RT Journal Article SR Electronic T1 Targeting Foam Cell Formation in Atherosclerosis: Therapeutic Potential of Natural Products JF Pharmacological Reviews JO Pharmacol Rev FD American Society for Pharmacology and Experimental Therapeutics SP 596 OP 670 DO 10.1124/pr.118.017178 VO 71 IS 4 A1 Dongdong Wang A1 Yang Yang A1 Yingnan Lei A1 Nikolay T. Tzvetkov A1 Xingde Liu A1 Andy Wai Kan Yeung A1 Suowen Xu A1 Atanas G. Atanasov A2 Qiang Ma YR 2019 UL http://pharmrev.aspetjournals.org/content/71/4/596.abstract AB Foam cell formation and further accumulation in the subendothelial space of the vascular wall is a hallmark of atherosclerotic lesions. Targeting foam cell formation in the atherosclerotic lesions can be a promising approach to treat and prevent atherosclerosis. The formation of foam cells is determined by the balanced effects of three major interrelated biologic processes, including lipid uptake, cholesterol esterification, and cholesterol efflux. Natural products are a promising source for new lead structures. Multiple natural products and pharmaceutical agents can inhibit foam cell formation and thus exhibit antiatherosclerotic capacity by suppressing lipid uptake, cholesterol esterification, and/or promoting cholesterol ester hydrolysis and cholesterol efflux. This review summarizes recent findings on these three biologic processes and natural products with demonstrated potential to target such processes. Discussed also are potential future directions for studying the mechanisms of foam cell formation and the development of foam cell-targeted therapeutic strategies.