Planta Med
DOI: 10.1055/a-2815-8173
Reviews

The Potential of Passiflora Species in the Treatment of Cardiovascular Diseases: Phytochemical, Pharmacological, and Therapeutic Perspectives

Authors


The authors would like to thank the Universidad Nacional de Colombia for its academic and institutional support. This work was financially supported by the Ministry of Science, Technology, and Innovation of Colombia (MinCiencias) through Grant No. 727 of 2015 (Code 40174), which made the development of this project possible.

Abstract

Cardiovascular diseases (CVDs) remain a major global health challenge, underscoring the need for novel, accessible, and effective therapeutic strategies. This review critically evaluates the phytochemical composition and cardioprotective potential of the Passiflora species, summarizes the mechanisms of action of their principal bioactive compounds, and identifies key research gaps hindering clinical translation. With over 500 species distributed worldwide, many Passiflora plants are traditionally used in herbal medicine. Preclinical evidence suggests that compounds such as phenolics, alkaloids, and triterpenoid saponins exert cardioprotective effects through antioxidant and anti-inflammatory activities, vasodilation, blood pressure regulation, endothelial function improvement, and autonomic nervous system modulation. However, these findings are largely based on a limited number of species, often using non-standardized extracts, and lack comprehensive structure–activity relationship (SAR) analyses and clinical validation. Endemic Passiflora species remain underexplored, despite their potential to yield novel compounds with enhanced bioactivity. This review emphasizes the need for extract standardization, robust pharmacokinetic studies, and the integration of omics technologies and molecular modeling to accelerate compound discovery and development. Overall, Passiflora species contain promising bioactive molecules with significant in vitro and in vivo cardioprotective effects. Nonetheless, rigorous and standardized research, including clinical trials, is essential to fully assess their therapeutic value and support their integration into evidence-based cardiovascular care.



Publication History

Received: 21 July 2025

Accepted after revision: 16 February 2026

Accepted Manuscript online:
17 February 2026

Article published online:
05 March 2026

© 2026. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Dhawan K, Dhawan S, Sharma A. Passiflora: A review update. J Ethnopharmacol 2004; 94: 1-23
  • 2 Casierra-Posada F, Jarma-Orozco A. Nutritional Composition of Passiflora Species. In: Simmonds MSJ, Preedy VR, editors Nutritional Composition of Fruit Cultivars. London: Elsevier; 2015: 517-534
  • 3 Pereira ZC, Cruz JMDA, Corrêa RF, Sanches EA, Campelo PH, Bezerra JA. Passion fruit (Passiflora spp.) pulp: A review on bioactive properties, health benefits and technological potential. Food Res Int 2023; 166: 112626
  • 4 Ramesh S, Mahendran D, Kalimuthu A, Ravi M. The active compounds of Passiflora spp and their potential medicinal uses from both in vitro and in vivo evidences. J Adv Biomed & Pharm Sci 2021; 4: 45-55
  • 5 Corrêa RCG, Peralta RM, Haminiuk CWI, Maciel G, Bracht A, Ferreira I. The past decade findings related with nutritional composition, bioactive molecules and biotechnological applications of Passiflora spp. (passion fruit). Trends Food Sci Technol 2016; 58: 79-95
  • 6 Ichimura T, Yamanaka A, Ichiba T, Toyokawa T, Kamada Y, Tamamura T, Maruyama S. Antihypertensive effect of an extract of Passiflora edulis rind in spontaneously hypertensive rats. Biosci Biotechnol Biochem 2006; 70: 718-721
  • 7 Konta EM, Almeida MR, do Amaral CL, Darin JDC, De Rosso VV, Mercadante AZ, Antunes LMG, Bianchi MLP. Evaluation of the antihypertensive properties of yellow passion fruit pulp (Passiflora edulis sims f. flavicarpa Deg.) in spontaneously hypertensive rats. Phytother 2014; 28: 28-32
  • 8 Rodríguez AAJ, Arteaga JJM, Arango WM, Guerrero MF. Vasodilator effect of ethanolic extracts of Passiflora vitifolia and Passiflora edulis f. edulis seeds. J Appl Pharm Sci 2021; 11: 061-069
  • 9 Rojas J, Ronceros S, Palomino R, Salas M, Azañero R, Cruz H, Rojas A, Asmat J, Tam J. Efecto coadyuvante del extracto liofilizado de Passiflora edulis (maracuyá) en la reducción de la presión arterial en pacientes tratados con enalapril. An Fac Med 2009; 70: 103-108
  • 10 Bareño LL, Puebla P, Montero MJ, Sevilla MA, Guerrero MF, San Feliciano A. Phytochemical analysis of Passiflora quadrangularis L. and its potential role in hypertension and cardiac remodeling. J Pharm Pharmacogn Res 2025; 13: 1649-1677
  • 11 Bareño LL, Puebla P, Guerra CM, San Feliciano A, Isaza G, Guerrero MF. Passiflora quadrangularis L. prevents experimental hypertension and vascular remodelling in rats exposed to nitric oxide deficit. Vitae 2017; 24: 186-195
  • 12 Cabral B, Gonçalves T, Abreu L, Andrade AWL, de Azevedo FLA, de Castro FD, Tavares JF, Guerra GCB, de Rezend AA, de Medeiros IA, Zucolotto SM. Cardiovascular effects induced by fruit peels from Passiflora edulis in hypertensive rats and fingerprint analysis by HPLC-ESI-MSn spectrometry. Planta Med 2022; 88: 356-366
  • 13 Patel SS, Verma NK, Shrestha B, Gauthaman K. Antihypertensive effect of methanolic extract of Passiflora nepalensis . Rev Bras Farmacogn 2011; 21: 187-189
  • 14 Purnawan Candra K, Sulika, Rachmawati M, Rahmadi A, Rohmah M, Ramdan IM, Yuliani. The effect of Passiflora foetida L. leaves decoction on blood pressure profile and its correlation with the demographics of hypertensive patients. Trad Integr Med 2022; 8: 32-39
  • 15 Miroddi M, Calapai G, Navarra M, Minciullo PL, Gangemi S. Passiflora incarnata L.: Ethnopharmacology, clinical application, safety and evaluation of clinical trials. J Ethnopharmacol 2013; 150: 791-804
  • 16 Megan L, Nicole D, Henry D, Valentin F, Catherine OJ, Kate EL, George AM, Christian R, Justine VT, Benjamin S, Gregory AR. Global burden of cardiovascular diseases and risks collaboration, 1990–2021. J Am Coll Cardiol 2022; 80: 2372-2425
  • 17 Di Cesare M, McGhie DV, Perel P, Mwangi J, Taylor S, Pervan B, Kabudula C, Narula J, Bixby H, Pineiro D, Gaziano TA, Pinto FJ. The heart of the world. Glob Heart 2024; 19: 1-13
  • 18 Shaito A, Thuan DTB, Phu HT, Nguyen THD, Hasan H, Halabi S, Abdelhady S, Nasrallah GK, Eid AH, Pintus G. Herbal medicine for cardiovascular diseases: Efficacy, mechanisms, and safety. Front Pharmacol 2020; 11: 1-32
  • 19 Higashi Y. Roles of oxidative stress and inflammation in vascular endothelial dysfunction-related disease. Antioxidants 2022; 11: 1958
  • 20 Faulx MD, Francis GS. Adverse drug reactions in patients with cardiovascular disease. Curr Probl Cardiol 2008; 33: 703-768
  • 21 Gholami K, Ziaie S, Shalviri G. Adverse drug reactions induced by cardiovascular drugs in outpatients. Pharm Pract 2008; 6: 51-55
  • 22 He X, Luan F, Yang Y, Wang Z, Zhao Z, Fang J, Wang M, Zuo M, Li Y. Passiflora edulis: An insight into current researches in phytochemistry and pharmacology. Front Pharmacol 2020; 11: 617
  • 23 Angel-Isaza J, Carmona-Hernandez JC, Narváez-Solarte W, Gonzalez-Correa CH. Polyphenols from Passiflora ligularis regulate inflammatory markers and weight gain. Biomol Concepts 2021; 12: 36-45
  • 24 Wang C, Xu FQ, Shang JH, Xiao H, Fan W, Dong F, Hu J, Zhou J. Cycloartane triterpenoid saponins from water soluble of Passiflora edulis Sims and their antidepressant-like effects. J Ethnopharmacol 2013; 148: 812-817
  • 25 Nikolova K, Velikova M, Gentscheva G, Gerasimova A, Slavov P, Harbaliev N, Makedonski L, Buhalova D, Petkova N, Gavrilova A. Chemical compositions, pharmacological properties and medicinal effects of genus Passiflora L. A review 2024. Plants 2024; 13: 228
  • 26 Avula B, Wang YH, Rumalla C, Smillie T, Khan I. Simultaneous determination of alkaloids and flavonoids from aerial parts of Passiflora species and dietary supplements using UPLC-UV-MS and HPTLC. Nat Prod Commun 2012; 7: 1177-1180
  • 27 da Fonseca LR, Rodrigues RA, Ramos AS, da Cruz J, Ferreira J, Silva J, Amaral A. Herbal medicinal products from Passiflora for anxiety: An unexploited potential. Sci World J 2020; 2020: 1-20
  • 28 Ocampo J. Diversidad y distribución de las passifloraceae en el departamento del huila en Colombia. Acta Biolo Colomb 2013; 18: 511-516
  • 29 Yoshikawa K, Katsuta S, Mizumori J, Arihara S. Four cycloartane triterpenoids and six related saponins from Passiflora edulis . J Nat Prod 2000; 63: 1229-1234
  • 30 Fonseca AM, Geraldi MV, Junior MR, Silvestre AJ, Rocha SM. Purple passion fruit (Passiflora edulis f. edulis): A comprehensive review on the nutritional value, phytochemical profile and associated health effects. Food Res Int 2022; 160: 111665
  • 31 Patel SS, Verma NK, Gauthaman K. Passiflora Incarnata Linn: A review on morphology, phytochemistry and pharmacological aspects. Phcog Rev 2009; 3: 186-192
  • 32 El-Askary HI, Haggag MY, Abou-Hussein DR, Hussein SM, Sleem AA. Bioactivity-guided study of Passiflora caerulea L. leaf extracts. Iran J Pharm Res 2017; 16: 46-57
  • 33 Lim TK. Passiflora quadrangularis . In: Edible Medicinal and Non-Medicinal Plants. Dordrecht: Springer Netherlands; 2012: 181-186
  • 34 Rodríguez A, Sutachan J, Villarreal W, Costa W, Acero E, Ballesteros R, Albarracín S. Sub-acute toxicity evaluation of aqueous leaf extract from Passiflora edulis Sims f. edulis (Gulupa) in Wistar rats. Toxicol Rep 2023; 11: 396-404
  • 35 Chiavaroli A, Di Simone SC, Sinan KI, Ciferri M, Angeles G, Zengin G, Etienne O, Ak G, Mahomoodally M, Jugreet S, Jekő J, Recinella L, Brunetti L, Leone S, Angelini P, Venanzoni R, Menghini L, Ferrante C, Orlando G. Pharmacological properties and chemical profiles of Passiflora foetida L. extracts: Novel insights for pharmaceuticals and nutraceuticals. Processes 2020; 8: 1034
  • 36 Ribeiro DA, Oliveira LGS, Macêdo DG, Menezes IRA, Costa JG, Silva MAP, Lacerda SR, Souza MMA. Promising medicinal plants for bioprospection in a Cerrado area of Chapada do Araripe, Northeastern Brazil. J Ethnopharmacol 2014; 155: 1522-1533
  • 37 Barbosa Santos T, de Araujo FP, Neto AF, Freitas ST, de Souza Araújo J, Olveira Vilar SB, Brito Araújo AJ, Lima MS. Phytochemical compounds and antioxidant activity of the pulp of two brazilian passion fruit species: Passiflora Cincinnata Mast. and Passiflora Edulis Sims. Int J Fruit Sci 2021; 21: 255-269
  • 38 Kaikade AR, Gunjarkar SB, Gurunani SG, Pandel T, Sherekar S, Kaikade P, Mehare S, Parate M, Jaiswal S, Dhawale Y, Mohare V. Phyto-pharmacognostic review on Passiflora species. J Med Plants Stud 2023; 11: 35-50
  • 39 Rashed K. Phytochemical and biological effects of Passiflora foetida: A review. SAJAS 2021; 1: 106-108
  • 40 de Oliveira Júnior RG, Reis SAGB, de Oliveira AP, Ferraz CAA, Rolim LA, Lopes NP, Rocha JM, El Aouad N, Kritsanida M, Almeida JRGDS. Photoprotective potential of Passiflora Cincinnata mast. (Passifloraceae) hydro-alcoholic extracts. Chem Biodivers 2024; 21: 1-8
  • 41 Costa GM, Gazola AC, Madóglio FA, Zucolotto SM, Reginatto FH, Castellanos L, Ramos FA, Duque C, Schenkel LP. Vitexin derivatives as chemical markers in the differentiation of the closely related species Passiflora alata Curtis and Passiflora quadrangularis Linn. J Liq Chromatogr Relat Technol 2013; 36: 1697-1707
  • 42 Sakalem ME, Negri G, Tabach R. Chemical composition of hydroethanolic extracts from five species of the Passiflora genus. Rev Bras Farmacogn 2012; 22: 1219-1232
  • 43 Giambanelli E, Gómez-Caravaca AM, Ruiz-Torralba A, Guerra-Hernández EJ, Figueroa-Hurtado JG, García-Villanova B, Verardo V. New advances in the determination of free and bound phenolic compounds of banana passion fruit pulp (Passiflora tripartita, var. Mollissima (Kunth) L.H. Bailey) and their in vitro antioxidant and hypoglycemic capacities. Antioxidants 2020; 9: 628
  • 44 Zucolotto SM, Fagundes C, Reginatto FH, Ramos F, Castellanos L, Duque C, Schenkel EP. Analysis of C-glycosyl flavonoids from South American Passiflora species by HPLC-DAD and HPLC-MS. Phytochem Anal 2012; 23: 232-239
  • 45 Urrego N, Sepúlveda P, Aragón M, Ramos F, Costa G, Ospina L, Castellanos L. Flavonoids and saponins from Passiflora edulis f. edulis leaves (purple passion fruit) and its potential anti-inflammatory activity. J Pharm Pharmacol 2021; 73: 1530-1538
  • 46 Li H, Zhou P, Yang Q, Shen Y, Deng J, Li L, Zhao D. Comparative studies on anxiolytic activities and flavonoid compositions of Passiflora edulis “edulis” and Passiflora edulis “flavicarpa” . J Ethnopharmacol 2011; 133: 1085-1090
  • 47 Doyama JT, Rodrigues HG, Novelli ELB, Cereda E, Vilegas W. Chemical investigation and effects of the tea of Passiflora alata on biochemical parameters in rats. J Ethnopharmacol 2005; 96: 371-374
  • 48 Rehwald A, Meier B, Sticher O. Qualitative and quantitative reversed-phase high-performance liquid chromatography of flavonoids in Passiflora incarnata L. Pharm Acta Helv 1994; 69: 153-158
  • 49 Geiger H, Markham KR. The C-glycosylflavone pattern of Passiflora incamata L. Z Naturforsch 1986; 41: 949-950
  • 50 Rahman K, Krenn L, Kopp B, Schubert-Zsilavecz M, Mayer K, Kubelka W. Isoscoparin-2"-O-glucoside From Passiflora Incarnata . Phytochemistry 1997; 45: 1093-1094
  • 51 Seetharaman P, Gnanasekar S, Chandrasekaran R, Kadarkara M, Sivaperumal S. Isolation and characterization of anticancer flavone chrysin (5, 7-dihydroxy flavone)-producing endophytic fungi from Passiflora incarnata L. leaves. Ann Microbiol 2017; 67: 321-331
  • 52 Echeverry González SM, Santos AM, Júnior CCS, Saravanan S, Castellanos L, Serafini M, Aragon M. Natural therapies: a systematic review of the medicinal applications of Passiflora ligularis . Phytochem Rev 2025; 24: 5685-5700
  • 53 Carmona-Hernandez JC, Taborda-Ocampo G, Valdez JC, Bolling B, González-Correa CH. Polyphenol extracts from three Colombian Passifloras (passion fruits) prevent inflammation-induced barrier dysfunction of Caco-2 cells. Molecules 2019; 24: 4614
  • 54 Yoshikawa K, Katsuta S, Mizumori J, Arihara S. New cycloartane triterpenoids from Passiflora edulis . J Nat Prod 2000; 63: 1377-1380
  • 55 Yoshikawa K, Katsuta S, Mizumori J, Arihara S. Four Cycloartane Triterpenoids and Six Related Saponins from Passiflora edulis . J Nat Prod 2000; 63: 1229-1234
  • 56 Bombardelli E, Bonati A, Gabetta B, Martinelli E, Mustich G. Passiflorine, a new glycoside from Passiflora edulis . Phytochemistry 1975; 14: 2661-2665
  • 57 Bareño LL, Puebla P, San Feliciano A, Guerrero MF. Vascular mechanisms of monodesmosidic triterpene saponins isolated from Passiflora quadrangularis L. Vitae 2020; 27: 1-11
  • 58 Orsini F, Pelizzoni F, Verotta L. Quadranguloside, a cycloartane triterpene glycoside from Passiflora quadrangularis . Phytochemistry 1986; 25: 191-193
  • 59 Orsini F, Pelizzoni F, Ricca G, Verotta L. Triterpene glycosides related to quadranguloside from Passiflora quadrangularis . Phytochemistry 1987; 26: 1101-1105
  • 60 Monzón Daza G, Meneses Macías C, Forero AM, Rodríguez J, Aragón M, Jiménez C, Ramos F, Castellanos L. Identification of α-amylase and α-glucosidase inhibitors and ligularoside A, a new triterpenoid saponin from Passiflora ligularis Juss (Sweet Granadilla) leaves, by a nuclear magnetic resonance-based metabolomic study. J Agric Food Chem 2021; 69: 2919-2931
  • 61 Freire VF, Silva GR, Yariwake JH. Targeted-analysis of β-carboline alkaloids in passionfruit (“Maracujá”) by SBSE(PDMS)-LC/Flu and UHPLC-MS. J Braz Chem Soc 2018; 29: 775-781
  • 62 Chassagne D, Crouzet JC, Bayonove CL, Baumes R. Identification and quantification of passion fruit cyanogenic glycosides. J Agric Food Chem 1996; 44: 3817-3820
  • 63 Seigler DS, Pauli GF, Nahrstedt A, Rosemary L. Cyanogenic allosides and glucosides from Passiflora edulis and Carica papaya . Phytochemistry 2002; 60: 873-882
  • 64 Liu B, Yao Z, Song L, Sun C, Shen C, Cheng F, Cheng Z, Zhang R, Liu R. Vitexin alleviates lipid metabolism disorders and hepatic injury in obese mice through the PI3K/AKT/mTOR/SREBP-1c pathway. Eur J Med Chem 2025; 287: 117379
  • 65 Gao HL, Yu XJ, Hu HB, Yang QW, Liu KL, Chen YM, Zhang Y, Zhang DD, Tian H, Zhu GQ, Qi J, Kang YM. Apigenin improves hypertension and cardiac hypertrophy through modulating NADPH oxidase-dependent ROS generation and cytokines in hypothalamic paraventricular nucleus. Cardiovasc Toxicol 2021; 21: 721-736
  • 66 Antognoni F, Zheng S, Pagnucco C, Baraldi R, Poli F, Biondi S. Induction of flavonoid production by UV-B radiation in Passiflora quadrangularis callus cultures. Fitoterapia 2007; 78: 345-352
  • 67 Sukketsiri W, Daodee S, Parhira S, Malakul W, Tunsophon S, Sutthiwong N, Tanasawet S, Chonpathompikunlert P. Chemical characterization of Passiflora edulis extracts and their in vitro antioxidant, anti-inflammatory, anti-lipid activities, and ex-vivo vasodilation effect. J King Saud Univ Sci 2023; 35: 102431
  • 68 Rudnicki M, de Oliveira MR, da Veiga Pereira T, Reginatto FH, Dal-Pizzol F, Fonseca JC. Antioxidant and antiglycation properties of Passiflora alata and Passiflora edulis extracts. Food Chem 2007; 100: 719-724
  • 69 Figueiredo D, Colomeu TC, Schumacher NS, Stivanin-Silva L, Cazarin CB, Molina LM, Romani L, Prado MA, Zollner RL. Aqueous leaf extract of Passiflora alata Curtis promotes antioxidant and anti-inflammatory effects and consequently preservation of NOD mice beta cells (non-obese diabetic). Int Immunopharmacol 2016; 35: 127-136
  • 70 Sarto D, de Siqueira AHD, de Almeida Magalhaes FM, de Paula Caproni K, Martins AM, Santos GB, da Silva DB, Boas BM, Garcia J. Dry extract of Passiflora Incarnata L. leaves as a cardiac and hepatic oxidative stress protector in Ldlr-/-mice fed high-fat diet. Braz Arch Biol Technol 2018; 61: 1-10
  • 71 Sindhura L, Bobby MN. Phytochemical profiles, antioxidant, antimicrobial and cytotoxic cell lines activity of Passiflora caerulea L. Biomed Pharmacol J 2022; 15: 2365-2379
  • 72 da Costa Gomes A, Figueiredo CC, Granero FO, Junior J, Ximenes V, Silva L, Nicolau-Junior N, Gonçalves da Silva R. Antioxidant and antiglycation activities and inhibitory action of Passiflora cincinnata on collagenase, elastase and tyrosinase: In vitro and in silico study. Biocatal Agric Biotechnol 2022; 44: 102464
  • 73 Ribeiro DN, Alves FMS, dos Santos Ramos VH, Alves P, Narain N, Vedoy D, Cardozo-Filho L, de Jesus E. Extraction of passion fruit (Passiflora cincinnata Mast.) pulp oil using pressurized ethanol and ultrasound: Antioxidant activity and kinetics. J Supercrit Fluids 2020; 165: 104944
  • 74 Shanmugam S, Sivaraj D, Dos Santos Lima B, Dos Passos Menezes P, de Carvalho Y, de Souza Araújo AA, Narain N, Serafini M, Quintans-Júnior L, Scotti L, Scotti M, Parimelazhagan T. Polyphenols rich Passiflora leschenaultii leaves modulating farnesoid X receptor and pregnane X receptor against paracetamol-induced hepatotoxicity in rats. Biomed Pharmacother 2017; 88: 1114-1121
  • 75 Shanmugam S, Murugaiyan I, dos Santos Lima B, Serafini M, de Souza Araújo A, Narain N, Quintans-Júnior LJ, Thangaraj P. HPLC–DAD–MS identification of polyphenols from Passiflora leschenaultii and determination of their antioxidant, analgesic, anti-inflammatory and antipyretic properties. Arab J Chem 2019; 12: 760-771
  • 76 Maaliki D, Shaito AA, Pintus G, El-Yazbi A, Eid AH. Flavonoids in hypertension: A brief review of the underlying mechanisms. Curr Opin Pharmacol 2019; 45: 57-65
  • 77 Verma S, Khare P, Yadav G. Investigation of anti-inflammatory activity of Passiflora nepalensis against carrageenan induced inflammation in rats. Global J Pharmacol 2015; 9: 13-16
  • 78 Oršolić N, Nemrava J, Jeleč Ž, Kukolj M, Odeh D, Jakopović B, Jembrek M, Bagatin T, Fureš R, Bagatin D. Antioxidative and anti-inflammatory activities of chrysin and naringenin in a drug-induced bone loss model in rats. Int J Mol Sci 2022; 23: 2872
  • 79 Park JW, Kwon OK, Ryu HW, Paik JH, Paryanto I, Yuniato P, Choi S, Oh SR, Ahn KS. Anti-inflammatory effects of Passiflora foetida L. In LPS-stimulated RAW264.7 macrophages. Int J Mol Med 2018; 41: 3709-3716
  • 80 Maneesai P, Potue P, Khamseekaew J, Sangartit W, Rattanakanokchai S, Poasakate A, Pakdeechote P. Kaempferol protects against cardiovascular abnormalities induced by nitric oxide deficiency in rats by suppressing the TNF-α pathway. Eur J Pharmacol 2023; 960: 1-11
  • 81 Zhao CR, Yang FF, Cui Q, Wang D, Zhou Y, Li YS, Zhang YP, Tang RZ, Yao WJ, Wan X, Pang W, Zhao JN, Jiang ZT, Zhu JJ, Chien S, Zhou J. Vitexin inhibits APEX1 to counteract the flow-induced endothelial inflammation. PNAS 2021; 118: e2115158118
  • 82 Wang D, Zhang Y, Zhang C, Gao L, Li J. Piceatannol pretreatment alleviates acute cardiac injury via regulating PI3K-Akt-eNOS signaling in H9c2 cells. Biomed Pharmacother 2019; 109: 886-891
  • 83 Ameen AA, Al-Habib OAM. Vasorelaxant effect of vitexin, procyanidin B2 and isoquercetine on ratʼs aortic smooth muscle. Technium BioChemMed 2021; 2: 17-28
  • 84 Sano S, Sugiyama K, Ito T, Katano Y, Ishihata A. Identification of the strong vasorelaxing substance scirpusin B, a dimer of piceatannol, from passion fruit (Passiflora edulis) seeds. J Agric Food Chem 2011; 59: 6209-6213
  • 85 Huang J, Liu Y, Chen J, Lu X, Zhu W, Qin L, Xun Z, Zheng Q, Li E, Sun N, Xu C, Chen H. Harmine is an effective therapeutic small molecule for the treatment of cardiac hypertrophy. Acta Pharmacol Sin 2022; 43: 50-63
  • 86 Azubuike-Osu SO, Ohanenye IC, Jacob C, Ejike C, Udenigwe C. Beneficial role of vitexin and isovitexin flavonoids in the vascular endothelium and cardiovascular system. Current Nutraceuticals 2020; 2: 127-134
  • 87 Restrepo RA, Loango N, Moncada MV, Landazuri P. Angiotensin-converting enzyme inhibitory activity of Passiflora edulis f. flavicarpa and Petroselinum crispum (Mill) fuss. Br J Pharm Res 2013; 3: 776-785
  • 88 Lewis BJ, Herrlinger KA, Craig TA, Mehring-Franklin C, DeFreitas Z, Hinojosa-Laborde C. Antihypertensive effect of passion fruit peel extract and its major bioactive components following acute supplementation in spontaneously hypertensive rats. J Nutr Biochem 2013; 24: 1359-1366
  • 89 Thangarajan S, Ramachandran S, Krishnamurthy P. Chrysin exerts neuroprotective effects against 3-Nitropropionic acid induced behavioral despair–Mitochondrial dysfunction and striatal apoptosis via upregulating Bcl-2 gene and downregulating Bax–Bad genes in male wistar rats. Biomedicine and Pharmacotherapy 2016; 84: 514-525
  • 90 Günther M, Dabare S, Fuchs J, Gunesch S, Hofmann J, Decker M, Culmsee C. Flavonoid–phenolic acid hybrids are potent inhibitors of ferroptosis via attenuation of mitochondrial impairment. Antioxidants 2024; 13: 1-28
  • 91 Mthembu SXH, Muller CJF, Dludla PV, Madoroba E, Kappo A, Mazibuko-Mbeje S. Rooibos flavonoids, aspalathin, isoorientin, and orientin ameliorate antimycin a-induced mitochondrial dysfunction by improving mitochondrial bioenergetics in cultured skeletal muscle cells. Molecules 2021; 26: 1-15
  • 92 Rajasekar D, Akila G, Martin S. Hypoglycemic activity of Passiflora edulis Sims Leaf extract in wistar albino rats. Int Res J Pharm 2011; 2: 170-172
  • 93 Barbalho SM, Damasceno DC, Spada AP, Lima IE, Araújo AC, Guiguer EL, Martuchi KA, Oshiiwa M, Mendes CG. Effects of Passiflora edulis on the metabolic profile of diabetic wistar rat offspring. J Med Food 2011; 14: 1490-1495
  • 94 Angel-Isaza J, Carmona-Hernandez JC, González-Correa CH, Narváez-Solarte WV. Potential hypoglycemic and antilipidemic activity of polyphenols from Passiflora ligularis (Granadilla). Molecules 2023; 28: 1-12
  • 95 Richter-Laskowska M, Trybek P, Delfino DV, Wawrzkiewicz-Jałowiecka A. Flavonoids as modulators of potassium channels. Int J Mol Sci 2023; 24: 1311
  • 96 Hou X, Liu Y, Niu L, Cui L, Zhang M. Enhancement of voltage-gated K+ channels and depression of voltage-gated Ca2+ channels are involved in quercetin-induced vasorelaxation in rat coronary artery. Planta Med 2014; 80: 465-472
  • 97 Nishida S, Satoh H. Possible involvement of Ca2+ activated K+ channels, SK channel, in the quercetin-induced vasodilatation. Korean J Physiol Pharmacol 2009; 13: 361-365
  • 98 Xu YC, Leung SWS, Leung GPH, Man R. Kaempferol enhances endothelium-dependent relaxation in the porcine coronary artery through activation of large-conductance Ca2+ activated K + channels. Br J Pharmacol 2015; 172: 3003-3014
  • 99 Göttel C, Niesen S, Daub V, Werle T, Bakuradze T, Winterhalter P, Richling E. In vitro inhibition of phosphodiesterase 3b (Pde 3b) by anthocyanin-rich fruit juice extracts and selected anthocyanins. Int J Mol Sci 2020; 21: 1-18
  • 100 Kitada M, Ogura Y, Maruki-Uchida H, Sai M, Suzuki T, Kanasaki K, Hara Y, Seto H, Kuroshima Y, Monno I, Koya D. The effect of piceatannol from passion fruit (Passiflora edulis) seeds on metabolic health in humans. Nutrients 2017; 9: 1142
  • 101 Ramos AT, Auxiliadora M, Cunha L, Sabaa-Srur A, Cavalcanti V, Pires F, Aparecida M, Cardoso A, De M, Diniz FM, Campos C, Medeiros M. Uso de Passiflora edulis f. flavicarpa na redução do colesterol. Rev Bras Farmacogn 2007; 17: 592-597
  • 102 Harit MK, Mundhe N, Tamoli S, Pawar V, Bhapkar V, Kolhe G, Mahadik S, Kulkarni A. Randomized, double-blind, placebo-controlled, clinical study of Passiflora incarnata in participants with stress and sleep problems. Cureus 2024; 16: e56530
  • 103 Sesso HDJ, Gaziano M, Liu S, Buring JE. Flavonoid intake and the risk of cardiovascular disease in women. Am J Clin Nutr 2003; 77: 1400-1408
  • 104 Morand C, Dubray C, Milenkovic D, Lioger D, Martin JF, Scalbert A, Mazur A. Hesperidin contributes to the vascular protective effects of orange juice: A randomized crossover study in healthy volunteers. Am J Clin Nutr 2011; 93: 73-80
  • 105 Mensah GA, Roth GA, Fuster V. The global burden of cardiovascular diseases and risk factors: 2020 and beyond. J Am Coll Cardiol 2019; 74: 2529-2532
  • 106 Vaduganathan M, Mensah GA, Turco JV, Fuster V, Roth G. The global burden of cardiovascular diseases and risk: A compass for future health. J Am Coll Cardiol 2022; 80: 2361-2371
  • 107 Yusuf S, Joseph P, Rangarajan S, Islam S, Mente A, Hystad P, Brauer M, Kutty V, Gupta R, Wielgosz A, AlHabib K, Dans A, Lopez-Jaramillo P, Avezum A, Lanas F, Oguz A, Kruger LM, Diaz R, Yusoff K, Mony P, Chifamba J, Yeates K, Kelishadi R, Yusufali A, Khatib R, Rahman O, Zatonska K, Iqbal R, Wei L, Bo H, Rosengren A, Kaur M, Mohan V, Lear S, Teo K, Leong D, OʼDonnell M, McKee M, Dagenais G. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): A prospective cohort study. Lancet 2020; 395: 795-808
  • 108 Ami D, Davidovi-Ami D, Belo D, Rastija V, Lui B, Trinajsti N. SAR and QSAR of the Antioxidant Activity of Flavonoids. Curr Med Chem 2007; 14: 827-845
  • 109 Singh D. Chaudhuri Pk. Structural characteristics, bioavailability and cardioprotective potential of saponins. Integr Med Res 2018; 7: 33-43
  • 110 Castellano JM, Ramos-Romero S, Perona JS. Oleanolic Acid: Extraction, Characterization and Biological Activity. Nutrients 2022; 14: 623
  • 111 Zhang HW, Lv C, Zhang LJ, Guo X, Shen Y, Nagle D, Zhou Y, Liu S, Zhang W, Luan X. Application of omics- and multi-omics-based techniques for natural product target discovery. Biomed Pharmacother 2021; 141: 1-18
  • 112 Soulimani R, Younos C, Jarmouni S, Bousta D, Misslin R, Mortier F. Behavioural effects of Passiflora incarnata L. and its indole alkaloid and flavonoid derivatives and maltol in the mouse. J Ethnopharmacol 1997; 57: 11-20
  • 113 Michael HS, Mohammed NB, Ponnusamy S, Edward W. A folk medicine: Passiflora incarnata L. phytochemical profile with antioxidant potency. Turk J Pharm Sci 2022; 19: 287-292
  • 114 Rey DP, Echeverry SM, Valderrama IH, Rodríguez IA, Ospina LF, Mena FR, Aragón M. Antidiabetic effect of Passiflora ligularis leaves in high fat-diet/streptozotocin-induced diabetic mice. Nutrients 2024; 16: 1669
  • 115 Osorio C, Duque C, Fujimoto Y. Oxygenated monoterpenoids from badea (Passiflora quadrangularis) fruit pulp. Phytochemistry 2000; 53: 97-101
  • 116 Orsini F, Verotta L. Separation of natural polar substances by reversed-phase high-performance liquid chromatography, centrifugal thin-layer chromatography and droplet counter-current chromatography. J Chromatogr 1985; 349: 69-75
  • 117 Provensi G, Noël F, Lopes DVS, Fenner R, Betti A, Costa F, Morais E, Gosmann G, Kates S. Participation of GABA-benzodiazepine receptor complex in the anxiolytic effect of Passiflora alata curtis (Passifloraceae). Am J Pharm 2008; 27: 845-851
  • 118 Ingale AG, Hivrale AU. Pharmacological studies of Passiflora sp. and their bioactive compounds. Afr J Plant Sci 2010; 4: 417-426
  • 119 Jiménez AM, Sierra CA, Rodríguez-Pulido FJ, González-Miret ML, Heredia FJ, Osorio C. Physicochemical characterisation of gulupa (Passiflora edulis Sims. fo edulis) fruit from Colombia during the ripening. Food Res Int 2011; 44: 1912-1918
  • 120 Shi M, Ali MM, He Y, Ma S, Rizwan HM, Yang Q, Li B, Lin Z, Chen F. Flavonoids accumulation in fruit peel and expression profiling of related genes in purple (Passiflora edulis f. edulis) and yellow (Passiflora edulis f. flavicarpa) passion fruits. Plants 2021; 10: 2240
  • 121 Zucolotto S, Palermo J, Schenkel EP. Estudo fitoquímico das raízes de Passiflora edulis forma flavicarpa Degener. Acta Farm Bonaerense 2006; 1: 5-9
  • 122 Ramaiya SD, Lee HH, Xiao YJ, Shahbani N, Zakaria M, Bujang J. Organic cultivation practices enhanced antioxidant activities and secondary metabolites in giant granadilla (Passiflora quadrangularis L.). PLoS One 2021; 16: 1-17
  • 123 Herraiz T, González D, Ancín-Azpilicueta C, Arán V, Guillén H. β-Carboline alkaloids in Peganum harmala and inhibition of human monoamine oxidase (MAO). Food Chem Toxicol 2010; 48: 839-845