• Journal of Acupuncture Research
• /
• v.22 no.2
• /
• pp.55-70
• /
• 2005

Objective: Ulmus davidiana Planch (Ulmaceae) has long been known to have anti-inflammnatory in the traditional Korean medicine. UD has been reported as a good enhancer for bone healing. Methods : In this experiment, we investigate the Inhibitory effects of UD on bone resorption using the bone cells culture. Different concentrations of crude extract of UD were added to mouse bone cells culture. The mitochondria activity of the bone cells after exposure was determined by colorimetric MIT assay. It was demonstrated that UD has potential effects on bone cells culture without any cytotoxicity. The most effective concentration of UD on bone cells were $100\;{\mu}g/ml$. Cathepsin K (Cat K) is the major cysteine protease expressed in osteoclasts and is thought to play a key role in matrix degradation during bone resorption. Results : When mouse long bone cells including osteoclasts and osteoblast were treated with the PI3-Kinase inhibitor, wortmannin (WT), WT prevented the osteoclast-mediated intracellular processing of Cat K. Similarly, treatment of osteoclasts-containing long bone cells with UD extracts prevented the intracellular maturation of Cat K, suggesting that UD may disrupt the intracellular trafficking of pro Cat K. This is similar to that of WT. Since secreted proenzymes have the potential to reenter the cell via mannose-6-phosphate (M6P) receptor, to prevent this possibility, we tested WT and UD in the absence or presence of M6P. Inhibition of Cat K processing by WT or UD was observed in a dose-dependent manner. Furthermore, the addition of M6P resulted in enhanced potency of WT and UD. Conclusion : UD dose-dependently inhibited in vitro bone resorption with a potency similar to that observed for inhibition of Cat K processing.

• Journal of Acupuncture Research
• /
• v.25 no.2
• /
• pp.119-127
• /
• 2008

목적 : 골관절염치료에 빈용되는 유근피 약침액의 처치가 생쥐의 파골세포에 있어서 골재흡수의 저해에 미치는 영향을 알아보고자 하였다 방법 : 생쥐에게 유근피 약침액을 두개골 세포에 전, 후 처치하여 골재흡수에 대한 유근피 약침액의 억제 활성능을 검토하였다. 결론 : 염증성 cytokine 중 $IL-1{\beta}$ 유도인자인 PGE와 LPS처리로 $IL-1{\beta}$생성이 증가되었으나, 유근피 약침액 처치군은 이를 억제하였다. 유근피 약침액 전처리군에서도 $IL-1{\beta}$ 생성이 억제되었다. 유근피 약침액 처치군은 PGE2유발 $IL-1{\beta}$ 전사를 억제하였으며, PGE2 유발 $IL-1{\beta}$ 유도는 cAMP antagonist인 Rp-cAMP와 protein kinase A(PKA)저해제에 의해서도 억제되어 $IL-1{\beta}$ 발현에 cAMP, PKA 신호전달경로가 관여함을 시사하였다. 본 연구에서 유근피 약침액은 강한 항 관절염효과와 골재흡수 저해 활성이 있으며, 관절염 치료, 예방에 유의함을 밝힌 것으로 사료된다.

• Journal of Acupuncture Research
• /
• v.21 no.4
• /
• pp.237-249
• /
• 2004

유근피는 혈액청정작용과 혈액순환에 영향을 주는 성분으로서 골 손상의 처방전으로 자주 사용된다. 현재까지 유근피가 골재형성에 미치는 영향은 약리학적으로 불확실하였다. 이에 저자들은 본 연구에서 유근피를 약침액으로 제조하여 유근피 약침액이 골세포에 미치는 영향을 in vitro에서 연구하였다. 방법으로 인체의 골아전구세포osteoprecursor cells (OPC-1)를 각각의 다른 유근피 농도를 함유한 매체내에서 부화시키고 그에 따른 세포증식을 연구하였으며, 유근피 약침액의 농도가 $100{\mu}g/ml$ 미만이었을 때 OPC-1의 증식량은 증가되었다. 그러나 농도가 $180{\mu}g/ml$을 초과하였을 때는 약물의 독성에 의해서 OPC-1의 증식량이 확연히 억제되었다. 대부분의 처치에서 세포들이 cyclooxygenase-2 (Cox 2) 단백질에 대해서 매우 명백한 발현을 보여줬다. 배양과정 중에 유근피 약침액 농도 최소치인 $1.0{\mu}g/ml$에서 최대치인 $500{\mu}g/ml$까지 경미하게 강화된 띠를 나타내었다. 이와 같은 실험의 결과로 볼 때 유근피 약침액은 골세포의 증식활동, alkaline phosphatse(ALP) 활동 및 total protein 분비의 증가와 골세포내에서의 농도의존적 약침액 투여량에 따른 OPC-1의 독특한 type I collagen 합성에 직접적인 억제작용을 주는 것을 관찰할 수 있으므로 추후 이와 유사한 실험을 통한 보다 발전적인 연구가 이루어져야 한다고 사료되었다.

• Journal of Acupuncture Research
• /
• v.24 no.6
• /
• pp.15-27
• /
• 2007

Objectives : The purpose of this study is to investigate the effectiveness of Ulmus davidiana Planch herbal acupuncture(UA) to inhibit nuclear $factor(NF)-{\kappa}B$ activation on type II collagen-induced arthritis (CIA) in mice. Methods : Using an in vitro test, the synoviocytes picked out from the experimental CIA mice were subcultured. The synoviocyte cells were treated with phorbol-12-myristate-13-acetate(PMA) for 1 hour prior to the addition of indicated concentrations($0.4\;-\;1.0mg/m{\ell}$) of UA, and the cells were further incubated for 24 hours. The in vivo test, $NF-{\kappa}B$ p65, inducible nitric oxide synthase(iNOS), cyclooxygenase-2(COX-2), vascular cell adhesion molecule(VCAM)-1 production and apoptosis was observed by immunohistochemical staining. Results : The PMA-induced $I{\kappa}B$ kinase(IKK), iNOS and COX-2 mRNA expression were dose-dependently decreased in UA treated synoviocytes. Using the in vivo test, the number of eosinophils in mice treated with UA noticeably decreased in the the CIA group(P<0.05 using student t test). In mice treated with UA, there was less cartilage erosion. less bone destruction, mild synovial hyperplasia, mild fibrosis, and mild angiogenesis with less MIP-2 production. By immunohistochemical staining, suppression of $NF-{\kappa}B$ p65, iNOS production, inhibition of COX-2 production, inhibition of VCAM-1 production and inducing apoptosis were observed. Conclusions : These results suggest that UA might be applicable to the therapy of RA to suppress $NF-{\kappa}B$ activation.

• Journal of Acupuncture Research
• /
• v.22 no.2
• /
• pp.93-101
• /
• 2005

Objective: We have evaluated UDHA into the joint for its effectiveness on immune responses to CII in the rat CIA. In an attempt to gain further insight into the mode of action of UDHA, we also investigated the effects of UDHA on the incidence and development of arthritis in rat CIA with 2 different regimens: (1) started prior to a primary immunization, (2) started on the day of a primary immunization. Methods : Male rats were immunized with an emulsion of $200\;{\mu}g/100g$ of CII and complete Freund's adjuvant (CFA). The rats were then given intraperitoneal(i.p) stimulation of Ulmus davidiana Planch herbal acupuncture(UDHA) or saline during the experiment. Lymph node cells were obtained from rats 14 days after immunization and cultured in vitro with CII. When compared with rats treated with saline as control, UDHA at doses of more than $20\;{\mu}g/100\;g$ rat once a day for 7 days inhibited the ability of inguinal lymph node cells to produce T cell cytokines interleukin-$1{\beta}$, tumor necrosis $factor-{\alpha}$ $(TNF-{\alpha})$. When rats were injected intraperitoneally with SRBC, hemaglutination titers in UD-treated and control rats did not differ significantly when low doses of UD was given to rats. However, i.p injection of UD at doses of more than $10\;{\mu}g/100\;g/day$ for 7 days slightly suppressed antibody production. Results : The present results show that treatment with UDHA can inhibit the onset and development of arthritis and the immune responses to collagen. Conclusion: Therapeutic i.p injection with UD affect the clinical course of the disease and the immune responses to CII.

• Journal of Acupuncture Research
• /
• v.24 no.2
• /
• pp.83-100
• /
• 2007

목적 : 쥐의 콜라겐 유도 관절염에 대한 유근피 추출액의 면역 반응 효과 및 그 기전을 살펴보고자 하였다. 방법 : 유근피 추출액의 면역 반응을 관찰하기 위하여 콜라겐 유도 관절염 쥐가 사용되었다. 실험에 쓰인 쥐 뒷다리의 부종 용적은 volume meter로 측정하였고, lymphocyte 증식, 표1, 표2 및 TNF-${\alpha}$ 레벨은 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolirun bromide(MTT) assay에의해 측정하였다. 활막세포의 cAMP 레벨은 경쟁적 단백 결합검사 (CPBA)를 통하여 측정하였다. 2형 콜라겐에 대한 항체는 효소면역 협착검사법(ELISA)을 반복 사용하여 측정하였다. 결과 : 실험에서 유근피 추출액( 20， 80, 150mg/kg, ig ${\times}$ 7days)의 시술은 면역 반응을 억제하고 콜라겐 유도관절염 쥐의 체중과 면역 기관의 무게를 유지하였다. 콜라겐 유도 관절염 쥐에서 림프구의 증식과 IL-2의 생산은 복막의 대식세포 및 활막세포의 IL-1 , TNF-${\alpha}$와 함께 증가하였고, 유근피 추출액 (20, 80, 150mg/kg, ig ${\times}$ 7days)의 시술은 이러한 변화를 유의성 있게 감소시켰다. 0.5, 2.5, 12.5, 62.5, 125mg/l 농도에서의 유근피 추출액은 활막세포의 cAMP 레벨을 증가시킨데 반해 콜라겐 유도관절염 쥐에서의 시험관 실험결과에서는 감소시켰다. 유근피 추출액은 2형 콜라겐 항체의 농도에 대하여는 효과가 없었다. 결론 : 유근피 추출액은 항염증 작용과 면역조절 작용을 갖고 있고, 활막세포의 G protein-AC-cAMP transmembrane signal transduction 형질 도입 신호에의한 콜라겐 유도관절염 쥐의 치료 효과를 가지고 있는 것으로 여겨진다.

• Journal of Acupuncture Research
• /
• v.22 no.3
• /
• pp.1-12
• /
• 2005

It was clarified that ethanol extract herb-acupuncture solution (EE-UD) and hydrotherapy herb-acupuncture solution (WE-UD) in Ulmus davidiana Planch (Ulmaceae), are the excellent inhibitors of cathepsin K and L. WE-UD inhibited cathepsin K when IC50 value was 5.32 ${\square}g$/ml, and suppressed cathepsin L when IC50 value was 6.34 ${\square}g$/ml. However, EE-UD indicated the activity of inhibiting cathepsin K and L in the level of 1.45 ${\square}g$/ml and 2.43 ${\square}g$/ml, thus it showed more significance than WE-UD. It could be observed that EE-VD is an excellent inhibitor to cathepsin K with Ki value of 0.8 ${\square}g$/ml. This activity is increased by 10-fold even in the analytical experiment when having operations like glutathione in pH 7.0. Also, this supports the mixture of GSH thiolate anion, thus it was thought that this increase in effectiveness is probably attributable to the enhanced chemical function in the combinations of herb-acupuncture solution towards a place of activity in enzyme. WE-UD showed the time-dependent inhibiting property, thus it allowed to know the disunion and the compounding speed in constant cathepsin K during the process of experiment. Finally, EE-UD was proved to suppress the absorbent bone ash in the experiment related to osteoclast in rats for test, and to the bone in rodent. It was proved that WE-UD has the effect of inhibiting the protease in cathepsin K and L, and in collagen of bone. These results strongly suggest that it is effective in preventing the progress of bone damage, which was induced due to cathepsin K. Also, it obtained the conclusion that it is effective to the reabsorption activity of bone in the bone marrow cells.

• Journal of Korean Medicine Rehabilitation
• /
• v.19 no.2
• /
• pp.125-156
• /
• 2009

Objectives : To research the trend of studies related to rheumatoid arthritis and to indicate the hereafter direction for its study in oriental medicine and its treatment. Methods : I reviewed 75 domestic oriental medical journals, and 50 medical journals about rheumatoid arthritis published after 2004, and comparative analysis was made. And these theses were classified by college, year, field of study, subject. Results : The following are the results of this study. 1. Classified by oriental medical college, Dae-jeon college published the most theses, followed by Dong-guk, Kyung-hee, Se-myung and Dong-shin college. Han-yang college published the most theses among college of medicine. 2. Classified by type of thesis, experimental theses(70 pieces, 94%) showed higher rate than that of clinical theses(4 pieces, 5%) in oriental medical studies. However, in medical studies, clinical theses(34 pieces, 68%) showed higher rate than that of experimental theses(15 pieces, 30%). 3. Analyzed by subject, the most dealt subject in oriental medicine was herb medication, followed by herbal acupuncture, single herb, electroacupuncture, sasang & gene, acupuncture & moxibustion, complex accordingly. The most dealt subject in medical clinical journals was standards of diagnosis & prognosis, followed by medication, gene analysis, pathogenesis, clinical pattern, operative treatment and complication accordingly. 4. In theses related to herb medication, most of the subject was to evaluate anti-inflammatory and immunoregulatory effects of herb medication with geopungseup, jibitong, hwalhyeolgeoer function. The tendency of experimental methods was focusing on understanding anti-inflammatory and immunoregulatory mechanisms through molecular biologic methods by analyzing cytokine and gene. 5. Most of theses related to herbal acupuncture were experimental studies verifying ant-inflammatory and immnoregulatory effects through methods observing change of cytokine and immunoregulatory factors. Regarding remedies for herbal acupuncture, Ulmus davidiana Planch was most preferred, followed by bee venom. 6. In theses related to single herb, Boik-yak was most prefered, followed by Geopungseup-yak and Hwalhyeolgeoer-yak. Regarding methods of research, there were tendency of shifting from methods verifying travail, anti-inflammatory and anti-pyretic effects through a test of behavior, morphometry, serology and temperature measurement of the rectum and the skin into verifying anti-inflammatory and immunoregulatory effects through observing inflammatory cytokine in the joint and cells of spleen. 7. In theses related to electroacupuncture, ST36 and adjuvant were most preferred as acupoints and induced factor. The tendency of experimental methods was turning from verifying mechanism of travail effect to analyzing inflammation and pain inducing factors. 8. Diverse medical clinical studies were published. Subjects such as diagnosis and prognosis, medication, gene analysis, clinical pattern, operational treatment, complication and pathogenesis were published. Especially, studies about standards of early diagnosis, and research on possible parallel medications with methotrexate were actively inquired. 9. Most of theses related to medical experimental studies was about mediators and receptors related to inflammatory induction and osteoclasia mechanism. Also, it was presented blockage of them can be effective on rheumatoid arthritis. Conclusions : The oriental medicine studies have merit in its diversity of treatment, but it clinical studies is lacking compared to experimental studies. Also, more diversity of subjects is necessary. Therefore, complementary measures are needed. Hereafter, oriental medicine research about rheumatoid arthritis needs more clinical research verifying the effectiveness and safety in clinical field. Also, we require oriental medical standard of diagnosis and researches on pathological generation which would make early checkup and prognosis possible.