Gulati Arvind, Banker Himanshi, Muhammad Alina Amin, Anamika Fnu, Jain Rohit
Department of Internal Medicine, Maulana Azad Medical College, New Delhi, India.
Department of Internal Medicine, Liaquat National Hospital and Medical College, Karachi, Pakistan.
Curr Cardiol Rev. 2025;21(3):60-66. doi: 10.2174/011573403X333952241203050033.
Phytoestrogens are plant-derived compounds resembling human estrogen and have recently gained attention due to their potential role in improving cardiovascular health. These compounds exert their effects through various mechanisms, including interactions with estrogen receptors, growth factor receptors, inflammatory mediators, thrombogenic reactions, and apoptotic pathways. This results in cardioprotective effects like modulating endothelial function, decreasing vessel tone, reducing inflammation, altering lipid profiles, and influencing arrhythmogenesis. Recent studies indicate the intricate and multidimensional association between phytoestrogens and cardiovascular disease. Despite the overwhelming evidence that phytoestrogen intake lowers the risk of myocardial infarction (MI), prevents atherosclerosis, improves cardiac function, prevents hypertension, and reduces the risk of arrhythmias, there have been studies that show contradictory outcomes. For this reason, the therapeutic use of phytoestrogens for the treatment of cardiovascular diseases, which appears to be extremely promising, should be handled cautiously, considering the individual variances, dosage, and the specific components of phytoestrogens. This review consolidates findings on the effects of phytoestrogens on the heart and blood vessels, explores the mechanisms behind these interactions, and seeks to determine the best methods for using phytoestrogens as a supplement in managing and preventing cardiovascular disease. By understanding these aspects, we can better evaluate the potential of phytoestrogens in cardiovascular health and develop guidelines for their safe and effective use.
植物雌激素是一类源自植物的化合物,类似于人体雌激素,因其在改善心血管健康方面的潜在作用,近来受到了关注。这些化合物通过多种机制发挥作用,包括与雌激素受体、生长因子受体、炎症介质、血栓形成反应及凋亡途径相互作用。这会产生心脏保护作用,如调节内皮功能、降低血管张力、减轻炎症、改变血脂谱以及影响心律失常的发生。近期研究表明植物雌激素与心血管疾病之间存在复杂且多维度的关联。尽管有大量证据表明摄入植物雌激素可降低心肌梗死(MI)风险、预防动脉粥样硬化、改善心脏功能、预防高血压并降低心律失常风险,但也有研究显示出相互矛盾的结果。因此,考虑到个体差异、剂量以及植物雌激素的具体成分,对于植物雌激素在心血管疾病治疗中看似极具前景的治疗用途,应谨慎对待。本综述汇总了关于植物雌激素对心脏和血管影响的研究结果,探讨了这些相互作用背后的机制,并试图确定将植物雌激素用作管理和预防心血管疾病补充剂的最佳方法。通过了解这些方面,我们能够更好地评估植物雌激素在心血管健康方面的潜力,并制定其安全有效使用的指南。