Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies

Abnormal cholesterol levels have been linked to one of modifiable risk factor called hypercholesterolemia and attributable risk of developing cardiovascular disease (CVD). Flavonoids from natural products have shown beneficial to treat hypercholesterolemia and it is believed having minimal side effe...

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Main Authors: Nurnazira Hanis, Nurul Azira Ismail, Ernie Zuraida Ali
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Food Chemistry Advances
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772753X25000978
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author Nurnazira Hanis
Nurul Azira Ismail
Ernie Zuraida Ali
author_facet Nurnazira Hanis
Nurul Azira Ismail
Ernie Zuraida Ali
author_sort Nurnazira Hanis
collection DOAJ
description Abnormal cholesterol levels have been linked to one of modifiable risk factor called hypercholesterolemia and attributable risk of developing cardiovascular disease (CVD). Flavonoids from natural products have shown beneficial to treat hypercholesterolemia and it is believed having minimal side effects. Nevertheless, the finding of these studies is still controversial to study the effectiveness of flavonoids against hypercholesterolemia through preclinical studies; in-silico, in-vitro, and in-vivo. As a result, we carried out a systematic review to identify the effectiveness and relationship between cholesterol level and flavonoids through three study of in-silico, in-vitro and in-vivo. A comprehensive search for all study design of flavonoids was carried out up to 2023 using pertinent keywords in databases in Pubmed, Hindawi and ScienceDirect. The results showed that flavonoids from different natural products considerable raised or maintaining serum high-density lipoprotein cholesterol (HDL-C) while lowering the blood cholesterol level of low-density lipoprotein cholesterol (LDL-C), very-low-density lipoprotein (VLDL), total cholesterol (TC) and triglyceride (TG). Additionally, flavonoids showed evidence in increasing anti-oxidant activity in 2,2-diphenyl-1-picrylhydrazyl (DPPH), Glutathione peroxidase (GPx), Superoxide dismutase (SOD) activities. Furthermore, flavonoids promote lowering lipid synthesis in 3T3-L1 adipocytes. Meanwhile, in-silico approaches show evidence of flavonoids interact with two human proteins 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase (HMGCR) and human pancreatic α-amylase (HPA) with binding energy values ranging from -7.3 to -9.5kcal/mol. The overall results confirm that flavonoids decrease the cholesterol level and risk of CVD. Hence, giving evidence that flavonoids is having potential in treating the hypercholesterolemia.
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spelling doaj-art-17e12e247cf044ed9390517862e52ba52025-08-20T03:21:12ZengElsevierFood Chemistry Advances2772-753X2025-06-01710098110.1016/j.focha.2025.100981Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studiesNurnazira Hanis0Nurul Azira Ismail1Ernie Zuraida Ali2School of Graduate Studies, Management and Science University (MSU), 40100 Shah Alam, Selangor, MalaysiaSchool of Graduate Studies, Management and Science University (MSU), 40100 Shah Alam, Selangor, Malaysia; Corresponding author.Institute for Medical Research, National Institutes of Health Malaysia, 40170 Shah Alam, Selangor, MalaysiaAbnormal cholesterol levels have been linked to one of modifiable risk factor called hypercholesterolemia and attributable risk of developing cardiovascular disease (CVD). Flavonoids from natural products have shown beneficial to treat hypercholesterolemia and it is believed having minimal side effects. Nevertheless, the finding of these studies is still controversial to study the effectiveness of flavonoids against hypercholesterolemia through preclinical studies; in-silico, in-vitro, and in-vivo. As a result, we carried out a systematic review to identify the effectiveness and relationship between cholesterol level and flavonoids through three study of in-silico, in-vitro and in-vivo. A comprehensive search for all study design of flavonoids was carried out up to 2023 using pertinent keywords in databases in Pubmed, Hindawi and ScienceDirect. The results showed that flavonoids from different natural products considerable raised or maintaining serum high-density lipoprotein cholesterol (HDL-C) while lowering the blood cholesterol level of low-density lipoprotein cholesterol (LDL-C), very-low-density lipoprotein (VLDL), total cholesterol (TC) and triglyceride (TG). Additionally, flavonoids showed evidence in increasing anti-oxidant activity in 2,2-diphenyl-1-picrylhydrazyl (DPPH), Glutathione peroxidase (GPx), Superoxide dismutase (SOD) activities. Furthermore, flavonoids promote lowering lipid synthesis in 3T3-L1 adipocytes. Meanwhile, in-silico approaches show evidence of flavonoids interact with two human proteins 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase (HMGCR) and human pancreatic α-amylase (HPA) with binding energy values ranging from -7.3 to -9.5kcal/mol. The overall results confirm that flavonoids decrease the cholesterol level and risk of CVD. Hence, giving evidence that flavonoids is having potential in treating the hypercholesterolemia.http://www.sciencedirect.com/science/article/pii/S2772753X25000978In-silicoIn-vitroIn-vivoFlavonoidsHypercholesterolemia
spellingShingle Nurnazira Hanis
Nurul Azira Ismail
Ernie Zuraida Ali
Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies
Food Chemistry Advances
In-silico
In-vitro
In-vivo
Flavonoids
Hypercholesterolemia
title Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies
title_full Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies
title_fullStr Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies
title_full_unstemmed Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies
title_short Systematic review on effectiveness of flavonoids against hypercholesterolemia: Insights from in-silico, in-vitro, and in-vivo studies
title_sort systematic review on effectiveness of flavonoids against hypercholesterolemia insights from in silico in vitro and in vivo studies
topic In-silico
In-vitro
In-vivo
Flavonoids
Hypercholesterolemia
url http://www.sciencedirect.com/science/article/pii/S2772753X25000978
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