Cardiovascular Protective Effects of Centella asiatica and Its Triterpenes: A Review
Open accessAbstract
Centella asiatica, a triterpene-rich medicinal herb, is traditionally used to treat various types of diseases including neurological, dermatological, and metabolic diseases. A few articles have previously reviewed a broad range of pharmacological activities of C. asiatica, but none of these reviews focuses on the use of C. asiatica in cardiovascular diseases. This review aims to summarize recent findings on protective effects of C. asiatica and its active constituents (asiatic acid, asiaticoside, madecassic acid, and madecassoside) in cardiovascular diseases. In addition, their beneficial effects on conditions associated with cardiovascular diseases were also reviewed. Articles were retrieved from electronic databases such as PubMed and Google Scholar using keywords “Centella asiatica,” “asiatic acid,” “asiaticoside,” “madecassic acid,” and “madecassoside.” The articles published between 2004 and 2018 that are related to the aforementioned topics were selected. A few clinical studies published beyond this period were also included. The results showed that C. asiatica and its active compounds possess potential therapeutic effects in cardiovascular diseases and cardiovascular disease-related conditions, as evidenced by numerous in silico, in vitro, in vivo, and clinical studies. C. asiatica and its triterpenes have been reported to exhibit cardioprotective, anti-atherosclerotic, antihypertensive, antihyperlipidemic, antidiabetic, antioxidant, and anti-inflammatory activities. In conclusion, more clinical and pharmacokinetic studies are needed to support the use of C. asiatica and its triterpenes as therapeutic agents for cardiovascular diseases. Besides, elucidation of the molecular pathways modulated by C. asiatica and its active constituents will help to understand the mechanisms underlying the cardioprotective action of C. asiatica.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Various extracts and compounds isolated from C. asiatica lower occurrence of cardiovascular diseases such as cardiac hypertrophy, myocardial ischaemia, atherosclerosis and hypertension.
“Various extracts and compounds isolated from C. asiatica are seen to lower the occurrence of cardiovascular diseases such as cardiac hypertrophy, myocardial ischaemia, atherosclerosis and hypertension.”
From Therapeutic Properties and Pharmacological Activities of Asiaticoside and Madecassoside: A Review (2023) · cites this paper as [125]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Ettehad, D., Emdin, C. A., Kiran, A., Anderson, S. G., Callender, T., Emberson, J., Chalmers, J., Rodgers, A., & Rahimi, K. (2016) · The Lancet · doi:10.1016/s0140-6736(15)01225-8 · Cited by 3,755 · cited 1× · see citing works
“A meta-analysis showed that lowering blood pressure causes a significant reduction in the risk of cardiovascular diseases and mortality [47].”
Measurement of Reactive Oxygen Species in Cardiovascular Studies
Dikalov, S., Griendling, K. K., & Harrison, D. G. (2007) · Hypertension · doi:10.1161/01.hyp.0000258594.87211.6b · Cited by 532 · see citing works
Pentacyclic Triterpenoids from the Medicinal Herb, Centella asiatica (L.) Urban
James, J. T., & Dubery, I. A. (2009) · Molecules · doi:10.3390/molecules14103922 · Cited by 399 · see citing works
Pakdeechote, P., Bunbupha, S., Kukongviriyapan, U., Prachaney, P., Khrisanapant, W., & Kukongviriyapan, V. (2014) · Nutrients · doi:10.3390/nu6010355 · Cited by 109 · see citing works
Kumari, S., Deori, M., Elancheran, R., Kotoky, J., & Devi, R. (2016) · Frontiers in Pharmacology · doi:10.3389/fphar.2016.00400 · Cited by 105 · see citing works
Flagged first, then by citations
Research works printed but not linked: 95
- Newman DJ, Cragg GM. Natural products as sources of new drugs from 1981 to 2014. J Nat Prod 2016; 79: 629-661
- Chandrika UG, Prasad Kumarab PA. Gotu Kola (Centella asiatica): nutri- tional properties and plausible health benefits. Adv Food Nutr Res 2015; 76: 125-157
- Gohil KJ, Patel JA, Gajjar AK. Pharmacological review on Centella asiatica: a potential herbal cure-all. Indian J Pharm Sci 2010; 72: 546-556
- Joshi K, Chaturvedi P. Therapeutic efficiency of Centella asiatica (L.) Urb. An underutilized green leafy vegetable: an overview. Int J Pharma Bio Sci 2013; 4: 135-149
- Tee ES, Mohd Idris N, Mohd Nasir A, Khatijah I. Nutrient Composition of Malaysian Food. In: Tee ES, Mohd Idris N, Mohd Nasir A, Khatijah I. Malaysian Food Composition Database Programme. 4th ed. Kuala Lum- pur: Institute of Medical Research; 1997: 16
- Cox DN, Rajasuriya SV, Soysa PE, Gladwin J, Ashworth A. Problems en- countered in the community-based production of leaf concentrate as a supplement for pre-school children in Sri Lanka. Int J Food Sci Nutr 1993; 44: 123-132
- Shinomol GK, Muralidhara, Bharath MM. Exploring the role of "Brahmi" (Bacopa monnieri and Centella asiatica) in brain function and therapy. Recent Pat Endocr Metab Immune Drug Discov 2011; 5: 33-49
- Hamidpour R, Hamidpour S, Hamidpour M, Zarabi M, Sohraby M, Hamidpour R. Medicinal property of Gotu kola (Centella asiatica) from the selection of traditional applications to the novel phytotherapy. Arch Cancer Res 2015; 3: 1-7
- Saini S, Dhiman A, Nanda S. Traditional indian medicinal plants with po- tential wound healing activity: a review. Int J Pharm Sci Res 2016; 7: 1809-1819
- Singh B, Rastogi R. A reinvestigation of the triterpenes of Centella asia- tica. Phytochem 1969; 8: 917-921
- Bylka W, Znajdek-Awizen P, Studzinska-Sroka E, Danczak-Pazdrowska A, Brzezinska M. Centella asiatica in dermatology: an overview. Phytother Res 2014; 28: 1117-1124
- Anukunwithaya T, Tantisira MH, Tantisira B, Khemawoot P. Pharmacoki- netics of a standardized extract of Centella asiatica ECa 233 in rats. Planta Med 2017; 83: 710-717
- Cotellese R, Hu S, Belcaro G, Ledda A, Feragalli B, Dugall M, Hosoi M, Ippolito E. Centella asiatica (Centellicum ® ) facilitates the regular healing of surgical scars in subjects at high risk of keloids. Minerva Chir 2018; 73: 151-156
- Srivastava R, Shukla YN, Kumar S. Chemistry and pharmacology of Cen- tella asiatica: a review. J Med Arom Plant Sci 1997; 19: 1049-1056
- Hashim P, Sidek H, Helan MH, Sabery A, Palanisamy UD, Ilham M. Triter- pene composition and bioactivities of Centella asiatica. Molecules 2011; 16: 1310-1322
- Sawatdee S, Choochuay K, Chanthorn W, Srichana T. Evaluation of the topical spray containing Centella asiatica extract and its efficacy on exci- sion wounds in rats. Acta Pharm 2016; 66: 233-244
- Gray NE, Zweig JA, Matthews DG, Caruso M, Quinn JF, Soumyanath A. Centella asiatica attenuates mitochondrial dysfunction and oxidative stress in Aβ-exposed hippocampal neurons. Oxid Med Cell Longev 2017; 2017: 7023091
- Ariffin F, Heong Chew S, Bhupinder K, Karim AA, Huda N. Antioxidant capacity and phenolic composition of fermented Centella asiatica herbal teas. J Sci Food Agric 2011; 91: 2731-2739
- Cao SY, Wang W, Nan FF, Liu YN, Wei SY, Li FF, Chen L. Asiatic acid inhib- its LPS-induced inflammatory response in endometrial epithelial cells. Microb Pathog 2018; 116: 195-199
- McMahan CA, Gidding SS, McGill HC jr. Coronary heart disease risk fac- tors and atherosclerosis in young people. J Clin Lipidol 2008; 2: 118-126
- Farooqui AA, Farooqui T, Madan A, Ong JH, Ong WY. Ayurvedic medicine for the treatment of dementia: mechanistic aspects. Evid Based Comple- ment Alternat Med 2018; 2018: 2481076
- Lv J, Sharma A, Zhang T, Wu Y, Ding X. Pharmacological review on asiatic acid and its derivatives: a potential compound. SLAS Technol 2018; 23: 111-127
- Lokanathan Y, Omar N, Ahmad Puzi NN, Saim A, Hj Idrus R. Recent up- dates in neuroprotective and neuroregenerative potential of Centella asiatica. Malays J Med Sci 2016; 23: 4-14
- Heineke J, Molkentin JD. Regulation of cardiac hypertrophy by intracellu- lar signalling pathways. Nat Rev Mol Cell Biol 2006; 7: 589-600
- Tham YK, Bernardo BC, Ooi JY, Weeks KL, McMullen JR. Pathophysiology of cardiac hypertrophy and heart failure: signaling pathways and novel therapeutic targets. Arch Toxicol 2015; 89: 1401-1438
- Huang Y, Wu D, Zhang X, Jiang M, Hu C, Lin J, Tang J, Wu L. Cardiac-spe- cific Traf2 overexpression enhances cardiac hypertrophy through acti- vating AKT/GSK3β signaling. Gene 2014; 536: 225-231
- Ma ZG, Dai J, Wei WY, Zhang WB, Xu SC, Liao HH, Yang Z, Tang QZ. Asiatic acid protects against cardiac hypertrophy through activating AMPKα signalling pathway. Int J Biol Sci 2016; 12: 861-871
- Xu X, Si L, Xu J, Yi C, Wang F, Gu W, Zhang Y, Wang X. Asiatic acid inhibits cardiac hypertrophy by blocking interleukin-1β-activated nuclear factor- κB signaling in vitro and in vivo. J Thorac Dis 2015; 7: 1787-1797
- Si L, Xu J, Yi C, Xu X, Wang F, Gu W, Zhang Y, Wang X. Asiatic acid atten- uates cardiac hypertrophy by blocking transforming growth factor-β1- mediated hypertrophic signaling in vitro and in vivo. Int J Mol Med 2014; 34: 499-506
- Gnanapragasam A, Ebenezar KK, Sathish V, Govindaraju P, Devaki T. Pro- tective effect of Centella asiatica on antioxidant tissue defense system against adriamycin induced cardiomyopathy in rats. Life Sci 2004; 76: 585-597
- Huo L, Shi W, Chong L, Wang J, Zhang K, Li Y. Asiatic acid inhibits left ventricular remodeling and improves cardiac function in a rat model of myocardial infarction. Exp Ther Med 2016; 11: 57-64
- Bian GX, Li GG, Yang Y, Liu RT, Ren JP, Wen LQ, Guo SM, Lu QJ. Madecas- soside reduces ischemia-reperfusion injury on regional ischemia induced heart infarction in rat. Biol Pharm Bull 2008; 31: 458-463
- Cao W, Li XQ, Zhang XN, Hou Y, Zeng AG, Xie YH, Wang SW. Madecasso- side suppresses LPS-induced TNF-α production in cardiomyocytes through inhibition of ERK, p38, and NF-κB activity. Int Immunopharma- col 2010; 10: 723-729
- Shrivastava AK, Singh HV, Raizada A, Singh SK. C-reactive protein, in- flammation and coronary heart disease. Egypt Heart J 2015; 67: 89-97
- Kunjathoor VV, Febbraio M, Podrez EA, Moore KJ, Andersson L, Koehn S, Rhee JS, Silverstein R, Hoff HF, Freeman MW. Scavenger receptors class A-I/II and CD36 are the principal receptors responsible for the uptake of modified low density lipoprotein leading to lipid loading in macro- phages. J Biol Chem 2002; 277: 49982-49988
- Satake T, Kamiya K, An Y, Oishi Nee Taka T, Yamamoto J. The anti-throm- botic active constituents from Centella asiatica. Biol Pharm Bull 2007; 30: 935-940
- Belcaro G, Cornelli U. Variations in echogenicity in carotid and femoral atherosclerotic plaques with Pycnogenol + Centella asiatica supplemen- tation. Int J Angiol 2017; 26: 95-101
- Belcaro G, Dugall M, Hosoi M, Ippolito E, Cesarone M, Luzzi R, Cornelli U, Ledda A. Pycnogenol ® and Centella asiatica for asymptomatic athero- sclerosis progression. Int Angiol 2014; 33: 20-26
- Belcaro G, Ippolito E, Dugall M, Hosoi M, Cornelli U, Ledda A, Scoccianti M, Steigerwalt RD, Cesarone MR, Pellegrini L, Luzzi R, Corsi M. Pycnoge- nol ® and Centella asiatica in the management of asymptomatic athero- sclerosis progression. Int Angiol 2015; 34: 150-157
- Whelton PK, Carey RM, Aronow WS, Casey DE jr., Collins KJ, Dennison Himmelfarb C, DePalma SM, Gidding S, Jamerson KA, Jones DW, MacLaughlin EJ, Muntner P, Ovbiagele B, Smith SC jr., Spencer CC, Stafford RS, Taler SJ, Thomas RJ, Williams KA sr., Williamson JD, Wright JT jr. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/ PCNA guideline for the prevention, detection, evaluation, and manage- ment of high blood pressure in adults: executive summary: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Hypertension 2018; 71: 1269-1324
- Kannel WB, Dawber TR, Kagan A, Revotskie N, Stokes J 3rd. Factors of risk in the development of coronary heart disease-six year follow-up experi- ence. The Framingham Study. Ann Intern Med 1961; 55: 33-50
- Saxena T, Ali AO, Saxena M. Pathophysiology of essential hypertension: an update. Expert Rev Cardiovasc Ther 2018; 16: 879-887
- Higashi Y, Sasaki S, Nakagawa K, Matsuura H, Oshima T, Chayama K. Endothelial function and oxidative stress in renovascular hypertension. N Engl J Med 2002; 346: 1954-1962
- Maneesai P, Bunbupha S, Kukongviriyapan U, Senggunprai L, Kukongviri- yapan V, Prachaney P, Pakdeechote P. Effect of asiatic acid on the Ang II- AT1R-NADPH oxidase-NF-κB pathway in renovascular hypertensive rats. Naunyn Schmiedebergs Arch Pharmacol 2017; 390: 1073-1083
- Bunbupha S, Pakdeechote P, Kukongviriyapan U, Prachaney P, Kukong- viriyapan V. Asiatic acid reduces blood pressure by enhancing nitric ox- ide bioavailability with modulation of eNOS and p47phox expression in L-NAME-induced hypertensive rats. Phytother Res 2014; 28: 1506-1512
- Maneesai P, Bunbupha S, Kukongviriyapan U, Prachaney P, Tangsucharit P, Kukongviriyapan V, Pakdeechote P. Asiatic acid attenuates renin-an- giotensin system activation and improves vascular function in high-car- bohydrate, high-fat diet fed rats. BMC Complement Altern Med 2016; 16: 123
- Wang XB, Wang W, Zhu XC, Ye WJ, Cai H, Wu PL, Huang XY, Wang LX. The potential of asiaticoside for TGF-β1/Smad signaling inhibition in pre- vention and progression of hypoxia-induced pulmonary hypertension. Life Sci 2015; 137: 56-64
- Wang X, Cai X, Wang W, Jin Y, Chen M, Huang X, Zhu X, Wang L. Effect of asiaticoside on endothelial cells in hypoxia-induced pulmonary hyper- tension. Mol Med Rep 2018; 17: 2893-2900
- Belcaro GV, Rulo A, Grimaldi R. Capillary filtration and ankle edema in patients with venous hypertension treated with TTFCA. Angiology 1990; 41: 12-18
- Belcaro GV, Grimaldi R, Guidi G. Improvement of capillary permeability in patients with venous hypertension after treatment with TTFCA. Angiology 1990; 41: 533-540
- Nelson RH. Hyperlipidemia as a risk factor for cardiovascular disease. Prim Care 2013; 40: 195-211
- Stancu CS, Toma L, Sima AV. Dual role of lipoproteins in endothelial cell dysfunction in atherosclerosis. Cell Tissue Res 2012; 349: 433-446
- Boulanger CM, Tanner FC, Bea ML, Hahn AW, Werner A, Luscher TF. Oxi- dized low density lipoproteins induce mRNA expression and release of endothelin from human and porcine endothelium. Circ Res 1992; 70: 1191-1197
- Estrada-Luna D, Ortiz-Rodriguez MA, Medina-Briseno L, Carreon-Torres E, Izquierdo-Vega JA, Sharma A, Cancino-Diaz JC, Perez-Mendez O, Belefant-Miller H, Betanzos-Cabrera G. Current therapies focused on high-density lipoproteins associated with cardiovascular disease. Mole- cules 2018; 23: 2730
- Anderson TJ, Gregoire J, Hegele RA, Couture P, Mancini GB, McPherson R, Francis GA, Poirier P, Lau DC, Grover S, Genest J jr., Carpentier AC, Dufour R, Gupta M, Ward R, Leiter LA, Lonn E, Ng DS, Pearson GJ, Yates GM, Stone JA, Ur E. 2012 update of the Canadian Cardiovascular Society guidelines for the diagnosis and treatment of dyslipidemia for the pre- vention of cardiovascular disease in the adult. Can J Cardiol 2013; 29: 151-167
- Zhao Y, Shu P, Zhang Y, Lin L, Zhou H, Xu Z, Suo D, Xie A, Jin X. Effect of Centella asiatica on oxidative stress and lipid metabolism in hyperlipi- demic animal models. Oxid Med Cell Longev 2014; 2014: 154295
- Oyenihi AB, Chegou NN, Oguntibeju OO, Masola B. Centella asiatica en- hances hepatic antioxidant status and regulates hepatic inflammatory cytokines in type 2 diabetic rats. Pharm Biol 2017; 55: 1671-1678
- Gao L, Lin Z, Liu Y, Wang X, Wan L, Zhang L, Liu X. Hypolipidemic effect of Fragarianilgerrensis Schlecht. medicine compound on hyperlipidemic rats. Lipids Health Dis 2018; 17: 222
- Ramachandran V, Saravanan R, Senthilraja P. Antidiabetic and antihyper- lipidemic activity of asiatic acid in diabetic rats, role of HMG CoA: in vivo and in silico approaches. Phytomedicine 2014; 21: 225-232
- Rameshreddy P, Uddandrao VVS, Brahmanaidu P, Vadivukkarasi S, Ravindarnaik R, Suresh P, Swapna K, Kalaivani A, Parvathi P, Tamilmani P, Saravanan G. Obesity-alleviating potential of asiatic acid and its effects on ACC1, UCP2, and CPT1 mRNA expression in high fat diet-induced obese Sprague-Dawley rats. Mol Cell Biochem 2018; 442: 143-154
- Larsson SC, Wallin A, Hakansson N, Stackelberg O, Back M, Wolk A. Type 1 and type 2 diabetes mellitus and incidence of seven cardiovascular dis- eases. Int J Cardiol 2018; 262: 66-70
- Nicholls SJ, Tuzcu EM, Kalidindi S, Wolski K, Moon KW, Sipahi I, Schoenhagen P, Nissen SE. Effect of diabetes on progression of coronary atherosclerosis and arterial remodeling: a pooled analysis of 5 intravas- cular ultrasound trials. J Am Coll Cardiol 2008; 52: 255-262
- Low Wang CC, Hess CN, Hiatt WR, Goldfine AB. Clinical update: cardio- vascular disease in diabetes mellitus: atherosclerotic cardiovascular dis- ease and heart failure in type 2 diabetes mellitus -mechanisms, man- agement, and clinical considerations. Circulation 2016; 133: 2459-2502
- Kabir AU, Samad MB, DʼCosta NM, Akhter F, Ahmed A, Hannan JM. Anti- hyperglycemic activity of Centella asiatica is partly mediated by carbohy- drase inhibition and glucose-fiber binding. BMC Complement Altern Med 2014; 14: 31
- Wang X, Lu Q, Yu DS, Chen YP, Shang J, Zhang LY, Sun HB, Liu J. Asiatic acid mitigates hyperglycemia and reduces islet fibrosis in Goto-Kakizaki rat, a spontaneous type 2 diabetic animal model. Chin J Nat Med 2015; 13: 529-534
- Chen YN, Wu CG, Shi BM, Qian K, Ding Y. The protective effect of asiatic acid on podocytes in the kidney of diabetic rats. Am J Transl Res 2018; 10: 3733-3741
- Ramachandran V, Saravanan R. Efficacy of asiatic acid, a pentacyclic tri- terpene on attenuating the key enzymes activities of carbohydrate me- tabolism in streptozotocin-induced diabetic rats. Phytomedicine 2013; 20: 230-236
- Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O. Oxidative stress and antioxidant defense. World Allergy Organ J 2012; 5: 9-19
- Chen X, Andresen BT, Hill M, Zhang J, Booth F, Zhang C. Role of reactive oxygen species in tumor necrosis factor-alpha induced endothelial dys- function. Curr Hypertens Rev 2008; 4: 245-255
- Gupta S, Prakash J. Studies on Indian green leafy vegetables for their antioxidant activity. Plant Foods Hum Nutr 2009; 64: 39-45
- Pittella F, Dutra RC, Junior DD, Lopes MT, Barbosa NR. Antioxidant and cytotoxic activities of Centella asiatica (L) Urb. Int J Mol Sci 2009; 10: 3713-3721
- Bajpai M, Pande A, Tewari SK, Prakash D. Phenolic contents and antioxi- dant activity of some food and medicinal plants. Int J Food Sci Nutr 2005; 56: 287-291
- Bian D, Liu M, Li Y, Xia Y, Gong Z, Dai Y. Madecassoside, a triterpenoid saponin isolated from Centella asiatica herbs, protects endothelial cells against oxidative stress. J Biochem Mol Toxicol 2012; 26: 399-406
- Arora R, Kumar R, Agarwal A, Reeta KH, Gupta YK. Comparison of three different extracts of Centella asiatica for anti-amnesic, antioxidant and anticholinergic activities: in vitro and in vivo study. Biomed Pharmacother 2018; 105: 1344-1352
- Golia E, Limongelli G, Natale F, Fimiani F, Maddaloni V, Pariggiano I, Bianchi R, Crisci M, DʼAcierno L, Giordano R, Di Palma G, Conte M, Golino P, Russo MG, Calabro R, Calabro P. Inflammation and cardiovascular dis- ease: from pathogenesis to therapeutic target. Curr Atheroscler Rep 2014; 16: 435
- Molteni M, Gemma S, Rossetti C. The role of toll-like receptor 4 in infec- tious and noninfectious inflammation. Mediators Inflamm 2016; 2016: 6978936
- George M, Joseph L, Ramaswamy. Anti-allergic, anti-pruritic, and anti-in- flammatory activities of Centella asiatica extracts. Afr J Tradit Comple- ment Altern Med 2009; 6: 554-559
- Saha S, Guria T, Singha T, Maity TK. Evaluation of analgesic and anti-in- flammatory activity of chloroform and methanol extracts of Centella asiatica Linn. ISRN Pharmacol 2013; 2013: 789613
- Huang SS, Chiu CS, Chen HJ, Hou WC, Sheu MJ, Lin YC, Shie PH, Huang GJ. Antinociceptive activities and the mechanisms of anti-inflammation of asiatic acid in mice. Evid Based Complement Alternat Med 2011; 2011: 895857
- Yang C, Guo Y, Huang TS, Zhao J, Huang XJ, Tang HX, An N, Pan Q, Xu YZ, Liu HF. Asiatic acid protects against cisplatin-induced acute kidney injury via anti-apoptosis and anti-inflammation. Biomed Pharmacother 2018; 107: 1354-1362
- Branen L, Hovgaard L, Nitulescu M, Bengtsson E, Nilsson J, Jovinge S. Inhibition of tumor necrosis factor-alpha reduces atherosclerosis in apolipoprotein E knockout mice. Arterioscler Thromb Vasc Biol 2004; 24: 2137-2142
- Tay C, Liu YH, Hosseini H, Kanellakis P, Cao A, Peter K, Tipping P, Bobik A, Toh BH, Kyaw T. B-cell-specific depletion of tumour necrosis factor alpha inhibits atherosclerosis development and plaque vulnerability to rupture by reducing cell death and inflammation. Cardiovasc Res 2016; 111: 385-397
- Ohta H, Wada H, Niwa T, Kirii H, Iwamoto N, Fujii H, Saito K, Sekikawa K, Seishima M. Disruption of tumor necrosis factor-α gene diminishes the development of atherosclerosis in ApoE-deficient mice. Athero- sclerosis 2005; 180: 11-17
- Boesten LS, Zadelaar AS, van Nieuwkoop A, Gijbels MJ, de Winther MP, Havekes LM, van Vlijmen BJ. Tumor necrosis factor-α promotes athero- sclerotic lesion progression in APOE*3-Leiden transgenic mice. Cardio- vasc Res 2005; 66: 179-185
- Jeng JR, Chang CH, Shieh SM, Chiu HC. Oxidized low-density lipopro- tein enhances monocyte-endothelial cell binding against shear-stress- induced detachment. Biochim Biophys Acta 1993; 1178: 221-227
- Pirillo A, Norata GD, Catapano AL. LOX-1, OxLDL, and atherosclerosis. Mediators Inflamm 2013; 2013: 152786
- Guo F, Zhou Z, Dou Y, Tang J, Gao C, Huan J. GEF-H1/RhoA signalling pathway mediates lipopolysaccharide-induced intercellular adhesion molecular-1 expression in endothelial cells via activation of p38 and NF-κB. Cytokine 2012; 57: 417-428
- Di Tomo P, Di Silvestre S, Cordone VG, Giardinelli A, Faricelli B, Pipino C, Lanuti P, Peng T, Formoso G, Yang D, Arduini A, Chiarelli F, Pandolfi A, Di Pietro N. Centella asiatica and lipoic acid, or a combination thereof, inhibit monocyte adhesion to endothelial cells from umbilical cords of gestational diabetic women. Nutr Metab Cardiovasc Dis 2015; 25: 659-666
- Fong LY, Ng CT, Zakaria ZA, Baharuldin MT, Arifah AK, Hakim MN, Zuraini A. Asiaticoside inhibits TNF-α-induced endothelial hyperper- meability of human aortic endothelial cells. Phytother Res 2015; 29: 1501-1508
- Fong LY, Ng CT, Cheok ZL, Mohd Moklas MA, Hakim MN, Ahmad Z. Barrier protective effect of asiatic acid in TNF-α-induced activation of human aortic endothelial cells. Phytomedicine 2016; 23: 191-199
- Fong LY, Ng CT, Yong YK, Hakim MN, Ahmad Z. Asiatic acid stabilizes cytoskeletal proteins and prevents TNF-α-induced disorganization of cell-cell junctions in human aortic endothelial cells. Vascul Pharmacol 2019; 117: 15-26
- Jing L, Haitao W, Qiong W, Fu Z, Nan Z, Xuezheng Z. Anti inflammatory effect of asiaticoside on human umbilical vein endothelial cells induced by ox-LDL. Cytotechnology 2018; 70: 855-864
- Nhiem NX, Tai BH, Quang TH, Kiem PV, Minh CV, Nam NH, Kim JH, Im LR, Lee YM, Kim YH. A new ursane-type triterpenoid glycoside from Centella asiatica leaves modulates the production of nitric oxide and se- cretion of TNF-α in activated RAW 264.7 cells. Bioorg Med Chem Lett 2011; 21: 1777-1781
- Yun KJ, Kim JY, Kim JB, Lee KW, Jeong SY, Park HJ, Jung HJ, Cho YW, Yun K, Lee KT. Inhibition of LPS-induced NO and PGE2 production by asiatic acid via NF-κB inactivation in RAW 264.7 macrophages: Possible in- volvement of the IKK and MAPK pathways. Int Immunopharmacol 2008; 8: 431-441
- Won JH, Shin JS, Park HJ, Jung HJ, Koh DJ, Jo BG, Lee JY, Yun K, Lee KT. Anti-inflammatory effects of madecassic acid via the suppression of NF-kappaB pathway in LPS-induced RAW 264.7 macrophage cells. Planta Med 2010; 76: 251-257
Cited by
Sorted by citations
Therapeutic Properties and Pharmacological Activities of Asiaticoside and Madecassoside: A Review
Bandopadhyay, S., Mandal, S., Ghorai, M., Jha, N. K., Kumar, M., Radha, Ghosh, A., Proćków, J., Pérez de la Lastra, J. M., & Dey, A. (2023) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.17635 · Cited by 220 · see citing works
Centella asiatica: Secondary metabolites, biological activities and biomass sources
Kunjumon, R., Johnson, A. J., & Baby, S. (2022) · Phytomedicine Plus · doi:10.1016/j.phyplu.2021.100176 · Cited by 79 · see citing works
Bansal, K., Bhati, H., Vanshita, & Bajpai, M. (2024) · Pharmacological Research - Modern Chinese Medicine · doi:10.1016/j.prmcm.2024.100403 · Cited by 37 · see citing works
Borges, A. L. S., Bittar, V. P., Justino, A. B., Carrillo, M. S. P., Duarte, R. F. M., Silva, N. B. S., Gonçalves, D. S., Prado, D. G., Araújo, I. A. C., Martins, M. M., et al. (2024) · Journal of Pharmaceutical and Biomedical Analysis · doi:10.1016/j.jpba.2024.116143 · Cited by 6 · see citing works
Ko, K., Cheon, G. Y., Ha, Y. J., Ko, Y. R., Kim, J. H., Seo, D., Park, S. Y., Lee, B., & Hong, K.-B. (2025) · Journal of Microbiology and Biotechnology · doi:10.4014/jmb.2504.04036 · Cited by 4 · see citing works
- Authors
- Razali, N. N. M., Ng, C. T., & Fong, L. Y.
- Affiliations
- Universiti Tunku Abdul Rahman Sungai Long Campus (MY)
- AIMST University (MY)
- Venue
- Planta Medica
- Publisher
- Georg Thieme Verlag KG
- Published
- 2019-09-20
- Volume
- 85
- Issue
- 16
- Pages
- 1203-1215
- ISSN
- 0032-0943 (ISSN-L)
- 1439-0221
- OpenAlex
- W2973845216
- Cited by
- 95
- References
- 5
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 17 · 2023: 16 · 2022: 13 · 2021: 21 · 2020: 6 · 2014: 1
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Planta Medica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universiti Tunku Abdul Rahman
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plants and Neuroprotection
- Health Sciences › Medicine › Complementary and alternative medicine › Phytochemicals and Medicinal Plants
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Natural product bioactivities and synthesis
- Keywords
- Centella asiatica, triterpenoids, asiatic acid, asiaticoside, madecassic acid, madecassoside, cardioprotection, cardiovascular disease, atherosclerosis, hypertension, hyperlipidemia, antidiabetic activity, antioxidant activity, anti-inflammatory activity, medicinal plants
- MeSH terms
- Cardiovascular Diseases, Humans, Plant Extracts, Plants, Medicinal, Triterpenes, Centella, Pentacyclic Triterpenes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review