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治疗高甘油三酯血症的药用植物:基于作用机制和疗效的综述。

Medicinal plants in treatment of hypertriglyceridemia: A review based on their mechanisms and effectiveness.

机构信息

Department of Physiology and Pharmacology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran; Natural Products and Medicinal Plants Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran.

Department of Pharmacology, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

出版信息

Phytomedicine. 2019 Feb;53:43-52. doi: 10.1016/j.phymed.2018.09.024. Epub 2018 Sep 5.

Abstract

BACKGROUND

Hypertriglyceridemia (HTg) defines as high amounts of triglyceride (TG) in the blood which can lead to serious complications over time. HTg is usually a part of metabolic disorders such as diabetes mellitus, metabolic syndrome, and dyslipidemia. Different medications have been used to treat HTg but experimentally, many herbs have been recommended for treating HTg as an adjuvant therapy. In most cases, the recommendations are based on animal studies and limited evidences exist about their mechanisms and clinical usefulness.

PURPOSE

This review focused on the herbs which have been shown TG lowering effect.

METHOD

The search was done in PubMed, Science Direct, Scopus, Web of Science and Google Scholar databases a 20-year period between 1997 to 2017 with keywords search of medicinal plant, plant extract, hypertriglyceridemia, dyslipidemia, hyperlipidemia, lipoprotein lipase and apolipoprotein.

RESULTS

According to the results, many plants showed positive effects but Allium sativum, Nigella sativa, Curcuma longa, Anethum graveolens and Commiphora mukul had the best TG lowering effect with exact mechanisms of action.

CONCLUSION

It seems that use of these plants as complementary therapeutics or extraction of their active ingredients along with currently available drugs will improve the management of HTg in patients.

摘要

背景

高甘油三酯血症(HTg)定义为血液中甘油三酯(TG)含量高,随着时间的推移可能会导致严重的并发症。HTg 通常是糖尿病、代谢综合征和血脂异常等代谢紊乱的一部分。已经使用了不同的药物来治疗 HTg,但在实验中,许多草药已被推荐用于治疗 HTg 作为辅助治疗。在大多数情况下,这些推荐是基于动物研究,关于它们的机制和临床用途的证据有限。

目的

本综述重点介绍了具有降低 TG 作用的草药。

方法

在 1997 年至 2017 年的 20 年期间,通过关键词搜索药用植物、植物提取物、高甘油三酯血症、血脂异常、高脂血症、脂蛋白脂肪酶和载脂蛋白,在 PubMed、Science Direct、Scopus、Web of Science 和 Google Scholar 数据库中进行了搜索。

结果

根据研究结果,许多植物显示出积极的效果,但大蒜、黑种草、姜黄、茴芹和没药具有最佳的降低 TG 效果,其确切的作用机制。

结论

似乎使用这些植物作为补充疗法或提取其活性成分与现有的药物一起使用,将改善患者的 HTg 管理。

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