JP2007525523A - クルクミノイドまたはメチルキサンチンを用いての相乗的な抗炎症医薬組成物および関連する方法 - Google Patents
クルクミノイドまたはメチルキサンチンを用いての相乗的な抗炎症医薬組成物および関連する方法 Download PDFInfo
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Abstract
Description
本発明は、ホップ(Humulus lupulus)抽出物またはその誘導体を、クルクミノイドまたはメトチルキサンチンと組み合わせて含有する相乗的な(synergistic)医薬組成物に関する。本発明はまた、炎症を低減するために組成物を使用する方法に関する。
瘍の治癒中には発現が誘導される、というものもある。COX-1およびCOX-2の双方が、正常な胃粘膜において重要な生理学的役割を有することが、現在明らかである。
NSAIDsは、胃の出血および腎臓の損傷を含む深刻な健康問題を引き起こすことが知られている。米国において、1300万人を上回るNSAIDsの常用者がおり、毎年7000万のNSAIDの処方が書かれ、そして年間300億錠の市販のNSAIDs錠剤が売られている。NSAIDに誘発される疾患が、1年当たり103,000件の入院、および年間推定16,500人の死亡を引き起こす。すべての慢性的NSAID使用者の20%が、消化性潰瘍を発症するだろう。NSAID使用者は、上部消化器の出血、穿孔、または双方への、より高いリスク−3倍〜4倍高い−を有する。重症のNSAID誘発性の合併症で入院した患者の81%は、消化器の症候の既往はなかった。60歳以上の人は、NSAID使用に伴う合併症を経験する、有意に高い可能性を有する。さらに米国における薬剤の副作用全体の21%が、NSAIDの使用による。
本発明は、ホップから単離されたまたは由来する画分、およびメチルキサンチンを含有する組成物を提供する。本発明は加えて、ホップに由来する画分およびクルクミノイドを含有する組成物を提供する。本発明はまた、炎症を低減させるためにそのような組成物を使用する方法を提供する。
本発明は、炎症を低減するための組成物および方法を提供する。特に本発明は、ホップ(Humulus lupulus)から単離されたまたは由来する画分を、クルクミノイドまたはメチルキサンチン、例えばカフェインと組み合わせて提供する。本発明は、患者の炎症を予防的および/または治療的に処置する上で使用するための、ホップ(Humulus lupulus)抽出物またはその誘導体をクルクミノイドまたはメチルキサンチンと組み合わせて提供する。
を有意に低減するおよび/または治療的に処置する、ホップ抽出物またはその誘導体の使用について提供する。
本明細書において使用する場合“COX阻害剤”という用語は、COX-2酵素の活性もしくは発現を阻害することのできる、または重症の炎症性応答の、疼痛および腫脹を含む重症度を阻害または低減することのできる化合物の組成物をいう。
物からの固体および親水性の残渣をいう。
本明細書において使用する場合“アルファ酸”という用語は、集合的にフムロンとして知られている化合物をいい、ホップ植物の生成物から単離することができ、とりわけ、フムロン、コフムロン、アドフムロン、フルポン(hulupone)、およびイソプレフムロン(isoprehumulone)を含む。
29: 1305-1308 (1986); Daly et al., Prog. Clin. Biol. Res. 230: 41-63 (1987)を参照のこと。これらの各文献を本明細書において参照として援用する)。
ドフムロン、等)、およびヘキサ-ヒドロイソアルファ酸(例えばヘキサ-ヒドロ-イソフムロン、ヘキサ-ヒドロ-イソコフムロン、およびヘキサ-ヒドロ-アドフムロン)、およびエーテルまたはエステルのコンジュゲートを含む。
本発明に従ってさらに、公知の製剤技術によって、例えば除放性錠剤により、消化管の所望の部位で、例えば胃および/または十二指腸のいずれかにおいて活性成分を放出するため、ホップ誘導体の有効量を包含する経口投与剤形の医薬製剤が提供される。本発明に従ってなおさらに、ホップ誘導体の有効な耐薬量を包含する医薬組成物を提供する。その低い毒性のため、所望される特定の効果に依存して、高投与量のホップ誘導体を有用な結果を得るために使用することができる。
、PGE2を相乗的に阻害するための有効な量および比率で、例えばホップから単離されたまたは由来する画分(例えばRIAA) 対 クルクミノイドの比率 約100:1〜約1:10で、例えば約100:1、約90:1、約80:1、約70:1、約60:1、約50:1、約40:1、約30:1、約20:1、または約10:1、約5:1、約4:1、約3:1、約2:1、約3:2、約1:1、約1:2、約1:3、約1:4、約1:5、または約1:10で組み合わせる。ホップに由来する画分 対 クルクミノイドの特に有用な比率は約3:2である。
本発明の組成物は、栄養補助食品または治療用組成物という形で投与することができる。当該組成物は、経口、局所、経皮、経粘膜、非経口等により、適当な投与ユニットで、所望されるように投与してよい。食品としての適用のための組成物は、様々な添加物、例えば中間代謝物のその他の天然成分、ビタミンおよびミネラル、ならびに例えば錠剤およびカプセルの製造における標準的な賦形剤であるタルクおよびステアリン酸マグネシウムのような不活性成分を含んでよい。例えば1つの態様は、本発明の組成物の活性成分を、グルコサミンまたはコンドロイチン硫酸と組み合わせて包含する。
可能な技術を用いてカプセルまたは錠剤に製剤化する。カプセルまたは錠剤の剤形において、成体のヒトまたは動物に対して推奨される1日の用量を、1〜6個のカプセルまたは錠剤中に含有させることができる。当該組成物はまた、他の使い勝手のよい剤形、例えば注入可能な溶液または懸濁液、スプレー用の溶液または懸濁液、ローション、ガム、ロゼンジ、食品またはスナックの品目に製剤化することができる。食品、スナック、ガムまたはロゼンジの品目は、甘味剤、芳香剤、オイル、スターチ、タンパク質、果物または果物の抽出物、野菜または野菜の抽出物、穀物、動物性脂肪またはタンパク質を含む、あらゆる摂取可能な成分を含むことができる。それ故本発明の組成物は、シリアル、スナック品目、例えばチップス、バー、ガムドロップ、チューイングキャンディー、またはゆっくり溶けるロゼンジ中に製剤化することができる。本発明の組成物は、急性および慢性双方の炎症に基づく疾患の治療に使用することができる。本発明の組成物の特に有用な製剤は、炎症応答を低減し、それにより患部組織の治癒を促進する、またはさらなる損傷を予防することができる。医薬的に受容可能な担体をまた、本発明の組成物および製剤中に使用することができる。
ムロン、ジヒドロ-イソコフムロン、ジヒドロ-アドフムロン、テトラヒドロ-イソフムロン、テトラヒドロ-イソコフムロン、テトラヒドロ-アドフムロン、ヘキサヒドロ-イソフムロン、ヘキサヒドロ-イソコフムロン、およびヘキサヒドロ-アドフムロンから成る群から選択される化合物を包含することができる。
クルクミノイドは、Curcuma longaに加えて他の植物、例えばジャワウコン(Curcuma xanthorrhiza)およびガジュツ(Curcuma zedoaria)中に見出してもよい。
COX-2の発見は、COX-1により作られる胃および腎臓内の保護的プロスタグランジン類(PGs)を排除せずに炎症を低減する、薬剤のデザインを可能にした。本明細書において開示するように、in vitroの動物細胞を用いて、細胞保護的な作用を有し、消化器粘膜の完全性を維持する役割を担うPGE2を用いたCOX-2およびCOX-1の阻害活性をエンドポイントとして利用して評価して、本発明の組成物を評価することができる。第2に異なる細胞タイプを使用して、結果を確認する。スクリーニング法を使用して、COX-2への特異的な活性を有し、COX-1を限定的に阻害する組成物を示すことができる。本発明の態様の組成物は、2つの細胞のタイプ: 1) 1つまたはそれより多くの成分を包含する組成物に関する至適な量および比率を決定および同定するための、ヒト肺細胞またはその他の細胞株;および2)
創傷の治癒(例えば潰瘍)に必要であるCOX-1の阻害に典型的に関連する毒性を評価するための、ヒト胃上皮細胞(AGS細胞株)、消化管細胞株、およびモデルシステム、において検査することができる。それ故、COX-2またはCOX-2の誘導を阻害することのできる本発明の態様の組成物は、AGS細胞において活性の低いまたは活性を有していなく、そしてヒト肺細胞またはその他の細胞株において良好な活性を有する組成物を選択することにより、スクリーニングすることができる。
AGS胃粘膜細胞はシクロオキシゲナーゼ-1およびシクロオキシゲナーゼ-2の双方を恒常的に発現する
概要-本実施例は、COX-1およびCOX-2の構成性発現を有するAGSヒト胃粘膜細胞株が、シクロオキシゲナーゼ阻害化合物の消化器への毒性を評価するためのモデルであることを実証する。
血清(FBS-HI Cat. #35-011CV)、およびダルベッコ変法イーグル培地 (DMEM Cat# 10-013CV)はMediatech (Herndon, VA)より購入した。すべての標準的な試薬はSigma (St. Louis,
MO)より入手し、市販により入手可能な最も高純度のものとした。
価してきた。正常な胃粘膜においてCOX-1が主なCOXアイソザイムであるが、本実施例および文献において実証されたように、検出可能な量のCOX-2mRNAおよびタンパク質の双方が、動物およびヒト双方における胃粘膜の特定の場所で構成性発現され、かつ誘導可能であるという証拠が増加している (Halter et al. Gut 49: 443-453 (2001))。ラットにおける最近の試験は、COX-1またはCOX-2の選択的阻害が潰瘍発生性ではないのに対して、COX-1およびCOX-2双方の複合的阻害は、NSAID(例えばインドメタシン)の効果に匹敵する胃および小腸における重症の病変を誘導することを示した。この観察結果は、消化器粘膜の完全性の維持に対するCOX-2の重要な寄与を示唆する。
刺激および無刺激のネズミマクロファージにおける、ホップ(Humulus lupulus)化合物および誘導体によるPGE 2 合成の阻害
概要-本実施例は、RAW 264.7ネズミマクロファージモデルにおいて、ホップ画分および誘導体がCOX-1のPGE2合成を上回って優先的にCOX-2のPGE2合成を阻害することを例証する。
MO)より入手した。ホップ画分である(1)アルファホップ(1%アルファ酸;AA)、(2)アロマホップ OE (10%ベータ酸および2%異性体化アルファ酸)、(3)イソホップ(異性体化アルファ酸;IAA))、(4)ベータ酸溶液(ベータ酸;BA)、(5)ヘキサホップゴールド(ヘキサヒドロ異性体化アルファ酸;HHIAA)、(6)レジホップ(redihop)(還元異性体化-アルファ酸;RIAA)、(7)テトラホップ(テトラヒドロ-イソ-アルファ酸;THIAA)および(8)ホップ粕は、Betatech Hops Products (Washington, D.C., U.S.A.)より入手した。ホップ粕は等容量の無水エタノールで2回抽出した。エタノールは、濃厚な褐色の残渣しか残らなくなるまで40℃で加熱することにより除去した。この残渣をRAW 264.7 細胞における検査用のDMSOに溶解させた。他に記述してなければ、すべての標準的な試薬はSigma (St. Louis, MO)より入手し、市販により入手可能な最も高純度のものとした。他の化学薬品および装置はすべて、実施例1に記載のとおりとした。
ヒト大動脈内皮細胞における還元異性体化アルファ酸およびクルクミン抽出物の組み合わせにより得られるPGE 2 阻害の相乗性
概要-本実施例は、腫瘍壊死因子α(TNF-α)-刺激ヒト大動脈内皮細胞の炎症モデルにおけるプロスタグランジンE2 (PGE2)の阻害への、還元異性体化アルファ酸(RIAA)およびクルクミンの組み合わせの効果を実証する。
ァ酸))、およびクルクミン抽出物(06656)(Metagenics, Gig Harbor, WA)を含んだ。クルクミンの他の市販の供給元は、Nutriscience Innovations (Fairfield CT)を含む。
and Talaly、上記、1977により提案されたような予想される相加的効果より高い効果として、そして拮抗作用は予想される相加的効果より低い効果として定義する。相加的効果としてCI=1と表記することを使用して、同じ作用様式を有する相互に排他的な化合物に関して、または全体として独立した作用様式を有する相互に非排他的な薬剤に関して、以下の関係が得られる:CI<1、=1、および>1は、それぞれ相乗作用、相加作用、および拮抗作用を示す。
統計的方法のため最低4つの濃度(表4)を使用して、CalcuSyn (BIOSOFT, Ferguson, MO)を用いて用量-応答曲線、および50%抑制濃度(IC50)とその95%信頼区間をコンピュータにより算出した。この統計学的パッケージは、Chou and Talaly(上記、1984)により記載されたmedian effect法を用いて、多剤の用量-効果の算出を行う。すべての用量-応答デー
タから50%抑制濃度を得た。2つのデータ変換を正当な理由がある場合に適用した。最初の変換は、低い用量でのPGE2産生がTNF-α刺激コントロールでのPGE2産生を上回っている場合に、最も低い検査濃度から得られた最も高いPGE2産生から、阻害のパーセントをコンピュータで計算することをから成る。この方法は、プレートを通しての応答の変動および勾配について調節する。第2のデータ変換は、段階的用量での応答における変動について調整した。ウェル間での過去の変動を用いてのMonte Carloシミュレーションは、4ポイントの用量-応答曲線において1濃度当たりダブルのウェルを使用する場合、用量-応答曲線は40%しか段階的には現れない、と予測した。それ故、応答が段階的に現れない状態については、IC50を算出する前に濃度による応答の選別を行った。
RAW 264.7細胞における、還元異性体化アルファ酸およびカフェインの組み合わせにより得られるPGE 2 阻害の相乗作用
本実施例は、リポ多糖(LPS)により刺激されたRAW 264.7炎症モデルにおいて、PGE2産生の阻害におけるRIAAおよびカフェインの組み合わせの効果について記載する。
より入手し、市販により入手可能な最も高純度のものとした。検査物質には、Betatech Hops Productsより入手したRIAA (レジホップ(rho-イソ-アルファ酸(RIAA)、29.5-30.5%、<0.2% イソ-アルファ酸) (Washington, DC)、およびカフェイン(Sigma, St. Louis, MO)を含んだ。
低い用量でのPGE2産生が、LPS刺激によるコントロールのPGE2産生を上回っている場合
に、最初の変換が、最も低い検査濃度から得られた最も高いPGE2産生から、阻害のパーセントをコンピュータで計算することから成ることを除いて、統計的方法は、本質的には実施例3に記載のように行った。
Claims (32)
- ホップから単離されたまたは由来する画分、およびメチルキサンチンを包含する組成物。
- 前記ホップから単離されたまたは由来する画分が、アルファ酸、イソアルファ酸、還元イソアルファ酸、テトラ-ヒドロイソアルファ酸、ヘキサ-ヒドロイソアルファ酸、ベータ酸、およびホップ粕から選択される、請求項1の組成物。
- 前記ホップから単離されたまたは由来する画分が、フムロン、コフムロン、アドフムロン、イソフムロン、イソコフムロン、イソアドフムロン、ジヒドロ-イソフムロン、ジヒドロ-イソコフムロン、ジヒドロ-アドフムロン、テトラヒドロ-イソフムロン、テトラヒドロ-イソコフムロン、テトラヒドロ-アドフムロン、ヘキサヒドロ-イソフムロン、ヘキサヒドロ-イソコフムロン、およびヘキサヒドロ-アドフムロンから成る群より選択される化合物を包含する、請求項1の組成物。
- 前記メチルキサンチンが、カフェイン;テオブロミン;テオフィリン;アミノフィリン;ドキソフィリン;ペントキシフィリン;8-オキソペントキシフィリン;8-オキソリソフィリン;リソフィリン;1-プロパラギル3,7-ジメチルキサンチン;7-プロパラギル1,3-ジメチルキサンチン;3-プロパラギル1,7-ジメチルキサンチン;1,3,7-トリプロパラギルキサンチン;3-イソブチル-1-メチルキサンチン(IBMX);1,3,7-トリプロピルキサンチン;7-ベンジル-IBMX;1-プロピル3,7-ジメチルキサンチン;1,3-ジプロピル7-メチルキサンチン;1,3-ジプロピル7-プロパラギルキサンチン;3,7-ジメチル1-プロピルキサンチン;および7-アリル1,3-ジメチルキサンチンより選択される、請求項1の組成物。
- 前記ホップから単離されたまたは由来する画分、およびメチルキサンチンが、約100:1〜約1:100の比率である、請求項1の組成物。
- 前記ホップから単離されたまたは由来する画分が還元イソアルファ酸であり、前記メチルキサンチンがカフェインである、請求項8の組成物。
- 前記組成物が、約0.5〜10000mgの、前記ホップから単離されたまたは由来する画分を包含する、請求項1の組成物。
- 前記組成物が、約50〜7500mgの、前記ホップから単離されたまたは由来する画分を包含する、請求項10の組成物。
- 前記組成物が、約0.001〜10重量パーセントの、前記ホップから単離されたまたは由来する画分を包含する、請求項1の組成物。
- 前記組成物が、約0.1から1重量パーセントの、前記ホップから単離されたまたは由来する画分を包含する、請求項12の組成物。
- 前記組成物がさらに医薬的に受容可能な担体を包含する、請求項1の組成物。
- 前記組成物が、経口、局所、非経口、または直腸投与用に製剤化される、請求項1の組成物。
- ホップに由来する画分およびクルクミノイドを包含する組成物。
- 前記ホップに由来する画分が、イソアルファ酸、還元イソアルファ酸、テトラ-ヒドロイソアルファ酸、ヘキサ-ヒドロイソアルファ酸、およびベータ酸から選択される、請求項16の組成物。
- 前記ホップに由来する画分が、イソフムロン、イソコフムロン、イソアドフムロン、ジヒドロ-イソフムロン、ジヒドロ-イソコフムロン、ジヒドロ-アドフムロン、テトラ-ヒドロ-イソフムロン、テトラヒドロ-イソコフムロン、テトラヒドロ-アドフムロン、ヘキサヒドロ-イソフムロン、ヘキサヒドロ-イソコフムロン、およびヘキサヒドロ-アドフムロンから成る群より選択される化合物を包含する、請求項16の組成物。
- 前記クルクミノイドが、クルクミン、デメトキシクルクミン、ビスデメトキシクルクミン、シス-トランス-クルクミン、およびシクロクルクミンより選択される、請求項16の組成物。
- 前記ホップに由来する画分および前記クルクミノイドが、約100:1〜約1:10の比率である、請求項16の組成物。
- 前記比率が約3:2である、請求項23の組成物。
- 前記ホップから単離された画分が還元イソアルファ酸であり、前記クルクミノイドがクルクミンである、請求項24の組成物。
- 前記組成物が、約0.5〜10000mgの、前記ホップから単離されたまたは由来する画分を包含する、請求項16の組成物。
- 前記組成物が、約50〜7500mgの、前記ホップから単離されたまたは由来する画分を包含する、請求項26の組成物。
- 前記組成物が、約0.001〜10重量パーセントの、前記ホップから単離されたまたは由来する画分を包含する、請求項16の組成物。
- 前記組成物が、約0.1〜1重量パーセントの、前記ホップから単離されたまたは由来する画分を包含する、請求項28の組成物。
- 前記組成物がさらに医薬的に受容可能な担体を包含する、請求項16の組成物。
- 前記組成物が、経口、局所、非経口、または直腸投与用に製剤化される、請求項16の組成物。
- 請求項1〜31のいずれか1項の組成物を投与することを包含する、炎症を低減する方法。
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US10/789,817 US7914831B2 (en) | 2004-02-27 | 2004-02-27 | Synergistic anti-inflammatory pharmaceutical compositions and related methods using curcuminoids or methylxanthines |
PCT/US2005/006147 WO2005084230A2 (en) | 2004-02-27 | 2005-02-26 | Synergistic anti-inflammatory pharmaceutical compositions and related methods using curcuminoids or methylxanthines |
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JP (1) | JP2007525523A (ja) |
CN (2) | CN101690744A (ja) |
AU (1) | AU2005218319B2 (ja) |
CA (1) | CA2557643A1 (ja) |
DK (1) | DK1718312T3 (ja) |
ES (1) | ES2534593T3 (ja) |
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- 2005-02-26 NZ NZ549517A patent/NZ549517A/en unknown
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CN101690744A (zh) | 2010-04-07 |
US20110172253A1 (en) | 2011-07-14 |
AU2005218319B2 (en) | 2011-06-16 |
EP2338481A3 (en) | 2012-03-21 |
EP1718312B1 (en) | 2015-03-25 |
AU2005218319A1 (en) | 2005-09-15 |
ES2534593T3 (es) | 2015-04-24 |
EP2338481A2 (en) | 2011-06-29 |
US8193201B2 (en) | 2012-06-05 |
US20050191375A1 (en) | 2005-09-01 |
DK1718312T3 (en) | 2015-06-15 |
US8092846B2 (en) | 2012-01-10 |
WO2005084230A3 (en) | 2005-12-15 |
EP1718312A4 (en) | 2009-09-30 |
NZ549517A (en) | 2010-11-26 |
MXPA06009746A (es) | 2007-03-30 |
CN1946409A (zh) | 2007-04-11 |
WO2005084230A2 (en) | 2005-09-15 |
US7914831B2 (en) | 2011-03-29 |
CA2557643A1 (en) | 2005-09-15 |
EP1718312A2 (en) | 2006-11-08 |
US20070185213A1 (en) | 2007-08-09 |
NZ587934A (en) | 2012-04-27 |
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