Unlocking the hidden health benefits of guggulsterone isolated from ancient spices: a comprehensive review

Xin Yang , Chunli Ge , Jiao Song , Dan Hu , Qingchu Tan , Runchun Xu , Ming Yang , Li Han , Qiyue Yang , Dingkun Zhang

Chinese Journal of Natural Medicines ›› 2026, Vol. 24 ›› Issue (2) : 145 -155.

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Chinese Journal of Natural Medicines ›› 2026, Vol. 24 ›› Issue (2) :145 -155. DOI: 10.1016/S1875-5364(26)61086-2
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Unlocking the hidden health benefits of guggulsterone isolated from ancient spices: a comprehensive review
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Abstract

Guggulsterone (GS) is a bioactive compound primarily extracted from the oleo-gum resin of plants in the Commiphora and Boswellia genera. Modern pharmacological studies have demonstrated that GS possesses a broad spectrum of biological activities, with notable therapeutic potential in inflammatory disorders, neurodegenerative conditions, diabetes mellitus, and various cancers. In this review, we systematically analyzed relevant literature published up to 2024 from the CNKI, Web of Science, ScienceDirect, and PubMed databases to summarize the current understanding of GS’s pharmacological effects, toxicity profile, and pharmacokinetic properties. The findings indicate that GS exerts potent antioxidant, anti-inflammatory, anticancer, antiviral, antidepressant, lipid-lowering, and cardiovascular protective effects, primarily through modulation of key signaling pathways such as the Janus kinase (JAK)-signal transducer and activator of transcription 3 (STAT3), nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1), Nrf2/Keap1, nuclear factor kappa-B (NF-κB), AMPK, phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt), and mitogen-activated protein kinase (MAPK)/activator protein-1 (AP-1). Additionally, GS may help overcome limitations associated with conventional chemotherapy by modulating drug resistance via regulation of p-glycoprotein activity. Following hepatic metabolism mediated by cytochrome P450 enzymes, GS does not appear to cause significant adverse effects. This review provides a comprehensive synthesis of the sources, pharmacological actions, safety, pharmacokinetics, and potential applications of GS. Future research should focus on structural modification of GS, development of novel formulations, and exploration of synergistic combinations with other therapeutic agents to broaden its clinical utility.

Keywords

Guggulsterone / Pharmacological activities / Pharmacokinetics / Toxicology

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Xin Yang, Chunli Ge, Jiao Song, Dan Hu, Qingchu Tan, Runchun Xu, Ming Yang, Li Han, Qiyue Yang, Dingkun Zhang. Unlocking the hidden health benefits of guggulsterone isolated from ancient spices: a comprehensive review. Chinese Journal of Natural Medicines, 2026, 24(2): 145-155 DOI:10.1016/S1875-5364(26)61086-2

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Funding

This work was supported by the National Natural Science Foundation of China (Nos. 81873232 and 82074026), and the Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine (No. ZYYCXTD-D-202209).

Supporting information

Supporting information for this work can be obtained by contacting the corresponding authors via E-mail.

Declaration of competing interest

The authors declare no competing financial interest.

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