Cited by 31Berberine and alkaloids researchTraditional Chinese Medicine AnalysisMetabolism, Diabetes, and Cancer

Berberine on the prevention and management of cardiometabolic disease: clinical applications and mechanisms of action

Cao, Richard Y., Zheng, Yuntao, Zhang, Ying, Jiang, Lingling, Li, Qing, Sun, Wanqun, Gu, Wenqin, Cao, Weifeng +3 more·2021·The American Journal of Chinese Medicine

Abstract

Berberine is an alkaloid from several medicinal plants originally used to treat diarrhea and dysentery as a traditional Chinese herbal medicine. In recent years, berberine has been discovered to exhibit a wide spectrum of biological activities in the treatment of diverse diseases ranging from cancer and neurological dysfunctions to metabolic disorders and heart diseases. This review article summarizes the clinical practice and laboratory exploration of berberine for the treatment of cardiometabolic and heart diseases, with a focus on the novel insights and recent advances of the underlying mechanisms recognized in the past decade. Berberine was found to display pleiotropic therapeutic effects against dyslipidemia, hyperglycemia, hypertension, arrhythmia, and heart failure. The mechanisms of berberine for the treatment of cardiometabolic disease involve combating inflammation and oxidative stress such as inhibiting proprotein convertase subtilisin/kexin 9 (PCSK9) activation, regulating electrical signals and ionic channels such as targeting human ether-a-go-go related gene (hERG) currents, promoting energy metabolism such as activating adenosine monophosphate-activated protein kinase (AMPK) signaling pathway, modifying gut microbiota to promote transforming of berberine into its intestine-absorbable form, and interacting with non-coding RNAs via targeting multiple signaling pathways such as AMPK, mechanistic target of rapamycin (mTOR), etc. Collectively, berberine appears to be safe and well-tolerated in clinical practice, especially for those who are intolerant to statins. Knowledge from this field may pave the way for future development of more effective pharmaceutical approaches for managing cardiometabolic risk factors and preventing heart diseases.

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Crossref · 10.1142/s0192415x21500762

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Authors
Cao, R. Y., Zheng, Y., Zhang, Y., Jiang, L., Li, Q., Sun, W., Gu, W., Cao, W., Zhou, L., Zheng, H., & Yang, J.
Affiliations
  • Fudan University (CN)
  • Department of Rehabilitation, Shanghai Xuhui Fengling Community Healthcare Service Center, Shanghai 200032, P. R. China
  • Department of Rehabilitation, Shanghai Xuhui Caohejing Community Healthcare Service Center, Shanghai 200235, P. R. China
Venue
The American Journal of Chinese Medicine
Published
2021-01
Volume
49
Issue
07
Pages
1645-1666
ISSN
  • 0090-2942 (ISSN-L)
  • 0192-415X
  • 1793-6853
OpenAlex
W3196530787
Cited by
31
References
97
Citations by year
2026: 6 · 2025: 8 · 2024: 9 · 2023: 4 · 2022: 3 · 2021: 1
FWCI
0.54
Type
journal article
Language
en
Open access
closed
Locations
  • The American Journal of Chinese Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Natural Science Foundation of China (81973612)
  • Shanghai Municipal Health Commission (ZK2019A11, ZK2019A10)
Topics
  • Health Sciences › Medicine › Pharmacology › Berberine and alkaloids research
  • Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Analysis
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
Keywords
berberine, cardiometabolic disease, heart failure, dyslipidemia, hyperglycemia, hypertension, cardiac arrhythmias, inflammation, oxidative stress, PCSK9, AMPK signaling, gut microbiota, non-coding RNA, mTOR signaling, statin intolerance, traditional Chinese medicine, alkaloids
MeSH terms
Berberine, Cardiovascular Diseases, Humans, Medicine, Chinese Traditional, Molecular Structure

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