Up-regulated Vitamin D Receptor by Pelargonium Sidoides Extract EPs® 7630 Contributes to Rhinovirus Defence in Bronchial Epithelial Cells
Abstract Background: The Pelargonium sidoides herbal drug preparation EPs®7630 reduces the severity of viral upper respiratory tract infections. Vitamin D a secosteroid also improves anti-viral host defence. The anti-viral effect of both compounds was linked to similar signalling pathways in immune and epithelial cells. This study assessed if EPs®7630 modifies vitamin D receptor (VDR) expression by human bronchial epithelial cells. Methods: Bronchial epithelial cells were incubated with EPs®7630 over 48 hours before calcitriol stimulation and/or infection with Rhinovirus (RV)-16. The VDR expression and regulation was determined by Western-blotting. Intracellular signalling was studied by inhibition of mitogen activated protein kinases; Erk1/2, p38, and JNK. The anti-viral effect was assessed by immunofluorescence for RV-16 protein.Results: Treatment with EPs®7630 up-regulated the expression of the VDR through activation of Erk1/2 and thereby increased the cells sensitivity to calcitriol, reflected as the increased shift of the VDR from the cytosol into the nucleus. Compared to cells not pre-treated with EPs®7630 this VDR shift occurred at a 5.3 times lower calcitriol concentration. EPs®7630 increased Erk1/2 MAPK dependent signalling, but reduced the phosphorylation of p38. It had not effect on the activation and expression of JNK. EPs®7630 pre-treatment improved the anti-viral effect of vitamin D on RV-16 infection by 2.1 folds compared to vitamin D alone or to untreated cells. Furthermore, EPs®7630 improved the differentiation of epithelial cells by upregulating E-cadherin expression through Erk1/2.Conclusions: The results suggest that EPs®7630 increases host defence against rhinovirus infection by upregulating the VDR and thus increasing the response of epithelial cells to vitamin D.