Environmentally-Induced Cardiovascular Degeneration, Clinical Chemistry and Laboratory Diagnostics, Medical Faculty, University Hospital and Heinrich-Heine-University, 40225 Düsseldorf, Germany.
Institute for Pharmacology and Clinical Pharmacology, Medical Faculty, University Hospital and Heinrich-Heine-University, 40225 Düsseldorf, Germany.
Cells. 2022 Jan 20;11(3):342. doi: 10.3390/cells11030342.
Cardiovascular diseases (CVDs) contribute to a large part of worldwide mortality. Similarly, two of the major risk factors for these diseases, aging and obesity, are also global problems. Aging, the gradual decline of body functions, is non-modifiable. Obesity, a modifiable risk factor for CVDs, also predisposes to type 2 diabetes mellitus (T2DM). Moreover, it affects not only the vasculature and the heart but also specific fat depots, which themselves have a major impact on the development and progression of CVDs. Common denominators of aging, obesity, and T2DM include oxidative stress, mitochondrial dysfunction, metabolic abnormalities such as altered lipid profiles and glucose metabolism, and inflammation. Several plant substances such as curcumin, the major active compound in turmeric root, have been used for a long time in traditional medicine and for the treatment of CVDs. Newer mechanistic, animal, and human studies provide evidence that curcumin has pleiotropic effects and attenuates numerous parameters which contribute to an increased risk for CVDs in aging as well as in obesity. Thus, curcumin as a nutraceutical could hold promise in the prevention of CVDs, but more standardized clinical trials are required to fully unravel its potential.
心血管疾病(CVDs)是导致全球大部分死亡的主要原因之一。同样,导致这些疾病的两个主要危险因素,即衰老和肥胖,也是全球性问题。衰老,即身体机能的逐渐衰退,是不可改变的。肥胖是 CVD 的一个可改变的危险因素,也容易导致 2 型糖尿病(T2DM)。此外,它不仅影响血管和心脏,还影响特定的脂肪储存部位,这些部位本身对 CVD 的发展和进展有重大影响。衰老、肥胖和 T2DM 的共同特征包括氧化应激、线粒体功能障碍、代谢异常,如脂质谱和葡萄糖代谢改变,以及炎症。姜黄根中的主要活性化合物姜黄素等几种植物物质在传统医学中已被长期用于治疗 CVD。新的机制、动物和人体研究提供了证据,表明姜黄素具有多种作用,可减轻导致衰老和肥胖人群 CVD 风险增加的许多参数。因此,姜黄作为一种营养保健品,有望预防 CVD,但需要更多标准化的临床试验来充分挖掘其潜力。