﻿<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.1 20151215//EN" "JATS-journalpublishing1.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="review-article">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Explor Neuroprot Ther</journal-id>
<journal-id journal-id-type="publisher-id">ENT</journal-id>
<journal-title-group>
<journal-title>Exploration of Neuroprotective Therapy</journal-title>
</journal-title-group>
<issn pub-type="epub">2769-6510</issn>
<publisher>
<publisher-name>Open Exploration Publishing</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.37349/ent.2026.1004143</article-id>
<article-id pub-id-type="manuscript">1004143</article-id>
<article-categories>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Neuroprotective potential of phycocyanobilin and C-phycocyanin: from molecular targets to translational applications</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-0182-8143</contrib-id>
<name>
<surname>Delgado-Lora</surname>
<given-names>Sheyla</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="afn1">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9428-5606</contrib-id>
<name>
<surname>Rodríguez-Álvarez</surname>
<given-names>Yunier</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="afn1">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3719-7287</contrib-id>
<name>
<surname>Pentón-Rol</surname>
<given-names>Giselle</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role content-type="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Iriti</surname>
<given-names>Marcello</given-names>
</name>
<role>Academic Editor</role>
<aff>Università degli Studi di Milano, Italy</aff>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>Biomedical Research, Pharmaceutical Department, Center for Genetic Engineering and Biotechnology (CIGB), Havana 10600, Cuba</aff>
<aff id="I2">
<sup>2</sup>Physiological Sciences, Immunology Department, Latin American School of Medicine, Havana 19108, Cuba</aff>
<author-notes>
<fn id="afn1" fn-type="equal">
<label>†</label>
<p>These authors share the first authorship.</p>
</fn>
<corresp id="cor1">
<bold>
<sup>*</sup>Correspondence:</bold> Giselle Pentón-Rol, Biomedical Research, Pharmaceutical Department, Center for Genetic Engineering and Biotechnology (CIGB), Ave. 31 e/158 y 190, Cubanacan, Playa, PO Box 6162, Havana 10600, Cuba. <email>giselle.penton@cigb.edu.cu</email></corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>03</day>
<month>04</month>
<year>2026</year>
</pub-date>
<volume>6</volume>
<elocation-id>1004143</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>09</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>03</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2026.</copyright-statement>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<p id="absp-1">Phycocyanobilin (PCB), the covalently bound chromophore of the cyanobacterial protein C-phycocyanin (CPC), is recognized as a bioactive molecule with neuroprotective and anti-inflammatory properties. PCB and CPC, frequently coexisting in <italic>Spirulina</italic> extracts or experimental formulations, have demonstrated beneficial effects in preclinical models of multiple sclerosis, ischemic stroke, and Alzheimer’s disease. Reported mechanisms include attenuation of oxidative stress, reduction of neuroinflammation, and preservation of mitochondrial function, thereby contributing to a reparative microenvironment within the central nervous system. PCB can be obtained through two complementary approaches: Extraction from cyanobacterial biomass, where it remains covalently bound to CPC, and heterologous biosynthesis in <italic>Escherichia coli</italic> (<italic>E. coli</italic>), which enables production of free PCB as a high-purity, scalable linear tetrapyrrole suitable for translational applications. This mini-review summarizes current evidence on the neuroprotective actions of PCB and CPC, highlights their molecular targets, and discusses biotechnological advances that support their potential role in remyelination. By bridging natural pigment pharmacology with recombinant production strategies, PCB is positioned as a multitarget candidate of growing interest for the development of future neuroprotective and neurorepair therapies.</p>
</abstract>
<abstract abstract-type="graphical">
<p>
<fig id="F0">
<label>Graphical abstract.</label>
<caption>
<p>
<bold> Phycocyanobilin: from production to neuroprotection.</bold> CNS: central nervous system; CPC: C-phycocyanin; <italic>E. coli</italic>: <italic>Escherichia coli</italic>; PCB: phycocyanobilin.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ent-06-1004143-g000.tif" />
</fig>
</p>
</abstract>
<kwd-group>
<kwd>phycocyanobilin</kwd>
<kwd>C-phycocyanin</kwd>
<kwd>multiple sclerosis</kwd>
<kwd>ictus</kwd>
<kwd>Alzheimer’s disease</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p id="p-1">Neurological and neurodegenerative diseases such as multiple sclerosis (MS), ischemic stroke, and Alzheimer’s disease (AD) continue to represent major public health challenges, with limited therapeutic options capable of preventing or reversing neuronal and glial damage [<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>]. Increasing evidence indicates that these disorders share convergent pathological mechanisms (including oxidative stress, chronic neuroinflammation, mitochondrial dysfunction, and impaired remyelination) that collectively drive disease progression [<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>]. Targeting these interconnected processes is therefore a key strategy for developing multitarget therapies applicable across different central nervous system (CNS) conditions.</p>
<p id="p-2">In this context, phycocyanobilin (PCB), the covalently bound prosthetic group of the cyanobacterial protein C-phycocyanin (CPC), emerges as a promising bioactive compound with antioxidant, anti-inflammatory, and neuroprotective properties. Experimental studies in both animal and cellular models have shown that PCB mitigates behavioral, histological, and molecular alterations associated with autoimmune and neurodegenerative damage [<xref ref-type="bibr" rid="B5">5</xref>]. Moreover, transcriptomic and histological evidence support its ability to promote oligodendrocyte survival and remyelination, thereby adding a regenerative dimension to its protective profile [<xref ref-type="bibr" rid="B6">6</xref>].</p>
<p id="p-3">Recent advances in heterologous PCB biosynthesis, particularly in <italic>E. coli</italic> systems, enable the production of reproducible, high-purity, and scalable material suitable for mechanistic and translational research [<xref ref-type="bibr" rid="B7">7</xref>]. Such progress bridges natural pigment pharmacology with modern biotechnology, paving the way for clinical development.</p>
<p id="p-4">This mini-review integrates current evidence on PCB’s neuroprotective actions, elucidates its molecular mechanisms, and highlights recent progress in its biotechnological production and translational prospects.</p>
</sec>
<sec id="s2">
<title>Structural features and production routes of phycocyanobilin</title>
<p id="p-5">PCB serves as the covalently bound prosthetic group of phycobiliproteins (most prominently CPC) in cyanobacteria such as <italic>Spirulina platensis</italic>. Within CPC, PCB is attached via thioether linkages to conserved cysteine residues within the α/β subunits [<xref ref-type="bibr" rid="B8">8</xref>], as illustrated in <xref ref-type="fig" rid="fig1">Figure 1A</xref>.</p>
<fig id="fig1" position="float">
<label>Figure 1</label>
<caption>
<p id="fig1-p-1">
<bold>Structural representation of C-phycocyanin and its prosthetic group, phycocyanobilin.</bold> (<bold>A</bold>) Three-dimensional structure of the phycobiliprotein CPC with PCB covalently bound as a prosthetic group through thioether linkages to conserved cysteine residues in the α/β subunits. Structure was obtained from the Protein Data Bank (PDB ID: 2BV8) and visualized using MolViewer* (<uri xlink:href="https://www.rcsb.org/structure/2BV8">https://www.rcsb.org/structure/2BV8</uri>); (<bold>B</bold>) chemical structure of the free PCB molecule, a linear tetrapyrrole chromophore structurally related to biliverdin and bilirubin. These complementary panels illustrate PCB’s natural protein context and its molecular features that are relevant to antioxidant and neuroprotective functions. CPC: C-phycocyanin; PCB: phycocyanobilin.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ent-06-1004143-g001.tif" />
</fig>
<p id="p-6">Structurally related to biliverdin and bilirubin, PCB exhibits potent antioxidant and anti-inflammatory activities through the modulation of redox-sensitive signaling pathways and the preservation of mitochondrial homeostasis [<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>]. The free PCB molecule, represented in <xref ref-type="fig" rid="fig1">Figure 1B</xref>, retains the conjugated tetrapyrrolic structure that confers these redox and radical-scavenging properties.</p>
<p id="p-7">PCB can be obtained through two complementary and translationally relevant production routes: Natural extraction from cyanobacterial biomass (most commonly <italic>Spirulina</italic>) which yields PCB covalently bound as the prosthetic group of CPC [<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>]; and heterologous biosynthesis, primarily in <italic>E. coli</italic>, which enables the production of free PCB as a recombinant linear tetrapyrrole molecule with enhanced purity, reproducibility, and scalability [<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>].</p>
<p id="p-8">These advances in biotechnological production are pivotal for translational development, providing consistent material for mechanistic and preclinical studies while overcoming the intrinsic limitations of natural biomass sources.</p>
<p id="p-9">Taken together, the structural versatility and scalable production routes of PCB provide the basis for advancing its neuroprotective and remyelinating potential in experimental models.</p>
</sec>
<sec id="s3">
<title>Evidence from preclinical models of central nervous system disorders</title>
<sec id="t3-1">
<title>Evidence from multiple sclerosis models</title>
<sec id="t3-1-1">
<title>Phycocyanobilin</title>
<p id="p-10">MS is a chronic, immune-mediated disorder of the CNS characterized by inflammation, demyelination, and progressive neurodegeneration. Disease-modifying therapies (DMTs) mainly target immune mechanisms but have limited efficacy in halting disability progression and promoting remyelination.</p>
<p id="p-11">In preclinical MS models, PCB has demonstrated significant neuroprotective potential. Oral administration of PCB-enriched fractions (0.2, 1, or 5 mg/kg) in mice with experimental autoimmune encephalomyelitis (EAE) markedly reduced clinical scores, attenuated inflammatory cell infiltration, and decreased pro-inflammatory cytokines, including interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and interferon-γ (IFN-γ), in the brain and spinal cord [<xref ref-type="bibr" rid="B15">15</xref>]. In vitro studies using human neuroblastoma cells subjected to excitotoxic damage with 60 mM glutamate have shown that treatment with 1 µM PCB downregulated cytochrome b-245 beta chain (<italic>CYBB</italic>), also known as nicotinamide adenine dinucleotide phosphate (NADPH) oxidase 2 (NOX2), and enhanced antioxidant defenses. These included <italic>HMOX1</italic>, the gene encoding heme oxygenase-1 (HO-1), superoxide dismutase 2 (SOD2), and catalase (CAT), thereby contributing to the preservation of neuronal and oligodendrocyte integrity [<xref ref-type="bibr" rid="B16">16</xref>]. Taken together, the findings support the role of PCB as a multitarget molecule capable of suppressing neuroinflammation while promoting a permissive environment for remyelination, as indicated by an increased expression of myelin-related markers and reduced glial activation [<xref ref-type="bibr" rid="B12">12</xref>].</p>
</sec>
<sec id="t3-1-2">
<title>C-Phycocyanin</title>
<p id="p-12">The parent biliprotein CPC, which contains PCB covalently bound as its prosthetic group, also exerts protective effects in EAE. Intraperitoneal administration of 25 mg/kg/day CPC for 12 days, in both prophylactic and early therapeutic regimens, reduced clinical scores, preserved myelin integrity, and increased regulatory T cell frequency, suggesting an immunoregulatory action beyond oxidative stress modulation [<xref ref-type="bibr" rid="B17">17</xref>]. In addition, CPC promoted oligodendrocyte survival and contributed to a remyelination-permissive environment [<xref ref-type="bibr" rid="B18">18</xref>].</p>
</sec>
</sec>
<sec id="t3-2">
<title>Evidence from ischemic stroke models</title>
<sec id="t3-2-1">
<title>Phycocyanobilin</title>
<p id="p-13">Ischemic stroke involves excitotoxicity, oxidative stress, neuroinflammation, and blood-brain barrier (BBB) disruption. In rodent models of transient cerebral hypoperfusion, PCB, administered intraperitoneally at cumulative doses of 47 or 213 µg/kg for 30 min, 1, 3, and 6 h after surgery, significantly reduced oxidative damage, preserved neuronal morphology, and modulated immune-related genes, including <italic>IL-6</italic> and <italic>HMOX1</italic> [<xref ref-type="bibr" rid="B19">19</xref>]. PCB also improved mitochondrial function and cell survival. In focal ischemia models (endothelin-1-induced middle cerebral artery occlusion), PCB was administered intraperitoneally at 200 μg/kg at 30 min, 1, 3, and 6 h after surgery, which decreased infarct volume and neuronal loss while improving neurological scores. These effects were associated with preserved mitochondrial integrity and suppression of oxidative stress pathways [<xref ref-type="bibr" rid="B20">20</xref>].</p>
<p id="p-14">In vitro, treatment with cumulative doses ranging from 1 to 15 µM PCB protected PC12 cells from H<sub>2</sub>O<sub>2</sub>-induced oxidative stress and glutamate-induced toxicity, maintaining mitochondrial membrane potential and reducing apoptosis [<xref ref-type="bibr" rid="B19">19</xref>].</p>
</sec>
<sec id="t3-2-2">
<title>C-Phycocyanin</title>
<p id="p-15">CPC has demonstrated parallel cerebroprotective effects in experimental ischemia. Studies by Marín-Prida and colleagues [<xref ref-type="bibr" rid="B21">21</xref>] showed that CPC (at cumulative doses of 2.5, 5, or 10 mg/kg, administered intraperitoneally at 30 min, 1, 3, and 6 h after the surgery) in rats subjected to permanent ischemia protected against neuronal degeneration, reduced glial activation, and enhanced antioxidant defenses. These outcomes suggest that CPC, like PCB, can modulate redox homeostasis and inflammation, but its protective profile may also involve protein-based antioxidant mechanisms inherent to the holoenzyme structure.</p>
</sec>
</sec>
<sec id="t3-3">
<title>Evidence from Alzheimer’s disease models</title>
<sec id="t3-3-1">
<title>Phycocyanobilin</title>
<p id="p-16">To date, PCB has not been directly tested in animal models of AD. However, its structural and mechanistic similarity to bilirubin, together with its proven effects in other neurodegenerative contexts, provides a strong rationale for future testing in AD [<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B22">22</xref>]. PCB’s antioxidant, anti-inflammatory, and mitochondrial-supporting actions may counteract early pathogenic events such as oxidative stress and neuroinflammation.</p>
</sec>
<sec id="t3-3-2">
<title>C-Phycocyanin</title>
<p id="p-17">Evidence from CPC and <italic>Spirulina</italic>-derived extracts offers indirect support for PCB-related neuroprotection in AD. In scopolamine-induced amnesia models, <italic>Spirulina</italic> extracts (at cumulative doses of 50, 100, 200, or 400 mg/kg) improved cognitive performance and diminished oxidative stress [<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>]. In AD-like models, CPC at 50 and 100 mg/kg alleviated cognitive deficits induced by intracerebroventricular administration of streptozotocin, restored antioxidant balance, and modulated pathways dependent on phosphoinositide 3-kinase (PI3K), thereby contributing to neuroprotection [<xref ref-type="bibr" rid="B25">25</xref>]. Furthermore, CPC reduced apoptosis and inflammatory cytokines in amyloid-beta (Aβ)-challenged rodents [<xref ref-type="bibr" rid="B26">26</xref>]. Mechanistically, CPC activates the nuclear factor erythroid 2-related factor 2 (Nrf2) antioxidant pathway and inhibits the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) inflammatory pathway, thereby promoting neuronal survival and synaptic function.</p>
<p id="p-18">Overall, although direct data for free PCB in AD models are lacking, studies involving CPC suggest overlapping neuroprotective mechanisms and reinforce the hypothesis that its covalently bound prosthetic group, PCB, contributes to CPC’s antioxidant activity.</p>
<p id="p-19">Across preclinical models of MS, ischemia, and AD, both free PCB and CPC exert convergent neuroprotective actions through complementary, yet interconnected, mechanisms. Free PCB is recognized as the primary redox-active linear tetrapyrrole molecule, mediating antioxidant and anti-inflammatory modulation, whereas CPC functions as the holoprotein containing PCB as a prosthetic group, providing additional structural and immunoregulatory functions that may enhance remyelination and cellular recovery. However, in in vivo studies, their effects cannot be completely dissociated, since part of CPC’s activity may derive from the redox reactivity of its covalently bound PCB.</p>
<p id="p-20">Key findings from PCB and CPC preclinical studies are summarized in <xref ref-type="table" rid="t1">Table 1</xref>, which provides an integrated view of the models and their main outcomes.</p>
<table-wrap id="t1">
<label>Table 1</label>
<caption>
<p id="t1-p-1">
<bold>Summary of preclinical evidence on PCB and CPC in models of MS, ischemic stroke, and AD.</bold>
</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>
<bold>Model/Disease</bold>
</th>
<th>
<bold>Compound</bold>
</th>
<th>
<bold>Key findings</bold>
</th>
<th>
<bold>References</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="2">EAE-MS model</td>
<td>PCB</td>
<td>Oral PCB reduced clinical scores, suppressed IL-6, IFN-γ, TNF-α; ↓ NOX2 (<italic>CYBB</italic>); ↑ HO-1, SOD2; improved redox and inflammatory balance.</td>
<td>[<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>]</td>
</tr>
<tr>
<td>CPC</td>
<td>Reduced disease severity, preserved myelin, induced regulatory T cells; ↓ inflammatory cytokines; created a permissive environment for remyelination.</td>
<td>[<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>]</td>
</tr>
<tr>
<td rowspan="2">Cerebral ischemia models</td>
<td>PCB</td>
<td>↓ Oxidative stress (malondialdehyde, protein carbonyls); ↑ HO-1, SOD2, CAT; ↓ IL-6, TNF-α; improved neurological outcomes; reduced infarct volume.</td>
<td>[<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>]</td>
</tr>
<tr>
<td>CPC</td>
<td>Preserved mitochondrial function, reduced reactive oxygen species, improved survival after ischemia/reperfusion.</td>
<td>[<xref ref-type="bibr" rid="B21">21</xref>]</td>
</tr>
<tr>
<td>AD models</td>
<td>CPC</td>
<td>Improved memory in scopolamine and Aβ models; ↓ Aβ aggregation, ↓ glial activation, ↑ BDNF and synaptic markers.</td>
<td>[<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>]</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p id="t1-fn-1">The data include the principal molecular mechanisms and functional outcomes. Aβ: amyloid-beta; AD: Alzheimer’s disease; BDNF: brain-derived neurotrophic factor; CAT: catalase; CPC: C-Phycocyanin; <italic>CYBB</italic>: cytochrome b-245 beta chain; EAE: experimental autoimmune encephalomyelitis; HO-1: heme oxygenase-1; IFN-γ: interferon-γ; IL-6: interleukin-6; MS: multiple sclerosis; NOX2: nicotinamide adenine dinucleotide phosphate oxidase 2; PCB: phycocyanobilin; SOD2: superoxide dismutase 2; TNF-α: tumor necrosis factor-alpha. The arrow pointing upwards (↑) represents an increase, and the arrow pointing downwards (↓) represents a decrease.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p id="p-21">In preclinical studies investigating the neuroprotective potential of CPC and PCB, different routes of administration and dosing regimens have been employed. CPC has frequently been administered intraperitoneally or orally, with doses ranging from low milligram quantities to higher repeated administrations depending on the experimental design [<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B23">23</xref>]. PCB, often studied as a purified chromophore or derived from <italic>Spirulina</italic> extracts, has been delivered via oral gavage, intraperitoneal injection, and in some cases incorporated into dietary formulations [<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>]. Despite evidence of beneficial effects across various animal models of neurodegenerative disorders, the heterogeneity in administration procedures and dosing schedules complicates direct comparisons between studies. Future research should aim to standardize delivery methods and optimize dose ranges to better define therapeutic windows and facilitate translation into clinical applications.</p>
</sec>
</sec>
</sec>
<sec id="s4">
<title>Molecular mechanisms underlying the neuroprotective actions of phycocyanobilin</title>
<p id="p-22">The beneficial effects of PCB on the CNS are explained through several interrelated molecular mechanisms that converge on the control of oxidative stress and neuroinflammation (<xref ref-type="fig" rid="fig2">Figure 2</xref>) [<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B17">17</xref>].</p>
<fig id="fig2" position="float">
<label>Figure 2</label>
<caption>
<p id="fig2-p-1">
<bold>Molecular mechanisms of PCB protection in the CNS.</bold> PCB exerts its neuroprotective effects through three complementary molecular pathways: (a) Bilirubin-like redox cycling, in which PCB undergoes reversible redox interconversions analogous to the biliverdin/bilirubin pair, thereby neutralizing ROS and maintaining cellular redox balance; (b) inhibition of NOX, where PCB suppresses NOX-dependent superoxide generation and downstream inflammatory signaling; and (c) metal chelation and radical scavenging, whereby the conjugated π-electron system of PCB facilitates binding to redox-active metals (Fe<sup>2+</sup>, Cu<sup>2+</sup>) and scavenging of hydroxyl and peroxyl radicals, thereby preventing lipid peroxidation and preserving mitochondrial and neuronal integrity. CNS: central nervous system; NOX: nicotinamide adenine dinucleotide phosphate oxidase; PCB: phycocyanobilin; ROS: reactive oxygen species.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ent-06-1004143-g002.tif" />
</fig>
<sec id="t4-1">
<title>Bilirubin-like redox cycling</title>
<p id="p-23">PCB is a linear tetrapyrrole, structurally similar to biliverdin and bilirubin, which allows reversible redox interconversion between its oxidized and reduced forms [<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B27">27</xref>]. This bilirubin-like behavior enables PCB to neutralize reactive oxygen species (ROS) and peroxyl radicals, while maintaining intracellular glutathione levels and thiol homeostasis. Such a redox cycle represents a key antioxidant defense, analogous to the well-characterized biliverdin/bilirubin pair, thereby preventing oxidative damage to lipids, proteins, and nucleic acids [<xref ref-type="bibr" rid="B27">27</xref>].</p>
</sec>
<sec id="t4-2">
<title>Inhibition of NOX</title>
<p id="p-24">PCB modulates the activity of the NOX complex (particularly NOX2<italic>/CYBB</italic>), a major enzymatic source of ROS in microglia and endothelial cells of the CNS. Transcriptomic and biochemical studies indicate that PCB downregulates <italic>CYBB</italic> and cytochrome b-245 alpha chain (<italic>CYBA</italic>) gene expression, while enhancing antioxidant enzymes such as HMOX1, SOD2, and CAT. This regulation results in a marked reduction in superoxide and hydrogen peroxide generation [<xref ref-type="bibr" rid="B16">16</xref>]. Such modulation contributes to anti-inflammatory effects by limiting the activation of NF-kB and the release of cytokines (e.g., IL-6, TNF-α) [<xref ref-type="bibr" rid="B12">12</xref>].</p>
</sec>
<sec id="t4-3">
<title>Metal chelation and radical scavenging</title>
<p id="p-25">The conjugated π-electron system of PCB enables interactions with and chelates transition metals such as Fe<sup>2+</sup> and Cu<sup>2+</sup>, which are key mediators of Fenton-type reactions that generate hydroxyl radicals. By sequestering these redox-active metals and directly scavenging hydroxyl and peroxyl radicals, PCB interrupts lipid peroxidation chains and preserves mitochondrial integrity [<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>].</p>
<p id="p-26">Collectively, these complementary mechanisms define PCB as a multitarget antioxidant and anti-inflammatory molecule, capable of mitigating oxidative stress, protecting neurons and oligodendrocytes, and fostering an environment favorable to remyelination [<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B18">18</xref>].</p>
</sec>
</sec>
<sec id="s5">
<title>Biotechnological production of PCB: progress from cyanobacteria to recombinant systems</title>
<p id="p-27">Natural extraction of PCB from cyanobacterial biomass traditionally involves isolating CPC holoproteins containing covalently bound PCB, followed by chromatographic enrichment and, when free PCB is required, controlled cleavage and bilin release [<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>]. Although feasible, this route is limited by batch-to-batch variability in pigment content, isoforms, and purity, as well as by the presence of proteinaceous impurities and other bilins, which complicate downstream analytics [<xref ref-type="bibr" rid="B30">30</xref>].</p>
<p id="p-28">Recent advances have shifted attention toward heterologous biosynthesis in <italic>E. coli</italic>, where the cyanobacterial heme-to-bilin pathway is reconstituted by co-expression of HO-1 and PCB: ferredoxin oxidoreductase (PcyA). Optimized ribosome binding sites, codon usage, and metabolic engineering strategies have enabled intracellular PCB accumulation at higher yields and purity [<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>]. Importantly, recombinant production provides a scalable source of free PCB, thereby overcoming the variability inherent to natural extracts.</p>
<p id="p-29">For translational applications, two technical aspects are particularly critical and must be rigorously addressed to ensure safety and reproducibility. Endotoxin control is indispensable, as the removal of lipopolysaccharides derived from Gram-negative expression hosts is essential for parenteral administration; residual endotoxins can elicit strong immunogenic responses and compromise therapeutic applicability. Equally important is the assurance of analytical identity and purity, which requires comprehensive characterization through combined high-performance liquid chromatography (HPLC), ultraviolet-visible spectroscopy, and mass spectrometry criteria. This integrated approach confirms the correct bilin identity while excluding oxidized or degraded by-products, thereby safeguarding molecular integrity and functional consistency [<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B33">33</xref>].</p>
<p id="p-30">In addition, PCB stability and formulation strategies remain an active area of research. Like other tetrapyrroles, PCB is both photo and redox-sensitive, requiring protective measures such as opaque containers, antioxidants, and controlled pH conditions [<xref ref-type="bibr" rid="B30">30</xref>]. Preclinical work has explored cyclodextrin complexes, liposomal carriers, polymeric nanoparticles, and intranasal delivery routes to enhance solubility, stability, and potential brain exposure. These approaches highlight the growing integration of biotechnological production with pharmaceutical formulation science [<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>].</p>
</sec>
<sec id="s6">
<title>Translational challenges and future perspectives</title>
<p id="p-31">Despite promising preclinical data, several challenges must still be addressed before PCB can advance to clinical use. The first challenge relates to pharmacokinetics and BBB permeability, as direct evidence of PCB penetration into the CNS remains limited [<xref ref-type="bibr" rid="B6">6</xref>]. Clarifying whether PCB acts centrally or through peripheral immunometabolic modulation will require standardized biodistribution assays, including liquid chromatography-tandem mass spectrometry (LC-MS/MS), plasma-to-brain ratio measurements, and radiolabeled tracing. Furthermore, toxicological and clinical data on PCB represent a significant gap, given the lack of formal toxicological evaluation of the molecule. Although CPC and <italic>Spirulina</italic> are generally recognized as safe (GRAS) [<xref ref-type="bibr" rid="B34">34</xref>] for dietary use, intravenous or chronic administration of PCB will require rigorous safety studies and, ultimately, clinical trials.</p>
<p id="p-32">From a regulatory standpoint, PCB may follow a nutraceutical pathway, leveraging its existing GRAS status but limiting therapeutic claims, or a drug development pathway, which requires comprehensive pharmaceutical evaluation [<xref ref-type="bibr" rid="B35">35</xref>] but allows for specific disease indications. Additionally, the potential for combinatorial use of the molecule should be considered. Given its multitarget profile, PCB may complement DMTs in MS [<xref ref-type="bibr" rid="B6">6</xref>] or be combined with antioxidants in AD and stroke [<xref ref-type="bibr" rid="B36">36</xref>], potentially enhancing neurorepair and remyelination.</p>
<p id="p-33">Finally, the industrial and therapeutic value of recombinant PCB is considerable. Heterologous expression systems provide consistent, high-purity PCB suitable for pharmaceutical development, ensuring reproducibility while enabling innovation in formulations such as nanoparticles, cyclodextrins, and liposomes, as well as supporting intellectual property development.</p>
</sec>
<sec id="s7">
<title>Conclusion</title>
<p id="p-34">PCB is a multitarget molecule with antioxidant, anti-inflammatory, mitochondrial-protective, and remyelination-supporting potential. Preclinical models of MS, ischemic stroke, and neurodegeneration have demonstrated its ability to modulate redox-sensitive pathways, dampen neuroinflammation, and improve functional outcomes. The heterologous production of PCB in engineered systems provides reproducible, high-purity, and scalable preparations for pharmaceutical development.</p>
<p id="p-35">Key challenges include characterizing its pharmacokinetics, establishing BBB permeability, and defining a good laboratory practice-compliant toxicological profile. The regulatory pathway must clarify whether PCB will advance as a nutraceutical, a drug candidate, or potentially both.</p>
<p id="p-36">Hence, PCB offers a unique opportunity to bridge natural product pharmacology with modern biotechnology, positioning it as a promising candidate for future neuroprotective and neurorepair strategies. In this regard, PCB may evolve from a nutraceutical curiosity into a clinically relevant neurotherapeutic.</p>
</sec>
</body>
<back>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term>AD</term>
<def>
<p>Alzheimer’s disease</p>
</def>
</def-item>
<def-item>
<term>BBB</term>
<def>
<p>blood-brain barrier</p>
</def>
</def-item>
<def-item>
<term>CAT</term>
<def>
<p>catalase</p>
</def>
</def-item>
<def-item>
<term>CNS</term>
<def>
<p>central nervous system</p>
</def>
</def-item>
<def-item>
<term>CPC</term>
<def>
<p>C-phycocyanin</p>
</def>
</def-item>
<def-item>
<term>CYBB</term>
<def>
<p>cytochrome b-245 beta chain</p>
</def>
</def-item>
<def-item>
<term>DMTs</term>
<def>
<p>disease-modifying therapies</p>
</def>
</def-item>
<def-item>
<term>EAE</term>
<def>
<p>experimental autoimmune encephalomyelitis</p>
</def>
</def-item>
<def-item>
<term>GRAS</term>
<def>
<p>generally recognized as safe</p>
</def>
</def-item>
<def-item>
<term>HO-1</term>
<def>
<p>heme oxygenase-1</p>
</def>
</def-item>
<def-item>
<term>IL-6</term>
<def>
<p>interleukin-6</p>
</def>
</def-item>
<def-item>
<term>MS</term>
<def>
<p>multiple sclerosis</p>
</def>
</def-item>
<def-item>
<term>NADPH</term>
<def>
<p>nicotinamide adenine dinucleotide phosphate</p>
</def>
</def-item>
<def-item>
<term>NF-kB</term>
<def>
<p>nuclear factor kappa-light-chain-enhancer of activated B cells</p>
</def>
</def-item>
<def-item>
<term>NOX2</term>
<def>
<p>nicotinamide adenine dinucleotide phosphate oxidase 2</p>
</def>
</def-item>
<def-item>
<term>PCB</term>
<def>
<p>phycocyanobilin</p>
</def>
</def-item>
<def-item>
<term>ROS</term>
<def>
<p>reactive oxygen species</p>
</def>
</def-item>
<def-item>
<term>SOD2</term>
<def>
<p>superoxide dismutase 2</p>
</def>
</def-item>
<def-item>
<term>TNF-α</term>
<def>
<p>tumor necrosis factor-alpha</p>
</def>
</def-item>
</def-list>
</glossary>
<sec id="s8">
<title>Declarations</title>
<sec id="t-8-1">
<title>Acknowledgments</title>
<p>We thank Dr. Ania Cabrales-Rico and Osmany Guirola-Cruz for their technical assistance with the images, which was essential for the successful completion of this manuscript. The authors acknowledge the use of ChatGPT (OpenAI, San Francisco, CA, USA) to assist in improving the readability of the manuscript. All content was critically reviewed and approved by the authors, who take full responsibility for the publication.</p>
</sec>
<sec id="t-8-2">
<title>Author contributions</title>
<p>SDL and YRÁ: Methodology, Writing—original draft, Formal analysis. GPR: Supervision, Methodology, Writing—review &amp; editing. All authors read and approved the final version of the manuscript and agree to be accountable for all aspects of the work.</p>
</sec>
<sec id="t-8-3" sec-type="COI-statement">
<title>Conflicts of interest</title>
<p>The authors declare that they have no conflicts of interest.</p>
</sec>
<sec id="t-8-4">
<title>Ethical approval</title>
<p>Not applicable.</p>
</sec>
<sec id="t-8-5">
<title>Consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec id="t-8-6">
<title>Consent to publication</title>
<p>Not applicable.</p>
</sec>
<sec id="t-8-7" sec-type="data-availability">
<title>Availability of data and materials</title>
<p>Not applicable.</p>
</sec>
<sec id="t-8-8">
<title>Funding</title>
<p>Not applicable.</p>
</sec>
<sec id="t-8-9">
<title>Copyright</title>
<p>© The Author(s) 2026.</p>
</sec>
</sec>
<sec id="s9">
<title>Publisher’s note</title>
<p>Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.</p>
</sec>
<ref-list>
<ref id="B1">
<label>1</label>
<element-citation publication-type="journal">
<article-title>2024 Alzheimer’s disease facts and figures</article-title>
<source>Alzheimers Dement</source>
<year iso-8601-date="2024">2024</year>
<volume>20</volume>
<fpage>3708</fpage>
<lpage>821</lpage>
<pub-id pub-id-type="doi">10.1002/alz.13809</pub-id>
<pub-id pub-id-type="pmid">38689398</pub-id>
<pub-id pub-id-type="pmcid">PMC11095490</pub-id>
</element-citation>
</ref>
<ref id="B2">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fornari</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Lanza</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Guastafierro</surname>
<given-names>E</given-names>
</name>
<name>
<surname>Marcassoli</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Sismondo</surname>
<given-names>P</given-names>
</name>
<name>
<surname>Curatoli</surname>
<given-names>C</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Inequities in neurological care: Access to services, care gaps, and other barriers-A systematic review</article-title>
<source>Eur J Neurol</source>
<year iso-8601-date="2025">2025</year>
<volume>32</volume>
<elocation-id>e16553</elocation-id>
<pub-id pub-id-type="doi">10.1111/ene.16553</pub-id>
<pub-id pub-id-type="pmid">39582360</pub-id>
<pub-id pub-id-type="pmcid">PMC11625953</pub-id>
</element-citation>
</ref>
<ref id="B3">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Erickson</surname>
<given-names>MA</given-names>
</name>
<name>
<surname>Dohi</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Banks</surname>
<given-names>WA</given-names>
</name>
</person-group>
<article-title>Neuroinflammation: a common pathway in CNS diseases as mediated at the blood-brain barrier</article-title>
<source>Neuroimmunomodulation</source>
<year iso-8601-date="2012">2012</year>
<volume>19</volume>
<fpage>121</fpage>
<lpage>30</lpage>
<pub-id pub-id-type="doi">10.1159/000330247</pub-id>
<pub-id pub-id-type="pmid">22248728</pub-id>
<pub-id pub-id-type="pmcid">PMC3707010</pub-id>
</element-citation>
</ref>
<ref id="B4">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Picca</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Calvani</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Coelho-Junior</surname>
<given-names>HJ</given-names>
</name>
<name>
<surname>Landi</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Bernabei</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Marzetti</surname>
<given-names>E</given-names>
</name>
</person-group>
<article-title>Mitochondrial Dysfunction, Oxidative Stress, and Neuroinflammation: Intertwined Roads to Neurodegeneration</article-title>
<source>Antioxidants (Basel)</source>
<year iso-8601-date="2020">2020</year>
<volume>9</volume>
<elocation-id>647</elocation-id>
<pub-id pub-id-type="doi">10.3390/antiox9080647</pub-id>
<pub-id pub-id-type="pmid">32707949</pub-id>
<pub-id pub-id-type="pmcid">PMC7466131</pub-id>
</element-citation>
</ref>
<ref id="B5">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Rodríguez-Ulloa</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Besada</surname>
<given-names>V</given-names>
</name>
<name>
<surname>Llopiz-Arzuaga</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Batista</surname>
<given-names>NV</given-names>
</name>
<name>
<surname>Hernández-González</surname>
<given-names>I</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>The effects of Phycocyanobilin on experimental arthritis involve the reduction in nociception and synovial neutrophil infiltration, inhibition of cytokine production, and modulation of the neuronal proteome</article-title>
<source>Front Immunol</source>
<year iso-8601-date="2023">2023</year>
<volume>14</volume>
<elocation-id>1227268</elocation-id>
<pub-id pub-id-type="doi">10.3389/fimmu.2023.1227268</pub-id>
<pub-id pub-id-type="pmid">37936684</pub-id>
<pub-id pub-id-type="pmcid">PMC10627171</pub-id>
</element-citation>
</ref>
<ref id="B6">
<label>6</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Pavón-Fuentes</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Lagumersindez-Denis</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Camacho-Rodríguez</surname>
<given-names>H</given-names>
</name>
<name>
<surname>García-Soca</surname>
<given-names>AM</given-names>
</name>
<name>
<surname>Sarduy-Chávez</surname>
<given-names>RC</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Anti-inflammatory mechanisms and pharmacological actions of phycocyanobilin in a mouse model of experimental autoimmune encephalomyelitis: A therapeutic promise for multiple sclerosis</article-title>
<source>Front Immunol</source>
<year iso-8601-date="2022">2022</year>
<volume>13</volume>
<elocation-id>1036200</elocation-id>
<pub-id pub-id-type="doi">10.3389/fimmu.2022.1036200</pub-id>
<pub-id pub-id-type="pmid">36405721</pub-id>
<pub-id pub-id-type="pmcid">PMC9669316</pub-id>
</element-citation>
</ref>
<ref id="B7">
<label>7</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ye</surname>
<given-names>Z</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Yao</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>G</given-names>
</name>
</person-group>
<article-title>Heterologous Expression of Phycocyanobilin in Escherichia coli and Determination of Its Antioxidant Capacity In Vitro</article-title>
<source>Mol Biotechnol</source>
<year iso-8601-date="2025">2025</year>
<volume>67</volume>
<fpage>983</fpage>
<lpage>95</lpage>
<pub-id pub-id-type="doi">10.1007/s12033-024-01098-6</pub-id>
<pub-id pub-id-type="pmid">38441799</pub-id>
</element-citation>
</ref>
<ref id="B8">
<label>8</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Scheer</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>KH</given-names>
</name>
</person-group>
<article-title>Biliprotein maturation: the chromophore attachment</article-title>
<source>Mol Microbiol</source>
<year iso-8601-date="2008">2008</year>
<volume>68</volume>
<fpage>263</fpage>
<lpage>76</lpage>
<pub-id pub-id-type="doi">10.1111/j.1365-2958.2008.06160.x</pub-id>
<pub-id pub-id-type="pmid">18284595</pub-id>
<pub-id pub-id-type="pmcid">PMC2327270</pub-id>
</element-citation>
</ref>
<ref id="B9">
<label>9</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Minic</surname>
<given-names>SL</given-names>
</name>
<name>
<surname>Milcic</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Stanic-Vucinic</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Radibratovic</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Sotiroudis</surname>
<given-names>TG</given-names>
</name>
<name>
<surname>Nikolic</surname>
<given-names>MR</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Phycocyanobilin, a bioactive tetrapyrrolic compound of blue-green alga Spirulina, binds with high affinity and competes with bilirubin for binding on human serum albumin</article-title>
<source>RSC Advances</source>
<year iso-8601-date="2015">2015</year>
<volume>5</volume>
<fpage>61787</fpage>
<lpage>98</lpage>
<pub-id pub-id-type="doi">10.1039/C5RA05534B</pub-id>
</element-citation>
</ref>
<ref id="B10">
<label>10</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jansen</surname>
<given-names>T</given-names>
</name>
<name>
<surname>Daiber</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>Direct Antioxidant Properties of Bilirubin and Biliverdin. Is there a Role for Biliverdin Reductase?</article-title>
<source>Front Pharmacol</source>
<year iso-8601-date="2012">2012</year>
<volume>3</volume>
<elocation-id>30</elocation-id>
<pub-id pub-id-type="doi">10.3389/fphar.2012.00030</pub-id>
<pub-id pub-id-type="pmid">22438843</pub-id>
<pub-id pub-id-type="pmcid">PMC3306014</pub-id>
</element-citation>
</ref>
<ref id="B11">
<label>11</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>McCarty</surname>
<given-names>MF</given-names>
</name>
</person-group>
<article-title>Clinical potential of Spirulina as a source of phycocyanobilin</article-title>
<source>J Med Food</source>
<year iso-8601-date="2007">2007</year>
<volume>10</volume>
<fpage>566</fpage>
<lpage>70</lpage>
<pub-id pub-id-type="doi">10.1089/jmf.2007.621</pub-id>
<pub-id pub-id-type="pmid">18158824</pub-id>
</element-citation>
</ref>
<ref id="B12">
<label>12</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pentón-Rol</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>McCarty</surname>
<given-names>MF</given-names>
</name>
</person-group>
<article-title>C-Phycocyanin-derived Phycocyanobilin as a Potential Nutraceutical Approach for Major Neurodegenerative Disorders and COVID-19- induced Damage to the Nervous System</article-title>
<source>Curr Neuropharmacol</source>
<year iso-8601-date="2021">2021</year>
<volume>19</volume>
<fpage>2250</fpage>
<lpage>75</lpage>
<pub-id pub-id-type="doi">10.2174/1570159X19666210408123807</pub-id>
<pub-id pub-id-type="pmid">33829974</pub-id>
<pub-id pub-id-type="pmcid">PMC9185767</pub-id>
</element-citation>
</ref>
<ref id="B13">
<label>13</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ge</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>H</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>P</given-names>
</name>
<name>
<surname>Qin</surname>
<given-names>S</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Combinational biosynthesis of phycocyanobilin using genetically-engineered Escherichia coli</article-title>
<source>Biotechnol Lett</source>
<year iso-8601-date="2013">2013</year>
<volume>35</volume>
<fpage>689</fpage>
<lpage>93</lpage>
<pub-id pub-id-type="doi">10.1007/s10529-012-1132-z</pub-id>
<pub-id pub-id-type="pmid">23307652</pub-id>
</element-citation>
</ref>
<ref id="B14">
<label>14</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tooley</surname>
<given-names>AJ</given-names>
</name>
<name>
<surname>Cai</surname>
<given-names>YA</given-names>
</name>
<name>
<surname>Glazer</surname>
<given-names>AN</given-names>
</name>
</person-group>
<article-title>Biosynthesis of a fluorescent cyanobacterial C-phycocyanin holo-alpha subunit in a heterologous host</article-title>
<source>Proc Natl Acad Sci U S A</source>
<year iso-8601-date="2001">2001</year>
<volume>98</volume>
<fpage>10560</fpage>
<lpage>5</lpage>
<pub-id pub-id-type="doi">10.1073/pnas.181340998</pub-id>
<pub-id pub-id-type="pmid">11553806</pub-id>
<pub-id pub-id-type="pmcid">PMC58505</pub-id>
</element-citation>
</ref>
<ref id="B15">
<label>15</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cervantes-Llanos</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Lagumersindez-Denis</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Pavón-Fuentes</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Falcon-Cama</surname>
<given-names>V</given-names>
</name>
<name>
<surname>Piniella-Matamoros</surname>
<given-names>B</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Beneficial effects of oral administration of C-Phycocyanin and Phycocyanobilin in rodent models of experimental autoimmune encephalomyelitis</article-title>
<source>Life Sci</source>
<year iso-8601-date="2018">2018</year>
<volume>194</volume>
<fpage>130</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="doi">10.1016/j.lfs.2017.12.032</pub-id>
<pub-id pub-id-type="pmid">29287781</pub-id>
</element-citation>
</ref>
<ref id="B16">
<label>16</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gardón</surname>
<given-names>DP</given-names>
</name>
<name>
<surname>Cervantes-Llanos</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Matamoros</surname>
<given-names>BP</given-names>
</name>
<name>
<surname>Rodríguez</surname>
<given-names>HC</given-names>
</name>
<name>
<surname>Tan</surname>
<given-names>CY</given-names>
</name>
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Positive effects of Phycocyanobilin on gene expression in glutamate-induced excitotoxicity in SH-SY5Y cells and animal models of multiple sclerosis and cerebral ischemia</article-title>
<source>Heliyon</source>
<year iso-8601-date="2022">2022</year>
<volume>8</volume>
<elocation-id>e09769</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.heliyon.2022.e09769</pub-id>
<pub-id pub-id-type="pmid">35800718</pub-id>
<pub-id pub-id-type="pmcid">PMC9253351</pub-id>
</element-citation>
</ref>
<ref id="B17">
<label>17</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pentón-Rol</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Martínez-Sánchez</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Cervantes-Llanos</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Lagumersindez-Denis</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Acosta-Medina</surname>
<given-names>EF</given-names>
</name>
<name>
<surname>Falcón-Cama</surname>
<given-names>V</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>C-Phycocyanin ameliorates experimental autoimmune encephalomyelitis and induces regulatory T cells</article-title>
<source>Int Immunopharmacol</source>
<year iso-8601-date="2011">2011</year>
<volume>11</volume>
<fpage>29</fpage>
<lpage>38</lpage>
<pub-id pub-id-type="doi">10.1016/j.intimp.2010.10.001</pub-id>
<pub-id pub-id-type="pmid">20971186</pub-id>
</element-citation>
</ref>
<ref id="B18">
<label>18</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pentón-Rol</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Falcón-Cama</surname>
<given-names>V</given-names>
</name>
</person-group>
<article-title>C-Phycocyanin and Phycocyanobilin as Remyelination Therapies for Enhancing Recovery in Multiple Sclerosis and Ischemic Stroke: A Preclinical Perspective</article-title>
<source>Behav Sci (Basel)</source>
<year iso-8601-date="2018">2018</year>
<volume>8</volume>
<elocation-id>15</elocation-id>
<pub-id pub-id-type="doi">10.3390/bs8010015</pub-id>
<pub-id pub-id-type="pmid">29346320</pub-id>
<pub-id pub-id-type="pmcid">PMC5791033</pub-id>
</element-citation>
</ref>
<ref id="B19">
<label>19</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Pavón-Fuentes</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Llópiz-Arzuaga</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Fernández-Massó</surname>
<given-names>JR</given-names>
</name>
<name>
<surname>Delgado-Roche</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Mendoza-Marí</surname>
<given-names>Y</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Phycocyanobilin promotes PC12 cell survival and modulates immune and inflammatory genes and oxidative stress markers in acute cerebral hypoperfusion in rats</article-title>
<source>Toxicol Appl Pharmacol</source>
<year iso-8601-date="2013">2013</year>
<volume>272</volume>
<fpage>49</fpage>
<lpage>60</lpage>
<pub-id pub-id-type="doi">10.1016/j.taap.2013.05.021</pub-id>
<pub-id pub-id-type="pmid">23732081</pub-id>
</element-citation>
</ref>
<ref id="B20">
<label>20</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pavón-Fuentes</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Llópiz-Arzuaga</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Falcón-Cama</surname>
<given-names>V</given-names>
</name>
<name>
<surname>Campos-Mojena</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Cervantes-Llanos</surname>
<given-names>M</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Phycocyanobilin reduces brain injury after endothelin-1-induced focal cerebral ischaemia</article-title>
<source>Clin Exp Pharmacol Physiol</source>
<year iso-8601-date="2020">2020</year>
<volume>47</volume>
<fpage>383</fpage>
<lpage>92</lpage>
<pub-id pub-id-type="doi">10.1111/1440-1681.13214</pub-id>
<pub-id pub-id-type="pmid">31732975</pub-id>
</element-citation>
</ref>
<ref id="B21">
<label>21</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marín-Prida</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Liberato</surname>
<given-names>JL</given-names>
</name>
<name>
<surname>Llópiz-Arzuaga</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Stringhetta-Padovani</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Pavón-Fuentes</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Leopoldino</surname>
<given-names>AM</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Novel Insights into the Molecular Mechanisms Involved in the Neuroprotective Effects of C-Phycocyanin against Brain Ischemia in Rats</article-title>
<source>Curr Pharm Des</source>
<year iso-8601-date="2022">2022</year>
<volume>28</volume>
<fpage>1187</fpage>
<lpage>97</lpage>
<pub-id pub-id-type="doi">10.2174/1381612828666220506145542</pub-id>
<pub-id pub-id-type="pmid">35524676</pub-id>
</element-citation>
</ref>
<ref id="B22">
<label>22</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Matamoros</surname>
<given-names>BP</given-names>
</name>
<name>
<surname>Prida</surname>
<given-names>JM</given-names>
</name>
<name>
<surname>Rol</surname>
<given-names>GP</given-names>
</name>
</person-group>
<article-title>Nutraceutical and therapeutic potential of Phycocyanobilin for treating Alzheimer’s disease</article-title>
<source>J Biosci</source>
<year iso-8601-date="2021">2021</year>
<volume>46</volume>
<elocation-id>42</elocation-id>
<pub-id pub-id-type="pmid">34047285</pub-id>
</element-citation>
</ref>
<ref id="B23">
<label>23</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Choi</surname>
<given-names>WY</given-names>
</name>
<name>
<surname>Kang</surname>
<given-names>DH</given-names>
</name>
<name>
<surname>Lee</surname>
<given-names>HY</given-names>
</name>
</person-group>
<article-title>Effect of Fermented <italic>Spirulina maxima</italic> Extract on Cognitive-Enhancing Activities in Mice with Scopolamine-Induced Dementia</article-title>
<source>Evid Based Complement Alternat Med</source>
<year iso-8601-date="2018">2018</year>
<volume>2018</volume>
<elocation-id>7218504</elocation-id>
<pub-id pub-id-type="doi">10.1155/2018/7218504</pub-id>
<pub-id pub-id-type="pmid">30598686</pub-id>
<pub-id pub-id-type="pmcid">PMC6287139</pub-id>
</element-citation>
</ref>
<ref id="B24">
<label>24</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ghanbari</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Vafaei</surname>
<given-names>AA</given-names>
</name>
<name>
<surname>Naghibi</surname>
<given-names>nasab FS</given-names>
</name>
<name>
<surname>Attarmoghaddam</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Bandegi</surname>
<given-names>AR</given-names>
</name>
<name>
<surname>Moradi-Kor</surname>
<given-names>N</given-names>
</name>
</person-group>
<article-title>
<italic>Spirulina</italic> microalgae improves memory deficit induced by scopolamine in male pup rats: Role of oxidative stress</article-title>
<source>S Afr J Bot</source>
<year iso-8601-date="2019">2019</year>
<volume>127</volume>
<fpage>220</fpage>
<lpage>5</lpage>
<pub-id pub-id-type="doi">10.1016/j.sajb.2019.08.045</pub-id>
</element-citation>
</ref>
<ref id="B25">
<label>25</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Agrawal</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Perumal</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Bansal</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Arora</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Chopra</surname>
<given-names>K</given-names>
</name>
</person-group>
<article-title>Phycocyanin alleviates ICV-STZ induced cognitive and molecular deficits via PI3-Kinase dependent pathway</article-title>
<source>Food Chem Toxicol</source>
<year iso-8601-date="2020">2020</year>
<volume>145</volume>
<elocation-id>111684</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.fct.2020.111684</pub-id>
<pub-id pub-id-type="pmid">32805344</pub-id>
</element-citation>
</ref>
<ref id="B26">
<label>26</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lai</surname>
<given-names>MC</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>WY</given-names>
</name>
<name>
<surname>Tzeng</surname>
<given-names>YC</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>IM</given-names>
</name>
</person-group>
<article-title>Algae-derived C-phycocyanin mitigates AGE-RAGE-induced ER stress and mitochondrial apoptosis: Implications for diabetes-associated neurodegeneration</article-title>
<source>Int J Mol Sci</source>
<year iso-8601-date="2025">2025</year>
<volume>26</volume>
<elocation-id>11077</elocation-id>
<pub-id pub-id-type="doi">10.3390/ijms262211077</pub-id>
<pub-id pub-id-type="pmid">41303562</pub-id>
<pub-id pub-id-type="pmcid">PMC12652130</pub-id>
</element-citation>
</ref>
<ref id="B27">
<label>27</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sedlak</surname>
<given-names>TW</given-names>
</name>
<name>
<surname>Saleh</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Higginson</surname>
<given-names>DS</given-names>
</name>
<name>
<surname>Paul</surname>
<given-names>BD</given-names>
</name>
<name>
<surname>Juluri</surname>
<given-names>KR</given-names>
</name>
<name>
<surname>Snyder</surname>
<given-names>SH</given-names>
</name>
</person-group>
<article-title>Bilirubin and glutathione have complementary antioxidant and cytoprotective roles</article-title>
<source>Proc Natl Acad Sci U S A</source>
<year iso-8601-date="2009">2009</year>
<volume>106</volume>
<fpage>5171</fpage>
<lpage>6</lpage>
<pub-id pub-id-type="doi">10.1073/pnas.0813132106</pub-id>
<pub-id pub-id-type="pmid">19286972</pub-id>
<pub-id pub-id-type="pmcid">PMC2664041</pub-id>
</element-citation>
</ref>
<ref id="B28">
<label>28</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Romay</surname>
<given-names>C</given-names>
</name>
<name>
<surname>González</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Ledón</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Remirez</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Rimbau</surname>
<given-names>V</given-names>
</name>
</person-group>
<article-title>C-Phycocyanin: a biliprotein with antioxidant, anti-inflammatory and neuroprotective effects</article-title>
<source>Curr Protein Pept Sci</source>
<year iso-8601-date="2003">2003</year>
<volume>4</volume>
<fpage>207</fpage>
<lpage>16</lpage>
<pub-id pub-id-type="doi">10.2174/1389203033487216</pub-id>
<pub-id pub-id-type="pmid">12769719</pub-id>
</element-citation>
</ref>
<ref id="B29">
<label>29</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>Y</given-names>
</name>
</person-group>
<article-title>The Bioactivities of Phycocyanobilin from Spirulina</article-title>
<source>J Immunol Res</source>
<year iso-8601-date="2022">2022</year>
<volume>2022</volume>
<elocation-id>4008991</elocation-id>
<pub-id pub-id-type="doi">10.1155/2022/4008991</pub-id>
<pub-id pub-id-type="pmid">35726224</pub-id>
<pub-id pub-id-type="pmcid">PMC9206584</pub-id>
</element-citation>
</ref>
<ref id="B30">
<label>30</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pagels</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Guedes</surname>
<given-names>AC</given-names>
</name>
<name>
<surname>Amaro</surname>
<given-names>HM</given-names>
</name>
<name>
<surname>Kijjoa</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Vasconcelos</surname>
<given-names>V</given-names>
</name>
</person-group>
<article-title>Phycobiliproteins from cyanobacteria: Chemistry and biotechnological applications</article-title>
<source>Biotechnol Adv</source>
<year iso-8601-date="2019">2019</year>
<volume>37</volume>
<fpage>422</fpage>
<lpage>43</lpage>
<pub-id pub-id-type="doi">10.1016/j.biotechadv.2019.02.010</pub-id>
<pub-id pub-id-type="pmid">30797095</pub-id>
</element-citation>
</ref>
<ref id="B31">
<label>31</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dagnino-Leone</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Figueroa</surname>
<given-names>CP</given-names>
</name>
<name>
<surname>Castañeda</surname>
<given-names>ML</given-names>
</name>
<name>
<surname>Youlton</surname>
<given-names>AD</given-names>
</name>
<name>
<surname>Vallejos-Almirall</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Agurto-Muñoz</surname>
<given-names>A</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Phycobiliproteins: Structural aspects, functional characteristics, and biotechnological perspectives</article-title>
<source>Comput Struct Biotechnol J</source>
<year iso-8601-date="2022">2022</year>
<volume>20</volume>
<fpage>1506</fpage>
<lpage>27</lpage>
<pub-id pub-id-type="doi">10.1016/j.csbj.2022.02.016</pub-id>
<pub-id pub-id-type="pmid">35422968</pub-id>
<pub-id pub-id-type="pmcid">PMC8983314</pub-id>
</element-citation>
</ref>
<ref id="B32">
<label>32</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>Z</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Du</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>X</given-names>
</name>
</person-group>
<article-title>Rational Design of Key Enzymes to Efficiently Synthesize Phycocyanobilin in <italic>Escherichia coli</italic></article-title>
<source>Biomolecules</source>
<year iso-8601-date="2024">2024</year>
<volume>14</volume>
<elocation-id>301</elocation-id>
<pub-id pub-id-type="doi">10.3390/biom14030301</pub-id>
</element-citation>
</ref>
<ref id="B33">
<label>33</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Esclapez</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Matarredona</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Zafrilla</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Camacho</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Bonete</surname>
<given-names>MJ</given-names>
</name>
<name>
<surname>Zafrilla</surname>
<given-names>B</given-names>
</name>
</person-group>
<article-title>Optimization of Phycocyanobilin Synthesis in <italic>E. coli</italic> BL21: Biotechnological Insights and Challenges for Scalable Production</article-title>
<source>Genes (Basel)</source>
<year iso-8601-date="2024">2024</year>
<volume>15</volume>
<elocation-id>1058</elocation-id>
<pub-id pub-id-type="doi">10.3390/genes15081058</pub-id>
<pub-id pub-id-type="pmid">39202418</pub-id>
<pub-id pub-id-type="pmcid">PMC11353606</pub-id>
</element-citation>
</ref>
<ref id="B34">
<label>34</label>
<element-citation publication-type="journal">
<article-title>GRAS Notice No</article-title>
<source>Arthrospira maxima</source>
<volume> 2012</volume>
</element-citation>
</ref>
<ref id="B35">
<label>35</label>
<element-citation publication-type="confproc">
<comment>ICH Expert Working Group. Guidance on nonclinical safety studies for the conduct of human clinical trials and marketing authorization for pharmaceuticals M3 (R2). International conference on harmonisation of technical requirements for registration of pharmaceuticals for human use; 2009.</comment>
</element-citation>
</ref>
<ref id="B36">
<label>36</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>El</surname>
<given-names>Gaamouch F</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>F</given-names>
</name>
<name>
<surname>Ho</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Lin</surname>
<given-names>HY</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>C</given-names>
</name>
<name>
<surname>Wong</surname>
<given-names>J</given-names>
</name>
<etal>et al.</etal>
</person-group>
<article-title>Benefits of dietary polyphenols in Alzheimer’s disease</article-title>
<source>Front Aging Neurosci</source>
<year iso-8601-date="2022">2022</year>
<volume>14</volume>
<elocation-id>1019942</elocation-id>
<pub-id pub-id-type="doi">10.3389/fnagi.2022.1019942</pub-id>
<pub-id pub-id-type="pmid">36583187</pub-id>
<pub-id pub-id-type="pmcid">PMC9792677</pub-id>
</element-citation>
</ref>
</ref-list>
</back>
</article>