Review Article

New Insights into Artesunate as a Pleiotropic Regulator of Innate and Adaptive Immune Cells

Table 2

Effects of artesunate on adaptive immune cells and potential application.

Cell typeObserved effectsSignal pathwaysPotential application

T cellsInhibition of activation of naïve T cells [33, 34]
Inhibition of proliferation [3337]
Promotion of Treg differentiation and production of IL-10 and TGF- [3642]
Reduction of Th1 differentiation and their immune response [40]
Reduction of proinflammatory cytokines [40, 43]
Promotion of Th17 apoptosis and inhibition of their immune response [4143]
Reduction of Tfh differentiation [44]
Inhibition of pathogenic T cell migration [38, 39, 45]
Promotion of effector Th cell response [34]
Promotion of antitumor effect [4648]
Promotion of T cell function reconstitution [49]
Promotion of Tem cells against malaria [50]
NF-B signaling pathway [36, 37]
Smad2/3 signaling pathway [36, 37]
JAK2/STAT3 pathway [44]
Myasthenia gravis [33]
Delayed type hypersensitivity [36, 37]
Cerebral malaria [38, 39]
Type 1 diabetes mellitus [40]
Rheumatoid arthritis [41]
Chronic graft-versus-host disease [42]
Atopic dermatitis [43]
Lupus nephritis [44]
Autoimmune encephalomyelitis [45]
Tumor [4648]
Immune function recovery [49]

B cellsInhibition of BAFF expression and autoantibody generation [5153]
Promotion of TGF- [52]
Reduction of IL-6 [52]
Reduction of B cells in germinal center [53]
Systemic lupus erythematosus [51]
Rheumatoid arthritis [53]