Skip to main content
Log in

Ephedra Herb, Mao, Inhibits Antigen-Induced Mast Cell Degranulation by Induction of the Affinity Receptor for IgE Internalization

  • Research Paper
  • Published:
Pharmaceutical Research Aims and scope Submit manuscript

Abstract

Purpose

Ephedra herb (Mao) exerts potent anti-allergic effects. This study aimed to examine the underlying mechanisms of Mao on allergic inflammation using in vitro cultured mast cells (MCs) and an in vivo model of MC-dependent anaphylaxis.

Methods

Bone marrow-derived MCs (BMMCs) were presensitized with anti-2,4-dinitrophenol (DNP) immunoglobulin E (IgE) and challenged with antigens (Ag; DNP-human serum albumin). Degranulation responses and cell surface high-affinity receptor for IgE (FcεRI) expression were assessed with/without Mao treatment. Passive systemic anaphylaxis (PSA)-treated mice were administered Mao and the pathophysiological responses were evaluated.

Results

Mao inhibited Ag-induced BMMC degranulation, but not polyclonal activation with phorbol 12-myristate 13-acetate (PMA) and ionomycin, indicating that Mao inhibits IgE-dependent activation of BMMCs. Mao-treated BMMCs exhibited significant reductions in expression of surface IgE and its receptor FcεRI. Analysis of subcellular localization revealed that Mao induces FcεRI internalization in BMMCs without degranulation. In the PSA mouse model, Mao administration prevented antigen-induced hypothermia. Mao administration significantly reduced cell surface expression of IgE-bound FcεRI on peritoneal MCs.

Conclusions

Mao induced FcεRI internalization in MCs, thereby inhibiting Ag-induced IgE-dependent degranulation. The inhibitory effects of Mao on MC degranulation may offer a novel therapeutic approach for allergic diseases.

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.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Abbreviations

Ag:

Antigen

AIT:

Antigen specific immunotherapy

BMMC:

Bone marrow-derived mast cell

CLSM:

Confocal laser scanning microscope

DNP:

2,4-dinitrophenol

FcεRI:

High-affinity receptor for immunoglobulin E

HSA:

Human serum albumin

IgE:

Immunoglobulin E

MC:

Mast cell

PBS:

Phosphate buffered saline

PMA:

Phorbol 12-myristate 13-acetate

PMC:

Peritoneal mast cell

TNF-α:

Tumor necrosis factor-α

References

  1. Elieh Ali Komi D, Bjermer L. Mast cell-mediated orchestration of the immune responses in human allergic asthma: current insights. Clin Rev Allergy Immunol. 2019;56(2):234–47.

    Article  CAS  Google Scholar 

  2. Galli SJ, Tsai M. IgE and mast cells in allergic disease. Nat Med. 2012;18(5):693–704.

    Article  CAS  Google Scholar 

  3. Akdis M, Akdis CA. Mechanisms of allergen-specific immunotherapy: multiple suppressor factors at work in immune tolerance to allergens. J Allergy Clin Immunol. 2014;133(3):621–31.

    Article  CAS  Google Scholar 

  4. Gomez G. Current strategies to inhibit high affinity FcepsilonRI-mediated signaling for the treatment of allergic disease. Front Immunol. 2019;10:175.

    Article  CAS  Google Scholar 

  5. Gomez G, Jogie-Brahim S, Shima M, Schwartz LB. Omalizumab reverses the phenotypic and functional effects of IgE-enhanced Fc epsilonRI on human skin mast cells. J Immunol (Baltimore, Md : 1950). 2007;179(2):1353–61.

    Article  CAS  Google Scholar 

  6. Tonacci A, Billeci L, Pioggia G, Navarra M, Gangemi S. Omalizumab for the treatment of chronic idiopathic Urticaria: systematic review of the literature. Pharmacotherapy. 2017;37(4):464–80.

    Article  Google Scholar 

  7. Pennington LF, Tarchevskaya S, Brigger D, Sathiyamoorthy K, Graham MT, Nadeau KC, et al. Structural basis of omalizumab therapy and omalizumab-mediated IgE exchange. Nat Commun. 2016;7:11610.

    Article  CAS  Google Scholar 

  8. Baumann MJ, Eggel A, Amstutz P, Stadler BM, Vogel M. DARPins against a functional IgE epitope. Immunol Lett. 2010;133(2):78–84.

    Article  CAS  Google Scholar 

  9. Zhu D, Kepley CL, Zhang M, Zhang K, Saxon A. A novel human immunoglobulin fc gamma fc epsilon bifunctional fusion protein inhibits fc epsilon RI-mediated degranulation. Nat Med. 2002;8(5):518–21.

    Article  CAS  Google Scholar 

  10. Sakai S, Sugawara T, Matsubara K, Hirata T. Inhibitory effect of carotenoids on the degranulation of mast cells via suppression of antigen-induced aggregation of high affinity IgE receptors. J Biol Chem. 2009;284(41):28172–9.

    Article  CAS  Google Scholar 

  11. Tokura T, Nakano N, Ito T, Matsuda H, Nagasako-Akazome Y, Kanda T, et al. Inhibitory effect of polyphenol-enriched apple extracts on mast cell degranulation in vitro targeting the binding between IgE and FcepsilonRI. Biosci Biotechnol Biochem. 2005;69(10):1974–7.

    Article  CAS  Google Scholar 

  12. Nakano N, Nishiyama C, Tokura T, Nagasako-Akazome Y, Ohtake Y, Okumura K, et al. Procyanidin C1 from apple extracts inhibits fc epsilon RI-mediated mast cell activation. Int Arch Allergy Immunol. 2008;147(3):213–21.

    Article  CAS  Google Scholar 

  13. Lopez-Exposito I, Castillo A, Yang N, Liang B, Li XM. Chinese herbal extracts of Rubia cordifolia and Dianthus superbus suppress IgE production and prevent peanut-induced anaphylaxis. Chin Med. 2011;6:35.

    Article  CAS  Google Scholar 

  14. Lee E, Kim SG, Park NY, Park HH, Jeong KT, Choi J, et al. KOTMIN13, a Korean herbal medicine alleviates allergic inflammation in vivo and in vitro. BMC Complement Altern Med. 2016;16:169.

    Article  Google Scholar 

  15. Kageyama-Yahara N, Suehiro Y, Maeda F, Kageyama S, Fukuoka J, Katagiri T, et al. Pentagalloylglucose down-regulates mast cell surface FcepsilonRI expression in vitro and in vivo. FEBS Lett. 2010;584(1):111–8.

    Article  CAS  Google Scholar 

  16. Wang X, Kageyama-Yahara N, Hayashi S, Yamamoto T, Kadowaki M. Sphingosine kinase-1-dependent and -independent inhibitory effects of zanthoxyli fructus to attenuate the activation of mucosal mast cells and ameliorate food allergies in mice. Evid Based Complement Alternat Med. 2012;2012:862743.

    PubMed  PubMed Central  Google Scholar 

  17. Matsuo K, Koizumi K, Fujita M, Morikawa T, Jo M, Shibahara N, et al. Efficient use of a crude drug/herb library reveals Ephedra herb as a specific antagonist for TH2-specific chemokine receptors CCR3, CCR4, and CCR8. Front Cell Dev Biol. 2016;4:54.

    Article  Google Scholar 

  18. Saito SY, Maruyama Y, Kamiyama S, Nakahata N, Ohizumi Y. Ephedrae herba in Mao-Bushi-Saishin-to inhibits IgE-mediated histamine release and increases cAMP content in RBL-2H3 cells. J Pharmacol Sci. 2004;95(1):41–6.

    Article  CAS  Google Scholar 

  19. Amakura Y, Yoshimura M, Yamakami S, Yoshida T, Wakana D, Hyuga M, et al. Characterization of phenolic constituents from ephedra herb extract. Molecules. 2013;18(5):5326–34.

    Article  CAS  Google Scholar 

  20. Amakura Y. Characterization of phenolic constituents from Ephedra herb extract. Yakugaku Zasshi. 2017;137(2):167–71.

    Article  CAS  Google Scholar 

  21. Hyuga S, Hyuga M, Oshima N, Maruyama T, Kamakura H, Yamashita T, et al. Ephedrine alkaloids-free Ephedra herb extract: a safer alternative to ephedra with comparable analgesic, anticancer, and anti-influenza activities. J Nat Med. 2016;70(3):571–83.

    Article  CAS  Google Scholar 

  22. Nakamori S, Takahashi J, Hyuga S, Yang J, Takemoto H, Maruyama T, et al. Analgesic effects of Ephedra herb extract, ephedrine alkaloids-free Ephedra herb extract, ephedrine, and pseudoephedrine on formalin-induced pain. Biol Pharm Bull. 2019;42(9):1538–44.

    Article  CAS  Google Scholar 

  23. Kay LJ, Peachell PT. Mast cell beta2-adrenoceptors. Chem Immunol Allergy. 2005;87:145–53.

    Article  CAS  Google Scholar 

  24. Suzuki R, Leach S, Liu W, Ralston E, Scheffel J, Zhang W, et al. Molecular editing of cellular responses by the high-affinity receptor for IgE. Science. 2014;343(6174):1021–5.

    Article  CAS  Google Scholar 

  25. Kuo CH, Collins AM, Boettner DR, Yang Y, Ono SJ. Role of CCL7 in Type I hypersensitivity reactions in murine experimental allergic conjunctivitis. J Immunol (Baltimore, Md : 1950). 2017;198(2):645–56.

    Article  CAS  Google Scholar 

  26. Oka T, Rios EJ, Tsai M, Kalesnikoff J, Galli SJ. Rapid desensitization induces internalization of antigen-specific IgE on mouse mast cells. J Allergy Clin Immunol. 2013;132(4):922–32.e1–16.

    Article  CAS  Google Scholar 

  27. Berings M, Karaaslan C, Altunbulakli C, Gevaert P, Akdis M, Bachert C, et al. Advances and highlights in allergen immunotherapy: on the way to sustained clinical and immunologic tolerance. J Allergy Clin Immunol. 2017;140(5):1250–67.

    Article  CAS  Google Scholar 

  28. Kulis MD, Patil SU, Wambre E, Vickery BP. Immune mechanisms of oral immunotherapy. J Allergy Clin Immunol. 2018;141(2):491–8.

    Article  CAS  Google Scholar 

  29. Gasser P, Tarchevskaya SS, Guntern P, Brigger D, Ruppli R, Zbären N, et al. The mechanistic and functional profile of the therapeutic anti-IgE antibody ligelizumab differs from omalizumab. Nat Commun. 2020;11(1):165.

    Article  CAS  Google Scholar 

  30. Yokawa S, Suzuki T, Hayashi A, Inouye S, Inoh Y, Furuno T. Video-rate bioluminescence imaging of degranulation of mast cells attached to the extracellular matrix. Front Cell Dev Biol. 2018;6:74.

    Article  Google Scholar 

  31. Pfeiffer JR, Seagrave JC, Davis BH, Deanin GG, Oliver JM. Membrane and cytoskeletal changes associated with IgE-mediated serotonin release from rat basophilic leukemia cells. J Cell Biol. 1985;101(6):2145–55.

    Article  CAS  Google Scholar 

  32. Barnes PJ. Effect of beta-agonists on inflammatory cells. J Allergy Clin Immunol. 1999;104(2 Pt 2):S10–7.

    Article  CAS  Google Scholar 

  33. Weston MC, Peachell PT. Regulation of human mast cell and basophil function by cAMP. Gen Pharmacol. 1998;31(5):715–9.

    Article  CAS  Google Scholar 

  34. Shibata H, Nabe T, Yamamura H, Kohno S. L-ephedrine is a major constituent of Mao-Bushi-Saishin-to, one of the formulas of Chinese medicine, which shows immediate inhibition after oral administration of passive cutaneous anaphylaxis in rats. Inflamm Res. 2000;49(8):398–403.

    Article  CAS  Google Scholar 

  35. Shibata H, Minami E, Hirata R, Mizutani N, Nabe T, Kohno S. Immediate inhibition by oral l-ephedrine of passive cutaneous anaphylaxis of rats: indirect inhibition of anaphylactic chemical mediator release from the mast cell. Inflamm Res. 2000;49(10):553–9.

    Article  CAS  Google Scholar 

  36. Fujimura Y, Tachibana H, Maeda-Yamamoto M, Miyase T, Sano M, Yamada K. Antiallergic tea catechin, (−)-epigallocatechin-3-O-(3-O-methyl)-gallate, suppresses FcepsilonRI expression in human basophilic KU812 cells. J Agric Food Chem. 2002;50(20):5729–34.

    Article  CAS  Google Scholar 

  37. Yano S, Tachibana H, Yamada K. Flavones suppress the expression of the high-affinity IgE receptor FcepsilonRI in human basophilic KU812 cells. J Agric Food Chem. 2005;53(5):1812–7.

    Article  CAS  Google Scholar 

  38. Kawakami T, Blank U. From IgE to omalizumab. J Immunol (Baltimore, Md : 1950). 2016;197(11):4187–92.

    Article  CAS  Google Scholar 

  39. Kubo S, Matsuoka K, Taya C, Kitamura F, Takai T, Yonekawa H, et al. Drastic up-regulation of Fcepsilonri on mast cells is induced by IgE binding through stabilization and accumulation of Fcepsilonri on the cell surface. J Immunol (Baltimore, Md : 1950). 2001;167(6):3427–34.

    Article  CAS  Google Scholar 

  40. Borkowski TA, Jouvin MH, Lin SY, Kinet JP. Minimal requirements for IgE-mediated regulation of surface Fc epsilon RI. J Immunol (Baltimore, Md : 1950). 2001;167(3):1290–6.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

YN, HA, YS, and RS contributed by conducting experiments, summarizing data, and/or generating necessary reagents. YN and RS conceived and directed this study. YN, HA, YS, and RS participated in the writing of the manuscript.

Corresponding author

Correspondence to Ryo Suzuki.

Ethics declarations

Research Involving Human Participants and/or Animals

All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.

Informed Consent

No informed consent was required to prepare the manuscript.

Conflict of Interest

This research was supported by JSPS KAKENHI Grant Number 16H05082. The authors have no conflicting financial interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

ESM 1

(DOCX 44127 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nagata, Y., Ando, H., Sasaki, Y. et al. Ephedra Herb, Mao, Inhibits Antigen-Induced Mast Cell Degranulation by Induction of the Affinity Receptor for IgE Internalization. Pharm Res 38, 569–581 (2021). https://doi.org/10.1007/s11095-021-03020-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11095-021-03020-0

KEY WORDS

Navigation