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Updated: Oct 8, 2025

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Published on: February 20, 2019
TCM Regulates PI3K/Akt Signal Pathway to Intervene Atherosclerotic Cardiovascular Disease
Jiali Liu1, Pangao Xu2, Dekun Liu1
1Faculty of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Abstract:
Vascular endothelial injury is the initial stage of atherosclerosis (AS). Stimulating and activating the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) signaling pathway can regulate the expression of vascular endothelial cytokines, thus affecting the occurrence and development of AS. In addition, the PI3K/Akt signaling pathway can regulate the polarization and survival of macrophages and the expression of inflammatory factors and platelet function, thus influencing the progression of AS. In recent years, traditional Chinese medicine (TCM) has been widely recognized for its advantages of fewer side effects, multiple pathways, and multiple targets. Also, the research of TCM regulation of AS via the PI3K/Akt signaling pathway has achieved certain results. This study aimed to analyze the characteristics of the PI3K/Akt signaling pathway and its role in the pathogenesis of AS, as well as the role of Chinese medicine in regulating the PI3K/Akt signaling pathway. The findings are expected to provide a theoretical basis for the clinical treatment and pathological mechanism research of AS.
Insights
This study explores how the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) pathway influences atherosclerosis (AS). It also examines how traditional Chinese medicine (TCM) may regulate this pathway to treat AS.
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Pharmacology
Background:
- Vascular endothelial injury initiates atherosclerosis (AS).
- The phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) signaling pathway is crucial in AS pathogenesis.
- PI3K/Akt signaling affects endothelial cytokines, macrophage polarization, and platelet function.
Purpose of the Study:
- To analyze the PI3K/Akt signaling pathway's characteristics in AS.
- To elucidate the PI3K/Akt pathway's role in AS pathogenesis.
- To investigate traditional Chinese medicine's (TCM) regulation of the PI3K/Akt pathway in AS.
Main Methods:
- Literature review of PI3K/Akt pathway in AS.
- Analysis of TCM's therapeutic mechanisms targeting PI3K/Akt.
- Synthesis of current research on PI3K/Akt and AS.
Main Results:
- The PI3K/Akt pathway significantly impacts AS development and progression.
- TCM demonstrates potential in modulating AS via the PI3K/Akt pathway.
- Evidence suggests TCM offers a multi-target, low-side-effect approach to AS.
Conclusions:
- Understanding the PI3K/Akt pathway is key to AS research.
- TCM presents a promising avenue for AS treatment by targeting the PI3K/Akt pathway.
- This review provides a foundation for clinical AS treatment and mechanism research.
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