Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Medicinal Plants Research Center, Institute of Medicinal Plants, ACECR, Tehran, Iran.
Int J Nanomedicine. 2021 May 11;16:3293-3315. doi: 10.2147/IJN.S295508. eCollection 2021.
Considering the high prevalence of cardiovascular diseases (CVDs), the primary cause of death during the last several decades, it is necessary to develop proper strategies for the prevention and treatment of CVDs. Given the excessive side effects of current therapies, alternative therapeutic approaches like medicinal plants and natural products are preferred. Lower toxicity, chemical diversity, cost-effectiveness, and proven therapeutic potentials make natural products superior compared to other products. Nanoformulation methods improve the solubility, bioavailability, circulation time, surface area-to-volume ratio, systemic adverse side effects, and drug delivery efficiency of these medications. This study intended to review the functionality of the most recent nanoformulated medicinal plants and/or natural products against various cardiovascular conditions such as hypertension, atherosclerosis, thrombosis, and myocardial infarction. Literature review revealed that curcumin, quercetin, and resveratrol were the most applied natural products, respectively. Combination therapy, conjugation, or fabrication of nanoparticles and nanocarriers improved the applications and therapeutic efficacy of herbal- or natural-based nanoformulations. In the context of CVDs prevention and/or treatment, available data suggest that natural-based nanoformulations are considerably efficient, alone or in blend with other herbal/synthetic medicines. However, clinical trials are mandatory to elucidate the safety, cardioprotective effect, and mechanism of actions of nanophytomedicines.
鉴于心血管疾病(CVDs)在过去几十年中一直是主要的死亡原因,其发病率很高,因此有必要制定适当的 CVD 预防和治疗策略。鉴于当前疗法的副作用过多,像药用植物和天然产品等替代治疗方法更受欢迎。与其他产品相比,天然产品具有毒性较低、化学多样性、成本效益高、已证实的治疗潜力等优点。纳米制剂方法提高了这些药物的溶解度、生物利用度、循环时间、表面积与体积比、全身不良反应和药物递送效率。本研究旨在综述最近的纳米药用植物和/或天然产品针对各种心血管疾病(如高血压、动脉粥样硬化、血栓形成和心肌梗死)的功能。文献回顾表明,姜黄素、槲皮素和白藜芦醇分别是应用最广泛的天然产物。联合治疗、缀合或纳米粒子和纳米载体的制造改善了草药或天然纳米制剂的应用和治疗效果。在 CVD 的预防和/或治疗方面,现有数据表明,天然纳米制剂单独使用或与其他草药/合成药物联合使用都非常有效。然而,需要进行临床试验来阐明纳米植物药的安全性、心脏保护作用和作用机制。