Roles and mechanisms of puerarin on cardiovascular disease:A review

Biomed Pharmacother. 2022 Mar:147:112655. doi: 10.1016/j.biopha.2022.112655. Epub 2022 Jan 20.

Abstract

Cardiovascular diseases (CVDs) are now the leading cause of mortality and morbidity worldwide,resulting in a large global economic burden. Recently, complementary and alternative medicine, such as traditional Chinese medicine (TCM) have received great attention. Puerarin (Pue) is an isoflavone isolated from the roots of Pueraria lobata (Willd.) Ohwi (also named "Ge gen" in China), and is a versatile TCM herb used for the treatment of fever, diarrhea, diabetes mellitus CVDs and cerebrovascular diseases. Numerous lines ofin vitro studies, as well as in vivo animal experiments have established that Pue offers beneficial roles against the progression of atherosclerosis, ischemic heart diseases, heart failure hypertension and arrhythmia by inhibiting pathological processes, such as the mitigation of endothelium injury, protection against inflammation, the disturbance of lipid metabolism, protection against ischemic reperfusion injury, anti-myocardial remodeling and other effects. Here, we provide a systematic overview of the pharmacological actions and molecular targets of Pue in cardiovascular disease prevention and treatment, to provide insights into the therapeutic potential of Pue in treating cardiovascular diseases.

Keywords: Cardiovascular disease; Pharmacological effect; Puerarin; Traditional Chinese medicine.

Publication types

  • Systematic Review

MeSH terms

  • Cardiovascular Diseases / pathology*
  • Drug Delivery Systems
  • Endothelium, Vascular / drug effects
  • Foam Cells / drug effects
  • Heart Function Tests
  • Hypolipidemic Agents / pharmacology
  • Inflammation / pathology
  • Inflammation Mediators / metabolism
  • Isoflavones / pharmacokinetics
  • Isoflavones / pharmacology*
  • Muscle, Smooth, Vascular / drug effects
  • Myocardial Ischemia / pathology
  • Platelet Aggregation Inhibitors / pharmacology
  • Pueraria

Substances

  • Hypolipidemic Agents
  • Inflammation Mediators
  • Isoflavones
  • Platelet Aggregation Inhibitors
  • puerarin