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Efficacy of Hyeongbangjihwhang-tang on the 5/6 Nephrectomy(NTX) induced Chronic Renal Failure(CRF) Rats

5/6 NTX로 유발된 만성 신부전 랫트에 대한 형방지황탕(荊防地黃湯)의 효과

  • Ha, Jin-Ho (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Daegu Haany Univ.) ;
  • Choi, Ae-Ryun (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Daegu Haany Univ.)
  • 하진호 (대구한의대학교 한의과대학 사상체질과) ;
  • 최애련 (대구한의대학교 한의과대학 사상체질과)
  • Received : 2013.10.25
  • Accepted : 2013.12.03
  • Published : 2013.12.31

Abstract

Objectives The object of this study was to observe the effects of Hyeongbangjihwhang-tang (HB; Soyangin prescription) on the 5/6 NTX induced CRF rats. Methods Each of Hyeongbangjihwhang-tang aqueous extracts 200mg/kg were orally administered once a day for 35 days from 4 weeks after 5/6 NTX surgery. Four groups, each of 8 rats per group were used in this study, were sham group, CRF group, ${\alpha}$-Tocoperol group and HB group. Changes on the left remnant kidney weights, serum BUN, creatinine levels, caspase-3, PARP immunoreactivities were observed to nephroprotective effects, and relative immunomodulatory effects were monitored based on the changes of lymphatic organ weights and splenic cytokine contents. In addition, the changes on the kidney MDA, GSH contents and SOD, CAT activities were also calculated for antioxidant effects, and the effects on the CRF related cachexia were demonstrated based on the changes of body and epididymal fat pad weights, serum TG, TC, LDL and HDL levels. Results and Conclusions 1) HB was significantly decreased the left remnant kidney weights, serum BUN, creatinine levels and caspase-3, PARP immunoreactivities. 2) HB was significantly increased lymphatic organ weights and splenic cytokine contents. 3) HB was significantly increased body and epididymal fat pad weights, and was significantly decreased serum TG, TC, LDL and HDL levels. 4) HB was significantly decreased MDA contents, and was significantly increased GSH contents and SOD, CAT activities. The results obtained in this study suggest that HB significantly retarded immunosuppressions and cachexia related to the 5/6 NTX induced CRF through modulations of oxidative defense systems. Especially HB showed the highest favorable effects more than those of ${\alpha}$-tocoperol.

Keywords

References

  1. THE KOREAN SOCIETY OF NEPHROLOGY. CLINICAL NEPHROLOGY. Seoul: Gwangmoon publisher. 2001:593-725. (Korean)
  2. Du HK. Nephrology of Oriental Medicine. Seoul: Institute of Oriental Medicine. 1992:527-35, 540-41. (Korean)
  3. Jin DC, Ha IS, Kim NH, Lee SW, Lee JS, Yoon SR, et al. Renal replacement therapy in Korea, 2010. The Korean journal of nephrology. 2012;31(1):62-71. (Korean)
  4. Lee JM. Dongeuisoosebowon. Seoul: eulyoo. 2002: 112-3, 145-201. (Korean)
  5. Dep. of Sasang Constitutional Medicine. All colleges of Korean med. in Korea(compilation). The revised and enlarged Sasang Constitutional Medicine. Seoul: Jipmoondang. 2012:251-80, 681-705. (Korean)
  6. Dept. of Sasang Constitutional Medicine, college of Korean medicine, Kyung-Hee Univ. The Clinical Guide Book for Sasang Constitutional Medicine-The Literature on Sasang Constitutional Medicine. 2nd Ed. Seoul: Hanmi medical publishing. 2010:64-70, 144-68. (Korean)
  7. Lee HE, Ahn TW. Anti-Oxidant Effect of Hyeongbangjiwhang-tang Decoction in Kidney, Bladder and Spleen Cell of SD Rats. J Sasang Constitut Med. 2008;20(2):85-97. (Korean)
  8. Park SK, Lee HJ, Kim HT, Whang WW. An experimental study of driental medicine on cure for dementia : the effect of Jowiseungcheongtang and Hyungbangjihwangtang on cure for aged rats. J of Orintal Neuropsychiatry. 1998;9(2):19-35. (Korean)
  9. Chung SY, Kim SM, Lim MH, Lee JH, Park JH. The Prevention Effect of HyeungBangJiHwang Tang Extracts on the Liver Cirrhosis of Fisher 344 Rats In6uced By Long Term Tetrachloride Injection. Kor. J. Herbology. 2003;18(4):193-210. (Korean)
  10. Lee HS, Kim IH, Kim HS. The Effects of Hyeongbangjihwang-tang and Sibimikwanjung-tang in Glycerol-Induced Renal Failure in Rats. J Sasang Constitut Med. 2005;17(3):103-12. (Korean)
  11. Sung WS, Seu YB, Lee DG. In Vitro Antifungal Activity of HTI Isolated from Oriental Medicine, Hyungbangjihwang-tang. Kor. J. Microbiol, Biotechnol. 2009;37(3):273-9. (Korean)
  12. Hahn S, Kuemmerle NB, Chan W, Hisano S, Saborio P, Krieg RJ Jr, et al. Glomerulosclerosis in the remnant kidney rat is modulated by dietaryalpha-tocopherol. J Am Soc Nephrol. 1998;9(11):2089-95.
  13. Institute for Laboratory Animal Research. Guide for the Care and Use of Laboratory Animals. 8th ed. Washington, D.C.:The national academics press. 1985:162-6.
  14. Wihearls CG. Chronic Renal Failure in Oxford Textbook of Medicine. 4th ed. Oxford:Oxford University Press. 2003:2302-26.
  15. Kuroda M, Asaka S, Tofuku Y, Takeda R. Serum antioxidant activity in uremic patients. Nephron. 1985;41(3):293-8. https://doi.org/10.1159/000183600
  16. Deniz M, Sener G, Ercan F, Yegen BC. Garlic extract ameliorates renal and cardiopulmonary injury in the rats with chronic renal failure. Ren Fail. 2011;33(7):718-25. https://doi.org/10.3109/0886022X.2011.589952
  17. Wang J, Wang F, Yun H, Zhang H, Zhang Q. Effect and mechanism of fucoidan derivatives from Laminaria japonica in experimental adenine-induced chronic kidney disease. J Ethnopharmacol. 2012;139(3):807-13. https://doi.org/10.1016/j.jep.2011.12.022
  18. Tzanno-Martins C, Azevedo LS, Orii N, Futata E, Jorgetti V, Marcondes M, et al. The role of experimental chronic renal failure and aluminium intoxication in cellular immune response. Nephrol Dial Transplant. 1996;11(3):474-80. https://doi.org/10.1093/oxfordjournals.ndt.a027314
  19. Cicoira M, Anker SD, Ronco C. Cardio-renal cachexia syndromes (CRCS): pathophysiological foundations of a vicious pathological circle. J Cachexia Sarcopenia Muscle. 2011;2(3):135-42. https://doi.org/10.1007/s13539-011-0038-2
  20. Kim JY. Donguisasangshinpyun. Seoul:Jungdam. 2002:82, 137, 189. (Korean)
  21. Cho HS. THe principle and prescription of Sasang Constitutional Medicine. Seoul: Jipmoondang. 2011:336-40. (Korean)
  22. Reed A, Cho YJ, Coombes JS, Fassett RG. Time course and dose response of alpha tocopherol on oxidative stress in haemodialysis patients. BMC Nephrol. 2009;10:32. https://doi.org/10.1186/1471-2369-10-32
  23. Hisano S, Latta K, Krieg Ri Jr. Chan JCM. Growth hormone aggravates glomerular sclerosis in the remnant kidney of 5/6 nephrectomized uremic rats. Clin Exp Nephrol. 1997;1(2):92-8. https://doi.org/10.1007/BF02479907
  24. Sodikoff CH. Laboratory profiles of small animal diseases. A guide to laboratory diagnosis. 2nd ed., Mosby:St. Louise. 1995:1-36.
  25. Sen K, Lindenmeyer MT, Gaspert A, Eichinger F, Neusser MA, Kretzler M, et al. Periostin is induced in glomerular injury and expressed de novo in interstitial renal fibrosis. Am J Pathol. 2011;179(4):1756-67. https://doi.org/10.1016/j.ajpath.2011.06.002
  26. Samira S, Ferrand C, Peled A, Nagler A, Tovbin Y, Ben-Hur H, et al. Tumor necrosis factor promotes human T-cell development in nonobese diabetic/severe combined immunodeficient mice. Stem Cells. 2004;22(6):1085-100. https://doi.org/10.1634/stemcells.22-6-1085
  27. Isaacs A. Lymphokines and Cytokines. In: Immunology an introduction (Tizard IR editor). 4th edition. Saunders:Philadelphia. 1995:155-69.
  28. Unanue ER. The Mononuclear-Phagocytic Sytem. In: Immunology an introduction (Tizard IR editor). 4th edition. Saunders:Philadelphia, 1995:61-74.
  29. Molnar MZ, Streja E, Kovesdy CP, Budoff MJ, Nissenson AR, Krishnan M, et al. High platelet count as a link between renal cachexia and cardiovascular mortality in end-stage renal disease patients. Am J Clin Nutr. 2011;94(3):945-54. https://doi.org/10.3945/ajcn.111.014639
  30. Kim HJ, Vaziri ND, Norris K, An WS, Quiroz Y, Rodriguez-Iturbe B. High-calorie diet with moderate protein restriction prevents cachexia and ameliorates oxidative stress, inflammation and proteinuria in experimental chronic kidney disease. Clin Exp Nephrol. 2010;14(6):536-47 https://doi.org/10.1007/s10157-010-0340-x
  31. Edefonti A, Mastrangelo A, Paglialonga F. Assessment and monitoring of nutrition status in pediatric peritoneal dialysis patients. Perit Dial Int. 2009;29(2):S176-9.
  32. Forrester JS, Makkar R, Shah PK. Increasing high-density lipoprotein cholesterol in dyslipidemia by cholesteryl ester transfer protein inhibition: an update for clinicians. Circulation. 2005;111(14):1847-54. https://doi.org/10.1161/01.CIR.0000160860.36911.BD
  33. Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem. 1979;95(2):351-8. https://doi.org/10.1016/0003-2697(79)90738-3
  34. Sedlak J, Lindsay RH. Estimation of total, proteinbound, and nonprotein sulfhydryl groups in tissue with Ellman's reagent. Anal Biochem. 1968;25(1):192-205. https://doi.org/10.1016/0003-2697(68)90092-4
  35. Aebi H. Catalase. In: Bergmeyer HU (Ed.), Methods in Enzymatic Analysis. New York:Academic Press Inc., 1974:673-86.
  36. Sun Y, Larry WO, Ying L. A simple method for clinical assay of superoxide dismutase. Clin Chem. 1988;34(3):497-500.

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