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Evidence-Based Immunotherapeutic Effects of Herbal Compounds on Humoral Immunity: Ancient and New Approaches

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Abstract

The human immune system represents a dynamic multiscale system with high complexity in biology. Humoral immunity, as the main branch of adaptive immunity, is characterized by differentiated stages of the B lymphocytes, producing the final product of antibodies that has a diversity of the tuning mechanisms within genetic and epigenetic levels in confrontation with environmental exposures. Disorders because of disturbed humoral immunity are linked with dysregulation of feedback-regulated signaling and the dynamic of immune components that determine the overall response. Food products, mainly herbal components have a significant role in tailoring the immune system micro-ecosystem which can diversify the adaptive nature of humoral immunity. Herein, we review the current evidence-based approaches for the impact of medicinal herbs on humoral immunity signaling and antibody production with a focus on immunotherapeutic applications.

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References

  1. Cooper MD. The early history of B cells. Nat Rev Immunol 2015;15:191–197.

    Article  CAS  PubMed  Google Scholar 

  2. Durandy A, Kracker S, Fischer A. Primary antibody deficiencies. Nat Rev Immunol 2013;13:519–533.

    Article  CAS  PubMed  Google Scholar 

  3. Abolhassani H, Parvaneh N, Rezaei N, et al. Genetic defects in B-cell development and their clinical consequences. J Investig Allergol Clin Immunol 2014;24:6–22.

    CAS  PubMed  Google Scholar 

  4. Rooks MG, Garrett WS. Gut microbiota, metabolites and host immunity. Nat Rev Immunol 2016;16:341–352.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Esterhazy D, Mucida D. Gut immune cells have a role in food metabolism. Nature 2019;566:49–50.

    Article  CAS  PubMed  Google Scholar 

  6. Rawlings DJ, Metzler G, Wray-Dutra M, et al. Altered B cell signalling in autoimmunity. Nat Rev Immunol 2017;17:421–436.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Theofilopoulos AN, Kono DH, Baccala R. The multiple pathways to autoimmunity. Nat Immunol 2017;18:716–724.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Tiwari R, Latheef SK, Ahmed I, et al. Herbal immunomodulators-a remedial panacea for designing and developing effective drugs and medicines: current scenario and future prospects. Curr Drug Metab 2018;19:264–301.

    Article  CAS  PubMed  Google Scholar 

  9. Subramanian N, Torabi-Parizi P, Gottschalk RA, et al. Network representations of immune system complexity. Wiley Interdiscip Rev Syst Biol Med 2015;7:13–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Caspi RR. Immunotherapy of autoimmunity and cancer: the penalty for success. Nat Rev Immunol 2008;8:970–976.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Shields CW 4th, Wang LL, Evans MA, et al. Materials for immunotherapy. Adv Mater 2020;32:e1901633.

    Article  PubMed  CAS  Google Scholar 

  12. Nejatbakhsh F, Shirbeigi L, Rahimi R, et al. Review of local herbal compounds found in the Iranian traditional medicine known to optimise male fertility. Andrologia 2016;48:850–859.

    Article  CAS  PubMed  Google Scholar 

  13. Abolhassani H, Naseri M, Mahmoudzadeh S. A survey of complementary and alternative medicine in Iran. Chin J Integr Med 2012;18:409–416.

    Article  PubMed  Google Scholar 

  14. Jantan I, Ahmad W, Bukhari SN. Plant-derived immunomodulators: an insight on their preclinical evaluation and clinical trials. Front Plant Sci 2015;6:655.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Catanzaro M, Corsini E, Rosini M, et al. Immunomodulators inspired by nature: a review on curcumin and echinacea. Molecules 2018;23:2778.

    Article  PubMed Central  CAS  Google Scholar 

  16. Khorasani MA, ed. The storehouse of medicaments. Tehran, Iran: Bavardaran Press, Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences;2001.

    Google Scholar 

  17. Hossaini-Tabib M, ed. Rarity of the faithful. Tehran, Iran: Mostafavi Press;1959.

    Google Scholar 

  18. Mirhydar H, ed. Plant knowledge. Tehran, Iran: Daftar Nashre Farhang Eslami Publication;1995.

    Google Scholar 

  19. Azam Khan M, Azam E. Great Elixir. Tehran, Iran: Iran University of Medical Sciences (Republished by Institute of Medical History, Islamic and Complementary Medicine);2005.

    Google Scholar 

  20. Sina I. The law in medicine (English Trans. p. 251). New Delhi: Jamia Hamdard;1993.

    Google Scholar 

  21. Guzik TJ, Skiba DS, Touyz RM, et al. The role of infiltrating immune cells in dysfunctional adipose tissue. Cardiovasc Res 2017;113:1009–1023.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Wensveen FM, Valenti S, Šestan M, et al. Interactions between adipose tissue and the immune system in health and malnutrition. Semin Immunol 2015;27:322–333.

    Article  CAS  PubMed  Google Scholar 

  23. Aghili Shirazi S, ed. Great pharmacopoeia. Tehran, Iran: Ostad Allah Qoli Khan Qajar;1855.

    Google Scholar 

  24. Duffy JA, Znaiden AP. Composition and method for visibly reducing the size of skin pores. U.S. Patent; 1995.

    Google Scholar 

  25. Simon S, Hall W, Schiffman S. Astringent-tasting compounds alter ion transport across isolated canine lingual epithelia. Pharmacol Biochem Behav 1992;43:271–283.

    Article  CAS  PubMed  Google Scholar 

  26. Brandhorst S, Choi IY, Wei M, et al. A periodic diet that mimics fasting promotes multi-system regeneration, enhanced cognitive performance, and healthspan. Cell Metab 2015;22:86–99.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Choi IY, Lee C, Longo VD. Nutrition and fasting mimicking diets in the prevention and treatment of autoimmune diseases and immunosenescence. Mol Cell Endocrinol 2017;455:4–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Pedersen BK. Anti-inflammatory effects of exercise: role in diabetes and cardiovascular disease. Eur J Clin Invest 2017;47:600–611.

    Article  CAS  PubMed  Google Scholar 

  29. Willing BP, Gill N, Finlay BB. The role of the immune system in regulating the microbiota. Gut Microbes 2010;1:213–223.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Li M, Wang B, Zhang M, et al. Symbiotic gut microbes modulate human metabolic phenotypes. Proc Natl Acad Sci U S A 2008;105:2117–2122.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Sun S, Wang Y, Wu A, et al. Influence factors of the pharmacokinetics of herbal resourced compounds in clinical practice. Evid Based Complement Alternat Med 2019;1983780.

    Google Scholar 

  32. Gagliardi A, Totino V, Cacciotti F, et al. Rebuilding the gut microbiota ecosystem. Int J Environ Res Public Health 2018;15:1679.

    Article  PubMed Central  CAS  Google Scholar 

  33. Bialonska D, Kasimsetty SG, Khan SI, et al. Urolithins, intestinal microbial metabolites of Pomegranate ellagitannins, exhibit potent antioxidant activity in a cellbased assay. J Agric Food Chem 2009;57:10181–10186.

    Article  CAS  PubMed  Google Scholar 

  34. Piwowarski JP, Granica S, Zwierzynska M, et al. Role of human gut microbiota metabolism in the anti-inflammatory effect of traditionally used ellagitannin-rich plant materials. J Ethnopharmacol 2014;155:801–809.

    Article  CAS  PubMed  Google Scholar 

  35. Vlasova AN, Kandasamy S, Chattha KS, et al. Comparison of probiotic lactobacilli and bifidobacteria effects, immune responses and rotavirus vaccines and infection in different host species. Vet Immunol Immunopathol 2016;172:72–84.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Ruiz L, Delgado S, Ruas-Madiedo P, et al. Bifidobacteria and their molecular communication with the immune system. Front Microbiol 2017;8:2345.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Peterson CT, Sharma V, Uchitel S, et al. Prebiotic potential of herbal medicines used in digestive health and disease. J Altern Complement Med 2018;24:656–665.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Kandasamy S, Chattha KS, Vlasova AN, et al. Lactobacilli and bifidobacteria enhance mucosal B cell responses and differentially modulate systemic antibody responses to an oral human rotavirus vaccine in a neonatal gnotobiotic pig disease model. Gut Microbes 2014;5:639–651.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Huang W, Guo HL, Deng X, et al. Short-chain fatty acids inhibit oxidative stress and inflammation in mesangial cells induced by high glucose and lipopolysaccharide. Exp Clin Endocrinol Diabetes 2017;125:98–105.

    Article  CAS  PubMed  Google Scholar 

  40. Feng W, Ao H, Peng C. Gut microbiota, short-chain fatty acids, and herbal medicines. Front Pharmacol 2018;9:1354.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  41. Koboziev I, Karlsson F, Grisham MB. Gut-associated lymphoid tissue, T cell trafficking, and chronic intestinal inflammation. Ann N Y Acad Sci 2010;1207 Suppl 1:E86–E93.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Classen B, Thude S, Blaschek W, et al. Immunomodulatory effects of arabinogalactan-proteins from Baptisia and Echinacea. Phytomedicine 2006;13:688–694.

    Article  CAS  PubMed  Google Scholar 

  43. Batbayar S, Lee DH, Kim HW. Immunomodulation of fungal beta-glucan in host defense signaling by dectin-1. Biomol Ther (Seoul) 2012;20:433–445.

    Article  CAS  Google Scholar 

  44. Li ZX, Zhao GD, Xiong W, et al. Immunomodulatory effects of a new whole ingredients extract from Astragalus: a combined evaluation on chemistry and pharmacology. Chin Med 2019;14:12.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Denzler K, Moore J, Harrington H, et al. Characterization of the physiological response following in vivo administration of Astragalus membranaceus. Evid Based Complement Alternat Med 2016;6861078.

    Google Scholar 

  46. Qi Y, Gao F, Hou L, et al. Anti-inflammatory and immunostimulatory activities of astragalosides. Am J Chin Med 2017;45:1157–1167.

    Article  CAS  PubMed  Google Scholar 

  47. Gui Y, Qiu X, Xu Y, et al. Bu-Shen-Ning-Xin decoction suppresses osteoclastogenesis via increasing dehydroepiandrosterone to prevent postmenopausal osteoporosis. Biosci Trends 2015;9:169–181.

    Article  CAS  PubMed  Google Scholar 

  48. Mungantiwar AA, Nair AM, Shinde UA, et al. Studies on the immunomodulatory effects of Boerhaavia diffusa alkaloidal fraction. J Ethnopharmacol 1999;65:125–131.

    Article  CAS  PubMed  Google Scholar 

  49. Rehman J, Dillow JM, Carter SM, et al. Increased production of antigen-specific immunoglobulins G and M following in vivo treatment with the medicinal plants Echinacea angustifolia and Hydrastis canadensis. Immunol Lett 1999;68:391–395.

    Article  CAS  PubMed  Google Scholar 

  50. Smol’ianinov ES, Gol’dberg VE, Matiash MG, et al. Effect of Scutellaria baicalensis extract on the immunologic status of patients with lung cancer receiving antineoplastic chemotherapy. Eksp Klin Farmakol 1997;60:49–51.

    PubMed  Google Scholar 

  51. Sakushima J, Nose M, Ogihara Y. Effect of hachimi-jio-gan on immunoglobulin A producing cells in Peyer’s patch by oral administration. Biol Pharm Bull 1997;20:1175–1177.

    Article  CAS  PubMed  Google Scholar 

  52. Kapil A, Sharma S. Immunopotentiating compounds from Tinospora cordifolia. J Ethnopharmacol 1997;58:89–95.

    Article  CAS  PubMed  Google Scholar 

  53. Kim YW, Song DK, Kim WH, et al. Long-term oral administration of ginseng extract decreases serum gammaglobulin and IgG1 isotype in mice. J Ethnopharmacol 1997;58:55–58.

    Article  CAS  PubMed  Google Scholar 

  54. Kim HM, Kim YY, Moon HS, et al. Inhibitory effect of anaphylactic reaction of Sosiho-Tang. Immunopharmacol Immunotoxicol 1998;20:567–578.

    Article  CAS  PubMed  Google Scholar 

  55. Du X, Zhao B, Li J, et al. Astragalus polysaccharides enhance immune responses of HBV DNA vaccination via promoting the dendritic cell maturation and suppressing Treg frequency in mice. Int Immunopharmacol 2012;14:463–470.

    Article  CAS  PubMed  Google Scholar 

  56. Huang CF, Lin SS, Liao PH, et al. The immunopharmaceutical effects and mechanisms of herb medicine. Cell Mol Immunol 2008;5:23–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Dai Y, Kato M, Takeda K, et al. T-cell-immunity-based inhibitory effects of orally administered herbal medicine juzen-taiho-to on the growth of primarily developed melanocytic tumors in RET-transgenic mice. J Invest Dermatol 2001;117:694–701.

    Article  CAS  PubMed  Google Scholar 

  58. Chen L, Chen M, Wang F, et al. Antidepressant-like effects of shuyusan in rats exposed to chronic stress: effects on hypothalamic-pituitary-adrenal function. Evid Based Complement Alternat Med 2012;940846.

    Google Scholar 

  59. Phetkate P, Kummalue T, U-Pratya Y, et al. Significant increase in cytotoxic T lymphocytes and natural killer cells by triphala: a clinical phase ? study. Evid Based Complement Alternat Med 2012;239856.

    Google Scholar 

  60. Aldahlawi AM. Modulation of dendritic cell immune functions by plant components. J Microsc Ultrastruct 2016;4:55–62.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Zhang J, Shan BE, Zhang C, et al. The effect on the differentiation and maturation of dendritic cells by lupane acetate of Cortex Periplocae. Chin J Cell Mol Imm (Chin) 2006;22:26–28,32.

    Google Scholar 

  62. Amirghofran Z. Herbal medicines for immunosuppression. Iran J Allergy Asthma Immunol 2012;11:111–119.

    PubMed  Google Scholar 

  63. Umoh U, Umoh R, Enema O, et al. Anti-inflammatory constituents of plants: a review. J Chem Pharm Res 2019;11:74–85.

    CAS  Google Scholar 

  64. Aggarwal BB, Prasad S, Reuter S, et al. Identification of novel anti-inflammatory agents from Ayurvedic medicine for prevention of chronic diseases: “reverse pharmacology” and “bedside to bench” approach. Curr Drug Targets 2011;12:1595–1653.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Kim JH, Gupta SC, Park B, et al. Turmeric (Curcuma longa) inhibits inflammatory nuclear factor (NF)-kappaB and NF-kappaB-regulated gene products and induces death receptors leading to suppressed proliferation, induced chemosensitization, and suppressed osteoclastogenesis. Mol Nutr Food Res 2012;56:454–465.

    Article  CAS  PubMed  Google Scholar 

  66. Matsuda H, Tewtrakul S, Morikawa T, et al. Anti-allergic activity of stilbenes from Korean rhubarb (Rheum undulatum L.): structure requirements for inhibition of antigen-induced degranulation and their effects on the release of TNF-a and IL-4 in RBL-2H3 cells. Bioorgan Med Chem 2004;12:4871–4876.

    Article  CAS  Google Scholar 

  67. Lee SW, Hwang BS, Kim MH, et al. Inhibition of LFA-1/ICAM-1-mediated cell adhesion by stilbene derivatives from Rheum undulatum. Arch Pharm Res 2012;35:1763–1770.

    Article  CAS  PubMed  Google Scholar 

  68. Cox SD, Jayasinghe KC, Markham JL. Antioxidant activity in Australian native sarsaparilla (Smilax glyciphylla). J Ethnopharmacol 2005;101:162–168.

    Article  PubMed  Google Scholar 

  69. Ezzat SM, Ezzat MI, Okba MM, et al. The hidden mechanism beyond ginger (Zingiber officinale Rosc.) potent in vivo and in vitro anti-inflammatory activity. J Ethnopharmacol 2018;214:113–123.

    Article  PubMed  Google Scholar 

  70. Khan AM, Shahzad M, Raza Asim M, et al. Zingiber officinale ameliorates allergic asthma via suppression of Th2-mediated immune response. Pharm Biol 2015;53:359–367.

    Article  PubMed  Google Scholar 

  71. Carrasco FR, Schmidt G, Romero AL, et al. Immunomodulatory activity of Zingiber officinale Roscoe, Salvia officinalis L. and Syzygium aromaticum L. essential oils: evidence for humor-and cell-mediated responses. J Pharm Pharmacol 2009;61:961–967.

    Article  CAS  PubMed  Google Scholar 

  72. Amirghofran Z, Bahmani M, Azadmehr A, et al. Effect of Salvia mirzayanii on the immune system and induction of apoptosis in peripheral blood lymphocytes. Nat Prod Res 2010;24:500–508.

    Article  CAS  PubMed  Google Scholar 

  73. Zhou X, Dong Q, Kan X, et al. Immunomodulatory activity of a novel polysaccharide from Lonicera japonica in immunosuppressed mice induced by cyclophosphamide. PLoS One 2018;13:e0204152.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  74. Lang SJ, Schmiech M, Hafner S, et al. Antitumor activity of an Artemisia annua herbal preparation and identification of active ingredients. Phytomedicine 2019;62:152962.

    Article  PubMed  CAS  Google Scholar 

  75. Faham N, Javidnia K, Bahmani M, et al. Calycopterin, an immunoinhibitory compound from the extract of Dracocephalum kotschyi. Phytother Res 2008;22:1154–1158.

    Article  CAS  PubMed  Google Scholar 

  76. Raikkonen K, Seckl JR, Heinonen K, et al. Maternal prenatal licorice consumption alters hypothalamicpituitary-adrenocortical axis function in children. Psychoneuroendocrinology 2010;35:1587–1593.

    Article  PubMed  CAS  Google Scholar 

  77. Al-Qarawi AA, Abdel-Rahman HA, Ali BH, et al. Liquorice (Glycyrrhiza glabra) and the adrenal-kidney-pituitary axis in rats. Food Chem Toxicol 2002;40:1525–1527.

    Article  CAS  PubMed  Google Scholar 

  78. Zeinali M, Zirak MR, Rezaee SA, et al. Immunoregulatory and anti-inflammatory properties of Crocus sativus (Saffron) and its main active constituents: a review. Iran J Basic Med Sci 2019;22:334.

    PubMed  PubMed Central  Google Scholar 

  79. Guo A, He D, Xu HB, et al. Promotion of regulatory T cell induction by immunomodulatory herbal medicine licorice and its two constituents. Sci Rep 2015;5:14046.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  80. Ma HD, Deng YR, Tian Z, et al. Traditional Chinese medicine and immune regulation. Clin Rev Allergy Immunol 2013;44:229–241.

    Article  PubMed  Google Scholar 

  81. Lee JH, Han Y. Ginsenoside Rg1 helps mice resist to disseminated candidiasis by Th1 type differentiation of CD4+ T cell. Int Immunopharmacol 2006;6:1424–1430.

    Article  CAS  PubMed  Google Scholar 

  82. Kay AB. Allergy and allergic diseases. Second of two parts. N Engl J Med 2001;344:109–113.

    Article  CAS  PubMed  Google Scholar 

  83. Takemoto N, Kiyohara H, Maruyama H, et al. A novel type of B-cell mitogen isolated from Juzen-Taiho-To (TJ-48), a Japanese traditional medicine. Int J Immunopharmacol 1994;16:919–929.

    Article  CAS  PubMed  Google Scholar 

  84. Kiyohara H, Nagai T, Munakata K, et al. Stimulating effect of Japanese herbal (kampo) medicine, hochuekkito on upper respiratory mucosal immune system. Evid Based Complement Alternat Med} 2006;3:459–467.

  85. Matsumoto T, Sakurai MH, Kiyohara H, et al. Orally administered decoction of Kampo (Japanese herbal) medicine, “Juzen-Taiho-To” modulates cytokine secretion and induces NKT cells in mouse liver. Immunopharmacology 2000;46:149–161.

    Article  CAS  PubMed  Google Scholar 

  86. Huang XX, Yamashiki M, Nakatani K, et al. Semiquantitative analysis of cytokine mRNA expression induced by the herbal medicine Sho-Saiko-To (TJ-9) using a Gel Doc system. J Clin Lab Anal 2001;15:199–209.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Nakada T, Watanabe K, Jin GB, et al. Effect of Ninjin- Youei-To on Th1/Th2 type cytokine production in different mouse strains. Am J Chin Med 2002;30:215–223.

    Article  CAS  PubMed  Google Scholar 

  88. Jung HW, Yoon CH, Kim YH, et al. Wen-Pi-Tang-Hab-Wu-Ling-San extract inhibits the release of inflammatory mediators from LPS-stimulated mouse macrophages. J Ethnopharmacol 2007;114:439–445.

    Article  PubMed  Google Scholar 

  89. Li BQ, Fu T, Gong WH, et al. The flavonoid baicalin exhibits anti-inflammatory activity by binding to chemokines. Immunopharmacology 2000;49:295–306.

    Article  CAS  PubMed  Google Scholar 

  90. Li XM, Zhang TF, Huang CK, et al. Food Allergy Herbal Formula-1 (FAHF-1) blocks peanut-induced anaphylaxis in a murine model. J Allergy Clin Immunol 2001;108:639–646.

    Article  CAS  PubMed  Google Scholar 

  91. Srivastava KD, Kattan JD, Zou ZM, et al. The Chinese herbal medicine formula FAHF-2 completely blocks anaphylactic reactions in a murine model of peanut allergy. J Allergy Clin Immunol 2005;115:171–178.

    Article  PubMed  Google Scholar 

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FN and HA contributed to the conception and design of the study, and analysis and interpretation of data. MAZ and MY contributed to acquisition of data. HA and MAZ drafted the article. All authors revised it critically for important intellectual content and approved the final version to be submitted.

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Correspondence to Hassan Abolhassani.

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Nejatbakhsh, F., Zareian, M.A., Yaseliani, M. et al. Evidence-Based Immunotherapeutic Effects of Herbal Compounds on Humoral Immunity: Ancient and New Approaches. Chin. J. Integr. Med. 27, 313–320 (2021). https://doi.org/10.1007/s11655-021-3332-7

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