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Fisetin in Alzheimer’s: Single-Cell Study Merges Genomics and TCM

2025-04-23

Study Overview: Bridging Innovation

A research team from Guangxi Medical University, led by Dr. Zou Donghua, published groundbreaking findings in Phytomedicine. Using single-nucleus RNA sequencing (snRNA-seq) and network pharmacology, they identified fisetin—a flavonoid found in strawberries and apples—as a potent inhibitor of neuroinflammation in Alzheimer’s Disease (AD). This interdisciplinary approach combines cutting-edge genomics with traditional Chinese medicine (TCM), offering new hope for AD treatment.

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Alzheimer’s Challenge: Beyond Current Therapies

AD, a progressive neurodegenerative disorder, affects memory and cognition through amyloid-beta plaques, tau tangles, and chronic brain inflammation. Existing drugs, focused on symptom management, face limitations like toxicity and resistance. The study highlights TCM’s potential for multi-target interventions, targeting AD’s complex pathology holistically.

Methodology: Precision Meets Tradition

  1. Single-Cell Mapping:
    snRNA-seq analyzed brain cells from AD patients versus healthy individuals, identifying disease-specific subpopulations:

    • TNC⁺ CD44⁺ astrocytes driving inflammation via the IKK/NF-κB pathway.
    • Microglia acting as double-edged swords (clearing debris vs. worsening inflammation).
  2. Network Pharmacology:
    Screening TCM databases (e.g., TCMSP) pinpointed fisetin as a top candidate. Molecular docking confirmed its binding to CD44, a protein pivotal in astrocyte-mediated neuroinflammation.

Key Findings: Fisetin’s Multi-Target Action

  • Anti-Inflammatory Effects: Suppressed NF-κB signaling, reducing cytokines like IL-6 and TNF-α.
  • Neuroprotection: Mitigated synaptic damage and oxidative stress in neuronal models.
  • Holistic Targeting: Addressed multiple AD pathways—inflammation, protein aggregation, and cell survival.

Implications for Modern Medicine

This study bridges TCM’s holistic philosophy with precision medicine:

  • snRNA-seq offers a cellular "map" for personalized therapies.
  • Fisetin exemplifies TCM’s potential in multi-target drug discovery.

Next Steps: Validate fisetin in animal models and optimize brain delivery methods.