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Erschienen in: European Journal of Medical Research 4/2009

01.12.2009 | Research

Anti-inflammatory effects of myrtol standardized and other essential oils on alveolar macrophages from patients with chronic obstructive pulmonary disease

verfasst von: U Rantzsch, G Vacca, R Dück, A Gillissen

Erschienen in: European Journal of Medical Research | Sonderheft 4/2009

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Abstract

Introduction

Myrtol standardized is established in the treatment of acute and chronic bronchitis and sinusitis. It increases mucociliar clearance and has muco-secretolytic effects. Additional anti-inflammatory and antioxidative properties have been confirmed for Myrtol standardized, eucalyptus oil, and orange oil in several in vitro studies.

Objective

The aim of this study was to prove the ability of essential oils to reduce cytokines release and reactive oxygen species (ROS) production derived from ex vivo cultured alveolar macrophages.

Material and methods

Alveolar macrophages from patients with chronic obstructive pulmonary disease (COPD, n = 26, GOLD III-IV) were pre-cultured with essential oils (10-3-10-8%) for 1 h and then stimulated with LPS (1 μg/ml). After 4 h and 20 h respectively a) cellular reactive oxygen species (ROS) using 2',7'-dichlorofluorescein (DCF), and b) TNF-α, IL-8, and GM-CSF secretion were quantified.

Results

In comparison with negative controls, pre-cultured Myrtol, eucalyptus oil and orange oil (10-4%) reduced in the LPS-activated alveolar macrophages ROS release significantly after 1+20 h as follows: Myrtol - 17.7% (P = 0.05), eucalyptus oil -21.8% (P < 0.01) and orange oil -23.6% (P < 0.01). Anti-oxidative efficacy was comparable to NAC (1 mmol/l). Essential oils also induced a TNF-α reduction: Myrtol (-37.3%, P < 0.001), eucalyptus oil (-26.8%, P < 0.01) and orange oil (-26.6%, P < 0.01). TNF-α reduction at 1+4 h and 1+20 h did not vary (Myrtol: -31.9% and -37.3% respectively, P = 0.372) indicating that this effect occurs early and cannot be further stimulated. Myrtol reduced the release of GMCSF by -35.7% and that of IL-8 only inconsiderably.

Conclusions

All essential oils tested have effective antioxidative properties in ex vivo cultured and LPS-stimulated alveolar macrophages. Additionally, Myrtol inhibited TNF-α and GM-CSF release best indicating additional potent anti-inflammator y activity.
Literatur
1.
Zurück zum Zitat Rabe KF, Hurd SS, Anzueto A, Barnes PJ, Buist SA, Calverley PMA, Fukuchi Y, Jenkins C, Rodriguez-Roisin R, Weel van C, Zielinski J: Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. GOLD Executive Summary. Am J Respir Crit Care Med 2007, 176: 532–55. 10.1164/rccm.200703-456SOPubMedCrossRef Rabe KF, Hurd SS, Anzueto A, Barnes PJ, Buist SA, Calverley PMA, Fukuchi Y, Jenkins C, Rodriguez-Roisin R, Weel van C, Zielinski J: Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. GOLD Executive Summary. Am J Respir Crit Care Med 2007, 176: 532–55. 10.1164/rccm.200703-456SOPubMedCrossRef
2.
Zurück zum Zitat World Health Organization: WHO report of an expert committee: Definition and diagnosis of pulmonary disease with special reference to chronic bronchitis and emphysema. WHO Techn Rep Ser 1961, 213: 14–9. World Health Organization: WHO report of an expert committee: Definition and diagnosis of pulmonary disease with special reference to chronic bronchitis and emphysema. WHO Techn Rep Ser 1961, 213: 14–9.
3.
Zurück zum Zitat Patel IS, Roberts NJ, Lloye-Owen SJ, Sapsford RJ, Wedzicha JA: Airway epithelial inflammatory responses and clinical paramters in COPD. Eur Respir J 2003, 22: 94–9. 10.1183/09031936.03.00093703PubMedCrossRef Patel IS, Roberts NJ, Lloye-Owen SJ, Sapsford RJ, Wedzicha JA: Airway epithelial inflammatory responses and clinical paramters in COPD. Eur Respir J 2003, 22: 94–9. 10.1183/09031936.03.00093703PubMedCrossRef
4.
Zurück zum Zitat Gillissen A, Bartling A, Schoen S, Schultze-Werninghaus G: Antioxidant function of ambroxol in mononuclear and polymorphonuclear cells in vitro. Lung 1997, 175: 235–42. 10.1007/PL00007570PubMedCrossRef Gillissen A, Bartling A, Schoen S, Schultze-Werninghaus G: Antioxidant function of ambroxol in mononuclear and polymorphonuclear cells in vitro. Lung 1997, 175: 235–42. 10.1007/PL00007570PubMedCrossRef
5.
Zurück zum Zitat Nowak D, Antczak A, Krol M, Bialasiewicz P, Pietras T: Antioxidant properties of ambroxol. Free Radic Biol Med 1994, 16: 517–22. 10.1016/0891-5849(94)90130-9PubMedCrossRef Nowak D, Antczak A, Krol M, Bialasiewicz P, Pietras T: Antioxidant properties of ambroxol. Free Radic Biol Med 1994, 16: 517–22. 10.1016/0891-5849(94)90130-9PubMedCrossRef
6.
Zurück zum Zitat Gillissen A, Nowak D: Characterization of N-acetylcyteine and ambroxol in antioxidant therapy. Resp Med 1998, 92: 609–23. 10.1016/S0954-6111(98)90506-6CrossRef Gillissen A, Nowak D: Characterization of N-acetylcyteine and ambroxol in antioxidant therapy. Resp Med 1998, 92: 609–23. 10.1016/S0954-6111(98)90506-6CrossRef
7.
Zurück zum Zitat Poole PJ, Black PN: Oral mucolytic drugs for exacerbations of chronic obstructive pulmonary disease: systematic review. BMJ 2001, 322: 1–6. 10.1136/bmj.322.7277.1CrossRef Poole PJ, Black PN: Oral mucolytic drugs for exacerbations of chronic obstructive pulmonary disease: systematic review. BMJ 2001, 322: 1–6. 10.1136/bmj.322.7277.1CrossRef
8.
Zurück zum Zitat Millar AB, Pavia D, Agnew JE, Lopez-Vidriero MT, Lauque D, Clarke SW: Effect of oral N-acetylcysteine on mucus clearance. Br J Dis Chest 1985, 79: 262–6.PubMedCrossRef Millar AB, Pavia D, Agnew JE, Lopez-Vidriero MT, Lauque D, Clarke SW: Effect of oral N-acetylcysteine on mucus clearance. Br J Dis Chest 1985, 79: 262–6.PubMedCrossRef
9.
Zurück zum Zitat Decramer M, Rutten-von-Molken MPMH, Dekhuijzen PNP, Schayck van CP, Olivieri D, Del Donno M, De Backer W, Lankhorst I, Ardia A: Effects of N-acetylcysteine on outcomes in chronic obstructive pulmonary disease (Bronchitis Randomized on NAC Cost-Utility Study, BRONCHUS): a randomised placebo-controlled trial. Lancet 2005, 365: 1552–60. 10.1016/S0140-6736(05)66456-2PubMedCrossRef Decramer M, Rutten-von-Molken MPMH, Dekhuijzen PNP, Schayck van CP, Olivieri D, Del Donno M, De Backer W, Lankhorst I, Ardia A: Effects of N-acetylcysteine on outcomes in chronic obstructive pulmonary disease (Bronchitis Randomized on NAC Cost-Utility Study, BRONCHUS): a randomised placebo-controlled trial. Lancet 2005, 365: 1552–60. 10.1016/S0140-6736(05)66456-2PubMedCrossRef
11.
Zurück zum Zitat Guo X, Pittler MH, Ernst E: Herbal medicines for the treatment of COPD: a systematic review. Eur Respir J 2006, 28: 330–8. 10.1183/09031936.06.00119905PubMedCrossRef Guo X, Pittler MH, Ernst E: Herbal medicines for the treatment of COPD: a systematic review. Eur Respir J 2006, 28: 330–8. 10.1183/09031936.06.00119905PubMedCrossRef
12.
Zurück zum Zitat Matthys H, de Mey C, Carls C, Rys A, Geib A, Wittig T: Efficacy and tolerability of myrtol standardized in acute bronchitis. A multi-centre, randomised, double-blind, placebo-controlled parallel group clinical trial vs. cefuroxime and ambroxol. Arzneim-Forsch/Drug Res 2000, 50: 700–11. Matthys H, de Mey C, Carls C, Rys A, Geib A, Wittig T: Efficacy and tolerability of myrtol standardized in acute bronchitis. A multi-centre, randomised, double-blind, placebo-controlled parallel group clinical trial vs. cefuroxime and ambroxol. Arzneim-Forsch/Drug Res 2000, 50: 700–11.
13.
Zurück zum Zitat Meister R, Wittig T, Beuscher N, de Mey C: Efficacy and tolerability of myrtol standardized in long-term treatment of chronic bronchitis. A double-blind, placebo-controlled study. Arzneim-Forsch/Drug Res 1999, 1: 351–8. Meister R, Wittig T, Beuscher N, de Mey C: Efficacy and tolerability of myrtol standardized in long-term treatment of chronic bronchitis. A double-blind, placebo-controlled study. Arzneim-Forsch/Drug Res 1999, 1: 351–8.
14.
Zurück zum Zitat Graßmann J, Hippeli S, Dornisch K, Rohnert U, Beuscher N, Elstner EF: Antioxidant properties of essential oils. Possible explanations for their anti-inflammatory effects. Arzneim-Forsch/Drug Res 2000, 50: 135–9. Graßmann J, Hippeli S, Dornisch K, Rohnert U, Beuscher N, Elstner EF: Antioxidant properties of essential oils. Possible explanations for their anti-inflammatory effects. Arzneim-Forsch/Drug Res 2000, 50: 135–9.
15.
Zurück zum Zitat Report of the European Society of pneumology task group on BAL. Technical recommendations and guidelines for bronchalveolar lavage (BAL) Eur Respir J 1989, 2: 561–85. Report of the European Society of pneumology task group on BAL. Technical recommendations and guidelines for bronchalveolar lavage (BAL) Eur Respir J 1989, 2: 561–85.
16.
Zurück zum Zitat Haslam PL, Baughman RP: Report of ERS Task Force: guideline for measurement of acellular components and standardization of BAL. Eur Respir J 1999, 14: 245–8.PubMedCrossRef Haslam PL, Baughman RP: Report of ERS Task Force: guideline for measurement of acellular components and standardization of BAL. Eur Respir J 1999, 14: 245–8.PubMedCrossRef
17.
Zurück zum Zitat Delacourt C, d'Ortho MP, Macquin-Mavier I, Pezet S, Housset B, Lafuma C, Harf A: Oxidant-antioxidant balance in alveolar macrophages form newborn rats. Eur Respir J 1996, 9: 2517–24. 10.1183/09031936.96.09122517PubMedCrossRef Delacourt C, d'Ortho MP, Macquin-Mavier I, Pezet S, Housset B, Lafuma C, Harf A: Oxidant-antioxidant balance in alveolar macrophages form newborn rats. Eur Respir J 1996, 9: 2517–24. 10.1183/09031936.96.09122517PubMedCrossRef
18.
Zurück zum Zitat Juergens UR, Engelen T, Stober M, Gillissen A, Vetter H: Inhibitory activity of 1,8-cineol (eucalyptol) on cytokine production in human mononuclear phagocytes in vitro. Pulm Phamacol Therapeutics 2004, 17: 281–7. 10.1016/j.pupt.2004.06.002CrossRef Juergens UR, Engelen T, Stober M, Gillissen A, Vetter H: Inhibitory activity of 1,8-cineol (eucalyptol) on cytokine production in human mononuclear phagocytes in vitro. Pulm Phamacol Therapeutics 2004, 17: 281–7. 10.1016/j.pupt.2004.06.002CrossRef
19.
Zurück zum Zitat Beuscher N, Kietzmann M, Bien E, Champeroux P: Interference of Myrtol standardized with inflammatory and allergic mediators. Arzneim-Forsch/Drug Res 1998, 48: 985–9. Beuscher N, Kietzmann M, Bien E, Champeroux P: Interference of Myrtol standardized with inflammatory and allergic mediators. Arzneim-Forsch/Drug Res 1998, 48: 985–9.
20.
Zurück zum Zitat Aruoma OI, Halliwell B, Hoey BM, Butler J: The antioxidant action of N-acetylcysteine: its reaction with hydrogen peroxide, hydroxyl radical, superoxide, and hypochlorous acid. Free Radic Biol Med 1989, 6: 593–7. 10.1016/0891-5849(89)90066-XPubMedCrossRef Aruoma OI, Halliwell B, Hoey BM, Butler J: The antioxidant action of N-acetylcysteine: its reaction with hydrogen peroxide, hydroxyl radical, superoxide, and hypochlorous acid. Free Radic Biol Med 1989, 6: 593–7. 10.1016/0891-5849(89)90066-XPubMedCrossRef
21.
Zurück zum Zitat Gillissen A, Jaworska M, Orth M, Coffiner M, Maes P, App EM, Cantin AM, Schultze-Werninghaus G: Nacystelyn, a novel lysine salt of N-acetylcysteine, to augment cellular antioxidant defence in vitro. Resp Med 1997, 91: 159–68. 10.1016/S0954-6111(97)90052-4CrossRef Gillissen A, Jaworska M, Orth M, Coffiner M, Maes P, App EM, Cantin AM, Schultze-Werninghaus G: Nacystelyn, a novel lysine salt of N-acetylcysteine, to augment cellular antioxidant defence in vitro. Resp Med 1997, 91: 159–68. 10.1016/S0954-6111(97)90052-4CrossRef
22.
Zurück zum Zitat Jaworska M, Gillissen A, Schärling B, Wickenburg D, Schultze-Werninghaus G: N-Acetylcystein: ein funktioneller Sauerstoffrädikalfanger in vitro und ex vivo in Monozyten und neutrophilen Granulozyten bei Patienten mit einer COPD. Pneumologie 1995, 49: 539–45.PubMed Jaworska M, Gillissen A, Schärling B, Wickenburg D, Schultze-Werninghaus G: N-Acetylcystein: ein funktioneller Sauerstoffrädikalfanger in vitro und ex vivo in Monozyten und neutrophilen Granulozyten bei Patienten mit einer COPD. Pneumologie 1995, 49: 539–45.PubMed
23.
Zurück zum Zitat Flanagan RJ, Meredith TJ: Use of N-acetylcysteine in clinical toxicology. Am J Med 1991, 3C: 131S-9S.CrossRef Flanagan RJ, Meredith TJ: Use of N-acetylcysteine in clinical toxicology. Am J Med 1991, 3C: 131S-9S.CrossRef
24.
Zurück zum Zitat Bernard GR: N-acetylcysteine in experimental and clinical acute lung injury. Am J Med 1991,91(Suppl 3C):3C-54S-3C-59S. Bernard GR: N-acetylcysteine in experimental and clinical acute lung injury. Am J Med 1991,91(Suppl 3C):3C-54S-3C-59S.
25.
Zurück zum Zitat Chung KF, Adcock IM: Multifaceted mechanisms in COPD: inflammation, immunity, and tissue repair and destruction. Eur Respir J 2008, 31: 1334–56. 10.1183/09031936.00018908PubMedCrossRef Chung KF, Adcock IM: Multifaceted mechanisms in COPD: inflammation, immunity, and tissue repair and destruction. Eur Respir J 2008, 31: 1334–56. 10.1183/09031936.00018908PubMedCrossRef
26.
Zurück zum Zitat Sarir H, Henricks PAJ, Houwelingen AH, Nijkamp FP, Folkerts G: Cells, mediators and Toll-like receptors in COPD. Eur J Pharmacol 2008, 585: 346–53. 10.1016/j.ejphar.2008.03.009PubMedCrossRef Sarir H, Henricks PAJ, Houwelingen AH, Nijkamp FP, Folkerts G: Cells, mediators and Toll-like receptors in COPD. Eur J Pharmacol 2008, 585: 346–53. 10.1016/j.ejphar.2008.03.009PubMedCrossRef
27.
Zurück zum Zitat O'Donnell RA, Peebles C, Ward JA, Daraker A, Angco G, Broberg P, Pierrou S, Lund L, Holgate ST, Davies DE, Delany DJ, Wilson SJ, Djukanovic R: Relationship between peripheral airway dysfunction, airway obstruction, and neutrophilic inflammation in COPD. Thorax 2004, 59: 837–42. 10.1136/thx.2003.019349PubMedCentralPubMedCrossRef O'Donnell RA, Peebles C, Ward JA, Daraker A, Angco G, Broberg P, Pierrou S, Lund L, Holgate ST, Davies DE, Delany DJ, Wilson SJ, Djukanovic R: Relationship between peripheral airway dysfunction, airway obstruction, and neutrophilic inflammation in COPD. Thorax 2004, 59: 837–42. 10.1136/thx.2003.019349PubMedCentralPubMedCrossRef
Metadaten
Titel
Anti-inflammatory effects of myrtol standardized and other essential oils on alveolar macrophages from patients with chronic obstructive pulmonary disease
verfasst von
U Rantzsch
G Vacca
R Dück
A Gillissen
Publikationsdatum
01.12.2009
Verlag
BioMed Central
Erschienen in
European Journal of Medical Research / Ausgabe Sonderheft 4/2009
Elektronische ISSN: 2047-783X
DOI
https://doi.org/10.1186/2047-783X-14-S4-205

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