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<front>
<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">605994</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2021.605994</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>Identification, Biological Activities and Biosynthetic Pathway of <italic>Dendrobium</italic> Alkaloids</article-title>
<alt-title alt-title-type="left-running-head">Mou et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Alkaloids in Dendrobium</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mou</surname>
<given-names>Zongmin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhao</surname>
<given-names>Yi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ye</surname>
<given-names>Fei</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shi</surname>
<given-names>Yana</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kennelly</surname>
<given-names>Edward J.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/549073/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chen</surname>
<given-names>Suiyun</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhao</surname>
<given-names>Dake</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/383654/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>Biocontrol Engineering Research Center of Plant Disease and Pest, Biocontrol Engineering Research Center of Crop Disease and Pest, School of Ecology and Environmental Science, Yunnan University, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>Department of Biological Sciences, Lehman College and The Graduate Center, City University of New York, <addr-line>Bronx</addr-line>, <addr-line>NY</addr-line>, <country>United&#x20;States</country>
</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>Ph.D. Programs in Biochemistry, Biology, and Chemistry, The Graduate Center, City University of New York, <addr-line>New York</addr-line>, <addr-line>NY</addr-line>, <country>United&#x20;States</country>
</aff>
<aff id="aff4">
<label>
<sup>4</sup>
</label>Kunming Municipal Hospital of Traditional Chinese Medicine, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<label>
<sup>5</sup>
</label>College of Agriculture and Biotechnology, Yunnan Agricultural University, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<aff id="aff6">
<label>
<sup>6</sup>
</label>Institute of Medicinal Plants, Yunnan Academy of Agricultural Sciences, <addr-line>Kunming</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/786880/overview">Gudrun S. Ulrich-Merzenich</ext-link>, University Hospital Bonn, Germany</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/593584/overview">Jen-Tsung Chen</ext-link>, National University of Kaohsiung, Taiwan</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/319031/overview">JiangJie Lu</ext-link>, Hangzhou Normal University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/383972/overview">Xiaoyu Ding</ext-link>, Nanjing Normal University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Suiyun Chen, <email>chensuiyun@ynu.edu.cn</email>; Dake Zhao, <email>zhaodk2012@ynu.edu.cn</email>
</corresp>
<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>20</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>605994</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>09</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>04</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Mou, Zhao, Ye, Shi, Kennelly, Chen and Zhao.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Mou, Zhao, Ye, Shi, Kennelly, Chen and Zhao</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&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Dendrobium</italic> is a genus of flowering plants belonging to the Orchidaceae family with more than 1,400 species. Many <italic>Dendrobium</italic> species have been used as medicinal plants in several Asian countries for thousands of years. Alkaloids were reported as the major biological markers due to their complex chemical compositions and various types. In this review, we summarized the structural types of alkaloids, their pharmacological activities, as well as the mechanisms of biological activities. More than sixty alkaloids were isolated and identified from the <italic>Dendrobium</italic> genus. Moreover, the pharmacological effects of <italic>Dendrobium</italic> alkaloids as hepatic lipid and gluconeogenesis regulation, as neuroprotection, and as anti-tumor, anti-inflammatory, anti-diabetes, and anti-virus factors were described. Besides, the total chemical synthesis of dendrobine is provided, while the biosynthetic pathway of dendrobine has been proposed based on the functions of associated genes. For applications of these invaluable herbs, more researches on the extraction of biological markers from compounds are needed. Further confirmation of the proposed biosynthetic pathways is anticipated as&#x20;well.</p>
</abstract>
<kwd-group>
<kwd>alkaloids</kwd>
<kwd>orchidaceae</kwd>
<kwd>
<italic>Dendrobium</italic>
</kwd>
<kwd>anti-inflammatory</kwd>
<kwd>antitumor</kwd>
<kwd>mechanisms</kwd>
<kwd>biosynthetic pathway</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Apart from Asteraceae, the orchid family is the second-largest flowering family, which has 28,000 species distributed in about 736 genera (<xref ref-type="bibr" rid="B3">Chase et&#x20;al., 2015</xref>), among which <italic>Dendrobium</italic> is one of the largest genera. It contains more than 1,500 species (<ext-link ext-link-type="uri" xlink:href="http://www.theplantlist.org">www.theplantlist.org</ext-link>), most of which are epiphytic or lithophytic, and it is widespread in South, East, and Southeast Asia, like China, Japan, Philippines, Vietnam, India, and Indonesia. Some species are also found in New Guinea, Australia, and the islands of the Pacific (<xref ref-type="bibr" rid="B79">Zhu et&#x20;al., 2009</xref>). The plants of <italic>Dendrobium</italic> species have been used as traditional or folk medicine in many Asian countries for thousands of years. For instance, there are 96&#x20;<italic>Dendrobium</italic> species in China, and about 30 species, known as sh&#xed; h&#xfa; (&#x77f3;&#x659b;) or sh&#xed; h&#xfa; l&#xe1;n (&#x77f3;&#x659b;&#x5170;), have been widely used as ethnic medicine for tonifying the stomach, nourishing Yin (to enhance the production of body fluids, such as blood, saliva, tears, etc.), and clearing heat and toxic matter (<xref ref-type="bibr" rid="B72">Yang et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B16">Flora of China, 2020</xref>). The earliest written record of the medicinal usage of <italic>Dendrobium</italic> was found in the ancient text &#x201c;Shen Nong&#x2019;<italic>s Herbal Classic</italic>&#x201d; 2000&#xa0;years ago, in which it was considered to be a &#x201c;superior grade&#x201d; herbal medicine. Hundreds of years later, <italic>Dendrobium</italic> was documented in detail in &#x201c;Compendium of Materia Medica&#x201d; in Ming Dynasty (1590 AD). Nowadays, <italic>Dendrobium nobile</italic> Lindl., <italic>Dendrobium chrysotoxum</italic> Lindl., <italic>Dendrobium fimbriatum</italic> Hook., <italic>Dendrobium officinale</italic> Kimura et Migo, and <italic>Dendrobium huoshanense</italic> Z. Z. Tang et S. J. Cheng are included in Chinese Pharmacopoeia (2020 edition). Among these five species, <italic>Dendrobium nobile</italic> Lindl. is one of the 50 fundamental herbs used in traditional Chinese medicine (TCM). Generally, the fibrous stems of <italic>Dendrobium</italic> are employed as the officinal parts in ethnopharmacology, persevered by dry processing (<xref ref-type="bibr" rid="B8">Chinese Pharmacopoeia Commission, 2020</xref>). These stems are usually used either alone or mixed with other tonic Chinese herbs, like x&#x012b; y&#xe1;ng sh&#x113;n (American Ginseng) and g&#x1d2;u q&#x1d0; z&#x1d0; (Barbary Wolferry Fruit) (<xref ref-type="bibr" rid="B42">Lin et&#x20;al., 2018</xref>). Aside from China, <italic>Dendrobium</italic> species have also been used as ethnomedicines in Japan, Indian, and Thailand (<xref ref-type="table" rid="T1">Table&#x20;1</xref>). Given their high medicinal value and wide ethno-applications, the <italic>Dendrobium</italic> genus was recognized as a prized folk medicine (<xref ref-type="bibr" rid="B49">Ng et&#x20;al., 2012</xref>).</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The ethnomedicine use of <italic>Dendrobium</italic> in some countries.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Country</th>
<th align="center">Dendrobium species</th>
<th align="center">Local name</th>
<th align="center">Ethnomedicine use</th>
<th align="center">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="5" align="left">China</td>
<td align="left">
<italic>Dendrobium nobile</italic> Lindl.</td>
<td align="left">sh&#xed; h&#xfa; (&#x77f3;&#x659b;)</td>
<td align="left">Used as a tonic and antipyretic for treating human disorders</td>
<td align="left">
<xref ref-type="bibr" rid="B34">Lam et&#x20;al. (2015)</xref>
</td>
</tr>
<tr>
<td align="left">
<italic>Dendrobium chrysotoxum</italic> Lindl.</td>
<td align="left">sh&#xed; h&#xfa; l&#xe1;n (&#x77f3;&#x659b;&#x5170;)</td>
<td rowspan="4" align="left">Used for clearing heat and toxic matter, and enhancing immunity</td>
<td align="left">
<xref ref-type="bibr" rid="B42">Lin et&#x20;al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">
<italic>Dendrobium fimbriatum</italic> Hook.</td>
<td align="left">hu&#xe1;ng c&#x1ce;o (&#x9ec4;&#x8349;)</td>
<td align="left">
<xref ref-type="bibr" rid="B72">Yang et&#x20;al. (2006)</xref>
</td>
</tr>
<tr>
<td align="left">
<italic>Dendrobium officinale</italic> Kimura et Migo</td>
<td rowspan="2" align="left">xi&#x101;n c&#x1ce;o (&#x4ed9;&#x8349;)</td>
<td align="left">
<xref ref-type="bibr" rid="B75">Yuan et&#x20;al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">
<italic>Dendrobium aphyllum</italic> (Roxb.) C.E.C.Fisch</td>
<td align="left">
<xref ref-type="bibr" rid="B65">Wang et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left"/>
<td align="left">
<italic>Dendrobium huoshanense</italic> Z. Z. Tang et S. J. Cheng</td>
<td rowspan="3" align="left"/>
<td rowspan="3" align="left"/>
<td rowspan="3" align="left"/>
</tr>
<tr>
<td align="left">
<italic>Dendrobium findlayanum</italic> C. S. P. Parish et Rchb. f.</td>
</tr>
<tr>
<td align="left">
<italic>Dendrobium loddigesii</italic> Rolfe</td>
</tr>
<tr>
<td align="left">Japan</td>
<td align="left">
<italic>Dendrobium moniliforme</italic> (L.) Sw.</td>
<td align="left">Fu-ran</td>
<td align="left">Gives long life to men</td>
<td align="left">
<xref ref-type="bibr" rid="B2">Cakova et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">Indian</td>
<td align="left">
<italic>Dendrobium macraei</italic> Lindl. (jeevanti)</td>
<td align="left">Charaka samhita</td>
<td rowspan="3" align="left">Used as an astringent to the bowels, as anaphrodisiac, and in asthma and bronchitis</td>
<td rowspan="3" align="left">
<xref ref-type="bibr" rid="B34">Lam et&#x20;al. (2015)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">
<italic>Dendrobium alpestre</italic> royle (jewanti)</td>
<td align="left">Ayurved</td>
</tr>
<tr>
<td align="left">Jeevanti</td>
</tr>
<tr>
<td align="left">Thailand</td>
<td align="left">
<italic>Dendrobium draconis</italic> Rchb. F.</td>
<td align="left">Unknown</td>
<td align="left">Employed as a blood tonic</td>
<td align="left">
<xref ref-type="bibr" rid="B49">Ng et&#x20;al. (2012)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Due to the important pharmacological activities and economical value of <italic>Dendrobium</italic> genus, up to now, many phytochemical and pharmacological researches have been implemented. The active constituents in <italic>Dendrobium</italic> are polysaccharides, alkaloids, flavonoids, amino acids, bibenzyls, and several trace elements (<xref ref-type="bibr" rid="B23">He et&#x20;al., 2020</xref>). The polysaccharides from <italic>Dendrobium</italic> exhibit immunomodulatory and hepatoprotective activities; and the alkaloids are antioxidant, anticancer, and neuroprotective, while other compounds display anti-angiogenesis, anti-cytotoxicity, and anti-mutagenesis effects (<xref ref-type="bibr" rid="B49">Ng et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B66">Xu et&#x20;al., 2013</xref>). Alkaloids are the earliest identified category of compounds in <italic>Dendrobium</italic> (<xref ref-type="bibr" rid="B5">Chen and Chen, 1935</xref>). More importantly, <italic>Dendrobium</italic> alkaloids are the key constituents that responsible for their pharmacological activities, making them potential candidates for new drugs. Therefore, some important bioactive markers such as dendrobine (20) have attracted many scientists to investigate their chemical, pharmaceutical, and biological mechanisms, as well as biogenetic pathways (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>).</p>
<p>
<italic>Dendrobium</italic> alkaloids with complex chemical structures consist of pyrrole, indolizidine, terpenoid alkaloids, organic amine alkaloids, indole, quinazoline, and others (<xref ref-type="bibr" rid="B66">Xu et&#x20;al., 2013</xref>). In accordance with other genera of Orchidaceae plants, indolizidine alkaloids and organic amine alkaloids are the major constituents of this genus (<xref ref-type="bibr" rid="B34">Lam et&#x20;al., 2015</xref>). These chemicals are considered as active ingredients for effects like anti-inflammatory, cytotoxic, antitumor, cytoprotection, gluconeogenesis regulation, and preventing neuronal apoptosis (<xref ref-type="bibr" rid="B49">Ng et&#x20;al., 2012</xref>). For instance, <italic>Dendrobium nobile</italic> Lindl. is a famous TCM recorded in Chinese Pharmacopoeia (2020 edition). The alkaloids of <italic>Dendrobium nobile</italic> Lindl. (DNLA) are considered to have beneficial effects on liver metabolism, hepatic lipid homeostasis, neuronal activity, and resistance effects on tumors, cancers, and virus based on previous studies (<xref ref-type="table" rid="T2">Table&#x20;2</xref>). Dendrobine (20), a sesquiterpene alkaloid, makes up 92.6% of the DNLA (<xref ref-type="bibr" rid="B69">Xu et&#x20;al., 2017</xref>). Dendrobine (20) is the first identified active alkaloid of <italic>Dendrobium nobile</italic> Lindl. (<xref ref-type="bibr" rid="B5">Chen and Chen, 1935</xref>), and is regarded as the standard agent for qualitative and quantitative evaluation of <italic>Dendrobium nobile</italic> Lindl. (<xref ref-type="bibr" rid="B39">Li R. et&#x20;al., 2017</xref>).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Summary of the pharmacological of alkaloids isolated from <italic>Dendrobium nobile</italic> Lindl.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">No</th>
<th align="center">Organ</th>
<th align="center">Alkaloids content of crude extract</th>
<th align="center">Constituents of alkaloid extract</th>
<th align="center">Pharmacological activities</th>
<th align="center">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="6" align="left">1</td>
<td rowspan="6" align="left">Stem</td>
<td rowspan="6" align="center">79.8%</td>
<td align="left">Dendrobine (20), 92.6%</td>
<td rowspan="5" align="left">Beneficial effects on liver glucose and lipid metabolism gene expressions</td>
<td align="left">
<xref ref-type="bibr" rid="B69">Xu et&#x20;al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">Dendrobine-N-oxide (22), 3.3%</td>
<td rowspan="5" align="left">
<xref ref-type="bibr" rid="B40">Li et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Nobilonine (45), 2.0%</td>
</tr>
<tr>
<td align="left">Dendroxine (24), 0.9%</td>
</tr>
<tr>
<td align="left">6-Hydroxy-nobilonine (46), 0.32%</td>
</tr>
<tr>
<td align="left">13-Hydroxy-14-oxodendrobine (26), 0.07%</td>
<td align="left">Protective effects on CCl<sub>4</sub>-induced acute liver injury</td>
</tr>
<tr>
<td align="left">2</td>
<td align="left">Stem</td>
<td align="center">79.8%</td>
<td align="left">Dendrobine (20), 92.6%</td>
<td align="left">Protective effects on hepatic lipid homeostasis and acute liver injury</td>
<td align="left">
<xref ref-type="bibr" rid="B30">Huang S. et&#x20;al. (2019)</xref>; <xref ref-type="bibr" rid="B78">Zhou et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">3</td>
<td align="left">Stem</td>
<td align="center">Unkown</td>
<td align="left">Mixed fat-soluble alkaloids</td>
<td align="left">Anti-tumor efficacy in human colorectal cancer</td>
<td align="left">
<xref ref-type="bibr" rid="B22">He et&#x20;al. (2017)</xref>
</td>
</tr>
<tr>
<td rowspan="4" align="left">4</td>
<td rowspan="4" align="left">Unkown</td>
<td rowspan="4" align="center">96.1%</td>
<td align="left">Dendrobine (20), 90.7%</td>
<td rowspan="4" align="left">Protection from OGD/RP-induced neuronal damages</td>
<td rowspan="4" align="left">
<xref ref-type="bibr" rid="B63">Wang et&#x20;al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Dendramine (23), 2.31%</td>
</tr>
<tr>
<td align="left">3-Hydroxy-2-oxodendrobine (26), 1.29%</td>
</tr>
<tr>
<td align="left">Nobilonine, (45), 4.47%</td>
</tr>
<tr>
<td rowspan="4" align="left">5</td>
<td rowspan="4" align="left">Stem</td>
<td rowspan="4" align="center">96.1%</td>
<td align="left">Dendrobine (20), 90.7%</td>
<td rowspan="4" align="left">Protection of brain impairment</td>
<td rowspan="4" align="left">
<xref ref-type="bibr" rid="B36">Li et&#x20;al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Nobilonine (45), 4.47%</td>
</tr>
<tr>
<td align="left">Dendramine (23), 2.31%</td>
</tr>
<tr>
<td align="left">3-Hydroxy-2-oxodendrobine (26), 1.29%</td>
</tr>
<tr>
<td align="left">6</td>
<td align="left">Unkown</td>
<td align="center">54.5%</td>
<td align="left">Dendrobine (20), 30.5%</td>
<td align="left">Attenuation of LPS-induced hyperphosphorylation of tau protein and protection against LPS-induced apoptosis</td>
<td align="left">
<xref ref-type="bibr" rid="B74">Yang et&#x20;al. (2014)</xref>
</td>
</tr>
<tr>
<td rowspan="6" align="left">7</td>
<td rowspan="6" align="left">Unkown</td>
<td rowspan="6" align="center">79.8%</td>
<td align="left">Dendrobine (20)</td>
<td rowspan="2" align="left">Prevention of neuronal apoptosis and synaptic loss</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B51">Nie et&#x20;al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">Dendrobine-N-oxide (22)</td>
</tr>
<tr>
<td align="left">Nobilonine (45)</td>
<td rowspan="4" align="left">Regulation of a- and &#xdf;-secretase in hippocampal neurons</td>
<td rowspan="4" align="left">
<xref ref-type="bibr" rid="B29">Huang J.&#x20;et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Dendroxine (24)</td>
</tr>
<tr>
<td align="left">6-Hydroxy-nobilonine (46)</td>
</tr>
<tr>
<td align="left">13-Hydroxy-14-oxodendrobine (26)</td>
</tr>
<tr>
<td align="left">8</td>
<td align="left">Dendrobine standard</td>
<td align="center">&#x3e;98%</td>
<td align="left">Dendrobine (20), &#x3e;98%</td>
<td align="left">Anticancer activity toward non-small cell lung cancer cells</td>
<td align="left">
<xref ref-type="bibr" rid="B59">Song et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">9</td>
<td align="left">Dendrobine standard</td>
<td align="center">98%</td>
<td align="left">Dendrobine (20), 98%</td>
<td align="left">Anti-influenza a virus</td>
<td align="left">
<xref ref-type="bibr" rid="B39">Li et&#x20;al. (2017)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>In this review, we aim to summarize the structural types, pharmacological activities, and the mechanisms of biological activities of <italic>Dendrobium</italic> alkaloids. Additionally, the proposed biogenetic pathways of dendrobine (20) are also included.</p>
</sec>
<sec id="s2">
<title>Structural Identification of <italic>Dendrobium</italic> Alkaloids</title>
<p>Alkaloids are representatives of the first category of compounds extracted from <italic>Dendrobium</italic> (<xref ref-type="bibr" rid="B66">Xu et&#x20;al., 2013</xref>). <italic>Dendrobium</italic> alkaloids were isolated by the traditional alkaloid extraction method given their basic chemical structure. Dried powders of <italic>Dendrobium</italic> spp. were liquid-liquid extracted with various solvents, such as ethanol, methanol, or chloroform, then fractionated successively with water, petroleum ether, ethyl acetate, n-butyl alcohol, etc. (<xref ref-type="bibr" rid="B70">Yang et&#x20;al., 2020</xref>). Subsequently, these fractions were purified on different silica gel column chromatography systems with various polarity ranges of solvents (<xref ref-type="bibr" rid="B48">Morita et&#x20;al., 2000</xref>). Moreover, high performance liquid chromatography (HPLC) and ultra-performance liquid chromatography (UPLC) coupled with mass spectrometry were developed to discover new compounds of <italic>Dendrobium</italic> (<xref ref-type="bibr" rid="B67">Xu et&#x20;al., 2020</xref>). Up to now, more than sixty alkaloids (<xref ref-type="fig" rid="F1">Figures 1</xref>&#x2013;<xref ref-type="fig" rid="F5">5</xref>, 1&#x2013;63) have been identified from this genus. The chemical structures include pyrrole, indolizidine, terpenoid, amine, and indole alkaloids. These compounds were mainly isolated from the whole plants, stems, or leaves of <italic>Dendrobium nobile</italic> Lindl., <italic>Dendrobium officinale</italic> Kimura et Migo, <italic>Dendrobium findlayanum</italic> C. S. P. Parish et Rchb. f., <italic>Dendrobium chrysanthum</italic> Wall. ex Lindl., <italic>Dendrobium crepidatum</italic> Lindl. ex Paxton, <italic>Dendrobium anosmum</italic> Lindl., <italic>Dendrobium devonianum</italic> Paxton, <italic>Dendrobium friedericksianum</italic> Rchb. f., <italic>Dendrobium hildebrandii</italic> Rolfe, <italic>Dendrobium loddigesii</italic> Rolfe, <italic>Dendrobium lohohense</italic> Tang et F. T. Wang, <italic>Dendrobium moniliforme</italic> (L.) Sw., <italic>Dendrobium pierardii</italic> R. Br., <italic>Dendrobium primulinum</italic> Lindl., and <italic>Dendrobium wardianum</italic> R. Warner (<xref ref-type="bibr" rid="B31">Inubushi et&#x20;al., 1964</xref>; <xref ref-type="bibr" rid="B46">L&#xfc;ning et&#x20;al., 1965</xref>; <xref ref-type="bibr" rid="B13">Elander et&#x20;al., 1969</xref>; <xref ref-type="bibr" rid="B11">Ekevag et&#x20;al., 1973</xref>; <xref ref-type="bibr" rid="B1">Begum et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B34">Lam et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B26">Hu et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B26">Hu et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B68">Xu et&#x20;al., 2019</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Structures of pyrrole alkaloids reported in <italic>Dendrobium</italic>.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Structures of indolizidine alkaloids reported in <italic>Dendrobium</italic>.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Structures of terpenoid alkaloids reported in <italic>Dendrobium</italic>.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Structures of organic amine alkaloids reported in <italic>Dendrobium</italic>.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g004.tif"/>
</fig>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Structures of indole and other alkaloids reported in <italic>Dendrobium</italic>.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g005.tif"/>
</fig>
<sec id="s2-1">
<title>Pyrrole Alkaloids</title>
<p>Most pyrrole alkaloids from Orchidaceae were found in <italic>Dendrobium</italic>, <italic>Pleione</italic>, and <italic>Liparis</italic> plants. Till now, only five pyrroles were reported in <italic>Dendrobium</italic>, and all of them are simple phthalide-pyrrolidine alkaloids (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>). Shihunine (1), a water-soluble phthalide-type alkaloid, was the first pyrrole alkaloid from <italic>Dendrobium lohohense</italic> Tang et F. T. Wang in 1968 (<xref ref-type="bibr" rid="B31">Inubushi et&#x20;al., 1964</xref>). Shihunidine (2) was also isolated from the same species by <xref ref-type="bibr" rid="B35">Li et&#x20;al. (1991)</xref>. Cis-trans isomerizations of dendrochrysines (3 and 4) and dendrochrysanines (5 and 6), the other four pyrrole isomers alkaloids, were isolated from <italic>Dendrobium chrysanthum</italic> Wall. ex Lindl. (<xref ref-type="bibr" rid="B11">Ekevag et&#x20;al., 1973</xref>; <xref ref-type="bibr" rid="B73">Yang et&#x20;al., 2005</xref>), while hygrine (7) was produced in <italic>Dendrobium primulinum</italic> Lindl. (<xref ref-type="bibr" rid="B46">L&#xfc;ning et&#x20;al., 1965</xref>).</p>
</sec>
<sec id="s2-2">
<title>Indolizidine Alkaloids</title>
<p>Indolizidine alkaloids are important constituents of <italic>Dendrobium</italic> (<xref ref-type="bibr" rid="B68">Xu et&#x20;al., 2019</xref>). Twelve indolizidine alkaloids were observed in <italic>Dendrobium</italic>, most of which were from <italic>Dendrobium crepidatum</italic> Lindl. et Paxton (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>, 8&#x2013;19). Dendroprimine (8) is a simple indolizidine alkaloid reported in <italic>Dendrobium primulinum</italic> Lindl. (<xref ref-type="bibr" rid="B46">L&#xfc;ning et&#x20;al., 1965</xref>). Other indolizidine alkaloids such as crepidine (9), crepidamine (10), isocrepidamine (11), and isodendrocrepine (12) were found in <italic>Dendrobium crepidatum</italic> Lindl. et Paxton (<xref ref-type="bibr" rid="B14">Elander et&#x20;al., 1973</xref>; <xref ref-type="bibr" rid="B28">Hu et&#x20;al., 2020</xref>). The other three alkaloids of this type (&#xb1;)-homocrepidine A [(&#xb1;)-13] (&#xb1;)-dendrocrepidamine A [(&#xb1;)-14], and homocrepidine B (15) were first identified from the same <italic>Dendrobium</italic> species by <xref ref-type="bibr" rid="B26">Hu et&#x20;al. (2016</xref>; <xref ref-type="bibr" rid="B28">2020)</xref>. Then the absolute configurations of the new pairs enantiomeric octahydroindolizine compounds (&#xb1;)-homocrepodine A [(&#xb1;)-13] and (&#xb1;)- dendrocrepidamine A [(&#xb1;)-14], were verified by single-crystal X-ray diffraction (<xref ref-type="bibr" rid="B26">Hu et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B28">Hu et&#x20;al., 2020</xref>). Recently, four new indolizidine alkaloids, crepidatumines A to D (16&#x2013;19), were purified from <italic>Dendrobium crepidatum</italic> Lindl. et Paxton by <xref ref-type="bibr" rid="B68">Xu et&#x20;al. (2019</xref>; <xref ref-type="bibr" rid="B67">2020)</xref>.</p>
</sec>
<sec id="s2-3">
<title>Terpenoid Alkaloids</title>
<p>Terpenoid alkaloids are another important secondary metabolites principally isolated from <italic>Dendrobium</italic> (<xref ref-type="bibr" rid="B66">Xu et&#x20;al., 2013</xref>). The types of alkaloids are various based on their mono-, sesqui-, di-, and tri-terpenoid skeletons. Dendrobine (20) was the first terpenoid-alkaloid elucidated from <italic>Dendrobium nobile</italic> Lindl. in 1932 (<xref ref-type="bibr" rid="B5">Chen and Chen 1935</xref>). Subsequently, a total of 25&#x20;dendrobine-type alkaloids were found in <italic>Dendrobium nobile</italic> Lindl., <italic>Dendrobium findlayanum</italic> C. S. P. Parish et Rchb. f., <italic>Dendrobium wardianum</italic> R. Warner, and <italic>Dendrobium moniliforme</italic> (L.) Sw., most of which are sesquiterpenoid alkaloids (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>, 20&#x2013;42, 51&#x2013;52). Interestingly, dendrobine-type alkaloids are a class of characteristic picrotoxanes with highly complex structures, which are only distributed in <italic>Dendrobium</italic> genus (<xref ref-type="bibr" rid="B1">Begum et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B47">Meng et&#x20;al., 2017</xref>). All of these dendrobine-type alkaloids contain basic skeletons comprising one picrotoxane-type sesquiterpenoid combined with a five-membered C2-C9-lined N-heterocycle and C3-C5-linked lactonic ring (<xref ref-type="bibr" rid="B66">Xu et&#x20;al., 2013</xref>).</p>
<p>Two thirds of terpenoid alkaloids in the genus <italic>Dendrobium</italic> were isolated from the certain species of <italic>Dendrobium nobile</italic> Lindl.. Mubironines A-C (27&#x2013;29) were identified from the whole plant (<xref ref-type="bibr" rid="B48">Morita et&#x20;al., 2000</xref>), and the absolute components of these three compounds were confirmed by single-crystal X-ray diffraction. Dendroterpene A and B (30&#x2013;31) were found from the stems recently (<xref ref-type="bibr" rid="B62">Wang P. et&#x20;al., 2019</xref>). Other terpenoid alkaloids from <italic>Dendrobium nobile</italic> Lindl., compounds 20&#x2013;26 and 32&#x2013;41 have been reported over eighty years (<xref ref-type="bibr" rid="B5">Chen and Chen, 1935</xref>; <xref ref-type="bibr" rid="B57">Shhosuke and Yoshimasa, 1964</xref>; <xref ref-type="bibr" rid="B32">Inubushi and Nakano, 1965</xref>; <xref ref-type="bibr" rid="B53">Okamoto et&#x20;al., 1966a</xref>; <xref ref-type="bibr" rid="B54">Okamoto et&#x20;al., 1966b</xref>; <xref ref-type="bibr" rid="B18">Granelli et&#x20;al., 1970</xref>; <xref ref-type="bibr" rid="B12">Elander and Leander, 1971</xref>; <xref ref-type="bibr" rid="B24">Hedman and Leander, 1972</xref>; <xref ref-type="bibr" rid="B52">Okamoto et&#x20;al., 1972</xref>; <xref ref-type="bibr" rid="B17">Glomqvist et&#x20;al., 1973</xref>; <xref ref-type="bibr" rid="B60">Wang et&#x20;al., 1985</xref>; <xref ref-type="bibr" rid="B47">Meng et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B64">Wang Q. et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B43">Liu et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B70">Yang et&#x20;al., 2020</xref>). A total of eleven terpenoid alkaloids were purified from another three <italic>Dendrobium</italic> species. Dendrofindline B (42) was isolated from <italic>Dendrobium findlayanum</italic> C. S. P. Parish et Rchb. f. (<xref ref-type="bibr" rid="B43">Liu et&#x20;al., 2020</xref>). Besides, seven new seco-dendrobines, findlayines A-F (43&#x2013;48), and dendrofindline A (49) were identified from the same species. (<xref ref-type="bibr" rid="B71">Yang et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B43">Liu et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B70">Yang et&#x20;al., 2020</xref>). In 2007, <xref ref-type="bibr" rid="B45">Liu et&#x20;al. (2007)</xref> reported the isolation and structural identification of moniline (50) from the stems and leaves of <italic>Dendrobium moniliforme</italic> (L.) Sw.. Dendrowardine (51) and wardianumine A (52) were purified from <italic>Dendrobium wardianum</italic> R. Warner by <xref ref-type="bibr" rid="B44">Liu and Zhao. (2003)</xref> and <xref ref-type="bibr" rid="B77">Zhang et&#x20;al. 2017</xref>, respectively.</p>
</sec>
<sec id="s2-4">
<title>Amine Alkaloids</title>
<p>Amine alkaloids are a class of widely spread natural amines with basic nitrogen but cannot form a ring in the skeleton. Most amines in <italic>Dendrobium</italic> are amides (<xref ref-type="fig" rid="F4">Figure&#x20;4</xref>, 53&#x2013;61). For example, <italic>N-cis</italic>-p-coumaroyltyramine (53) and <italic>N-cis</italic>-feruloyltyramine (54) were identified from the stems of <italic>Dendrobium devonianum</italic> Paxton (<xref ref-type="bibr" rid="B76">Zhang et&#x20;al., 2013</xref>). Pierardine (61) was isolated from <italic>Dendrobium pierardii</italic> R. Br. (<xref ref-type="bibr" rid="B13">Elander et&#x20;al., 1969</xref>).</p>
</sec>
<sec id="s2-5">
<title>Indole and Other Types of Alkaloids</title>
<p>2,3,4,9-tetrahydro-1&#x20;H-pyrido [3,4-b] indole-3-carboxylic acid (62) was the only reported indole alkaloid from <italic>Dendrobium devonianum</italic> Paxton (<xref ref-type="bibr" rid="B76">Zhang et&#x20;al., 2013</xref>) (<xref ref-type="fig" rid="F5">Figure&#x20;5</xref>). Moreover, anosmines (63) are another type of alkaloids isolated from two species of <italic>Dendrobium</italic>, whose structures were confirmed by X-ray crystallography (<xref ref-type="bibr" rid="B25">Hemscheidt and Spenser, 1993</xref>).</p>
</sec>
<sec id="s2-6">
<title>Metabolic Analysis of <italic>Dendrobium</italic>
</title>
<p>At present, metabolomics has been widely utilized in the field of medicinal plants, such as bioactive components identification, drug metabolism, toxicology, and investigation on metabolic pathways, etc. (<xref ref-type="bibr" rid="B41">Liang et&#x20;al., 2009</xref>). Alkaloids are regarded as chemical markers in quantitative analysis of <italic>Dendrobium</italic>. Generally, the metabolic profiling of <italic>Dendrobium</italic> alkaloid compounds was established by liquid chromatography coupled to single (LC-MS) and tandem (LC-MS/MS) mass spectrometry, in combination with multivariate data analyses, where secondary metabolites can be accurately quantified based on their fingerprint chromatograms. For example, the comparative metabolite analysis of <italic>Dendrobium officinale</italic> Kimura et Migo and <italic>Dendrobium huoshanense</italic> Z. Z. Tang et S. J. Cheng showed that the accumulation of alkaloids was species-specific (<xref ref-type="bibr" rid="B58">Song et&#x20;al., 2020</xref>). Ten potential anti-inflammatory alkaloid components were detected from the extraction of <italic>Dendrobium aphyllum</italic> (Roxb.) C. E. C. Fisch by UPLC-MS (<xref ref-type="bibr" rid="B62">Wang P. et&#x20;al.,2019</xref>), while eight water-soluble metabolites containing rare imidazolium alkaloids and anosmines (4) were identified by the screening of <italic>Dendrobium nobile</italic> Lindl., <italic>Dendrobium officinale</italic> Kimura et Migo, and <italic>Dendrobium loddigesii</italic> Rolfe, using chromatography along with spectroscopic techniques (<xref ref-type="bibr" rid="B4">Chen et&#x20;al., 2018</xref>). Besides, DNLA was reported to improve hepatic lipid homeostasis based on the results of UPLC-MS of 48 kinds of hepatic bile acids in the livers of high fat diet (HFD)-fed mice (<xref ref-type="bibr" rid="B30">Huang S. et&#x20;al., 2019</xref>). Furthermore, the combination of metabolomic and transcriptomic technologies revealed the possible pathways in alkaloid biosynthesis of <italic>Dendrobium officinale</italic> Kimura et Migo (<xref ref-type="bibr" rid="B20">Guo et&#x20;al., 2013</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>Pharmacological Activities</title>
<p>
<italic>Dendrobium</italic> alkaloids are active components with anti-inflammatory, antitumor, and anti-viral effects, which can also regulate hepatic lipid and gluconeogenesis, and protect from hyperglycemia. For a better understanding of the bioactivities of <italic>Dendrobium</italic> alkaloids, previous studies on pharmacological efficacy are summarized.</p>
<sec id="s3-1">
<title>Anti-inflammatory Activity</title>
<p>Inflammation induced by endotoxin such as lipopolysaccharide (LPS), is an immune defense response of organisms to tissue injury and microbial agents (<xref ref-type="bibr" rid="B19">Guha and Mackman, 2001</xref>). Most anti-inflammatory activities were tested with the LPS-induced RAW264.7 model by evaluating the indices of nitric oxide (NO) production and the expression of inducible NO synthase (<xref ref-type="bibr" rid="B4">Chen et&#x20;al., 2018</xref>). The anti-inflammatory activities of <italic>Dendrobium</italic> alkaloids have been reported. For example, anosmines (63) that were presented in four <italic>Dendrobium</italic> species exhibited inhibitory activity against NO production and inflammation in LPS-activated RAW264.7 cells without cytotoxic activity (<xref ref-type="bibr" rid="B4">Chen et&#x20;al., 2018</xref>). Besides (&#x2b;)-homocrepidine A [(&#x2b;)-13] isolated from <italic>Dendrobium crepidatum</italic> Lindl. ex Paxton was evaluated for its anti-inflammatory activity (NO inhibition) with LPS-induced RAW 264.7 macrophages, and the half maximal inhibitory concentration (IC<sub>50</sub>) value was 3.6&#xa0;&#xb5;M. However, the other enantiomeric isomer (&#x2013;)-homocrepodine A [(&#x2013;)-13], displayed an IC<sub>50</sub> value of 22.8&#xa0;&#xb5;M, which was almost 7&#x20;times less active than [(&#x2b;)-13]. Besides, their racemic mixtures (&#xb1;)-homocrepodine A [(&#xb1;)-13], showed a moderate inhibitory effect (IC<sub>50</sub> &#x3d; 5.0&#xa0;&#xb5;M). Similar pharmacological activities were observed in (&#xb1;)-dendrocrepidamine A [(&#xb1;)-14] (<xref ref-type="bibr" rid="B28">Hu et&#x20;al., 2020</xref>). Compared with the enantiomers of racemic indolizidine and their racemic mixtures, homocrepidine B (15) also displayed moderate anti-inflammatory activity with the IC<sub>50</sub> value of 27.6&#xa0;&#xb5;M (<xref ref-type="bibr" rid="B26">Hu et&#x20;al., 2016</xref>). Furthermore, the total alkaloids, mainly consisted of six indolizine-type compounds from the same <italic>Dendrobium</italic> species, showed protective effects against the LPS-induced acute lung injury in mice by the down-regulation of the TLR4-mediated MyD88/MAPK signaling pathway (<xref ref-type="bibr" rid="B27">Hu et&#x20;al., 2018</xref>). Taken together, the pharmacological investigations of <italic>Dendrobium</italic> alkaloids on anti-inflammatory shed light on scientific guidance for the source of this&#x20;genus.</p>
</sec>
<sec id="s3-2">
<title>Improved Regulation of Hepatic Lipid Homeostasis and Gluconeogenesis</title>
<p>The liver is quite essential to the regulation of lipid and glucose homeostasis. On the other hand, the disruption of homeostasis will result in metabolic disorders of the liver, including fatty liver and diabetes, which are the most common chronic liver disease all over the world (<xref ref-type="bibr" rid="B55">Rinella, 2015</xref>). DNLA was found to impact the regulation of liver glucose and the expressions of lipid metabolism genes in mice livers by increasing the expressions of <italic>PGC1a, Glut2, Cpt1a, Acox, ATGL/Pnpla2</italic>, and <italic>FoxO1</italic> genes, and decreasing the mRNA transcription from the <italic>Srebp1</italic> gene (<xref ref-type="bibr" rid="B69">Xu et&#x20;al., 2017</xref>). Moreover, excessive accumulation of hepatic lipids is responsible for liver metabolic dysfunction. Modulation of bile acids has been reported as an effective intervention strategy for maintaining hepatic lipid homeostasis (<xref ref-type="bibr" rid="B7">Chiang, 2013</xref>). DNLA exerted protective effects on hepatic lipid homeostasis by enhancing taurine-conjugated bile acids and decreasing the cholic acid/chenodeoxycholic acid ratio (<xref ref-type="bibr" rid="B30">Huang S. et&#x20;al., 2019</xref>). To be specific, DNLA decreased four types of bile acids and increased five types of bile acids among 48 kinds of hepatic bile acids in the livers of high-fat diet (HFD)-fed mice (<xref ref-type="bibr" rid="B30">Huang S. et&#x20;al., 2019</xref>). On the other hand, DNLA regulated hepatic gluconeogenesis by mediating the hepatic antioxidant components through hepatic metallothionein and the gene expression of the nuclear factor erythroid 2-related factor 2 antioxidant pathway, which plays critical roles in host defense against abnormal gluconeogenesis (<xref ref-type="bibr" rid="B69">Xu et&#x20;al., 2017</xref>). The mechanisms were further elucidated that DNLA improved mitochondrial function and inhibited mitochondrial apoptotic cell death (<xref ref-type="bibr" rid="B78">Zhou et&#x20;al., 2020</xref>). Overall, considering the beneficial effects of <italic>Dendrobium</italic> alkaloids on liver metabolism, <italic>Dendrobium</italic> alkaloids could be used as natural compounds in the development of new treatments for hyperlipidemia and hyperglycaemia.</p>
</sec>
<sec id="s3-3">
<title>Anti-tumor Activity</title>
<p>It was reported that <italic>Dendrobium</italic> alkaloids could inhibit tumor cell growth and mediate apoptosis. (<xref ref-type="bibr" rid="B22">He et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B59">Song et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B61">Wang et&#x20;al., 2014</xref>). Specifically, the alkaloid extracts of <italic>Dendrobium candidum</italic> Wall. ex Lindl. were reported to significantly inhibit the growth of transplanted Lewis tumors, meanwhile, the mixed alkaloids could improve the spleen index and regulate the expressions of TNF-&#x3b1; and IL-2 (<xref ref-type="bibr" rid="B61">Wang et&#x20;al., 2014</xref>). Moreover, the fat-soluble alkaloids extracted from <italic>Dendrobium nobile</italic> Lindl. were found to induce the apoptosis of human colorectal cancer HT-29 cells with an IC<sub>50</sub> value of 0.72&#xa0;mg/ml at 48&#xa0;h, where the cell cycle was arrested in G2 phase. Besides, the extraction decreased the mitochondrial membrane potential (&#x394;&#x3a8;m) and induced ROS accumulation by increasing expression levels of apoptotic proteins, such as Caspase-9, Caspase-3, and intracellular cytochrome C (<xref ref-type="bibr" rid="B22">He et&#x20;al., 2017</xref>), which may be related to the mitochondria-mediated apoptotic pathway. The combined treatment using sesquiterpene alkaloids, dendrobine (20) and cisplatin, was also effective for inhibiting the non-small cell lung cancer cells (NSCLC) <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>, where the cytotoxicity was induced by the simulation of c-jun NH<sub>2</sub>-terminal kinase (JNK)/p38 stress signaling pathways, and the expression change of pro-apoptotic proteins Bax and Bim further led to the apoptosis (<xref ref-type="fig" rid="F6">Figure&#x20;6</xref>, revised from song et&#x20;al., 2019, created with <ext-link ext-link-type="uri" xlink:href="http://BioRender.com">BioRender.com</ext-link>). Besides, dendrobine (20) also mediated apoptotic cell death by the mitochondrial-mediated pathway (<xref ref-type="bibr" rid="B59">Song et&#x20;al., 2019</xref>). On the whole, due to the distinct association with cell death signaling pathways, dendrobine (20) can be regarded as a potential agent for the development of novel anti-NSCLS strategies especially when combined with cisplatin. (<xref ref-type="bibr" rid="B59">Song et&#x20;al., 2019</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Signaling pathway involved in dendrobine induced apoptosis in cancer cells. JNK, c-Jun N-terminal kinase; p38, p38 mitogenactivated protein kinase; Cyto C, cytochrome C; AIF, apoptosis inducing factor; Blc-2, B-cell lymphoma two; Bim, Bcl-2 interacting mediator of cell death; PARP, poly ADP-ribose polymerase.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g006.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Renal Protective and Anti-Diabetic Effects</title>
<p>In China, the dried stems of some <italic>Dendrobium</italic> species including <italic>Dendrobium huoshanense</italic> Z. Z. Tang et S. J. Cheng, <italic>Dendrobium officinale</italic> Kimura et Migo, and <italic>Dendrobium nobile</italic> Lindl. have been used to nourish kidney and improve the symptoms of diabetes (<xref ref-type="bibr" rid="B2">Cakova et&#x20;al., 2020</xref>). For instance, shihunidine (2) and shihunine (1) isolated from <italic>Dendrobium loddigesii</italic> Rolfe displayed inhibitory effects on Na<sup>&#x2b;</sup>/K<sup>&#x2b;</sup>-ATPase of the rat kidney (<xref ref-type="bibr" rid="B35">Li et&#x20;al., 1991</xref>). <xref ref-type="bibr" rid="B40">Li et&#x20;al. (2019)</xref> recently reported that DNLA showed vital hypoglycemic effects in diabetic rats. The shihunine (1) extracts from <italic>Dendrobium loddigesii</italic> Rolfe at the dose of 50&#xa0;mg/kg decreased the triglycerides level by 43.7%, compared with the non-treated db/db mice, and inhibited the expression of cleaved cysteine aspartic acid-specific protease 3. The result of western blot analysis also verified the agonistic effects of shihunine (1) extracts on the expressions of adenosine monophosphate-activated protein kinase phosphorylation and glucose transporter four in the liver or adipose tissues. Moreover, in clinical application, <italic>Dendrobium</italic> combined with other herbs, such as <italic>Astragalus</italic> spp. and <italic>Schisandra</italic> Michx., was applied for the therapy of diabetes (<xref ref-type="bibr" rid="B2">Cakova et&#x20;al., 2020</xref>).</p>
</sec>
<sec id="s3-5">
<title>Neuro-Protective Activity</title>
<p>It was reported that <italic>Dendrobium</italic> alkaloids exerted beneficial effects on neuronal systems (<xref ref-type="bibr" rid="B63">Wang et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B36">Li et&#x20;al., 2011</xref>), among which <italic>Dendrobium nobile</italic> Lindl. was most extensively studied on the treatment of central nervous system disorders. DNLA, containing dendrobine (20), dendrobine-N-oxide (22), nobilonine (45), dendroxine (24), 6-hydroxy-nobilonine (46), and 3-hydroxy-2-oxodendrobine (also referred as 13-hydroxy-14-oxoHudendrobine) (26), was known as the active components of <italic>Dendrobium nobile</italic> Lindl. (<xref ref-type="bibr" rid="B63">Wang et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B69">Xu et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B50">Nie et&#x20;al., 2018</xref>). Investigation on the mechanisms underlying the neuroprotective effects of DNLA revealed that DNLA prominently improved the neurobehavioral performance and prevented LPS-induced elevation in tumor necrosis factor receptor one via inhibition of phosphorylated p38&#x20;mitogen-activated protein kinases and the downstream nuclear factor kappa-B signal pathway (<xref ref-type="bibr" rid="B36">Li et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B49">Ng et&#x20;al., 2012</xref>). Moreover, DNLA decreased the level of intracellular amyloid &#x3b2; peptide (A&#x3b2;) by improving impaired autolysosomal proteolysis in amyloid precursor protein/presenilin one mice (<xref ref-type="bibr" rid="B50">Nie et&#x20;al., 2018</xref>), and regulating &#x3b1;- and &#x3b2;-secretase in hippocampal neurons of Sprague-Dawley rats (<xref ref-type="bibr" rid="B29">Huang J.&#x20;et&#x20;al., 2019</xref>). The reduction of A&#x3b2; attenuated A&#x3b2;<sub>25&#x2013;35</sub>-induced spatial learning and memory impairments by increasing the protein expression of neurotrophic factors, such as brain-derived neurotrophic factor, ciliary neurotrophic factor, and glial cell line-derived neurotrophic factor (<xref ref-type="bibr" rid="B51">Nie et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B50">Nie et&#x20;al., 2018</xref>). Furthermore, DNLA lowered the LPS-induced hyperphosphorylation of tau protein and prevented neuronal apoptosis in rat brains (<xref ref-type="bibr" rid="B74">Yang et&#x20;al., 2014</xref>). Given the neuro-protective effect of <italic>Dendrobium</italic> alkaloids, they could be promising therapeutic agents for the treatment of neurodegenerative disorders, such as Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="B2">Cakova et&#x20;al., 2020</xref>).</p>
</sec>
<sec id="s3-6">
<title>Anti-influenza A Virus Activity</title>
<p>Dendrobine (20) displayed antiviral activity against influenza A viruses, including A/FM-1/1/47 (H1N1), A/Puerto Rico/8/34 H274Y (H1N1), and A/Aichi/2/68 (H3N2) in the antiviral assay, plaque assay, time-of-addition assay, and pseudovirus neutralization assay, with IC<sub>50</sub> values of 3.39&#x20;&#xb1; 0.32, 2.16&#x20;&#xb1; 0.91, and 5.32&#x20;&#xb1; 1.68&#xa0;&#x3bc;g/ml, respectively. The low IC<sub>50</sub> values of dendrobine (20) indicated that this compound could be applied as potential promising agents to treat influenza virus infection (<xref ref-type="bibr" rid="B39">Li R. et&#x20;al., 2017</xref>). More importantly, the anti-virus test using dendrobine (20) provided valuable information for the full application of the TCM named &#x201c;sh&#xed; h&#xfa;&#x201d; (<xref ref-type="bibr" rid="B39">Li R. et&#x20;al., 2017</xref>).</p>
</sec>
</sec>
<sec id="s4">
<title>Chemical Synthesis and Biosynthetic Pathway of Dendrobine</title>
<p>Dendrobine (20) is the first identified sesquiterpene alkaloid from <italic>Dendrobium nobile</italic> Lindl., which is recommended as the exclusive chemical marker for the quality control of this species by Chinese Pharmacopoeia (2015 and 2020 edition). The rule suggested that the mass fraction of dendrobine (20) should be greater than 0.4% in the medicinal <italic>Dendrobium nobile</italic> Lindl..</p>
<sec id="s4-1">
<title>Chemical Synthesis of Dendrobine</title>
<p>Dendrobine (20) with a complicated tetracyclic ring system and seven contiguous stereocenters displayed remarkable bioactivities. Up to now, several cases are available on the total chemical synthesis of dendrobine (20). <xref ref-type="bibr" rid="B9">Connolly and Heathcock (1985)</xref> first synthesized dendrobine (20) in 1985. Several decades later, <xref ref-type="bibr" rid="B33">Kreis and Carreira (2012)</xref> achieved the total chemical synthesis based on 18 cascaded reactions with a key amine group, and the main synthesis pathway is summarized in <xref ref-type="fig" rid="F7">Figure&#x20;7</xref> (<xref ref-type="bibr" rid="B33">Kreis and Carreira, 2012</xref>). Other three dendrobine-alkaloids (&#x2013;)-dendrobine (20) (&#x2013;)-mubironine B (27), and (&#x2013;)-dendroxine (24) were also obtained by total synthesis (<xref ref-type="bibr" rid="B21">Guo et&#x20;al., 2018</xref>). Despite the advances of these total synthesis methods, it remains challenging to overcome the compound yield after a series of reactions (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>The total chemical synthesis strategy of (-)-dendrobine proposed by <xref ref-type="bibr" rid="B33">Kries and Carreira (2012)</xref>.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g007.tif"/>
</fig>
</sec>
<sec id="s4-2">
<title>Biosynthesis of Dendrobine</title>
<p>Dendrobine (20) belongs to the class of terpenoid indole alkaloids (TIAs) (<xref ref-type="bibr" rid="B65">Wang et&#x20;al., 2020</xref>). The biogenetic pathway of TIAs is conservative among alkaloid-producing plants (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>). Based on the results of transcriptome and metabolomic analysis, the putative dendrobine (20) biosynthetic pathway was proposed, and a series of key metabolic genes were labeled in <xref ref-type="fig" rid="F8">Figure&#x20;8</xref> (<xref ref-type="bibr" rid="B20">Guo et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>The potential biosynthetic pathway of dendrobine.</p>
</caption>
<graphic xlink:href="fphar-12-605994-g008.tif"/>
</fig>
<p>Three core stages were involved in the biogenetic pathway, including the formation of isopentenyl diphosphate (IPP), the construction of sesquiterpene skeleton, and the process of post-modification. Firstly, the mevalonate (MVA) and 2-C-methyl-D-erythritol 4-phosphate (MEP) pathways were considered as the upstream of dendrobine (20) biosynthetic pathway, mainly for the synthesis of IPP (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>). Three key enzyme-coding genes involved in the MVA pathway, <italic>acetyl-CoA C-acetyltransferase (AACT)</italic> gene, <italic>phosphomevalonate kinase (PMK)</italic> gene, and <italic>diphosphomevalonate decarboxylase (MVD)</italic> gene, were observed to be positively associated with dendrobine (20) accumulation in <italic>Dendrobium nobile</italic> Lindl. through large-scale transcriptome sequencing, and then validated through qRT-PCR analysis (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>). In contrast, <italic>hydroxymethylglutaryl-CoA synthase (HMGS)</italic> gene and <italic>3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGR)</italic> gene were found to be less effective in dendrobine (20) biosynthesis in the same species (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>), though <italic>HMGS</italic> and <italic>HMGR</italic> both played significant roles in alkaloid biosynthesis in <italic>Dendrobium officinale</italic> Kimura et Migo (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>). The result shows that <italic>HMGS</italic> and <italic>HMGR</italic> may differently contribute to the production of dendrobine (20) in <italic>Dendrobium</italic> spp.. In the MEP pathway, rate-determining genes <italic>1-deoxy-<sc>d</sc>-xylulose-5-phosphate synthase (DXS)</italic> and <italic>1-deoxy-<sc>d</sc>-xylulose-5-phosphate reductoisomerase (DXR)</italic> isolated from protocorms of <italic>Dendrobium officinale</italic> Kimura et Migo were largely up-regulated by the methyl jasmonate (MeJA) treatment, suggesting their significant roles in the sesquiterpene biosynthesis based on the analysis of KEGG enrichment and relative expression (<xref ref-type="bibr" rid="B15">Fan et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>). The crucial impacts of <italic>DXS</italic> and <italic>DXR</italic> in <italic>Dendrobium officinale</italic> Kimura et Migo were later confirmed by the high correlations between total alkaloid contents and their transcripts (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>), furthermore, <italic>DXS</italic> was a leaf-specific expression gene accounting for high alkaloids content in leaves (<xref ref-type="bibr" rid="B56">Shen et&#x20;al., 2017</xref>).</p>
<p>IPP is an important downstream product of MVA and MEP pathways, which is the precursor for the construction of synthetic terpenes. IPP formed the skeleton of muurolene-type sesquiterpene initially catalyzed by TPS21 enzyme (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>), then this sesquiterpene was further oxidized by monooxygenases and/or dioxygenase to produce picrotoxane-lactone. Cytochromes P450s (CYP450s) is a complex superfamily of monooxygenase, and they are vital for the formation of sesquiterpene alkaloids (dendrobine). At present, some CYP450s have been discovered in a few <italic>Dendrobium</italic> species (<xref ref-type="bibr" rid="B10">Coon, 2005</xref>; <xref ref-type="bibr" rid="B20">Guo et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B75">Yuan et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>). For instance, 59&#x20;full-length CYP450s candidate genes involved in the dendrobine (20) biosynthesis were identified and characterized in <italic>Dendrobium officinale</italic> Kimura et Migo through tissue-specific transcriptomic analysis, phylogenetic analysis, and further gene expression pattern induced by MeJA treatment (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>). In <italic>Dendrobium huoshanense</italic> Z. Z. Tang et S. J. Cheng, 229 genes were identified as putative CYP450s, 7.8% of which were CYP71 family members associated with hydroxylation steps of alkaloid biosynthesis (<xref ref-type="bibr" rid="B75">Yuan et&#x20;al., 2018</xref>). However, the family members and expression patterns of CYP450s remain unclear in most <italic>Dendrobium</italic> plants. It is worth mentioning that all other 25&#x20;dendrobine-type alkaloids (20&#x2013;42, 51&#x2013;52) identified from <italic>Dendrobium</italic> were believed to share similar biosynthesis pathways due to the mutual sesquiterpene backbone of these alkaloids (<xref ref-type="bibr" rid="B20">Guo et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>).</p>
<p>Following the generation of sesquiterpene skeleton, dendrobine (20) was finally synthesized by the post-modification of picrotoxane-lactone with a series of enzymes, including reductases, aminotransferases, and methyltransferases (<xref ref-type="bibr" rid="B20">Guo et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B75">Yuan et&#x20;al., 2018</xref>). In <italic>Dendrobium nobile</italic> Lindl., the expression level of <italic>methyltransferase-like protein 23 (METTL23)</italic> gene, <italic>histone-lysine N-methyltransferase ATX4 (ATX4)</italic> gene, and <italic>alanine aminotransferase 2 (AAT2)</italic> gene were enhanced after inoculation with MF23 (<italic>Mycena</italic> sp.), which was positively related with the content of dendrobine (20), implying their important roles in dendrobine (20) biosynthesis (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>). Transcription factors play vital roles in modulating the expression of dendrobine (20) biosynthesis genes, such as C3H, bHLH, bZIP, MYB, and WRKY in <italic>Dendrobium officinale</italic> Kimura et Migo (<xref ref-type="bibr" rid="B75">Yuan et&#x20;al., 2018</xref>).</p>
<p>Although the common biosynthesis pathway for most TIAs through the construction of strictosidine backbone exists in many plants (Wang et&#x20;al., 2018), no enzyme involved in strictosidine formation has been verified in dendrobine (20) biosynthesis. However, due to the complex dendrobine (20) metabolism, accurate identification of genetic networks from a large number of candidate genes is needed in the future.</p>
<p>The metabolism of dendrobine (20) was affected by abiotic and biotic stresses. For example, light intensity was reported to influence the content of dendrobine (20) (<xref ref-type="bibr" rid="B37">Li J.&#x20;L. et&#x20;al., 2017</xref>). MeJA, a signaling molecule in the biosynthesis of alkaloids, could induce the accumulation of <italic>Dendrobium</italic> alkaloids by an active precursor supply (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2019</xref>). Besides, symbiosis with mycorrhizal fungus could stimulate the biosynthesis of dendrobine (20) by regulating the expressions of genes involved in the MVA pathway (<xref ref-type="bibr" rid="B38">Li Q. et&#x20;al., 2017</xref>). Other relevant factors need to be further elucidated.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s5">
<title>Conclusion</title>
<p>In this paper, we summarized the structural types, pharmacological activities, and mechanisms of <italic>Dendrobium</italic> alkaloids, as well as the suggested biogenetic pathway of dendrobine (20), which is an important type of sesquiterpene alkaloids. Despite the advances of the investigation on alkaloids, more emphasis should be laid on the discovery of more novel skeletons in <italic>Dendrobium</italic> genus based on abundant alkaloid metabolites, and the improvement of isolation methods. Moreover, many current studies on <italic>Dendrobium</italic> were only focused on their crude extracts, or the activity of mixtures, which necessitates the need for figuring out the typical pharmacological activity of pure <italic>Dendrobium</italic> alkaloids. Additionally, further investigation on novel pharmacological activities of these alkaloids should be implemented. Meanwhile, in-depth researches on the biological mechanisms of these activities are also desired. Finally, although the biosynthetic pathway of dendrobine (20) has been proposed, further confirmation is anticipated.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Author Contributions</title>
<p>DZ and SC contributed to the conception of the review. YZ and EK helped collect and perform the chemical analysis of compounds. FY helped to analyze the pharmacological activities of alkaloids. ZM and YS contributed to the mechanisms and biosynthetic pathways of alkaloids and wrote the manuscript.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported financially by the National Natural Science Foundation of China (No. 31960082; No. 81560622).</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<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>
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