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Berberine on metabolic and cardiovascular risk factors: an analysis from preclinical evidences to clinical trials

, MD PhD, , MD & , MD PhD
Pages 1113-1124 | Published online: 11 Jul 2012

Keep up to date with the latest research on this topic with citation updates for this article.

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Faezeh Izadparast, Bamdad Riahi-Zajani, Fatemeh Yarmohammadi, A. Wallace Hayes & Gholamreza Karimi. (2022) Protective effect of berberine against LPS-induced injury in the intestine: a review. Cell Cycle 21:22, pages 2365-2378.
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Giuseppe Derosa, Angela D’Angelo, Arianna Vanelli & Pamela Maffioli. (2020) An Evaluation of a Nutraceutical with Berberine, Curcumin, Inositol, Banaba and Chromium Picolinate in Patients with Fasting Dysglycemia. Diabetes, Metabolic Syndrome and Obesity 13, pages 653-661.
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Safieh Firouzi, Mahsa Malekahmadi, Majid Ghayour-Mobarhan, Gordon Ferns & Hamid Reza Rahimi. (2018) Barberry in the treatment of obesity and metabolic syndrome: possible mechanisms of action. Diabetes, Metabolic Syndrome and Obesity 11, pages 699-705.
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Arrigo F. G. Cicero & Alessandro Colletti. (2018) An update on the safety of nutraceuticals and effects on lipid parameters. Expert Opinion on Drug Safety 17:3, pages 303-313.
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Francesco Di Pierro, Pietro Putignano, Tarcisio Ferrara, Carmela Raiola, Giuliana Rapacioli & Nicola Villanova. (2017) Retrospective analysis of the effects of a highly standardized mixture of Berberis aristata, Silybum marianum, and monacolins K and KA in patients with dyslipidemia. Clinical Pharmacology: Advances and Applications 9, pages 1-7.
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Hongmei Qiu, Yang Wu, Quanhua Wang, Changqing Liu, Lai Xue, Hong Wang, Qin Wu & Qingsong Jiang. (2017) Effect of berberine on PPARα-NO signalling pathway in vascular smooth muscle cell proliferation induced by angiotensin IV. Pharmaceutical Biology 55:1, pages 227-232.
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Arrigo F G Cicero, Martino Morbini, Angelo Parini, Riccardo Urso, Martina Rosticci, Elisa Grandi & Claudio Borghi. (2016) Effect of red yeast rice combined with antioxidants on lipid pattern, hs-CRP level, and endothelial function in moderately hypercholesterolemic subjects. Therapeutics and Clinical Risk Management 12, pages 281-286.
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Arrigo F.G. Cicero, Martino Morbini, Marilisa Bove, Sergio D’Addato, Federica Fogacci, Martina Rosticci & Claudio Borghi. (2016) Additional therapy for cholesterol lowering in ezetimibe-treated, statin-intolerant patients in clinical practice: results from an internal audit of a university lipid clinic. Current Medical Research and Opinion 32:10, pages 1633-1638.
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Giuseppe Derosa & Pamela Maffioli. (2015) Nutraceuticals for the treatment of metabolic diseases: evidence from clinical practice. Expert Review of Endocrinology & Metabolism 10:3, pages 297-304.
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Francesco Di Pierro, Pietro Putignano, Nicola Villanova, Luca Montesi, Simona Moscatiello & Giulio Marchesini. (2013) Preliminary study about the possible glycemic clinical advantage in using a fixed combination of Berberis aristata and Silybum marianum standardized extracts versus only Berberis aristata in patients with type 2 diabetes. Clinical Pharmacology: Advances and Applications 5, pages 167-174.
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Giuseppe Derosa, Aldo Bonaventura, Lucio Bianchi, Davide Romano, Angela D'Angelo, Elena Fogari & Pamela Maffioli. (2013) Berberis aristata/Silybum marianum fixed combination on lipid profile and insulin secretion in dyslipidemic patients. Expert Opinion on Biological Therapy 13:11, pages 1495-1506.
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Paramjit S Tappia, Yan–Jun Xu & Naranjan S Dhalla. (2013) Reduction of cholesterol and other cardiovascular disease risk factors by alternative therapies. Clinical Lipidology 8:3, pages 345-359.
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Giuseppe Derosa, Angela D'Angelo, Aldo Bonaventura, Lucio Bianchi, Davide Romano & Pamela Maffioli. (2013) Effects of berberine on lipid profile in subjects with low cardiovascular risk. Expert Opinion on Biological Therapy 13:4, pages 475-482.
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Articles from other publishers (118)

Jie V. Zhao, Xin Huang, Junmeng Zhang, Yap-Hang Chan, Hung-Fat Tse & Joseph E. Blais. (2023) Overall and Sex-Specific Effect of Berberine on Glycemic and Insulin-Related Traits: a Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Journal of Nutrition 153:10, pages 2939-2950.
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Fengyuan Lu, En Li & Xiaoyu Yang. (2023) The association between circulatory, local pancreatic PCSK9 and type 2 diabetes mellitus: The effects of antidiabetic drugs on PCSK9. Heliyon 9:9, pages e19371.
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Pattaneeya Prangthip, Watanalai Panbangred & Onrapak Reamtong. (2023) Potential antihypertensive activity of novel peptides from green basil leaves. BMC Complementary Medicine and Therapies 23:1.
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Safaa I. Khater, Taghreed N. Almanaa, Doaa M. Abdel Fattah, Tarek Khamis, Mona M. Seif, Naief Dahran, Leena S. Alqahtani, Mohamed M. M. Metwally, Mahmoud Mostafa, Raghad A. Albedair, Azza I. Helal, Manal Alosaimi & Amany Abdel-Rahman Mohamed. (2023) Liposome-Encapsulated Berberine Alleviates Liver Injury in Type 2 Diabetes via Promoting AMPK/mTOR-Mediated Autophagy and Reducing ER Stress: Morphometric and Immunohistochemical Scoring. Antioxidants 12:6, pages 1220.
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Temitayo I. Subair, Opeyemi S. Soremekun, Fisayo A. Olotu & Mahmoud E. S. Soliman. (2021) Prospecting the therapeutic edge of a novel compound (B12) over berberine in the selective targeting of Retinoid X Receptor in colon cancer. Journal of Molecular Modeling 27:8.
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Solomon Habtemariam. (2020) The Quest to Enhance the Efficacy of Berberine for Type-2 Diabetes and Associated Diseases: Physicochemical Modification Approaches. Biomedicines 8:4, pages 90.
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Gao-Fei Du, Yao-Jin Le, Xuesong Sun, Xiao-Yan Yang & Qing-Yu He. (2020) Proteomic investigation into the action mechanism of berberine against Streptococcus pyogenes. Journal of Proteomics 215, pages 103666.
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Ladan Tahmasebi, Mehrnoosh Zakerkish, Fereshteh Golfakhrabadi & Foroogh Namjoyan. (2019) Randomised clinical trial of Berberis vulgaris root extract on glycemic and lipid parameters in type 2 diabetes mellitus patients. European Journal of Integrative Medicine 32, pages 100998.
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Anurag K. Singh, Santosh K. Singh, Manmath K. Nandi, Gaurav Mishra, Anand Maurya, Arati Rai, Gopal K. Rai, Rajendra Awasthi, Bhupesh Sharma & Giriraj T. Kulkarni. (2019) Berberine: A Plant-derived Alkaloid with Therapeutic Potential to Combat Alzheimer’s disease. Central Nervous System Agents in Medicinal Chemistry 19:3, pages 154-170.
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N. V. Polenova, S. D. Kosura, Yu. R. Varaeva, E. N. Livancova & A. V. Starodubova. (2019) Non-pharmaceutical treatment of dyslipidemia: review of current methods of diet and nutraceuticals. Kardiologiia 59:7S, pages 4-14.
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Alberto Mazza, Laura Schiavon, Gianluca Rigatelli, Gioia Torin & Salvatore Lenti. (2019) The Effects of a New Generation of Nutraceutical Compounds on Lipid Profile and Glycaemia in Subjects with Pre-hypertension. High Blood Pressure & Cardiovascular Prevention 26:4, pages 345-350.
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Anna Hostalkova, Jana Marikova, Lubomir Opletal, Jan Korabecny, Daniela Hulcova, Jiri Kunes, Lucie Novakova, Daniel I. Perez, Daniel Jun, Tomas Kucera, Vincenza Andrisano, Tomas Siatka & Lucie Cahlikova. (2019) Isoquinoline Alkaloids from Berberis vulgaris as Potential Lead Compounds for the Treatment of Alzheimer’s Disease . Journal of Natural Products 82:2, pages 239-248.
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Brian C. Aston. (2019) Addressing Obesity in Orthopedics. JBJS Journal of Orthopaedics for Physician Assistants 7:3, pages e0004.
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Magdalena Kucia & Mariusz Z. Ratajczak. 2019. Stem Cells. Stem Cells 355 388 .
Haoyue Zhang, Xueping Wang, Ting Wang, Kaixian Chen, Heyao Wang, Qi Jia & Yiming Li. (2018) Enhancement of Berberine Hypoglycemic Activity by Oligomeric Proanthocyanidins. Molecules 23:12, pages 3318.
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Yi-jia Shao, Jun Tao, Bing-bo Yu, Dan Meng, Xu-long Yang, Jia-pan Sun, Yan-xia Qiu & Xiao-yu Zhang. (2018) Berberine-Promoted CXCR4 Expression Accelerates Endothelial Repair Capacity of Early Endothelial Progenitor Cells in Persons with Prehypertension. Chinese Journal of Integrative Medicine 24:12, pages 897-904.
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Chenjie Qin, Huilu Zhang, Linghao Zhao, Min Zeng, Weijian Huang, Gongbo Fu, Weiping Zhou, Hongyang Wang & Hexin Yan. (2017) Microbiota transplantation reveals beneficial impact of berberine on hepatotoxicity by improving gut homeostasis. Science China Life Sciences 61:12, pages 1537-1544.
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Yanwei Duan, Tian Liu, Yong Zhou, Tongyi Dou & Qing Yang. (2018) Glycoside hydrolase family 18 and 20 enzymes are novel targets of the traditional medicine berberine. Journal of Biological Chemistry 293:40, pages 15429-15438.
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Xueyan Chen, Huicai Guo, Qing Li, Yu Zhang, Huanlong Liu, Xiaofei Zhang, Kerang Xie, Zhongning Zhu, Qingfeng Miao & Suwen Su. (2018) Protective effect of berberine on aconite‑induced myocardial injury and the associated mechanisms. Molecular Medicine Reports.
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Lei Qiao & Wenqiang Chen. (2018) Atheroprotective effects and molecular targets of bioactive compounds from traditional Chinese medicine. Pharmacological Research 135, pages 212-229.
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Xueling Ma, Zhongjun Chen, Le Wang, Gesheng Wang, Zihui Wang, XiaoBo Dong, Binyu Wen & Zhichen Zhang. (2018) The Pathogenesis of Diabetes Mellitus by Oxidative Stress and Inflammation: Its Inhibition by Berberine. Frontiers in Pharmacology 9.
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Yanwen Wang & Jeffrey A. Zidichouski. (2018) Update on the Benefits and Mechanisms of Action of the Bioactive Vegetal Alkaloid Berberine on Lipid Metabolism and Homeostasis. Cholesterol 2018, pages 1-17.
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Yan Sun & Xiu-ru Guan. (2018) Autophagy: A new target for the treatment of atherosclerosis. Frontiers in Laboratory Medicine 2:2, pages 68-71.
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Sugandh Saxena, Shatrunajay Shukla & Poonam Kakkar. (2018) Berberine induced modulation of PHLPP2-Akt-MST1 kinase signaling is coupled with mitochondrial impairment and hepatoma cell death. Toxicology and Applied Pharmacology 347, pages 92-103.
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Feng Wu, Dong-Sheng Yao, Tian-Ying Lan, Chen Wang, Jian-Dong Gao, Li-Qun He & Di Huang. (2017) Berberine prevents the apoptosis of mouse podocytes induced by TRAF5 overexpression by suppressing NF-κB activation. International Journal of Molecular Medicine.
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Arrigo F.G. Cicero & Alessandro Colletti. (2017) Food and plant bioactives for reducing cardiometabolic disease: How does the evidence stack up?. Trends in Food Science & Technology 69, pages 192-202.
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Arrigo F G Cicero, Alessandro Colletti, Gani Bajraktari, Olivier Descamps, Dragan M Djuric, Marat Ezhov, Zlatko Fras, Niki Katsiki, Michel Langlois, Gustavs Latkovskis, Demosthenes B Panagiotakos, Gyorgy Paragh, Dimitri P Mikhailidis, Olena Mitchenko, Bernhard Paulweber, Daniel Pella, Christos Pitsavos, Željko Reiner, Kausik K Ray, Manfredi Rizzo, Amirhossein Sahebkar, Maria-Corina Serban, Laurence S Sperling, Peter P Toth, Dragos Vinereanu, Michal Vrablík, Nathan D Wong & Maciej Banach. (2017) Lipid-lowering nutraceuticals in clinical practice: position paper from an International Lipid Expert Panel. Nutrition Reviews 75:9, pages 731-767.
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Di Zhang, Li Ke, Zhen Ni, Yu Chen, Lin-Hui Zhang, Shao-Hua Zhu, Chan-Juan Li, Lei Shang, Jie Liang & Yong-Quan Shi. (2017) Berberine containing quadruple therapy for initial Helicobacter pylori eradication. Medicine 96:32, pages e7697.
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Paola M. Hunter & Robert A. Hegele. (2017) Functional foods and dietary supplements for the management of dyslipidaemia. Nature Reviews Endocrinology 13:5, pages 278-288.
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Xiaoqin La, Lichao Zhang, Zhuoyu Li, Peng Yang & Yingying Wang. (2017) Berberine-induced autophagic cell death by elevating GRP78 levels in cancer cells. Oncotarget 8:13, pages 20909-20924.
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H. Dorota Halicka, Jorge Garcia, Jiangwei Li, Hong Zhao & Zbigniew Darzynkiewicz. (2016) Synergy of 2-deoxy-d-glucose combined with berberine in inducing the lysosome/autophagy and transglutaminase activation-facilitated apoptosis. Apoptosis 22:2, pages 229-238.
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Arrigo F. G. Cicero, Federica Fogacci & Alessandro Colletti. (2017) Food and plant bioactives for reducing cardiometabolic disease risk: an evidence based approach. Food & Function 8:6, pages 2076-2088.
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Chae-Min Yi, Jihyun Yu, Hyunbin Kim, Na-Rae Lee, Sang Won Kim, Noh-Jin Lee, Jun Lee, Jihye Seong, Nam-Jung Kim & Kyung-Soo Inn. (2017) Identification of actin as a direct proteomic target of berberine using an affinity-based chemical probe and elucidation of its modulatory role in actin assembly. Chemical Communications 53:52, pages 7045-7047.
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Meng Li, Xiangbing Shu, Hanchen Xu, Chunlei Zhang, Lili Yang, Li Zhang & Guang Ji. (2016) Integrative analysis of metabolome and gut microbiota in diet-induced hyperlipidemic rats treated with berberine compounds. Journal of Translational Medicine 14:1.
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Solomon Habtemariam. (2016) Berberine and inflammatory bowel disease: A concise review. Pharmacological Research 113, pages 592-599.
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Mohsen Imenshahidi & Hossein Hosseinzadeh. (2016) Berberis Vulgaris and Berberine: An Update Review . Phytotherapy Research 30:11, pages 1745-1764.
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Hyun Jung Kim, Hyungwoo Kim, Myeong Ho Jung, Young Kyu Kwon & Byung Joo Kim. (2016) Berberine induces pacemaker potential inhibition via cGMP-dependent ATP-sensitive K+ channels by stimulating mu/delta opioid receptors in cultured interstitial cells of Cajal from mouse small intestine. Molecular Medicine Reports 14:4, pages 3985-3991.
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Arrigo F.G. Cicero & Alessandro Colletti. (2016) Role of phytochemicals in the management of metabolic syndrome. Phytomedicine 23:11, pages 1134-1144.
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Giuseppe Derosa, Angela D'Angelo & Pamela Maffioli. (2016) The role of a fixed Berberis aristata/Silybum marianum combination in the treatment of type 1 diabetes mellitus. Clinical Nutrition 35:5, pages 1091-1095.
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