Effects of Dangui-jakyak-san on Common Carotid Artery Elasticity in Healthy Subjects ; A Randomized controlled crossover study

당귀작약산이 정상인의 총경동맥 탄력도에 미치는 영향 : 무작위대조군 교차시험

  • Kim, Soohyun (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Seo, Yuna (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Bae, In-hu (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Cho, Ki-Ho (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Moon, Sang-Kwan (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Jung, Woo-Sang (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Kwon, Seungwon (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University) ;
  • Jin, Chul (Dept. of Clinical Korean medicine, Cardiology and Neurology, Graduate school, Kyung-Hee University)
  • 김수현 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 서유나 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 배인후 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 조기호 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 문상관 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 정우상 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 권승원 (경희대학교 대학원 한방순환.신경내과학교실) ;
  • 진철 (경희대학교 대학원 한방순환.신경내과학교실)
  • Published : 2020.12.01

Abstract

■ Objectives 당귀작약산 단회 복용으로 정상인의 총경동맥 탄력도에 미치는 영향을 평가하고자 하였다. ■ Methods 본 연구는 정상인 남성을 대상으로 한 전향적 무작위 대조군 교차시험연구다. 모든 대상자들은 임의로 당귀작약산 복용군과 비복용군인 대조군으로 나누어졌다. 1주일 간격으로 총 2회 방문하며, 첫 번째 방문 시에 당귀작약산 복용군은 당귀작약산 1포(2.5g)과 물을 제공받고, 대조군은 물만 제공받아 복용하였다. 두 번째 방문 시 첫 번째 방문과 반대로 당귀작약산을 복용했던 복용군은 물만 제공받고, 물만 복용했던 피험자들은 당귀작약산 1포와 물을 제공받았다. 물은 100 cc로 매번 동일하게 제공되었다. 모든 대상자들은 복용 직전과 복용 2시간, 4시간 후에 총경동맥 탄력도, 혈압, 총경동맥 내막-중막 두께와 맥박수를 측정하였다. ■ Results 총 20명의 정상인 남성이 모집되었으며, 시간에 따라 당귀작약산 복용 후의 총경동맥 탄력도가 대조군에 비하여 유의하게 상승한 것이 확인되었다. 내막-중막 두께, 혈압 및 맥압, 맥박은 유의한 변화가 나타나지 않았다. ■ Conclusion 당귀작약산의 단회 복용으로 총경동맥 탄력도가 즉시 개선되는 것을 확인하였고, 이로써 당귀작약산이 동맥 경직도 완화 및 탄성의 개선에 영향을 미친다는 것을 알 수 있었다.

Keywords

References

  1. Cohn JN, Duprez DA, Grandits GA. Arterial elasticity as part of a comprehensive assessment of cardiovascular risk and Widlansky ME, et al. The clinical implication of endothelial dysfunction. J Am Coll Cardiology. 2003;42(7):1149-1160. https://doi.org/10.1016/S0735-1097(03)00994-X
  2. Widlansky ME, et al. The clinical implication of endothelial dysfunction. J Am Coll Cardiology. 2003;42(7):1149-1160. https://doi.org/10.1016/S0735-1097(03)00994-X
  3. Bjallmark A, Lind B, Peolsson M, et al. Ultrasonographic strain imaging is superior to conventional non-invasive measures of vascular stiffness in the detection of age-dependent differences in the mechanical properties of the common carotid artery. Eur J Echocardiogr. 2010;11(7):630-636. https://doi.org/10.1093/ejechocard/jeq033
  4. Laurent S, Boutouyrie P. Arterial stiffness: A new surrogate end point for cardiovascular disease?. J Nephrol. 2007;20(6):S45.
  5. Mattace-Raso FU, van der Cammen TJ, Hofman A, et al. Arterial stiffness and risk of coronary heart disease and stroke: The rotterdam study. Circulation. 2006;113(5):657-663. https://doi.org/10.1161/CIRCULATIONAHA.105.555235
  6. Sa EH, Son SG, Park WH. Effects of DanggiJakyak-San on antiplatelet and antihemolysis activity of in human blood. Korean J. Oriental Physiology & Pathology. 2006;0(2):460-466.
  7. Kim CH, Choi DY, Park WH. Effect of dangguijakyaksan and Eack Constituent Herb on Inhibition of Platelet Aggregation. The journal of the society of korean medicine diagnostics. 1999;3(2):42-52.
  8. Joo BJ, Lee DN, Seo IB, et al. Effects of Dangguijakyaksan on the Development of Experimentally-induced Endometriosis and Related Cytokines in Rats. The Journal of oriental obstetrics & gynecology. 2008;21(4):104-127.
  9. Hirozo Goto, Nobuhiko Satoh, Yoshinori Hayashi, et al. A Chinese Herbal Medicine, Tokishakuyakusan, Reduces the Worsening of Impairments and Independence after Stroke: A 1-Year Randomized, Controlled Trial. Evidence-Based Complementary and Alternative Medicine. 2011;2011:194046. doi: 10.1093/ecam/nep026
  10. Singh M, Su C. Progesterone and Neuroprotection. Horm Behav. 2013;63(2):284-90 https://doi.org/10.1016/j.yhbeh.2012.06.003
  11. Park IS, Lee HW, Ryuk JA, et al. Effects of an Aqueous Extract of Dangguijagyagsan on Serum Lipid Levels and Blood Flow Improvement in Ovariectomized Rats. Evidence-Based Complementary and Alternative Medicine. 2014;2014:497836. doi: 10.1155/2014/497836.
  12. Song MD, Kim DH, Kim JM, et al. Danggui-Jakyak-San ameliorates memory impairment and increase neurogenesis induced by transient forebrain ischemia in mice. BMC Complement Altern Med. 2013;13:324:1-8.
  13. Holder SM, Brislane A, Dawson EA, et al. Relationship Between Endothelial Function and the Eliciting Shear Stress Stimulus in Women: Changes Across the Lifespan Differ to Men. J Am Heart Assoc. 2019;8(4):e010994. https://doi.org/10.1161/jaha.118.010994
  14. Yang EY, Dokainish H, Virani SS, et al. Segmental analysis of carotid arterial strain using speckle-tracking. Journal of the American Society of Echocardiography. 2011;24(11):1276-1284.e51. https://doi.org/10.1016/j.echo.2011.08.002
  15. Holder SM, Brislane A, Dawson EA, et al. Relationship Between Endothelial Function and the Eliciting Shear Stress Stimulus in Women: Changes Across the Lifespan Differ to Men. J Am Heart Assoc. 2019;8(4):e010994. https://doi.org/10.1161/jaha.118.010994
  16. Yuda S, Kaneko R, Muranaka A, et al. Quantitative measurement of circumferential carotid arterial strain by Two-Dimensional speckle tracking imaging in healthy subjects. Echocardiography. 2011;28(8):899-906. https://doi.org/10.1111/j.1540-8175.2011.01443.x
  17. Lin Y. Chen, Maarten J. G. Leening, Faye L. Norby, et al. Carotid Intima Media Thickness and Arterial Stiffness and the Risk of Atrial Fibrillation: The Atherosclerosis Risk in Communities (ARIC) Study, Multi-Ethnic Study of Atherosclerosis (MESA), and the Rotterdam Study. Journal of the American Heart Association. 2013;5(5). pii: e002907. doi: 10.1161/JAHA.115.002907.
  18. Riccioni G, Sblendorio V. Atherosclerosis: from biology to pharmacological treatment. J Geriatr Cardiol. 2012;9(3):305-317. https://doi.org/10.3724/SP.J.1263.2012.02132
  19. Shen Dingzhu, Xing Sanli, Chen Chuan, et al. Effect of Shoushen granule on arterial elasticity in patients with carotid atherosclerosis: a clinical randomized controlled trial. Jour Tradit Chin Med. 2015;35(4):389-395. https://doi.org/10.1016/S0254-6272(15)30114-X
  20. Park SU, Jung WS, Moon SK, et al. Chunghyul-dan (Qingxie-dan) improves arterial stiffness in patients with increased baPWV. Am J Chin Med. 2006;34(4):553-563. https://doi.org/10.1142/S0192415X06004090
  21. Jung WS, Kwon S, Cho SY, et al. Effects of Geiji-Bokryung-Hwan on common carotid artery elasticity and erythrocyte deformability in healthy male subjects ; A pilot randomized controlled crossover study. European Journal of Integrative Medicine. 2018;18:47-51. https://doi.org/10.1016/j.eujim.2018.01.009
  22. Yang XY, Zhao N, Liu YY, et al. Inhibition of NADPH Oxidase Mediates Protective Effect of Cardiotonic Pills against Rat Heart Ischemia/Reperfusion Injury. Evid Based Complement Alternat Med. 2013;2013:728020. doi: 10.1155/2013/728020
  23. Li W, Tang Y, Guo J, et al. Enriching blood effect comparison in three kinds of blood deficiency model after oral administration of drug pair of Angelicae Sinensis Radix and Chuanxiong Rhizoma and each single herb. Zhongguo Zhongyao Zazhi 2011;36:1808-1814.
  24. Yunlai Wang, Guoqiang Li, Yu Zhou, et al. The difference between blood-associated and water-associated herbs of Danggui-Shaoyao San in theory of TCM, based on serum pharmacochemistry. Biomed Chromatogr. 2016;30(4):579-587. https://doi.org/10.1002/bmc.3586
  25. Satoh H. Modulation by anti-oketsu formulations in Kampo medicine of human arterial stiffness. Traditional Medicine Research. 2017;2(3):130-138. https://doi.org/10.21276/jrtm.2016/304
  26. Kim JG, Kim CH, Park SY, et al. An Experimental Study on the Effect of Geijibokryunghwan, Dangguijakyaksan and Each Constituent Herb on Inhibition of Platelet Aggregation. The Journal of the Korea Institute of Oriental Medical Diagnostics. 2000;4(2):71-84.
  27. Choi JY, Yoon SH, Lee WC. The Effect of Dangkijakyaksan on female sex hormones and cerebral atrophy following middle cerebral artery occlusion in rats. Journal of Oriental Chr. Dis. 1998;4(1):70-85.
  28. Yan Huang, Zeng-yao Hu, Hui Yuan, et al. Danggui-Shaoyao-San Improves Learning and Memory in Female SAMP8 via Modulation of Estradiol. Evidence-Based Complementary and Alternative Medicine. 2014:327294. doi: 10.1155/2014/327294
  29. Jung O, Schreiber JG, Geiger H, et al. gp91phox-containing NADPH oxidase mediates endothelial dysfunction in renovascular hypertension. Circulation. 2004;109(14):1795-1801. https://doi.org/10.1161/01.CIR.0000124223.00113.A4
  30. Griendling KK, Sorescu D, Ushio-Fukai M. NAD(P)H oxidase: Role in cardiovascular biology and disease. Circ Res. 2000;86(5):494-501. https://doi.org/10.1161/01.RES.86.5.494
  31. Leung SB, Zhang H, Lau CW, et al. Attenuation of blood pressure in spontaneously hypertensive rats by acupuncture was associated with reduction oxidative stress and improvement from endothelial dysfunction. Chinese Medicine. 2016;11(1):38. doi: 10.1186/s13020-016-0110-0.
  32. Shin Sang-Woo, Lee Young-Sun, Park JongHyun, et al. Effects of Dangguijakyak-san Extract on Nitric Oxide Production and Cytokine Gene Expression in RAW 264.7 Macrophages Cell. Korean. J. Oriental Physiology & Pathology. 2004;18(5):1443-1448.
  33. Jang Sang Park. Endothelium-Derived Nitric Oxide Vasc Specialist Int. 1998 14(2) 179-193.
  34. Makoto Ito, Masao Ohbayashi, Mitsuru Furukawa, et al. Neuroprotective effects of TJ-23 (Tokishakuyakusan) on adult rat motoneurons following peripheral facial nerve axotomy. Otolaryngology ; Head and Neck Surgery. 2007;136(2):225-230. https://doi.org/10.1016/j.otohns.2006.08.012