JP2022054403A - Intestinal environment improver - Google Patents
Intestinal environment improver Download PDFInfo
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- JP2022054403A JP2022054403A JP2021123659A JP2021123659A JP2022054403A JP 2022054403 A JP2022054403 A JP 2022054403A JP 2021123659 A JP2021123659 A JP 2021123659A JP 2021123659 A JP2021123659 A JP 2021123659A JP 2022054403 A JP2022054403 A JP 2022054403A
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- intestinal
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- intestinal environment
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- drug
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Abstract
Description
新規性喪失の例外適用申請有り There is an application for exception of loss of novelty
本発明は、腸内環境改善剤に関する。 The present invention relates to an intestinal environment improving agent.
非ステロイド性消炎鎮痛薬(Non-Steroidal Anti-Inflammatory Drugs;以下、NSAIDsとも称する)は、アラキドン酸カスケードのシクロオキシゲナーゼ(COX)を阻害することで、プロスタグランジン類の合成を抑制し、鎮痛、解熱、及び抗炎症効果を発揮する。
鎮痛薬の第一選択薬である上記NSAIDsの一つであるインドメタシンは、腸内環境の乱れ又は悪化を引き起こす可能性があることが報告されている(非特許文献1)。
Non-steroidal anti-inflammatory drugs (Non-Steroidal Anti-Inflammatory Drugs; hereinafter also referred to as NSAIDs) suppress the synthesis of prostaglandins by inhibiting cyclooxygenase (COX) in the arachidonic acid cascade, resulting in analgesia and fever reduction. , And exerts an anti-inflammatory effect.
It has been reported that indomethacin, which is one of the above NSAIDs, which is a first-line analgesic drug, may cause disturbance or deterioration of the intestinal environment (Non-Patent Document 1).
このようなNSAIDsによる腸内環境の乱れ又は悪化を改善するには、プロバイオティクスなどを用いた治療方法の検討が進められているが、プロバイオティクスは長期間の服用により予防的に使用されるものであり、NSAIDsの服用による腸内環境の乱れ又は悪化の改善には十分とはいえず、単回の投与でも十分な改善効果が得られる有効な治療方法は知られていない。 In order to improve the disorder or deterioration of the intestinal environment caused by such NSAIDs, treatment methods using probiotics and the like are being studied, but probiotics are used prophylactically by long-term administration. However, it cannot be said that taking NSAIDs is sufficient for improving the disorder or deterioration of the intestinal environment, and no effective therapeutic method is known in which a sufficient improvement effect can be obtained even with a single administration.
鎮痛薬として知られているアセトアミノフェンは、胃傷害を抑制することが知られている(非特許文献2、非特許文献3)が、同様に胃傷害を抑制することが知られているプロトンポンプ阻害剤は、腸内環境を悪化させることが知られており(非特許文献4)、アセトアミノフェンが腸内環境を改善することについては知られていない。
Acetaminophen, which is known as an analgesic, is known to suppress gastric injury (Non-Patent
本発明は、上記事情に鑑みなされたもので、薬物等による腸内環境の乱れ又は悪化を改善することができる腸内環境改善剤を提供することを目的とする。 The present invention has been made in view of the above circumstances, and an object of the present invention is to provide an intestinal environment improving agent capable of improving the disorder or deterioration of the intestinal environment caused by a drug or the like.
本発明者らは、薬物等による腸内環境の乱れ又は悪化を改善することができる化合物について鋭意検討した結果、アセトアミノフェン、エテンザミド等を包含する下記一般式(I)で表される化合物(I)が前記腸内環境の改善に有効であることを見出し、本発明を完成させた。 As a result of diligent studies on a compound capable of improving the disturbance or deterioration of the intestinal environment caused by a drug or the like, the present inventors have obtained a compound represented by the following general formula (I) including acetaminophen, ethenzamide and the like (the compound represented by the following general formula (I). The present invention was completed by finding that I) is effective in improving the intestinal environment.
本発明は以下の態様を有する。
[1] 下記一般式(I)で表される化合物(I)を含有する腸内環境改善剤。
[2] 前記腸内環境改善が、腸内フローラ又は腸内細菌叢の改善である、[1]に記載の腸内環境改善剤。
[3] 前記腸内環境改善が、薬物投与による腸内環境の乱れ又は悪化の改善である、[1]又は[2]に記載の腸内環境改善剤。
[4] 前記薬物が、非ステロイド性消炎鎮痛薬である、[3]に記載の腸内環境改善剤。
The present invention has the following aspects.
[1] An intestinal environment improving agent containing the compound (I) represented by the following general formula (I).
[2] The intestinal environment improving agent according to [1], wherein the improvement of the intestinal environment is an improvement of the intestinal flora or the intestinal bacterial flora.
[3] The intestinal environment improving agent according to [1] or [2], wherein the improvement of the intestinal environment is improvement of disturbance or deterioration of the intestinal environment due to drug administration.
[4] The intestinal environment improving agent according to [3], wherein the drug is a non-steroidal anti-inflammatory drug.
本発明によれば、薬物等による腸内環境の乱れ又は悪化を改善することができる腸内環境改善剤を提供することができる。 According to the present invention, it is possible to provide an intestinal environment improving agent capable of improving the disturbance or deterioration of the intestinal environment caused by a drug or the like.
本発明の腸内環境改善剤は、下記一般式(I)で表される化合物(I)を含有する。化合物(I)は、本発明の腸内環境改善剤の有効成分として含有することが好ましい。 The intestinal environment improving agent of the present invention contains the compound (I) represented by the following general formula (I). Compound (I) is preferably contained as an active ingredient of the intestinal environment improving agent of the present invention.
前記式(I)中、R1及びR2におけるアルキル基は、炭素数1~6が好ましく、炭素数1~3がより好ましい。R1及びR2におけるアルキル基は、直鎖状であっても分岐鎖状であってもよく、具体的には、メチル、エチル基、プロピル基、イソプロピル基、ブチル基、イソブチル基、sec-ブチル基、tert-ブチル基、ペンチル基、ヘキシル基等があげられる。
前記式(I)中、R2におけるアルコキシ基は、メトキシ基、エトキシ基、プロポキシ基、イソプロポキシ基や2,3-ジヒドロキシプロポキシ基等が挙げられ、メトキシ基、2,3-ジヒドロキシプロポキシ基が好ましい。
前記式(I)中、R3のアシルアミノ基におけるアシル基の炭素鎖長は、炭素数2~6が好ましく、炭素数2~4がより好ましい。
前記式(I)中、R3におけるスルホ基は、医薬的に許容される塩も含み、ナトリウム塩、カリウム塩が好ましい。
前記化合物(I)としては、例えば、下記式(I)-1で表されるアセトアミノフェン、及び下記式(I)-2で表されるエテンザミド、(I)-3で表されるグアヤコールスルホン酸カリウム、(I)-4で表されるグアイフェネシン、(I)-5で表されるクレゾールスルホン酸カリウム等が挙げられる。
上記アセトアミノフェン及びエテンザミドは、発熱や頭痛等の症状を抑制する解熱鎮痛剤の主要な成分の一つとして使用される薬剤であり、グアヤコールスルホン酸カリウム、グアイフェネシン及びクレゾールスルホン酸カリウムは、痰を出しやすくする去痰成分であるが、本発明においては、腸内環境改善剤の有効成分の一つとして使用される。
前記化合物(I)としては、薬物等による腸内環境の乱れ又は悪化を効果的に改善できる点から、アセトアミノフェン及びエテンザミドがより好ましい。
In the formula (I), the alkyl group in R 1 and R 2 preferably has 1 to 6 carbon atoms, and more preferably 1 to 3 carbon atoms. The alkyl group in R 1 and R 2 may be linear or branched, and specifically, methyl, ethyl group, propyl group, isopropyl group, butyl group, isobutyl group, sec-. Examples thereof include a butyl group, a tert-butyl group, a pentyl group, and a hexyl group.
In the formula (I), the alkoxy group in R 2 includes a methoxy group, an ethoxy group, a propoxy group, an isopropoxy group, a 2,3-dihydroxypropoxy group and the like, and a methoxy group and a 2,3-dihydroxypropoxy group are used. preferable.
In the formula (I), the carbon chain length of the acyl group in the acylamino group of R3 is preferably 2 to 6 carbon atoms, and more preferably 2 to 4 carbon atoms.
In the formula (I) , the sulfo group in R3 also contains a pharmaceutically acceptable salt, and a sodium salt or a potassium salt is preferable.
Examples of the compound (I) include acetaminophen represented by the following formula (I) -1, ethenzamide represented by the following formula (I) -2, and guaiacol sulfone represented by (I) -3. Examples thereof include potassium acid, guaifenesin represented by (I) -4, potassium cresol sulfonate represented by (I) -5, and the like.
The acetaminophen and ethenzamide are drugs used as one of the main components of antipyretic analgesics that suppress symptoms such as fever and headache, and potassium guayacol sulfonate, guaifenesin and potassium cresol sulfonate are drugs that produce sputum. Although it is an expectorant component that makes it easy to release, in the present invention, it is used as one of the active ingredients of an intestinal environment improving agent.
As the compound (I), acetaminophen and ethenzamide are more preferable because they can effectively improve the disturbance or deterioration of the intestinal environment caused by a drug or the like.
本発明の腸内環境改善剤が適用される腸としては、小腸、大腸が挙げられる。小腸には、十二指腸、空腸、回腸が含まれる。大腸には、盲腸、結腸、直腸が含まれる。 Examples of the intestine to which the intestinal environment improving agent of the present invention is applied include the small intestine and the large intestine. The small intestine includes the duodenum, jejunum, and ileum. The large intestine includes the cecum, colon, and rectum.
ヒトには細菌が常在しており、消化管における総菌数が最も多いのは腸である。腸内では、典型的な細菌密度(回腸:108/mL、大腸:1011/mL程度)が、胃(103~4/mL)と比較して高いことに加え、細菌種も約1000種類が存在する。本発明において、「腸内フローラ又は腸内細菌叢」とは、腸内における細菌全体を意味し、「腸内環境」とは、腸内細菌間、又は、腸内細菌と宿主細胞とにより形成される腸内生態系を意味する。 Bacteria are resident in humans, and the intestine has the highest total number of bacteria in the digestive tract. In the intestine, the typical bacterial density (ileum: 108 / mL, large intestine: 10 11 / mL) is higher than that of the stomach (103-4 / mL), and the number of bacterial species is about 1000. There are types. In the present invention, "intestinal flora or intestinal flora" means the whole bacteria in the intestine, and "intestinal environment" is formed between intestinal bacteria or between intestinal bacteria and host cells. Means the intestinal ecosystem to be treated.
腸内環境は、腸内フローラ又は腸内細菌叢と宿主間の相互コミュニケーションによって制御されているため、腸内フローラ又は腸内細菌叢の乱れ又は悪化は、腸内環境の乱れ又は悪化を引き起こす。従って、本発明において、「腸内環境の乱れ又は悪化」とは、腸内フローラ又は腸内細菌叢の乱れによる、腸内環境の乱れ又は悪化を含む。腸内環境の乱れ又は悪化は、宿主へ悪影響を及ぼす。宿主への悪影響としては、例えば、腸粘膜において炎症が惹起されること等が挙げられる。 Since the intestinal environment is controlled by mutual communication between the intestinal flora or the intestinal flora and the host, disturbance or deterioration of the intestinal flora or intestinal flora causes disturbance or deterioration of the intestinal environment. Therefore, in the present invention, "disturbance or deterioration of the intestinal environment" includes disturbance or deterioration of the intestinal environment due to disturbance of the intestinal flora or the intestinal bacterial flora. Disturbances or deterioration of the intestinal environment adversely affect the host. Examples of adverse effects on the host include inflammation in the intestinal mucosa.
本発明において、「腸内フローラ又は腸内細菌叢の乱れ」とは、正常状態と、腸内フローラ又は腸内細菌叢が異なることにより、宿主に対して悪影響がある状態を意味し、例えば、薬物を投与している場合の腸内フローラ又は腸内細菌叢が、薬物を投与していない場合の腸内フローラ又は腸内細菌叢と類似度が低くなることにより、宿主に悪影響がある状態等が挙げられる。 In the present invention, "disturbance of the intestinal flora or the intestinal flora" means a state in which the normal state and the intestinal flora or the intestinal flora are different from each other and have an adverse effect on the host, for example. A condition in which the intestinal flora or intestinal flora when the drug is administered has a low degree of similarity to the intestinal flora or the intestinal flora when the drug is not administered, which adversely affects the host, etc. Can be mentioned.
本発明において、「腸内環境の改善」とは、腸内フローラ又は腸内細菌叢を改善することを含む。腸内フローラ又は腸内細菌叢の改善としては、宿主に有用な細菌(善玉菌)の数または割合を増加させることであっても、宿主に有用な細菌の数または割合の減少を抑制し、正常状態又は正常状態に近い腸内フローラ又は腸内細菌叢とし、宿主に対する悪影響を抑制することであっても、いずれであってもよい。宿主に対する悪影響を抑制することとしては、例えば、腸粘膜における炎症が抑制されること等が挙げられる。すなわち、本発明の腸内環境改善剤は、宿主に有用な細菌の数または割合を増加させる腸内環境改善剤であっても、宿主に有用な細菌の数又は割合の減少を抑制する腸内環境改善剤であってもよい。
宿主に有用な細菌としては、例えばプロバイオティクスとしても用いられるラクトバチルス属細菌、ビフィドバクテリウム属細菌、ストレプトコッカス属細菌などの乳酸菌等が挙げられる。
In the present invention, "improvement of the intestinal environment" includes improving the intestinal flora or the intestinal flora. As an improvement of the intestinal flora or intestinal flora, even if the number or proportion of bacteria useful for the host (good bacteria) is increased, the decrease in the number or proportion of bacteria useful for the host is suppressed. It may be an intestinal flora or an intestinal flora that is in a normal state or close to a normal state, and may suppress adverse effects on the host. Examples of suppressing the adverse effect on the host include suppressing inflammation in the intestinal mucosa. That is, the intestinal environment improving agent of the present invention is an intestinal environment improving agent that increases the number or proportion of bacteria useful for the host, but suppresses the decrease in the number or proportion of bacteria useful for the host. It may be an environmental improver.
Examples of bacteria useful for the host include lactic acid bacteria such as Lactobacillus bacteria, Bifidobacterium bacteria, and Streptococcus bacteria, which are also used as probiotics.
上記において、「正常状態に近い腸内フローラ又は腸内細菌叢」とは、正常状態の腸内フローラ又は腸内細菌叢と類似度が高い腸内フローラ又は腸内細菌叢を意味する。従って、「正常状態に近い腸内フローラ又は腸内細菌叢とする」とは、例えば、腸内フローラ又は腸内細菌叢を、正常状態の腸内フローラ又は腸内細菌叢との類似度を高くすること又は低くしないことを意味し、例えば、薬物投与により、薬物を投与していない腸内フローラ又は腸内細菌叢との類似度が低くなった腸内フローラ又は腸内細菌叢の、薬物を投与していない腸内フローラ又は腸内細菌叢との類似度を高くすること等が挙げられる。 In the above, the "intestinal flora or intestinal flora close to the normal state" means the intestinal flora or intestinal flora having a high degree of similarity to the intestinal flora or intestinal flora in the normal state. Therefore, "to make the intestinal flora or intestinal flora close to the normal state" means, for example, that the intestinal flora or intestinal flora has a high degree of similarity to the normal intestinal flora or intestinal flora. Means to do or not to lower, for example, a drug in an intestinal flora or gut microbiota that has become less similar to a non-drug intestinal flora or gut microbiota due to drug administration. It is possible to increase the degree of similarity with the intestinal flora or the intestinal flora that has not been administered.
なお、腸内フローラ又は腸内細菌叢の乱れ又は悪化は、アレルギー、腸炎、腸管出血の増悪、腸管の透過性、肥満、糖尿病等への関与が報告されており、腸内フローラ又は腸内細菌叢の乱れ又は悪化の改善によりこれら症状への改善が期待される。 Disorders or deterioration of the intestinal flora or intestinal bacterial flora has been reported to be involved in allergies, enterocolitis, exacerbation of intestinal bleeding, intestinal permeability, obesity, diabetes, etc., and intestinal flora or intestinal bacteria. It is expected that these symptoms will be improved by improving the disorder or deterioration of the flora.
本発明の腸内環境改善剤において、腸内環境の乱れ又は悪化の原因は特に制限はなく、例えば、食習慣、喫煙、ストレス、薬物投与等が挙げられるが、本発明の腸内環境改善剤は、薬物投与による腸内環境の乱れ又は悪化に対して好ましく適用され、NSAIDs投与による腸内環境の乱れ又は悪化に対して、より好ましく適用される。 In the intestinal environment improving agent of the present invention, the cause of disturbance or deterioration of the intestinal environment is not particularly limited, and examples thereof include eating habits, smoking, stress, drug administration, etc. Is preferably applied to the disturbance or deterioration of the intestinal environment due to drug administration, and more preferably applied to the disturbance or deterioration of the intestinal environment due to NSAIDs administration.
前記腸内環境の乱れ又は悪化の原因となる薬物としては、特に制限はないが、例えば、NSAIDsが挙げられる。前記NSAIDsとしては、ジクロフェナク、インドメタシン、エトドラク、ナプロキセン、メロキシカム、イブプロフェン、ロキソプロフェン、セレコキシブ、ケトプロフェン、アセチルサリチル酸やこれらの医薬的に許容可能な塩等が挙げられる。 The drug that causes the disturbance or deterioration of the intestinal environment is not particularly limited, and examples thereof include NSAIDs. Examples of the NSAIDs include diclofenac, indomethacin, etodolac, naproxen, meroxycam, ibuprofen, loxoprofen, celecoxib, ketoprofen, acetylsalicylic acid and pharmaceutically acceptable salts thereof.
腸内環境の乱れ又は悪化の原因となる薬物投与の投与経路としては、経口投与、非経口投与(静脈内投与、筋肉内投与、皮下投与、経皮投与、経鼻投与、経肺投与等)等が挙げられる。本発明の腸内環境改善剤は、これらの中でも、薬物の経口投与(内服)による腸内環境の乱れ又は悪化に対して好ましく適用される。 Oral administration and parenteral administration (intravenous administration, intramuscular administration, subcutaneous administration, transdermal administration, nasal administration, pulmonary administration, etc.) are the routes of administration of drugs that cause disturbance or deterioration of the intestinal environment. And so on. Among these, the intestinal environment improving agent of the present invention is preferably applied to the disorder or deterioration of the intestinal environment due to oral administration (oral administration) of a drug.
本発明の腸内環境改善剤の使用において、化合物(I)の1回当たりの投与量は、化合物(I)を成人で、3~4000mgとすることが好ましく、3~2000mgとすることがより好ましく、50~1000mgとすることがさらに好ましい。 In the use of the intestinal environment improving agent of the present invention, the single dose of compound (I) is preferably 3 to 4000 mg for adults, and more preferably 3 to 2000 mg. It is preferably 50 to 1000 mg, and more preferably 50 to 1000 mg.
本発明の腸内環境改善剤の使用において、化合物(I)の1日当たりの投与量は、化合物(I)を成人で、3~5000mgとすることが好ましく、10~4000mgとすることがより好ましく、150~4000mgとすることがさらに好ましい。例えば、化合物(I)として、アセトアミノフェンを用いる場合は、1日当たり150~4000mgとすることができ、化合物(I)として、エテンザミドを用いる場合には、1日当たり250~1500mgとすることができる。 In the use of the intestinal environment improving agent of the present invention, the daily dose of compound (I) is preferably 3 to 5000 mg, more preferably 10 to 4000 mg for adults. , 150-4000 mg is more preferable. For example, when acetaminophen is used as compound (I), it can be 150 to 4000 mg per day, and when ethenzamide is used as compound (I), it can be 250 to 1500 mg per day. ..
本発明の腸内環境改善剤には、必要に応じて、前記化合物(I)以外の他の薬物を含有することができる(配合剤と称する)。
前記他の薬物としては、例えば、
解熱・鎮痛・消炎薬(例えばアセチルサリチル酸、サリチル酸ナトリウム、サリチルアミド、サザピリン等のサリチル酸系薬剤、イブプロフェン、ロキソプロフェン等のプロピオン系薬剤、フルフェナム酸、メフェナム酸等のフェナム酸系薬剤、ジクロフェナクナトリウム、インドメタシン等のアリール酢酸系薬剤、フェニルブタゾン、オキシフェニルブタゾン等のピラゾリジン系薬剤、ブコローム等のピリミジン系薬剤、ピロキシカム等のオキシカム系薬剤、スルピリン等のピリン系薬剤、イソプロピルアンチピリン等);
抗ヒスタミン薬(例えば塩酸ジフェンヒドラミン、マレイン酸クロルフェニラミン、フマル酸クレマスチン、マレイン酸カルビノキサミン等);
鎮咳薬(例えば臭化水素酸デキストロメトルファン、リン酸ジヒドロコディン、リン酸コディン、ヒベンズ酸チペピジン、塩酸クロペラスチン、ベンゾナテート等);
去痰薬(例えば塩酸ノスカピン、塩酸ブロムヘキシン等);
塩酸L-システイン、塩酸L-メチルシステイン、アセチルシステイン等の粘膜溶解液;カルボシステイン等の粘液修復薬;
塩化リゾチーム等の消炎酵素剤;
グリチルリチン酸等の抗炎症剤;
アリルイソプロピルアセチル尿素等の催眠鎮静剤;
塩酸アンブロキソール等の粘液潤滑薬;
塩酸テルビナフィン等の抗真菌剤;
気管支拡張薬又は喘息治療薬(例えばシュードエフェドリン、塩酸エフェドリン、塩酸メチルエフェドリン、塩酸テルブタリン、イソプロテレノール、サルブタモール、テルブタリン等のβ2-アドレナリン受容体刺激薬、テオフィリン、アミノフィリン、プロキシフィリン等のキサンチン系薬剤、クロモグリク酸等);
アミノ酸類;生薬;ビタミン類(ビタミンA,D,E,K,U等の脂溶性ビタミン類;ビタミンB,C,P等の水溶性ビタミン類);等が例示できる。
これら他の薬物は単独で又は二種以上組み合わせて使用できる。
本発明の腸内環境改善剤における前記他の薬物の含有量は、目的とする医薬製剤の用途により、有効性と安全性を鑑み各々適切な処方量で設定する。
本発明の腸内環境改善剤には、薬物投与により生じる腸内環境の乱れ又は悪化を改善することができるため、前記の他の薬物のうち、解熱・鎮痛・消炎薬(例えば、アセチルサリチル酸、サリチル酸ナトリウム、サリチルアミド、サザピリン等のサリチル酸系薬剤、イブプロフェン、ロキソプロフェン、ナプロキセン、ケトプロフェン等のプロピオン系薬剤、フルフェナム酸、メフェナム酸等のフェナム酸系薬剤、ジクロフェナクナトリウム、インドメタシン等のアリール酢酸系薬剤、フェニルブタゾン、オキシフェニルブタゾン等のピラゾリジン系薬剤、ブコローム等のピリミジン系薬剤、メロキシカム、ピロキシカム等のオキシカム系薬剤、スルピリン等のピリン系薬剤、イソプロピルアンチピリン、セレコキシブ等)を含有する配合薬が有用であり好ましく、NSAIDsの中でも、ジクロフェナク、インドメタシン、ナプロキセン、メロキシカム、イブプロフェン、ロキソプロフェン、セレコキシブ、ケトプロフェン、アセチルサリチル酸やこれらの医薬的に許容可能な塩が特に有用であり好ましい。
前記配合剤において、前記化合物(I)以外の他の薬物が腸内環境の乱れ又は悪化の原因となる薬物である場合、腸内環境の乱れ又は悪化の原因となる薬物に対する化合物(I)の含有質量比は、0.05~20が好ましく、0.2~10が好ましい。前記範囲内とすることで、腸内環境の乱れ又は悪化の原因となる薬物による薬効を維持しつつ、腸内環境の乱れ又は悪化の原因となる薬物による腸内環境の乱れ又は悪化が効果的に改善される。
The intestinal environment improving agent of the present invention may contain a drug other than the above-mentioned compound (I), if necessary (referred to as a combination drug).
Examples of the other drug include, for example.
Antifever / analgesic / anti-inflammatory agents (for example, salicylic acid agents such as acetylsalicylic acid, sodium salicylate, salicylamide, and sazapyrine, propion agents such as ibuprofen and loxoprofen, phenamic acid agents such as flufenamic acid and mefenamic acid, diclofenac sodium, indomethacin, etc. Arylacetic acid-based agents, phenylbutazone, pyrazolidine-based agents such as oxyphenylbutazone, pyrimidin-based agents such as bucolome, oxycam-based agents such as pyroxycam, pyrin-based agents such as sulpyrine, isopropylantipyrine, etc.);
Antihistamines (eg, diphenhydramine hydrochloride, chlorpheniramine maleate, clemastine fumarate, carbinoxamine maleate, etc.);
Antitussives (eg, dextromethorphan hydrobromide, dihydrocodine phosphate, coddin phosphate, tipepidine hibenzate, cloperastine hydrochloride, benzonatate, etc.);
Expectorants (eg noscapine hydrochloride, bromhexine hydrochloride, etc.);
Mucosal lysates such as L-cysteine hydrochloride, L-methylcysteine hydrochloride, acetylcysteine; mucus repair agents such as carbocisteine;
Anti-inflammatory enzyme agents such as lysozyme chloride;
Anti-inflammatory agents such as glycyrrhizic acid;
Hypnotic sedatives such as allylisopropylacetylurea;
Mucus lubricants such as ambroxol hydrochloride;
Antifungal agents such as terbinafine hydrochloride;
Bronchodilators or asthma treatments (eg, β2-adrenaline receptor stimulants such as pseudoephedrine, ephedrine hydrochloride, methylephedrine hydrochloride, terbutaline hydrochloride, isoproterenol, salbutaline, terbutaline, and xanthine agents such as theophylline, aminophyllin, and proxyphyllin. , Chromoglicic acid, etc.);
Amino acids; crude drugs; vitamins (fat-soluble vitamins such as vitamins A, D, E, K, U; water-soluble vitamins such as vitamins B, C, P); and the like can be exemplified.
These other drugs can be used alone or in combination of two or more.
The content of the other drug in the intestinal environment improving agent of the present invention is set to an appropriate prescription amount in consideration of efficacy and safety depending on the intended use of the pharmaceutical preparation.
Since the intestinal environment improving agent of the present invention can improve the disturbance or deterioration of the intestinal environment caused by drug administration, among the above-mentioned other drugs, a fever-relieving / analgesic / anti-inflammatory agent (for example, acetylsalicylic acid, etc.) Salicylic acid-based drugs such as sodium salicylate, salicylamide, and sazapyrin, propion-based drugs such as ibuprofen, loxoprofen, naproxen, and ketoprofen, phenamic acid-based drugs such as flufenamic acid and mephenamic acid, arylacetic acid-based drugs such as diclofenac sodium and indomethacin, and phenyl. Combination drugs containing pyrazolidine drugs such as butazone and oxyphenylbutazone, pyrimidine drugs such as bucolome, oxycam drugs such as meloxicam and pyroxycam, pyrin drugs such as sulpyrine, isopropylantipyrine, selecoxib, etc. are useful. Preferably, among the NSAIDs, diclofenac, indomethacin, naproxene, meloxicam, ibuprofen, loxoprofen, selecoxib, ketoprofen, acetylsalicylic acid and pharmaceutically acceptable salts thereof are particularly useful and preferable.
In the combination drug, when a drug other than the compound (I) is a drug that causes disturbance or deterioration of the intestinal environment, the compound (I) for the drug that causes disturbance or deterioration of the intestinal environment The content mass ratio is preferably 0.05 to 20, preferably 0.2 to 10. Within the above range, it is effective to disturb or worsen the intestinal environment by the drug that causes the disturbance or deterioration of the intestinal environment while maintaining the medicinal effect of the drug that causes the disturbance or deterioration of the intestinal environment. Will be improved.
本発明の腸内環境改善剤には、本発明の効果を損なわない範囲で、上記以外の任意成分を含有することができる。前記任意成分としては、結合剤、賦形剤、滑沢剤、香料、矯味剤(甘味料、酸味料等)、色素、安定化剤、コーティング剤、可塑剤、隠蔽剤等が挙げられ、1種単独で又は2種以上を適宜組み合わせて適量を用いることができる。
結合剤としては、例えば、澱粉、α化デンプン、ショ糖、ゼラチン、アラビアゴム末、メチルセルロース、ヒドロキシプロピルセルロース、ポリビニルピロリドン、プルラン、デキストリン等を用いることができる。
賦形剤としては、例えば、低置換度ヒドロキシプロピルセルロース、トウモロコシデンプン、乳糖、タルク、結晶セルロース(セオラス等)、粉糖、マンニトール等の糖アルコール類、軽質無水ケイ酸等を用いることができる。
滑沢剤としては、例えば、ステアリン酸マグネシウム、ステアリン酸カルシウム、ポリエチレングリコール、タルク、ステアリン酸、ショ糖脂肪酸エステル、フマル酸ステアリルナトリウム等が挙げられる。香料としては、メントール、リモネン、植物精油(ハッカ油、ミント油、ライチ油、オレンジ油、レモン油等)等が挙げられる。
甘味料としては例えば、サッカリンナトリウム、アスパルテーム、ステビア、グリチルリチン酸二カリウム、アセスルファムカリウム、ソーマチン、スクラロース等が挙げられる。
酸味料としては、例えば、クエン酸、酒石酸、リンゴ酸、コハク酸、フマル酸、乳酸又はそれらの塩等を用いることができる。
コーティング剤としては、例えば、ヒドロキシプロピルメチルセルロース、ヒドロキシエチルセルロース、ポリビニルアルコール、カルボキシメチルセルロース、エチルセルロース、「オパドライ(商品名)」(日本カラコン合同会社製)等を用いることができる。
可塑剤としては、例えば、ポリエチレングリコール、トリアセチン等を用いることができる。
隠蔽剤としては、例えば、酸化チタン、タルク等を用いることができる。
The intestinal environment improving agent of the present invention may contain arbitrary components other than the above as long as the effects of the present invention are not impaired. Examples of the optional component include binders, excipients, lubricants, fragrances, flavoring agents (sweeteners, acidulants, etc.), pigments, stabilizers, coating agents, plasticizers, concealing agents, and the like. Appropriate amounts can be used alone or in combination of two or more.
As the binder, for example, starch, pregelatinized starch, sucrose, gelatin, gum arabic powder, methyl cellulose, hydroxypropyl cellulose, polyvinylpyrrolidone, pullulan, dextrin and the like can be used.
As the excipient, for example, low-substituted hydroxypropyl cellulose, corn starch, lactose, talc, crystalline cellulose (theoras or the like), powdered sugar, sugar alcohols such as mannitol, light anhydrous silicic acid and the like can be used.
Examples of the lubricant include magnesium stearate, calcium stearate, polyethylene glycol, talc, stearic acid, sucrose fatty acid ester, sodium stearyl fumarate and the like. Examples of the fragrance include menthol, limonene, vegetable essential oil (mentha oil, mint oil, lychee oil, orange oil, lemon oil, etc.) and the like.
Examples of the sweetener include sodium saccharin, aspartame, stevia, dipotassium glycyrrhizinate, acesulfame potassium, thaumatin, sucralose and the like.
As the acidulant, for example, citric acid, tartaric acid, malic acid, succinic acid, fumaric acid, lactic acid or salts thereof can be used.
As the coating agent, for example, hydroxypropylmethyl cellulose, hydroxyethyl cellulose, polyvinyl alcohol, carboxymethyl cellulose, ethyl cellulose, "Opadry (trade name)" (manufactured by Nippon Caracon LLC) and the like can be used.
As the plasticizer, for example, polyethylene glycol, triacetin and the like can be used.
As the concealing agent, for example, titanium oxide, talc or the like can be used.
本発明の腸内環境改善剤の投与形態は特に限定されない。例えば、経口投与(例えば、口腔内投与、舌下投与等)、非経口投与(静脈内投与、筋肉内投与、皮下投与、経皮投与、経鼻投与、経肺投与等)等が挙げられる。これらの中でも侵襲性の少ない投与形態が好ましく、腸内環境の乱れ又は悪化を効果的に改善する観点から、経口投与(内服)がより好ましい。 The administration form of the intestinal environment improving agent of the present invention is not particularly limited. For example, oral administration (for example, oral administration, sublingual administration, etc.), parenteral administration (intravenous administration, intramuscular administration, subcutaneous administration, transdermal administration, nasal administration, pulmonary administration, etc.) and the like can be mentioned. Among these, a less invasive administration form is preferable, and oral administration (oral administration) is more preferable from the viewpoint of effectively improving the disorder or deterioration of the intestinal environment.
経口投与剤(内服剤)又は経口投与用組成物(内服用組成物)の剤形としては、例えば、液状(液剤)、シロップ状(シロップ剤)、錠剤(錠剤、タブレット)、カプセル状(カプセル剤)、粉末状(顆粒、細粒)、ソフトカプセル状(ゼラチン基剤等のソフトカプセル剤)、ハードカプセル状(ハードカプセル剤)、液状(液剤)、シロップ状(シロップ剤)、固形状、半液体状、クリーム状、ペースト状が挙げられる。
本発明の腸内環境改善剤を製剤形態とする方法は特に限定されず、製剤形態に応じ、常法により実施できる。例えば、本発明の腸内環境改善剤の有効成分である化合物(I)と他の成分とをそのまま混合し、あるいは前記成分の一部または全部に造粒やコーティングを施してから混合して粒状混合物を製造し、これを粒状剤(顆粒剤、細粒剤、散剤)とすることができる。また、前記粒状混合物を打錠し、さらに必要に応じてコーティングを行い、錠剤とすることができる。
The dosage form of the oral administration agent (oral preparation) or the oral administration composition (oral administration composition) is, for example, liquid (liquid), syrup (syrup), tablet (tablet, tablet), capsule (capsule). Agent), powder (granule, fine granule), soft capsule (soft capsule such as gelatin base), hard capsule (hard capsule), liquid (liquid), syrup (syrup), solid, semi-liquid, Examples include cream and paste.
The method of using the intestinal environment improving agent of the present invention as a pharmaceutical form is not particularly limited, and can be carried out by a conventional method depending on the pharmaceutical form. For example, the compound (I), which is the active ingredient of the intestinal environment improving agent of the present invention, and other components are mixed as they are, or a part or all of the components are granulated or coated and then mixed and granulated. A mixture can be produced and used as granules (granule, fine granule, powder). Further, the granular mixture can be tableted and further coated if necessary to form a tablet.
以下、実施例を示し、本発明を具体的に説明するが、本発明は下記の実施例に制限されるものではない。 Hereinafter, the present invention will be specifically described with reference to Examples, but the present invention is not limited to the following Examples.
[実施例1]
(1)動物
7週齢のSD雄性ラット(日本チャールスリバー)を4日以上検疫馴化後、健康な個体を選定した。16時間以上絶食させた(水は自由摂取)後、給餌し、1時間後試験に供した。
[Example 1]
(1) Animals 7-week-old SD male rats (Charles River Japan) were quarantined for 4 days or more, and then healthy individuals were selected. After fasting for 16 hours or more (free intake of water), the animals were fed and subjected to the
(2)試料(懸濁液)
ラットに対する試料の投与量を、10mL/kg体重とし、イブプロフェン(IBP)の投与量が200mg/kg体重となる試料、イブプロフェン(IBP)とアセトアミノフェン(APAP)との投与量がそれぞれ200mg/kg体重、200mg/kg体重となる試料(IBP+APAP)、イブプロフェン(IBP)とエテンザミド(ETZ)との投与量がそれぞれ200mg/kg体重、116mg/kg体重となる試料(IBP+ETZ)の調製を行った。コントロール試料(Vehicle)としては、各薬液の懸濁溶媒である5%アラビアゴム液を試料として調製した。
(2) Sample (suspension)
The dose of the sample to the rat is 10 mL / kg body weight, and the dose of ibuprofen (IBP) is 200 mg / kg body weight, and the dose of ibuprofen (IBP) and acetaminophen (APAP) is 200 mg / kg, respectively. A sample having a body weight of 200 mg / kg body weight (IBP + APAP) and a sample having a dose of ibuprofen (IBP) and ethenzamide (ETZ) of 200 mg / kg body weight and 116 mg / kg body weight were prepared, respectively. As a control sample (Vehicle), a 5% gum arabic solution, which is a suspension solvent for each drug solution, was prepared as a sample.
(3)試料の投与
各試料をそれぞれ、10mL/kg体重として投与した。具体的には、あらかじめ測定しておいたラットの体重にあわせた量の試料(例えば、ラット体重が200gであれば2mL)を、ラット用経口投与ゾンデを装着したディスポーザブル注射筒にとり、強制経口投与した。各例について、ラット5匹を用いた(n=5)。
(3) Administration of samples Each sample was administered at a body weight of 10 mL / kg. Specifically, a sample (for example, 2 mL if the rat weight is 200 g) measured in advance according to the rat body weight is taken in a disposable syringe equipped with a rat oral administration sonde and forcibly orally administered. bottom. For each example, 5 rats were used (n = 5).
(4)試験サンプルの採取
各試料投与16時間後にイソフルラン麻酔下にて小腸を摘出した。摘出した小腸を図1に示すように8つのセクションに分割し、胃側から7番目のセクションを開き、内容物を洗浄した後に小腸粘膜を採取した。
(4) Collection of test samples 16 hours after administration of each sample, the small intestine was removed under isoflurane anesthesia. The removed small intestine was divided into eight sections as shown in FIG. 1, the seventh section from the gastric side was opened, the contents were washed, and then the small intestinal mucosa was collected.
(5)小腸粘膜からのDNA抽出
小腸粘膜からのDNA抽出は、PowerSoil DNA Isolation Kit(QIAGEN社製)を用い、付属の使用方法に準じ、下記のように行った。
採取した小腸粘膜を、付属のPowerBead Tubeにサンプルを移し、ボルテックスミキサーで混合した後、Solution C1を60μL加え、数回反転させた。その後、Vortex Adapter tubes holderを使用して、PowerBead Tubeを水平に固定し、ボルテックスミキサーで10分間撹拌した。
次に、10,000×gで1分間遠心分離後、上清を新しい2mL Collection Tubeに移し、Solution C2を250μL添加して、ボルテックスミキサーで5秒間撹拌した。その後、Collection Tubeを4℃で5分間インキュベートし、10,000×gで1分間遠心分離した。得られた上清を新しい2mL Collection Tubeに移し、Solution C3を200μL添加し、ボルテックスミキサーで短時間撹拌した。
次に、上記Collection Tubeを4℃で5分間インキュベートした後、10,000×gで1分間遠心分離し、上清を新しい2mL Collection Tubeに移した。Solution C4をよく混合し、1.2mLを上清に加え、5秒間ボルテックスミキサーで撹拌した。その後、MB Spin Columnに675μLを添加し、MB Spin ColumnにDNAを吸着させ、10,000×gで1分間遠心分離し、ろ液は破棄した。全てのサンプルについて、上記処理を行った。
上記で得られた各サンプルについてのMB Spin ColumnにSolution C5を500μL加え、10,000×gで1分間遠心分離した後、ろ液を破棄し、さらに、10,000×gで1分間遠心分離し、残留溶液を除去した。次に、MB Spin Columnを、新しい2mL Collection Tubeに載せ、Solution C6の50μLをMB Spin Columnの中央に加えDNAを溶出した。10,000×gで1分間遠心分離し、溶出したDNAをサンプルとした。
(5) DNA extraction from the small intestinal mucosa DNA extraction from the small intestinal mucosa was performed using the PowerSoil DNA Resolution Kit (manufactured by QIAGEN) according to the attached usage method as follows.
The collected small intestinal mucosa was transferred to the attached PowerBead Tube, mixed with a vortex mixer, and then 60 μL of Solution C1 was added and inverted several times. Then, using a Vortex Adapter tubes holder, the PowerBed Tube was fixed horizontally and stirred with a vortex mixer for 10 minutes.
Next, after centrifugation at 10,000 xg for 1 minute, the supernatant was transferred to a new 2 mL Collection Tube, 250 μL of Solution C2 was added, and the mixture was stirred with a vortex mixer for 5 seconds. The Collection Tube was then incubated at 4 ° C. for 5 minutes and centrifuged at 10,000 xg for 1 minute. The obtained supernatant was transferred to a new 2 mL Collection Tube, 200 μL of Solution C3 was added, and the mixture was briefly stirred with a vortex mixer.
The Collection Tube was then incubated at 4 ° C. for 5 minutes, then centrifuged at 10,000 xg for 1 minute and the supernatant was transferred to a new 2 mL Collection Tube. Solution C4 was mixed well, 1.2 mL was added to the supernatant, and the mixture was stirred with a vortex mixer for 5 seconds. Then, 675 μL was added to MB Spin Colon, DNA was adsorbed on MB Spin Colon, and the mixture was centrifuged at 10,000 × g for 1 minute, and the filtrate was discarded. The above processing was performed on all the samples.
Add 500 μL of Solution C5 to the MB Spin Volume for each sample obtained above, centrifuge at 10,000 × g for 1 minute, discard the filtrate, and further centrifuge at 10,000 × g for 1 minute. And the residual solution was removed. Next, MB Spin Volume was placed on a new 2 mL Collection Tube, and 50 μL of Solution C6 was added to the center of MB Spin Collection to elute the DNA. Centrifugation was performed at 10,000 × g for 1 minute, and the eluted DNA was used as a sample.
(6)細菌叢解析
次世代シーケンサー MiSeq(illumina社製)を用いて、次のようにして細菌叢の解析を行った。
表1に示した、16S rRNA遺伝子V1-V2領域の増幅プライマー(フォワードプライマー:配列番号1で表される塩基配列からなる27Fmod、リバースプライマー:配列番号2で表される塩基配列からなる338R)を用い、16S rRNA遺伝子を、KAPA2G Robust PCR Kit(Kapa Biosystems社製)を使用し、表2に示す組成、表3に示す条件でPCRを行うことにより増幅した。得られたPCR産物は、電気泳動を行い、目的領域の配列長の増幅を確認した。DNAの精製はAM Pure XP(Beckman Coulter社製)を用い、所定の手順に準じて行った。精製後のサンプルは、Quant-iT PicoGreen dsDNA Assay Kit(Thermo Fisher Scientific社製)で濃度を測定し、各サンプル同DNA量となるよう混合しライブラリを作成した。ライブラリの精製は、MinElute PCR Purification Kit(QIAGEN社製)を用い、所定の手順に準じて行った。ライブラリの濃度は、KAPA Library Quant Kit(Kapa Biosystems社製)を用い、リアルタイムPCRで測定した。ライブラリの配列長は、Bioanalyzer(Agilent社製)で確認した。配列情報の取得は、MiSeq Reagent Kits v3(illumina)及び次世代シーケンサーMeSeq(illumina)を用い、所定の手順に準じて行った。
(6) Bacterial plexus analysis Using the next-generation sequencer MiSeq (manufactured by Illumina), the bacterial plexus was analyzed as follows.
Amplification primers for the 16S rRNA gene V1-V2 region shown in Table 1 (forward primer: 27Fmod consisting of the base sequence represented by SEQ ID NO: 1 and reverse primer: 338R consisting of the base sequence represented by SEQ ID NO: 2). The 16S rRNA gene used was amplified by performing PCR under the composition shown in Table 2 and the conditions shown in Table 3 using the KAPA2G Robot PCR Kit (manufactured by Kappa Biosystems). The obtained PCR product was electrophoresed, and amplification of the sequence length of the target region was confirmed. The DNA was purified using AM Pure XP (manufactured by Beckman Coulter) according to a predetermined procedure. The purified samples were measured in concentration with a Quant-iT PicoGreen dsDNA Assay Kit (manufactured by Thermo Fisher Scientific), and the samples were mixed so as to have the same amount of DNA to prepare a library. The library was purified using a MinElute PCR Purification Kit (manufactured by QIAGEN) according to a predetermined procedure. The concentration of the library was measured by real-time PCR using KAPA Library Quant Kit (manufactured by Kapa Biosystems). The sequence length of the library was confirmed by Bioanalyzer (manufactured by Agilent). The sequence information was acquired using MiSeq Reagent Kits v3 (illumina) and the next-generation sequencer MeSeq (illumina) according to a predetermined procedure.
得られた配列を、Forwardプライマー、Reverseプライマーを両方含む配列、配列の信頼性を示すQuality valueが25以上の配列、データベースの遺伝子配列と比較し、アライメント長が90%以上の配列を条件にフィルタリングを行った。以降の解析には、フィルタリングをクリアした配列のみを使用した。サンプルごとに、ランダムに3000配列抽出し、データ数を統一した。97%以上の相同性を持つ配列を一つのグループとしてOperational Taxonomic Unit(OTU)を作成した。各OTUの代表配列を3つの公的なデータベース(RDP,CORE,NCBI)と照合し、細菌種を同定した。相同性が97%以上の細菌種のみを採用し、それ以外はUndefinedとした。統計解析は、統計分析フリーソフトウェアR ver 3.4.4を使用して行った。 The obtained sequence is compared with a sequence containing both a Forward primer and a Reverse primer, a sequence having a quality value of 25 or more indicating the reliability of the sequence, and a gene sequence in the database, and filtering is performed on the condition that the alignment length is 90% or more. Was done. For the subsequent analysis, only the sequences that cleared the filtering were used. 3000 sequences were randomly extracted for each sample, and the number of data was unified. An Operational Taxonomy Unit (OTU) was created with sequences having 97% or more homology as one group. Bacterial species were identified by collating the representative sequences of each OTU with three public databases (RDP, CORE, NCBI). Only bacterial species with a homology of 97% or more were adopted, and the others were designated as Undefined. Statistical analysis was performed using statistical analysis free software R ver 3.4.4.
(7)試験結果
試料投与による細菌叢の変化を、UniFrac解析で得られた細菌叢の類似度により評価した。UniFrac解析は、各群に属する塩基配列(各OTUの代表配列)を用いて系統樹を作成し、比較するサンプル間の細菌叢の類似度(即ち、細菌叢構造全体の違い)を計算する手法である。UniFrac解析によって得られる類似度は、UniFrac distanceとして算出され、サンプル間の細菌叢の類似度が高いほど小さな値(0に近づく)を示す。すなわち、Vehicle群とIBP投与群の距離(UniFrac distance)と比較し、Vehicle群とIBP+APAP投与群の距離が統計学的に有意に小さい値であれば、IBP投与群よりIBP+APAP投与群がVehicle群と細菌叢の類似度が高いことを示す。同様に、Vehicle群とIBP投与群の距離(UniFrac distance)と比較し、Vehicle群とIBP+ETZ投与群の距離が統計学的に有意に小さい値であれば、IBP投与群よりIBP+ETZ投与群がVehicle群と細菌叢の類似度が高いことを示す。UniFrac解析(Weighted)におけるVehicle群内、及び、Vehicle群と薬剤投与群との間のUniFrac distanceの結果を図2A及び図2Bに示す。
図2Aでは、IBP投与群、IBP+APAP投与群ともに、Vehicle群内の類似度と比較すると有意に異なる細菌叢であった。しかし、IBP+APAP投与群は、IBP投与群と比較すると有意にVehicle群に近い細菌叢であった。また、図2Bでは、IBP投与群は、Vehicle群内の類似度と比較すると異なる傾向にある細菌叢であった。しかし、IBP+ETZ投与群は、IBP投与群と比較すると有意にVehicle群に近い細菌叢であった。以上の結果は、IBP投与による細菌叢の変化をAPAPもしくはETZ投与により、Vehicle群に近い細菌叢に改善できたことを示す。なお、図2A及び図2Bに示す統計検定には、Steel-Dwass検定を用いた。
(7) Test results Changes in the bacterial plexus due to sample administration were evaluated by the similarity of the bacterial plexus obtained by UniFrac analysis. UniFrac analysis is a method of creating a phylogenetic tree using the base sequences belonging to each group (representative sequence of each OTU) and calculating the similarity of the bacterial flora (that is, the difference in the entire bacterial flora structure) between the samples to be compared. Is. The similarity obtained by UniFrac analysis is calculated as UniFrac distance, and the higher the similarity of the bacterial flora between the samples, the smaller the value (closer to 0). That is, if the distance between the Vehicle group and the IBP + APAP administration group is statistically significantly smaller than the distance between the Vehicle group and the IBP administration group (UniFrac distance), the IBP + APAP administration group is compared with the Vehicle group and the IBP administration group. It shows that the similarity of the bacterial flora is high. Similarly, if the distance between the Vehicle group and the IBP + ETZ-administered group is statistically significantly smaller than the distance between the Vehicle group and the IBP-administered group (UniFrac distance), the IBP + ETZ-administered group is more than the IBP-administered group. And the similarity of the bacterial flora is high. The results of the UniFrac distance within the Vehicle group and between the Vehicle group and the drug-administered group in the UniFrac analysis (Weighted) are shown in FIGS. 2A and 2B.
In FIG. 2A, both the IBP-administered group and the IBP + APAP-administered group had significantly different bacterial plexuses when compared with the similarity within the Vehicle group. However, the IBP + APAP-administered group had a bacterial plexus significantly closer to that of the Vehicle group as compared with the IBP-administered group. Also, in FIG. 2B, the IBP-administered group was a bacterial flora that tended to differ from the similarity within the Vehicle group. However, the IBP + ETZ administration group had a bacterial plexus significantly closer to the Vehicle group as compared with the IBP administration group. The above results indicate that the change in the bacterial plexus due to the administration of IBP could be improved by the administration of APAP or ETZ to the bacterial plexus close to the Vehicle group. The Steel-Dwass test was used for the statistical test shown in FIGS. 2A and 2B.
[実施例2]
実施例1の(1)~(4)と同様の方法により、ラット小腸から試験サンプルを採取した。
得られた試験サンプルから、RNeasy Mini Kit(QIAGEN社製)を用いRNAを抽出し、ReverTra Ace(登録商標)qPCR Master M ix with gDNA RemoverFSQ-301(東洋紡社製)を用いてcDNAを合成した。それをサンプルとしてリアルタイムPCRにてTNFαの発現を確認した。その結果を、図3に示す。なお、遺伝子発現の内在性コントロールとしては、18S rRNAを用いた。リアルタイムPCRには、表4に示す配列のプライマーを用いた。
[Example 2]
A test sample was collected from the rat small intestine by the same method as in Examples 1 (1) to (4).
RNA was extracted from the obtained test sample using RNeasy Mini Kit (manufactured by QIAGEN), and cDNA was synthesized using RiverTra Ace (registered trademark) qPCR Master Mix with gDNA RemoverFSQ-301 (manufactured by Toyobo Co., Ltd.). Using this as a sample, the expression of TNFα was confirmed by real-time PCR. The results are shown in FIG. As the endogenous control of gene expression, 18S rRNA was used. Primers of the sequences shown in Table 4 were used for real-time PCR.
TNFαは炎症性サイトカインの1種であり、その過剰な発現は炎症反応が起こっていることを示す。図3に示す通り、Vehicle群に対しIBP投与群のみでTNFα遺伝子の有意な発現上昇を認めた(P<0.05 vs.Vehicle、Dunnett’s test)一方、IBP+APAP投与群はVehicle群と同程度の発現であった。すなわち、図2Aに示したIBP投与群における腸内細菌叢は、腸粘膜において炎症を惹起しており、腸内環境を悪化させる腸内細菌叢の変化であることが示された。また、図2Aに示したIBP+APAP投与群における腸内細菌叢は、腸粘膜において炎症が生じておらず、APAP投与により、悪化した腸内環境が正常状態に近い状態に戻っているか、或いは、IBP投与による腸内環境の悪化が抑制されていることが示された。 TNFα is a type of inflammatory cytokine, and its overexpression indicates that an inflammatory reaction is taking place. As shown in FIG. 3, a significant increase in the expression of the TNFα gene was observed only in the IBP-administered group with respect to the Vehicle group (P <0.05 vs. Vehicle, Dunnett's test), while the IBP + APAP-administered group was the same as the Vehicle group. It was a degree of expression. That is, it was shown that the intestinal flora in the IBP-administered group shown in FIG. 2A is a change in the intestinal flora that induces inflammation in the intestinal mucosa and worsens the intestinal environment. In addition, the intestinal flora in the IBP + APAP administration group shown in FIG. 2A is not inflamed in the intestinal mucosa, and the intestinal environment deteriorated by APAP administration has returned to a state close to the normal state, or IBP. It was shown that the deterioration of the intestinal environment due to administration was suppressed.
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