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Astragalus polysaccharide as a potential antitumor immunomodulatory drug (Review)

  • Authors:
    • Zi-Tong Qin
    • Zhi-Hang Wu
    • Can-Mo Wang
    • Xiu-Chen Xie
    • Ying-Hao Wang
  • View Affiliations / Copyright

    Affiliations: College of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350000, P.R. China, The Department of General Surgery, Union Hospital Affiliated to Fujian Medical University, Fuzhou, Fujian 350000, P.R. China
    Copyright: © Qin et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 341
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    Published online on: October 6, 2025
       https://doi.org/10.3892/mmr.2025.13706
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Abstract

The management of malignant neoplasms has consistently posed a challenge within the global medical community. Due to the efficacy demonstrated by various immunomodulatory agents in the therapeutic intervention of tumorigenic diseases, immunotherapeutic strategies have emerged as a promising option for the treatment of cancer. Among these, Astragalus polysaccharide (APS), which is a pharmacologically potent constituent of Astragalus membranaceus root, has received considerable attention as a staple in Traditional Chinese Medicine because of its antitumor applications. APS exhibits antitumor and immunomodulatory properties, regulates immune cells, alters cellular functional activity and markedly enhances immune responsiveness, thereby improving the tumor immune microenvironment and augmenting the cytotoxic capability of immune cells against malignant cells and optimizing antitumor efficacy. The present review summarizes the role of APS in antitumor immunity, particularly focusing on its capacity to modulate immune cell function and enhance the tumor immune microenvironment, and elucidates the underlying antitumor mechanisms. In addition, the immunoregulatory effects and inhibitory actions of APS on tumor growth across various types of malignancies are assessed to provide a scientific rationale for the clinical application of APS as an adjunct to antitumor pharmacotherapy.
View Figures

Figure 1

Effects of APS on tumor immune cells
and their associated factors. APS, Astragalus
polysaccharide; CTL, cytotoxic T lymphocyte; IFN, interferon; iNOS,
inducible NO synthase; NK, natural killer; NO, nitric oxide; ROS,
reactive oxygen species; Th, helper T; Treg, regulatory T.

Figure 2

Mechanisms of APS interference with
tumor cell-associated pathways. APS, Astragalus
polysaccharide; eNOS, endothelial nitric oxide synthase; ER,
endoplasmic reticulum.
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Copy and paste a formatted citation
Spandidos Publications style
Qin Z, Wu Z, Wang C, Xie X and Wang Y: <em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review). Mol Med Rep 32: 341, 2025.
APA
Qin, Z., Wu, Z., Wang, C., Xie, X., & Wang, Y. (2025). <em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review). Molecular Medicine Reports, 32, 341. https://doi.org/10.3892/mmr.2025.13706
MLA
Qin, Z., Wu, Z., Wang, C., Xie, X., Wang, Y."<em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review)". Molecular Medicine Reports 32.6 (2025): 341.
Chicago
Qin, Z., Wu, Z., Wang, C., Xie, X., Wang, Y."<em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review)". Molecular Medicine Reports 32, no. 6 (2025): 341. https://doi.org/10.3892/mmr.2025.13706
Copy and paste a formatted citation
x
Spandidos Publications style
Qin Z, Wu Z, Wang C, Xie X and Wang Y: <em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review). Mol Med Rep 32: 341, 2025.
APA
Qin, Z., Wu, Z., Wang, C., Xie, X., & Wang, Y. (2025). <em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review). Molecular Medicine Reports, 32, 341. https://doi.org/10.3892/mmr.2025.13706
MLA
Qin, Z., Wu, Z., Wang, C., Xie, X., Wang, Y."<em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review)". Molecular Medicine Reports 32.6 (2025): 341.
Chicago
Qin, Z., Wu, Z., Wang, C., Xie, X., Wang, Y."<em>Astragalus </em>polysaccharide as a potential antitumor immunomodulatory drug (Review)". Molecular Medicine Reports 32, no. 6 (2025): 341. https://doi.org/10.3892/mmr.2025.13706
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