Li A L, Komatsu Y, Ono Y, Nakatani F, Nakashima K, Yamaguchi N
Department of Serology, Kanazawa Medical University, Uchinada, Japan.
Kansenshogaku Zasshi. 1996 Jul;70(7):717-26. doi: 10.11150/kansenshogakuzasshi1970.70.717.
The acquired immunodeficiency of the host plays an essential role in the occurrence of infections even with low pathogenic bacteria. The increase of cases with MRSA and/or pseudomonas infection is one of the serious problems in hospital management in Japan for the elderly as well as pediatric patients. In the present study, mitomycin C (MMC)-treated hosts were prepared in young, adult and old mice to test the immunopotentiating action of the promising Chinese herbal medicine, Tohki-Rikuoh-Toh (TRT), Hotyu-Ekki-Toh (HET) and Juzen-Taiho-Toh (JTT). The effect of these herbal medicines on organ structure and its function in the MMC-treated hosts is clarified and discussed for medical use. 4-5, 8-10 and over 50 week old male C57BL/6 (Clea Japan Inc.) were injected with MMC at a dosage of 3 to 5 mg/kg to inhibit the bone marrow, thus creating a mouse model with reduced immunopotential. A powder extract of TRT, HET and JTT was administrated orally at a dosage of 500 mg/kg/day for seven consecutive days. The white cell number and the subset analysis were carried out by the FACS method. The bactericidal effect of the host was monitored by NBT reduction test. Peritoneal macrophages were prepared by the adherence technique. The macrophage phagocytic activity was examined by an ACAS system. After the administration of TRT, HET and JTT, the body weights recovered as much as 90%, especially in young animals which had been reduced to 75% of their normal values. After MMC-treatment, with the herbal medicines, HET was good for young mice while JTT was effective for the old ones. As for the effect on B cells, the plaque-forming cells (PFC) of spleen cells were compared among the groups. As a result, PFC in the HET group was 184% and the other two were 80 approximately 95% as compared to 76% in the MMC-treated ones. The number of white blood cells in the MMC-treated mice returned to 80% of their normal value. In addition, the phagocytic activity of macrophages increased to 50% although that of the non-treated group was only 20%. The phagocytic activity also recovered in the JTT and TRT of 131% to 95%, respectively compared to 11% in the MMC-treated control. When TRT, HET and JTT were administered orally to mouse models whose immunopotential had been inhibited, the herbal medicines activated both quantitatively and qualitatively, showing themselves to be effective interstitial medicines. In addition, the data from the animal models showed no side effects, confirming the complete efficacy of the drug. Moreover, there was no direct anti-bactericidal effect from these medicines, suggesting that the immunomodulating action of this medicine is host-mediated. It is interesting that quantitative and qualitative recovery were seen when HET was administered to MMC-treated young hosts while JTT was good for the old. With this investigation, the effective components are still unknown for different generations, and we need to clarify this aspect for better understanding of the efficacy of herbal medicines.
宿主获得性免疫缺陷在即使是低致病性细菌感染的发生中也起着至关重要的作用。耐甲氧西林金黄色葡萄球菌(MRSA)和/或铜绿假单胞菌感染病例的增加是日本医院管理中针对老年人以及儿科患者的严重问题之一。在本研究中,在年轻、成年和老年小鼠中制备了丝裂霉素C(MMC)处理的宿主,以测试有前景的中药十味日中汤(TRT)、防风通圣汤(HET)和十全大补汤(JTT)的免疫增强作用。阐明并讨论了这些中药对MMC处理宿主的器官结构及其功能的影响,以供医学应用。4 - 5周龄、8 - 10周龄以及50周龄以上的雄性C57BL/6小鼠(日本株式会社クレア)以3至5mg/kg的剂量注射MMC以抑制骨髓,从而创建免疫潜能降低的小鼠模型。TRT、HET和JTT的粉末提取物以500mg/kg/天的剂量连续口服七天。通过流式细胞术(FACS)方法进行白细胞计数和亚群分析。通过NBT还原试验监测宿主的杀菌作用。通过贴壁技术制备腹腔巨噬细胞。通过ACAS系统检查巨噬细胞吞噬活性。给予TRT、HET和JTT后,体重恢复了多达90%,特别是在体重已降至正常值75%的年轻动物中。MMC处理后,使用这些中药,HET对年轻小鼠有益,而JTT对老年小鼠有效。至于对B细胞的影响,比较了各组脾细胞的空斑形成细胞(PFC)。结果,与MMC处理组的76%相比,HET组的PFC为184%,其他两组约为80%至95%。MMC处理小鼠的白细胞数量恢复到正常值的80%。此外,巨噬细胞的吞噬活性增加到50%,而未处理组仅为20%。与MMC处理对照组的11%相比,JTT和TRT组的吞噬活性也分别恢复到131%至95%。当将TRT、HET和JTT口服给予免疫潜能已被抑制的小鼠模型时,这些中药在数量和质量上均有激活作用,表明它们是有效的滋补药。此外,动物模型的数据显示无副作用,证实了药物的完全有效性。而且,这些药物没有直接的杀菌作用,表明该药物的免疫调节作用是由宿主介导的。有趣的是,当将HET给予MMC处理的年轻宿主时出现了数量和质量上的恢复,而JTT对老年宿主有益。通过这项研究,不同代的有效成分仍然未知,我们需要阐明这方面以更好地理解中药的疗效。