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               CGPI, a traditional herbal medicine, inhibits the formation of neutrophil

               extracellular traps


                                           3
                            1,2
               Y u -Li Chen,  Po-Yi Chou,  Tsong-Long Hwang*      ,1,2

               1  Center for Drug Research and Development, College of Human Ecology, Chang Gung
                 University of Science and Technology, Taoyuan, 333324, Taiwan
               2  Graduate Institute of Health Industry Technology, College of Human Ecology, Chang Gung
                 University of Science and Technology, Taoyuan, 333324, Taiwan
               3  Graduate Institute of Traditional Chinese Medicine, College of Medicine, Chang Gung
                 University, Taoyuan, 333323, Taiwan
               * E-mail: htl@mail.cgust.edu.tw

               Abstract
                  Neutrophil extracellular traps (NETs) play a critical role in the pathogenesis of autoimmune
               and inflammatory diseases. CGPI is a traditional herbal medicine used to treat conditions such
               as lung abscesses and psoriasis; however, its effects on NETs are unknown. In this study, we
               investigated the effects of CGPI on NETs and its mechanisms of action in human neutrophils.
               Our results demonstrated that the ethanol extract of CGPI (CGPI-E) significantly inhibited the
               production of both extracellular and intracellular reactive oxygen species (ROS), as well as
               NETs formation in PMA-stimulated neutrophils. Furthermore, CGPI-E exhibited potent free
               radical  scavenging  activity.  Collectively,  these  findings  indicate  that  CGPI-E  effectively
               suppresses ROS-dependent NET formation. This study not only supports the traditional use of
               CGPI  for  inflammatory  conditions  but  also  highlights  its  therapeutic  potential  for  NET-
               associated diseases.

               Keywords: Inflammation; Neutrophil extracellular traps; Reactive oxygen species; Traditional
                          herbal medicine
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