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] |