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황련해독탕(黃連解毒湯)의 아토피 피부염 개선 효과(效果)

Ameliorative Effects of Hwangnyeonhaedok-tang on Atopic Dermatitis

  • 기호필 (원광대학교 한의과대학 방제학교실) ;
  • 장선일 (전주대학교 보건관리학과) ;
  • 윤용갑 (원광대학교 한의과대학 방제학교실)
  • 투고 : 2013.05.24
  • 심사 : 2013.06.10
  • 발행 : 2013.06.30

초록

Objectives : The water extract of Hwangnyeonhaedok-tang (HHT), composed of the Scutellariae Radix, Coptidis Rhizoma, Phellodendri Cortex and Gardeniae Fructus has been traditionally used to treat fever, inflammation, gastritis and hypertension in east asia. However, little is known about the ameliorative effects of HHT on atopic dermatitis. Therefore, the purpose of this study was to investigate the therapeutic effect of HHT on atopic dermatitis Methods : We investigated the inhibitory effects of HHT on the production of proinflammatory cytokines in rat peritoneal mast cells (RPMCs), on the scratching behavior in ICR mice, and on atopic dermatitis symptoms in 2,4-dinitrofluorobenzene (DNFB)-induced atopic dermatitis-like model hairless mice. Results : Levels of TNF-${\alpha}$ and IL-$1{\beta}$ increased by PMA plus A23187 co-treatment were significantly inhibited by HHT in a dose-dependent manner. HHT also inhibited the histamine release from RPMCs stimulated by compound 48/80, which promotes histamine release. The oral administration of HHT reduced the scratching behavior induced by compound 48/80 and histamine in ICR mice. Furthermore, the intradermal treatment of HHT reduced the ear edema, skin lesions, and atopic molecular marker (IgE and IL-4) in DNFB-induced atopic dermatitis model mice. Conclusions : These results suggest that HHT may be used as a potential treatment for AD as a prescription for treatment of atopic dermatitis.

키워드

참고문헌

  1. 王燾. 外臺秘要. 北京:人民衛生出版社. 1996:72.
  2. 尹吉榮. 東醫臨床方劑學, 서울:明寶出版社. 1985:228, 229.
  3. 朴喜守. 臨床處方講座, 서울:大成醫學社. 2000:167-71.
  4. 鄭津牟. 中國處方解說. 臨床. 應用. 서울:癸丑文化史. 1992:354-7.
  5. 尹用甲, 圖解增補 東醫方劑와 處方解說. 서울:醫聖堂. 2007:730-46.
  6. 원영호, 황충연, 임규상, 김종한, 고성규, 이부균, 이동효, 김남권. 托裏消毒飮 合 黃連解毒湯의 아토피피부염에 대한 실험적 연구. 한방안이비인후피부과학회지. 2011;24:121-41.
  7. 김보애, 김미소, 강보미, 변선희, 박일향, 박지하, 정지욱, 안은미, 정현아, 장정희, 배원, 이하영, 최필녀, 박찬익. 黃連解毒湯이 NC/Nga Mice에서 유발된 아토피 피부염에 미치는 영향. 대한본초학회. 2008;23:59-65.
  8. Spergel JM, Paller AS. Atopic dermatitis and the atopic march. J Allergy Clin Immunol. 2003;112:S118-27. https://doi.org/10.1016/j.jaci.2003.09.033
  9. Leung DY, Bieber T. Atopic dermatitis. Lancet. 2003;361:151-60. https://doi.org/10.1016/S0140-6736(03)12193-9
  10. Leung DY, Boguniewicz M, Howell MD, Nomura I, Hamid QA. New insights into atopic dermatitis. J Clin Invest. 2004;113:651-7. https://doi.org/10.1172/JCI21060
  11. Mohrenschlager M, Darsow U, Schnopp C, Ring J. Atopic eczema: what's new? J Eur Acad Dermatol Venereol. 2006;20:503-13. https://doi.org/10.1111/j.1468-3083.2006.01580.x
  12. Novak N, Bieber T. Allergic and nonallergic forms of atopic diseases. J Allergy Clin Immunol. 2003;112:252-62. https://doi.org/10.1067/mai.2003.1595
  13. Schultz-Larsen, F. Hanifin, JM. Epidermiology of atopic dermatitis. Immunol Allergy Clin North Am. 2002;22:1-24.
  14. Saluja R, Delin I, Nilsson GP, Adner M. Fc ${\varepsilon}RI$-mediated mast cell reactivity is amplified through prolonged Toll-like receptor-ligand treatment. PLoS One. 2012;7:e43547. https://doi.org/10.1371/journal.pone.0043547
  15. Beltrani VS. The clinical spectrum of atopic dermatitis. J Allergy Clin Immunol. 1999;104:87-98. https://doi.org/10.1016/S0091-6749(99)70050-3
  16. Raiford DS. Pruritus of chronic cholestasis. Q J Med. 1995;88:603-7.
  17. Wahlgren CF. Itch and atopic dermatitis: an overview. J Dermatol. 1999;26:770-9. https://doi.org/10.1111/j.1346-8138.1999.tb02090.x
  18. Galli SJ. New concepts about the mast cell. N Engl J Med. 1993;328:257-65. https://doi.org/10.1056/NEJM199301283280408
  19. Martynova MG, Bystrova OA, Moiseeva OM, Evdonin AL, Kondratov KA, Medvedeva ND. The presence of ANP in rat peritoneal mast cells. Cell Res. 2005;15:811-6. https://doi.org/10.1038/sj.cr.7290350
  20. Lee YM, Cheng PY, Chim LS, Kung CW, Ka SM, Chung MT, Sheu JR. Baicalein, an active component of Scutellaria baicalensis Georgi, improves cardiac contractile function in endotoxaemic rats via induction of heme oxygenase-1 and suppression of inflammatory responses. J Ethnopharmacol. 2011;135:179-185. https://doi.org/10.1016/j.jep.2011.03.009
  21. Lin CC, Ng LT, Hsu FF, Shieh DE, Chiang LC. Cytotoxic effects of Coptis chinensis and Epimedium sagittatum extracts and their major constituents (berberine, coptisine and icariin) on hepatoma and leukaemia cell growth. Clin Exp Pharmacol Physiol. 2004;31:65-9. https://doi.org/10.1111/j.1440-1681.2004.03951.x
  22. Hsiang CY, Wu SL, Cheng SE, Ho TY. Acetaldehyde-induced interleukin-1beta and tumor necrosis factor-alpha production is inhibited by berberine through nuclear factor-kappaB signaling pathway in HepG2 cells. J Biomed Sci. 2005;12:791-801. https://doi.org/10.1007/s11373-005-9003-4
  23. Auyeung KK, Ko JK. Coptis chinensis inhibits hepatocellular carcinoma cell growth through nonsteroidal anti-inflammatory drug-activated gene activation. Int J Mol Med. 2009;24:571-77.
  24. Lee B, Sur B, Shim I, Lee H, Hahm DH. Phell odendron amurense and Its Major Alkaloid Compo und, Berberine Ameliorates Scopolamine- Induce d Neuronal Impairment and Memory Dysfuncti on in Rats. Korean J Physiol Pharmacol. 2012;16:79-89. https://doi.org/10.4196/kjpp.2012.16.2.79
  25. Fu Y, Liu B, Liu J, Liu Z, Liang D, Li F, Li D, Cao Y, Zhang X, Zhang N, Yang Z. Geniposide, from Gardenia jasminoides Ellis, inhibits the inflammatory response in the primary mouse macrophages and mouse models. Int Immunopharmacol. 2012;14:792-8. https://doi.org/10.1016/j.intimp.2012.07.006
  26. Wahlgren CF. Itch and atopic dermatitis: an overview. J Dermatol. 1999;26:770-9. https://doi.org/10.1111/j.1346-8138.1999.tb02090.x
  27. Kuraishi Y, Nagasawa T, Hayashi K, Satoh M. Scratching behavior induced by pruritogenic but not algesiogenic agents in mice. Eur J Pharmacol. 1995;275:229-33. https://doi.org/10.1016/0014-2999(94)00780-B
  28. Nagai H, Matsuo A, Hiyama H, Inagaki N, Kawada K. Immunoglobulin E production in mice by means of contact sensitization with a simple chemical, hapten. J Allergy Clin Immunol. 1997;100:S39-S44. https://doi.org/10.1016/S0091-6749(97)70003-4

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