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. 2021 Feb 13;22(4):1883. doi: 10.3390/ijms22041883

Table 7.

Pharmacological effects of natural antioxidants in aplastic anemia treatment.

Bioactive Compound Doses In Vitro/
In Vivo/
Clinical Study
Route of Administration Model Bioactive Effect References
Leaf Panax notoginseng saponins (LPNS) 50, 100, and 200 mg/kg In vivo intragastric administration daily for 14 days Aplastic anemia model in BALB/c mice ↑ WBC, platelets, RBC, Hb
↑ hematopoiesis
-improve myelosuppression
↓ inflammation
[247]
Curcumin and baicalein -curcumin (1 and 4 g/kg)
-baicalein (0.6 and 2 g/kg) dissolved in corn oil
In vivo intragastric administration once a day for 5 weeks Aplastic anemia mouse model with iron overload ↑ WBC
↑ Hb levels
↑ hepcidin and its regulators (BMP-6, SMAD4, and TfR2)
[248]
Ginsenoside Rb1 1, 2, and
4 mg/mL
In vivo intraperitoneally injection
daily for
12 days
An immune-mediated aplastic anemia mouse model ↑ WBC, HGB, PLT, and bone marrow stem cells
↓ T-cell activation by suppressing DC maturation
[249]
Panaxadiol saponins component 20, 40, and 80 mg/kg In vivo intragastric
daily for 15 days
Aplastic anemia model mice
BALB/c mice
↑ WBC, platelet, neutrophil counts
-enhanced proliferation of hematopoietic progenitor cells
↑ peripheral blood CD3+ and CD3+CD4+ cells and
↓ CD3+CD8+ cells
↑ CD4+CD25+FoxP3+ cells,
[250]
Saponins from
Dioscorea nipponica
37.44, 74.88, and 149.76 mg/kg In vivo orally
for 14 days
Aplastic anemia model mice -alleviated pancytopenia with a hypocellular bone marrow
↑ the percentage of CD4+ cells in BMNC
↑ the CD4+/CD8+ ratio
↓ the pro-inflammatory cytokine concentrations of IL-2 and IFN-γ
↑the anti-inflammatory cytokine IL-4
-inhibited Fas–FasL-induced BMNC apoptosis
-suppressed intracellular apoptosis
[251]

LPNS, leaf Panax notoginseng saponins; BMP-6, bone morphogenic protein 6; HGB, hematocrit and hemoglobin; HPC, hematopoietic progenitor cells; CFU-GM, colony-forming unit for granulocytes and macrophages; CFU-E, colony forming unit-erythroid; BMNC, bone marrow nucleated cells; IFN-γ, interferon-γ; GATA-3, erythroid transcription factor-3.