Phytochemical Screening, Molecular Mechanisms and Cognitive Enhancing Potential of Salvia officinalis (Sage) Extracts in Alzheimer's Disease: A Comprehensive In Vivo Analysis of Neuroprotective Pathways

Authors

  • Badmanaban. R
  • Anish Menon
  • Anil Kumar
  • Rakh L. B
  • Ayesha Aktar Khanam Choudhury
  • Jeevan Suresh Dhumal
  • Nilutpal Hazarika
  • Tanmay Sarma
  • Uriti Sri Venkatesh

DOI:

https://doi.org/10.52783/jns.v14.2519

Keywords:

Alzheimer’s disease, Salvia officinalis, neuroprotection, cognitive enhancement, oxidative stress, cholinergic modulation, amyloid-beta, tau protein, phytochemicals

Abstract

Background: Alzheimer’s disease (AD) is a progressive neurodegenerative disorder characterized by amyloid-beta (Aβ) accumulation, tau protein hyperphosphorylation, oxidative stress, and neuroinflammation. Current pharmacological treatments provide symptomatic relief but do not halt disease progression. Salvia officinalis (sage), a medicinal herb, has demonstrated cognitive-enhancing and neuroprotective effects in preclinical studies. This study investigates the phytochemical composition, molecular mechanisms, and cognitive effects of Salvia officinalis extracts in an AD model.

Methods:

  • Phytochemical screening: High-performance liquid chromatography (HPLC) and gas chromatography-mass spectrometry (GC-MS) were used to analyze flavonoids, phenolics, and volatile compounds.
  • In vivo study: Rodent AD models were treated with sage extract at different doses. Behavioral tests, including the Morris Water Maze (MWM), Novel Object Recognition (NOR), and Y-maze, were conducted.
  • Biochemical and molecular analysis: Oxidative stress markers (MDA, SOD, CAT, GSH), neuroinflammatory cytokines (TNF-α, IL-6, IL-1β), cholinergic function (AChE inhibition), and BDNF/CREB signaling were evaluated using ELISA, qRT-PCR, and Western blot.
  • Histopathological assessment: Hematoxylin and eosin (H&E) staining and immunohistochemistry were performed to assess neuronal integrity, Aβ deposition, and tau phosphorylation.

Results:

  • Phytochemical analysis confirmed the presence of rosmarinic acid, carnosic acid, and essential terpenoids, known for their neuroprotective properties.
  • Sage-treated AD models exhibited improved cognitive function, with significantly better performance in MWM and NOR tests compared to untreated AD models (p < 0.05).
  • Oxidative stress markers were significantly reduced, while antioxidant enzyme activity was elevated (p < 0.01).

 

  • AChE inhibition and upregulation of BDNF and CREB suggest that sage extract enhances cholinergic neurotransmission and neuroplasticity.
  • Histopathological analysis revealed reduced Aβ plaque deposition and tau phosphorylation, indicating potential disease-modifying effects.

Conclusion: The study provides compelling evidence that Salvia officinalis exhibits neuroprotective, antioxidant, and anti-inflammatory properties in an AD model. The observed cognitive improvements and biochemical changes suggest that sage extract could serve as a potential therapeutic agent for AD management. Further clinical trials are necessary to validate its efficacy and safety in humans.

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Published

2025-03-24

How to Cite

1.
R B, Menon A, Kumar A, L. B R, Khanam Choudhury AA, Dhumal JS, Hazarika N, Sarma T, Venkatesh US. Phytochemical Screening, Molecular Mechanisms and Cognitive Enhancing Potential of Salvia officinalis (Sage) Extracts in Alzheimer’s Disease: A Comprehensive In Vivo Analysis of Neuroprotective Pathways. J Neonatal Surg [Internet]. 2025Mar.24 [cited 2025Sep.19];14(8S):202-20. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/2519

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