STUDIES OF ACNE TREATMENT USING ORIENTAL HERBS(New Approach to select anti-acne agents)

  • Nam, Chun-Ja (Skin & Applied Research Institute, Pacific R&D Center) ;
  • Han, Y.G. (Skin & Applied Research Institute, Pacific R&D Center) ;
  • Kim, S.J. (Skin & Applied Research Institute, Pacific R&D Center) ;
  • Kim, J.H. (Skin & Applied Research Institute, Pacific R&D Center) ;
  • Oh, J.Y. (Skin & Applied Research Institute, Pacific R&D Center) ;
  • Park, J.W. (Skin & Applied Research Institute, Pacific R&D Center) ;
  • Lee, H. (Skin & Applied Research Institute, Pacific R&D Center)
  • Published : 1999.12.31

Abstract

Acne vulgaris, the most common skin disease. can be formed as only a few comedons or severe inflammatory lesions. The pathogenesis of acne involves various factors; excessive androgen, excessive sebum production, abnormal alteration of follicular epithelium, proliferation of Propionibacterium acnes, and inflammation. We investigated acne therapy using oriental herbs described in the Korean traditional medical book(Dong-ui-bo-gam). Oriental herbs(Angelica daurica, Arctium lappa, Coptidis rhizoma, and Glycyrrhiza glabra) were chosen based on their respective property of sebum control, anti-inflammatory activity, and anti-bacterial activity. We examined the effect of acne treatment, in terms of chemotactic inhibition, lipogenesis inhibition, and anti-bacterial activity for P. acnes. 1. Neutrophil chemotaxis assay; P. acnes secrete chemotactic factors and other pro-inflammatory extracellular products. Neutrophil chemotactic activity of P. acnes was measured by 48-well chemotaxis method. Angelica daurica clearly suppressed chemotactic activity of P. acnes. 2. Using sebaceous gland of hamster ear lipogenesis assay; Sebaceous lipogenesis was measured using ear biopsies by incubation or $C^{14}$-acetate in culture media. The $C^{14}$-labeled lipids were extracted and determined by liquid scintilation counting. Coptidis rhizoma markedly inhibited sebum production. 3. Anti-bacterial assay for P. acnes(MIC test); Glycyrrhiza glabra showed anti-bacterial activity. P. acnes did not develop resistance against Glycyrrhiza glabra. Retinoids are effectively to inhibit sebum production and regulate follicular keratinization process, with little anti-inflammatory activity. Angelica daurica suppressed neutrophil chemotaxis, Coptidis rhizoma inhibited sebum production, and Glycyrrhiza glabra showed anti-bacterial activity against P. acnes. A combined formulation of Angelica daurica, Coptidis rhizoma. and Glycyrrhiza glabra is expected to provide effective acne treatment.

Keywords

References

  1. J. Invest Dermatol. v.73 no.5 Prevalence, morbidity and cast of dermatological diseases Kraning, K.K.;Odland, G.F.(eds.)
  2. Acne Cunliffe, W.
  3. J. Am. Acad. Dermatol. v.32 no.5 New understandings of the pathogenesis of acne Leyden, James J.
  4. Arch. Dermatol. Res. v.278 Effect of cyproterone acetate-ethyl estradiol treatment on the proportions of linoleic acid sebaleic acids in various skin surface lipid classes Stewart, M.E.;Greenwood, R.;Cunliffe, W.J.;Straus, J.S.;Downing, D.T.
  5. Arch. Dermatol. v.82 The pathologic dynamics of acne vulgaris Strauss, J.S.;Kligman, A.M.
  6. Acne and related disorders Occurrence and distribution of cytokeratins and filaggrin in the human pilosebacous unit: an immunocytochemical study Kurukawa, I.;Mayer-da-Silva, A.;Gollnick, H.;Orfanos, C.F.;Marks, R.;Plewig, G.(eds.)
  7. Acne and related disorders Keratin characterization in the pilosebaceous ducts of acne pations Kluznik, A.R.;Wood, E.J.;Cunliffe, W.J.;Marks, R.;Plewig, G.(eds.)
  8. J. Am. Acad. Dermatol. v.14 Essential fatty acids and acne Downing, D.T.;Stewart, M.E.;Wertz, P.W.;Straus, J.S.
  9. Br. J. Dermatol. v.109 Enhanced comedo formation in rabbit ear skin by squalene and oleic acid peroxides Motoyoshi, K.
  10. J. Invest Dermatol. v.77 The relationship between bacteria and the abnormal follicular keratinizarion in acne vulgaris Laker, R.M.;Leyden, J.J.;McGinley, K.J.
  11. Br. J. Dermatol. v.118 A histological and immunocytochemical study of early acne lesions Norris, J.F.B.;Cunliffe, W.J.
  12. N. Engl. J. Med. v.273 Effects of teracyclne on the composition of sebum in acne vulgaris Freinkel, R.K.;Strauss, J.S.;Yip, S.Y.;Pochi, P.E.
  13. J. Invest Dermatol. v.56 Control of free fatty acids in human surface lipids by Corynebacterium acnes Marples, R.P.;Downing, D.T.;Kligman, A.M.
  14. Arch. Dermatol. v.92 Intracutaneous injection of sebum and comedones: histological observations Strauss, J.S.;Pochi, P.E.
  15. Infect Immun. v.26 Complement activation in acne vulgaris: consumption of complement by comedones Webster, G.F.;Leyden, J.J.;Nilsson, U.R.
  16. J. Invest Dermatol. v.73 Neutrophil lysosomal release in response to Propionibacterium acnes Webster, G.F.;Tsai, C.C.;Leyden, J.J.
  17. Infect Immun. v.22 Complement activation in acne vulgaris: in vitro studies with Propionibacterium acnes and Propionibacterium granulosum Webster, G.F.;Leyden, J.J.;Norman, M.E.;Nilsson, U.R.
  18. J. Immunological Methods v.33 A 48-well micro chemotaxis assembly for rapid and accurate measurement of leukocyte migration Falk, Werner;Goowin, Richard H. Jr.;Leonard, Edward J.
  19. Arch. Dermatol. Res. v.282 The inhibiton of free radical generation by human neutrophils through the synergic effects of metronidazole with palmitoeic aicd: a possible mechanism of action of metronidazole in rosacea and acne Akamatsu, H.;Oguchi, M.;Nishijima, S.;Asada, Y.;Takahashi, M.;Ushijima, T.;Niwa, Y.
  20. Skin Pharmacology v.6 Effect of some alkaloids, flavonoids and triterpenoids, contents of Japanese-Chinese traditional herbal medicines, on the lipogenesis of sebaceous glands Seki, Taisuke;Morohashi, Masaaki
  21. Dong-ui-bo-gam 허준
  22. Pharmacognosy Han, Daeseok
  23. Dermatology v.196 no.1 Topical drug treatment in acne Gollnick, H.;Schramm, M.