The production of cytokines is an important factor in the inflammatory process. On the other hand, natural products derived from medicinal plants appear to be (and often are) promising pharmacological tools to modulate cytokine production. Monorterpenes are promising substances that have modulated cytokine production in vivo (preclinical and clinical approach) (See: Monoterpenes modulating cytokines - A review. Food Chem Toxicol. 2019;123:233-257. doi: 10.1016/j.fct.2018.10.058 or Essential oils and its bioactive compounds modulating cytokines: A systematic review on anti-asthmatic and immunomodulatory properties. Phytomedicine. 2020; 73:152854. doi: 10.1016/j.phymed.2019.152854). The role of flavonoids is well known in the inflammatory process, especially when it comes to the production of cytokines (see: lavonoids as Cytokine Modulators: A Possible Therapy for Inflammation-Related Diseases. Int J Mol Sci. 2016;17(6):921. doi: 10.3390/ijms17060921 or Flavonoids as Th1/Th2 cytokines immunomodulators: A systematic review of studies on animal models. Phytomedicine. 2018;44:74-84. doi: 10.1016/j.phymed.2018.03.057). Several other natural products are promising, but how many of these have become drugs available on drugstore shelves? What is the biggest challenge to getting natural products that are modulators of important cytokines, such as cavacrol that modulates IL10 (Anti-inflammatory effects of carvacrol: evidence for a key role of interleukin-10. Eur J Pharmacol. 2013;699(1-3):112-7. doi: 10.1016/j.ejphar.2012.11.040), to be available for clinical use? Briefly share your opinion. I'm writing an article that thinks about this a bit and would like to read the opinion of other researchers who are interested in the topic.

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