Review Article

Immunomodulation and Anti-Inflammatory Effects of Garlic Compounds

Table 2

Immunoregulatory properties of garlic.

Immunoregulatory mechanismModel/pathology involvedGarlic preparation (dose)Immunoparameters evaluatedConclusionsReferences

3T3-L1 adipocytes stimulated with LPS/in vitro model of inflamed adipose tissue.Cell incubation with alliin for 24 h (100 mol/L).Proinflammatory cytokines and adipocytokines IL-6, TNF-α, MCP-1, and adiponectin.Alliin is capable of suppressing LPS inflammatory signals by generating an anti-inflammatory gene expression and prevented the increase in expression of proinflammatory cytokines IL-6 and MCP-1.[30]
Male Wistar rats/inflammation.Gavage with garlic oil (10–200 mg/kg).Cellularity of cervical lymph nodes.
Production of Th1 cytokines IL-2 and IFN-γ and Th2-type cytokines IL-4 and IL-10.
Garlic oil enhances and shifts toward Th1-type response at low doses. It promotes an anti-inflammatory environment at high doses by shifting Th1-Th2 balance toward the Th2 type.[21]
Modulating cytokine secretionPreeclamptic placental explant tissue stimulated with LPS.Garlic extract (10, 100, 500, and 1,000 g/mL).Cytokine levels of TNF-α, IL-6, IL-10, and sTRAIL.Garlic at lower doses possesses an immunomodulatory effect on normal placenta by increasing production of IL-10 and in preeclamptic explants reduces production of inflammatory cytokines such as IL-6 and TNF-. At higher doses, overall effect is one of cytokine synthesis inhibition and stimulation of sTRAIL production.[31]
Whole blood stimulated with LPS and human embryonic kidney cell line 293 (HEK293).Garlic powder extracts (10 g/L), DADS (100 mol/L), and allicin (100 mol/L).Cytokine levels of TNF-, IL-1, IL-10, and NF-Β activity.Garlic compounds modulate inflammatory cytokines, leading to overall reduction of NF-B activity.[32]
In vitro: peritoneal macrophage-mediated antitumoral activity.Allicin (1, 10, and 100 ng/mL) for 20 h.Cytotoxicity and phagocytosis assay.
Nitrite and hydrogen peroxide production.
Production of cytokines TNF-, IL-1, and IL-6.
Allicin increases macrophage production of TNF-α and nitric oxide (NO) in a dose-dependent manner.[33]

Phagocytosis and cell activationBalb/c mice infected with Plasmodium yoelii/Malaria.Allicin orally applied 3 or 9 mg/kg/day on days 0–2 (PI).Pro- and anti-inflammatory cytokines IFN-, TNF-, IL-12p70, IL-4, and IL-10.Allicin reduced parasitemia and prolonged survival due to improved host immune responses. Enhancement of proinflammatory mediators IFN-, TNF-, and IL-12p70. No changes in anti-inflammatory cytokines IL-4 and IL-10.[34]
In vitro assays: neutrophil-like cells (HL-60 cell line).Garlic oil (1 μg/mL < 10 μg/mL) for 60 min.Chemotactic responsiveness and motility of neutrophil-like cells.Average migration speed of cells reduced after being treated with garlic oil, thereby resulting in anti-inflammatory activities through inhibition of assembly and disassembly of cytoskeleton inside the cell.[22]

Activation of humoral immune response and synthesis of IgIn vivo assays, white Leghorn chickens/viral and bacterial infection.Dietary alliums: Allium sativum (G) and Allium cepa (O) (low doses: 10 g/kg (GL and OL) or high doses 30 g/kg (GH and OH)).Antibodies, lymphocyte proliferation, and ratios of CD4+ : CD8+ and CD4 : CD8 lymphocytes.GL and OL enhanced anti-NDV, anti-SRBC, and anti-BA antibody productions. Only GL- and GH had a comitogenic effect on splenocytes and thymocytes. Reduction in CD4+ and increase in CD4 : CD8 lymphocyte ratios were observed with GH or OH. [35]
Mouse mucosal.OMG containing 1,500 mg/g of ajoene.IgA production in feces or colon tissue. Intestinal IgA level was increased by ajoene; thus, ajoene may have influenced B-cell stimulation or interleukin secretion.[36]

Antiallergic responseIn vitro assays: RBL-2H3 induced by (TNP) monoclonal antibody and the TNP (BSA-related) hapten carrier complex/allergic reactions. In vivo assays: Balb/c male mice i.v. administered anti-TNP IgE antibody and subsequent picryl chloride painting on the ear/allergic reactions.AGE incubation (1.25, 2.5, and 5.0 g/100 g). AGE orally applied (10 mL/kg).Histamine release by basophils. Ear swelling used as an index of immunoglobulin IgE-mediated skin reaction.AGE significantly inhibited antigen- specific histamine release and decreased ear swelling. AGE may directly and/or indirectly modify functions of mast cells, basophils, and activated T lymphocytes, which play a leading role in allergic cascade reactions.[37]
Balb/c mouse allergic-airway inflammation/asthma.3 IP injections of 14 kD fraction of AGE (20 mg/kg).Percentages of lavage eosinophils. Mucus-producing goblet cells in airways. Perivascular and peribronchial inflammatory grades. 14 kD fraction of AGE is able to reduce allergic-airway inflammation hallmarks in murine model accompanied by increase in IFN--level bronchoalveolar lavage.[38]

Mitogenic stimulatorIn vitro assays on immune cells/immunomodulation.Garlic protein fractions: QR-1, QR-2, and QR-3.Proliferation index in murine splenocytes/thymocytes and human PBL.All three proteins exhibited mitogenic activity toward human PBL and murine splenocytes/thymocytes. Mitogenicity of QR-2 was the highest among the three immunomodulatory proteins.[39]
In vitro assays on PBMC and PMN incubated with or without 10 ng/mL of LPS.Alliin (1 and 3.0 mg/mL).Cytokine concentration: IL-1, IL-6, TNF-, and IL-2.
Superoxide anion production.
Phagocytosis.
Alliin induces PWM-cell proliferation, spontaneous production of IL-1, as well as an increase in number of phagocyting cells and engulfed latex particles. Alliin causes decrease in mitogenic function of ConA.[1]

Anti-inflammatory and antioxidant effectsMale albino rats (Rattus norvegicus)/gastric inflammation.AGE orally (100–200 mg/kg). Macroscopic appearance of gastric mucosa.
Microbial count.
Levels of TNF-, SOD, CAT, and MPO enzyme activity.
Gastroprotective mechanism of AGE on gastric damage induced by Indomethacin through its anti-inflammatory actions and its antioxidant properties.[28]

Aged garlic extract (AGE); malondialdehyde (MDA); myeloperoxidase (MPO); total glutathione (tGSH); superoxide dismutase (SOD); catalase (CAT); peripheral blood lymphocytes (PBL); peripheral blood mononuclear (PBMC); polymorphonuclear (PMN); pokeweed mitogen (PWM); tumor necrosis factor- (TNF-) related apoptosis-inducing ligand/Apo-2L (sTRAIL).