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. 2022 Nov 9;13:1023746. doi: 10.3389/fimmu.2022.1023746

Table 1.

Anti-inflammatory activity of menthol examined by human, in vivo, and in vitro studies.

Main outcomes Species/Subjects Menthol dose, route, and duration of administration specific organ/system References
↑TNF-α, IL-1β, and p-mTOR expression
↑intracellular Ca2+ concentration
human bronchial epithelial cells (BEAS-2B) 1 mmol/L, culture medium, 0.5, 1, 3, 6, 12, 24 hours bronchus Chen and Li (27)
↓the release of TNF-α THP-1 cell line 1% ethanol concentration, culture medium, 2 hours THP-1 cell Hilfiger et al. (28)
↓TNF-α expression
↓phosphorylation of p38
↑IL-10
↑phosphorylation of the extracellular-signal-regulated kinase
↑uptake of zymosan particles
↓cells with high phagocytic activity (more than three bound/ingested particles)
↓cell migration
in vitro: F4/80+ macrophages
in vivo: F4/80+ macrophages from WT and TRPM8-mutant C57BL/6 mice
in vitro: 100 μmol/L, culture medium, 1h
in vitro: 100 μmol/L, culture medium, 8h
in vivo: 100 μmol/L, enemas, twice a day for 7 days
colon Khalil et al. (29)
↓acrolein-induced TRPA1-dependent injury behavior
↓mechanical hyperalgesia
wild-type mice 50 nmol/50 μl, intraplantar injection, 10 minutes.
60 nmol/20 μl, intraplantar injection, 30 minutes before testing
plantar surface of the hind paw Liu et al. (6)
↓sensory irritant response to acrolein
↓cyclohexanone-induced irritant response
↓respiratory irritation response
↑blood cotinine levels
↓active phases of inspiration and expiration
female C57Bl/6J mice Inspired concentration of 8, 40, 54 ppm, inhalation, 15 minutes lung Ha et al. (30)
↓expression of COX-2
↑level of GSH
↑activities of antioxidant enzymes including CAT, GST, GR and GPx
↓expression level of NF-κB
↓expressions of p38 and ERK
48 female ICR mice 20 and 80 mg/kg, applied onto the shaved area of dorsal skin, twice a week for 20 weeks skin Liu et al. (31)
↑expression of TRPM8
↑abnormal re-epithelialization, thickening of alveolar walls, and infiltration of inflammatory cells
↑BALF total protein
↑BALF total cell counts
↑BALF lymphocyte cell and neutrophil cell
↓BALF macrophage cell
↑BALF MIP-2
↑lung MIP-2
↑expression of 4-HNE
↑expression of ERK and JNK
male C57BL/6J mice 750 mL of fresh smoke generated from 1.5 Marlboro Black Menthol cigarettes, inhalation, 20 minutes per day for 1 week lung Lin et al. (32)
↓intensity of Ca2+ influx
↓expression level of TRPV1
↑body weight and food consumption
↓hyperplasia of the esophageal epithelium
↓levels of the inflammatory factors TNF-α, IL-6, and IL-1b
Male C57BL/6 J mice 50 mg/kg, p.o., 21 days esophagus Zhang et al. (33)
↑cumulative survivals
↓cTnI levels
↓LVEDD and LVESD
↑EF and FS
↑dP/dtmax and dP/dtmin
↓elevation of neutrophil density and macrophage density
↓elevation of TNF-α, IL-1β, IL-6, MCP-1
↑release of calcitonin gene-related peptide
heterozygous knockout mice (generated by breeding TRPM8-/- mice with C57BL6/J wild-type mice) 0.5%, mixed in chow diet as pre-treatment, 2 weeks heart Wang et al. (34)
↑plasma cotinine concentrations
↓total and nonrenal clearance of nicotine
↓The ratio of nicotine glucuronide to nicotine in the urine
14 healthy smokers 61.4 mg/d, inhalation, 1 week lung Benowitz et al. (35)
↓course of complete healing in napkin dermatitis
↓Erythema and pustules
70 neonates with a diagnosis of candidial napkin dermatitis 5% ethanol concentration, external skin use, twice a day for 7 days skin Sabzghabaee et al. (36)
↓average ulcer area
↓infiltration of neutrophils into the gastric submucosa
↑expression of HSP-70
↓expression of the apoptotic protein Bax
↓immunolabeled area
↓MPO activity
↑total glutathione levels
↑glutathione peroxidase activity
↑glutathione reductase activity
↓SOD enzyme
↓levels of cytokines
↓levels of TNF-α and IL-6
↑level of IL-10
21 male Wistar rats 50mg/kg, p.o., 2 hours stomach Rozza et al. (37)
↑cold detection threshold and cold pain threshold
↑cold hyperalgesia assessments
↓warmth detection threshold and heat pain threshold
↓thermal sensory limen
↑superficial skin perfusion
10 healthy subjects 40% ethanol concentration, external skin use (volar forearm), 20 minutes skin (volar forearm) Olsen et al. (38)
↓area of secondary mechanical hyperalgesia
↓secondary neurogenic flare
14 healthy subjects 40% ethanol concentration, external use, 20 minutes skin Andersen et al. (39)
↓itch intensity (except for 32°C and 37°C)
↓neurogenic inflammation
↓wheal reactions
13 healthy subjects 40% ethanol concentration, external skin use, 7 minutes before itch induction skin (volar forearm) Andersen et al. (40)
↓loss of body weight
↓macroscopic damage score, ulcer area, colon weight
↓colon length
↑reepithelization of the mucosal layer
↓edema
↓inflammatory cell infiltration in lamina propria
↑hematocrit
↓changes in MPO activity
↓IL-1β, IL-6 and TNF-α
36 male Wistar rats 20, 50, and 80 mg/kg, i.p., once a day for 3 days colon Ghasemi-Pirbaluti et al. (41)
↓lung injury (with decreased values of mean linear intercept and destructive index)
↓decrease in values of body weights
↑spleen index
↓levels of AST and ALT
↓numbers of total white blood cells and macrophages
↓TNF-α, IL-1β, IL-6
↓MPO and MDA levels
↑levels of GSH, GSH-Px, SOD, and T-AOC
↓expression of NF-κB p65 and p-p38
↑expression of Nrf2 and NQO1
↓expression of MMP-9, TIMP-1, CD4+ and CD8+ cells
42 male SPF Sprague-Dawley rats 5, 10, 20 mg/kg, i.p., 3 weeks lung Liu et al. (42)
↓IBD-induced reduction in mean body weight, mean macroscopic and microscopic ulcer scores
↓activities of MPO and levels of MDA
↑glutathione level
↓levels of pro-inflammatory cytokines such as IL-1, IL-23, and TNF-α
36 male albino Wistar rats 50 mg/kg, p.o., 7 days and 10 days colon Bastaki et al. (43)
↓rotational behavior of LPS-exposed rats
↓decrease in the number of tyrosine hydroxylase-positive cells
↑expression of tyrosine hydroxylase protein
↓microglial activation
↓upregulation of the pro-inflammatory enzymes COX-2 and iNOS at both the gene and protein levels
↓upregulating LPS-induced pro-inflammatory factors such as TNF-α, IL-6, and IL-1β (p38 excluded)
↓phosphorylation levels of NF-κB p65, AKT, ERK1/2, and JNK1/2
Male Wistar rats 40% ethanol concentration, i.p., 4 weeks microglia Du et al. (44)
↑mean BBB score
↑paw withdrawal threshold
↓caspase-3 immunoreactivity
↓apoptotic bodies
↑Arg-1 expression
↓GFAP, IBA-1, and TGF-β1
↓collagen IV
↑brain-derived neurotrophic factor expression
↑expression of the growth cone marker
↓ANGPT-1 expression
↑GAP-43 expression
↓lesion area
female Sprague-Dawley rats 10 mg/kg, i.p., 2 weeks Spinal Cord Kim et al. (45)
↓overall mortality
↓MDA and total nitrate/nitrite levels in the lung and kidney homogenates
↓TNF-α expression
↓immunoreactive cells
↑Bcl2-immunoreactivity
↑nuclear proliferating cell nuclear antigen immunoreactivity
28 female Wistar rats 100 mg/kg, p.o., 7 days lung and kidney Anter et al. (46)

BBB score, Basso, Baettie, and Bresnahn score; Arg-1, Arginase-1; GFAP, glial fibrillary acidic protein; IBA-1, ionized calcium-binding adapter molecule-1; TGH-β1, transforming growth factor-β1; ANGPT-1, angiopoietin-1; GAP-43, growth-associated protein-43; N2a, Neuro2A; cTnl, cardiac troponin I; LVEDD, left ventricular end-diastolic diameter; LVESD, left ventricular end-systolic diameter; EF, eject fraction; FS, fractional shortening; Dp/dtmax, maximal rate of pressure development; Dp/dtmin, minimal rate of pressure decay; TNF-α, tumor necrosis factor-α; IL-1β, interleukin-1β; IL-6, interleukin-6; MCP-1, monocyte chemoattractant protein-1; p-Mtor, phosphorylated-mammalian target of rapamycin; TRPA1, transient receptor potential A1; MDA, malondialdehyde; Bcl2, B-cell lymphoma-2; PCNA, proliferating cell nuclear antigen; MPO, myeloperoxidase; SOD, superoxide dismutase; COX, cyclo-oxygen-ase, Inos, inductible nitric oxide synthase; AKT, protein kinase B; ERK, extracellular regulated protein kinase; JNK, c-Jun N-terminal kinase; GSH, glutathione; GSH-Px, glutathione peroxidase; CAT, catalase; GST, glutathione s-transferase; GR, glutathione reductase; GPx, glutathione peroxidase; BALF, bronchoalveolar lavage fluid; T-AOC, total antioxidant capacity; NF-κB, nuclear factor kappa B; Nrf2, nuclear factor erythroid 2-related factor 2; NQO1, NAD(P)H: quinone oxidoreductase 1.