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姜黄素在心血管疾病中的治疗潜力:针对动脉粥样硬化病理生理学

Therapeutic potential of curcumin in cardiovascular disease: Targeting atherosclerosis pathophysiology.

作者信息

Yadav Rajesh, Mishra Shruti, Chaturvedi Rupesh, Pandey Achyut

机构信息

Department of Dialysis Technology, Sharda School of Allied Health Sciences, Sharda University, Gautam Budh Nagar, Greater Noida, Uttar Pradesh 201310, India.

School of Biosciences and Technology, Galgotias University, Plot No. 2, Yamuna Expressway, Sector 17A, Greater Noida, Uttar Pradesh 203201, India.

出版信息

Biomed Pharmacother. 2025 Sep;190:118412. doi: 10.1016/j.biopha.2025.118412. Epub 2025 Aug 4.

Abstract

Atherosclerosis, a chronic inflammatory disease defined by plaque formation in artery walls, is still a significant cause of cardiovascular morbidity and mortality globally. Despite advancements in conventional medicines, the search for natural substances with several therapeutic applications continues. Curcumin, a polyphenol produced from Curcuma longa, has emerged as a promising anti-atherosclerosis treatment due to its powerful anti-inflammatory, antioxidant, lipid-modulating, and endothelial-protective characteristics. This article explores how curcumin reduces atherosclerosis by inhibiting NF-κB and MAPK signaling pathways, reducing oxidative stress, modulating lipid metabolism, and increasing nitric oxide bioavailability. Curcumin has been shown in preclinical studies to reduce aortic lesion area, inhibit pro-inflammatory cytokines, and improve endothelial function, and clinical trials show that it has the potential to improve vascular health in at-risk groups. However, issues such as low bioavailability demand additional research into improved formulations. By integrating current information, this article highlights curcumin's therapeutic potential and advocates for robust clinical trials to validate its efficacy and establish standardized dose regimens for cardiovascular disease prevention and treatment.

摘要

动脉粥样硬化是一种由动脉壁斑块形成所定义的慢性炎症性疾病,在全球范围内仍是心血管疾病发病和死亡的重要原因。尽管传统药物取得了进展,但对具有多种治疗应用的天然物质的探索仍在继续。姜黄素是一种从姜黄中提取的多酚,由于其强大的抗炎、抗氧化、脂质调节和内皮保护特性,已成为一种有前景的抗动脉粥样硬化治疗药物。本文探讨了姜黄素如何通过抑制NF-κB和MAPK信号通路、减轻氧化应激、调节脂质代谢以及提高一氧化氮生物利用度来减轻动脉粥样硬化。临床前研究表明,姜黄素可减少主动脉病变面积、抑制促炎细胞因子并改善内皮功能,临床试验表明它有潜力改善高危人群的血管健康。然而,生物利用度低等问题需要对改进剂型进行更多研究。通过整合当前信息,本文强调了姜黄素的治疗潜力,并主张进行有力的临床试验以验证其疗效,并建立用于心血管疾病预防和治疗的标准化剂量方案。

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