인동소염방(忍冬消炎方)이 만성 비세균성 전립선염 Rat 모델에서 혈액 및 세포조직의 변화에 미치는 영향

The Effects of IDS(Indongsoyeom-bang) Treatment on the Hematological and Cytopathological Alterations in Non-Bacterial Prostatitis Rat Model

  • Lee, Jong-Bin (Department of Internal medicine, College of oriental medicine, Daejeon University) ;
  • Hwang, Seock-Yeon (Dept of Biomedical Laboratory Science, Daejeon University) ;
  • Cho, Chung-Sik (Department of Internal medicine, College of oriental medicine, Daejeon University)
  • 투고 : 2011.06.02
  • 심사 : 2011.06.16
  • 발행 : 2011.08.20

초록

Background : Although chronic non-bacterial prostatitis is increasing, it is hard to treat effectively. In western medicine, antimicrobials drug, ${\alpha}$-adreno-ceptor antagonists, anti-inflammatory drugs, tricyclic antidepressants and anticholinergic agents are used commonly, but chronic prostatitis/chronic pelvic pain syndromes is confusing and frustrating for urologist. IDS(Indongsoyeom-bang) is used in treatment of chronic prostatitis/chronic pelvic pain syndromes. And it is reported that GLS(Gleditsiae spina) and TOF(Toosendan fructus) components of IDS have significant effect on protection of the glandular epithelial cells. Objective : In this study was conducted to investigate the therapeutic effects and action machanism of IDS in the rat model of non-bacterial prostatitis induced by castration and testosterone treatment. Methods : We observed six experimental objects of normal group, control group, testosterone group, and IDS 50 mg/kg, 200mg/kg, 400mg/kg group. Rats were treated with 17 ${\beta}$-estradiol after castration for induction of experimental non-bacterial prostatitis, which is similar to human chronic prostatitis in histophatological profiles. IDS and testosterone were administered as an experimental specimen and a positive control, respectively. The prostates were evaluated by histological parameters including the epithelial score and epithelio-stromal ratio for glandular damage. Also, the prostates were observed by Hematological alterations of WBC, RBC, hemoglobin and platelet. Results : While prostates of control rats revealed severe acinar gland atrophy and stromal proliferation, the rats treated with IDS-50 showed a diminished range of the tissue damage. Epithelial score was improved in IDS than that of the control. The epithelio-stromal ratio was lower in IDS when compared to that of the control. Also, the examination of bloods were not observed hematological change. Conclusion : These finding suggests that IDS may protects the glandular epithelial cells. We concluded that IDS could be a useful remedy agent for treating chronic non-bacterial prostatitis.

키워드

참고문헌

  1. 대한남성과학회. 남성과학. 서울, 군자출판사, pp.571-592, 2004.
  2. The National Institutues of Health chronic prostatitis symptom inde x: development and validation of a new outcome measure. Chronic Prostatitis Collaborative Research Network. J Urol. 162(2):369 -375, 1999. https://doi.org/10.1016/S0022-5347(05)68562-X
  3. 대한비뇨기과학회. 비뇨기과학. 서울, 고려의학, pp.12-3, 156-61, 2001.
  4. Turner JA, Ciol MA, Von Korff M, Berger R. Prognosis of patients with new prostatitis/pelvic pain syndrome episodes. J Urol. 17 2:538-41, 2004. https://doi.org/10.1097/01.ju.0000132797.63480.44
  5. 두호경. 東醫腎系學, 서울: 東洋醫學硏究院;,pp. 679-688, 1991.
  6. 郭軍, 常德貴. 中西醫結合男科治療學. 北京: 人民軍醫出版社, pp. 23 3-240, 2003.
  7. 李日廣, 實用中西醫結合泌尿男科學. 北京: 人民衛生出版社, pp. 260- 265, 1995.
  8. 정기훈, 장선규, 최정식, 조충식, 김철중. 조각자가 만성 비세균성 전립선염 Rat 모델에서 혈액 및 세포조직의 변화에 미치는 영향. 대한한방내과학회지. 28(4):779-790, 2007.
  9. 이진신, 안영민, 안세영, 두호경, 이병철. 연교(連翹)가 만성 비세균성 전립선염 Rat의 염증발현인자 및 세포조직 변화에 미치는 영향. 대한한방내과학회지, 27(3):641-654, 2006.
  10. 이병철, 김상우, 안영민, 두호경, 안세영. 해금사가 만성 비세균성 전립선염 모델에서 혈액학적 및 세포조직학적 변화에 미치는 영향. 대한한방내과학회지. 27(3):667-680, 2006.
  11. 한양희. 하고초(夏枯草)가 만성 비세균성 전립선염 Rat의 전립선세포 조직변화 및 염증관련 Cytokines 발현에 미치는 영향. 대한한의학회지, (2):71-80, 2008.
  12. 김순일, 안영민, 안세영, 두호경, 이병철. 황백이 만성 비세균성 전립선염 모델에서 혈액학적 및 세포조직학적 변화에 미치는 영향. 대한한의학회지. (3):61-72, 2006.
  13. 이구현, 장선규, 최정식, 김철중, 조충식. 천련자가 만성 비세균성 전립선염 Rat 모델에서 혈액 및 세포조직의 변화에 미치는 영향. 대한본초학회지, 2(4):145-153, 2007.
  14. 전국의과대학교수역. 오늘의 진단 및 치료. 서울:한우리, pp.1003-28, 1999.
  15. Liang CZ, Zhang XJ, Hao ZY, Yang S, Wang DB, Shi HQ, Liu C. An epidemiological study of patients with chronic prostatitis. BJU int., 94:568-70, 2004. https://doi.org/10.1111/j.1464-410X.2004.05002.x
  16. Schaeffer AJ. Epidemiology and demograhics of chronic prostatitis. Andrologia, 35:252-57, 2003.
  17. Kochetov AG,Golubchikov VA, Ivanov AO, Sitnikov NV, Groshilin S M, Glinskii VM. Psychophysiological Characteristics of patients wit h chronic prostatitis. Urologiia, 5:26-31, 2003.
  18. Nickel JC, Downey J, Ardern D, Clark J, Nickel K. Failure of a mo notherapy strategy for difficult chronic prostatitis/chronic pelvic p ain syndrome. J Urol. 172:551-4, 2004. https://doi.org/10.1097/01.ju.0000131592.98562.16
  19. Lee JH, Ko WS, Kim YH, Kang HS, Kim HD, Choi BT. Anti-inflam matory effect of the aqueous extract from Lonicera japonica flowe r is related to inhibition of NF-kappaB activation through reducing I-kappaBalpha degradation in rat liver. Int J Mol Med. 7(1):7 9-83, 2001.
  20. S Hu, W. Cai, J. Ye, Z. Sun. Influence of medicinal herbs on phago cytosis by bovine neutrophils. Zentralbl. Veterinarmed, Reihe, 39:593-9, 1992.
  21. Kim DS, Choi JH, Kim JH, Park SY, Kang SI. Effects of Lonicerae Caulis (LC) on Gene Expression of Human melanoma cells. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology, 22(1):11-32, 2009.
  22. Muntzing H, Sufrin G, Murphy GP. Prostatitis in the rat. Scand J U rol Nephrol. 13:17-22, 1979. https://doi.org/10.3109/00365597909179995
  23. Kamijo T, Sato S, Kitamura T. Effect of cernitin pollen-extract on experimental nonbacterial prostatits in rats. Prostate. 49:122 -131, 2001. https://doi.org/10.1002/pros.1126
  24. Robinette CL. Sex-hormone-induced inflammation and fibromuscul ar proliferation in the rat lateral prostate.The Prostate, 12:27 1-86, 1988. https://doi.org/10.1002/pros.2990120310
  25. Seethalakshmi L, Bala RS, Malhotra RK, Austin-ritchie T, Miller-G raziano C, Menon M, Luber-Narod J. 17$\beta$-estradiol induced prost atitis in the rat is an autoimmune disease. J Urol 156:1838-42, 1996. https://doi.org/10.1016/S0022-5347(01)65548-4
  26. Ponniah S, Arah I, Alexander RB. PSA is a candidate self-antigen in autoimmune disease chronic prostatitis/chronic pelvic pain syndr ome. The Prostate. 44:49-54, 2000. https://doi.org/10.1002/1097-0045(20000615)44:1<49::AID-PROS7>3.0.CO;2-7