The traditional use, structure, and immunostimulatory activity of bioactive polysaccharides from traditional Chinese root medicines: A review

As research on traditional Chinese medicine (TCM) has expanded, our understanding of the role it can have in controlling the immune system has increased. Polysaccharides from medicinal plants exhibit numerous beneficial therapeutic properties, presumably owing to their modulation of innate immunity and macrophage function. Numerous studies have demonstrated the multiple ways whereby certain polysaccharides can affect the immune system. In addition to stimulating immune cells, such as T cells, B lymphocytes, macrophages, and natural killer cells, polysaccharides stimulate complements and increase cytokine secretion. The biological functions of polysaccharides are directly correlated with their structures. This paper summarizes the sources, TCM uses, extraction and purification methods, structural characterization, in vitro and in vivo immune activities, and underlying molecular mechanisms of TCM root polysaccharides. Moreover, the structure-activity relationships of TCM root polysaccharides are emphasized and discussed. This review can provide a scientific basis for the research and industrial utilization of TCM root polysaccharides.