JP4106691B2 - Peptides that inactivate anaphylatoxin C5a - Google Patents
Peptides that inactivate anaphylatoxin C5a Download PDFInfo
- Publication number
- JP4106691B2 JP4106691B2 JP2004044012A JP2004044012A JP4106691B2 JP 4106691 B2 JP4106691 B2 JP 4106691B2 JP 2004044012 A JP2004044012 A JP 2004044012A JP 2004044012 A JP2004044012 A JP 2004044012A JP 4106691 B2 JP4106691 B2 JP 4106691B2
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- Prior art keywords
- peptide
- acid
- pep
- mimetic
- amino acid
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Description
ショック、アレルギー、血管炎、多臓器不全などを含む炎症病態の起因物質のひとつとして働くC5aを不活性化する新規ペプチド、及び治療薬に関する。 The present invention relates to a novel peptide that inactivates C5a, which acts as one of the causative substances of inflammatory pathologies including shock, allergy, vasculitis, multiple organ failure, and the like, and a therapeutic drug.
C5aは74個のアミノ酸を含み、約11,000の分子量を有する糖タンパク質である。C5コンバーターゼであるC4b2aC3bやC3bBbC3bによってC5aとC5bに分解されることによって生成される。これはC5のN末端、すなわち補体の5番目の成分のタンパク質分解性切断により生成される(Ntlsson et al.,J.Immunol.114:815-822(1975))。C5a の生物学的性質は、急性及び慢性炎症工程の両者に関与する多数の細胞及び組織を通して拡大する(Hugli,CRC Crit.Rev.Immunol.,1:321-366(1981))。それらの性質のうち多くは免疫学的に有益である。C5a は、種々の病理学的状態に応答して宿主の防御機構を仲介することが見出されている。C5a は、炎症応答、たとえば平滑微収縮、血管透過性の上昇、ヒト皮膚中に注入される場合、膨疹及び発赤の発生、肥満細胞からのヒスタミン放出、及び多形核白血球(PMNL)からの酸化群発及びリソソーム酵素放出の誘発に通常、関連する広範囲の種類の特定の生物学的機能に関与する。C5a は、好塩基球、好酸球、単球及び好中球を包含するあらゆる循環する白血球細胞からの測定できる応答を刺激する(Hugli、前記;Bautsch et al.,Immunobiol.185:41-52(1992))。 C5a is a glycoprotein containing 74 amino acids and having a molecular weight of about 11,000. It is generated by being decomposed into C5a and C5b by C4b2aC3b and C3bBbC3b which are C5 converters. It is generated by proteolytic cleavage of the N-terminus of C5, the fifth component of complement (Ntlsson et al., J. Immunol. 114: 815-822 (1975)). The biological properties of C5a extend through numerous cells and tissues involved in both acute and chronic inflammatory processes (Hugli, CRC Crit. Rev. Immunol., 1: 321-366 (1981)). Many of these properties are immunologically beneficial. C5a has been found to mediate host defense mechanisms in response to various pathological conditions. C5a is an inflammatory response, such as smooth microcontraction, increased vascular permeability, occurrence of wheal and redness when injected into human skin, histamine release from mast cells, and oxidation from polymorphonuclear leukocytes (PMNL) Involved in a wide variety of specific biological functions normally associated with the induction of cluster and lysosomal enzyme release. C5a stimulates measurable responses from all circulating white blood cells, including basophils, eosinophils, monocytes and neutrophils (Hugli, supra; Bautsch et al., Immunobiol. 185: 41-52). (1992)).
C5aと多形核白血球ならびに他の標的細胞および標的組織との相互作用は、増大したヒスタミン放出、血管透過性、平滑筋収縮、ならびに好中球、好酸球、および好塩基球を含む炎症細胞の組織への流入を生ずる(Hugli,T.E.,Springer, Semin.Immunopathol.,7:193-219(1981))。C5aはまた、慢性炎症部位に蓄積する食作用性単核細胞の炎症効果の媒介において重要な役割を果たす(Allison, A.C.ら、H.U.Agents and Actions,8:27(1978))。C5aは、単球において走化性を誘導し得、そしてこれらの因子により誘起される好中球の応答と類似の方法で、単球にリソゾームの酵素を放出させ得る。C5aは抗体を増強することにより、特に炎症部位で免疫調節の役割を有する(Morgan,E.L.ら、J.Exp.Med.,155:1412(1982))ことが知られている。 Interaction of C5a with polymorphonuclear leukocytes and other target cells and tissues results in increased histamine release, vascular permeability, smooth muscle contraction, and inflammatory cells including neutrophils, eosinophils, and basophils (Hugli, TE, Springer, Semin. Immunopathol., 7: 193-219 (1981)). C5a also plays an important role in mediating the inflammatory effects of phagocytic mononuclear cells that accumulate at sites of chronic inflammation (Allison, A.C. et al., H.U. Agents and Actions, 8:27 (1978)). C5a can induce chemotaxis in monocytes and can cause monocytes to release lysosomal enzymes in a manner similar to the neutrophil response induced by these factors. C5a is known to have an immunomodulatory role by enhancing antibodies, particularly at the site of inflammation (Morgan, E.L. et al., J. Exp. Med., 155: 1412 (1982)).
それ故に、強い炎症反応に起因する血管炎や多臓器不全などではC5aの制御が治療法の1つとして期待されている。また、喘息や種々のアレルギー反応の増悪因子としてもC5aが働く場合があるので、C5aの制御が治療法の手段の一つとして期待されている。さらに、種々のショック症状にもアナフィラトキシンとしてC5aが関与する場合があるので、その場合にはC5aの制御が重要な治療法の1つとなる。したがって、C5aを不活化する作用を持つ本発明の相補性ペプチドを上記の病態などを含む種々の急性疾患等の治療薬として活用することができる。この目的のために、C5aを阻害する薬剤としてはC5aレセプターの阻害剤の開発や、C5aに直接働き作用を阻害するものとしてはC5aに対する抗体が開発されている。 Therefore, control of C5a is expected as one of the treatment methods for vasculitis and multiple organ failure caused by a strong inflammatory reaction. Moreover, since C5a may act as an exacerbation factor of asthma and various allergic reactions, control of C5a is expected as one of the means of treatment. Furthermore, since C5a may be involved in various shock symptoms as anaphylatoxin, control of C5a is one of the important treatments in that case. Therefore, the complementary peptide of the present invention having an action of inactivating C5a can be used as a therapeutic agent for various acute diseases including the above-mentioned pathological conditions. For this purpose, C5a receptor inhibitors have been developed as drugs that inhibit C5a, and antibodies against C5a have been developed as those that directly act on C5a and inhibit its action.
例えば、特表平9−506258の発明では、C5a 類似体は、C5a(1−74)のC−末端領域:N′−Asn(64)-Ile(65)-Ser(66)-His(67)-Lys(68)-Asp(69)-Met(70)-Gln(71)-Leu(72)-Gly(73)-Arc(74)−C′(配列番号5)(C5a(1−74)のアミノ酸配列の内64−74)が開示されている。 For example, in the invention of JP-T-9-506258, the C5a analog is a C-terminal region of C5a (1-74): N′-Asn (64) -Ile (65) -Ser (66) -His (67 ) -Lys (68) -Asp (69) -Met (70) -Gln (71) -Leu (72) -Gly (73) -Arc (74) -C '(SEQ ID NO: 5) (C5a (1-74 ) Of amino acid sequences 64-) are disclosed.
しかし、未だC5aを制御して喘息や種々のアレルギー反応の増悪因子を押さえることができるものではなく、その出現が望まれている。
本発明は、C5aに直接結合してC5aの活性を阻害するペプチド、及びC5aが関与する病態の治療剤を提供する。 The present invention provides a peptide that directly binds to C5a and inhibits the activity of C5a, and a therapeutic agent for a pathological condition involving C5a.
本発明は、上記事実に鑑み、C5aの活性に大きな役割を果たすと考えられるアミノ末端37番目から53番目のアミノ酸にかけての17個のアミノ酸より成るペプチドのアミノ酸配列を標的ペプチドとして用い、このペプチドに相補性値の高いペプチドを設計したものである。 In view of the above facts, the present invention uses an amino acid sequence of a peptide consisting of 17 amino acids from the 37th amino acid to the 53rd amino acid, which is considered to play a major role in the activity of C5a, as a target peptide. A peptide having a high complementarity value is designed.
本発明の特徴は、アナフィラトキシンC5aに結合し、C5aの活性を阻害するペプチドであって、アミノ酸配列がアミノ酸1文字記号で表記するとASGAPAPGPAGPLRPMFである17アミノ酸から成るペプチドである。 A feature of the present invention is a peptide that binds to anaphylatoxin C5a and inhibits the activity of C5a, and is a peptide consisting of 17 amino acids whose amino acid sequence is ASGAPAPGPAGPLRPMF when expressed by the single letter code.
C5aのアミノ末端から37番目から53番目のペプチド(PL37と命名)がC5aのアゴニストとして働くと共に、そのペプチドをMAPペプチドとして多荷にするとC5aレセプターを持つ細胞などにアポトーシスを誘導する作用を持つことを発見した。この部分(PL37)に対する相補性ペプチドを設計し、アミノ酸1文字記号で記載した場合ASGAPAPGPAGPLRPMFとなるアミノ酸配列からなるペプチド(mimetic"A"と命名)を得た。このPepAはC5aに結合してC5aの活性を阻害することができる。 The 37th to 53rd peptide (named PL37) from the amino terminus of C5a acts as an agonist of C5a, and when the peptide is loaded as a MAP peptide, it has the effect of inducing apoptosis in cells with the C5a receptor. I found A complementary peptide to this part (PL37) was designed, and a peptide (named mimetic “A”) having an amino acid sequence of ASGAPAPGPAGPLRPMF when described by the one-letter code of amino acid was obtained. This PepA can bind to C5a and inhibit the activity of C5a.
本発明の別の特徴は、アナフィラトキシンC5aに結合し、C5aの活性を阻害する作用を有するペプチドであって、アミノ酸配列がアミノ酸1文字記号で表記するとASGAPAPGPAGPLRPMFである17個のアミノ酸からなるペプチドで、該ペプチドのアミノ末端のアラニンがアセチル化されていることを特徴とするペプチドである。ペプチドのアミノ末端のアラニンをアセチル化することによって、ペプチドの安定性を増すことが出来る。 Another feature of the present invention is a peptide that binds to anaphylatoxin C5a and has an action of inhibiting the activity of C5a, and is a peptide consisting of 17 amino acids whose amino acid sequence is ASGAPAPGPAGPLRPMF when expressed by the single letter code. The peptide is characterized in that the amino terminal alanine of the peptide is acetylated. Peptide stability can be increased by acetylating the amino terminal alanine of the peptide.
本発明の別の特徴は、アミノ酸配列において、1若しくは2個のアミノ酸が欠失、置換、修飾、若しくは付加され、かつC5aの活性を阻害する作用を有する請求項1又は請求項2に記載のペプチドである。本発明ペプチドを化学修飾したり、アミノ酸を置換するなどによって、より活性が高く安定なペプチドを得ることが出来る。さらに、本発明ペプチドを直接薬剤として用いることも可能であるが、本発明ペプチドをプロトタイプペプチドとして高次構造を解析して、それより得られる知見にもとづいて、類似構造を有する化学合成薬剤の開発などに用いることもできる。 Another feature of the present invention is that the amino acid sequence has one or two amino acids deleted, substituted, modified, or added, and has an action of inhibiting C5a activity. It is a peptide. A peptide with higher activity and stability can be obtained by chemically modifying the peptide of the present invention or substituting an amino acid. Furthermore, although the peptide of the present invention can be used directly as a drug, a higher-order structure is analyzed using the peptide of the present invention as a prototype peptide, and a chemically synthesized drug having a similar structure is developed based on the knowledge obtained from the analysis. It can also be used.
C5aを不活化する必要がある病態は、急性の炎症性病態が想定され、その中には、アナフィラキシーショック、血管炎、多臓器不全、DIC (Disseminated Intravascular Coagulation)など重篤な病態が含まれている。 mimetic"A"(PepA)は、C5aを生体内でも不活化する作用があるので、このようなC5aが病因として関与する病態に対して治療剤として用いることが出来る。 Pathological conditions that require inactivation of C5a are assumed to be acute inflammatory conditions, including severe pathological conditions such as anaphylactic shock, vasculitis, multiple organ failure, and DIC (Disseminated Intravascular Coagulation). Yes. Since mimetic “A” (PepA) has an effect of inactivating C5a even in vivo, it can be used as a therapeutic agent for the pathological condition in which such C5a is involved in the pathogenesis.
上記の病態の急性期の患者を救命するには緊急に大量の薬剤を投与する必要があるが、Pep-Aのようなペプチド剤は体内での分解が速いので、大量に投与しても投与を中止すれば速やかに分解消失すると考えられる。従って、薬剤蓄積などの副作用や後遺症の懸念が少なく、緊急時に患者を救命するために本薬剤は有用な手段を提供することが出来る。さらに、薬理効果を有する当該ペプチドの高次構造をシュミレートして、その構造を模倣した化学合成薬剤を作製するプロトタイプとして応用することもできる効果を有している。 In order to save patients in the acute phase of the above pathology, it is necessary to administer a large amount of drug urgently, but peptide agents such as Pep-A are rapidly decomposed in the body, so even if a large amount is administered If it is stopped, it is thought that it will quickly decompose and disappear. Therefore, there are few concerns about side effects such as drug accumulation and sequelae, and this drug can provide a useful means for saving patients in an emergency. Furthermore, it has an effect that can be applied as a prototype for producing a chemically synthesized drug that simulates the higher-order structure of the peptide having a pharmacological effect and mimics the structure.
Pep-Aは皮内の酵素により速やかに分解されてしまうのに対して、アセチル化されたA-Pep-Aは酵素による分解を受けにくく、皮内でC5aに対する抑制作用が継続して、抗炎症作用を発揮する。A-Pep-Aは抗炎症剤として期待される。 Pep-A is rapidly degraded by enzymes in the skin, whereas acetylated A-Pep-A is less susceptible to degradation by the enzymes, and the inhibitory action against C5a continues in the skin. Exhibits inflammatory effects. A-Pep-A is expected as an anti-inflammatory agent.
以下、本発明を具体的に説明する。本発明で使用するアミノ酸と一文字表記は以下に示すものである。すなわち、天然には、20種類のアミノ酸が存在し、この20種類のアミノ酸はアルキル基の構造によって、親水性アミノ酸、疎水性アミノ酸及び中間型アミノ酸に分けることができる。親水性アミノ酸は、グルタミン(Gln;Q)、グルタミン酸(Glu;E)、リジン(Lys;K)、アスパラジン(Asn;N)、アスパラジン酸(Asp;D)、タイロシン(Tyr;Y)及びヒスチジン(His;H)である。疎水性アミノ酸としてはバリン(Val;V)、ロイシン(Leu;L)、イソロイシン(Ile:I)、フェニルアラニン(Phe;F)、及びメチオニン(Met;M)が含まれる。中間型のアミノ酸は、トリプトファン(Trp;W)、アルギニン(Arg;R)、グリシン(Gly;G)、システイン(Cys;C)、セリン(Ser;S)、プロリン(Pro;P)、アラニン(Ala;A)、及びスレオニン(Thr;T)である。 Hereinafter, the present invention will be specifically described. The amino acids and single letter notation used in the present invention are shown below. That is, there are 20 kinds of amino acids in nature, and these 20 kinds of amino acids can be divided into hydrophilic amino acids, hydrophobic amino acids and intermediate amino acids according to the structure of the alkyl group. Hydrophilic amino acids include glutamine (Gln; Q), glutamic acid (Glu; E), lysine (Lys; K), asparadine (Asn; N), aspartic acid (Asp; D), tylosin (Tyr; Y) and Histidine (His; H). Hydrophobic amino acids include valine (Val; V), leucine (Leu; L), isoleucine (Ile: I), phenylalanine (Phe; F), and methionine (Met; M). Intermediate amino acids include tryptophan (Trp; W), arginine (Arg; R), glycine (Gly; G), cysteine (Cys; C), serine (Ser; S), proline (Pro; P), alanine ( Ala; A), and threonine (Thr; T).
C5aのアミノ末端から37番目から53番目のペプチド(PL37と命名)がC5aのアゴニストとして働くと共に、そのペプチドをMAPペプチドとして多荷にするとC5aレセプターを持つ細胞などにアポトーシスを誘導する作用を持つことを発見した。そこで、この部分(PL37)に対する相補性ペプチドを設計し、アミノ酸1文字記号で記載するとASGAPAPGPAGPLRPMFとなるアミノ酸配列からなるペプチド(mimetic"A"と命名)を得た。 The 37th to 53rd peptide (named PL37) from the amino terminus of C5a acts as an agonist of C5a, and when the peptide is loaded as a MAP peptide, it has the effect of inducing apoptosis in cells with the C5a receptor. I found Therefore, a peptide complementary to this part (PL37) was designed, and a peptide (named mimetic “A”) having an amino acid sequence of ASGAPAPGPAGPLRPMF when described by the one-letter amino acid symbol was obtained.
このようにして得られたペプチドは、注射剤、経口投与用の錠剤、粉末剤等の形態でヒトに投与することができる。この場合、上記ペプチドの他に、防腐剤、安定化剤などを含んでもよく。上記ペプチドは、他の生物製剤で使用される適当な賦形剤、吸着防止剤などとともに処理して、それぞれの投与形態として投与することができる。例えば、所望量の上記ペプチドと防腐剤、安定化剤、賦形剤、吸着防止剤等を適宜混合して、一定量ずつアンプルに充填・封入し、治療用注射剤とすることができる。あるいは、所望量の上記ペプチドを抗原性を有しないタンパク成分と水溶液の状態で混合し、一定量ずつバイアルに分注して凍結乾燥し、凍結乾燥製剤としてもよい。このような製剤の製造は、通常のペプチド製剤を製造する工程と同様に行うことができる。 The peptide thus obtained can be administered to humans in the form of injections, tablets for oral administration, powders and the like. In this case, a preservative, a stabilizer and the like may be included in addition to the above peptide. The above peptides can be treated as appropriate dosage forms after being treated with suitable excipients, adsorption inhibitors and the like used in other biologics. For example, a desired amount of the above-mentioned peptide and preservatives, stabilizers, excipients, adsorption inhibitors, etc. can be mixed as appropriate and filled in an ampule in a certain amount to provide a therapeutic injection. Alternatively, a desired amount of the above peptide may be mixed with a non-antigenic protein component in an aqueous solution, dispensed into vials in a constant amount, and lyophilized to obtain a lyophilized preparation. Such a preparation can be produced in the same manner as the step of producing a normal peptide preparation.
mimetic"A"(アミノ酸配列:ASGAPAPGPAGPLRPMF)とコントロールペプチドとしてのmimetic"B"(アミノ酸配列:ASTAPARAGLPRLPKFF)を用いて以下の実験を行った。 The following experiment was performed using mimetic “A” (amino acid sequence: ASGAPAPGPAGPLRPMF) and mimetic “B” (amino acid sequence: ASTAPARAGLPRLPKFF) as a control peptide.
C5aレセプター陽性のTGW細胞株を標的細胞として用い、パッチクランプ法で、検討を行った。その結果、TGW細胞に、PL37をリジンで分岐させたMAP(Multiple Antigen Peptide)に結合させて8個のPL37がMAPに結合したPL37-MAPを作用させると、TGW細胞に刺激が入り、時間をおくとアポトーシスを誘導するに至る。 A C5a receptor positive TGW cell line was used as a target cell and examined by the patch clamp method. As a result, when PL37 was bound to MAP (Multiple Antigen Peptide) branched from PL37 with lysine and 8 PL37 were bound to MAP, TGW cells were stimulated, and time was increased. If you leave it, it leads to apoptosis.
TGW細胞にPL37-MAPを500 nM作用させると図1左上段に示すごとく膜電位の変化が起こることがパッチクランプ法で検出できる。このとき500 mM PL37-MAPに50マイクロモルのmimetic"A" を添加しておくと膜電位の変化は全く起こらなくなり、完全にPL37MAPの作用が押さえられてしまう(図1:右上)。これに対し、コントロールのmimetic"B"では50マイクロモルを加えてもその様な抑制は起こらない(図1:左中段)。 When 500 nM of PL37-MAP is allowed to act on TGW cells, changes in membrane potential can be detected by the patch clamp method as shown in the upper left of FIG. At this time, if 50 micromole mimetic “A” is added to 500 mM PL37-MAP, the membrane potential does not change at all, and the action of PL37MAP is completely suppressed (FIG. 1: upper right). On the other hand, control mimetic “B” does not cause such suppression even when 50 micromole is added (FIG. 1: middle left).
10マイクロモルのmimetic"A"でも明らかな抑制が認められた(図1:右中段)が1マイクロモルでは抑制を認めなかった(図2)。それらの結果を纏めたのが図2であるが、図2に示すように、50マイクロモルのmimetic"A"で有意な抑制活性が認められた。 Clear suppression was also observed at 10 micromolar mimetic “A” (FIG. 1: middle right), but no suppression was observed at 1 micromolar (FIG. 2). The results are summarized in FIG. 2. As shown in FIG. 2, significant inhibitory activity was observed with 50 micromolar mimetic “A”.
ヒト末梢血を静脈から採血し、比重遠心法などを用いて、好中球を分離した。
この分離した好中球に蛍光指示薬(Fula2)を取り込ませ、好中球にC5aを作用させたときに起こるカルシュウムインフラックスの測定を浜松フォトニックスのアルガス装置で検出した。
Human peripheral blood was collected from a vein, and neutrophils were separated using specific gravity centrifugation or the like.
A fluorescence indicator (Fula2) was incorporated into the separated neutrophils, and the calcium influx measurement that occurred when C5a was allowed to act on the neutrophils was detected with the Hamamatsu Photonics Argus apparatus.
その結果、700 pMのC5aを作用させると、C5aの刺激によって起こるカルシュウムインフラックスが蛍光シグナルとして検出される(図3:左上)。この700 pMのC5aにmimetic"A"を※700 nM(図3:右上)あるいは350 nM〔図3:左2段目〕添加するとC5aの活性を完全に抑制した。70 nMおよび7 nMでもある程度の抑制が認められた(図3:右2段目、左3段目)。これに対し、コントロールペプチドのmimetic"B"では700 nMおよび70 nMでも全く抑制が認められなかった。繰り返し行った実験を纏めたのが図4であるが、700 pM (0.7 nM)のC5aに対し、7 nM 以上のmimetic"A"ペプチドで明瞭な抑制効果が認められた。 As a result, when 700 pM of C5a is allowed to act, calcium influx caused by C5a stimulation is detected as a fluorescent signal (FIG. 3: upper left). When mimetic “A” was added to 700 pM C5a with * 700 nM (FIG. 3: upper right) or 350 nM (FIG. 3: second left), the activity of C5a was completely suppressed. Some suppression was also observed at 70 nM and 7 nM (FIG. 3: second row on the right, third row on the left). In contrast, the control peptide mimetic “B” showed no inhibition even at 700 nM and 70 nM. FIG. 4 summarizes the repeated experiments, and a clear inhibitory effect was observed with mimetic “A” peptides of 7 nM or more against 700 pM (0.7 nM) of C5a.
体重約250gの雄ラットを0.05 mg/kgのLPSで感作しておいて20時間後にラットの種特異的補体制御膜因子であるCrryに対するモノクローナル抗体(5I2抗体)を0.75mg/kg静脈内に投与すると30分以内にショック死を起こす。 Male rats weighing approximately 250 g were sensitized with 0.05 mg / kg LPS, and after 20 hours, a monoclonal antibody against Crry (5I2 antibody), a species-specific complement control membrane factor, was administered 0.75 mg / kg intravenously. Causes death within 30 minutes.
この5I2抗体投与10分前に4 mg/kgのmimetic"A"(簡単にPep-Aとも略称)を静脈内に投与しておくと全てのラットがショック死を免れた。0.5 mg/kgや2 mg/kgのPep-Aではショック死を起こすラットもあったが、救命できたものもあった。これに対し、Pep-Aの代わりにコントロールのmimetic"B"(Pep-Bと略称)を4 mg/kg投与したものや、生理食塩水だけを投与したラットは全てショック死した。
(表1)ラットにLPS(0.05 mg/kg)を皮下投与しておき、20時間後に種特異的補体制御膜因子である5I2抗体(0.75 mg/kg)を静脈内に投与すると30分以内にショック死を起こす。5I2抗体投与の10分前にmimetic"A"(Pep-A)を4 mg/kg投与すると全例生存するようになる。対照の※mimetic"B"(Pep-B)や生理食塩水のみでは救命できない。
All rats escaped from shock death if 4 mg / kg mimetic "A" (abbreviated simply as Pep-A) was administered intravenously 10 minutes before administration of the 5I2 antibody. At 0.5 mg / kg and 2 mg / kg Pep-A, some rats died of shock, but some were able to save lives. In contrast, 4 mg / kg of control mimetic “B” (abbreviated as Pep-B) instead of Pep-A and rats that received only saline were all killed by shock.
(Table 1) LPS (0.05 mg / kg) administered to rats subcutaneously, and 20 hours later, 5I2 antibody (0.75 mg / kg), a species-specific complement control membrane factor, was administered intravenously within 30 minutes Cause death to shock. All patients will survive if mimetic "A" (Pep-A) is administered at 4 mg / kg 10 minutes before 5I2 antibody administration. Control * mimetic "B" (Pep-B) and saline alone cannot be saved.
マウスにCandida albicans 由来のCAWS(Candida albicans water solubule extract)を静脈内に投与するとマウスは補体活性化を伴う急性炎症を起こして死亡する。これに先立ち10分前にmimetic”A” (Pep-A) を投与しても救命することができなかった。マウスの体内でPep-Aが速やかに分解を受けてしますためと考えた。そこで、Pep-Aの蛋白分解酵素などに対する安定性を増すために、アミノ末端のアラニンをアセチル化したアセチル化Pep-A(A-Pep-A)を作成した。
(表2)アセチル化Pep-A(A-Pep-A)のCAWS致死に与える影響を調べるために、雄性ICRマウス,5週令を用い、CAWS投与10分前に生理食塩水、又はA-Pep-Aを投与したICRマウスに, CAWSを静脈内投与した。その結果,CAWSをマウス当たり 200μgを投与した系では抑制は見られなかったが、CAWSをマウス当たり100μg投与した系では、マウスのA-Pep-A 静脈内(i.v.)前処置群で致死の抑制が観察された。したがって、アミノ末端のアラニンをアセチル化するなどの化学修飾を施すことにより、Pep-Aの治療効果を高めることができる。
When CAWS (Candida albicans water solubule extract) derived from Candida albicans is intravenously administered to mice, the mice die by acute inflammation accompanied by complement activation. Prior to this, even if mimetic “A” (Pep-A) was administered 10 minutes before this, it was not possible to save the life. It was thought that Pep-A was rapidly degraded in the mouse body. Therefore, in order to increase the stability of Pep-A to proteolytic enzymes, acetylated Pep-A (A-Pep-A) in which the amino terminal alanine was acetylated was prepared.
(Table 2) In order to investigate the effect of acetylated Pep-A (A-Pep-A) on CAWS lethality, male ICR mice, 5 weeks old were used, and physiological saline or A- CAWS was administered intravenously to ICR mice treated with Pep-A. As a result, suppression was not observed in the system administered with 200 μg CAWS per mouse, but in the system administered with 100 μg CAWS per mouse, lethality was suppressed in the A-Pep-A intravenous (iv) pretreatment group of mice. Was observed. Therefore, the therapeutic effect of Pep-A can be enhanced by chemical modification such as acetylation of amino terminal alanine.
ラット(Wistar/STオス、8週齢、体重約250グラム)の背部皮内に補体制御膜因子であるCrryに対するモノクローナル抗体(5I2抗体)を投与して惹起する炎症反応に対するPep-Aおよびアミノ末端のアラニンをアセチル化したA-Pep-Aの作用を解析した。炎症反応の指標としては、5I2抗体投与の1時間前にEvans Blue 液(生理食塩水に8 mg/mlの濃度に溶解)を0.5 ml尾静脈より注射しておき、炎症局所への色素の漏出で判定した(Nishikawa, K., Matsuo, S., Okada, N., Morgan, B.P. and Okada, H.J. Immunol. 156: 1182-1188 (1996))。色素は血漿タンパク質に結合するので、局所炎症反応が起こることにより血漿タンパク質が毛細血管からもれ出た事の指標となる。
(表3)
5μgの5I2抗体(40μlの生食に溶解)を皮内に接種するときに、4μgのA-Pep-Aを混合しておくと30分後の色素漏出を抑えることができ、40μgのA-Pep-Aを加えておいたときには、2時間後でも明瞭な抑制が認められた。これに対し、Pep-Aでは40μgを用いても色素漏出の抑制は30分目でも認められなかった。Pep-AをA-Pep-Aにすることにより、炎症抑制作用が極めて高まることが示された。Pep-Aは皮内の酵素により速やかに分解されてしまうのに対して、アセチル化されたA-Pep-Aは酵素による分解を受けにくいために皮内でC5aに対する抑制作用が継続し、炎症抑制作用が強く現れたと解釈できた。したがって、A-Pep-Aは炎症抑制剤として強い効果を発揮すると考えられる。
Pep-A and amino for the inflammatory reaction caused by administration of monoclonal antibody (5I2 antibody) against Crry, a complement regulatory membrane factor, into the dorsal skin of rats (Wistar / ST male, 8 weeks old, body weight approximately 250 grams) The action of A-Pep-A acetylated at the terminal alanine was analyzed. As an indicator of inflammatory response, Evans Blue solution (dissolved at a concentration of 8 mg / ml in physiological saline) is injected through 0.5
(Table 3)
When 5 μg of 5I2 antibody (dissolved in 40 μl of raw food) is inoculated intradermally, 4 μg of A-Pep-A can be mixed to suppress dye leakage after 30 minutes, and 40 μg of A-Pep When -A was added, clear suppression was observed even after 2 hours. On the other hand, in Pep-A, suppression of pigment leakage was not observed even at 30 minutes even when 40 μg was used. It was shown that the inflammation-suppressing action is greatly enhanced by changing Pep-A to A-Pep-A. Pep-A is rapidly degraded by enzymes in the skin, whereas acetylated A-Pep-A is less susceptible to degradation by the enzyme, so the inhibitory action against C5a continues in the skin, causing inflammation. It could be interpreted that the inhibitory action was strong. Therefore, A-Pep-A is considered to exert a strong effect as an inflammation inhibitor.
治療的有効量の1つまたは複数の識別された上記の作用物質を含む薬学的に許容し得る製剤が、1つまたは複数の薬学的に許容し得る担体(添加剤)および/または希釈剤とともに処方される。以下で詳細に説明するように、本発明の薬学的組成物は、以下のことに適応したものを含めて、固体または液体での投与のために具体的に処方され得る:(1)経口投与、例えば、水薬(水溶液もしくは非水溶液または懸濁液)、錠剤、巨丸剤、粉末薬、顆粒剤、舌に塗布するためのペースト;(2)非経口投与、例えば滅菌溶液もしくは懸濁液として例えば皮下、筋内もしくは静脈内注射による;(3)局所応用、例えば皮膚に応用されるクリーム、軟膏またはスプレーとして;または(4)膣内または直腸内に、例えば膣座薬、クリームまたは発泡剤として。しかし、いくつかの実施形態では、本発明の化合物を単に滅菌水に溶解または懸濁してもよい。
「治療的有効量」という句は、本明細書で使用される場合、いずれの医療にも適用可能な妥当な便益/リスク比で、何らかの所望の治療効果を生じるために有効な作用物質または組成物の量を意味する。 The phrase “therapeutically effective amount” as used herein refers to an agent or composition effective to produce any desired therapeutic effect at a reasonable benefit / risk ratio applicable to any medical treatment. It means the amount of things.
「薬学的に許容し得る」という句は、本明細書では、正しい医学的判断の範囲内で、妥当な便益/リスク比に見合って、過剰な毒性、刺激、アレルギー反応等の問題や合併症なしに、人間および動物の組織に接触しての使用に好適な、化合物、材料、組成物、および/または投薬形態を指すために使用される。 The phrase “pharmaceutically acceptable” is used herein to refer to problems and complications such as excessive toxicity, irritation, allergic reactions, etc., within reasonable medical judgement, commensurate with a reasonable benefit / risk ratio. Without being used to refer to compounds, materials, compositions, and / or dosage forms suitable for use in contact with human and animal tissues.
「薬学的に許容し得る担体」という句は、本明細書で使用される場合、体の一器官または一部から体の別の器官または一部へ本発明のアンタゴニストを運搬または輸送することに関与する液体または固体の充填剤、希釈剤、補形薬、溶剤またはカプセル化材料のような、薬学的に許容し得る材料、組成物または賦形剤を意味する。各担体は、剤形の他の成分と適合し、患者に有害でないという意味で「許容し得る」ものでなければならない。薬学的に許容し得る担体として働き得る材料のいくつかの例には以下のものがある:(1)ラクトース、グルコースおよびスクロースのような糖;(2)トウモロコシデンプンおよびバレイショデンプンのようなデンプン;(3)カルボキシメチルセルロースナトリウム、エチルセルロースおよび酢酸セルロースのようなセルロースおよびその誘導体;(4)粉末トラガカント;(5)麦芽;(6)ゼラチン;(7)タルク;(8)ココアバターおよび座薬ワックスのような補形薬;(9)落花生油、綿実油、ベニバナ油、ゴマ油、オリーブ油、トウモロコシ油およびダイズ油のような油;(10)プロピレングリコールのようなグリコール;(11)グリセリン、ソルビトール、マンニトールおよびポリエチレングリコールのようなポリオール;(12)オレイン酸エチルおよびラウリン酸エチルのようなエステル;(13)寒天;(14)水酸化マグネシウムおよび水酸化アルミニウムのような緩衝剤;(15)アルギン酸;(16)パイロジェンフリー水;(17)等張食塩液;(18)リンガー溶液;(19)エチルアルコール;(20)リン酸緩衝溶液;ならびに(21)薬物処方で使用される他の非毒性の適合物質。いくつかの実施形態では、薬物製剤は非発熱性である。すなわち、患者の体温を上昇させない。 The phrase “pharmaceutically acceptable carrier” as used herein refers to carrying or transporting an antagonist of the invention from one organ or part of the body to another organ or part of the body. Means a pharmaceutically acceptable material, composition or excipient, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material involved. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the dosage form and not injurious to the patient. Some examples of materials that can serve as pharmaceutically acceptable carriers include: (1) sugars such as lactose, glucose and sucrose; (2) starches such as corn starch and potato starch; (3) Cellulose and its derivatives such as sodium carboxymethylcellulose, ethylcellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8) cocoa butter and suppository waxes (9) oils such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols such as propylene glycol; (11) glycerin, sorbitol, mannitol and polyethylene Polio like glycol (12) Esters such as ethyl oleate and ethyl laurate; (13) Agar; (14) Buffering agents such as magnesium hydroxide and aluminum hydroxide; (15) Alginic acid; (16) Pyrogen-free water; (18) isotonic saline; (18) Ringer's solution; (19) ethyl alcohol; (20) phosphate buffer solution; and (21) other non-toxic compatible substances used in drug formulations. In some embodiments, the drug formulation is non-pyrogenic. That is, the patient's body temperature is not increased.
この点で「薬学的に許容し得る塩」という用語は、本発明の化合物の比較的非毒性の無機または有機酸付加塩を指す。これらの塩は、本発明の化合物の最終的な単離および精製中にin situで調製してもよく、または本発明の精製された化合物をその遊離塩基形態で好適な有機または無機酸と別個に反応させ、こうして形成された塩を単離することによって調製してもよい。代表的な塩としては、臭化水素酸塩、塩酸塩、硫酸塩、硫酸水素塩、リン酸塩、硝酸塩、酢酸塩、吉草酸塩、オレイン酸塩、パルミチン酸塩、ステアリン酸塩、ラウリン酸塩、安息香酸塩、乳酸塩、リン酸塩、トシル酸塩、クエン酸塩、マレイン酸塩、フマル酸塩、コハク酸塩、酒石酸塩、ナフチル酸塩、メシル酸塩、グルコヘプトン酸塩、ラクトビオン酸塩、およびラウリルスルホン酸塩等がある。(例えば、Berge et al. (1977), J. Pharm. Sci. 66:1-19、を参照されたい。)
本発明の作用物質の薬学的に許容し得る塩としては、例えば非毒性の有機または無機酸からの、化合物の従来の非毒性塩または第四アンモニウム塩がある。例えば、このような従来の非毒性塩としては、塩酸、臭化水素酸、硫酸、スルファミン酸、リン酸、硝酸等のような無機酸から誘導されたもの;ならびに酢酸、プロピオン酸、コハク酸、グリコール酸、ステアリン酸、乳酸、リンゴ酸、酒石酸、クエン酸、アスコルビン酸、パルミチン酸、マレイン酸、ヒドロキシマレイン酸、フェニル酢酸、グルタミン酸、安息香酸、サリチル酸、スルファニル酸、2−アセトキシ安息香酸、フマル酸、トルエンスルホン酸、メタンスルホン酸、エタンジスルホン酸、シュウ酸、イソチオン酸等のような有機酸から調製された塩がある。
The term “pharmaceutically acceptable salts” in this regard refers to the relatively non-toxic inorganic or organic acid addition salts of the compounds of the present invention. These salts may be prepared in situ during the final isolation and purification of the compounds of the invention, or the purified compounds of the invention can be separated from a suitable organic or inorganic acid in its free base form. And may be prepared by isolating the salt thus formed. Typical salts include hydrobromide, hydrochloride, sulfate, hydrogen sulfate, phosphate, nitrate, acetate, valerate, oleate, palmitate, stearate, lauric acid Salt, benzoate, lactate, phosphate, tosylate, citrate, maleate, fumarate, succinate, tartrate, naphthylate, mesylate, glucoheptonate, lactobionic acid Salt, and lauryl sulfonate. (See, for example, Berge et al. (1977), J. Pharm. Sci. 66: 1-19.)
Pharmaceutically acceptable salts of the agents of the present invention include the conventional non-toxic salts or quaternary ammonium salts of the compounds, eg, from non-toxic organic or inorganic acids. For example, such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, sulfamic acid, phosphoric acid, nitric acid; and acetic acid, propionic acid, succinic acid, Glycolic acid, stearic acid, lactic acid, malic acid, tartaric acid, citric acid, ascorbic acid, palmitic acid, maleic acid, hydroxymaleic acid, phenylacetic acid, glutamic acid, benzoic acid, salicylic acid, sulfanilic acid, 2-acetoxybenzoic acid, fumaric acid There are salts prepared from organic acids such as toluenesulfonic acid, methanesulfonic acid, ethanedisulfonic acid, oxalic acid, isothionic acid and the like.
他の場合、本発明の作用物質は、1つまたは複数の酸性官能基を含んでもよく、したがって、薬学的に許容し得る塩基と薬学的に許容し得る塩を形成することが可能である。これらの例で「薬学的に許容し得る塩」という用語は、本発明の化合物の比較的非毒性の無機または有機塩基付加塩を指す。これらの塩も同様に、作用物質の最終的な単離および精製中にin situで調製してもよく、または精製された作用物質をその遊離酸形態で、薬学的に許容し得る金属カチオンの水酸化物塩、炭酸塩または炭酸水素塩のような好適な塩基と、アンモニアと、または薬学的に許容し得る有機第一、第二または第三アミンと別個に反応させることによって調製してもよい。代表的なアルカリまたはアルカリ土類塩としては、リチウム塩、ナトリウム塩、カリウム塩、カルシウム塩、マグネシウム塩、およびアルミニウム塩等がある。塩基付加塩の形成に有用な代表的な有機アミンとしては、エチルアミン、ジエチルアミン、エチレンジアミン、エタノールアミン、ジエタノールアミン、ピペラジン等がある。(例えば、Berge et al. (1977)、前掲、を参照されたい。)
ラウリル硫酸ナトリウムおよびステアリン酸マグネシウムのような湿潤剤、乳化剤および潤滑剤、ならびに着色剤、放出剤、被覆剤、甘味料、香味剤および香料、保存料および酸化防止剤もまた組成物中に存在してもよい。
In other cases, the agents of the present invention may contain one or more acidic functional groups and are thus capable of forming a pharmaceutically acceptable salt with a pharmaceutically acceptable base. In these examples, the term “pharmaceutically acceptable salt” refers to a relatively non-toxic inorganic or organic base addition salt of a compound of the invention. These salts may also be prepared in situ during the final isolation and purification of the agent, or the purified agent in its free acid form, with a pharmaceutically acceptable metal cation. It can also be prepared by reacting separately with a suitable base, such as a hydroxide salt, carbonate or bicarbonate, with ammonia, or with a pharmaceutically acceptable organic primary, secondary or tertiary amine. Good. Typical alkali or alkaline earth salts include lithium salts, sodium salts, potassium salts, calcium salts, magnesium salts, and aluminum salts. Representative organic amines useful for the formation of base addition salts include ethylamine, diethylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine and the like. (See, eg, Berge et al. (1977), supra).
Wetting agents such as sodium lauryl sulfate and magnesium stearate, emulsifiers and lubricants, and colorants, release agents, coatings, sweeteners, flavors and fragrances, preservatives and antioxidants are also present in the composition. May be.
薬学的に許容し得る酸化防止剤の例には以下のものがある:(1)アスコルビン酸、塩酸システイン、硫酸水素ナトリウム、二亜硫酸ナトリウム、亜硫酸ナトリウム等のような水溶性酸化防止剤;(2)パルミチン酸アスコルビル、ブチルヒドロキシアニソール(BHA)、ブチルヒドロキシトルエン(BHT)、レシチン、没食子酸プロピル、α−トコフェロール等のような油溶性酸化防止剤;ならびに(3)クエン酸、エチレンジアミン四酢酸(EDTA)、ソルビトール、酒石酸、リン酸等のような金属キレート剤。 Examples of pharmaceutically acceptable antioxidants include: (1) Water soluble antioxidants such as ascorbic acid, cysteine hydrochloride, sodium hydrogensulfate, sodium disulfite, sodium sulfite and the like; (2 ) Oil-soluble antioxidants such as ascorbyl palmitate, butylhydroxyanisole (BHA), butylhydroxytoluene (BHT), lecithin, propyl gallate, α-tocopherol and the like; and (3) citric acid, ethylenediaminetetraacetic acid (EDTA) ), Metal chelating agents such as sorbitol, tartaric acid, phosphoric acid and the like.
本発明の剤形は、経口、経鼻、局所(口内および舌下を含む)、直腸、膣および/または非経口投与に好適なものを含む。剤形は、単位投薬形態で都合よく差し出されてもよく、薬学分野で周知のいかなる方法によって調製されてもよい。担体材料と組み合わせて単一投薬形態を作製することができる活性成分の量は、治療されるホスト、特定の投与方式に応じて変わるであろう。担体材料と組み合わせて単一投薬形態を作製することができる活性成分の量は一般に、治療効果を生じる化合物の量であろう。一般に、100パーセントのうち、この量は、約1%から約99%まで、好ましくは約5%から約70%まで、最も好ましくは約10%から約30%までの範囲の活性成分である。 Dosage forms of the present invention include those suitable for oral, nasal, topical (including buccal and sublingual), rectal, vaginal and / or parenteral administration. The dosage form may be conveniently presented in unit dosage form and may be prepared by any method well known in the pharmaceutical art. The amount of active ingredient that can be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated, the particular mode of administration. The amount of active ingredient that can be combined with a carrier material to produce a single dosage form will generally be that amount of the compound that produces a therapeutic effect. Generally, out of 100 percent, this amount is the active ingredient ranging from about 1% to about 99%, preferably from about 5% to about 70%, most preferably from about 10% to about 30%.
これらの剤形または組成物を調製する方法は、本発明の1つまたは複数の作用物質を担体と、および随意に1つまたは複数の副成分と結びつけるステップを含む。一般に、剤形は本発明の1つまたは複数の作用物質を液体担体、もしくは微粉化した固体担体、またはその両方と均一かつ緊密に結びつけ、必要であれば製品を整形することによって調製される。 The methods of preparing these dosage forms or compositions comprise the step of combining one or more agents of the present invention with a carrier and optionally with one or more accessory ingredients. In general, dosage forms are prepared by uniformly and intimately bringing into association one or more agents of the present invention with liquid carriers or finely divided solid carriers or both and, if necessary, shaping the product.
経口投与に好適な本発明の剤形は、カプセル、カシェ、丸薬、錠剤、ロゼンジ(味付けされた主薬、通常はスクロースおよびアラビアゴムまたはトラガカント、を用いる)、粉末、顆粒、の形態でもよく、または水性もしくは非水性液体中の溶液もしくは懸濁液として、または水中油もしくは油中水液体乳剤として、またはエリキシルもしくはシロップとして、または香錠(ゼラチンおよびグリセリン、またはスクロースおよびアラビアゴムのような不活性基剤を用いる)および/または含嗽剤等としてでもよく、それぞれ活性成分として所定量の本発明の化合物を含む。本発明の作用物質は、巨丸剤、舐剤、またはペーストとして投与されてもよい。 Suitable dosage forms of the invention for oral administration may be in the form of capsules, cachets, pills, tablets, lozenges (with seasoned active ingredients, usually sucrose and gum arabic or tragacanth), powders, granules, or As a solution or suspension in an aqueous or non-aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or syrup, or pastilles (gelatin and glycerin, or inert groups such as sucrose and gum arabic) And / or a gargle and the like, each containing a predetermined amount of the compound of the present invention as an active ingredient. The agent of the present invention may be administered as a bolus, electuary or paste.
経口投与のための本発明の固体投薬形態(カプセル、錠剤、丸薬、糖衣錠、粉末薬、顆粒剤等)では、活性成分は、クエン酸ナトリウムまたはリン酸二カルシウムのような1つまたは複数の薬学的に許容し得る担体、および/または以下のもののいずれかと混合される:(1)デンプン、ラクトース、スクロース、グルコース、マンニトール、および/またはケイ酸のような充填剤または増量剤;(2)例えばカルボキシメチルセルロース、アルギン酸塩、ゼラチン、ポリビニルピロリドン、スクロースおよび/またはアラビアゴムのような粘結剤;(3)グリセロールのような保湿剤;(4)寒天、炭酸カルシウム、バレイショまたはタピオカデンプン、アルギン酸、ある特定のケイ酸塩、および炭酸ナトリウムのような崩壊剤;(5)パラフィンのような溶解遅延剤;(6)4級アンモニウム化合物のような吸収促進剤;(7)セチルアルコールおよびモノステアリン酸グリセロールのような湿潤剤;(8)カオリンおよびベントナイト粘土のような吸収剤;(9)タルク、ステアリン酸カルシウム、ステアリン酸マグネシウム、固体ポリエチレングリコール、ラウリル硫酸ナトリウム、およびそれらの混合物のような潤滑剤;ならびに(10)着色剤。カプセル、錠剤および丸薬の場合、薬物組成物は緩衝剤を含んでもよい。同様の種類の固体組成物が、ラクトースまたは乳糖のような補形薬と、高分子量ポリエチレングリコール等とを用いたソフトおよびハード充填ゼラチンカプセル内の充填剤としても使用可能である。 In solid dosage forms of the invention for oral administration (capsules, tablets, pills, dragees, powders, granules, etc.), the active ingredient is one or more pharmaceuticals such as sodium citrate or dicalcium phosphate (1) a filler or bulking agent such as starch, lactose, sucrose, glucose, mannitol, and / or silicic acid; (2) for example Binders such as carboxymethylcellulose, alginate, gelatin, polyvinylpyrrolidone, sucrose and / or gum arabic; (3) humectants such as glycerol; (4) agar, calcium carbonate, potato or tapioca starch, alginic acid Certain silicates and disintegrants such as sodium carbonate; (6) Absorption enhancers such as quaternary ammonium compounds; (7) Wetting agents such as cetyl alcohol and glycerol monostearate; (8) Absorbents such as kaolin and bentonite clay. (9) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycol, sodium lauryl sulfate, and mixtures thereof; and (10) colorants. In the case of capsules, tablets and pills, the drug composition may comprise a buffer. Similar types of solid compositions can also be used as fillers in soft and hard-filled gelatin capsules with excipients such as lactose or lactose and high molecular weight polyethylene glycols and the like.
錠剤は、圧縮または成形によって、随意に1つまたは複数の副成分とともに、作製され得る。圧縮された錠剤は、粘結剤(例えば、ゼラチンもしくはヒドロキシプロピルメチルセルロース)、潤滑剤、不活性希釈剤、保存料、崩壊剤(例えば、グリコール酸ナトリウムデンプンもしくは架橋型カルボキシメチルセルロースナトリウム)、表面活性剤または分散剤を用いて調製され得る。成形タブレットは、不活性液体希釈剤で湿潤化された粉末化合物の混合物を好適な機械で成形することによって作製され得る。 A tablet may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets can be binders (eg, gelatin or hydroxypropylmethylcellulose), lubricants, inert diluents, preservatives, disintegrants (eg, sodium glycolate starch or crosslinked sodium carboxymethylcellulose), surfactants Alternatively, it can be prepared using a dispersant. Molded tablets can be made by molding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent.
糖衣錠、カプセル、丸薬および顆粒剤のような、本発明の薬物組成物の錠剤等の固体投薬形態は、随意に、刻み目を付けられ、または薬物調剤分野において周知の腸溶性被膜等の被膜のような被膜および殻を用いて調製されてもよい。それらは、例えば、所望の放出プロファイルを提供するための種々の比率でのヒドロキシプロピルメチルセルロース、他のポリマーマトリックス、リポソームおよび/またはミクロスフェアを用いて、内部の活性成分の緩徐なまたは制御された放出を提供するように調剤されてもよい。それらは、例えば、細菌保持フィルターを通す濾過によって、または使用直前に滅菌水等の滅菌注射可能媒質に溶解することができる滅菌固体組成物の形態で滅菌剤を組み込むことによって、滅菌してもよい。これらの組成物は、随意に乳白剤を含んでもよく、胃腸管のある特定の部分のみで、またはそこで優先的に、随意に遅延したやり方で、1つまたは複数の活性成分を放出する組成であってもよい。使用可能な埋込み組成物の例として、ポリマー物質およびワックスがある。活性成分は、適当であれば1つまたは複数の上記の補形薬とともに、マイクロカプセル化された形態であってもよい。 Solid dosage forms such as tablets of the drug composition of the present invention, such as dragees, capsules, pills and granules, are optionally scored or like coatings such as enteric coatings well known in the drug dispensing arts. May be prepared using a unique coating and shell. They use, for example, hydroxypropylmethylcellulose, other polymer matrices, liposomes and / or microspheres in various ratios to provide the desired release profile, and slow or controlled release of the internal active ingredient. May be formulated to provide. They may be sterilized, for example, by filtration through a bacteria retaining filter, or by incorporating a sterilant in the form of a sterile solid composition that can be dissolved in a sterile injectable medium such as sterile water immediately before use. . These compositions may optionally contain opacifiers, in compositions that release one or more active ingredients only in certain parts of the gastrointestinal tract or preferentially there, optionally in a delayed manner. There may be. Examples of embedding compositions that can be used are polymeric substances and waxes. The active ingredient may be in microencapsulated form, if appropriate, with one or more of the above-described excipients.
本発明の化合物の経口投与のための液体投薬形態としては、薬学的に許容し得る乳剤、マイクロエマルジョン、溶液、懸濁液、シロップおよびエリキシルがある。液体投薬形態は、活性成分に加えて、例えば水や他の溶媒のような当技術分野で一般に使用される不活性希釈剤、エチルアルコール、イソプロピルアルコール、炭酸エチル、酢酸エチル、ベンジルアルコール、安息香酸ベンジル、プロピレングリコール、1,3−ブタジエングリコール、油(特に、綿実油、落花生油、トウモロコシ油、胚油、オリーブ油、ヒマシ油およびゴマ油)、グリセロール、テトラヒドロフリルアルコール、ポリエチレングリコールおよびソルビタンの脂肪酸エステルのような可溶化剤および乳化剤、およびそれらの混合物を含んでもよい。 Liquid dosage forms for oral administration of the compounds of the invention include pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. Liquid dosage forms include, in addition to the active ingredient, inert diluents commonly used in the art, such as water and other solvents, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzoic acid Like fatty acids esters of benzyl, propylene glycol, 1,3-butadiene glycol, oils (especially cottonseed oil, peanut oil, corn oil, embryo oil, olive oil, castor oil and sesame oil), glycerol, tetrahydrofuryl alcohol, polyethylene glycol and sorbitan Solubilizers and emulsifiers, and mixtures thereof.
不活性希釈剤の他に、経口組成物は、湿潤剤、乳化剤および懸濁剤、甘味料、香味剤、着色剤、香料および保存剤のような補助薬を含んでもよい。 In addition to inert diluents, oral compositions may include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, flavoring and preserving agents.
懸濁液は、活性化合物に加えて、例えば、エトキシル化イソステアリルアルコール、ポリオキシエチレンソルビトールおよびソルビタンエステル、微結晶セルロース、メタ水酸化アルミニウム、ベントナイト、寒天およびトラガカント、ならびにそれらの混合物のような懸濁剤を含んでもよい。 Suspensions may be suspended in addition to the active compound, for example, ethoxylated isostearyl alcohol, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar and tragacanth, and mixtures thereof. A turbidity agent may be included.
直腸または膣投与のための本発明の薬物組成物の剤形は、座薬として提示され得る。この座薬は、例えば、ココアバター、ポリエチレングリコール、座薬ワックスまたはサリチル酸塩を含む1つまたは複数の好適な非刺激性補形薬または担体と、本発明の1つまたは複数の作用物質を混合することによって調製することが可能であり、室温で固体であるが、体温では液体であるため、直腸または膣腔で融解し、活性化合物を放出することになる。 Dosage forms of the drug composition of the present invention for rectal or vaginal administration may be presented as suppositories. This suppository comprises mixing one or more agents of the present invention with one or more suitable nonirritating excipients or carriers including, for example, cocoa butter, polyethylene glycol, suppository waxes or salicylates. Which is solid at room temperature but liquid at body temperature, it will melt in the rectum or vaginal cavity and release the active compound.
膣投与に好適な本発明の剤形はまた、当技術分野で適当であることが知られているような担体を含むペッサリー、タンポン、クリーム、ゲル、ペースト、発泡またはスプレー剤形も含む。 The dosage forms of the present invention suitable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray dosage forms containing carriers as known to be suitable in the art.
本発明の1つまたは複数の作用物質の局所的または経皮的投与の投薬形態は、粉末、スプレー、軟膏、ペースト、クリーム、ローション、ゲル、溶液、パッチおよび吸入薬を含む。活性作用物質は、薬学的に許容し得る基材と、および必要であれば保存料、緩衝液、または推進剤と、滅菌条件下で混合してもよい。 Dosage forms for topical or transdermal administration of one or more agents of the present invention include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants. The active agent may be mixed under sterile conditions with a pharmaceutically acceptable base material and, if necessary, preservatives, buffers, or propellants.
軟膏、ペースト、クリームおよびゲルは、本発明の活性化合物に加えて、動物または植物脂、油、ワックス、パラフィン、デンプン、トラガカント、セルロース誘導体、ポリエチレングリコール、シリコーン、ベントナイト、ケイ酸、タルクおよび酸化亜鉛、またはそれらの混合物のような補形薬を含んでもよい。 Ointments, pastes, creams and gels are used in addition to the active compounds according to the invention for animal or vegetable fats, oils, waxes, paraffins, starches, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonite, silicic acid, talc and zinc oxide. Or an excipient such as a mixture thereof.
粉末およびスプレーは、本発明の化合物に加えて、ラクトース、タルク、ケイ酸、水酸化アルミニウム、ケイ酸カルシウムおよびポリアミド粉末、またはこれらの物質の混合物のような補形薬を含んでもよい。スプレーは、塩化フッ化炭化水素や、ブタンおよびプロパンのような揮発性非置換炭化水素のような通例の高圧ガスをさらに含んでもよい。 Powders and sprays may contain, in addition to the compounds of this invention, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances. The spray may further comprise customary high pressure gases such as chlorofluorinated hydrocarbons and volatile unsubstituted hydrocarbons such as butane and propane.
経皮的パッチは、本発明の作用物質を、体に制御して配送するという更なる利点を有する。このような投薬形態は、適当な媒質に本発明の化合物を溶解または分散させることによってなされ得る。吸収増進剤を用いて、皮膚を横切る本発明の作用物質のフラックスを上昇させることも可能である。このようなフラックスの速さは、速さ制御膜を設けるか、またはポリマーマトリックスもしくはゲル中に化合物を分散させるかのいずれかによって制御することができる。 Transdermal patches have the additional advantage of controlled delivery of the agents of the present invention to the body. Such dosage forms can be made by dissolving or dispensing the compound of the present invention in the proper medium. Absorption enhancers can also be used to increase the flux of the agent of the invention across the skin. The speed of such flux can be controlled by either providing a speed control membrane or by dispersing the compound in a polymer matrix or gel.
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