ABSTRACT-To study the effect of the Kampo drug Saiboku-to (TJ-96) on ion trans port function of airway epithelial cells, we studied bioelectric properties of cultured tracheal epithelium from dogs under short-circuit conditions in vitro. Addition of TJ 96 (1 mg/ml) to the mucosal solution of the Ussing chamber increased the epithelial short-circuit current (SCC) from 6.5 ± 0.7 to 11.4 ± 1.61iA/em2 (P < 0.001). This effect was dose-dependent, with the maximal increase from the baseline value and the concentration required to produce a half-maximal effect (EC()) being 70.5 ± 12.6% (P < 0.001) and 3 ,ug/ml, respectively; and there were corresponding increases in transepithelial potential difference and cell conductance. Submucosal addition of TJ 96 likewise increased SCC, although the magnitude of the response was smaller as compared with the response to the mucosal addition. The TJ-96-induced increase in SCC was not affected by diphenylamine-2-carboxylate or furosemide but abolished by amiloride. Intracellular cyclic AMP levels were dose-dependently increased by TJ-96. These results indicate that TJ-96 may selectively stimulate Na absorption across the tracheal epithelium, probably through intracellular accumulation of cyclic AMP.Saiboku-to (TJ-96) is a traditional Chinese herbal medicine that has been widely used in the treatment of bronchitis and asthma. There is increasing evidence that TJ-96 modifies allergic events through inhibition of type I (1) and IV reactions (2), reduction of the IgE mediated release of histamine from basophils and platelet-activating factor from neutrophils (3), and prevention of the down-regulation of glucocorticoid and /3-adrenergic receptors (4), thereby reducing bronchoconstriction and air way hyperreactivity.In addition to hyperreactivity of airway smooth muscle, hypersecretion of respiratory mucus and water is another characteristic fea ture of asthma. Although it has been frequent ly recognized that treatment of asthmatic pa tients with TJ-96 can decrease the amount of sputum production, the mechanism of this anti-secretory action remains unknown. Be cause airway surface fluid consists of mucous glycoproteins released from submucosal glands and water transported across airway epithelial cells, the latter being determined by trans epithelial ion transport (5), the present study was undertaken to elucidate the effect of TJ 96 on airway epithelial ion transport functions and the possible mechanism of its action. To do so, we measured bioelectric properties-of canine cultured tracheal epithelium, which pri marily secretes Cl and absorbs Na (6), under short-circuit conditions in vitro.