PMID- 30464572 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220330 IS - 1178-7031 (Print) IS - 1178-7031 (Electronic) IS - 1178-7031 (Linking) VI - 11 DP - 2018 TI - 2LARTH((R)), a micro-immunotherapy medicine, exerts anti-inflammatory effects in vitro and reduces TNF-alpha and IL-1beta secretion. PG - 397-405 LID - 10.2147/JIR.S174326 [doi] AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) and IL-1beta are 2 pro-inflammatory cytokines known to be involved in rheumatic diseases. The therapeutic strategy used in micro-immunotherapy (MI) to reduce chronic inflammation and attenuate pain consists in mainly targeting these 2 cytokines. 2LARTH((R)) is a sublingually administered medicine consisting of lactose-saccharose globules impregnated with ethanolic preparations of immune mediators and nucleic acids at ultra-low doses. PURPOSE: The aim of the study is to explore the effect of the MI medicine on TNF-alpha and IL-1beta secretion in human primary enriched monocytes exposed to lipopolysaccharide (LPS). MATERIALS AND METHODS: Placebo and active globules were diluted in culture medium to test 5 lactose-saccharose globules concentrations (from 1.75 to 22 mM). Freshly isolated enriched monocytes from 6 healthy donors were treated with or without LPS (10 ng/mL), LPS+ placebo, or LPS+ 2LARTH((R)) for 24 hours. IL-1beta, TNF-alpha, and IL-6 release were evaluated by ELISA. RESULTS: The medicine has significantly decreased the level of IL-1beta secretion compared with placebo at these concentrations: 22 mM (P<0.0001), 11 mM (P=0.0086), 5.5 mM (P= 0.0254), and compared with untreated LPS control at these concentrations: 22 mM, 11 mM (P=0.0008), and 5.5 mM (P=0.002). The effect of active globules on the reduction of TNF-alpha release is significant compared with placebo at these concentrations: 22 mM (P=0.0018), 11 mM (P=0.0005), 5.5 mM (P=0.0136), and compared with untreated LPS control at these concentrations: 22 mM (P=0.0021), 11 mM (P=0.0017), 5.5 mM (P=0.0052) and 2.25 mM (P=0.0196). Besides, IL-6 secretion decreased compared with placebo at 22 mM (P=0.0177) and 11 mM (P=0.0031). CONCLUSION: The results indicate that the tested product exerts significant anti-inflammatory effects on human LPS-stimulated monocytes. FAU - Floris, Ilaria AU - Floris I AD - Clinical Affairs, Labo'Life France, Moutiers-Sous-Chantemerle, France, ilaria.floris@labolife.com. FAU - Appel, Kurt AU - Appel K AD - VivaCell Biotechnology GmbH, Denzlingen, Germany. FAU - Rose, Thorsten AU - Rose T AD - VivaCell Biotechnology GmbH, Denzlingen, Germany. FAU - Lejeune, Beatrice AU - Lejeune B AD - Clinical Affairs, Labo'Life Belgium, Gembloux, Belgium. LA - eng PT - Journal Article DEP - 20181029 PL - New Zealand TA - J Inflamm Res JT - Journal of inflammation research JID - 101512684 PMC - PMC6211308 OTO - NOTNLM OT - chronic inflammation OT - hormesis OT - rheumatic diseases OT - ultra-low doses COIS- Disclosure IF works for Labo'Life France, the company service provider for Labo'Life, specializing in preclinical, clinical, and regulatory affairs. BL is employed by Labo'Life Belgium, the pharmaceutical company that commercializes the micro-immunotherapy medicine tested in the study. IF and BL declare that their professional relationships with Labo'Life France and Labo'Life Belgium do not imply any misconduct in this study. KA and TR work for VivaCell Biotechnology GmbH, a contract research organization that specializes in preclinical research. The authors report no other conflicts of interest in this work. EDAT- 2018/11/23 06:00 MHDA- 2018/11/23 06:01 PMCR- 2018/10/29 CRDT- 2018/11/23 06:00 PHST- 2018/11/23 06:00 [entrez] PHST- 2018/11/23 06:00 [pubmed] PHST- 2018/11/23 06:01 [medline] PHST- 2018/10/29 00:00 [pmc-release] AID - jir-11-397 [pii] AID - 10.2147/JIR.S174326 [doi] PST - epublish SO - J Inflamm Res. 2018 Oct 29;11:397-405. doi: 10.2147/JIR.S174326. eCollection 2018.