Thunder god vine

Last Updated: September 28 2022

Tripterygium wilfordii (Thunder God Vine) is a Traditional Chinese Medicine that appears to be effective for the treatment of inflammatory and autoimmune diseases, but has toxicity associated per se and a low therapeutic threshold.

Thunder god vine is most often used for

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Sources and Composition



Tripterygium wilfordii (of the family Celastraceae) is a chinese herb that is referred to as lei gong teng but more well known as Thunder God Vine.[1] The plant is known as toxic although the root pulp is seen as pharmacologically active against inflammatory and autoimmune diseases, and it appears the root extracts have some traditional usage against Rheumatoid Arthritis and (to use diction common to traditional medicine) for 'dispeling wind and eliminating dampness, dredging collaterals and relieving pain, reducing swelling and easing pain'.[2][3] Although the vine being associated with adverse effects even at moderate doses (diarrhea, headache, nausea and infertility), and it has been noted that inadequate processing techniques can lead to vine contamination of root extracts.[1]

Other names that are attributed to this herb beyond 'Thunder God Vine' are yellow vine wood, Gelsemium elegans, vegetable insecticide and red medicine.

Tripterygium wilfordii is a Traditional Chinese Medicine for inflammatory disorders where the root is used, and the vine appears to have toxic properties (despite this medicine sometimes being referred to as Thunder God Vine)



  • Celastrol and Triptolide, the main bioactives[1][4]
  • The alkaloids (1.6% total) wilforine (78.3mg/100g), wilforgine (47.5mg/100g), wilfordine (26.5mg/100g) and wilforidine (4mg/100g)[2]
  • Wilforide A
  • Demethylzeylasteral[5]

The main three bioactives (Celastrol and Triptolide for bioactivity, Wilforine as well) are concentrated in ethanolic extracts and can be further concentrated in Ethyl Acetate (EtOAc) extractions.[6] Sodium Carbonate extracts can then be used to concentration Celastrol while Triptolide and Wilforine are left in the ethyl acetate layer.[6]



Celastrol itself is a pentacylic triterpenoid but is further classified as a quinone methide triterpene.[1] Two carbons on the structure (C2 and C6, labelled below) demonstrate high susceptibility toward a nucleophilic attack[7] and can form covalent Michael adducts with nucleophilic thiol groups of cysteine residues and underlies many mechanisms of Celastrol with enzymes.[8][9] Reactions with the 'quinine methide' of Celastrol refer to these nucleophilic attacks and subsequent adducts.

Celastrol can work via forming adducts with Cystine groups (involved in the structure of proteins) due to positions on its backbone that are prone to accepting an electron


Triptolide has been synthesized into a prodrug known as PG490-88 which has been patented[10] and is under investigation for anti-cancer effects.[11]


Extractions and Formulations

Solid Lipid Nanoparticles (SLNs) are made from solid lipids and approximately 50–1000nm in width that serve as drug carriers,[12] and this delivery system has been used in numerous studies as an attempt to mitigate hepatotoxic side effects of Triptolide.[13][14][15][16]

SLNs appears to be a drug delivery formulation which may mitigate some toxicity associated with Thunder God Vine

Sodium Bicarbonate extractions, which appear to concentrate Celastrol at the expense of Triptolide and Wilforine, are associated with a reduced LD50 (median lethal dose) to 1,210mg/kg (95% CI of 1,098–1,322mg/kg) which appears to be slightly safer than Tripterygium Glycosides with an LD50 of 257mg/kg (95% CI of 227-287 mg/kg).[6]





Triptolide is metabolized into four monohydroxylated metabolites in liver microsomes (rat) and three in human liver microsomes, with CYP3A4 playing a major role in metabolism of Triptolide into its metabolites and CYP2C19 playing a lesser role; the one metabolite mediated by CYP2C19 being the metabolite not detectedin human liver microsomes.[11]


Enzymatic Interactions

Demethylzeylasteral is able to inhibit UGT1A6 (Ki 0.6μM; IC50 15.2+/-0.6μM) and UGT2B7 (Ki 17.3μM; IC50 62.5+/-1.6μM) via competitive inhibition, with 100μM of the molecule reducing the activity of UGT1A6 and UGT2B7 to 0.8+/-0.1% and 14.8+/-1.1% of baseline value (with a third isoform, UGT1A9, being reduced to 61.3+/-5.6%).[5]


Inflammation and Immunology



IKKα and IKKβ are both inhibited in a dose-dependent manner in vivo following Celastrol administration, and it appears Celastrol targets the Cys-179 residue via its quinine methide (reducing the quinine methide to form Dihydrocelastrol abolishes this effect).[8] This binding prevents degradation of IκBα and subsequently inhibits NF-kB activity (as IκBα is a suppressor of NF-kB) but as Celastrol does not inhibit ReIA-induced NF-kB activity the inhibitory effects appear to be solely downstream of IKKβ (although this inhibition blocks LPS, PMA, and TNF-α induced NF-kB activity which is via IKKs).[8] There may not be a direct inhibition of IKKα in a similar manner, but inhibition of TAK1 (which positively regulates IKKs and inhibition of TAK1 resulting in suppression of IKKS) has been noted with Celastrol,[17][18] and inhibition of an HSP90-Cdc37 complex[9] appears to also influence IKKs and may be a novel regulator.[19]

At least one study in prostatic cancer cells noted that inhibition of chymotrypsin-like proteosomal activity caused an increase in IκBα,[7] the accumulation of which could also suppress NF-kB activity.[1] Induction of HSP70, noted due to possibly lowering the activation requirements of its promoter, has been noted with Celastrol;[20] HSP70 can reduce the association of NEMO to IKK, NEMO being a protein that associates with IKKs (IKKα-IKKβ-NEMO complex) and works with HSP-Cdc37 to induce IKK activation.[21]

Indirect inhibitor of NF-kB secondary to IKKβ inhibition, and may inhibit the IKK complex via (a lot of) indirect means beyond direct inhibition of IKKβ. Appears to be effective at very low concentrations

No influence on AP-1 binding is noted.[8]



Celastrol can bind to ERK proteins and prevent association with FcεRI receptors, which are expressed on mast cells and mediate anti-allergic responses.[22]



In macrophages (RAW 264.7) incubated with 300-1000ng/mL Celastrol note absolute suppression of LPS-induced nitric oxide and TNF-α release with dose-dependent effects at lower concentrations with 10ng/mL noting a reduction and 100ng/mL being statistically significant.[8]



Triptolide (bioactive of Thunder God Vine) has been noted to inhibit IL17 and IFNγ production and secretion secondary to inhibiting Th17 cell differentiation,[23][24] which has been thought to underlie protection from hepatic ischemia/reperfusion injury; this study gave 0.1mg/kg Triptolide injections for a week prior to hepatic ischemia reduced the increase in IL17 (demonstrated to be critical due to IL17 antibodies also being protective) due to less Th17 (CD4+ positive lymphocytes) which was thought to be due to inhibition of STAT3 (required for Th17 differentiation).[25]

Interleukin-6 (IL6) is able to activate STAT3[26] which further acts on the retinoid orphan receptor γ-T (RORγt)[27] which induced Th17 differentiation without significantly affecting Treg cells in general;[28] this inefficacy on Treg cells despite inhibition of Th17 cells has been noted following Triptolide administration to mice both after ischemia[25] and IL6-induced STAT3 activation, which Triptolide inhibits after injections of 0.07mg/kg over 8 weeks.[29]

Inhibition of Th17 cell activation may underlie therapeutic efficacy in T-cell dependent inflammatory conditions, such as colonic inflammation[29] and experimental rheumatoid arthritis.[23]

Can inhibit differentiation of Treg cells into Th17 (CD4+ lymphocytes that secrete IL17) and be selectively immunosuppressive on activated T-cells, which may be a therapeutic mechanism of action; this is possibly mediated via STAT3 inhibition



Administration of 10-30mg/kg Celestrol (injections) noted dose-dependent suppression of Carrageenan-induced Myeloperoxidase (MPO), TNF-, and PGE2 production by 90.7+/-2.1%, 66.5+/-3%, and 93.0+/-2.0% at the higher dose.[8]


Rheumatoid Arthritis

In regards to rat and mouse studies, one study using solely alkaloids from the root (ethanolic extraction) that had rheumatoid arthritis induced with injections of Complete Freund’s adjuvant (pro-arthritic toxin) noted that oral ingestion of 0.25-1g/kg total alkaloids over 28 days showed dose-dependent reductions in paw edema (underperforming the active control of 7.6mg/kg Dexamethasone) suppressed the serum cytokines IL-6, IL-8, and TNF-α (0.5-1mg/kg same potency as active control) and improved histology of the joints (lesser potency than active control).[2]


Interactions with Oxidation

It has been noted that Celastrol can induce Yap1 activity secondary to interactions with Yap1's carboxy-terminal redox center.[30]


Interactions with Organs



Cytochrome P450 reductase is involved in protective effects against Triptolide, and its knockout in animals augments hepatoxicity secondary to increasing its bioavailability (by reducing metabolism).[31] Dexamethasone, a corticosterone, can reduce toxicity secondary to inducing the activity of CYP3A[32] and drug delivery systems that bypass the liver reduce toxicity somewhat.[33]

CYP3A appears to metabolize triptolide to less toxic metabolites; with more activity of CYP3A being protective and less activity (inhibition; which is common to many supplements) can augment toxicity


Interactions with Cancer



Mechanistically, Celastrol appears to be able to prevent association between HSP90 and Cdc37 via binding to one of three cystiene residues on the N-terminal of Cdc37 (and physically preventing the ability of HSP90 to bind to Cdc37) and does not inhibit the ATP binding site of HSP90 yet is reversible (both of those mechanisms being common to the antibiotic Geldanamycin; a known HSP90 inhibitor).[9] Secondary to indirect inhibition of HSP90-Cdc37, downregulation of oncogenic protein kinases are noted (prostatic cancer cells).[9]

Association with p23 has also been noted with Celastrol but also noted with Dihydrocelastrol (and possibly not mediated by the quinine methide), and this association induces a amyloid-like fibril formation which prevents association of HSP90 to p23.[34]

May directly inhibit HSP90-Cdc37 complexation, and may alter p23 function in regards to HSP90

One study has noted both hyperphosphorylation of heat shock transcription factor-1 (HSF1) with lower concentrations augmenting the response of this promoter to heat shock stress, suggesting that Celastrol may reduce the heat threshold required to activate HSF1.[20] This results in induction of HSP70 (Heat-Shock Protein 70).[20]

The inhibition of NF-kB also appears to underlie the prevention of TNF-induced induction of metastatic (MMP9, COX2, and ICAM1), antiapoptotic (IAP1, IAP2, Bcl-2, Bcl-XL, c-FLIP, and survivin), and proliferative (cyclin D1 and COX-2) gene products; this may underlie how Celastrol can synergisically enhance Doxorubicin, Palcitaxel, and TNF-induced apoptosis.[18] This NF-kB inhibition does not appear to be cell-type specific, as it was demonstrated in Lung adenocarcinoma (H1299), bladder (253JBV), myeloma (U266) and embryonic kidney cells (A293), and appears to be secondary to preventing TNF-induced IκBα degradation and phosphorylation, and prevented TAK1/TAB1-induced NF-κB–dependent reporter gene expression.[18]



One study in mice where invasive breast cancer cells (MDA-MB-435) were injected into mice injections of 30mg/kg Celastrol were given every other day for 7 weeks, a 60+/-5% inhibition of tumor size was noted.[8]

Triptolide appears to be anti-proliferative in both estrogen responsive (MCF-7) and estrogen non-responsive (MDA-MB-435) cells, although with greater potency in MCF-7; this appeared to be related to varying effects on p53, where an upregulation of wild type p53 was noted in MCF-7 cells concurrent with a downregulation of ERα (dose dependent manner up to 40nM) while the mutant p53 in MDA-MD-435 cells was downregulated.[35]



Celastrol has been shown to inhibit proteasomal chymotrypsin activity in prostatic cells (IC50 2.5μmol/L; 80% inhibition at 5μmol/L) and can induce accumulation of ubiquitinated proteins (prostatic cancer cells); it does not appear to inhibit trypsin-like or PGPH-like proteasomal activities significantly.[7] This mechanism is similar to Bortezomib, an anti-cancer drug, and was previously noted with flavonoid compounds with a ketone group on the C ring (Quercetin and Kaempferol[36]); this inhibition of proteasomal activity caused apoptosis in incubated cancer cells (PC-3) by 55% and (LNCaP) 40% at 2.5μmol/L, which was associated with accumulation of IκBα, Bax, and p27 and caspase-3 release and PARP cleavage.[7]

Androgen receptor expression in LNCaP cells is attenuated with 2.5μmol/L Celastrol and nearly abolished at 5μmol/L.[7]

In mice injected with PC-3 prostatic tumors was able to suppress 65% and 82% of the subsequent tumor growth over the next 30 days (1mg/kg and 3mg/kg respectively) with significance noted at days 1-3 (up to 70% inhibition); a reduction of proteasamol activity to 25% of control was confirmed in vivo via tumor biopsy.[7] When injected with C4-2B tumor cells, 35% inhibition over 3 days is noted and suppression of androgen receptor expression confirmed via biopsy.[7]



One study in W256 osteosarcoma cells noted that isolated Celastrol was able to induce apoptosis with an IC50 of 0.43+/-0.1μmol/L, which outperformend Partheolide (5+/-1μmol/L); the active constituent of Feverfew.[17] This is secondary to caspase release and DNA fragmentation, and thought to be from inhibiting TAK1 phosphorylation (parthenolide ineffective on this protein) and abolishing IKKβ binding to IKKγ at 1umol/L and preventing activation of the IKK complex and subsequent NF-kB activation (mechanism shared with parthenolide).[17] Migration of W256 cells was abolished in vitro with 0.5umol/L Celastrol, and injections of 1mg/kg Celastrol to mice bearing W256 tumors was able to significantly reduce metastasis (from absolute to 11%), reducing trabecular bone loss, and reducing osteolytic lesions by up to 75%; similar efficacy was seen with 1mg/kg Parthenolide.[17]



When tested in vitro, Celastrol is weakly selective for tumor cells rather than healthy melanoma cells with IC50 values of growth inhibition being 2.32+/-0.04µM (B16 melanoma cell), 2.12+/-0.04µM (SK-MEL-2 melanoma cell) and 3.78+/-1.75µM (normal HaCaT cell line).[37]

Apoptosis appears to be mediated in Melanoma cells in the concentration range of 1-3uM with an increase in cell count accumulated in the sub-G1 phase and increase DNA fragmentation; indicative of apoptosis, which appears to be a ROS mediated caspase-3 release and PARP cleavage.[37] This study also noted that AIF plays a role (apoptosis independent of capsases[38]) which was ROS dependent, and attenuates signalling via PI3K/AKT.[37]


Safety and Toxicity



Triptolide, a main bioactive of Tripterygium Wilfordii, appears to have a low therapeutic threshold and potential for toxicity; the LD50 (median lethal dose) following injections in rats is a mere 0.86mg/kg.[39] In HBZY-1 (rat mesangial) cells, Triptolide has a therapeutic ratio of approximately 11.1 (the EC50 of inhibiting inflammation, 20.7+/-2.1nM, being 11.1-fold less than the dose inducing 50% cell death) and in macrophages this therapeutic ratio is 1.6.[6]



Celastrol appears to have a therapeutic threshold ratio of 3.6 in rat mesangial cells (the dose exerting 50% inflammation inhibition, 1040+/-40nM, being 3.6-fold lower than that inducing 50% cell death) while in macrophages this therapeutic threshold is reduced to 1.4.[6]


Case Studies

Various case studies associated with usage of Tripterygium wilfordii include Kaposi sarcoma after 10 years usage of 2g powder daily (containing 470mcg Triptolide),[40]

1.^Salminen A, Lehtonen M, Paimela T, Kaarniranta KCelastrol: Molecular targets of Thunder God VineBiochem Biophys Res Commun.(2010 Apr 9)
2.^Zhang Y, Chen L, Xu W, Li H, Zhang X, Xia Y, Chu KTherapeutic effects of total alkaloids of Tripterygium wilfordii Hook f. on collagen-induced arthritis in ratsJ Ethnopharmacol.(2012 Nov 23)
6.^Fang W, Peng F, Yi T, Zhang C, Wan C, Xu H, Lam CW, Yang XBiological activity and safety of Tripterygium extract prepared by sodium carbonate extractionMolecules.(2012 Sep 17)
11.^Li W, Liu Y, He YQ, Zhang JW, Gao Y, Ge GB, Liu HX, Huo H, Liu HT, Wang LM, Sun J, Wang Q, Yang LCharacterization of triptolide hydroxylation by cytochrome P450 in human and rat liver microsomesXenobiotica.(2008 Dec)
12.^Papakostas D, Rancan F, Sterry W, Blume-Peytavi U, Vogt ANanoparticles in dermatologyArch Dermatol Res.(2011 Oct)
13.^Xue M, Jiang ZZ, Wu T, Li J, Zhang L, Zhao Y, Li XJ, Zhang LY, Yang SYAnti-inflammatory effects and hepatotoxicity of Tripterygium-loaded solid lipid nanoparticles on adjuvant-induced arthritis in ratsPhytomedicine.(2012 Aug 15)
15.^Xue M, Jiang ZZ, Wu T, Yan M, Liu JP, Mu XM, Su YW, Zhang LYProtective effects of tripterygium glycoside-loaded solid lipid nanoparticles on male reproductive toxicity in ratsArzneimittelforschung.(2011)
19.^Salminen A, Paimela T, Suuronen T, Kaarniranta KInnate immunity meets with cellular stress at the IKK complex: regulation of the IKK complex by HSP70 and HSP90Immunol Lett.(2008 Apr 15)
20.^Westerheide SD, Bosman JD, Mbadugha BN, Kawahara TL, Matsumoto G, Kim S, Gu W, Devlin JP, Silverman RB, Morimoto RICelastrols as inducers of the heat shock response and cytoprotectionJ Biol Chem.(2004 Dec 31)
22.^Kim Y, Kim K, Lee H, Han S, Lee YS, Choe J, Kim YM, Hahn JH, Ro JY, Jeoung DCelastrol binds to ERK and inhibits FcepsilonRI signaling to exert an anti-allergic effectEur J Pharmacol.(2009 Jun 10)
24.^Chen P, Han R, Zhou Q, Cheng H, Zhu KModulatory effect of triptolide on differentiation of human Th17 cellsZhongguo Zhong Yao Za Zhi.(2011 Jun)
25.^Wu C, Xia Y, Wang P, Lu L, Zhang FTriptolide protects mice from ischemia/reperfusion injury by inhibition of IL-17 productionInt Immunopharmacol.(2011 Oct)
26.^Rose-John S, Mitsuyama K, Matsumoto S, Thaiss WM, Scheller JInterleukin-6 trans-signaling and colonic cancer associated with inflammatory bowel diseaseCurr Pharm Des.(2009)
27.^Ivanov II, McKenzie BS, Zhou L, Tadokoro CE, Lepelley A, Lafaille JJ, Cua DJ, Littman DRThe orphan nuclear receptor RORgammat directs the differentiation program of proinflammatory IL-17+ T helper cellsCell.(2006 Sep 22)
28.^Nishihara M, Ogura H, Ueda N, Tsuruoka M, Kitabayashi C, Tsuji F, Aono H, Ishihara K, Huseby E, Betz UA, Murakami M, Hirano TIL-6-gp130-STAT3 in T cells directs the development of IL-17+ Th with a minimum effect on that of Treg in the steady stateInt Immunol.(2007 Jun)
30.^Trott A, West JD, Klaić L, Westerheide SD, Silverman RB, Morimoto RI, Morano KAActivation of heat shock and antioxidant responses by the natural product celastrol: transcriptional signatures of a thiol-targeted moleculeMol Biol Cell.(2008 Mar)
31.^Xue X, Gong L, Qi X, Wu Y, Xing G, Yao J, Luan Y, Xiao Y, Li Y, Wu X, Chen M, Gu J, Ren JKnockout of hepatic P450 reductase aggravates triptolide-induced toxicityToxicol Lett.(2011 Aug 10)
32.^Ye X, Li W, Yan Y, Mao C, Cai R, Xu H, Yang XEffects of cytochrome P4503A inducer dexamethasone on the metabolism and toxicity of triptolide in ratToxicol Lett.(2010 Feb 1)
33.^Zhang Z, Zheng Q, Han J, Gao G, Liu J, Gong T, Gu Z, Huang Y, Sun X, He QThe targeting of 14-succinate triptolide-lysozyme conjugate to proximal renal tubular epithelial cellsBiomaterials.(2009 Mar)
34.^Chadli A, Felts SJ, Wang Q, Sullivan WP, Botuyan MV, Fauq A, Ramirez-Alvarado M, Mer GCelastrol inhibits Hsp90 chaperoning of steroid receptors by inducing fibrillization of the Co-chaperone p23J Biol Chem.(2010 Feb 5)
35.^Liu J, Jiang Z, Xiao J, Zhang Y, Lin S, Duan W, Yao J, Liu C, Huang X, Wang T, Liang Z, Wang R, Zhang S, Zhang LEffects of triptolide from Tripterygium wilfordii on ERalpha and p53 expression in two human breast cancer cell linesPhytomedicine.(2009 Nov)
36.^Chen D, Daniel KG, Chen MS, Kuhn DJ, Landis-Piwowar KR, Dou QPDietary flavonoids as proteasome inhibitors and apoptosis inducers in human leukemia cellsBiochem Pharmacol.(2005 May 15)
38.^Krantic S, Mechawar N, Reix S, Quirion RApoptosis-inducing factor: a matter of neuron life and deathProg Neurobiol.(2007 Feb)
39.^Zhou R, Zhang F, He PL, Zhou WL, Wu QL, Xu JY, Zhou Y, Tang W, Li XY, Yang YF, Li YC, Zuo JP(5R)-5-hydroxytriptolide (LLDT-8), a novel triptolide analog mediates immunosuppressive effects in vitro and in vivoInt Immunopharmacol.(2005 Dec)
40.^Grzegorzewska AE, Frankiewicz D, Bręborowicz D, Matławska I, Bylka WDisseminated cutaneous Kaposi sarcoma in a patient receiving triptolide/tripdiolide for rheumatoid arthritisMed Sci Monit.(2012 Aug)