The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review

Fengcui Sun,1 Xiufen Yang,1 Chaoqun Ma,1 Shizhao Zhang,1 Lu Yu,2 Haifei Lu,3 Guoliang Yin,1 Pengpeng Liang,1 Yanan Feng,1 Fengxia Zhang4 1Shandong University of Traditional Chinese Medicine, Jinan, 250000, People’s Republic of China; 2Tianjin University of Traditional Chinese Medicine, Tianjin, 3016...

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Main Authors: Sun F, Yang X, Ma C, Zhang S, Yu L, Lu H, Yin G, Liang P, Feng Y, Zhang F
Format: Article
Language:English
Published: Dove Medical Press 2021-09-01
Series:Diabetes, Metabolic Syndrome and Obesity
Subjects:
Online Access:https://www.dovepress.com/the-effects-of-diosgenin-on-hypolipidemia-and-its-underlying-mechanism-peer-reviewed-fulltext-article-DMSO
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author Sun F
Yang X
Ma C
Zhang S
Yu L
Lu H
Yin G
Liang P
Feng Y
Zhang F
author_facet Sun F
Yang X
Ma C
Zhang S
Yu L
Lu H
Yin G
Liang P
Feng Y
Zhang F
author_sort Sun F
collection DOAJ
description Fengcui Sun,1 Xiufen Yang,1 Chaoqun Ma,1 Shizhao Zhang,1 Lu Yu,2 Haifei Lu,3 Guoliang Yin,1 Pengpeng Liang,1 Yanan Feng,1 Fengxia Zhang4 1Shandong University of Traditional Chinese Medicine, Jinan, 250000, People’s Republic of China; 2Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, People’s Republic of China; 3Hubei University of Traditional Chinese Medicine, Wuhan, 430065, People’s Republic of China; 4Department of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250011, People’s Republic of ChinaCorrespondence: Fengxia ZhangDepartment of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250011, People’s Republic of ChinaTel +8653168616011Email fxzhang0987@163.comAbstract: Hyperlipidemia is a disorder of lipid metabolism, which is a major cause of coronary heart disease. Although there has been considerable progress in hyperlipidemia treatment, morbidity and risk associated with the condition continue to rise. The first-line treatment for hyperlipidemia, statins, has multiple side effects; therefore, development of safe and effective drugs from natural products to prevent and treat hyperlipidemia is necessary. Diosgenin is primarily derived from fenugreek (Trigonella foenum graecum) seeds, and is also abundant in medicinal herbs such as Dioscorea rhizome, Dioscorea septemloba, and Rhizoma polygonati, is a well-known steroidal sapogenin and the active ingredient in many drugs to treat cardiovascular conditions. There is abundant evidence that diosgenin has potential for application in correcting lipid metabolism disorders. In this review, we evaluated the latest evidence related to diosgenin and hyperlipidemia from clinical and animal studies. Additionally, we elaborate the pharmacological mechanism underlying the activity of diosgenin in treating hyperlipidemia in detail, including its role in inhibition of intestinal absorption of lipids, regulation of cholesterol transport, promotion of cholesterol conversion into bile acid and its excretion, inhibition of endogenous lipid biosynthesis, antioxidation and lipoprotein lipase activity, and regulation of transcription factors related to lipid metabolism. This review provides a deep exploration of the pharmacological mechanisms involved in diosgenin-hyperlipidemia interactions and suggests potential routes for the development of novel drug therapies for hyperlipidemia.Keywords: diosgenin, hyperlipidemia, serum cholesterol, lipoprotein cholesterol, mechanism
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spelling doaj.art-13519f308cba4135a0ad377b946e53732023-09-02T16:34:08ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072021-09-01Volume 144015403068832The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A ReviewSun FYang XMa CZhang SYu LLu HYin GLiang PFeng YZhang FFengcui Sun,1 Xiufen Yang,1 Chaoqun Ma,1 Shizhao Zhang,1 Lu Yu,2 Haifei Lu,3 Guoliang Yin,1 Pengpeng Liang,1 Yanan Feng,1 Fengxia Zhang4 1Shandong University of Traditional Chinese Medicine, Jinan, 250000, People’s Republic of China; 2Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, People’s Republic of China; 3Hubei University of Traditional Chinese Medicine, Wuhan, 430065, People’s Republic of China; 4Department of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250011, People’s Republic of ChinaCorrespondence: Fengxia ZhangDepartment of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250011, People’s Republic of ChinaTel +8653168616011Email fxzhang0987@163.comAbstract: Hyperlipidemia is a disorder of lipid metabolism, which is a major cause of coronary heart disease. Although there has been considerable progress in hyperlipidemia treatment, morbidity and risk associated with the condition continue to rise. The first-line treatment for hyperlipidemia, statins, has multiple side effects; therefore, development of safe and effective drugs from natural products to prevent and treat hyperlipidemia is necessary. Diosgenin is primarily derived from fenugreek (Trigonella foenum graecum) seeds, and is also abundant in medicinal herbs such as Dioscorea rhizome, Dioscorea septemloba, and Rhizoma polygonati, is a well-known steroidal sapogenin and the active ingredient in many drugs to treat cardiovascular conditions. There is abundant evidence that diosgenin has potential for application in correcting lipid metabolism disorders. In this review, we evaluated the latest evidence related to diosgenin and hyperlipidemia from clinical and animal studies. Additionally, we elaborate the pharmacological mechanism underlying the activity of diosgenin in treating hyperlipidemia in detail, including its role in inhibition of intestinal absorption of lipids, regulation of cholesterol transport, promotion of cholesterol conversion into bile acid and its excretion, inhibition of endogenous lipid biosynthesis, antioxidation and lipoprotein lipase activity, and regulation of transcription factors related to lipid metabolism. This review provides a deep exploration of the pharmacological mechanisms involved in diosgenin-hyperlipidemia interactions and suggests potential routes for the development of novel drug therapies for hyperlipidemia.Keywords: diosgenin, hyperlipidemia, serum cholesterol, lipoprotein cholesterol, mechanismhttps://www.dovepress.com/the-effects-of-diosgenin-on-hypolipidemia-and-its-underlying-mechanism-peer-reviewed-fulltext-article-DMSOdiosgeninhyperlipidemiaserum cholesterollipoprotein cholesterolmechanism
spellingShingle Sun F
Yang X
Ma C
Zhang S
Yu L
Lu H
Yin G
Liang P
Feng Y
Zhang F
The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review
Diabetes, Metabolic Syndrome and Obesity
diosgenin
hyperlipidemia
serum cholesterol
lipoprotein cholesterol
mechanism
title The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review
title_full The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review
title_fullStr The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review
title_full_unstemmed The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review
title_short The Effects of Diosgenin on Hypolipidemia and Its Underlying Mechanism: A Review
title_sort effects of diosgenin on hypolipidemia and its underlying mechanism a review
topic diosgenin
hyperlipidemia
serum cholesterol
lipoprotein cholesterol
mechanism
url https://www.dovepress.com/the-effects-of-diosgenin-on-hypolipidemia-and-its-underlying-mechanism-peer-reviewed-fulltext-article-DMSO
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