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Erschienen in: Journal of Cardiovascular Translational Research 3/2015

01.04.2015

Short-Term Adjuvant Therapy with Terminalia arjuna Attenuates Ongoing Inflammation and Immune Imbalance in Patients with Stable Coronary Artery Disease: In Vitro and In Vivo Evidence

verfasst von: Divya Kapoor, Dimple Trikha, Rajesh Vijayvergiya, K. K. Parashar, Deepak Kaul, Veena Dhawan

Erschienen in: Journal of Cardiovascular Translational Research | Ausgabe 3/2015

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Abstract

The present study evaluated the cardioprotective effects of Terminalia arjuna on classical and immuno-inflammatory markers in coronary artery disease (CAD) as an adjuvant therapy. One hundred sixteen patients with stable CAD were administered placebo/T. arjuna (500 mg twice a day) along with medications in a randomized, double-blind clinical trial. To understand the specificity and efficacy of T. arjuna, we evaluated its effect through microarray and in silico analysis in few representative samples. Data was further validated via real-time PCR (n = 50) each at baseline, 3 months, and 6 months, respectively. rIL-18 cytokine was used to induce inflammation in vitro to compare its effects with atorvastatin. T. arjuna significantly down-regulated TG, VLDL-C, and immuno-inflammatory markers in stable CAD versus placebo-treated subjects. Microarray and pathway analysis of a few samples from T. arjuna/placebo-treated groups and real-time PCR validation further confirmed our observations. Our data demonstrate the anti-inflammatory and immunomodulatory effects of T. arjuna that may attenuate ongoing inflammation and immune imbalance in medicated CAD subjects.
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Literatur
1.
Zurück zum Zitat Hanson, M. A., Fareed, M. T., Argenio, S. L., Agunwamba, A. O., & Hanson, T. R. (2013). Coronary artery disease. Primary Care, 40, 1–16.CrossRefPubMed Hanson, M. A., Fareed, M. T., Argenio, S. L., Agunwamba, A. O., & Hanson, T. R. (2013). Coronary artery disease. Primary Care, 40, 1–16.CrossRefPubMed
2.
Zurück zum Zitat Gupta, R., Joshi, P., Mohan, V., Reddy, K. S., & Yusuf, S. (2008). Epidemiology and causation of coronary heart disease and stroke in India. Heart, 94, 16–26.CrossRefPubMed Gupta, R., Joshi, P., Mohan, V., Reddy, K. S., & Yusuf, S. (2008). Epidemiology and causation of coronary heart disease and stroke in India. Heart, 94, 16–26.CrossRefPubMed
3.
Zurück zum Zitat Mahajan, N., Malik, N., Bahl, A., & Dhawan, V. (2009). Receptor for advanced glycation end products (RAGE) and its inflammatory ligand EN-RAGE in non-diabetic subjects with pre-mature coronary artery disease. Atherosclerosis, 207, 597–602.CrossRefPubMed Mahajan, N., Malik, N., Bahl, A., & Dhawan, V. (2009). Receptor for advanced glycation end products (RAGE) and its inflammatory ligand EN-RAGE in non-diabetic subjects with pre-mature coronary artery disease. Atherosclerosis, 207, 597–602.CrossRefPubMed
5.
Zurück zum Zitat Daviglus, M. L., Lloyd-Jones, D. M., & Pirzada, A. (2006). Preventing cardiovascular disease in the 21st century: therapeutic and preventive implications of current evidence. American Journal Cardiovascular Drugs, 2006(6), 87–101.CrossRef Daviglus, M. L., Lloyd-Jones, D. M., & Pirzada, A. (2006). Preventing cardiovascular disease in the 21st century: therapeutic and preventive implications of current evidence. American Journal Cardiovascular Drugs, 2006(6), 87–101.CrossRef
6.
Zurück zum Zitat Kapoor, D., Trikha, D., Vijayvergiya, R., Kaul, D., & Dhawan, V. (2014). Conventional therapies fail to target inflammation and immune imbalance in subjects with stable coronary artery disease: a system-based approach. Atherosclerosis, 237, 4623–4631.CrossRef Kapoor, D., Trikha, D., Vijayvergiya, R., Kaul, D., & Dhawan, V. (2014). Conventional therapies fail to target inflammation and immune imbalance in subjects with stable coronary artery disease: a system-based approach. Atherosclerosis, 237, 4623–4631.CrossRef
7.
Zurück zum Zitat Szauter, M. K., Jansen, K. M., Okimoto, G., Loomis, M., Kimura, J. H., Heller, M., et al. (2011). Persistent inflammatory pathways associated with early onset myocardial infarction in a medicated multiethnic Hawaiian cohort. Biochemistry Insights, 4, 13–27.CrossRef Szauter, M. K., Jansen, K. M., Okimoto, G., Loomis, M., Kimura, J. H., Heller, M., et al. (2011). Persistent inflammatory pathways associated with early onset myocardial infarction in a medicated multiethnic Hawaiian cohort. Biochemistry Insights, 4, 13–27.CrossRef
8.
Zurück zum Zitat Gillespie, S., & Gavins, F. N. (2013). Phytochemicals: countering risk factors and pathological responses associated with ischemia reperfusion injury. Pharmacology and Therapeutics, 138, 38–45.CrossRefPubMed Gillespie, S., & Gavins, F. N. (2013). Phytochemicals: countering risk factors and pathological responses associated with ischemia reperfusion injury. Pharmacology and Therapeutics, 138, 38–45.CrossRefPubMed
9.
Zurück zum Zitat Mittal, A., Mahajan, N., Vijayvergiya, R., & Dhawan, V. (2010). Modulation of gene expression by Polyalthia longifolia in postmenopausal women with coronary artery disease: an in vitro study. Journal of Cardiovascular Translational Research, 3, 570–579.CrossRefPubMed Mittal, A., Mahajan, N., Vijayvergiya, R., & Dhawan, V. (2010). Modulation of gene expression by Polyalthia longifolia in postmenopausal women with coronary artery disease: an in vitro study. Journal of Cardiovascular Translational Research, 3, 570–579.CrossRefPubMed
10.
Zurück zum Zitat Mahajan, N., Dhawan, V., Sharma, G., Jain, S., & Kaul, D. (2008). Induction of inflammatory gene expression by THP-1 macrophages cultured in normocholesterolemic hypertensive sera and modulatory effects of green tea polyphenols. Journal of Human Hypertension, 22, 141–143.CrossRefPubMed Mahajan, N., Dhawan, V., Sharma, G., Jain, S., & Kaul, D. (2008). Induction of inflammatory gene expression by THP-1 macrophages cultured in normocholesterolemic hypertensive sera and modulatory effects of green tea polyphenols. Journal of Human Hypertension, 22, 141–143.CrossRefPubMed
11.
Zurück zum Zitat Maulik, S. K., & Talwar, K. K. (2012). Therapeutic potential of Terminalia arjuna in cardiovascular disorders. American Journal of Cardiovascular Drugs, 12, 157–163.CrossRefPubMed Maulik, S. K., & Talwar, K. K. (2012). Therapeutic potential of Terminalia arjuna in cardiovascular disorders. American Journal of Cardiovascular Drugs, 12, 157–163.CrossRefPubMed
12.
Zurück zum Zitat Kapoor, D., Vijayvergiya, R., & Dhawan, V. (2014). Terminalia arjuna in coronary artery disease: ethnopharmacology, pre-clinical, clinical & safety evaluation. Journal of Ethnopharmacology, 155, 1029–1045.CrossRefPubMed Kapoor, D., Vijayvergiya, R., & Dhawan, V. (2014). Terminalia arjuna in coronary artery disease: ethnopharmacology, pre-clinical, clinical & safety evaluation. Journal of Ethnopharmacology, 155, 1029–1045.CrossRefPubMed
13.
Zurück zum Zitat Oberoi, L., Akiyama, T., Lee, K. H., & Liu, S. J. (2011). The aqueous extract, not organic extracts, of Terminalia arjuna bark exerts cardiotonic effect on adult ventricular myocytes. Phytomedicine, 18, 259–265.CrossRefPubMed Oberoi, L., Akiyama, T., Lee, K. H., & Liu, S. J. (2011). The aqueous extract, not organic extracts, of Terminalia arjuna bark exerts cardiotonic effect on adult ventricular myocytes. Phytomedicine, 18, 259–265.CrossRefPubMed
14.
Zurück zum Zitat Parveen, A., Babbar, R., Agarwal, S., Kotwani, A., & Fahim, M. (2011). Mechanistic clues in the cardioprotective effect of Terminalia arjuna bark extract in isoproterenol-induced chronic heart failure in rats. Cardiovascular Toxicology, 11, 48–57.CrossRefPubMed Parveen, A., Babbar, R., Agarwal, S., Kotwani, A., & Fahim, M. (2011). Mechanistic clues in the cardioprotective effect of Terminalia arjuna bark extract in isoproterenol-induced chronic heart failure in rats. Cardiovascular Toxicology, 11, 48–57.CrossRefPubMed
15.
Zurück zum Zitat Parveen, A., Babbar, R., Agarwal, S., Kotwani, A., & Fahim, M. (2012). Terminalia arjuna enhances baroreflex sensitivity and myocardial function in isoproterenol-induced chronic heart failure rats. Journal of Cardiovascular Pharmacology and Therapeutics, 17, 199–207.CrossRefPubMed Parveen, A., Babbar, R., Agarwal, S., Kotwani, A., & Fahim, M. (2012). Terminalia arjuna enhances baroreflex sensitivity and myocardial function in isoproterenol-induced chronic heart failure rats. Journal of Cardiovascular Pharmacology and Therapeutics, 17, 199–207.CrossRefPubMed
16.
Zurück zum Zitat Subramaniam, S., Ramachandran, S., Uthrapathi, S., Gnamanickam, V. R., & Dubey, G. P. (2011). Anti-hyperlipidemic and antioxidant potential of different fractions of Terminalia arjuna Roxb. bark against PX-407 induced hyperlipidemia. Indian Journal of Experimental Biology, 49, 282–288.PubMed Subramaniam, S., Ramachandran, S., Uthrapathi, S., Gnamanickam, V. R., & Dubey, G. P. (2011). Anti-hyperlipidemic and antioxidant potential of different fractions of Terminalia arjuna Roxb. bark against PX-407 induced hyperlipidemia. Indian Journal of Experimental Biology, 49, 282–288.PubMed
17.
Zurück zum Zitat Subramaniam, S., Subramaniam, R., Rajapandian, S., Uthrapathi, S., Gnanamanickam, V. R., & Dubey, G. P. (2011). Anti-atherogenic activity of ethanolic fraction of Terminalia arjuna bark on hypercholesterolemic rabbits. Evidence-based Complementary and Alternative Medicine, 2011, 487916.CrossRefPubMedCentralPubMed Subramaniam, S., Subramaniam, R., Rajapandian, S., Uthrapathi, S., Gnanamanickam, V. R., & Dubey, G. P. (2011). Anti-atherogenic activity of ethanolic fraction of Terminalia arjuna bark on hypercholesterolemic rabbits. Evidence-based Complementary and Alternative Medicine, 2011, 487916.CrossRefPubMedCentralPubMed
18.
Zurück zum Zitat Reddy, T. K., Seshadri, P., Reddy, K. K., Jagetia, G. C., & Reddy, C. D. (2008). Effect of Terminalia arjuna extract on adriamycin-induced DNA damage. Phytotherapy Research, 22, 1188–1194.CrossRefPubMed Reddy, T. K., Seshadri, P., Reddy, K. K., Jagetia, G. C., & Reddy, C. D. (2008). Effect of Terminalia arjuna extract on adriamycin-induced DNA damage. Phytotherapy Research, 22, 1188–1194.CrossRefPubMed
19.
Zurück zum Zitat Kokkiripati, P. K., Kamsala, R. V., Bashyam, L., Manthapuram, N., Bitla, P., Peddada, V., et al. (2013). Stem-bark of Terminalia arjuna attenuates human monocytic (THP-1) and aortic endothelial cell activation. Journal of Ethnopharmacology, 146, 456–464.CrossRefPubMed Kokkiripati, P. K., Kamsala, R. V., Bashyam, L., Manthapuram, N., Bitla, P., Peddada, V., et al. (2013). Stem-bark of Terminalia arjuna attenuates human monocytic (THP-1) and aortic endothelial cell activation. Journal of Ethnopharmacology, 146, 456–464.CrossRefPubMed
20.
Zurück zum Zitat Khaliq, F., Parveen, A., Singh, S., Gondal, R., Hussain, M. E., & Fahim, M. (2013). Improvement in myocardial function by Terminalia arjuna in streptozotocin-induced diabetic rats: possible mechanisms. Journal of Cardiovascular Pharmacology and Therapeutics, 18, 481–489.CrossRefPubMed Khaliq, F., Parveen, A., Singh, S., Gondal, R., Hussain, M. E., & Fahim, M. (2013). Improvement in myocardial function by Terminalia arjuna in streptozotocin-induced diabetic rats: possible mechanisms. Journal of Cardiovascular Pharmacology and Therapeutics, 18, 481–489.CrossRefPubMed
21.
Zurück zum Zitat Khaliq, F., Parveen, A., Singh, S., Hussain, M. E., & Fahim, M. (2013). Terminalia arjuna improves cardiovascular autonomic neuropathy in streptozotocin-induced diabetic rats. Cardiovascular Toxicology, 13, 68–76.CrossRefPubMed Khaliq, F., Parveen, A., Singh, S., Hussain, M. E., & Fahim, M. (2013). Terminalia arjuna improves cardiovascular autonomic neuropathy in streptozotocin-induced diabetic rats. Cardiovascular Toxicology, 13, 68–76.CrossRefPubMed
22.
Zurück zum Zitat Malik, N., Dhawan, V., Bahl, A., & Kaul, D. (2009). Inhibitory effects of Terminalia arjuna on platelet activation in vitro in healthy subjects and patients with coronary artery disease. Platelets, 20, 183–190.CrossRefPubMed Malik, N., Dhawan, V., Bahl, A., & Kaul, D. (2009). Inhibitory effects of Terminalia arjuna on platelet activation in vitro in healthy subjects and patients with coronary artery disease. Platelets, 20, 183–190.CrossRefPubMed
23.
Zurück zum Zitat Takahashi, H. K., Iwagaki, H., Yoshino, T., Mori, S., Morichika, T., Itoh, H., et al. (2002). Prostaglandin E(2) inhibits IL-18-induced ICAM-1 and B7.2 expression through EP2/EP4 receptors in human peripheral blood mononuclear cells. Journal of Immunology, 168, 4446–4454.CrossRef Takahashi, H. K., Iwagaki, H., Yoshino, T., Mori, S., Morichika, T., Itoh, H., et al. (2002). Prostaglandin E(2) inhibits IL-18-induced ICAM-1 and B7.2 expression through EP2/EP4 receptors in human peripheral blood mononuclear cells. Journal of Immunology, 168, 4446–4454.CrossRef
24.
Zurück zum Zitat Pearson, T. A., Mensah, G. A., Alexander, R. W., Anderson, J. L., Cannon, R. O., Criqui, M., et al. (2003). Markers of inflammation and cardiovascular disease: application to clinical and public health practice: a statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation, 107, 499–511.CrossRefPubMed Pearson, T. A., Mensah, G. A., Alexander, R. W., Anderson, J. L., Cannon, R. O., Criqui, M., et al. (2003). Markers of inflammation and cardiovascular disease: application to clinical and public health practice: a statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation, 107, 499–511.CrossRefPubMed
25.
Zurück zum Zitat Mahajan, N., Bahl, A., & Dhawan, V. (2010). C-reactive protein (CRP) up-regulates the expression of receptor for advanced glycation end products (RAGE) and its inflammatory ligand EN-RAGE in THP-1 cells: inhibitory effects of atorvastatin. International Journal of Cardiology, 142, 273–278.CrossRefPubMed Mahajan, N., Bahl, A., & Dhawan, V. (2010). C-reactive protein (CRP) up-regulates the expression of receptor for advanced glycation end products (RAGE) and its inflammatory ligand EN-RAGE in THP-1 cells: inhibitory effects of atorvastatin. International Journal of Cardiology, 142, 273–278.CrossRefPubMed
26.
Zurück zum Zitat Mahajan, N., & Dhawan, V. (2010). Inhibition of C-reactive protein induced expression of matrix metalloproteinases by atorvastatin in THP-1 cells. Molecular and Cellular Biochemistry, 338, 77–86.CrossRefPubMed Mahajan, N., & Dhawan, V. (2010). Inhibition of C-reactive protein induced expression of matrix metalloproteinases by atorvastatin in THP-1 cells. Molecular and Cellular Biochemistry, 338, 77–86.CrossRefPubMed
27.
Zurück zum Zitat Mahajan, N., & Dhawan, V. (2010). In-vitro modulation of PPAR-γ and its effector genes by C-reactive protein inTHP-1 cells: effect of atorvastatin. Archives of Medical Research, 41, 154–161.CrossRefPubMed Mahajan, N., & Dhawan, V. (2010). In-vitro modulation of PPAR-γ and its effector genes by C-reactive protein inTHP-1 cells: effect of atorvastatin. Archives of Medical Research, 41, 154–161.CrossRefPubMed
28.
Zurück zum Zitat World Medical Association Declaration of Helsinki. (1998). Recommendations guiding physicians in biomedical research involving human subjects. Cardiovascular Research, 35, 2–3. World Medical Association Declaration of Helsinki. (1998). Recommendations guiding physicians in biomedical research involving human subjects. Cardiovascular Research, 35, 2–3.
29.
Zurück zum Zitat Paes, A. H., Bakker, A., & Soe-Agnie, C. J. (1998). Measurement of patient compliance. Pharmacy World and Science, 20, 73–77.CrossRefPubMed Paes, A. H., Bakker, A., & Soe-Agnie, C. J. (1998). Measurement of patient compliance. Pharmacy World and Science, 20, 73–77.CrossRefPubMed
30.
Zurück zum Zitat Dwivedi, S., Deepti, G., & Sharma, K. K. (2000). Modification of coronary risk factors by medicinal plants. Journal of Medicinal amd Aromatic Plant Sciences, 22, 616–620. Dwivedi, S., Deepti, G., & Sharma, K. K. (2000). Modification of coronary risk factors by medicinal plants. Journal of Medicinal amd Aromatic Plant Sciences, 22, 616–620.
31.
Zurück zum Zitat Bharani, A., Ganguli, A., & Bhargava, K. D. (1995). Salutary effect of Terminalia arjuna in patients with severe refractory heart failure. International Journal of Cardiology, 49, 191–199.CrossRefPubMed Bharani, A., Ganguli, A., & Bhargava, K. D. (1995). Salutary effect of Terminalia arjuna in patients with severe refractory heart failure. International Journal of Cardiology, 49, 191–199.CrossRefPubMed
32.
Zurück zum Zitat Chander, R., Singh, K., Khanna, A. K., Kaul, S. M., Puri, A., Saxena, R., et al. (2004). Antidyslipidemic and antioxidant activities of different fractions of Terminalia arjuna stem bark. Indian Journal of Clinical Biochemistry, 19, 141–148.CrossRefPubMedCentralPubMed Chander, R., Singh, K., Khanna, A. K., Kaul, S. M., Puri, A., Saxena, R., et al. (2004). Antidyslipidemic and antioxidant activities of different fractions of Terminalia arjuna stem bark. Indian Journal of Clinical Biochemistry, 19, 141–148.CrossRefPubMedCentralPubMed
33.
Zurück zum Zitat Gupta, R., Singhal, S., Goyle, A., & Sharma, V. N. (2001). Antioxidant and hypocholesterolaemic effects of Terminalia arjuna tree-bark powder: a randomised placebo-controlled trial. Journal of the Association of Physicians of India, 49, 231–235.PubMed Gupta, R., Singhal, S., Goyle, A., & Sharma, V. N. (2001). Antioxidant and hypocholesterolaemic effects of Terminalia arjuna tree-bark powder: a randomised placebo-controlled trial. Journal of the Association of Physicians of India, 49, 231–235.PubMed
34.
Zurück zum Zitat Khalil, S. (2005). Effect of statin versus Terminalia arjuna on acute myocardial infarction. DNB thesis (Medicine) National Board of Examination, New Delhi, India. Khalil, S. (2005). Effect of statin versus Terminalia arjuna on acute myocardial infarction. DNB thesis (Medicine) National Board of Examination, New Delhi, India.
35.
Zurück zum Zitat Qin, S., Chena, J., Tanigawaa, S., & Hou, D. X. (2012). Gene expression profiling and pathway network analysis of hepatic metabolic enzymes targeted by baicalein. Journal of Ethnopharmacology, 140, 131–140.CrossRefPubMed Qin, S., Chena, J., Tanigawaa, S., & Hou, D. X. (2012). Gene expression profiling and pathway network analysis of hepatic metabolic enzymes targeted by baicalein. Journal of Ethnopharmacology, 140, 131–140.CrossRefPubMed
36.
Zurück zum Zitat Lampronti, I., Khan, M. T., Borgatti, M., Bianchi, N., & Gambari, R. (2008). Inhibitory effects of Bangladeshi medicinal plant extracts on interactions between transcription factors and target DNA sequences. Evidence-Based Complementary Alternative Medicine, 5, 303–312.CrossRefPubMedCentralPubMed Lampronti, I., Khan, M. T., Borgatti, M., Bianchi, N., & Gambari, R. (2008). Inhibitory effects of Bangladeshi medicinal plant extracts on interactions between transcription factors and target DNA sequences. Evidence-Based Complementary Alternative Medicine, 5, 303–312.CrossRefPubMedCentralPubMed
37.
Zurück zum Zitat Karlsen, A., Paur, I., Bøhn, S. K., Sakhi, A. K., Borge, G. I., Serafini, M., et al. (2010). Bilberry juice modulates plasma concentration of NF-KB related inflammatory markers in subjects at increased risk of CVD. European Journal of Nutrition, 49, 345–355.CrossRefPubMed Karlsen, A., Paur, I., Bøhn, S. K., Sakhi, A. K., Borge, G. I., Serafini, M., et al. (2010). Bilberry juice modulates plasma concentration of NF-KB related inflammatory markers in subjects at increased risk of CVD. European Journal of Nutrition, 49, 345–355.CrossRefPubMed
38.
Zurück zum Zitat Castilla, P., Dávalos, A., Teruel, J. L., Cerrato, F., Fernández-Lucas, M., Merino, J. L., et al. (2008). Comparative effects of dietary supplementation with red grape juice and vitamin E on production of superoxide by circulating neutrophil NADPH oxidase in hemodialysis patients. American Journal of Clinical Nutrition, 87, 1053–1061.PubMed Castilla, P., Dávalos, A., Teruel, J. L., Cerrato, F., Fernández-Lucas, M., Merino, J. L., et al. (2008). Comparative effects of dietary supplementation with red grape juice and vitamin E on production of superoxide by circulating neutrophil NADPH oxidase in hemodialysis patients. American Journal of Clinical Nutrition, 87, 1053–1061.PubMed
39.
Zurück zum Zitat Estruch, R., Sacanella, E., Badia, E., Antúnez, E., Nicolás, J. M., Fernández-Solá, J., et al. (2004). Different effects of red wine and gin consumption on inflammatory biomarkers of atherosclerosis: a prospective randomized crossover trial. Effects of wine on inflammatory markers. Atherosclerosis, 175, 117–123.CrossRefPubMed Estruch, R., Sacanella, E., Badia, E., Antúnez, E., Nicolás, J. M., Fernández-Solá, J., et al. (2004). Different effects of red wine and gin consumption on inflammatory biomarkers of atherosclerosis: a prospective randomized crossover trial. Effects of wine on inflammatory markers. Atherosclerosis, 175, 117–123.CrossRefPubMed
40.
Zurück zum Zitat Hollman, P. C., Geelen, A., & Kromhout, D. (2010). Dietary flavonol intake may lower stroke risk in men and women. Journal of Nutrition, 140, 600–604.CrossRefPubMed Hollman, P. C., Geelen, A., & Kromhout, D. (2010). Dietary flavonol intake may lower stroke risk in men and women. Journal of Nutrition, 140, 600–604.CrossRefPubMed
41.
Zurück zum Zitat Broekhuizen, L. N., van Wijk, D. F., Vink, H., Stalmach, A., Crozier, A., Hutten, B. A., et al. (2011). Reduction of monocyte chemoattractant protein 1 and macrophage migration inhibitory factor by a polyphenol-rich extract in subjects with clustered cardiometabolic risk factors. British Journal of Nutrition, 106, 1416–1422.CrossRefPubMed Broekhuizen, L. N., van Wijk, D. F., Vink, H., Stalmach, A., Crozier, A., Hutten, B. A., et al. (2011). Reduction of monocyte chemoattractant protein 1 and macrophage migration inhibitory factor by a polyphenol-rich extract in subjects with clustered cardiometabolic risk factors. British Journal of Nutrition, 106, 1416–1422.CrossRefPubMed
42.
Zurück zum Zitat Jung, M. K., Ha, S., Son, J. A., Song, J. H., Houh, Y., Cho, E., et al. (2012). Polyphenon-60 displays a therapeutic effect on acne by suppression of TLR2 and IL-8 expression via down-regulating the ERK1/2 pathway. Archives for Dermatological Research, 304, 655–663.CrossRef Jung, M. K., Ha, S., Son, J. A., Song, J. H., Houh, Y., Cho, E., et al. (2012). Polyphenon-60 displays a therapeutic effect on acne by suppression of TLR2 and IL-8 expression via down-regulating the ERK1/2 pathway. Archives for Dermatological Research, 304, 655–663.CrossRef
43.
Zurück zum Zitat Ellis, L. Z., Liu, W., Luo, Y., Okamoto, M., Qu, D., Dunn, J. H., et al. (2011). Green tea polyphenol epigallocatechin-3-gallate suppresses melanoma growth by inhibiting inflammasome and IL-1β secretion. Biochemical and Biophysical Research Communications, 414, 551–556.CrossRefPubMedCentralPubMed Ellis, L. Z., Liu, W., Luo, Y., Okamoto, M., Qu, D., Dunn, J. H., et al. (2011). Green tea polyphenol epigallocatechin-3-gallate suppresses melanoma growth by inhibiting inflammasome and IL-1β secretion. Biochemical and Biophysical Research Communications, 414, 551–556.CrossRefPubMedCentralPubMed
44.
Zurück zum Zitat Cavalcanti, E., Vadrucci, E., Delvecchio, F. R., Addabbo, F., Bettini, S., Liou, R., et al. (2014). Administration of reconstituted polyphenol oil bodies efficiently suppresses dendritic cell inflammatory pathways and acute intestinal inflammation. PLoS One, 9, e88898.CrossRefPubMedCentralPubMed Cavalcanti, E., Vadrucci, E., Delvecchio, F. R., Addabbo, F., Bettini, S., Liou, R., et al. (2014). Administration of reconstituted polyphenol oil bodies efficiently suppresses dendritic cell inflammatory pathways and acute intestinal inflammation. PLoS One, 9, e88898.CrossRefPubMedCentralPubMed
45.
Zurück zum Zitat Zhang, Y., Zhen, W., Maechler, P., & Liu, D. (2013). Small molecule kaempferol modulates PDX-1 protein expression and subsequently promotes pancreatic β-cell survival and function via CREB. Journal of Nutrition and Biochemistry, 24, 638–646.CrossRef Zhang, Y., Zhen, W., Maechler, P., & Liu, D. (2013). Small molecule kaempferol modulates PDX-1 protein expression and subsequently promotes pancreatic β-cell survival and function via CREB. Journal of Nutrition and Biochemistry, 24, 638–646.CrossRef
Metadaten
Titel
Short-Term Adjuvant Therapy with Terminalia arjuna Attenuates Ongoing Inflammation and Immune Imbalance in Patients with Stable Coronary Artery Disease: In Vitro and In Vivo Evidence
verfasst von
Divya Kapoor
Dimple Trikha
Rajesh Vijayvergiya
K. K. Parashar
Deepak Kaul
Veena Dhawan
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
Journal of Cardiovascular Translational Research / Ausgabe 3/2015
Print ISSN: 1937-5387
Elektronische ISSN: 1937-5395
DOI
https://doi.org/10.1007/s12265-015-9620-x

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