DOI QR코드

DOI QR Code

사물탕(四物湯) 가(加) 단참(丹參)의 상처 치료에 대한 효과

The Effects of Samul-tang-ga-dansam for Wound Healing

  • 이은별 (대구한의대학교 한의과대학 한방재활의학교실) ;
  • 김현지 (대구한의대학교 부속 대구한방병원 한방재활의학과) ;
  • 김채영 (대구한의대학교 부속 대구한방병원 한방재활의학과) ;
  • 최지수 (대구한의대학교 부속 대구한방병원 한방재활의학과) ;
  • 우창훈 (대구한의대학교 한의과대학 한방재활의학교실) ;
  • 김영준 (대구한의대학교 한의과대학 한방재활의학교실) ;
  • 안희덕 (대구한의대학교 한의과대학 한방재활의학교실)
  • Eun-Byeol Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Hyeon-Ji Kim (Department of Korean Medicine Rehabilitation, Daegu Korean Medicine Hospital, Daegu Haany University) ;
  • Chae-Young Kim (Department of Korean Medicine Rehabilitation, Daegu Korean Medicine Hospital, Daegu Haany University) ;
  • Ji-Su Choi (Department of Korean Medicine Rehabilitation, Daegu Korean Medicine Hospital, Daegu Haany University) ;
  • Chang-Hoon Woo (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Young-Jun Kim (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Hee-Duk An (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University)
  • 투고 : 2023.03.15
  • 심사 : 2023.04.06
  • 발행 : 2023.04.30

초록

Objectives The purpose of this study was to evaluate the antioxidant, anti-inflammatory and wound healing effects of Samul-tang-ga-dansam water extract (SD) in wound-induced mice. Methods The mice were divided into five groups (n=7): the normal group, the control group, the positive control group, the low-dose SD group and the high-dose SD group. The normal group had no wounds and the other groups were wounded on the back with a leather punch. Distilled water was administered to the control group, 200 mg/kg of vitamin E was administered to the positive control group. In the low-dose SD group and the high-dose SD group, 1.23 g/kg and 2.47 g/kg of SD were administered, respectively. Antioxidant and anti-inflammatory protein levels were evaluated using western blot analysis. Skin tissue was analyzed by H&E, Masson's trichrome staining method. Results Oral administration of the SD significantly reduced the visible skin damage and decreased the reactive oxygen species and ONOO- activity of the serum. It significantly increased heme oxygenase-1, superoxide dismutase, catalase, GPx-1/2, Nrf2 and Keap-1 which are antioxidant-related factors in skin tissue and reduced NF-κB p65, inducible nitric oxide synthase, cyclooxygenase-2, tumor necrosis factor α, interleukin (IL)-1β, IL-6 which are inflammation-related factors. Also, SD significantly decreased NOX2, p22phox and p47phox and increased α-smooth muscle actin and COL1A1 protein expression in fibroblasts involved in connective tissue repair. According to histological examination, the thickened epithelial layer was thinned and collagen fibers were increased to accelerate wound healing. Conclusions It is suggested that Samul-tang-ga-dansam has antioxidant and anti-inflammatory effects and promotes wound tissue repair.

키워드

참고문헌

  1. The National College of Oriental Medicine Dermatology Textbook Compilation Committee. Text of Korean dermatology. Sunwoo Publisher. 2007:37-57, 72, 127-8, 271-3.
  2. The Korean Society of Plastic and Reconstructive Surgeons. Standard plastic surgery. Koonja Publishing. 2009:83-91, 453-62.
  3. Yeon CH, Roh SS. Effects of SaMulTangGamibang (SMTG) on the inflammatory reactions. The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology. 2004;17(3):18-25.
  4. The National College of Oriental Medicine Herbology Textbook Compilation Committee. Medicinal herbology. Younglim-Sa. 2016:458.
  5. Kim JM, Lee IC, Lee TJ, Kim BH. The promoting effect of Dansam-Samultang on hair growth by gross and histological observation. Journal of Investigative Cosmetology. 2001;7(3):257-65. https://doi.org/10.15810/JIC.2011.7.3.004
  6. Yoo JY, Kim YC, Lee JH, Woo HJ. The effect of DanSamSaMul-Tang on hematopoiesis. Journal of Korean Medicine. 2022;23(1):145-55.
  7. Lee IC, Kim BH, Kim SO, Kim MK. Skin safety evaluation of a Korean traditional prescription, Dansam-samultang and Samwhang-sasim-tang. Journal of Physiology & Pathology in Korean Medicine. 2011;25(2):212-6.
  8. Lee SE. Anti-obesity effect and action mechanism of Dansam-Samultang in C57BL/6 obese mice fed high fat diet. The Korean Society of Beauty and Art. 2018;19(2):111-23. https://doi.org/10.18693/jksba.2018.19.2.111
  9. Musalmah M, Fairuz AH, Gapor MT, Wan Ngah WZ. Effect of vitamin E on plasma malondialdehyde, antioxidant enzyme levels and the rates of wound closures during wound healing in normal and diabetic rats. Asia Pacific Journal of Clinical Nutrition. 2002;11:S448-51. https://doi.org/10.1046/j.1440-6047.11.s.7.6.x
  10. Heo J. Donguibogam. Donguibogam Publishing. 2010:45-6, 2162.
  11. Rama P, Vignesh A, Lakshmanan G, Murugesan K. In vitro antioxidant activity of Achyranthes aspera Linn. International Journal of Medicine and Pharmacy. 2013;3(2):67-78.
  12. Chang CC, Yang MH, Wen HM, Chern JC. Estimation of total flavonoid content in propolis by two complementary colorimetric methods. Journal of Food and Drug Analysis. 2002;10(3):178-82.
  13. Blosis MS. Antioxidant determinations by the use of a stable free radical. Nature. 1958;181:1199-200. https://doi.org/10.1038/1811199a0
  14. Re R, Pellegrini N, Proteggente A, Pannala A, Yang M, Rice-Evans C. Antioxidant activity applying an improved ABTS radical cation decolorization assay. Free Radical Biology and Medicine. 1999;26(9-10):1231-7. https://doi.org/10.1016/S0891-5849(98)00315-3
  15. Kim HY, Hong SU. The effects of Gamisipjeontang-gamibang on injured tissue after burn elicitation. The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology. 2009;22(1):62-75.
  16. Kim JE, Chae KY, Park SN. Antioxidative and inhibitory activities on tyrosinase of Hippophae rhamnoides leaf extracts. Journal of the Society of Cosmetic Scientists of Korea. 2011;37(3):265-73. https://doi.org/10.15230/SCSK.2011.37.3.265
  17. Lee KT, Yu BC, Kim YS, Seol IC. A prior study on the effect of Samul-tang to regeneration of injured peripheral nerve fiber. Journal of Haehwa Medicine. 2005;14(2):107-12.
  18. Rice-evans CA, Miller NJ, Bolwell PG, Bramley PM, Pridham JB. The relative antioxidant activities of plant-derived polyphenolic flavonoids. Free Radical Research. 1995;22(4):375-83. https://doi.org/10.3109/10715769509145649
  19. Dai J, Mumper RJ. Plant phenolics: extraction, analysis, and their antioxidant and anticancer properties. Molecules. 2010;15(1):7313-52. https://doi.org/10.3390/molecules15107313
  20. Kim ES, Jang HD, Kim GN. Anti-oxidative function of fisetin and its potential as an anti-oxidant nutri-cosmetics. Korean Journal of Aesthetics and Cosmetology. 2012;10(3):515-21.
  21. Kim EJ, Choi JY, Yu MR, Kim MY, Lee SH, Lee BH. Total polyphenols, total flavonoid contents, and antioxidant activity of Korean natural and medicinal plants. Korean Journal of Food Science and Technology. 2012;44(3):337-42. https://doi.org/10.9721/KJFST.2012.44.3.337
  22. Del R, Luis A. ROS and RNS in plant physiology: an overview. Journal of Experimental Botany. 2015;66(10):2827-37. https://doi.org/10.1093/jxb/erv099
  23. Kang SW. Role of reactive oxygen species in cell death pathways. Hanyang Medical Reviews. 2013;33(2):77-82. https://doi.org/10.7599/hmr.2013.33.2.77
  24. Kumar V, Abbas AK, Aster JC. Robbins and cotran pathologic basis of disease. Panmun Education. 2017:45-6, 76-8, 80-4.
  25. Abdalla HB, Napimoga MH, Lopes AH, de Macedo MAG, Cunha TM, Van DTE, Napimoga JTC. Activation of PPAR-γ induces macrophage polarization and reduces neutrophil migration mediated by heme oxygenase 1. International immunopharmacology. 2020;84:106565.
  26. El-Benna J, Dang PMC, Gougerot-Pocidalo MA, Marie JC, Braut-Boucher F. P47phox, the phagocyte NADPH oxidase/NOX2 organizer: structure, phosphorylation and implication in diseases. Experimental & Molecular Medicine. 2009;41(4):217-25. https://doi.org/10.3858/emm.2009.41.4.058
  27. Tarafdar A, Pula G. The role of NADPH oxidases and oxidative stress in neurodegenerative disorders. International Journal of Molecular Sciences. 2018;19(12):3824.
  28. Nam JW, Lee YS. Role of NADPH oxidase in the mechanism of arachidonic acid-induced apoptosis in HepG2 human hepatoblastoma cells. Yakhak Hoeji. 2012;56(2):80-5.
  29. Kaspar JW, Niture SK, Jaiswal AK. Nrf2: INrf2(Keap1) signaling in oxidative stress. Free Radical Biology and Medicine. 2009;47(9):1304-9. https://doi.org/10.1016/j.freeradbiomed.2009.07.035
  30. Abbas AK, Lichtman AH, Pillai S. Cellular and molecular immunology. 9th ed. Panmun Education. 2016:85-94, 189-91.
  31. Kwon DJ, Ju SM, Youn GS, Choi SY, Park J. Suppression of iNOS and COX-2 expression by flavokawain A via blockade of NF-κB and AP-1 activation in RAW 264.7 macrophages. Food and Chemical Toxicology. 2013;58:479-86. https://doi.org/10.1016/j.fct.2013.05.031
  32. Ko UH, Hong J, Shin H, Kim CW, Shin JH. Combinatorial physical stimulation and synergistically-enhanced fibroblast differentiation for skin regeneration. Journal of the Korean Society for Precision Engineering. 2015;32(8):755-60. https://doi.org/10.7736/KSPE.2015.32.8.755
  33. Almeida L, Oliveira J, Guimaraes LH, Carvalho EM, Blackwell JM, Castellucci L. Wound healing genes and susceptibility to cutaneous leishmaniasis in Brazil: role of COL1A1. Infection, Genetics and Evolution. 2015;30:225-9. https://doi.org/10.1016/j.meegid.2014.12.034
  34. The Text Compilation Committee of Korean Dermatological Association. Dermatology. 5th ed. Yeo Moon Gak. 2008:27.