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精油及其主要成分在心血管疾病风险因素管理中的作用

The Role of Essential Oils and Their Main Compounds in the Management of Cardiovascular Disease Risk Factors.

作者信息

Alves-Silva Jorge M, Zuzarte Mónica, Girão Henrique, Salgueiro Lígia

机构信息

Univ Coimbra, Coimbra Institute for Clinical and Biomedical Research, Faculty of Medicine, 3000-548 Coimbra, Portugal.

Univ Coimbra, Faculty of Pharmacy, 3000-548 Coimbra, Portugal.

出版信息

Molecules. 2021 Jun 9;26(12):3506. doi: 10.3390/molecules26123506.

Abstract

Cardiovascular diseases (CVDs) are a global health burden that greatly impact patient quality of life and account for a huge number of deaths worldwide. Despite current therapies, several side effects have been reported that compromise patient adherence; thus, affecting therapeutic benefits. In this context, plant metabolites, namely volatile extracts and compounds, have emerged as promising therapeutic agents. Indeed, these compounds, in addition to having beneficial bioactivities, are generally more amenable and present less side effects, allowing better patient tolerance. The present review is an updated compilation of the studies carried out in the last 20 years on the beneficial potential of essential oils, and their compounds, against major risk factors of CVDs. Overall, these metabolites show beneficial potential through a direct effect on these risk factors, namely hypertension, dyslipidemia and diabetes, or by acting on related targets, or exerting general cellular protection. In general, monoterpenic compounds are the most studied regarding hypotensive and anti-dyslipidemic/antidiabetic properties, whereas phenylpropanoids are very effective at avoiding platelet aggregation. Despite the number of studies performed, clinical trials are sparse and several aspects related to essential oil's features, namely volatility and chemical variability, need to be considered in order to guarantee their efficacy in a clinical setting.

摘要

心血管疾病(CVDs)是一种全球健康负担,极大地影响患者生活质量,在全球导致大量死亡。尽管有目前的治疗方法,但已报道了几种副作用,这些副作用会影响患者的依从性,从而影响治疗效果。在这种背景下,植物代谢产物,即挥发性提取物和化合物,已成为有前景的治疗剂。事实上,这些化合物除了具有有益的生物活性外,通常更易于接受且副作用较少,使患者耐受性更好。本综述是对过去20年中关于精油及其化合物对心血管疾病主要危险因素的有益潜力的研究的最新汇编。总体而言,这些代谢产物通过对这些危险因素(即高血压、血脂异常和糖尿病)的直接作用,或通过作用于相关靶点,或发挥一般细胞保护作用,显示出有益潜力。一般来说,关于降压和抗血脂异常/抗糖尿病特性,单萜类化合物研究最多,而苯丙素类化合物在避免血小板聚集方面非常有效。尽管进行了大量研究,但临床试验很少,为了确保精油在临床环境中的疗效,需要考虑与精油特性相关的几个方面,即挥发性和化学变异性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a19/8227493/27752825a4c2/molecules-26-03506-g001.jpg

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