• Schisandrin A (SchA) improves insulin sensitivity and reduces blood glucose in diabetic rats, ameliorating diabetes-associated memory impairment.
• SchA treatment prevents histological damage, enhances synaptic protein production, and reduces Aβ42 formation in the diabetic prefrontal cortex.
• SchA alleviates neuroinflammation by decreasing microglial activation and inflammatory markers, while modulating insulin resistance signaling.
• SchA inhibits ferroptosis in the prefrontal cortex by upregulating GPX4, SLC7A11, Nrf2, HO-1, and SIRT1, suggesting a novel therapeutic mechanism.