Chinese Herbal Medicine on Dyslipidemia: Progress and Perspective

Dyslipidemia is an independent risk factor of cardiovascular diseases. The statins are a milestone in the primary and second prevention of cardiovascular diseases and significantly improved its prognosis. Along with the long-term treatment with statins in combination with other hypolipidemic drugs or alone, its safety has attracted a particular attention in clinic, such as the elevation of transaminase and rhabdomyolysis, which have raised an idea of developing the other types of lipid-lowering agents from botanic materials. Traditional Chinese medicine (TCM) has been used in clinical practice for more than 2000 years in China and showed some beneficial effects for human health and many diseases. Recently, many studies demonstrated a favorable effect of TCM for treating dyslipidemia; however, its mechanism remains unclear or totally unknown. The progress and perspective of studies on dyslipidemia with single Chinese herb and its monomers or effective extracts during the past 10 years are discussed in the present review.

[1]  Tsai-Chung Li,et al.  Efficacy and safety of Monascus purpureus Went rice in subjects with hyperlipidemia. , 2005, European journal of endocrinology.

[2]  Weidong Xie,et al.  Emerging approaches of traditional Chinese medicine formulas for the treatment of hyperlipidemia. , 2012, Journal of ethnopharmacology.

[3]  Young-Chae Chang,et al.  Inhibition of microsomal triglyceride transfer protein expression and atherogenic risk factor apolipoprotein B100 secretion by tanshinone IIA in HepG2 cells , 2008, Phytotherapy research : PTR.

[4]  Siyu Chen,et al.  Ligustrazine improves atherosclerosis in rat via attenuation of oxidative stress , 2011, Pharmaceutical biology.

[5]  Yuguang Lin,et al.  Triterpenic Acids Present in Hawthorn Lower Plasma Cholesterol by Inhibiting Intestinal ACAT Activity in Hamsters , 2010, Evidence-based complementary and alternative medicine : eCAM.

[6]  Jianxin Chen,et al.  Lipid-lowering and antioxidant activities of Jiang-Zhi-Ning in Traditional Chinese Medicine. , 2011, Journal of ethnopharmacology.

[7]  N. Davies,et al.  Anti-hyperlipidemic and hypoglycemic effects of Gynostemma pentaphyllum in the Zucker fatty rat. , 2006, Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques.

[8]  M. Jia,et al.  Effects of polydatin from Polygonum cuspidatum on lipid profile in hyperlipidemic rabbits. , 2009, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[9]  Ji-Yeon Park,et al.  Antiobesity and hypolipidemic effects of lotus leaf hot water extract with taurine supplementation in rats fed a high fat diet , 2010, Journal of Biomedical Science.

[10]  Do Yeon Kim,et al.  Compound K, intestinal metabolite of ginsenoside, attenuates hepatic lipid accumulation via AMPK activation in human hepatoma cells. , 2009, Journal of agricultural and food chemistry.

[11]  Kuei-Chuan Chan,et al.  Improvement in high-fat diet-induced obesity and body fat accumulation by a Nelumbo nucifera leaf flavonoid-rich extract in mice. , 2010, Journal of agricultural and food chemistry.

[12]  Ji-feng Wang,et al.  Effects of Radix Puerariae flavones on liver lipid metabolism in ovariectomized rats. , 2004, World journal of gastroenterology.

[13]  Shi Qi Research progress on pharmacological activities of the available compositions in Chinese medicinal herb Ligusticum chuanxiong , 2006 .

[14]  X. Deng,et al.  [The effect of rhubarb ethanol-extract on hyperlipidemia and liver fatty in rabbits]. , 2007, Zhongguo ying yong sheng li xue za zhi = Zhongguo yingyong shenglixue zazhi = Chinese journal of applied physiology.

[15]  Xu Shen,et al.  Danthron activates AMP-activated protein kinase and regulates lipid and glucose metabolism in vitro , 2013, Acta Pharmacologica Sinica.

[16]  M. Sobh,et al.  Efficacy and safety of Monascus purpureus Went rice in children and young adults with secondary hyperlipidemia: a preliminary report. , 2009, European journal of internal medicine.

[17]  N. Davies,et al.  Phytopreventative anti-hyperlipidemic effects of gynostemma pentaphyllum in rats. , 2005, Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques.

[18]  Na Li,et al.  Effects of Lipid Regulation Using Raw and Processed Radix Polygoni Multiflori in Rats Fed a High-Fat Diet , 2012, Evidence-based complementary and alternative medicine : eCAM.

[19]  Qi Zhou,et al.  Effect of curcumin on LDL oxidation in vitro, and lipid peroxidation and antioxidant enzymes in cholesterol fed rabbits. , 2011, International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition.

[20]  Jiang-wei Ma,et al.  Aqueous extract of Astragalus mongholicus ameliorates high cholesterol diet induced oxidative injury in experimental rats models , 2011 .

[21]  G. Davies,et al.  Lipid-lowering effect of berberine in human subjects and rats. , 2012, Phytomedicine : international journal of phytotherapy and phytopharmacology.

[22]  Jennifer G. Robinson,et al.  2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. , 2014, Circulation.

[23]  Y. Kwan,et al.  Cholesterol lowering and vascular protective effects of ethanolic extract of dried fruit of Crataegus pinnatifida, hawthorn (Shan Zha), in diet-induced hypercholesterolaemic rat model , 2013 .

[24]  Mi-Kyung Lee,et al.  Beneficial effects of curcumin on hyperlipidemia and insulin resistance in high-fat-fed hamsters. , 2008, Metabolism: clinical and experimental.

[25]  K. Cheng,et al.  Decrease of Blood Lipids Induced by Shan-Zha (Fruit of Crataegus pinnatifida) is Mainly Related to an Increase of PPARα in Liver of Mice Fed High-Fat Diet , 2011, Hormone and Metabolic Research.

[26]  Wang Sumin The Study on the General Pharmacology of Polysaccharides from Semen Plantaginis , 2008 .

[27]  Tosca L. Zern,et al.  The seeds from Plantago ovata lower plasma lipids by altering hepatic and bile acid metabolism in guinea pigs. , 2002, The Journal of nutrition.

[28]  K. Naidu,et al.  Safety evaluation of Monascus purpureus red mould rice in albino rats. , 2009, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[29]  Jianpin Liu,et al.  A Systematic Review of Xuezhikang, an Extract from Red Yeast Rice, for Coronary Heart Disease Complicated by Dyslipidemia , 2012, Evidence-based complementary and alternative medicine : eCAM.

[30]  M. Jia,et al.  Lipid-lowering effects of polydatin from Polygonum cuspidatum in hyperlipidemic hamsters. , 2009, Phytomedicine.

[31]  C. Zeng,et al.  Rhein improves renal lesion and ameliorates dyslipidemia in db/db mice with diabetic nephropathy. , 2010, Planta medica.

[32]  Yufeng Zhang,et al.  [Study on discriminating nephrotoxic components in Zexie]. , 2011, Zhongguo Zhong yao za zhi = Zhongguo zhongyao zazhi = China journal of Chinese materia medica.

[33]  Lei Wang,et al.  Tetramethylpyrazine Attenuates Atherosclerosis Development and Protects Endothelial Cells from ox-LDL , 2013, Cardiovascular Drugs and Therapy.

[34]  A. Chan,et al.  Puerarin decreases serum total cholesterol and enhances thoracic aorta endothelial nitric oxide synthase expression in diet-induced hypercholesterolemic rats. , 2006, Life sciences.

[35]  Shuangfeng Li,et al.  Research Progress of Traditional Chinese Medicine in Treatment of Hyperlipidemia , 2013 .

[36]  Yunbo Luo,et al.  Hypoglycemic and hypolipidemic effects of flavonoids from lotus (Nelumbo nuficera Gaertn) leaf in diabetic mice. , 2009 .

[37]  Hu Da-y The status quo of Chinese prevention and treatment of dyslipidemia , 2009 .

[38]  F. Lu,et al.  The Effects of Berberine on Blood Lipids: A Systemic Review and Meta-Analysis of Randomized Controlled Trials , 2013, Planta Medica.

[39]  Lars P Christensen,et al.  Ginsenosides chemistry, biosynthesis, analysis, and potential health effects. , 2009, Advances in food and nutrition research.

[40]  J. Mckenney Pharmacologic options for aggressive low-density lipoprotein cholesterol lowering: benefits versus risks. , 2005, The American journal of cardiology.

[41]  Ke-Ji Chen,et al.  Natural polypill Xuezhikang: its clinical benefit and potential multicomponent synergistic mechanisms of action in cardiovascular disease and other chronic conditions. , 2012, Journal of alternative and complementary medicine.

[42]  G. Keilhoff,et al.  Prevention of free fatty acid-induced lipid accumulation, oxidative stress, and cell death in primary hepatocyte cultures by a Gynostemma pentaphyllum extract. , 2012, Phytomedicine : international journal of phytotherapy and phytopharmacology.

[43]  W. Ji,et al.  Hypolipidemic activity and mechanism of purified herbal extract of Salvia miltiorrhiza in hyperlipidemic rats. , 2008, Journal of ethnopharmacology.

[44]  Young-Choon Lee,et al.  Inhibitory effects of Polygonum cuspidatum water extract (PCWE) and its component rasveratrol on acyl-coenzyme A–cholesterol acyltransferase activity for cholesteryl ester synthesis in HepG2 cells , 2004 .

[45]  Zhengyu Jin,et al.  Effect of Resveratrol on Serum and Liver Lipid Profile and Antioxidant Activity in Hyperlipidemia Rats , 2008 .

[46]  Le Zhang,et al.  Chronic effects of berberine on blood, liver glucolipid metabolism and liver PPARs expression in diabetic hyperlipidemic rats. , 2008, Biological & pharmaceutical bulletin.

[47]  R. Valls,et al.  Soluble fibre (Plantago ovata husk) reduces plasma low-density lipoprotein (LDL) cholesterol, triglycerides, insulin, oxidised LDL and systolic blood pressure in hypercholesterolaemic patients: A randomised trial. , 2010, Atherosclerosis.

[48]  Xin Gao,et al.  The effects of berberine on hyperhomocysteinemia and hyperlipidemia in rats fed with a long-term high-fat diet , 2012, Lipids in Health and Disease.