Luo Jincan, Luo Jinhai, Fang Zhonghao, Fu Yu, Xu Baojun Bruce
National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Guangzhou National Laboratory, International Bio-Island, Guangzhou, China.
Phytother Res. 2025 Sep;39(9):4199-4229. doi: 10.1002/ptr.8367. Epub 2025 Aug 6.
The increasing prevalence of inflammatory diseases in the respiratory tract worldwide has raised concerns, and due to its high prevalence and poor prognosis, it remains a clinical focus and research hotspot. These inflammatory diseases include airway inflammation, asthma, bacterial antigens-induced tonsil epithelial inflammation, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), COVID-19, acute lung injury, and lung cancer. This review summarizes the relevant molecular mechanisms of inflammatory diseases in the respiratory tract and the progress of natural bioactive components in inflammatory diseases in the respiratory tract. The natural bioactive components have good therapeutic or intervention effects on inflammatory airway diseases in vitro, in vivo, and in clinical trials. The information on inflammatory diseases in the respiratory tract and natural bioactive ingredients in anti-inflammatory diseases were collected from famous literature databases such as Web of Science, PubMed, and Google Scholar, with keywords including bioactive components, inflammatory diseases, respiratory tract, and so forth. The bioactive phytochemicals, such as curcumin, ginsenoside, safranal, melatonin, could improve inflammatory diseases through the regulation of PI3K/Akt, NF-κB, NRF2/HO-1, MAPK, cAMP-PKA, and MEK/ERK Signaling pathways. Further high-quality studies are still needed to firmly establish the clinical efficacy of bioactive ingredients. This review provides new insight for future research on functional food or drug-lead compound development on natural products improving inflammatory diseases in the respiratory tract.
全球呼吸道炎症性疾病的患病率不断上升,引发了人们的关注。由于其高患病率和不良预后,它仍然是临床关注的焦点和研究热点。这些炎症性疾病包括气道炎症、哮喘、细菌抗原诱导的扁桃体上皮炎症、慢性阻塞性肺疾病(COPD)、囊性纤维化(CF)、COVID-19、急性肺损伤和肺癌。本综述总结了呼吸道炎症性疾病的相关分子机制以及天然生物活性成分在呼吸道炎症性疾病中的研究进展。天然生物活性成分在体外、体内和临床试验中对炎症性气道疾病具有良好的治疗或干预作用。从Web of Science、PubMed和Google Scholar等著名文献数据库中收集了有关呼吸道炎症性疾病和抗炎疾病中天然生物活性成分的信息,关键词包括生物活性成分、炎症性疾病、呼吸道等。姜黄素、人参皂苷、藏红花醛、褪黑素等生物活性植物化学物质可通过调节PI3K/Akt、NF-κB、NRF2/HO-1、MAPK、cAMP-PKA和MEK/ERK信号通路来改善炎症性疾病。仍需要进一步的高质量研究来确定生物活性成分的临床疗效。本综述为未来关于功能性食品或天然产物改善呼吸道炎症性疾病的药物先导化合物开发的研究提供了新的见解。