Bronchial asthma is considered to be a chronic inflammatory disease of the airways. Thus, anti-inflammatory therapy is considered central for its long-term asthma management.
1)Inhaled corticosteroids are highly effective chronic treatments, and are capable of suppressing the underlying inflammatory process. Furthermore, combination inhalers containing corticosteroids and long-acting b 2 -agonists are the principle approach to asthma therapy, and are being increasingly used in patients with persistent symptoms.2-3) However, concern persists regarding the use of inhaled corticosteroids, because the fear is irrational long-term side effects, such as, osteoporosis and growth stunting in children.3) Although these effective medications are delivered by inhalation, compliance is surprisingly poor.3,4) But dichromone flavonoid derivative, cromolyn sodium (CRO), which is a similar chemical structure to flavonoids, inhibits the release of chemical mediators, and has been used as anti-asthmatic agent, especially the prophylactic treatment of both allergic and exercise-induced asthma via the first dry-powder inhaler.
5)Forsythiae fructus (FF), the dried fruits of Forsythia viridissima LINDLE (Oleaceae), which are known as Yeon Kyo in Korea, had been reported to have the anti-inflammatory ingredients such as triterpenoids, lignans, flavonoids, and their glycosides, 6,7) and so are used as a herbal medicine due to their anti-inflammatory, diuretic, antidote, extrusion of pus, and antibacterial effects in Korea, China, and Japan. 8) In a previous study, we found that the natural lignans and flavonoids of FF inhibit inflammatory and asthmatic responses. 9,10) In the present study, we isolated three hydroxyl pentacyclic triterpene acids (HTAs), namely, oleanolic acid (OA), ursolic acid (UA), and betulinic acid (BA), from an ethylacetate fraction of FF, and sought to determine their effects and the underlying mechanisms involved on immunoglobulin E (IgE)-mediated asthmatic response induced by an aerosolized ovalbumin (AOVA) challenge in ovalbumin-sensitized guinea pigs. Their anti-asthmatic effects, which were investigated by measuring sRaw during immediate-phase response (IAR) and late-phase response (LAR) in a double-chambered plethysmograph, [10][11][12] were compared with those elicited by the authorized anti-asthmatic drugs, salbutamol (SAL), dexamethasone (DEX), and CRO. In addition, the chemical mediators of inflammation, histamine, eosinophil peroxidase (EPO), phospholipase A 2 (PLA 2 ), and leukocytosis, were quantified in bronchoalveolar lavage fluid (BALF), and accompanying histopathological changes in lung tissues were monitored. For the identification of anti-inflammatory ingredients from Forsythiae fructus (FF), we isolated three hydroxyl pentacyclic triterpene acids (HTAs), namely, oleanolic acid, ursolic acid, and betulinic acid, from an ethylacetate fraction of FF, and evaluated the effect of these triterpene acids on asthmatic guinea pigs by measuring specific airway resistance (sRaw) during both immediate-pha...