The phytochemical properties, pharmacological effects and traditional uses of Actinidia eriantha Benth.: A review

Abstract

Actinidia eriantha Benth. (Called Maohuamihoutao in China) is a plant that has been utilized as a heat-clearing drug in She ethnic minority group for a long time in China. Specifically, it has been involved in the treatment of stomach cancer, colon cancer, cirrhosis with ascites, chronic hepatitis, leukemia, rectal prolapse, hernia and uterine prolapse. Pharmacological research provides partial evidence for the traditional use of A. eriantha and might have demonstrated the folk utilization of A. eriantha to combat many cancers. Crude extracts and relatively pure components of A. eriantha possess a variety of pharmacological activities, including anti-cancer, immunoregulatory, anti-angiogenic, neuroprotective, anti-inflammatory, and antioxidant activities. In addition, over 104 chemical substances have been determined from A. eriantha, involving terpenoids, alcohols, phenolics, aldehydes, organic acids, flavonoids glycosides, ketones, and glucoside. The existing literature reveals that a large proportion of the therapeutic effects of A. eriantha were rendered by the polysaccharides. However, the mechanisms of action and the structure-function correlations of these compounds, as well as the synergistic and antagonistic effects between them, need to be investigated further. Therefore, we propose that future studies on A. eriantha should focus on comprehensively assessing its medicinal quality, exploring its multi-target nature using network pharmacology approaches, and evaluating its long-term toxicity and efficacy in vivo.

Introduction

The genus Actinidia (Actinidiaceae) includes more than fifty-two perennial herbal species broadly distributed all over China (Flora of China Editorial Committee, 2015). Among them, Actinidia eriantha Benth. (AE) is a liana species commonly found in regions in the temperate zone (Xu et al., 2009a). The roots of AE (Actinidiaceae) have been utilized to treat various cancers, such as gastric cancer, mastocarcinoma, esophagus cancer, cervical carcinoma, nasopharyngeal cancer, and prostatic cancer, as well as cirrhosis with ascites, chronic hepatitis etc. in traditional Chinese medicine (Yu et al., 2017; Chen et al., 2019a). The AE roots are shown to have many biological activities, including anti-tumor (Xu et al., 2009b), immunoregulatory (Xu et al., 2009b), anti-angiogenic (Wu et al., 2017), neuroprotective (Cho et al., 2021), anti-inflammatory (Kim et al., 2018) and antioxidant (Huang et al., 2020) effects. Phytochemical investigations exhibited that AE contains a rich phytochemical like terpenoids, alcohols, phenolics, aldehydes, organic acids, flavonoids glycosides, ketones, glucoside. However, only a few of these compounds have been subjected to bioactivity studies, and their corresponding structures have not been adequately summarized and comprehensively presented in other publications. Although AE has showed its efficacy against cancers, its extracts contain chemical substances with so far undefined toxicity and biosafety. Moreover, both quality control research and rigorous pharmacological assessments of the associations between the extracts and the traditional utilization of AE are lacking.

We herein consistently organize the unsorted information on botanical characteristics, traditional uses, phytochemical properties, pharmacological activities, probable molecular mechanisms, quality control and biosafety of AE. Our paper displays phytochemical and pharmacological research on AE to testify its traditional application in the treatment of diseases. The information summarized in this paper will guide the design of future in vivo and clinical studies on AE and the development of new medicine containing AE or its active components.

Materials and methods

Research available on AE was retrieved from electronic databases of Baidu Scholar, Google Scholar, SciFinder, PubMed, ScienceDirect, Web of Science, and Springer using the keywords of “Actinidia eriantha,” “biological activity,” “phytochemistry,” “pharmacology,” “secondary metabolites,” “medicinal uses,” “safety,” “quality control,” “ethnobotanical survey,” “toxicology,” and related terms. Papers published on scientific journals, Chinese herbal medicine books and magazines, as well as thesises, were obtained. We utilized The Plant List (www.theplantlist.org) database to verify the nomenclature and acquire information on AE subspecies.

Botanical characteristics

Actinidia eriantha (Figure 1) is a traditional medicine of She minority in China (Yu et al., 2017). As per “The Plant List” (www.theplantlist.org) database, Actinidia eriantha Benth. is the plant’s most accepted name. Other five synonyms for the plant are Actinidia davidii Franch, Actinidia lanata Hemsl., Actinidia eriantha f. alba C. F. Gan, Actinidia eriantha var. brunnea C. F. Liang and Actinidia eriantha var. calvescens C. F. Liang (www.theplantlist.org). AE is distributed in at least 13 provinces in China, with the main distribution area being the Yangtze River basin and high plant abundances being observed in Fujian, Zhejiang, and Jiangxi Provinces.

FIGURE 1.

The whole plant (A), flower portion (B), and commercial herbal root pieces (C) of A. eriantha.

AE grows primarily at streamside or in forests at low altitudes (i.e., 200–1,200 m above sea level) but is also found at relative high altitudes (i.e., 1800–2000 m above sea level) on the Yunnan-Guizhou Plateau. AE has no specific requirements for soil conditions and can tolerate acidic soils with a pH value of 4.5–5.5. An average annual temperature of 9.2°C–17.4°C supports the normal growth and development of AE plants. However, the species can also tolerate harsh temperature conditions, for instance, a high temperature of 42.6°C and a low temperature of −27.4°C. Wild AE plants generally climb tall trees. Current season shoots of AE are grayish green in color with dense white short hairs, which are even more conspicuous at the tip; older shoots of AE, with or without Sun light exposure, are reddish-brown or dark gray in color, respectively. Other characteristics of AE shoots include lamellar whitish pith, 6–10-cm-long internodes, and a 6–8-mm diameter. The leaves of AE are single, alternate and can be pointed or elliptical in shape; the upper surface of AE leaves is glabrous with a dark green color, while the lower surface is gray green in color with dense white fluff. AE plants possess fleshy fibrous roots, 85% of which are distributed in the 0–40-cm-deep soil zone, while some can extend to around 60 cm below the soil surface. Most of AE roots are distributed in the 20–80-cm zone around the tree trunk, while some can reach 150 cm away from the trunk (Liao et al., 2021). The roots for medicinal use were collected in the autumn. The roots soaked to a certain extent are taken out and then watered until the internal and external humidity of the medicinal materials is consistent, thick slices, dried, and used for medicinal purpose (Zhejiang Food and Drug Administration, 2015).

Phytochemistry

The phytochemical research on different AE organs, including root, leaf, and ripe fruit, has revealed the existence of various phytochemicals such as terpenoids, flavonoids glycoside, alcohols, aldehydes, ketones, organic acids, glucoside, and other compounds (Table 1). As far as the studies about the phytochemistry of AE are concerned, terpenoids that is the most deeply studied have been isolated and characterized from roots and aerial parts. What’s more, the phytochemicals extracted from root, the medicinal organ of AE, are even more worthy of further study. However, polysaccharides, the major type of bioactive compounds present in this herb (Guo et al., 2013), have not been isolated and still need further investigation. All in all, terpenoids and polysaccharides are the major biologically active constituents of AE.

TABLE 1.

The chemical constituents isolated from Actinidia eriantha Benth.

Class	Compounds	Part of the plant	Chromatographic methods	Type of extract	References
Triterpenoid (26)	2α, 3β, 24-trihydroxy-urs-12-en-28-oic acid 1	Aerial part	Slica column chromatography, thin layer chromatography	Methanolic extract	Bai et al. (1997a)
	2α, 3α, 24-trihydroxy-urs-12-en-28-oic acid 2	Root, aerial part			Bai et al. (1997a), Huang et al. (1986), Zhang et al. (2017), Yu et al. (2020)
	2β, 3β-dihydroxy-23-oxo-urs-12-en-28-oic acid 3	Root	High performance liquid chromatography, Slica column chromatography, thin layer chromatography	Ethyl acetate extract	Bai et al. (1997b), Guo, (2013)
	2α, 3α-dihydroxy-23-oxo-urs-12-en-28-oic acid 4	Root	High performance liquid chromatography, thin layer chromatography	Chloroform extract	Guo (2013)
	2α, 3β, 23-trihydroxy-urs-12-en-28-oic acid 5	Root	Slica column chromatography, thin layer chromatography	Methanolic extract	Bai et al. (1997b)
	2α, 3β-dihydroxy-12-en-28-oic acid 6	Root	Slica column chromatography, thin layer chromatography	Ethyl acetate extract	Bai et al. (1997b)
	2α, 3α- dihydroxy-23-Garcia et al. (2012)methoxy-12-en-28-oic acid 7	Root	High performance liquid chromatography, thin layer chromatography	Chloroform extract	Guo, (2013)
	3β,23,24-trihydroxyl-12-oleanen-28-oic acid 8	Root	Gel colum chromatography, Sephadex LH-20 chromatography	Ethyl acetate extract	Wu et al. (2017)
	β-sitosterol 9	Root, Aerial part	Slica column chromatography, thin layer chromatography		Bai et al. (1997a), Huang et al. (1986), Huang et al. (1988)
	Daucosterol 10	Root, Aerial part	Slica column chromatography, thin layer chromatography		Bai et al. (1997a), Huang et al. (1986), Huang et al. (1988)
	ursolic acid 11	Root, Aerial part	Slica column chromatography, thin layer chromatography		Bai et al. (1997a), Huang et al. (1988)
	Eriantic acid A 12	Root	Slica column chromatography, thin layer chromatography		Huang et al. (1986)
	Eriantic acid B 13	Root	Slica column chromatography, thin layer chromatography	Methanolic extract	Huang et al. (1988)
	Prenol 14	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and linalool as representative compound while standard was not available)	Garcia et al. (2012)
	cis-Linalool oxide 15	Ripe fruit			Garcia et al. (2012)
	trans-Linalool oxide 16	Ripe fruit			Garcia et al. (2012)
	Linalool 17	Ripe fruit			Garcia et al. (2012)
	α-Terpineol 18	Ripe fruit			Garcia et al. (2012)
	Nerol 19	Ripe fruit			Garcia et al. (2012)
	p-Cymen-8-ol 20	Ripe fruit			Garcia et al. (2012)
	2,6-Dimethyl-3,7-octadiene-2,6-diol 21	Ripe fruit			Garcia et al. (2012)
	6,7-Dimethyl-7-hydroxylinalool 22	Ripe fruit			Garcia et al. (2012)
	Perilla alcohol 23	Ripe fruit			Garcia et al. (2012)
	(Z)-8- Hydroxylinalool 24	Ripe fruit			Garcia et al. (2012)
	(E)-8- Hydroxylinalool 25	Ripe fruit			Garcia et al. (2012)
	Geranic acid 26	Ripe fruit			Garcia et al. (2012)
Alcohols (28)	2-Butanol 27	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and 1-hexanol as representative compound while standard was not available)	Garcia et al. (2012)
	2-Methyl-3-buten-2-ol 28	Ripe fruit			Garcia et al. (2012)
	Isobutanol 29	Ripe fruit			Garcia et al. (2012)
	3-Pentanol 30	Ripe fruit			Garcia et al. (2012)
	2-Pentanol 31	Ripe fruit			Garcia et al. (2012)
	Butanol 32	Ripe fruit			Garcia et al. (2012)
	1-Penten-3-ol 33	Ripe fruit			Garcia et al. (2012)
	4-Methyl-2-pentanol 34	Ripe fruit			Garcia et al. (2012)
	3-Hexanol 35	Ripe fruit			Garcia et al. (2012)
	Isoamyl alcohol 36	Ripe fruit			Garcia et al. (2012)
	3-Methyl-3-buten-1-ol 37	Ripe fruit			Garcia et al. (2012)
	Cyclopentanol 38	Ripe fruit			Garcia et al. (2012)
	3-Methyl-1-pentanol 39	Ripe fruit			Garcia et al. (2012)
	Hexanol 40	Ripe fruit			Garcia et al. (2012)
	(Z)-3-Hexen-1-ol 41	Ripe fruit			Garcia et al. (2012)
	3-Octanol 42	Ripe fruit			Garcia et al. (2012)
	(E)-2-Hexen-1-ol 43	Ripe fruit			Garcia et al. (2012)
	Cyclopentanemethanol 44	Ripe fruit			Garcia et al. (2012)
	1-Octen-3-ol 45	Ripe fruit			Garcia et al. (2012)
	Sulcatol 46	Ripe fruit			Garcia et al. (2012)
	2-Ethyl-1-hexanol 47	Ripe fruit			Garcia et al. (2012)
	1,2-Pentanediol 48	Ripe fruit			Garcia et al. (2012)
	7-Methyl-4-octanol 49	Ripe fruit			Garcia et al. (2012)
	1,3-Octanediol 50	Ripe fruit			Garcia et al. (2012)
	Benzyl alcohol 51	Ripe fruit			Garcia et al. (2012)
	2-Phenyl-1-ethanol 52	Ripe fruit			Garcia et al. (2012)
	2,4-Dimethylphenethyl alcohol 53	Ripe fruit			Garcia et al. (2012)
	o-Methoxybenzyl alcohol 54	Ripe fruit			Garcia et al. (2012)
Phenolics (15)	Methyl salicylate 55	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and vanillin as representative compound while standard was not available)	Garcia et al. (2012)
	Phenol 56	Ripe fruit			Garcia et al. (2012)
	p-Cresol 57	Ripe fruit			Garcia et al. (2012)
	Eugenol 58	Ripe fruit			Garcia et al. (2012)
	4-Vinylguaiacol 59	Ripe fruit			Garcia et al. (2012)
	4-Hydroxy-3-methylacetophenone 60	Ripe fruit			Garcia et al. (2012)
	cis-Isoeugenol 61	Ripe fruit			Garcia et al. (2012)
	(E)-Cinnamyl alcohol 62	Ripe fruit			Garcia et al. (2012)
	trans-Isoeugenol 63	Ripe fruit			Garcia et al. (2012)
	Vanillin 64	Ripe fruit			Garcia et al. (2012)
	Homovanillic acid 65	Ripe fruit			Garcia et al. (2012)
	p-Hydroxyphenethyl alcohol 66	Ripe fruit			Garcia et al. (2012)
	3,4,5-Trimethoxyphenol 67	Ripe fruit			Garcia et al. (2012)
	Coniferyl alcohol 68	Ripe fruit			Garcia et al. (2012)
	Benzaldehyde 69	Ripe fruit			Garcia et al. (2012)
Aldehydes (2)	Hexanal 70	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and (E)-2-hexenal as representative compound while standard was not available)	Garcia et al. (2012)
	(E)-2-Hexenal 71	Ripe fruit			Garcia et al. (2012)
Organic acid (14)	Acetic acid 72	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and acetic acid as representative compound while standard was not available)	Garcia et al. (2012)
	Isobutyric acid 73	Ripe fruit			Garcia et al. (2012)
	Isovaleric acid 74	Ripe fruit			Garcia et al. (2012)
	2-Ethylbutanoic acid 75	Ripe fruit			Garcia et al. (2012)
	Hexanoic acid 76	Ripe fruit			Garcia et al. (2012)
	trans-2-Hexenoic acid 77	Ripe fruit			Garcia et al. (2012)
	Octanoic acid 78	Ripe fruit			Garcia et al. (2012)
	Nonanoic acid 79	Ripe fruit			Garcia et al. (2012)
	Hexadecanoic acid 80	Ripe fruit			Garcia et al. (2012)
	Octadecanoic acid 81	Ripe fruit			Garcia et al. (2012)
	Linoletic acid 82	Ripe fruit			Garcia et al. (2012)
	Linolenic acid 83	Ripe fruit			Garcia et al. (2012)
	Benzoic acid 84	Ripe fruit			Garcia et al. (2012)
	Phenylacetic acid 85	Ripe fruit			Garcia et al. (2012)
Flavonoids glycoside (8)	Isorhamnetin 3-O-rhamnose 1-6-glucose 86	Leave	Paper chromatography, Column chromatography, thin layer chromatography	Ethanolic extract	Webby et al. (1994)
	Kaempferol 3-O-rhamnose 1-6-glucose 87	Leave			Webby et al. (1994)
	Quercetin 3,7-O-di, tri glycoside 88	Leave			Webby et al. (1994)
	Quercetin 3-O-rhamnose rhamnose glucose 89	Leave			Webby et al. (1994)
	Kaempferol 3-O-rhamnose 1–4 rhamnose 1–6 glucose 90	Leave			Webby et al. (1994)
	Quercetin 3-O- glucose 91	Leave			Webby et al. (1994)
	Kaempferol 3-O- glucose 92	Leave			Webby et al. (1994)
	Quercetin 3-O-rhamnose 1–6 galactose 93	Leave			Webby et al. (1994)
Ketones (4)	(E)-3-Penten-2-one 94	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and β-damascenone as representative compound while standard was not available)	Garcia et al. (2012)
	4-Methyl-3-penten-2-one 95	Ripe fruit			Garcia et al. (2012)
	4-Hydroxy-4-methyl-2- pentanone 96	Ripe fruit			Garcia et al. (2012)
	4-Hydroxy-5-methyl-2-hexanone 97	Ripe fruit			Garcia et al. (2012)
Glucoside (2)	(6R,7E,9S)-6,9-hydroxy-megastiman-4,7-dieu-3-one-9-O-β-D-glucopyranoside 98	Root	Gel colum chromatography, Sephadex LH-20 chromatography	Ethyl acetate extract	Wu et al. (2017)
	Oleanolic acid-23-O-β-D- glucopyranoside 99	Root			Wu et al. (2017)
Others (5)	Dihydro-3,5-dimethyl-2(3H)-furanone 100	Ripe fruit	Gas chromatography-mass spectrometry	Pentane and ether extract (with cyclohexanone as internal standard, and β-damascenone as representative compound while standard was not available)	Garcia et al. (2012)
	Furfuryl alcohol 101	Ripe fruit			Garcia et al. (2012)
	3-Hydroxy-b-damascone 102	Ripe fruit			Garcia et al. (2012)
	2-(Methylthio)ethanol 103	Ripe fruit			Garcia et al. (2012)
	3-(Methylthio)-1-propanol 104	Ripe fruit			Garcia et al. (2012)

Triterpenoids

Triterpenoids represent the main bioactive substances in AE. Totally, twenty-nine triterpenoids have been isolated from AE, including 2α, 3β, 24-trihydroxy-urs-12-en-28-oic acid 1 (Bai et al., 1997a), 2α,3α,24-trihydroxy-urs-12-en-28-oic acid 2 (Huang et al., 1986; Huang et al., 1988; Bai et al., 1997a; Zhang et al., 2017; Yu et al., 2020), 2β, 3β-dihydroxy-23-oxo-urs-12-en-28-oic acid 3 (Bai et al., 1997a), 2α,3α-dihydroxy-23-oxo-urs-12-en-28-oic acid 4 (Guo, 2013), 2α, 3β, 23-trihydroxy-urs-12-en-28-oic acid 5 (Bai et al., 1997b), 2α, 3β-dihydroxy-12-en-28-oic acid 6 (Bai et al., 1997b), 2α,3α-dihydroxy-23-methoxy-12-en-28-oic acid 7 (Guo, 2013), 3β,23,24-trihydroxyl-12-oleanen-28-oic acid 8 (Wu et al., 2017) β-sitosterol 9 (Huang et al., 1986; Huang et al., 1988; Bai et al., 1997a), daucosterol 10 (Huang et al., 1986; Huang et al., 1988; Bai et al., 1997a), etc. Triterpenoids are isolated from root and ripe fruits. However, the pharmacological effects of terpenoids are yet to be well defined. The chemical structures of the triterpenoids are displayed in Figure 2.

FIGURE 2.

Triterpenoids isolated or determined from A. eriantha.

Alcohols

Twenty-four alcohols are determined in ripe fruits of AE plants through GC–MS, including 2-Butanol 27, 2-Methyl-3-buten-2-ol 28, Isobutanol 29, 3-Pentanol 30, 2-Pentanol 31, Butanol 32, 1-Penten-3-ol 33, 4-Methyl-2-pentanol 34, 3-Hexanol 35, Isoamyl alcohol 36, etc. (Garcia et al., 2012). These molecules’ chemical structures are presented in Figure 3.

FIGURE 3.

Alcohols determined from A. eriantha.

Phenolics and aldehydes

Fifteen phenolics (methyl salicylate 55, phenol 56, p-Cresol 57, eugenol 58, 4-Vinylguaiacol 59, 4-Hydroxy-3-methylacetophenone 60, cis-Isoeugenol 61, (E)-Cinnamyl alcohol 62, trans-Isoeugenol 63, vanillin 64, homovanillic acid 65, p-Hydroxyphenethyl alcohol 66, 3,4,5-Trimethoxyphenol 67, coniferyl alcohol 68, Benzaldehyde 69) and two aldehydes (hexanal 70, (E)-2-Hexenal 71) are determined from AE ripe fruit by GC-MS (Garcia et al., 2012). The chemical structures of the phenolics and aldehydes are exhibited in Figure 4.

FIGURE 4.

Phenolics and aldehydes determined from A. eriantha.

Organic acids

Twelve acid, including acetic acid 72, isobutyric acid 73, isovaleric acid 74, 2-Ethylbutanoic acid 75, hexanoic acid 76, trans-2-Hexenoic acid 77, octanoic acid 78, nonanoic acid 79, hexadecanoic acid 80, octadecanoic acid 81, linoletic acid 82, linolenic acid 83, benzoic acid 84 and phenylacetic acid 85 are confirmed from the ripe fruits of AE plants (Garcia et al., 2012). Their chemical structures are presented in Figure 5.

FIGURE 5.

Organic acid determined from A. eriantha.

Flavonoids glycoside

Eight flavonoids (isorhamnetin 3-O-rhamnose 1-6-glucose 86, kaempferol 3-O-rhamnose 1-6-glucose 87, quercetin 3,7-O-di, tri glycoside 88, quercetin 3-O-rhamnose rhamnose glucose 89, kaempferol 3-O-rhamnose 1-4 rhamnose 1-6 glucose 90, quercetin 3-O- glucose 91, kaempferol 3-O- glucose 92, quercetin 3-O-rhamnose 1-6 galactose 93) are isolated from the leaf of AE plants (Webby et al., 1994).

Ketones

Four ketones ((E)-3-Penten-2-one 94, 4-Methyl-3-penten-2-one 95, 4-Hydroxy-4-methyl-2- pentanone 96, 4-Hydroxy-5-methyl-2-hexanone 97) are determined from ripe fruits from AE plants (Garcia et al., 2012). These substances’ chemical structures are displayed in Figure 6.

FIGURE 6.

Ketones determined from A. eriantha.

Glucoside and others

Two Glucoside, (6R,7E,9S)-6,9-hydroxy-megastiman-4,7-dieu-3-one-9-O-β-D-glucopyranoside 98 (Wu et al., 2017), Oleanolic acid-23-O-β-D- glucopyranoside 99 (Wu et al., 2017) and two furans (Dihydro-3,5-dimethyl-2(3H)-furanone 100 (Garcia et al., 2012), Furfuryl alcohol 101 (Garcia et al., 2012)as well as other compounds, such as 3-Hydroxy-b-damascone 102 (Garcia et al., 2012), 2-(Methylthio)ethanol 103 (Garcia et al., 2012), 3-(Methylthio)-1-propanol 104 (Garcia et al., 2012), polysaccharide AEPS (Xu et al., 2009b; Chen et al., 2019b), are determined and isolated from roots and ripe fruits of AE plants. These compounds’ chemical structures are exhibited in Figure 7.

FIGURE 7.

Glucoside, and others determined from A. eriantha.

Pharmacological activities

AE has been demonstrated to possess various pharmacological activities. The main pharmacological activities are anti-tumor activity, as well as other activities such as immunoregulatory, anti-inflammatory, anti-angiogenic, and neuroprotective and antioxidant activities. As a traditional medicine in She ethnic minority group, a minority who lived in Zhejiang and Fujian Provinces, AE is widely used to treat stomach cancer, colon cancer, cirrhosis with ascites, chronic hepatitis, leukemia, rectal prolapse, hernia and uterine prolapse. However, pharmacological studies only provide evidence for the traditional use of its anti-tumor effect, while other activities such as treating chronic hepatitis still need further research. The possible mechanism of anti-tumor, immunoregulatory, and anti-inflammatory activities are shown in Figure 8. And these activities have been displayed in Table 2 and will be discussed further in the following sections.

FIGURE 8.

Possible mechanism of anti-tumor, immunoregulatory, and anti-inflammatory activities of A. eriantha. S, Synthesis phase, G, Gap phase, M, mitotic period. AE inhibited tumor development through arresting cell cycle, inducing apoptosis and inhibiting tumor angiogenesis and migration. AE regulated immunity through inducing the responses of M1 and M2 macrophages. AE exhibited anti-inflammatory activity through inhibiting cytokine production.

TABLE 2.

Pharmacological activities of Actinidia eriantha Benth.

Pharmacological activity	Tested substance	Model	Tested living system/organ/cell	Result	Dose range	Time period of application	References
Immunoregulatory activity	Aeps	Raw264.7cells	Cells	Induced the activation of macrophages via lncrnas/nf-κb networks	50 μg/ml	4 h	Chen et al. (2019a)
	AEPS	RAW264.7cells	Cells	Induced macrophage activation through regulating mirnas expression	50 μg/ml	24 h	Chen et al. (2019b)
	AEPS	Mice	Supernatant and the elleted cells	Induced the expression of large numbers of cytokines and chemokines	50 μg	3, 6 h	Du et al. (2020)
	AEPS	RAW264.7 cells	Cells	Enhanced the pinocytic and phagocytic activity, promote the expression of accessory and costimulatory molecules	0–200 μg/ml	24 h	Sun et al. (2015)
	AEPS	Icrmice	Sera and splenocyte	Increased both cellular and humoral immune responses and elicited a balanced Th1/Th2 response	25,50, 100 μg	2 weeks	Sun et al. (2009)
	Phenoplic extracts	Splenocyte	Cell	Induced the proliferation and reduced IFN-γ production	62.5–1,000 μg/ml	48 h	Kim et al. (2018)
Antitumor activity	Eel, ees	Huvecs	Cells	Decreased the Cell viability	100 μg/ml	24 h	Wu et al. (2017)
	EER	SGC7901 cells, CNE2 cells and huvecs	Cells	Inhibited the cells’ growth	100 μg/ml	24 h	Wu et al. (2017)
	PE-EER, BA-EER, WE-EER	Huvecs	Cells	Inhibited the cells’ growth	100 μg/ml	24 h	Wu et al. (2017)
	EA-EER	CNE2 cells	Cells	Inhibited the cells’ growth	100 μg/ml	24 h	Wu et al. (2017)
	EA-EER	SGC7901 cells, huvecs	Cells	Inhibited the cells’ growth in a time and dose-dependent manner	0–100 μg/ml	24, 48, 72 h	Wu et al. (2017)
	EA-EER	SGC7901 cells	Cells	Decreased the Number of cells and ncreasing degree of apoptosis with some obvious apoptotic morphological alterations	0, 50, 75 and 100 μg/ml	24 h	Wu et al. (2017)
	EA-EER	Huvecs	Cells	Induced apoptosis	0, 40, 60, 80 μg/ml	24 h	Wu et al. (2017)
	EA-EER	Huvecs	Cells	Inhibit cell migration of huvecs in a dose-dependent manner	0, 30, 40, 60 μg/ml	24 h	Wu et al. (2017)
	EA-EER	Chick CAM model	Blood vessels	Was capable of restraining angiogenesis in vivo	1.0 mg/ml	72 h	Wu et al. (2017)
	AEPS and AEPA, AEPB, AEPC, AEPD	Tumor-bearing mice	Tumors	Inhibited the growth of tumor transplanted	2.5, 5.0, 10.0 mg/kg	10 days	Xu et al. (2009b)
	AEPS and AEPA, AEPB, AEPC, AEPD	S180-bearing mice	S180 sarcoma	Inhibited the growth of transplantable S180 sarcoma in mice and promoted splenocytes proliferation, natural killer cells activity, interleukin-2 production from splenocytes and serum tumor antigen-specific antibody levels in tumor-bearing	10 mg/kg	5 days	Xu et al. (2009a)
Anti-angiogenic activity	Ea-eer	Sgc7901 cells	Cells	Downregulated mrna expression of bcl-2 and up-regulated mrna expression of bcl-2 and the protein expression of caspase-3in sgc7901 cells, in a dose-dependent manner	0, 40, 60, 80 μg/ml	24 h	Wu et al. (2017)
	EA-EER	Huvecs	Cells	Reduced mrna expression of VEGF-A and VEGFR-2 in huvecs	0, 40, 60, 80 μg/ml	24 h	Wu et al. (2017)
Neuroprotective activity	Aqueous ethanol	Pc-12 cells	Cells	Protected neuron-like pc-12 cells from aβ1-42 -induced neurotoxicity	62.5, 250, and 1,000 μg/ml	24 h	Cho et al. (2021)
	Aqueous ethanol	ICR mice	Mice	Prevented cognitive impairment	50, 200, and 1,000 mg/kg	3 weeks	Cho et al. (2021)
	Aqueous ethanol	ICR mice	Brain tissue	Ameliorated Aβ1-42 -induced spatial cognitive learning and memory deficits and protected the antioxidant defense systems in brain tissue	50, 200, and 1,000 mg/kg	3 weeks	Cho et al. (2021)
Anti-inflammatory activity	Phenolic extracts	Macrophages	Cells	Inhibited the production of the pro-inflammatory cytokines	62.5–1,000 μg/ml	48 h	Kim et al. (2018)

Anti-tumor activity

Cancer is the second most common disease worldwide and is difficult to treat (Zhu et al., 2018). Investigations utilizing in vivo and in vitro systems have demonstrated that AE extracts, including ethanol extracts, n-BuOH extracts, ethyl acetate extracts, petroleum ether extract, aqueous extract, chloroform extract and methanol extract, possessed anti-tumor activity. The aqueous extracts of AE roots can not only inhibit the proliferation, migration and invasion of H1299 cells in dose-dependently manner via upregulated the PCDH10 gene expression by downregulating mir-182-5p gene expression (Zhao et al., 2020), but also inhibited M21 cell proliferation, invasion and migration by downregulating the expression of pD-L1 and PD-L2 molecular genes and proteins closely related to immune escape of tumor cells (Wang et al., 2013).

A 24 h administration of ethyl acetate fraction from the root of AE viz. EA-EER (100 μg/ml) significantly suppressed the proliferation of HUVECs by blocking G1 to S cell cycle progression and downregulating VEGF-A and VEGFR-2 expression (Wu et al., 2017). In addition, EA-EER inhibited Bcl-2 expression and enhanced Bax and caspase-3 expression in SGC7901 cells (Wu et al., 2017). These results suggested that EA-EER has the potential to serve as a source of anti-cancer drugs. However, it was necessary to explore the bioactivity of the compounds extracted and the trial lacked a positive control. Tang et al. confirmed the main active ingredient of EA-EER to be 2α,3α,24-trihydroxyurs-12-en-28-oic acid by HPLC, and found that its nano-micelles could inhibit the survival rate of U87MG cells in an administration of 0–80 μg/ml dose-dependently. After being loaded with nano-micelles, the compound exhibited better inhibiting effect on U87MG cells than monomeric compound, while the enhanced effect can be attributed to nano-micelles’ improving water solubility of compound (Tang et al., 2019). Nevertheless, the administration of chloroform extract from the AE roots (4.5–450 μg/ml) dose-dependently suppressed SMMC-7721 cell proliferation (Wang et al., 2011). In another study, administration of chloroform extract from the AE roots (87.5–200 μg/ml) also dose-dependently suppressed BEL-7404 cell proliferation and it was considered that the active components are alkaloids (Guo et al., 2013).

Xu et al. (2009b) has found that the administration of total polysaccharides (AEPS) and four polysaccharides (namely AEPA-AEPD) extracted from AE roots (10 mg/kg) could suppress the growth of S180 sarcoma or H22 hepatoma xenografts in mice. However, the research lacked a positive control for the tumor-suppressing effects of the polysaccharides from AE.

Immunoregulatory activity

Spleen, as an essential peripheral lymphatic organ, it key for innate immunological responses because it can participate in phagocytosis and immune memory (Zhu et al., 2018). In the models of OVA-immunized mice and OVA-induced splenocytes, the administration of AEPS (62.5–1,000 μg/ml) significantly promoted the proliferation of splenocytes treated with Con A and LPS and reduced the production of INF-c relative to the splenocytes stimulated by an anti-CD3 mAb (Kim et al., 2018). However, there was no positive control for that study, and an analysis of dose-effect relationship was also lacking, which had negatively affected the reliability of the study. In another study, administration of AEPA-AEPD could significantly enhance the proliferation of splenocytes, increase the activity of natural killer (NK) cells, stimulate the secretion of interleukin-2 by splenocytes and upregulate the level of tumor antigen-specific antibody in the serum of tumor-bearing mice, which suggested that the anti-tumor activity of AEPA-AEPD was realized by enhancing immune response (Xu et al., 2009a). Furthermore, administration of AEPS (25, 50, or 100 μg) and OVA for 2 weeks significantly increased the serum level of OVA-specific antibody, the cytotoxic activity of NK cells, and the expression and secretion of Th1/Th2 cytokines by activating related transcription factors in the splenocytes of mice treated with OVA (Sun et al., 2009). In OVA induced BALB/c mice, the administration of AEPS triggered an immune effector process manifesting as monocyte, dendritic cell, and neutrophil recruitment and higher expression levels of CXCL2, CXCL3, CXCL5, CXCL10, CCL2, CCL3, CCL4, CCL7, IL-12β, and IL-23α mRNA (Du et al., 2020). Nevertheless, a 24-h administration of AEPS (10 mg/ml) resulted in the differential expression of 82 miRNAs in RAW264.7 cells, among which 43 and 39 were up- and downregulated, respectively (Chen et al., 2019a). In in vitro studies on RAW264.7 cells, AEPS evoked the responses of M1 and M2 macrophages via the NF-κB pathway (Sun et al., 2015; Chen et al., 2019a). These findings reflected that AEPS might have induced macrophage activation by regulating the expression of miRNAs and the activity of the NF-κB pathway. However, it is necessary to carry out further in vivo studies to investigate the physicochemical characteristics of these extracts and their mechanisms of action from the perspective of intracellular signaling pathways. In addition, there existed robust patterns of lncRNAs expression corresponding to the specific adjuvants used during the biological processes mentioned above, implying that lncRNAs are involved in the immune responses stimulated by AEPS(Du et al., 2020). This research shed more light on the adjuvants’ molecular mechanisms and provided guidance for the reasonable design of vaccines with high efficacy. However, other factors should also be considered when making conclusive decisions on the predictor organism.

Anti-inflammatory activity

The overproduction of pro-inflammatory factors, such as TNF-α and IL-6, has been associated with several inflammatory disorders, including rheumatoid arthritis, Alzheimer’s disease, and cancer⁷. It was found that the phenolic extracts from AE kiwifruit could decrease the concentrations of TNF-α, IL-6, and IL-12 in the cell culture medium for primary macrophages obtained from male BALB/c mice (Kim et al., 2018). Moreover, the phenolic extracts significantly attenuated INF-γ production in splenocytes. However, there is a need to investigate the chronic toxicity of AE and identified the isolated activity compounds (Kim et al., 2018).

Other activities

In classic chick CAM model, the treatment of EA-EER profoundly decreased the number of blood vessels relative to the untreated control, indicating that EA-EER could restrain angiogenesis in vivo (Wu et al., 2017). In addition, the Aβ 1–42 -treated ICR mice experiment showed that AEE (A. eriantha cv. Bidan extract) at doses of 50, 200, and 1,000 mg/kg body weight per day could alleviate learning and spatial memory deficiencies and activate intracellular antioxidant systems (CAT, SOD, and GSH/GSSG) in brain tissues of mice. These results indicated that the mechanisms underlying the cell protection effects of AEE include the inhibition of apoptosis-related signaling pathways and the protection of mitochondra (Cho et al., 2021). Furthermore, AE also exhibited strong antioxidant capacity with high ferric reducing ability of plasma (FRAP) value and ·O²⁻ clearance rate (Huang et al., 2020). The antioxidant capacities of AE kiwifruit were determined to be 608.9, 620.9 and 1,016.8 mg VCE/100 g fresh weight, respectively, by the ABTS, DPPH and ORAC experiments (Kim et al., 2018). However, many traditional uses of AE have not been the focus of recent research. For example, although many traditional documents have revealed that AE can benefit cirrhosis with ascites, chronic hepatitis, leukemia, rectal prolapse, hernia and uterine prolapse, these beneficial effects themselves and the mechanisms underlying them have not been widely investigated. Therefore, these traditional uses of AE warrant further investigations.

Traditional uses

The genus Actinidia was first recorded in Book of Songs (《诗经》) which dates to the Xizhou and Chunqiu period (B. C. 1,000–600). Actinidia has been widely used in China as both functional foods (Fruit) and medicines (Root). Root of Actinidia is recorded in many ancient herbal texts, such as Supplement to Herbology (《本草拾遗》) (Tang Dynasty, A. D. 739), Kaibao Herbology (《开宝本草》) (Song Dynasty, A. D. 973–974), and Compendium of Materia Medica (《本草纲目》) (Ming Dynasty, A. D. 1,578), and is widely used to treat arthrosis pain, traumatic injury, haemorrhoids, filariasis, dysentery, and pyogenic infections (Di et al., 2014). However, it is still not sure when the root of Actinidia was distinguished into Actinidia Chinensis (one sibling species of AE) root and AE root.

AE has many folk names, including Baishanmaotaogen, Baimaotao, Maohuayangtao, Baitengli, Tengligen (Lei and Li 2007; Zhu et al., 2015). In TCM, AE is used to treat stomach cancer, colon cancer, cirrhosis with ascites, chronic hepatitis, leukemia, rectal prolapse, hernia and uterine prolapse (Zhu et al., 2015). AE roots has been used in many She ethnic minority group traditional preparations. AE roots is often used in combination with Scutellaria barbata, Hedyotis diffusa and Rabdosia amethystoides to treat tumors, colon cancer, cirrhosis of the liver, and leukemia. In addition to this, it also used in combination with Aralia chinensis roots and Ampelopsis sinica to treat fracture and sprain. Examples of traditional Chinese medicine prescriptions containing AE are listed in the Table 3. However, the potential interactions and synergistic effects between the active components of AE and those of other herbal medicines, as well as the underlying mechanism of action, have not been clarified and warrant further investigation.

TABLE 3.

Examples of traditional Chinese medicine prescriptions containing Actinidia eriantha Benth.

Traditional and clinical uses	Prescription composition	Role of AE in prescription	References
Treat hernia, rectocele, and orchitis	Actinidia eriantha, Fortunella hindsii	Leading role	Chen and Guan (1996), Lei and Li (2007)
Treat leukemia	Actinidia eriantha, Scutellaria barbata, Hedyotis diffusa, Cephalotaxus fortune, Rabdosia amethystoides, Ampelopsis sinica	Leading role	Lei and Li (2007)
Treat gynecologic inflammation	Actinidia eriantha, Impatiens balsamina	Leading role	Chen and Guan (1996)
Treat gastric carcinoma	Actinidia eriantha, Adina rubella, Ampelopsis sinica, Scutellaria barbata, Imperata cylindrica, Pteris multifida, Scutellaria barbata	Leading role	Chen and Guan (1996)
Treat breast cancer	Actinidia eriantha, Ampelopsis sinica, Dysosma versipellis, Arisaema erubescens	Leading role	Chen and Guan (1996)
Treat leukorrhagia	Plantago depressa, Celosia cristata, Phellodendron chinense, Actinidia eriantha, Lonicera japonica, Trema cannabina, Lophatherum gracile, Juncus effusus, Baimuhua	Supporting role	Lei and Li (2007)
Treat sprain	Ampelopsis sinica, Aralia chinensis, Actinidia eriantha, Pinus massoniana, Tuopihuang	Supporting role	Lei and Li (2007)
Treat fracture	Ampelopsis sinica, Aralia chinensis, Actinidia eriantha, Mallotus japonicus, borneol, indigo naturalis, musk, Xiyemaotonggen, Tuopihuang	Supporting role	Lei and Li (2007)
Treat furunculosis	Paulownia tomentosa, Actinidia eriantha	Supporting role	Lei and Li, (2007)
Treat tumor	Hedyotis diffusa, Scutellaria barbata, Solanum lyratum, Actinidia eriantha, Ampelopsis sinica, Actinidia chinensis, Salvia chinensia	Supporting role	Lei and Li (2007)
Treat intestinal cancer	Actinidia eriantha, Scutellaria barbata, Hedyotis diffusa, Cephalotaxus fortunei, Rabdosia amethystoides, Ampelopsis sinica, Huagucao	Supporting role	Lei and Li (2007)
Treat prolapses of uterus	Actinidia eriantha, Trichosanthes kirilowii, pork intestine	Supporting role	Lei and Li (2007)
Treat cirrhosis with ascites	Lygodium japonicum, Juncus effusus, Adina rubella, Gardenia jasminoide, Scutellaria barbata, Hedyotis diffusa, Cynanchum stauntonii, Rabdosia amethystoides, Artemisia scoparza, Kalimeris indica, Plantage asiatica, Selaginella involens, Actinidia eriantha	Supporting role	Lei and Li (2007)
Treat epigastric pain	Alpinia japonica, Agrimonia pilosa, Hypericum japonicum, Cyperus rotundus, Artemisia argyi, Dichondra micrantha, Actinidia eriantha, Brucea javanica, Guomenda, Hongqiangmanteng	Supporting role	Chen and Guan (1996)

Quality control

For quality control of AE-derived medicines, the Zhejiang Processing Standard of Traditional Chinese Medicine (ZPSTCM) suggested morphological, microscopic and chemical identification (Zhejiang Food and Drug Administration, 2015). According to the requirements of ZPSTCM, moisture shall be not exceed 12% (“Chinese Pharmacopoeia “moisture determination drying method), while the total ash shall be not exceed 7% (“Chinese Pharmacopoeia” ash determination method) (Zhejiang Food and Drug Administration, 2015). What’s more, the bioactive components of AE, including general flavone and total triterpenes, have been identified by ultraviolet spectroscopy. A good linearity of rutin was shown in ranges of 0.00942–0.05650 mg mL⁻¹ (r = 0.9991). The average recovery rate was 97.33% (RSD = 1.98%). A good linearity of ursolic acid was shown in ranges of 0.004 89–0.01712 mg/ml (r = 0.9987) and the average recovery rate was 96.58% (RSD = 1.79%) (Yu et al., 2017). In terms of dried products, the total flavonoids in the form of anhydrous rutin (C₂₇H₃₀O₁₆) and total three pieces in the form of ursolic acid (C₃₀H₄₈O₃) should not be less than 1.0% (Yu et al., 2017). What’s more, via optimizing the conditions of ultrasonic extraction, the average total flavonoids content in the root of AE could up to 1.058% (Zheng et al., 2012). By optimizing ultrasonic extraction conditions, the total triterpenoid content in the root of AE could reach to 1.19% ± 0.08% (Li et al., 2015). In further study, using the combination of ultrasonic extraction and percolation extraction, the content of triterpenoids in the ethyl acetate extract of the root of AE can be as high as 45% (Zhang et al., 2019). However, adopting only one crude, quantitative marker to ascertain the quality of AE extract may not be convincing enough.

AE root is a traditional medicine used in folk cancer treatment of she people, and is widely used in the treatment of gastric cancer, esophageal cancer, breast cancer, nasopharyngeal cancer, and liver cancer, etc. Triterpenoid acid is one of the main active substance (Gong et al., 2016). Guo et al. used HPLC-PDA to compare the contents of 2α,3α,24-trihydroxy-12-ene-28-ursolic acid in the roots of AE from different origins, finding it existed in the roots of AE from producing areas, but the content was different (Li et al., 2015). These results provided reference for the quality evaluation of AE roots from different origins. What’s more, total flavonoids were used as the main index to evaluate the quality of Actinidia chinensis Planch, which is indicated that can be used as a candidate index component for evaluation of AE (Shaanxi Food and Drug Administration, 2015).

Safety

Based on available animal trails, AE administration seems to cause no or little toxicity. According to the results of body weight measurement and microscopic examination of organs (intestinal tract, liver and kidney), there have been no observed toxic effects of AEPS (the total polysaccharide from the root of AE) and its polysaccharides on mice at the maximum dose of 10 mg/kg (Xu et al., 2009a; Xu et al., 2009b). In addition, when the mice were subjected to subcutaneous administration of AEPS at the doses of 0.5–5.0 mg/kg twice a week, no local swelling or hair loss was observed. These results implied that the upper safe dosage of AEPS for humans and animals may be higher than 200 mg/kg (Sun et al., 2009). What’s more, AEPS did not elicit cytotoxicity in RAW264.7 cells at a high concentration of 200 μg/ml; in fact, AEPS at the concentrations of 25–100 μg/ml could even promote the proliferation of RAW264.7 cells (Sun et al., 2015). However, further investigations specifically focusing on the chronic toxicity of AE should be carried out.

Discussion

A. eriantha is a liana species that has been extensively utilized in TCM to treat various diseases in China. Our paper summarizes the existing knowledge on the botanical characteristics, traditional uses, phytochemical properties, pharmacological activities, and toxicity of AE. In classical TCM documents and ZPSTCM, AE is commonly used to treat stomach cancer, colon cancer, cirrhosis with ascites, chronic hepatitis, leukemia, rectal prolapse, hernia and uterine prolapse. Pharmacological studies have demonstrated many bioactivities of AE, including anti-cancer, immunoregulatory, anti-inflammatory, anti-angiogenic, neuroprotective and antioxidant activities. However, many traditional uses of AE have not been supported by pharmacological research. To date, over 104 chemical components have been extracted from AE, among which triterpenoids and polysaccharides are the main bioactive substances.

Our current understanding of the phytochemical properties and pharmacological activities of AE is insufficient. Firstly, although AE administration exhibited almost no toxicity in most animal studies, its long-term toxicity should be further assessed. The possible adverse effects and biotoxicity of AE extracts and their active components should be evaluated when they are used for in vitro, in vivo, or clinical studies. Secondly, most pharmacological investigations on AE have been performed on its crude extracts and fractions, of which few have been analyzed for phytochemical properties. For example, AE polysaccharides possess antitumor, immunomodulatory, and anti-inflammatory activities, but how these activities of AE polysaccharides correlate with their structural characteristics remains clear. Thus, these bioactive components of AE should be isolated and studied for their molecular mechanisms, bioavailability, and pharmacokinetic characteristics in future research. Thirdly, although AE-derived polysaccharides have been shown to possess similar anti-tumor activity as ethyl acetate fraction (representative compounds: triterpenoids), the mechanisms underlying absorption, distribution, metabolism, and excretion, as well as the synergistic or antagonistic effects between the two constituents are unknown and should be further studied. Moreover, the synergistic anti-tumor and therapeutic action, as well as other pharmacological activities, such as anti-diabetic, renal protective, and neuro-protective effects, should be taken into consideration in future study. Last but not the least, the idea that AE is responsible for cirrhosis with ascites, chronic hepatitis, rectal prolapse, hernia and uterine prolapse should be validated by modern pharmacological research; once validated, the mechanisms underlying these bioactivities of AE should be further explored. Given that most of the existing research was conducted at the cellular level, more in vivo studies adopting animal models and clinical samples are needed to testify the efficacy of AE in the treatment of eat stomach cancer, colon cancer, cirrhosis with ascites, chronic hepatitis, leukemia, rectal prolapse, hernia and uterine prolapse. Nevertheless, a lot of the traditional uses of AE have not been the focus of recent research, which warrant further investigations.

Author contributions

SW collated documents and wrote manuscript; XG and QS helped perform the arrangement of tables; YZ helped to check chemical structure formula. LQ and BZ contributed significantly to analysis and manuscript preparation. All authors have read and approved the final version of the manuscript.

Funding

This study is supported by Young Innovative Talents Project of Zhejiang Medical Health Science and Technology 2022RC052.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

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Glossary

ABTS

2, 2′-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid)

AE

Actinidia eriantha

Bax

BCL2-associated X

Bcl-2

B-cell lymphoma-2

CAM

Chick embryo chorioallantoic membrane

CAT

Catalase

CD3

Cluster of differentiation 3

ConA

Concanavalin A

CXCL

Chemokines

DPPH

1,1-diphenyl-2-picrylhydrazyl

EA-EER

Ethyl acetate fraction of AE root

FRAP

High ferric reducing ability of plasma

GSH/GSSG

L-Glutathione

HPLC

High purity liquid chromatography

HPLC-PDA

High purity liquid chromatography-photo-diode array

IL

Interleukin

INF

Interferon

lncRNA

Long noncoding RNA

LPS

Lipopolysaccharide

mAb

Monoclonal antibody

miRNA

Micro RNA

mRNA

MessengerRNA

n-BuOH

Normal butanol

NK cell

Natural killer

ORAC

Oxygen-radical absorbance capacity

OVA

Ovalbumin

PCDH10

Protocadherin 10

PD-L1

Programmed death 1 ligand 1

PD-L2

Programmed death 1 ligand 2

RSD

Rlative sandard deviation

SOD

Superoxide dismutase

TCM

Traditional chinese medicine

TNF-α

Tumor necrosis factor α

VEGF-A

Vascular endothelial growth factor A

VEGFR-2

Vascular endothelial growth factor receptor 2

ZPSTCM

Zhejiang processing standard of traditional chinese medicine