Review Article

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

Table 2

Antiangiogenic effect of Chinese herbal medicines for ABCRS.

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

Ma et al. [43]25 apoE-/- miceTongxinluoGavage with 0.38, 0.75, 1.5 g/kg/d for 5 weeksPanax ginseng C. A. Meyer, Hirudo nipponia Whitman, Scorpio, Radix paeoniae rubra, Periostracum Cicadae, Eupolyphaga Seu Steleophaga, Scolopendra subspinipes, Santalum album Linn.Decrease the expression level of VEGF, inhibit vasa vasorum proliferation, decrease microvessel density, reduce plaque areas

Liu et al. [44]15 rabbitsTongxinluoGavage with 0.6 g, 0.3 g/kg/d for 4 weeksPanax ginseng C. A. Meyer, Hirudo nipponia Whitman, Scorpio, Radix paeoniae rubra, Periostracum Cicadae, Eupolyphaga Seu Steleophaga, Scolopendra subspinipes, Santalum album Linn.Decrease the expression level of CD31, inhibit p38MAPK pathway, inhibit adventitia neovascularization

Li et al. [45]15 apoE-/- miceSimiao Yongan decoctionGavage with 11.7 mg/kg/d for 8 weeksLonicera japonica Thunb., Scrophularia ningpoensis Hemsl., Angelica sinensis (Oliv.) Diels, Glycyrrhiza uralensis Fisch.Decrease the expression levels of HIF-1α, CD34, MEK1/2 and ERK1/2, suppress vasa vasorum neovascularization, stabilize plaques

Zhang et al. [46]10 rabbitsXiongshao capsuleGavage with 0.24 g, 0.48 g/kg/d for 6 weeksLigusticum chuanxiong Hort., Radix paeoniae rubraDecrease the expression level of VEGF in plaque, reduce plaque areas

Ren et al. [47]16 rabbitsHuoxue capsuleGavage with 0.5 g, 1.5 g/kg/d for 20 weeksAstragalus membranaceus (Fisch.) Bunge, Semen Persicae, Carthamus tinctorius Linn., Achyranthes bidentata Blume, Spina Date Seed, Ligusticum chuanxiong Hort., Radix paeoniae rubra, Citrus aurantium L.Inhibit the expression levels of VEGF and VCAM-1 in plaque, reduce intima /tunica media thickness ratio

Qiao [48]10 apoE-/- miceShumai capsuleGavage with 700 mg, 3500 mg/kg/d for 12 weeksAstragalus mongholicus Bunge, Salvia miltiorrhiza Bge, Panax notoginseng (Burk.) F.H. Chen, Hirudo nipponica Whitman, Eupolyphaga sinensis Walker, Moschus berezovskii Flerov, Trichosanthes kirilowii MaximDecrease the expression levels of VEGF, VEGFR, HIF-1α and Nox4, reduce plaque areas

Pan et al. [49]30 patientsModified salvia decoction22 g/d po for 6 monthsSalvia miltiorrhiza Bunge, Santalum album Linn., Ligusticum chuanxiong Hort., Radix paeoniae rubra, Angelica sinensis (Oliv.) Diels, Rehmannia glutinosa Libosch, Carthamus tinctorius Linn.Decrease serum levels of VEGF, MMP-9 and CRP,reduce carotid intima media thickness, reduce plaque areas

Qiao et al. [50]10 apoE-/- micePanax notoginseng saponinsGavage with 60 mg/kg/d for 12 weeksPanax notoginseng (Burk.) F.H. ChenDecrease the expression levels of VEGF, CD34 and Nox4, alleviate plaque angiogenesis, reduce plaque areas

Zeng et al. [51]10 apoE-/- miceRuanmailingGavage with 20 g/kg/d for 12 weeksFallopia multiflora (Thunb.) Harald., Rehmannia glutinosa (Gaetn.) Libosch. ex Fisch. et Mey, Lycium chinense Miller, Panax ginseng C. A. Meyer, Salvia miltiorrhiza Bunge, Angelica sinensis (Oliv.) Diels, Ligusticum chuanxiong Hort.Decrease the expression levels of VEGF, bFGF and CD105, inhibit plaque angiogenesis, stabilize plaques

Zheng et al. [52]10 apoE-/- miceSalvianolic acid BGavage with 80, 160 mg /kg/d for 8 weeksSalvianolic acid BDecrease the expression levels of CD31, reduce neovascularization in plaque and incidence of plaque erosion, stabilize plaques

Yin et al. [53]24 rabbitsGuishaotongluoGavage with 2.08, 4.16 g /kg/d for 4 weeksRamulus Cinnamomi, Radix Paeoniae Alba, Salvia miltiorrhiza Bunge, Curcuma longa Linn.Decrease the expression levels of VEGF, VEGFR-2, inhibit adventitial neovascularization

Yang et al. [54]60 patientsRed yeast rice175 mg/d po for 6 monthsFermentum rubrumDecrease the serum level of VEGF, reduce the density and areas of carotid plaque

Pang et al. [55]20 rabbitsBuyang Huanwu decoctionGavage with 20 g/d for 4 weeksAstragalus mongholicus Bunge, Ligusticum chuanxiong Hort., Angelica sinensis (Oliv.) Diels, Radix paeoniae rubra, Semen Persicae, Carthamus tinctorius Linn., LumbricusIncrease the expression levels of bFGF and PDGF, promote microvessel maturation, decrease the incidence of plaque rupture, stabilize plaques