Abstract
Orally administered curcumin has been found to have a moderate therapeutic effect on dyslipidemia and atherosclerosis. The present study was conducted to determine lipid-modulating and antiatherosclerosis effects of injectable curcumin in the rabbit model of atherosclerosis induced by a high cholesterol diet (HCD). New Zealand white male rabbits were fed on a normal chow enriched with 0.5% (w/w) cholesterol for 8 weeks. Atherosclerotic rabbits were randomly divided into three groups, including a control group receiving intravenous (IV) injection of the saline buffer, two treatment groups receiving IV administration of the injectable curcumin at low (1 mg/kg/week) and high (10 mg/kg/week) over 4 weeks. Plasma lipid parameters, including low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), and total cholesterol (TC) were measured. Aortic arch atherosclerotic lesions were assessed using hematoxylin and eosin (H&E) staining. The low dose of curcumin significantly reduced plasma levels of TC, LDL-C, and TG by −14.19 ± 5.19%, −6.22 ± 1.77%, and − 29.84 ± 10.14%, respectively, and increased HDL-C by 14.05 ± 6.39% (p < 0.05). High dose of curcumin exerted greater lipid-modifying effects, in which plasma levels of TC, LDL-C, and TG were significantly (p < 0.05) decreased by −56.59 ± 10.22%, −44.36 ± 3.24%, and − 25.92 ± 5.57%, respectively, and HDL-C was significantly increased by 36.24 ± 12.5%. H&E staining showed that the lesion severity was lowered significantly in the high dose (p = 0.03) but not significantly (p > 0.05) in the low-dose curcumin groups, compared to control rabbits. The median (interquartile range) of plaque grades in the high dose and low dose, and control groups was found to be 2 [2-3], 3 [2-3], and 4 [3-4], respectively. The injectable curcumin could significantly improve dyslipidemia and alleviate atherosclerotic lesion in HCD-induced atherosclerotic rabbits.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Musunuru K (2010) Atherogenic dyslipidemia: cardiovascular risk and dietary intervention. Lipids 45(10):907–914
Assmann G (2006) Dyslipidaemia and global cardiovascular risk: clinical issues. European Heart Journal Supplements 8(suppl_F):F40–F46
Srikanth S, Deedwania P (2016) Management of dyslipidemia in patients with hypertension, diabetes, and metabolic syndrome. Curr Hypertens Rep 18(10):76. https://doi.org/10.1007/s11906-016-0683-0
Gaw A (2003) HDL-C and triglyceride levels: relationship to coronary heart disease and treatment with statins. Cardiovasc Drugs Ther 17(1):53–62
Padala S, Thompson PD (2012) Statins as a possible cause of inflammatory and necrotizing myopathies. Atherosclerosis 222(1):15–21
Chalasani N (2005) Statins and hepatotoxicity: focus on patients with fatty liver. Hepatology 41(4):690–695
Goel A, Kunnumakkara AB, Aggarwal BB (2008) Curcumin as “Curecumin”: from kitchen to clinic. Biochem Pharmacol 75(4):787–809
Abdollahi E, Momtazi AA, Johnston TP, Sahebkar A (2018) Therapeutic effects of curcumin in inflammatory and immune-mediated diseases: a nature-made jack-of-all-trades? J Cell Physiol 233(2):830–848
Ghandadi M, Sahebkar A (2017) Curcumin: An effective inhibitor of interleukin-6. Curr Pharm Des 23(6):921–931
Mollazadeh H, Cicero AFG, Blesso CN, Pirro M, Majeed M, Sahebkar A (2019) Immune modulation by curcumin: the role of interleukin-10. Crit Rev Food Sci Nutr 59(1):89–101
Ye M-X, Li Y, Yin H, Zhang J (2012) Curcumin: updated molecular mechanisms and intervention targets in human lung cancer. Int J Mol Sci 13(3):3959–3978
Darvesh AS, Aggarwal BB, Bishayee A (2012) Curcumin and liver cancer: a review. Curr Pharm Biotechnol 13(1):218–228
Bachmeier BE, Killian P, Pfeffer U, Nerlich AG (2010) Novel aspects for the application of curcumin in chemoprevention of various cancers. Front Biosci (Schol Ed) 2:697–717
Shehzad A, Khan S, Shehzad O, Lee Y (2010) Curcumin therapeutic promises and bioavailability in colorectal cancer. Drugs Today (Barc) 46(7):523–532
Teiten MH, Gaascht F, Eifes S, Dicato M, Diederich M (2010) Chemopreventive potential of curcumin in prostate cancer. Genes Nutr 5(1):61–74
Odot J, Albert P, Carlier A, Tarpin M, Devy J, Madoulet C (2004) In vitro and in vivo anti-tumoral effect of curcumin against melanoma cells. Int J Cancer 111(3):381–387
Momtazi-Borojeni AA, Mosafer J, Nikfar B, Ekhlasi-Hundrieser M, Chaichian S, Mehdizadehkashi A et al (2018) Curcumin in advancing treatment for gynecological cancers with developed drug-and radiotherapy-associated resistance. Rev Physiol Biochem Pharmacol 176:107–129
Iranshahi M, Sahebkar A, Takasaki M, Konoshima T, Tokuda H (2009) Cancer chemopreventive activity of the prenylated coumarin, umbelliprenin, in vivo. Eur J Cancer Prev 18(5):412–415
Teymouri M, Pirro M, Johnston TP, Sahebkar A (2017) Curcumin as a multifaceted compound against human papilloma virus infection and cervical cancers: a review of chemistry, cellular, molecular, and preclinical features. Biofactors 43(3):331–346
Hamaguchi T, Ono K, Yamada M (2010) Review: curcumin and Alzheimer’s disease. CNS Neurosci Ther 16(5):285–297
Mythri RB, Bharath MM (2012) Curcumin: a potential neuroprotective agent in Parkinson’s disease. Curr Pharm Des 18(1):91–99
Taylor RA, Leonard MC (2011) Curcumin for inflammatory bowel disease: a review of human studies. Altern Med Rev 16(2):152–156
Momtazi-Borojeni AA, Haftcheshmeh SM, Esmaeili SA, Johnston TP, Abdollahi E, Sahebkar A (2018) Curcumin: a natural modulator of immune cells in systemic lupus erythematosus. Autoimmun Rev 17(2):125–135
Panahi Y, Khalili N, Sahebi E, Namazi S, Simental-Mendía LE, Majeed M, Sahebkar A. Effects of Curcuminoids Plus Piperine on Glycemic, Hepatic and Inflammatory Biomarkers in Patients with Type 2 Diabetes Mellitus: A Randomized Double-Blind Placebo-Controlled Trial. Drug Res (Stuttg). 2018 Jul;68(7):403-409. doi: 10.1055/s-0044-101752.
Chandran B, Goel A (2012) A randomized, pilot study to assess the efficacy and safety of curcumin in patients with active rheumatoid arthritis. Phytother Res 26(11):1719–1725
Momtazi AA, Derosa G, Maffioli P, Banach M, Sahebkar A (2016) Role of microRNAs in the therapeutic effects of curcumin in non-cancer diseases. Mol Diagn Ther 20(4):335–345
Appendino G, Belcaro G, Cornelli U, Luzzi R, Togni S, Dugall M et al (2011) Potential role of curcumin phytosome (Meriva) in controlling the evolution of diabetic microangiopathy. A pilot study. Panminerva Med 53(3 Suppl 1):43–49
Soleimani V, Sahebkar A, Hosseinzadeh H (2018) Turmeric (Curcuma longa) and its major constituent (curcumin) as nontoxic and safe substances: Review. Phytother Res 32(6):985–995
Jang EM, Choi MS, Jung UJ, Kim MJ, Kim HJ, Jeon SM et al (2008) Beneficial effects of curcumin on hyperlipidemia and insulin resistance in high-fat–fed hamsters. Metabolism 57(11):1576–1583
Kapoor P, Ansari MN, Bhandari U (2008) Modulatory effect of curcumin on methionine-induced hyperlipidemia and hyperhomocysteinemia in albino rats. Indian J Exp Biol 46(7):534–540
Manjunatha H, Srinivasan K (2007) Hypolipidemic and antioxidant effects of dietary curcumin and capsaicin in induced hypercholesterolemic rats. Lipids 42(12):1133
Pari L, Murugan P (2007) Antihyperlipidemic effect of curcumin and tetrahydrocurcumin in experimental type 2 diabetic rats. Ren Fail 29(7):881–889
Shin SK, Ha TY, McGregor RA, Choi MS (2011) Long-term curcumin administration protects against atherosclerosis via hepatic regulation of lipoprotein cholesterol metabolism. Mol Nutr Food Res 55(12):1829–1840
Momtazi-Borojeni AA, Abdollahi E, Nikfar B, Chaichian S, Ekhlasi-Hundrieser M (2019) Curcumin as a potential modulator of M1 and M2 macrophages: new insights in atherosclerosis therapy. Heart Fail Rev 24(3):399–409
Mohammadian Haftcheshmeh S, Karimzadeh MR, Azhdari S, Vahedi P, Abdollahi E, Momtazi-Borojeni AA (2019) Modulatory effects of curcumin on the atherogenic activities of inflammatory monocytes: evidence from in vitro and animal models of human atherosclerosis. Biofactors (Dec 24). https://doi.org/10.1002/biof.1603. [Epub ahead of print]
Usharani P, Mateen A, Naidu M, Raju Y, Chandra N (2008) Effect of NCB-02, atorvastatin and placebo on endothelial function, oxidative stress and inflammatory markers in patients with type 2 diabetes mellitus. Drugs R D 9(4):243–250
Soni K, Kutian R (1992) Effect of oral curcumin administration on serum peroxides and cholesterol levels in human volunteers. Indian J Physiol Phannacol 36(4):273–275
Ramırez-Boscá A, Soler A, Carrion MA, Dıaz-Alperi J, Bernd A, Quintanilla C et al (2000) An hydroalcoholic extract of Curcuma longa lowers the apo B/apo a ratio: implications for atherogenesis prevention. Mech Ageing Dev 119(1–2):41–47
Pungcharoenkul K, Thongnopnua P (2011) Effect of different curcuminoid supplement dosages on total in vivo antioxidant capacity and cholesterol levels of healthy human subjects. Phytother Res 25(11):1721–1726
Mohammadi A, Sahebkar A, Iranshahi M, Amini M, Khojasteh R, Ghayour-Mobarhan M, Ferns GA (2013) Effects of supplementation with curcuminoids on dyslipidemia in obese patients: a randomized crossover trial. Phytother Res 27(3):374–379
Baum L, Cheung SK, Mok VC, Lam LC, Leung VP, Hui E et al (2007) Curcumin effects on blood lipid profile in a 6-month human study. Pharmacol Res 56(6):509–514
Alwi I, Santoso T, Suyono S, Sutrisna B, Suyatna FD, Kresno SB et al (2008) The effect of curcumin on lipid level in patients with acute coronary syndrome. Acta Med Indones 40(4):201–210
Sahebkar A (2014) A systematic review and meta-analysis of randomized controlled trials investigating the effects of curcumin on blood lipid levels. Clin Nutr 33(3):406–414
Anand P, Kunnumakkara AB, Newman RA, Aggarwal BB (2007) Bioavailability of curcumin: problems and promises. Mol Pharm 4(6):807–818
Holder GM, Plummer JL, Ryan AJ (1978) The metabolism and excretion of curcumin (1, 7-bis-(4-hydroxy-3-methoxyphenyl)-1, 6-heptadiene-3, 5-dione) in the rat. Xenobiotica 8(12):761–768
Asai A, Miyazawa T (2000) Occurrence of orally administered curcuminoid as glucuronide and glucuronide/sulfate conjugates in rat plasma. Life Sci 67(23):2785–2793
Vareed SK, Kakarala M, Ruffin MT, Crowell JA, Normolle DP, Djuric Z et al (2008) Pharmacokinetics of curcumin conjugate metabolites in healthy human subjects. Cancer Epidemiol Biomark Prev 17(6):1411–1417
Hoehle SI, Pfeiffer E, Metzler M (2007) Glucuronidation of curcuminoids by human microsomal and recombinant UDP-glucuronosyltransferases. Mol Nutr Food Res 51(8):932–938
Kunati SR, Yang S, William BM, Xu Y (2018) An LC–MS/MS method for simultaneous determination of curcumin, curcumin glucuronide and curcumin sulfate in a phase II clinical trial. J Pharm Biomed Anal 156:189–198
Tsuda T (2018) Curcumin as a functional food-derived factor: degradation products, metabolites, bioactivity, and future perspectives. Food Funct 9(2):705–714
Close B, Banister K, Baumans V, Bernoth EM, Bromage N, Bunyan J et al (1997) Recommendations for euthanasia of experimental animals: Part 2. DGXT of the European Commission. Lab Anim 31(1):1–32
Close B, Banister K, Baumans V, Bernoth E-M, Bromage N, Bunyan J et al (1996) Recommendations for euthanasia of experimental animals: Part 1. DGXI of the European Commission. Lab Anim 30(4):293–316
Chekanov VS, Mortada ME, Tchekanov GV, Maternowski MA, Eisenstein R, Pello N et al (2002) Pathologic and histologic results of electrical impulses in a rabbit model of atherosclerosis: 24-hour versus 8-hour regimen. J Vasc Surg 35(3):554–562
Schneider CA, Rasband WS, Eliceiri KW (2012) NIH image to ImageJ: 25 years of image analysis. Nat Methods 9(7):671–675
Panahi Y, Ahmadi Y, Teymouri M, Johnston TP, Sahebkar A (2018) Curcumin as a potential candidate for treating hyperlipidemia: a review of cellular and metabolic mechanisms. J Cell Physiol 233(1):141–152
Lin K, Chen H, Chen X, Qian J, Huang S, Huang W (2020) Efficacy of curcumin on aortic atherosclerosis: a systematic review and meta-analysis in mouse studies and insights into possible mechanisms. Oxidative Med Cell Longev 2020:1520747. https://doi.org/10.1155/2020/1520747
Qin S, Huang L, Gong J, Shen S, Huang J, Ren H et al (2017) Efficacy and safety of turmeric and curcumin in lowering blood lipid levels in patients with cardiovascular risk factors: a meta-analysis of randomized controlled trials. Nutr J 16(1):68. https://doi.org/10.1186/s12937-017-0293-y
National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) (2002) Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation 106(25):3143–3421
Shao W, Yu Z, Chiang Y, Yang Y, Chai T, Foltz W et al (2012) Curcumin prevents high fat diet induced insulin resistance and obesity via attenuating lipogenesis in liver and inflammatory pathway in adipocytes. PLoS One 7(1):e28784. https://doi.org/10.1371/journal.pone.0028784
Fan C, Wo X, Dou X, Xu L, Qian Y, Luo Y et al (2006) Regulation of LDL receptor expression by the effect of curcumin on sterol regulatory element pathway. Pharmacological Rep 58(4):577–581
Peschel D, Koerting R, Nass N (2007) Curcumin induces changes in expression of genes involved in cholesterol homeostasis. J Nutr Biochem 18(2):113–119
Miller M, Stone NJ, Ballantyne C, Bittner V, Criqui MH, Ginsberg HN et al (2011) Triglycerides and cardiovascular disease: a scientific statement from the American Heart Association. Circulation 123(20):2292–2333
Nordestgaard BG, Benn M, Schnohr P, Tybjærg-Hansen A (2007) Nonfasting triglycerides and risk of myocardial infarction, ischemic heart disease, and death in men and women. JAMA 298(3):299–308
Investigators AIM-HIGH, Boden WE, Probstfield JL, Anderson T, Chaitman BR, Desvignes-Nickens P et al (2011) Niacin in patients with low HDL cholesterol levels receiving intensive statin therapy. N Engl J Med 365(24):2255–2267
HPS2-THRIVE Collaborative Group, Haynes R, Jiang L, Hopewell JC, Li J, Chen F et al (2013) HPS2-THRIVE randomized placebo-controlled trial in 25 673 high-risk patients of ER niacin/laropiprant: trial design, pre-specified muscle and liver outcomes, and reasons for stopping study treatment. Eur Heart J 34(17):1279–1291
Khera AV, Rader DJ (2010) Future therapeutic directions in reverse cholesterol transport. Curr Atheroscler Rep 12(1):73–81
Yang YS, Su YF, Yang HW, Lee YH, Chou JI, Ueng KC (2014) Lipid-lowering effects of curcumin in patients with metabolic syndrome: a randomized, double-blind, placebo-controlled trial. Phytother Res 28(12):1770–1777
Borén J, Chapman MJ, Krauss RM, Packard CJ, Bentzon JF, Binder CJ et al (2020) Low-density lipoproteins cause atherosclerotic cardiovascular disease: pathophysiological, genetic, and therapeutic insights: a consensus statement from the European Atherosclerosis Society Consensus Panel. Eur Heart J; Feb 13 pii:ehz962. https://doi.org/10.1093/eurheartj/ehz962. [Epub ahead of print]
Ohashi R, Mu H, Wang X, Yao Q, Chen C (2005) Reverse cholesterol transport and cholesterol efflux in atherosclerosis. QJM 98(12):845–856
Dong SZ, Zhao SP, Wu ZH, Yang J, Xie XZ, Yu BL et al (2011) Curcumin promotes cholesterol efflux from adipocytes related to PPARgamma–LXRalpha–ABCA1 passway. Mol Cell Biochem 358(1–2):281–285
Wong J, Quinn CM, Gelissen IC, Jessup W, Brown AJ (2008) The effect of statins on ABCA1 and ABCG1 expression in human macrophages is influenced by cellular cholesterol levels and extent of differentiation. Atherosclerosis 196(1):180–189
Zhao JF, Ching LC, Huang YC, Chen CY, Chiang AN, Kou YR et al (2012) Molecular mechanism of curcumin on the suppression of cholesterol accumulation in macrophage foam cells and atherosclerosis. Mol Nutr Food Res 56(5):691–701
Tian M, Wang L, Yu G, Liu B, Li Y (2012) Curcumin promotes cholesterol efflux from brain through LXR/RXR-ABCA1-apoA1 pathway in chronic cerebral hypoperfusion aging-rats. Mol Neurodegener 7:S7. https://doi.org/10.1186/1750-1326-7-S1-S7
Conflict of Interest
Muhammed Majeed is the founder of Sabinsa Corp. and Sami Labs Ltd. The other authors declare no competing interests.
Funding
We are thankful for the financial support from the National Institute for Medical Research Development (NIMAD), Tehran, Iran (Grant no: 943771). The authors also thank the Research Council at the Mashhad University of Medical Sciences, Mashhad, Iran.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Momtazi-Borojeni, A.A., Zabihi, N.A., Bagheri, R.K., Majeed, M., Jamialahmadi, T., Sahebkar, A. (2021). Intravenous Curcumin Mitigates Atherosclerosis Progression in Cholesterol-Fed Rabbits. In: Barreto, G.E., Sahebkar, A. (eds) Pharmacological Properties of Plant-Derived Natural Products and Implications for Human Health. Advances in Experimental Medicine and Biology, vol 1308. Springer, Cham. https://doi.org/10.1007/978-3-030-64872-5_5
Download citation
DOI: https://doi.org/10.1007/978-3-030-64872-5_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-64871-8
Online ISBN: 978-3-030-64872-5
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)