A. Albalawi, Fahad Eid Albalawi, Ifat Alsharif, Mashael A. Alotaibi, R. Alhasani, Fatima S. Alaryani, Zuhair M. Mohammedsaleh, T. Almatrafi, S. H. Almasoudi, Amany I. Almars, Areej M. Alshehri, F. Alsulaimani, Sawsan Abd Ellatif, Mona H. Soliman, Hailah M. Almohaimeed

2026.5.28Bratislava Medical Journal

DOI: 10.1007/s44411-026-00658-3

Abstract

Traumatic Brain Injury (TBI) is a debilitating neurological condition resulting from external mechanical forces, often leading to cognitive impairment, neuroinflammation, and oxidative stress. Current therapeutic strategies offer limited efficacy in reversing TBI-induced neuronal damage. Ashwagandha (Withania somnifera), a traditional Ayurvedic herb, is known for its neuroprotective and anti-inflammatory properties. This study aimed to evaluate the therapeutic potential of Ashwagandha in a controlled cortical impact (CCI)-induced TBI model in adult male C57BL/6 mice. Animals were divided into four groups: Sham Control, TBI Control, TBI + Vehicle, and TBI + Ashwagandha (500 mg/kg body weight for 14 days post-injury). Behavioral assessments (Y-maze and Morris water maze) revealed that Ashwagandha significantly alleviated TBI-induced hyperactivity, though memory deficits persisted. Biochemical analyses showed a marked reduction in oxidative stress markers (Catalase, CAT, Superoxide dismutase SOD) and pro-inflammatory cytokines (IL-1β, TNF-α, IL-6) in the Ashwagandha-treated group. Histopathological and immunohistochemical evaluations demonstrated preserved neuronal architecture and decreased astrocytic (GFAP) and microglial (Iba-1) activation. These findings indicate that Ashwagandha effectively mitigates neuroinflammation, reduces oxidative damage, and improves histological outcomes in TBI mice. In conclusion, Ashwagandha exhibits significant neuroprotective effects and may serve as a promising adjunct therapy for managing TBI-induced neuropathology.

Citation format

ALBALAWI, A., et al. Effects of withania somnifera on stress response, neuroinflammation, and brain histopathology in a mouse model of traumatic brain injury. Bratislava Medical Journal, 2026.