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. 2021 Sep 17;17(5):937–947. doi: 10.4103/1673-5374.324829

Additional Table 4.

Summary of various flavonoids on glymphatic/neurological activity and the visual system

Type(s) of flavonoid Exp. Type Model/Species Dosage and Admin. Route Exp. Protocols Main findings Citation
Baicalin in vivo C57BL/6J mice ° 0.5 mL of 10, 30, or 100 mg/kg
° Oral
° Administered once daily for 2 consecutive days post-brain injury ° 30 and 100 kg/mg groups: ↓ Brain inflammation, infarction, and overexpression of AQP4 protein levels post-stroke Lee et al. (2019)
in vivo Sprague-Dawley rats ° 4 mL/kg of 2.5 mg/mL or 12.5 mg/mL
° IP
° SAH induced via endovascular perforation
° Baicalin administered 2 and 12 h post-SAH
↓ EBI, MMP-9, AQP4 levels in both dosages
↑ Nrf2/NQO1/HO-1 antioxidative signaling pathway
↑ BBB integrity improved post-SAH
Zhang et al. (2020)
Pinocembrin in vivo Sprague-Dawley rats ° 3, 10, or 30 mg/kg
° IV
° Cerebral ischemia induced by MCAO
° Injection at 0, 8, 16 h post-MCAO
↓ Cerebral edema
↑ Preservation of ultrastructure of the neurovascular unit
↓ Elevated levels of cytokines, AQP4, MMP-9, and inflammatory mediators
Gao et al. (2010)
Qctn, taxifolin, kaempferol in vitro RGC-5 cells ° 25 μM Qctn
° 100 μM
taxifolin or 15 μM kaempferol
° 30 min post-flavonoid treatment, oxidative stress via GSH depletion (10 mM glutamate + 500 μM BSO), 0.5 mM t-BOOH, or 650 μM H2O2 ° ~85% apoptosis in all 3 oxidative stress methods
° Qctn prevented cell death in all three methods
° Taxifolin prevented cell death in all but H2O2 treatment
° Kaempferol only effective against cell death by GSH depletion
Maher and Hanneken (2005)
Qctn in vivo Wistar rats ° 25 and 50
mg/kg
° Oral
° 6 mon treatment
° Diabetes induced via IP injection of streptozotocin (45 mg/kg)
↓ TNF-α and IL-1β levels post-Qctn, greater in 50 kg/mg dosage
↓ AQP4 overexpression in Müller cell endfeet and caspase-3
Kumar et al. (2014)
in vivo Wistar rats ° 2 μL of 10 μM
° Intravitreal
° Glaucoma model via cauterization of scleral veins OD
° IOP measured before and weekly post-surgery for 4 wk
° Qctn injection once weekly for 4 wk
° RGC function restored to 72% of normal eye
↑ Frequency and amplitude of mIPSCs in Off-type glaucomatous RGCs
↑ Frequency only of GABAergic mIPSCs in On-type RGCs
° Inhibited frequency only of glutamatergic mEPSCs in On-and Off-type RGCs
Zhou et al. (2019)
in vivo Wistar rats ° 2 μL of 10 μM
° Intravitreal
° AC injection of 5 μL paramagnetic polystyrene microbeads to induce COHTN OD
° IOP measured pre-COHTN, 1 and 3 d, end of 1, 2, 3, 4 wk post-COHTN
↓ Loss of RGC function as early as 3 days post-COHTN
↓ RGC apoptosis
Gao et al. (2017)
in vitro Sprague-Dawley rat RGCs ° 1, 10, 20, 50 or 100 μM ° Qctn added for 24, 48, or 72 h
° 200 μM COCl2 to induce hypoxia
↑ RGC survival at 10, 20, 50 μM
° High toxicity at 100 μM
° Optimum level of RGC viability: 20 μM at 48 h
Fisetin in vivo, in vitro DBA/2J, C57BL/6J mice ° 5, 10, 20, or 30
mg/kg
° Visual function assessed via PERG, VEPs, and tonometry
° Immunocytochemistry, ELISA, and Western blot used to determine expression levels of TNF-α, IL-1β, IL-6, NK-κB
↓ IOP
↑ Restoration of RGC function
↑ RGC viability
↓ Retinal microglial activation
↓ Inflammatory cytokine activations by
inhibiting the NF-κB signaling pathway
Li et al. (2019)

AC: Anterior chamber, AQP4: aquaporin-4, BBB: blood brain barrier, BSO: buthionine sulfoximine, COHTN: chronic ocular hypertension, EBI: early brain injury, ELISA: enzyme-linked immunosorbent assay, GSH: glutathione, IL: interleukin, IOP: intraocular pressure, IP: intraperitoneal, IV: intravenous, MCAO: middle cerebral artery occlusion, mEPSC: miniature excitatory postsynaptic currents, mIPSC: miniature inhibitory postsynaptic currents, MMP-9: matrix metalloproteinase-9, NF-κB: nuclear factor kappa-light-chain-enhancer of activated B cells, OD: oculus dexter, PERG: pattern electroretinogram, Qctn: quercetin, RGC: retinal ganglion cells, SAH: subarachnoid hemorrhage, t-BOOH: t-butyl peroxide, TNF-α: tumor necrosis factor alpha, VEP: visual evoked potentials.