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. 2020 Jul 8;11:1009. doi: 10.3389/fphar.2020.01009

Table 4.

Effect of TCM on immune response of tumor cells.

TCM Tumor type Effects Main mechanisms Ref.
Upregulation of Classic MHC Molecules
EPS
(TCM component)
In vitro, DCS cells Could improve the expression of MHC-II, CD40, CD80, and CD86 in DCS cells and their ability of antigen uptake as well as secretion of IL-12 and TNF-α Inhibiting phosphorylation of JAK2 and STAT3 and promoting the NF-κB signal pathway (Song et al., 2013)
ISD
formula
In vivo, in spleen-deficient liver cancer rats Could suppress the development of cachexia caused by transplantable tumor and improve the survival of mice Increasing MHC I/II expression in liver tissues (Wang et al., 2008; Li et al., 2014)
Inhibition of PD-1/PD-L1 signaling
BFD
formula
In vitro and in vivo, A549 and H1975 cells and murine xenograft models of NSCLC Could inhibit tumor growth and prolong the survival in mice Blocking the crosstalk between TAMs and cancer cells through decreasing IL-10 and PD-L1 (Pang et al., 2017)
QYSL
formula
In vivo, a LLC-xenografted murine model Could inhibit tumor growth High dose QYSL inhibited tumor growth by reducing PD-1 in spleen and PD-L1. (Zhang X. et al., 2016)
GQD
formula
In vivo, a murine xenograft model of CT26 CRC Could inhibit tumor growth of CRC and modulate the gut microbiome composition. Combination therapy with GQD and anti-PD-1 induced the frequency of CD8+ T cells in tumor tissues and peripheral blood. They also increased IFN-γ and IL-2, but decreased PD-1. (Lv et al., 2019)
Inhibition of CSCs
PZH
formula
In vitro, HT-29 CRC stem-like SP cells Could reduce the population and viability and sphere-forming capacity of HT-29 SP cells Inhibiting ABCB1 and ABCG2 (Wei et al., 2014)
Huaier
(TCM component)
In vitro, MCF7 breast cancer cells Could decrease the viabilities, numbers, sizes of mammospheres and the proportion of cells expressing CD44+/CD24-, and reduce the levels of stem cell markers Partially dependent on the hedgehog pathway (Wang et al., 2014)
In vitro, primary CRC cells (T1 and T2 cells) Could inhibit the potential of spheroid formation and the population of ALDH−positive cell Downregulating the Wnt/β−catenin pathway (Zhang et al., 2013)

EPS, the exopolysaccharide from an anamorph of Cordyceps sinensis; ISD, Invigorating Spleen and Detoxification Decoction; DCS, dendritic cell sarcoma; GQD, Gegen Qinlian decoction; CRC, colorectal cancer; BFD, Bu Fei Decoction; NSCLC, non-small cell lung cancer; QYSL, Qiyusanlong decoction; LLC, Lewis lung cancer; CSCs, cancer stem cells; PZH, Pien Tze Huang; Huaier, Trametes robiniophila Murr.; ALDH, aldehyde dehydrogenase.