Abstract:Objective To investigate the effects of Wushen Xingnao Decoction on behavior and endoplasmic reticulum stress PERK/ATF4 pathway in rat models with Parkinson's disease.Methods Forty-eight rats were divided into control group, model group, low-dose group and the high-dose group, with twelve rats in each group. Except for the control group, the other three groups were injected with 0.2% 6-hydroxydopamine (6-OHDA) into the striatum to establish the models of Parkinson's disease. Three days after the model establishment, Wushen Xingnao Decoction was continuously administered by gavage for twenty-one days in the low-dose group (5.4 g/kg) and the high-dose group (10.8 g/kg). Following the administration, the behavioral performance of rats in each group was observed via rotation test and open field test. The histopathological changes of the rat striatum were observed by H&E staining. The relative mRNA and protein expressions of PERK, ATF4, CHOP and Bax were detected by quantitative real-time polymerase chain reaction (qRT-PCR) and Western blotting, respectively.Results The rotational speed and horizontal movement speed of rats were lower in the model group than those in the control group (P < 0.05). Compared with the model group, the rotational speed of rats was decreased and the horizontal movement speed was increased in low-dose group and high-dose group (P < 0.05). The rotational speed of rats was decreased and the horizontal movement speed was increased in the high-dose group relative to those in the low-dose group (P < 0.05). The morphology of striatal dopaminergic neurons was normal and the number of striatal dopaminergic neurons was high in the control group as revealed via H&E staining. In the model group, the number of dopaminergic neurons in the striatum was low, and they were severely damaged and were mostly angular in shape. In contrast, the number of dopaminergic neurons in the striatum of rats was relatively high and the neurons were well-defined in low-dose group and high-dose group. Compared with the control group, the mRNA and protein expression levels of PERK, ATF4, CHOP and Bax in the striatum of rats were higher in the model group (P < 0.05). The mRNA and protein expression levels of PERK, ATF4, CHOP and Bax in the striatum of rats in the low-dose group and high-dose group were lower than those in the model group (P < 0.05), while they were even lower in the high-dose group than those in the low-dose group (P < 0.05).Conclusions Wushen Xingnao Decoction can improve the motor function of rat models of Parkinson's disease and repair the damaged dopaminergic neurons, which may be related to the inhibition of endoplasmic reticulum stress PERK/ATF4 pathway.