4.8 Review

Immunoregulation by Artemisinin and Its Derivatives: A New Role for Old Antimalarial Drugs

Journal

FRONTIERS IN IMMUNOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2021.751772

Keywords

artemisinin; adaptive immunity; innate immunity; autoimmune disease; immunoregulation; cellular signaling

Categories

Funding

  1. National Natural Science Foundation of China [82071800]
  2. State Key Laboratory of Dampness Syndrome of Chinese Medicine [SZ2020ZZ16, SZ2020ZZ18]
  3. 2020 Guangdong Provincial Science and Technology Innovation Strategy Special Fund (Guangdong-Hong Kong-Macau Joint Lab) [2020B1212030006]
  4. TCM Science and Technology of Guangdong Provincial Hospital of Chinese Medicine [YN2019MJ03, YN2019QJ07, YN2019QJ02]
  5. Key-Area Research and Development Program of Guangdong Province [2020B1111100010]

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Artemisinin and its derivatives, traditionally used as antimalarial drugs, have shown promising therapeutic effects on inflammation and autoimmune disorders. Recent studies have highlighted the immunomodulatory potential of ARTs, paving the way for future clinical trials in treating immune-based disorders, particularly autoimmune diseases.
Artemisinin and its derivatives (ARTs) are known as conventional antimalarial drugs with clinical safety and efficacy. Youyou Tu was awarded a Nobel Prize in Physiology and Medicine due to her discovery of artemisinin and its therapeutic effects on malaria. Apart from antimalarial effects, mounting evidence has demonstrated that ARTs exert therapeutic effects on inflammation and autoimmune disorders because of their anti-inflammatory and immunoregulatory properties. In this aspect, tremendous progress has been made during the past five to seven years. Therefore, the present review summarizes recent studies that have explored the anti-inflammatory and immunomodulatory effects of ARTs on autoimmune diseases and transplant rejection. In this review, we also discuss the cellular and molecular mechanisms underlying the immunomodulatory effects of ARTs. Recent preclinical studies will help lay the groundwork for clinical trials using ARTs to treat various immune-based disorders, especially autoimmune diseases.

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