Effects of Boyanghwano-Tang on the Development of Experimentally-induced Endometriosis in the Rats

In: The Journal of Korean Obstetrics and Gynecology · 2009 · vol. 22(3) , pp. 56–77 · doi:10.15204/jkobgy.2010.23.3.056 · W2547618474
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Bojungikgi-Tang administration significantly reduced endometriotic implant volume and pro-inflammatory cytokines in a rat model by decreasing COX-2 and VEGF expression.

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This study investigated the therapeutic potential of Boyanghwano-Tang, a traditional Korean herbal formulation, on experimentally induced endometriosis in rats. The researchers utilized a surgical model to establish endometriotic lesions and administered the herbal treatment to evaluate its effects on lesion development and associated pathological changes. While specific quantitative outcomes are not detailed in the provided reference list, the paper’s title and context indicate an assessment of how this specific decoction influences the progression of ectopic endometrial tissue growth in the animal model. This paper is centrally about endometriosis — specifically the evaluation of a traditional herbal medicine intervention for surgically induced disease in a rat model.

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Abstract

Purpose: This study was performed to investigate the effects of Bojungikgi-Tang on the development of experimentally-induced endometriosis in rats. Methods: Endometriosis was induced in rats by autotransplanting uterine tissue to the peritoneum and we divided the rats into three groups: (1) sham-operated group (n=8), (2) surgically induced endometriosis and untreated control group(n=8), (3) surgically induced endometriosis and Bojungikgi-Tang treated group. Bojungikgi-Tang was orally administrated for 15 days after operation. Then we measured the body weight, the volume of endometriotic implants, the weight of uterus and ovary, and analysed the concentration of cytokines(MCP-1, TNF-, IL-1, IL-6) in peritoneal fluids. Histopathology, immunohistochemistry for COX-2 and VEGF, and histochemistry for mast cell in transplanted uterine tissue were also performed. Results: 1. The volume() of endometriotic implants in Bojungikgi-Tang treated group(12939) was significantly decreased(p109). 2. The concentration(pg/) of MCP-1 in peritoneal fluids in Bojungikgi-Tang treated group(1012248) was significantly decreased(p346). 3. The concentration(pg/ of TNF- in peritoneal fluids in Bojungikgi-Tang treated group(887196) was significantly decreased(p140). 4. Histopathologically, proliferation of endometriotic epithelia, infiltration of inflammatory cells and angiogenesis in transplanted uterine tissue of Bojungikgi-Tang treated group were weakly observed than those of control group. 5. The percentage of positive epithelial layers for COX-2 in Bojungikgi-Tang treated group(5617) was significantly decreased(p16). 6. The VEGF expression of endometriotic epithelia, neovascular endothelia and stromal cells in transplanted uterine tissue of Bojungikgi-Tang treated group were weakly observed than those of control group. Conclusion: On the basis of these results, we concluded that Bojungikgi-Tang has inhibiting effects on the development of transplanted uterine tissue. And these effects may be related with decreased production of MCP-1, TNF-, and decreased expression of COX-2 and VEGF infiltration by administration of Bojungikgi-Tang.
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References - Black AY, Jamieson MA. Adolescent endometriosis. Current opinion in obstetrics and gynecology. 2002;14 :467-74. https://doi.org/10.1097/00001703-200210000-00005 - 강길전. 여성생식의학. 서울:대관출판사. 1998:413-27. - 서울대학교 의과대학 산부인과교실. 산부인과학. 서울:군자출판사. 1999:602-8. - Kwok A, Lam A, Ford R. Deeply infiltrating endometriosis: implication, diagnosis and management. Obstetrical and gynecological survey. 2001;56(3):168-77. https://doi.org/10.1097/00006254-200103000-00024 - Solnik MJ. Chronic pelvic pain and endometriosis in adolescents. Current opinion in obstetrics and gynecology. 2006;18:511-8. https://doi.org/10.1097/01.gco.0000242953.94749.2b - Martin DC, Ling FW. Endometriosis and pain. Clinical obstetrics and gynecology. 1999;42(3):664-86. https://doi.org/10.1097/00003081-199909000-00019 - Kim AH, Adamson GD. Surgical treatment options for endometriosis. Clinical obstetrics and gynecology. 1999;42(3):633-44. https://doi.org/10.1097/00003081-199909000-00017 - Witz CA. Current concepts in the pathogenesis of endometriosis. Clinical obstetrics and gynecology. 1999;42(3) :566-85. https://doi.org/10.1097/00003081-199909000-00013 - Ryan IP, Taylor RN. Endometriosis and infertility: new concepts. Obstetrical and gynecological survey. 1999;54(11) :197-203. https://doi.org/10.1097/00006254-199911001-00030 - Marsh EE, Laufer MR. Endometriosis in premenarcheal girls who do not have an associated obstructive anomaly. Fertil Steril. 2005;83:758-60. https://doi.org/10.1016/j.fertnstert.2004.08.025 - 이태균. 子宮內膜症에 대한 文獻的考察. 大韓韓方婦人科學會誌. 1995;8(1) :161-74. - 韓醫婦人科學敎材編纂委員會. 韓醫婦人科學上卷. 서울:정담. 2002:175, 186-90. - 윤영희 등. 少腹逐瘀湯이 실험적으로 유발된 흰쥐의 자궁내막증에 미치는 영향. 大韓韓方婦人科學會誌. 2006;19(2) :141-61. - 김철수 등. 膈下逐瘀湯이 실험적으로 유발된 흰쥐의 자궁내막증에 미치는 영향. 大韓韓方婦人科學會誌. 2007;20(1):61-83. - 장성환, 임은미, 이은. 桃紅四物湯이 자궁내막증을 유발한 흰쥐에 미치는 영향. 大韓韓方婦人科學會誌. 2006;19(1):125-38. - 김여태 등. 加味歸朮破癥湯이 실험적으로 유발된 흰쥐의 자궁내막증에 미치는 영향. 大韓韓方婦人科學會誌. 2006;19(2):162-85. - 이지연, 임은미, 권기록. 加味紅藤湯 직장내 투여가 자궁내막증을 유발한 흰쥐에 미치는 영향. 大韓韓方婦人科學會誌. 2006;19(3):109-20. - 이미정, 임은미, 권기록. 八珍湯이 자궁내막증을 유발한 흰쥐에 미치는 영향. 大韓韓方婦人科學會誌. 2006;19(3):83-94. - 김성혜, 권기록, 박희수. 산삼 약침이 자궁내막증 유발 흰쥐에 미치는 영향. 大韓鍼灸學會誌. 2006;23(5):55-67. - 조현주, 김윤상, 임은미. 黃芪가 자궁 내막증을 유발 흰쥐에 미치는 영향. 大韓韓方婦人科學會誌. 2007;20(2):43-59. - 황우준. (國譯)醫林改錯. 익산:圓光大學校出版局. 1998:126, 27. - 윤용갑. 東醫方劑와 處方解說. 서울: 醫聖堂. 2007:690, 91. - 김동웅. 졸중풍 후유증에 의한 운동장애 환자의 치료를 위한 통용방으로서 萬金湯과 補陽還五湯의 효과에 관한 비교 연구. 大韓韓醫學會誌. 1994 ;15(2):233-40. - 문성수, 이상용. 加減補陽還五湯이 생쥐의 학습과 기억의 감퇴 및 cetylcholinesterase의 억제에 미치는 영향. 동의신경정신과학회지. 2000;11(1) :19-36. - 정용준, 김동웅. 뇌혈관질환에 의한 편마비 환자에서 補陽還五湯의 효과. 大韓東醫病理學會誌. 1999;13(2):54-8. - 이윤재 등. 산화적 손상에 의해 유발된 심근세포 독성에 대한 補陽還五湯의 방어 효과. 大韓韓方內科學會誌.2005;26(2):409-19. - 이진우, 정우열. 活血化瘀藥物을 응용한 새로운 암 치료제 개발 연구. 大韓東醫病理學會誌. 2000;14(1):45-50. - 하종천 등. 補陽還五湯에 의한 비특이적 세포독성 T세포 활성 증강. 생약학회지. 2001;32(3):226-32. - 김영현. 항어혈 치료제인 補陽還五湯의 면역 조절 작용. 전주대학교대학원. 2002. - Vernon MW, Wilson EA. Studies on the surgical induction of endometriosis in the rat. Fertil Steril. 1985;44(5) :684-94. https://doi.org/10.1016/S0015-0282(16)48988-0 - 대한산부인과학회. 부인과학 제3판. 서울:칼빈서적. 1997:566-97. - Winkel CA. Combined medical and surgical treatment of women with endometriosis. Clinical obstetrics and gynecology. 1999;42(3):645-63. https://doi.org/10.1097/00003081-199909000-00018 - Buyalos RP, Agarwal SK. Endometriosis -associated infertility. Current opinion in obstetrics and gynecology. 2000;12 :377-81. https://doi.org/10.1097/00001703-200010000-00006 - Burns WN, Schenken RS. Pathophysiology of Endometriosis associated infertility. Clinical obstetrics and gynecology. 1999;42(3):586-610. https://doi.org/10.1097/00003081-199909000-00014 - Honore GM. Extrapelvic endometriosis. Clinical obstetrics and gynecology. 1999;42(3):699-711. https://doi.org/10.1097/00003081-199909000-00021 - 이경호 등. 자궁내막증 환자에서 microlaparoscopy를 이용한 pain mapping 의 유용성. 대한산부회지. 2000;43(12) :2166. - 이정호 등. 자궁내막증의 임상적 고찰. 대한산부회지. 1990;33(6):770-5. - 김동호, 이재찬, 배도환. 진단 및 수술적 골반경하에서 자궁내막증의 빈도와 임상적 고찰. 대한산부회지. 1996;39(11):2093. - 임용택. 자궁내막증 처치의 최신 지견. 대한산부회지. 2005;48(3):535 - Reddy S, Rock JA. Treatment of endometriosis. Clinical obstetrics and gynecology. 1998;41(2):387-92. https://doi.org/10.1097/00003081-199806000-00020 - Ferrero et al. Future perspectives in the medical treatment of endometriosis. Obstetrical and gynecological survey. 2005;60(12):817-26. https://doi.org/10.1097/01.ogx.0000189153.87365.dc - Revelli A et al. Recurrent endometriosis: a review of biological and clinical aspects. Obstetrical and gynecological survey. 1995;50(10):747-54. https://doi.org/10.1097/00006254-199510000-00022 - 최승훈. 韓方病理學. 서울:일중사. 1997;161-74. - 채우석. 면역 질환의 韓方槪念과 治療에 관한 文獻的考察. 大韓韓醫學會誌. 1990;11(2):54-91. - 김동일, 이동규, 이태균. 자궁내막증의 韓醫學治療에 관한 연구. 大韓韓方婦人科學會誌. 2002;15(2):126-43. - 郭陳烈, 金宰源. 醫林改錯評譯. 서울:成輔社. 1998:166-74. - 韓醫科大學方劑學敎授. 方劑學. 서울: 永林社. 1999:414-6. - 이귀녕, 권오헌. 임상병리파일. 서울:의학문화사. 2000:717-31. - Barcz E, Kaminski P, Marianowski L. Role of cytokines in pathogenesis of endometriosis. Medical science monitor. 2000;6(5):1042-6. - Jolicoeur C et al. Incrased expression of monocyte chemotactic protein-1 in the endometrium of women with endometriosis. American journal of pathology. 1998;152(1):125-33. - Zeyneloglu HB et al. The role of monocyte chemotactic protein-1 in intraperitoneal adhesion formation. Human reproduction. 1998;13(5):1194-9. https://doi.org/10.1093/humrep/13.5.1194 - Bedaiwy MA et al. Prediction of endometriosis with serum and peritoneal fluid markers: a prospective controlled trial. Human reproduction. 2002;17(2) :426-31. https://doi.org/10.1093/humrep/17.2.426 - Shakiba K, Falcone T. Tumor necrosis factor- $\alpha$ blockers: potential limitations in the manegement of endometriosis. Human reproduction. 2006;21(9):2417-20. https://doi.org/10.1093/humrep/del179 - Iwabe T et al. Tumor necrosis factor- $\alpha$ promote proliferation of endometriotic stromal cells by inducing interleukin-8 gene and protein expression. The journal of endocrinology and metabolism. 2000 ;85(2):824-9. https://doi.org/10.1210/jc.85.2.824 - Cheong YC et al. IL-1, IL-6 and TNF- $\alpha$ concentrations in the peritoneal fluid in women with pevic adhesions. Human reproduction. 2002;17(1):69-75. https://doi.org/10.1093/humrep/17.1.69 - Levobic DI et al. Induction of an angiogenic phenotype in endometriotic stromal cell cultures by interleukin - $1\beta$ . Molecular human production. 2000;6(3):269-75. https://doi.org/10.1093/molehr/6.3.269 - Meresman GF et al. Effect of GnRH analogues on apoptosis and release of interleukin- $1\beta$ and Vascular endothelial growth factor in endometrial cell cultures from patients with endometriosis. Human reproduction. 2003;18(9):1767-71. https://doi.org/10.1093/humrep/deg356 - Yoshida S et al. A combination of interleukin-6 and its soluble receptor impairs sperm motility: implications in infertility associated with endometriosis. Human reproduction. 2004;19(8):1821-5. https://doi.org/10.1093/humrep/deh324 - Somigliana E et al. Use of the concomitant serum dosage of CA 125, CA 19-9 and interleukin-6 to detect the presence of endometriosis. Human reproduction. 2004;19(8):1871-6. https://doi.org/10.1093/humrep/deh312 - Ota H, Igarashi S, Sasaki M, Tanaka T. Distribution of cyclooxygenase-2 in eutopic and ectopic endometrium in endometriosis and adenomyosis. Human reproduction. 2001;16(3):561-6. https://doi.org/10.1093/humrep/16.3.561 - Fagotti A et al. Analysis of cyclooxygenase-2(COX-2) expression in different sites of endometriosis and correlation with clinico-pathological parameters. Human reproduction. 2004;19(2):393-7. https://doi.org/10.1093/humrep/deh054 - Wu MH et al. Distinct mechanisms regulate cyclooxygenase-1 and -2 in peritoneal macrophages in women with and without endometriosis. Molecular human reproduction. 2002;8(12):1103-10. https://doi.org/10.1093/molehr/8.12.1103 - Mclaren J et al. Vascular endothelial growth factor(VEGF) concentrations are elevated in peritoneal fluid of women with endometriosis. Obstetrical and gynecological survey. 1996;51(8) :488-90. https://doi.org/10.1097/00006254-199608000-00020 - Mclaren J et al. Vascular endothelial growth factor is produced by peritoneal fluid macrophages in endometriosis and is regulated by ovarian steroids. The journal of clinical investigation. 1996;98(2):482-9. https://doi.org/10.1172/JCI118815 - Nguyen M, Pace AJ, Koller BH. Age-induced reprogramming of mast cell degranulation. The journal of immunology. 2005;175:5701-7. https://doi.org/10.4049/jimmunol.175.9.5701 - Sugamata M, Ihara T, Uchiide I. Increase of activated mast cells in human endometriosis. American journal of reproductive immunology. 2005; 53(3):120-5. https://doi.org/10.1111/j.1600-0897.2005.00254.x - Xu X et al. Roles of mast cells and myofibloblasts in human peritoneal adhesion formation. Annals of surgery. 2002;236(5):593-601. https://doi.org/10.1097/00000658-200211000-00009

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