Skip to main content
Top
Published in: Drugs in R&D 1/2003

01-01-2003 | Review Article

Immunosuppressive and Anti-Inflammatory Mechanisms of Triptolide, the Principal Active Diterpenoid from the Chinese Medicinal Herb Tripterygium wilfordii Hook. f.

Authors: Daoming Qiu, Dr Peter N. Kao

Published in: Drugs in R&D | Issue 1/2003

Login to get access

Abstract

Extracts of Tripterygium wilfordii hook. f. (leigong teng, Thundergod vine) are effective in traditional Chinese medicine for treatment of immune inflammatory diseases including rheumatoid arthritis, systemic lupus erythematosus, nephritis and asthma. Characterisation of the terpenoids present in extracts of Tripterygium identified triptolide, a diterpenoid triepoxide, as responsible for most of the immunosuppressive, anti-inflammatory and antiproliferative effects observed in vitro. Triptolide inhibits lymphocyte activation and T-cell expression of interleukin-2 at the level of transcription. In all cell types examined, triptolide inhibits nuclear factor-κB transcriptional activation at a unique step in the nucleus after binding to DNA. Further characterisation of the molecular mechanisms of triptolide action will serve to elucidate pathways of immune system regulation.
Literature
1.
go back to reference Tao X, Lipsky PE. The Chinese anti-inflammatory and immunosuppressive herbal remedy Tripterygium wilfordii Hook F. Rheum Dis Clin North Am 2000; 26 (1): 29–50, viiiPubMedCrossRef Tao X, Lipsky PE. The Chinese anti-inflammatory and immunosuppressive herbal remedy Tripterygium wilfordii Hook F. Rheum Dis Clin North Am 2000; 26 (1): 29–50, viiiPubMedCrossRef
2.
go back to reference Zheng JR, Liu JH, Hsu LF, et al. Toxicity of total glycosides in Tripterygium wilfordii [in Chinese]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 1983; 5 (2): 73–8PubMed Zheng JR, Liu JH, Hsu LF, et al. Toxicity of total glycosides in Tripterygium wilfordii [in Chinese]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 1983; 5 (2): 73–8PubMed
3.
go back to reference Qian SZ. Tripterygium wilfordii, a Chinese herb effective in male fertility regulation. Contraception 1987; 36 (3): 335–45PubMedCrossRef Qian SZ. Tripterygium wilfordii, a Chinese herb effective in male fertility regulation. Contraception 1987; 36 (3): 335–45PubMedCrossRef
4.
go back to reference Chou WC, Wu CC, Yang PC, et al. Hypovolemic shock and mortality after ingestion of Tripterygium wilfordii hook F: a case report. Int J Cardiol 1995; 49 (2): 173–7PubMedCrossRef Chou WC, Wu CC, Yang PC, et al. Hypovolemic shock and mortality after ingestion of Tripterygium wilfordii hook F: a case report. Int J Cardiol 1995; 49 (2): 173–7PubMedCrossRef
5.
go back to reference Chen K, Shi QA, Fujioka T, et al. Anti-AIDS agents, 4. Tripterifordin, a novel anti-HIV principle from Tripterygium wilfordii: isolation and structural elucidation. J Nat Prod 1992; 55 (1): 88–92PubMedCrossRef Chen K, Shi QA, Fujioka T, et al. Anti-AIDS agents, 4. Tripterifordin, a novel anti-HIV principle from Tripterygium wilfordii: isolation and structural elucidation. J Nat Prod 1992; 55 (1): 88–92PubMedCrossRef
6.
go back to reference Duan H, Takaishi Y, Imakura Y, et al. Sesquiterpene alkaloids from Tripterygium hypoglaucum and Tripterygium wilfordii: a new class of potent anti-HIV agents. J Nat Prod 2000; 63 (3): 357–61PubMedCrossRef Duan H, Takaishi Y, Imakura Y, et al. Sesquiterpene alkaloids from Tripterygium hypoglaucum and Tripterygium wilfordii: a new class of potent anti-HIV agents. J Nat Prod 2000; 63 (3): 357–61PubMedCrossRef
7.
go back to reference Tao X, Cai JJ, Lipsky PE. The identity of immunosuppressive components of the ethyl acetate extract and chloroform methanol extract (T2) of Tripterygium wilfordii Hook. F. J Pharmacol Exp Ther 1995; 272 (3): 1305–12PubMed Tao X, Cai JJ, Lipsky PE. The identity of immunosuppressive components of the ethyl acetate extract and chloroform methanol extract (T2) of Tripterygium wilfordii Hook. F. J Pharmacol Exp Ther 1995; 272 (3): 1305–12PubMed
8.
go back to reference Tao X, Cush JJ, Garret M, et al. A phase I study of ethyl acetate extract of the Chinese antirheumatic herb Tripterygium wilfordii hook F in rheumatoid arthritis. J Rheumatol 2001; 28 (10): 2160–7PubMed Tao X, Cush JJ, Garret M, et al. A phase I study of ethyl acetate extract of the Chinese antirheumatic herb Tripterygium wilfordii hook F in rheumatoid arthritis. J Rheumatol 2001; 28 (10): 2160–7PubMed
9.
go back to reference Sher FT, Berchtold GA. Studies on the total synthesis of triptolide. I. J Org Chem 1977; 42 (15): 2569–74PubMedCrossRef Sher FT, Berchtold GA. Studies on the total synthesis of triptolide. I. J Org Chem 1977; 42 (15): 2569–74PubMedCrossRef
10.
go back to reference Yang D, Ye XY, Xu M. Enantioselective total synthesis of (−)- triptolide, (−)-triptonide, (+)-triptophenolide, and (+)- triptoquinonide. J Org Chem 2000; 65 (7): 2208–17PubMedCrossRef Yang D, Ye XY, Xu M. Enantioselective total synthesis of (−)- triptolide, (−)-triptonide, (+)-triptophenolide, and (+)- triptoquinonide. J Org Chem 2000; 65 (7): 2208–17PubMedCrossRef
11.
go back to reference Tao XL, Sun Y, Dong Y, et al. A prospective, controlled, double-blind, cross-over study of Tripterygium wilfordii hook F in treatment of rheumatoid arthritis. Chin Med J (Engl) 1989; 102 (5): 327–32 Tao XL, Sun Y, Dong Y, et al. A prospective, controlled, double-blind, cross-over study of Tripterygium wilfordii hook F in treatment of rheumatoid arthritis. Chin Med J (Engl) 1989; 102 (5): 327–32
12.
go back to reference Wang J, Xu R, Jin R, et al. Immunosuppressive activity of the Chinese medicinal plant Tripterygium wilfordii: I. prolongation of rat cardiac and renal allograft survival by the PG27 extract and immunosuppressive synergy in combination therapy with cyclosporine. Transplantation 2000; 70 (3): 447–55PubMedCrossRef Wang J, Xu R, Jin R, et al. Immunosuppressive activity of the Chinese medicinal plant Tripterygium wilfordii: I. prolongation of rat cardiac and renal allograft survival by the PG27 extract and immunosuppressive synergy in combination therapy with cyclosporine. Transplantation 2000; 70 (3): 447–55PubMedCrossRef
13.
go back to reference Faul JL, Nishimura T, Berry GJ, et al. Triptolide attenuates pulmonary arterial hypertension and neointimal formation in rats. Am J Respir Crit Care Med 2000; 162 (6): 2252–8PubMed Faul JL, Nishimura T, Berry GJ, et al. Triptolide attenuates pulmonary arterial hypertension and neointimal formation in rats. Am J Respir Crit Care Med 2000; 162 (6): 2252–8PubMed
14.
go back to reference Hachida M, Lu H, Zhang X, et al. Inhibitory effect of triptolide on platelet derived growth factor-A and coronary arteriosclerosis after heart transplantation. Transplant Proc 1999; 31 (7): 2719–23PubMedCrossRef Hachida M, Lu H, Zhang X, et al. Inhibitory effect of triptolide on platelet derived growth factor-A and coronary arteriosclerosis after heart transplantation. Transplant Proc 1999; 31 (7): 2719–23PubMedCrossRef
15.
go back to reference Ren B, Sun J, Hu C, et al. Immunosuppressive effects of Tripterygium wilfordii hook F in a rat liver transplant model. Transplant Proc 2001; 33 (1–2): 520–1PubMedCrossRef Ren B, Sun J, Hu C, et al. Immunosuppressive effects of Tripterygium wilfordii hook F in a rat liver transplant model. Transplant Proc 2001; 33 (1–2): 520–1PubMedCrossRef
16.
go back to reference Chen BJ, Liu C, Cui X, et al. Prevention of graft vs host disease by a novel immunosuppressant, PG490-88, through inhibition of alloreactive T cell expansion. Transplantation 2000; 70 (10): 1442–7PubMedCrossRef Chen BJ, Liu C, Cui X, et al. Prevention of graft vs host disease by a novel immunosuppressant, PG490-88, through inhibition of alloreactive T cell expansion. Transplantation 2000; 70 (10): 1442–7PubMedCrossRef
17.
go back to reference Krishna G, Liu K, Shigemitsu H, et al. PG490-88, a derivative of triptolide, blocks bleomycin-induced lung fibrosis. Am J Pathol 2001; 158 (3): 997–1004PubMedCrossRef Krishna G, Liu K, Shigemitsu H, et al. PG490-88, a derivative of triptolide, blocks bleomycin-induced lung fibrosis. Am J Pathol 2001; 158 (3): 997–1004PubMedCrossRef
18.
go back to reference Chen BJ, Chen Y, Cui X, et al. Mechanisms of tolerance induced by PG490-88 in a bone marrow transplantation model. Transplantation 2002; 73 (1): 115–21PubMedCrossRef Chen BJ, Chen Y, Cui X, et al. Mechanisms of tolerance induced by PG490-88 in a bone marrow transplantation model. Transplantation 2002; 73 (1): 115–21PubMedCrossRef
19.
go back to reference Xia S. Organ transplantation. Chin Med J (Engl) 1996; 109 (1): 29–31 Xia S. Organ transplantation. Chin Med J (Engl) 1996; 109 (1): 29–31
20.
go back to reference Zhang XY, Tsuchiya N, Dohi M, et al. Prolonged survival of MRL-lpr/lpr mice treated with Tripterygium wilfordii Hook- F. Clin Immunol Immunopathol 1992; 62 (1 Pt 1): 66–71PubMedCrossRef Zhang XY, Tsuchiya N, Dohi M, et al. Prolonged survival of MRL-lpr/lpr mice treated with Tripterygium wilfordii Hook- F. Clin Immunol Immunopathol 1992; 62 (1 Pt 1): 66–71PubMedCrossRef
21.
go back to reference Lei W, Liu L, Xue M. Effect of Tripterygium wolfordii on inhibition of rejection reaction of allogeneic skin graft in mice [in Chinese]. Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1995; 11 (4): 294–5PubMed Lei W, Liu L, Xue M. Effect of Tripterygium wolfordii on inhibition of rejection reaction of allogeneic skin graft in mice [in Chinese]. Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1995; 11 (4): 294–5PubMed
22.
go back to reference Li CG. Histopathologic observation on the therapeutic effect of Tripterygium wilfordii in treating experimental allergic encephalomyelitis [in Chinese]. Zhong Xi Yi Jie He Za Zhi 1989; 9 (2): 98–9, 70PubMed Li CG. Histopathologic observation on the therapeutic effect of Tripterygium wilfordii in treating experimental allergic encephalomyelitis [in Chinese]. Zhong Xi Yi Jie He Za Zhi 1989; 9 (2): 98–9, 70PubMed
23.
go back to reference Li Z, Li C. Effect of the multiglycoside of Tripterygium wilfordii Hook f. (Tii) on cornea allograft rejection model in rabbit. Yan Ke Xue Bao 1995; 11 (3): 168–72PubMed Li Z, Li C. Effect of the multiglycoside of Tripterygium wilfordii Hook f. (Tii) on cornea allograft rejection model in rabbit. Yan Ke Xue Bao 1995; 11 (3): 168–72PubMed
24.
go back to reference Liao CX, Li JS. Low-dose cyclosporin A and Tripterygium wilfordii inhibited porcine intestinal allograft rejection. Chin Med J (Engl) 1994; 107 (9): 669–72 Liao CX, Li JS. Low-dose cyclosporin A and Tripterygium wilfordii inhibited porcine intestinal allograft rejection. Chin Med J (Engl) 1994; 107 (9): 669–72
25.
go back to reference Zhou ZS. Rejection and Tripterygium wilfordii-treated small bowel allografts in pigs: pathological studies. Zhonghua Yi Xue Za Zhi 1993; 73 (9): 541–3, 575PubMed Zhou ZS. Rejection and Tripterygium wilfordii-treated small bowel allografts in pigs: pathological studies. Zhonghua Yi Xue Za Zhi 1993; 73 (9): 541–3, 575PubMed
26.
go back to reference Li LS. Clinical and experimental studies on the effect of Tripterygium wilfordii Hook in the treatment of nephritis. Zhonghua Yi Xue Za Zhi 1982; 62 (10): 581–5PubMed Li LS. Clinical and experimental studies on the effect of Tripterygium wilfordii Hook in the treatment of nephritis. Zhonghua Yi Xue Za Zhi 1982; 62 (10): 581–5PubMed
27.
go back to reference Asano K, Yu Y, Kasahara T, et al. Inhibition of murine chronic graft-versus-host disease by the chloroform extract of Tripterygium wilfordii Hook f. Transpl Immunol 1997; 5 (4): 315–9PubMedCrossRef Asano K, Yu Y, Kasahara T, et al. Inhibition of murine chronic graft-versus-host disease by the chloroform extract of Tripterygium wilfordii Hook f. Transpl Immunol 1997; 5 (4): 315–9PubMedCrossRef
28.
go back to reference Asano K, Matsuishi J, Yu Y, et al. Suppressive effects of Tripterygium wilfordii Hook f., a traditional Chinese medicine, on collagen arthritis in mice. Immunopharmacology 1998; 39 (2): 117–26PubMedCrossRef Asano K, Matsuishi J, Yu Y, et al. Suppressive effects of Tripterygium wilfordii Hook f., a traditional Chinese medicine, on collagen arthritis in mice. Immunopharmacology 1998; 39 (2): 117–26PubMedCrossRef
29.
go back to reference Gu WZ, Banerjee S, Rauch J, et al. Suppression of renal disease and arthritis, and prolongation of survival in MRL-lpr mice treated with an extract of Tripterygium wilfordii Hook f. Arthritis Rheum 1992; 35 (11): 1381–6PubMed Gu WZ, Banerjee S, Rauch J, et al. Suppression of renal disease and arthritis, and prolongation of survival in MRL-lpr mice treated with an extract of Tripterygium wilfordii Hook f. Arthritis Rheum 1992; 35 (11): 1381–6PubMed
30.
go back to reference Zhao B, Huang XC, Du HW. Tripterygium wilfordii on prolonging the survival time of myocardial allografts in mice [in Chinese]. Zhong Xi Yi Jie He Za Zhi 1988; 8 (1): 31–3, 6PubMed Zhao B, Huang XC, Du HW. Tripterygium wilfordii on prolonging the survival time of myocardial allografts in mice [in Chinese]. Zhong Xi Yi Jie He Za Zhi 1988; 8 (1): 31–3, 6PubMed
31.
go back to reference Wang J, Xu R, Jin R, et al. Immunosuppressive activity of the Chinese medicinal plant Tripterygium wilfordii: II. Prolongation of hamster-to-rat cardiac xenograft survival by combination therapy with the PG27 extract and cyclosporine. Transplantation 2000; 70 (3): 456–64PubMedCrossRef Wang J, Xu R, Jin R, et al. Immunosuppressive activity of the Chinese medicinal plant Tripterygium wilfordii: II. Prolongation of hamster-to-rat cardiac xenograft survival by combination therapy with the PG27 extract and cyclosporine. Transplantation 2000; 70 (3): 456–64PubMedCrossRef
32.
go back to reference Hachida M, Zhang XL, Lu H, et al. Late multiglycosidorum tripterygium treatment ameliorates established graft coronary arteriosclerosis after heart transplantation in the rat. Transplant Proc 1999; 31 (5): 2020–4PubMedCrossRef Hachida M, Zhang XL, Lu H, et al. Late multiglycosidorum tripterygium treatment ameliorates established graft coronary arteriosclerosis after heart transplantation in the rat. Transplant Proc 1999; 31 (5): 2020–4PubMedCrossRef
33.
go back to reference Goker H, Haznedaroglu IC, Chao NJ. Acute graft vs host disease: pathobiology and management. Exp Hematol 2001; 29 (3): 259–77PubMedCrossRef Goker H, Haznedaroglu IC, Chao NJ. Acute graft vs host disease: pathobiology and management. Exp Hematol 2001; 29 (3): 259–77PubMedCrossRef
34.
go back to reference Chen Y, Zeng D, Schlegel PG, et al. PG27, an extract of Tripterygium wilfordii hook f, induces antigen-specific tolerance in bone marrow transplantation in mice. Blood 2000; 95 (2): 705–10PubMed Chen Y, Zeng D, Schlegel PG, et al. PG27, an extract of Tripterygium wilfordii hook f, induces antigen-specific tolerance in bone marrow transplantation in mice. Blood 2000; 95 (2): 705–10PubMed
35.
go back to reference Fishman AP. Etiology and pathogenesis of primary pulmonary hypertension: a perspective. Chest 1998; 114 (3 Suppl.): 242S–7SPubMedCrossRef Fishman AP. Etiology and pathogenesis of primary pulmonary hypertension: a perspective. Chest 1998; 114 (3 Suppl.): 242S–7SPubMedCrossRef
36.
go back to reference Yi ES, Kim H, Ahn H, et al. Distribution of obstructive intimal lesions and their cellular phenotypes in chronic pulmonary hypertension: a morphometric and immunohistochemical study. Am J Respir Crit Care Med 2000; 162 (4 Pt 1): 1577–86PubMed Yi ES, Kim H, Ahn H, et al. Distribution of obstructive intimal lesions and their cellular phenotypes in chronic pulmonary hypertension: a morphometric and immunohistochemical study. Am J Respir Crit Care Med 2000; 162 (4 Pt 1): 1577–86PubMed
37.
go back to reference Barst RJ, Rubin LJ, Long WA, et al. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension. The Primary Pulmonary Hypertension Study Group. N Engl J Med 1996; 334 (5): 296–302PubMedCrossRef Barst RJ, Rubin LJ, Long WA, et al. A comparison of continuous intravenous epoprostenol (prostacyclin) with conventional therapy for primary pulmonary hypertension. The Primary Pulmonary Hypertension Study Group. N Engl J Med 1996; 334 (5): 296–302PubMedCrossRef
38.
go back to reference Tanaka Y, Schuster DP, Davis EC, et al. The role of vascular injury and hemodynamics in rat pulmonary artery remodeling. J Clin Invest 1996; 98 (2): 434–42PubMedCrossRef Tanaka Y, Schuster DP, Davis EC, et al. The role of vascular injury and hemodynamics in rat pulmonary artery remodeling. J Clin Invest 1996; 98 (2): 434–42PubMedCrossRef
39.
go back to reference Nishimura T, Faul JL, Berry GJ, et al. 40-O- (2-Hydroxyethyl)-rapamycin attenuates pulmonary arterial hypertension and neointimal formation in rats. Am J Respir Crit Care Med 2001; 163 (2): 498–502PubMed Nishimura T, Faul JL, Berry GJ, et al. 40-O- (2-Hydroxyethyl)-rapamycin attenuates pulmonary arterial hypertension and neointimal formation in rats. Am J Respir Crit Care Med 2001; 163 (2): 498–502PubMed
40.
go back to reference Pan LC, Wilson DW, Segall HJ. Strain differences in the response of Fischer 344 and Sprague-Dawley rats to monocrotaline induced pulmonary vascular disease. Toxicology 1993; 79 (1): 21–35PubMedCrossRef Pan LC, Wilson DW, Segall HJ. Strain differences in the response of Fischer 344 and Sprague-Dawley rats to monocrotaline induced pulmonary vascular disease. Toxicology 1993; 79 (1): 21–35PubMedCrossRef
41.
go back to reference Lame MW, Jones AD, Wilson DW, et al. Protein targets of monocrotaline pyrrole in pulmonary artery endothelial cells. J Biol Chem 2000; 275 (37): 29091–9PubMedCrossRef Lame MW, Jones AD, Wilson DW, et al. Protein targets of monocrotaline pyrrole in pulmonary artery endothelial cells. J Biol Chem 2000; 275 (37): 29091–9PubMedCrossRef
42.
go back to reference Ushiro S, Ono M, Nakayama J, et al. New nortriterpenoid isolated from anti-rheumatoid arthritic plant, Tripterygium wilfordii, modulates tumor growth and neovascularization. Int J Cancer 1997; 72 (4): 657–63PubMedCrossRef Ushiro S, Ono M, Nakayama J, et al. New nortriterpenoid isolated from anti-rheumatoid arthritic plant, Tripterygium wilfordii, modulates tumor growth and neovascularization. Int J Cancer 1997; 72 (4): 657–63PubMedCrossRef
43.
go back to reference Kupchan SM, Court WA, Dailey Jr R, et al. Triptolide and tripdiolide, novel antileukemic diterpenoid triepoxides from Tripterygium wilfordii. J Am Chem Soc 1972; 94 (20): 7194–5PubMedCrossRef Kupchan SM, Court WA, Dailey Jr R, et al. Triptolide and tripdiolide, novel antileukemic diterpenoid triepoxides from Tripterygium wilfordii. J Am Chem Soc 1972; 94 (20): 7194–5PubMedCrossRef
44.
go back to reference Wei YS, Adachi I. Inhibitory effect of triptolide on colony formation of breast and stomach cancer cell lines. Chung Kuo Yao Li Hsueh Pao 1991; 12 (5): 406–10PubMed Wei YS, Adachi I. Inhibitory effect of triptolide on colony formation of breast and stomach cancer cell lines. Chung Kuo Yao Li Hsueh Pao 1991; 12 (5): 406–10PubMed
45.
go back to reference Shamon LA, Pezzuto JM, Graves JM, et al. Evaluation of the mutagenic, cytotoxic, and antitumor potential of triptolide, a highly oxygenated diterpene isolated from Tripterygium wilfordii. Cancer Lett 1997; 112 (1): 113–7PubMedCrossRef Shamon LA, Pezzuto JM, Graves JM, et al. Evaluation of the mutagenic, cytotoxic, and antitumor potential of triptolide, a highly oxygenated diterpene isolated from Tripterygium wilfordii. Cancer Lett 1997; 112 (1): 113–7PubMedCrossRef
46.
go back to reference Kupchan SM, Schubert RM. Selective alkylation: a biomimetic reaction of the antileukemic triptolides? Science 1974; 185 (153): 791–3CrossRef Kupchan SM, Schubert RM. Selective alkylation: a biomimetic reaction of the antileukemic triptolides? Science 1974; 185 (153): 791–3CrossRef
47.
go back to reference Qiu D, Zhao G, Aoki Y, et al. Immunosuppressant PG490 (triptolide) inhibits T-cell interleukin-2 expression at the level of purine-box/nuclear factor of activated T- cells and NFkappaB transcriptional activation. J Biol Chem 1999; 274 (19): 13443–50PubMedCrossRef Qiu D, Zhao G, Aoki Y, et al. Immunosuppressant PG490 (triptolide) inhibits T-cell interleukin-2 expression at the level of purine-box/nuclear factor of activated T- cells and NFkappaB transcriptional activation. J Biol Chem 1999; 274 (19): 13443–50PubMedCrossRef
48.
go back to reference Tao X, Davis LS, Lipsky PE. Effect of an extract of the Chinese herbal remedy Tripterygium wilfordii hook F on human immune responsiveness. Arthritis Rheum 1991; 34 (10): 1274–81PubMedCrossRef Tao X, Davis LS, Lipsky PE. Effect of an extract of the Chinese herbal remedy Tripterygium wilfordii hook F on human immune responsiveness. Arthritis Rheum 1991; 34 (10): 1274–81PubMedCrossRef
49.
go back to reference Tao X, Schulze-Koops H, Ma L, et al. Effects of Tripterygium wilfordii Hook f extracts on induction of cyclooxygenase 2 activity and prostaglandin E2 production. Arthritis Rheum 1998; 41 (1): 130–8PubMedCrossRef Tao X, Schulze-Koops H, Ma L, et al. Effects of Tripterygium wilfordii Hook f extracts on induction of cyclooxygenase 2 activity and prostaglandin E2 production. Arthritis Rheum 1998; 41 (1): 130–8PubMedCrossRef
50.
go back to reference Yang SX, Gao HL, Xie SS, et al. Immunosuppression of triptolide and its effect on skin allograft survival. Int J Immunopharmacol 1992; 14 (6): 963–9PubMedCrossRef Yang SX, Gao HL, Xie SS, et al. Immunosuppression of triptolide and its effect on skin allograft survival. Int J Immunopharmacol 1992; 14 (6): 963–9PubMedCrossRef
51.
go back to reference Zhao G, Vaszar LT, Qiu D, et al. Antiinflammatory effects of triptolide in human bronchial epithelial cells. Am J Physiol 2000; 279: L958–66 Zhao G, Vaszar LT, Qiu D, et al. Antiinflammatory effects of triptolide in human bronchial epithelial cells. Am J Physiol 2000; 279: L958–66
52.
go back to reference Chan MA, Kohlmeier JE, Branden M, et al. Triptolide is more effective in preventing T cell proliferation and interferongamma production than is FK506. Phytother Res 1999; 13 (6): 464–7PubMedCrossRef Chan MA, Kohlmeier JE, Branden M, et al. Triptolide is more effective in preventing T cell proliferation and interferongamma production than is FK506. Phytother Res 1999; 13 (6): 464–7PubMedCrossRef
53.
go back to reference Lin N, Sato T, Ito A. Triptolide, a novel diterpenoid triepoxide from Tripterygium wilfordii Hook. f., suppresses the production and gene expression of pro-matrix metalloproteinases 1 and 3 and augments those of tissue inhibitors of metalloproteinases 1 and 2 in human synovial fibroblasts. Arthritis Rheum 2001; 44 (9): 2193–200PubMedCrossRef Lin N, Sato T, Ito A. Triptolide, a novel diterpenoid triepoxide from Tripterygium wilfordii Hook. f., suppresses the production and gene expression of pro-matrix metalloproteinases 1 and 3 and augments those of tissue inhibitors of metalloproteinases 1 and 2 in human synovial fibroblasts. Arthritis Rheum 2001; 44 (9): 2193–200PubMedCrossRef
54.
go back to reference Hu KB, Liu ZH, Guo XH, et al. Triptolide inhibits vascular endothelial growth factor expression and production in endothelial cells. Acta Pharmacol Sin 2001; 22 7): 651–6PubMed Hu KB, Liu ZH, Guo XH, et al. Triptolide inhibits vascular endothelial growth factor expression and production in endothelial cells. Acta Pharmacol Sin 2001; 22 7): 651–6PubMed
55.
go back to reference Yang SX, Xie SS, Gao HL, et al. Triptolide suppresses T-lymphocyte proliferation by inhibiting interleukin-2 receptor expression, but spares interleukin-2 production and mRNA expression. Int J Immunopharmacol 1994; 16 (11): 895–904PubMedCrossRef Yang SX, Xie SS, Gao HL, et al. Triptolide suppresses T-lymphocyte proliferation by inhibiting interleukin-2 receptor expression, but spares interleukin-2 production and mRNA expression. Int J Immunopharmacol 1994; 16 (11): 895–904PubMedCrossRef
56.
go back to reference Tao X, Davis LS, Hashimoto K, et al. The Chinese herbal remedy, T2, inhibits mitogen-induced cytokine gene transcription by T cells, but not initial signal transduction. J Pharmacol Exp Ther 1996; 276 (1): 316–25PubMed Tao X, Davis LS, Hashimoto K, et al. The Chinese herbal remedy, T2, inhibits mitogen-induced cytokine gene transcription by T cells, but not initial signal transduction. J Pharmacol Exp Ther 1996; 276 (1): 316–25PubMed
57.
go back to reference Chang WT, Kang JJ, Lee KY, et al. Triptolide and chemotherapy cooperate in tumor cell apoptosis: a role for the p53 pathway. J Biol Chem 2001; 276 (3): 2221–7PubMed Chang WT, Kang JJ, Lee KY, et al. Triptolide and chemotherapy cooperate in tumor cell apoptosis: a role for the p53 pathway. J Biol Chem 2001; 276 (3): 2221–7PubMed
58.
go back to reference Jiang XH, Wong BC, Lin MC, et al. Functional p53 is required for triptolide-induced apoptosis and AP-1 and nuclear factor-kappaB activation in gastric cancer cells. Oncogene 2001; 20 (55): 8009–18PubMedCrossRef Jiang XH, Wong BC, Lin MC, et al. Functional p53 is required for triptolide-induced apoptosis and AP-1 and nuclear factor-kappaB activation in gastric cancer cells. Oncogene 2001; 20 (55): 8009–18PubMedCrossRef
59.
go back to reference Maekawa K, Yoshikawa N, Du J, et al. The molecular mechanism of inhibition of interleukin-1beta-induced cyclooxygenase-2 expression in human synovial cells by Tripterygium wilfordii Hook F extract. Inflamm Res 1999; 48 (11): 575–81PubMedCrossRef Maekawa K, Yoshikawa N, Du J, et al. The molecular mechanism of inhibition of interleukin-1beta-induced cyclooxygenase-2 expression in human synovial cells by Tripterygium wilfordii Hook F extract. Inflamm Res 1999; 48 (11): 575–81PubMedCrossRef
60.
go back to reference Chang DM, Kuo SY, Lai JH, et al. Effects of anti-rheumatic herbal medicines on cellular adhesion molecules. Ann Rheum Dis 1999; 58 (6): 366–71PubMedCrossRef Chang DM, Kuo SY, Lai JH, et al. Effects of anti-rheumatic herbal medicines on cellular adhesion molecules. Ann Rheum Dis 1999; 58 (6): 366–71PubMedCrossRef
61.
go back to reference Matlin SA, Belenguer A, Stacey VE, et al. Male antifertility compounds from Tripterygium wilfordii Hook f. Contraception 1993; 47 (4): 387–400PubMedCrossRef Matlin SA, Belenguer A, Stacey VE, et al. Male antifertility compounds from Tripterygium wilfordii Hook f. Contraception 1993; 47 (4): 387–400PubMedCrossRef
62.
go back to reference Zhen QS, Ye X, Wei ZJ. Recent progress in research on Tripterygium: a male antifertility plant. Contraception 1995; 51 (2): 121–9PubMedCrossRef Zhen QS, Ye X, Wei ZJ. Recent progress in research on Tripterygium: a male antifertility plant. Contraception 1995; 51 (2): 121–9PubMedCrossRef
63.
go back to reference Lee KY, Chang W, Qiu D, et al. PG490 (triptolide) cooperates with tumor necrosis factor-alpha to induce apoptosis in tumor cells. J Biol Chem 1999; 274 (19): 13451–5PubMedCrossRef Lee KY, Chang W, Qiu D, et al. PG490 (triptolide) cooperates with tumor necrosis factor-alpha to induce apoptosis in tumor cells. J Biol Chem 1999; 274 (19): 13451–5PubMedCrossRef
65.
go back to reference Yang Y, Liu Z, Tolosa E, et al. Triptolide induces apoptotic death of T lymphocyte. Immunopharmacology 1998; 40 (2): 139–49PubMedCrossRef Yang Y, Liu Z, Tolosa E, et al. Triptolide induces apoptotic death of T lymphocyte. Immunopharmacology 1998; 40 (2): 139–49PubMedCrossRef
66.
go back to reference Chan EW, Cheng SC, Sin FW, et al. Triptolide induced cytotoxic effects on human promyelocytic leukemia, T cell lymphoma and human hepatocellular carcinoma cell lines. Toxicol Lett 2001; 122 (1): 81–7PubMedCrossRef Chan EW, Cheng SC, Sin FW, et al. Triptolide induced cytotoxic effects on human promyelocytic leukemia, T cell lymphoma and human hepatocellular carcinoma cell lines. Toxicol Lett 2001; 122 (1): 81–7PubMedCrossRef
67.
go back to reference Kiviharju TM, Lecane PS, Sellers RG, et al. Antiproliferative and proapoptotic activities of triptolide (PG490), a natural product entering clinical trials, on primary cultures of human prostatic epithelial cells. Clin Cancer Res 2002; 8 (8): 2666–74PubMed Kiviharju TM, Lecane PS, Sellers RG, et al. Antiproliferative and proapoptotic activities of triptolide (PG490), a natural product entering clinical trials, on primary cultures of human prostatic epithelial cells. Clin Cancer Res 2002; 8 (8): 2666–74PubMed
68.
go back to reference Cantrell D. T cell antigen receptor signal transduction pathways. Annu Rev Immunol 1996; 14: 259–74PubMedCrossRef Cantrell D. T cell antigen receptor signal transduction pathways. Annu Rev Immunol 1996; 14: 259–74PubMedCrossRef
69.
go back to reference Adcock IM. Transcription factors as activators of gene transcription: AP-1 and NF-kappa B. Monaldi Arch Chest Dis 1997; 52 (2): 178–86PubMed Adcock IM. Transcription factors as activators of gene transcription: AP-1 and NF-kappa B. Monaldi Arch Chest Dis 1997; 52 (2): 178–86PubMed
70.
go back to reference Pu LX, Zhang TM. Effects of triptolide on T lymphocyte functions in mice. Chung Kuo Yao Li Hsueh Pao 1990; 11 (1): 76–9PubMed Pu LX, Zhang TM. Effects of triptolide on T lymphocyte functions in mice. Chung Kuo Yao Li Hsueh Pao 1990; 11 (1): 76–9PubMed
71.
go back to reference Serfling E, Avots A, Neumann M. The architecture of the interleukin-2 promoter: a reflection of T-lymphocyte activation. Biochim Biophys Acta 1995; 1263: 181–200PubMedCrossRef Serfling E, Avots A, Neumann M. The architecture of the interleukin-2 promoter: a reflection of T-lymphocyte activation. Biochim Biophys Acta 1995; 1263: 181–200PubMedCrossRef
72.
go back to reference Rao A, Luo C, Hogan PG. Transcription factors of the NFAT family: regulation and function. Annu Rev Immunol 1997; 15: 707–47PubMedCrossRef Rao A, Luo C, Hogan PG. Transcription factors of the NFAT family: regulation and function. Annu Rev Immunol 1997; 15: 707–47PubMedCrossRef
73.
go back to reference Emmel EA, Verweij CL, Durand DB, et al. Cyclosporin A specifically inhibits function of nuclear proteins involved in T cell activation. Science 1989; 246: 1617–20PubMedCrossRef Emmel EA, Verweij CL, Durand DB, et al. Cyclosporin A specifically inhibits function of nuclear proteins involved in T cell activation. Science 1989; 246: 1617–20PubMedCrossRef
74.
go back to reference Mouzaki A, Dai Y, Weil R, et al. Cyclosporin A and FK506 prevent the derepression of the IL-2 gene in mitogen-induced primary T lymphocytes. Cytokine 1992; 4: 151–60PubMedCrossRef Mouzaki A, Dai Y, Weil R, et al. Cyclosporin A and FK506 prevent the derepression of the IL-2 gene in mitogen-induced primary T lymphocytes. Cytokine 1992; 4: 151–60PubMedCrossRef
75.
go back to reference Gummert JF, Ikonen T, Morris RE. Newer immunosuppressive drugs: a review. J Am Soc Nephrol 1999; 10 (6): 1366–80PubMed Gummert JF, Ikonen T, Morris RE. Newer immunosuppressive drugs: a review. J Am Soc Nephrol 1999; 10 (6): 1366–80PubMed
76.
go back to reference Los M, Schenk H, Hexel K, et al. IL-2 gene expression and NF-kB activation through CD28 requires reactive oxygen production by 5-lipoxygenase. EMBO Journal 1995; 14: 3731–40PubMed Los M, Schenk H, Hexel K, et al. IL-2 gene expression and NF-kB activation through CD28 requires reactive oxygen production by 5-lipoxygenase. EMBO Journal 1995; 14: 3731–40PubMed
77.
go back to reference Durand DB, Shaw JP, Bush MR, et al. Characterization of antigen receptor response elements within the interleukin-2 enhancer. Mol Cell Biol 1988; 8 (4): 1715–24PubMed Durand DB, Shaw JP, Bush MR, et al. Characterization of antigen receptor response elements within the interleukin-2 enhancer. Mol Cell Biol 1988; 8 (4): 1715–24PubMed
78.
go back to reference Garrity PA, Chen D, Rothenberg EV, et al. Interleukin-2 transcription is regulated in vivo at the level of coordinated binding of both constitutive and regulated factors. Mol Cell Biol 1994; 14 (3): 2159–69PubMed Garrity PA, Chen D, Rothenberg EV, et al. Interleukin-2 transcription is regulated in vivo at the level of coordinated binding of both constitutive and regulated factors. Mol Cell Biol 1994; 14 (3): 2159–69PubMed
79.
go back to reference Ward SB, Hernandez-Hoyos G, Chen F, et al. Chromatin remodeling of the interleukin-2 gene: distinct alterations in the proximal versus distal enhancer regions. Nucleic Acids Res 1998; 26 (12): 2923–34PubMedCrossRef Ward SB, Hernandez-Hoyos G, Chen F, et al. Chromatin remodeling of the interleukin-2 gene: distinct alterations in the proximal versus distal enhancer regions. Nucleic Acids Res 1998; 26 (12): 2923–34PubMedCrossRef
80.
go back to reference Northrop JP, Ullman KS, Crabtree GR. Characterization of the nuclear and cytoplasmic components of the lymphoidspecific nuclear factor of activated T cells (NFAT) complex. J Biol Chem 1993; 268: 2917–23PubMed Northrop JP, Ullman KS, Crabtree GR. Characterization of the nuclear and cytoplasmic components of the lymphoidspecific nuclear factor of activated T cells (NFAT) complex. J Biol Chem 1993; 268: 2917–23PubMed
81.
go back to reference Crabtree GR. Calcium, calcineurin, and the control of transcription. J Biol Chem 2001; 276 (4): 2313–6PubMedCrossRef Crabtree GR. Calcium, calcineurin, and the control of transcription. J Biol Chem 2001; 276 (4): 2313–6PubMedCrossRef
82.
go back to reference Xanthoudakis S, Viola JP, Shaw KT, et al. An enhanced immune response in mice lacking the transcription factor NFAT1. Science 1996; 272: 892–5PubMedCrossRef Xanthoudakis S, Viola JP, Shaw KT, et al. An enhanced immune response in mice lacking the transcription factor NFAT1. Science 1996; 272: 892–5PubMedCrossRef
83.
go back to reference de la Pompa JL, Timmerman LA, Takimoto H, et al. Role of the NF-ATc transcription factor in morphogenesis of cardiac valves and septum. Nature 1998; 392 (6672): 182–6PubMedCrossRef de la Pompa JL, Timmerman LA, Takimoto H, et al. Role of the NF-ATc transcription factor in morphogenesis of cardiac valves and septum. Nature 1998; 392 (6672): 182–6PubMedCrossRef
84.
go back to reference Kao PN, Chen L, Brock G, et al. Cloning and expression of cyclosporin A- and FK506-sensitive nuclear factor of activated T-cells: NF45 and NF90. J Biol Chem 1994; 269 (32): 20691–9PubMed Kao PN, Chen L, Brock G, et al. Cloning and expression of cyclosporin A- and FK506-sensitive nuclear factor of activated T-cells: NF45 and NF90. J Biol Chem 1994; 269 (32): 20691–9PubMed
85.
go back to reference Aoki Y, Zhao G, Qiu D, et al. CsA-sensitive purine-box transcriptional regulator in bronchial epithelial cells contains NF45, NF90, and Ku. Am J Physiol 1998; 275 (6 Pt 1): L1164–72PubMed Aoki Y, Zhao G, Qiu D, et al. CsA-sensitive purine-box transcriptional regulator in bronchial epithelial cells contains NF45, NF90, and Ku. Am J Physiol 1998; 275 (6 Pt 1): L1164–72PubMed
86.
go back to reference Ting NSY, Kao PN, Chan DW, et al. DNA-dependent protein kinase interacts with antigen receptor response element binding proteins NF90 and NF45. J Biol Chem 1998; 273: 2136–45PubMedCrossRef Ting NSY, Kao PN, Chan DW, et al. DNA-dependent protein kinase interacts with antigen receptor response element binding proteins NF90 and NF45. J Biol Chem 1998; 273: 2136–45PubMedCrossRef
87.
go back to reference Gu Y, Seidl KJ, Rathbun GA, et al. Growth retardation and leaky SCID phenotype of Ku70-deficient mice. Immunity 1997; 7 (5): 653–65PubMedCrossRef Gu Y, Seidl KJ, Rathbun GA, et al. Growth retardation and leaky SCID phenotype of Ku70-deficient mice. Immunity 1997; 7 (5): 653–65PubMedCrossRef
88.
go back to reference Ouyang H, Nussenzweig A, Kurimasa A, et al. Ku70 is required for DNA repair but not for T cell antigen receptor gene recombination in vivo. J Exp Med 1997; 186 (6): 921–9PubMedCrossRef Ouyang H, Nussenzweig A, Kurimasa A, et al. Ku70 is required for DNA repair but not for T cell antigen receptor gene recombination in vivo. J Exp Med 1997; 186 (6): 921–9PubMedCrossRef
89.
go back to reference Nussenzweig A, Chen C, da Costa Soares V, et al. Requirement for Ku80 in growth and immunoglobulin V (D)J recombination. Nature 1996; 382 (6591): 551–5PubMedCrossRef Nussenzweig A, Chen C, da Costa Soares V, et al. Requirement for Ku80 in growth and immunoglobulin V (D)J recombination. Nature 1996; 382 (6591): 551–5PubMedCrossRef
90.
go back to reference Zhu C, Bogue MA, Lim DS, et al. Ku86-deficient mice exhibit severe combined immunodeficiency and defective processing of V (D)J recombination intermediates. Cell 1996; 86 (3): 379–89PubMedCrossRef Zhu C, Bogue MA, Lim DS, et al. Ku86-deficient mice exhibit severe combined immunodeficiency and defective processing of V (D)J recombination intermediates. Cell 1996; 86 (3): 379–89PubMedCrossRef
91.
go back to reference Gao Y, Chaudhuri J, Zhu C, et al. A targeted DNA-PKcs-null mutation reveals DNA-PK-independent functions for KU in V (D)J recombination. Immunity 1998; 9 (3): 367–76PubMedCrossRef Gao Y, Chaudhuri J, Zhu C, et al. A targeted DNA-PKcs-null mutation reveals DNA-PK-independent functions for KU in V (D)J recombination. Immunity 1998; 9 (3): 367–76PubMedCrossRef
92.
go back to reference Taccioli GE, Amatucci AG, Beamish HJ, et al. Targeted disruption of the catalytic subunit of the DNA-PK gene in mice confers severe combined immunodeficiency and radiosensitivity. Immunity 1998; 9 (3): 355–66PubMedCrossRef Taccioli GE, Amatucci AG, Beamish HJ, et al. Targeted disruption of the catalytic subunit of the DNA-PK gene in mice confers severe combined immunodeficiency and radiosensitivity. Immunity 1998; 9 (3): 355–66PubMedCrossRef
93.
go back to reference Kurimasa A, Ouyang H, Dong LJ, et al. Catalytic subunit of DNA-dependent protein kinase: impact on lymphocyte development and tumorigenesis. Proc Natl Acad Sci US A 1999; 96 (4): 1403–8CrossRef Kurimasa A, Ouyang H, Dong LJ, et al. Catalytic subunit of DNA-dependent protein kinase: impact on lymphocyte development and tumorigenesis. Proc Natl Acad Sci US A 1999; 96 (4): 1403–8CrossRef
94.
go back to reference Liu J, Farmer Jr J, Lane WS, et al. Calcineurin is a common target of cyclophilin-cyclosporin A and FKBP- FK506 complexes. Cell 1991; 66 (4): 807–15PubMedCrossRef Liu J, Farmer Jr J, Lane WS, et al. Calcineurin is a common target of cyclophilin-cyclosporin A and FKBP- FK506 complexes. Cell 1991; 66 (4): 807–15PubMedCrossRef
95.
go back to reference Baldwin Jr A. The NF-kappa B and I kappa B proteins: new discoveries and insights. Annu Rev Immunol 1996; 14: 649–83PubMedCrossRef Baldwin Jr A. The NF-kappa B and I kappa B proteins: new discoveries and insights. Annu Rev Immunol 1996; 14: 649–83PubMedCrossRef
96.
go back to reference Barnes PJ, Karin M. Nuclear factor-kappaB: a pivotal transcription factor in chronic inflammatory diseases. N Engl J Med 1997; 336 (15): 1066–71PubMedCrossRef Barnes PJ, Karin M. Nuclear factor-kappaB: a pivotal transcription factor in chronic inflammatory diseases. N Engl J Med 1997; 336 (15): 1066–71PubMedCrossRef
97.
go back to reference Zhong H, Voll RE, Ghosh S. Phosphorylation of NF-kappa B p65 by PKA stimulates transcriptional activity by promoting a novel bivalent interaction with the coactivator CBP/p300. Mol Cell 1998; 1 (5): 661–71PubMedCrossRef Zhong H, Voll RE, Ghosh S. Phosphorylation of NF-kappa B p65 by PKA stimulates transcriptional activity by promoting a novel bivalent interaction with the coactivator CBP/p300. Mol Cell 1998; 1 (5): 661–71PubMedCrossRef
98.
go back to reference Zhong H, May MJ, Jimi E, et al. The phosphorylation status of nuclear NF-kappa B determines its association with CBP/p300 or HDAC-1. Mol Cell 2002; 9 (3): 625–36PubMedCrossRef Zhong H, May MJ, Jimi E, et al. The phosphorylation status of nuclear NF-kappa B determines its association with CBP/p300 or HDAC-1. Mol Cell 2002; 9 (3): 625–36PubMedCrossRef
99.
go back to reference Ashburner BP, Westerheide SD, Baldwin Jr AS. The p65 (RelA) subunit of NF-kappaB interacts with the histone deacetylase (HDAC) corepressors HDAC1 and HDAC2 to negatively regulate gene expression. Mol Cell Biol 2001; 21 (20): 7065–77PubMedCrossRef Ashburner BP, Westerheide SD, Baldwin Jr AS. The p65 (RelA) subunit of NF-kappaB interacts with the histone deacetylase (HDAC) corepressors HDAC1 and HDAC2 to negatively regulate gene expression. Mol Cell Biol 2001; 21 (20): 7065–77PubMedCrossRef
100.
go back to reference Aoki Y, Qiu D, Zhao GH, et al. Leukotriene B4 mediates histamine induction of NF-kB and IL-8 in human bronchial epithelial cells. Am J Physiol 1998; 274: L1030–9PubMed Aoki Y, Qiu D, Zhao GH, et al. Leukotriene B4 mediates histamine induction of NF-kB and IL-8 in human bronchial epithelial cells. Am J Physiol 1998; 274: L1030–9PubMed
101.
go back to reference Beg AA, Baltimore D. An essential role for NF-kappaB in preventing TNF-alpha-induced cell death. Science 1996; 274 (5288): 782–4PubMedCrossRef Beg AA, Baltimore D. An essential role for NF-kappaB in preventing TNF-alpha-induced cell death. Science 1996; 274 (5288): 782–4PubMedCrossRef
102.
go back to reference Zong WX, Edelstein LC, Chen C, et al. The prosurvival Bcl-2 homolog Bfl-1/A1 is a direct transcriptional target of NF-kappaB that blocks TNFalpha-induced apoptosis. Genes Dev 1999; 13 (4): 382–7PubMedCrossRef Zong WX, Edelstein LC, Chen C, et al. The prosurvival Bcl-2 homolog Bfl-1/A1 is a direct transcriptional target of NF-kappaB that blocks TNFalpha-induced apoptosis. Genes Dev 1999; 13 (4): 382–7PubMedCrossRef
Metadata
Title
Immunosuppressive and Anti-Inflammatory Mechanisms of Triptolide, the Principal Active Diterpenoid from the Chinese Medicinal Herb Tripterygium wilfordii Hook. f.
Authors
Daoming Qiu
Dr Peter N. Kao
Publication date
01-01-2003
Publisher
Springer International Publishing
Published in
Drugs in R&D / Issue 1/2003
Print ISSN: 1174-5886
Electronic ISSN: 1179-6901
DOI
https://doi.org/10.2165/00126839-200304010-00001

Other articles of this Issue 1/2003

Drugs in R&D 1/2003 Go to the issue

Adis R&D Profile

Talaporfin

Adis R&D Profile

Trabectedin

Adis R&D Profile

Emtricitabine