Review Article

Holistic Regulation of Angiogenesis with Chinese Herbal Medicines as a New Option for Coronary Artery Disease

Table 1

Proangiogenic effects of Chinese herbal medicines for ABCRS.

Study IDObjectsChinese herbs and formulaeStudy designComposition of formula Therapeutic effect and mechanism

Chen et al. [29]8 ratsXiongshao capsuleGavage for 6 weeksLigusticum chuanxiong Hort., Radix paeoniae rubraIncrease the expression levels of VEGF and bFGF, promote angiogenesis, enhance myocardial blood supply, improve cardiac function

Zeng et al. [30]10 ratsGuanxin No. 2Gavage with 20 g/kg/d for 28 daysLigusticum chuanxiong Hort., Radix paeoniae rubra, Salvia miltiorrhiza Bunge, Carthamus tinctorius Linn., Dalbergia odorifera T. ChenIncrease the expression levels of VEGF and bFGF, promote angiogenesis, compensate blood supply to the heart

Wang et al. [31]12 miceTongxinluoGavage with 0.38 g, 1.5 g/kg/d for 7/30 daysPanax ginseng C. A. Meyer, Hirudo nipponia Whitman, Scorpio, Radix paeoniae rubra, Periostracum Cicadae, Eupolyphaga Seu Steleophaga, Scolopendra subspinipes, Santalum album Linn.Increase the expression levels of VEGF, HIF-1α, eNOS, PI3K, Akt and ERK, promote angiogenesis, improve cardiac function, ameliorate cardiac remodeling

Yao [32]ECsQishen Yiqi dripping pillsDrug serum for 7 daysSalvia miltiorrhiza Bunge, Astragalus membranaceus (Fisch.) Bunge, Dalbergia odorifera T. Chen, Panax notoginseng (Burk.) F. H. ChenIncrease the expression level of ERK, increase proliferation, migration and tube formation of ECs

Zhang et al. [33]8 ratsXuefu Zhuyu formulaGavage with 13.68 g/kg/d for 7 daysAngelica sinensis (Oliv.) Diels, Rehmannia glutinosa Libosch, Semen Persicae, Carthamus tinctorius Linn., Radix paeoniae rubra, Bupleurum chinensis DC., Ligusticum chuanxiong Hort., Achyranthes bidentata Blume, Platycodon grandiflorus (Jacq.) A. DC.Increase the expression level of VEGF, promote angiogenesis, protect myocardium
Li et al. [34]40 patients12 grains/d, po for 4 weeksIncrease levels of serum VEGF and bFGF, relieve angina and signs of blood stasis

Yin et al. [35]24 ratsShu-mai-tangGavage with 1.71 g/kg/d for 2, 4 weeksAstragalus mongholicus Bunge, Salvia miltiorrhiza Bge, Panax notoginseng (Burk.) F.H. Chen, Hirudo nipponica Whitman, Eupolyphaga sinensis Walker, Moschus berezovskii Flerov, Trichosanthes kirilowii MaximIncrease the expression levels of VEGF and platelet-derived growth factor, increase microvessels and arterioles in ischemic areas

Xu et al. [36]30 ratsShenZhuGuanXin granulesGavage with 630, 1260, 3981.6 mg/kg/d for 4 weeksRadix Ginseng, Radix Panacis quinquefolii, Radix Notoginseng, Hirudo, Rhizoma Pinelliae, Rhizoma Atractylodis, Folium Nelumbinis,Increase the expression level of VEGF, increase microvessel density, attenuate infarct size, improve cardiac hemodynamic function

Yang et al. [37]12 ratsPanax notoginsengGavage with 25, 50 mg/ml/d for 2 weeksPanax Notoginseng (Burk.) F.H. ChenIncrease the expression levels of HIF-1, VEGF and VEGFR2, increase blood vessel density

He et al. [38]15 ratsSalvianolic acid BGavage with 100 mg/kg/d for 4 weeksSalvianolic acid BIncrease the expression level of VEGF, promote angiogenesis, improve myocardial microcirculation

Wang et al. [39]8 ratsXuesetong soft capsulesGavage with 0.4 g/kg/d for 6 weeksNotoginseng total saponinIncrease the expression level of VEGF, increase microvessel density

Liu et al. [40]10 ratsRadix paeoniae rubra 801Gavage with 16.2 mg/kg/d for 14 daysPropyl gallateIncrease the expression levels of NO, VEGF and bFGF, increase capillary density, improve myocardial ischemia

Chen et al. [41]25 ratsDanhong injectionIntramuscular injection with 0.76 ml/kg/d for 28 daysRadix et Rhizoma Salviae Miltiorrhizae, Flos CarthamiIncrease the expression level of VEGF, increase blood vessel density, decrease ratio of infarct, improve cardiac function

Zhou et al. [42]zebrafish embryos and ECsSpatholobi caulis3, 10, 30 and 100 μg/ml embryo medium for 24 h in zebrafish embryos; drug serum for 24 h in ECsCaulis SpatholobiIncrease the expression levels of VEGFRs and MAPKs, increase subintestinal vessel sprouting, promote cell proliferation and migration, increase sprout intensity