Review Article

Advances in Pharmacological Actions and Mechanisms of Flavonoids from Traditional Chinese Medicine in Treating Chronic Obstructive Pulmonary Disease

Table 1

The effects of flavonoids in TCM on chronic obstructive pulmonary disease.

FlavonoidsTCM sourcesModelsEffects

Baicalin
(C21H18O11)
Scutellariae radixCS-induced rat modelInhibition of inflammation; prevention of pulmonary function [23]; reducing oxidative stress [24]
CS-induced mice modelReduction of inflammation; protection of pulmonary function [25]
In vitro model using CSE-exposed type II pneumocytesPrevention of inflammation [23]
CSE-induced human type II alveolar epithelial carcinoma cell line (A549 cells)Moderation of inflammation response [25]

Oroxylin A
(C16H12O5)
Scutellariae radixCS-induced mice modelAlleviation of inflammation and oxidative stress [26]
CSE induced BEAS-2B bronchial epithelial cells and RAW264.7 cellsUpregulation of Nrf2 expression and total cellular glutathione level [26]

Liquiritin apioside
(C26H30O13)
Glycyrrhizae radix et rhizomaCS-induced mice modelInhibition of inflammation, myeloperoxidase activity, and increased SOD activity [27]
In vitro model using CSE-exposed A549 cellsAttenuation of cytotoxicity, inflammation, and depleted GSH levels [27]

Phloretin
(C15H14O5)
Crotonis fructus; Rubi fructusCS-induced mice modelSuppression of the mucus hypersecretion and inflammatory cell release [28]
CSE-induced NCI–H292 cell modelModeration of inflammatory cytokines and the phosphorylation of MAPK pathways [28]

Hesperidin
(C28H34O15)
Citrus reticulataCSE-induced mice modelInhibition of inflammation and oxidative stress responses [29]

Silymarin
(C25H22O10)
Silybl fructusCS-induced mice modelSuppression of inflammation and oxidative stress [30]
Attenuation of autophagy [31]
Silybl fructusCSE-induced BEAS-2B cell modelModeration of inflammatory cytokines in an autophagy- and ERK/p38 MAPK-dependent manner [31]

Naringenin
(C15H12O5)
Menthae herbaCS-induced mice modelProtecting pulmonary function and decreasing inflammatory cells and cytokines [32]
In vitro model using CSE-exposed A549 cellsSuppression of inflammation [32]

Fisetin
(C15H10O6)
Gleditsiae spinaCS-induced rat modelInhibition of inflammation and oxidative stress; prevention of tissue damage [33]

Casticin
(C19H18O8)
Viticis fructusCS-induced C57BL/6 mice modelInhibition of inflammatory cytokines and chemokines [34]

Isoliquiritigenin
(C15H12O4)
Glycyrrhizae radix et rhizomaCS-induced mice modelReduction of the infiltration of inflammatory cells and cytokines; reversion of lung pathological injuries and oxidative stress levels [35]

Biochanin A
(C16H12O5)
Triflolium pratenseMale Hartley guinea pigs and femaleSuppression of inflammation response [36]
BABL/c mice model
PM 2.5-induced rat modelAmelioration of inflammation and oxidative stress [37]

Isoorientin
(C21H20O11)
Anthopterus wardiiIn vitro model using CSE-exposed human SAE cellsAnti-inflammatory activity [37]

Mangiferin (C19H18O11)Anemarrhenae rhizomaIn vitro model using PAH-exposed BEAS-2B cellsAmeliorating oxidative stress, speeding up wound healing and restoring proliferation [38]

Quercetin
(C15H10O7)
Polygoni avicularis herbaACH-induced mice modelRelieving precontracted airway smooth muscle [39]
Patients with COPDRestoring corticosteroid sensitivity [40]

Genistein
(C15H10O5)
Iridis tectori rhizomaPatients with COPDSuppression of the NF-κB, TNF-α, and MMP-9-associated pathways [41]