF-κB p65 proteins and attenuated neuroinflammation.

conclusionTMGTY exerts multi-component, multi-target effects on hypertension-associated VCI, mitigating neuroinflammation and oxidative stress via modulation of NF-κB signaling pathway.

Indexed as

Cognitive DysfunctionDrugs, Chinese HerbalHypertensionMolecular Docking SimulationNetwork PharmacologyAnimalsBlood PressureMaleNF-kappa BOxidative StressRatsRats, Inbred SHRSignal TransductionDrugs, Chinese HerbalNF-kappa Btianma goutengChinese medicineexperimental validationhypertensionmolecular dockingnetwork pharmacologyneuroinflammationTianma Gouteng Yinvascular cognitive impairment

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.