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<i>Astragalus polysaccharide</i> alleviates neuropathology and cognitive deficits by modulating gut microbiota and neuroinflammation in an Alzheimer's disease model.

Overview

Authors: Xiaoli Cui1, Zhen Wei2, Qingshui Wang3, Sizhe Du1, Zi Lin1, Zibo Chen1, Jie Zhang1, Chao Li1, Lanfang Tang1, Xiaoman Dai4,5, Weidong He1
  1. Department of Geriatric, The People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, China
  2. Department of Neurology, Fuzhou University Affiliated Provincial Hospital, Fujian Provincial Hospital,Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China
  3. The Affiliated People’s Hospital, College of Integrative Medicine, Fujian-Hong Kong-Macau-Taiwan Collaborative Laboratory for the Inheritance and Innovation of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China
  4. Department of Neurology and Geriatrics, Fujian Institute of Geriatrics, Fujian Medical University Union Hospital, Fuzhou, China
  5. Fujian Key Laboratory of Molecular Neurology, Fujian Key Laboratory of Vascular Aging, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, China
Journal: Frontiers in pharmacology, volume 17, article 1830927
Dates: received 15 March 2026; accepted 29 June 2026; published online 17 August 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.3389/fphar.2026.1830927 · PMID 42676794 · PMCID PMC13527023 · OpenAlex W7203633679
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: genetics / omics (modality), histology / microscopy (modality), mouse (organism), Alzheimer's / dementia (population), cellular / molecular (subfield)
Methods: Statistics, Smoothing, state filtering, decompositions
Keywords: Alzheimer’s disease, Astragalus polysaccharides, fecal microbiota transplantation, gut microbiota, microglia, neuroinflammation
Topic: Gut microbiota and health (Molecular Biology, Biochemistry, Genetics and Molecular Biology), according to OpenAlex
Funding: Natural Science Foundation of Fujian Province (No.2022J01849, 2025J01073)
Citations: not cited yet (Europe PMC); 69 references in the paper

Abstract

Background: Emerging evidence indicates that the neuroprotective effects of Astragalus polysaccharides (APS), an extract compound and bioactive constituent derived from traditional Chinese herbs, may be relevant to an effective prescription for delaying progression of Alzheimer’s disease (AD), yet the underlying mechanisms remain to be fully elucidated. This study aimed to investigate the therapeutic efficacy of APS in alleviating cognitive impairment and neuropathology in 5×FAD transgenic mice, with a specific focus on the regulatory role of the gut-brain axis.

Methods: Male 5×FAD mice were orally administered APS (200 mg/kg/day) for 60 days. General observations were conducted to assess the in vivo tolerance of APS. Cognitive function was evaluated using the Morris water maze (MWM). Neuropathological assessments included immunofluorescence and Western blotting for amyloid-β (Aβ) deposition, synaptic proteins, and neuroinflammatory markers. Gut microbiota composition and metabolic profiles were analyzed via 16S rRNA gene sequencing and targeted metabolomics. Furthermore, fecal microbiota transplantation (FMT) was performed to verify the causal contribution of gut microbiota to the observed therapeutic effects.

Results: APS administration was well-tolerated throughout the study period, with no overt toxic effects observed. Moreover, APS administration significantly ameliorated spatial learning and memory deficits in 5×FAD mice. Mechanistically, APS treatment reduced Aβ plaque burden, restored synaptic protein expression (PSD-95 and Syntaxin), and attenuated microglia-mediated neuroinflammation by suppressing pro-inflammatory cytokines (IL-6, TNF-α) and upregulating TREM2. Microbiome analysis revealed that APS reshaped gut microbial diversity and composition, enriching beneficial taxa such as Lactobacillus. Metabolomics indicated a partial restoration of amino acid metabolism. Notably, FMT from APS-treated donors successfully reproduced the cognitive improvements and anti-inflammatory effects in recipient mice.

Conclusion: These findings demonstrate that APS alleviates cognitive deficits and AD-like pathology, partially through remodeling gut microbiota and modulating the gut-brain axis. APS represents a promising natural compound-based therapeutic candidate for managing cognitive decline associated with Alzheimer’s disease.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability statement

The data presented in the study are deposited in the figshare repository, https://doi.org/10.6084/m9.figshare.33032705.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 27 September 2026: the first record

Recorded: type, language, journal, volume, pages, dates, 11 authors, 6 keywords, 1 funder, 69 references.

Cite

This paper

Cui, X., Wei, Z., Wang, Q., Du, S., Lin, Z., Chen, Z., Zhang, J., Li, C., Tang, L., Dai, X., & He, W. (2026). <i>Astragalus polysaccharide</i> alleviates neuropathology and cognitive deficits by modulating gut microbiota and neuroinflammation in an Alzheimer's disease model. Frontiers in pharmacology, 17, 1830927. https://doi.org/10.3389/fphar.2026.1830927

BibTeX

@article{cui2026lt,
author = {Cui, Xiaoli and Wei, Zhen and Wang, Qingshui and Du, Sizhe and Lin, Zi and Chen, Zibo and Zhang, Jie and Li, Chao and Tang, Lanfang and Dai, Xiaoman and He, Weidong},
title = {{\<i\>Astragalus polysaccharide\</i\> alleviates neuropathology and cognitive deficits by modulating gut microbiota and neuroinflammation in an Alzheimer's disease model}},
journal = {Frontiers in pharmacology},
year = {2026},
month = aug,
volume = {17},
pages = {1830927},
publisher = {Frontiers Media SA},
issn = {1663-9812},
doi = {10.3389/fphar.2026.1830927},
url = {https://doi.org/10.3389/fphar.2026.1830927},
pmid = {42676794},
pmcid = {PMC13527023}
}

RIS

TY - JOUR
AU - Cui, Xiaoli
AU - Wei, Zhen
AU - Wang, Qingshui
AU - Du, Sizhe
AU - Lin, Zi
AU - Chen, Zibo
AU - Zhang, Jie
AU - Li, Chao
AU - Tang, Lanfang
AU - Dai, Xiaoman
AU - He, Weidong
TI - <i>Astragalus polysaccharide</i> alleviates neuropathology and cognitive deficits by modulating gut microbiota and neuroinflammation in an Alzheimer's disease model
T2 - Frontiers in pharmacology
J2 - Front Pharmacol
PY - 2026
DA - 2026/08/17
VL - 17
SP - 1830927
SN - 1663-9812
PB - Frontiers Media SA
DO - 10.3389/fphar.2026.1830927
UR - https://doi.org/10.3389/fphar.2026.1830927
LA - en
ER -

CSL-JSON

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