Sharifi-Rad Javad, Quispe Cristina, Shaheen Shabnum, El Haouari Mohammed, Azzini Elena, Butnariu Monica, Sarac Ioan, Pentea Marius, Ramírez-Alarcón Karina, Martorell Miquel, Kumar Manoj, Docea Anca Oana, Cruz-Martins Natália, Calina Daniela
Phytochemistry Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Facultad de Medicina, Universidad del Azuay, Cuenca, Ecuador.
Crit Rev Food Sci Nutr. 2022;62(29):8045-8058. doi: 10.1080/10408398.2021.1924612. Epub 2021 May 13.
Cardiovascular ailments are the number one cause of mortalities throughout the globe with 17.9 million deaths per year. Platelet activation and aggregation play a crucial role in the pathogenesis of arterial diseases, including acute coronary syndrome, acute myocardial infarction, cerebrovascular transient ischemia, unstable angina, among others. Flavonoids-rich plant extracts are gaining interest for treating the heart-related problems due to safe nature of these herbal extracts. Consumption of plant-food-derived bioactives, particularly flavonoids, has shown antithrombotic, and cardiovascular protective effects due to its anti-platelet activity. Preclinical and clinical trials have proven that flavonoid-rich plant extracts are protective against the cardiac ailments through anti-platelet aggregation activity. This review aims to highlight the anti-platelet aggregation potential of flavonoids with a key emphasis on the therapeutic efficacy in humans. The mechanism of flavonoids in preventing and treating cardiovascular diseases is also highlighted based on preclinical and clinical experimental trials. Further studies are the need of time for exploring the exact molecular mechanism of flavonoids as anti-platelet aggregation agents for treating heart-related problems.
心血管疾病是全球头号死因,每年导致1790万人死亡。血小板活化和聚集在包括急性冠状动脉综合征、急性心肌梗死、脑血管短暂性缺血、不稳定型心绞痛等在内的动脉疾病发病机制中起着关键作用。富含类黄酮的植物提取物因其安全性,在治疗心脏相关问题方面越来越受到关注。食用植物性食物来源的生物活性物质,特别是类黄酮,因其抗血小板活性而具有抗血栓形成和心血管保护作用。临床前和临床试验已经证明,富含类黄酮的植物提取物通过抗血小板聚集活性对心脏疾病具有保护作用。本综述旨在强调类黄酮的抗血小板聚集潜力,重点关注其对人类的治疗效果。基于临床前和临床实验研究,还强调了类黄酮预防和治疗心血管疾病的机制。进一步的研究对于探索类黄酮作为抗血小板聚集剂治疗心脏相关问题的确切分子机制是必要的。