JP2005035963A - Bone, rheumatism and periodontal disease-improving agent - Google Patents

Bone, rheumatism and periodontal disease-improving agent Download PDF

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JP2005035963A
JP2005035963A JP2003294753A JP2003294753A JP2005035963A JP 2005035963 A JP2005035963 A JP 2005035963A JP 2003294753 A JP2003294753 A JP 2003294753A JP 2003294753 A JP2003294753 A JP 2003294753A JP 2005035963 A JP2005035963 A JP 2005035963A
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periodontal disease
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Isao Shimozaki
勇生 下崎
Takuya Sato
卓也 佐藤
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a therapeutic agent excellent in treatment or improvement of metabolic bone diseases such as osteoporosis caused by decrease of bone salt, having bone-improving action, rheumatism-improving action and periodontal disease-improving agent. <P>SOLUTION: The present inventor discovered that limitin has bone-improving action, rheumatism-improving action and periodontal disease-improving action. The present invention provides a bone amount-improving and bone-strengthening agent, a rheumatism-improving agent and a periodontal disease-improving agent each containing limitin as an active ingredient. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

発明の詳細な説明Detailed Description of the Invention

本発明は、新規な骨量改善および骨強化およびリウマチ改善剤に関する。詳しくは、リミチンを有効成分として含有する骨量改善および骨強化剤、リウマチ改善剤および歯周病に関する。  The present invention relates to a novel bone mass improving and bone strengthening and rheumatic agent. More specifically, the present invention relates to a bone mass improving and bone strengthening agent, rheumatism improving agent and periodontal disease containing limitine as an active ingredient.

近年、高齢化に伴い、骨粗鬆症、リウマチ等の骨関節疾患が増加している。骨組織においては、たえず骨形成と骨吸収が営まれており、若い時には骨形成と骨吸収のバランスがとれているが、加齢に伴い種々の原因からそのバランスが骨吸収に傾いてくる。この状態が長期間続くと、骨組織が脆くなり、骨粗鬆症、骨折、腰痛等の骨疾患を生じることになる。このアンカップリングを防ぐことができれば、骨粗鬆症、骨折、腰痛等を予防できると考えられている。  In recent years, bone and joint diseases such as osteoporosis and rheumatism are increasing with aging. In bone tissue, bone formation and bone resorption are constantly carried out. When young, bone formation and bone resorption are balanced, but the balance tends to bone resorption due to various causes with aging. If this state continues for a long period of time, the bone tissue becomes brittle and causes bone diseases such as osteoporosis, fractures, and back pain. If this uncoupling can be prevented, it is believed that osteoporosis, fractures, back pain and the like can be prevented.

従来より、アンカップリングを防ぎ骨疾患を予防・治療する方法として、(1)食事によるカルシウムの補給、(2)軽い運動、(3)日光浴、(4)薬物治療等が行われてきた。  Conventionally, (1) dietary calcium supplementation, (2) light exercise, (3) sunbathing, (4) drug treatment, and the like have been performed as methods for preventing uncoupling and preventing / treating bone diseases.

食事によるカルシウムの補給には炭酸カルシウム及びリン酸カルシウム等のカルシウム塩や牛骨粉、卵殻及び魚骨粉等の天然カルシウム剤が使われている。食品及び食品素材でのこれまでの使用目的は、全てカルシウムの補給である。  For calcium supplementation with meals, calcium salts such as calcium carbonate and calcium phosphate and natural calcium preparations such as cow bone meal, eggshell and fish bone meal are used. All previous uses for food and food ingredients are calcium supplements.

軽い運動については、軽いランニングや散歩等が良いとされるが、体が弱っていると軽い運動もやっかいなものとなり、まして寝たきりの老人になると殆ど運動できなくなる。  For light exercise, light running and walking are good, but if the body is weak, light exercise becomes troublesome, and even if you are a bedridden elderly person, you can hardly exercise.

また、日光浴は活性化ビタミンDの補給という点では良いとされているが、これだけでは不十分である。Further, sunbathing but there is a good in terms of supplementation of activated vitamin D 3, it is not enough this.

薬物治療としては、1α−ヒドロキシビタミンD、カルシトニン製剤等が骨粗鬆症の治療及び改善に有効であることが知られている。カルシトニン製剤は、医薬品としてのホルモン製剤である。しかしながら、破骨細胞に直接働きかけて、骨の減少を食い止めるような有効な薬剤は、まだまだ少ない。As drug treatment, it is known that 1α-hydroxyvitamin D 3 , calcitonin preparation and the like are effective for the treatment and improvement of osteoporosis. The calcitonin preparation is a hormone preparation as a pharmaceutical product. However, there are still few effective drugs that work directly on osteoclasts to stop bone loss.

一方、関節疾患であるリウマチは、骨吸収を伴う疾患であることから、骨吸収を抑制することでリウマチを予防及び改善できると考えられる。  On the other hand, since rheumatism, which is a joint disease, is a disease accompanied by bone resorption, it is considered that rheumatism can be prevented and improved by suppressing bone resorption.

また、近年、歯周病も大きな社会問題となっている。歯周病は、虫歯と異なり、歯の根元を弱らせて虫歯でない歯をも使えなくする病気である。最近では、多くの人が歯周病の兆候を示しており、むしろ虫歯よりも怖い病気であると言える。  In recent years, periodontal disease has become a major social problem. Periodontal disease, unlike caries, is a disease that weakens the root of the tooth and makes it impossible to use non-toothed teeth. Recently, many people have shown signs of periodontal disease, rather than a caries disease.

現在、歯周病の予防法としては、歯垢を除去することや、抗菌剤を含有するうがい剤(マウスウォッシュ)等を用いたうがい等、原因菌となる微生物の繁殖を防止する観点からの予防が行われているが、これらの方法は過度に進行が進んだ症状に対しては効果が小さいと考えられる。すなわち、歯周病の末期には、歯槽骨の減少がみられ、一度歯槽骨が失われると再生されにくい症状を示す。  Currently, the prevention of periodontal disease is from the viewpoint of preventing the growth of microorganisms that cause causative bacteria, such as removing plaque and gargles using antibacterial agents (mouthwash). Although prevention has been carried out, these methods are considered to be less effective against symptoms that have progressed excessively. That is, at the end of periodontal disease, the alveolar bone is decreased, and once the alveolar bone is lost, it is difficult to regenerate.

そして、歯周病により歯を失うと、食物が食べにくくなるほか、痛みを伴うこと等から生活に支障をきたすため、有効な予防・治療手段が求められている。しかしながら、現在のところ、歯槽骨の減少を抑制する効果を持つ歯周病の予防及び改善剤はない。  In addition, when teeth are lost due to periodontal disease, it becomes difficult to eat foods, and because it causes pain, etc., there is a need for effective preventive and therapeutic means. However, at present, there is no preventive and ameliorating agent for periodontal disease having an effect of suppressing the decrease in alveolar bone.

発明が解決しようとする課題Problems to be solved by the invention

このように、骨の疾患、リウマチ疾患、歯周病はとともに大きな社会問題になっており、これについても改善に効果があれば、人々の健康に大きなメリットがあると考えられ、歯周病を改善するものについても、かなり必要とされている。このような課題を解決するための新規で効果のある作用をもつ有効成分を見つけることが解決すべき課題である。すなわち、本発明は、骨塩減少によって生じる骨粗鬆症などの代謝性骨疾患の優れた骨改善作用、リウマチ改善作用および歯周病改善作用を有する治療剤を提供することを課題とする。  In this way, bone diseases, rheumatic diseases, and periodontal diseases have become major social problems, and if this also has an effect on improvement, it is considered that there are significant benefits to people's health. There is also a great need for improvements. Finding an active ingredient having a new and effective action for solving such a problem is a problem to be solved. That is, an object of the present invention is to provide a therapeutic agent having an excellent bone improving action, rheumatism improving action and periodontal disease improving action for metabolic bone diseases such as osteoporosis caused by bone mineral loss.

課題を解決するための手段Means for solving the problem

本発明者らは、誠意努力した結果、リミチン(Limitin)に骨改善作用、リウマチ改善作用および歯周病改善作用を有することを発見し、本発明に至った。すなわち、リミチンを有効成分とする骨量改善および骨強化剤、そして、リミチンを有効成分とするリウマチ改善剤、さらに、リミチンを有効成分とする歯周病改善剤である。  As a result of the sincere efforts, the present inventors have found that Limitin has a bone improving action, a rheumatism improving action, and a periodontal disease improving action, and has led to the present invention. That is, a bone mass improving and bone strengthening agent containing limitine as an active ingredient, a rheumatism improving agent containing limitine as an active ingredient, and a periodontal disease improving agent containing limitine as an active ingredient.

リミチンは、インターフェロン(以下IFNと略す)様タンパク質として、マウスにおいて30%の構造的ホモロジーがあるが、IFNとは物質が異なる。また、IFNレセプターに結合し、IFN調節因子を活性化する。IFNは、ウイルス感染を始めとする様々な要因で産生される物質であり、抗ウイルス作用、抗腫瘍作用、免疫調整作用などの生物活性を有するサイトカインの一種である。IFNには、α型、β型、γ型がある。
本発明で用いられるリミチンとしては、天然由来のもの、または遺伝子組換によるもののいずれをも用いることができる。
Limitin is 30% structural homology in mice as an interferon (hereinafter abbreviated as IFN) -like protein, but the substance is different from IFN. It also binds to the IFN receptor and activates IFN modulators. IFN is a substance produced by various factors including viral infection, and is a kind of cytokine having biological activity such as antiviral action, antitumor action, and immunoregulatory action. IFN includes α-type, β-type, and γ-type.
As the limitin used in the present invention, either naturally derived or genetically modified can be used.

本発明の骨量増加剤において、リミチンは単独で使用してもよく、また他の骨量増加剤、骨吸収促進因子抑制剤、リウマチ改善剤および歯周病改善剤などと組み合わせて使用してもよい。組合せ方としては、例えば、合剤の形態でもよく、また単剤よりなる製剤を併用的に使用してもよい。  In the bone mass increasing agent of the present invention, limitin may be used alone or in combination with other bone mass increasing agents, bone resorption promoting factor inhibitors, rheumatism improving agents, periodontal disease improving agents, and the like. Also good. As a combination method, for example, a combination form may be used, or a preparation composed of a single agent may be used in combination.

本発明の骨量増加剤は、経口的または非経口的に投与可能であり、例えば注射剤、錠剤、カプセル剤、顆粒剤、丸剤、トローチ剤、散剤、液剤などの形態に調製され、その投与形態に適した薬理学的に許容される媒体を含んでいてもよい。注射剤の場合には、pH緩衝剤、防腐剤、安定化剤、可溶化剤、滅菌等張食塩水、局所麻酔剤などが一般的に用いられる。また、製剤化は、公知の注射剤または点滴剤の処方に準じて行われ、例えばトリスグリシンバッファーなどの緩衝剤を用いることができる。  The bone mass increasing agent of the present invention can be administered orally or parenterally, for example, prepared in the form of injections, tablets, capsules, granules, pills, troches, powders, liquids, etc. It may contain a pharmacologically acceptable medium suitable for the dosage form. In the case of injections, pH buffers, preservatives, stabilizers, solubilizers, sterile isotonic saline, local anesthetics and the like are generally used. Moreover, formulation is performed according to the formulation of a well-known injection or instillation, For example, buffer agents, such as a trisglycine buffer, can be used.

本発明で用いられるリミチンの投与量としては、その症状に応じた量を使用することが望ましく、一般には10ng/日から10mg/日程度を用いることが可能である。好ましくは、1μg/日から100μg/日を用いることが望ましい。  As the dose of limitin used in the present invention, it is desirable to use an amount corresponding to the symptom, and it is generally possible to use about 10 ng / day to about 10 mg / day. Preferably, 1 μg / day to 100 μg / day is used.

投与期間としては、一般的には効果が認められるまで投与することが望ましく、好ましくは2週間〜12週間である。また、その投与期間内に連続投与または間欠投与のいずれの態様も可能であり、適宜それらを組み合わせることができる。  In general, it is desirable to administer until an effect is observed, and it is preferably 2 to 12 weeks. In addition, any mode of continuous administration or intermittent administration within the administration period is possible, and they can be appropriately combined.

本発明の骨量増加剤の投与方法としては、通常公知の態様が可能であり、注射剤の場合には、筋注、静注または皮下注にて一般的に投与される。また、IFNの徐放性製剤化を行って投与することも可能である。例えば、本発明の骨量増加剤をフィルム状として、口中で徐々に溶解または崩壊させて、口腔、咽頭などに適用することも可能である。  As a method for administering the bone mass increasing agent of the present invention, a generally known embodiment is possible. In the case of an injection, it is generally administered by intramuscular injection, intravenous injection or subcutaneous injection. It is also possible to administer an IFN in a sustained release formulation. For example, the bone mass increasing agent of the present invention can be applied to the oral cavity, pharynx, etc. by dissolving or disintegrating gradually in the mouth in the form of a film.

以下、本発明をより詳細に説明するために実施例および実験例を挙げるが、本発明はこれらによって何ら限定されるものではない。  Hereinafter, examples and experimental examples will be given to describe the present invention in more detail, but the present invention is not limited to these examples.

実施例1 リミチンは、Oritani K et al(Nat.Med.6,659−666)に従って得た。  Example 1 Limitin was obtained according to Oritani K et al (Nat. Med. 6, 659-666).

試験例1Test example 1

リミチンの骨吸収抑制効果生後10〜20日齢のICR系マウスの長管骨を摘出し、軟組織を除去した後、5%牛胎児血清を含むα−MEM溶液中で骨を機械的に細切し、破骨細胞を含む全骨髄細胞を得た。この細胞約2×106を象牙片の上に5%牛胎児血清を含むα−MEM溶液でスポットした。数時間後、牛乳由来塩基性シスタチン又は牛乳由来塩基性シスタチン分解物を50ng/mlとなるように添加した5%牛胎児血清を含むα−MEM溶液を加え、5%CO2存在下、37℃で5日間培養し、破骨細胞の骨吸収活性を調べ。
培養後、象牙片上の細胞を剥がしてヘマトキシリン染色し、画像解析装置(PIASLA−555、PIAS社製)により画像解析して骨吸収窩(pit)数を測定した。測定結果から、次式で定義される骨吸収活性(%)を求め、骨吸収抑制効果を評価した。
骨吸収活性(%)
=(試験試料添加群の骨吸収窩数/試験試料無添加群の骨吸収窩数)×100
試験試料としては、リミチンを用いた。リミチンを添加することにより、濃度依存的に骨吸収が抑制された。結果を図1に示す。
Bone resorption inhibitory effect of limitine After removing the long bones of 10-20 days old ICR mice and removing soft tissues, the bones were mechanically minced in an α-MEM solution containing 5% fetal bovine serum. And whole bone marrow cells containing osteoclasts were obtained. About 2 × 10 6 cells were spotted on an ivory piece with an α-MEM solution containing 5% fetal calf serum. Several hours later, an α-MEM solution containing 5% fetal bovine serum to which milk-derived basic cystatin or a milk-derived basic cystatin degradation product was added to a concentration of 50 ng / ml was added at 37 ° C. in the presence of 5% CO 2. Cultivate for 5 days and examine osteoclastic bone resorption activity.
After culturing, the cells on the ivory pieces were peeled off and stained with hematoxylin, and image analysis was performed with an image analyzer (PIASLA-555, manufactured by PIAS) to measure the number of bone resorption pits. From the measurement results, the bone resorption activity (%) defined by the following formula was obtained, and the bone resorption inhibitory effect was evaluated.
Bone resorption activity (%)
= (Number of bone resorption pits in the test sample addition group / Number of bone resorption pits in the test sample addition group) × 100
Limitine was used as a test sample. Bone resorption was suppressed in a concentration-dependent manner by adding limitin. The results are shown in FIG.

試験例2Test example 2

リミチンの骨粗鬆症モデルラットを用いた投与試験により骨量および骨強化効果を検討した。投与試験用の飼料として、AIN−76組成の飼料を用いた。
なお、飼料中のカルシウム量とリン量は共飼料100g当たり300mgになるようにし、カルシウム:リン比を1:1として調製した。実験動物としては、32週齢のSD系雌性ラットを用いた。このラットを、一週間予備飼育した後に卵巣摘出手術を施し、低カルシウム食で2カ月間飼育することにより、骨粗鬆症モデルラットを作成した。
投与試験は、前記ラットを、対照群、リミチン投与群6群(1試験群7匹)に分け、リミチンを1カ月間経口または静脈投与して行った。経口物としては、投与一回分のリミチンを適量の2%アテロコラーゲン水溶液、5%ゼラチン水溶液、0.5%ブドウ糖に溶解し、凍結乾燥したフイルム状経口製剤を得た。
試験飼料投与後、各試験群のラットの大腿骨を摘出し、骨塩量測定装置で骨塩量を測定し、破断特性測定装置で骨強度を測定した。結果を図2及び図3に示す。
The bone mass and the bone strengthening effect were examined by the administration test using an osteoporosis model rat of limitin. A feed having an AIN-76 composition was used as a feed for the administration test.
The amount of calcium and phosphorus in the feed was adjusted to 300 mg per 100 g of the co-feed, and the calcium: phosphorus ratio was 1: 1. As experimental animals, SD female rats of 32 weeks of age were used. This rat was preliminarily bred for one week and then subjected to ovariectomy and bred for 2 months on a low calcium diet to create an osteoporosis model rat.
In the administration test, the rats were divided into a control group and a limitin administration group of 6 groups (1 test group: 7 animals), and limitin was administered orally or intravenously for 1 month. As an oral product, one dose of limitin was dissolved in appropriate amounts of 2% atelocollagen aqueous solution, 5% gelatin aqueous solution, and 0.5% glucose, and a freeze-dried film-form oral preparation was obtained.
After administration of the test feed, the femurs of the rats of each test group were removed, the bone mineral content was measured with a bone mineral content measuring device, and the bone strength was measured with a fracture characteristic measuring device. The results are shown in FIGS.

図2に示したように、大腿骨の骨塩量は、対照群に比べてリミチンを経口または静脈注射した群において、高い値であった。さらに、図3に示したように、大腿骨破断力は、対照群に比べてリミチン群で統計的に有意に高い値を示した。このことから、リミチンには骨強化作用があることがわかった。前記の結果から、リミチンには骨吸収抑制効果及び骨強化作用があることがわかった。  As shown in FIG. 2, the bone mineral content of the femur was higher in the group in which limitin was orally or intravenously injected than in the control group. Furthermore, as shown in FIG. 3, the femoral fracture force was statistically significantly higher in the limitin group than in the control group. From this, it was found that limitin has a bone strengthening action. From the above results, it was found that limitin has an effect of suppressing bone resorption and an effect of strengthening bone.

試験例3Test example 3

変形性関節症(関節の開裂の収縮)の患者20人を10人ずつ2群に分け、試験例2で得られた経口フィルムを1ヶ月間摂取し、飲用前と飲用後の関節の改善効果を調べた。その結果を表4に示す。図4に示すように、関節痛に対しても、各項目について痛みが軽減していることがわかった。Twenty patients with osteoarthritis (joint cleavage contraction) were divided into two groups of 10 people, and the oral film obtained in Test Example 2 was taken for 1 month to improve joints before and after drinking I investigated. The results are shown in Table 4. As shown in FIG. 4, it was found that pain was reduced for each item with respect to joint pain.

試験例4Test example 4

6週齢のゴールデンハムスター24匹を1週間予備飼育した後、エーテル麻酔下でM1の歯頸部に滅菌した手術用縫合絹糸No4を5重に巻き付け、Keyesらの飼料(D#2000:Keyes,P.H.andJordan:Archs.Oral.Biol.9:377−400,1964)で飼育することにより歯周病を発病させた。次いで、ゴールデンハムスターを、4群に分け、一日2回、各画分5μgを適当に希釈した試験液で口腔内を約10分間絶えず浸す処置を毎日継続して行った。処置開始から7日後に、各群につき6匹を選び、2.5%グルタルアルデヒド溶液(pH7.4)を用いて約20分間固定灌流した後、下顎骨両側を摘出し、次の方法で歯槽骨減少量を評価した。すなわち、摘出された下顎骨両側を2.5%グルタルアルデヒド溶液で固定した後、軟X線撮影して、写真を画像解析装置(PIASLA−555)を用いて解析し、M1付近のエナメルセメント境と歯槽骨頂間の面積を計測することによって、歯槽骨減少量を評価した。  Twenty-four six-week-old golden hamsters were preliminarily raised for one week, and then sterilized surgical suture silk No4 was wrapped around the M1 tooth neck under ether anesthesia five times, and the feed from Keyes et al. (D # 2000: Keyes, P. H. and Jordan: Archs. Oral. Biol. 9: 377-400, 1964), periodontal disease was caused. Next, the golden hamster was divided into 4 groups, and the treatment of continuously immersing the oral cavity for about 10 minutes with a test solution in which 5 μg of each fraction was appropriately diluted was continuously performed twice a day. Seven days after the start of treatment, 6 animals were selected for each group, fixed and perfused with a 2.5% glutaraldehyde solution (pH 7.4) for about 20 minutes, then both sides of the mandible were removed, and the alveoli were excised in the following manner. Bone loss was assessed. That is, both sides of the extracted mandible were fixed with a 2.5% glutaraldehyde solution, then soft X-rays were taken, and the photograph was analyzed using an image analyzer (PIASLA-555), and the enamel cement boundary near M1 And the amount of alveolar bone loss was evaluated by measuring the area between the alveolar bone crests.

結果を図5に示す。リミチン群のゴールデンハムスターは、対照群に比べて、歯槽骨減少量が有意に低かった。このことから、リミチンは、歯槽骨減少を抑制し、歯周病の予防及び改善に効果的であることがわかった。  The results are shown in FIG. The golden hamster in the limitin group had significantly lower alveolar bone loss than the control group. From this, it was found that limitin is effective in preventing and improving periodontal disease by suppressing alveolar bone loss.

発明の効果The invention's effect

本発明の骨およびリウマチ改善剤は、骨吸収に対して抑制的に作用して骨量が増加させ、またリウマチの改善に効果があるので、骨塩減少によって生じる骨粗鬆症などの代謝性骨疾患の治療用および予防として、またリウマチ疾患の改善に有用である。さらに、歯周病予防にも有効である。The bone and rheumatic agent of the present invention acts to suppress bone resorption and increase bone mass, and is effective in improving rheumatism. Therefore, the bone and rheumatic agent of the present invention is effective in the treatment of metabolic bone diseases such as osteoporosis caused by bone mineral loss. It is useful for treatment and prevention, and for improvement of rheumatic diseases. Furthermore, it is effective in preventing periodontal disease.

「リミチンと骨吸収活性の関係を示した図である。」“It is a diagram showing the relationship between limitin and bone resorption activity.” 「リミチンと骨塩量の関係を示した図である。」“It is a diagram showing the relationship between limitine and bone mineral content.” 「リミチンと骨破断エネルギの関係を示した図である。」“It is a diagram showing the relationship between limitin and bone fracture energy.” 「投与前後の各項目の関節痛者数(人)の関係を示した図である。」“It is a figure showing the relationship between the number of joint pain patients (persons) before and after administration.” 「リミチンと歯槽骨免責減少量の関係を示した図である。」“It is the figure which showed the relationship between limitin and the amount of decrease in alveolar bone immunity.”

Claims (3)

リミチンを有効成分とする骨量改善および骨強化剤Bone mass improvement and bone strengthening agent containing limitine as an active ingredient リミチンを有効成分とするリウマチ改善剤Rheumatoid improving agent containing limitine as an active ingredient リミチンを有効成分とする歯周病改善剤Periodontal disease improving agent containing limitine as an active ingredient
JP2003294753A 2003-07-14 2003-07-14 Bone, rheumatism and periodontal disease-improving agent Pending JP2005035963A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPWO2007049757A1 (en) * 2005-10-27 2009-04-30 サンスター株式会社 Osteoclast growth inhibitor containing liposome containing lactoferrin, oral composition and preventive or therapeutic agent for bone disease

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPWO2007049757A1 (en) * 2005-10-27 2009-04-30 サンスター株式会社 Osteoclast growth inhibitor containing liposome containing lactoferrin, oral composition and preventive or therapeutic agent for bone disease

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