Key Laboratory of Marine Drugs, School of Medicine and Pharmacy, Ocean University of China, Qingdao, China.
Qingdao Institute for Food and Drug Control, Qingdao, China.
Pharm Biol. 2022 Dec;60(1):1055-1062. doi: 10.1080/13880209.2022.2074465.
Mulisan decoction (MLS) is a classic formula of traditional Chinese medicine for treating hyperhidrosis. The mechanism remains unclear.
To investigate the antiperspirant effect and underlying mechanisms of MLS.
Fifty rats were divided into control, model, and three doses of MLS intervention groups ( = 10). Rats except for control group were induced diseases features of the applicable scope of MLS i.p. reserpine (0.5 mg/kg/d) for 10 days. From day 11, MLS groups were administrated orally MLS at 0.6, 3, and 15 g/kg once a day for 14 days, respectively. After the last administration, sweating was induced in all rats s.c. pilocarpine (25 mg/kg), the right hind foot of rats was stained, and sweat point numbers were observed. Rat serum was collected to detect IL-2, IL-6, IFN-γ, and TNF-α. Rat plasma was collected for endogenous metabolite analysis UPLC-QE-Focus-MS.
Rats treated with MLS presented a significant decrease in sweat point numbers (13.5%), increase in body weight (13.2%), and promotion in the balance of Th1/Th2 cytokine ratio increasing IL-2 (38.3%), IFN-γ (20.1%), and TNF-α (22.0%) and decreasing IL-6 (24.7%) compared with the model group ( < 0.05). Plasma metabolomics disclosed 15 potential biomarkers related to model rats, of which two could be significantly reversed by MLS ( < 0.05). The involved pathways were pantothenate and CoA biosynthesis, and porphyrin metabolism.
MLS demonstrated a good antiperspirant effect and metabolism improvement. These findings inspire more clinical study validation on immune improvement and antiperspirant effect.
麻黄连轺赤小豆汤(MLS)是一种治疗多汗症的经典中药方剂。其作用机制尚不清楚。
探讨 MLS 的止汗作用及其机制。
将 50 只大鼠分为对照组、模型组和 3 个 MLS 干预组(每组 10 只)。除对照组外,其余大鼠腹腔注射利血平(0.5mg/kg/d)10 天,诱导适用范围的疾病特征。从第 11 天开始,分别给予 MLS 组 0.6、3 和 15g/kg 口服,每天 1 次,共 14 天。末次给药后,所有大鼠皮下注射毛果芸香碱(25mg/kg)诱导出汗,染色大鼠右后足,观察汗点数。采集大鼠血清检测白细胞介素 2(IL-2)、白细胞介素 6(IL-6)、干扰素-γ(IFN-γ)和肿瘤坏死因子-α(TNF-α)。采集大鼠血浆进行内源性代谢物分析 超高效液相色谱-四极杆静电场轨道阱质谱(UPLC-QE-Focus-MS)。
与模型组相比,MLS 治疗组大鼠汗点数减少(13.5%),体重增加(13.2%),Th1/Th2 细胞因子比值平衡改善,IL-2(38.3%)、IFN-γ(20.1%)和 TNF-α(22.0%)增加,IL-6(24.7%)减少(均<0.05)。血浆代谢组学揭示了 15 种与模型大鼠相关的潜在生物标志物,其中 2 种可被 MLS 显著逆转(均<0.05)。涉及的途径是泛酸和辅酶 A 生物合成和卟啉代谢。
MLS 具有良好的止汗作用和代谢改善作用。这些发现激发了更多的临床研究验证其对免疫改善和止汗作用的疗效。