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

J Int Soc Sports Nutr. 2021 Jul 16;18(1):57. doi: 10.1186/s12970-021-00425-5.

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.

Keywords: Astragalus Membranaceus Root; Immunosuppression; Strenuous exercise; Supplementation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Astragalus propinquus
  • Double-Blind Method
  • Drugs, Chinese Herbal / chemistry*
  • Exercise / physiology*
  • Humans
  • Immune Tolerance / drug effects*
  • Interleukin-4
  • Interleukins / blood
  • Killer Cells, Natural
  • Lymphocyte Count
  • Male
  • Plant Extracts / therapeutic use*
  • Receptors, Antigen, T-Cell, gamma-delta
  • T-Lymphocytes, Regulatory
  • Water Sports / physiology*
  • Young Adult

Substances

  • Drugs, Chinese Herbal
  • IL4 protein, human
  • Interleukins
  • Plant Extracts
  • Receptors, Antigen, T-Cell, gamma-delta
  • Interleukin-4
  • Huang Qi