State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau, China.
State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau, China; PU-UM Innovative Institute of Chinese Medical Sciences, Guangdong-Macau Traditional Chinese Medicine Technology Industrial Park Development Co., Ltd, Hengqin New Area, Zhuhai, China; College of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
J Ethnopharmacol. 2020 Aug 10;258:112895. doi: 10.1016/j.jep.2020.112895. Epub 2020 Apr 21.
Astragali Radix (AR, Huangqi in Chinese), the dried root of Astragalus membranaceus (Fisch.) Bge. var. mongholicus (Bge.) Hsiao or A. membranaceus (Fisch.) Bge., possesses diverse therapeutic effects against fatigue, dyspepsia, diarrhea, heart diseases, hepatitis, and anemia. In recent years, increasing evidence has indicated the multiple immunomodulatory activities of AR in preclinical and clinical studies.
This review attempts to elaborate the immunomodulatory effects of AR and its potential application in the treatment of immune related diseases.
A comprehensive literature search AR was carried out using multiple internationally recognized databases (including Web of Science, Google Scholar, PubMed, ScienceDirect, Wiley, ACS, Springer, Taylor & Francis, and CNKI).
The immunomodulatory effects of AR are closely attributed to its active constituents such as polysaccharides, saponins, and flavonoids. We also demonstrate that AR can be used as a potential therapeutic intervention for immune related diseases through regulating immune organs, mucosal immune, and immune system (innate immunity and acquired immunity).
AR promotes the development of immune organs, enhances mucosal immune function, increases the quantity and phagocytic capacity of innate immunity, promotes the maturation and differentiation of acquired immunity cells, and improves the expression of antibodies in acquired immunity. We believe that AR has a broad research space in the adjuvant treatment of immune related diseases, which could be a breakthrough point to improve the application value of AR.
黄芪(AR,中文称黄芪),是膜荚黄芪(Fisch.)Bge. var.蒙古黄芪(Bge.)Hsiao 或膜荚黄芪(Fisch.)Bge.的干燥根,具有抗疲劳、消化不良、腹泻、心脏病、肝炎和贫血等多种治疗作用。近年来,越来越多的证据表明 AR 在临床前和临床研究中具有多种免疫调节作用。
本综述试图阐述 AR 的免疫调节作用及其在治疗免疫相关疾病中的潜在应用。
通过多个国际认可的数据库(包括 Web of Science、Google Scholar、PubMed、ScienceDirect、Wiley、ACS、Springer、Taylor & Francis 和中国知网(CNKI))对 AR 进行了全面的文献检索。
AR 的免疫调节作用与其活性成分如多糖、皂苷和黄酮类化合物密切相关。我们还表明,AR 可以通过调节免疫器官、黏膜免疫和免疫系统(先天免疫和获得性免疫)来用作治疗免疫相关疾病的潜在治疗干预措施。
AR 促进免疫器官的发育,增强黏膜免疫功能,增加先天免疫的数量和吞噬能力,促进获得性免疫细胞的成熟和分化,提高获得性免疫中的抗体表达。我们相信 AR 在免疫相关疾病的辅助治疗中有广阔的研究空间,这可能是提高 AR 应用价值的一个突破点。