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Cardiovascular disease treatment using traditional Chinese medicine:Mitochondria as the Achilles' heel
1Chengdu Integrated TCM and Western Medicine Hospital and Chengdu University of Traditional Chinese Medicine, Chengdu 610041 China.
Insights
Traditional Chinese Medicine (TCM) shows promise in managing cardiovascular disease (CVD) by targeting mitochondrial function. This review explores how TCM interventions impact mitochondria to alleviate CVD progression.
Area of Science:
- Cardiovascular research
- Mitochondrial biology
- Integrative medicine
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality, driven by factors like inflammation, hyperglycemia, hyperlipidemia, and oxidative stress.
- Mitochondria play a critical role in cellular energy production and reactive oxygen species (ROS) generation, influencing CVD progression.
- Current CVD management includes lifestyle changes, medication, and surgery, but mechanisms for alternative therapies are under investigation.
Purpose of the Study:
- To systematically review the link between mitochondria, cardiovascular risk factors, and CVD progression.
- To explore the potential of Traditional Chinese Medicine (TCM) in managing CVD.
- To elucidate the mechanisms by which TCM influences mitochondrial quality and function for CVD treatment.
Main Methods:
- Literature review of studies on mitochondria, CVD risk factors, and TCM.
- Systematic summary of research on mitochondrial dysfunction in CVD.
- Analysis of TCM's role in modulating mitochondrial pathways relevant to CVD.
Main Results:
- Mitochondrial dysfunction is closely associated with CVD development and progression.
- TCM interventions have demonstrated efficacy in managing CVD.
- Emerging evidence suggests TCM alleviates CVD by targeting and improving mitochondrial quality and function.
Conclusions:
- Mitochondria are crucial targets for CVD management.
- TCM offers a promising therapeutic avenue for CVD by modulating mitochondrial health.
- Further research is needed to fully understand and optimize TCM's role in cardiovascular health.
Abstract:
Cardiovascular disease (CVD), involving the pathological alteration of the heart or blood vessels, is one of the main causes of disability and death worldwide, with an estimated 18.6 million deaths per year. CVDs are caused by a variety of risk factors, including inflammation, hyperglycemia, hyperlipidemia, and increased oxidative stress. Mitochondria, the hub of ATP production and the main generator of reactive oxygen species (ROS), are linked to multiple cellular signaling pathways that regulate the progression of CVD and therefore are recognized as an essential target for CVD management. Initial treatment of CVD generally focuses on diet and lifestyle interventions; proper drugs or surgery can prolong or save the patient's life. Traditional Chinese medicine (TCM), a holistic medical care system with an over 2500-year history, has been proven to be efficient in curing CVD and other illnesses, with a strengthening effect on the body. However, the mechanisms underlying TCM alleviation of CVD remain elusive. Recent studies have recognized that TCM can alleviate cardiovascular disease by manipulating the quality and function of mitochondria. This review systematically summarizes the association of mitochondria with cardiovascular risk factors, and the relationships between mitochondrial dysfunction and CVD progression. We will investigate the research progress of managing cardiovascular disease by TCM and cover widely used TCMs that target mitochondria for the treatment of cardiovascular disease.
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