FR3122991A1 - PLANT EXTRACT WITH CRASSULACEAN ACID METABOLISM FOR USE IN THE TREATMENT OF DYSMENORRHEA AND/OR PAIN RELATED TO MENSTRUAL SPASMS AND CRAMPS - Google Patents

PLANT EXTRACT WITH CRASSULACEAN ACID METABOLISM FOR USE IN THE TREATMENT OF DYSMENORRHEA AND/OR PAIN RELATED TO MENSTRUAL SPASMS AND CRAMPS Download PDF

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FR3122991A1
FR3122991A1 FR2105309A FR2105309A FR3122991A1 FR 3122991 A1 FR3122991 A1 FR 3122991A1 FR 2105309 A FR2105309 A FR 2105309A FR 2105309 A FR2105309 A FR 2105309A FR 3122991 A1 FR3122991 A1 FR 3122991A1
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extract
dysmenorrhea
acid metabolism
menstrual
cramps
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FR3122991B1 (en
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Mostafa Serrar
Mouhannad SADATE
Gilles Pierre GUTIERREZ
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/33Cactaceae (Cactus family), e.g. pricklypear or Cereus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P21/00Drugs for disorders of the muscular or neuromuscular system
    • A61P21/02Muscle relaxants, e.g. for tetanus or cramps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2236/00Isolation or extraction methods of medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicine

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Abstract

EXTRAIT DE VEGETAL A METABOLISME ACIDE CRASSULACEEN pour utilisation dans le traitement de la dysménorrhée et/ou des douleurs liées aux spasmes et crampes menstruels La présente invention concerne un extrait d’au moins un végétal à métabolisme acide crassulacéen pour utilisation dans le traitement de la dysménorrhée. La présente invention concerne également une composition pharmaceutique comprenant un extrait selon l’invention.PLANT EXTRACT WITH CRASSULACEAN ACID METABOLISM for use in the treatment of dysmenorrhea and/or pain associated with menstrual spasms and cramps The present invention relates to an extract of at least one plant with crassulacean acid metabolism for use in the treatment of dysmenorrhea . The present invention also relates to a pharmaceutical composition comprising an extract according to the invention.

Description

Extrait de vegetal a metabolisme acide crassulacéen pour utilisation dans le traitement de la dysménorrhée et/ou des douleurs liées aux spasmes et crampes menstruelsExtract of plant with crassulacean acid metabolism for use in the treatment of dysmenorrhea and/or pain associated with menstrual spasms and cramps

La présente invention est relative au domaine des extraits de végétaux et leurs utilisations en tant que principes actifs purifiés dans des compositions alimentaires ou pharmaceutiques.The present invention relates to the field of plant extracts and their uses as purified active principles in food or pharmaceutical compositions.

ART ANTERIEURPRIOR ART

Les plantes succulentes ou malacophytes appelées également « plantes grasses » sont des plantes dont la photosynthèse utilise une voie spécifique appelée CAM (métabolisme acide crassulacéen) où le dioxyde de carbone se fixe sur une chaîne de sucres composé de trois atomes de carbone (plantes en C3) alors que la photosynthèse est habituellement réalisée avec des sucres contenant quatre atomes de carbone (plantes en C4). Cette photosynthèse utilise une succession de deux enzymes : le phosphoénolpyruvate carboxylase (PEPc) dans le cytosol, et la ribulose-1,5-bisphosphate carboxylase/oxygénasses (Rubisco) au niveau des chloroplastes. Les plantes de la famille des Crassulaceae et des Cactaceae par exemple utilisent ce métabolisme qui leur permet de survivre dans des milieux arides.Succulent plants or malacophytes also called "fat plants" are plants whose photosynthesis uses a specific pathway called CAM (crassulacean acid metabolism) where carbon dioxide attaches to a chain of sugars composed of three carbon atoms (plants in C3 ) while photosynthesis is usually carried out with sugars containing four carbon atoms (C4 plants). This photosynthesis uses a succession of two enzymes: phosphoenolpyruvate carboxylase (PEPc) in the cytosol, and ribulose-1,5-bisphosphate carboxylase/oxygenasses (Rubisco) in the chloroplasts. Plants of the Crassulaceae and Cactaceae families, for example, use this metabolism which allows them to survive in arid environments.

La guanosine monophosphate cyclique (GMPc) agit comme un second messager pour intervenir au niveau des différents tissus dans plusieurs processus biologiques d’une grande importance. Les bénéfices de la GMPc pour la santé sont dus essentiellement à ses effets positifs sur la croissance et la survie de nombreux types cellulaires comme les cardiomyocytes, les cellules hématopoïétiques et vasculaires, les érythrocytes, les plaquettes, les ostéoblastes et les cellules ciliées sensorielles. Les propriétés anti-inflammatoires et vasorelaxants de la GMPc peuvent conférer à ce nucléotide un rôle physiologique important. Il intervient dans la relaxation des fibres musculaires lisses caractérisant les muscles creux. Il est donc essentiel de maintenir la concentration de la GMPc à travers toutes les cellules de l’organisme à des niveaux suffisants pour assurer la décontraction des fibres musculaires du cœur, des vaisseaux, des voies aérodigestives, des organes sexuels, des voies pulmonaires etc. La GMPc est dégradée par la Phosphodiestérase de type 5 (PDE5) conduisant à la contraction de ces fibres musculaire lisses.Cyclic guanosine monophosphate (cGMP) acts as a second messenger to intervene at the level of different tissues in several biological processes of great importance. The health benefits of cGMP are mainly due to its positive effects on the growth and survival of many cell types such as cardiomyocytes, hematopoietic and vascular cells, erythrocytes, platelets, osteoblasts and sensory hair cells. The anti-inflammatory and vasorelaxant properties of cGMP may give this nucleotide an important physiological role. It intervenes in the relaxation of the smooth muscle fibers characterizing the hollow muscles. It is therefore essential to maintain the concentration of cGMP through all the cells of the body at sufficient levels to ensure the relaxation of the muscle fibers of the heart, the vessels, the aerodigestive tracts, the sexual organs, the pulmonary tracts, etc. cGMP is degraded by phosphodiesterase type 5 (PDE5) leading to contraction of these smooth muscle fibers.

L’utilisation d’extraits de plantes de différentes espèces comme activateurs de l’expression de la GMPc est abordé dans la littérature par exemple dans US2010119627 ou WO18134848. L’effet activateur de la GMPc de ces extraits est en majorité des cas lié à l’inhibition de sa dégradation par l’enzyme spécifique de son substrat la PDE5.The use of plant extracts from different species as cGMP expression activators is discussed in the literature, for example in US2010119627 or WO18134848. The cGMP activating effect of these extracts is in most cases linked to the inhibition of its degradation by the specific enzyme of its substrate, PDE5.

L’utilisation d’extraits de plantes CAM comme activateurs de la synthèse de GMPc ainsi que leur utilisation dans le traitement de la dysménorrhée n’a encore jamais été abordée dans la littérature.The use of CAM plant extracts as activators of cGMP synthesis as well as their use in the treatment of dysmenorrhea has never been addressed in the literature.

La dysménorrhée est le terme médical pour désigner les spasmes et crampes menstruels se traduisant par des douleurs. La plupart des femmes qui sont menstruées ont quelques crampes. Pour certaines femmes, la dysménorrhée peut être sérieuse et invalidante. Les spasmes et crampes au bas-ventre provoquent des douleurs qui s’étendent parfois jusqu’à la région lombaire, aux hanches et aux jambes. Les douleurs débutent un peu avant ou au commencement de la période menstruelle, et la plupart du temps, durent d’un à trois jours. Certaines femmes vont également avoir des nausées, des maux de tête, de la diarrhée ou être constipées.Dysmenorrhea is the medical term for menstrual spasms and cramps resulting in pain. Most women who are menstruating have some cramping. For some women, dysmenorrhea can be serious and debilitating. Spasms and cramps in the lower abdomen cause pain that sometimes extends to the lumbar region, hips and legs. The pains start a little before or at the beginning of the menstrual period, and most of the time, last from one to three days. Some women will also experience nausea, headaches, diarrhea, or constipation.

La dysménorrhée peut être primaire ou secondaire. La dysménorrhée primaire est une douleur qui n’est causée par aucun trouble gynécologique. Ce sont des types de spasmes ou crampes que subissent la plupart des femmes et qui sont plus ou moins tolérés. Les prostaglandines sont des facteurs autocrines ou paracrines de nature lipidiques différents des hormones en ce que la sécrétion est toujours proche du récepteur, qui sont libérées au cours de la période menstruelle. Leurs sécrétions seraient associées aux contractions utérines et aux douleurs. Il a également été mis en évidence que les femmes ayant une dysménorrhée plus grave ont aussi un taux plus élevé d’une hormone appelée vasopressine. Celle-ci rend les contractions utérines plus intenses et peut-être plus douloureuses. La dysménorrhée secondaire fait référence à une douleur causée par un trouble gynécologique sous-jacent, comme l’endométriose, un léiomyome utérin ou l’adénomyose utérine (une tumeur non cancéreuse ayant les caractéristiques de l’endométriose, située dans la paroi musculaire de l’utérus).Dysmenorrhea can be primary or secondary. Primary dysmenorrhea is pain that is not caused by any gynecological disorder. These are types of spasms or cramps that most women experience and are more or less tolerated. Prostaglandins are autocrine or paracrine factors of a lipid nature different from hormones in that the secretion is always close to the receptor, which are released during the menstrual period. Their secretions would be associated with uterine contractions and pain. It has also been shown that women with more severe dysmenorrhea also have higher levels of a hormone called vasopressin. This makes uterine contractions more intense and possibly more painful. Secondary dysmenorrhea refers to pain caused by an underlying gynecological disorder, such as endometriosis, uterine leiomyoma, or uterine adenomyosis (a non-cancerous tumor with characteristics of endometriosis, located in the muscle wall of the 'uterus).

La dysménorrhée primaire est souvent traitée par des médicaments anti-inflammatoires comme le paracétamol ou acétaminophène, l’ibuprofène, le naproxen, l’acide méfénamique etc. Elle peut également être traitée avec des contraceptifs oraux, cela rend la période menstruelle moins fatigante, plus régulière, et diminue la libération des prostaglandines. Également avec le dispositif intra-utérin au lévonorgestrel, il libère une petite quantité de progestérone et rend les périodes menstruelles moins fatigantes et diminue la production de prostaglandines. Les hormones synthétiques peuvent également être utilisées pour supprimer le cycle menstruel comme le danazol (Danocrine) ou encore l’acétate de leuprolide (Lupron) qui sont cependant des médicaments très chers et ont éventuellement des effets secondaires graves.Primary dysmenorrhea is often treated with anti-inflammatory drugs such as paracetamol or acetaminophen, ibuprofen, naproxen, mefenamic acid etc. It can also be treated with oral contraceptives, this makes the menstrual period less tiring, more regular, and decreases the release of prostaglandins. Also with the levonorgestrel intrauterine device, it releases a small amount of progesterone and makes menstrual periods less tiring and decreases the production of prostaglandins. Synthetic hormones can also be used to suppress the menstrual cycle such as danazol (Danocrine) or leuprolide acetate (Lupron) which are however very expensive drugs and possibly have serious side effects.

Les traitements de la dysménorrhée primaire sont donc essentiellement anti inflammatoires ou suppresseurs de cycle menstruel.Treatments for primary dysmenorrhea are therefore essentially anti-inflammatory or menstrual cycle suppressors.

La demanderesse a mis en évidence de manière surprenante que dans le cas de la dysménorrhée primaire, les crampes sont provoquées par une hausse de la contractilité de l'utérus et des spasmes artériolaires induits par les prostaglandines. La contractibilité du muscle utérin comme celui de la tunique artérielle est semblable à celle de tous les muscles lisses. La GMPc est l’un des points clefs de la relaxation de la cellule musculaire lisse. L’excès de contractions de la cellule du muscle lisse, quelle qu’en soit l’origine a toujours comme corolaire une dégradation de la GMPc. Toutes les études suggèrent que le GMPc est plus efficace pour faire baisser le calcium intracellulaire que l’AMPc dans les cellules du muscle lisse. La GMPc est produite par action d’une guanylate cyclase (GC) soluble, elle va être dégradée par des phosphodiestérases et plus particulièrement par la PDE5.The applicant has demonstrated, surprisingly, that in the case of primary dysmenorrhea, the cramps are caused by an increase in the contractility of the uterus and arteriolar spasms induced by prostaglandins. The contractibility of the uterine muscle, like that of the arterial tunica, is similar to that of all the smooth muscles. cGMP is one of the key points of smooth muscle cell relaxation. Excess contraction of the smooth muscle cell, whatever its origin, always has as a corollary a degradation of cGMP. All studies suggest that cGMP is more effective in lowering intracellular calcium than cAMP in smooth muscle cells. cGMP is produced by the action of a soluble guanylate cyclase (GC), it will be degraded by phosphodiesterases and more particularly by PDE5.

La demanderesse a démontré de façon surprenante qu’un extrait de végétal à métabolisme acide crassulacéen tel qu’Opuntia ficus- indicapossède une activité sur l’expression de la GMPc et est efficace dans le traitement de la dysménorrhée notamment. L’observation clinique montre une réduction considérable des douleurs liées aux spasmes et crampes menstruels.The applicant has demonstrated surprisingly that a plant extract with crassulacean acid metabolism such as Opuntia ficus- indica has an activity on the expression of cGMP and is effective in the treatment of dysmenorrhea in particular. Clinical observation shows a considerable reduction in pain associated with menstrual spasms and cramps.

DESCRIPTION DES FIGURESDESCRIPTION OF FIGURES

La présente les résultats de quantification de la GMPc produite par des cellules humaines en présence de différentes concentrations de l’extrait Tex-OE. Les concentrations en GMPc ont été évaluées par ELISA et exprimées en picomoles (pM).The presents the results of quantification of the cGMP produced by human cells in the presence of different concentrations of the Tex-OE extract. The cGMP concentrations were evaluated by ELISA and expressed in picomoles (pM).

La correspond aux résultats de la exprimés en pourcentage d’augmentation de quantité de GMPc par rapport à un contrôle.The corresponds to the results of the expressed as a percentage increase in the amount of cGMP relative to a control.

La présente les résultats de quantification de la GMPc produite par des cellules humaines en présence de différentes concentrations d’un extrait isolé spécifiquement actif sur l’expression de la GMPc (Cyclo Calm®). Les résultats sont exprimés en pourcentage d’augmentation de quantité de GMPc par rapport à un contrôleThe presents the results of quantification of cGMP produced by human cells in the presence of different concentrations of an isolated extract specifically active on the expression of cGMP (Cyclo Calm®). The results are expressed as a percentage increase in the amount of cGMP compared to a control

La correspond à la courbe standard étalon signal/masse, les résultats d’absorbance sont convertis en quantité de GMPc à l’aide de cette courbe.The corresponds to the signal/mass standard standard curve, the absorbance results are converted into the amount of cGMP using this curve.

Claims (5)

Extrait d’au moins un végétal à métabolisme acide crassulacéen pour utilisation dans le traitement de la dysménorrhée et/ou des douleurs liées aux spasmes et crampes menstruels, caractérisé en ce que ledit végétal estOpuntia ficus-indica.Extract of at least one plant with crassulacean acid metabolism for use in the treatment of dysmenorrhea and/or pain linked to menstrual spasms and cramps, characterized in that the said plant is Opuntia ficus-indica . Extrait d’au moins un végétal à métabolisme acide crassulacéen pour utilisation selon la revendication 1, caractérisé en ce que ledit extrait est un extrait brut obtenu par extraction à l’aide d’au moins un solvant polaire.Extract of at least one plant with crassulacean acid metabolism for use according to claim 1, characterized in that the said extract is a crude extract obtained by extraction using at least one polar solvent. Extrait d’au moins un végétal à métabolisme acide crassulacéen pour utilisation selon la revendication 1, caractérisé en ce que ledit extrait est un extrait isolé spécifiquement actif sur l’expression de la GMPc.Extract of at least one plant with crassulacean acid metabolism for use according to claim 1, characterized in that the said extract is an isolated extract specifically active on the expression of cGMP. Composition pharmaceutique ou alimentaire comprenant un extrait selon l’une quelconque des revendications précédentes.Pharmaceutical or food composition comprising an extract according to any one of the preceding claims. Composition pharmaceutique ou alimentaire selon la revendication 4, caractérisée en ce qu’elle est sous forme orale.Pharmaceutical or food composition according to Claim 4, characterized in that it is in oral form.
FR2105309A 2021-05-20 2021-05-20 CRASSULACEAN ACID METABOLISM PLANT EXTRACT FOR USE IN THE TREATMENT OF DYSMENORRHEA AND/OR PAIN RELATED TO MENSTRUAL SPASMS AND CRAMPS Active FR3122991B1 (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998029128A1 (en) 1996-12-27 1998-07-09 Inovat Sarl Biologically active substances, method for obtaining and compositions containing them
WO2002005830A2 (en) * 2000-07-14 2002-01-24 Shantaram Govind Kane Extracts from crassulacean acid metabolism (cam) mechanism plants and uses thereof
US20100119627A1 (en) 2006-12-11 2010-05-13 Bjorn Feistel SPECIAL EXTRACT AND USE THEREOF FOR INHIBITING THE DEGRADATION OF CYCLIC GUANOSINE MONOPHOSPHATE (cGMP)
KR20170122501A (en) * 2016-04-27 2017-11-06 충북대학교 산학협력단 Composition for preventing and treating dysmenorrhea and premature labor comprising non-polar solvent subfraction from Zingiber officinale extract
WO2018134848A1 (en) 2017-01-20 2018-07-26 Laila Nutraceuticals Dietary supplements for inhibiting pde5 and increasing cgmp levels

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998029128A1 (en) 1996-12-27 1998-07-09 Inovat Sarl Biologically active substances, method for obtaining and compositions containing them
WO2002005830A2 (en) * 2000-07-14 2002-01-24 Shantaram Govind Kane Extracts from crassulacean acid metabolism (cam) mechanism plants and uses thereof
US20100119627A1 (en) 2006-12-11 2010-05-13 Bjorn Feistel SPECIAL EXTRACT AND USE THEREOF FOR INHIBITING THE DEGRADATION OF CYCLIC GUANOSINE MONOPHOSPHATE (cGMP)
KR20170122501A (en) * 2016-04-27 2017-11-06 충북대학교 산학협력단 Composition for preventing and treating dysmenorrhea and premature labor comprising non-polar solvent subfraction from Zingiber officinale extract
WO2018134848A1 (en) 2017-01-20 2018-07-26 Laila Nutraceuticals Dietary supplements for inhibiting pde5 and increasing cgmp levels

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
BALDASSANO S. ET AL: "Inhibition of the Mechanical Activity of Mouse Ileum by Cactus Pear ( Opuntia Ficus Indica , L, Mill.) Fruit Extract and Its Pigment Indicaxanthin", JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY, vol. 58, no. 13, 2 June 2010 (2010-06-02), US, pages 7565 - 7571, XP055888291, ISSN: 0021-8561, DOI: 10.1021/jf100434e *
BALDASSANO SARA ET AL: "Inhibitory effects of indicaxanthin on mouse ileal contractility: Analysis of the mechanism of action", EUROPEAN JOURNAL OF PHARMACOLOGY, vol. 658, no. 2-3, 1 May 2011 (2011-05-01), NL, pages 200 - 205, XP055888263, ISSN: 0014-2999, DOI: 10.1016/j.ejphar.2011.02.034 *
DATABASE WPI Week 201782, Derwent World Patents Index; AN 2017-791173, XP002805662 *

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