Immunomodulatory Effects of Taiwanese Neolitsea Species on Th1 and Th2 Functionality

Neolitsea species, medicinal plants belonging to Lauraceae, contain rich alkaloids, steroids, sesquiterpenoids, and triterpenoids which possess antimicrobial, antioxidant, and anti-inflammatory bioactivities. However, species differences in the immunomodulatory effects and evidence pertaining to the effects of Neolitsea species on adaptive immunity are scarce. This study aimed to evaluate the immunomodulatory properties of ten Taiwanese Neolitsea plants on T helper (Th) cell functionality, especially Th1 and Th2. Most of the 29 crude extracts of Neolitsea were not toxic to splenocytes, except N. buisanensis roots. N. aciculata and N. villosa leaf extracts possessed differential immunomodulatory effects on Th1/Th2 balance. N. aciculata var. variabillima and N. hiiranensis leaf extracts attenuated both Th1 and Th2 cytokines while N. konishii dramatically suppressed IFN-γ production. As N. aciculata var. variabillima and N. konishii leaf extracts significantly attenuated Th1 functionality, we further evaluated their effects on CD4 cells under CD3/CD28 stimulation. N. aciculata var. variabillima significantly suppressed IFN-γ, IL-10, and IL-17, demonstrating the broad suppressive effects on T helper cells; N. konishii significantly suppressed IFN-γ and IL-10 production, while the production of IL-17 was not altered. Collectively, these data demonstrated that leaf extracts of Taiwanese Neolitsea species contain phytochemicals with potentials to be developed as selective immunomodulators.


Introduction
T cells play a pivotal role in the immune responses. They participate in a wide range of immune responses through a complicated cytokine network and via cell-cell interaction with other cells. Interleukin-2 (IL-2), a major autocrine and/or paracrine T-cell growth factor, is primarily produced by T helper cells and participates in the development and activation of T cells [1,2]. T helper type 1 (Th1) cells produce interferon gamma (IFN-γ) to regulate immune responses and inflammation against viral and intracellular bacterial infections and inhibit tumor formation via the stimulation of antibody production and the activation of macrophage, cytotoxic T lymphocytes (CTL), and natural killer cells [3,4]. On the other hand, Th2 cells induce interleukin-4 (IL-4) production to mediate the activation and maintenance of the humoral and/ or allergy immune response against extracellular parasites, bacteria, allergens, and toxins [5]. The dysfunction of T cells, such as the imbalance of Th1/Th2 responses and abnormal immunostimulation, may lead to a variety of immune diseases. The excessive amounts of IFN-γ have been associated with several Th1-mediated immune disorders, such as delayed type hypersensitivity [6], Crohn's disease [7], and multiple sclerosis [8]. Immunosuppressants, developed for the treatment of these overreactive immune responses, also decrease normal immune responses and thereby increase the susceptibility of the patients to infections [9,10]. Therefore, it is important to develop immunoregulators with less severe side effects. Natural compounds are under intensive investigation and showed promising progressions [11][12][13]. Several medicinal plants have been reported to regulate inflammatory responses in a variety of different animal models by attenuation of interleukin-2 (IL-2) and interferon-γ (IFN-γ) production [14][15][16][17][18].
Neolitsea, small evergreen trees or evergreen shrubs in the family Lauraceae, consists of about 100 species distributed in the tropics, especially in Brazil and Southern Eastern Asia. In Taiwan, there are 12 Neolitsea species and four of them, including N. acuminatissima, N. daibuensis, N. hiiranensis, and N. parvigemma, are endemic [19]. Recent studies on the diversity of phytochemical structures and bioactivities revealed the application potential of Neolitsea plants in industrial and medical fields [20,21]. Parts of Neolitsea plants have been used in folk medicine for long periods of time in Asia. For example, the roots of N. aurata and the seeds of N. chuii are used to alleviate edema. The leaves of N. cambodiana are applied to treat furuncle and carbuncle. The roots of N. zeylanica have been shown to relieve rheumatic arthralgia [22]. Studies on the chemistry and pharmacology of Neolitsea species have led to the isolation and identification of more than 150 compounds including alkaloids, terpenoids, sterols, steroids and their derivatives, flavonoids, essential oils, and fatty acids with diverse activities [21,23]. The essential oils of N. pallens exhibited antioxidant and antibacterial activities [24]. Alkaloids of N. konishii possessed vasoconstricting effects on rat aorta [25]. Sesquiterpenes of the N. parvigemma showed inhibitory effects on platelet aggregation [26]. Our previous study has shown that leaf extracts of N. hiiranensis and its derived terpenoids possessed immunomodulatory effects via regulation of IFN-γ production [27]. However, due to the complexity of compositions within Neolitsea species, it is still unclear how other Taiwanese Neolitsea species modulate the functionality of immune cells. The objective of this study aimed to examine the immunomodulatory effects of Taiwanese Neolitsea species on T-cell immunity.
To evaluate the immunomodulatory effects of Taiwanese Neolitsea species on T-cell immunity, we cultured and stimulated the mouse primary splenocytes with concanavalin A (ConA), a well-known T-cell mitogen, to stimulate cytokine production [28,29]. Splenocytes are consist of antigenpresenting cells, B cells, and various type of T cells and have been widely used as primary immune cells for studying the functionality of T cells [30][31][32][33]. IL-2, IFN-γ, and IL-4 were evaluated to determine the effects of these plant extracts on Th1/Th2 functionality. In the present study, leaf extracts, including N. aciculata var. variabillima, N. acuminatissima, N. hiiranensis, N. konishii, and N. villosa, significantly inhibited IFN-γ production. These Neolitsea extracts showed potentials to be developed as new therapeutic immunomodulators. The chemical components and mechanisms of these medicinal plants to modulate Th1 functionality warrants further investigation.

Materials and Methods
2.1. Reagents and Chemicals. All reagents were purchased from Sigma (St. Louis, MO) unless otherwise stated. Enzyme-linked immunosorbent assay (ELISA) sets for cytokine measurement were purchased from BD Biosciences (San Diego, CA). Fetal bovine serum (FBS) and cell culture supplies were from Hyclone (Logan, UT).

Plants and Extraction.
Twenty-nine crude extracts were prepared and extracted with cold MeOH at room temperature [34]. These plants used here were identified by one of the authors, Prof. Ih-Sheng Chen, and the voucher specimens were deposited in the Herbarium of the College of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan. Traditional usage and known possible bioactivities of these 29 Neolitsea extracts were shown in Table 1.

Animals.
Male BALB/c mice (five weeks old) were obtained from BioLasco (Ilan, Taiwan). On arrival, mice were randomly transferred to plastic cages containing aspen bedding and quarantined for at least 1 week. Mice were housed in a temperature (22°C ± 2°C)-, humidity (50% ± 20%)-, and light (12 h light/dark cycle)-controlled environment. Food and water were supplied ad libitum. All animal experimental procedures and housing have been approved by the Institutional Animal Care and Use Committee (IACUC) of Kaohsiung Medical University, Taiwan (Protocol ID: 106014). The experimental mice were euthanized by carbon dioxide mixed with oxygen for anesthesia with approved IACUC protocol and regulations. 2.4. Splenocyte Isolation. The mice were sacrificed, and their spleens were harvested and made into single-cell suspensions. The isolation of splenocytes was according to the previous procedures which have been described in detail before [35,36]. Briefly, spleens were gently dissociated by teasing on a sterile 60-mesh steel screen (Sigma-Aldrich). The cell suspensions were washed in incomplete RPMI 1640 medium (Hyclone, Logan, UT) supplemented with 5% fetal bovine serum (Gibco, USA) and 1% penicillin and streptomycin (Amresco). Lymphocytes were enriched by removing red blood cells from splenocytes after treating with ACK lysis buffer. To activate splenocytes, cells were seeded in 48-well plates and stimulated with 5 μg/mL of ConA (Sigma-Aldrich, St. Louis, MO). The splenocytes (5 × 10 6 cells/mL) were either left untreated (control group) or exposed to crude extracts of Neolitsea extracts followed by stimulation with ConA (5 μg/mL) for 48 h. The supernatants of culture wells were collected to detect the cytokine levels by enzymelinked immunosorbent assay (ELISA).

Cell
Viability. Splenocytes (5 × 10 6 cells/mL) were seeded into 96-well plates. The cells were either left untreated or treated with crude extracts followed by stimulation with ConA for 48 h. The viability was determined by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) assay. A methyl-thiazol-tetrazolium stock solution (5 mg/mL in phosphate-buffered saline) was then added to each well (10 μL/well) and incubated for 4 h. The formed formazan was dissolved in a lysis buffer (10% SDS in N,N-dimethylformamide) overnight in the dark. The optical density was measured at 570 nm (and at 630 nm as a background reference) using a microplate reader (Dynatech Laboratories Inc., Chantilly, VA).
2.6. Isolation of CD4 T Helper Cells. Mouse CD4 T helper cells were purified from splenocytes by using magnetic cell separation with the CD4 T Lymphocyte Enrichment Kit (BD Biosciences). To induce the polarization of Th cells, CD4 T cells (5 × 10 5 cells/mL) were seeded in the 48-well flat bottom tissue culture plates which were precoated with antimouse CD3 antibody (1 μg/mL) overnight, and the cells were either left untreated or treated with Neolitsea extracts followed by stimulation with soluble anti-mouse CD28 antibody (1 μg/mL) for 48 h. The culture supernatants and the cells were collected for ELISA assay and intracellular cytokine staining, respectively.

Measurement of Th1/Th2
Cytokines of Total T Cells and CD3/CD28-Stimulated CD4 T Cells by Enzyme-Linked Immunosorbent Assay (ELISA). To examine the immunomodulatory activities of N. species on the total T cells, the splenocytes (5 × 10 6 cells/mL) and CD4 T cells were cultured in 48-well plates (300 μL/well) and either left untreated or treated with crude extracts followed by stimulation with ConA (5 μg/mL) or CD3/CD28 stimulation for 48 h. The supernatants were harvested and quantified for IL-2, IFN-γ, IL-4, IL-10, and IL-17 by sandwich ELISA kits according to the manufacturer's instructions (BD Biosciences).

Intracellular Cytokine Staining by Flow Cytometry
Analysis. CD4 T cells were cultured in a 48-well plate and treated with N. species for 36 h. For analysis of intracellular cytokine production, the cells then treated with GolgiStop (0.6 mL/mL; BD Biosciences) for 10 h prior to being harvested for antibody staining. The CD4 T cells then were fixed and permeabilized using Fixation and Perm/Wash buffers (BD Biosciences) before intracellular IFN-γ and IL-4 staining by PE-conjugated anti-mouse IFN-γ and IL-4 mAb (clone XMG1.2 and 11B11; Biolegend). Ten thousand of CD4 T cells were acquired on a BD LSR II flow cytometer (BD Biosciences). The mean fluorescence intensity (MFI) of IFN-γ in total CD4 T cells was quantified by gating CD4 T cells and then analyzed using FlowJo software (Treestar, Inc., CA).
2.9. Statistical Analysis. All the data were analyzed using a GraphPad software Prism 5.0 (GraphPad Software Inc., San Diego, CA, USA). Each treatment group was measured in quadruplicate and the data were presented as the mean ± standard error (SE). Data were analyzed using a one-way analysis of variance (ANOVA) for multiple comparisons and Dunnett's two-tailed t-test was used to compare the results for the treatment groups with vehicle control group. p < 0 05 was defined as statistically significant.

The Effects of Crude Extracts of Neolitsea (N.) Species on Cell Viability and IL-2 Production by Murine Primary
Splenocytes In Vitro. To evaluate the effects of N. species on splenocyte viability, we first investigated the direct cytotoxicity of N. species in vitro. Most of these crude extracts at the concentration of 10 μg/mL did not significantly affect the cell viability compared to vehicle control (VH was referred as 100%), except for the roots of the N. buisanensis which reduced the cell viability by 17% (Figure 1(a) and Supplemental Table 1 available online at https://doi.org/10.1155/ 2017/3529859). As IL-2 plays important roles in T-cell clonal expansion and activation, the supernatants of the treated groups were collected to determine the IL-2 levels. Most of the crude extracts of N. species did not alter IL-2 production, except for the roots of the N. hiiranensis and the leaves of the N. konishii which suppressed IL-2 production by 15% and 16% (at the concentration of 10 μg/mL), respectively ( Figure 1(b) and Supplemental Table 1). Collectively, these data showed that the root part of N. buisanensis is relatively toxic to primary immune cells compared to other extracts. It should be circumspectly considered for further development of the immunomodulatory ingredients from this plant. Moreover, the roots of the N. hiiranensis and the leaves of the N. konishii suppressed IL-2, revealing that these extracts may affect the maturation and early activation of T helper cells.

Neolitsea Crude Extracts Differentially Modulated Th1
and Th2 Cytokines Production. We next investigated the effects of crude extracts of N. species on ConA-stimulated cytokine production by splenocytes ( Figure 2 and Supplemental Table 1). IFN-γ and IL-4, which belong to the Th1 and Th2 signature cytokines, were determined to study the effects of plant-derived extracts (10 μg/mL) on Th1/Th2 immune responses. N. aciculata did not affect the production of IFN-γ and IL-4 except that the stem extracts of N. aciculata inhibited both IFN-γ and IL-4 by approximately 20% compared to VH control. These data suggested that the stem of N. aciculata inhibited both Th1 and Th2 functionality. The leaves and roots of N. aciculata var. variabillima (gray bar) significantly suppressed IFN-γ production by 37-39%, while the IL-4 was not altered. Interestingly, the stem of N. aciculata var. variabillima not only inhibited IFN-γ (26%) but also inhibited IL-4 (17%). These data indicated that Th1 cells were more sensitive to be suppressed by components of N. aciculata var. variabillima, and the leaf and root parts differentially modulated Th1 functionality. Different parts of N. acuminatissima (white bar) inhibited both IFN-γ and IL-4 cytokine productions by 28-59% and 32-43%, respectively. It was speculated that N. acuminatissima may affect the development of total Th cells in response to ConA stimulation. The leaves of N. buisanensis (gray bar) did not affect the IFN-γ but reduced IL-4 indicating the differential modulatory effects on Th2 functionality. N. hiiranensis attenuated IFN-γ by 17%-90% and inhibited IL-4 by 22-39%. It is suggested that the whole extract of N. hiiranensis modulated both Th1 and Th2 activities (slash gray bar). The leaves and roots of N. konishii mainly attenuated IFN-γ by 39-55% while IL-4 was not affected. The leaf and stem parts of N. parvigemma inhibited Th1 and Th2 cytokine production by 22-39% (gray bar). The leaves and stems of N. sericea var. aurata inhibited both IFN-γ and IL-4 (22-28% inhibition rate). Finally, N. villosa extracts attenuated IFN-γ by 17-76%, but IL-4 was not altered. Taken together, the above results showed that crude extracts of N. species differentially modulated T helper cell functionality. The leaf extracts of N. acuminatissima, N. hiiranensis, and N. parvigemma and N.  Table 2. N. aciculata at the concentration of 5-50 μg/mL did not alter the viability as well as IL-4 production. In contrast, N. aciculata concentration dependently inhibited IFN-γ (25-50 μg/mL) while IL-2 was suppressed at the concentration of 50 μg/mL, indicating that leaf extracts of N. aciculata mainly affect Th1 functionality from 25 μg/mL (Table 2). N. aciculata var. variabillima (5-50 μg/mL) dramatically attenuated IFN-γ production while IL-2 was suppressed at the concentration of 25-50 μg/mL. N. aciculata var. variabillima (50 μg/mL) significantly inhibited cell viability and all tested cytokines demonstrating the cytotoxic effects of this plant at high concentration (Table 2). N. daibuensis (10-25 μg/mL) attenuated IL-4 production while Th1 cytokines were not altered, demonstrating its differential effects on Th2 functionality ( Table 2). N. hiiranensis did not affect cell viability and Percentage (control as 100%) ConA-stimulated IL-4 production  IL-2 production. Interestingly, both Th1 and Th2 cytokines were attenuated by N. hiiranensis leaf extracts (Table 2). N. konishii dramatically suppressed IFN-γ at the concentration of 5-25 μg/mL while the cell viability was not altered. In addition, IL-2 production was suppressed from 5 to 25 μg/mL. These data indicated the potential effects of N. konishii on Th1 functionality (Table 2). Interestingly, N. villosa at the concentration of 25 μg/mL slightly increased cell viability and IL-4 production while IFN-γ was significantly suppressed. This data demonstrated the differential modulatory effects of N. villosa on Th1/Th2 balance ( Table 2). As the leaf extracts of N. aciculata var. variabillima and N. konishii mainly inhibited IFN-γ production, we further determined the effects of leaf extracts on IL-12 production and their root extracts on the functionality of T cells. The leaves of N. aciculata var. variabillima did not affect IL-12 production; however, N. konishii dramatically attenuated IL-12 secretion at 25 μg/mL, revealing that leaf extracts of N. konishii suppressed IFN-γ production through the downregulation of upstream IL-12 production by splenic dendritic cells (Supplemental Fig.1). The root extracts of N. aciculata var. variabillima attenuated IL-2 and IFN-γ production. The root extracts of N. konishii dramatically suppressed IFN-γ at the concentration of 5-50 μg/mL. These results demonstrated that both N. aciculata var. variabillima and N. konishii significantly suppressed Th1 functionality (Table 3).

The Direct Immunomodulatory Effects of Leaf Extracts of
Selected Neolitsea Species on Th1/Th2 Functionality. Based on the above results, N. aciculata var. variabillima and N. konishii mainly modulated Th1 functionality in ConAstimulated splenocytes. We next analyzed the direct immunomodulatory effects of these two leaf extracts on CD4 T cells under stimulation of CD3 and CD28. CD3 is a major component of the T-cell receptor (TCR) complex, as well as CD28, which is a costimulatory molecule. The activation of both CD3 and CD28 will induce T-cell proliferation and cytokine production [37]. In addition, the production of IL-10 and IL-17 were determined to study the effects of these leaf extracts on the functionality of regulatory T cells and Th17 cells. The leaves extracts of N. aciculata var. variabillima significantly suppressed IFN-γ, IL-10, and IL-17 production at the concentration of 5-25 μg/mL in CD3/CD28 stimulated CD4 T cells (Figures 3(a), 3(c), and 3(d)), while IL-4 were slightly altered at the concentration of 25 μg/mL (Figure 3(b)). The leaf extracts of N. konishii mainly attenuated IFN-γ and IL-10 productions at the concentration of 5-25 μg/mL (Figure 4), while IL-17 was not affected (Figure 4). We also performed the intracellular staining to detect the protein levels of IFN-γ and IL-4 in CD4 T cells. Interesting, the leaf extracts of N. aciculata var. variabillima decreased the percentage of IFN-γ + in CD4 T cells from 42% (VH) to 32%, but the level of mean fluorescence intensity of

Discussion
Natural products isolated from traditional medicinal plants have therapeutic effects in the prevention and treatment of various immune disorders. Neolitsea species exhibit extensive bioactivities and have been used as traditional herbal medicines in oriental countries. However, a comparative study of immunomodulatory properties of different Neolitsea species on immunocompetent cells such as T helper cells has not been demonstrated to date. Our previous reported study found that the leaf extracts of N. hiiranensis significantly inhibited IL-12, IFN-γ, and IL-2 cytokine productions as well as the serum levels of OVA-primed antigen-specific IgM and IgG 2a in vivo [27]. In the present study, we evaluated the immunomodulatory properties of ten Taiwanese Neolitsea plants on T helper cells. Our results showed that most crude extracts of Taiwanese Neolitsea species decreased IFN-γ production at concentrations below the IC 50 by mitogenstimulated splenocytes, and the immunomodulatory activities of Neolitsea extracts, especially leaf extracts, were mainly on the suppression of Th1 immunity. Several reports showed that Neolitsea species and its derived secondary compounds, including sesquiterpenoids, triterpenoids, alkaloids, and steroids, possess several bioactivities including anti-inflammatory activities [18,20]. Neolitsea aciculata essential oil (NAE) attenuated the Propionibacterium acnes-induced secretion of tumor necrosis factor-alpha (TNF-alpha) and interleukin-8 (IL-8) productions in human cell lines, revealing its anti-inflammatory effects [38]. Six furanogermacrane sesquiterpenes isolated from the stems of N. parvigemma, including deacetylzeylanidine, linderalactone, neolitrane, pseudoneolinderane, zeylanidine, and zeylanicine, have been shown to possess anti-inflammatory activities; among them, pseudoneolinderane and linderalactone have the ability to inhibit the superoxide anion generation by human neutrophils in response to formyl-l-methionyl-lleucyl-l-phenylalanine/cytochalasin B (fMLP/CB) with IC 50 values of 3.21 and 8.48 μg/mL, respectively [39]. Daibucarboline A, isolinderalactone, 7-omethylnaringenin, and prunetin isolated from the roots of N. daibuensis exhibited moderate inhibition of inducible nitric oxide synthase (iNOS) [40]. Hiiranlactone B and hiiranlactone D, isolated from the leaves of N. hiiranensis were classified as sesquiterpenes and possessed anti-inflammatory and immunomodulatory effects [27,34]. Thaliporphine, the alkaloid of the bark extracts of N. konishii, demonstrated vasoconstricting effects by promoting Ca 2+ entry [25] and possessed antioxidant, anti-inflammatory, and antiapoptotic activity to prevent cardiovascular system disorder in guinea pigs [41]. In addition to the antiinflammatory effects, the ingredients from Neolitsea species possess several bioactivities. Flavone glycosides, 2 ′ -p-coumaroylafzelin and 2 ′ ,3 ′ -di-O-(p-coumaroyl)afzelin, have been isolated from N. aciculata to demonstrate the antimelanogenesis activities [42]. Neolitacumone A-C and 2,6-dimethoxy-pbenzoquinone from the stem barks of N. acuminatissima displayed significant inhibitory activities against Hep 2.2.15 cells [43]. Isolinderalactone, a sesquiterpenes from the roots of N. villosa, exhibited antitumor activity [44]. Our recent study reported that N. hiiranensis-derived caryophyllene oxide inhibited several aspects of adaptive immune responses, including T-cell differentiation, IFN-γ production, and Th1associated genes [27]. These studies suggested that the immunomodulatory effects of Neolitsea plants are worth further investigation; in addition, the present study aimed to clear how other Taiwanese Neolitsea species modulate the functionality of Th cells by ConA-stimulated splenocytes.
Th cells play pivotal roles in the acquired immunity. They are categorized into several subsets based on the cytokine production after stimulation [5]. The main roles of the type 1 Th cells (Th1) are against intracellular bacteria and protozoa. They are predominantly induced by interleukin-12 (IL-12) and are fully activated by IL-2 and IFN-γ. Induction of mitotic activity and cytokine production are associated with Th cell functionality. IFN-γ, an upstream cytokine of Th1 cells, regulates inflammatory immune response, promotes Th1 cell differentiation, enhances MHC class II expression on antigen-presenting cells, and possesses protective immune responses against cancer formation [4,[45][46][47][48]. Saha et al. reported that Viscum album-derived Qu Spez significantly stimulated IFN-γ secretion showing its ability to modulate the immune system and to suppress tumor regression by regulation of dendritic cells [49]. Th1 cells secreted IFN-γ to activate cell-mediated immune responses that several immune cells are involved such as macrophages, cytotoxic T cells, and natural killer cells [4,45,46,50]. Th2 cells are against extracellular multicellular parasites by releasing interleukin-4 (IL-4), IL-5, and IL-13 cytokines [51]. Furthermore, the interaction of dendritic cells with activated B cells may help dendritic cells to acquire unique abilities to promote polarization of Th2 [50]. The imbalance of Th1/Th2 may lead to immunological diseases, such as rheumatoid arthritis, type-1 diabetes, multiple sclerosis, and asthma [52]. Discovering the selective immunomodulators on different subsets of Th cells may be beneficial for the treatment of immune disorders.
In our presented data, most of the leaf extracts of Neolitsea species have low cytotoxicity. The leaf extracts of N. aciculata and N. villosa possessed differential immunomodulatory effects on Th1/Th2 balance. N. daibuensis leaf extracts slightly attenuated IL-4 production; in contrast, N. aciculata var. variabillima and N. hiiranensis leaf extracts attenuated both Th1 and Th2 cytokines. N. konishii leaf extracts dramatically suppressed IFN-γ cytokine. The leaf extracts of N. aciculata var. variabillima and N. konishii differentially affect the functionality of different subsets of Th cells. Collectively, these Neolitsea species demonstrated selective immunomodulatory effects and the underlying mechanisms are needed for further study. Although there are a variety of immunosuppressive drugs such as cyclosporine A, tacrolimus, daclizumab, and basiliximab to prevent the rejection of transplanted organs and tissues, autoimmune diseases, and inflammatory disorders [53], these drugs could cause systemic immunosuppression which greatly increases the risks of tumor formation and infections [54]. Hence, development of new therapeutic and preventive immunomodulators from medicinal plants to manage immune disorders is of great importance. There are many studies devoted to discover new immunomodulatory therapeutic compounds from natural plants with low toxicity [55][56][57]. p-Coumaryl alcohol-gamma-O-methyl ether (CAME) isolated from Alpinia galanga was selectively and substantially suppressed in IFN-γ production in Th cells [11]. Farrerol, a new type of 2,3-dihydro-flavonoid isolated from the leaves of Rhododendron dauricum L, markedly suppressed concanavalin A-induced lymphocyte proliferation, Th1 and Th2 cytokine production, and differentiation of T helper cell populations [46]. Physalin H isolated from Physalis angulata exhibited an immunosuppressive activity on T-cell activation and proliferation by modulation of Th1/ Th2 immune balance [58]. There are 14 compounds from leaves of N. hiiranensis that exhibited anti-inflammatory activity to suppress the generation of superoxide anion from neutrophils [34]. Furthermore, four major metabolites of the leaves of N. hiiranensis, including elemane type, caryophyllene type, aromadendrene type, eudesmane type, and germacrane dilactone type, are the main effective anti-inflammatory constituents [34]. Caryophyllene oxide, a sesquiterpene compound from the leaves of N. hiiranensis, inhibited the influx of neutrophil into the inflammatory site and the activation of NF-κB pathway [59]. We recently reported that N. hiiranensis-derived terpenoids, including hiiranlactone D, trans-phytol, and β-caryophyllene oxide, attenuated antigen-specific T helper 1 immunity [27]. Here, the leaf extracts of Neolitsea plants showed potential immunomodulatory activities on T-cell functionality. To further study the potential, immunomodulatory compounds from these plants will help to discover new immunomodulators.

Conclusions
The study demonstrated that most of the crude extracts of Taiwanese Neolitsea species, especially leaf extracts, were not toxic to primary splenocytes, but they are capable of decreasing IFN-γ production without affecting IL-2 production by T cells. The selective Th1 immunomodulatory effects of the Neolitsea extracts indicate that the phytochemicals in these extracts have potential to be further evaluated and developed as immunomodulatory agents.

Conflicts of Interest
The authors declare no conflicts of interest. The authors are responsible for the content of this manuscript.