Impact of Berberine or Berberine Combination Products on Lipoprotein, Triglyceride and Biological Safety Marker Concentrations in Patients with Hyperlipidemia: A Systematic Review and Meta-Analysis.

Monoclonal antibody Proprotein Convertase Subtilisin/Kexin type 9 (PCSK9) inhibitors reduce total cholesterol (TC), low density lipoproteins (LDL), high density lipoproteins (HDL), and triglycerides (TG). We assessed the ability of berberine, a natural PCSK9 inhibitor, to reduce lipid concentrations...

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Publicado en:Journal of Dietary Supplements Vol. 21; no. 2; pp. 242 - 260
Autores principales: Hernandez, Adrian V., Hwang, Jennifer, Nasreen, Iram, Sicignano, Dakota, Pasupuleti, Vinay, Snow-Caroti, Kimberly, White, C. Michael
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2024
Acceso en línea:Ver este registro en EBSCOhost
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        19390211
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        atl: Impact of Berberine or Berberine Combination Products on Lipoprotein, Triglyceride and Biological Safety Marker Concentrations in Patients with Hyperlipidemia: A Systematic Review and Meta-Analysis.
      aug:
        au:
          Hernandez, Adrian V.
          Hwang, Jennifer
          Nasreen, Iram
          Sicignano, Dakota
          Pasupuleti, Vinay
          Snow-Caroti, Kimberly
          White, C. Michael
        affil: University of Connecticut School of Pharmacy, Storrs, CT, USA
      sug:
        subj:
          Plants, Medicinal
          Alkaloids Analysis
          Alkaloids Therapeutic Use
          Hyperlipidemia Drug Therapy
          Lipoproteins, LDL Metabolism
          Triglycerides Metabolism
          Patient Safety
          Functional Food
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Confidence Intervals
          Red Yeast Rice
          Milk Thistle
      ab: Monoclonal antibody Proprotein Convertase Subtilisin/Kexin type 9 (PCSK9) inhibitors reduce total cholesterol (TC), low density lipoproteins (LDL), high density lipoproteins (HDL), and triglycerides (TG). We assessed the ability of berberine, a natural PCSK9 inhibitor, to reduce lipid concentrations either alone or combined with other nutraceuticals. We searched PubMed, Scopus and EMBASE from inception to September 30th, 2022 for randomized controlled trials (RCTs) assessing 8-18 wk of berberine therapy on. A total of 41 RCTs with 4,838 patients met our inclusion criteria. Berberine containing products significantly reduced TC (MD −17.42 mg/dL [95%CI: −22.91 to −11.93]), LDL (MD −14.98 mg/dL [95%CI: −20.67 to −9.28]), and TG (MD −18.67 mg/dL [95%CI: −25.82 to −11.51]) while raising HDL (MD 1.97 mg/dL [95%CI: 1.16 to 2.78]) versus control (I2 > 72% for all analyses). Products with berberine alone had less robust effects on TC (MD −12.08 mg/dL [95%CI: −21.79 to −2.37]), LDL (MD −9.26 mg/dL [95%CI: −20.31 to 1.78]), and HDL (MD 1.38 mg/dL [95%CI: −1.27 to 4.03]) but TG effects were similar (MD −17.40 mg/dL [95%CI: −32.57 to −2.23]). Berberine along with red yeast rice reduced TC (MD −19.62 mg/dL [95%CI: −28.56 to −10.68]) and LDL (MD −18.79 mg/dL [95%CI: −28.03 to −9.54]) as did combination therapy with Silybum maranium for TC (MD −31.81 mg/dL [95%CI: −59.88 to −3.73]) and LDL (MD −30.82 mg/dL [95%CI: −56.48 to −5.16]). Berberine, alone or with other nutraceuticals, can provide a modest positive impact on lipid concentrations.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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