Does berberine affect immune health and function?

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A more recent topic of exploration has been berberine’s immune modulation through reductions in inflammatory biomarkers (IL-6, IL-1-beta, CRP, and TNF-α) generally in those already with some form of metabolic distress (diabetes, metabolic syndrome, cardiovascular disease).[1][2][3][4][5] In another apparent connection between berberine and immune health, three recent studies suggest that berberine (0.3-0.6 g/d) could reduce recurrence of colorectal polyps in those with a history of colorectal cancer, when compared to placebo controls.[6] Though more recent results may be a bit more promising, caution is warranted since there are still some concerns over the quality (and sometimes quantity) of the studies producing the findings.[7]

References
2.^Jing Guo, Hongdong Chen, Xueqin Zhang, Wenjiao Lou, Pingna Zhang, Yuheng Qiu, Chao Zhang, Yaoxian Wang, Wei Jing LiuThe Effect of Berberine on Metabolic Profiles in Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsOxid Med Cell Longev.(2021 Dec 15)
3.^Omid Asbaghi, Niloofar Ghanbari, Mahdi Shekari, Željko Reiner, Elaheh Amirani, Jamal Hallajzadeh, Liaosadat Mirsafaei, Zatollah AsemiThe effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trialsClin Nutr ESPEN.(2020 Aug)
4.^Mohammad Beba, Kurosh Djafarian, Sakineh Shab-BidarEffect of Berberine on C-reactive protein: A systematic review and meta-analysis of randomized controlled trialsComplement Ther Med.(2019 Oct)
7.^Li Z, Wang Y, Xu Q, Ma J, Li X, Yan J, Tian Y, Wen Y, Chen TBerberine and health outcomes: An umbrella review.Phytother Res.(2023-May)