Abstract

Inflammatory processes are important therapeutic targets in the treatment of rhinosinusitis. The novel dry extract BNO 1011 is based on the Sinupret® drug mixture (Gentianae radix, Primulae flos, Sambuci flos, Rumicis herba, and Verbenae herba), an herbal medicinal product to treat rhino-sinusitis. The anti-inflammatory activity of BNO 1011 was investigated in the rat paw oedema model of acute inflammation and potential underlying mechanisms were studied in vitro. In rats, carrageenan-induced oedema development was significantly reduced after oral application of BNO 1011. In vitro, BNO 1011 was able to reduce prostaglandin biosynthesis by COX-1 and COX-2 enzymes and inhibited leukotriene B4 secretion, mediators known to contribute to inflammation of the upper and lower airways. The T-cell mediated release of pro-inflammatory IFN-γ was also reduced. Taken together, Sinupret® dry extract BNO 1011 was proven to reduce inflammation in vivo, most likely by targeting the release of pro-inflammatory mediators. The anti-inflammatory action of BNO 1011 supports its role in the treatment of rhinosinusitis, an infectious condition accompanied by inflammation of nasal and paranasal mucosal tissues.

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