Hypolipidemic effect of cinnamon extract (Cinnamomum zeylanicum) in a hypercholesterolemia model
DOI:
https://doi.org/10.12957/demetra.2025.84467Keywords:
Herbal medicine. Cholesterol. Oxidative stress. Inflammation.Abstract
Introduction: Hypercholesterolemia is the main risk factor for the formation of atheromatous plaques in the arteries and is an important risk factor for the development of Alzheimer's disease. Among the plants that have been the subject of various pharmacological studies, cinnamon (Cinnamomum zeylanicum) stands out as having natural therapeutic potential. Objective: To investigate the effects of cinnamon extract in a model of hypercholesterolemia using mice. Methods: This study used young male C57BJ6 mice (90 days old) with and without hypercholesterolemia caused by a genetic deficiency in LDL receptors. The animals were given cinnamon extract or vehicle for 30 days. After treatment, blood levels of total cholesterol, LDL, HDL, oxidized LDL and triglycerides were assessed. In addition, markers of oxidative stress in the blood were analyzed, such as total antioxidant capacity (TRAP), levels of reduced glutathione (GSH) and reactive oxygen species (ROS), as well as cytokines related to inflammation in the hippocampus (tumor necrosis factor-α and interleukins 1-β, 6 and 10). Results: Mice deficient in the LDL receptor showed increased levels of total cholesterol, LDL, oxidized LDL and triglycerides, as well as reduced HDL. Treatment with cinnamon extract normalized these biochemical parameters, protected against oxidative damage and reduced the production of pro-inflammatory cytokines, increasing anti-inflammatory cytokines in the hippocampus. Conclusion: Cinnamomum zeylanicum extract showed beneficial effects in the treatment of hypercholesterolemia and may be useful as a preventive or adjuvant therapy.
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References
1. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol. 2020;76(25):2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010
2. Poyatos P, Gratacós M, Samuel K, Orriols R, Tura-Ceide O. Oxidative stress and antioxidant therapy in pulmonary hypertension. Antioxidants (Basel). 2023;12(5):1006. https://doi.org/10.3390/antiox12051006
3. Kong P, Cui ZY, Huang XF, Zhang DD, Guo RJ, Han M. Inflammation and atherosclerosis: signaling pathways and therapeutic intervention. Signal Transduct Target Ther. 2022;7(1):131. https://doi.org/10.1038/s41392-022-00955-7
4. Raggi P, Genest J, Giles JT, Rayner KJ, Dwivedi G, Beanlands RS, et al. Role of inflammation in the pathogenesis of atherosclerosis and therapeutic interventions. Atherosclerosis. 2018;276:98–108. https://doi.org/10.1016/j.atherosclerosis.2018.07.014
5. Denisenko YK, Kytikova OY, Novgorodtseva TP, Antonyuk MV, Gvozdenko TA, Kantur TA. Lipid-induced mechanisms of metabolic syndrome. J Obes. 2020;2020:5762395.https://doi.org/10.1155/2020/5762395
6. Kojta I, Chacińska M, Błachnio-Zabielska A. Obesity, bioactive lipids, and adipose tissue inflammation in insulin resistance. Nutrients. 2020;12(5):1305. https://doi.org/10.3390/nu12051305
7. Ahmad N, Shabbir U, Sameen A, Manzoor MF, Ahmad MH, Ismail T, et al. Hypocholesterolemic effect of designer yogurts fortified with omega fatty acids and dietary fibers in hypercholesterolemic subjects. Food Sci Technol. 2021;41:1000–8. https://doi.org/10.1590/fst.22420
8. Cunha AFC, Ribeiro I. Hipercolesterolemia familiar: a importância do diagnóstico e tratamento precoces. Int J Cardiovasc Sci. 2017;30:550–3. https://doi.org/10.5935/2359-4802.20170077
9. Andreadou I, Schulz R, Papapetropoulos A, Ferdinandy P, Hausenloy DJ, Daiber A, et al. Hyperlipidaemia and cardioprotection: animal models for translational studies. Br J Pharmacol. 2020;177(23):5287–311. https://doi.org/10.1111/bph.14931
10. Dewi MK, Zahra A, Saadah M, Hidayat AT, Pramono S, Nugraha AP, et al. Improved activity of herbal medicines through nanotechnology. Nanomaterials. 2022;12(22):4073. https://doi.org/10.3390/nano12224073
11. Hussain Z, Khan JA, Rashid H. Cinnamomum zeylanicum (Darchini): a boon to medical science and a possible therapy for stress-induced ailments. Crit Rev Eukaryot Gene Expr. 2019;29(3):277–86. https://doi.org/10.1615/CritRevEukaryotGeneExpr.2019028867
12. Beji RS, Nauli SM, El-Sherbeni AA, Pathak DR, Chen H. Antidiabetic, antihyperlipidemic and antioxidant influences of the spice cinnamon (Cinnamomum zeylanicum) in experimental rats. Braz J Pharm Sci. 2018;54:e17576. https://doi.org/10.1590/s2175-97902018000217576
13. De Bem AF, da Silva FP, Retamoso LT, Dornelles GL, da Rocha JBT, da Silva LGG, et al. Animal models of metabolic disorders in the study of neurodegenerative diseases: an overview. Front Neurosci. 2021;14:604150. https://doi.org/10.3389/fnins.2020.604150
14. Hagenlocher Y, Feilhauer K, Schäfer KH, Kleinschnitz C, Geißlinger G, Lührs H, et al. Cinnamon extract reduces symptoms, inflammatory mediators and mast cell markers in murine IL-10(−/−) colitis. J Nutr Biochem. 2016;30:85–92. https://doi.org/10.1016/j.jnutbio.2015.11.015
15. Lissi E, Salim-Hanna M, Pascual C, del Castillo MD. Evaluation of total antioxidant potential (TRAP) and total antioxidant reactivity from luminol-enhanced chemiluminescence measurements. Free Radic Biol Med. 1995;18:153–8. https://doi.org/10.1016/0891-5849(94)00117-3
16. Lissi E, Pascual C, del Castillo MD. Luminol luminescence induced by 2,2'-Azo-bis(2-amidinopropane) thermolysis. Free Radic Res Commun. 1992;17:299–311. https://doi.org/10.3109/10715769209079523
17. Loetchutinat C, Drouin G, Pradines A, Allal C, Bagrel D. Spectrofluorometric determination of intracellular levels of reactive oxygen species in drug-sensitive and drug-resistant cancer cells using the 2’,7’-dichlorofluorescein diacetate assay. Radiat Phys Chem. 2005;72:323–31. https://doi.org/10.1016/j.radphyschem.2004.06.011
18. Hissin PJ, Hilf R. A fluorometric method for determination of oxidized and reduced glutathione in tissues. Anal Biochem. 1976;74:214–26. https://doi.org/10.1016/0003-2697(76)90326-2
19. Jebari-Benslaiman S, Galicia-Garcia U, Larrea-Sebal A, Olaetxea JR, Alloza I, Varela-Rey M, et al. Pathophysiology of atherosclerosis. Int J Mol Sci. 2022;23(6):3346. https://doi.org/10.3390/ijms23063346
20. Frąk W, Saeed S, Hegazy GA, Bil-Lula I, Witkiewicz W, Rybak Z, et al. Pathophysiology of cardiovascular diseases: new insights into molecular mechanisms of atherosclerosis, arterial hypertension, and coronary arterydisease.Biomedicines.2022;10(8):1938. https://doi.org/10.3390/biomedicines10081938
21. Ito F, Ito T. High-density lipoprotein (HDL) triglyceride and oxidized HDL: new lipid biomarkers of lipoprotein-related atherosclerotic cardiovascular disease.Antioxidants.2020;9(5):362. https://doi.org/10.3390/antiox9050362
22. Ouimet M, Barrett TJ, Fisher EA. HDL e transporte reverso de colesterol: mecanismos básicos e seus papéis na saúde e doença vascular. Circ Res.2019;124(10):1505-18. https://doi.org/10.1161/CIRCRESAHA.118.313086
23. Shang C, Lin H, Fang X, Wang Y, Jiang Z, Qu Y, et al. Efeitos benéficos da canela e seus extratos no tratamento de doenças cardiovasculares e diabetes. Food Funct. 2021;12(24):12194–12220. https://doi.org/10.1039/D1FO01935J
24. Nayak IN, Chinta R, Jetti R. Potencial antiaterosclerótico do extrato aquoso da casca de Cinnamomum zeylanicum contra aterosclerose induzida por glicocorticoides em ratos Wistar. J Clin Diagn Res. 2017;11:FC19–FC23. https://doi.org/10.7860/JCDR/2017/23910.9864
25. Gupta JS, Gupta P, Singh A, Mishra R, Tripathi P, Dubey D, et al. Effect of oral cinnamon intervention on metabolic profile and body composition of Asian Indians with metabolic syndrome: a randomized double-blind control trial. Lipids Health Dis. 2017;16:113. https://doi.org/10.1186/s12944-017-0504-8
26. Lira JCG, Lima GPV, Vitorino DF, Silva ML, Almeida JMC, Araujo ASR, et al.Effectiveness of cinnamon in the reduction of lipid levels in people with diabetes: a randomized clinical trial. Rev Gaúcha Enferm. 2023;44:e20230051. https://doi.org/10.1590/19831447.2023.20230051.n
27. Nyadjeu P, Nguelefack-Mbuyo EP, Atsamo AD, Nguelefack TB, Dongmo AB, Kamanyi A. Acute and chronic antihypertensive effects of Cinnamomum zeylanicum stem bark methanol extract in L-NAME-induced hypertensive rats. BMC Complement Altern Med. 2013;13:27. https://doi.org/10.1186/1472-6882-13-27
28. Das G, Gonçalves S, Heredia JB, Romano A, Jiménez-Ortega LA, Gutiérrez-Grijalva EP, et al. Cardiovascular protective effect of cinnamon and its major bioactive constituents: an update. J Funct Foods. 2022;97:105045. https://doi.org/10.1016/j.jff.2022.105045
29. Fang YZ, Yang S, Wu G. Free radicals, antioxidants, and nutrition. Nutrition. 2002;18(10):872–9. https://doi.org/10.1016/s0899-9007(02)00916-4
30. Shahid MZ, Butt MS, Sultan MT, Shahid M, Minhas R, Ranjha MMAN. Antioxidant capacity of cinnamon extract for palm oil stability. Lipids Health Dis. 2018;17:1–8. https://doi.org/10.1186/s12944-018-0756-y
31. Munteanu IG, Apetrei C. Analytical methods used in determining antioxidant activity: a review. Int J Mol Sci. 2021;22(7):3380. https://doi.org/10.3390/ijms22073380
32. Isik B, Aydin F, Yilmaz N, Daglioglu N, Yildirim B, Altinkaya SO, et al. Protective effect of cinnamon extract against cobalt-induced multiple organ damage in rats. Front Pharmacol. 2024;15:1384181. https://doi.org/10.3389/fphar.2024.1384181
33. Farina M, Aschner M. Glutathione antioxidant system and methylmercury-induced neurotoxicity: an intriguing interplay. Biochim Biophys Acta Gen Subj. 2019;1863(12):129285. https://doi.org/10.1016/j.bbagen.2019.01.007
34. Pagliari S, Petrillo F, Pacioni G, Viscogliosi G, Modesti A, Pinto A, et al. Antioxidant and anti-inflammatory effect of cinnamon (Cinnamomum verum J. Presl) bark extract after in vitro digestion simulation. Foods. 2023;12(3):452. https://doi.org/10.3390/foods12030452
35. Khedkar S, Khan MA. Aqueous extract of cinnamon (Cinnamomum spp.): role in cancer and inflammation. Evid Based Complement Alternat Med. 2023;2023:5467342. https://doi.org/10.1155/2023/5467342
36. Ghodeshwar GK, Dube A, Khobragade D. Impact of lifestyle modifications on cardiovascular health: a narrative review. Cureus. 2023;15(7):e42616. https://doi.org/10.7759/cureus.42616
37. Inoue Y, Akimoto T, Matsuoka Y, Fukunaga M, Tanaka M, Nakagawa T, et al. Pathophysiology and probable etiology of cerebral small vessel disease in vascular dementia and Alzheimer’s disease. Mol Neurodegener. 2023;18(1):46. https://doi.org/10.1186/s13024-023-00640-5
38. Sayed UFSM, Ghori SS, Choudhury SM, Bhatia S, Swamy KV, Patel K, et al. Natural products as novel anti-obesity agents: insights into mechanisms of action and potential for therapeutic management. Front Pharmacol.2023;14:1182937. https://doi.org/10.3389/fphar.2023.1182937
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Copyright (c) 2025 Eveline Costeira Bálsamo , Luiggi Muller Madalosso, Hecson Jesser Segat, Silvana Peterini Boeira

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