Review Article

Role of Endoplasmic Reticulum Stress in Atherosclerosis and Its Potential as a Therapeutic Target

Table 1

Natural compounds target endoplasmic reticulum (ER) stress to ameliorate atherosclerosis.

Natural compoundSource and/or chemical classEffect target or biological functionEffect on ER stress and atherosclerosisReference

KaempferolPhytoestrogen↓GRP78 and CHOP expression; targeting caspase-3/7Alleviates ER stress-induced cell death[140]
QuercetinFlavonoid↓CHOP and GRP78 expression; activated JNK and caspase-12; ↑ATF6 expressionPrevents glucosamine-induced apoptosis and lipid accumulation by inhibiting ER stress in RAW264.7 macrophages[141]
ResveratrolPolyphenol antioxidant found in red wine↓GRP78, GRP94, and CHOP expression; reversing the expression of Bcl-2 and BaxEffectively inhibits isoproterenol-induced cardiomyocyte hypertrophy and apoptosis partially by suppressing ER stress[142]
BaicalinFrom the roots of ScutellariaTargeting the CHOP/eNOS/NO pathwayProtects cardiac myocytes from ER stress-induced apoptosis[143]
SalidrosideActive component of Rhodiola rosea↓BiP and CHOP activation; ↓PERK or IRE1α phosphorylationProtects HUVECs from Hcy-induced injury by regulating ER stress[144]
CatalpolExtracted from Rehmannia glutinosa root↓GRP78/PERK and Nox4/NF-κB pathwaysAttenuates Hcy-induced ROS overgeneration, inflammation, and cell apoptosis in HAECs[145]
SulforaphaneFrom cruciferous vegetablesRegulating expression of GRP78 and CHOP, autophagy-related Beclin-1, p62, and LC3-II, and apoptosis caspase-3 pathwayEffectively reduces ischemia-enhanced ER stress, autophagy, and apoptosis[146]
CurcuminNatural polyphenolic antioxidant compound↓NF-κB signaling pathway; ↑PERK and IRE1 phosphorylation; ↑XBP1 and CHOP expression; ↓anti-apoptotic protein Bcl-2Enhances ER stress and mitochondrial dysfunction, thus inducing apoptosis of activated human CD4+ T cells[147]
CrocinMain ingredient of saffronPlays antioxidant, antiapoptotic, and anti-inflammatory rolesProtect HUVECs from high glucose-induced injury by suppressing ER stress response[148]

HAECs: human aortic endothelial cells; Hcy: homocysteine; eNOS: endothelial nitric oxide synthase; ROS: reactive oxygen species.