Epimedii Folium and Curculiginis Rhizoma ameliorate age-related cognitive decline and neuroinflammation through modulation of the NLRP3 inflammasome.

Ethnopharmacological Relevance: Age-related cognitive decline and neuroinflammation are significant contributors to neurodegenerative diseases. In Traditional Chinese Medicine, aging is often associated with "kidney deficiency," a concept linked to impaired bone marrow production and brain function. Epimedii Folium and Curculiginis Rhizoma (XY), a classic herbal pair used to tonify the kidney, are traditionally employed to enhance vitality, bone health, and cognitive function. While previous studies suggest XY's efficacy in pathological models, its impact on natural aging process requires further investigation.

Aim Of The Study: This study aimed to investigate the neuroprotective effects of XY against cognitive impairment and neuroinflammation in naturally aged mice and to explore the underlying mechanisms.

Materials And Methods: Network pharmacology was used to identify potential targets and pathways, while molecular docking assessed the binding interactions between active compounds from XY and key target proteins. Naturally aged mice were orally treated with XY (2.34, 4.68 g/kg/day) for 26 days. Cognitive function was assessed using behavioral tests. Histological analysis, ELISA, real-time PCR, and Western blotting were employed to evaluate hippocampal neuronal damage, inflammatory markers, senescence-related proteins, and NLRP3 inflammasome components.

Results: Network pharmacology identified key targets and pathways associated with aging and neuroinflammation. Molecular docking confirmed strong binding affinities between active components (e.g., Icariin, Epimedin B, Epimedin C) and relevant protein targets. In vivo, XY treatment significantly improved cognitive performance, ameliorated hippocampal neuronal damage, and suppressed microglial activation in aged mice. Furthermore, XY downregulated the expression of senescence markers (p53, p21, p16, CDK6), pro-inflammatory cytokines (IL-1β, TNF-α, IL-6, IFN-γ), factors associated with the senescence-associated secretory phenotype (SASP), and key components indicative of NLRP3 inflammasome activation (ASC, Caspase-1, IL-1β).

Conclusions: XY alleviates age-related cognitive decline and neuroinflammation in naturally aged mice. These beneficial effects are mediated, at least in part, by reducing inflammatory mediators, modulating microglial activation, attenuating cellular senescence pathways, and suppressing NLRP3 inflammasome activity. These findings highlight the therapeutic potential of XY for managing age-related cognitive impairment and associated neuroinflammation.