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Ophiopogon Japonicus
Ophiopogon Japonicus
Ophiopogon Japonicus
www.elsevier.com/locate/jep
PII: S0378-8741(16)30037-X
DOI: http://dx.doi.org/10.1016/j.jep.2016.01.037
Reference: JEP9948
To appear in: Journal of Ethnopharmacology
Received date: 25 July 2015
Revised date: 30 December 2015
Accepted date: 22 January 2016
Cite this article as: Min-Hui Chen, Xiao-Jia Chen, Mei Wang, Li-Gen Lin and
Yi-Tao Wang, Ophiopogon japonicus—A phytochemical, ethnomedicinal and
pharmacological review, Journal of Ethnopharmacology,
http://dx.doi.org/10.1016/j.jep.2016.01.037
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Ophiopogon japonicus—A phytochemical, ethnomedicinal and pharmacological review
Min-Hui Chen 1†, Xiao-Jia Chen 1, 2†, Mei Wang 2, Li-Gen Lin 1*, Yi-Tao Wang 1*
1
State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences,
2
Sino-Dutch Center for Preventive and Personalized Medicine/Leiden Amsterdam Center for Drug Research
*Corresponding authors. Tel: +853-88228041 (L.G. Lin), +853-8822 4691 (Y.T. Wang); Fax:
1
Contents
1. Introduction ........................................................................................................................................ 6
2. Botanical characterization and distribution ....................................................................................... 7
3. Chemical constituents ........................................................................................................................ 8
3.1 Steroidal saponins .................................................................................................................... 8
3.2 Homoisoflavonoids .................................................................................................................. 9
3.3 Polysaccharides ........................................................................................................................ 9
3.4 Other compounds ..................................................................................................................... 9
4. Quality control ................................................................................................................................. 10
5. Traditional use and ethnopharmacology .......................................................................................... 12
6. Pharmacological activities ............................................................................................................... 13
6.1 Bioactivities of crude extracts ................................................................................................ 14
6.1.1 Anti-thrombosis........................................................................................................... 14
6.1.2 Anti-inflammation ....................................................................................................... 15
6.2 Bioactivities of saponins ........................................................................................................ 15
6.2.1 Protection of the cardiovascular system ..................................................................... 15
6.2.2 Anti-inflammation ....................................................................................................... 17
6.2.3 Anticancer ................................................................................................................... 18
6.2.4 Anti-oxidation ............................................................................................................. 19
6.2.5 Antitussive activity ..................................................................................................... 20
6.2.6 Immunomodulation ..................................................................................................... 20
6.3 Bioactivities of homoisoflavonoids ....................................................................................... 20
6.4 Bioactivities of polysaccharides ............................................................................................ 21
6.4.1 Anti-myocardial ischemia ........................................................................................... 22
6.4.2 Anti-diabetes ............................................................................................................... 22
6.4.3 Anti-oxidation ............................................................................................................. 24
6.4.4 Immunomodulation ..................................................................................................... 25
6.5 Bioactivities of other components ......................................................................................... 26
6.5.1 Anti-oxidation ............................................................................................................. 26
6.5.2 Antimicrobial .............................................................................................................. 26
6.5.3 Anticancer ................................................................................................................... 26
6.6 Relationship between traditional uses and modern pharmacological activities ..................... 26
6.7 Summary of pharmacological effects .................................................................................... 28
7. Toxicity ............................................................................................................................................ 29
8. Clinical reports on the therapeutic use of O. japonicus ................................................................... 29
9. Conclusion ....................................................................................................................................... 32
References ............................................................................................................................................ 35
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Abstract
Ophiopogon japonicus, is widely used in local medicines of China, Japan and some south-eastern
Asian countries. According to the traditional Chinese medicine (TCM) principle, Ophiopogonis
Radix nourishes the yin, promotes body fluid production, moistens the lung, eases the mind and
clears away heart fire. This review summarizes the achievements of the investigations in botany,
phytochemistry, quality control, traditional uses, pharmacological activities and clinical studies on
O. japonicus; this review also describes the shortcomings of studies on this herbal drug and thus
serves as the basis of further scientific research and development of this traditional herbal drug.
Materials and methods: O. japonicus-related information was collected from various resources,
including books on Chinese herbs and the Internet databases, such as Google Scholar, SciFinder,
Web of Science, Elsevier, ACS, PubMed and China Knowledge Resource Integrated (CNKI).
Results: O. japonicus is widely distributed in East Asia, especially in China. Numerous compounds
were identified from this plant. The main components of O. japonicus include steroidal saponins,
Conclusions: O. japonicus is a common traditional Chinese herbal drug used as the main ingredient
in many prescriptions. Modern researches verified that O. japonicus can be used either as a healthy
food or a therapeutic agent for disease prevention and treatment. The molecular mechanisms and
3
Keywords: Ophiopogon japonicus; Phytochemistry; Quality control; Ethnopharmacology;
Pharmacology
Abbreviations
transaminase; AST, aspartate transaminase; BBMV, intestinal brush border membrane vesicles;
1-O-[β-D-glucopyranosyl-(1→2)]-[β-D-xylopyranosyl-(1→3)]-β-D-fucopyranoside; ELSD,
evaporating light scattering detector; eNOS, endothelial nitric oxide synthase; GSK, glycogen
synthase kinase; HDL-C, high density lipoprotein cholesterol; HKCMMS, Hong Kong Chinese
Materia Medica Standards; HPLC, high performance liquid chromatography; HUVEC, human
umbilical vein endothelial cells; ICAM-1, intercellular adhesion molecule-1; IDH, intradialytic
hypotension; IFN-γ, interferon-γ; IL, interleukin; iNOS, inducible nitric oxide synthase; InsR,
insulin receptor; IRS-1, insulin receptor substrate-1; LDL-C, low density lipoprotein cholesterol;
metalloproteinase; MNT, mouse bone marrow micronucleus test; MPO, myeloperoxidase; MS,
mass spectrometry; NF-κB, nuclear factor-κB; NSCLC, non-small cell lung cancer; OGTT, oral
glucose tolerance test; OJL, O. japonicus lectin; OOJ, oligosaccharides of O. japonicus; OPL,
4
japonicus root; ROS, reactive oxygen species; RUS, ruscogenin; SGMI, Shengmai injection; SMC,
Shengmai capsule; SMG, submandibular gland; SMI, Shenmai injection; SMS, Shengmai San;
SPE, solid-phase extraction; TC, total cholesterol; TCM, traditional Chinese medicine; TF, tissue
factor; TG, triglycerides; TNF-α, tumor necrosis factor-α; UV, ultraviolet; VEGF, vascular
5
1. Introduction
PRC, 2015). According to traditional Chinese medicine (TCM) theory, Ophiopogonis Radix
nourishes yin, promotes body fluid production, moistens the lung, eases the mind and clears away
heart fire. Ophiopogonis Radix is listed as an edible Chinese medicine by the Chinese Ministry of
Public Health because of its efficiency, high availability and safety (Liang et al., 2012).
The chemical constituents and pharmacological activities of O. japonicus have been extensively
effects against acute and chronic inflammation, diabetes, cardiovascular diseases, and other
disorders (Xiao, 2002). In addition, quality control is crucial to ensure the safety and efficacy of O.
Although several reviews on the chemical and biological activities of O. japonicus have been
published, these reviews are published in Chinese and are not comprehensive. The current review
aims to systematically present and analyze recently published literatures related to the botanical
and clinical trials of O. japonicus. This work also emphasizes the relationship between the
traditional uses and biological activities of O. japonicus. The major achievements, shortcomings
and prospects of O. japonicus research are also discussed. This work intends to provide information
6
2. Botanical characterization and distribution
O. japonicus is a perennial tuft-forming and herbaceous plant with creeping stolons. Its root is
moderately thick and tuberous near its middle or tip. The leaf bases, generally 10–50 cm long and
1.5–3.5 mm wide, are fasciculate, tufted, sessile and garss like; these bases bear 3–7 veins and
exhibit serrulate margins. Its Inflorescence is characterized by a reduced panicle with a length of 2–
5 cm, and this part contains several to more than 10 flowers. Bracts are lanceolate, and basal ones
may measure a length of 7–8 mm. These flowers grow solitarily or in pair and are usually nodding;
the pedicel reaches up to 3–4 mm long and is articulate near its middle. Tepals are white or purplish,
lanceolate, and approximately 5 mm long. Morever, filaments are very short, and anthers are 2.5–3
mm long. The style is narrowly conical with a length of 4 mm, and its basal is moderately thick and
wide. The seeds are globose, with a diameter of 7–8 mm (Fig.1) (Editorial Board of Flora of China,
1978).
This plant is widely cultivated in East Asian countries, such as China, Korea and Japan. O.
japonicus is mainly distributed in moist and shady places, in lowland and foothills, forests, or dense
As a traditional Chinese herbal drug, this plant is challenged by some adulterants, including 23
species and 3 varieties from the genera Ophiopogon and Liriope. Ophiopogon japonicus (Thunb.)
Ker Gawl. (Liliaceae) is indicated as the indigenous herbal origin of Maidong in Chinese
Sichuan and Zhejiang provinces in China, where this plant is called Chuanmaidong or Zhemaidong
7
respectively. Liriopes Radix (Shanmaidong in Chinese), the root of Liriope spicata (Thunb.) Lour.
var. prolifera Y.T. Ma or Liriope muscari (Decne.) Baily, is clinically used as a substitute for O.
japonicus in traditional Chinese herbal drug and is mainly distributed in Hubei and Fujian
provinces in China (Pharmacopoeia Commission of PRC, 2015; Yu and Xu, 1995; Yu et al., 1991).
3. Chemical constituents
have been isolated from different parts of O. japonicus. Steroidal saponins and homoisoflavonoids,
which exhibit multiple pharmacological activities, are considered as the main active ingredients of
O. japonicus. This section describes and structurally characterizes the identified constituents of this
plant.
Steroidal saponins are one of the main characteristic components of O. japonicus. This group of
compounds exhibit broad biological activities such as cardiovascular protection (Guan et al., 2013;
Lan et al., 2013), anti-inflammation (Song et al., 2010; Tian et al., 2011), anticancer (Chen et al.,
2013b; Zhang et al., 2012b; Zhao et al., 2013), anti-oxidation (Qian et al., 2010; Xiong et al., 2012),
immunomodulation (Xiong et al., 2012) and antitussive activity (Ishuibashi et al., 2001). Thus far,
approximately 75 steroidal saponins have been isolated from O. japonicus. Steroidal saponins are
classified into spirostanol saponins and furostanol saponins on the basis of the differences in
aglycone. Spirostanol saponins contain a hexacyclic ABCDEF-ring system as a core structure, these
saponins are further classified into ruscogenin (RUS) -type and diosgenin-type depending on the
8
structure of the ring F (Table 1 and Fig. 2). By contrast, furostanol saponins possess a pentacyclic
ABCDE-ring system with a five-carbon side chain (Table 2 and Fig. 2). The sugar moieties are
attached to the hydroxyl groups at C-1 or C-3 in the ordinary steroidal saponins.
3.2 Homoisoflavonoids
Homoisoflavonoids, a unique type of flavonoid containing one additional carbon atom between
B and C rings, mainly exist in Liliaceae and Fabaceae families (Lin et al., 2014).
Homoisoflavonoids, which exhibit anti-oxidative and anti-inflammatory activities, are another kind
of main ingredients of O. japonicus (Hung et al., 2010; Li et al., 2012a; Zhou et al., 2008a). The
homoisoflavonoids of O. japonicus are classified into two groups on the basis of the saturation of
the C2-C3 bond; one group contains a saturated C2-C3 bond and the other group comprises a
3.3 Polysaccharides
O. japonicus is rich in polysaccharides, which are possibly responsible for this plant’s
biological activities, such as anti-myocardial ischemia (Wang et al., 2010; Zheng et al., 2009),
anti-diabetes (Ding et al., 2012; Wang, 2013), anti-oxidation (Wang et al., 2012b; Xiong et al.,
2011) and immunomodulation (Wang et al., 2007; Xiong et al., 2011). Eleven polysaccharides have
been isolated and identified from the water extract of O. japonicus. Their structural characteristics
Other components have also been isolated from O. japonicus, including 13 organic acids:
9
trans-p-coumaric acid, oleanolic acid, azelaic acid, n-tricosanoic acid (Cheng et al., 2005a),
tianshic acid (Cheng et al., 2005b), L-pyroglutamic acid (Dai and Mei, 2005), 9,12-octadecadienoic
acid, hexadecanoic acid and 6-octadecenoic acid (Shen et al., 2008); 4 glycosides:
4. Quality control
Pharmacological studies have shown that steroidal saponins and homoisoflavonoids are the
main active constituents of O. japonicus. The quality control of O. japonicus thus mostly focused
PRC, 2015), the total saponins in O. japonicus are determined by UV spectrophotometry with RUS
as the reference standard, and the content of total saponins in O. japonicus should not be less than
0.12% (calculated as RUS). In the Hong Kong Chinese Materia Medica Standards (HKCMMS),
evaporating light scattering detector (ELSD); the content of ophiopogonin D in O. japonicus should
not be less than 0.01%. HPLC, a conventional method of analyzing non-volatile compounds, has
been widely used to qualitatively and quantitatively analyze O. japonicus because of its high
10
resolution, powerful reproducibility and favorable maneuverability (Table 5). However,
pre-concentration through liquid-liquid extraction (Liu et al., 2010; Liu et al., 2007), solid-phase
extraction (SPE) (Li et al., 2013a; Qi et al., 2010; Xie et al., 2012) or macroporous resin column
chromatography (Che et al., 2008; Wang et al., 2011a; Wu et al., 2006b) are often necessary to
enrich the analytes prior to analysis because of the low contents of saponins and homoisoflavonoids
for saponins on the basis of their different UV absorption spectra. Mass spectrometry (MS) can
reveal unambiguous information about the analyte’s molecular weight and structure; this technique
has been utilized to identify different components of O. japonicus (Qi et al., 2010; Wang et al.,
2011a; Xie et al., 2012) and to quantitatively analyze the components (Wang et al., 2013b; Wu et
al., 2014; Ye et al., 2005b). 1H-NMR fingerprinting is applied to characterize the components of O.
japonicus cultivated in different areas (Jiang et al., 2012). Near-infrared spectroscopy is also
employed to determine total flavonoids and total saponins in O. japonicus (Zhang and Wang, 2012).
In addition, chemometric approaches, such as hierarchical cluster analysis (Li et al., 2013a; Liu et
al., 2010; Wu et al., 2014), principle component analysis (Li et al., 2013a) and fingerprinting (Jiang
et al., 2012; Li et al., 2013a; Liu et al., 2010; Liu et al., 2007) are used to authenticate, to
differentiate, or to evaluate the quality of O. japonicus obtained from different geographical areas
O. japonicus can be distinguished from other potential product substitutes by considering the
corresponding chemical characteristics for authentication. Determination results have revealed that
saponins are the major components of Ophiopogonis Radix and Liriopes Radix; by contrast,
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homoisoflavonoids are mainly found in Ophiopogonis Radix and hardly detected in Liriopes Radix;
this finding indicates that homoisoflavonoids can be used to distinguish these herbal drugs from each
other (Wu et al., 2014). Hyphenated techniques, such as HPLC-UV-ELSD, which is efficient for
components with and without chromophores, can be considered as a routine approach for species
O. japonicus roots, which are characterized by a wide spectrum of therapeutic effects, have
been used in TCM for many centuries. According to TCM theory, O. japonicus nourishes yin,
regenerates body fluid, moistens the lung and clears away the heart-fire. In addition, this herb is
used to treat lung dryness (cough, pharyngitis and hemoptysis) caused by yin deficiency, and
emaciation-thirst caused by fever and anxiety. O. japonicus was initially recorded in Shennong
Bencao Jing (the first Chinese Materia Medica in China during the Eastern Han Dynasty,
25AD-220AD) for the cure of heart-qi stagnation. Other well-known Materia Medica, such as
Kaibao Bencao and Bencao Mengquan (State Administration of Traditional Chinese Medicine of
PRC, 1999), have also indicated that this herb nourishes the yin of stomach, spleen, heart, and lungs,
clears heat, and eliminates irritability. Mingyi Bielu (Han Dynasty, 219 AD) has described that O.
japonicus is used to treat xerostomia and polydipsia. Bencao Shiyi (Tang Dynasty, 741 AD) has
demonstrated that this herb is used as an expectorant to relieve sore throat. Furthermore, O.
japonicus is used to treat insufficient menstruation and lactation in Yixue Qiyuan (Song Dynasty,
1127 AD). In addition, O. japonicus is used to treat pulmonary abscesses according to Yao Xing
12
Lun (Tang Dynasty, 741 AD). O. japonicus is also used to treat asthenia of the heart and the lungs,
O. japonicus is combined with other herbs in TCM formulas to improve clinical effect.
Shengmai San (SMS), one commonly used formula, comprises Panax ginseng, Schisandra
chinensis and O. japonicus. SMS is used to treat viral myocarditis and coronary atherosclerotic
cardiopathy and to relieve dry cough, heat and phlegm in the lungs because of bacterial infection
(Liang et al., 2012; Xia et al., 2009; Yao et al., 2008). Table 6 shows the subsets of Chinese patent
In Japan, O. japonicus is traditionally used as an antiphlogistic agent to relieve sore throat and
to inhibit physiological thirst (Izawa, 1967; Kishima, 1963). O. japonicus is also a natural herbicide
used to control weeds. Furthermore, O. japonicus exerts allelopathic activity by producing plant
In the local medicine of Vietnam, O. japonicus also serves as a medicinal plant because of its
O. japonicus is also considered as a functional food in China and other East Asian countries. It
tastes aromatic, sweet, and mucilaginous. Although O. japonicus has been used to treat certain
diseases in ethnomedicines for thousands of years, this herbal medicine should be comprehensively
understood and recent information should be obtained for its clinical use.
6. Pharmacological activities
13
anti-inflammation, anticancer, anti-oxidation, and anti-diabetes. To explain the nature of the active
of this plant on the basis of different types of components (Fig. 3 and Table 7).
6.1.1 Anti-thrombosis
preventing the adhesion of leukocytes to endothelial cells. 70% ethanol fraction of O. japonicus
root aqueous extract (ROJ-ext), which probably contained saponins as the main constituent, was
found to inhibit venous thrombosis by protecting the human umbilical vein endothelial cell line
(HUVEC) ECV304 cells and by inhibiting the adhesion of the human pro-myelocytic leukemia cell
strain HL-60 cells to ECV304 cells (Kou et al., 2005a). Moreover, ROJ-ext also inhibited tail
thrombus formation in mice injected with carrageenan (12.5 and 25.0 mg/kg) and reduced
thrombosis induced by arterial-venous shunt (silk thread) (6.25 and 12.5 mg/kg) in rats (Kou et al.,
2006).
6.1.2 Anti-inflammation
ROJ-ext (25 and 50 mg/kg) also exerted anti-inflammatory activity by inhibiting ear swelling,
paw edema, pleural leukocyte migration, peritoneal total leukocyte and neutrophil migration, as
well as reducing adhesion of HL-60 cells to ECV304 cells in mouse and rat inflammatory models
Saponins are a diverse group of natural compounds occurring in plants and foods. Studies
14
recently showed that the saponins of O. japonicus exhibited protective effects on the cardiovascular
antitussive, and immunomodulation (Chen et al., 2013b; Xiong et al., 2012; Zhang et al., 2015).
The total saponins of O. japonicus root (10 mg/kg) inhibited ventricular arrhythmias in dogs
Ca2+ and the reperfusion damage associated with Ca2+ overload in the cardiovascular system (Tao et
al., 2005). Two glycosides isolated from O. japonicus, namely ophiopogonin D and ruscogenin
and 100 μg/ml, respectively), improved the tube formation in human myocardial microvascular
endothelial cell (Lan et al., 2013). Moreover, ophiopogonin D (1 μM) attenuated the DOX-induced
autophagy by reducing the LC3-II/LC3-I ratio and inhibiting activation of c-Jun N-terminal kinase
and extracellular signal-regulated kinase in H9c2 cells (Zhang et al., 2015). RUS exerted protective
effect on ischemic stroke caused by intraluminal middle cerebral artery occlusion (MCAO) by
(ICAM-1), inducible nitric oxide synthase (iNOS), cyclooxygenase, tumor necrosis factor (TNF)-α,
and interleukin (IL)-1β (Guan et al., 2013). In addition, a furostanol glycoside isolated from O.
japonicus, named ophiopogonin J, inhibited fatty acid synthase with IC50 of 76 ± 2 μM, indicating
15
6.2.2 Anti-inflammation
RUS exerted anti-inflammatory activity by suppressing the expression of ICAM-1, TNF-α and
NF-κB pathway (Song et al., 2010,Sun et al., 2012,Lu et al., 2014). RUS also attenuated
pulmonary inflammation by inhibiting the endothelial cell apoptosis and upregulating the
expression of endothelial cell membrane proteins such as eNOS, caveolin-1, and CD31 (Bi et al.,
2013). In vitro study showed that ophiopogonin C exerted inhibitory effect on the inflammatory
6.2.3 Anticancer
DT-13 exerted anti-proliferative activities in the breast cancer cell line MDA-MB-435, and it
reduced tumor cell adhesion and migration, inhibited expression of tumor αvβ3 integrin, TF, early
growth response gene-1, matrix metalloproteinase (MMP)-2/9, vascular endothelial growth factor
(VEGF), C-C chemokine receptor type 5 (CCR5) mRNAs and CCR5 protein (Sun et al., 2010;
Zhang et al.,2012b; Zhao et al., 2014). DT-13 (0.01, 0.1, and 1 μM) also exhibited anti-angiogenic
activity by inhibiting tube formation and HUVEC migration and by reducing the level of p-Akt and
p-extracellular signal-regulated kinase 1/2 and p-vascular endothelial growth factor receptor 2
(NSCLC) cell lines. In NCI-H157 and H460 cells, ophiopogonin B (IC50 of 2.86 and 4.61 μM)
16
6.2.4 Anti-oxidation
exhibited potent scavenging rate for 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical and hydroxyl
radical at the concentration of 5 mg/ml and 2 mg/ml, respectively (Xiong et al., 2012).
inflammatory responses and redox-sensitive signal transduction at the dosage of 0.6 to 60.0 μM
(Qian et al., 2010). Ophiopogonin D also showed anti-osteoporosis effect by reducing oxidative
stress. It also reduced ROS generation in mouse pre-osteoblast MC3T3-E1 subclone 4 cells and
RAW264.7 macrophage cells via the FoxO3a-β-catenin signaling pathway at 1–100 μM.
ovariectomy in vivo at dose of 5-25 mg/kg body weight (Huang et al., 2015). Nolinospiroside F
also exerted an anti-aging effect. This compound significantly extended the replicative lifespan of
K6001 yeast and increased yeast survival at doses of 1, 3, and 10 μM; this property was possibly
rhamnopyranosyl-(1→2)-4-O-sulfo-α-L-arabinopyranoside-3-O-β-D-glucopyranoside, exerted
inhibitory activity against neutrophil respiratory burst stimulated by PMA with IC50 of 35.90 ± 3.00
17
medicinal prescription used to treat severe dry cough in patients with pharyngitis and bronchitis.
Ishuibashi et al. (2001) suggested that ophiopogonin D is one of the main antitussive components
of O. japonicus. Ophiopogonin D (10 μM) selectively activated K+ channels and reduced the
6.2.6 Immunomodulation
The saponins (100, 200 and 400 μg/ml) from O. japonicus exhibited macrophage-modulating
activities by dose-dependently promoting phagocytic capacity, macrophage viability rate, NO, and
IL-1β production (Xiong et al., 2012). Recent research found that DT-13 effectively treated liver
injury induced by delayed-type hypersensitivity (DTH) to picryl chloride (PCl) in mice. DT-13 and
RUS also improved the immunological liver injury mainly by rendering the liver-infiltrating cells
dysfunctional in a time-dependent behavior. Compared with RUS that showed slight inhibition,
DT-13 (10 or 20 mg/kg) remarkably inhibited the levels of serum alanine transaminase and
aspartate transaminase when administered during the effector phase of DTH in ICR-mice with
activities in vitro. Ophiopogonanone G from O. japonicus roots (25.0 μM) were beneficial against
allergic diseases by suppressing the release of the inflammatory chemokine eotaxin stimulated by
IL-4 and TNF-α in bronchial epithelial BEAS-2B cells (Hung et al., 2010). Ophiopogonanone H
isolated from O. japonicus also inhibited LPS-induced NO production in the murine microglial
18
BV-2 cell line with IC50 values of 20.1 μM (Li et al., 2012a).
regulating the tight junction proteins and MMP-9 in MCAO and reperfusion rats, which is
associated with oxidative stress attenuation and leukocyte/EC adhesion inhibition (Lin et al., 2015).
5-Hydroxy-7,8-dimethoxy-6-methyl-3-(3',4'-dihydroxybenzyl)chroman-4-one, a homoisoflavonoid
isolated from O. japonicus, exhibited oxygen free radicals scavenging activity with IC50 of 4.52 μM
Many polysaccharides isolated from different natural sources represent a diverse class of
macromolecules, and their biological relevance was studied. The polysaccharides isolated from the
roots of O. japonicus show a variety of biological activities in vitro and in vivo, including
cardiomyocyte and human microvascular endothelial HMEC-1 cells from ischemia-induced cell
damage by inducing sphingosine 1-phosphate receptor 1 and basic fibroblast growth factor (Wang
et al., 2010). FOJ-5 (1-100 µg/ml) restored coronary blood flux and heart contraction and restrained
the increasing heart rate caused by ischemia–reperfusion in Langendorff model, and FOJ-5 (20 and
40 mg/kg) also increased the ST segment shift of electrocardiogram and lactate dehydrogenase
19
6.4.2 Anti-diabetes
into the intestinal brush border membrane vesicles, reduced the activity of α-glucosidase and
improved the activity of NIT-1 cells damaged by streptozotocin, which was associated with the
inhibition of carbohydrate digestion and absorption, as well as protection of the pancreatic islet
cells (Ding et al., 2012). The Ophiopogon polysaccharides (125, 250, and 500 mg/kg) could reduce
the fasting blood glucose and serum insulin levels, as well as improve the adiponectin mRNA level
in fat tissue and placenta of gestational diabetic mellitus rat (Wang, 2013).
(Xu et al., 2011;Wang et al., 2012a;Wang et al., 2014; Zhu et al., 2014; Li et al., 2014; Shi et al.,
2015). MDG-1 improved oral glucose tolerance and reducin serum insulin level and triglyceride
content in the liver of ob/ob mice (Xu et al., 2011); upregulated the phosphoinositide 3-kinase
(PI3K) p85 subunit, Akt, insulin receptor (InsR), insulin receptor substrate-1 (IRS-1), and Glut-4
expression but downregulated glycogen synthase kinase (GSK) 3β expression (Wang et al., 2012a);
attenuated plasma lipid profiles, leptin secretion and hepatic lipid accumulation, as well as
increased the expression levels of genes related to energy and lipid metabolism in the liver (Wang
et al., 2014); suppressed intestinal glucose absorption, liver glycogenolysis, promoted liver
glycogenesis and GLP-1 secretion in KKAy mice (Zhu et al., 2014); ameliorated body weight gain,
fed blood glucose, oral glucose tolerance test (OGTT), and insulin resistance in obesity mice (Li et
al., 2014); reduced the Firmicutes/Bacteroidetes ratio, altered the abnormal gut microbiota and the
20
OJP1 (150, 300 mg/kg), a water-soluble polysaccharide from O. japonicus, reduced blood
glucose level, increased insulin level and remediated destruction of pancreatic islets and pancreatic
β-cell damage in streptozotocin induced diabetic rats (Chen et al., 2011). Moreover, OJP1 (150 and
300 mg/kg) also protected lipid metabolism, the liver and kidney, from the injurious effects of
diabetes, as well as reduced the development of diabetic complications (Chen et al., 2013c).
The oligosaccharides of O. japonicus (OOJ) (225 and 450 mg/kg) exerted anti-diabetic effect
by increasing the body weight, improving oral glucose tolerance and reducing fasting blood glucose
level, as well as the organ related weights of liver and kidney in experimental type 2 diabetes
6.4.3 Anti-oxidation
Four sulfated heteropolysaccharide fractions (OJP-1, OJP-2, OJP-3 and OJP-4) isolated from
the tubers of O. japonicus exhibited anti-oxidative activity by scavenging DPPH radical (with IC50
of 145.26, 34.21, 11.12, and 7.52 mg/ml, respectively) and hydroxyl radical (with IC50 of 0.04, 8.65,
5.89, and 2.07 mg/ml, respectively) (Xiong et al., 2011). POJ-U1a (8 mg/ml), a polysaccharide of
O. japonicus, also exhibited anti-oxidative activity through its DPPH radical, hydrogen radical and
6.4.4 Immunomodulation
The O. japonicus polysaccharides (0.05 and 0.1 g/kg) displayed beneficial effects against
Sjogren’s syndrome by increasing the salivary flow and body weight, as well as reducing the water
intake, submandibular gland (SMG) index, spleen index, interferon-γ (IFN-γ) level, and IFN-γ/IL-4
ratio of the SMG autoantigen-immunized C57BL/6 mice (Wang et al., 2007). OJP-1, OJP-2, OJP-3
21
and OJP-4 (100–400 µg/ml) exhibited macrophage-activating capability and immunomodulation
activity by promoting phagocytosis, energy metabolism rate, and NO and IL-1β production (Xiong
et al., 2011).
O. japonicus polysaccharides after encapsulation with liposome (Fan et al., 2014; Fan et al., 2015).
OPL (7.813-125 µg/ml) induced NO, iNOS, IL-6 and IL-12 secretion, and improved the expression
of the costimulatory molecules CD80 and CD86 in Kupffer cells (Fan et al., 2014), promoted
antibody titer, as well as improved the protective effect of the herbal drug against Newcastle
6.5.1 Anti-oxidation
Phenolic compounds, such as phenolic acids, flavonoids and tannins, were usually used as
anti-oxidants owing to their phenolic hydroxyl groups, which could act as an electron or hydrogen
donor (Li et al., 2012c). Lin et al. (2010) reported that the anti-oxidative activity of O. japonicus
concentration.
6.5.2 Antimicrobial
exhibited anti-virus activity by inhibiting the herpes simplex virus type II with EC50 of 3.93 μg/ml,
as well as exhibited antifungal activity against the phytopathogenic fungi, Gibberella saubinetii and
22
Rhizoctonia solani at the dosage of 0.06 and 0.05 mg/ml (Tian et al., 2008).
6.5.3 Anticancer
OJL exerted inhibitory effect on the growth of MCF-7 cells with IC50 of 22 µg/ml. In addition,
OJL exhibited anti-proliferative activity, as well as induced apoptosis in human breast cancer
O. japonicus has been used in TCM as a tonic herb to nourish the yin. According to TCM theory,
yin deficiency is an internal pathogenic factors that causes diseases, leading to qi stagnation,
phlegm coagulation, blood stagnation and toxic heat accumulation. Pharmacological activities
indicate that the extracts or compounds from O. japonicus can prevent or treat disorders, especially
cardiovascular system diseases, diabetes and inflammation related diseases. To a certain extent,
these bioactivities validated the correlations between ethnomedical uses and modern scientific
evaluations.
The pathological concept of diabetes appeared in modern medical theories; however, diabetes has
a long history in TCM. In the ancient Chinese medical monograph “Huangdi Neijing,” diabetes was
described as “XiaoKe”, which is caused by pathogens factors including deficiency of yin and dryness
heat. The traditional use of O. japonicus in nourishing the yin indicates that this herb is likely to treat
diabetes. Sjogren’s syndrome is a chronic inflammatory autoimmune disease, affecting mainly the
salivary and lacrimal grands; this disease falls into the TCM categories of “dryness syndrome” and
“dry-Bi,” which result from yin depletion. O. japonicus has been used for centuries in TCM to treat
23
immune cells upon antigenic challenge pertains to yin. Thus, the pathogenesis consistency, as well as
japonicus may be related to its ability to nourish the yin and to eliminate dry heat. Further studies
effects and the possible mechanisms of the pharmacological activities of O. japonicus must be
compounds (polysaccharides) of the plant remains insufficient. Only 11 polysaccharides have so far
been identified from this plant, and investigations on the pharmacological effects of
polysaccharides have mostly focused on the bioactivities of MDG-1. Thus, further investigations on
the pharmacological effects of the other polysaccharides of O. japonicus are a worthy endeavor.
activities. Interestingly, DT-13 is only isolated from the roots of Liriope muscari (Decne.) Baily, a
substitute for O. japonicus (Ma et al., 2011; Yu et al., 1990). Whether DT-13 exists in O. japonicus
remains unproven. However, a recent study has confirmed using the LC-MS method that a low
24
amount of DT-13 can be found in O. japonicus (Wu et al., 2014). Moreover, numerous studies are
still investigating the pharmacological effects of the crude extracts; thus determining which
components in the extracts are the exact molecules that render the pharmacological effects of the
7. Toxicity
Although O. japonicus is widely known as a functional food, as well as a medicinal herb, the
toxicity and safety evaluations for this plant remain insufficient. Only few toxicity studies on O.
japonicus decoction were performed. The genetic toxicology test for O. japonicus decoction was
performed based on the mouse lymphoma assay and mouse bone marrow micronucleus test (MNT).
In MNT, the decoction (3.34, 6.68, and 13.35 g/kg, oral gavage) did not show inhibitory effect on
the bone marrow of mice, and the number of micronucleated polychromatic erythrocytes induced in
each group did not obviously increase compared with the negative control. The results
demonstrated that O. japonicus exerted no damaging effect on the chromosome of bone marrow
cells in ICR mice and had no genotoxicity in vivo after metabolic activation (Hu et al., 2009).
Zhang et al. (2010b) investigated the potential development of toxicity caused by O. japonicus
decoction in SD rats. No significant effects was observed on the maternal body weight, fetus weight
and viability, incidences of fetal malformation and variation in SD rats administered with O.
japonicus decoction (26.9 g/kg). The results indicated that O. japonicus exerted no detectable
25
8. Clinical reports on the therapeutic use of O. japonicus
So far, no clinical study reported on the sole use of O. japonicus. According to TCM theory, O.
japonicus is usually used with other herbs in TCM formulas, such as SMS (consisting of Panax
ginseng, O. japonicus and Schisandra chinensis), and Shendong Yin (consisting of Panax ginseng
and O. japonicus), which can benefit the qi, nourish the yin, replenish body fluids and prevent
exhaustion. Currently, Shengmai injection (SGMI) and Shengmai capsule (SMC) derived from
SMS, as well as Shenmai injection (SMI) derived from Shendong Yin, are the common
complementary treatments involving Chinese patent medicine that are applied in modern therapies.
A series of clinical studies including adverse reactions (ADR) and case analysis on these medicines
In China, SMS is usually used as a complementary treatment for ischemiac heart disease and
heart failure, which are caused by yin and qi deficiencies. Twelve randomized controlled trials and
two cross-over trials of SMS in the treatment of patients with heart failure have been conducted. A
total of 858 Chinese patients (52.2% were male and 43.1% were female; age range: 23–85 years old)
participated in these trials. Some positive effects of SMS were observed resulting upgrading New
York Heart Association function classification and better performances in exercise test, ejection
fraction, cardiac output, cardiac index, left ventricular end-systolic volume, stroke volume and
myocardial contractility. Six patients from the high-dose (60 ml/day) SMS group suffered from
mild adverse effects (mild asomnia, dry mouth, fidgety responses, stomach discomfort and
hypoglycemia), and the rate of adverse effects of SMS was 0.70% (Zhou et al., 2014).
Ten randomized clinical trials involving 437 participants were performed to assess the
26
effectiveness and safety of SGMI as an adjunct therapy for intradialytic hypotension (IDH). SGMI
(40–60 ml) was administered intravenously. Compared with the conventional therapy, the SGMI
adjunct therapy showed significant effects in improving the clinical effectiveness rate (P < 0.01), in
increasing diastolic blood pressure (P < 0.01), in reducing the incidence of IDH episode (P < 0.01),
and in the frequency of nursing interventions (P < 0.01). Four studies have reported these adverse
events, although no serious adverse effects were reported in any of the included trials. Therefore,
SGMI adjunct therapy appears is a potential effective IDH treatment and is generally safe (Chen et
al., 2013a).
A clinical trial was designed to assess the effect of long-term application of SMC in coronary
heart disease treatment. A total of 60 patients (44–75 years old) were assigned into two groups for a
6-month treatment. The patients in the treatment group were administered with SMC [three
capsules (1.32 g/capsule)] each time thrice a day. SMC alleviated angina pectoris, improved
SMI, consisting of Panax ginseng and O. japonicus, has been commercially available and
widely used in the clinical treatment of heart failure (coronary or pulmonary heart diseases),
cerebral infarction, and malignant tumor in China since 1995. Zhang et al. (2010a) analyzed the
SMI-associated ADR. They found that 146 out of 1828 clinical studies of SMI reported a total of
576 ADR cases. The most common ADR reported in clinical studies was headache or dizziness,
and the most common SMI dosage was 40–60 ml. Moreover, 80.90% ADR cases occurred in
first-time medication, mainly in the first 30 min after injection. Several trials have suggested that
27
SMI exhibited a therapeutic effect on chronic pulmonary heart disease. A total of 33 randomized
clinical trials (2617 participants) were conducted to evaluate the effects of SMI. Compared with the
conventional medical treatment alone, the SMI combined with conventional medical treatment
demonstrated a significant improvement in the classification of clinical status in the New York
Heart Association (odds ratio 0.24; 95% confidence interval 0.19 – 0.30). Among these trials, five
studies have reported ADR cases without any serious adverse effects (Li et al., 2011).
9. Conclusion
This review summarizes the phytochemistry, quality control, traditional uses, pharmacological
activities, toxicity and clinical reports on O. japonicus. The phytochemistry results indicated that
addition, ophiopogonin C and D (saponins) are potential candidates to treat cardiovascular diseases,
such as hyperlipidemia, stroke and cerebral ischemia. The traditional use of O. japonicus in TCM
to nourish the yin has been verified by therapies for various diseases, such as diabetes and Sjogren’s
syndrome. However, other traditional uses of O. japonicus have yet to be well validated by modern
pharmacological investigations. Thus, the correlations of the traditional uses of O. japonicus with
its bioactive components and their corresponding pharmacological activities should be confirmed to
28
a remarkable success, several points should be noted to enhance our understanding of this herb.
First, although the tuberous roots of O. japonicus have been used as a medicinal component and
have been investigated for many years worldwide, only few studies have reported on the chemical
constituents and pharmacological effects of the fibrous root and the aerial parts, which also possess
potential value as a drug and functional food. For the sustainable utilization of O. japonicus, further
various adulterants of O. japonicus exist and are used in folk clinical treatments. The contents of
effective constituents are significantly influenced by many factors, such as geographical area,
growth condition, harvest season, and processing method. The quality control for O. japonicus to
ensure the safety and efficacy of medication remains a great challenge. However, the identification
and assay of O. japonicus differ between the Hong Kong Chinese Materia Medica Standards and
Chinese Pharmacopoeia. For instance, sample preparation methods and reference standards are
different. Hence, a common international standard should be established for the quality control of O.
japonicus. Third, O. japonicus is commonly used in combination with other herbs in conventional
therapies. The molecular mechanisms and potential interactions between O. japonicus and the
components of other herbs should be further verified. Fourth, only few relevant data on the clinical
trials of O. japonicus have been reported in Western research or have been published in English
because most studies on this subject were mainly conducted in China and published in local
publications. As a consequence, Western doctors cannot easily understand relevant data; the limited
evaluation of O. japonicus outside China reduces its external validity. In addition, most clinical
trials use a relatively small sample size and insufficient information; thus, inadequate conclusion
29
and doubtful validity of their statistical analyses have been reported. Further detailed clinical
studies should be conducted to evaluate the side effects and toxicity of O. japonicus to target
organs. Further investigations may also provide additional evidence to develop the medicinal
resources of O. japonicus.
Acknowledgments
This work was supported by the Science and Technology Development Fund, Macao S.A.R
Conflict of Interests
30
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48
Figure captions
Fig. 1 The whole plant (A) and roots (B) of Ophiopogon japonicus.
japonicus.
49
Table 1. Spirostanol saponins isolated from Ophiopojon japonicus.
No Compounds Structures Ref.
R1 R2 R3 R4 R5 R6 R7 25-C
O
F
R3
E R6
O R7
R1
C D R5
A B R4
R 2O
50
-arabinopyranoside
24-O-β-D-fucopyranoside
14 (23S,24S,25S)-23,24-dihydroxyrusco O-[Ac-rha(1→2)]xyl(1→3)ara H H H H OH fuc R (Asano et al., 1993b)
geninI-O-[α-L-2,3,4-tri-O-acetylrha
mnopyranosyl(1→2)][β-D-xylopyran
osyl(1→3)]-α-L-arabinopyranoside
24-O-β-D-fucopyranoside
15 (23S,24S,25S)-23,24-dihydroxyrusco O-[Ac-rha(1→2)] xyl(1→3)ara H H H H OH fuc R (Asano et al., 1993b)
genin1-O-[α-L-2,3,4-triO-acetylrham
nopyranosyl(1→2)][β-D-xylopyrano
syl(1→3)]-α-L-arabinopyranoside
24-O-β-D-fucopyranoside
16 diosgenin H H H H H H H Unknown (Okanishi et al., 1975)
17 ophiopogoninB’ H [Ac-rha(1→2)] xyl(1→3)glc H H H H H Unknown (Watanabe et al., 1977)
18 ophiopogonin C’ H rha(1→2) glc H H H H H Unknown (Watanabe et al., 1977)
19 ophiopogonin D’ H rha(1→2)xyl(1→3)glc H H H H H Unknown (Watanabe et al., 1977)
20 diosgenin-3-O-[2-O-acetyl-α-L-rham H [Ac-rha(1→2)] xyl(1→4)glc H H H H H Unknown (Duan et al., 2010a)
nopyranosyl-(1→2)][β-D-xylopyran
osyl-(1→4)]-β-D-glucopyranoside
21 ophiopogonin P H [Ac-rha(1→2)] xyl(1→4)glc H H H H H Unknown (Li et al., 2013b)
22 ophiopogonin Q H rha(1→2)[ Ac-xyl(1→4)]glc H H H H H Unknown (Li et al., 2013b)
23 sprengerinin A H xyl(1→4)glc H H H H H Unknown (Li et al., 2013b)
24 sprengerin C H rha(1→2) xyl(1→4)glc H H H H H Unknown (Li et al., 2013b)
25 ophiogenin H H H OH OH H H R (Nakanishi and
Kameda, 1987)
26 ophiogenin H rha(1→2)glc H OH OH H H R (Adinolfi et al., 1990)
3-O-α-L-rhamnopyranosyl-(1→2)-β-
D-glucopyranoside
27 Bornyl H ara(1→6)glc H OH OH H H R (Adinolfi et al., 1990)
7-O-α-L-arabinofuranosyl(1→6)-β-
D-glucopyranoside
28 cixi-ophiopogon A H rha(1→2)xyl(1→3)glc H OH OH H H R (Chen et al., 2000)
51
29 cixi-ophiopogon B H rha(1→2)xyl(1→3)glc(1→4)glc H OH OH H H R (Chen et al., 2000)
30 ophiopojaponin C H rha(1→2) xyl(1→4)glc H OH OH H H R (Dai et al., 2005)
31 (25R)-14α,17α-hydroxyspirost-5-en- H rha(1→2) glc(1→3)glc H OH OH H H R (Wang et al., 2011b)
3β-yl3-O-α-L-rhamnpyranosyl-(1→2
)-β-D-glucopyranosyl-(1→3)-β-D-gl
ucopyranoside
32 ophiopogonin O H rha(1→2) xyl(1→4)glc H OH OH H glc R (Zhang et al., 2012a)
33 ophiopogonin R H rha(1→2) glc OH OH OH H H R (Li et al., 2013b)
34 ophiopojaponin A H [Ac-rha(1→2)] xyl(1→3)glc H H OH H H R (Dai et al., 2000)
35 ophiopogonin E H xyl(1→4)glc H H OH H H R (Cheng et al., 2006)
36 pennogenin-3-O-α-L-rhamnopyranos H rha(1→2)xyl(1→4)glc H H OH H H R (Wang et al., 2008)
yl-(1→2)-β-D-xylopyranosyl-(1→4)
-β-D-glucopyranosid
37 floribundasaponin B H rha(1→4)glc H H OH H H R (Wang et al., 2008)
38 pennogenin-3-O-[2-O-acetyl-α-L-rha H [Ac-rha(1→2)] xyl(1→4)glc H H OH H H R (Duan et al., 2010a)
mnopyranosyl-(1→2)][β-D-xylopyra
nosyl-(1→4)]-β-D-glucopyranoside
39 (25R)spirost-5-ene-3β,14α-diol-3-β- H rha(1→2)xyl (1→4)glc H OH H H H R (Xu et al., 2008)
O-β-L-rhamnopyranosyl(1α-dioβ-D-
xylopyranosyl(1(1α-dβ-D-glucopyra
noside
40 ophiopogonin S H xyl (1→4)glc H OH H H H R (Li et al., 2013b)
41 14-hydroxydiosgenin3-O-α-L-rhamn H rha(1→2) glc H OH H H H R (Li et al., 2013b)
opyranosyl-(1→2)-β-D-
glucopyranoside
42 14-hydroxydiosgenin H rha(1→2)xyl(1→4)glc H O H H H R (Li et al., 2013b)
3-O-α-L-rhamnopyranosyl-(1→2)-β-
D-xylopyranosyl-(1→4)-β-D-glucop
yranoside
43 prazerigenin A H H H OH H H H R (Zhou et al., 2013b)
52
44 ruscogenin1-O-α-L-rhamnopyranosy O-rha(1ė2)-4-O-sulfo-ara glc H H H H H R (Qi et al., 2015b)
l-(1→2)-4-O-sulfo-α-L-arabinopyran
oside-3-O-β-D-glucopyranoside
45 ruscogenin1-O-[2-O-acetyl-α-L-rha O-[Ac-rha(1→2)]xyl(1→3)fuc H H H H H H R (Dai et al., 2005)
mnopyranosyl(1→2)]-β-D-xylopyran
osyl(1→3)-β-D-fucopyranoside
46 ruscogenin1-O-[β-D-glucopyranosyl- glc(1→2)xyl(1→3)fuc H H H H H H R (Ma et al., 2011)
(1→2)]-[β-D-xylopyranosyl-(1→3)]-
β-D-fucopyranoside
O
OR 2
F
E
O
C D
A B
R 1O
53
Table 2. Furostanol saponins isolated from Ophiopojon japonicus
No Compounds Structures Ref.
R1 R2 R3 R4 R5 R6
OH
OR6
R3
E
O
R1
C D R5
A B R4
R 2O
54
70 26-O-β-D-glucopyranosyl(25S)-furost-5-ene-1β,3β,22α,2 O-xyl(1→3)rha(1→2)fuc H H H H glc (Xu et al., 2008)
6- tetraol 1-O-aol -glucopyranosyl(25S)[α-L-
rhamnopyranosyl-(1nosyl(25S)[α-L-st-5-ene
HO OR2
E
O
C D
A B
R 1O
55
Table 3. Homoisoflavonoids isolated from Ophiopojon japonicus.
56
No Compounds Structures Ref.
R1 R2 R3 R4 R5 R6 R7 R8 R9 R10
92 5,7,2′-trihydroxy-6,8-dimethyl-3-(3′,4′-methylenediox OH CH3 OH CH3 OH -O-CH2-O- ü ü ü (Zhou et al., 2008b)
ybenzyl)chromone
57
No Compounds Structures Ref.
R1 R2 R3 R4 R5 R6 R7 R8 R9 R10
107 ophiopogonanone C OH CH3 OH CHO H -O-CH2-O- H H H (Chang et al., 2002)
108 ophiopogonanone H OH CH3 OH CH3 H -O-CH2-O- H H OH (Li et al., 2012a)
109 5-methoxy-6-methyl-7-hydroxy-8-aldehydo-3-(3′,4′- OCH3 CH3 OH CHO H -O-CH2-O- H H H (Chang et al., 2002)
methylenedioxybenzyl)chroman-4-one
110 2,5,7-trihydroxy-6,8-dimethyl-3-(3′,4′-methylenediox OH CH3 OH CH3 H -O-CH2-O- H OH H (Nguyen et al., 2003)
ybenzyl)-chroman-4-one
111 5,7-trihydroxy-6,8-dimethyl-3-(2′-hydroxy-3′,4′-meth OH CH3 OH CH3 OH -O-CH2-O- H H H (Nguyen et al., 2003)
ylenedioxybenzyl)chromone
58
Table 4. Polysaccharides isolated and purified from Ophiopojon japonicus.
Name MW(kDa) Molar Ratio Structural characteristics(backbone and branch) Ref.
Md-1 2.7064 --- Backbone: D-glucose and α-(1→4)glc (She and Shi, 2003)
Md-2 4.8651 --- Backbone: D-glucose and α-(1→4)glc (She and Shi, 2003)
MDG-1 3.4 --- Backbone: β-(2→1)-Fruf and β-(2→6)-Fruf (Wang et al., 2010)
Branch: Fruf (2→6) Fruf (2→ per average 2.8 of main chain residues and trace of α-D-Glc) Fruf
FOJ-5 5 --- Backbone: β-(2→1)-Fruf and β-(2→6)-Fruf (Zheng et al., 2009)
Branch: Fruf (2→6) Fruf (2→ per average 2.8 of main chain residues and trace of α-D-Glc) Fruf
Opaw-2 14 fru: glc=30:1 Backbone: β-(1→2) - Fruf and β-(2→6) -Fruf (Wu et al., 2006a)
Branch: (2→1) D- fructosyl
OJP-1 2.74 --- --- (Xiong et al., 2011)
OJP-2 124.30 --- --- (Xiong et al., 2011)
OJP-3 324.65 --- --- (Xiong et al., 2011)
OJP-4 6.75 --- --- (Xiong et al., 2011)
POJ-U1a 4.02 glcf:glcp=3:11 Backbone:1,6-α-D-glucopyranose and 1,3,6-α-D-glucofuranose (Wang et al., 2012b)
Branch: 1,3-α-D-glucopyranose and 1-α-D-glucopyranose
OJP1 35.2 ara:glc:gal=1:16:8 Backbone:1,6-linked glc; 1,4-linked glc; and 1,4,6-linked glc (Chen et al., 2011)
59
Table 5. Selected applications of HPLC for qualitative and quantitative analysis of Ophiopogon japonicus.
60
Analytes Sample Sample preparation Column Mobile phase Detection Ref.
6 phenolic acids (salicylic acid, O. 1. Soak with methanol Zorbax ODS Methanol - 2% acetic UV 254 nm (Lin et al.,
syringic acid, syringaldehyde, japonicus 2. Evaporation to dryness and dissolving (4.6 mm i.d. × 250 mm, 5 μm) acid with gradient 2004)
vanillic acid, p-hydroxybenzoic with methylene chloride elution
acid, sinapic acid) 3. Evaporation to dryness and redissolving
with methanol
6 steroidal saponins (ophiopogon O. 1. Ultrasonication with 50% ethanol Luna-C18 Acetonitrile - 0.3% ESI-MS (Wu et
Ra, ophiopojaponin C, japonicus, 2. Concentration to dryness (2.00 mm i.d. × 150 mm, 5 μm) acetic acid with al., 2014)
ophiopogonin D, ophiopogonin D’, Liriope 3. Dissolving with 50% ethanol gradient elution
liriope muscari baily saponins C, spicata var.
liriopesides B) and 5 flavonoids prolifera
(ophiopogonanone E, and Liriope
methylophiopogonanone A, muscari
methylophiopogonanone B,
ophiopogonanone C,
methylophiopogonone A)
50 ophiopogonins and 27 O. 1. Ultrasonication with 75% ethanol Luna-C18 Acetonitrile - 0.02% Q-TOF-MS (Xie et
ophiopogonones japonicus 2. Evaporation to dryness and dissolving (2.1 mm i.d. × 150 mm, 5 μm,) acetic acid with al., 2012)
with water gradient elution
3. Fraction on SPE cartridge (C18)
4. Evaporation of methanol eluent to
dryness
5. Reconstitution with acetonitrile
Fingerprint O. 1. Reflux with methanol Lichrospher C18 0.05% formic acid in UV 280 nm (Liu et al.,
japonicus, 2. Evaporation to dryness and dissolving (4.6 mm i.d. × 250 mm, 5 μm) acetonitrile – 0.05% ELSD 2007)
Liriope spp. with water formic acid in water
3. Extraction with n-butanol with gradient elution
4. Evaporation to dryness and dissolving
with methanol
61
Analytes Sample Sample preparation Column Mobile phase Detection Ref.
Fingerprint O. 1. Ultrasonication with ethanol Symmetry-C18 Methanol - 0.2% UV 280 nm (Liu et al.,
japonicus 2. Evaporation to dryness and dissolving (4.6 mm i.d. × 250 mm, 5 μm) acetic acid with 2010)
with water gradient elution
3. Extraction with ether
4. Evaporation to dryness and dissolving
with methanol
Fingerprint O. 1. Ultrasonication with methanol Zorbax SB-C18 Acetonitrile/methanol UV 296 nm (Li et al.,
japonicus 2. Concentration to dryness and dissolving (4.6 mm i.d. × 250 mm, 5 μm) (3:1) - 0.1% formic ELSD 2013a)
with water acid with gradient ESI-MS
3. Fraction on SPE column (C18) elution
4. Evaporation of methanol eluent to
dryness
5. Dissolving with methanol
62
Table 6. The traditional and clinical uses of Ophiopogon japonicus in China.
63
Preparation Name Compositions Traditional uses Ref.
Xiao’er Zhisou Scrophularia ningpoensis Hemsl, Ophiopogon japonicus (Thunb.) Ker Clearing heat by nourishing lung, relieving cough and “Chinese Pharmacopoeia”, vol. 1.
syrup Gawl., Arisaema heterophyllum Blume, Prunus armeniaca L., reducing sputum
Areca catechu L., Platycodon grandiflorus (Jacq.) A.DC., Bambusa
tuldoides Munro, Morus alba L., Trichosanthes kirilowii Maxim.,
Fritillaria cirrhosa D.Don, Trichosanthes kirilowii Maxim.,
Glycyrrhiza uralensis Fisch., Perilla frutescens (L.) Britton, Anemarrhena
asphodeloides Bunge
Shengmai capsule Panax ginseng C.A.Mey., Ophiopogon japonicus (Thunb.) Ker Gawl., Nourishing yin and promoting fluid production, curing “Chinese Pharmacopoeia”, vol. 1.
Schisandra chinensis (Turcz.) Baill. palpitate and short of breath, making one feel at ease
and energetic
Xuanmai Ganju Scrophularia ningpoensis Hemsl., Ophiopogon japonicus (Thunb.) Ker Nourishing yin and clearing heat, curing sore throat “Chinese Pharmacopoeia”, vol. 1.
tablets Gawl., Glycyrrhiza uralensis Fisch., Platycodon grandiflorus (Jacq.) A.DC. and reducing pharyngeal swelling
Maiwei Dihuang Ophiopogon japonicus (Thunb.) Ker Gawl., Schisandra chinensis (Turcz.) Curing syndrome of yin deficiency in lung and kidney, “Chinese Pharmacopoeia”, vol. 1.
pill Baill., Rehmannia glutinosa (Gaertn.) DC., Cornus officinalis Siebold & reducing weak in waist and knee
Zucc., Paeonia × suffruticosa Andrews, Dioscorea oppositifolia L., Poria
cocos(Schw.)Wolf, Alisma plantago-aquatica L.
Yangxin Dingji Rehmannia glutinosa (Gaertn.) DC., Ophiopogon japonicus (Thunb.) Ker Nourishing the blood and qi, calming the mind and “Chinese Pharmacopoeia”, vol. 1.
oral liquid Gawl., Panax ginseng C.A.Mey., Ziziphus jujuba Mill., Equus asinus L., relieving palpitation, curing arrhythmia, insomnia and
Sesamum indicum L., Cinnamomum cassia (L.) J.Presl, night sweat
Zingiber officinale Roscoe, Glycyrrhiza uralensis Fisch.
Yangyin Qingfei Rehmannia glutinosa (Gaertn.) DC., Ophiopogon japonicus (Thunb.) Ker Nourishing yin and moisturizing the dryness, curing “Chinese Pharmacopoeia”, vol. 1.
pill Gawl., Scrophularia ningpoensis Hemsl., Fritillaria cirrhosa D.Don, dry cough with little sputum
Paeonia lactiflora Pall., Paeonia suffruticosa Andrews,
Mentha canadensis L., Glycyrrhiza uralensis Fisch.
Guanxin Panax ginseng C.A.Mey., Ophiopogon japonicus (Thunb.) Ker Gawl., Tonifying qi, promoting fluid production and coronary “Chinese Pharmacopoeia”, vol. 1.
Shengmai oral Schisandra chinensis (Turcz.) Baill., Salvia miltiorrhiza Bunge, circulation, curing palpitate and short of breath
liquid Paeonia lactiflora Pall., Curcuma aromatica Salisb.,
Panax notoginseng (Burkill) F.H.Chen
64
Preparation Name Compositions Traditional uses Ref.
Tiedi oral liquid Ophiopogon japonicus (Thunb.) Ker Gawl., Scrophularia Promoting fluid production and quenching thirst, “Chinese Pharmacopoeia”, vol. 1.
ningpoensis Hemsl., Trichosanthes kirilowii Maxim., curing sore throat caused by yin deficiency and lung
Terminalia chebula Retz., Canarium album (Lour.) DC., Gallus gallus heat
domesticus Brisson, Platycodon grandiflorus (Jacq.) A.DC.,
Fritillaria thunbergii Miq., Poria cocos(Schw.)Wolf,
Glycyrrhiza uralensis Fisch.
Yixinshu capsule Panax ginseng C.A.Mey., Ophiopogon japonicus (Thunb.) Ker Gawl., Nourishing yin, promoting blood circulation to dispel “Chinese Pharmacopoeia”, vol. 1
Schisandra chinensis (Turcz.) Baill., Astragalus mongholicus Bunge, blood stasis, curing thoracic obstruction
Salvia miltiorrhiza Bunge, Ligusticum striatum DC.,
Crataegus pinnatifida Bunge
Zixinyin oral Ophiopogon japonicus (Thunb.) Ker Gawl., Paeonia lactiflora Pall., Nourishing heart yin, promoting blood circulation and “Chinese Pharmacopoeia”, vol. 1.
liquid Glehnia littoralis F.Schmidt ex Miq., Panax notoginseng (Burkill) F.H.Chen relieving pain in thorax
Qinghuo Zhimai Andrographis paniculata (Burm.f.) Nees, Gardenia jasminoides J.Ellis, Clearing away heat and toxic materials, cooling the “Chinese Pharmacopoeia”, vol. 1.
tablet Ophiopogon japonicus (Thunb.) Ker Gawl. blood and apocatastasis, clearing away heat in lung
and stomach, curing toothache, redeyes and sore throat
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Table 7. Summary of pharmacological activities of the extracts/compounds from Ophiopogon japonicus
Activity Extract/Compoun Model Effect Dosage Reference
d
cardioprotection ROJ-ext Rats ↓ the dried weight of thrombus (36.0% and 70.6%) and 12.5 and 25 mg/kg (Kou et al., 2005)
endothelium injury
HL-60 and ECV304 cells ↓ cells adhesion 0.1, 1.0 and 10 μg/ml
ROJ-ext Male ICR mice ↓ tail thrombosis in mice 12.5 and 25 mg/kg (Kou et al., 2006)
Male Sprague–Dawley ↓ arterio-venous shunt-induced thrombus in rats 6.25 and 12.5 mg/kg
rats ↓ platelet aggregation in rats 12.5 and 0.7 mg/kg
saponins Rats ↓ arrhythmias 10 mg/kg (Chen et al., 1990)
Dogs ↓ ventricular arrhythmia
DT-13 Adult rat ventricular ↓ L-type Ca2+ currents (15.4±2.1%, 26.7±4.9%, 0.001, 0.01, 0.1 and 1 μM (Tao et al., 2005)
myocytes 38.3±8.2% and 61.7±7.4%);
↑ current voltage curve
ophiopogonin D HMMEC-1 cells ↑ tube formation, tube length and tube branching points 10 and100 μg/ml (Lan et al., 2013)
and compound 45
(saponin)
ophiopogonin J FAS inhibition assay ↓ animal FAS with IC50 of 76 ±2 μM (Duan et al., 2012)
RUS Male C57BL/6 mice ↓ infarct size (37.4% and 63% ); brain water content; 5 and 10 mg/kg (Guan et al., 2013)
p65 expression (46.1%) and phosphorylation by (26.6%)
(10 mg/kg); NF-κB activation/translocation via inhibiting
p65 nuclear translocation and NF-κB p65 subnit DNA
binding capacity; mRNA levels of IL-1β, TNF-α, ICAM-1,
COX-2 and IL-6; protein levels of iNOS (by 34.0% and
49.4%), ICAM-1 (by 43.3% and 52.2%), COX-2 (by
43.4% and 58.7%); ↑ neurological performances
ophiopogonin D H9C2 cells ↓ LC-3-II/LC3-I ratio; p62 expression; DOX-induced 1 μM (Zhang et al., 2015)
autophagic damage; activation of JNK and ERK
C57BL/6J mice ↓ DOX-induced cardiac dysfunction in mice 10 mg/kg
MDG-1 HMEC-1 cells ↓ cell death; ↑ cell migration and tube formation 0.4, 1.2, 4 and 10 mM (Wang et al., 2010)
↑ SPHK1 expression, S1P1 expression, Akt, ERK, eNOS
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phosphorylation, NO production and bFGF expression
rats ↓ average infarct size and cells damage induced by acute 3, 9 and 30 mg/kg
myocardial ischemia
↑ neovascularization in chemic myocardium
FOJ-5 Langendorff model ↑ heart contraction and coronary blood flux 1-100 μg/ml (Zheng et al., 2009)
rats ↓ heart rate caused by ischemia 20, 40 mg/kg
↓ LDH
Anti-inflammation ROJ-ext Mice and rats ↓ ear swelling, paw edema, pleural leukocyte migrations, 25 and 50 mg/kg (Kou et al., 2005b)
peritoneal total leukocyte and neutrophil migration;
HL-60 and ECV304 cells ↓ adhesion of HL-60 cells to ECV304 cells, with IC50 of
42.85μg/ml.
RUS LPS-induced mice ↓ lung wet to dry weight ratio (72.65%), MPO activity 0.3, 1.0 and 3.0 mg/kg (Sun et al., 2012)
(43.12%, 69.10% and 92.48%) and nitrate/nitrite content
(44.47%, 58.97% and 64.57%)
↓ TF, iNOS and NF-κB p-p65 expression in the lung
tissue.
RUS Human umbilical vein ↓ICAM-1 expression (53.7% ), p65 phosphorylation (40% 1 μM (Song et al., 2010)
endothelial cells and 70% at 5,15 min), IKKα phosphorylation (48.0% and
58.9% at 5,15 min), IKKβ phosphorylation ( 67.8% and
91.1% at 5,15 min)
RUS Diabetic rats ↓ macrophage influx (43.4 ± 3.9%); 3.0 mg/kg/day for 8 weeks (Lu et al., 2014)
↓ TNF-α, IL-6 and IL-1β expression
RUS Pulmonary arterial ↓ RVSP, mPAP values; pulmonary arterial wall thickness; 0.1, 0.4, and 0.7 mg/kg (Bi et al., 2013)
hypertension rats expression of eNOS, CD31, and caveolin-1 in the lungs;
leukocyte invasion into lung tissue and endothelial cell
apoptosis
↑ NF-κB phosphorylation;
Ophiopogonin C ECV304 cells ↓ adhesion of HL-60 to ECV304 cells stimulated by 0.01. 0.1 and 1μM (Tian et al., 2011)
TNF-α (IC50 of 19.9 nM) or PMA (IC50 of 4.35 nM)
Ophiopogonanone bronchial epithelial ↓ IL-4-induced eotaxin production and eotaxin expression 25.0 μM (Hung et al., 2010)
G BEAS-2B cells
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ophiopogoside A
ophiopogoside B
ophiopogonanone murine microglial BV-2 ↓ NO production with IC50 of 20.1, 7.8, 19.2 and 14.4 μM, -- (Li et al., 2012a)
H; cells respectively
methylophiopogona
none B;
methylophiopogono
ne A;
ophiopogonanone E
Anti-oxidation Saponins DPPH scavenging model; ↓ DPPH radical with IC50 of 1.46 mg/ml and hydroxyl 2 and 5 mg/ml (Xiong et al., 2012)
Hydroxyl radical radical
scavenging model; ↑ macrophage activity 100, 200, 400 μg/ml
cells ↑ NO production and IL-1 production
Ophiopogonin D HUVECs ↓ H2O2-induced oxidative stress, apoptosis and ERK1/2 0.6 to 60.0 μM (Qian et al., 2010)
activation
Ophiopogonin D MC3T3-E1 cells and ↓H 2O2-induced MC3T3-E1 dysfunction 1, 10, 100 μM (Huang et al., 2015)
RAW264.7 cells; ↓induced MC3T3-E
BALB/c female mice ↓induced MC3T3-E1 dysfunctionellsnRAW264.7 cells
↓Aosteoclastic markers in mice 5 and 25 mg/kg
Nolinospiroside F K6001 yeast cells ↑ the yeast replicative lifespan 1, 3 and 10 μM (Sun et al., 2013)
compound 109 Free radical scavenging ↓ superoxide anion radical with IC50 of 4.52 μM, H2O2 -- (Zhou et al., 2008a)
(homoisoflavonoid) model radical IC50 of 0.05μM and hydroxyl radical 0.58 μM.
OJP-1, OJP-2, Macrophages from male ↓ DPPH radical with IC50 of 145.26, 34.21, 11.12, 7.52 100-400 μg/ml (Xiong et al., 2011)
OJP-3 and OJP-4 Kunming strain mice mg/ml and hydroxyl radical with IC50 of 0.04, 8.65, 5.89,
2.07 mg/ml
↑ macrophage activation
POJ-U1a Free radical scavenging ↓ DPPH radical by 35.08%, hydroxyl radical by 32.50% 8 mg/ml (Wang et al., 2012b)
model and superoxide anion by 45.01%
Phenolic Free radical scavenging ↓ DPPH radical and ABTS radical 12.5–100 μg/mL (Li et al., 2012c)
compounds model
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Anticancer DT-13 Breast cancer ↓ tumor cell adhesion (43.5%, 60.8% ) and migration 1 and 10 μM (Sun et al., 2010)
MDA-MB-435 cells (20%, 30% )
↓ expression of tumor αvβ3 integrin, TF (40.8%, 87.9%)
and early growth response gene-1 (50%, 62%)
decreased excretion of MMP-9
DT-13 Breast cancer ↓ tumor cell adhesion(54%, 72%) and invasion(57%, 10 and 30 μM (Zhang et al., 2012b)
MDA-MB-435 cells 64%); expression of MMP-2/9 and p38 kinase
DT-13 Breast cancer ↓expression of VEGF, CCR5 and factor 1α 0.01 to 1 μM (Zhao et al., 2014)
MDA-MB-435 cells
Ophiopogonin B Human non-small cell; ↓ p-Akt both at Ser308 and Thr473 ,induced autophagy, (Chen et al., 2013b)
lung cancer cells with IC50 of 2.86 μM for H157 cells and IC50 of 4.61 μM
for H460 cells
↓ P13K/Akt/mTOR/p70S6K pathway in NCI-H460 cells
Ophiopogon human breast cancer ↓ MCF-7 cell growth and induce MCF-7 cell apoptosis via -- (Liu et al., 2009)
japonicus lectin MCF-7 cells caspase pathway, with IC50 of 22 μg/ml
DT-13 HUVECs ↓ VEGF secretion under normoxia (11, 15% and 40%) and 0.01, 0.1, 1μM (Zhao et al., 2013)
under hypoxia (37, 42 and 38%).
↓ VEGF-induced tube migration (61.5,40.1 and 38.9%)
and tube formation (63.4, 49.3 and 35%)
↓ angiogenesis by inhibiting the VEGF pathway,
↓ p-VEGFR2 and p-Akt level under hypoxia
Anti-diabetes polysaccharides NIT-1 cells; ↓ the glucose uptake into BBMV by 50% and the activity 0.06-240 mg/ml (Ding et al., 2012)
Rat hepatoma H4IIE cell; of α-glucosidase by 70%;
3T3-L1 mouse ↑ NIT-1 cells damaged by STZ;
adipocytes;
BBMV assay model
polysaccharides Gestational diabetes ↓ blood glucose,serum insulin 125, 250, 500 mg/kg (Wang, 2013)
mellitus rat ↑ adiponectin level
↑ APN mRNA level
OJP1 Sprague–Dawley rats ↓ blood glucose level (32.9%, 150 mg/kg) and insulin 150 and 300mg/kg (Chen et al., 2011)
level compared with the diabetic control (P<0.05)
↑ the insulin antigenesity of diabetic islet of β-cells.
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OJP1 Diabetic rats ↓ blood glucose, MDA, serum TG, TC and LDL-C 150 or 300 mg/kg (Chen et al., 2013c)
Increased SOD and GPx activity in diabetic rats
↓ liver index, Scrs, serum UA and UREA levels, serum
ALT and AST activities, SCr levels
↓ expression of mRNA for TGF-β1 and CTGF
MDG-1 ob/ob mice ↓ fed blood glucose levels (13.5%, 23.7%) and the fasting 150 and 300 mg/kg (Xu et al., 2011)
blood glucose levels (8.8%, 16.3%)
↓ the liver triglyceride content of mice, the body weight
gain (15.1%) and subcutaneous fat
MDG-1 Female KKAy and ↓ the blood glucose, insulin levels and plasma lipids (total 75 and 300 mg/kg (Wang et al., 2012a)
C57BL/6J mice cholesterol, triglyceride, LDL-C and HDL-C)
↑thymus and spleens indices; IRS-1/PI3-K association;
Akt phosphorylation and Glut 4 protein
↓ the hepatocyte hypertrophy and lipid droplet
accumulation
MDG-1 Obese C57BL/6 mice ↑ weight loss and reduce adipose tissue mass (50%) 300 mg/kg (Wang et al., 2014)
↑ oxygen consumption and energy expenditure
ameliorated plasma lipid profiles,
↓ leptin secretion, attenuate hepatic lipid accumulation
increased the expressions of genes related to lipid and
energy metabolism
MDG-1 Female KKay mice ↓ intestinal glucose absorption, enhanced liver 300 mg/kg (Zhu et al., 2014)
glycogenesis,
↓ glycogenolysis,
↑ GLP-1 secretion
MDG-1 Obesity (DIO) mouse ↓ the body weight gain, fed blood glucose, oral glucose 300 mg/kg (Li et al., 2014)
tolerance test and insulin
MDG-1 Obese C57BL/6 mice Regulated gut microbiota to normal state 300 mg/kg (Shi et al., 2015)
↑ the proliferation of intestinal probiotics
↓ the level of D-galactosamine
increased the level of taurine, SCFAs
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Oligosaccharides Type 2 diabetic rats ↑ body weight and decreased organ related weights of liver 225 and 450 mg/kg (Li et al., 2012b)
and kidney;
↓ fasting blood glucose level and improved oral glucose
tolerance;
↓ urinary protein levels;
↑ hepatic glycogen content;
↑ GCK activity and decreased PEPCK activity;
↑ serum active GLP-1 level and reduced glucagon level
Antitussive ophiopogonin-D paratracheal neurones hyperpolarized the paratracheal neurones from a resting 10 μM (Ishuibashi et al., 2001)
membrane potential of -65.7 to -73.5 mV;
↑ K+ channels
Antimicrobial OJL Vero cells ↓ herpes simplex virus type II(40.9%, 52.3% and 85.4%) 2, 4 and 8 μg/mL (Tian et al., 2008)
with EC50 of 3.93 μg/mL
↓ the growth of fungi Gibberella saubinetii and 0.06 and 0.05 mg/ml
Rhizoctonia solani
Immunomodulation Saponins DPPH and hydroxyl ↓ DPPH radical by 99.64% (IC50 of 1.46 mg/ml) and 5 mg/ml (Xiong et al., 2012)
radical scavenging model hydroxyl radical
peritoneal macrophage ↑ phagocytic capacity, macrophage viability, NO 2 mg/ml
cells production(200.71%,335.81% and 538.07%) and IL-1 100, 200, 400 μg/mL
release
DT-13 ICR mice ↓ ALT level, hepatocelluar necrosis and adipose 10 or 20 mg/kg (Wu et al., 2000)
RUS degeneration
hepatocytes and spleen ↓ the release of ALT in nonparenchymal cells with IC50 of
cells 6.3× 10-10 M and 3.9 × 10-7 M
↓lympho proliferation in spleen cells 10-5-10-4 M
polysaccharides C57BL/6 mice ↑ body weight, water intake and salivary flow 0.05 and 0.1 g/kg (p.o.) (Wang et al., 2007)
↓ SMG, spleen index, lymphocytic infiltration, the level of
IFN-γ the IFN-γ/IL-4 ratio
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OJP-1, OJP-2, DPPH radical scavenging ↓ DPPH radical with IC50 of 145.26, 34.21, 11.12, 7.52 (Xiong et al., 2011)
OJP-3 and OJP-4 model; mg/ml
hydroxyl radical ↓ hydroxyl radical with IC50 of 8.65, 5.89. 2.07, 0.04
scavenging model; mg/ml
macrophages cells ↑ macrophage and its energy metabolism rate 100-400 μg/ml
↑ NO release (17.78%, 84.92, 141.93% and 190.43%) and
IL-1 production
OPL kupffer cells ↑ A490 values 7.813-125 μg/ml (Fan et al., 2014)
↑ NO, iNOS production, IL-6, IL-12 contents
↑ CD80 and CD86 expression
OPL One-day-old White ↑ A490 values 7.813-125 μg/ml (Fan et al., 2015)
Roman chickens (male) ↑ IL-2, IL-6 secretion and phagocytic index
↑ lymphocytes proliferation
↑CD4+ T and CD8+ T cells and enhanced the humoral and
cellular immune function
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*Graphical Abstract
Graphical abstract
Phytochemistry Pharmacology