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임신 관련 3종 한약 처방 물 추출물과 목단피 에탄올 추출물이 자궁내막과 태반세포에 미치는 영향

The Effects of Pregnancy-Related Water Extract of 3 Types Herbal Medicines and Ethanol Extract of Moutan Radicis Cortex on the Endometrial and Placental Cells

  • 박서예 (산부인과, 건양대학교 의과대학) ;
  • 노의정 (산부인과, 건양대학교 의과대학) ;
  • 서창섭 (한의과학연구부, 한국한의학연구원) ;
  • 이성기 (산부인과, 건양대학교 의과대학) ;
  • 신현규 (한의과학연구부, 한국한의학연구원)
  • Park, Seo-Ye (Dep. of Obstetrics and Gynecology, College of Medicine, Konyang University) ;
  • Noh, Eui-Jeong (Dep. of Obstetrics and Gynecology, College of Medicine, Konyang University) ;
  • Seo, Chang-Seob (KM Science Research Division, Korea Institute of Oriental Medicine) ;
  • Lee, Sung-Ki (Dep. of Obstetrics and Gynecology, College of Medicine, Konyang University) ;
  • Shin, Hyeun-Kyoo (KM Science Research Division, Korea Institute of Oriental Medicine)
  • 투고 : 2021.10.15
  • 심사 : 2021.11.26
  • 발행 : 2021.11.26

초록

Objectives: This study was performed to investigate the effects of pregnancy-related four herbal medicines (Samul-tang, Onkyung-tang, Chokyungjongok-tang and Moutan Radicis Cortex) on the endometrial and placental cells. Methods: In this study, we examined viability and decidualization of telomerase immortalized human endometrial stromal cell lines (T-HESCs) and viability and invasion ability of human first trimester trophoblast cell lines Sw.71 by four herbal medicines (Samul-tang, Onkyung-tang, Chokyungjongok-tang and Moutan Radicis Cortex) Results: In the study, we showed that Samul-tang, Onkyung-tang, Chokyungjongok-tang increased decidualization marker prolactin (PRL) and insulin-like growth factor-binding protein 1 (IGFBP1) in T-HESCs. Moutan Radicis Cortex decreased the mRNA level of PRL and IGFBP1, and the protein level of PRL and IGFBP1 had no significant effect. Moreover, four herbal medicines reduced invasion ability of Sw.71 cells. Conclusions: These results suggest that Samul-tang, Onkyung-tang, and Chokyungjongok-tang have beneficial effects on successful embryo implantation and pregnancy maintenance by increasing decidualization markers such as PRL and IGFBP1. Moutan Radicis Cortex reduces the mRNA levels of PRL and IGFBP1, which may adversely affect pregnancy. Further investigations are needed to elucidate the significance of the decreased invasive ability of Sw.71 cells induced by four herbal medications.

키워드

과제정보

본 연구는 한국한의학연구원 기관고유 사업인 한방의료기관 한약처방 안전성·유효성 구축 사업(KSN2021310), 한국연구재단 기초연구사업(NRF-2017R1A6A1A03015713), 및 보건복지부(HI17C1238)으로 부터 지원 받았음.

참고문헌

  1. Statistics KOREA Government Official Work Conference. Number of births and total fertility rate. [cited October 15, 2021]. Available from:URL:http://www.index.go.kr/potal/main.
  2. Shin J, et al. Socioeconomic Status and Successful Delivery after an Infertility Diagnosis: a Nationwide Health Insurance Cohort Study in Korea Conducted from 2005 to 2013. J Korean Med Sci. 2020;35(39):e341. https://doi.org/10.3346/jkms.2020.35.e341
  3. Cha J, Sun X, Dey SK. Mechanisms of implantation: strategies for successful pregnancy. Nat Med. 2012;18(12):1754-67. https://doi.org/10.1038/nm.3012
  4. Norwitz ER, Schust DJ, Fisher SJ. Implantation and the survival of early pregnancy. N Engl J Med. 2001;345(19):1400-8. https://doi.org/10.1056/NEJMra000763
  5. Okada H, Tsuzuki T, Murata H. Decidualization of the human endometrium. Reprod Med Biol. 2018;17(3):220-7. https://doi.org/10.1002/rmb2.12088
  6. Gibson DA, et al. Endometrial Intracrinology-generation of an estrogen-domina ted microenvironment in the secretory phase of women. J Clin Endocrinol Metab. 2013;98(11):E1802-6. https://doi.org/10.1210/jc.2013-2140
  7. Huang J, et al. Protective role of GPR120 in themaintenance of pregnancy by promoting decidualization via regulation of glucose metabolism. EBioMedicine. 2019;39(1):540-51. https://doi.org/10.1016/j.ebiom.2018.12.019
  8. Logan PC, et al. Effect of cyclic AMP and estrogen/progesterone on the transcription of DNA methyltransferases during the decidualization of human endometrial stromal cells. Mol Hum Reprod. 2013;19(5):302-12. https://doi.org/10.1093/molehr/gas062
  9. Silva JF, Serakides R. Intrauterine trophoblast migration: A comparative view of humans and rodents. Cell Adh Migr. 2016;10(1-2):88-110. https://doi.org/10.1080/19336918.2015.1120397
  10. Kim GJ. Role of trophobolast in implantation and placenta development. Korean J Reprod Med. 2010;37(3):181-9.
  11. Salomon C, et al. The possible role of extravillous trophoblast-derived exosomes on the uterine spiral arterial remodeling under both normal and pathological conditions. BioMed Res Int. 2014;2014:1-10.
  12. Zhu JY, Pang ZJ, Yu YH. Regulation of trophoblast invasion: The role of matrix metalloproteinases. Rev Obstet Gynecol. 2012;5:e137-43.
  13. Kim JH, et al. Analysis of Studies on Samul-tang for Fundamental Establishment of Evidence Based Medicine. Korean J. Oriental Physiology & Pathology. 2009;23(4):779-88.
  14. Kim HJ, Lee KS, Song BK. Study on the Tendency of Medicine Used in the Treatment of Infertility. The Journal of Oriental Gynecology. 1997;10(1):19-29.
  15. Ushiroyama T, et al. Unkei-to for correcting luteal phase defects. Journal of Reproductive Medicine. 2003;48(9):729-34.
  16. Deng JY. A Randomized Parallel Controlled Study of Jinkui Wenjing Decoction Combined with Progesterone in the Treatment of Luteal Insufficiency and Infertility(金匮温经汤联合黄体酮治疗黄体功能不全不孕随机平行对照研究). Journal of Practical Traditional Chinese Internal Medicine. 2019;33(3):39-41.
  17. Wei F. Analysis of Clinical Effect of Jinkui Wenjing Decoction on Infertility(金匮温经汤治疗不孕症的临床效果分析). Research on Chinese and foreign women's health. 2019;10(19):47-9.
  18. Kim SJ, Lee SI, Koo BH. Dosage Form Study of Jokyungjongok-Tang for the Treatment of Infertility. K. H. Univ. O. Med. J. 1978;1(1):57-65.
  19. Bae EK, Lee KS, Song BK. Study on the Influences of Moutan Cortex Radicis and Corydalis tuber on Pregnant Maintenance, Corpus Lutein Functions and Toxic Action of Kidney and Liver during Pregnancy. K. H. Univ. O. Med. J. 1995;18(2):1-12.
  20. Park SY, et al. A study on the regulation of endometrial and placental cell function by water extract of 3 type of herbal medicines and ethanol extract on Scutellariae Radix. J Korean Obstet Gynecol. 2021;34(3):1-14. https://doi.org/10.15204/JKOBGY.2021.34.3.001
  21. Cho JH, Lee KS, Song BK. Study on the effects of Samul-Tang for IVF in mice. The Journal of Oriental Gynecology. 2000;13(1):94-111.
  22. Kwon CN, Lee IS. The Effect of Onkyung-tang on Uterine Changes of Ovariectomized Rats. The Journal of Oriental Gynecology. 2001;14(2):56-68.
  23. Seo Yj, et al. Effects of Jokyungjongok-tang on the ovulation in rats. The Journal of Oriental Gynecology. 1999;12(2):101-6.
  24. Lee KS, Song BK. Studies on the Effects of Jokyungjongok-tang on Ovarian Function. K. H. Univ. O. Med. J. 1983;6:139-51.
  25. Lee SJ, et al. Effect of JokyongJongok-tang on the fertilization and maturation of immmature oocytes in bovine. The Journal of Oriental Gynecology. 1999;12(2):134-47.
  26. Kim DJ, Seo BI. Effect of Carthami Semen and Jogyeongjongok-tang On Pregnant Rats. Kor. J. Herbology. 2013;28(3):33-8. https://doi.org/10.6116/KJH.2013.28.3.33
  27. Choi HJ, et al. Mechanism Study on Inhibition of Pregnancy by Root Barks of Paeonia suffruticosa. J Physiol & pathol Korean Med. 2014;28(5):530-6.
  28. Lee CS, et al. Role of HOXA Gene in Human Endometrial Decidualization. Korean J Reprod Med. 2010;37(3):207-16.
  29. Kida N, et al. Exposure to cigarette smoke affects endometrial maturation including angiogenesis and decidualization. Reprod Med Biol. 2021;20(1):108-18. https://doi.org/10.1002/rmb2.12360
  30. Lunghi L, et al. Control of human trophoblast function. Reprod Biol Endocrinol. 2007;5(6):1-14. https://doi.org/10.1186/1477-7827-5-1