Abstract

Previously, we revealed that several kampo medicines used for patients with excess and/or medium patterns (kakkonto (TJ-1), shosaikoto (TJ-9), hangeshashinto (TJ-14), and orento (TJ-120)) reduced prostaglandin (PG)E2 levels using LPS-treated human gingival fibroblasts (HGFs). Recently, we examined other kampo medicines used for patients with the deficiency pattern [bakumondoto (TJ-29), shinbuto (TJ-30), ninjinto (TJ-32), and hochuekkito (TJ-41)] and the herbs comprising shinbuto and ninjinto using the same experimental model. Shinbuto and ninjinto concentration-dependently reduced LPS-induced PGE2 production by HGFs, whereas hochuekkito weakly reduced and bakumondoto did not reduce PGE2 production. Shinbuto and ninjinto did not alter cyclooxygenase (COX) activity or the expression of molecules involved in the arachidonic acid cascade. Therefore, we next examined which herbs compromising shinbuto and ninjinto reduce LPS-induced PGE2 production. Among these herbs, shokyo (Zingiberis Rhizoma) and kankyo (Zingiberis Processum Rhizoma) strongly and concentration-dependently decreased LPS-induced PGE2 production. However, both shokyo and kankyo increased the expression of cytosolic phospholipase (cPL)A2 but did not affect annexin1 or COX-2 expression. These results suggest that shokyo and kankyo suppress cPLA2 activity. We demonstrated that kampo medicines suppress inflammatory responses in patients with the deficiency pattern, and in those with excess or medium patterns. Moreover, kampo medicines that contain shokyo or kankyo are considered to be effective for the treatment of inflammatory diseases.

Highlights

  • Periodontal disease is an inflammatory disease of the gingiva that destroys periodontal tissues

  • Effects of kampo medicines on prostaglandin (PG)E2, interleukin (IL)-6, and IL-8 production We examined whether these kampo medicines affected the production of prostaglandin E2 (PGE2) and inflammatory cytokines (IL-6 and IL-8) by human gingival fibroblasts (HGFs)

  • Effects of shinbuto and ninjinto on the arachidonic acid cascade To clarify the mechanism of how shinbuto and ninjinto reduced LPS-induced PGE2 production more directly, we examined the effects of these two kampo medicines on the arachidonic acid cascade

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Summary

Introduction

Periodontal disease is an inflammatory disease of the gingiva that destroys periodontal tissues. In inflammatory responses and tissue degradation, prostaglandin E2 (PGE2), interleukin (IL)-6, and IL-8 play important roles. As PGE2 has several functions in vasodilation, the enhancement of vascular permeability and pain, and osteoclastogenesis induction, PGE2 participates in inflammatory responses and alveolar bone resorption in periodontal disease (Noguchi and Ishikawa, 2007). We found that shokyo, kanzo, and keihi, which are herbs contained in kakkonto, reduce PGE2 production (Ara and Sogawa, 2016). These results suggested that these kampo medicines and herbs have anti-inflammatory effects in periodontal disease

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