title: Identification of the Allergenic Ingredients in Reduning Injection by Ultrafiltration and High-Performance Liquid Chromatography.
abstract: Reduning injection is a traditional Chinese medicine injection which has multiple functions such as clearing heat, dispelling wind, and detoxification. Although Reduning injection was widely utilized, reports of its allergenicity emerged one after another. However, there is little research on its allergenic substances. The aim of this study is to evaluate the sensitization of Reduning injection and explore the underlying cause of the anaphylactic reaction. The main ingredients in Reduning injection were analyzed before and after ultrafiltration. Ultrafiltrate Reduning injection, unfiltered Reduning injection, egg albumin, Tween-80, and nine effective components in Reduning injection were utilized to sensitize guinea pigs. The serum 5-hydroxytryptamine level was used to assess the sensitization effect of Reduning injection. We found a significant decrease in Tween-80 content comparing to other components in the injection after ultrafiltration. Unfiltered Reduning injection, Tween-80, chlorogenic acid, and cryptochlorogenin acid caused remarkable anaphylactoid reaction on guinea pigs while ultrafiltration Reduning resulted in a significantly lower degree of sensitization. Our results suggest that ultrafiltration could significantly reduce the sensitization of Reduning injection, which is likely due to the decrease of Tween-80. We also conjectured that the form of chlorogenic acid and cryptochlorogenin acid within the complex solution mixture may also affect the sensitizing effect.
authors.affiliation: College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Wang
authors.affiliation: College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Jiangsu, China.
authors.forename: Cun-yu
authors.initials: CY
authors.lastname: Li
authors.affiliation: College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China.
authors.forename: Yun-feng
authors.initials: YF
authors.lastname: Zheng
authors.affiliation: College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China.
authors.forename: Hong-yang
authors.initials: HY
authors.lastname: Li
authors.affiliation: Jiangsu Kanion Pharmaceutical Co., Ltd., China.
authors.forename: Wei
authors.initials: W
authors.lastname: Xiao
authors.affiliation: College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China; Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Jiangsu, China.
authors.forename: Guo-ping
authors.initials: GP
authors.lastname: Peng
mesh_terms: D000485:Allergens / Q000008:administration & dosage / Q000276:immunology / Q000302:isolation & purification*; D000707:Anaphylaxis / Q000139:chemically induced / Q000175:diagnosis* / Q000276:immunology* / Q000473:pathology; D000818:Animals; D002726:Chlorogenic Acid / Q000008:administration & dosage / Q000276:immunology / Q000302:isolation & purification; D002851:Chromatography, High Pressure Liquid; D003373:Coumaric Acids / Q000008:administration & dosage / Q000276:immunology / Q000302:isolation & purification; D004365:Drugs, Chinese Herbal / Q000008:administration & dosage / Q000009:adverse effects* / Q000737:chemistry; D006168:Guinea Pigs; D006801:Humans; D007114:Immunization; D007267:Injections; D008297:Male; D008516:Medicine, Chinese Traditional; D011136:Polysorbates / Q000008:administration & dosage / Q000302:isolation & purification; D012701:Serotonin / Q000097:blood; D014462:Ultrafiltration
chemical_list: D000485:Allergens; D003373:Coumaric Acids; D004365:Drugs, Chinese Herbal; D011136:Polysorbates; C000596355:reduning; D002726:Chlorogenic Acid; D012701:Serotonin