Review Article

Immunomodulation of Autoimmune Arthritis by Herbal CAM

Table 1

Mechanisms of immunomodulation by herbal products.

HerbsOriginReference

(A) Cellular and humoral responses

(A.1) Effect on T cell response (T cell activation, T cell proliferation, ratio of CD 4/CD8 cells, etc.)
Pterodon pubescensBrazil[45]
Chrysanthemum indicum, Fumigant I , Huo-Luo-Xiao-Ling Dan , Litsea coreana, Radix Linderae, Tripterygium wilfordii China[34, 4652]
Dai-bofu-to , Stephania tetrandra Japan[53, 54]
Centella asiatica Southeastern Asia/China[55]

(A.2) Induction/expansion of regulatory T cells
Chelidonium majusKorea[56]
Triptolide (Tripterygium wilfordii)China[57]

(A.3) Change in antibody/B cell response
Pterodon pubescensBrazil[45]
Camellia sinensis, Curcumin, Celastrus aculeatus, Huo-Luo-Xiao-Ling-Dan , Pomegranate extract, Radix Linderae China, Korea [33, 34, 50, 5861]
Stephania tetrandraJapan [54]
Barrington racemosaIndia[62]
Centella asiaticaSoutheastern Asia/China [55]
Taxus brevifolia, Fumagillin analogue North America[63, 64]

(B) Cytokine response/balance

(B.1) Affecting major cytokines produced by macrophages/antigen-presenting cells (TNF-α, IL-1, IL-6, etc.) and/or deviation of the response to Th2 type
Nyctanthes arbor-tristis, Swertia chirayitaIndia [65, 66]
Zingiber officinaleIndia/China [67]
Boswellia carterii, Camellia sinensis, Cherries , Fumigant I , Curcumin, Huo Luo-Xiao-Ling-Dan , Litsea coreana, Paeonia lactiflora, Plectranthus amboinicus, Pomegranate extract, Sinomenium acutum, QFGJS , Tripterygium wilfordii, Turpinia Arguta China, Korea, India [4749, 51, 52, 5961, 6875]
Chelidonium majus, PG201, Ulmus davidiana Korea[56, 76, 77]

(B.2) Inhibiting the pathogenic cytokine IL-17 and related cytokines
Camellia sinensis, Huo-Luo-Xiao-Ling-Dan , Tripterygium wilfordii China[33, 34, 52, 59]

(C) Cellular migration into the target organ

(C.1) Affecting the expression of chemokines and adhesion molecules in the blood vessels or joint tissues
Fumigant I China[49]

(C.2) Altering the migration of leukocytes into the tissues-monocytes, macrophages, neutrophils, lymphocytes, etc.
Curcuma longaIndia/China[78, 79]
Pterodon pubescensBrazil[45]
Camellia sinensisChina[59]
Centella asiaticaSoutheastern Asia/China[55]

(D) Mechanism of action not yet determined

Bai jiang cao , Duhuo , Sanqui , Yan hu suo China[80]
Chlorophytum borivilianum, Ocimum sanctumIndia[81, 82]
Shu-Jing-Huo-Xue-Tang Japan[83]

The mechanisms of immunomodulation by herbs were studied using various experimental rodent models of human rheumatoid arthritis, for example, adjuvant arthritis (AA), Collagen-induced arthritis (CIA), and streptococcal cell wall-induced arthritis (SCWIA).
CD: Cluster of differentiation; IL: Interleukin; TNF-α: Tumor-necrosis factor-alpha.
Herbal mixtures.