4.7 Review

Natural products: The role and mechanism in low-density lipoprotein oxidation and atherosclerosis

Journal

PHYTOTHERAPY RESEARCH
Volume 35, Issue 6, Pages 2945-2967

Publisher

WILEY
DOI: 10.1002/ptr.7002

Keywords

atherosclerosis; cardiovascular disease; low‐ density lipoprotein; natural products; oxidation; oxidized LDL

Funding

  1. Fundamental Research Funds for the Central Universities [WK9110000079]
  2. Anhui Key Research and Development Program [201904a07020092]
  3. National Natural Science Foundation of China [82003740]

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This article reviews the oxidation mechanism of LDL, the role of oxidized LDL in atherosclerosis, and the pharmacological effects of natural products in protecting against LDL oxidation and atherosclerosis. Despite supporting evidence from clinical and basic research, the beneficial effects of natural products in inhibiting LDL oxidation and preventing atherosclerosis are still controversial due to factors such as population differences and varying dosages and treatment durations in studies. Understanding the mechanism of LDL oxidation and the effects of oxidized LDL can help researchers find novel therapies against atherosclerosis.
Atherosclerosis is a chronic inflammatory, metabolic, and epigenetic disease, which leads to the life-threatening coronary artery disease. Emerging studies from bench to bedside have demonstrated the pivotal role of low-density lipoprotein (LDL) oxidation in the initiation and progression of atherosclerosis. This article hereby reviews oxidation mechanism of LDL, and the pro-atherogenic and biomarker role of oxidized LDL in atherosclerosis. We also review the pharmacological effects of several representative natural products (vitamin E, resveratrol, quercetin, probucol, tanshinone IIA, epigallocatechin gallate, and Lycopene) in protecting against LDL oxidation and atherosclerosis. Clinical and basic research supports the beneficial effects of these natural products in inhibiting LDL oxidation and preventing atherosclerosis, but the data are still controversial. This may be related to factors such as the population and the dosage and time of taking natural products involved in different studies. Understanding the mechanism of LDL oxidation and effect of oxidized LDL help researchers to find novel therapies against atherosclerosis.

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