Review Article

TCM Regulates PI3K/Akt Signal Pathway to Intervene Atherosclerotic Cardiovascular Disease

Table 1

The mechanism of action of Chinese herbal extracts on AS through PI3K/Akt signaling pathway.

NameMechanismModelReferences

TS IIA
AS IV
Inhibit the translocation of NF-κB to the nucleus and the expression of TLR4. Enhance vascular stability through PI3K/Akt and TLR4/NF-κB signals, reduce inflammation and MMP-9 expression, and inhibit unstable plaques.ApoE−/– mouse[48]
BreviscapineReduce the levels of inflammatory factors of VCAM-1, ICAM-1, IL-6, and TNF-α; reduce the blood lipid levels of SD rats; and reduce cell apoptosis.
PI3K/Akt signaling pathway activates Nrf2 to protect cells.
SD rat[55,61]
GypenosideActivate the PI3K/Akt/Bad signaling pathway, regulate the expression of aortic cell apoptosis-related proteins, and downregulate mitochondrial deletion and fusion proteins and mitochondrial energy-related proteins.ApoE−/– mouse[59]
Gypenoside XVIIActivation of ERα-mediated PI3K/Akt pathway, Nrf2/HO-1 up-regulation, and the level of antioxidant enzymes; reduce ox-LDL-induced oxidative damage; and inhibit ox-LDL-mediated HUVEC apoptosis.HUVECs ApoE−/– mouse[60]
SalidrosideImprove endothelial function related to increased eNOS activation, activate AMPK, and improve endothelial function by activating mitochondrial-related AMPK/PI3K/Akt/eNOS pathway.HUVECs ApoE−/– mouse[16]
IsoActivate PI3K/Akt signal, upregulate THP-1-derived macrophages HO-1, prevent ox-LDL-induced apoptosis, and inhibit lipid deposition in ox-LDL-induced macrophage apoptosis.ApoE–/– mouse[6]
QuercetinHigh fructose activates ROS and inactivates the PI3K/Akt signaling pathway, causing apoptosis and inflammation through the Bcl-2/caspase-3 and IKKa/NF-kB signaling pathways, respectively. Quercetin improves and inhibits the progression of ROS AS through PI3K/Akt.C57BL/6 induced by high fructose[51]
EmodinRegulate blood lipids, inhibit the mTOR signal pathway and PI3K/Akt signal activity, stimulate the body to increase autophagy, and increase the metabolism of glycolipids.ApoE−/– mouse[53]