DOI QR코드

DOI QR Code

수지상세포에서 지대방(止帶方)의 T 세포 활성화에 미치는 영향

Study of Gidaebang on the T cells activation using dendritic cells

  • 김지양 (원광대학교 한의과대학 부인과학교실) ;
  • 정지혜 (원광대학교 한의과대학 부인과학교실) ;
  • 정현철 (원광대학교 한의과대학 부인과학교실) ;
  • 최창민 (원광대학교 한의과대학 부인과학교실) ;
  • 조한백 (원광대학교 한의과대학 부인과학교실) ;
  • 김송백 (원광대학교 한의과대학 부인과학교실)
  • Kim, Ji-Ryang (Dept. of Oriental Obstetric and Gynecology, college of Oriental Medicine, Wonkwang University) ;
  • Jeong, Ji-Hye (Dept. of Oriental Obstetric and Gynecology, college of Oriental Medicine, Wonkwang University) ;
  • Cheong, Hyun-Cheol (Dept. of Oriental Obstetric and Gynecology, college of Oriental Medicine, Wonkwang University) ;
  • Choe, Chang-Min (Dept. of Oriental Obstetric and Gynecology, college of Oriental Medicine, Wonkwang University) ;
  • Cho, Han-Baek (Dept. of Oriental Obstetric and Gynecology, college of Oriental Medicine, Wonkwang University) ;
  • Kim, Song-Baeg (Dept. of Oriental Obstetric and Gynecology, college of Oriental Medicine, Wonkwang University)
  • 투고 : 2010.04.28
  • 심사 : 2010.05.12
  • 발행 : 2010.05.31

초록

Purpose: In this study, we investigated the effects of GDB(Gidaebang) on the immune response to establish the treatment mechanism of vaginitis. Methods: We examined the effects of GDB on the DCs(Dendritic cells) phenotypic and functional maturation. iDCs were cultured in the presence of GM-CSF and the generated iDCs were respectively stimulated by GDB or LPS as the control group for 24 hours. To evaluate the DCs phenotypic and functional maturation, we used flow cytometric analysis, RT-PCR and ELISA. Results: 1. GDB upregulated the expression of class II MHC and CD40 on DCs. 2. GDB upregulated the expression of CD80 and CD86 on DCs. 3. GDB induced cytokine IL-12 production and mRNA expression in DCs. Conclusion: These results suggest that GDB is able to improve the antigen-presenting capacity of DCs through the upregulation of their maturation, and might induce proliferation of T cells. In conclusion, this immunomodulatory properties of GDB may be useful in the treatment of vaginitis.

키워드

참고문헌

  1. 王異凡. 不謝方釋評. 山東中醫雜志. 1982;3:129.
  2. 王異凡, 王道屏. 不謝方釋評(續六). 山東中醫雜志. 1996;15(11):520-1.
  3. 裘沛然. 中國醫學大成三編 4. 長沙:岳麓書社. 1994:854.
  4. 한방여성의학 편찬위원회. 한방여성의학 I. 서울:정담. 2007:292.
  5. 楊思澍 等 主編. 中醫臨床大全. 北京:北京科學技術出版社. 1993:619, 620.
  6. 劉敏如, 吳克明. 世界傳統醫學婦科學.科學出版社, 1999:251.
  7. 夏桂成. 中醫臨床婦科學(第2版). 北京:人民衛生出版社. 2007:343-4.
  8. 夏桂成. 實用婦科方劑學. 北京:人民衛生出版社. 1997:303-5.
  9. 安載福. 東醫診療大全. 서울:서원당. 1992 :181, 182, 490-1, 669.
  10. 劉敏如. 中醫婦産科學. 北京:人民衛生出版社. 2002:427-8, 435.
  11. 羅元愷. 中醫婦科學. 北京:人民衛生出版社. 1994:173.
  12. 대한산부인과학회 교과서편찬위원회.부인과학(제4판). 서울:고려의학. 2007:47-61.
  13. 조성남. 난치성 질염의 최신 치료법.대한산부회지. 2005;48(2):261-8.
  14. 김동일. 대하진단의 객관화에 관한 연구. 대한한방부인과학회지. 2001;14(3) :101-9.
  15. 세포분자면역학 교재연구회 역. 세포분자면역학(6판). 서울:이퍼블릭. 2008 ;357-82, 407-27, 429-50, 469-70, 473-99.
  16. Steinman RM. The dendritic cell system and its role in immunogenicity. Annu Rev Immunol. 1991;9:271-96. https://doi.org/10.1146/annurev.iy.09.040191.001415
  17. Banchereau J, Steinman RM. Dendritic cells and the control of immunity. Nature. 1998;392(6673):245-52. https://doi.org/10.1038/32588
  18. 전경희 등. 간암 환자의 수지상세포 배양 및 면역치료. 고신대학교 의학부학술지. 2002;17(1):18-24.
  19. 신정옥 등. 자궁 경부암에서 c-erbB-2 발현과 S-100 양성 수지상세포의 분포에 관한 연구. 대한부인종양․콜포스코피학회. 2000;11(4):397-403.
  20. 김도순 등. 고려홍삼의 수지상세포 활성화 효과. J Ginseng Res. 2006;30(3) :117-27. https://doi.org/10.5142/JGR.2006.30.3.117
  21. 김태규. 수지상세포를 이용한 종양 면역치료. 암심포지움. 가톨릭대학교 가톨릭암센터. 2006;1:41-2.
  22. 한만용. 알레르겐 인식과 반응에서 수지상세포의 역할. 소아알레르기 및 호흡기학회지. 2005;15(2):87-97.
  23. 徐玲春. 止帶方合蛇床子散熏洗坐浴治療 帶下過多30例. 内蒙古中医药(Nei Mongol Journal of Traditional Chinese Medicine). 2008;3:37.
  24. 周亞娟. 止帶方加减治療濕热帶下療效觀察. 黑龍江中医藥(Heilongjiang Journal of Traditional Chinese Medicine). 2007;6:40-1.
  25. 黄曉清. 波姆光療儀并中藥止帶方治療宫 頸糜爛180例. 福建中医藥(Fujian Journal of Traditional Chinese Medicine). 1998 ;29(2):30-9.
  26. 宋玉春. 止帶方配合微波治療盆腔炎150 例療效觀察. 吉林中医藥(Jilin Journal of Traditional Chinese Medicine). 2007;27(11):31.
  27. 신민교. 임상본초학. 서울:영림사. 2000:688-90, 405-7, 372-4, 242-4, 385-7, 525-7, 669-71, 655-7, 649-52, 657-8.
  28. 김시나 등. 인진 추출물의 소염진통작용. 생약학회지. 2005;36(4):338-43.
  29. 李文祚 등. 황백 열수추출물의 항산화활성과 아질산염 소거작용에 관한연구. 동의병리학회지. 1999;13(1):112-8.
  30. 류응주, 조성환. 치자추출물의 항균특성 및 안정성 검사. 농업생명과학연구. 2004;38(4):11-9.
  31. 박희준, 최무영. 목단피 정유에서 분리된 paeonol과 그 유도체 Methylpaeonol 의 in vitro 항염효과. 생약학회지. 2005;36(2):116-20.
  32. 권오근 등. 목단피로부터 항균활성 성분의 분리. 생약학회지. 1999;30(3):340-4.
  33. 노영득 등. 목단피의 항염효과에 관한연구. 대한본초학회지. 2004;19(3):13-24.
  34. 오윤희 등. 저령의 균핵에서 추출한 조다당류의 면역활성 및 항암효과. The korean journal of mycology. 2004;32(1):23-30. https://doi.org/10.4489/KJM.2004.32.1.023
  35. 이상달 등. 복령 균핵의 알칼리추출물에서 정제한 면역활성 증강물질의 작용과 화학구성. The korean journal of mycology. 1999;27(4):293-8.
  36. 이국성 등. 복령의 항균력에 관한 연구. 한국균학회지. 1982;10(1):27-31.
  37. 김세은 등. 택사 메탄올 추출물과 주성분의 항산화작용. 생약학회지. 2007 ;38(4):372-5.
  38. 도정애. 택사의 항균 및 항진균 작용에 관한 연구. 생약학회지. 1996;27(4):378-82.
  39. 박문일. 임신부의 세균성질증에서 Clindamycin 질크림의 임상효과. 대한산부인과학회지. 1995;38(2):230-8.
  40. 안진섭 등. Candida성 질염에 대한Fluconazole의 임상적 치료 효과. 대한산부인과학회지. 1992;35(11):1613-20.
  41. 김준현 등. 진균성질염에 대한 Fluconazloe 1회 경구요법의 치료효과. 대한산부인과학회지. 1992;35(9):1309-16.
  42. 고재환. 트리코모나스 질염에서 메트로니다졸 1.5gm 단일 요법의 치료 효과. 인제의학. 1999;20(1):337-47.
  43. Taha TE et al. Intermittent Intravaginal Antibiotic Treatment of Bacterial Vaginosis in HIV-Uninfected and -Infected Women: A Randomized Clinical Trial. PLoS Clin Trials. 2007 ;2(2):e10. https://doi.org/10.1371/journal.pctr.0020010
  44. Austin MN et al. Microbiologic response to treatment of bacterial vaginosis with topical clindamycin or metronidazole. J clin Microbiol. 2005;43(9):4492-7. https://doi.org/10.1128/JCM.43.9.4492-4497.2005
  45. Roy S et al. Improving appropriate use of antifungal medications: the role of an over-the-counter vaginal pH self-test device. Infect Dis Obstet Gynecol. 2003;11:209-16. https://doi.org/10.1080/10647440300025523
  46. Lauren B et al. Vaginitis: Making Sense of Over-the-counter treatment Options. Infect Dis Obstet Gynecol. 2007;97424.
  47. Cerikcioglu N, Beksac MS. Cytolytic vaginosis: misdiagnosed as candidal vaginitis. Infect Dis Obstet Gynecol. 2004;12:13-6. https://doi.org/10.1080/10647440410001672139
  48. Pirotta MV, Garland SM. Genital Candida Species Detected in Samples from Women in Melbourne, Australia, before and after Treatment with Antibiotics. J Clin Microbiol. 2006; 44(9):3213-7. https://doi.org/10.1128/JCM.00218-06
  49. Glover DD, Larsen B. Relationship of fungal vaginitis therapy to prior antibiotic exposure. Infect Dis Obstet Gynecol. 2003;11:157-60. https://doi.org/10.1080/10647440300025514
  50. Boris J, Pahlson C, Larsson PG. Six years observation after successful treatment of bacterial vaginosis. Infect Dis Obstet Gynecol. 1997;5(4):297-302. https://doi.org/10.1002/(SICI)1098-0997(1997)5:4<297::AID-IDOG7>3.0.CO;2-U
  51. Akira S et al. Biology of multifunctional cytokines: IL-6 and related molecules (IL-1 and TNF). FASEB J. 1990 ;4(11):2860-7.
  52. Ishihara K, Hirano T. IL-6 in autoimmune disease and chronic inflammatory proliferative disease. Cytokine & Growth Factor Rev. 2002;13(4-5):357-68. https://doi.org/10.1016/S1359-6101(02)00027-8
  53. Sehgal PB. Interleukin-6: molecular pathophysiology. Journal of Investigative Dermatology. 1990;94(6):2S-6S. https://doi.org/10.1111/1523-1747.ep12874963
  54. Trinchieri G. Interleukin-12: a proinflammatory cytokine with immunoregulatory functions that bridge innate resistance and antigen -specific adaptive immunity. Annu Rev Immunol. 1995;13:251-76. https://doi.org/10.1146/annurev.iy.13.040195.001343
  55. Macatonia SE et al. Dendritic cells produce IL-12 and direct the development of Th1 cells from naive CD4+ T cells. J Immunol. 1995;154(10):5071-9.
  56. Constant SL, Bottomly K. Induction of Th1 and Th2 CD4+ T cell responses: the alternative approaches. Annu Rev Immunol. 1997;15:297-322. https://doi.org/10.1146/annurev.immunol.15.1.297
  57. Karen S et al. Qualitatively distinct patterns of cytokines are released by human dendritic cells in response to different pathogens. Immunology. 2005 ;116:245-54. https://doi.org/10.1111/j.1365-2567.2005.02218.x
  58. Elizabeth P, St John et al. Dendritic cell Activation and maturation Induced by Mucosal Fluid from Women with Bacterial Vaginosis. Clin Immunol. 2007;125(1):95-102. https://doi.org/10.1016/j.clim.2007.06.004
  59. Bernardis F et al. Phenotypic and Functional Characterization of Vaginal Dendritic Cells in a Rat Model of Candida albicans Vaginitis. Infection and Immunology. 2006;74(7):4282-94. https://doi.org/10.1128/IAI.01714-05
  60. Santoni G et al. Immune Cell- Mediated Protection against Vaginal Candidiasis: Evidence for a Major Role of Vaginal $CD4^+$T Cells and Possible Participation of Other Local Lymphocyte Effectors. Infection and Immunology. 2002;70(9):4791-7. https://doi.org/10.1128/IAI.70.9.4791-4797.2002