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.

Phytotherapy Research : PTR
|February 27, 2026
PubMed

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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