Target intelligence / Profile preview

Echinacea

Molecular classification
Other
01

Overview

Echinacea refers to a genus of herbaceous flowering plants in the Asteraceae family, most notably Echinacea purpurea, which are widely used as dietary supplements for their purported immunomodulatory effects (NCCIH, 2020). It is not a single molecular target but a complex mixture of bioactive phytochemicals, including alkamides, caffeic acid derivatives (such as echinacoside), and polysaccharides (Barnes et al., 2005). Pharmacologically, certain alkamides in Echinacea have been identified as ligands for the Cannabinoid receptor type 2 (CB2), which may explain some of its anti-inflammatory properties (Raduner et al., 2006). Additionally, the extract is thought to stimulate the innate immune system by increasing phagocytic activity and altering cytokine production profiles (Zhai et al., 2007). While commonly used to prevent or treat upper respiratory tract infections like the common cold, clinical evidence regarding its efficacy remains inconsistent across various trials (David and Cunningham, 2019). Because it is a botanical product containing numerous constituents, it does not meet the criteria for a discrete therapeutic target in the conventional pharmacological sense.

Other names
Purple coneflowerEchinacea purpureaEchinacea angustifoliaEchinacea pallidaAmerican coneflower
02

Mechanism of action

Echinacea acts as a multi-component botanical extract rather than a single-target drug; its primary mechanisms include the activation of Cannabinoid receptor type 2 (CB2) by alkylamides, stimulation of macrophage phagocytosis, and the modulation of pro-inflammatory cytokines such as TNF-alpha and IL-1 (Raduner et al., 2006; Zhai et al., 2007).

03

Biological functions

Immune responseInflammationPhagocytosis
04

Disease associations

InfectionInflammationCommon cold
05

Safety considerations

Allergic reactions (hypersensitivity) in individuals allergic to Asteraceae plantsPotential exacerbation of autoimmune disordersInhibition of Cytochrome P450 1A2 (CYP1A2)Induction of Cytochrome P450 3A4 (CYP3A4)Hepatotoxicity (rare, associated with prolonged use)
06

Interacting drugs

Cyclosporine

4 more in the full profile.

07

Biomarkers

C-reactive protein (CRP)Tumor necrosis factor-alpha (TNF-alpha)Interleukin-6 (IL-6)White blood cell count

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