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植物源天然产物通过信号通路改善高血压的研究综述

Plant-Derived Natural Products Ameliorating Hypertension via Signaling Pathways: A Review.

作者信息

Feng Yushen, Zhou Juan, Zhong Min, Ma Didi, Mao Jian, Liu Fugui, Jiang Chengxi, Wu Xiaodan, Jiang Lan

机构信息

Anhui Province Key Laboratory of Non-Coding RNA Basic and Clinical Transformation (Wannan Medical College), Central Laboratory, Yijishan Hospital of Wannan Medical College, Wuhu, China.

Fuzhou University Affiliated Provincial Hospital, Department of Anesthesiology, School of Medicine, Fuzhou University, Fuzhou, China.

出版信息

Am J Chin Med. 2025;53(5):1309-1353. doi: 10.1142/S0192415X2550051X. Epub 2025 Jul 8.

Abstract

More than one billion people worldwide suffer from hypertension, and essential arterial hypertension is in particular a major risk factor for cardiovascular diseases. These conditions can lead to complications such as stroke, renal failure, cardiac hypertrophy, and heart failure. Despite extensive research on various antihypertensive drugs, an increasing number of people are unable to effectively control their hypertension. Further optimization of their treatment is required. Given the pathogenesis of hypertension, natural products (NPs) have emerged as a promising source of potential antihypertensive agents. NPs can prevent the development of hypertension by targeting oxidative stress, inflammation, vascular remodeling, and neurohormonal pathways. These targets provide the foundation for the application of NPs in clinical treatment. This review assesses NPs with potential antihypertensive activities published between 2019 and 2024. A total of 70 unique NPs were identified through PubMed and Web of Science. Seventy unique NPs were categorized into flavonoids (20 compounds), terpenoids (24 compounds), alkaloids (17 compounds), and plant-derived extracts (9 species). These products were classified according to their structural frameworks, and their bioactivities were briefly summarized. Future research should prioritize NPs with dual anti-oxidant/anti-inflammatory properties for clinical experiments, advanced delivery systems for improved bioavailability, and interdisciplinary approaches integrating synthetic biology for scalable production.

摘要

全球超过10亿人患有高血压,原发性动脉高血压尤其是心血管疾病的主要危险因素。这些病症可导致中风、肾衰竭、心脏肥大和心力衰竭等并发症。尽管对各种抗高血压药物进行了广泛研究,但仍有越来越多的人无法有效控制高血压。需要进一步优化他们的治疗方案。鉴于高血压的发病机制,天然产物已成为潜在抗高血压药物的一个有前景的来源。天然产物可通过针对氧化应激、炎症、血管重塑和神经激素途径来预防高血压的发展。这些靶点为天然产物在临床治疗中的应用提供了基础。本综述评估了2019年至2024年间发表的具有潜在抗高血压活性的天然产物。通过PubMed和科学网共鉴定出70种独特的天然产物。70种独特的天然产物分为黄酮类化合物(20种化合物)、萜类化合物(24种化合物)、生物碱(17种化合物)和植物提取物(9种)。这些产物根据其结构框架进行分类,并简要总结了它们的生物活性。未来的研究应优先考虑具有抗氧化/抗炎双重特性的天然产物进行临床试验,优先考虑先进的给药系统以提高生物利用度,并优先考虑整合合成生物学以实现可扩展生产的跨学科方法。

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