Effective microorganism fermentation extract (EM-X) attenuates airway hyperreactivity and inflammation through selective inhibition of the TH2 response independently of antioxidant activity

Int J Mol Med. 2007 Oct;20(4):631-5.

Abstract

The effective microorganism fermentation extract (EM-X) is an antioxidant cocktail derived from the fermentation of plant material with effective microorganisms, and its clinical application is being increasingly scrutinized. In the current study, the antiasthmatic effect of EM-X was investigated using a mouse model. Inhalation of EM-X during OVA challenge resulted in a significant reduction in airway hyperreactivity (AHR) and airway recruitment of leukocytes including eosinophils. However, the level of 8-isoprostane in bronchoalveolar lavage fluid (BALF), a marker of oxidative stress in asthmatic patients, was unaltered by EM-X inhalation. Instead, ELISA data showed that levels of IL-4, IL-5 and IL-13 in BALF or lung tissues were significantly lower in EM-X-inhaling mice than in the control mice, but not the IFN-gamma level. A considerably lower amount of Ag-specific IgE and IgG1 was detected in the serum of EM-X-inhaling mice than in the serum of the controls, whereas their IgG2a secretion was similar. In addition, Ag-specific ex vivo IL-4, IL-5 and IL-13 production of draining lymph node cells was markedly diminished by EM-X inhalation, but not IFN-gamma. These data clearly show that inhaled EM-X suppresses type 2 helper T (TH2), but not type 1 helper T (TH1), response. In conclusion, inhalation of EM-X attenuates AHR and airway inflammation which results from selective inhibition of the TH2 response to allergen, but independently of antioxidant activity. Our data also suggest that EM-X may be effectively applied for control of allergic asthma.

MeSH terms

  • Administration, Inhalation
  • Animals
  • Anti-Asthmatic Agents / administration & dosage
  • Anti-Asthmatic Agents / pharmacology
  • Anti-Asthmatic Agents / therapeutic use
  • Antigens / immunology
  • Antioxidants / metabolism*
  • Asthma / physiopathology
  • Bronchial Hyperreactivity / drug therapy*
  • Bronchoalveolar Lavage Fluid
  • Dinoprost / analogs & derivatives
  • Dinoprost / metabolism
  • Disease Models, Animal
  • Female
  • Immunoglobulins
  • Inflammation
  • Lung / drug effects
  • Lung / pathology
  • Lung / physiopathology
  • Lymph Nodes / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Plant Extracts / administration & dosage*
  • Plant Extracts / pharmacology
  • Plant Extracts / therapeutic use*
  • Th2 Cells / drug effects
  • Th2 Cells / immunology*

Substances

  • Anti-Asthmatic Agents
  • Antigens
  • Antioxidants
  • Immunoglobulins
  • Plant Extracts
  • microorganism fermentation extract
  • 8-epi-prostaglandin F2alpha
  • Dinoprost