Review Article

Therapeutic Potential of Quercetin as an Antiatherosclerotic Agent in Atherosclerotic Cardiovascular Disease: A Review

Table 2

Summary of the main effects of quercetin on antiatherosclerosis in vitro.

EffectCell lineTarget and mechanismReference

Cells from animals
Anti-inflammationRAW264.7 cellsDownregulate IL-1α, IL-1β, IL-2, IL-10, MCP-1, COX-2, MMP-1, SOCS3 induced by LPS and suppress LPS-induced the phosphorylation of STAT3[18]
RAW264.7 cellsSuppress NF-κB and MAPK signaling in LPS-stimulated[124]
VSMCsSuppress inflammation response via inactivating NF-κB and suppressing proinflammatory gene expression[78]
DCsInhibit DC maturation via upregulation of Dabs and downregulate the Src/PI3K/Akt-NF-κB-inflammatory pathways[111]
RAW264.7 cellsAttenuate secretion of TNF-α or MCP-1[125]

Endothelium protectionRAW264.7 cellsAmeliorate overproduction of ROS induced by oxLDL[18]
MPMsInhibit ROS formation and block the vital step in activation of NADPH oxidase-membrane translocation of p47phox[16]
RAW264.7 cellsProtected sialic acid against H2O2-induced degradation[125]

Lipid loweringRAW264.7 cellsAmeliorate lipid deposition[18]
Raw 264.7 cellsImprove the protein expression of ABCG1 and ABCA1 to promote cholesterol efflux[125]
Raw 264.7 cellsUpregulate the protein expression of ABCA1, ABCG1, and LXRα and downregulate the protein expression of PCSK9, P53, P21, and P16[126]

AntiapoptosisNRK cellsActivate autophagy[127]
RAW264.7 cellsPromote autophagy by increasing expression of LC3-II/I and Beclin1 and block the expression of MST1 induced by ox LDL[86]
RAW264.7 cellsActivate the PI3K/AKT pathway[78]
EPCsActivate ERK and the ERK signaling pathway[113]

Cells from human
Anti-inflammationHUVECsAttenuate caveolin-1 expression in endothelial cells[128]
HUVECsReduce intracellular ROS and inhibit of NF-κB and AP-1 activation[129]
HUVECsDownregulate mRNA expression of MCP-1 and alleviate nuclear translocation of NF-κB p65 subunit through attenuating the TLR-NF-κB signaling pathway[32]
PBMCsSuppress cytokine and TNF-α release by modulating TLR-NF-κB signaling pathway and TLR-mediated MAPK pathway[77]
HUVECsInhibit expression of proinflammatory factors and endothelin-1[130]
VSMCsInhibit TNFα-mediated vascular inflammatory responses[131]
HUVECsInhibitory effect on MCP-1 as well as inflammatory cytokines including IL-1β, IL-6, and TNF-α[132]

Anti-apoptosisHaVSMCsDecrease relative expression levels of members of the mitochondrial apoptotic pathway, including P53, puma and Noxa, caspase-3, and caspase-8[133]
EA.hy926 cellsRegulate Akt/GSK3β signaling pathway by increasing the expression of p-Akt and p-GSK3β[134]

Lowering lipidHuman HepG2 cell linePromote selective uptake of HDL-C by enhancing SR-BI expression through stimulating the PPAR γ/LXRα pathway.[61]
THP-1 macrophagesIncrease ABCA1 expression and cholesterol efflux through LXRα pathway to promote RCT[62]