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Table 2 The effect of TCM compounds and active components on the regulation mechanism of T cell exhaustion

From: Focus on T cell exhaustion: new advances in traditional Chinese medicine in infection and cancer

Drugs

Disease type

Mechanism of effect

Cell type/model

References

Bushen Jianpi Recipe

Mycobacterium bovis BCG purified protein derivative

Enhances IFN-γ and IL-2 expression, up-regulates CD4+ and CD8+ T cells and inhibits PD-1 expression level on CD4+ T cells

Mice in vivo model

[130]

Dahuang Fuzi Baijiang Decoction

Colorectal cancer

Inhibits the PD-1hiTIM3+ subset and CCL2 expression and enhances the PD-1intTCF+ population

MC38 cell line and mice in vivo model

[131]

Yangyin Fuzheng Jiedu Prescription

Hepatocellular carcinoma

Enhances the ratio of CD3+ and CD8+ T cells in the peripheral blood, spleen, and tumor tissue and the expression of TNF-α, and IFN-γ and down-regulates the expression of PD-1, TIGIT, TIM-3 in CD8+ T cells and IL-1β, IL-6, and IL-10 in the serum and tumor tissues

Mouse HCC cell line H22 and mice in vivo model

[132]

ShenQi FuZheng Injection

Lung cancer-related fatigue

Inhibits PD-L1, TIM-3 and FOXP3 and IL-2, IFN-γ and TNF-α expression in serum

Lewis Lung carcinoma and mice in vivo model

[133]

Yangyin Fuzheng Decoction

Lung cancer

Inhibits the expression of PD-1+ CD8+ T cells and PD-1, PD-L1, TIM-3 in tumor tissues and increases PD-1CD8+ T cells in peripheral blood and CD4+CD25+ FoxP+ T cell in tumor tissues

PD-L1+Lewis and Lewis lung cancer cells and mice in vivo model

[134, 135]

Qiyusanlong Decoction

Lung cancer

Increases TNF-α, IL-1, IL-12 and inhibits CXCL-9, CCL-17, STAT6 and MTOR expression

Lewis lung cancer cells and mice in vivo model

[138]

Compound kushen injection

Hepatocellular carcinoma

Reduces the distribution and polarization of M2-TAM, promotes M1-TAM

Hepa1-6 or LPC-H12 cell lines and mice in vivo model

[139]

Astragalus membranaceus polysaccharide

Breast cancer

Enhances IFN-γ and IL-2 expression

4T1 breast tumor cell line and mice in vivo model

[144]

Dihydroartemisinin

Hepatocellular carcinoma

Promotes CD4+ T cell infiltration in spleen and CD8+ T cell infiltration in tumor tissue

HepG2215 cell line and mice in vivo model

[145]

Extract derived from the sporoderm-breaking spores of G. lucidum

Breast cancer

Increases cytotoxic T cell (Tc) population and the ratio of Tc to helper T cell (Th) and decreases PD-1 and CTLA-4 expression

Breast cancer 4T1-cell line and mice in vivo model

[146]

Hirsutella sinensis fungus

Breast cancer

Increases CD44LowCD62LHi and CD44HiCD62LLow populations in the tumor-infiltrating CD8+ T cells and enhances IFN-γ and granzyme B and reduces PD-1, TIGIT, CTLA-4 expression

4T1-Luc cells and mice in vivo model

[147]

Pinellia pedatisecta Schott extract

Cervical cancer

Up-regulates the expression of MHCII, CD80, CD86, IL-12 and promotes CD4+ and CD8+ T cells and induces the differentiation of IFN-γ+CD4+ and GZMB+CD8+ T cells

TC-1 tumor cell line and mice in vivo model

[151, 152]

Astragalus membranaceus and extract

Renal cell carcinoma

Increases IL-21 expression

Renal cell carcinoma patients

[153]

Lycium barbarum polysaccharide

Liver cancer

Increases CD8+ T cells and decreases TGF-β and IL-10 expression

Mouse HCC cell line H22 and mice in vivo model

[154]

Luteolin and its derivative apigenin

Lung cancer

Inhibition of STAT3 phosphorylation, down-regulates IFN-γ-induced PD-L1 expression and increases CD8+ T cells, IFN-γ, TNF-α and Granzyme B

KRAS-mutation NSCLC (H460, H358and A549) cells and mice in vivo model

[155]

Bisdemethoxycurcumin

Bladder cancer

Enhances IFN-γ, granzyme B, and perforin expression

MB49 cells and mice in vivo model

[156]