Review Article

Effect of Active Ingredients of Chinese Herbal Medicine on the Rejuvenation of Healthy Aging: Focus on Stem Cells

Table 1

Small molecule compounds from Chinese medical herbs inducing stem cell differentiation.

Active ingredientsDifferentiated cellsStem cells or modelPathwaysEffectsReferences

Astragaloside IVEndothelial cell-like cellsRat mesenchymal stem cellsN/A1. Differentiated into endothelial cell-like cells and promoted tube formation in vitro
2. Upregulated the expression of Cx37, Cx40, and Cx43 and enhanced gap junctional intercellular communication (GJIC) function
[22]
Neuronal cellsRat neural stem cellsSonic hedgehog1. Differentiation into dopamine neurons
2. Promoted the expressions of Shh, Nurr1, and Ptx3 mRNAs
[14]

AstraisoflavanNeuronal cellsRat neural stem cellsSonic hedgehog1. Differentiation into dopamine neurons
2. Promoted the expressions of Shh, Nurr1, and Ptx3 mRNAs
[14]

AucubinNeuronal cellsRat neural stem cells and neural precursor cellsN/A1. Promoted lengthening and thickness of axons and remyelination at 3 weeks after sciatic nerve injury
2. Promoted differentiation of neural precursor cells into GABAergic neurons
[16, 17, 129]

BaicalinCardiomyocytesMurine embryonic stem cellsN/A1. Increased the proportion of a-actinin-positive cardiomyocytes
2. Upregulated cardiac specific genes a-MHC, MLC-2v, and ANP
[36]
Neuronal cellsNeural stem cells derived from the cortex of embryonic E15-16 SD ratsN/A1. Increased the percentages of mature neuronal marker MAP-2-positive staining cells and decreased glial marker GFAP staining cells
2. Downregulated the expression of p-stat3 and Hes1 but upregulated the expressions of NeuroD1 and Mash1
[13]
OsteoblastsN/AWnt/β-catenin signaling1. Increased significantly the osteoblastic mineralization levels of mRNAs encoding the bone differentiation markers OCN, OPN, and COL-1[54]

BavachalconeEndothelial cellsRat bone marrow mesenchymal stem cells and rat hindlimb ischemia modelRORα-erythropoietin-AMPK axis1. Promoted rat bone marrow-derived cells to differentiate into EPC significantly
2. Stimulated blood flow recovery in ischemic hindlimbs, increased circulating EPC, and promoted capillary neovascularization
[19]

BerberineOsteoblastsBone marrow-derived mesenchymal stem cellsWnt/β-catenin signalingPromoted osteogenic differentiation and osteogenic genes Runx2, OPN, and OCN expression[132]

CatalpolOsteoblastsBone marrow mesenchymal stem cellsWnt/β-catenin signaling1. Enhances the osteogenic differentiation
2. Significantly enhanced osteoblast-specific gene expression, alkaline phosphatase activity, and calcium deposition
[53]

CurcuminCardiomyocytesHuman embryonic stem cellsNO-cGMP signaling1. Promoted differentiation into cardiomyocytes
2. Significantly increased the gene expression and protein levels of NKX2.5, cTNI, MHCs, and eNOS
[96]

Ginkgolide BEndothelial progenitor cellsHuman bone marrowAkt/eNOS and p38 MAPK signaling1. Promoted proliferation and endothelial gene expression, significantly enhanced VEGF-induced migration response, and improved the vascular network composition of EPCs
2. Induced phosphorylation of eNOS, Akt, and p38
[20]
Neuronal cellsNeural stem cells derived from mouse subventricular zone (SVZ)Wnt/β-catenin1. Promoted neuronal differentiation
2. Increased the level of nuclear β-catenin and activated the Wnt pathway
[15]
OsteoblastsRat bone mesenchymal stem cells and MC3T3-E1 cellsWnt signaling1. Promotes osteoblast differentiation
2. Reduced OVX-induced bone loss by enhancing osteoblast activity
[51]

Ginsenoside Rb1/RECardiomyocytesHuman embryonic stem cellN/A1. Enhanced differentiation into cardiomyocytes
2. Upregulated Nkx2.5, Tbx5, MHC, and KCNE1 expression
[32]

Ginsenoside Rg1Neuronal cellsMouse embryonic stem cells and human adipose-derived stem cellsWnt/β-catenin pathway, MEK-ERK1/2, and PI3K-Akt signaling1. Promoted cell proliferation and neural phenotype differentiation
2. Upregulated the mRNA or protein expression of NSE, MAP-2, NEFM, NCAM, synapsin-1, and β-tubulin III
[4, 5]

Ginsenoside RH2 (S)OsteoblastsMC3T3-E1 cellsPKD/AMPK signaling1. Stimulated osteoblastic differentiation and mineralization
2. Enhanced the expression of Runx2, ALP, OCN, OPN, Osx, and ColI
[103]

icariinCardiomyocytesMouse embryonic stem cellsp38 MAPK pathway in early differentiation and NO-cGMP signaling1. Facilitated the directional differentiation of ES cells into cardiomyocytes
2. Elevated PGC-1-alpha, PPAR-alpha, and NRF-1 expression in early differentiation
3. Increased mRNA level of MHC, MLC-2v, α-actinin, and troponin T
[2931, 95, 102]
OsteoblastsRat bone mesenchymal stem cellsERα-Wnt/β-catenin signaling, RhoA-TAZ signaling, and AKT-eNOS-cGMP pathway1. Significantly enhanced osteogenic differentiation and increased ALP activity and Lef1, TCF7 DLX5, OPN, OCN, COLI, ERα, CXCR4, and HIF-1α expression
2. Upregulated TAZ, Runx2, β-catenin, OPN, and Dlx5 expression mainly at the early stage and OCN expression at the late stage
3. Improved osteoporosis, inhibited the expression of PPARγ, C/EBPα, FABP4 mRNA, N1ICD, and Jagged1 proteins and increased Notch2 mRNA in OVX rats
[3942, 55, 86, 89, 94]

KaempferolOsteoblastsRat bone mesenchymal stem cellsInteraction between TAZ and RUNX2Promoted physical interaction between TAZ and RUNX2 to increase osteoblast differentiation of mesenchymal cells[43]

LigustilideOsteoblastsMC3T3-E1 cells and rat bone mesenchymal stem cellsGPR30/EGFR pathway1. Promoted osteoblast differentiation
2. Activated phosphorylated EGFR and ERK1/2
[45]

MyricetinOsteoblastsHuman bone marrow stem cells and human periodontal ligament stem cellsWnt/β-catenin pathway, BMP-2/Smad, and ERK/JNK/p38 MAPK1. Enhanced osteogenic differentiation
2. Upregulated BMP-2
3. Increased mRNA expression of OCN, COL-1, ALP, and RUNX2
[130, 131]

PolydatinOsteoblastsHuman bone marrow stromal cells and OVX mouse modelBMP-2-Wnt/β-catenin signaling1. Significantly improved the proliferation and calcium deposition of hBMSCs and markedly stimulated the expression of the mRNAs RUNX2, OPN, DLX5, β-catenin, TAZ, and OCN
2. Maintained the bone matrix in the OVX mouse model
[47]

PuerarinOsteoblastsRat bone marrow stromal cellsEstrogen receptor-dependent manner1. Enhanced osteoblast differentiation
2. Increased ALP activity, OCN, and Wnt5b
[50, 93]
QuercetinOsteoblastsHuman adipose tissue-derived stromal cells, mouse adipose stem cells, rat mesenchymal stem cells, and rat bone marrow-derived mesenchymal stem cellsp38 MAPK, ERK1/2 and JNK MAPK signaling1. Promoted the osteogenic differentiation
2. Promoted expressions of ALP, Osx, Runx2, BMP-2, TGF-β1, Col-1, OPN, and OCN
[134137]

ResveratrolNeuronal-like cellsHuman bone marrow mesenchymal stem cells and human cord blood-derived mesenchymal stem cellsSonic hedgehog signaling, PKA-GSK3β, and β-catenin signaling1. Differentiated into neuronal-like cell types
2. Significantly increased expression of the neuronal-specific marker genes Nestin, Musashi, CD133, GFAP, NF-M, MAP-2, and KCNH1
3. Increased expressions of Smo and Gli1 proteins
[75, 138140]
OsteoblastsMouse embryonic stem cells, rat adipose-derived mesenchymal stem cellsAMPK/Ulk1 pathway, and Sirt-1/Runx2 deacetylation1. Enhancing osteogenic differentiation and mineralization
2. Enhanced expression of pluripotency markers Oct3/4, Sox2, Nanog, Klf4, SSEA-1, and ALP
3. Increased expression of Runx2 and decreased expression of PPAR-γ
[104, 141, 142]

SalidrosideNeuronal cellsRat bone marrow mesenchymal stem cells, mouse mesenchymal stem cellsNotch and BMP signaling pathways1. Inhibited the proliferation, increased expression level of NSE, BDNF, MAP2, β-tubulin III, GFAP, Wnt3a, β-catenin, LRP6, and Axin
2. The positive rate of Ach was significantly higher on the 3rd, 6th, and 9th day than on the 1st day
[18, 56, 82]

Salvianolic acid a/BNF-M (+) neurons and NG2 (+) oligodendrocyte precursorsNeural stem cells derived from the cerebral cortex of embryonic mice, bone marrow-derived neural stem cells, and induced pluripotent stem cellsPI3K/AKT/GSK3β/β-catenin pathway1. Promoted the neurite outgrowth of neural stem cells and their differentiation into neurons
2. Induced BDNF production
[8, 143, 144]
OsteoblastsHuman mesenchymal stem cells and rat bone marrow stromal stem cellsERK signaling and NO-cGMP signaling1. Significantly promoted mineralization
2. Increased ALP activity, Runx2, osterix, OPG, and OCN level and the OPG/RANKL ratio
[46, 97]
HepatocytesHuman embryonic stem cellsThrough upregulation of WNT pathway and inhibition of Notch pathway1. Promoted hepatocyte differentiation and increased expression of albumin, tyrosine aminotransferase (TAT), CYP3A4, CYP2C19, UGT1A6, UGT1A8, and UGT2B7
2. Enhanced expression of TCF3 and LEF1 and downregulated Jagged2, and Hes1/5
[57]
Alveolar epithelial cells type IRat bone marrow mesenchymal stem cellsWNT pathway1. By day 14, the majority of bone marrow mesenchymal stem cells were morphologically differentiated into alveolar epithelial cells
2. Significantly increased the T1α and AQP-5 protein levels
[58]

SilibininOsteoblastsHuman bone marrow stem cellsActivating BMP and RUNX2 pathways1. Promoted ALP activity and mineralization in hBMSCs
2. Increased the mRNA expressions of COLI, ALP, OCN, osterix, BMP-2, and RUNX2
[133]

Tanshinone IIANeuronal-like cellsRat bone marrow mesenchymal stem cellsN/ASignificantly upregulated the expression levels of Nestin, NeuN, and NF200 in the transplanted cells in the BMSCs + tanshinone IIA treatment rats compared among the groups[10]
OsteoblastsMouse bone marrow mesenchymal stem cells and human periodontal ligament stem cellsERK1/2-dependent Runx2 induction and BMP-Wnt signaling1. Enhanced ALP activity on day 7 and calcium content on day 24 in the process of TSA-induced osteogenesis of mouse bone marrow mesenchymal stem cells
2. Promoted both osteogenic differentiation and maturation of periodontal ligament stem cells
[48, 70, 100]

2,3,5,4’- Tetrahydroxy- stilbene-2-O-β-D-glucoside (THSG)OsteoblastsRat mesenchymal stem cellsN/APromoted osteogenic differentiation and increased ALP activity and OCN expression[52]