Leonurine weakly binds to multiple GABA receptor sites including the GABAA receptor.[2][3] However, it shows much higher affinity as a 5-HT3A receptorantagonist.[4] 5-HT3A antagonists have been shown to help prevent nausea and vomiting as well as the negative effects of serotonin in the gastrointestinal tract.[5][6]
Leonurine can regulate a variety of functions including oxidative stress, inflammation, fibrosis, apoptosis, and metabolic disorder.[7][8][9]
Leonurine has demonstrated antidepressant-like action and has been shown to increase levels of serotonin, noradrenaline, and dopamine in chronic mild stress studies on mice and inhibits the production of pro-inflammatory cytokines.[10][11][12]
Leonurine has been investigated as a potential treatment for cardiovascular disorders.[13][14][15][16] It protects against oxidative damage from ischemic stroke and demonstrates neuroprotective activity against focal cerebral ischemia brain injury induced on rats.[17][18][19]
Leonurine protects mice from pneumonia induced by influenza A.[20]
Metabolites of leonurine in rats dosed orally include leonurine-10-O-sulfate (the sulfate conjugate of leonurine), leonurine-10-O-β-D-glucuronide (the glucuronide metabolite of leonurine) and an O-demethylated leonurine analog that has not yet had its structure definitively confirmed.[26]
^Rauwald HW, Savtschenko A, Merten A, Rusch C, Appel K, Kuchta K (August 2015). "GABAA Receptor Binding Assays of Standardized Leonurus cardiaca and Leonurus japonicus Extracts as Well as Their Isolated Constituents". Planta Medica. 81 (12–13): 1103–1110. doi:10.1055/s-0033-1352395. PMID26218338.
^Li YY, Lin YK, Liu XH, Wang L, Yu M, Li DJ, et al. (February 2020). "Leonurine: From Gynecologic Medicine to Pleiotropic Agent". Chinese Journal of Integrative Medicine. 26 (2): 152–160. doi:10.1007/s11655-019-3453-0. PMID31069695. S2CID148571306.
^Shi XR, Hong ZY, Liu HR, Zhang YC, Zhu YZ (July 2011). "Neuroprotective effects of SCM198 on 6-hydroxydopamine-induced behavioral deficit in rats and cytotoxicity in neuronal SH-SY5Y cells". Neurochemistry International. 58 (8): 851–860. doi:10.1016/j.neuint.2010.11.007. PMID21093517. S2CID33986318.
^Wang R, Peng L, Lv D, Shang F, Yan J, Li G, et al. (February 2021). "Leonurine Attenuates Myocardial Fibrosis Through Upregulation of miR-29a-3p in Mice Post-myocardial Infarction". Journal of Cardiovascular Pharmacology. 77 (2): 189–199. doi:10.1097/FJC.0000000000000957. PMID33235025. S2CID227168673.
^Zhu Q, Cai W, Sha X, Ma G, Zheng Y, Shi X, Zhu Y (April 2012). "Quantification of leonurine, a novel potential cardiovascular agent, in rat plasma by liquid chromatography-tandem mass spectrometry and its application to pharmacokinetic study in rats". Biomedical Chromatography. 26 (4): 518–523. doi:10.1002/bmc.1699. PMID21882210.
^Liu XH, Pan LL, Deng HY, Xiong QH, Wu D, Huang GY, et al. (January 2013). "Leonurine (SCM-198) attenuates myocardial fibrotic response via inhibition of NADPH oxidase 4". Free Radical Biology & Medicine. 54: 93–104. doi:10.1016/j.freeradbiomed.2012.10.555. PMID23127783.
^Li F, Zhu S, Jiang Q, Hou C, Pang T, Zhang L, Li W (July 2021). "Novel Stachydrine-Leonurine Conjugate SL06 as a Potent Neuroprotective Agent for Cerebral Ischemic Stroke". ACS Chemical Neuroscience. 12 (13): 2478–2490. doi:10.1021/acschemneuro.1c00200. PMID34180238. S2CID235660771.
^Liu H, Zhang X, Du Y, Ji H, Li S, Li L, et al. (September 2012). "Leonurine protects brain injury by increased activities of UCP4, SOD, CAT and Bcl-2, decreased levels of MDA and Bax, and ameliorated ultrastructure of mitochondria in experimental stroke". Brain Research. 1474: 73–81. doi:10.1016/j.brainres.2012.07.028. PMID22842526. S2CID24119195.
^Qiu LN, Tan YR, Luo YJ, Chen XJ (September 2021). "Leonurine protects against influenza A virus infection-induced pneumonia in mice". Pathogens and Disease. 79 (7): ftab045. doi:10.1093/femspd/ftab045. PMID34543397.
^Li X, Xie Y, Qu W, Ou X, Ou X, Wang C, et al. (November 2020). "Breast Cancer Resistance Protein and Multidrug Resistance Protein 2 Mediate the Disposition of Leonurine-10-O-β-glucuronide". Current Drug Metabolism. 21 (13): 1060–1067. doi:10.2174/1389200221999201116142742. PMID33198612. S2CID226985047.