Mirzabeigi Parastoo, Mohammadpour Amir Hooshang, Salarifar Mojtaba, Gholami Kheirollah, Mojtahedzadeh Mojtaba, Javadi Mohammad Reza
Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Pharmaceutical Research Center, Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Pharm Res. 2015 Spring;14(2):479-86.
Numerous interventional studies in clinical and preclinical setting stated that intake of curcumin may provide protection against cardiovascular disease. The aim of this trial was investigation of curcumin efficiency on some cardiovascular risk factors in patients with coronary artery disease (CAD). A total of 33 patients with CAD who fulfilled inclusion and exclusion criteria were entered the study. Patients were randomly assigned to receive curcumin or placebo, 500 mg capsules, four times daily for 8 weeks. Lipid profile, blood glucose and high sensitive C-reactive protein (hs-CRP) levels were analyzed at baseline and two months after treatment. Serum levels of triglycerides (P=0.01), LDL-cholesterol (P=0.03) and VLDL-cholesterol (P=0.04) significantly decreased in the curcumin group compared to baseline, without significant changes in total cholesterol, HDL-cholesterol, blood glucose and hs-CRP levels. In all mentioned laboratory parameters, significant difference was not detected between curcumin and placebo. Although curcumin improved some of lipid profile components, it did not show appreciable effect on inflammatory markers in patients with CAD. Therefore, more detailed assessment of metabolic effects or anti-inflammatory activities of curcumin need to perform by extensive human study.
众多临床和临床前环境中的干预性研究表明,摄入姜黄素可能对心血管疾病起到保护作用。本试验的目的是研究姜黄素对冠心病(CAD)患者某些心血管危险因素的疗效。共有33名符合纳入和排除标准的CAD患者进入该研究。患者被随机分配接受姜黄素或安慰剂,500毫克胶囊,每日四次,共8周。在基线和治疗两个月后分析血脂、血糖和高敏C反应蛋白(hs-CRP)水平。与基线相比,姜黄素组的甘油三酯(P=0.01)、低密度脂蛋白胆固醇(P=0.03)和极低密度脂蛋白胆固醇(P=0.04)血清水平显著降低,而总胆固醇、高密度脂蛋白胆固醇、血糖和hs-CRP水平无显著变化。在所有上述实验室参数中,姜黄素组和安慰剂组之间未检测到显著差异。尽管姜黄素改善了一些血脂成分,但对CAD患者的炎症标志物未显示出明显效果。因此,需要通过广泛的人体研究对姜黄素的代谢作用或抗炎活性进行更详细的评估。