Therapeutic Effects of Ephedra sinica Stapf Herb-Acupuncture on Adjuvant-induced Polyarthritis of Rat

흰쥐의 Adjuvant 유발 다발성 관절염에 대한 마황 약침의 치료 효과

  • Lee Han-Chang (Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyunghee University) ;
  • Yeom Mijung (Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyunghee University) ;
  • Kim Gun-Ho (Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyunghee University) ;
  • Shim In-Sop (Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyunghee University) ;
  • Choi Kang-Duk (East-West Kidney Center, Kyunghee Medical Center) ;
  • Lee Hye-Jung (Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyunghee University) ;
  • Hahm Dae-Hyun (Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyunghee University)
  • 이한창 (경희대학교 동서의학대학원) ;
  • 염미정 (경희대학교 동서의학대학원) ;
  • 김건호 (경희대학교 동서의학대학원) ;
  • 심인섭 (경희대학교 동서의학대학원) ;
  • 최강덕 (경희대학교 의과대학 동서신장센터) ;
  • 이혜정 (경희대학교 동서의학대학원) ;
  • 함대현 (경희대학교 동서의학대학원)
  • Published : 2003.04.01

Abstract

The current studies investigated the therapeutic effects of Ephedra sinica Stapf (ES) herb-acupuncture on the inflammatory responses of rat arthritic joint, which was induced by the intradermal injection of heat-killed Mycobacterium tuberculosis emulsified in squalene to the base of the tail. The measurements of body weight and articular index were exploited as the assessment methods addressing arthritic symptoms, and the expression profiles of cytokines such as TNF-α, IL-1β and IL-6 in the rat joint were analyzed using RT-PCR. The articular indexes of arthritic rats were significantly restored after the treatment with ES herb-acupuncture. Although the clinical symptoms of arthritic rats were apparently alleviated by the ES treatments, their body weights were not recovered. It maybe due to the weight-loss and energy enhancement effects of ES extracts. The expression of TNF-α, IL-1β and IL-6 genes, which were highly stimulated in the knee joints of arthritic rats, were restored to the levels of normal rats after the ES treatment. The therapeutic effect of ES herb-acupuncture was not observed in ES-treated, non-acupoint arthritic group as a sham control. The ES herb-acupuncture into an acupoint ST36 was found to be effective in alleviating the arthritic symptoms in adjuvant-induced arthritis rats as regards the body weight, joint appearance and the expression profiles of inflammatory cytokines.

Keywords

References

  1. J Korean Med Sci. v.15 Expression of cyclooxygenase-l and -2 in rheumatoid arthritis synovium. Lee YH;Choi SJ;Kim A;Kim CH;Ji JD;Song GG. https://doi.org/10.3346/jkms.2000.15.1.88
  2. J Immunol. v.166 no.2 IL-4 adenoviral gene therapy reduces inflammation, proinflammatory cytokines, vascularization, and bony destruction in rat adjuvant-induced arthritis. Woods JM;Katschke KJ;Volin MV;Ruth JH;Woodruff DC;Amin MA;Connors MA;Kurata H;Arai K;Haines GK;Kumar P;Koch AE. https://doi.org/10.4049/jimmunol.166.2.1214
  3. Pain. v.90 no.3 Bee venom injection into an acupuncture point reduces arthritis associated edema and nociceptive responses. Kwon YB;Lee JD; Lee HJ;Han HJ;Mar WC;Kang SK;Beitz AJ;Lee JH. https://doi.org/10.1016/S0304-3959(00)00412-7
  4. Am J Pathol. v.157 no.6 : Involvement of lL-6, apart from its role in immunity, in mediating a chronic response during experimental arthritis. de Hooge AS;van De Loo FA;Arntz OJ;van Den Berg WB. https://doi.org/10.1016/S0002-9440(10)64846-8
  5. Neuroimmunology v.12 no.18 Adjubant-induced arthritis: IL-$\beta$ , IL-6 and TNF-$\alpha$ are up-regulated in the spinal cord. Lei Bao;Yu Zhu;Adlan M. Elhassan;Qinyang WU;Baoguo Xiao;Jie Zhu;J. Urban Lindgren.
  6. Curr Opin Rheumatol. v.10 no.3 Role of cytokines in rheumatoid arthritis. Annu Rev Immunol. 14:397-440, 1996. Feldmann M;Brennan FM;Maini RN. https://doi.org/10.1097/00002281-199805000-00017
  7. Curr Opin Rheumatol. v.10 no.3 The importance of subchondral bone in osteoarthrosis. Burr D. B. https://doi.org/10.1097/00002281-199805000-00017
  8. Curr Opin Rheumatol. v.10 no.3 The importance of subchondral bone in osteoarthrosis. Burr D. B. https://doi.org/10.1097/00002281-199805000-00017
  9. Br J Rheumatol. v.37 no.5 The clinical management of rheumatoid arthritis and osteoarthritis: strategies for improving clinical effectiveness. Scott D. L.;Shipley M.;Dawson A.;Edwards S.;Symmons D. P.;Woolf A. D. https://doi.org/10.1093/rheumatology/37.5.546
  10. 鍼灸學 上, 下. 全國韓醫科大學 鍼灸經穴學校室(編著)
  11. 鍼灸學 上海中醫學園
  12. 약침요법시술지침서 대한약침학회
  13. Arthritis Rheum. v.43 no.4 Regulation of macrophage migration inhibitory factor by endogenous glucocorticoids in rat adjuvant-induced arthritis. Leech M;Metz C;Bucala R;Morand EF. https://doi.org/10.1002/1529-0131(200004)43:4<827::AID-ANR13>3.0.CO;2-K
  14. Clin Exp Immunol. v.107 no.2 Anti-neutrophil monoclonal antibody therapy inhibits the development of adjuvant arthritis. Santos L.L.;Morand E.F.;Hutchinson P.;Boyce N.W.;Holdsworth S.R. https://doi.org/10.1111/j.1365-2249.1997.263-ce1154.x
  15. 금궤요략방논 張仲景
  16. 黃帝內經 素問 張馬(合註)
  17. 鍼灸治療學 朴種國
  18. 中藥大辭典 김창민;신민교;안덕균;이경순
  19. 대한동의병리학회지 v.12 no.2 자침이 류마티시성 관절염에 미치는 효과 박경제
  20. Cytokine. v.10 no.9 Different roles of tumour necrosis factor alpha and interleukin 1 in murine streptococcal cell wall arthritis. Kuiper S;Joosten LA;Bendele AM;Edwards CK 3rd;Arntz OJ;Helsen MM;Van de Loo FA;Van den Berg WB. https://doi.org/10.1006/cyto.1998.0372
  21. Arthritis Res. v.1 no.1 Protection against cartilage and bone destruction by systemic interleukin-4 treatment in established murine type II collagen-induced arthritis. Joosten LA;Lubberts E;Helsen MM;Saxne T;Coenen-de Roo CJ;Heinegard D;van den Berg WB. https://doi.org/10.1186/ar14
  22. Baillieres Best Pract Res Clin Rheumatol. v.13 no.4 Pathogenesis of joint damage in rheumatoid arthritis: evidence of a dominant role for interleukin-1. van den Berg WB;Bresnihan B. https://doi.org/10.1053/berh.1999.0047
  23. J Immunol. v.167 no.9 Cross-talk between il-1 and i1-6 signaling pathways in rheumatoid arthritis synovial fibroblasts. Deon D;Ahmed S;Tai K;Scaletta N;Herrero C;Lee IH;Krause A;Ivashkiv LB. https://doi.org/10.4049/jimmunol.167.9.5395
  24. Mol Med Today. v.6 no.8 Cytokines in rheumatoid arthritis: trials and tribulations. Carteron NL. https://doi.org/10.1016/S1357-4310(00)01757-3
  25. Ann Intern Med v.18 no.6 The relative safety of ephedra compared with other herbal products Bent S;Tiedt TN;Odden MC;Shlipak MG
  26. Int J Obes Relat Metab Disord. v.26 no.5 Herbal ephedra/ caffeine for weight loss: a 6-month randomized safety and efficacy trial. Boozer CN;Daly PA;Homel P;Solomon JL;Blanchard D;Nasser JA;Strauss R;Meredith T. https://doi.org/10.1038/sj.ijo.0802023