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Published in: BMC Complementary Medicine and Therapies 1/2017

Open Access 01-12-2017 | Research article

Balneotherapeutic effects of high mineral spring water on the atopic dermatitis-like inflammation in hairless mice via immunomodulation and redox balance

Authors: Johny Bajgai, Ailyn Fadriquela, Jesmin Ara, Rahima Begum, Md Faruk Ahmed, Cheol-Su Kim, Soo-Ki Kim, Kwang-Yong Shim, Kyu-Jae Lee

Published in: BMC Complementary Medicine and Therapies | Issue 1/2017

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Abstract

Background

Atopic dermatitis (AD) is a chronic relapsing allergic inflammatory skin disease that currently affects millions of children and adults worldwide. Drugs used to treat these inflammatory diseases include anti-histamines, corticosteroids and calcineurin inhibitors but these drugs have their limitations such as adverse effects with their long-term usage. Thus, researcher’s interest in several alternative and complementary therapies are continually growing and balneotherapy is one of these approaches. Therefore, we investigate the bathing effect of high concentration mineral spring water (HMW) on redox balance and immune modulation in 2,4-dinitrochlorobenzene (DNCB)-induced atopic dermatitis like inflammation in hairless mice.

Methods

We induced AD-like inflammation by application of DNCB on the dorsal skin of female skh-1 hairless mice. The mice were treated with 100% pure HMW (PHMW) and 10% diluted HMW (DHMW) through bathing once a day for 4 weeks. Tacrolimus ointment (0.1%) was used as positive control (PC) and only DNCB treatment as negative control (NeC) group. The severity of skin lesion inflammation was assessed through clinical scoring and observing scratching behavior. Levels of immunoglobulin E (IgE) and inflammatory cytokines in serum were detected by ELISA and multiplex bead array system, and the levels of oxidative stress-related biomarkers and antioxidant enzyme were also measured.

Results

We found that HMW significantly decreased the scratching behavior in PHMW and DHMW groups at the 2nd week and in PHMW group at 4th week compared to NeC group. Likewise, serum IgE level was significantly decreased in DHMW group as compared to NeC group. In line, the level of inflammatory cytokines in serum such as interleukin (IL)-1β, IL-13 and tumor necrosis factor-α were significantly inhibited in PHMW and DHMW groups compared to NeC group. In parallel, total reactive oxygen species (ROS) of serum level was significantly decreased in PHMW treatment groups compared to NeC group. Consistently, serum malondialdehyde (MDA) level in PHMW group was lower than in NeC group. By contrast, glutathione peroxidase (GPx) activity was significantly enhanced in PHMW than NeC.

Conclusion

Collectively, our study indicates a balneotherapeutic effect of HMW on DNCB-induced AD like inflammation in hairless mice via immunomodulation and redox balance.
Literature
1.
go back to reference Boguniewicz M, Leung DY. Recent insights into atopic dermatitis and implications formanagement of infectious complications. J Allergy Clin Immunol. 2010;125:4–13.CrossRefPubMedPubMedCentral Boguniewicz M, Leung DY. Recent insights into atopic dermatitis and implications formanagement of infectious complications. J Allergy Clin Immunol. 2010;125:4–13.CrossRefPubMedPubMedCentral
2.
go back to reference Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, et al. ISAAC phase three study. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhino conjunctivitis, and eczema in childhood. ISAAC phases one and three repeat multicountry cross-sectional surveys. Lancet. 2006;368:733–43.CrossRefPubMed Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, et al. ISAAC phase three study. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhino conjunctivitis, and eczema in childhood. ISAAC phases one and three repeat multicountry cross-sectional surveys. Lancet. 2006;368:733–43.CrossRefPubMed
4.
go back to reference Geha R. Allergy and hypersensitivity. Nature versus nurture in allergy and hypersensitivity. Curr Opin Immunol. 2003;15:603–8.CrossRefPubMed Geha R. Allergy and hypersensitivity. Nature versus nurture in allergy and hypersensitivity. Curr Opin Immunol. 2003;15:603–8.CrossRefPubMed
5.
go back to reference Pariser D. Topical corticosteroids and topical calcineurin inhibitors in the treatment of atopic dermatitis: focus on percutaneous absorption. Am J Ther. 2009;16:264–73.CrossRefPubMed Pariser D. Topical corticosteroids and topical calcineurin inhibitors in the treatment of atopic dermatitis: focus on percutaneous absorption. Am J Ther. 2009;16:264–73.CrossRefPubMed
6.
7.
go back to reference Routh HB, Bhowmik KR, Parish LC, Witkowski JA. Balneology, mineral water, and spas in historical perspective. Clin Dermatol. 1996;14:551–4.CrossRefPubMed Routh HB, Bhowmik KR, Parish LC, Witkowski JA. Balneology, mineral water, and spas in historical perspective. Clin Dermatol. 1996;14:551–4.CrossRefPubMed
9.
go back to reference Kim CG, Kang M, Lee YH, Min WG, Kim YH, Kang SJ, et al. Bathing effects of various seawaters on allergic (atopic) dermatitis-like skin lesions induced by 2,4-dinitrochlorobenzene in hairless mice. Evid Based Complement Altern Med. 2015;2015:179185. https://doi.org/10.1155/2015_179185. Kim CG, Kang M, Lee YH, Min WG, Kim YH, Kang SJ, et al. Bathing effects of various seawaters on allergic (atopic) dermatitis-like skin lesions induced by 2,4-dinitrochlorobenzene in hairless mice. Evid Based Complement Altern Med. 2015;2015:179185. https://​doi.​org/​10.​1155/​2015_​179185.
10.
11.
go back to reference Lotti T, Ghersetich I. Le basidelladermocosmetologiatermale. In: Caputo R, Monti M, editors. Manuale di Dermocosmetologia, vol. 1995. Milan: Raffaello Cortina; 1995. p. 751–62. Lotti T, Ghersetich I. Le basidelladermocosmetologiatermale. In: Caputo R, Monti M, editors. Manuale di Dermocosmetologia, vol. 1995. Milan: Raffaello Cortina; 1995. p. 751–62.
12.
go back to reference Valitutti S, Costellino F, Musiani P. Effect of sulphurous “thermal water” on T lymphocytes proliferative response. Ann Allergy. 1990;65:463–8.PubMed Valitutti S, Costellino F, Musiani P. Effect of sulphurous “thermal water” on T lymphocytes proliferative response. Ann Allergy. 1990;65:463–8.PubMed
13.
go back to reference Inoue T, Inoue S, Kubata K. Bacterial activity of manganese and iodide ions against staphylococcus aureus: a possible treatment for acute atopic dermatitis. Acta Derm Venereol. 1999;79:360–2.CrossRefPubMed Inoue T, Inoue S, Kubata K. Bacterial activity of manganese and iodide ions against staphylococcus aureus: a possible treatment for acute atopic dermatitis. Acta Derm Venereol. 1999;79:360–2.CrossRefPubMed
14.
go back to reference Denda M, Katagiric C, Hiro T, Maruyama N, Takahashi M. Some magnesium salts and the mixture of magnesium and calcium salts accelerate skin barrier recovery. Arch Dermatol Res. 1999;291:560–3.CrossRefPubMed Denda M, Katagiric C, Hiro T, Maruyama N, Takahashi M. Some magnesium salts and the mixture of magnesium and calcium salts accelerate skin barrier recovery. Arch Dermatol Res. 1999;291:560–3.CrossRefPubMed
15.
go back to reference Takahashi H, Nakazawa M, Takahashi K, Aihara M, Minami M, Hirasawa T, et al. Effects of zinc deficient diet on the development of atopic dermatitis- like eruptions in DS-Nh mice. J Dermatol Sci. 2008;50:31–9.CrossRefPubMed Takahashi H, Nakazawa M, Takahashi K, Aihara M, Minami M, Hirasawa T, et al. Effects of zinc deficient diet on the development of atopic dermatitis- like eruptions in DS-Nh mice. J Dermatol Sci. 2008;50:31–9.CrossRefPubMed
16.
go back to reference Celerier P, Richard A, Litoux P, Dreno B. Modulatory effects of selenium and strontium salts on keratinocyte-derived inflammatory cytokines. Arch Dermatol Res. 1995;287:680–2.CrossRefPubMed Celerier P, Richard A, Litoux P, Dreno B. Modulatory effects of selenium and strontium salts on keratinocyte-derived inflammatory cytokines. Arch Dermatol Res. 1995;287:680–2.CrossRefPubMed
17.
go back to reference Olah M, Koncz A, Feher J, Kamanczhey J, Olah C, Nagy G, et al. The effect of balneotherapy on antioxidant, inflammatory, and metabolic indices in patients with cardiovascular risk factors (hypertension and obesity) a randomized, controlled follow-up study. Contemp Clin Trials. 2011;32:793–801.CrossRefPubMed Olah M, Koncz A, Feher J, Kamanczhey J, Olah C, Nagy G, et al. The effect of balneotherapy on antioxidant, inflammatory, and metabolic indices in patients with cardiovascular risk factors (hypertension and obesity) a randomized, controlled follow-up study. Contemp Clin Trials. 2011;32:793–801.CrossRefPubMed
18.
go back to reference Kubota K, Machida I, Tamura K, Take H, Kurabayashi H, Akiba T, et al. Treatment of refractory cases of atopic dermatitis with acidic hot-spring bathing. Acta Derm Venereol. 1997;77:452–4.PubMed Kubota K, Machida I, Tamura K, Take H, Kurabayashi H, Akiba T, et al. Treatment of refractory cases of atopic dermatitis with acidic hot-spring bathing. Acta Derm Venereol. 1997;77:452–4.PubMed
19.
go back to reference Akiyama H, Yamasaki O, Tada J, Kubota K, Arata J. Antimicrobial effects of acidic hot-spring water on Staphylococcusaureus strains isolated from atopic dermatitis patients. J Dermatol Sci. 2000;24:112–8.CrossRefPubMed Akiyama H, Yamasaki O, Tada J, Kubota K, Arata J. Antimicrobial effects of acidic hot-spring water on Staphylococcusaureus strains isolated from atopic dermatitis patients. J Dermatol Sci. 2000;24:112–8.CrossRefPubMed
21.
go back to reference Adler-Cohen C, Czarnowicki T, Dreiher J, Ruzicka T, Ingber A, Harari M. Climatotherapy at the Dead Sea: an effective treatment modality for atopic dermatitis with significant positive impact on quality of life. Dermatitis. 2012;23:75–80.CrossRefPubMed Adler-Cohen C, Czarnowicki T, Dreiher J, Ruzicka T, Ingber A, Harari M. Climatotherapy at the Dead Sea: an effective treatment modality for atopic dermatitis with significant positive impact on quality of life. Dermatitis. 2012;23:75–80.CrossRefPubMed
22.
go back to reference Merial KM, Mengual X, Guerrero D, Sibaud V. Clinical efficacy of Avène hydrotherapy measured in a large cohort of more than 10,000 atopic or psoriatic patients. J Eur Acad Dermatol Venereol. 2011;25(Suppl 1):30-4. doi:10.1111/j.1468-3083.2010.03900.x. Merial KM, Mengual X, Guerrero D, Sibaud V. Clinical efficacy of Avène hydrotherapy measured in a large cohort of more than 10,000 atopic or psoriatic patients. J Eur Acad Dermatol Venereol. 2011;25(Suppl 1):30-4. doi:10.​1111/​j.​1468-3083.​2010.​03900.​x.
23.
go back to reference Gambichler T, Küster W, Kreuter A, Altmeyer P, Hoffmann K. Balneophototherapy—combined treatment of psoriasis vulgaris and atopic dermatitis with salt water baths and artificial ultraviolet radiation. J Euro Acad Derma Venereo. 2000;14:425–8.CrossRef Gambichler T, Küster W, Kreuter A, Altmeyer P, Hoffmann K. Balneophototherapy—combined treatment of psoriasis vulgaris and atopic dermatitis with salt water baths and artificial ultraviolet radiation. J Euro Acad Derma Venereo. 2000;14:425–8.CrossRef
24.
go back to reference Bacle I, Meges S, Lauze C, Macleod P, Dupuy P. Sensory analysis of four medical spa spring watercontaining various mineral concentrations. Int J Dermatol. 1999;38:784–6.CrossRefPubMed Bacle I, Meges S, Lauze C, Macleod P, Dupuy P. Sensory analysis of four medical spa spring watercontaining various mineral concentrations. Int J Dermatol. 1999;38:784–6.CrossRefPubMed
25.
go back to reference Nasermoddeli A, Kagamimori S. Balneotherapy in medicine: a review. Environ Health Prev Med. 2005;10:171–9.CrossRef Nasermoddeli A, Kagamimori S. Balneotherapy in medicine: a review. Environ Health Prev Med. 2005;10:171–9.CrossRef
26.
go back to reference Sukenik S, Buskila D, Neumann L, Kleiner BA, Zimlichman S, Horowitz J, et al. Sulphur bath and mud pack treatment for rheumatoid arthritis at the Dead Sea area. Ann Rheum Dis. 1990;49:99–102.CrossRefPubMedPubMedCentral Sukenik S, Buskila D, Neumann L, Kleiner BA, Zimlichman S, Horowitz J, et al. Sulphur bath and mud pack treatment for rheumatoid arthritis at the Dead Sea area. Ann Rheum Dis. 1990;49:99–102.CrossRefPubMedPubMedCentral
27.
go back to reference Rodrigues L, Ekundi VE, Florenzano J, Cerqueira AR, Soares AG, Schmidt TP, et al. Protective effects of exogenous and endogenous hydrogen sulfide in mast cell-mediated pruritus and cutaneous acute inflammation in mice. Pharma Res. 2017;115:255–66.CrossRef Rodrigues L, Ekundi VE, Florenzano J, Cerqueira AR, Soares AG, Schmidt TP, et al. Protective effects of exogenous and endogenous hydrogen sulfide in mast cell-mediated pruritus and cutaneous acute inflammation in mice. Pharma Res. 2017;115:255–66.CrossRef
28.
29.
go back to reference Kim SR, Choi HS, Seo HS, Choi YK, Shin YC, Ko SG. Topical application of herbal mixture extract inhibits ovalbumin-or 2, 4-dinitrochlorobenzene-induced atopic dermatitis. Evid-Based Complementary Alter Med. 2012;2012:545497. https://doi.org/10.1155/2012_545497. Kim SR, Choi HS, Seo HS, Choi YK, Shin YC, Ko SG. Topical application of herbal mixture extract inhibits ovalbumin-or 2, 4-dinitrochlorobenzene-induced atopic dermatitis. Evid-Based Complementary Alter Med. 2012;2012:545497. https://​doi.​org/​10.​1155/​2012_​545497.
30.
31.
go back to reference Enk AH, Katz SI. Early events in the induction phase of contact sensitivity. J Invest Dermatol. 1992;99:39S–41S.CrossRefPubMed Enk AH, Katz SI. Early events in the induction phase of contact sensitivity. J Invest Dermatol. 1992;99:39S–41S.CrossRefPubMed
32.
go back to reference Larsen CG, Ternowitz T, Larsen FG, Thestrup-Pedersen K. Epidermis and lymphocyte interactions during an allergic patch test reaction. J Invest Dermatol. 1988;90:230–3.CrossRefPubMed Larsen CG, Ternowitz T, Larsen FG, Thestrup-Pedersen K. Epidermis and lymphocyte interactions during an allergic patch test reaction. J Invest Dermatol. 1988;90:230–3.CrossRefPubMed
34.
go back to reference Homey B, Steinhoff M, Ruzicka T, Leung DY. Cytokines and chemokines orchestrate atopic skin inflammation. J Aller Clini Immuno. 2006;118:178–89.CrossRef Homey B, Steinhoff M, Ruzicka T, Leung DY. Cytokines and chemokines orchestrate atopic skin inflammation. J Aller Clini Immuno. 2006;118:178–89.CrossRef
36.
go back to reference Dormandry TL. Free radical oxidation and antioxidants. Lancet. 1978;311:647–50.CrossRef Dormandry TL. Free radical oxidation and antioxidants. Lancet. 1978;311:647–50.CrossRef
38.
go back to reference Odabasoglu F, Cakir A, Suleyman H, Aslan A, Bayir Y, Halici M, et al. Gastroprotective and antioxidant effects of usnic acid on indomethacin-induced gastric ulcer in rats. J Ethnopharmaco. 2006;103:59–65.CrossRef Odabasoglu F, Cakir A, Suleyman H, Aslan A, Bayir Y, Halici M, et al. Gastroprotective and antioxidant effects of usnic acid on indomethacin-induced gastric ulcer in rats. J Ethnopharmaco. 2006;103:59–65.CrossRef
39.
go back to reference Yoon YS, Sajo ME, Ignacio RM, Kim SK, Kim CS, Lee KJ. Positive effects of hydrogen water on 2, 4-dinitrochlorobenzene-induced atopic dermatitis in NC/Nga mice. Biol Pharm Bull. 2014;37:1480–5.CrossRefPubMed Yoon YS, Sajo ME, Ignacio RM, Kim SK, Kim CS, Lee KJ. Positive effects of hydrogen water on 2, 4-dinitrochlorobenzene-induced atopic dermatitis in NC/Nga mice. Biol Pharm Bull. 2014;37:1480–5.CrossRefPubMed
40.
go back to reference Prandelli C, Parola C, Buizza L, Delbarba A, Marziano M, Salvi V, et al. Sulphurous thermal water increases the release of the anti-inflammatory cytokine IL-10 and modulates antioxidant enzyme activity. Inter J Immunopathol Pharmacol. 2013;26:633–6.CrossRef Prandelli C, Parola C, Buizza L, Delbarba A, Marziano M, Salvi V, et al. Sulphurous thermal water increases the release of the anti-inflammatory cytokine IL-10 and modulates antioxidant enzyme activity. Inter J Immunopathol Pharmacol. 2013;26:633–6.CrossRef
Metadata
Title
Balneotherapeutic effects of high mineral spring water on the atopic dermatitis-like inflammation in hairless mice via immunomodulation and redox balance
Authors
Johny Bajgai
Ailyn Fadriquela
Jesmin Ara
Rahima Begum
Md Faruk Ahmed
Cheol-Su Kim
Soo-Ki Kim
Kwang-Yong Shim
Kyu-Jae Lee
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2017
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-017-1985-8

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