Therapeutic potential of natural flavonoids in pulmonary arterial hypertension : A review

Copyright © 2024 Elsevier GmbH. All rights reserved..

BACKGROUND: Pulmonary arterial hypertension (PAH) is a fatal disease caused by pulmonary vascular remodeling, with a high incidence and mortality. At present, many clinical drugs for treating PAH mainly exert effects by relaxing the pulmonary artery, with limited therapeutic effects, so the search for viable therapeutic agents continues uninterrupted. In recent years, natural flavonoids have shown promising potential in the treatment of cardiovascular diseases. It is necessary to comprehensively elucidate the potential of natural flavonoids to combat PAH.

PURPOSE: To evaluate the potential of natural flavonoids to hinder or slow down the occurrence and development of PAH, and to identify promising drug discovery candidates.

METHODS: Literature was collected from PubMed, Science Direct, Web of science, CNKI databases and Google scholar. The search terms used included "pulmonary arterial hypertension", "pulmonary hypertension", "natural products", "natural flavonoids", "traditional chinese medicine", etc., and several combinations of these keywords.

RESULTS: The resources, structural characteristics, mechanisms, potential and prospect strategies of natural flavonoids for treating PAH were summarized. Natural flavonoids offer different solutions as possible treatments for PAH. These mechanisms may involve various pathways and molecular targets related to the pathogenesis of PAH, such as inflammation, oxidative stress, vascular remodeling, genetic, ion channels, cell proliferation and autophagy. In addition, prospect strategies of natural flavonoids for anti-PAH including structural modification and nanomaterial delivery systems have been explored. This review suggests that the potential of natural flavonoids as alternative therapeutic agents in the prevention and treatment of PAH holds promise for future research and clinical applications.

CONCLUSION: Despite displaying the enormous potential of flavonoids in PAH, some limitations need to be further explored. Firstly, using advanced drug discovery tools, including computer-aided design and high-throughput screening, to further investigate the safety, biological activity, and precise mechanism of action of flavonoids. Secondly, exploring the structural modifications of these compounds is expected to optimize their efficacy. Lastly, it is necessary to conduct well controlled clinical trials and a comprehensive evaluation of potential side effects to determine their effectiveness and safety.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:128

Enthalten in:

Phytomedicine : international journal of phytotherapy and phytopharmacology - 128(2024) vom: 23. Apr., Seite 155535

Sprache:

Englisch

Beteiligte Personen:

Zhang, Jin-Jing [VerfasserIn]
Mao-Mao [VerfasserIn]
Shao, Min-Min [VerfasserIn]
Wang, Meng-Chuan [VerfasserIn]

Links:

Volltext

Themen:

Biological Products
Drug discovery
Flavonoids
Journal Article
Natural products
Plant resource
Pulmonary hypertension
Review
Traditional Chinese medicine

Anmerkungen:

Date Completed 30.04.2024

Date Revised 30.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.phymed.2024.155535

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370269845