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姜黄素治疗过敏性疾病的功效:免疫调节作用为重点。

Therapeutic potency of curcumin for allergic diseases: A focus on immunomodulatory actions.

机构信息

Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Department of Immunology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Biomed Pharmacother. 2022 Oct;154:113646. doi: 10.1016/j.biopha.2022.113646. Epub 2022 Sep 2.

Abstract

In light of increasing research evidence on the molecular mechanisms of allergic diseases, the crucial roles of innate and acquired immunity in the disease's pathogenesis have been well highlighted. In this respect, much attention has been paid to the modulation of unregulated and unabated inflammatory responses aiming to suppress pathologic immune responses in treating allergic diseases. One of the most important natural compounds with a high potency of immune modulation is curcumin, an active polyphenol compound derived from turmeric, Curcuma longa L. Curcumin's immunomodulatory action mainly arises from its interactions with an extensive collection of immune cells such as mast cells, eosinophils, epithelial cells, basophils, neutrophils, and lymphocytes. Up to now, there has been no detailed investigation of curcumin's immunomodulatory actions in allergic diseases. So, the present review study aims to prepare an overview of the immunomodulatory effects of curcumin on the pathologic innate immune responses and dysregulated functions of T helper (T) subtypes, including T1, T2, T17, and regulator T cells (Tregs) by gathering evidence from several studies of In-vitro and In-vivo. As the second aim of the present review, we also discuss some novel strategies to overcome the limitation of curcumin in clinical use. Finally, this review also assesses the therapeutic potential of curcumin regarding its immunomodulatory actions in allergic diseases.

摘要

鉴于越来越多的关于过敏疾病分子机制的研究证据,先天和获得性免疫在疾病发病机制中的关键作用已经得到充分强调。在这方面,人们非常关注调节不受调节和不受控制的炎症反应,旨在抑制过敏疾病的病理性免疫反应。具有高度免疫调节能力的最重要的天然化合物之一是姜黄素,它是一种从姜黄(Curcuma longa L.)中提取的活性多酚化合物。姜黄素的免疫调节作用主要源于其与广泛的免疫细胞(如肥大细胞、嗜酸性粒细胞、上皮细胞、嗜碱性粒细胞、中性粒细胞和淋巴细胞)的相互作用。到目前为止,还没有对姜黄素在过敏疾病中的免疫调节作用进行详细的研究。因此,本综述研究旨在通过收集来自体外和体内的多项研究证据,概述姜黄素对病理性先天免疫反应和辅助性 T 细胞(T 细胞)亚群(包括 T1、T2、T17 和调节性 T 细胞(Tregs))功能失调的免疫调节作用。作为本综述的第二个目的,我们还讨论了克服姜黄素在临床应用中的局限性的一些新策略。最后,本综述还评估了姜黄素在过敏疾病中的免疫调节作用的治疗潜力。

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