Macmoondongtang modulates Th1-/Th2-related cytokines and alleviates asthma in a murine model

Autoři: Soon-Young Lee aff001;  Bossng Kang aff002;  So-Hyeon Bok aff001;  Seung Sik Cho aff003;  Dae-Hun Park aff001
Působiště autorů: College of Oriental Medicine, Dongshin University, Naju, Jeonnam Korea aff001;  Department of Emergency Medicine, College of Medicine, Hanyang University, Guri, Gyunggi, Korea aff002;  Department of Pharmacy, College of Pharmacy, Mokpo National University, Muan, Jeonnam Korea aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article



Macmoondongtang has been used as a traditional medicine to treat pulmonary disease in Korea. However, the mechanism underlying its therapeutic effect has yet to be reported. In the present study, the role of macmoondongtang as a respiratory medicine, especially as an anti-asthmatic agent, has been attributed to the down-regulation of interleukin (IL)-4 and tumor necrosis factor (TNF)-α.

Materials & methods

BALB/c mice were divided into five groups: control, asthma-induced control, dexamethasone treatment, treatment with 150 mg/kg macmoondongtang, and treatment with 1500 mg/kg macmoondongtang. To evaluate the anti-asthmatic effect of macmoondongtang, we investigated its suppressive or inhibitory effects against typical asthmatic changes such as differential cell count in bronchioalveolar fluid (BALF), serum IgE levels, lung morphology, expression of Th1/Th2 cell transcription factors such as T-bet and GATA-3, and Th1-/Th2-/Th17-related cytokines such as interferon (IFN)-γ, IL-12p40, IL-4, -5, -13, TNF-α, and IL-6. The active ingredients in macmoondongtang were further analyzed.


Macmoondongtang treatment down-regulated serum IgE level, a very important marker of hyper-responsiveness. It reversed typical morphological changes such as mucous hypersecretion, lung epithelial cell hyperplasia, and inflammatory cell infiltration near bronchioalveolar space and veins. Macmoondongtang significantly decreased neutrophil count in BALF, as well as reduced T-bet, IFN-γ, and TNF-α expression in the lung. It also showed a dose-dependent control of inflammatory cells in BALF, controlled the expression of IL-12, IL-4, and IL-5 genes in the lung, and the protein expression of IL12p40, GATA-3, IL-4, IL-5, and IL-13. The component analysis revealed glycyrrhizin and liquiritin as the active ingredients.


Macmoondongtang treatment alleviates asthma symptoms and modulate the Th1-/Th2- related cytokines. Glycyrrhizin and liquiritin could be the major the active therapeutic components.

Klíčová slova:

Asthma – Cytokines – Eosinophils – Gene expression – Inflammation – T helper cells – Transcription factors – Bronchioles


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