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Targeting the NLRP3 Inflammasome in Atherosclerosis: Advances in Anti-Inflammatory Therapies With Bioactive Natural
Haizhen Guo1,2, Shule Qian1, Yu Lu3
1Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Abstract:
Atherosclerosis (AS) serves as the shared pathological substrate for cardiovascular and cerebrovascular diseases. The traditional passive-accumulation model centered on cholesterol no longer explains why lipid targets are met while clinical events persist and has therefore prompted a shift toward a combined anti-inflammatory and lipid-lowering strategy. Inflammasomes-particularly the NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome-integrate and amplify multiple pro-atherogenic signals and have emerged as a key target. However, no agent targeting NLRP3 has yet gained Food and Drug Administration (FDA) approval, and the unmet clinical need remains pressing. Natural products are considered a promising option for this chronic and multifactorial disease due to their favorable safety profile and multi-target effects. However, a narrative review of intervention strategies at various levels-from traditional Chinese medicine (TCM) formulas and plant extracts to natural compounds-is still lacking. We searched for publications from the past 4 years using PubMed, Web of Science, EMBASE, the Cochrane Library, and Scopus. This narrative review highlights the key role of NLRP3 inflammasome-related signaling pathways in the development of AS and evaluates the evidence for natural products targeting these pathways. Given the limitations of the available evidence, large-scale, high-quality randomized controlled trials are needed to establish clinical efficacy and safety.
Insights
Natural products show promise for treating atherosclerosis (AS) by targeting the NLRP3 inflammasome pathway. Further research is needed to confirm their clinical efficacy and safety for cardiovascular and cerebrovascular diseases.
Area of Science:
- Cardiovascular Research
- Inflammation Biology
- Natural Product Chemistry
Background:
- Atherosclerosis (AS) is a primary factor in cardiovascular and cerebrovascular diseases.
- The traditional cholesterol-focused model is insufficient, necessitating anti-inflammatory and lipid-lowering strategies.
- The NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome is a key target in AS, but FDA-approved treatments are lacking.
Purpose of the Study:
- To review natural products as potential therapeutic agents for AS.
- To evaluate natural products targeting NLRP3 inflammasome pathways in AS.
- To identify gaps in current research and guide future clinical trials.
Main Methods:
- A narrative review of publications from the past four years.
- Searches conducted across major scientific databases: PubMed, Web of Science, EMBASE, Cochrane Library, and Scopus.
- Focus on traditional Chinese medicine formulas, plant extracts, and natural compounds.
Main Results:
- NLRP3 inflammasome signaling pathways play a critical role in AS development.
- Evidence suggests various natural products can modulate NLRP3 inflammasome activity.
- The review synthesizes findings on natural product interventions at different levels.
Conclusions:
- Natural products offer a promising avenue for AS treatment due to their multi-target effects and safety profile.
- High-quality, large-scale randomized controlled trials are essential to validate the clinical efficacy and safety of these natural products.
- Addressing the unmet clinical need in AS management requires further investigation into natural product-based therapies.
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