Inhibitory Effect of Esubwhaltong-tang(Lishihuotong-tang) on Rheumatoid Arthritis Induced by Type II Collagen

이습활통탕(利濕活通湯)이 Collagen II로 유발된 류마티스 관절염에 미치는 영향

  • Kim, Jin-Gi (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dae-Jeon University) ;
  • Oh, Min-Suck (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dae-Jeon University)
  • 김진기 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 오민석 (대전대학교 한의과대학 한방재활의학과교실)
  • Received : 2008.12.15
  • Accepted : 2009.01.18
  • Published : 2009.01.13

Abstract

Objectives : The aim of this study was to know the immunity reponse of Esubwhaltong-tang(hereafter referred to ESWTT) to rheumatoid arthrits in CIA(collagen induced arthritis) mice. Methods : For this purpose, ESWTT was orally administerd to mice with arthritis induced by collagen II and then value of immunocyte in paw joint, cytokine(IL-6, $TNF-{\alpha}$), rheumatoid factor(IgG and IgM) and collagen II specific antibody in the serum were measured. Results : 1. The cytotoxicity was not shown on hFLSs and liver. 2. Marginal erosion, necrotic chodrocytes, cartilage and bone degradation were improved in histological section of paw joints from CIA mice(ESWTT extract administration group). 3. Total cell number of paw joint in CIA mice(ESWTT extract administration group) was decreased significantly. 4. The absolute number of CD3+, CD3+/CD69+, CD4+, CD4+/CD25+, CD49b+, CD3+/CD49b+ cells in CIA mice(ESWTT extract administration group) were decreased significantly. 5. The levels of IL-6 and $TNF-{\alpha}$ in the serum of CIA mice(ESWTT extract administration group) were decreased significantly. 6. The levels of total IgG and IgM in the serum of CIA mice(ESWTT extract administration group) were decreased significantly. 7. The level of collagen II specific antibody in the serum of CIA mice(ESWTT extract administration group) was decreased significantly. Conclusions : Comparison of the results for this study showed that ESWTT had immunomodulatory effects of suppressing. So we expect that ESWTT could be used as an effective drugs for not only rheumatoid arthritis but also auto-immune disease.

Keywords

References

  1. 한방재활의학과학회. 한방재활의학. 서울:군자출판사. 2005:78-99.
  2. Schuna AA. Update on treatment of rheumatoid arthritis. J Am Pharm Assoc(Wash). 1998;38:728-35.
  3. 대한정형외과학회. 정형외과학. 서울:최신의학사. 2001:175-6.
  4. 김영태, 이재동, 이윤호. 최근 RA와 관련된 임상 및 실험 논문의 경향. 대한침구학회지. 2002;19(5):190-4.
  5. 해리슨 번역 편찬위원회. 해리슨 내과학. 서울: 도서출판정담. 1997:179, 1779-85.
  6. 대한병리학회. 병리학. 서울:고문사. 1997:85, 1166-70, 1672.
  7. 허준. 동의보감. 서울:남산당. 1989:365-78.
  8. 강인수. 비증치료의 용약에 관한 소고. 대한한의학회지. 1990;11(1):245-52.
  9. 양유걸 편저. 황제내경소문역해. 태북시:태연국풍출판. 1984:95-6, 328-36.
  10. 진무택. 삼인방(권3). 태북시:태연국풍출판. 1977:2-3.
  11. 황문동 외. 실용중의내과학. 상해:상해과학기술출판사. 1986:554-69.
  12. 권재식 외. 비증. 서울:정담. 1993:207-8, 214-5, 219-22, 270.
  13. 김동집, 박동준. 류마티스 관절염의 병인. 대한류마티스학회지. 1994:1-12.
  14. Feldmann NT, Brennan FM, Maini RN. Rheumatoid Arthritis. Cell. 1996;85:307-10. https://doi.org/10.1016/S0092-8674(00)81109-5
  15. Schwartz BD. Infectious agents, immunity, and rheumatic disease. Arthritis Rheum. 1990;33:457-65. https://doi.org/10.1002/art.1780330401
  16. Shoenfeld Y. Isenberg DA. Mycobacteria and autoimmunity. Immunol Today. 1988;9:178-81. https://doi.org/10.1016/0167-5699(88)91294-7
  17. 박동준, 김동집. 흰쥐에서 Type II 제2형 Collagen으로 유발된 관절염의 임상양상 및 면역반응. 카톨릭대학의학부 논문집. 1990;43:466-541.
  18. Gregersen PK, Silver J, Winchester RJ. Genetic susceptibility to rheumatoid arthritis and human leukocyte antigen class II polymorphism : the role of shared confirmational determinants. Am J Med 85(suppl 6A). 1988:17-9.
  19. Aho K, Heliovaara M, Maatela J, Tuomi T, Palosuo T. Rhewrntoid arthritis. J Rheumatol. 1991;18:1282-4.
  20. 김호연. 류마티스양 관절염 면역병인의 최근 경향. 대한내과학회지. 1989;36(6):743-5.
  21. 김세종. 면역학. 서울:고려의학. 1994:3, 8, 18, 25, 26, 28, 31-2, 114, 134, 148-50, 157-58, 206.
  22. 정태호, 김정철, 김문규. 최신면역학 강의. 대구:경북대학교출판부. 1996:10, 22, 25, 77, 193, 200, 211-2, 215, 232-5, 248, 357.
  23. Ribbens C, Andre B, Kaye O, Kaiser MJ, Bonnet V, de Groote D, Franchimont N, Malaise MG. Increased synovial fluid levels of interleukin-12, sCD25 and sTNF-RII/sTNF-RI ratio delineate a cytokine pattern characteristic of immune arthropathies. Eur Cytokine Newt. 2000;11:669-76.
  24. Schlaak JF, Pfers I, Meyer Zum Buschenfelde KH, Marker-Hermann E. Differant cytokine profiles in the sYnovial fluid of patient with osteoarthritis, rheumatoid arthritis and seronegative spondyloarthropathies. Clin Exp Rheumarol. 2002;14:63-88.
  25. Punzi L, Calo L, Plebani M. Clinical significance of cytokine determination in synovial fluid. Crit Rev Clin Lab Sci. 2002;39:63-88. https://doi.org/10.1080/10408360290795448
  26. Arend WP. Physiology of cytokine pathways in rheumatoid arthritis. Arthritis Rheum. 2001;45:101-6. https://doi.org/10.1002/1529-0131(200102)45:1<101::AID-ANR90>3.0.CO;2-7
  27. Wingard JR, Demetri GD. Clinical applications of cytokines and growth factors. Norwell, Kluwer Academic publishers. 1999:39.
  28. 강재성 외. 세포분자면역학. 범문사. 2004:3-8, 11-5, 174-88, 243-73.
  29. Myaska N, Sato K, Hashomoto J, et al. Constitutive production of Interleukin 6/B cell stimulatory factor-2 from inflammatory synovium. Clin Immunol Immunopath. 1989;52:238-47. https://doi.org/10.1016/0090-1229(89)90175-X
  30. 김진호, 한태륜. 재활의학. 서울:군자출판사. 1999.
  31. Okumoto H, Matsuda T, Turner M. The synovial expression and serum level of IL-6, IL-11, leukemia inhibitory factor and oncostain in rheumatoid arthritis. Arthritis and Rheumatism. 1997;40:1096-105. https://doi.org/10.1002/art.1780400614
  32. Bendeld A, Mccomb J, Gould T, Mcabee T, Sennello G, Chipiala E, Guy M. Animal models of arthritis, Relevance to human disease. Toxicologic Pathology. 1999;27(1):134-42. https://doi.org/10.1177/019262339902700125
  33. Steffen C, Timple R. Antigenicity oh collagen and its application in the serological investigation of rheumatoid arthritis area. Int. Arch. Allergy. 1963;22:333-49. https://doi.org/10.1159/000229376
  34. Cheung HS, Ryen LM, Kozin F, Mccarty DJ. Identification of collagen subtypes in synovial fluid sediments from arthritic patients. Am. J. Med. 1980;68:73-9. https://doi.org/10.1016/0002-9343(80)90168-0
  35. Choi EKK, Gatenby PA, Mcgill NM, Bateman JF, Cole WG, York JR. Autoantibodies to type II collagen occurrence in rheumatoid arthritis, autoimmune connective tissue disease and inflammatory syndromes. Ann. Rheum. Dis. 1988;47:313-22. https://doi.org/10.1136/ard.47.4.313
  36. Trentham DE, Townes AS, Kang AH. Autoimmunity to type II collagen an experimental model of arthritis, J. Exp. Med. 1997;146:857-68. https://doi.org/10.1084/jem.146.3.857
  37. 최정식, 송태원, 김동희. 계혈등이 collagen으로 유발된 생쥐의 관절염억제에 관한 연구. 대한본초학회지. 2003;18(3):79-88.