“…Indeed, ischemic stress comprises several different stresses, including hypoxic stress, oxidative stress, and glutamate stress, and each stress activates the multiple apoptotic pathways. Considering the reported ability of berberine to exhibit a variety of pharmacological and biological activities, such as inhibition of inflammatory cytokines and enzymes, [19][20][21][22][23][24][25] scavenging of free radicals, 47) suppression of L-arginine-NO-cGMP pathway, 31,48) and neurotransmitter receptor functions, 30,42) factors and/or mechanisms are also likely involved in the protective action of berberine. Nevertheless, further studies are required to clarify the exact mechanism of the neuroprotective effect of berberine on ischemia-induced brain damage.…”