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Table 3. Protective mechanisms of herbal extracts in patients with ASD.

Herbal extract

Mechanisms of action

Expected effects

Ref.

Camellia sinensis

Upregulation of tyrosine hydroxylase and dopamine release in the hippocampus and striatum

Enhancement of learning and memory

[59]

Bacopa monniera

Upregulation of glutamate decarboxylase and enhancement of the GABAA receptor subunit synthesis in multiple brain regions

Reduction in hyperactivity, irritability, disorientation, anxiety, and depression

[60, 61]

Inhibition of acetylcholinesterase and/or activation of choline acetyltransferase in forebrain regions

Enhancement of sociability

[62]

Asparagus racemosus

Inhibition of monoamine oxidase and acetylcholinesterase in the hippocampus and cortex.

Reduction in depression, learning impairments, and memory deficits

[63]

Upregulation of BDNF synthesis and secretion in the hippocampus and frontal cortex

Enhancement of learning, memory, and sociability

[64]

Korean red ginseng

Upregulation of BDNF synthesis and secretion in multiple brain regions, particularly the amygdala and the frontal cortex

Enhancement of learning, memory, sociability, and motivational behavior

[65-67]

Oryza sativa

Upregulation of several hippocampal proteins, particularly the synaptic plasticity and neuronal trafficking markers α-synuclein and β-synuclein

Reinforcement of learning, memory, and adaptive behavior

[68]

Morus alba

Upregulation of GABA release in the whole brain

Reduction in hyperactivity, irritability, and repetitive behavior

[69, 70]

Prangos ferulacea (L.)

Modulation of cholinergic activity and blockade of L-type voltage-gated calcium channel in the gut

Enhancement of gut relaxation, eating behavior, and mood through the gut-brain axis

[71, 72]

Passiflora incarnata

Stimulation of GABAA/benzodiazepine receptor

Reduction in hyperactivity, irritability, disorientation, anxiety, and depression

[73]

Ziziphus talanai (Blanco) Merr.

Preservation of Purkinje cells, granular layer, and molecular layer in the cerebellum

Enhancement of motor coordination and balance

[38]

Ginkgo biloba

Upregulation of dopamine and noradrenaline synthesis and release in the striatal and prefrontal regions

Enhancement of memory, mood, sociability, and motivational behavior

[74]

Clitoria ternatea L.

Down-regulation of acetylcholinesterase activity in the prefrontal cortex and hippocampus

Enhancement of learning, memory, and sociability

[75]