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植物疗法治疗心血管疾病:从基础到临床的方法。

Phytotherapy for Cardiovascular Disease: A Bench-to-Bedside Approach.

机构信息

Psychiatric Hospital of Maracaibo, Maracaibo, Venezuela

Endocrine and Metabolic Diseases Research Center, School of Medicine, University of Zulia, Maracaibo, Venezuela

出版信息

Curr Pharm Des. 2020;26(35):4410-4429. doi: 10.2174/1381612826666200420160422.

DOI:10.2174/1381612826666200420160422
PMID:32310044
Abstract

At present, cardiovascular disease (CVD) remains the leading cause of morbidity and mortality worldwide, and global trends suggest that this panorama will persist or worsen in the near future. Thus, optimization of treatment strategies and the introduction of novel therapeutic alternatives for CVD represent key objectives in contemporary biomedical research. In recent years, phytotherapy-defined as the therapeutic use of whole or minimally modified plant components-has ignited large scientific interest, with a resurgence of abundant investigation on a wide array of medicinal herbs (MH) for CVD and other conditions. Numerous MH have been observed to intervene in the pathophysiology of CVD via a myriad of molecular mechanisms, including antiinflammatory, anti-oxidant, and other beneficial properties, which translate into the amelioration of three essential aspects of the pathogenesis of CVD: Dyslipidemia, atherosclerosis, and hypertension. Although the preclinical data in this scenario is very rich, the true clinical impact of MH and their purported mechanisms of action is less clear, as large-scale robust research in this regard is in relatively early stages and faces important methodological challenges. This review offers a comprehensive look at the most prominent preclinical and clinical evidence currently available concerning the use of MH in the treatment of CVD from a bench-to-bedside approach.

摘要

目前,心血管疾病(CVD)仍然是全球发病率和死亡率的主要原因,全球趋势表明,这种情况在不久的将来将持续或恶化。因此,优化治疗策略和引入 CVD 的新型治疗方法是当代生物医学研究的关键目标。近年来,植物疗法——定义为使用完整或最小程度修饰的植物成分进行治疗——引起了科学界的极大兴趣,对治疗 CVD 和其他疾病的大量药用植物(MH)进行了大量研究。许多 MH 通过多种分子机制被观察到干预 CVD 的病理生理学,包括抗炎、抗氧化和其他有益特性,这转化为改善 CVD 发病机制的三个重要方面:血脂异常、动脉粥样硬化和高血压。尽管这种情况下的临床前数据非常丰富,但 MH 的真正临床影响及其所谓的作用机制并不清楚,因为这方面的大规模稳健研究处于相对早期阶段,并面临着重要的方法学挑战。本综述从基础到临床的角度全面探讨了目前关于 MH 治疗 CVD 的最突出的临床前和临床证据。

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