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Table 6.2. Recent in vivo studies on medicinal plants mentioned in Canon of Medicine for treatment of CVD.

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Plant Part/extract Active constituent Method Animal Effect Reference

Anchusa azurea

Mill.

Zingiber

zerumbet (L.)

Sm.

Crocus sativus L. Stigmas/aqueous

Whole herb/60%

aqueous ethanol

Whole plant/

aqueous extract

Rhizome/aqueous

extract

Stigmas/aqueous

extract

– Crocetin Norepinephrine-induced cardiac

Stigmas/aqueous

extract

– Crocin Diet-induced hyperlipidemia Rat Hypolipidemic Sheng etal. (2006) – Crocetin Rabbit Anti-atherosclerosis Zheng etal. (2005)

Stigmas/aqueous

extracts

– Crocin Normal and voluntary exercised Rat Cardioprotective effect;

– Crocin CaCl -induced arrhythmia

– Crocin STZ-induced diabetic

– Crocin MI-induced injury Rat Cardiotonic; antioxidant Wang etal. (2018)

Total flavonoids Chronic MI injury Mouse Protective effect against

chronic MI injury

– Arteriovenous shunt thrombosis

model

– Normoglycemic and STZ-

induced hyperglycemic

– ISO-induced myocardial damage Rat Antioxidant;

– ISO-induced MI Rat Antioxidant;

hypertrophy

Safranal and crocin Normotensive and

desoxycorticosterone acetate-induced hypertensive

HLD-induced

ypercholesterolemia and

aorta atherosclerosis

– Heart reperfusion-induced lethal

ventricular arrhythmia

cardiomyopathy

Rat Anticoagulant Umar etal. (2015)

Rat Antihyperglycemic Husen etal. (2004)

cardioprotective

Rat Antioxidant;

cardioprotective

Rat Hypotensive Imenshahidi etal.

Rat Antiarrhythmic Joukar etal. (2013)

↑ heart angiogenesis; ↑ Akt and ERK1/2,

miR-126, miR-210 expression and CD31

Rat Antioxidant; antiarrhythmic Radmanesh etal.

Rat Cardiotonic Feidantsis etal.

Wang etal. (2020)

Sachdeva etal.

(2012)

Mehdizadeh etal.

(2013)

Alijaniha etal. (2015)

(2010)

Ghorbanzadeh etal.

(2017)

(2018)

236 Zahra Taghipour and Mamak Hashemi Habib Abadi

Stigmas/

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hydroalcoholic extract

– AngII-induced hypertension Rat Hypertension preventive

induced by RAS (↓ MAP, SBP, and HR)

Plangar etal. (2019)

Curcuma

z edoaria

(Christm.) Roscoe

Melissa

officinalis L.

Ocimum

basilicum L.

– Crocin Chlorpyrifos-induced

Stamen/

hydroalcoholic

– AngII, L-NAME, and BRS-

cardiotoxicity

induced hypertension

Rat Cardioprotective Khalaf and El-Mansy

(2019)

Rat Hypotensive effects Mohebbati etal.

(2021)

extract

– Crocetin Cardiomyocytes induced by

L-type Ca2+ current, contractility, and Ca

Rat Calcium channel

antagonist

Zhao etal. (2020)

transients

– Crocin Silk ligatures-induced

Rhizome/aqueous

periodontitis

– Spontaneously hypertensive Rat Antioxidant; vasodilator Goto etal. (2005)

Rat Antioxidant Kocaman etal.

(2021)

and methanol extract

Leaves/aqueous

extract

Aerial parts/

aqueous extract

Leaves/ethanolic

extract

Leaves/ethanolic

extract

Leaves/methanolic

extract

Aerial parts/

aqueous extract

– Lipogenic diet-induced

hyperlipidemia

– Ligation-induced heart ischemia/

reperfusion

– HFD-induced insulin resistance

and dyslipidemia

– Ischemia-induced arrhythmia

and heart injury

– Methimazole-induced

hypothyroidism

– Triton WR-1339-induced

hyperlipidemia

Rat Antihyperlipidemic Bolkent etal. (2005)

Rat Anti-ventricular arrhythmia Joukar etal. (2014)

Mouse Antihypergly cemic;

Weidner etal. (2014)

antihyperlipidemic

Rat Antio xidant;

Sedighi etal. (2019)

cardioprotective

Rat ↑ Post-ischemic

dysfunction by ↑ mPTP

and Ca

Ragone etal. (2019)

Rat Hypolipidemic Amrani etal. (2006)

Leaves and stalks – Turpentine-induced inflammation Rat Anti-inflammatory Originale etal. (2007) Leaves/ethanolic

extract

Leaves/aqueous

extract

– ISO-induced MI Rat Cardioprotective Fathiazad etal.

(2012)

– Phenylhydrazine-induced

hematotoxicity

Rat Anti-anemia and

antioxidant

Zangeneh etal.

(2019)

Continued

Herb ne for Cardiovascular Disease 237

al Medici

Plant Part/extract Active constituent Method Animal Effect Reference

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Citrus medica L. Seeds/petroleum

ether extract

Fruits/96%

ethanolic extract

Pterocarpus

santalinus L.f.

Bambusa

bambos (L.)

Voss

Malus domestica

Borkh.

Coriandrum

sativum L.

Bark/ethanolic

extract

Wood/methanolic

extract

Leaves/methanolic

extract

Fruits – Cholesterol diet Rat Antioxidant,

Fruits – Cholesterol-enriched diet Rat Antihyperlipidemic Serra etal. (2012) Vinegars – HFD Male

Fruits/70%

aqueous methanolic extract

Seeds/aqueous

extract

Seed oil – Carrageenan-induced paw

Seeds/aqueous

extract

– STZ-induced diabetic Rat Antidiabetic;

hypocholester olemic; hypolipidemic

– ISO-induced cardiomyopathy Rat Cardioprotective Al-Yahya etal. (2013)

– STZ-induced diabetic Rat Antidiabetic Kondeti etal. (2010)

– Carrageenan-induced paw

edema

– Poloxamer-407-induced

hyperlipidemia

– Voltage-dependent calcium

channels blockage

– Hypercaloric diet-induced

obesity–hyperglycemia– hyperlipidemia

edema

– ISO-induced heart failure Rat Cardioprotectiv e;

Rat Anti-inflammator y;

antioxidant; COX inhibition

Rat Antihyperlipidemic Kaikini etal. (2015)

antihyperlipidemic

Anti-inflammator y; Wistar rat

Rat Diuretic; hypotensive Jabeen etal. (2009)

Rat Cardiovascular protectiv e;

Rat Anti-inflammatory Ibrahim etal. (2017)

anti-adiposity

hypoglycemic

antio xidant; improvement of lipid profile and endothelial dysfunction

Sah etal. (2011)

Kumar (2011)

Aprikian etal. (2001)

Bounihi etal. (2017)

Aissaoui etal. (2011)

Siddiqi etal. (2018)

238 Zahra Taghipour and Mamak Hashemi Habib Abadi

Pyrus

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communis L.

Punica

granatum L.

Seeds/aqueous

extract

Fruits/ethyl acetate

and ethanolic extract

Flowers/

methanolic

extract Seeds juice – ISO-induced MI Rat Cardioprotective Mohan etal. (2010) Whole fruit/

aqueous extract Fruit/

hydroalcoholic

extract Pomegranate juice – Lead-induced oxidative stress Rat Antioxidant Aksu etal. (2017) Vinegars – HFD Male

Pomegranate juice – Deoxycorticosterone acetate–

Leaves/ethanolic

extract

Peel/methanolic

extract–

Seeds powder – – Rat Antioxidant Singh and Gujar

Seed/oil Sterol compounds Diet-induced

Peels/ethyl acetate

extract

– ISO-induced heart failure Rat Cardioprotectiv e;

improvement of lipid prof ile; ↓ LPO and endothelin receptors expression

– Dexamethasone-induced

diabetes

– Hyperglycemia and

hyperlipidemia

– Doxorubicin-induced toxicity Rat Cardioprotective Hassanpour Fard

– Spontaneously hypertensive Female

salt model of hypertension

– HFD-induced obesity Rat Antioxidant Rao and

– STZ-induced diabetic Rat Cardiotonic; antioxidativ e;

hypercholesterolemia

– Fludrocortisones-induced

hypertension

Rat Antidiabetic;

antihyperlipidemia

ZDF rat Diminishes cardiac fibrosis Huang etal. (2005)

Hypolipidemic Delgado etal. (2017)

rat

Anti-inflammator y; Wistar rat

Rat Antihypertensive Chaudhari Pankaj

Rabbit Improved lipid profile Bayati and Asadi-

Rat Antihypertensive Monir etal. (2020)

anti-adiposity

anti-inflammator y; antiapoptotic

Dhyani etal. (2018)

Velmurugan and

Bhargava (2013)

etal. (2011)

Bounihi etal. (2017)

etal. (2018)

Krishnamurthy (2019)

El-Mansi and

Al-Kahtani (2019)

(2019)

Gharneh (2020)

Continued

erbal Medicine for Cardiovascular Disease 239 H

Plant Part/extract Active constituent Method Animal Effect Reference

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Terminalia

chebula Willd.

ex Flem.

Paeonia

officinalis L.

Myrtus

communis L.

Syzygium

ar omaticum

(L.) Merr. & L.M. Perry

Piper cubeba L. Fruits/80%

Fruits/ethanol

extract

Fruits/ethanol

extract

Seeds/chloroform

extract

Fruits/aqueous

extract

Mature fruits – Atherogenic diet-induced

Root/alcoholic

extract

Fruits/

hydroalcoholic extract

Leaves/methanolic

extract

– – Ozone-induced oxidative stress Mouse Antioxidant Feng etal. (2001)

– – – Rat Antioxidant Bafna and Balaraman

– – ISO-induced MI Rat Cardioprotectiv e;

Flower buds/oil Oleanolic acid NaCl-induced hypertension Rat Antihypertensiv e;

–/oil – Carrageenan-induced paw

methanolic extract

– ISO-induced myocardial injury Rat Cardioprotective Suchalatha and Devi

– ISO-induced myocardial

oxidative stress

– STZ-induced diabetic Rat Antidiabetic Rao and Nammi

– STZ-induced diabetic Rat Antidiabetic Murali etal. (2007)

hyperlipidemia

– – Rat Antihypertensiv e;

– Normoglycemic and STZ-

induced diabetic

– Hypoxia-induced lethality Mouse Antihypoxic Kaveh etal. (2019)

edema

– – Rat Antio xidant; ↓ MD A; ↑ HDL Choi and Hwang

Rat Antioxidant Suchalatha and Devi

Rat Hypolipidemic Maruthappan and

digitalis-like action

Rat Hypogly cemic;

h ypolipidemic; antioxidant

antioxidant

Rat Anti-inflammatory Ibrahim etal. (2017)

(2004)

(2005)

(2006)

Shree (2010)

Wenzel and Haskell

(1952)

Tas etal. (2018)

(2005)

Bafna and Balaraman

(2005)

Madlala etal. (2015)

(2005)

240 Zahra Taghipour a k Hashemi Habib Abadi

nd Mama

Raphanus

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sativus L.

Citrullus

coloc ynthis

(L.) Schrad.

Cydonia oblong a

Mill.

Seeds/96%

ethanolic extract

Seeds/aqueous

extract

– – – Rat Antihypertensive Hindo etal. (2007)

Leaves/70%

ethanolic extract Root – Fattening diet-induced fatiness Rabbit Antiglycemic; antioxidant Corbi etal. (2018) Fresh juice – Sucrose-induced postprandial

Pulp/70%

ethanolic extract

Pulp and

seeds/70%

methanolic

extract Roots/aqueous

extract Leaves/

hydroalcoholic

extract Seeds Total alkaloids HFD-induced metabolic disorder Rat Improved metabolite

Pulpy flesh with

seeds/70%

ethanol extract Leaves/ethanolic

extracts Leaves/60%

ethanolic extract

Leaves/ethanolic

extracts

Cubebin Phenylephrine-induced

contraction

– Saline-induced hypertension Rat Antihypertensive Ghayur and Gilani

– ISO-induced myocardial injury Rat Cardiotoxic Shah etal. (2014)

glycemia

– Atherogenic diet + cholesterol

feeding-induced hyperlipidemia

– Cholesterol feeding-induced

hyperlipidemia

– Alloxan monohydrate-induced

diabetic

– STZ-induced diabetic Rat Antihypergly cemic;

– STZ-induced diabetic Rat Hypogly cemic; ↓ TG and

– Normal and STZ-induced

diabetic

– HFD-induced hyperlipidemia Rat Hypolipidemic; antio xidant;

– Kidney one-clip Goldblatt model Rat Antihypertensive Zhou etal. (2014c)

Rat Vasorelaxation Carvalho etal. (2013)

(2006)

Rat Antihypertensive Srujana etal. (2019)

Rabbit Hypolipidemic Daradka etal. (2007)

Rabbit Antihyperlipidemic Zamani etal. (2007)

Rat Antidiabetic Agarwal etal. (2012)

Ebrahimi etal. (2016)

antihyperlipidemic

Birem etal. (2017)

disorder

Ghauri etal. (2020)

Rat Hypoglycemic; antioxidant Aslan etal. (2010)

Abliz etal. (2014) ↑ lipoprotein metabolism; ↓ lipogenesis

Continued

Herbal Medicine for Cardiovascular Disease 241

Plant Part/extract Active constituent Method Animal Effect Reference

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Origanum

majorana L.

Moringa oleifer a

Lam.

Fruit and leaf/

aqueous or ethanolic extracts

Leaves/aqueous

extracts

– Total flavonoids Spontaneously hypertensive

Fruit/aqueous

extracts

Leaves/aqueous

extract

– – ISO-induced cardiotoxicity Rat Antioxidant; anti-

Ethanolic extract Niazinin A, niazinin

Fruits – Diet-induced

Seed powder – Arsenic-induced oxidative stress Rat Antioxidant Gupta etal. (2005) Leaves/aqueous

extract

Leaves/

hydroalcohol extract

Leaves – Arsenic-induced oxidative stress Rat Antio xidant; ↓ LPO and

– Kidney one-clip Goldblatt model Rat Antihypertensive Zhou etal. (2014b)

– – Mouse

and rat

Rat Inhibition of myocardial

model

– Doxorubicin-induced

cardiotoxicity

– ISO-induced MI Rat Cardioprotective Ramadan etal.

Atropine-induced hypertension Rat Cardiodepressant Gilani etal. (1994)

B, niazimicin

hypercholesterolemia

– Diet-induced

hypercholesterolemia

– ISO-induced MI Rat Cardioprotective Nandave etal. (2009)

Rat Cardioprotectiv e; ↓ cardiac

Rabbit Hypolipidemic Mehta etal. (2003)

Rabbit Hypolipidemic; anti-

Improvement of

hemostasis and thrombosis

hypertrophy; inhibition of RAAS

mitochondrial dysfunction

inflammatory

atheroscler otic; cardioprotective

↑ SOD

Zhou etal. (2014a)

Zhou etal. (2015)

Gholami etal. (2017)

(2013)

Rababa’h and

Alzoubi (2021)

Chumark etal. (2008)

Latha etal. (2010)

242 Zahra Taghipour and Mamak Hashemi Habib Abadi

Leaves/

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hydroalcoholic extract

Leaves N,α-

Aerial parts/

alcoholic extract Leaves – Arsenic-induced toxicity Rat Hypocholesterolemic Sheikh etal. (2014) Leaves/aqueous

extract Leaves/aqueous

extract Leaves/butanolic

extract Seeds – Spontaneous hypertensive Rat Cardioprotectiv e; ↓ HR Randriamboavonjy

Leaves/methanolic

extract Leaves – HFD-induced glucose

Seed – Spontaneously hypertensive Rat Antihypertensiv e;

– – ISO-induced MI Rat Cardioprotective Ishwarya etal. (2017) Seed – Diet-induced

Leaves/aqueous

extract Leaves – STZ-induced diabetic Rat Antio xidant; ↓ TG, TC,

Leaves/methanolic

extract

– Diet-induced hyperlipidemia Rat Hypolipidemic; anti-

inflammator y; antio xidant; anticoagulant; platelet antiaggregator y; ↓ TG, TC , and LDL; ↑ HDL

L-

rhamnopyranosyl vincosamide

– High-cholesterol diet-induced

– γ-Radiation-induced oxidative

– High-salt diet-induced blood

– ISO-induced cardiac necrosis Rat Antioxidant; protection of

– Atherogenic diet-induced

– α-Cypermethrin-induced

– Diet- and carbimazole-induced

ISO-induced cardiotoxicity Rat Cardioprotective Panda etal. (2013)

Rat Anti-obesity Ahmed etal. (2014)

obesity

Rat Antioxidant Mansour etal. (2014)

stress

Rat Antihypertension Ofem etal. (2015)

parameters change

myocardium

Rat Hypolipidemic; ↓ TG, TC,

dyslipidemia

Rat Anti-inflammator y;

intolerance

Rat Improved heart enzyme El Rabey etal. (2017)

hypercholesterolemia

Rat Antioxidant Mansour etal. (2018)

oxidative stress

Rat Antihyper lipidemic;

hyperlipidemia

antioxidant

anti-inflammator y; antioxidant

cardioprotective

Rajanandh etal.

(2012)

Panda (2015)

etal. (2016)

Saleem etal. (2016)

Joung etal. (2017)

Randriamboavonjy

etal. (2017)

Onyenibe etal.

(2018)

Bitrus etal. (2018)

Continued

Herbal Medicine for Cardiovascular Disease 243

Plant Part/extract Active constituent Method Animal Effect Reference

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vulgare L.

– – Aluminum phosphide-induced

acute cardiac toxicity

Leaves/methanolic

extract Seed powder – – Rat Vascular protective Randriamboavonjy

Leaves//ethanolic

extract Leaves/aqueous

extract

Leaves/methanolic

extract

Seed oil – Dichlorvos-induced cardiac

Leaves/methanolic

extract Seed powder – MI-induced myocardial damage Mouse Anti-apoptosis; antio xidant;

Leaves/ethanolic

extract Seed Water-soluble lectin HFD- and STZ-induced diabetic Mouse Hypoglycemic Vera-Nuñez etal.

Barley-based diet – – Chicken Hypocholesterolemic Qureshi etal. (1980)

Barley diet – – Rat Hypotensiv e; ↓ SBP; ↓ TG,

Barley bran – Diet-induced

– STZ-induced diabetic Rat Antioxidant Aju etal. (2019)

– Potassium dichromate-induced

toxicity and oxidative stress

– L-NAME-induced hypertension Rat Antihypertensiv e;

– HFD-induced dyslipidemia and

vascular endothelium dysfunction

injury

– HFD-induced obesity Rat Anti-obesity; antioxidant Mabrouki etal. (2020)

– Tilmicosin-induced cardiac injury Rat Antio xidant;

hypocholesterolemia

Rat Cardioprotectiv e;

antioxidant

Rat Antioxidant Kazeem etal. (2019)

antio xidant; ↓ vascular dysfunction

Rat Improvement in lipid profile

and vascular endothelium protection

Rat Antioxidant Saka etal. (2020)

cardioprotective

TC, and LDL

Rat Hypolipidemic; ↓ lipids,

liver enzymes, LDH, and CK-MB

Gouda etal. (2018)

etal. (2019)

Aekthammarat etal.

(2019)

Madkhali etal. (2019)

Li etal. (2020)

Khalil etal. (2020)

(2021)

Li etal. (2004)

Abulnaja and El

Rabey (2015)

244 Zahra Taghipour and Mamak Hashemi Habib Abadi

Leaves/70%

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ethanolic extract

Citrus limon (L.)

Burm.f.

palmatum L.

Medik.

Lactuca sativa L. Red-pigmented

intybus L.

oleracea L.

Fruit juice – HFD-induced dyslipidemia Rat A CE inhibition;

– Emodin HFD-induced obesity Mouse Anti-obesity via regulating

– Chrysophanol Doxorubicin-induced

– Protein extraction

leafy lettuce

Seed Caffeoylquinic acid High-fructose diet-induced

Seeds/aqueous

methanolic

extracts Seed – STZ-induced diabetic Rat Cardioprotectiv e;

Hydroalcoholic

extract

Leaves/ethanolic

extract Leaves – Vitamin A-

Seeds – High-cholesterol diet-induced

– HFD-induced

hypercholesterolemia

cardiotoxicity

– Rat Hypotriglyceridemic;

process

– High-fat high-cholesterol diet Mouse Antio xidant;

metabolic disorder

– NaCl-induced hypertension Rat Hypotensive via inhibition

– Model of ischemic reperfusion Rat Cardioprotectiv e;

– – Rat Antihypert ension;

deficient

hyperchlosterolemia

Rabbit Antioxidant Amel Zabihi etal.

hypocholesterolemic

Rat Cardioprotective by

Rat Improved glycemia;

Rat Antioxidant Arruda etal.

Rat Anti-ather ogenic;

SREBP pathway

suppressing cellular PARylation

↓ VLDL and adipose-

tissue LPL

cardioprotectiv e; improvement of plasma cholesterol and lipid levels; prevention of LPO

↓ atherogenic inde x; antioxidant

of Ca

influx and via

α-adrenergic receptor

antioxidant; antiinflammatory

antioxidant; ↑ chemokine receptor type 4

antioxidant

hypolipidemic

(2018)

Oboh etal. (2015)

Li etal. (2016)

Lu etal. (2019)

Boualga etal. (2009)

Lee etal. (2009)

Jurgonski etal.



(2012)

Malik etal. (2017)

Sharma etal. (2019)

Sedighi etal. (2021b)

Sedighi etal. (2021a)

(2004)

Barakat and

Mahmoud (2011)

Continued

Herbal Medicine for Cardiovascular Disease 245

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