Basic Herbal Medicine Research Group, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
PLoS One. 2012;7(9):e45734. doi: 10.1371/journal.pone.0045734. Epub 2012 Sep 21.
Crataegus pinnatifida (Chinese hawthorn) has long been used as a herbal medicine in Asia and Europe. It has been used for the treatment of various cardiovascular diseases such as myocardial weakness, tachycardia, hypertension and arteriosclerosis. In this study, we investigated the anti-inflammatory effects of Crataegus pinnatifida ethanolic extracts (CPEE) on Th2-type cytokines, eosinophil infiltration, expression of matrix metalloproteinase (MMP)-9, and other factors, using an ovalbumin (OVA)-induced murine asthma model.
METHODS/PRINCIPAL FINDING: Airways of OVA-sensitized mice exposed to OVA challenge developed eosinophilia, mucus hypersecretion and increased cytokine levels. CPEE was applied 1 h prior to OVA challenge. Mice were administered CPEE orally at doses of 100 and 200 mg/kg once daily on days 18-23. Bronchoalveolar lavage fluid (BALF) was collected 48 h after the final OVA challenge. Levels of interleukin (IL)-4 and IL-5 in BALF were measured using enzyme-linked immunosorbent (ELISA) assays. Lung tissue sections 4 µm in thickness were stained with Mayer's hematoxylin and eosin for assessment of cell infiltration and mucus production with PAS staining, in conjunction with ELISA, and Western blot analyses for the expression of MMP-9, intercellular adhesion molecule (ICAM)-1 and vascular cell adhesion molecule (VCAM)-1 protein expression. CPEE significantly decreased the Th2 cytokines including IL-4 and IL-5 levels, reduced the number of inflammatory cells in BALF and airway hyperresponsiveness, suppressed the infiltration of eosinophil-rich inflammatory cells and mucus hypersecretion and reduced the expression of ICAM-1, VCAM-1 and MMP-9 and the activity of MMP-9 in lung tissue of OVA-challenged mice.
These results showed that CPEE can protect against allergic airway inflammation and can act as an MMP-9 modulator to induce a reduction in ICAM-1 and VCAM-1 expression. In conclusion, we strongly suggest the feasibility of CPEE as a therapeutic drug for allergic asthma.
山楂(Chinese hawthorn)在亚洲和欧洲长期以来一直被用作草药。它已被用于治疗各种心血管疾病,如心肌无力、心动过速、高血压和动脉硬化。在这项研究中,我们使用卵清蛋白(OVA)诱导的小鼠哮喘模型,研究了山楂醇提物(CPEE)对 Th2 型细胞因子、嗜酸性粒细胞浸润、基质金属蛋白酶(MMP)-9 表达和其他因素的抗炎作用。
方法/主要发现:OVA 致敏的小鼠气道在暴露于 OVA 挑战后发展为嗜酸性粒细胞增多、黏液分泌过多和细胞因子水平升高。CPEE 在 OVA 挑战前 1 小时给予。在第 18-23 天,每天一次给予 CPEE 口服 100 和 200mg/kg。在最后一次 OVA 挑战后 48 小时收集支气管肺泡灌洗液(BALF)。使用酶联免疫吸附(ELISA)测定 BALF 中白细胞介素(IL)-4 和 IL-5 的水平。用 Mayer 苏木精和伊红对 4µm 厚的肺组织切片进行染色,以 PAS 染色评估细胞浸润和黏液产生,并结合 ELISA 和 Western blot 分析 MMP-9、细胞间黏附分子(ICAM)-1 和血管细胞黏附分子(VCAM)-1 蛋白表达。CPEE 显著降低 Th2 细胞因子包括 IL-4 和 IL-5 水平,减少 BALF 和气道高反应性中的炎症细胞数量,抑制嗜酸性粒细胞丰富的炎症细胞浸润和黏液分泌过多,并降低 ICAM-1、VCAM-1 和 MMP-9 的表达以及 MMP-9 在 OVA 挑战小鼠肺组织中的活性。
这些结果表明,CPEE 可以防止过敏性气道炎症,并可以作为 MMP-9 调节剂诱导 ICAM-1 和 VCAM-1 表达减少。总之,我们强烈建议将 CPEE 作为治疗过敏性哮喘的药物的可行性。