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首页> 外文期刊>Canadian Journal of Physiology and Pharmacology >Cardioprotection by ginseng: experimental and clinical evidence and underlying mechanisms
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Cardioprotection by ginseng: experimental and clinical evidence and underlying mechanisms

机译:人参心脏保护:实验和临床证据和潜在机制

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摘要

Protection of the ischemic and reperfused myocardium represents a major therapeutic challenge. Translating results from animal studies to the clinical setting has been disappointing, yet the need for effective intervention, particularly to limit heart damage following infarction or surgical procedures such as coronary artery bypass grafting, is substantial. Among the many compounds touted as cardioprotective agents is ginseng, a medicinal herb belonging to the genus Panax, which has been used as a medicinal agent for thousands of years, particularly in Asian societies. The biological actions of ginseng are very complex and reflect composition of many bioactive components, although many of the biological and therapeutic effects of ginseng have been attributed to the presence of steroid-like saponins termed ginsenosides. Both ginseng and many ginsenosides have been shown to exert cardioprotective properties in experimental models. There is also clinical evidence that traditional Chinese medications containing ginseng exert cardioprotective properties, although such clinical evidence is less robust primarily owing to the paucity of large-scale clinical trials. Here, we discuss the experimental and clinical evidence for ginseng, ginsenosides, and ginseng-containing formulations as cardioprotective agents against ischemic and reperfusion injury. We further discuss potential mechanisms, particularly as these relate to antioxidant properties.
机译:保护缺血和再灌注心肌是一个重大的治疗挑战。将动物研究的结果转化为临床研究的结果令人失望,然而,需要进行有效的干预,特别是限制心肌梗死或冠状动脉旁路移植术等外科手术后的心脏损伤,这是非常必要的。在许多被吹捧为心脏保护剂的化合物中,人参是一种属于人参属的草药,几千年来一直被用作药物,尤其是在亚洲社会。人参的生物学作用非常复杂,反映了许多生物活性成分的组成,尽管人参的许多生物学和治疗作用都归因于被称为人参皂甙的类甾体皂甙的存在。在实验模型中,人参和许多人参皂甙都被证明具有心脏保护作用。还有临床证据表明,含有人参的传统中药具有心脏保护作用,尽管主要由于缺乏大规模临床试验,此类临床证据不太可靠。在这里,我们讨论了人参、人参皂甙和含人参制剂作为心肌保护剂对抗缺血和再灌注损伤的实验和临床证据。我们进一步讨论了潜在的机制,尤其是与抗氧化性能有关的机制。

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