EP2240191A2

EP2240191A2 - Composition comprising the extracts of lysimachia clethroides for prevention and treatment of cardiovascular diseases

Info

Publication number: EP2240191A2
Application number: EP08870585A
Authority: EP
Inventors: Min-Ho Oak; Jung-Ok Lee; Woon-Sun Choi; Jung-Duk Sohn; Jong-Hoon Kim; Jee Woong Lim; Chung Keun Rhee
Original assignee: Yang Ji Chemical Co Ltd; HAN WHA PHARMA CO Ltd
Current assignee: Yang Ji Chemical Co Ltd; HAN WHA PHARMA CO Ltd
Priority date: 2008-01-18
Filing date: 2008-12-17
Publication date: 2010-10-20
Also published as: EP2240191A4; WO2009091121A3; KR100948332B1; CN101969969A; KR20090079650A; WO2009091121A2

Abstract

The present invention relates to a composition for treatment and prevention of cardiovascular diseases, containing an extract of Lysimachia clethroides. More particularly, the extract of Lysimachia clethroides strongly inhibits NAD(P)H oxidases, which are the main cause of vascular diseases, and at the same time, regulates contraction and relaxation of vascular smooth muscles to manifest a potent vasorelaxant effect, thereby improving the blood pressure regulation and vascular endothelial dysfunction. Therefore, a composition containing this as an active ingredient can be usefully utilized as a pharmaceutical prodvct or health functional food prodvct for the prevention and treatment of cardiovascular diseases.

Description

COMPOSITION COMPRISING THE EXTRACTS OF LYSIMACHIA CLETHROIDES FOR PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASES

Technical Field

[1] The present invention relates to a composition for prevention and treatment of cardiovascular diseases, which comprises an extract of Lysimachia clethroides, and health functional food products. More particularly, the invention is characterized by containing, as an active ingredient, an extract of Lysimachia clethroides which has an effect of treating and preventing cardiovascular diseases by directly inhibiting NAD(P)H oxidases to inhibit oxidative stress, and at the same time, activating en- dothelial-type nitric oxide synthase to thereby regulate the contraction and relaxation of vascular smooth muscle cells. Background Art

[2] According to the statistics of the World Health Organization (WHO), it is reported that the world death rate for cardiovascular diseases in 1999 was 30% or greater, and the cardiovascular diseases will be the first ranking diseases causing death in developed countries in year 2010, while the increase rate of the diseases is high particularly in Asian countries including Japan, South Korea and the like. This is speculated to be attributable to an increase in the risk factors for coronary artery diseases, as a result of the coming aged society, changes in the dietary habits, and the like.

[3] Endothelial dysfunction is the main mechanism which indvces an extensive range of cardiovascular diseases, including hypertension, arteriosclerosis, hyperlipidemia, diabetes mellitus, obesity and the like (B runner H. et al., J. Hypertens., 2005, 23:233-246), since the discovery of abnormal relaxation of blood vessels in hypertensive patients in 1990 (Panza JA et al., New England Journal of Mededne, 323:22-27 ', 1990). Endothelial cells are epithelial cells lining along the cavities of blood vessels and lymph vessels, and their main function is to prodvce vasodilators and vasodilator mediators to regulate the vascular tone as well as the structure.

[4] A cardiovascular disease is a disease starting in the form of initial endothelial dysfunction and finally resulting in abnormality in the heart and vascular system. The name is a generic term for a group of abnormalities in the heart and blood vessels, including, but not limited to, arteriosclerosis, hypertension, hyperlipidemia, coronary artery diseases (heart attack), cerebrovascular diseases (stroke, dementia), peripheral vascular diseases, arrhythmia, cardiac failure, congestive heart diseases, myocardial diseases, and the like.

[5] As for principal factors for the manifestation of cardiovascular diseases, there are known a variety of factors sirh as genetic factors, lifestyle, and complications of diabetes mellitus. From the standpoint of modern medicine, increases in the reactive oxygen species (ROS) and vascular oxidative stress as a result of an increase in the activity of NADPH oxidases, and a decrease in nitric oxide due to a decrease in the activity of endothelial-type nitric oxide synthase (eNOS), are known as principal factors. Nitric oxide which is produced by endothelia-type nitric oxide synthase, is a potent vasorelaxant factor, and also plays a critical role in the overall homeostatic regulation of the cardiovascular system by inhibiting platelet aggregation, proliferation of vascular muscle cells, vascular adhesion of monocytes, and expression of arteriosclerosis-associated proteins (Ibrstermann et al., Circulation, 113:1708-1714, 2005). However, an increase, caused by a number of factors, in the activity of NADPH oxidases which are in charge of the generation of active oxygen species in the blood vessels, leads to a decrease in the production of nitric oxide [Gryglewski et al., Nature, 320:454-456, 1986; Paravidni et al., Circulation Research, 91:54-61, 2002; Dusting et al., Clinical and Experimental Pharmacology and Physiology, 25:S34-41, 1998], and the active oxygen species thus produced bring about regulation of the expression of adhesive molecules [Lo et al., Am. J. Physiol., 264:L405-412, 1993], stimulation of the proliferation and migration of vascular smooth muscle cells (VSMC) [Griendling and Ushio-Fukai, J. Lab. Clin. Med., 132:9-15, 1998], regulation of lipoproteins having oxidizing power, and the like, to thereby cause cardiovascular diseases [Lynch and Frei, J. Lipid Res., 34:1745-1753, 1993]. Furthermore, the increased generation of active oxygen species in the blood vessels due to NAD(P)H oxidases, is associated with the impaired function of endothelial nitric oxide (NO) in patients having clinical risk factors for atherosclerosis and coronary artery diseases. Fundamentally, the generation of active oxygen species brings about contraction of blood vessels [Guzik et al., Cir. Res., 86:E85-90, 2000].

[6] In general, reduction of active oxygen species, suppression of downstream generation of active oxygen species, and induction of the activity of endothelial-type nitric oxide synthase, all through direct inhibition of NAD(P)H oxidases, are recognized as very important targets in the prevention and treatment of cardiovascular diseases [Ibrstermann et al., Circulation, 113:1708-1714, 2005; Boggrell SA et al., Drug News Perspect, 17(9) 615-632, 2005; Inogirhi T., Curr. Drug Targets, 6(4):495-501, 2005; Muzaffar S. et al., Trends Cardiovasc Med., 15(8):278-282].

[7] To date, known as the substances inhibiting NAD(P)H oxidases are diphenylene ionodium (DPI) and 4-hydroxy-3-methoxyacetopoenone (Apocyin) [Holland J., et al., US 609051]. However, these substances have not been put into commercialization or clinical use because of the problems of toxicity and specificity. Furthermore, as nitric oxide regulators, there are available nitroprusside and nitroglycerine. However, these substances are also put into use only in the cases of emergency sirh as heart attack, because of the problems of resistance and toxicity in clinical uses.

[8] Meanwhile, Lysimachia clethroides is a perennial plant of family Primulaceae and is a herbaceous perennial commonly growing in the sun. It grows to a height of 50 to 100 cm, and grows in the wild state over the whole land of Korea as well as in Japan, Manchuria and China. It is also known as gooseneck loosestrife, and is known to treat irregular menstruation and leucorrhea in women, infant weight loss, hydrops, dysentery, bruises, pain in the posterior ear, and the like. In private practices, the plant has been long used in the treatment of irregular menstruation, dysentery and bruises. Since the plant has strong sour taste, it is also used in sour-tasting foods when used in cooking [Illustrated Book of Korean Plants, by Chang-Bok Lee, 1980; Illustrated Book of Korean Folk Medicines, by Jong-Hee Park, 2005; Encyclopedia of Local Medicines; Illustrated Book of Korean Medicinal Plants, by Chang-Su Yook, 1989, Natural Herbs, Healthy Herbs, Young-Han Kwon, 2005].

[9] In regard to researches on the components of Lysimachia clethroides, there have been reported astragalin, isoquerdtrin, kaempferol-3-O-rutinoside, kaempferol- 3-O-(2,6-di-O-rhamnopyranosylglu»pyranoside), kaempferol- 3-O-(rhamnopyranosylglucopyranoside),

(3-O-methyl-quercetin-7-O-[alpha-L-rhamnopyranosyl(l-2)-beta-D-glux)pyranoside), (-)-epicatechin, quercetin-3-O-beta-D-glu»pyranoside, kaempferol- 3-O-beta-D-glucopyranoside, and kaempferol-

3-O-[alpha-L-rhamnopyranosyl(l-6)-beta-D-glux>pyranoside] (Yasukawa K., et al., Yakugaku Zasshi, 105, 939, 1986; Jin-Suk Kim, et al., Yakhak Hoeji, 4, 325-330, 1993). The pharmacological effects of the extracts and isolated components of Lysimachia clethroides have been reported to exhibit antibacterial activity against food poisoning-associated microorganisms, anticancer activity, antioxidant effects, and the like (Ji-Sook Han, et al., Korean Journal of Ibod Science and Technology, 33, 772-783, 2001; Ki-Hwan Bae, et al., Korean Journal of Pharmacognosy, 27, 173-177, 1996; Seung-Eun Lee, et al., J. Korean Sx. Appl. Biol. Chem., 47, 265-269, 20W).

[10] However, no disclosure or teaching is given in the above-mentioned literatures, on that an extract of Lysimachia clethroides has effects of suppression of vascular oxidative stress, direct relaxation of blood vessels, enhancement of endothelial-type nitric oxide synthase aάtivty, and regulation of blood pressure, through inhibition of NADPH oxidases. Seung-Eun Lee et al. (J. Korean Sx. Appl. Biol. Chem., 47, 265-269, 2001) reported that an extract of Lysimachia clethroides inhibits the activity of angiotensin-converting enzymes. However, this article disclosed that although the concentration of the crude extract was very high, reaching up to 4000 μg/ml, the extract exhibited only slight activity inhibition against angiotensin-converting enzymes. Furthermore, a conclusion was made such that an n-butanol fraction of Lysimachia clethroides did not exert any influence on the activity of the angiotensin- converting enzymes, but rather increase the activity (an increase by 34%). Disclosure of Invention Technical Problem

[11] The inventors of the present invention conducted an investigation on the inhibition of

NAD(P)H oxidase activity and vasorelaxant effect with a number of plant extracts, and finally confirmed the effects of potent inhibition of the activity of NAD(P)H oxidases, reduction of vascular oxidative stress, direct enhancement of the activity of endothelial-type nitric oxide synthase, relaxation of blood vessels and regulation of blood pressure, thus completing the present invention.

[12] Particularly, in contrast to the report by Seung-Eun Lee et al., it was confirmed that a crude extract of Lysimachia clethroides has direct effects of vasorelaxation and the like at low concentrations of less than 10 μg/ml, regardless of angiotensin-converting enzymes. Furthermore, it was discovered that the aforementioned effects are enhanced with an n-butanol fraction.

[13] The present invention was designed based on such discoveries as described above, and an object of the invention is to provide a composition for prevention and treatment of a cardiovascular disease, comprising an extract of Lysimachia clethroides as an active ingredient.

[14] Another object of the present invention is to provide a health functional food product for prevention of a cardiovascular disease, comprising an extract of Lysimachia clethroides as an active ingredient. Technical Solution

[15] To achieve the objects as described above, the composition for prevention and treatment of a cardiovascular disease of the present invention is characterized by containing an extract of Lysimachia clethroides as an active ingredient.

[16] The extract of Lysimachia clethroides is preferably extracted by using the leaves or the whole plant.

[17] The extract of Lysimachia clethroides is preferably extracted with a solvent selected from the group of water, a C -C lower alcohol, and a mixture thereof.

1 5

[18] Furthermore, the C -C lower alcohol is preferably methanol, ethanol or butanol.

[19] The extract of Lysimachia clethroides is preferably extracted with a 30 to 95 wt% aqueous solution of ethanol. [20] It is preferable that the extract of Lysimachia clethroides be extracted with a solvent selected from the group of water, a C -C lower alcohol and a mixture thereof, and the extract be re-extracted with butanol. [21] It is also preferable that the extract of Lysimachia clethroides be extracted with a solvent selected from the group consisting of water, a C -C lower alcohol and a mixture thereof, and concentrated to obtain a crude extract, and the crude extract be suspended in water, and re-extracted with hexane, ethyl acetate and butanol in this order.

[22] The crude extract of Lysimachia clethroides is preferably obtained at 30 to 95⁰C.

[23] It is preferable that the crude extract and water be mixed and suspended at a volume ratio of 1:5 to 25 [24] It is also preferable that hexane, ethyl acetate or butanol and the suspension be mixed and extracted at a volume ratio of 1:0.1 to 2.0. [25] The butanol is preferably n-butanol.

[26] The extract of Lysimachia clethroides is characterized by having an NAD(P)H oxidase inhibitory activity. [27] The extract of Lysimachia clethroides is characterized by having a vasorelaxant effect. [28] The extract of Lysimachia clethroides is characterized by an effect of enhancing the activity of endothelial-type nitric oxide synthase. [29] The extract of Lysimachia clethroides is characterized by having effects of decreasing the blood pressure and reducing the vascular oxidative stress. [30] The cardiovascular disease may be selected from the group consisting of congestive heart diseases, coronary artery diseases (heart attack), ischemic heart diseases (myocardial ischemia), hyperlipidemia, arteriosclerosis, hypertension, hypotension, arrhythmia, cardiac failure, vascular restenosis, cerebrovascular diseases (stroke, dementia), peripheral vascular diseases and metabolic diseases. [31] Meanwhile, the health functional food product for prevention of a cardiovascular disease of the present invention is characterized by containing an extract of Lysimachia clethroides as an active ingredient.

Advantageous Effects

[32] As discussed in the above, the extract of Lysimachia clethroides of the present invention strongly inhibits the activity of NAD(P)H oxidases and exhibits a vasorelaxant effect at the same time, and thus can be usefully utilized as a pharmaceutical composition or health functional food product for prevention and treatment of a cardiovascular disease. Brief Description of Drawings

[33] Hg. 1 is a diagram showing the measurement of the vasorelaxant activity of an extract of Lysimachia clethroides on swine coronary arteries.

[34] Hg. 2 is a diagram showing the measurement of the vasorelaxant activity of an extract of Lysimachia clethroides on the aorta of a white rat.

[35] Hg. 3 is a diagram showing the measurement of the degree of activity of endothelial- type nitric oxide synthase (eNOS) and Akt protein under the action of an extract of Lysimachia clethroides.

[36] Hg. 4 is a diagram showing the measurement of the degree of influence of an extract of Lysimachia clethroides on the heart rate.

[37] Hg. 5 is a diagram showing the measurement of the degree of decrease in vascular oxidative stress under the action of an extract of Lysimachia clethroides.

[38] Hg. 6 is a diagram showing the measurement of the degree of cytotoxicity of an extract of Lysimachia clethroides. Best Mode for Carrying out the Invention

[39] Hereinafter, preferred embodiments of the present invention will be described in detail. In the following description, numerous characteristic terms such as specific constituent elements are illustrated, but these are provided only for the purpose of providing an aid for more comprehensive understand of the present invention, and it will be obvious to those having ordinary skill in this technical field that the present invention can be carried out even without these characteristic terms. Furthermore, in the description of the present invention, if it is judged that specific explanation of any related known function or constitution may unnecessarily make the gist of the invention unclear, the detailed explanation will be omitted.

[40] The extract of Lysimachia clethroides of the present invention can be obtained as follows.

[41] The whole plant, including roots and the aerial part, of Lysimachia clethroides can be used without limitation, in the form of plants collected from nature, cultivated plants, commercially available plants, or the like. The solvent for extraction is selected from the group consisting of water, a C -C lower alcohol, and a mixture thereof. The inventors of the present invention washed the twigs and leaves of Lysimachia clethroides to remove impurities and salts, and dried them. Subsequently, extraction was performed with a polar solvent such as water or a C -C lower alcohol such as methanol, ethanol or butanol, or a mixed solvent of these at a mixing ratio of about 1:0.1 to 1:10, preferably with a 30 to 95 wt% aqueous solution of ethanol, in a volume reaching about 5- to 50-fold, and preferably 10- to 30-fold, the weight of the Lys imachia clethroides sample, at 50 to 95⁰C for 1 hour to 7 days. The above-described extraction process is repeated two or five times, and then the resultant is subjected to concentration under reduced pressure and/or freeze-drying, to obtain a crude extract of Lysimachia clethroides.

[42] Among the extracts of the present invention, a non-polar solvent- soluble extract can be obtained by suspending the aforementioned crude extract in distilled water, subsequently adding a non-polar solvent sirh as hexane, ethyl acetate or chloroform in a volume of about 0.1 to 100 times, and preferably about 1 to 5 times, the volume of the suspension, and performing extraction and isolation once to 10 times, and preferably two to five times. Furthermore, conventional fractionation processes can also be additionally carried out (Harborne, J.B., Phytochemical methods: A guide to modern techniques of plant analysis, 3^r Ed., pp. 6-7, 1998).

[43] More preferably, the crude extract of Lysimachia clethroides obtained by the above- described processes, preferably an extract of Lysimachia clethroides in an aqueous solution of ethanol, is subjected to sequential solvent fractionation with organic solvents such as n-butanol, hexane and ethyl acetate, in order from less polar solvent to more polar solvent, preferably in order of hexane, ethyl acetate and n-butanol, and to concentration under reduced pressure, and thus hexane, ethyl acetate and n-butanol fractions of Lysimachia clethroides can be obtained.

[44] The present invention provides a composition for prevention and treatment of a cardiovascular disease, which comprises the crude extract or non-polar solvent-soluble extract of Lysimachia clethroides obtained by the above-described production method, as an active ingredient.

[45] The composition for prevention and treatment of a cardiovascular disease according to the present invention contains 0.1 to 99% by weight of the aforementioned extract based on the total weight of the composition.

[46] The composition containing the extract of Lysimachia clethroides of the present invention may further contain appropriate carriers, excipients and diluents that are conventionally used in the production of compositions.

[47] The pharmaceutical dosage form of the extract of the present invention can be used in the form of pharmaceutically acceptable salts thereof, and also can be used alone, or in the form of conjugate as well as appropriate assembly with other pharmaceutically active compounds.

[48] The pharmaceutical composition containing the extract according to the present invention can be used after being formulated into oral formulations svch as powders, granules, tablets, capsules, suspensions, emulsions, syrups and aerosols, and into topical formulations, suppositories and sterile injectable solutions, respectively according to conventional methods.

[49] As for the carriers, excipients and diluents that can be contained in the composition containing the extract, there may be mentioned lactose, dextrose, svcrose, sorbitol, mannitol, xylytol, erythritol, maltitol, starch, acacia gum, alginate, gelatin, calcium phosphate, calcium silicate, cellulose, methylcellulose, non-crystalline cellulose, polyvinylpyrrolidone, water, methylhydroxybenzoate, propylhydroxybenzoate, talς magnesium stearate, and mineral oil.

[50] In the case of formulating into preparations, they are prepared using conventionally used diluents or excipients, such as fillers, bulking agents, binding agents, wetting agents, disintegrants and surfactants.

[51] Examples of solid preparations for oral administration include tablets, pills, powders, granules, capsules and the like, and these solid preparations are prepared by mixing at least one exdpient, for example, starch, calcium carbonate, sucrose or lactose, gelatin and the like to the aforementioned extract. Furthermore, in addition to simple excipients, lubricants such as magnesium stearate and talc are also used.

[52] Examples of liquid preparations for oral administration include suspensions, liquids for internal use, emulsions, syrups and the like. These liquid preparations may include various exdpients, for example, wetting agents, sweeteners, fragrances, preservatives and the like, in addition to water and liquid paraffins, which are frequently used simple diluents.

[53] Examples of preparations for parenteral administration include sterilized aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories. As non-aqueous solvents or suspending agents, propylene glycol, polyethylene glycol, plant oils such as olive oil, injectable esters such as ethyl oleate, and the like can be used. As the base of the suppositories, witepsol, Macrogol, Tween, cacao butter, laurin fat, glycerogelatin and the like can be used.

[54] A preferable amount of administration of the extract of the present invention may vary with the condition and weight of the patient, severity of the disease, form of drug, the route and period of administration, but can be appropriately selected by a person having ordinary skill in the art. However, for preferable effects, it is desirable to administer the extract of the present invention in an amount of 0.0001 to 100 mg/kg, and preferably 0.001 to 100 mg/kg, per day. Administration may be carried out once a day, or may be carried out several times a day. The amount of administration is not intended to limit the scope of the invention by any means.

[55] The present invention provides a health functional food product containing the aforementioned extract showing an effect of preventing a cardiovascular disease, and sito- logically acceptable food additives.

[56] As for the health functional food products which can be added with an extract of

Lysimachia clethroides, for example, there may be mentioned various general food products, beverages, chewing gums, tea, vitamin complexes, and the like.

[57] The extract of Lysimachia clethroides can also be added to foods or beverages for the purpose of obtaining an effect of preventing a cardiovascular disease. In this case, the amount of the extract in a food product or beverage may be 0.01 to 15% by weight based on the total weight of the food. The amount of the extract in a health beverage composition may be 0.02 to 5 g, and preferably 0.3 to 1 g, relative to 100 g of the total weight of the beverage.

[58] The health functional beverage composition of the present invention is not particularly limited in containing other components, in addition to containing the extract as an essential component at the indicated proportions, and can contain additional components such as various flavoring agents or natural carbohydrates, as conventional beverages do. Examples of the aforementioned natural carbohydrates include conventional saccharides, such as monosaccharides, for example, glucose, fructose and the like; disaccharides, for example, maltose, sirrose and the like; and polysaccharides, for example, dextrin, cyclodextrin and the like, and sugar alcohols such as xylytol, sorbitol and erythritol. As the flavoring agents in addition to the aforementioned agents, thaumatin, stevia extracts, for example, levaudioside A, glycyrrhizin and the like; and synthetic flavoring agents, for example, saccharin, aspartame and the like can be advantageously used. The proportion of the natural carbohydrates is generally about 1 to 20 g, and preferably about 5 to 12 g, per 100 g of the composition of the present invention. [59] In addition to these, the extract of the present invention may contain various nutrients, vitamins, minerals (electrolytes), synthetic and natural flavoring agents, colorants and weighting agents (cheese, chooolate and the like), pectic acid and salts thereof, alginic acid and salts thereof, organic acids, protective colloidal thickeners, pH adjusting agents, stabilizers, antiseptics, glycerin, alcohols, carbonating agents used in carbonated drinks, and the like. In addition thereto, the extracts of the present invention may contain natural fruit juices, and fruit fleshes for the production of fruit juice beverages and vegetable beverages. These components can be used individually or in combinations. In this case, the proportion of the additives is not critical, but is generally selected from the range of 0.01 to about 20 parts by weight per 100 parts by weight of the extract of the present invention.

[60] Hereinafter, the present invention will be described more specifically, by making reference to the following Examples and Test Examples. Mode for the Invention

[61] Example 1 : Preparation of crude extract of Lysimachia clethroides

[62] Lysimachia clethroides collected in Kangwon-do Province was washed with water to remove impurities, and then were dried and crushed. In an extraction vessel, 25 g of Lysimachia clethroides, and 500 ml in total of a 70 wt% aqueous solution of ethanol were added, and thermal extraction was repeatedly performed three times at 7O⁰C, each time taking 3 hours, under reflux cooling. The resultant was filtered through a filter paper, and the filtrate was concentrated under reduced pressure in a water bath at 4O⁰C, and was freeze-dried. As a result, 53 g of a crude extract of Lysimachia clethroides was obtained.

[63] Example 2: Preparation of fractions of crude extract of Lysimachia clethroides

[64] 5 g of the crude extract of Lysimachia clethroides obtained in Example 1 were respectively suspended in 50 ml of purified water. The resultant was subjected to sequential solvent fractionation three times respectively, with 50 ml each of hexane, ethyl acetate and n-butanol in this order, to obtain the respective solvent fractions, and these were concentrated under reduced pressure. As a result, a hexane fraction, an ethyl acetate fraction and an n-butanol fraction of Lysimachia clethroides were obtained.

[65] Test Example 1 : Measurement of inhibitory effect of extracts of Lysimachia clethroides on NAD(P)H oxidase activity

[66] The crude extract and fractions of Lysimachia clethroides prepared in Example 1 and

Example 2 as described above were subjected to the measurement of an effect of inhibiting the activity of NAD(P)H oxidases, which are index enzymes for the development of cardiovascular diseases. To this end, the arterial smooth muscle cells of white rat (Rat aortic smooth muscle cells; RASMC) and the vascular endothelial cells of calf (Bovine aortic endothelial cells; BAECs) were used to compare the changes in the NADPH oxidase activity, and the results are as shown in the following Table 1. Hrst, the arterial smooth muscle cells and the vascular endothelial cells were respectively mixed with MEM (minimum essential medium), DMEM (Dubleco's minimum essential medium) and a 10% FBS (fetal bovine serum) solution, and the cells were respectively incubated on a 96-well plate for 24 hours under the conditions of 5% CO /37⁰C. Then, the cells were incubated again for 24 hours in the culture

2 solution with FBS excluded. After the cells were stabilized, the cells were washed with HBSS (Hank's balanced salt solution). These cells were shaken with the extract of Lysimachia clethroides obtained in the Example 1, and then the mixture was allowed to react for 15 minutes and washed again with HBSS. Subsequently, 100 mM NAD(P)H and 5 μM Ludgenin were added to the reaction liquid, and the activity of NAD(P)H oxidases was measured for one hour, using a luminescence reader (Victor Light, PerkineElmer). The test was operated three times, while repeated 2 to 7 times for each operation. Subsequently, the activity of the control group and the activity of the sample-treated group were compared, and the IC50 values were calculated. The IC50 value is the concentration, expressed in μg/ml, of a test material, at which 50% of the NADPH oxidase activity is inhibited. [67] Table 1 [Table 1]

[Table ]

Inhibitory effect of extracts of Lysimachia clethroides on NADPH oxidase activity

(unit: μg/ml)

[68] As shown in the Table 1, it can be seen that the extracts of Lysimachia clethroides of the present invention are excellent in the extent of inhibiting the activity of NADPH oxidases of the vascular cells. Furthermore, among the fractions, it can be seen that the n-butanol extract shows excellent effects.

[69] Test Example 2: Measurement of vasorelaxant effect of extracts of Lysimachia clethroides (coronary arteries and aorta)

[70] The vasorelaxant effects of the crude extract and fractions of Lysimachia clethroides prepared in the Example 1 and Example 2 were verified. To this end, a comparison was made on the effects of relaxing the coronary arteries of a pig heart and the rat aorta, and the results are as shown in Hg. 1, Table 2 (coronary arteries) and Table 3 (aorta). The coronary arteries were extracted from a pig heart purchased immediately after slaughter at the butchery. The aorta was extracted from a male SD (Sparague-Dawley) white rat, was immersed in the Krebs solution (pH 7.4) containing 18 mM NaCl, 47 mM KCl, LI mM MgSO , 1.2 mM KH PO , 1.5 mM CaCl , 25 mM

4 2 4 2

NaHCO , and 10 mM ghxose to remove the connective tissue and fats, and then was cut into a specimen of about 3 mm in length.

[71] The prepared coronary artery and aorta specimen were fixed in the Krebs solution at

37⁰C, which had been saturated with 95% O and 5% CO gases. The isometric

2 2 tensions of the specimens were measured with a Grass physiograph (HugoSachs, Germany) equipped with a force-displacement transducer (HugoSachs, Germany). In the case of the coronary arteries, the arteries were first contracted to 80% of the maximum vascular contraction by using U46619 (1 to 60 nM), which is a thromboxane derivative. After 10 minutes therefrom, the arteries were relaxed with 300 nM Bradykinin, the safety of the vascular endothelial cells was measured, and then the arteries were washed three times with the Krebs solution to perform the experiment. The measurement of changes in the vasorelaxant effect was carried out by first contracting the arteries with the drug U46619, and then the relaxation reaction induced by the extracts of Lysimachia clethroides was tested in a concentration-dependent manner.

[72] In the case of the aorta of white rat, the aorta was contracted to 80% of the maximum vascular contraction by using phenylephrine. After 15 minutes therefrom, the aorta was relaxed with 10 μM acetylcholine, the safety of the vascular endothelial cells was measured, and then the aorta was washed three times with the Krebs solution to perform the experiment. The measurement of changes in the vasorelaxant effect was carried out by first contracting the aorta with the drug phenylephrine, and then the relaxation reaction induced by the crude extract and fraction extracts of Lysimachia clethroides was tested in a concentration-dependent manner. This test was repeatedly carried out using the blood vessels extracted from 5 to 10 different individuals. The ED50 value refers to the concentration (μg/ml) of the sample at which the contracted blood vessels show 50% vasorelaxation as a result of the treatment with the sample.

[73] Table 2 [Table 2] [Table ]

Relaxant effect of extracts of Lysimachia clethroides on swine coronary arteries (unit: μg/ml)

[74] Table 3 [Table 3]

[Table ]

Relaxant effect of extracts of Lysimachia clethroides on white rat aorta (unit: μg/ml)

[75] As a result, as shown in Hg. 1, the extracts of Lysimachia clethroides of the present invention started significant relaxation from the concentration of 1 to 10 μg/ml, and reached 96+2% relaxation at the concentration of 30 μg/ml. As shown in Table 2 and Table 3, it can be seen that the extracts of Lysimachia clethroides are excellent in the extent of relaxing the blood vessels of the coronary arteries and the aorta. Among the fractions, it can be seen that the n-butanol extract shows excellent effects.

[76] Test Example 3: Test with extracts of Lysimachia clethroides on endothelial-type nitric oxide synthase activity

[77] Observations were made on the effects of the crude extract of Lysimachia clethroides prepared in the Example 1 and Example 2 on the enhancement of the activity of endothelial-type nitric oxide synthase. The above-mentioned effects were compared on the basis of the degree of phosphorylation of serine residue 1177 of the endothelial- type nitric oxide synthase (eNOS) and serine residue 473 of Akt of bovine aortic endothelial cells. The results are presented in Hg. 3.

[78] Hrst, the vascular endothelial cells were mixed with DMEM (Dubleco's minimum essential medium) and a 10% EBS (Fetal bovine serum) solution and incubated, and then the cells were incubated again for 24 hours in the culture solution with FBS excluded. After the cells were stabilized, the cells were treated with the samples at the respective concentrations, and then were allowed to react for 30 minutes. Then, the proteins were extracted and centrifuged, and the supernatant was collected to remove debris of the cells. The extracted proteins were subjected to electrophoresis on SDS- polyacrylamide gel, and then the proteins in the gel were blotted with a nitrocellulose membrane. After blocking with 3% BSA for one hour, the antibodies of phospho- eNOS and phospho-Akt (Cell Signaling, the USA) were incubated overnight at 4⁰C at a ratio of 1:1,000. Subsequently, secondary antibodies diluted at a ratio of 1:2000 were treated and incubated at ambient temperature for one hour, and then the secondary antibodies were developed by chemiluminescence.

[79] As a result, as shown in Hg. 3, it can be seen that the extracts of Lysimachia clethroides show high effects of enhancing the activation of endothelial-type nitric oxide synthase (phospho-eNOS), which produces nitric oxide, and a high degree of increase in the activation of Akt (phospho-Akt), which is an upper regulatory factor.

[80] Test Example 4: Test of effects of extracts of Lysimachia clethroides in animal model of cardiovascular disease

[81] The hypotensive effects in diseased animals, and the effects on the improvement of vascular oxidative stress and the improvement of endothelial dysfunction, exerted by the extracts of Lysimachia clethroides obtained in Example 2, were verified. To this end, a comparison was made on the extent of the effects in a disease model induced by angiotensin 2, and the results are presented in Hg. 4, Hg. 5, Eg. 6 and Table 4

[82] Male SD (Sparague-Dawley, 6 weeks old) white rats were purchased from Orientbio,

Inc., and the rats were acclimatized for one week while freely supplying solid feedstuff and water in a small animal breeding chamber which was regulated to have a light- dark period of 12 hours. Then, the rats were arbitrarily grouped into a control group and an angiotensin 2-treated group, with each group including 6 animals. From three days before the treatment with angiotensin 2, the extracts of Lysimachia clethroides obtained in Example 2 were respectively suspended in 0.5% CMC (carboxymethylcellulose) at a concentration of 100 mg/kg, and the suspensions were orally administered twice a day. The control group was administered with 0.5% CMC only. Angiotensin 2 was dissolved in physiological saline at a concentration of 65 ng/ min/kg, and the solution was placed in a mini-osmotic pump (Alzet Model 2002). The white rats were anesthetized, and the angiotensin 2 treatment was carried out by cutting the skin open, and inserting the mini-pump in the interscapular region. The blood pressure measurement was conducted simultaneously with the initiation of oral administration, and further measurements were made once in two days for 2 weeks, one hour after the oral administration in the morning. The specimen was heated in advance for about 10 minutes at 45 to 5O⁰C, and then the maximum blood pressure (systolic pressure) of the tail artery was measured in a non-invasive manner by the tail- cuff plethysmography method using an automated blood pressure recording system. The heart rate was also measured at the same time.

[83] The aorta was extracted in the same manner as in Test Example 2, and the degree of staining by DHE (dihydroetidium) and the degree of relaxation by acetylcholine were characterized to measure the extents of vascular oxidative stress and vascular endothelial dysfunction. The results were compared with the results of the control group.

[84] Table 4 [Table 4] [Table ] Hypotensive effects of extracts of Lysimachia clethroides (unit: mmHg)

[85] As a result of the test, it can be seen from the Table 4 that the blood pressure increase in the test animals induced by angiotensin 2 was significantly inhibited by the administration of the extracts of Lysimachia clethroides.

[86] The increase in the heart rate was measured, and as a result, as shown in Hg. 4, it was confirmed that the extracts of Lysimachia clethroides do not have adverse side effects on the heart, sirh as tachycardia.

[87] Furthermore, as shown in Hg. 5, it can be seen that the increase in vascular oxidative stress induced by angiotensin 2 is strongly inhibited by the administration of the extracts of Lysimachia clethroides (Hg. 5 is a product of black-and-white modification of a photograph which indicates the object in red and the background in black, and at the time of modification, the background was rendered white for clear distinction of the object).

[88] The relaxation induced by 0.01 μM acetylcholine in the animals treated with angiotensin 2, was compared with that in the control group, and it was found that vascular endothelial dysfunction oxurred in which relaxation does not oxur smoothly (control group - 27%, acetylcholine group - 8%). It can be seen that sirh vascular endothelial dysfunction is improved by the administration of the extract of Lysimachia clethroides (31%).

[89] Test Example 5: Test on cytotoxicity of extracts of Lysimachia clethroides [90] A comparison was made for the crude extract of Lysimachia clethroides prepared in the Example 1 and Example 2 on the extent of cytotoxicity, and the results are as shown in Hg. 6 [91] Arterial smooth muscle cells were mixed with MEM (minimum essential medium) and a 10% FBS (fetal bovine serum) solution, and the cells were incubated for 24 hours under the conditions of 5% CO /37⁰C. After the cells were stabilized, the cells

2 were treated with the extracts of Lysimachia clethroides obtained in the Example 2, shaken, and allowed to react for 24 hours. Thereafter, the cells were incubated for one hour in the presence of an MTS solution (CellTiter 96 Aqueous One Solution,

Promega), and then the absorbance at 490 nm was measured. [92] As shown in Hg. 6, it can be seen that the extracts of Lysimachia clethroides of the present invention were not found to have any influence on the survival of cells, and are very safe drugs.

[93] Test Example 6: Statistical processing

[94] The significance of the test results was determined by performing the Student t-test and one-way ANOVA test with the experimental results, such that there is a significant difference in the case where p is 0.05 or less. [95] Preparation examples of the pharmaceutical composition and health functional food products containing the extract of the present invention will be described in the following, but the present invention is intended not to limit them, but to specifically describe them.

[96] Preparation Example 1 : Production of powder preparation

[97] Powdered extract of Lysimachia clethroides 20 mg

[98] Lactose 100 mg

[99] Talc 10 mg

[100] The components were mixed and filled in a sealed pack, and thereby a powder preparation was produced.

[101] Preparation Example 2: Production of tablet preparation [102] Powdered extract of Lysimachia clethroides 10 mg [103] Corn starch 100 mg [IW] Lactose 100 mg [105] Magnesium stearate 2 mg [105] The components were mixed and then tableted aαcording to a conventional tablet production method, and thereby a tablet preparation was produced. [107] Preparation Example 3: Production of capsule preparation [108] Powdered extract of Lysimachia clethroides 10 mg [109] Crystalline cellulose 3 mg [110] Lactose 148 mg [111] Magnesium stearate 2 mg

[112] According to a conventional capsule production method, the components were mixed and filled in gelatin capsules, and thereby a capsule preparation was produced.

[113] Preparation Example 4: Production of injectable preparation

[114] Powdered extract of Lysimachia clethroides 10 mg

[115] Mannitol 180 mg

[116] Sterile distilled water for injection 2794 mg

[117] Na HPO 12H O 26 mg

2 4 2

[118] According to a conventional production method for injectable preparation, an injectable preparation was produced at the aforementioned component contents per ampoule (2 ml).

[119] Preparation Example 5: Production of liquid preparation

[120] Powdered extract of Lysimachia clethroides 10 mg

[121] High-fructose corn syrup 1O g

[122] Mannitol 5 g

[123] Purified water Appropriate amount

[124] According to a conventional production method for liquid preparation, the components were added and dissolved in purified water, an appropriate amount of lemon flavor was added thereto, the components were mixed, and the total volume was adjusted to 100 ml by adding purified water. This was filled in a brown bottle and sterilized, and thereby a liquid preparation was produced.

[125] Preparation Example 6: Production of health drink

[126] Powdered extract of Lysimachia clethroides 10 mg

[127] Vitamin C 15 g

[128] Vitamin E (powdered) 100 g

[129] Iron lactate 19.75 g

[130] *135Zinc oxide 3.5 g

[131] Nicotinic add amide 3.5 g

[132] Vitamin A 0.2 g

[133] Vitamin Bl 0.25 g

[134] Vitamin B2 0.3 g

[135] Water Appropriate amount

[136] According to a conventional production method for health drink, the components were mixed, the mixture was heated under stirring at 85⁰C for about one hour, and the resulting solution was filtered. The filtrate was placed in a sterilized 2-liter container, sealed, sterilized, and refrigerated, and this was used in the production of the health drink compositions according to the present invention. In the above-given compositional ratios, components which are relatively suitable for favorite drinks were mixed and composed as a preferred Example, but the mixing ratio may be arbitrarily modified in accordance with the geographical and racial preference, sirh as of the class of consumers or consumer country, the uses, or the like.

Claims

[1] A composition for prevention and treatment of a cardiovascular disease, comprising an extract of Lysimachia clethroides as an active ingredient.

[2] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 1, wherein the extract of Lysimachia clethroides is an extract of the leaves or the whole plant.

[3] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 1, wherein the extract of Lysimachia clethroides is extracted with a solvent selected from the group consisting of water, a C -C lower alcohol, and a mixture thereof.

[4] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 3, wherein the extract of Lysimachia clethroides is extracted with a 30 to 95 wt% aqueous solution of ethanol.

[5] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 3, wherein the extract of Lysimachia clethroides is extracted with a solvent selected from the group consisting of water, a C -C lower alcohol

1 3 and a mixture thereof, and the resultant is re-extracted with butanol.

[6] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 3, wherein the extract of Lysimachia clethroides is extracted with a solvent selected from the group consisting of water, a C -C lower alcohol

1 3 and a mixture thereof, and concentrated to obtain a crude extract, and the crude extract is suspended in water, and re-extracted with hexane, ethyl acetate and butanol in this order.

[7] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 1, wherein the extract of Lysimachia clethroides has an NAD(P)H oxidase inhibitory activity.

[8] The composition for prevention and treatment of a cardiovascular disease aαjording to claim 1, wherein the extract of Lysimachia clethroides has a vasorelaxant effect.

[9] The composition for prevention and treatment of a cardiovascular disease aαjording to any one of claims 1 to 8, wherein the cardiovascular disease is selected from the group consisting of congestive heart diseases, coronary artery diseases (heart attack), ischemic heart diseases (myocardial ischemia), hyper- lipidemia, arteriosclerosis, hypertension, hypotension, arrhythmia, cardiac failure, vascular restenosis, cerebrovascular diseases (stroke, dementia), peripheral vascular diseases and metabolic diseases.

[10] A health functional food prodirt for prevention of a cardiovascular disease, comprising an extract of Lysimachia clethroides as an active ingredient.