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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1113583</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2023.1113583</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Sinapis Semen: A review on phytochemistry, pharmacology, toxicity, analytical methods and pharmacokinetics</article-title>
<alt-title alt-title-type="left-running-head">Dang et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2023.1113583">10.3389/fphar.2023.1113583</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Dang</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2270115/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guan</surname>
<given-names>Huida</given-names>
</name>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/527589/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Changhong</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/450215/overview"/>
</contrib>
</contrib-group>
<aff>
<institution>The MOE Key Laboratory for Standardization of Chinese Medicines</institution>, <institution>Shanghai R&#x26;D Centre for Standardization of Chinese Medicines</institution>, <institution>Institute of Chinese Materia Medica</institution>, <institution>Shanghai University of Traditional Chinese Medicine</institution>, <addr-line>Shanghai</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1383594/overview">Gunawan Indrayanto</ext-link>, University of Surabaya, Indonesia</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/128355/overview">Carlos L. Cespedes-Acu&#xf1;a</ext-link>, University of B&#xed;o-B&#xed;o, Chile</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1261052/overview">Xianju Huang</ext-link>, South-Central Minzu University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Changhong Wang, <email>wchcxm@hotmail.com</email>, <email>wchcxm@shutcm.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Ethnopharmacology, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1113583</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>12</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>03</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Dang, Guan and Wang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Dang, Guan and Wang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Sinapis Semen (SS), the dried mature seed of <italic>Sinapis alba</italic> L. and <italic>Brassica juncea</italic> (L.) Czern. et Coss., is one of the traditional Chinese medicinal materials with a wide range of pharmacological effects being used for asthma, cough and many other ailments. SS is also widely used in food agriculture, medicine and other industries in North America and South Asia. More recently, the research on SS has gradually intensified and increased. However, there is no systematic review of SS. In this review, through literature exploration and analysis, the research advance on phytochemistry, pharmacology, toxicity, analytical methods and pharmacokinetics of SS was aggregated initially. Total 144 compounds have been isolated and identified from SS. Among them, glucosinolates and their hydrolysates and volatile oils are the main active ingredients and important chemical classification markers. SS has a wide range of pharmacological effects, especially in cough suppressing, asthma calming, anti-inflammatory, neuroprotective, cardiovascular protective, inhibiting androgenic effects, anti-tumor, and skin permeation promoting effects. Sinapine and sinapic acid are the main active ingredients of SS for its medicinal effects. However, SS has a strong skin irritation, presumably related to the time of application, the method of processing, and original medicinal plants. This review will provide useful data for the follow-up research and safe and reasonable clinical application of SS.</p>
</abstract>
<abstract abstract-type="graphical">
<title>Graphical Abstract</title>
<p>
<graphic xlink:href="FPHAR_fphar-2023-1113583_wc_abs.tif" position="anchor"/>
</p>
</abstract>
<kwd-group>
<kwd>Sinapis Semen</kwd>
<kwd>phytochemistry</kwd>
<kwd>pharmacology</kwd>
<kwd>toxicity</kwd>
<kwd>analytical methods</kwd>
<kwd>pharmacokinetics</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Sinapis Semen (SS), the dried mature seed of <italic>Sinapis alba</italic> L. and <italic>Brassica juncea</italic> (L.) Czern. et Coss., is widely used in China, North America and South Asia in food agriculture, medicine and other industries (<xref ref-type="bibr" rid="B55">Nic&#xe1;cio et al., 2021</xref>). SS has the function of warming the lung and resolving phlegm, promoting qi and removing stasis, dredging collaterals and alleviating pain (<xref ref-type="bibr" rid="B79">Wu et al., 2022</xref>). SS has a long history of medicinal use, functioning as treating cough with cold phlegm, chest distension and pain, phlegm stagnation in the meridians and collaterals, numbness and pain in the joints, phlegm-dampness flow, gangrene and swelling pain. SS was first published as name of &#x201c;Jie&#x201d; in the <italic>Miscellaneous Records of Famous Physicians</italic> (<xref ref-type="bibr" rid="B66">Sun, 2015</xref>). The processing method of SS is mostly stir-frying to yellow (<xref ref-type="bibr" rid="B45">Liang et al., 2007</xref>; <xref ref-type="bibr" rid="B83">Yang et al., 2010</xref>).</p>
<p>SS is often combined with other herbs in clinic for treatment of bronchial asthma and other respiratory diseases (<xref ref-type="bibr" rid="B47">Liu et al., 2018</xref>). The treatment of winter diseases in summer is a characteristic therapeutic strategy of traditional Chinese medicine. It refers to the treatment method of giving targeted treatment in summer to improve the body&#x2019;s ability to resist diseases, thus to reduce or eliminate the diseases that tend to occur or aggravate in winter. The most common treatment method for the winter disease cured in summer is herbal acupuncture point paste. SS is used as a basic medicine for the winter disease cured in summer due to its skin penetration enhancing effect (<xref ref-type="bibr" rid="B19">Fang et al., 2010</xref>; <xref ref-type="bibr" rid="B60">Ruan et al., 2019</xref>).</p>
<p>Up to now, more than 140 chemical components of SS have been identified. Glucosinolates and their hydrolysates are the main components of SS that exert medicinal effects (<xref ref-type="bibr" rid="B72">Wang et al., 2015</xref>). Modern pharmacological studies have shown that SS has anti-proliferative, pro-apoptotic, antioxidant, anti-cancer, anti-tumor and anti-bacterial effects, etc. (<xref ref-type="bibr" rid="B5">Boscaro et al., 2018</xref>). The glucosinolates in SS and their degradation products have anti-cough and asthma, liver protection, antioxidant, anti-cancer and other effects (<xref ref-type="bibr" rid="B89">Zhang et al., 2015</xref>). SS has been used for asthma, cough, hypertension, hyperglycemia, hyperlipidemia, testicular damage, prostate enlargement, fatty liver, tumors, and herniated lumbar disc (<xref ref-type="bibr" rid="B57">Ou, 2002</xref>; <xref ref-type="bibr" rid="B93">Zhou et al., 2014</xref>). Many studies have been focused on the biological applications of SS. Myrosinase is the only enzyme that catalyze the cleavage of the S-glycosidic bond using ascorbate as a cofactor and a reaction mechanism that retains the anomeric configuration at the cleavage. Glucosinolates are hydrolyzed by myrosinase, and depending on the structure of side chain, the presence of additional proteins and cofactors generates components such as isothiocyanates and nitriles. The products obtained from hydrolysis exert a variety of pharmacological effects (<xref ref-type="bibr" rid="B26">Halkier and Gershenzon, 2006</xref>; <xref ref-type="bibr" rid="B4">Bhat and Vyas, 2019</xref>). A small number of scholars have studied the pharmacokinetics of SS. In addition, SS is strongly irritative to skin when it is for external use, manifested as local pain, red skin, itching, sting, blisters and infection (<xref ref-type="bibr" rid="B78">Wu et al., 2016</xref>). But there is no systematic review of the phytochemistry, analytical methods, pharmacology, toxicity and pharmacokinetics of SS. This paper reviews the phytochemistry, pharmacological effects, toxicity and <italic>in vivo</italic> metabolic processes of SS from the perspective of ethnopharmacology in published articles in recent decades to provide assistance in the development of SS safety and further research.</p>
</sec>
<sec id="s2">
<title>2 Ethnopharmacological use</title>
<p>With a long history of medicinal use for more than 2,000&#xa0;years in China, SS is widely used for the treatment of cough and asthma caused by phlegm retention, fullness and pain in chest and hypochondrium, nausea and vomiting, aphasia from apoplexy, limb paralysis and numbness, barbiers, dorsal furuncle, swelling and pain from bruises (<xref ref-type="bibr" rid="B84">Yu, 2005</xref>).</p>
<p>SS can be taken orally, and is also for external use. Since ancient times, with the application of SS more and more widely, more processing methods and effectiveness have been gradually discovered. In <italic>Lei Gong Pao Zhi Yao Xing Jie</italic>, it was written that, &#x201c;It can treat parasitic tympanties when being processed with vinegar.&#x201d; According to <italic>Ben Cao Zheng Yao</italic>, taking the liquor with SS, nausea will disappear, and applying SS with vinegar, carbuncle toxin can be treated. In addition to being stir-fried, SS can also be processed with liquor or vinegar.</p>
<p>In clinical practice, SS is usually applied with other herbs. It can be combined with Raphani Semen to treat cough, and with Myrrha to treat arthralgia. When it is used with <italic>Lycopodii herba</italic>, bone ache can be relieved, and with <italic>Chuanxiong rhizoma</italic>, headache can be eased (<xref ref-type="bibr" rid="B51">Liu and Shi, 2017</xref>). The classical formulations containing SS handed down from ancient medical books or ethnic medical experience are now widely used in clinic.</p>
<p>San Zi Yang Qin Decoction (<xref ref-type="bibr" rid="B17">Duan, 2007</xref>) is a traditional famous prescription to relieve cough, prevent asthma, and eliminate phlegm. Ma Xin Gan Shi Decoction is a proved prescription to treat asthma, it is beneficial to diffuse lung qi, tonify spleen, reduce phlegm and fluid retention, and relieve cough and asthma (<xref ref-type="bibr" rid="B94">Zhou et al., 2015</xref>). Bai Jie Zi Powder, composed of SS, Corydalis Rhizoma, Asari Radix et Rhizoma, and Kansui Radix, can be used to treat bronchial asthma by relieving cough and asthma, enhancing the body resistance and tonifying qi effectively (<xref ref-type="bibr" rid="B47">Liu et al., 2018</xref>). Due to the multiple applications, now SS has been made into paste, patch, decoction, powder, pill and medicinal liquor.</p>
</sec>
<sec id="s3">
<title>3 Phytochemistry</title>
<p>After years of phytochemical research, 144 compounds have been isolated and identified from SS. The compounds (<bold>1</bold>&#x2013;<bold>144</bold>) of SS reported in the literatures were listed in (<xref ref-type="sec" rid="s13">Supplementary Table S1</xref>). SS is rich in glucosinolates and their hydrolysates, which are the main components with pharmacological activity. Sinapine (<bold>1</bold>) and 4-hydroxybenzoylcholine (<bold>21</bold>) often used as an indicator component for the authentification of SS. Sinigrin (<bold>4</bold>) and sinalbin (<bold>5</bold>) are used as quality control components in SS. The extract of SS is soluble in water or alcohol. Glucosinolates and their hydrolysates are water-soluble components, and the volatile oil, fatty acids and their methyl esters are fat-soluble components (<xref ref-type="bibr" rid="B6">Buskov et al., 2000</xref>). Glucosinolates in SS are easy to be degraded under specific conditions by myrosase (mustard enzymes). The processing method of frying kills enzymes and protects glycosides (<xref ref-type="bibr" rid="B89">Zhang et al., 2015</xref>). Both sinapine thiocyanate (<bold>3</bold>) and 4-hydroxybenzyl cyanide (<bold>18</bold>) increased after frying (<xref ref-type="bibr" rid="B45">Liang et al., 2007</xref>; <xref ref-type="bibr" rid="B83">Yang et al., 2010</xref>). The volatile components (compound <bold>24</bold>&#x2013;<bold>86</bold>) of SS are mainly isothiocyanates, nitriles, alkanes, olefins, terpenoids, etc. (<xref ref-type="bibr" rid="B7">Cai et al., 2014</xref>). Erucic acid (<bold>97</bold>), methyl erucate (<bold>116</bold>), linoleic acid (<bold>90</bold>) and methyl linoleate (<bold>111</bold>) are the components of fatty acids and fatty acid methyl esters with high content (<xref ref-type="bibr" rid="B90">Zhang and Wang, 2006</xref>). There are differences in the composition of <italic>S. alba</italic> and <italic>B. juncea</italic>, and the response value of sinapine thiocyanate (<bold>3</bold>) in <italic>S. alba</italic> is higher than that of <italic>B. juncea</italic>. Sinigrin (<bold>4</bold>) and sinalbin (<bold>5</bold>) are thioglucosides specific to <italic>S. alba</italic> and <italic>B. juncea</italic>, respectively (<xref ref-type="bibr" rid="B31">Huang et al., 2020</xref>). Sinalbin (<bold>5</bold>) and 4-hydroxybenzoylcholine (<bold>21</bold>) are unique components of <italic>S. alba</italic> (<xref ref-type="bibr" rid="B86">Zhang et al., 2010</xref>).</p>
<sec id="s3-1">
<title>3.1 Glucosinolates and their hydrolysates</title>
<p>The basic skeleton of the compounds (<bold>1</bold>&#x2013;<bold>3</bold>) contained acrylate and 2,6-dimethoxyphenol at C-3. Sinapine (<bold>1</bold>) was formed by the cleavage of one ethyl trimethylammonium under enzymatic, alkaline and high-temperature conditions to sinapic acid (<bold>2</bold>), and the addition of one thiocyanate ion to sinapine thiocyanate (<bold>3</bold>). The compounds (<bold>4</bold>&#x2013;<bold>16</bold>) are thioglucose analogs. Glucosinolates are characteristic of cruciferous seeds, and such components are composed of a sugar-containing group, a sulfate group, and a variable non-sugar side chain (R<sub>1</sub>). Sinalbin (<bold>5</bold>) is the most abundant thioglucoside component in SS. Sinapine (<bold>1</bold>), sinapic acid (<bold>2</bold>), sinapine thiocyanate (<bold>3</bold>) are hydrolysates of sinalbin (<bold>5</bold>). The compounds (<bold>17</bold>&#x2013;<bold>21</bold>) are degradation products of sinalbin (<bold>5</bold>). 3-Hydroxy-4-methoxycinnamoylcholine (<bold>22</bold>) was produced by methylation, demethylation, and demethoxylation of sinapine (<bold>1</bold>). 3,4-Methoxybenzoyl choline (<bold>23</bold>) was generated by the methylation and methoxylation of 4-hydroxybenzoylcholine (<bold>21</bold>) (<xref ref-type="bibr" rid="B89">Zhang et al., 2015</xref>). The main chemical structures of glucosinolates and their hydrolysates are shown in <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Chemical structures of glucosinolates and their hydrolysates identified from SS (compound <bold>1</bold>&#x2013;<bold>23</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Volatile oils</title>
<p>Volatile oils (compound <bold>24</bold>&#x2013;<bold>86</bold>) (<xref ref-type="fig" rid="F2">Figures 2</xref>&#x2013;<xref ref-type="fig" rid="F4">4</xref>) are the active ingredient of SS to relieve cough and asthma and expectorant. The nitriles and isothiocyanates in the volatile oil are derived from the degradation of glucosinolates by the action of mustard enzymes. Isothiocyanates (compound <bold>82</bold>&#x2013;<bold>86</bold>) are a naturally occurring class of compounds in the cruciferous family that all contain thiocyanogenic group. Allyl isothiocyanate (<bold>86</bold>) accounted for 89% of the total volatile oil (<xref ref-type="bibr" rid="B77">Wu et al., 2010</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Partial chemical structures of volatile oils identified from SS (compound <bold>24</bold>&#x2013;<bold>42</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Partial chemical structures of volatile oils identified from SS (compound <bold>43</bold>&#x2013;<bold>66</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Partial chemical structures of volatile oils identified from SS (compound <bold>67</bold>&#x2013;<bold>86</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g004.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Fatty acids and their methyl esters</title>
<p>Most researchers have used supercritical CO<sub>2</sub> extraction and GC-MS to extract and analyze the fatty acids and fatty acid methyl esters in SS. The chemical structures of fatty acids (compound <bold>87</bold>&#x2013;<bold>106</bold>) and their methyl esters (compound <bold>107</bold>&#x2013;<bold>129</bold>) in SS are shown in <xref ref-type="fig" rid="F5">Figure 5</xref>. Fatty acid methyl ester is produced by methylation of fatty acid, and fatty acid methyl ester is an important chemical intermediate.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Chemical structures of fatty acids and their methyl esters identified from SS (compound <bold>87</bold>&#x2013;<bold>129</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g005.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 Indole derivatives</title>
<p>Nine indole derivatives (compound <bold>130</bold>&#x2013;<bold>138</bold>) contained in SS are currently reported in the literature. Indole derivatives are aromatic heterocyclic compounds whose chemical structures are formed by the juxtaposition of a benzene ring with a pyrrole ring, as shown in <xref ref-type="fig" rid="F6">Figure 6</xref>. At present, the pharmacological effects of indole derivatives in SS have not been reported much.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Chemical structures of indole derivatives identified from SS (compound <bold>130</bold>&#x2013;<bold>138</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g006.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 Others</title>
<p>Vitamin B<sub>1</sub> (<bold>139</bold>), vitamin B<sub>2</sub> (<bold>140</bold>), vitamin B<sub>3</sub> (<bold>141</bold>), vitamin C (<bold>142</bold>), daucosterol (<bold>143</bold>) and &#x3b2;-sitosterol (<bold>144</bold>) are the vitamin and steroidal compounds reported in the literature so far in SS (<xref ref-type="fig" rid="F7">Figure 7</xref>). The vitamin B family is mainly able to maintain the normal function of the nervous system and immune system, and vitamin C (<bold>142</bold>) mainly has antioxidant and anti-scorbutic effects. Daucosterol (<bold>143</bold>) can prevent dry skin and promote growth and development. &#x3b2;-Sitosterol (<bold>144</bold>) can lower serum cholesterol.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Chemical structures of vitamin and steroidal compounds identified from SS (compound <bold>139</bold>&#x2013;<bold>144</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g007.tif"/>
</fig>
<p>Comprehensively, glucosinolates and their hydrolysates are particular components in SS. Depending on structure, glucosinolates are hydrolyzed by myrosinase into different products. Although the intact glucosinolate is not prominent in pharmacological activity, its hydrolysis products exhibit diverse biological activities. Glucosinolates are of great importance for both agriculture and Chinese medicine. Therefore, glucosinolates is a kind of component in SS worthy of future in-depth research, especially in its occurrence and transformation mechanism.</p>
</sec>
</sec>
<sec id="s4">
<title>4 Pharmacology</title>
<p>In recent decades, the various traditional uses of SS have attracted extensive attention from scientists and have been studied for their wide range of physiological and pharmacological properties. SS extracts or active ingredients have demonstrated various pharmacological activities such as anti-asthmatic, anti-cough, liver protection, weight reduction, heart protection, anti-androgenic effects, anti-inflammatory, anti-cancer, anti-tumor and antioxidant (<xref ref-type="table" rid="T1">Table 1</xref>), which have great potential for research and drug development in respiratory diseases, digestive diseases, neurological diseases, cardiovascular system, immune system diseases, tumors, and inflammatory diseases (<xref ref-type="fig" rid="F8">Figure 8</xref>).</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Pharmacological effects of SS.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">System</th>
<th align="left">Effect</th>
<th align="left">Mechanism</th>
<th align="left">Extracts or compounds</th>
<th align="left">Models</th>
<th align="left">
<italic>In vitro/vivo</italic>
</th>
<th align="left">Treatment</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="4" align="left">Respiratory</td>
<td rowspan="3" align="left">Airway allergy reduction</td>
<td align="left">Reduce TGF-&#x3b2; expression, MAPK phosphorylation, MMP9 and MMP2 protease activity</td>
<td align="left">SS patch</td>
<td align="left">Guinea pig asthma model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">0.0625&#x2013;0.5&#xa0;mg&#xa0;ml<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B42">Li (2017)</xref>
</td>
</tr>
<tr>
<td align="left">Downregulation of TGF-&#x3b2;1/Smad 3 pathway</td>
<td align="left">SS patch</td>
<td align="left">BALB/c Chronic asthma mice model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">0.5&#xa0;g</td>
<td align="left">
<xref ref-type="bibr" rid="B46">Liu et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">Relaxes airway smooth muscle, increases lung and airway volume</td>
<td align="left">Sinapine</td>
<td align="left">Guinea pig asthma model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">7.4&#x2013;74&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B73">Wang et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Cough suppressant inhibition</td>
<td align="left">Inhibition of the receptors in the cough reflex arc or the vagus nerve of the afferent cough impulses</td>
<td align="left">4-Hydroxybenzyl cyanide</td>
<td align="left">Cough model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">0.031&#xa0;g&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B84">Yu (2005)</xref>
</td>
</tr>
<tr>
<td rowspan="5" align="left">Digestive</td>
<td rowspan="4" align="left">Liver protection</td>
<td align="left">Inhibition of BRD4 expression</td>
<td align="left">Sinapic acid</td>
<td align="left">C57BL/6 mice, AML-12 cells</td>
<td align="left">
<italic>In vivo, In vitro</italic>
</td>
<td align="left">20&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>, 20&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B13">Chu et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Inhibition of liver steatosis</td>
<td align="left">Sinapine</td>
<td align="left">C57BL/6 mice</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">500&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B44">Li et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">NF-&#x3ba;B inhibits Nrf2/HO-1-mediated activation of antioxidant enzymes and apoptosis inhibition</td>
<td align="left">Sinapic acid</td>
<td align="left">Hepatotoxicity model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">20, 40&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B2">Ahmad et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Reduced expression of TGF-&#x3b2;1, Smad4, p-Smad 2/3/Smad 2/3, p-NF-&#x3ba;B-p65/NF-&#x3ba;B-p65, IL-1&#x3b2;, IL-6 and p-AKT/AKT</td>
<td align="left">SS extract</td>
<td align="left">Hepatic fibrosis model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">0.5, 1.0, and 2.0&#xa0;g&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B8">Cao et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">Anti- adipocyte browning</td>
<td align="left">Stimulation of mitochondrial biogenesis through AMPK, p38 MAPK and CREB pathways leads to white adipocyte browning</td>
<td align="left">Sinapic acid</td>
<td align="left">3T3-L1 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">1&#x2013;20&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B3">Bae and Kim (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">Nervous</td>
<td rowspan="3" align="left">Protective neurological activity</td>
<td align="left">Activation of BDNF/TrkB/ERK signaling pathway</td>
<td align="left">Sinapic acid</td>
<td align="left">PC12 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">50&#x2013;100&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B82">Xue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Enhance cell viability and inhibit oxidative stress and endoplasmic reticulum stress</td>
<td align="left">Sinapic acid</td>
<td align="left">SH-SY5Y cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">50&#x2013;800&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B68">Tungalag and Yang (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Promotes CREB mRNA transcription</td>
<td align="left">Sinapic acid</td>
<td align="left">PC12 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">100&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B81">Xue et al. (2022)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">Cardiovascular</td>
<td rowspan="2" align="left">Anti-hypertension</td>
<td align="left">Inhibition of TNF-&#x3b1; production</td>
<td align="left">Sinapine thiocyanate</td>
<td align="left">Insulin resistance model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">10, 30, and 90&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>&#xa0;d<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B30">Huang et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">Inhibition of NLRP3 inflammatory vesicle activation</td>
<td align="left">Sinapine thiocyanate</td>
<td align="left">Spontaneously hypertensive rats, HUVECs</td>
<td align="left">
<italic>In vivo, In vitro</italic>
</td>
<td align="left">8.54&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>, 50&#xa0;mg&#xa0;L<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B50">Liu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Cardioprotective activity</td>
<td align="left">Reduce oxidative stress and Ca&#x2b;, anti-cardiac mitochondrial damage</td>
<td align="left">Sinapic acid</td>
<td align="left">Myocardial infarction rats</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">12&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B64">Stanely Mainzen Prince et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">Immunity</td>
<td rowspan="2" align="left">Anti-inflammatory effect</td>
<td align="left">Inhibition of NLRP3 inflammatory vesicle activation</td>
<td align="left">Sinapic acid</td>
<td align="left">Bone marrow-derived macrophages</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">100&#x2013;200&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B39">Lee et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Increase the mRNA expression levels of ZO-1, Occludin, Claudin-1 and decrease the mRNA expression levels of TLR4, NF-kB, MLCK, IL-8, IL-1&#x3b2;</td>
<td align="left">Sinapic acid</td>
<td align="left">Caco-2 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">5, 10, 15&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B88">Zhang et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Reproductive</td>
<td align="left">Anti-testicular damage activity</td>
<td align="left">Reduce MDA, PC and NO levels and increase SOD and GSH- Px activity</td>
<td align="left">Sinapic acid</td>
<td align="left">Testicular torsion rat model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">10, 20&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B69">Unsal et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="left">Anti-prostatic hyperplasia activity</td>
<td align="left">Reduce foreskin gland wet weight and serum acid phosphatase activity</td>
<td align="left">Sinapine, &#x3b2;-sitosterol and sinalbin</td>
<td align="left">Prostate hyperplasia model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">8, 16&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B75">Wu et al. (2003a)</xref>; <xref ref-type="bibr" rid="B76">Wu et al. (2003b)</xref>
</td>
</tr>
<tr>
<td rowspan="5" align="left">Tumors</td>
<td rowspan="5" align="left">Anti-cancer activity</td>
<td align="left">Increase intracellular ferrous iron, lipid peroxidation and reactive oxygen species in non-small cell lung cancer cells; downregulation of SLC7A11</td>
<td align="left">Sinapine</td>
<td align="left">NSCLC cells, bronchial epithelial cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">0&#x2013;20&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B61">Shao et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">Inhibition of anti-apoptotic factor Bcl-2, promotion of pro-apoptotic factor Bax expression</td>
<td align="left">Sinapine</td>
<td align="left">H22 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">LC<sub>50</sub> &#x3d; 53.97&#xa0;&#x3bc;g&#xa0;L<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B54">Nan (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Reduce protein expression of PTGS1, PTGS2, Bcl-2, MMP-2 and MMP-9 and increase protein expression of Bax in hepatoma cells SMMC-7721</td>
<td align="left">Sinapine thiocyanate</td>
<td align="left">SMMC-7721 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">0&#x2013;100&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B12">Chen et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Reduce the expression of p-AKT (S473), &#x3b2;-catenin, N-cadherin, Vimentin and PCNA in skin squamous carcinoma A431 and Colo-16 cells; increase the expression of E-cadherin</td>
<td align="left">Sinapine thiocyanate</td>
<td align="left">A431 cells, Colo-16 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">20&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B65">Su et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Inhibition of p-glycoprotein expression</td>
<td align="left">Sinapine</td>
<td align="left">Caco-2 cells</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">0&#x2013;200&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B25">Guo et al. (2014)</xref>
</td>
</tr>
<tr>
<td rowspan="4" align="left">Other</td>
<td align="left">Hypoglycemic effect</td>
<td align="left">Inhibition of TNF-&#x3b1; production</td>
<td align="left">Sinapine thiocyanate</td>
<td align="left">Insulin resistance model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">10, 30, and 90&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>&#xa0;d<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B30">Huang et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">Kidney protective effect</td>
<td align="left">Upregulation of PPAR-&#x3b3; expression</td>
<td align="left">Sinapic acid</td>
<td align="left">Rat nephrotoxic model</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">20, 40&#xa0;mg&#xa0;kg<sup>&#x2212;1</sup>
</td>
<td align="left">
<xref ref-type="bibr" rid="B63">Singh et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">Anti-oxidant effect</td>
<td align="left">Scavenging superoxide anion free radicals</td>
<td align="left">Sinapine thiocyanate</td>
<td align="left">Superoxide radicals</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">IC<sub>50</sub> &#x3d; 0.135&#xa0;mM</td>
<td align="left">
<xref ref-type="bibr" rid="B41">Li et al. (2012)</xref>
</td>
</tr>
<tr>
<td align="left">Scavenging DPPH activity, scavenging hydrogen peroxide radicals and scavenging NO radicals</td>
<td align="left">Sinapic acid</td>
<td align="left">Human skin fibroblasts</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">IC<sub>50</sub> &#x3d; 32.1&#xa0;&#x3bc;M</td>
<td align="left">
<xref ref-type="bibr" rid="B15">Cos et al. (2002)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Pharmacological effects of Sinapine (<bold>1</bold>), sinapic acid (<bold>2</bold>) and sinapine thiocyanate (<bold>3</bold>).</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g008.tif"/>
</fig>
<sec id="s4-1">
<title>4.1 Effect on the respiratory system</title>
<sec id="s4-1-1">
<title>4.1.1 Airway allergy reduction</title>
<p>Early studies have shown that asthma has three main characteristics of chronic inflammation, airway hyperresponsiveness and airway remodeling (<xref ref-type="bibr" rid="B10">Chen, 2016</xref>). Network pharmacology studies suggest that Peroxisome proliferator-activated receptor &#x3b3; (PPAR&#x3b3;) and transforming growth factor-&#x3b2;1 (TGF-&#x3b2;1) are potential targets for the treatment of bronchial asthma and airway remodeling (<xref ref-type="bibr" rid="B29">Hu et al., 2021</xref>). SS acupoint patches can reduce airway hypersensitivity by inhibiting TGF-&#x3b2; and its downstream extracellular regulated protein kinases1/2 (Erk1/2) and p38 mitogen-activated protein kinase (p38 MAPK) phosphorylation to reduce matrix metalloproteinase expression and protect airway epithelial barrier-related proteins (<xref ref-type="bibr" rid="B42">Li, 2017</xref>). Meanwhile, SS acupoint patch can improve airway remodeling by downregulating the airway TGF-&#x3b2;1/Smad 3 protein expression in mice with chronic asthma, thereby treating chronic asthma (<xref ref-type="bibr" rid="B46">Liu et al., 2017</xref>). Inhibition of phosphodiesterase 4 (PDE4) by sinigrin lead an elevation of cAMP level and activating protein kinase A (PKA). PKA mediates a complex processes leading to an impaired ability to promote the phosphorylation of myosin light chain (MLC), leading to the relaxation of airway smooth muscle (ASM) (<xref ref-type="bibr" rid="B14">Chu et al., 2020</xref>). Sinapine (<bold>1</bold>) administered orally or as a spray could increase pulmonary and tracheal volumes by dilating airway smooth muscle, thus exerting a calming effect (<xref ref-type="bibr" rid="B73">Wang et al., 2011</xref>). Collectively, it can be seen that SS reduces asthma by reducing airway hypersensitivity, airway remodeling, and dilating airway smooth muscle. Herein the detailed mechanisms of airway allergy reduction induced by SS were summed in <xref ref-type="fig" rid="F9">Figure 9</xref>.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Signaling pathways of reducing airway sensitivity of SS.</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g009.tif"/>
</fig>
</sec>
<sec id="s4-1-2">
<title>4.1.2 Cough suppressant inhibition</title>
<p>4-Hydroxybenzyl cyanide (<bold>18</bold>), the decomposition of which produces hydrogen cyanide, can inhibit the cough center at low doses. Studies have shown that the mechanism is to act as a central cough suppressant by inhibiting the receptors in the cough reflex arc or the vagus nerve of the afferent cough impulses (<xref ref-type="bibr" rid="B84">Yu, 2005</xref>). Thus, SS achieves cough suppression by inhibiting the cough suppressant.</p>
</sec>
</sec>
<sec id="s4-2">
<title>4.2 Effect on the digestive system</title>
<sec id="s4-2-1">
<title>4.2.1 Hepatoprotective activity</title>
<p>Current studies have shown that SS is effective in nourishing the liver, improving liver fibrosis, and relieving fatty liver. On the one hand, sinapic acid (<bold>2</bold>) in SS inhibits bromodomain containing 4 (BRD4) expression and suppresses oxidative stress, cell scorching and hepatocyte injury (<xref ref-type="bibr" rid="B13">Chu et al., 2021</xref>). On the other hand, SS can prevent methotrexate (MTX)-induced liver injury by inhibiting apoptosis and stimulating Nrf2/HO-1-intermediate antioxidant enzymes through NF-&#x3ba;B inhibition (<xref ref-type="bibr" rid="B2">Ahmad et al., 2021</xref>). Sinapine (<bold>1</bold>) modulate the composition of intestinal flora, induce a decrease in the ratio of thick-walled phylum and mimic phylum, and increase the abundance of probiotic bacteria, thereby inhibiting hepatic steatosis (<xref ref-type="bibr" rid="B44">Li et al., 2019</xref>). It has also been shown that SS extract has anti-hepatic fibrosis effect and its potential mechanism of action may be related to the modulation of TGF-&#x3b2;1/Smad, NF-&#x3ba;B and AKT signaling pathways and reduction of extracellular matrix deposition (<xref ref-type="bibr" rid="B8">Cao et al., 2018</xref>). The studies indicated that the underlying mechanisms of the hepatoprotective activity of SS may be mediated by the regulation of TGF-&#x3b2;1/Smad, NF-&#x3ba;B and AKT signaling pathways.</p>
</sec>
<sec id="s4-2-2">
<title>4.2.2 Adipocyte browning</title>
<p>Brown-like adipocytes have high caloric metabolism, characterized as high mitochondrial concentrations and high expression of uncoupling protein 1 (UCP1). Numerous studies have shown that brown adipose tissue not only has the function of keeping out the cold, but also burns excess fat and sugar to generate heat and prevent excess fat storage in the body. Sinapic acid (<bold>2</bold>) enhances the expression of peroxisome proliferator-activated receptor &#x3b3; coactivator-1&#x3b1; (PGC-1&#x3b1;) and UCP1 (<xref ref-type="bibr" rid="B3">Bae and Kim, 2020</xref>). Thus, sinapic acid (<bold>2</bold>) could be used to weight loss by initiating adipocyte browning through the p38 MAPK/CREB signaling pathway.</p>
</sec>
</sec>
<sec id="s4-3">
<title>4.3 Effect on neurodegenerative disorder</title>
<p>Sinapic acid (<bold>2</bold>) in SS can increase cell viability and protect cells from 6-OHDA-induced apoptotic cell death. It significantly blocks oxidative stress, including excessive production of reactive oxygen species (ROS) and decrease in the expression level of antioxidant proteins, and it also reduces mitochondrial dysfunction and endoplasmic reticulum (ER) stress, and observably inhibits mitogen-activated protein kinase (MAPK) protein activation (<xref ref-type="bibr" rid="B85">Zare et al., 2015</xref>; <xref ref-type="bibr" rid="B68">Tungalag and Yang, 2021</xref>), thereby preventing neurodegenerative diseases. Sinapic acid (<bold>2</bold>) also promotes CREB mRNA transcription in cells, activates the cAMP/PKA/CREB signaling pathway, improves A&#x3b2;1-42-induced PC12 cell morphology, and reduces A&#x3b2;42 content in cells (<xref ref-type="bibr" rid="B82">Xue et al., 2021</xref>; <xref ref-type="bibr" rid="B81">Xue et al., 2022</xref>). The potential therapeutic effect of sinapic acid (<bold>2</bold>) is due to its attenuation of KA-induced neuronal damage in the brain <italic>via</italic> its anti-convulsive activity through gamma-aminobutyric acid (GABA) (A) receptor activation and radical scavenging activity (<xref ref-type="bibr" rid="B36">Kim et al., 2010</xref>). Thus SS can be used as apotential agent to prevent neurodegenerative diseases and reduce nerve damage by improving cell damage and increasing cell viability.</p>
</sec>
<sec id="s4-4">
<title>4.4 Effect on the cardiovascular system</title>
<sec id="s4-4-1">
<title>4.4.1 Anti-hypertension</title>
<p>SS not only protects vascular endothelial function in SHRs by inhibiting nucleotide-binding oligomerization domain, leucine-rich repeat and pyrin domain-containing 3 (NLRP3) inflammatory vesicle activation and expression of associated inflammatory mediators, but also ameliorates AngII-induced vascular endothelial injury (<xref ref-type="bibr" rid="B50">Liu et al., 2020</xref>). Elevated blood pressure is accompanied by alterations in vascular endothelial cell morphology and function. Sinapine thiocyanate (<bold>3</bold>) in SS has a significant effect in improving blood vessel lining damage and lowering blood pressure.</p>
</sec>
<sec id="s4-4-2">
<title>4.4.2 Cardioprotective activity</title>
<p>Oxygen radical reactions and lipid peroxidation reactions play an important role in the metabolic processes of the body, maintaining many physiological and biochemical reactions and immune responses in the body. Both increased reactive oxygen species production and calcium overload alone can lead to ischemia-reperfusion injury. The literature suggests that SS has cardioprotective effects. Sinapic acid (<bold>2</bold>) reduces lipid peroxidation and calcium ions and enhances the antioxidant system and mitochondrial enzymes in rat heart mitochondria (<xref ref-type="bibr" rid="B64">Stanely Mainzen Prince et al., 2020</xref>), thereby acting as a cardioprotective function.</p>
</sec>
</sec>
<sec id="s4-5">
<title>4.5 Effect on the immune system</title>
<p>SS extract inhibits the protein and mRNA levels of TNF-&#x251; and IL-6, thus playing an anti-inflammatory role (<xref ref-type="bibr" rid="B80">Xian et al., 2018</xref>). Sinapic acid (<bold>2</bold>) has strong anti-inflammatory activity, which is accomplished by blocking caspase-1 activation and IL-1&#x3b2; secretion through inhibition of NLRP3 inflammasome activation in bone marrow-derived macrophages (BMDM) (<xref ref-type="bibr" rid="B39">Lee et al., 2021</xref>). It can remarkably ameliorate the occurrence of Caco-2 intercellular hyperpermeability caused by LPS by increasing the mRNA expression levels of ZO-1, Occludin, Claudin-1 and decreasing the mRNA expression levels of TLR4, NF-kB, MLCK, IL-8, IL-1&#x3b2; (<xref ref-type="bibr" rid="B88">Zhang et al., 2019</xref>). Inflammation has been correlated with many chronic diseases, which provides a research basis for SS to treat many chronic diseases.</p>
</sec>
<sec id="s4-6">
<title>4.6 Effect on the reproductive system</title>
<sec id="s4-6-1">
<title>4.6.1 Anti-testicular damage activity</title>
<p>Sinapic acid (<bold>2</bold>) is the main component of SS to protect the testicles. Studies have shown that sinapic acid (<bold>2</bold>) markedly reduces testicle damage, oxidative stress, inflammation, cell death, and restores reduced antioxidant enzyme activity, which has a protective effect on the testicle and improves ischemia-reperfusion injury in the testicle (<xref ref-type="bibr" rid="B69">Unsal et al., 2021</xref>).</p>
</sec>
<sec id="s4-6-2">
<title>4.6.2 Anti-prostatic hyperplasia activity</title>
<p>Prostatic hyperplasia is an androgen-dependent disease, and sinapine (<bold>1</bold>) significantly decreases the wet weight of the prostate, seminal vesicle and murine prepuce glands in mice, reduces serum acid phosphatase activity, and acts as an anti-androgen activity (<xref ref-type="bibr" rid="B75">Wu et al., 2003a</xref>). On this basis, a study showed that &#x3b2;-sitosterol (<bold>144</bold>), sinalbin (<bold>5</bold>), unsaturated fatty acids and other agents in SS act synergistically to achieve a variety of effects such as reducing capillary permeability, inhibiting fibrous tissue proliferation, reducing serum acid phosphatase activity, inhibiting 5&#x3b1;-reductase activity, and anti-androgen (<xref ref-type="bibr" rid="B76">Wu et al., 2003b</xref>), which have therapeutic and preventive effects on prostate hyperplasia.</p>
</sec>
</sec>
<sec id="s4-7">
<title>4.7 Anti-tumor activity</title>
<p>Studies have shown that SS has clear anti-tumor effect. First of all, sinapic acid (<bold>2</bold>) has strong anticancer activity against various differentiated types of liver cancer cells, and in combination with cisplatin mediates the Bcl-2 assaciated X protein/B cell lymphoma/lewkmia-2 (Bax/Bcl-2) signaling pathway, upregulates LC3 protein expression, and induces hepatocellular carcinoma cell death (<xref ref-type="bibr" rid="B92">Zhao, 2021</xref>). And then, sinapine (<bold>1</bold>) restrains the proliferation of hepatocellular carcinoma H22 cells by inhibiting the anti-apoptotic factor Bcl-2 and promoting the expression of the pro-apoptotic factor Bax (<xref ref-type="bibr" rid="B54">Nan, 2010</xref>). It also induces cell death by increasing intracellular ferrous iron, lipid peroxidation and reactive oxygen species (ROS) in non-small cell lung cancer cells (<xref ref-type="bibr" rid="B61">Shao et al., 2022</xref>). Sinapine (<bold>1</bold>) inhibits tumor growth by suppressing the FGFR4-FRS2&#x3b1;-ERK1/2 signaling pathway, downregulates P-glycoprotein expression (<xref ref-type="bibr" rid="B25">Guo et al., 2014</xref>), antagonizes the mutagenic effect of cyclophthalamide on mouse bone marrow cells, downregulates the expression of the apoptosis suppressor gene Bcl-2 in tumor cells, and facilitates apoptosis in mouse sarcoma S180 cells (<xref ref-type="bibr" rid="B35">Ke, 2008</xref>). Finally, sinapine thiocyanate (<bold>3</bold>) from SS significantly decreases the protein expression of PTGS1, PTGS2, Bcl-2, MMP-2 and MMP-9 and increases the protein expression of Bax to prohibit the proliferation, migration and invasion of hepatocellular carcinoma cells in SMMC-7721 (<xref ref-type="bibr" rid="B76">Wu et al., 2003b</xref>). In addition, sinapine thiocyanate (<bold>3</bold>) inhibits the malignant biological behavior of skin squamous carcinoma A431 and Colo-16 cells through the AKT/&#x3b2;-catenin pathway (<xref ref-type="bibr" rid="B65">Su et al., 2021</xref>). Thus, SS achieves antitumor activity by promoting the expression of apoptotic factors and inhibiting the expression of growth factors in tumor cells. The specific mechanism of antitumor activity of SS is shown in <xref ref-type="fig" rid="F10">Figure 10</xref>.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>Signaling pathways of anti-tumor effect of SS.</p>
</caption>
<graphic xlink:href="fphar-14-1113583-g010.tif"/>
</fig>
</sec>
<sec id="s4-8">
<title>4.8 Others</title>
<sec id="s4-8-1">
<title>4.8.1 Hypoglycemic effect</title>
<p>Sinapine thiocyanate (<bold>3</bold>) dose-dependently decreases the levels of lipids, blood glucose, TNF-&#x3b1; and other metabolism-related indicators, delays hepatocyte steatosis and atherosclerosis (<xref ref-type="bibr" rid="B30">Huang et al., 2018</xref>). Sinalbin (<bold>5</bold>) achieves hypoglycemic effects by inhibiting &#x3b1;-glucosidase and &#x3b1;-amylase (<xref ref-type="bibr" rid="B1">Abbas et al., 2017</xref>).</p>
</sec>
<sec id="s4-8-2">
<title>4.8.2 Protective effect against renal injury</title>
<p>Studies have shown that sinapic acid (<bold>2</bold>) treatment provides a dose-dependent and significant kidney protection against cisplatin-mediated nephrotoxicity in rats (<xref ref-type="bibr" rid="B63">Singh et al., 2020</xref>) by up-regulating PPAR-&#x3b3; expression.</p>
</sec>
<sec id="s4-8-3">
<title>4.8.3 Anti-oxidative activity</title>
<p>SS extract, sinapic acid (<bold>2</bold>) and sinapine thiocyanate (<bold>3</bold>) have been reported to have antioxidant activity (<xref ref-type="bibr" rid="B18">Dubie et al., 2013</xref>). Sinapine thiocyanate (<bold>3</bold>) functions as an antioxidant by scavenging superoxide anion radicals (<xref ref-type="bibr" rid="B41">Li et al., 2012</xref>). Sinapic acid (<bold>2</bold>), as one of phenols, has antioxidant effects by scavenging (DPPH) radicals, scavenging hydrogen peroxide radicals, scavenging NO radicals, and inhibiting microsomal lipid peroxidation activity (<xref ref-type="bibr" rid="B15">Cos et al., 2002</xref>; <xref ref-type="bibr" rid="B10">Chen, 2016</xref>). Unfortunately, the antioxidant effect of other components of SS has not been seen.</p>
</sec>
<sec id="s4-8-4">
<title>4.8.4 Effect on orthopaedic diseases</title>
<p>Lumbar disc herniation, cervical spondylosis, scapulohumeral periarthritis, etc. are common and frequently occurring diseases. SS plays a useful role in the treatment of lumbar disc herniation, cervical spondylosis, scapulohumeral periarthritis, joint synovitis, osteoarthritis and various kinds of bi syndrome, but its mechanism of action has been poorly reported and needs further study (<xref ref-type="bibr" rid="B93">Zhou et al., 2014</xref>).</p>
</sec>
<sec id="s4-8-5">
<title>4.8.5 Effect on wound healing</title>
<p>Sinapic acid (<bold>2</bold>) has been shown to promote the healing of chronic diabetes wounds and is used in wound dressing hydrogels with multifunctional properties. In addition, sinigrin (<bold>4</bold>) has therapeutic potential for wound healing activity (<xref ref-type="bibr" rid="B53">Mazumder et al., 2016</xref>; <xref ref-type="bibr" rid="B48">Liu et al., 2021</xref>; <xref ref-type="bibr" rid="B9">Chandika et al., 2022</xref>).</p>
<p>To conclude, although many of the pharmacological effects of SS and its ingredients have been confirmed, but the pharmacological effects are mainly focused on sinapine (<bold>1</bold>), sinapic acid (<bold>2</bold>) and sinapine thiocyanate (<bold>3</bold>). The models used in the literature are all internationally accepted models that have been summarized and displayed in <xref ref-type="table" rid="T1">Table 1</xref>. Unfortunately, the scope of pharmacological action and the depth of mechanism of action need to be further expanded. Cough relieving and asthma calming is the main pharmacological action of SS. The components and targets of action can be studied more carefully from the perspective of single compounds. In addition, it is important to emphasize that studies on the pharmacological effects and mechanisms of other compounds need to be strengthened. To date, large amount of research of SS have been focused on pharmacological activity in animal or <italic>in vitro</italic> cellular models, and few clinical trials have been conducted, which limits its application. Therefore, formal clinical trials should be encouraged to provide more solid evidence for application of SS.</p>
</sec>
</sec>
</sec>
<sec id="s5">
<title>5 Toxicity</title>
<p>The toxicity of SS is mainly characterized by skin irritation. SS is frequently used as the primary or formula application for acupuncture point compresses due to its stimulating effect on the skin. Some studies have shown that blistering of the skin occurs in almost 2&#xa0;h during the application of SS <italic>in vitro</italic> and that the dose is positively correlated with the size of the blister (<xref ref-type="bibr" rid="B78">Wu et al., 2016</xref>). Interestingly, some studies have shown a significant association between the reactive symptoms of SS compresses and the therapeutic effect to be effective in patients with asthma (<xref ref-type="bibr" rid="B33">Ji, 2006</xref>). On the contrary, it has also been shown that there is no direct correlation between skin reactivity and efficacy and that drug-acupuncture point interrelationships have to be considered (<xref ref-type="bibr" rid="B16">Cui et al., 2014</xref>), the mechanism of which is unclear and needs to be investigated. Another study illustrated that the ratio of raw and cooked SS should be appropriate for topical application by comparing EOS, IgE, and IgM, and the optimal ratio of raw and cooked SS is 1:2, which has good efficacy and less adverse skin reactions (<xref ref-type="bibr" rid="B38">Lai et al., 2019</xref>). There is also literature comparing the skin irritation of SS from different speices, and it was found that yellow mustard seeds: white mustard seeds (5:5) for triphala paste had moderate skin irritation (<xref ref-type="bibr" rid="B52">Lu et al., 2020</xref>). Reducing the skin irritation of SS is promising for research development.</p>
<p>The skin irritation properties of SS also make it commonly used clinically as a transdermal absorption enhancer for Chinese herbal patches. The three pathways of drug transmission through the skin are intercellular transmission, intracellular transmission, and appendage transmission (<xref ref-type="bibr" rid="B28">Herman and Herman, 2015</xref>). The volatile oils of SS mainly composed of allyl isothiocyanate (<bold>86</bold>) and cyclohexyl isothiocyanate (<bold>84</bold>) can inhibit Ca<sup>2&#x2b;</sup>-ATPase activity, increase intracellular Ca<sup>2&#x2b;</sup> concentration, alter the membrane potential of Ha CaT cells, and promote drug entry into the skin (<xref ref-type="bibr" rid="B60">Ruan et al., 2019</xref>). Topical application of SS extract also induced morphological changes in langerhans cells in the skin and stimulated the secretion of IL1&#x3b2; and TNF&#x3b1; in the skin, suggesting activation of the immune response (<xref ref-type="bibr" rid="B24">Guo et al., 2013</xref>).</p>
<p>In short, volatile oils are believed the main component that causes skin irritation. The factors leading to skin irritation may be related to the time of patching, the method of concoction, and the original plant. The mechanism of skin irritation and the correlation between skin reaction and drug efficacy deserve further study. Reducing skin irritation is of great importance in the clinical application of SS. However, it is worth noting that the above evaluation methods for the severity of skin irritation are subjective. Therefore, it is particularly important to establish a more objective and recognized evaluation method for skin irritation.</p>
</sec>
<sec id="s6">
<title>6 Analytical methods</title>
<sec id="s6-1">
<title>6.1 Compositional analysis of medicinal materials</title>
<p>The method of GC-MS is usually used for thermally stable samples. The volatile oils and fatty acid compounds from SS have been characterized using GC-MS. The extract method of steam distillation was used to extract volatile oil from SS. The volatile oils of SS were analyzed by GC-MS and were qualitative by NIST database (<xref ref-type="bibr" rid="B49">Liu et al., 2007</xref>; <xref ref-type="bibr" rid="B77">Wu et al., 2010</xref>). The fatty acid components of SS were extracted by petroleum ether and the methyl ester reagents were added for methylation. Then the liquid-liquid extractions were applied to extract the ingredients for analysis by GC-MS (<xref ref-type="bibr" rid="B62">Shi et al., 2003</xref>; <xref ref-type="bibr" rid="B90">Zhang and Wang, 2006</xref>; <xref ref-type="bibr" rid="B43">Li and Lin, 2012</xref>). The method of headspace solid phase micro-extraction (HS-SPME) was used to extract volatile components from SS. The volatile components were analyzed and identified by GC-MS (<xref ref-type="bibr" rid="B7">Cai et al., 2014</xref>). Confirmation of the volatile chemical structures of SS should be achieved unambiguously using authentic standards or publications (measured under identical conditions), if no authentic standards are available (<xref ref-type="bibr" rid="B32">Indrayanto, 2022</xref>). However, the extraction methods and GC-MS analysis conditions mentioned above were different. The MS data were also only searched by the NIST database and the results are difficult to be repeated by subsequent researchers.</p>
<p>
<xref ref-type="bibr" rid="B91">Zhang et al. (2021)</xref> established a method for content determination of sinapine thiocyanate (<bold>3</bold>) by HPLC-UV. The methodological validation included linearity, precision, repeatability, stability and recovery were conformed with Chinese Pharmacopoeia (CP). The similarity of 13 batches of SS fingerprint was more than 0.943. Similarly, <xref ref-type="bibr" rid="B27">He et al. (2020)</xref> established the UPLC-UV fingerprints of SS and its formulation granule. The similarities of 15 batches of standard decoction or formulation granule were greater than 0.99. The available authentic standard sinapine thiocyanate (<bold>3</bold>) was used as the reference peak to calculate the relative retention time of other common peaks in the above fingerprint methods. It was very crucial for quality assessment of using chemical profiling.</p>
<p>UPLC-Q-Exactive Obitrap MS was adopted to analyze chemical constituents of SS before and after stir-frying. The chemical constituents of SS before and after stir-frying were identified by Compound Discover 3.2 software combined with <italic>m/z</italic> Cloud database, high resolution MS OTCML database or compared with the available authentic standards (<xref ref-type="bibr" rid="B34">Jia et al., 2021</xref>). The chemometric analysis was not methodologically validated and the stability of the QC samples was not evaluated (<xref ref-type="bibr" rid="B56">ORA Laboratory Manual, 2022</xref>). The chemometrics method only was performed for the content changes of chemical constituents using peak area as variate (<xref ref-type="bibr" rid="B34">Jia et al., 2021</xref>). Popova et al. established a simple and fast ion chromatography (IC) method for the simultaneous quantification of sinigrin (<bold>4</bold>), sinalbin (<bold>5</bold>), and anionic hydrolysis products of SS. The related compounds were purchased from Sigma-Aldrich (St. Louis, MO, United States) or isolated in their laboratory. Calibration curve, limits of detection (LOD), and limits of quantification (LOQ) for two intact glucosinolates (sinigrin and sinalbin) and anionic hydrolysis products (SO<sub>4</sub>
<sup>2&#x2212;</sup> and SCN<sup>&#x2212;</sup>) were determined by the proposed IC method (<xref ref-type="bibr" rid="B58">Popova and Morra, 2014</xref>). <xref ref-type="bibr" rid="B55">Nic&#xe1;cio et al. (2021)</xref> optimized the QuEChERS extraction method followed by UHPLC-MS/MS analysis for phenolic compounds determination in three species of SS. 21 phenolic compounds were estimated, and the linearity, LOD and LOQ were determined. The intra-day, and inter-day precisions were carried out and expressed in terms of relative standard deviation (RSD). <xref ref-type="bibr" rid="B59">Rochfort et al. (2008)</xref> established a method of ion trap mass spectrometry for glucosinolates. This method takes advantage of the glucosinolate anion fragmentation which consistently produces a sulphonate ring-opened glucose moiety (<italic>m/z</italic> 259) in the ion trap mass spectrometer. The strategy could be applied to determine glucosinolates in SS.</p>
<p>Determination of the chemical structure of the unknown compounds could be performed by using complete spectroscopic analysis (UV-VIS, IR, CD, HR-MS and NMR). SS was extracted and partitioned and the ten chemical constituents were purified by chromatography and recrystallization and then the structures were determined by nuclear magnetic resonance (<sup>1</sup>H-NMR, <sup>13</sup>C-NMR, HMQC and HMBC) (<xref ref-type="bibr" rid="B21">Feng et al., 2008</xref>).</p>
<p>In a number of quantitative cases, authors only selected validation parameters (LOD, LOQ, linearity, recovery, precision, stability and matrix effect, etc.) which were under close interest and not all parameters were investigated. In addition, some validation parameters also did not conform to the published guidelines (<xref ref-type="bibr" rid="B37">Kruve et al., 2015</xref>). The confirmation of peak identity and quantitative methods validation parameters were described in detail in <xref ref-type="table" rid="T2">Table 2</xref>.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Analytical method of SS.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Classification</th>
<th align="left">Analytical method</th>
<th align="left">Constituents</th>
<th align="left">Confirmation of peak identity</th>
<th align="left">Methods validation parameters</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="13" align="left">Compositional analysis of medicinal materialsI</td>
<td align="left">GC-MS</td>
<td align="left">44 Components in the volatile oil of SS</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B49">Liu et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">GC-MS</td>
<td align="left">7 Components in the volatile oil of SS</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B77">Wu et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">GC-MS</td>
<td align="left">6 Fatty acids and 1 alkane</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B62">Shi et al. (2003)</xref>
</td>
</tr>
<tr>
<td align="left">GC-MS</td>
<td align="left">18 Fatty acids and 5 non-fatty acid components</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B43">Li and Lin (2012)</xref>
</td>
</tr>
<tr>
<td align="left">GC-MS</td>
<td align="left">15 Fatty acids and 1 unsaturated alcohol</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B90">Zhang and Wang (2006)</xref>
</td>
</tr>
<tr>
<td align="left">HS-SPME-GC-MS</td>
<td align="left">25 Volatile components</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B7">Cai et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left">HPLC-UV</td>
<td align="left">Sinapine thiocyanate (<bold>3</bold>)</td>
<td align="left">Confirmed</td>
<td align="left">Linearity: 25&#x2013;400&#xa0;&#x3bc;g/mL; RSD of precision: 0.14%; RSD of repeatability: 0.12%; RSD of stability: 0.04%; Recovery: 102.1%; Similarity evaluations: <italic>r</italic> close to 1</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Zhang et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">UPLC-UV</td>
<td align="left">Sinapine (<bold>1</bold>) and sinapic acid (<bold>2</bold>)</td>
<td align="left">Confirmed</td>
<td align="left">RSD of precision &#x3c; 3%; RSD of stability &#x3c; 3%; RSD of repeatability &#x3c; 3%; Similarity evaluations: <italic>r</italic> close to 1</td>
<td align="left">
<xref ref-type="bibr" rid="B27">He et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">UPLC-Q-Exactive Obitrap MS</td>
<td align="left">54 Chemical constituents, mainly fatty acids [represented by sinapic acid (<bold>2</bold>)], alkaloids [represented by sinapine (<bold>1</bold>)], flavonoids and other compounds</td>
<td align="left">Confirmed</td>
<td align="left">Five components [represented by sinapine (<bold>1</bold>)] were compared to the Standards; Remaining components: accurate mass accuracy ppm &#x3c; 5; RSD of retention times (Rt) &#x3c; 5%; Chemometric analysis was not methodologically validated</td>
<td align="left">
<xref ref-type="bibr" rid="B34">Jia et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Ion chromatography</td>
<td align="left">Sinigrin (<bold>4</bold>), sinalbin (<bold>5</bold>)</td>
<td align="left">Confirmed</td>
<td align="left">Sinigrin (<bold>4</bold>): linearity: 0.03&#x2013;2.0&#xa0;mM; Recovery: 85%&#x2013;102%; RSD of reproducibility: 1.1%&#x2013;2.4%; RSD of stability: &#x3c;3%; RSD of precision: 2%&#x2013;9% Sinalbin (<bold>5</bold>): linearity: 0.01&#x2013;2.0&#xa0;mM; Recovery: 95%&#x2013;98%; RSD of reproducibility: 1.0%&#x2013;1.9%; RSD of stability: &#x3c;3%; RSD of precision: 2%&#x2013;6%</td>
<td align="left">
<xref ref-type="bibr" rid="B58">Popova and Morra (2014)</xref>
</td>
</tr>
<tr>
<td align="left">QuEChERS-UHPLC-MS/MS</td>
<td align="left">21 Phenolic compounds</td>
<td align="left">Confirmed</td>
<td align="left">Linearity (r) &#x3e; 0.99; RSD of precision: 18.5%</td>
<td align="left">
<xref ref-type="bibr" rid="B55">Nic&#xe1;cio et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Ion trap mass spectrometry</td>
<td align="left">6 Glucosinolates</td>
<td align="left">Confirmed</td>
<td align="left">Linearity (R<sup>2</sup>): 0.9972-0.9998; CV of reproducibility: 5%</td>
<td align="left">
<xref ref-type="bibr" rid="B59">Rochfort et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">NMR</td>
<td align="left">Sinapic acid (<bold>2</bold>), 4-hydroxybenzoic acid (<bold>19</bold>), 4-Hydroxybenzaldehyde (<bold>20</bold>), etc.</td>
<td align="left">Confirmed</td>
<td align="left">
<sup>1</sup>H-NMR, <sup>13</sup>C-NMR, HMQC, HMBC</td>
<td align="left">
<xref ref-type="bibr" rid="B21">Feng et al. (2008)</xref>
</td>
</tr>
<tr>
<td rowspan="4" align="left">Biological sample analysis</td>
<td align="left">Paper Chromatography</td>
<td align="left">Metabolic pathways of sinapic acid (<bold>2</bold>)</td>
<td align="left">Not confirmed</td>
<td align="left">/</td>
<td align="left">
<xref ref-type="bibr" rid="B22">Griffiths (1969)</xref>
</td>
</tr>
<tr>
<td align="left">UPLC-MS/MS</td>
<td align="left">Pharmacokinetics of sinapic acid (<bold>2</bold>)</td>
<td align="left">Confirmed</td>
<td align="left">Linearity: 10&#x2013;5000&#xa0;&#x3bc;g/L (R<sup>2</sup> &#x3d; 0.9995); RSD of precision: 1.1%&#x2013;4.1%; Accuracy: 99.1%&#x2013;107.3%; Recovery: 95.6%&#x2013;107.5%; Matrix effect: 90.3%&#x2013;103.2%; RSD of stability &#x3c; 3.7%</td>
<td align="left">
<xref ref-type="bibr" rid="B40">Li et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">UPLC-MS/MS</td>
<td align="left">Tissue distribution of sinapine thiocyanate (<bold>3</bold>)</td>
<td align="left">Confirmed</td>
<td align="left">Linearity: 0.2&#x2013;112.5&#xa0;ng/mL (r &#x3d; 0.9948); LLOQ: 0.2&#xa0;ng/mL; Matrix effect: 83.0%&#x2013;115.15%; Recovery: 44.77%&#x2013;145.19%; RSD of precision: 2.74%&#x2013;10.38%; RSD of stability: 1.78%&#x2013;10.15%</td>
<td align="left">
<xref ref-type="bibr" rid="B67">Tang et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">UPLC-Q/TOF-MS</td>
<td align="left">Metabolic pathways of sinapine thiocyanate (<bold>3</bold>)</td>
<td align="left">Confirmed</td>
<td align="left">Two ions (parent ion and product ion) with accurate mass accuracy &#x3c; 5&#xa0;ppm</td>
<td align="left">
<xref ref-type="bibr" rid="B23">Guan et al. (2022)</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Note: /, the data is not described in the literature.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s6-2">
<title>6.2 Biological sample analysis</title>
<p>The metabolism of sinapic acid (<bold>2</bold>) in rats has been studied by researchers as early as 1969 using paper chromatography (<xref ref-type="bibr" rid="B22">Griffiths, 1969</xref>), and a metabolic pathway of sinapic acid (<bold>2</bold>) was proposed. Due to the limitations of the technique, the metabolites of sinapic acid (<bold>2</bold>) were compared with reference materials prepared in laboratory only by the maximum ultraviolet absorption and Rf values. Because of the complexity of metabolites <italic>in vivo</italic>, it was easy to cause false positive results. In recent years, the pharmacokinetics of sinapic acid (<bold>2</bold>) from SS in rat plasma has been investigated by a validated UPLC-MS/MS method (<xref ref-type="bibr" rid="B40">Li et al., 2020</xref>). The dynamic distribution of sinapine thiocyanate (<bold>3</bold>) has been monitored using a validated UPLC-MS/MS method (<xref ref-type="bibr" rid="B67">Tang et al., 2022</xref>). The quantitative method validation was established according to the United States Food and Drug Administration (FDA) guidelines (<xref ref-type="bibr" rid="B20">US Food and Drug Administration, 2018</xref>). The items of validation included selectivity, linearity, precision, accuracy, matrix effect, extraction recovery, and stability. In addition, the metabolic pathways of sinapine thiocyanate (<bold>3</bold>) have also been studied using UHPLC-Q/TOF-MS in rat plasma, urine and fecal samples after oral administration of sinapine thiocyanate (<bold>3</bold>) (<xref ref-type="bibr" rid="B23">Guan et al., 2022</xref>). Thirteen metabolites were structurally identified, and the proposed metabolic pathways of sinapine thiocyanate (<bold>3</bold>) included deamination, demethylation, hydrogenation, dehydration, and extensive conjugation. Methods validation parameters of biological samples were also summarized in <xref ref-type="table" rid="T2">Table 2</xref>. The assay of mass spectrometry, especially combined mass spectrometry, will be a powerful analytical tool for determination of trace metabolites <italic>in vivo</italic> in the pharmacokinetic and metabolic study of SS.</p>
</sec>
</sec>
<sec id="s7">
<title>7 Pharmacokinetics</title>
<p>In the last decades, the active ingredients in SS have been analyzed <italic>in vivo</italic> and <italic>in vitro</italic> to study their biotransformation profiles. These studies focused on glucosinolates and their metabolites, such as sinalbin (<bold>5</bold>), sinapic acid (<bold>2</bold>), sinapine thiocyanate (<bold>3</bold>), and thioglucoside analogues. Glucosinolates are hydrolyzed by the mustardase to produce p-hydroxybenzyl isothiocynate (white mustard oil), sinapine bisulfate (acidic mustard base) and glucose. Sinapine bisulfate is hydrolyzed by alkaline hydrolysis to produce sinapic acid (<bold>2</bold>) and choline. The p-hydroxybenzyl isothiocyanate is extremely unstable in alkaline solution and decomposes into the p-hydroxybenzyl alcohol and thiocyanate (<xref ref-type="bibr" rid="B70">Wan, 2014</xref>). In addition, administration of sinapic acid (<bold>2</bold>) to rats results in urinary excretion of 3-hydroxy-5-methoxyphenylpropionic acid, dihydro sinapic acid (<bold>2</bold>), 3-hydroxy-5-methoxycinnamic acid, and unchanged sinapic acid (<bold>2</bold>). The sinapine (<bold>1</bold>) is also catabolized to free sinapic acid (<bold>2</bold>) and 3-hydroxy-5-methoxyphenylpropionic acid in rats. 3,4,5-Trimethoxycinnamic acid is partially metabolized to sinapic acid (<bold>2</bold>) and 3-hydroxy-5-methoxyphenylpropionic acid. And then 3,5-dimethoxycinnamic acid is metabolized to 3-hydroxy-5-methoxycinnamic acid and 3-hydroxy-5-methoxyphenylpropionic acid (<xref ref-type="bibr" rid="B22">Griffiths, 1969</xref>). Two proteins (CFPTT and CfPbgS) have also been shown to be the enzymes responsible for the degradation of sinalbin (<bold>5</bold>). Sinalbin (<bold>5</bold>) is absorbed and phosphorylated by CfPttS and subsequently, the phosphorylated entity is degraded by CfPbgS (<xref ref-type="bibr" rid="B74">Watanabe et al., 2021</xref>). Metabonomics studies have shown that the extensive metabolism of sinapine thiocyanate (<bold>3</bold>) includes deamination, demethylation, reduction, dehydration, glucuronide incorporation and sulfate incorporation to produce 11 metabolites (<xref ref-type="bibr" rid="B23">Guan et al., 2022</xref>).</p>
<p>Previous pharmacokinetics focused on sinapine thiocyanate (<bold>3</bold>), sinapic acid (<bold>2</bold>), and sinapine chloride. The pharmacokinetic parameters of sinapine thiocyanate (<bold>3</bold>) after intravenous (2&#xa0;mg/kg) and intragastric (100&#xa0;mg/kg) administrations were obtained. The parameter values of T<sub>max</sub> and C<sub>max</sub> were 88.74 &#xb1; 20.08&#xa0;min and 47.82 &#xb1; 18.77&#xa0;nM, respectively. The T<sub>1/2</sub> of 67.52 &#xb1; 15.69&#xa0;min in the oral administration group was lower than it in the intravenous administration group (<xref ref-type="bibr" rid="B23">Guan et al., 2022</xref>). There are studies in the literature showing that the area under the drug-time curve (AUC<sub>0-t</sub>), mean retention time (MRT<sub>0-t</sub>), of different dose groups of sinapic acid (<bold>2</bold>) AUC<sub>0-t</sub> <italic>in vivo</italic> showed a good linear dependence between 4.5, 9 and 18&#xa0;g/kg, and the pharmacokinetic curve of sinapic acid (<bold>2</bold>) showed a double peak with a low front and a high back (<xref ref-type="bibr" rid="B40">Li et al., 2020</xref>). The cumulative absorption and metabolism rates of sinapine chloride in the intestinal sac at 90&#xa0;min reached (5.78 &#xb1; 1.39)% and (9.42 &#xb1; 1.97)%. Sinapine chloride is rapidly absorbed after gavage administration, reaching peak blood concentrations at about 2 h; however, it is also rapidly metabolized in the serum, reaching its half-life at about 3&#xa0;h (<xref ref-type="bibr" rid="B71">Wang et al., 2020</xref>).</p>
<p>From the pharmacokinetics and bioavailability of sinapine thiocyanate (<bold>3</bold>), sinapic acid (<bold>2</bold>), and sinapine chloride, it can be concluded that the bioavailability of SS is low due to enterohepatic circulation. The study of the <italic>in vivo</italic> absorption, distribution, metabolism, and excretion process of other ingredients in SS is also significant and deserve further study. It is extremely important to study its percutaneous process and pharmacokinetics for external use in order to provide support for the mechanism study of topical treatment of SS in various skin diseases or systemic disease, and the safety evaluation of skin irritants.</p>
</sec>
<sec id="s8">
<title>8 Conclusion and perspectives</title>
<p>Taken together, due to its extensive ethnomedicine uses reported for thousands of years, SS has become one of the most important components of many traditional Chinese medicine and ethnic prescriptions. Clinical applications of synergistic compounding methods have shown that SS has therapeutic effects on asthma, bronchitis, tendon pain, prostate enlargement, hyperlipidemia, hyperglycemia, hypertension, tumors, and cancer. SS has been made into paste, patch, decoction, powder, pill, and medicinal liquor. According to the current literatures, glucosinolates are hydrolyzed by enzymes to produce sinapine (<bold>1</bold>), sinapic acid (<bold>2</bold>), sinapine thiocyanate (<bold>3</bold>), and isothiocyanates. They have significant anti-cough and asthma, anti-inflammatory, anti-nerve damage, anti-androgenic effects, cardioprotective, anti-tumor effects and pro-skin penetration. SS is mostly used topically with other drugs, but clinical practice has shown that they have severe skin irritation and can cause allergic contact dermatitis. It has been documented that SS produces its effects through this skin irritation. Although significant breakthroughs have been made in the comprehensive exploration and application of SS, there is still some in-depth work to be done in the future.</p>
<p>Firstly, glucosinolates are important components in SS. Due to the high hydrophilicity and structural similarity, its purification, isolation and analytical methods need further study. Meanwhile, the hydrolysis process of glucosinolates can also be a future research direction. Secondly, although SS has many pharmacological activities, they are mainly focused on sinapine (<bold>1</bold>), sinapic acid (<bold>2</bold>), sinapine thiocyanate (<bold>3</bold>). The pharmacological effects of other components can be further studied, and the molecular targets of many pharmacological effects are not yet clear. Thirdly, reducing the skin irritation of SS is essential for its clinical application. There are fewer studies on the relationship between irritation, efficacy and chemical composition. Further studies especially those focused on the appropriate dose, efficacy, and safety of SS and its metabolites are recommended before subjecting SS to clinical trials. Finally, the absorption and metabolism studies of SS have focused on sinapine thiocyanate (<bold>3</bold>) and sinalbin (<bold>5</bold>) after oral administration, but pharmacokinetic studies of the components in SS after topical administration are limited. Therefore, elucidating the pharmacokinetic properties of the active components of SS after topical administration may be a valuable research direction.</p>
</sec>
</body>
<back>
<sec id="s9">
<title>Author contributions</title>
<p>RD and HG: information collection, conceptualization, writing. CW: conceptualization, writing&#x2014;review and editing, project administration.</p>
</sec>
<sec id="s10">
<title>Funding</title>
<p>This work was financially supported by the National Natural Science Foundation of China (Grant No. 82003927).</p>
</sec>
<sec sec-type="COI-statement" id="s11">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s13">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2023.1113583/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2023.1113583/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table1.doc" id="SM1" mimetype="application/doc" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<sec id="s14">
<title>Abbreviations</title>
<p>Bax/Bcl-2, Bcl-2 assaciated X protein/B cell lymphoma/lewkmia-2; BMDM, Bone marrow-derived macrophages; BRD4, Bromodomain containing 4; CP, Chinese Pharmacopoeia; ESI, Electrospray ionization; ER, Endoplasmic reticulum; Erk1/2, Extracellular regulated protein kinases1/2; GABA, Gamma-aminobutyric acid; GC-MS, Gas chromatograph-mass spectrometer; HS-SPME, Headspace solid phase micro-extraction; IC, Ion chromatopraphy; LOD, Limits of detection; LOQ, Limits of quantification; MTX, Methotrexate; NLRP3, Nucleotide-binding oligomerization domain, leucine-rich repeat and pyrin domain-containing 3; NMR, Nuclear magnetic resonance spectroscopy; P38 MAPK, P38 mitogen-activated protein kinase; PGC-1&#x3b1;, Peroxisome proliferator-activated receptor &#x3b3; coactivator-1&#x3b1;; PPAR&#x3b3;, Peroxisome proliferator-activated receptor &#x3b3;; QuEChERS, Quick, Easy, Cheap, Effective, Rugged, Safe; ROS, Reactive oxygen species; RSD, Relative standard deviation; SS, Sinapis Semen; TGF-&#x3b2;1, Transforming growth factor-&#x3b2;1; UCP1, Uncoupling protein 1; UHPLC-MS/MS, Ultra performance liquid chromatography/tandem mass spectrometry.</p>
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