Esculeoside A attenuates aortic remodeling and early atherosclerosis-like changes, with protective effects strongly

Talal Abdulaziz Alfurayh1, Abu ElGasim A Yagoub1, Ghedeir M Alshammari2

  • 1Department of Food Sciences and Nutrition, College of Food and Agricultural Sciences, King Saud University, P.O. Box 2460, 11451, Riyadh, Saudi Arabia.

Scientific Reports
|May 22, 2026
PubMed

Insights

Esculeoside A (ESA) offers significant vascular protection against high-cholesterol diet-induced atherosclerosis in rats. This natural compound activates the Nrf2 pathway, reducing oxidative stress and inflammation in the aorta.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Natural Product Chemistry

Background:

  • Atherosclerosis is a major cause of cardiovascular disease, characterized by inflammation and oxidative stress.
  • There is a growing need for safe, natural therapeutic agents to combat atherosclerosis.
  • The Kelch-like ECH-associated protein 1/nuclear factor erythroid 2-related factor 2 (Keap1/Nrf2) signaling pathway plays a crucial role in cellular defense against oxidative stress.

Purpose of the Study:

  • To investigate the vascular protective effects of esculeoside A (ESA), a steroidal glycoside from Solanum lycopersicum.
  • To determine if ESA's protective effects against high-cholesterol diet (HCD)-induced atherosclerosis in rats involve the Keap1/Nrf2 signaling axis.

Main Methods:

  • Male Wistar rats were fed a high-cholesterol diet (HCD) and treated with ESA (100 mg/kg, orally) or brusatol (Nrf2 inhibitor, 2 mg/kg, intraperitoneally) for 8 weeks.
  • Vascular protective effects were assessed by measuring serum lipids, aortic lipid deposition, oxidative stress markers, inflammatory markers, and apoptosis.
  • Keap1/Nrf2 pathway activation was evaluated by assessing Nrf2 nuclear translocation in aortic tissue.

Main Results:

  • ESA treatment significantly reduced serum cholesterol, triglycerides, LDL-c, and oxidized LDL-c in HCD rats.
  • ESA mitigated aortic oxidative stress and inflammation, decreasing markers like malondialdehyde, 8-hydroxy-2'-deoxyguanosine, TNF-α, IL-6, and NF-κB.
  • ESA enhanced antioxidant defenses (SOD, catalase, HO-1, GSH) and attenuated apoptosis by modulating Bcl-2 family proteins and caspases, consistent with Nrf2 activation.

Conclusions:

  • Esculeoside A confers robust vascular protection against HCD-induced atherosclerosis-like changes in rats.
  • These protective effects are strongly associated with the activation of the Nrf2 signaling pathway.
  • ESA represents a promising natural therapeutic agent for managing atherosclerosis.