Aim To observe the effect of edaravone dexborneol (EDDE) on neuronal apoptosis in rats with cerebral ischemia-reperfusion, and to explore its mechanism. Methods SD rats were randomly divided into sham group, middle cerebral artery occlusion (MCAO) group, low-dose EDDE group (EDDE-L group, 3 mg/kg), and high-dose EDDE group (EDDE-H group, 6 mg/kg), chelerythrine (CHE, PKC inhibitor) group (5 mg/kg CHE), EDDE＋CHE group (6 mg/kg EDDE＋5 mg/kg CHE), with 15 rats in each group. Except for the sham group, the rats in the other groups were given the suture method to construct the MCAO model. The rats in each group were scored for neurological deficits; after 24 hours of reperfusion, TTC staining was used to detect the cerebral infarct volume of rats; HE staining was used to observe the pathological damage of cortical nerve cells; TUNEL staining was used to detect cortical nerve cells apoptosis; immunohistochemical method was used to detect the expression of Bcl-2 and Bax in the cortex nerve cells; Western blot was used to detect the expression of Caspase-3, cleaved Caspase-3 and protein kinase C (PKC)/extracellular signal-regulated kinase (ERK) pathway related proteins (PKC, p-PKC, ERK1/2 and p-ERK1/2) in brain tissue. ResultsCompared with sham group, the neurological deficit score, the percentage of cerebral infarction volume and the apoptosis rate of nerve cells increased, the positive expression of Bax increased and the ratio of cleaved Caspase-3/Caspase-3 increased (all P＜0.05), the positive expression of Bcl-2 decreased, the ratio of Bcl-2/Bax, p-PKC/PKC and p-ERK1/2/ERK1/2 decreased in brain tissue (all P＜0.05), the cerebral cortex cells were sparsely arranged, swelling and vacuolar degeneration of nerve cells were obvious, the nucleus shrank and the tissue becomes necrotic in MCAO group. Compared with MCAO group, the neurological deficit score, cerebral infarction volume percentage and apoptosis rate of nerve cells decreased, the positive expression of Bax decreased, the ratio of cleaved Caspase-3/Caspase-3 decreased (all P＜0.05), the positive expression of Bcl-2 increased, the ratio of Bcl-2/Bax, p-PKC/PKC and the ratio of p-ERK1/2/ERK1/2 increased in brain tissue (P＜0.05) in the EDDE-L group and EDDE-H group, the pathological damage of the cerebral cortex was improved to varying degrees, the number of nerve cells increased, the vacuolar degeneration was reduced, the nucleus was clearer, and the EDDE-H group was better than the EDDE-L group. CHE could eliminate the neuroprotective effect of EDDE. Conclusion EDDE cloud inhibit neuronal apoptosis and reduce cerebral ischemia/reperfusion injury, and its mechanism may be related to the activation of PKC/ERK pathway.