Harnessing natural saponins: Advancements in mitochondrial dysfunction and therapeutic applications

IF 8.3 1区 医学 Q1 CHEMISTRY, MEDICINAL Phytomedicine Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI:10.1016/j.phymed.2025.156383
Hongmei Liu , Huan Wang , Xinyu Lin , Min Xu , Wenying Lan , Jinlian Wang
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Abstract

Background

Mitochondrial dysfunction plays a crucial role in the development of a variety of diseases, notably neurodegenerative disorders, cardiovascular diseases, metabolic syndrome, and cancer. Natural saponins, which are intricate glycosides characterized by steroidal or triterpenoid structures, have attracted interest due to their diverse pharmacological benefits, including anti-inflammatory, antiviral, and anti-aging effects.

Purpose

This review synthesizes recent advancements in understanding mitochondrial dysfunction and explores how saponins can modulate mitochondrial function. It focuses on their potential applications in neuroprotection, cardiovascular health, and oncology.

Study design

The review incorporates a comprehensive literature analysis, highlighting the interplay between saponins and mitochondrial signaling pathways. Specific attention is given to the effects of saponins like ginsenoside Rg2 and 20(S)-protopanaxatriol on mitophagy and their neuroprotective, anti-aging, and synergistic therapeutic effects when combined.

Methods

We conducted a comprehensive review of current research and clinical trials using PubMed, Google Scholar, and SciFinder databases. The search focused on saponins' role in mitochondrial function and their therapeutic effects, including "saponins", "mitochondria" and "mitochondrial function". The analysis primarily focused on articles published between 2011 and 2024.

Results

The findings indicate that certain saponins can enhance mitophagy and modulate mitochondrial signaling pathways, showing promise in neuroprotection and anti-aging. Additionally, combinations of saponins have demonstrated synergistic effects in myocardial protection and cancer therapy, potentially improving therapeutic outcomes.

Conclusion

Although saponins exhibit significant potential in modulating mitochondrial functions and developing innovative therapeutic strategies, their clinical applications are constrained by low bioavailability. Rigorous clinical trials are essential to translate these findings into effective clinical therapies, ultimately improving patient outcomes through a deeper understanding of saponins’ impact on mitochondrial function.

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利用天然皂苷:线粒体功能障碍和治疗应用的进展。
背景:线粒体功能障碍在多种疾病的发展中起着至关重要的作用,特别是神经退行性疾病、心血管疾病、代谢综合征和癌症。天然皂苷是一种复杂的苷类化合物,具有甾体或三萜结构,由于其多种药理作用,包括抗炎、抗病毒和抗衰老作用而引起了人们的兴趣。目的:本文综述了近年来对线粒体功能障碍的研究进展,并探讨了皂苷对线粒体功能的调节作用。重点介绍了它们在神经保护、心血管健康和肿瘤学方面的潜在应用。研究设计:本综述结合了全面的文献分析,强调了皂苷和线粒体信号通路之间的相互作用。特别关注人参皂苷Rg2和20(S)-原antopaxatriol等皂苷对线粒体自噬的影响及其联合使用时的神经保护、抗衰老和协同治疗作用。方法:我们使用PubMed、b谷歌Scholar和SciFinder数据库对当前的研究和临床试验进行了全面的综述。搜索重点是皂苷在线粒体功能中的作用及其治疗效果,包括“皂苷”、“线粒体”和“线粒体功能”。该分析主要关注2011年至2024年间发表的文章。结果:某些皂苷能促进线粒体自噬,调节线粒体信号通路,在神经保护和抗衰老方面具有重要作用。此外,皂苷的组合已被证明在心肌保护和癌症治疗中具有协同作用,可能改善治疗结果。结论:尽管皂苷在调节线粒体功能和开发创新治疗策略方面具有重要潜力,但其生物利用度较低,限制了其临床应用。严格的临床试验对于将这些发现转化为有效的临床治疗至关重要,通过更深入地了解皂苷对线粒体功能的影响,最终改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Phytomedicine
Phytomedicine 医学-药学
CiteScore
10.30
自引率
5.10%
发文量
670
审稿时长
91 days
期刊介绍: Phytomedicine is a therapy-oriented journal that publishes innovative studies on the efficacy, safety, quality, and mechanisms of action of specified plant extracts, phytopharmaceuticals, and their isolated constituents. This includes clinical, pharmacological, pharmacokinetic, and toxicological studies of herbal medicinal products, preparations, and purified compounds with defined and consistent quality, ensuring reproducible pharmacological activity. Founded in 1994, Phytomedicine aims to focus and stimulate research in this field and establish internationally accepted scientific standards for pharmacological studies, proof of clinical efficacy, and safety of phytomedicines.
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