EditorialBioactives and Traditional Herbal Medicine forthe Treatment of Cardiovascular/Cerebrovascular Diseases
Joen-Rong Sheu,1 Pitchairaj Geraldine,2 and Mao-Hsiung Yen3
1 Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei 110, Taiwan2Department of Animal Science, Bharathidasan University, Tiruchirappalli, Tamil Nadu 620 024, India3 Department of Pharmacology, National Defense Medical Center, Taipei, Taiwan
Correspondence should be addressed to Joen-Rong Sheu; [email protected]
Received 11 June 2014; Accepted 11 June 2014; Published 16 June 2014
Copyright © 2014 Joen-Rong Sheu et al.This is an open access article distributed under theCreativeCommonsAttribution License,which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The cardiovascular diseases (CVDs) have been the majorcause of morbidity and mortality in developed countriesover the last several decades, and developing countries arerapidly catching up with this epidemic disease. The under-lying pathology is atheromatous vascular disease, resultingin coronary artery disease (CAD), cerebrovascular disease,peripheral vascular disease, and the subsequent developmentof heart failure and cardiac arrhythmias. There is extensiveevidence to show that drug treatment of conventional riskfactors is effective in reducing cardiovascular events. Moreeffective treatment of CVD with various classes of antihyper-tensive drugs has been associated with greater benefits, butsome recent studies suggest we may be reaching the optimallevel of treated blood pressure in some patient groups.Apart from the treatment of cardiovascular risk factors withpharmacological agents and the use of antithrombotic drugs,there is growing awareness of the role of dietary factorsand herbal medicines in the prevention of CVD and thepossibility of their use in treatment. In this special issue onbioactives and traditional herbal medicine for the treatmentof cardiovascular/cerebrovascular diseases, we called forlimited research and review papers on such subjects.
In spite of the major advances of neuroprotective thera-peutic approaches for treating ischemic stroke over the lastdecade, stroke is still a serious problem for which effectivedrug therapy is not yet available. In the search for neu-roprotective agents from natural sources, a number of plantextracts and several natural products were isolated andreported to provide neuroprotection against ischemic stroke.A few papers in this special issue address the neuroprotectiveeffects of Chinese herbal medicine and natural compounds.
For instance, Chinese herbal formula Sini Tang (SNT), adecoction that consisted of four herbs:Aconitum carmichaelii,Cinnamomum cassia, Zingiber officinale, and Glycyrrhizauralensis, was reported to improve cardiac function aftermyocardial infarction (MI) in rats. Similarly, another paperin this issue reports the neuroprotective effect of formulamoschus combined with borneolum synthcticum from tra-ditional Chinese medicine on ischemia stroke in rats. In thisstudy it was found that this formula significantly amelioratesneurobehavioral disturbances, shrinks relative infarct size,rescues neural dysfunction, and prevents neuron cells fromapoptosis caused by cerebral ischemia or reperfusion torelieve brain damage.
The antiatherosclerotic effect of Guanxinkang (GXK)decoction on the apoptosis, mitochondrial membrane poten-tial (MMP), and endoplasmic reticulum stress (ERS) ofhuman umbilical vein endothelial cells (HUVEC) pretreatedwith homocysteinemia was presented in this special issue.A review paper in this special issue presents the effects andmechanisms of Chinese herbal medicine in amelioratingmyocardial ischemia-reperfusion injury. Moreover, our ownpaper describes the neuroprotective effect andmechanisms ofhinokitiol, a tropolone related compound found in the heart-wood cupressaceous plants, in rats against middle cerebralartery occlusion- (MCAO-) induced thromboembolic stroke.
A therapeutic effect of QSYQ, a drug commonly usedto treat heart dysfunction in clinical practice in China, hasbeen evaluated against pig myocardial ischemia (MI). Thispaper addressed the issue that therapeutic QSYQ adminis-tration regulates vasoactive factors to improve myocardialoxygen supply, reduce myocardial injury, improve cardiac
Hindawi Publishing CorporationEvidence-Based Complementary and Alternative MedicineVolume 2014, Article ID 495323, 2 pageshttp://dx.doi.org/10.1155/2014/495323
2 Evidence-Based Complementary and Alternative Medicine
function, and inhibit myocardial apoptosis via decreasingthe level of TNF-𝛼 and active caspase-3. Subsequently, thisspecial issue described the antihypercholesterolemic andantioxidative properties of an ethanolic extract of Piperbetle and of its active constituent, eugenol, in experimentalhypercholesterolemia in Wistar rats. This paper provideswell understanding of the fact that the hypercholesterolemia-ameliorating effect is better defined in eugenol-treated ratsthan in Piper betle extract-treated rats, and it was almost aseffective as that of the standard lipid-lowering drug, lovas-tatin. A paper in this special issue describes the antiplateletactivity of Morus alba leaves extract mediated via inhibitinggranule secretion and blocking the phosphorylation of extra-cellular signal-regulated kinase and Akt. Finally, a clinicalstudy about the effect of Ayurveda therapies on the cardiacautonomic dysfunction was offered in this special issue.This is the first study on positive modulation of cardiacautonomic activity after adjuvant Ayurveda treatment inischemic stroke. We anticipate that this special issue presentsinnovative knowledge to increase the therapeutic value ofherbal and/or Chinesemedicines for treatment or preventionof cardiovascular and ischemia-reperfusion injury-relateddisorders.
Joen-Rong SheuPitchairaj Geraldine
Mao-Hsiung Yen
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