PMID- 29462699 OWN - NLM STAT- MEDLINE DCOM- 20180907 LR - 20180907 IS - 1872-7573 (Electronic) IS - 0378-8741 (Linking) VI - 217 DP - 2018 May 10 TI - Effect of Eucommia ulmoides Oliv., Gynostemma pentaphyllum (Thunb.) Makino, and Curcuma longa L. on Th1- and Th2-cytokine responses and human leukocyte antigen-DR expression in peripheral blood mononuclear cells of septic patients. PG - 195-204 LID - S0378-8741(17)32678-8 [pii] LID - 10.1016/j.jep.2018.02.024 [doi] AB - ETHNOPHARMACOLOGICAL RELEVANCE: Many traditional Chinese medicines (TCM), such as Eucommia ulmoides Oliv., Gynostemma pentaphyllum (Thunb.) Makino, and Curcuma longa L., have been reported to have various immune-modulatory effects. AIM OF THE STUDY: To determine the effects of extracts from these three TCM on type 1 T help (Th1)- and Th2-cytokine responses and human leukocyte antigen (HLA)-DR expression in peripheral blood mononuclear cells (PBMCs) obtained from septic patients. MATERIALS AND METHODS: Lipopolysaccharide (LPS)-stimulated PBMCs of healthy controls and septic patients were cultured for 48 hs with or without 0.05/0.1 mg/ml of TCM extract. HLA-DR expression in monocytes was detected using flow cytofluorimetry. The interferon [IFN]-gamma, tumor necrosis factor [TNF]-alpha, interleukin (IL)- 2, IL-5, IL-10, and IL-13 levels in supernatants were measured with a human enzyme-linked immunosorbent assay. RESULTS: Treatment with either 0.05 or 0.1 mg/ml of C. longa L. extract significantly restored the percentage of HLA-DR-positive monocytes, which was decreased by LPS in control and patient groups. Treatment with 0.05 or 0.1 mg/ml E. ulmoides Oliv. and C.longa L. extract decreased IL-10 production from LPS-stimulated PBMCs of controls and patients. In patients with sepsis, C. longa L. extract decreased IL-10 production to a greater degree than did E. ulmoides Oliv extract. Although IFN-gamma, TNF-alpha, or IL-13 productions from LPS-stimulated PBMCs were influenced by E. ulmoides Oliv., G. pentaphyllum (Thunb.) Makino, or C. longa L. in control or sepsis groups in this study, only the influence of IL-10 was consistent in both control and sepsis groups. CONCLUSIONS: By enhancing monocyte HLA-DR expression and decreasing IL-10 production, C. longa L. might help restore inflammatory responses in septic patients to eradicate pathogens. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Wu, Huang-Pin AU - Wu HP AD - Division of Pulmonary, Critical Care and Sleep Medicine, Chang Gung Memorial Hospital, Keelung 204, Taiwan; Chang Gung University College of Medicine, Taoyuan 333, Taiwan. Electronic address: whanpyng@cgmh.org.tw. FAU - Lin, Yin-Ku AU - Lin YK AD - Chang Gung University College of Medicine, Taoyuan 333, Taiwan; Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung 204, Taiwan. Electronic address: lin1266@cgmh.org.tw. LA - eng PT - Journal Article DEP - 20180217 PL - Ireland TA - J Ethnopharmacol JT - Journal of ethnopharmacology JID - 7903310 RN - 0 (Cytokines) RN - 0 (HLA-DR Antigens) RN - 0 (Immunologic Factors) RN - 0 (Plant Extracts) RN - 856YO1Z64F (turmeric extract) SB - IM MH - Aged MH - Case-Control Studies MH - Cells, Cultured MH - *Curcuma/chemistry MH - Cytokines/immunology/*metabolism MH - *Eucommiaceae/chemistry MH - Female MH - *Gynostemma/chemistry MH - HLA-DR Antigens/immunology/*metabolism MH - Humans MH - Immunologic Factors/*pharmacology MH - Male MH - Middle Aged MH - Monocytes/*drug effects/immunology/metabolism MH - Phytotherapy MH - Plant Extracts/isolation & purification/*pharmacology MH - Plants, Medicinal MH - Sepsis/blood/*immunology MH - Th1 Cells/*drug effects/immunology/metabolism MH - Th1-Th2 Balance/*drug effects MH - Th2 Cells/*drug effects/immunology/metabolism OTO - NOTNLM OT - Curcuma longa L. OT - Human leukocyte antigen-DR OT - Interleukin-10 OT - Sepsis EDAT- 2018/02/21 06:00 MHDA- 2018/09/08 06:00 CRDT- 2018/02/21 06:00 PHST- 2017/07/16 00:00 [received] PHST- 2018/02/14 00:00 [revised] PHST- 2018/02/16 00:00 [accepted] PHST- 2018/02/21 06:00 [pubmed] PHST- 2018/09/08 06:00 [medline] PHST- 2018/02/21 06:00 [entrez] AID - S0378-8741(17)32678-8 [pii] AID - 10.1016/j.jep.2018.02.024 [doi] PST - ppublish SO - J Ethnopharmacol. 2018 May 10;217:195-204. doi: 10.1016/j.jep.2018.02.024. Epub 2018 Feb 17.