Apelin Receptor Signaling and Biased Agonism

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This paper identifies (-)-epicatechin as a biased ligand of the apelin receptor, supporting a receptor-mediated signaling mechanism that may help explain some of its vascular and metabolic effects.

eNOS Activation and Nitric Oxide Signaling Pathways

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This study found that (-)-epicatechin activates endothelial nitric oxide synthase and increases nitric oxide signaling in endothelial cells, helping define a plausible endothelial mechanism for vascular benefit.

Preeclampsia, Arginase, and Endothelial Protection

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This study examined nitric oxide biology and arginase activity in plasma and endothelial cells from women with preeclampsia. It found altered L-arginine/NO signaling and showed that (-)-epicatechin reduced arginase and superoxide-related activity in HUVECs.

Postprandial Fat Oxidation and Epicatechin

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This human study assessed short-term metabolic effects of an oral (-)-epicatechin supplement after meals, reporting changes in postprandial fat and carbohydrate handling in normal and overweight participants.

Flavanol Nutraceuticals and Nonalcoholic Liver Disease

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This article reviews and discusses basic and clinical evidence relevant to using a flavanol-based nutraceutical strategy for nonalcoholic liver disease, summarizing translational evidence rather than making a single-trial claim.