PMID- 10399132 OWN - NLM STAT- MEDLINE DCOM- 19990909 LR - 20191103 IS - 0379-0355 (Print) IS - 0379-0355 (Linking) VI - 21 IP - 4 DP - 1999 May TI - Effects of sairei-to and tokishakuyaku-san on cytokine release from peripheral blood mononuclear cells upon recognition of HLA-G protein in the treatment of recurrent abortion. PG - 261-4 AB - Human leukocyte antigen (HLA)-G has been shown to play a role in establishing pregnancy through the mechanism of modulating cytokine secretion from maternal lymphocytes. To elucidate the mechanisms of actions of the herbal medicines, Sairei-to and Tokishakuyaku-san, in the treatment of recurrent abortion, we investigated whether these medicines modulate cytokine secretion from peripheral blood mononuclear cells (PBMCs) upon recognition of HLA-G protein on trophoblasts. Sairei-to and Tokishakuyaku-san increased the interleukin (IL)-1 beta and tumor necrosis factor (TNF)-alpha secretion and decreased the IL-3 secretion from PBMCs regardless of whether these cells recognized HLA-G protein or not. Accordingly, Sairei-to nullified the effects of HLA-G to reduce the secretion of IL-1 beta and TNF-alpha and to enhance the secretion of IL-3. Tokishakuyaku-san also abolished the effect of HLA-G to reduce IL-1 beta and TNF-alpha secretion but did not affect the increase in IL-3 secretion. Thus, it is conceivable that Sairei-to may normalize Th1/Th2 balance by enhancing Th1 polarization in autoimmunity-related recurrent abortion in which Th1/Th2 balance might be shifted towards Th2 polarization. However, the mechanisms of action of Tokishakuyaku-san when used in treating unexplained recurrent abortion, cannot be explained only by the Th1/Th2. FAU - Fujii, T AU - Fujii T AD - Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan. fujiit-tky@umin.ac.jp FAU - Hamai, Y AU - Hamai Y FAU - Kozuma, S AU - Kozuma S FAU - Miki, A AU - Miki A FAU - Yamashita, T AU - Yamashita T FAU - Hyodo, H AU - Hyodo H FAU - Unno, N AU - Unno N FAU - Taketani, Y AU - Taketani Y LA - eng PT - Journal Article PL - Spain TA - Methods Find Exp Clin Pharmacol JT - Methods and findings in experimental and clinical pharmacology JID - 7909595 RN - 0 (Cytokines) RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Interleukins) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Abortion, Habitual/*prevention & control MH - Cell Line MH - Cytokines/*metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - HLA Antigens/*immunology MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/*immunology MH - Humans MH - Interleukins/analysis MH - Leukocytes, Mononuclear/*drug effects/*immunology MH - *Phytotherapy MH - Plants, Medicinal/*therapeutic use MH - Pregnancy MH - Trophoblasts/immunology MH - Tumor Necrosis Factor-alpha/analysis EDAT- 1999/07/10 00:00 MHDA- 1999/07/10 00:01 CRDT- 1999/07/10 00:00 PHST- 1999/07/10 00:00 [pubmed] PHST- 1999/07/10 00:01 [medline] PHST- 1999/07/10 00:00 [entrez] AID - 538174 [pii] AID - 10.1358/mf.1999.21.4.538174 [doi] PST - ppublish SO - Methods Find Exp Clin Pharmacol. 1999 May;21(4):261-4. doi: 10.1358/mf.1999.21.4.538174.