Sai-rei-to, a type of Kampo medicine (Japanese herbal medicine), has been shown to be clinically effective in treating patients with otitis media with effusion. The effect of
Sai-rei-to on the ion transport of the middle ear surface epithelium cultured from the Mongolian gerbil was investigated by using an Ussing chamber. Application of
Sai-rei-to to the mucosal bath but not the serosal bath induced an increase in the short-circuit current (I
sc)in the basal state. The increase in I
sc was almost completely inhibited by addition of diphenylamine-2-carboxylic acid but not by amiloride, indicating enhancement of Cl
- secretion. On the basis of the lack of changes in the intracellular Ca
2+ concentration and a sideness of action, the effect of
Sai-rei-to on I
sc is thought to be a direct and selective activation on the apical Cl
- channel.
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