Ching-Yuang Lin*

Children’s Hospital, Changhua Christian Hospital, Taiwan; Institute of Medical Research, College of Health Sciences, Chang Jung Christian University, Taiwan


 

Download Citation: |
Download PDF


ABSTRACT


Cordyceps Sinensis (CS) is a parasitic fungus that has been used as a Chinese medicine for a long time in the treatment of nephritis. In this study, we established an in vitro model that showed that cultured human mesangial cells (HMC) stimulated with interleukin-1 (IL-1) plus IL-6 can cause mesangial cell proliferation, increasing production of chemical mediators and superoxide anion. An in vivo model also proved that this culture medium might lead to renal injury with hematuria and proteinuria. We cultured HMC, and then an HMC activating model with HMC incubated with IL-1 and IL-6 was established. We fractionated the crude methanolic extracts from fruiting bodies of CS with the use of this in vitro inhibition of HMC activation model as our assay method. Then we established an IgAN animal model with R36A (Pneumococcal C-polysaccharide purified from Streptococcus pneumoniae) as antigen and anti-R36A IgA monoclonal antibody to form nephritogenic IgA-IC, which can induce hematuria and proteinuria in mice with IgA deposition in the mesangial area. The fruiting bodies were extracted by silica gel column chromatography. One out of 6 column fractions, F-2, significantly inhibited the HMC activation by IL-1 plus IL-6. The acute toxicity test with male institute of Cancer Research mice showed no liver toxicity or mutagenicity. The mice in the IgAN model fed with 1% F-2 in diet had significant reduction of hematuria and proteinuria together with histopathologic improvement. Therefore this fraction was then purified by silica gel column chromatography and high-performance liquid chromatography, which yielded a purified compound H1-A, which can suppress the activated HMC and alleviate IgAN (Berger’s disease) with clinical and histologic improvement. These results give us a new regimen for the treatment of patients with IgAN in the future.


Keywords: Cordyceps Sinensis (CS); human mesangial cells (HMC); IgA Nephropathy (Berger’s disease); H1-A; Active fraction.


Share this article with your colleagues

 


REFERENCES


  1. [1] Kobayasi, Y. 1941. The genus Cordyceps and its allies. Science Report Tokyo Bunrika Daigaku, 5: 253-60.

  2. [2] McEwen, F.-L. 1963. Insect pathology 2, New York: Academic Press; pp. 273-290.

  3. [3] Simitsu, D. 1978. Cordyceps, Green Books 51. Tokyo, Japan: New Science Co.

  4. [4] Tlan, J., Chen, X.-M. and Li, L.-S. 1991. Effects of Cordyceps sinensis, rhubarb and serum renotropain on tubular epithelial cell growth. Chung-Hsi-I-ChiehHo-Tsa-Cin., 11: 547-9.

  5. [5] Cheng, Q. 1992. Effect of Cordyceps sinensis on cellular immunity in rats with croinci renal insufficiency. Chung-Hsi-IChieh-o-Tsa-Chin., 72: 27-29.

  6. [6] Feng, M.-G., Zhou, Q.-G. and Feng, G.-H. 1987. Vasodilating effect of cultured cordyceps sinensis mycelia in anesthetized dogs. Chung-Yao-Tung-Pao., 12: 41-45.

  7. [7] Chen, D.-M. 1987. Platelet hemopoiesis and ultrastructure observations in mice treated with natural cordyceps sinensis and its cultured mycelia. Chung-YaoTung-Pao., 12: 47-49.

  8. [8] Wang, Q. and Zhao, Y. 1987. Comparison of some pharmacological effects between Cordyceps and Cepalosporium sinensis Cen sp. Nov. Cung-Yao-Tung-Pao., 12: 42-44.

  9. [9] Lin, C.-Y. 1994. Treatment of IgA nephropathy. Suringer Semin Immunopathol., 16: 121-7.

  10. [10] Jennette, J.-C. 1998. Immunohistology of IgA nephropthay. American Journal of Kidney Diseases, 12: 348.

  11. [11] Julian, B.-A. 1988. First national symposium on IgA nephropathy. American Journal of Kidney Diseases, 10: 337.

  12. [12] Chen, W.-P., Chen, A. and Lin, C.-Y. 1995. In vitro effects of interleukins on human mesangial cells: implications for glomeruloenphritis. Journal of Pathology, 175: 327-337.

  13. [13] Chen, A., Chen, W.-P. and Shieu, L.-F. 1994. Pahtogenesis of IgA nephropathy: in vitro activation of human mesangial cells by IgA immune complex leads to cytokine secretion. Journal of Pathology, 173: 119-26.

  14. [14] Rifai, A. 1987. Experimental models for IgA-associated nephritis. Kidney International, 31: 1-7.

  15. [15] Liu, T.-Y. and Gotsclich, E.-C. 1963. The chemical composition of pneumococcal C-polysaccharide. Journal of Biological Chemistry, 238: 1928-1934.

  16. [16] Montinaro, V., Hevey, K. and Aventaggiato, L. 1992. Extrarenal cytokines modulate the glomerular response to IgA immune complexes. Kidney International, 42: 341-353.

  17. [17] Imal, H., Chen, A. and Endoh, M. 1987. Influence of the antigen on experimental IgA nephropathy. Seminars in Nephrology, 7: 283-285.

  18. [18] Liu, Y.-K. and Sen, W. 2003. Inhibitive effect of cordyceps sinensis on experimental hepatic fibrosis and its possible mechanism. World Journal of Gastroenterology, 9: 29-33.

  19. [19] Koh, J.-H, Yu, K.-W., Suh, H.-J., Coi, Y.-M., Ahn, T.-S. 2002. Activation of macrophages and the intestinal immune system by an orally administered decoction from cultured mycelia of Cordyceps sinensis. Bioscience Biotechnology and Biochemistry, 66: 407-411.

  20. [20] Zhu, J.-S., Halpern, G.-M. and Jones, K. 1998. The scientific rediscovery of an ancient Chinese herbal medicine: Cordyceps sinensis: part I. Journal of Alternative Complementary Medicine, 4: 289-303.

  21. [21] Chen, Y.-P., Liu, W.-A., Shen, L.-M. and Xu, S.-N. 1986. Comparisons of fermented Cordyceps mycelia and natural Cordyceps sinesis in treating 30 patients with renal failure. Chin. Tradit. Herbal Drugs, 17: 256-258.

  22. [22] Lu, L. 2002. Study on effect of Cordyceps sinensis and artemisinin in preventing recurrence of lups nepritis. Zhongguo Xi Yi Jie He Za Zhi Zhongguo Zhongxiyi Jiehe Zazhi/Chinese J. Intergrated Traditional Western Med./Zhongguo Zhong Yi Yi Jie He Xue Hui, Zhongguo Zhong Yi Yan Jiu Yuan Zhu Ban., 22: 169-171.

  23. [23] Zhao, X. and Li, L. 1993. Cordyceps sinensis in protection of the kidney from cyclosporine A nephrotoxiciyt. Cung-Hua I Hsueh Tsa Chih., 73 (410-2): 447.

  24. [24] Li, S.P., Zhao, K.-J. and Ji, Z.-N. 2003. A polysaccharide isolated from Cordyceps sinensis, traditional Cinese medicine, protects PC 12 cells against hydrogen peroxide-induced injury. Life Sciences, 73: 2503-2513.

  25. [25] Zurovsky, Y. and Haber, C. 1995. Antioxidants attenuate endotoxin-gentamicin induced acute renal failure in rats. Scandinavian Journal of Urology and Nephrology, 29: 147-154.

  26. [26] Shahed, A.-R., Kim, S.-I. and Shoskes, D.-A. 2001. Down-regulation of apoptotic and inflammatory genes by Cordyceps sinensis extract in rat kidney following iscemia/reperfusion. Transplantation Proceedings, 33: 2986-2987.

  27. [27] Austin, H.-A. and Balow, J.-E. 1999. Natural history and treatment of lupus nephritis. Seminars in Nephrology, 19: 2-11.

  28. [28] Fu, L.-W., Yang, L.-Y., Chen, W.-P., Lin, C.-Y. 1998. Clinical efficacy of cyclosporine and neural treatment of pediatric lupus nephritis with heavy proteinuria. Br. Journal of     Rheumatology, 37: 217-221.

  29. [29] Nakahama, H., Obata, K., Sugita, M., Orio, M., Oka, K. and Moriyama, T. 1999. Effect of FK506 in the treatment of autoimmune glomerulonephritis in brown Norway rat. Nephron, 81: 421-427.

  30. [30] Kiberd, B.-A. and Young, I.D. 1994. Modulation of glomerular structure and function in murine lupus nephritis by methylprednisolone and cyclophosphamide. Journal of Laboratory and Clinical Medicine, 124: 496-506.

  31. [31] Sikora, E., Grassilli, E., Radziszewska, E., Bellesia, E., Barbieri, D. and Franceschi, C. 1993. Transciption factions DNA-binding activity in rat thymocytes undergoing apoptosis after heat shock or dexamethasone treatment. Biochemical and Biophysical Research Communications, 197: 709-715.

  32. [32] Wang, H.-C., Pathan, N., Etell, I.M., Krajewski, S., Yamaguchi, Y. and Shibasaki, F. 1999. Ca2+ induced apoptosis through calcineurin dephosphorylation of BAD. Science, 284: 339-343.


ARTICLE INFORMATION




Accepted: 2005-12-04
Available Online: 2005-12-13


Cite this article:

Lin, C.-Y., 2005. Scientific basis for traditional medicines in renal disease. International Journal of Applied Science and Engineering, 3, 187–193. https://doi.org/10.6703/IJASE.2005.3(3).187