Experimental Research of Baecksunpijibujabokhap-banng(BJBB) on Atopic Dermatitis Treatment

백선피지부자복합방(白鮮皮地膚子複合方)의 항아토피피부염 효능에 관한 실험적 연구

  • Sim, Boo-Yong (Dept. of Pathology, College of Korean Medicine, Daejeon University) ;
  • Ji, Joong-Gu (Dept. of Oriental health care, Joongbu University) ;
  • Lee, Won-Yung (College of Korean Medicine, Daejeon University) ;
  • Kim, Su-Jung (College of Korean Medicine, Daejeon University) ;
  • Kim, Hyo-Young (College of Korean Medicine, Daejeon University) ;
  • Lee, Ji-Young (College of Korean Medicine, Daejeon University) ;
  • Kim, Dong-Hee (Dept. of Pathology, College of Korean Medicine, Daejeon University)
  • Received : 2013.12.19
  • Accepted : 2014.02.06
  • Published : 2014.02.20

Abstract

In order to investigate the efficacy of BJBB on atopic dermatitis, various immune related factors were studied. The results and conclusions are as follows. Atopic dermatitis symptoms were improved in BJBB treated group and significant decrease in dermatitis index were observed in 13 weeks. ALT, AST and BUN, Cr levels were all with in the normal ranges in BJBB treated group, indicating no induced toxicity. BJBB treated group showed significant decrease in CD4+, CD11b+/Gr-1+ immune cell ratio in dorsal skin by 33% and 62% respectively. BJBB treated group showed significant decrease in the expression of IL-4, IL-5, IL-13 and histamine by 83%, 62%, 53% and 61% respectively. Also the group showed decrease in the transcription of IL-4, IL-5 and IL-13 mRNA in spleen by 41%, 52% and 50% respectively. BJBB treated group showed decrease in the expression of IgE by 57% respectively. The results above indicated that treatment of BJBB improved atopic dermatitis symptoms by immune modulation activity a clinical evidence. thus, BJBB has a potential use as a composition of medicinal plants for treatment against inflammation related disease.

Keywords

References

  1. 손대범(2008). 淸肌散과 三黃洗劑加味方병 용이 NC/Ngamice의 아토피 피부염에 미치는 영향. 미간행 박사학위 논문, 익산: 원광 대학교대학원.
  2. 이상현, 윤용갑. 아토피 피부염 치료 처방에 대한 방제학적 고찰. 한방안이비인후피부과학회지, 19(3):103-107, (2006).
  3. 김세희. 소아 아토피피부염에서 한의학 및 보완대체의학의 이용. 포천 중문 의과대학원, 2007.
  4. 박용민. 아토피 피부염 병태생리에 대한 최신 지견. 소아알레르기 및 호흡기학회지, 16(3):189-196, 2006.
  5. 이해성 외. 소아 아토피 피부염의 빈도와 원인의 변화. 소아 알레르기 및 호흡기학회지, 12(4):263-270, 2002.
  6. 주현아 외. 삼황세제 가미방 화장품의 아토피 피부염 환자에 대한 임상적 연구. 한방안이비인후피부과학회지, 25(3):129-149, 2012.
  7. Martinez FD. Complexities of the genetics of asthma. Am J Respir Crit Care Med. 156(2):117-122, 1997. https://doi.org/10.1164/ajrccm.156.4.12tac-8
  8. Toshiaki K, Stephen J, Galli. Regulation of mast-cell and basophil function and survival by IgE. Nature Reviews Immunology 2:773-786, 2002. https://doi.org/10.1038/nri914
  9. Gauchat JF. Induction of human IgE synthesisin B cells by mast cells and basophils. Nature, 365:340-343, 1993. https://doi.org/10.1038/365340a0
  10. Matsuda H. Development of atopic dermatitis-likeskin lesion with IgE hyper production in Nc/Nga mice. Int. Immunol, 9:461-466, 1997. https://doi.org/10.1093/intimm/9.3.461
  11. Church MK, Bradding P, Walls AF, Okayama Y. Human mast cells and basophils. In Allergy and allergic diseases. Blackwell Science, 149-70, 1997.
  12. Romagnani, S. immunologic influences on allergy and the Th1/Th2 balance. J Allergy Clin Immunol, 113:395-400, 2004. https://doi.org/10.1016/j.jaci.2003.11.025
  13. Everett, H, Meyer, Rosemarie H, DeKruyff, Dale T. T Cells and NKT Cells in the Pathogenesis of Asthma. Annual Review of Medicine 59: 281-292, 2007.
  14. Wollenberg, A. Atopic dermatitis: pathogenetic mechanism. Clin Exp Dermatol, 25:530-534, 2000. https://doi.org/10.1046/j.1365-2230.2000.00699.x
  15. Eric L, Simpson. Atopic dermatitis: a review of topical treatment options. Current Medical Research and Opinion, 26(3):633-640, 2010. https://doi.org/10.1185/03007990903512156
  16. 박영립, 박준. 아토피피부염의 병인. 대한피부연구학회지, 14(3):67-72, 2007.
  17. Leung, DYM. Pathogenesis of atopic dematitis. J allergy Clin Immunol, 104:99-108, 1999. https://doi.org/10.1016/S0091-6749(99)70150-8
  18. Galli SJ, Tsai M, Piliponsky AM. The development of allergic inflammation. Nature, 454:445-54, 2008. https://doi.org/10.1038/nature07204
  19. Kyu-Han Kim, Takeshi Kono, Overview of efficacy and safety of tacrolimus ointment in patients with atopic dermatitis in Asia and other areas. International Journal of Dermatology, 50(9):1153-1161, 2011.
  20. Josep M. Antó, Recent Advances in the Epidemiologic Investigation of Risk Factors for Asthma: A Review of the 2011 Literature. Current Allergy and Asthma Reports, 12(3):192-200, 2012. https://doi.org/10.1007/s11882-012-0254-7
  21. Horton HF, Byrne MC, Kamradt T. Microbial lipoperptides induce the production of IL-17 in Th cells. J Immunol, 1:6107-6115. 2000.
  22. O'Garra A, Arai N. The molecular basis of T helper 1 and T helper 2 cell differentiation. Nature Reviews Immunology, 10(12):542-50, 2010.
  23. Novak N, Simon D. Atopic dermatitis-from new pathophysiologic insights to individualized therapy. Allergy, 66(7):830-839, 2011.
  24. Helena AZ, Jan E, Patrick G, Björkstén. Expression of the T-Cell Markers CD3, CD4 and CD8 in Healthy and Atopic Children during the First 18Months of Life. Arch Allergy Immunol, 119:6-12, 1999. https://doi.org/10.1159/000024169
  25. Rongcun, Y, Zhong C, Yuan Z, Richard BS.Rodeen, CD80 in Immune Suppression by Mouse Ovarian Carcinoma-Associated Gr-1+CD11b+ Myeloid Cells. Cancer Research, 66:6807-6815, 2006. https://doi.org/10.1158/0008-5472.CAN-05-3755
  26. Leung DYM, Boguniewicz M, Howell MD, Nomura I, Hamid QA. New insights into atopic dermatitis. J Clin Invest, 113:651-657, 2004. https://doi.org/10.1172/JCI21060
  27. Leung DYM. Atopic dermatitis: new insights and opportunities for therapeutic intervention. J Allergy Clin Immunol, 105:860-876, 2000. https://doi.org/10.1067/mai.2000.106484
  28. 홍정효. 아토피의 치료에 관한 양방과 한 방, 민간요법과 자연치유법에 관한 고찰, 생태유아교육연구, 7(1):65-85, 2008.
  29. 방숙현. 소아, 청소년 아토피피부염에서 DPCP면역요법의 치료효과. 이화여자대학교대학원. 2005.
  30. 이해성 외. 소아아토피피부염의 빈도와 원 인의 비교: 10년전과 비교하여. 소아 알레르기 및 호흡기학회지, 12(4):263-270, 2003.
  31. 오재원 외. 1995년과 2000년의 학동기와 2003년 학동전기 소아에서의 아토피피부염의 역학적 변화에 관한 전국적인 연구. 소아 알레르기 및 호흡기학회지, 13:227-237, 2003.
  32. MatsudaH. Development of atopic dermatitis-like skin lesiom with IgE hyper production in NC/Nga mice. Int Immunol, 9:461-466, 1997. https://doi.org/10.1093/intimm/9.3.461
  33. Kevin DC. Atopic dermatitis: recent trends in pathogenesis and therapy. J invest Dermatol, 102:128-37, 1994. https://doi.org/10.1111/1523-1747.ep12371746
  34. 강란이. 아토피피부염 동물병태모델에서의 형개연교탕의 면역 조절작용. 대전대학교 대학원. 2010.