“…In vitro , OGD/R induced mitochondrial fragmentation, mitochondrial enlargement, mitochondrial number reduction, and mitochondrial swelling, which could be alleviated by pretreatment with notoginsenoside R1 ( Zhu et al, 2021 ; Liu et al, 2022 ), hydroxysafflor yellow A ( Huang et al, 2021 ), and calenduloside E ( Li et al, 2022b ). Ginsenoside Rd and piperine pretreatment improved mitochondrial energy metabolism after cerebral I/R injury ( Ye et al, 2011 ; Kaushik et al, 2021 ) whereas notoginsenoside R1 and notoginseng leaf triterpene pretreatment improved mitochondrial energy metabolism after OGD/R injury ( Xie et al, 2020 ; Zhu et al, 2021 ; Liu et al, 2022 ). In vivo ( Ye et al, 2011 ; Mukherjee et al, 2019 ; Zhang et al, 2019 ; Huang et al, 2021 ; Kaushik et al, 2021 ) and in vitro ( Li et al, 2017 ; Wu et al, 2017 ; Zhou et al, 2017 ; Huang et al, 2020 ; Xie et al, 2020 ; Li et al, 2021 ; Huang et al, 2021 ; Li et al, 2022b ; Ni et al, 2022 ; Peng et al, 2022 ) studies have reported that TCM compounds (e.g., piperine, ginsenoside Rd, hydroxysafflor yellow A, β-patchoulene, curcumin, ginsenoside Rb1, artemether, notoginseng leaf triterpenes, ginkgolide k, ginsenoside monomer compound k, tanshinone IIA, artemisinin, and kaempferol) inhibited oxidative stress and mPTP and upregulated MMP levels.…”