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A potential therapeutic target in traditional Chinese medicine for ulcerative colitis: Macrophage polarization

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TLDR
Evidence has shown that traditional Chinese medicine (TCM) has positive therapeutic effects on UC by restoring the balance of M1/M2 macrophage polarization, and the potential mechanism of TCM regulating macrophages polarization in the treatment of UC is summarized.
Abstract
Intestinal macrophages are the main participants of intestinal immune homeostasis and intestinal inflammation. Under different environmental stimuli, intestinal macrophages can be polarized into classical activated pro-inflammatory phenotype (M1) and alternative activated anti-inflammatory phenotype (M2). Its different polarization state is the “guide” to promoting the development and regression of inflammation. Under normal circumstances, intestinal macrophages can protect the intestine from inflammatory damage. However, under the influence of some genetic and environmental factors, the polarization imbalance of intestinal M1/M2 macrophages will lead to the imbalance in the regulation of intestinal inflammation and transform the physiological inflammatory response into pathological intestinal injury. In UC patients, the disorder of intestinal inflammation is closely related to the imbalance of intestinal M1/M2 macrophage polarization. Therefore, restoring the balance of M1/M2 macrophage polarization may be a potentially valuable therapeutic strategy for UC. Evidence has shown that traditional Chinese medicine (TCM) has positive therapeutic effects on UC by restoring the balance of M1/M2 macrophage polarization. This review summarizes the clinical evidence of TCM for UC, the vital role of macrophage polarization in the pathophysiology of UC, and the potential mechanism of TCM regulating macrophage polarization in the treatment of UC. We hope this review may provide some new enlightenment for the clinical treatment, fundamental research, and research and development of new Chinese medicine of UC.

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Journal ArticleDOI

Berberine a traditional Chinese drug repurposing: Its actions in inflammation-associated ulcerative colitis and cancer therapy

TL;DR: Berberine (BBR) is an isoquinoline alkaloid extracted from Coptidis Rhizoma, which has a long history of treating dysentery in the clinic as mentioned in this paper .
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A potential therapeutic approach for ulcerative colitis: targeted regulation of macrophage polarization through phytochemicals

TL;DR: In this paper , the influence of macrophage polarization on the development of colorectal ulcerative colitis (UC) was discussed and the significant potential of natural substances that can target the macocyte phenotype and elucidate the possible mechanism of action for its treatment.
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Pro-inflammatory Polarization of Macrophages Causes Intestinal Inflammation in Low-Birth-Weight Piglets and Mice.

TL;DR: In this paper , the role of macrophages in intestinal inflammation in low birth weight (LBW) pigs and mice was investigated by using immunofluorescence and flow cytometry.
Journal ArticleDOI

Targeting intestinal microecology: potential intervention strategies of traditional Chinese medicine for managing hypertension

TL;DR: Wang et al. as mentioned in this paper analyzed the relationship among TCM, intestinal microecology and hypertension, and presented the methods by which TCM regulates intestinal micro-ecology to prevent and treat hypertension.
References
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