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KMID : 1146420210130010021
Korean Medical Association of Clinical Sanghan-Geumgwe
2021 Volume.13 No. 1 p.21 ~ p.44
Effects of Red Koji-Fermented Bupleuri Radix Extracts on Lipopolysaccharide-Induced Rat Acute Lung Injury
Seo Young-Ho

Jung Tae-Young
Kim Jong-Dae
Choi Hae-Yun
Abstract
Objective£ºThis study aimed to assess the preventive effect of Bupleuri Radix aqueous extracts (BR) and red koji-fermented BR (fBR) in lipopolysaccharide (LPS)-induced acute lung injury in a rat model.

Methods£ºRats were administered 30, 60, or 120 mg/kg/day of fBR for 28 days before LPS treatments. All rats were sacrificed 5 h after LPS treatment (500 ¥ìg/head, intratracheal instillation). Body weights, lung weights, pulmonary transcapillary albumin transit, arterial gas parameters (pH, partial pressure [Pa] of O2, PaCO2), bronchoalveolar lavage fluid (BALF) protein, lactate dehydrogenase (LDH), tumor necrosis factor-¥á (TNF-¥á), interleukin-1¥â (IL-1 ¥â), total cell numbers, neutrophil/alveolar macrophage ratios, lung malondialdehyde (MDA), and myeloperoxidase (MPO) were measured. In addition, histopathological changes including the luminal surface of alveoli (LSA), thickness of alveolar septum, and number of polymorphonuclear neutrophils (PMNs) were checked.

Results£ºLPS injection led to increases in lung weights, pulmonary transcapillary albumin transit, BALF protein, LDH, TNF-¥á and IL-1¥â contents, total cells, neutrophil and alveolar macrophage ratios, lung MDA, MPO, alveolar septum thickness, and PMNs, and decreases in PaCO2 and pH of arterial blood and LSA. However, these LPS-induced acute lung injuries were inhibited by pretreatment of 30, 60, and 120 mg/kg of fBR. The most favorable effects were seen with 30 mg/kg fBR as compared with 60 mg/kg of ¥á-lipoic acid and BR.

Conclusions£ºfBR showed preventive effects on LPS-induced acute lung injury, which resembles acute respiratory distress syndrome. The mechanisms of action were likely via antioxidant and anti-inflammatory means.
KEYWORD
Red koji-fermented Bupleuri Radix, lipopolysaccharide, LPS, acute lung injury
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