Skip to main content
Log in

Effect of Myrtol Standardized and Other Substances on the Respiratory Tract: Ciliary Beat Frequency and Mucociliary Clearance as Parameters

  • Original Research
  • Published:
Advances in Therapy Aims and scope Submit manuscript

Abstract

Introduction

Myrtol standardized is a phytomedicine obtained by distillation, consisting of many constituents. In vitro and in vivo, the major monterpenes, d-limonene, 1,8-cineole, and alpha-pinene, are used as biological marker substances. Myrtol standardized has secretolytic, secretomotor, and mucolytic effects in addition to anti-inflammatory and antioxidative actions. The aim of the study was to investigate the effects of different concentrations of Myrtol standardized on in vivo mucociliary clearance in mice and the ciliary beat frequency (CBF) in rat tracheal rings.

Methods

Data regarding the effects of 1,8-cineole and N-acetylcysteine (NAC) were compared. Salbutamol was used as a positive control. CBF was measured using rat tracheal explants and a high-speed video camera linked to a microscope with specific software equipment. Mucociliary clearance was determined using the microdialysis technique, which measured the acceleration of a fluorescent sample in the trachea in vivo.

Results

Myrtol standardized accelerated both CBF and mucociliary transport in a concentration-dependent manner. Significant effects were seen at a concentration of 0.01% Myrtol regarding CBF (P < 0.01) and 17.1 mg/kg body weight regarding mucociliary clearance experiments (P < 0.05) according to doses relevant to humans. The 1,8-cineole dosage relative to humans only accelerated the mucociliary clearance in vivo without having an effect on the CBF. Extremely high doses of Myrtol were not able to additionally increase the CBF effect in comparison to salbutamol. Compared to NAC, also used in a dosage relative to humans, Myrtol standardized showed a tendency to be more effective.

Conclusion

In summary, the present data suggest that Myrtol standardized is a pharmacologically important drug which, when used at a dose relative to humans, shows positive effects on both measured parameters, CBF and mucociliary clearance, in vivo.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bateman JRM, Pavia D, Sheahan NF, Agnew JE, Clarke SW. Impaired tracheobronchial clearance in patients with mild stable asthma. Thorax. 1983;38:463–7.

    Article  PubMed  CAS  Google Scholar 

  2. Ericsson CH, Juhasz J, Mossberg B, Philipson K, Svartengren M, Camner P. Influence of ambroxol on tracheobronchial clearance in simple chronic bronchitis. Eur J Respir Dis. 1987;70:163–70.

    PubMed  CAS  Google Scholar 

  3. Eliezer N, Sade J, Silberberg A. The role of mucus in transport by cilia. Am Rev Respir Dis. 1970;:48–52.

  4. Sleigh MA, Blake JR, Liron N. The propusion of mucus by cilia. Am Rev Respir Dis. 1988;137:726–41.

    PubMed  CAS  Google Scholar 

  5. Devalia JL, Sapsford RJ, Rusznak C, Toumbis MJ, Davies RJ. The effects of salmeterol and salbutamol on ciliary beat frequency of cultured human bronchial epithelial cells, in vitro. Pulmonary pharmacology. 1992;5:257–63.

    Article  PubMed  CAS  Google Scholar 

  6. Lenders H, Waitzinger J, Zimmerman TH, et al. Suitability of various methods as pharmacodynamic models for the investigation of the efficacy of mucolytic agents on the maxillary sinus, Naunyn-Schmiederberg’s Arch Pharmacol. 1996;353(suppl.):R151.

    Google Scholar 

  7. Lenders H. [Pharmakodynamische Nachweismethoden zur Wirkung von ätherischen Ölen am oberen Respirationstrakt. In Mees K, ed. Die unspezifische Rhino-Sinusitis. 1st edition. Berlin: Springer Verlag. 1996;40–51.

    Chapter  Google Scholar 

  8. Deitmer T. Physiology and pathology of the mucociliary system, In: Pfaltz CR, ed. Advances in Oto-Rhino-Laryngology. Volume 45. Basel: Karger; 1989:4–18.

    Google Scholar 

  9. Jones N. The nose and paranasal sinuses physiology and anatomy. Adv Drug Deliv Rev. 2001;51:5–19.

    Article  PubMed  CAS  Google Scholar 

  10. Engler H, Szelenyi I. Tracheal phenol red secretion, a new method for screening mucosecretolytic compounds. J Pharmacol Methods. 1984;11:151–7.

    Article  PubMed  CAS  Google Scholar 

  11. App EM. Sekretanalyse und Clearance. Atemw-Lungenkrkh. 1994;20:363–71.

    Google Scholar 

  12. King M. Magnetic Microrheometer. In: Braga PC, Allegra L, eds. Methods in Bronchial Mucology. New York: Raven Press. 1988;73–83.

    Google Scholar 

  13. App EM. Stellenwert der Mukusclearance für das Bronchialsystem — Pathophysiologie und therapeutische Ansätze, In: Meister R. Entzündliche Erkrankungen des Bronchialsystems. 1st edition. Berlin: Springer Verlag; 2000:27–53.

    Chapter  Google Scholar 

  14. Graßmann J, Hippeli S, Dornisch K, Rohnert U, Beuscher N, Elstner EF. Antioxidant properties of essential oils. Arzneim-Forsch/Drug Res. 2000;50:135–9.

    Google Scholar 

  15. Hippeli S, Graßmann J, Dornisch K, et al. Freie Radikale in Pathogenese und Therapie von entzündlichen Erkrankungen des Bronchialsystems, In: Meister R. Entzündliche Erkrankungen des Bronchialsystems. 1st edition. Berlin: Springer Verlag; 2000:1–25.

    Chapter  Google Scholar 

  16. Brigham KL. Oxidant stress and adult respiratory distress syndrome. Eur Respir J. 1990;3:482s–4s.

    Google Scholar 

  17. Behrbohm H, Kaschke O, Sydow K. The influence of a secretolytic drug on mucociliary clearance of the maxillary sinus. J Rol. 1997;4:29–33.

    Google Scholar 

  18. Mercke U, Hakansson CH, Toremalm NG. The influence of temperature on mucociliary activity. Temperature range 20 degrees C-40 degrees C. Acta Otolaryngol. 1974;78:444–50.

    Article  PubMed  CAS  Google Scholar 

  19. Grubb BR, Jones JH, Boucher RC. Mucociliary transport determined by in vivo microdialysis in the airways of normal and CF mice. Am J Physiol Lung Cell Mol Physiol. 2004;286:L588–95.

    Article  PubMed  CAS  Google Scholar 

  20. Wienkötter N, Begrow F, Kinzinger U, Schierstedt D, Verspohl EJ. The effects of thyme extract on β2-receptors and mucociliary clearance. Planta Med. 2007;73:629–35.

    Article  PubMed  Google Scholar 

  21. Han D, Wang N, Zhang L. The effect of myrtol standardized on human nasal ciliary beat frequency and mucociliary transport time. Am J Rhinol Allergy. 2009;23:610–4.

    Article  PubMed  Google Scholar 

  22. Shi L, Han D, Zhang L. Effect of ATP on human nasal ciliary beat frequency. Shoudu Yike Daxue Xuebao. 2009;30:57–61.

    CAS  Google Scholar 

  23. Alberty J, Stoll W. The effect of antiallergic intransal formulations on ciliary beat frequency of human nasal epithelium in vitro. Allergy. 1998;53:986–7.

    Article  PubMed  CAS  Google Scholar 

  24. Agius AM, Smallman LA, Pahor AL. Age, smoking and nasal ciliary beat frequency, Clin Otolaryngology Allied Sci. 1998;23:227–30.

    Article  CAS  Google Scholar 

  25. Jorissen M, Willems T, Van der Schueren B. Nasal ciliary beat frequency is age independent. Laryngoscope. 1998;108:1042–7.

    Article  PubMed  CAS  Google Scholar 

  26. Hafner B, Davris S, Riechelmann H, Mann WJ, Amedee RG. Endonasal sinus surgery improves mucociliary transport in severe chronic sinusitis. Am J Rhinol. 1997;11:271–274.

    Article  PubMed  CAS  Google Scholar 

  27. Zimmermann T, Seiberling M, Thomann P.. Arzneimittelforschung. 1995;45:1198–201. In German.

    PubMed  CAS  Google Scholar 

  28. App EM. Analytischer Abschlussbericht, Bestimmung von Cineol, Limonen und alpha-Pinen in Sputumproben, Myrtol standardisiert Dokumentation. 1997.

  29. Kwok R, Leung R, Tsang KW, et al. The effects of Gelomyrtol forte on human ciliary beat frequncy in vitro. Respirology. 2004;9(suppl.):A16.

    Article  Google Scholar 

  30. Langeneckert A. Untersuchungen zur Pharmakokinetik und relativen Bioverfügbarkeit von α-Pinen, 1,8-cineol und Menthol nach dermaler, inhalativer und peroraler Applikation ätherischcher Öle. Shaker Verlag GmbH. 1999.

  31. Jäger W, Nasel B, Nasel C, et al. Pharmacokinetic studies of the fragrance compound 1,8-cineole in humans during inhalation. Chem Senses. 1996;21:477–80.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eugen J. Verspohl.

Additional information

To view enhanced content go to www.advancesintherapy.com

Rights and permissions

Reprints and permissions

About this article

Cite this article

Begrow, F., Böckenholt, C., Ehmen, M. et al. Effect of Myrtol Standardized and Other Substances on the Respiratory Tract: Ciliary Beat Frequency and Mucociliary Clearance as Parameters. Adv Therapy 29, 350–358 (2012). https://doi.org/10.1007/s12325-012-0014-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12325-012-0014-z

Keywords

Navigation