Abstract
   Abelmoschus esculentus Linn. (okra, F. Malvaceae) is a fruit widely
   consumed all over the world. In our study, the anti-Alzheimer’s
   potential of A. esculentus was evaluated. An in vitro DPPH free radical
   assay on A. esculentus seed’s total extract and AChE inhibition
   potential screening indicated a significant anti-Alzheimer’s activity
   of the extract, which was confirmed through an in vivo study in an
   aluminum-intoxicated rat model. Additionally, in vivo results
   demonstrated significant improvement in Alzheimer’s rats, which was
   confirmed by improving T-maze, beam balance tests, lower serum levels
   of AChE, norepinephrine, glycated end products, IL-6, and MDA. The
   levels of dopamine, BDNF, GSH, and TAC returned to normal values during
   the study. Moreover, histological investigations of brain tissue
   revealed that the destruction in collagen fiber nearly returns back to
   the normal pattern. Metabolomic analysis of the ethanolic extract of A.
   esculentus seeds via LC–HR-ESI-MS dereplicated ten compounds. A network
   pharmacology study displayed the relation between identified compounds
   and 136 genes, among which 84 genes related to Alzheimer’s disorders,
   and focused on AChE, APP, BACE1, MAPT and TNF genes with interactions
   to all Alzheimer’s disorders. Consequently, the results revealed in our
   study grant potential dietary elements for the management of
   Alzheimer’s disorders.
   Keywords: Alzheimer’s, acetyl choline, BDNF, seeds, pharmacological
   network, okra
1. Introduction
   Continuous damage of neuronal construction or performance are the main
   features of neurodegenerative diseases [[48]1]. Additionally, they act
   as a chief socioeconomic burden all over the world. The possibility of
   obtaining a neurodegenerative disorder rises significantly as age
   increase [[49]1]. Accordingly, with an aging population, the number of
   affected people has increased even further, demanding the innovation of
   therapeutic approaches able to decrease or inhibit neurodegenerative
   illnesses. In the same context, Alzheimer’s disorder (AD) is a
   neurodegenerative illness which is characterized by damage in brain
   neurons, especially in those responsible for memory, language, and
   thinking. Additionally, numerous neurons are destroyed and more brain
   parts are influenced, which negatively affects the patient’s life
   [[50]2]. According to the 2022 report of the World Health Organization,
   55 million people were affected by AD up until 2019, which is assumed
   to increase to 139 million by 2050 [[51]3]. Currently, different drugs
   with different targets for AD treatment are available on the market,
   such as donepezil hydrochloride, which is an acetylcholinesterase
   (AChE) inhibitor mostly utilized for Alzheimer’s disorder treatment.
   Donepezil is FDA-permitted in patients at different stages of
   Alzheimer’s disorders. Until now, there has been no proof that
   donepezil changes the disease’s progression. However, it affects
   various symptoms by cognition and/or behavior improvement. Moreover, it
   has different off-label uses. This study will point out the possible
   mechanism of action, the adverse event outline, the pharmacology, the
   monitoring, and relevant donepezil interactions, significant for
   members of the interprofessional side for the treatment of patients
   with Alzheimer’s disorders. The most frequent adverse effects of the
   drug are gastrointestinal disorders as nausea, diarrhea, and vomiting.
   Additional common adverse effects comprise insomnia, muscle cramps,
   weakness, and anorexia, which are more frequent at higher doses.
   However, most patients suffer from theses adverse effects in minor and
   transient form, persisting up to three weeks and mostly getting
   resolved with continual use [[52]4].
   On the other hand, neuronal survival and growth mainly depend on
   neurotrophins, such as brain-derived neurotrophic factor (BDNF). The
   signaling pathway presented by BDNF and its receptor are the main
   synaptic plasticity regulators, which contributes an essential function
   in learning and memory processes [[53]1]. Additionally, BDNF attracts
   more attention for the innovation of medicines to cure neurological
   diseases [[54]1,[55]5]. Moreover, several inflammatory mediators have
   been included in AD, such as tumor necrosis factor-α (TNF-α) as well as
   interleukin-6 (IL-6) [[56]6]. Different studies showed that TNF-α
   provokes diminishing in memory as well as peripheral glucose
   intolerance by disordering insulin signaling and eliciting cellular
   stress cascades in AD mouse models [[57]7]. During the initial-phase
   amyloid plaque construction in AD brains, IL-6 was recognized as a
   major factor in tau phosphorylation, synapse loss, and learning
   disorders in mice [[58]7]. Regardless of various arguments in the
   literature, earlier meta-analyses revealed that the IL-6 levels are
   raised in both cerebrospinal fluid (CSF) and mild cognitive impairment
   (MCI) plasma and in patients with AD in comparison to control persons
   [[59]7]. However, this hints at an involvement of IL-6 in AD disorders,
   and a fundamental association between IL-6, cognitive impairments, and
   peripheral metabolic disorganization in AD continues to be recognized.
   Additionally, amyloid precursor protein (APP) is affected by β- and
   γ-secretase to generate amyloid β peptide (Aβ), which disperses in
   neuronal cells in the form of an amyloid residue. The residue is a
   pathologic property of AD [[60]5,[61]8]. The major source of
   neurotoxicity in AD was defined as glyceraldehyde-derived advanced
   glycated end products (AGEs). APP processing and Aβ production are
   controlled by oxidative stress [[62]8]. Furthermore, neuronal cell
   death is caused by Aβ through reactive oxygen species (ROS) [[63]9].
   AGEs adjust Aβ accumulation and amyloid aggregation [[64]10]. Our
   results in a former study recommended that glyceraldehyde-deprived AGEs
   raise the levels of APP and Aβ via ROS, and that this effect finally
   precedes to cell death [[65]5,[66]8]. Conversely, AGEs role in the
   enhancement of Alzheimer’s disorder (AD) still indistinguishable.
   Nature as a treasure resource of bioactive metabolites provides us with
   several nutrients helping in curing and decreasing the symptoms of AD
   [[67]11]. Several vitamins, such as B[6], B[9], K, C, and E help in
   decreasing oxidative stress and improving brain functions [[68]12].
   Additionally, some plant extracts possess potential anti-AD properties,
   such as Punica granatum [[69]13], Teucrium polium [[70]14], Fragaria
   ananassa [[71]15], Bacopa floribunda [[72]16], and Ginkgo biloba
   [[73]17]. On the other hand, Abelmoschus esculentus L., synonym:
   Hibiscus esculentus, mostly identified as okra or lady´s fingers, is a
   nutrient-rich food. It acts as a major resource of various valuable
   constituents such as flavonoids, phenolic acids, mucilage, vitamins,
   nutrients, fibers, and minerals [[74]18]. Different parts of okra, such
   as fruits, seeds, and leaves, are implicated in various applications
   owing to their properties and composition [[75]19]. Additionally, it
   was used over centuries in traditional medicine for the treatment of
   various illnesses, such as worm infestation, dysentery, and
   inflammation and irritation of the stomach, intestines, and kidneys.
   Okra fruit extract, as well as its derived flavonoids and
   polysaccharides, showed remarkable anti-AD potential
   [[76]20,[77]21,[78]22,[79]23,[80]24]. However, limited studies have
   been conducted on okra seeds and their oil, which revealed their
   polyphenolic compounds and polyunsaturated fatty acids
   [[81]25,[82]26,[83]27]. A few studies were carried out on the
   bioactivity of okra seed extract, showing their potent anti-oxidant and
   anticancer potential against human breast cancer (MCF7) and skin
   fibroblast (CCD-1059Sk) cells [[84]28]. Consequently, there is a great
   demand to explore the potential of okra seeds as a low-cost available
   nutrient.
   Aluminum (Al) serves as a crucial risk factor for different age-related
   neurodegenerative diseases [[85]29], including AD [[86]30]. Aluminum
   chloride (AlCl[3]) is used as a neurotoxicant, which dispersed in the
   brain and influences ionic, cholinergic, as well as dopaminergic
   neurotransmission with negative effect [[87]31]. As a consequence, the
   aim of our present study was to pinpoint the possible benefits and
   therapeutic influences of A. esculentus seed extract in diminishing the
   neurodegenerative character of Alzheimer’s disorder in a rat model
   intoxicated with Al, which may afford an economical, reliable, simple,
   noninvasive, and reproducible blood-based group of significant
   biomarkers, to prepare the way for feasible early curative approaches.
   Moreover, a metabolomics study of the extract and a pharmacological
   network were applied to identify chemical molecules that assist in
   anti-Alzheimer’s activity.
2. Results
2.1. In Vitro DPPH Radical Scavenging Activity Assay of A. esculentus Seed
Extract
   The free radical scavenging potential of A. esculentus seed total
   extract was investigated using the DPPH method [[88]32]. The results
   demonstrated that A. esculentus seed extract had considerable
   scavenging activity percentages for DPPH, respectively, in a dose
   dependent manner compared to ascorbic acid ([89]Table 1).
Table 1.
   In vitro DPPH scavenging activity of A. esculentus seed extract.
                   0.01 µg/mL    0.05 µg/mL
   Crude extract 77.2 ± 3.6 ^c 93.2 ± 7.5 ^d
   Ascorbic acid 82.3 ± 4.7 ^b 91.0 ± 6.1 ^d
   [90]Open in a new tab
   The data were expressed as mean ± SD (n = 3) of at least three
   independent experiments. Groups with similar letters are not
   significantly different, while those with different letters are
   significantly different at p ≤ 0.05.
2.2. In Vitro Evaluation of Cholinesterase Potential of the A. esculentus
Seed Extract
   The cholinesterase inhibitory activity of A. esculentus seed extract in
   comparison with the standard drug donepezil were evaluated against the
   AChE enzyme and the results were obtained as IC[50] (μg/mL) measures in
   [91]Table S1. A. esculentus seed extract exhibited a noticeable
   inhibitory activity with an IC[50] value of 0.028 μg/mL. The A.
   esculentus seed extract showed an AChE inhibitory effect approximately
   the same as the reference drug (IC[50] = 0.025 μg/mL) ([92]Table S1).
2.3. Acute Toxicity Study
   Different concentrations of A. esculentus seed extract were utilized
   for evaluating the acute toxicity, with 500, 1000, 2000, 3000, 4000, as
   well as 5000 mg/kg b.wt., with four rats for each group (in total, 24
   rats were included for all groups together). Until 3000 mg/kg b.wt. and
   for 48 h, no mortality in addition no toxicity signals were observed as
   well as no signs of toxicity or behavior abnormalities. The chosen dose
   utilized was 500 mg/kg b.wt. [[93]33].
2.4. Potential Activities of A. esculentus Seed Extract in the T-Maze Test
   A. esculentus seed extract was investigated for its anti-AD ability at
   a dose of 500 mg/kg b.wt., utilizing the T-maze test. In this context,
   the results showed a noteworthy raise in time (per seconds) received by
   rats reaching their food in the T-maze for rats with
   AlCl[3]-neurotoxicant (AD group), indicating a worsened neurocognitive
   function, with an increase in a percentage to 233.8% ([94]Table S2).
   The rats of the AD group treated with A. esculentus seed extract, on
   the contrary, exhibited a significant decline in time taken to reach
   their food in the T-maze, compared to the AD-induced group, showing
   improved cognitive functions, with the improvement percentage reaching
   175.5% (6 weeks treatment), compared to donepezil as the standard drug
   (181.9%); see [95]Table S2.
2.5. Potential Effects of A. esculentus Seed Extract in the Beam Balance Test
   The results obtained from the beam balance test revealed that AlCl[3]
   caused major worsening in brain cognitive abilities for
   AlCl[3]-neurotoxicant rats (AD group) ([96]Table S3), with a reduction
   in percentage down to 70.69%. Additionally, rats treated with donepezil
   or A. esculentus seed extract revealed a dramatic enhancement in
   behavioral status, characterized by motor coordination and enhanced
   cognition improvement, with a percentage of improvement reaching 62.05%
   for A. esculentus seed extract in comparison with animals treated with
   donepezil as the standard drug, which recorded 69.02% in a 6-week
   treatment).
2.6. Potential Effects of A. esculentus Seed Extract in Acetylcholine
Esterase Levels in the Brain
   [97]Table 2 reveals a considerable raise in the AChE in the serum of
   AD-induced rats with a percentage increase of 94.8%, while the AChE
   levels showed an improvement upon the treatment of AD rats with A.
   esculentus seed extract, entailing a percentage improvement of 76.2%
   compared to the standard drug (83.2%).
Table 2.
   Effect of A. esculentus seed extract on AChE levels in
   Alzheimer’s-disorder-induced rats.
   Parameters Control AlCl[3]-AD Extract Donepezil Drug
   AChE (serum) (U\L)
   % Change
   % Improvement 215.0 ± 11.0 ^a 419.0 ± 10.0 ^b
   +94.8 255.0 ± 8.0 ^c
   76.2 240.0 ± 9.7 ^c
   83.2
   [98]Open in a new tab
   The data are represented as means ± SD (n = 10). Groups showing the
   same letters were not significantly different; additionally, those with
   different letters revealed considerable difference at p ≤ 0.05. AChE:
   acetylcholine esterase. The % change was calculated compared to the
   control group as (mean of treated—mean of negative/mean of negative
   control) × 100. The % improvement was also calculated as mean of
   positive control—mean of treated/mean of negative control × 100.
2.7. Potential Effects of A. esculentus Seed Extract in Norepinephrine,
Dopamine, and Serotonin Levels in Brain
   AD-induced rats revealed a noteworthy rise in the level of
   norepinephrine, with an increase to 723.0% in comparison with control
   rats ([99]Table S4), with a promising reduction of both dopamine and
   5-HT of 68.9 and 65.6%, respectively. AD rats treated with A.
   esculentus seed extract showed a significant improvement in
   neurotransmitters levels, reaching 545.0, 46.2, and 50.8% for
   norepinephrine, dopamine, and 5-HT, respectively, compared to the
   standard drug (558.0, 55.2, and 54.8% for norepinephrine, dopamine, and
   5-HT, respectively).
2.8. Potential Effects of A. esculentus Seed Extract in the Levels of BDNF,
Glycated End Product, and IL-6 in the Brain
   [100]Table 3 reveals a significant reduction in BDNF level in brain
   tissue, by 50.3% compared to the control, while a significant elevation
   in brain tissue glycated end product and serum IL-6 was observed, with
   an increase reaching 221.2 and 227.7%, respectively, in comparison to
   the control rats. AD rats treated with A. esculentus seed extract
   exhibited remarkable improvements in BDNF, glycated end product, and
   IL-6 with percentages amounting to 26.5, 163.7, and 213.5%,
   respectively, in comparison to the reference drug, which revealed
   improvements of 35.2, 219.6, and 229.4% for BDNF, AGEs, and IL-6,
   respectively ([101]Table 3).
Table 3.
   Effects of A. esculentus seed extract on the levels of BDNF, glycated
   end product, and IL-6 in AD-induced rats.
   BDNF
   (pg/g Tissue) Glycated End Product
   (μg/g Tissue)     IL-6 (pg/mL)
                       Control       343.0 ± 10.2 ^a 12.7 ± 1.2 ^a 39.6 ± 3.0 ^a
   AlCl[3]-AD
   % Change 167.0 ± 10.9 ^b
   −50.3% 40.8 ± 3.1 ^b
   221.2% 130.0 ± 8.0 ^b
   227.7%
   AD crude extract
   % Improvement 258.0 ± 6.0 ^d
   26.5 20.0 ± 2.0 ^d
   163.7 45.3 ± 3.0 ^d
   213.5
   Donepezil drug
   % Improvement 288.0 ± 16.0 ^e
   35.2 12.9 ± 1.1 ^a
   219.6 39.0 ± 2.8 ^a
   229.4
   [102]Open in a new tab
   The data are shown in seconds as mean ± SD (n = 10). Groups showing the
   same letters are not significantly different; additionally, those with
   different letters revealed a significant difference at p ≤ 0.05. The %
   change was calculated compared to the control group as (mean of
   treated—mean of negative/mean of negative control) × 100. Additionally,
   the % improvement was calculated as (mean of positive control—mean of
   treated/mean of negative control) × 100.
2.9. Potential Effects of A. esculentus Seed Extract in TAC, MDA, and GSH
Levels in the Brain
   A significant reduction in TAC was observed with an amount of 74.1%
   compared to the control. GSH also showed a significant reduction in
   brain tissue with 60.9%, while a significant increase in MDA level was
   recorded, reaching a value of 451.7%. AD rats treated with A.
   esculentus seed extract showed an amelioration in anti-oxidant and
   oxidative stress levels with a higher degree of improvement, reaching
   51.6, 390.4, and 44.9% for TAC, MDA, GSH, respectively, compared to
   donepezil, which recorded improvements of 52.8, 394.2, and 53.4%,
   respectively ([103]Table S5).
2.10. Results of the Histopathological Investigation
   Histopathological investigations showed Alzheimer’s-induced rat brain
   with the presence of neuronal degeneration and neurofibrillary tangles
   (NFT), congestion of meningeal blood, degeneration of Purkinje cells
   with decreased granular layer density, and degeneration of hippocampus
   neurons (Photomicrographs 3 and 4, and [104]Figure 1) compared to
   control brain rats (Photomicrographs 1 and 2, and [105]Figure 1). After
   treatment with A. esculentus, AD rat brain showed a few degenerated
   neurons in the cerebral cortex, nearly normal cerebellum, and
   degeneration of a few neurons in hippocampus (Photomicrographs 5–7, and
   [106]Figure 1). Donepezil-treated AD rat brain revealed meningeal
   hemorrhage and a few degenerated neurons in the cerebral cortex
   (Photomicrograph 8 and [107]Figure 1).
Figure 1.
   [108]Figure 1
   [109]Open in a new tab
   Photomicrographs for H&E-stained sections of the cerebral cortex of
   rats (scale bar 20 µm): (1) Control rat brain revealing normal
   histological structure of cerebral meninges (arrow). (2) Control rat
   brain displaying the normal histological structure of cerebellum. (3)
   AD rat brain revealing congestion of meningeal blood vessels (arrow)
   with hemorrhage. (4) Alzheimer’s-induced rat brain showing degeneration
   of hippocampus neurons (arrows). (5) AD rat brain treated with A.
   esculentus seeds highlighting a few degenerated neurons in cerebral
   cortex (arrow). (6) AD rat brain treated with A. esculentus seeds,
   showing nearly normal cerebellum. (7) AD rat brain treated with A.
   esculentus seeds showing degeneration of few neurons in hippocampus
   (arrow). (8) Donepezil-treated AD rat brain evidencing few degenerated
   neurons in cerebral cortex, mild meningeal hemorrhage (arrow).
   The score order was constructed as follows: score 0 indicates no
   lesions in all rats of the group (n = 5); score 1 indicates (<30%);
   score 2 indicates (30–50%), score 3 indicates (>50%). Group 1 is the
   control group; Group 2 is the Alzheimer’s-induced group; Group 3 is the
   group of AD rats treated with A. esculentus seed extract; Group 4 is
   the donepezil–cured AD group.
   Group 2 (Alzheimer’s-induced rats) showed a high scoring level of
   histopathological alterations in the brain compared to the control
   group (Group 1). Group 3 (AD rats treated with A. esculentus seed
   extract) exhibited similar results to Group 4 (donepezil-treated AD
   rats), in which these groups revealed the same scoring
   histopathological alterations in brain ([110]Table S6).
2.11. Chemical Dereplication of A. esculentus Seed Extract
   Analyzing the total extract of A. esculentus seeds, different hits were
   proposed ([111]Table S7, [112]Figures S1A and S1B, [113]Figure 2). The
   mass ion peaks at m/z 301.0353, 341.10792, 465.1033, and 477.10499, in
   accordance with the suggested molecular formulas C[15]H[10]O[7],
   C[12]H[22]O[11,] C[21]H[20]O[12], and C[22]H[22]O[12] [M + H]^+; [M −
   H]^+ ([114]Table S7) fit flavones and disaccharide derivative compounds
   quercetin (1), 4-O-α-D-galactopyranosyl-D-galactose (2), isoquercitrin
   (3), and quercetin 3-glycosides, 3-O-(4-O-methyl-β-D-glucopyranoside)
   (4), which had been previously isolated from A. manihot [[115]34], H.
   esculentus [[116]35], and A. esculentus [[117]36] ([118]Table S8),
   respectively.
Figure 2.
   [119]Figure 2
   [120]Open in a new tab
   Dereplicated metabolites from LC-HR-ESI-MS analysis of A. esculentus
   seed extract.
   The molecular ion mass peaks at m/z 595.1452, 597.1456, 609.1466,
   625.1769, 627.1561, and 637.1557 [M + H]^+; [M - H]^+ ([121]Table S7),
   for the predicted molecular formulas C[30]H[26]O[13], C[26]H[28]O[26],
   C[27]H[30]O[16], C[28]H[32]O[16], C[27]H[30]O[17], and C[32]H[28]O[14],
   respectively, gave hits of the flavones tiliroside (5),
   5,7,3′,4′-tetrahydroxy
   flavonol-3-O-[β-d-rhamnopyranosil-(1→2)]-β-d-glucopyranoside (6),
   quercetin-3-orobinoside (7), floramanoside D (8),
   quercetin-3-O-sophoroside (9), and
   3-O-kaempferol-2-O-acetyl-4-O-(p-coumaroyl)-α-D-glucopyranoside (10),
   respectively. These compounds had previously been isolated from A.
   manihot [[122]34] and A. esculentus [[123]36] ([124]Table S7,
   [125]Figure 2).
3. Discussion
3.1. Evaluation of the Anti-Alzheimer’s Potential of A. esculentus Seed
Extract
   The free radical scavenging potential of A. esculentus seed total
   extract was investigated using the DPPH method [[126]32]. The results
   demonstrated that A. esculentus seed extract provided a considerable
   scavenging potential for DPPH, in a dose-dependent manner compared to
   ascorbic acid ([127]Table 1). In addition, the cholinesterase
   inhibitory activity of A. esculentus seed extract in comparison with
   the standard drug donepezil were evaluated against the AChE enzyme and
   the results were obtained as IC[50] values (μg/mL) in [128]Table S1. A.
   esculentus seed extract exhibited a noticeable inhibitory activity with
   IC[50] of 0.028 μg/mL. The A. esculentus seed extract showed an AChE
   with approximately the same inhibitory effect as the reference drug
   (IC[50] = 0.025 μg/mL) ([129]Table S1).
   According to the in vitro DPPH free radical scavenging and the
   cholinesterase potential assays, A. esculentus seed extract was
   utilized for further in vivo studies for estimating the
   anti-Alzheimer’s potential.
   In accordance with the data represented in [130]Table S2, the results
   of the behavioral tests approved the earlier obtained ones, which had
   shown that rats neurointoxicated with AlCl[3] need additional time to
   collect food in a T-maze, with an increase of 233.8% compared to
   control rats, representing a worsened neurocognitive character
   [[131]37]. A. esculentus seed extract, however, exhibited a noteworthy
   decline in time required by the rats to collect food in the T-maze, in
   comparison with the AD-induced group. This indicates an improvement in
   cognitive functions, with improvements reaching 175.5% (6 weeks of
   treatment) in comparison to the reference drug, which showed an
   improvement up to 181.9%. A beam balance test is utilized to
   investigate rodent gait in a testing system which encounters the
   possibility of them maintaining balance, assumed that the animals need
   to cross over a raised-up beam with a tight diameter. The findings
   obtained from the beam balance test showed that AlCl[3] triggered a
   major worsening in brain cognitive abilities for rats neurointoxicated
   with AlCl[3] (AD group) ([132]Table S3), with a decline of −70.6%. On
   the other hand, rats treated with donepezil or A. esculentus seed
   extract revealed an improvement in behavioral attitude, which is
   expressed by values of 69.0 and 62.0%, respectively.
   The current results in [133]Table 2 indicate that AChE activity
   increased significantly in the serum of AlCl[3]-induced AD rats.
   AlCl[3]has shown a cholinotoxication that causes changes in different
   neurotransmission as cholinergic, dopaminergic, and noradrenergic.
   Accordingly, it is capable of producing weakened cholinergic
   transmission through influencing the synthesis as well as liberation of
   neurotransmitters [[134]38]. Our findings are in agreement with
   previous data reported by Aly et al., 2011 [[135]39], Borai et al.,
   2017 [[136]37], Aly et al., 2011 [[137]40], and Elmaidomy et al., 2022
   [[138]38]. They revealed that AlCl[3] administration showed a
   substantial rise in AChE potential in the serum in addition to brain
   tissue, compared to neurologically normal control rats. Additionally,
   our results revealed a noteworthy decrease in dopamine (DA) and
   serotonin, with a significant rise in the norepinephrine level in
   AD-induced rats. This runs in parallel with Kaur, 2019 [[139]41], who
   showed the negative effect of AlCl[3] on memory ability. This was
   attributed to the involvement of AlCl[3] in the dopaminergic pathway
   [[140]38] and also to its function to initiate oxidative stress, as
   oxidative stress as well as inflammation lead to a decrease in numerous
   major neurotransmitters, comprising AChE and DA [[141]42]. Likewise,
   the major change in brain neurotransmitters in rats exposed to AlCl[3]
   rats may be attributed to a raised formation of O[2] and H[2]O[2], in
   addition to accumulation of Lewy bodies in the brain, thus raising the
   probability of neurodegenerative disorders [[142]43]. Moreover, DA
   oxidation is improved by the elevated concentration of iron in rats
   exposed to Al, triggering the production of DA quinones, which
   covalently act together with cysteine deposits of glutathione (GSH)
   enzymes to inhibit its anti-oxidative potential [[143]43].
   Additionally, AlCl[3] enhances the accumulation of α-synuclein and
   reduces DA-binding receptors (D1 and D2) in the brain cortex in
   addition to the striatum of AlCl[3]-exposed subjects and in addition to
   employing an inhibiting potential on different levels, including
   inhibition of DA β-hydroxylase (responsible of conversion of DA into
   norepinephrine) and inhibition of tryptophan decarboxylase potential
   (responsible for DA formation) [[144]38]. The diminished level of DA
   and changed cholinergic function may also be due to elevated monoamine
   oxidase (MAO) activity, which leads to an increased degradation of
   serotonin. Additionally, neurotransmission is negatively affected by
   AlCl[3], either by direct inhibition of the enzymes included in
   neurotransmitter synthesis and/or by utilization or influencing the
   structural characters of synaptic membranes that might influence the
   release and/or uptake of these molecules [[145]38].
   Treatment of AD rats with A. esculentus seed extract led to an
   enhancement in the neurotransmitter levels in AD-induced rats in
   comparison with untreated AD rats. These effects may be due to an
   inhibition of different signaling pathways, comprising interference
   with the IGF-I (insulin-like growth factor-1) mitogenic pathway
   [[146]44]. Moreover, neurotoxicity and oxidative stress induced by
   rotenone (a mitochondrial complex I blocker) in mice was affirmed to be
   diminished by applying an extract of okra seeds [[147]45]. The oral
   dose of okra seed extract in mice counterbalanced rotenone-induced
   oxidative deterioration, restored glutathione levels as well as
   stimulated the antioxidant defense system (glutathione peroxidase,
   superoxide dismutase). It also has the ability to decrease the activity
   of rotenone-induced AChE and to recover dopamine in the striatum
   [[148]45]. Interestingly, extract of okra seeds was effective in
   restoring mitochondrial complex activities and reserving their redox
   state. It has been demonstrated that oral administration of okra seeds
   has a high tendency to provide neuroprotection against neurotoxicants
   in addition to other neurodegenerative disorders, such as Parkinson’s
   disease [[149]45].
   Our present study has revealed the considerable decrease of BDNF in the
   brains of AD rats ([150]Table 3). Several studies confirmed the present
   results and the association between Alzheimer’s disorder and BDNF. The
   decrease in BDNF protein, as well as mRNA levels in the neocortex in
   addition to the hippocampus of brain tissue, suggested that BDNF has a
   key role in Alzheimer’s disorder [[151]1,[152]46,[153]47]. This
   depletion may be explained on the basis of the fact that BDNF is
   accompanied with Aβ accumulation, tau phosphorylation, in addition to
   neuroinflammation, and neuronal apoptosis [[154]1]. Aβ-induced
   downregulation of BDNF is associated with tau; therefore, Alzheimer’s
   disorder treatments that emphasize only Aβ may not be valuable if the
   influence of tau pathology on neurotrophic cascades is not reflected
   [[155]48]. Interestingly, neuronal abnormality, neuronal loss, synaptic
   degeneration, and behavioral deficits have been proven to be alleviated
   by BDNF overexpression or gene delivery. Therefore, this indication
   affording a new opportunity for the treatment of Alzheimer’s disorder
   using BDNF remedy [[156]1].
   Our current results revealed a noteworthy rise in AGEs in brain tissue
   of AD rats ([157]Table 3). This elevation in AGEs is due to the
   modification on APP by β- and γ-secretase, which results in deposition
   of amyloid (plaques) in neuronal cells [[158]8].
   Glyceraldehyde-obtained AGEs are known to be a key resource of
   neurotoxicity in AD. APP and Aβ were elevated by
   glyceraldehyde-deprived AGEs via ROS. Neurotoxicity has been proven to
   be enhanced by the combination of AGEs and Aβ [[159]8]. APP expression
   elevated by tail vein injection of AGEs, which suggested a connection
   between AGEs in addition to the development of AD [[160]8]. It was
   verified that AGEs upregulate APP processing protein (BACE and PS1) as
   well as Sirt1 expression via ROS, with no effect on the expression of
   antioxidant genes HO-1 and NQO-1. Additionally, AGEs raise GRP78
   expression and improve the cell death-connected pathway p53, bcl-2/bax
   ratio, caspase 3. These results revealed that AGEs worsen the
   protective effect on neurons influence of Sirt1 which cause neuronal
   cell death through ER stress [[161]8]. Earlier studies indicated
   [[162]8,[163]9] that AGEs elevate production of ROS, which triggers
   downstream cascades associated with APP processing, Aβ production,
   Sirt1, and GRP78, and this results in the upregulation of a cell death
   associated pathway. Additionally, this enhances neuronal cell death,
   and causes the AD development. Earlier studies had indicated that there
   is a connection between Sirt1 as well as ROS in neuronal cells
   [[164]47]. Sirt1 provides a neuroprotective importance by hindering the
   ROS effects [[165]47]. Sirt1 has also been revealed to diminish the Aβ
   production through α-secretase activation [[166]49]. Consequently, AGEs
   raise ROS production, which triggers the downstream pathways of Sirt1,
   GRP78, APP processing, as well as Aβ production. Moreover, the Aβ
   aggregation in addition to neurofibrillary tangles are improved.
   Additionally, this eventually leads to the upregulation of the cell
   death cascade, which improves the neuronal cell death, causing the
   progress of AD. The deposition of AGEs is considered as a natural
   process that elevates gradually with aging; abnormal deposition of
   AGEs, however, could be triggered with illness, dietary habits, and
   other factors. AGEs accumulate quickly in the body, then pass into the
   brain, and consequently turn on the mechanism of AGEs effecting.
   Finally, it has been proven that the level of AGEs is a significant key
   point for developing AD [[167]49].
   Further, IL-6 exhibited significant elevation in serum of AD rats
   ([168]Table 3). Lyra e Silva et al., 2021 [[169]50], declared that IL-6
   showed negative involvement in memory formation, as blocking IL-6
   improves long-term potentiation as well as enhances long-term memory in
   hippocampus-dependent tasks. By the same authors, astrocytes
   surrounding both parenchymal in addition to vascular amyloid deposits
   in AD brains and IL-6 immunoreactivity in astrocytes were found, which
   were positive for Aβ. Moreover, they revealed that AD patients have
   elevated IL-6 levels in the brain tissue and plasma, and found that
   plasma IL-6 associated in a positive manner with brain T2
   hyperintensities and negatively with cognitive ability. Central
   administration of Aβ1–42 in mice induced a systemic IL-6 response that
   is distinguished by elevated plasma and brain levels of this cytokine
   [[170]51]. Consequently, these findings showed that the brain might be
   incorporated with the dysregulation in the circulating IL-6, which
   occurs in AD, and thus could involve the inflammatory reflex triggered
   by the vagus nerve [[171]52]. AD rats treated with A. esculentus seed
   extract displayed remarkable improvements in BDNF, glycated end
   product, and IL-6 amounting to 26.5, 163.7, and 213.5%, in comparison
   with the reference drug, which showed improvements of 35.2, 219.6, and
   229.4% for BDNF, AGEs and IL-6, respectively ([172]Table 3).
   Our current study revealed a noteworthy reduction in TAC and GSH in
   AD-induced rats, while major elevation in MDA level was distinguished
   ([173]Table S5). The chief principles of mitochondrial
   dysfunction-induced intracellular damage are considered as the
   disruption in the antioxidant defense mechanism as well as excessive
   generation of reactive oxygen species (ROS) [[174]39]. These results
   are in accordance with Aly et al., 2018 [[175]39], who showed that
   AlCl[3]-associated neurotoxicity leads to an elevation in lipid
   peroxidation. Additionally, the present study revealed the connection
   between the rise in MDA in AD rats with the decrease in GSH and TAC, as
   involved in the elimination of ROS in brain tissue, proposing a
   pro-oxidant potential of AlCl[3]. Instead, Sumathi et al., 2013
   [[176]53] revealed that AlCl[3] exposition enhances destruction in
   neuronal lipids related to modifications in the enzymatic antioxidant
   defense system. Additionally, the current results indicated a
   substantial decline in GSH level in the brain tissues of rats triggered
   with AlCl[3], which attributed to a high level of H[2]O[2]-induced
   cytotoxicity in brain endothelial cells due to inhibition of
   glutathione reductase [[177]39]. The significant reduction in brain TAC
   in AlCl[3]-induced AD rats attributed to long-term exposure to AlCl[3],
   causing a rise in lipid peroxidation as well as a reduction and
   exhaustion of numerous antioxidant enzymes [[178]38]. Additionally, Aly
   et al., 2022 [[179]39] demonstrated the reduction in TAC in AD-induced
   rats by the decline in axonal mitochondria transformation, damage of
   Golgi, and decrease of synaptic vesicles, which leads to the liberation
   of oxidative molecules such as hydroperoxide, carbonyls, and
   peroxynitrites, although there is a decline in antioxidant enzymes and
   glutathione within the neurons. The ameliorative activity of okra seed
   crude extract mainly depends on the antioxidant metabolites that
   exhibit their influences by cooperating with free radicals which could
   additionally destruct essential metabolites in the body [[180]54].
   Moreover, the interactions include the accumulation of peroxides, as
   well as the scavenging of radicals and chelation to metal ions.
   The histopathological investigation revealed AD brain with neuronal
   degeneration and the existence of neurofibrillary tangles (NFT),
   congestion of meningeal blood, degeneration of Purkinje cells with
   decreased granular layer density and degeneration of hippocampus
   neurons compared to control brain rats ([181]Figure 1). These results
   run in parallel with Aşir and Taş, 2022 [[182]55] and Elmaidomy et al.,
   2022 [[183]38], who revealed that the cerebral cortexes of AD rats
   showed numerous neuropathic alterations such as neuronal necrosis, as
   well as neuronophagia, neurofibrillary tangles formation, and focal
   gliosis. In addition, the hippocampus of the AD rats demonstrated
   shrunken and necrotized pyramidal neurons accompanied by the formation
   of neurofibrillary tangles. However, AD-induced rats treated with okra
   seed extract exhibited normal cerebellum and degeneration of a few
   neurons in the hippocampus compared to donepezil as the standard drug,
   which showed meningeal hemorrhage and few degenerated neurons in
   cerebral cortex. Additionally, a low lesion score was recorded in
   treatment groups compared to the AD group ([184]Figure 1).
   Consequently, the current study revealed the therapeutic importance of
   okra seed extract on inflammatory and neurotransmitters biomarkers.
3.2. Metabolomics Profiling of A. esculentus Seed Extract
   Additionally, metabolomics profiling of the crude ethanolic extract of
   A. esculentus seeds was performed to explore its chemical diversity,
   leading to the identification of ten flavonoid glycoside compounds. In
   this report, the compounds 4-O-α-D-galactopyranosyl-D-galactose,
   quercetin 3-glycosides, 3-O-(4-O-methyl-β-D-glucopyranoside),
   tiliroside, 5,7,3′,4′-tetrahydroxy
   flavonol-3-O-[β-d-rhamnopyranosil-(1→2)]-β-d-glucopyranoside,
   quercetin-3-orobinoside, and
   3-O-kaempferol-2-O-acetyl-4-O-(p-coumaroyl)-α-D-glucopyranoside are
   detected herein for the first time in okra seed extract.
3.3. Pharmacology Networking
3.3.1. Plant-Compounds Network
   A simple network, connecting A. esculentus seeds to the identified
   compounds by LC-HRESIMS, was constructed as a first step to build the
   network pharmacology of A. esculentus seeds’ relation to Alzheimer’s
   disorders.
3.3.2. Compounds-Genes Network
   The identified compounds targeted genes, these genes were identified by
   the SwissTargetPrediction database, after omitting the duplicates, a
   total number of 136 genes were identified and a compounds–genes network
   was structured and visualized by the Cytoscape software; the network
   was formed of 146 nodes and 297 edges, with a path length of 2.727 in
   addition to a network centralization of 0.664 ([185]Figure 3,
   [186]Table S8). The top gene represented in this network was
   [187]P00918 with ten edges, followed by eleven genes each with nine
   edges; [188]Q9NPH5, [189]P15121, [190]P47989, [191]P30542, [192]P43166,
   [193]O43570, [194]P22748, [195]P22303, [196]P28907, [197]P08913, and
   [198]P18825 (genes are expressed in UniProt IDs corresponding to gene
   names CA2, NOX4, AKR1B1, XDH, ADORA1, CA7, CA12, CA4, ACHE, CD38,
   ADRA2A, and ADRA2C.
Figure 3.
   [199]Figure 3
   [200]Open in a new tab
   Compounds–genes network, connecting identified compounds from A.
   esculentus seeds to their target genes; oval green shapes represent the
   identified compounds, the purple circles represent target genes.
3.3.3. Genes–Alzheimer’s Disorders Network
   A network linking the identified genes to different Alzheimer’s
   disorders led to the determination of 84 genes of this data set related
   to Alzheimer’s disorders; the formed network consisted of 91 nodes and
   183 edges with a characteristic path length and network centralization
   of 2.054 and 0.909, respectively ([201]Figure S2). The formed network
   identified five genes as having connections to all types of Alzheimer’s
   disorders; these genes are ACHE, APP, BACE1, MAPT, and TNF. The results
   highlight the importance of these genes among the described data set to
   possess a role in Alzheimer’s management by A. esculentus seeds.
3.3.4. Total Network Pharmacology
   Linking the previously constructed networks (plant–compounds,
   compounds–genes, and genes–Alzheimer’s disorders) in one network led to
   summarize the plant–compound–gene–Alzheimer’s interactions; the formed
   network consisted of 110 plant names, ten nodes for identified
   compounds, 92 nodes for genes related directly or indirectly to
   Alzheimer’s, and seven for Alzheimer’s, in addition to 444 edges
   representing interactions between nodes ([202]Figure 4).
Figure 4.
   [203]Figure 4
   [204]Open in a new tab
   Complete pharmacology network (plant–compounds–genes–Alzheimer’s
   disorders); the network explains the relations between the plant,
   identified compounds, and target genes, in relation to Alzheimer’s
   disorders; the blue rectangle is the plant name, pink circles represent
   the identified compounds, yellow oval shapes represent Alzheimer’s
   disorders, and violet diamonds represent genes related to Alzheimer’s
   disorders.
3.3.5. Protein–Protein Interactions (PPI)
   In the formed PPI network using the STRING database, non-interacting
   genes were not involved. The network was composed of 100 nodes and 145
   edges with an average node degree of 2.9 ([205]Figure S3A). The genes
   with the highest interactions among the PPI network were introduced as
   a subnetwork ([206]Figure S3B); the PPI and the subnetwork identified
   PIK3R1, HSP90AA1, SRC, EGFR to be the highest-interacting genes in this
   gene set.
3.3.6. Gene Ontology and Pathway Enrichment Analysis
   All targets were introduced to the STRING database and the obtained
   results identified the target genes to affect biological processes,
   especially the cellular response to jasmonic acid stimulus
   (GO:0071395), the farnesol catabolic phase (GO:0016488), the
   daunorubicin metabolic process (GO:0044597), and the doxorubicin
   metabolic process (GO:0044598); the top-identified cellular components
   were the insulin receptor complex (GO:0005899), the
   phosphatidylinositol 3-kinase complex, class I (GO:0097651), the
   external side of the apical plasma membrane (GO:0098591), and glial
   cell projection (GO:0097386); top-identified molecular functions were
   phenanthrene 9,10-monooxygenase activity (GO:0018636), indanol
   dehydrogenase activity (GO:0047718), geranylgeranyl reductase activity
   (GO:0045550), and 17-alpha,20-alpha-dihydroxypregn-4-en-3-one
   dehydrogenase activity (GO:0047006); each class of terms were arranged
   in descending order according to strength ([207]Table S9).
   Using the KEGG Mapper pathway detection database implemented in the
   KEGG database, a diagrammatic illustration identified 43 biological
   pathways involved in Alzheimer’s disorders (hsa05010) as a
   mutation-caused aberrant PSEN1 to PERK-ATF4 signaling cascade; a
   mutation-caused aberrant Aβ to AGE-RAGE signaling pathway was among the
   top pathways identified ([208]Figure S4).
   Consequently, several genes related to the identified compounds were
   involved in all Alzheimer’s disorders, as a result of the current
   network pharmacology study. These genes were (ACHE, APP, BACE1, MAPT,
   and TNF), so these genes may be responsible for the anti-Alzheimer’s
   potential of A. esculentus seeds; previous studies concerning
   Alzheimer’s disorders therapy were acetylcholinesterase (AChE)
   inhibitors. These drugs reduce symptoms induced by the death of
   cholinergic neurons by inhibiting acetylcholine (ACh) turnover
   [[209]56]. The brain produces abundant quantities of APP, a single-pass
   transmembrane protein. It is rapidly and intricately metabolized by a
   series of proteases related to Alzheimer’s disorder [[210]57]. The all
   gene set were able to affect Alzheimer’s disorder through the
   mutation-caused aberrant PSEN1 to the PERK-ATF4 signaling pathway in
   addition to the mutation-caused aberrant Aβ to the AGE-RAGE signaling
   pathway, The PERK-Dependent Molecular Mechanisms was proven to have a
   role in the treatment of neurodegenerative disorders [[211]58]. The
   gene set possesses effects on cellular response to jasmonic acid
   stimulus and farnesol catabolic process (biological processes), insulin
   receptor complex and phosphatidylinositol 3-kinase complex, class I
   (cellular components), phenanthrene 9,10-monooxygenase activity, and
   indanol dehydrogenase activity (molecular functions).
4. Materials and Methods
4.1. A. esculentus Material, Chemicals, Reagents, Extraction of A. esculentus
Seeds
   A. esculentus seeds were purchased from the market in Minia area,
   Egypt. The plant was identified by Prof. Abd El-Halim A. Mohammed
   (Horticultural Research Institute, Department of Flora and
   Phytotaxonomy Research, Dokki, Cairo, Egypt). Additionally, A voucher
   specimen (2022-BuPD 113) has been stored at the Department of
   Pharmacognosy, Faculty of Pharmacy, Beni-Suef University, Egypt. The
   solvents used during our work were purchased from El-Nasr Company for
   Pharmaceuticals and Chemicals (Giza, Egypt). Regarding the biological
   investigation, donepezil, all reagents and kits were obtained from
   Sigma Chemical Company (Saint Louis, MO, USA), while aluminum chloride
   (AlCl[3]) was obtained from CDH (Delhi, India).
   Air-dried seeds (1.0 kg) were macerated in ethanol (70%, 1.5 L, 3×, 7 d
   each) kept at room temperature. The extract was additionally
   concentrated using reduced pressure to give a syrupy consistency
   utilizing a rotary evaporator (Buchi Rotavapor R-300, Cole-Parmer,
   Vernon Hills, IL, USA), kept at 45 °C to afford 20.0 g crude extract.
   Moreover, this was maintained at 4 °C for biological and metabolomic
   studies
   [[212]38,[213]59,[214]60,[215]61,[216]62,[217]63,[218]64,[219]65,[220]6
   6,[221]67,[222]68,[223]69,[224]70,[225]71].
4.2. In Vitro DPPH Free Radical Scavenging Activity Assay of A. esculentus
Seed Extract
   The free radical scavenging potential of A. esculentus seed total
   extract was investigated using the DPPH assay (stable radical
   2,2-diphenyl-1-picrylhydrazyl) [[226]32]. In a brief manner at several
   concentrations (0.01, 0.05, and 0.1 μg mL^−1 in absolute ethanol), 1 mL
   solution from our tested extract was added to 2 mL of DPPH solution
   (freshly prepared, 20 μg mL^−1 in absolute ethanol). Moreover, the
   mixture was then kept at room temperature in a dark place for 30 min.
   Using a UV-Vis Jenway 6003 spectrophotometer, the absorbance was
   measured at λ[517] (nm). Ascorbic acid in addition to absolute ethanol
   were utilized as a positive control as well as a blank, respectively.
   However, the following equation was used to calculate the DPPH radical
   scavenging activity:
   [MATH:
   % DPPH scaven
   ger act<
   mi>ivity=absorba
   nce of <
   mi>blank−absorbance of t
   ested sa
   mpleabsorban
   ce of bl
   ank×100 :MATH]
4.3. In Vitro Determination of Cholinesterase Potential of A. esculentus Seed
Extract
   The cholinesterase potential of A. esculentus seed total extract was
   assessed according to the manufacturer’s guidelines [[227]72].
   Accordingly, various concentrations of the tested extract (10 and 20 μg
   mL^−1) in absolute ethanol were prepared. After that, 0.2 mL of these
   solutions were mixed with 3 mL distilled water followed by the addition
   of phosphate solution (3 mL), and the pH was determined with a pH meter
   (“pH-1”). Then, acetylcholine iodide solution (0.12 mL, 7.5%) was added
   and the mixture was kept at 37 °C in a water bath (for 30 min). Then,
   the pH value of these mixtures was recorded again (“pH-2”) and the
   difference between “pH-1” and “pH-2” within 30 min was calculated as a
   measure for the level of cholinesterase activity in the mixtures.
4.4. In Vivo Anti-Alzheimer’s Potential
4.4.1. Animals
   The animals used during this study were male rats (Wistar albino) (150
   ± 10 g), obtained from the National Research Centre Animal House. The
   animals were divided into groups of ten rats for each cage, kept under
   environmental conditions well controlled at 26–29 °C. Additionally,
   they were supplied with a fixed light/dark cycle (1 week) as an
   interval to adapt under normal conditions, as they were permitted to
   have their water and food freely.
4.4.2. Animal Ethical Report
   Our study was authorized by the Ethical Committee of Beni-Suef
   University, Egypt, which demonstrated that the rats will not feel pain
   at any period of the experiments and be conserved in conformity with
   the instructions for the care and usage of laboratory animals (ethical
   approval no: 022-371).
4.4.3. Induction of AlCl[3]-Induced Alzheimer’s Illness
   AlCl[3] solutions were prepared freshly at the onset of each
   experiment. Drinking water was used to dissolve AlCl[3] to be
   administrated orally at a dose of 100 mg/kg to the animals every day
   for 8 weeks, 0.5 mL/100 g b.wt. [[228]73].
4.4.4. Acute Toxicity Investigation
   The total extract was prepared at different concentrations for
   determining the acute toxicity, (from 500, 1000, 2000, 3000, and 4000,
   to 5000 mg/kg b.wt.), administered to four rats per each group (i.e., a
   total of 24 animals for all groups).
4.4.5. Behavioral Measurement
   Evaluation of the cognitive functions, as well as s motor coordination
   T-maze, were conducted at the National Research Centre (N.R.C.). After
   the chronic administration of AlCl[3] (2 months), and at the end of
   treatment phase, the cognitive function and impairment of spatial
   memory of the animals were estimated [[229]74]. Motor ability was
   evaluated using the beam balance investigation [[230]75].
4.4.6. Experimental Design, and Blood Samples Preparation
   Rats used during this study were grouped randomly as six groups of ten
   animals each. Groups 1 and 2 served as normal, healthy control rats and
   AD rats, respectively, where AlCl[3] was orally administrated to Group
   2, while Groups 3 and 4 were the AD rats treated with A. esculentus
   seed’s total extract (500 mg/kg b.wt.) every day for 6 weeks (1/10
   LD[50]) and the AD rats treated with the standard drug donepezil (10
   mg/kg b.wt.) daily for 6 weeks [[231]76].
   Overnight fasted animals were sacrificed under slight thiopental
   anesthesia (30 mg/kg b.wt.) [[232]77]. In a clean and dry test, the
   blood samples were gathered after anaesthetizing the rats utilizing a
   cardiac puncture. Blood samples were kept for 10 min until clotting and
   then centrifuged at 3000 rpm (1.175 g) to get serum. Additionally, the
   collected serum was kept at −80 °C for performing the biochemical
   investigations of IL-6, AChE, and TAC.
4.4.7. Preparation of the Brain Tissue Samples
   Upon completion of the experiment, the animals were fasted overnight
   and they were anesthetized and sacrificed [[233]77]. Dissection of the
   entire brain of each animal was rapidly carried out, then the material
   was washed using isotonic saline and placed upon filter paper to
   dryness. Additionally, the collected brain from each rat was weighed as
   well as homogenized in ice-cold medium which contained 50 mM tris/HCl
   in addition to 300 mM sucrose at pH 7.4, giving a 10% (w/v) homogenate
   [[234]73,[235]78]. Centrifugation of the homogenate was carried out
   (1400× g for 10 min at 4 °C). Moreover, the supernatant was kept at −80
   °C and screened against different biomarkers such as an antioxidant,
   oxidative stress, neurotransmitters, AGEs, and BDNF.
4.4.8. Estimation of Brain Neurotransmitters
   Serum acetylcholine esterase (AChE) was determined using a quantitative
   ELISA consistent with Engvall and Perlman, 1971 [[236]79]. The
   concentrations of norepinephrine, dopamine, and serotonin in the brain
   were evaluated utilizing HPLC-ED consistent with Giday et al., 2009
   [[237]80]. IL-6, advance glycated end products, and BDNF concentrations
   were measured utilizing ELISA kits consistent with the manufacturer’s
   directions [[238]80]. Moreover, TAC was evaluated in the serum
   according to Koracevic et al., 2009 [[239]81]. In this method,
   2,2′-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (ABTS) was kept
   with met myoglobin as well as H[2]O[2] to give the green radical cation
   ABTS+. Additionally, antioxidants make suppression for the color
   production by reducing the color intensity, which was relative to the
   concentration of the antioxidants and was evaluated at 600 nm using a
   microplate reading format. The animal groups were exposed to an
   evaluation for the non-enzymatic, reduced glutathione (GSH) (Beutler et
   al., 1963 [[240]82]) and malondialdehyde (MDA) (Ohkaw et al., 1979
   [[241]83]). Additionally, the spectrophotometric/microplate reader
   analysis technique for glutathione (GSH) includes oxidation of GSH
   using the sulfhydryl reagent DTNB to obtain the yellow derivative TNB,
   which is measurable at 412 nm. Additionally, the principle of the MDA
   assay is built upon the measurement of the required absorbance at 535
   nm as the spectrophotometrical measurement of the color which MDA forms
   with TBA in acidic media.
4.4.9. Histopathological Investigations
   The samples obtained from all rats’ brains per group were preserved in
   10% neutral buffered formalin. Additionally, paraffin segments of 5 μm
   thickness were formulated and stained with hematoxylin in addition to
   eosin (H&E) for histopathological study, utilizing a light microscope
   (BX43, Olympus) and photographed using the Olympus software in
   connection with an Olympus DP27 camera [[242]84]. An experienced
   pathologist carried out the histological analysis. Neuropathologic
   damage was evaluated on a scale from 0 to 4 as follows: (0) showed no
   changes; (1) revealed an area affected of <20%); (2) displayed an area
   affected of 20–30%); (3) showed an affected area of >30–60%); and (4)
   indicated an affected area of >60% [[243]85].
4.5. Metabolomic Investigation Procedure
   The crude extract from A. esculentus seeds was prepared at a
   concentration of 1 mg/mL for mass spectrometry investigation. The
   obtained ethanolic extract was investigated using metabolic study using
   LC-HR-ESI-MS consistent with Abdelmohsen et al., 2014 [[244]86]. The
   acquired data from the investigated ethanolic extract were dereplicated
   using the DNP database [[245]87,[246]88].
4.6. Network Pharmacology Study
4.6.1. Identified Compounds-Genes
   The genes of each identified compound from A. esculentus seed extract
   were extracted from the chemistry database PubCHem
   ([247]https://pubchem.ncbi.nlm.nih.gov/) [[248]89] last accessed on (1
   November 2022), and the Online SwissTARgetPrediction
   ([249]http://www.swisstargetprediction.ch/) was also used [[250]90]
   last accessed on (6 November 2022).
4.6.2. Genes-Alzheimer’s Disorders
   The genes linked to Alzheimer’s illness were collected from DisGeNet
   [[251]91] last accessed on (10 November 2022). Additionally, the target
   genes UniProt IDs were chosen as input IDs in the DisGeNET database to
   find out which gene linked to Alzheimer’s disorders. In order to
   minimize the scope for the gene set to Alzheimer’s illness, the filter
   keywords of “Alzheimer’s disease”, we utilized “Alzheimer Disease,
   Early Onset”, “Alzheimer´s disease, focal onset”, “Alzheimer disease,
   late onset”, “Alzheimer disease, familial, type 3′”, “Familial
   Alzheimer’s Disease (FAD)”, and “Dementia due to Alzheimer’s disease
   (disorder)”.
4.6.3. The Protein-Protein Interaction (PPI)
   To investigate and display each potential interaction between the
   detected genes, the STRING database was utilized.
   ([252]https://stringdb.org/cgi/network?taskId=bIDN4htc9NBY&sessionId=bZ
   WvNlZHMn9h) [[253]92] last accessed on (15 November 2022). The selected
   proteins were selected with the human species “Homo sapiens” as well as
   a confidence count higher than 0.4. STRING was utilized to discover
   proteins that interrelated with A. esculentus dereplicated metabolites
   specifying targets directly or indirectly to Alzheimer’s disorders’
   subnetworks as constructed using the Cytoscape plugin CytoNCA
   application [[254]91].
4.6.4. Network Construction and Visualization
   Plant–compounds, compounds–genes, PPI, and plant–compounds–genes–
   Alzheimer’s disorders networks were built using the Cytoscape network
   analysis program, version 3.9.0 [[255]92]. The difference was
   significant at p < 0.05. Nodes stand for compounds, genes, and
   Alzheimer’s disease in the graphical network; additionally, edges stand
   for its related interactions.
4.6.5. Gene Enrichment Investigation
   The characterized pathways connected to A. esculentus related to
   Alzheimer’s disorders were retrieved by the STRING database
   ([256]https://string-db.org/cgi/network?taskId=bIDN4htc9NBY&sessionId=b
   ZWvNlZHMn9h) [[257]92] last accessed on (15 November 2022) and the KEGG
   Mapper database ([258]https://www.genome.jp/kegg/mapper/) last accessed
   on (20 November 2022) to consider the biological function, cellular
   elements, molecular functions, and incorporated biological pathways.
4.7. Statistical Investigation
   All the obtained data were represented as mean ± SD. Additionally, the
   data were screened for normal distribution statistically utilizing
   one-way analysis of variance software as well as Co-State for Windows,
   version 8. The values of various letters are significant at p < 0.05
   statistically.
   [MATH:
   % change=mea
   mi>n of negative control
   −mean o<
   mi>f treatment groupmea<
   mi>n of negative control×100 :MATH]
   [MATH:
   % improvement
   =mean of positive co
   ntrol−m<
   mi>ean of treatment grou
   pmean of negative co
   ntrol×
   100 :MATH]
5. Conclusions
   In this study, A. esculentus seed crude extract showed significant
   neuroprotective, anti-apoptotic, and anti-amnesic potential against
   AlCl[3]-induced cerebral damages and cognitive dysfunctions, which
   could be associated with the antioxidant and the anti-AChE characters
   of the extract. Ten secondary metabolites were dereplicated using
   LC–HRESIMS. Network pharmacology analysis resulted in establishing a
   hypothesis indicating that the identified compounds from A. esculentus
   possess anti-Alzheimer’s effects through specific genes (ACHE, APP,
   BACE1, MAPT, and TNF). This study proposes the application of A.
   esculentus seed crude extract as a treasure remedy in AD treatment but
   more investigations, such as mechanistic investigations and
   quantification for the secondary metabolites in the extract, are
   necessary to validate the results.
Acknowledgments