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Published in: Journal of the International Society of Sports Nutrition 1/2021

Open Access 01-12-2021 | Cytokines | Research article

Standardized astragalus extract for attenuation of the immunosuppression induced by strenuous physical exercise: randomized controlled trial

Authors: Ewa Latour, Jaroslaw Arlet, Emilia E. Latour, Artur Juszkiewicz, Karolina Łuczkowska, Anita Marcinkiewicz, Piotr Basta, Jerzy Trzeciak, Bogusław Machaliński, Anna Skarpańska-Stejnborn

Published in: Journal of the International Society of Sports Nutrition | Issue 1/2021

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Abstract

Background

This paper aimed to verify how a supplementation of rower’s diet with Astragalus Membranaceus Root (AMR) modulated their immune system response to maximal physical exertion.

Methods

The double-blind study included 18 members of the Polish Rowing Team assigned to the supplemented group (n = 10), and the placebo group (n = 8). The participants performed a 2000 m test on a rowing ergometer at the beginning and at the end of the six-week of intensive training camp during which the supplemented group received 500 mg of AMR. Blood samples were obtained prior to, 1 min after completing, and 24 h after the exertion test. The levels of interleukin 2 (IL2), interleukin 4 (IL4), interleukin 10 (IL10), interferon ɤ (IFN-ɣ), and lactic acid were determined. Subpopulations of T regulatory lymphocytes [CD4+/CD25+/CD127−] (Treg), cytotoxic lymphocytes [CD8+/TCRαβ+] (CTL), natural killer cells [CD3−/CD16+/CD56+] (NK), and TCRδγ-positive cells (Tδγ) were determined with flow cytometry.

Results

After the camp, the initial NK and Treg levels sustained at the baseline, while Tδγ counts increased relative to the levels in the placebo group. In the supplemented subgroup, a decrease in IL2 level in reaction to maximal exertion clearly deepened while the change in IL-2/IL-10 level induced by the recovery after this exertion clearly increased, relative to the changes in the placebo group.

Conclusions

AMR restored the immunological balance in strenuously trained athlets through a stabilization of NK and Treg cells with a positive trend in Tδγ towards Th1 response during restitution by cytokine IL2 modulation.
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Literature
3.
go back to reference Walsh NP, Gleeson M, Pyne DB, Nieman DC, Dhabhar FS, Shephard RJ, et al. Position statement. Part two: maintaining immune health. Exerc Immunol Rev. 2011;17:64–103 PMID: 21446353.PubMed Walsh NP, Gleeson M, Pyne DB, Nieman DC, Dhabhar FS, Shephard RJ, et al. Position statement. Part two: maintaining immune health. Exerc Immunol Rev. 2011;17:64–103 PMID: 21446353.PubMed
4.
go back to reference Gleeson M, Pyne DB. Respiratory inflammation and infections in high-performance athletes. Immunol Cell Biol. 2016;94:124–31.PubMedCrossRef Gleeson M, Pyne DB. Respiratory inflammation and infections in high-performance athletes. Immunol Cell Biol. 2016;94:124–31.PubMedCrossRef
9.
go back to reference Baltopoulos P. Exercise induced modulation of immune system functional capacity. Biol Exerc. 2009;5:39–49. Baltopoulos P. Exercise induced modulation of immune system functional capacity. Biol Exerc. 2009;5:39–49.
10.
go back to reference Handzlik M, Shaw A, Dungey M, Bishop N, Gleeson M. The influence of exercise training status on antigen-stimulated IL10 production in whole blood culture and numbers of circulating regulatory T cells. Eur J Appl Physiol. 2013;113:1839–48.PubMedCrossRef Handzlik M, Shaw A, Dungey M, Bishop N, Gleeson M. The influence of exercise training status on antigen-stimulated IL10 production in whole blood culture and numbers of circulating regulatory T cells. Eur J Appl Physiol. 2013;113:1839–48.PubMedCrossRef
11.
go back to reference Steensberg A, Toft AD, Bruunsgaard H, Sandmand M, Halkjaer-Kristensen J, Pedersen BK. Strenuous exercise decreases the percentage of type 1 T cells in the circulation. J Appl Physiol. 2001;91:1708–12.PubMedCrossRef Steensberg A, Toft AD, Bruunsgaard H, Sandmand M, Halkjaer-Kristensen J, Pedersen BK. Strenuous exercise decreases the percentage of type 1 T cells in the circulation. J Appl Physiol. 2001;91:1708–12.PubMedCrossRef
12.
go back to reference Bermon S, Castell LM, Calder PC, Bishop NC, Blomstrand E, Mooren FC, et al. Consensus statement immunonutrition and exercise. Exerc Immunol Rev. 2017;23:8–50.PubMed Bermon S, Castell LM, Calder PC, Bishop NC, Blomstrand E, Mooren FC, et al. Consensus statement immunonutrition and exercise. Exerc Immunol Rev. 2017;23:8–50.PubMed
13.
go back to reference Astragalus membranaceus. Monograph. Altern Med Rev. 2003;8:72–7. Astragalus membranaceus. Monograph. Altern Med Rev. 2003;8:72–7.
14.
go back to reference Bensky D, Kaptchuk TJ, Gamble A. Chinese herbal medicine: materia medica. Rev. ed. Seattle: Eastland Press; 1993. Bensky D, Kaptchuk TJ, Gamble A. Chinese herbal medicine: materia medica. Rev. ed. Seattle: Eastland Press; 1993.
15.
go back to reference Du X, Chen X, Zhao B, Lv Y, Zhang H, Liu H, et al. Astragalus polysaccharides enhance the humoral and cellular immune responses of hepatitis B surface antigen vaccination through inhibiting the expression of transforming growth factor β and the frequency of regulatory T cells. FEMS Immunol Med Microbiol. 2011;63:228–35.PubMedCrossRef Du X, Chen X, Zhao B, Lv Y, Zhang H, Liu H, et al. Astragalus polysaccharides enhance the humoral and cellular immune responses of hepatitis B surface antigen vaccination through inhibiting the expression of transforming growth factor β and the frequency of regulatory T cells. FEMS Immunol Med Microbiol. 2011;63:228–35.PubMedCrossRef
16.
go back to reference Du X, Zhao B, Li J, Cao X, Diao M, Feng H, et al. Astragalus polysaccharides enhance immune responses of HBV DNA vaccination via promoting the dendritic cell maturation and suppressing Treg frequency in mice. Int Immunopharmacol. 2012;14:463–70.PubMedCrossRef Du X, Zhao B, Li J, Cao X, Diao M, Feng H, et al. Astragalus polysaccharides enhance immune responses of HBV DNA vaccination via promoting the dendritic cell maturation and suppressing Treg frequency in mice. Int Immunopharmacol. 2012;14:463–70.PubMedCrossRef
17.
go back to reference Lin Y, Wang B, Luo X. Clinical study of astragalus’s preventing the recurrence of asthma in children. Chin J Integ Trad West Med. 2011;31:1090–2. Lin Y, Wang B, Luo X. Clinical study of astragalus’s preventing the recurrence of asthma in children. Chin J Integ Trad West Med. 2011;31:1090–2.
18.
go back to reference Li L, Wu CY. CD4+CD25+Treg cells inhibit human memory γδ T cells to produce IFN-γ in response to M tuberculosis antigen ESAT-6. Blood. 2008;11:5629–36.CrossRef Li L, Wu CY. CD4+CD25+Treg cells inhibit human memory γδ T cells to produce IFN-γ in response to M tuberculosis antigen ESAT-6. Blood. 2008;11:5629–36.CrossRef
19.
go back to reference Senchina D, Hallam J, Cheney D. Multidisciplinary perspectives on mechanisms of activity of popular immune-enhancing herbal supplements used by athletes. Front Biol. 2013;8:78–100.CrossRef Senchina D, Hallam J, Cheney D. Multidisciplinary perspectives on mechanisms of activity of popular immune-enhancing herbal supplements used by athletes. Front Biol. 2013;8:78–100.CrossRef
20.
go back to reference Chen SM, Tsai YS, Lee SW, Liu YH, Liao SK, Chang WW, et al. Astragalus membranaceus modulates Th1/2 immune balance and activates PPARγ in a murine asthma model. Biochem Cell Biol. 2014;92:397–405.PubMedCrossRef Chen SM, Tsai YS, Lee SW, Liu YH, Liao SK, Chang WW, et al. Astragalus membranaceus modulates Th1/2 immune balance and activates PPARγ in a murine asthma model. Biochem Cell Biol. 2014;92:397–405.PubMedCrossRef
21.
go back to reference Kuo YH, Tsai WJ, Loke SH, Wu TS, Chiou WF. Astragalus membranaceus flavonoids (AMF) ameliorate chronic fatigue syndrome induced by food intake restriction plus forced swimming. J Ethnopharmacol. 2009;122:28–34.PubMedCrossRef Kuo YH, Tsai WJ, Loke SH, Wu TS, Chiou WF. Astragalus membranaceus flavonoids (AMF) ameliorate chronic fatigue syndrome induced by food intake restriction plus forced swimming. J Ethnopharmacol. 2009;122:28–34.PubMedCrossRef
42.
go back to reference Gleeson M, Bishop NC. The T cell and NK cell immune response to exercise. Ann Transplant. 2005;10:43–8.PubMed Gleeson M, Bishop NC. The T cell and NK cell immune response to exercise. Ann Transplant. 2005;10:43–8.PubMed
44.
go back to reference Romagnani S. The Th1-Th2 paradigm in disease. In: molecular biology intelligence unit. Austin: R.G. Landes Company; 1996. Romagnani S. The Th1-Th2 paradigm in disease. In: molecular biology intelligence unit. Austin: R.G. Landes Company; 1996.
45.
go back to reference Kaiko GE, Horvat JC, Beagley KW, Hansbro PM. Immunological decision-making: how does the immune system decide to mount a helper T-cell response? Immunol. 2008;123:326–38.CrossRef Kaiko GE, Horvat JC, Beagley KW, Hansbro PM. Immunological decision-making: how does the immune system decide to mount a helper T-cell response? Immunol. 2008;123:326–38.CrossRef
46.
go back to reference Mosmann TR, Moore K. W. the role of IL10 in crossregulation of TH1 and TH2 responses. Immunol Today. 1991;12:A49–53.PubMedCrossRef Mosmann TR, Moore K. W. the role of IL10 in crossregulation of TH1 and TH2 responses. Immunol Today. 1991;12:A49–53.PubMedCrossRef
47.
go back to reference Mosmann TR, Sad S. The expanding universe of T-cell subsets: Th1; Th2 and more. Immunol Today. 1996;17:138–46.PubMedCrossRef Mosmann TR, Sad S. The expanding universe of T-cell subsets: Th1; Th2 and more. Immunol Today. 1996;17:138–46.PubMedCrossRef
48.
go back to reference Kicielińska J, Pajtasz-Piasecka E. The role of IL10 in the modulation of the immune response in normal conditions and the tumor environment. Postempy Hig Med Dosw (Online). 2014;68:879–92.CrossRef Kicielińska J, Pajtasz-Piasecka E. The role of IL10 in the modulation of the immune response in normal conditions and the tumor environment. Postempy Hig Med Dosw (Online). 2014;68:879–92.CrossRef
49.
go back to reference Paludan SR. Interleukin-4 and interferon-gamma: the quintessence of a mutual antagonistic relationship. Scand J Immunol. 1998;48:459–68.PubMedCrossRef Paludan SR. Interleukin-4 and interferon-gamma: the quintessence of a mutual antagonistic relationship. Scand J Immunol. 1998;48:459–68.PubMedCrossRef
50.
go back to reference Lucey DR, Clerici M, Shearer GM. Type 1 and type 2 cytokine dysregulation in human infectious; neoplastic; and inflammatory diseases. Clin Microbiol Rev. 1996;9:532–62.PubMedPubMedCentralCrossRef Lucey DR, Clerici M, Shearer GM. Type 1 and type 2 cytokine dysregulation in human infectious; neoplastic; and inflammatory diseases. Clin Microbiol Rev. 1996;9:532–62.PubMedPubMedCentralCrossRef
51.
go back to reference Viallard JF, Pellegrin JL, Ranchin V, Schaeverbeke T, Dehais J, Longy-Boursier M, et al. Th1 (IL2; interferon-gamma (IFN-gamma)) and Th2 (IL10; IL4) cytokine production by peripheral blood mononuclear cells (PBMC) from patients with systemic lupus erythematosus (SLE). Clin Exp Immunol. 1999;115:189–95.PubMedPubMedCentralCrossRef Viallard JF, Pellegrin JL, Ranchin V, Schaeverbeke T, Dehais J, Longy-Boursier M, et al. Th1 (IL2; interferon-gamma (IFN-gamma)) and Th2 (IL10; IL4) cytokine production by peripheral blood mononuclear cells (PBMC) from patients with systemic lupus erythematosus (SLE). Clin Exp Immunol. 1999;115:189–95.PubMedPubMedCentralCrossRef
52.
go back to reference Khan R, Gupta S, Sharma A. Circulatory levels of T-cell cytokines (interleukin [IL]-2; IL4; IL-17; and transforming growth factor-β) in patients with vitiligo. J Am Acad Dermatol. 2012;66:510–1.PubMedCrossRef Khan R, Gupta S, Sharma A. Circulatory levels of T-cell cytokines (interleukin [IL]-2; IL4; IL-17; and transforming growth factor-β) in patients with vitiligo. J Am Acad Dermatol. 2012;66:510–1.PubMedCrossRef
53.
go back to reference Suzuki K, Nakaji S, Yamada M, Totsuka M, Sato K, Sugawara K. Systemic inflammatory response to exhaustive exercise. Cytokine kinetics. Exerc Immunol Rev. 2003;8:6–48. Suzuki K, Nakaji S, Yamada M, Totsuka M, Sato K, Sugawara K. Systemic inflammatory response to exhaustive exercise. Cytokine kinetics. Exerc Immunol Rev. 2003;8:6–48.
54.
go back to reference Jarosz M. Nutrition standards for the polish population – amendment. Instytut Żywności i Żywienia, 2012. Jarosz M. Nutrition standards for the polish population – amendment. Instytut Żywności i Żywienia, 2012.
55.
56.
go back to reference Nieman DC. Risk of upper respiratory tract infection in athletes: an epidemiologic and immunologic perspective. J Athl Train. 1997;32(4):344–9.PubMedPubMedCentral Nieman DC. Risk of upper respiratory tract infection in athletes: an epidemiologic and immunologic perspective. J Athl Train. 1997;32(4):344–9.PubMedPubMedCentral
58.
go back to reference Kidd P. Th1/Th2 balance: the hypothesis, its limitations, and implications for health and disease. Altern Med Rev. 2003;8(3):223–46.PubMed Kidd P. Th1/Th2 balance: the hypothesis, its limitations, and implications for health and disease. Altern Med Rev. 2003;8(3):223–46.PubMed
61.
go back to reference Rui-Zhan C, Li T, Chen-Guang J, Juan L, Li T, Qing-Quan C, et al. Extraction, isolation, characterization and antioxidant activity of polysaccharides from Astragalus membranaceus. Ind Crop Prod. 2015;77:434–43.CrossRef Rui-Zhan C, Li T, Chen-Guang J, Juan L, Li T, Qing-Quan C, et al. Extraction, isolation, characterization and antioxidant activity of polysaccharides from Astragalus membranaceus. Ind Crop Prod. 2015;77:434–43.CrossRef
Metadata
Title
Standardized astragalus extract for attenuation of the immunosuppression induced by strenuous physical exercise: randomized controlled trial
Authors
Ewa Latour
Jaroslaw Arlet
Emilia E. Latour
Artur Juszkiewicz
Karolina Łuczkowska
Anita Marcinkiewicz
Piotr Basta
Jerzy Trzeciak
Bogusław Machaliński
Anna Skarpańska-Stejnborn
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Cytokines
DOI
https://doi.org/10.1186/s12970-021-00425-5

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