# Astragaloside IV is a potential natural neuroprotective agent for stroke: a review

**Authors:** Qiao-Li Zhang, Wen-Xiu Qin, Xiu-Juan Li, Yun-Bo Zhang, Ming Li, Jun-Feng Xu, Zhong-Nan Mao

PMC · DOI: 10.3389/fphar.2025.1718700 · Frontiers in Pharmacology · 2026-01-21

## TL;DR

Astragaloside IV, a compound from a plant, shows promise as a natural treatment to protect the brain after a stroke.

## Contribution

This paper reviews the potential of Astragaloside IV as a neuroprotective agent for stroke treatment.

## Key findings

- Astragaloside IV has anti-inflammatory, anti-fibrotic, and antioxidative properties.
- AS-IV shows therapeutic efficacy in stroke models and synergizes with other plant metabolites.
- The compound is a promising candidate for adjuvant stroke therapy.

## Abstract

Stroke poses a severe threat to human health, with limited therapeutic options currently available. Astragaloside IV (AS-IV), a primary bioactive metabolite derived from Astragalus membranaceus, exhibits multifaceted pharmacological effects, including anti-inflammatory, anti-fibrotic, and antioxidative properties. This review systematically examines recent advances in AS-IV research for stroke treatment, detailing its sources, physicochemical characteristics, mechanisms of action, and therapeutic efficacy in both in vitro and in vivo models. We critically analyze the potential of AS-IV as an adjunctive therapy for stroke, addressing current research hotspots, challenges, and emerging strategies. Notably, AS-IV synergistically enhances neuroprotection when combined with other plant-derived metabolites. This work provides a theoretical foundation for further development of AS-IV in stroke management. In summary, AS-IV demonstrates significant promise as a natural neuroprotective agent worthy of continued exploration for adjuvant stroke therapy.

## Linked entities

- **Chemicals:** Astragaloside IV (PubChem CID 158694), AS-IV (PubChem CID 168314659)
- **Diseases:** stroke (MONDO:0005098)
- **Species:** Astragalus membranaceus (taxon 649199)

## Full-text entities

- **Diseases:** Stroke (MESH:D020521), inflammatory (MESH:D007249)
- **Chemicals:** AS-IV (MESH:C052064)
- **Species:** Astragalus membranaceus (species) [taxon 649199], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

158 references — full list in the complete paper: https://tomesphere.com/paper/PMC12868170/full.md

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Source: https://tomesphere.com/paper/PMC12868170