However, new treatment options are urgently needed for all types

However, new treatment options are urgently needed for all types of CVD. Moreover, improving diagnosis is crucial, because by detecting the early stages of disease, the focus of therapy could be shifted from treatment to prevention [1]. CVD is the leading cause of morbidity and mortality in millions of people around the world, which include a variety of diseases such as peripheral vascular disease, coronary

artery disease, heart failure, dyslipidemias, and hypertension [2]. People of all races, age, and gender suffer commonly from these diseases. Heart failure, myocardial rupture, or arrhythmia is a result of myocardial necrosis following infarction [3]. Myocardial infarction and sudden death continue to remain as one of the leading causes of morbidity and mortality Akt inhibitor in many countries, despite vast advances in the past five decades. In addition, risk factors such as cigarette smoking, elevated low-density lipoprotein cholesterol, low levels of high-density lipoprotein cholesterol, diabetes mellitus, and hypertension

are the primary causes of CVD [4]. Recent studies elucidate that vascular inflammation may also manifest in atherosclerosis and coronary artery disease [5]. Endothelial dysfunction has been stimulated by risk factors involved in CVD, such as expression of adhesion molecules by these dysfunctional endothelial DNA Damage inhibitor cells, which promote the binding and influx of T cells and mast cells [6]. An inflammatory condition within the arterial wall is created by interleukins, cytokines, PtdIns(3,4)P2 and reactive oxygen species (ROS) produced by white blood cells. Low-density lipoprotein is an atherogenic lipoprotein that accesses the subendothelial space and undergoes oxidative modification when trapped in the intercellular matrix [7]. Panax ginseng is a traditional

herbal medicine that has been used therapeutically for more than 2000 years. It is the most valuable of all medicinal plants, especially in Korea, China, and Japan. The name panax means “all healing,” and has possibly stemmed from traditional belief that the various properties of ginseng can heal all aspects of the illness encountered by the human body (i.e., it acts as a panacea for the human body). Among the ginseng species, Korean ginseng (P. ginseng), Chinese ginseng (Panax notoginseng), and American ginseng (Panax quinquefolius) are the most common throughout the world. Numerous studies focus on the research of individual ginsenosides instead of using whole ginseng extract against various diseases [8], [9], [10], [11], [12] and [13]. Of the various ginsenosides, Rb1, Rg1, Rg3, Re, and Rd are the most frequently studied [13]. This review describes the medicinal potentials of using ginseng and ginsenosides in the treatment of CVD.

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