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靶向氧化应激作为心血管疾病的预防和治疗方法。

Targeting oxidative stress as a preventive and therapeutic approach for cardiovascular disease.

机构信息

Hunan Engineering Technology Center of Standardization and Function of Chinese Herbal Decoction Pieces, College of Pharmacy, Hunan University of Chinese Medicine, Changsha, 410208, China.

Department of Pharmacy, Changsha Hospital for Matemal&Child Health Care, Changsha, People's Republic of China.

出版信息

J Transl Med. 2023 Aug 2;21(1):519. doi: 10.1186/s12967-023-04361-7.

Abstract

Cardiovascular diseases (CVDs) continue to exert a significant impact on global mortality rates, encompassing conditions like pulmonary arterial hypertension (PAH), atherosclerosis (AS), and myocardial infarction (MI). Oxidative stress (OS) plays a crucial role in the pathogenesis and advancement of CVDs, highlighting its significance as a contributing factor. Maintaining an equilibrium between reactive oxygen species (ROS) and antioxidant systems not only aids in mitigating oxidative stress but also confers protective benefits on cardiac health. Herbal monomers can inhibit OS in CVDs by activating multiple signaling pathways, such as increasing the activity of endogenous antioxidant systems and decreasing the level of ROS expression. Given the actions of herbal monomers to significantly protect the normal function of the heart and reduce the damage caused by OS to the organism. Hence, it is imperative to recognize the significance of herbal monomers as prospective therapeutic interventions for mitigating oxidative damage in CVDs. This paper aims to comprehensively review the origins and mechanisms underlying OS, elucidate the intricate association between CVDs and OS, and explore the therapeutic potential of antioxidant treatment utilizing herbal monomers. Furthermore, particular emphasis will be placed on examining the cardioprotective effects of herbal monomers by evaluating their impact on cardiac signaling pathways subsequent to treatment.

摘要

心血管疾病(CVDs)仍然对全球死亡率产生重大影响,包括肺动脉高压(PAH)、动脉粥样硬化(AS)和心肌梗死(MI)等疾病。氧化应激(OS)在 CVDs 的发病机制和进展中起着关键作用,突出了其作为一个促成因素的重要性。维持活性氧(ROS)和抗氧化系统之间的平衡不仅有助于减轻氧化应激,还有助于保护心脏健康。草药单体可以通过激活多种信号通路来抑制 CVDs 中的 OS,例如增加内源性抗氧化系统的活性和降低 ROS 表达水平。鉴于草药单体可显著保护心脏的正常功能并减少 OS 对机体造成的损害,因此,必须认识到草药单体作为减轻 CVDs 中氧化损伤的潜在治疗干预措施的重要性。本文旨在全面综述 OS 的起源和机制,阐明 CVDs 和 OS 之间的复杂关系,并探讨利用草药单体进行抗氧化治疗的治疗潜力。此外,还将特别关注通过评估治疗后对心脏信号通路的影响来检查草药单体的心脏保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/076b/10394930/89636b117d17/12967_2023_4361_Fig1_HTML.jpg

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