Tier 4 — mechanistic

Berberine signature and cardiometabolic diseases using randomized controlled trial, cohort study and Mendelian randomization

Zhao JV, Sarsani V, Chen B, Yun H, Hu J, Liang L
NPJ cardiovascular health 2026 3(1):15

Bibliography

PubMed
PMID 41882153
PubMed Central
PMC13018313
Trial registry
View on ClinicalTrials.gov Registered trial — results not yet published in a peer-reviewed journal.
Funding
Reported funding sources: https://doi.org/10.13039/501100005847Health and Medical Research Fund. Grant and funder-role details are in the publication.
Competing interests
A complete competing-interest declaration was not available in the accessible source; no absence of conflicts is inferred.

Study snapshot

DesignTrial-signature, cohort and Mendelian-randomization analysis
ModelHuman trial-derived proteomic/hormonal signature, cohort data and genetic summary data
SampleTrial-derived signature plus UK Biobank and genetic datasets
InterventionProteomic/hormonal response signature; observational and Mendelian-randomization analyses
DurationSecondary analysis; not a new long-term berberine intervention
EndpointsCardiac or vascular outcomes; Inflammatory biomarkers; Adverse events

What the study showed, in plain terms

A signature derived from berberine response was associated with cardiometabolic disease risk in observational and genetic analyses.

Key findings

  • A signature derived from berberine response was associated with cardiometabolic disease risk in observational and genetic analyses.

What this study can and cannot tell us

A response signature is not the same intervention as swallowing berberine. Shared parent trial NCT03770325; no randomized heart-attack or diabetes-prevention outcome.

Editorial review

Reviewed by the Biohack Blueprint research team

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