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Effects of the Chinese traditional medicine mao-bushi-saishin-to on therapeutic efficacy of a new benzoxazinorifamycin, KRM-1648, against Mycobacterium avium infection in mice.

Abstract
The Chinese traditional medicine mao-bushi-saishin-to (MBST), which has anti-inflammatory effects and has been used to treat the common cold and nasal allergy in Japan, was examined for its effects on the therapeutic activity of a new benzoxazinorifamycin, KRM-1648 (KRM), against Mycobacterium avium complex (MAC) infection in mice. In addition, we examined the effects of MBST on the anti-MAC activity of murine peritoneal macrophages (M phi s). First, MBST significantly increased the anti-MAC therapeutic activity of KRM when given to mice in combination with KRM, although MBST alone did not exhibit such effects. Second, MBST treatment of M phi s significantly enhanced the KRM-mediated killing of MAC bacteria residing in M phi s, although MBST alone did not potentiate the M phi anti-MAC activity. MBST-treated M phi s showed decreased levels of reactive nitrogen intermediate (RNI) release, suggesting that RNIs are not decisive in the expression of the anti-MAC activity of such M phi populations. MBST partially blocked the interleukin-10 (IL-10) production of MAC-infected M phi s without affecting their transforming growth factor beta (TGF-beta)-producing activity. Reverse transcription-PCR analysis of the lung tissues of MAC-infected mice at weeks 4 and 8 after infection revealed a marked increase in the levels of tumor necrosis factor alpha, gamma interferon (IFN-gamma), IL-10, and TGF-beta mRNAs. KRM treatment of infected mice tended to decrease the levels of the test cytokine mRNAs, except that it increased TGF-beta mRNA expression at week 4. MBST treatment did not affect the levels of any cytokine mRNAs at week 8, while it down-regulated cytokine mRNA expression at week 4. At week 8, treatment of mice with a combination of KRM and MBST caused a marked decrease in the levels of the test cytokines mRNAs, especially IL-10 and IFN-gamma mRNAs, although such effects were obscure at week 4. These findings suggest that down-regulation of the expression of IL-10 and TGF-beta is related to the combined therapeutic effects of KRM and MBST against MAC infection.
AuthorsT Shimizu, H Tomioka, K Sato, C Sano, T Akaki, S Dekio, Y Yamada, T Kamei, H Shibata, N Higashi
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 43 Issue 3 Pg. 514-9 (Mar 1999) ISSN: 0066-4804 [Print] United States
PMID10049260 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Anti-Bacterial Agents
  • Cytokines
  • Drugs, Chinese Herbal
  • Free Radicals
  • RNA, Messenger
  • Rifamycins
  • Transforming Growth Factor beta
  • mao-bushi-saishin-to
  • KRM 1648
  • Interleukin-10
  • Nitrogen
Topics
  • Animals
  • Anti-Bacterial Agents (therapeutic use)
  • Cytokines (biosynthesis)
  • Disease Models, Animal
  • Drug Synergism
  • Drugs, Chinese Herbal (therapeutic use)
  • Female
  • Free Radicals (metabolism)
  • Interleukin-10 (biosynthesis)
  • Lung (drug effects, metabolism, microbiology)
  • Macrophages (drug effects, metabolism, microbiology)
  • Mice
  • Mice, Inbred BALB C
  • Mycobacterium avium-intracellulare Infection (drug therapy, microbiology)
  • Nitrogen (metabolism)
  • RNA, Messenger (biosynthesis)
  • Rifamycins (therapeutic use)
  • Transforming Growth Factor beta (biosynthesis)

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