Topical Application of Galgeunhwanggeumhwangryeon-Tang Recovers Skin-Lipid Barrier and Ameliorates Inflammation via Filaggrin-Thymic Stromal Lymphopoietin-Interleukin 4 Pathway

Medicina (Kaunas). 2021 Dec 20;57(12):1387. doi: 10.3390/medicina57121387.

Abstract

Background and objectives: The purpose of this study was to confirm the effect of Galgeunhwanggeumhwangryeon-tang (GGRT) on the skin barrier integrity and inflammation in an atopic dermatitis-like animal model. Materials and Methods: The model was established using lipid barrier elimination (LBE) in BALB/c mice. Ceramide 3B, a control drug, and GGRT were applied to the skin of LBE mice. Gross observation and histological examination were combined with measurement of skin score, trans-epidermal water loss, and pH. The expression of filaggrin, kallikrein-related peptidase 7 (KLK7), protease-activated receptor-2 (PAR-2), thymic stromal lymphopoietin (TSLP), and interleukin 4 (IL-4) was examined. Results: The effect of GGRT on atopic dermatitis was estimated in silico using two individual gene sets of human atopic dermatitis. In animal experiments, GGRT treatment reduced atopic dermatitis-like symptoms, as confirmed via gross and histological observations, skin score, pH change, and trans-epidermal water loss. The expression level of filaggrin increased in the skin of GGRT-treated mice compared to that in the LBE group. The expression levels of KLK7, PAR2, TSLP, and IL-4 were decreased in GGRT-treated mice skin compared to those in LBE mice. Conclusions: We demonstrated that GGRT restored the skin barrier and reduced inflammatory reactions in a murine model of atopic dermatitis.

Keywords: Galgeunhwanggeumhwangryeon-tang; IL-4; atopic dermatitis; ceramide; filaggrin.

MeSH terms

  • Administration, Cutaneous
  • Animals
  • Cytokines* / genetics
  • Cytokines* / metabolism
  • Drugs, Chinese Herbal / administration & dosage*
  • Filaggrin Proteins* / genetics
  • Filaggrin Proteins* / metabolism
  • Inflammation / drug therapy
  • Interleukin-4* / genetics
  • Interleukin-4* / metabolism
  • Lipids*
  • Mice
  • Mice, Inbred BALB C
  • Skin / drug effects*
  • Skin Physiological Phenomena
  • Thymic Stromal Lymphopoietin

Substances

  • Cytokines
  • Drugs, Chinese Herbal
  • Filaggrin Proteins
  • Lipids
  • gegenqinlian
  • Interleukin-4
  • Thymic Stromal Lymphopoietin
  • TSLP protein, mouse