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MINI REVIEW article

Front. Pharmacol.

Sec. Ethnopharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1681625

This article is part of the Research TopicReviews in Ethnopharmacology: 2025View all 39 articles

Protective effects of medicinal plant-derived metabolites in cardiovascular disease: from exosomal pathway

Provisionally accepted
Liwen  FuLiwen FuJiaxiu  HanJiaxiu HanRong  LuRong LuAifeng  SongAifeng SongAo  ShenAo ShenChangjiang  XiongChangjiang XiongYanzhu  LiuYanzhu Liu*Zu  GaoZu Gao*
  • Shandong University of Traditional Chinese Medicine, Jinan, China

The final, formatted version of the article will be published soon.

Cardiovascular disease (CVD) is a highly prevalent and lethal disease worldwide, and existing conventional therapeutic drugs have limitations due to their side effects. Medicinal plant-derived metabolites have become a research hotspot due to their multi-target and multi-pathway cardioprotective potentials, while exosomal miRNAs, as core regulatory molecules of intercellular communication, play a key role in CVD such as atherosclerosis and myocardial infarction.This paper systematically reviews the mechanisms by which medicinal plant-derived metabolites regulate exosome miRNA or synergize with exosome therapy to protect CVD. For instance, Tanshinone IIA, Astragaloside IV, Paeonol, and Ginsenoside Rg1 can achieve effects such as promoting/inhibiting angiogenesis, anti-inflammation, and vascular remodeling by regulating exosomal miRNA expression. Finally, we look forward to the future direction of Medicinal plant-derived metabolites combined with exosomes in the protection of cardiovascular diseases, and provide a theoretical basis for the application of Medicinal plant-derived metabolites in CVD protection and the development of exosomal miRNA-targeted drugs.

Keywords: cardiovascular disease, Exosomes, miRNA, Medicinal plant-derived metabolites, Pharmacological effects

Received: 07 Aug 2025; Accepted: 13 Oct 2025.

Copyright: © 2025 Fu, Han, Lu, Song, Shen, Xiong, Liu and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Yanzhu Liu, yanzhuliu@sdutcm.edu.cn
Zu Gao, gaozu1203@163.com

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