Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.
Biomed Pharmacother. 2019 Oct;118:109338. doi: 10.1016/j.biopha.2019.109338. Epub 2019 Aug 23.
Dyslipidemia is a key risk factor for cardiovascular diseases, which are a major cause of morbidity and mortality worldwide. However, despite the advancement of the treatment and prevention of dyslipidemia, medications used to treat dyslipidemia are limited to chemical drugs. Herbal medicine, as an alternative treatment, has a long history of usage and provides more treatment options, and related studies have revealed intervention targets for dyslipidemia. Four lipid-lowering mechanisms of herbal medicines have been proposed and are discussed in this paper. These mechanisms are the inhibition of cholesterol absorption in enterocytes, reduction of cholesterol synthesis, elevation of reverse cholesterol transport, and promotion of cholesterol excretion in the liver. This review elaborates on the underlying molecular pathways involved in plasma lipid balance via bioactive compounds from herbal medicines.
血脂异常是心血管疾病的一个关键风险因素,心血管疾病是全球发病率和死亡率的主要原因。然而,尽管血脂异常的治疗和预防取得了进展,但用于治疗血脂异常的药物仅限于化学药物。草药作为一种替代疗法,具有悠久的使用历史,并提供了更多的治疗选择,相关研究也揭示了血脂异常的干预靶点。本文提出了草药的四种降脂机制,并进行了讨论。这些机制包括抑制肠细胞中的胆固醇吸收、减少胆固醇合成、增加胆固醇逆转运以及促进肝脏中的胆固醇排泄。本综述通过草药中的生物活性化合物详细阐述了参与血浆脂质平衡的潜在分子途径。