Review Article

Interstitial Cells of Cajal: Potential Targets for Functional Dyspepsia Treatment Using Medicinal Natural Products

Table 2

Medicinal plants acting on the behaviors of ICCs.

Herbal productEffect (experimental model)Molecular mechanism

Jianpi Qingchang decoction [60]Regulation of intestinal motility of DSS-induced colitis (in vivo)IL-10, IFN-γ, c-kit mRNA ↑↑
TNF-α, IL-1, LC3-II, Beclin-1, NF-κB p65 mRNA β ↓↓
Banhasasim-Tang [53, 54]Tempering of loperamide-induced functional dyspepsia (in vivo)C-kit, nNOS, 5HT4R, ANO1, RYR3 and smMLCK gene ↑↑
Improvement of gastric motility in rats with diabetes mellitus (in vivo)ICCs, SCF ↑↑
Tong bian decoction [58]Enhancement of colon transport function (in vivo)ICC, c-kit mRNA ↑↑
Shuwei decoction [33]Improvement of gastric motility in a tail clasping-induced functional dyspepsia rat model (in vivo)Serum SCF ↑↑, serum NO ↓↓, improvement of the structure of ICCs
Da-Cheng-Qi decoction combined with Lactobacillus acidophilus [39]Improvement of GI motility in mice with traumatic brain injury (in vivo)Improvement of ICC network structure damage
Shenqing recipe [40]Repair of the ultrastructure of colonic ICCs in a TNBS-induced colitis rat model (in vivo)C-kit ↑↑
Chaihu Shugan powder [61]Inhibition of excessive autophagy of ICCs (in vitro)Bcl2↑↑, LC3, Beclin-1, PI3KC3 ↓↓
Xiaozhang Tie [55]Reduction in the degree of ascites and improvement of intestinal motility in cirrhotic rats (in vivo)SCF, c-kit ↑↑
Herba Cistanche [56]Improvement of loperamide-induced slow transit constipation (in vivo)C-kit, SCF, PI3K ↑↑,
Total phenols of Magnolia officinalis Rehd. et Wils. [92]Improvement of gastric motility in an atropine-induced GI dysmotility rat model (in vivo)SCF, c-kit ↑↑
Aurantii Fructus Immaturus and Atractylodis Macrocephalae Rhizoma [59]Protection of glutamic acid-stimulated ICCs (in vitro)Reduction in autophagy via inhibition of the PI3K/Akt/mTOR pathway
Eugenol and cinnamaldehyde (transdermal administration) [93]Increase in ICC numbers in a trinitrobenzene sulfonate-induced ulcerative colitis rat model (in vivo)SCF, c-kit ↑↑
Aconitine, emodin [94]Toxicity toward ICC cells individually but not in combination (aconitine:emodin as 2 : 1) (in vitro)Deactivation of the Na⁺/K⁺-ATPase pump
Hesperidin, a citrus flavonoid [52]Increase in GI motility, depolarization of the pacemaker potentials of ICCs (in vivo and in vitro)Via 5-HT4 receptor
Naringenin [57]Improvement of loperamide-induced constipation (in vivo)C-Kit, SCF, aquaporin 3 ↑↑
Quercetin [74]Increase in ICC numbers in a diabetic rat model (in vivo)(possibly due to its antioxidant action)
Nobiletin [95]Induction of contraction in weakly contractile states, inhibition of contraction in highly contractile states (in vitro)Via c-kit-dependent pathway
Eugenol [96]Inhibition of intestinal contractions (in vitro)Inhibition of Ca2+-activated Cl channel TMEM16A in ICCs

Drug inhibiting the function of ICCs.