“…Polygonum cuspidatum SiebRelieved orbital muscle adipose tissue expansion and reduced lipid droplet accumulation through NRF2-mediated oxidative stress response and downregulation ofIL-6 Li et al (2020c),Xi et al (2022) DiosgeninTrigonella foenum-graecum L Reduced thyrocyte proliferation, thyroid size, and T4 levels in GD mice.Inhibited the PI3K-AKT and Rap1-MEK signaling pathways and promoted thyroid cell apoptosisHe et al (2012),Cai et al (2014), Xin et al (2021) Resveratrol Reynoutria japonica Houtt Reduced proinflammatory cytokine IL-6, IL-8, and TNF-α in HaCat cells. Reduced ROS production, suppressed adipogenesis, and reduced the number of adipocytes in GO orbital fibroblasts in vitro by increasing the expression of the p-JNK and transcriptional regulators p-ERK Ravagnan et al (2013), Kim et al (2015) Icariin Epimedium Inhibited the differentiation of preadipocytes into mature adipocytes, lipid droplet accumulation, and orbital muscle adipose tissue expansion by inhibiting AMPK/mTOR-mediated autophagy in GO mouse models Li et al (2017), Wang et al (2020) Celastrol Celastrus orbiculatus Thunb Reduced the IL-1β-induced expression of IL-8, IL-6, ICAM-1, and COX-2 in OFs from patients with GO Li et al (2016) Gypenosides Gynostemma pentaphyllum Downregulated IL-8, L-6, TNF-α, CCL, HAS2, COL1A2, FN1, and α-SMA in OFs induced by IL-1β and TGF-β through reducing the activation of TLR-4/NF-κB signaling and TGF-β1/SMAD2/ SMAD4 signaling in GO OFs Wang et al (2017), Li et al (2019), Li et al (2020b), Ma et al (2022) Astragaloside IV Astragalus memeranaceus Downregulated inflammatory cytokines, and attenuated collagen deposition, fat accumulation, and macrophage infiltration of GO OFs Li et al (2018) Ursolic acid, rutin, and Prunella vulgaris polysaccharides Prunella vulgaris Ursolic acid and rutin promoted apoptosis and regulated immune systems in cell and animal models Zhang et al (2020b).…”