JP6183656B2 - Nonalcoholic fatty liver suppressor - Google Patents

Nonalcoholic fatty liver suppressor Download PDF

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JP6183656B2
JP6183656B2 JP2014008238A JP2014008238A JP6183656B2 JP 6183656 B2 JP6183656 B2 JP 6183656B2 JP 2014008238 A JP2014008238 A JP 2014008238A JP 2014008238 A JP2014008238 A JP 2014008238A JP 6183656 B2 JP6183656 B2 JP 6183656B2
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black vinegar
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良彦 柴山
良彦 柴山
正信 長野
正信 長野
和典 橋口
和典 橋口
直人 菱田
直人 菱田
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Hokkaido University NUC
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Description

本発明は、黒酢由来成分を有効成分として含む、非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤に関する。さらに詳しくは、黒酢由来成分として、酢酸を除いた黒酢を有効成分として含む、非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤に関する。   The present invention relates to a non-alcoholic fatty liver inhibitor, a dehydroepiandrosterone-sulfate (DHEA-S) reduction inhibitor, and a weight loss inhibitor in old age, which contain a black vinegar-derived component as an active ingredient. More specifically, as a black vinegar-derived component, a non-alcoholic fatty liver inhibitor, a dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor, and a weight loss inhibitor in the elderly, which contains black vinegar excluding acetic acid as an active ingredient .

黒酢とは、JAS法により規定される米酢の一種であり、陶器の壷に蒸し米、麹、水を入れ、糖化、アルコール発酵、酢酸発酵までが1つの壷で進行し、さらに熟成させることで得られる独特の深い味わいを有する酢である。
黒酢は、鹿児島県霧島市で古くから製造され、昔はもっぱら調味料として用いられていたが、近年は黒酢の血圧を下げる効果や血液をサラサラにする効果が謳われ、人々の健康志向の高まりとともに黒酢は希釈して飲用されるようになってきた。また、さらに、一部の黒酢入り飲料は特定保健用食品としての認可も受けている。
最近では、黒酢について、脂質代謝改善作用、赤血球変形能改善作用、血圧調節作用、血糖調節作用、抗酸化作用、肥満抑制作用及び血中のアディポネクチン濃度増加促進作用など様々な作用が報告されてきた(特許文献1,2,3)。また長寿をもたらす遺伝子であるSirt1関連遺伝子の発現が増進することも報告されている(特許文献4)。
非アルコール性脂肪肝は糖尿病、脂質代謝異常症、高血圧など、いわゆる生活習慣病とともに欧米先進国やわが国で増加している。この脂肪肝のなかで、炎症や線維化を伴う非アルコール性脂肪肝炎(Non-alcoholic steatohepatitis:NASH)は肝硬変や肝癌を生じることがあり、予後不良の脂肪肝である。よって脂肪肝の発症を防ぐことはNASHの発生防止のために重要な課題となっている。
非アルコール性脂肪肝炎(NASH)の薬物療法として確立したものはなく、肥満や糖尿病を基礎にした脂肪肝では,運動やカロリー制限,あるいは血糖コントロールにより脂肪肝は著明に改善することが知られている。NASHの治療としては、ビタミンE、ウルソデオキシコール酸など抗酸化薬を含む種々の薬物療法が試みられているが、いまだ一定の見解は得られていない(非特許文献1)。NASHには脂質代謝異常改善薬が有効である可能性が考えられるが、脂質代謝異常は改善できても脂肪肝を改善するあるいは改善できないといういくつかの報告があり(非特許文献2)、脂肪肝に対する脂質代謝異常改善薬の有効性は定まっていない。非アルコール性脂肪肝炎に対する治療薬の開発が強く望まれているが、治療に対する薬剤の貢献度、治療の満足度とも30%以下(非特許文献3)であり、新薬の開発が極めて遅れている領域の1つである。
また、アンドロゲンのdehydroepiandrosterone (DHEA) は性ステロイドのエストロゲンやテストステロンの前駆体ステロイドであり、その硫酸化体で相互変換し得るDHEA-sulfate(DHEA-s) は抗肥満、抗糖尿病、発癌、動脈硬化、記憶維持、骨粗鬆症などに対して有益作用を持ち、老化と関与するバイオマーカーの1つとして知られている(非特許文献4)。よって、DHEA-Sの低下を抑制できれば、老化に伴う諸症状を改善できる可能性が期待できる。ここで、黒酢に認知機能低下抑制作用があることは知られている(特許文献5)。しかし、認知機能低下は様々な要因が複雑にからみあって起こると考えられているところ、当該文献には、DHEA-Sとの関連性については全く示唆されていない。
また、高齢期における体重と生存に関する多くの研究が報告されており、若年期での肥満は死亡リスクを上昇させるが、逆に高齢期での体重低下は死亡率を上昇させることが報告されている(非特許文献7,8)。高齢期での体重過多・肥満は有害ではない、もしくは死亡リスクを下げる効果があることが示唆されている(非特許文献8)。しかしながら、高齢期における体重低下を抑制する方法は不明である。
Black vinegar is a kind of rice vinegar stipulated by the JAS method. Steamed rice, rice bran, and water are put in a potter's pot, and saccharification, alcoholic fermentation, and acetic acid fermentation progress in one pot and further mature. This vinegar has a unique deep taste.
Black vinegar has long been manufactured in Kirishima City, Kagoshima Prefecture, and was used exclusively as a seasoning in the past.In recent years, black vinegar has been shown to be effective in lowering blood pressure and smoothing blood. With the rise of vinegar, black vinegar has been diluted and drunk. In addition, some black vinegar drinks are also approved as food for specified health use.
Recently, black vinegar has been reported to have various effects such as lipid metabolism improving effect, erythrocyte deformability improving effect, blood pressure regulating effect, blood glucose regulating effect, antioxidant effect, obesity suppressing effect and blood adiponectin concentration increasing promoting effect. (Patent Documents 1, 2, and 3). It has also been reported that the expression of a Sirt1-related gene, which is a gene that brings about longevity, is enhanced (Patent Document 4).
Non-alcoholic fatty liver is increasing in advanced Western countries and Japan along with so-called lifestyle-related diseases such as diabetes, dyslipidemia and hypertension. Among these fatty livers, non-alcoholic steatohepatitis (NASH) with inflammation and fibrosis may cause cirrhosis and liver cancer, and is a fatty liver with a poor prognosis. Therefore, preventing the onset of fatty liver is an important issue for preventing the occurrence of NASH.
There is no established pharmacotherapy for nonalcoholic steatohepatitis (NASH). Fatty liver based on obesity and diabetes is known to improve markedly by exercise, caloric restriction, or blood glucose control. ing. As a treatment for NASH, various drug therapies including antioxidants such as vitamin E and ursodeoxycholic acid have been tried, but a certain view has not yet been obtained (Non-patent Document 1). There is a possibility that a drug for improving lipid metabolism abnormalities may be effective for NASH, but there are some reports that even if lipid metabolism abnormalities can be improved, fatty liver can or cannot be improved (Non-patent Document 2). The effectiveness of drugs that improve abnormal lipid metabolism in the liver has not been determined. Development of a therapeutic drug for nonalcoholic steatohepatitis is strongly desired, but the contribution of the drug to the treatment and the satisfaction with the treatment are both 30% or less (Non-patent Document 3), and the development of a new drug is extremely delayed. One of the areas.
Androgen dehydroepiandrosterone (DHEA) is a sex steroid estrogen and testosterone precursor steroid, and DHEA-sulfate (DHEA-s), which can be interconverted with its sulfated form, is anti-obesity, anti-diabetic, carcinogenic, arteriosclerosis It has a beneficial effect on memory maintenance, osteoporosis, etc., and is known as one of biomarkers involved in aging (Non-patent Document 4). Therefore, if the decrease in DHEA-S can be suppressed, the possibility of improving various symptoms associated with aging can be expected. Here, it is known that black vinegar has a cognitive function lowering suppressing action (Patent Document 5). However, cognitive decline is thought to occur due to the complex involvement of various factors, and the literature does not suggest any relationship with DHEA-S.
In addition, many studies on weight and survival in older age have been reported, and obesity in younger age increases the risk of death, whereas conversely, weight loss in older age has been reported to increase mortality. (Non-Patent Documents 7 and 8). It has been suggested that overweight and obesity in the elderly are not harmful or have an effect of reducing the risk of death (Non-patent Document 8). However, the method for suppressing weight loss in the elderly is unknown.

特開2005−263760号公報JP 2005-263760 A 特開2007−29020号公報JP 2007-29020 A 特開2011−168540号公報JP 2011-168540 A 特開2013−133279号公報JP 2013-133279 A 特開2013−060380号公報JP 2013-060380 A

新臨床内科学 第9版 8.脂肪肝,非アルコール性脂肪肝炎 医学書院(2009年)New clinical internal medicine 9th edition 8. Fatty liver, non-alcoholic steatohepatitis Medical School (2009) Lipid-lowering agents in nonalcoholic fatty liver disease and steatohepatitis: human studies. Nseir W. et al., Dig Dis Sci. 2012; 57: 1773-81.Lipid-lowering agents in nonalcoholic fatty liver disease and steatohepatitis: human studies.Nseir W. et al., Dig Dis Sci. 2012; 57: 1773-81. 医薬産業政策研究所.「アンメット・メディカル・ニーズに対する医薬品の開発・承認状況」政策研ニュースNo.34 (2011年11月)National Institute of Pharmaceutical Sciences. “Development and approval status of drugs for unmet medical needs” Policy Research News No.34 (November 2011) Development of a Model of Functional Endocrine Age in Japanese People -Serum Dehydroepiandrosterone-sulfate (DHEA-s) Concentration as an Index of Aging-. Nomoto K. et al., Anti-Aging Medicine, 2011; 8 : 69-74.Development of a Model of Functional Endocrine Age in Japanese People -Serum Dehydroepiandrosterone-sulfate (DHEA-s) Concentration as an Index of Aging-.Nomoto K. et al., Anti-Aging Medicine, 2011; 8: 69-74. The use of body surface area as a criterion of drug dosage in cancer chemotherapy. PINKEL D. Cancer Res. 1958; 18: 853-6.The use of body surface area as a criterion of drug dosage in cancer chemotherapy.Pinkel D. Cancer Res. 1958; 18: 853-6. Nutrient control of glucose homeostasis through a complex of PGC-1alpha and SIRT1. Rodgers JT et al., Nature. 2005; 434:113-8.Nutrient control of glucose homeostasis through a complex of PGC-1alpha and SIRT1. Rodgers JT et al., Nature. 2005; 434: 113-8. Body mass index, change in body mass index, and survival in old and very old persons. Dahl AK et al., J Am Geriatr Soc. 2013; 61:512-8.Body mass index, change in body mass index, and survival in old and very old persons.Dahl AK et al., J Am Geriatr Soc. 2013; 61: 512-8. Survival in older men may benefit from being slightly overweight and centrally obese--a 5-year follow-up study in 4,000 older adults using DXA. Auyeung TW et al., J Gerontol A Biol Sci Med Sci. 2010; 65:99-104.Survival in older men may benefit from being slightly overweight and centrally obese--a 5-year follow-up study in 4,000 older adults using DXA.Auyeung TW et al., J Gerontol A Biol Sci Med Sci. 2010; 65: 99- 104.

本発明は、食品としての安全性が確認されている黒酢由来成分の摂取により、非アルコール性脂肪肝の発症を抑制し、老化のバイオマーカーの1つであるdehydroepiandrosterone-sulfate(DHEA-S)の低下および/または高齢期における体重低下を抑制することを課題とする。   The present invention suppresses the development of non-alcoholic fatty liver by ingesting black vinegar-derived ingredients that have been confirmed to be safe as foods, and dehydroepiandrosterone-sulfate (DHEA-S), which is one of the biomarkers of aging It is an object to suppress a decrease in body weight and / or a decrease in weight in the elderly.

本発明は、黒酢を有効成分とする、非アルコール性脂肪肝発症の抑制剤、老化に伴うDHEA-Sの低下抑制剤および/または高齢期における体重低下抑制剤を提供する。特に、黒酢から酢酸成分を除いたいわゆる黒酢特有の成分を有効成分とする、非アルコール性脂肪肝発症の抑制剤、老化に伴うDHEA-Sの低下抑制剤および/または高齢期における体重低下抑制剤を提供する。   The present invention provides a non-alcoholic fatty liver onset inhibitor, a DHEA-S reduction inhibitor associated with aging and / or a weight loss inhibitor in old age, comprising black vinegar as an active ingredient. In particular, a non-alcoholic fatty liver onset inhibitor, a DHEA-S reduction inhibitor associated with aging, and / or weight loss in old age, which contains so-called black vinegar-specific components obtained by removing the acetic acid component from black vinegar Provide an inhibitor.

黒酢は、食品としての安全性が確認されているため、黒酢を有効成分とする本発明の剤を摂取することにより、副作用もなく非アルコール性脂肪肝発症のリスクを抑制し、老化に伴うDHEA-Sの低下および/または高齢期における体重低下を抑制することが出来る。また、本発明の剤は黒酢を有効成分とすることから、経済的でもある。   Since black vinegar has been confirmed to be safe as a food, taking the agent of the present invention containing black vinegar as an active ingredient suppresses the risk of developing non-alcoholic fatty liver without side effects, and aging The accompanying decrease in DHEA-S and / or weight loss in the elderly can be suppressed. Moreover, since the agent of this invention uses black vinegar as an active ingredient, it is also economical.

肝臓の肉眼像およびヘマトキシリン・エオジン染色した組織像 a: 高脂肪食投与群マウス肝臓に発生した脂肪肝のマクロ像 b: 脂肪肝の拡大組織像、aの矢印領域を拡大した。脂肪肝の組織では大小の空胞が見られ、肝細胞の核は一端に圧排され、胞体が腫大化している。肝細胞索の構造が不明化し、類洞も狭くなっている。 c: 黒酢濃縮液投与群マウスにおける正常肝臓のマクロ像 d: 正常肝臓のミクロ像、cの矢印領域を拡大した。 e:高脂肪食投与群マウスに生じた脂肪肝と脂肪腫の肉眼像。上部2つの像は脂肪腫を、下部2つの像は脂肪肝病変を示す。Macroscopic image of liver and tissue image stained with hematoxylin and eosin a: Macro image of fatty liver developed in the liver of mice fed with high fat diet b: Enlarged tissue image of fatty liver, arrow region a. In fatty liver tissue, large and small vacuoles are seen, the nucleus of hepatocytes is squeezed out at one end, and the endoplasmic reticulum is enlarged. The structure of the hepatic cell cord has become unknown, and the sinusoids have also narrowed. c: Macro image of normal liver in mice administered with black vinegar concentrate d: Micro image of normal liver, arrow region of c was enlarged. e: Macroscopic images of fatty liver and lipoma produced in mice administered with a high fat diet. The top two images show lipoma and the bottom two images show fatty liver lesions. ヘマトキシリン・エオジン染色した肝細胞癌の組織像 a:高脂肪食投与群マウス肝臓に発生した肝細胞癌のマクロ像 b: 肝細胞癌の拡大組織像、 aの矢印領域を拡大した。異型性の強い肝細胞類似の腫瘍細胞が正常組織内に島状に増殖している。 c: aの肝細胞癌の小腸への転移巣。bに認められる島状の同様な腫瘍細胞が認められる d:高脂肪食投与群マウスで認められた脂肪腫および肝細胞癌、右側には胞体が肥大した脂肪腫が、左側には異型性の強い肝細胞癌が認められる。Histological image of hepatocellular carcinoma stained with hematoxylin and eosin a: Macro image of hepatocellular carcinoma that occurred in the liver of mice fed with high-fat diet b: Enlarged tissue image of hepatocellular carcinoma, arrow region a was enlarged. Tumor cells similar to hepatocytes with strong atypia proliferate like islands in normal tissue. c: Metastasis to the small intestine of hepatocellular carcinoma of a. There are similar island-shaped tumor cells observed in b. d: Lipoma and hepatocellular carcinoma found in mice fed the high-fat diet. Lipoma with enlarged vesicles on the right and atypical on the left. Strong hepatocellular carcinoma is observed. 体重の時間変化 各群の平均値を示す。毎週ごとの体重変化を示した。高脂肪食投与群:HC、本試験用飼料投与群:BV、レスベラトロール投与群:Res、標準食投与群:SDとして示す。飼育11週目から23週目まで、25週から37週日目では、有意な増加抑制が確認された。飼育76週から96週目まで、高脂肪食飼料摂取マウスと比較して、本試験用飼料摂取マウスの体重の有意な低下抑制効果が認められた。(Tukey法)Change in body weight over time The average value of each group is shown. Changes in body weight were shown every week. High fat diet administration group: Shown as HC, feed administration group for this study: BV, resveratrol administration group: Res, standard diet administration group: SD. Significant increase suppression was confirmed from the 11th to 23rd week of breeding and from the 25th to 37th week. From the 76th week to the 96th week of breeding, a significant reduction in body weight was observed in the mice fed the test feed compared to mice fed the high fat diet. (Tukey method)

本発明において、有効成分である「黒酢」とは、JAS法により規定される米酢の一種であり、米に麹と水を加えて発酵・熟成させることにより製造される米黒酢を意味する。米黒酢は、酢1リットルにつき180グラム以上の米を使用して製造されること、および、少なくとも半年間という長い熟成期間を経ることにより褐色または黒褐色を帯びるようになっていること、により他の穀物酢から区別される。特に、玄米を3%削った3分搗き米に種麹をまいたものである「混ぜ麹」、3分搗き米を蒸した「蒸し米」、および水、をこの順序で陶器の壺に入れ、最後に麹で水面を均一に覆って、壺にふたをし、半年以上置いて発酵させ、さらに半年以上置いて熟成させることにより製造される米黒酢が好ましい。本発明において好ましく使用できる黒酢は、例えば坂元醸造株式会社から入手できる。黒酢は約4%の酢酸を含み、その他、タンパク質、オリゴペプチド、アミノ酸、有機酸等を含んでいると考えられるが、詳しい組成は理解されていない。   In the present invention, “black vinegar” as an active ingredient is a kind of rice vinegar defined by the JAS method, and means rice black vinegar produced by adding rice bran and water to fermentation and aging. To do. Rice black vinegar is produced using more than 180 grams of rice per liter of vinegar and has become brown or blackish brown after a long aging period of at least half a year. Differentiated from grain vinegar. In particular, put "mixed rice cake", which is 3% -milled rice with 3% shaved brown rice, seeded rice, "steamed rice", steamed rice for 3 minutes, and water in this order in the pot Finally, rice black vinegar produced by covering the water surface uniformly with straw, covering the straw, fermenting for more than half a year, and further aging for more than half a year is preferable. Black vinegar that can be preferably used in the present invention can be obtained from Sakamoto Brewing Co., Ltd., for example. Black vinegar contains about 4% acetic acid and is thought to contain proteins, oligopeptides, amino acids, organic acids, etc., but the detailed composition is not understood.

本発明において、有効成分である「酢酸成分を除去した黒酢」とは、少なくとも1回の凍結乾燥などの処理により黒酢から酢酸およびその他の揮発性成分を除去したものをいう。凍結乾燥処理の手段は、当業者に知られるいずれかのものを適宜選択すればよい。例えば、東京理科器械の凍結乾燥機FD−81により凍結乾燥処理を行うことができる。酢酸をより完全に除去するためには、黒酢の凍結乾燥処理により得られた粉末を水に溶解し、その溶液を再び凍結乾燥処理するという操作を繰り返すことが好ましい。当該操作は例えば1回、2回、3回、または4回繰り返すことができる。一般的な凍結乾燥処理ではなく他の種類の処理によって得られたものであっても、揮発性成分が除去されたものという点で実質的に同一であれば、本発明の凍結乾燥物に含まれるとする。このように「酢酸成分を除去した黒酢」は、黒酢から酢酸およびその他の揮発性成分を除いたものであるから、本明細書では、特にことわらない限り「黒酢濃縮物」と同義で用いられることがあり、また、「黒酢凍結乾燥物」が実際の使用例として挙げられる。   In the present invention, the “black vinegar from which the acetic acid component has been removed” as an active ingredient refers to a product obtained by removing acetic acid and other volatile components from black vinegar by at least one treatment such as freeze-drying. Any means known to those skilled in the art may be selected as the lyophilization treatment means. For example, freeze-drying treatment can be performed by a freeze dryer FD-81 of Tokyo Science Instruments. In order to remove acetic acid more completely, it is preferable to repeat the operation of dissolving the powder obtained by lyophilization of black vinegar in water and lyophilizing the solution again. The operation can be repeated once, twice, three times, or four times, for example. Even if it is obtained by other types of treatments instead of general freeze-drying treatment, it is included in the freeze-dried product of the present invention as long as it is substantially the same in that volatile components are removed. Let's say. As described above, “black vinegar from which acetic acid components have been removed” is obtained by removing acetic acid and other volatile components from black vinegar. Therefore, in this specification, unless otherwise specified, it is synonymous with “black vinegar concentrate”. In addition, “black vinegar freeze-dried product” can be used as an actual use example.

黒酢凍結乾燥物は、凍結乾燥処理の直後は粉末の状態であるが、その粉末を水に溶解することにより、酢酸およびその他の揮発性成分を含まないが黒酢のそれ以外の成分を含む水溶液が得られる。この黒酢凍結乾燥物の水溶液を、黒酢凍結乾燥物水溶液と呼ぶ。溶解に用いる水の体積が凍結乾燥前の黒酢の体積よりも小さい場合は、得られた水溶液を特に「黒酢濃縮液」と呼ぶ。例えば、1000 mlの黒酢を上記のとおり凍結乾燥処理し、最終的に100 mlの水に溶解して得られた溶液は、黒酢凍結乾燥物を含有する黒酢濃縮液であり、この場合は特に黒酢10倍濃縮液ということもできる。   The black vinegar freeze-dried product is in a powder state immediately after the freeze-drying treatment, but by dissolving the powder in water, it does not contain acetic acid and other volatile components, but contains other components of black vinegar. An aqueous solution is obtained. This aqueous solution of black vinegar freeze-dried product is referred to as black vinegar freeze-dried solution aqueous solution. When the volume of water used for dissolution is smaller than the volume of black vinegar before lyophilization, the resulting aqueous solution is particularly called “black vinegar concentrate”. For example, a solution obtained by freeze-drying 1000 ml of black vinegar as described above and finally dissolving in 100 ml of water is a black vinegar concentrate containing black vinegar freeze-dried product. Can also be referred to as a black vinegar 10-fold concentrate.

「黒酢由来成分」とは、黒酢に含有されており黒酢から分離され得るあらゆる成分を意味する。本明細書では特に、黒酢凍結乾燥物に含有されている成分や、黒酢濃縮液の画分の凍結乾燥物を黒酢由来成分と呼ぶことがある。なお、「成分」という語は単一の化合物を必ずしも意味するものではなく、多数の化合物からなる混合物を成分と呼ぶこともある。   The “black vinegar-derived component” means any component that is contained in black vinegar and can be separated from black vinegar. Especially in this specification, the component contained in the freeze-dried black vinegar or the freeze-dried fraction of the black vinegar concentrate may be referred to as a black vinegar-derived component. The term “component” does not necessarily mean a single compound, and a mixture of a large number of compounds may be called a component.

本発明の非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤には、黒酢、黒酢凍結乾燥物または黒酢由来成分を単独で含んでいてもよいが、黒酢、黒酢凍結乾燥物または黒酢由来成分の有効成分としての効果を完全に損なわない限り他の成分を追加で含んでいてもよいことは当業者には当然に理解される。医薬製剤または食品加工の分野で知られる賦形剤、希釈剤、溶剤、増粘剤、乳化剤、pH調整剤、緩衝剤、安定化剤、保存剤、調味料、香料等が、追加の成分の例として挙げられる。当業者は、製剤や投与の様式に応じて適切な追加成分を選択することができる。本発明の非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤の製造において、黒酢凍結乾燥物(または黒酢由来成分)は、粉末の状態で使用されてもよいし、溶液、例えば水溶液、特に黒酢濃縮液の状態で使用されてもよい。   The non-alcoholic fatty liver inhibitor, dehydroepiandrosterone-sulfate (DHEA-S) reduction inhibitor and weight loss inhibitor in the elderly of the present invention contain black vinegar, black vinegar freeze-dried product or black vinegar-derived component alone. However, it is obvious to those skilled in the art that other components may be included as long as the effect as an active ingredient of black vinegar, black vinegar freeze-dried product or black vinegar-derived component is not completely impaired. Understood. Excipients, diluents, solvents, thickeners, emulsifiers, pH adjusters, buffers, stabilizers, preservatives, seasonings, flavors, etc. known in the field of pharmaceutical formulations or food processing are additional ingredients. Take as an example. One skilled in the art can select appropriate additional ingredients depending on the formulation and mode of administration. In the production of the non-alcoholic fatty liver inhibitor, dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor and weight loss inhibitor in the elderly of the present invention, lyophilized black vinegar (or a component derived from black vinegar) It may be used in the state, or may be used in the state of a solution, for example, an aqueous solution, particularly a black vinegar concentrate.

本発明の非アルコール性脂肪肝抑制剤の効果は、本発明の剤の投与により非アルコール性の脂肪肝の発生を抑制する効果、発生のリスクを低減できる効果、脂肪肝炎の予防効果などをいう。本発明の非アルコール性脂肪肝抑制剤は、高脂肪食の摂取に伴い発生する脂肪肝に特に有効であることが確認されている。したがって、本発明の非アルコール性脂肪肝抑制剤を投与すれば、たとえ高脂肪食を長期にわたって摂取するような個体においても、脂肪肝発生のリスクを抑え、脂肪肝を予防することができる。   The effect of the non-alcoholic fatty liver inhibitor of the present invention refers to the effect of suppressing the occurrence of non-alcoholic fatty liver by the administration of the agent of the present invention, the effect of reducing the risk of occurrence, the effect of preventing steatohepatitis, etc. . It has been confirmed that the non-alcoholic fatty liver inhibitor of the present invention is particularly effective for fatty liver that occurs with intake of a high fat diet. Therefore, if the non-alcoholic fatty liver inhibitor of the present invention is administered, the risk of fatty liver development can be suppressed and fatty liver can be prevented even in an individual who takes a high-fat diet for a long time.

また、本発明のdehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤の効果は、本発明の剤の投与により、DHEA-Sの低下を抑制する効果をいう。低下の抑制とは、本来の低下よりもその低下の程度が少なくてすむことをいい、具体的には、低下せずにDHEA-Sのレベルが維持されることや、DHEA-Sが低下せずに増えることをも含む。DHEA-Sの低下は、加齢に伴い低下することが知られているため、本発明の剤は、加齢に伴うDHEA-S低下抑制剤として好適に用いることができる。   The effect of the dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor of the present invention refers to the effect of suppressing the decrease of DHEA-S by administration of the agent of the present invention. Suppression of the reduction means that the degree of the reduction is less than the original reduction. Specifically, the level of DHEA-S is maintained without being reduced, or the DHEA-S is reduced. Including increase without. Since the decrease in DHEA-S is known to decrease with aging, the agent of the present invention can be suitably used as a DHEA-S decrease inhibitor with aging.

また、本発明の高齢期の体重低下抑制剤の効果は、本発明の剤の投与により、いわゆる高齢期における体重の減少を抑制する効果をいう。いわゆる高齢期は、ヒトの場合、65歳以上、あるいは70歳以上をいう。低齢期における肥満は健康によくないとされているが、高齢期は逆に痩せているほうが死亡のリスクが高まることが知られている(非特許文献7,8等)。本発明において、黒酢には、高脂肪食を長期に摂食した場合、低齢期や中年期では体重の増加を抑制し、高齢期では体重の低下を抑制するという理想的な体重コントロール作用があることを明らかにした。すなわち、本発明の剤は、低齢期および中年期における肥満抑制剤として、また、高齢期における体重低下抑制剤として、あるいは、ヒトの健康状態に応じた体重コントロール剤として好適に用いることができる。   Moreover, the effect of the weight loss inhibitor in the elderly of the present invention refers to an effect of suppressing the decrease in body weight in the so-called elderly by administration of the agent of the present invention. In the case of human beings, so-called old age is 65 years or older, or 70 years or older. It is known that obesity in the young age is not good for health, but the risk of mortality increases when the old age is conversely thin (Non-patent Documents 7 and 8, etc.). In the present invention, when black vinegar is fed with a high fat diet for a long period of time, it is an ideal weight control that suppresses weight gain in the young and middle age and suppresses weight loss in the elderly. Clarified that there is an effect. That is, the agent of the present invention can be suitably used as an obesity inhibitor in the early age and middle age, as a weight loss inhibitor in the elderly, or as a weight control agent according to the human health condition. it can.

本発明の非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤を投与する対象となる個体は、哺乳類ならばどのような種でもよく、特にマウスまたはヒトが好ましい。総摂取カロリーに占める脂質由来の割合が3割になるような、高脂質食を摂取する個体が対象として望ましい。
これらの個体の例としては、脂質代謝異常症の患者、糖尿病の患者、メタボリックシンドロームの患者、およびこれらの疾患もしくは障害にかかるリスクが高まっており予防措置を必要とする個体、ならびに肥満の個体、年齢的に中年以上の個体が挙げられる。
The individual to which the non-alcoholic fatty liver inhibitor of the present invention, dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor and weight loss inhibitor in the elderly are administered may be any species as long as it is a mammal, Mouse or human is preferred. Individuals who ingest a high-fat diet such that the proportion of lipids in the total calorie intake is 30% are desirable.
Examples of these individuals include patients with dyslipidemia, patients with diabetes, patients with metabolic syndrome, and individuals who are at increased risk for these diseases or disorders and need preventive measures, as well as obese individuals, Individuals older than middle age can be mentioned.

本発明の非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤を投与する方法については特段の制限はないが、経口摂取が特に好ましい。   There are no particular restrictions on the method of administering the non-alcoholic fatty liver inhibitor, dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor and weight loss inhibitor in the elderly, but oral intake is particularly preferred.

本発明の非アルコール性脂肪肝抑制剤、dehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤および高齢期における体重低下抑制剤を投与する場合の有効成分の量については、特段の制限はない。好ましい投与量の一例は、1日につき体表面1平方mあたり18mlの黒酢に相当する量(例えばマウスの場合ならば1日につき7.5mlの黒酢に相当する量、ヒトの場合ならば1日につきおよそ30mlの黒酢に相当する量)であり、適宜これより多くしてもよいし、少なくしてもよい。例えば、1日につき体表面1平方mあたり10〜100mlの黒酢に相当する量を投与できる。本発明の有効成分としての黒酢は、毎日続けて投与することが好ましいが、生涯にわたって摂取できる。   There is no particular limitation on the amount of the active ingredient when administering the non-alcoholic fatty liver inhibitor, dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor and weight loss inhibitor in the elderly in the present invention. An example of a preferred dose is an amount equivalent to 18 ml of black vinegar per square meter of body surface per day (for example, an amount equivalent to 7.5 ml of black vinegar per day for mice, for humans). The amount is equivalent to approximately 30 ml of black vinegar per day), and may be increased or decreased as appropriate. For example, an amount corresponding to 10 to 100 ml of black vinegar per square meter of body surface per day can be administered. Black vinegar as an active ingredient of the present invention is preferably administered continuously every day, but can be consumed for a lifetime.

本発明を実施するための具体的な態様の例を以下に記述する。これらは例示であって、本発明はこれらの実施例に限定されるものではない。   Examples of specific embodiments for carrying out the present invention will be described below. These are merely examples, and the present invention is not limited to these examples.

黒酢
坂元醸造株式会社から市販されている「坂元のくろず」(商品名)を実施例における黒酢として使用した。
“Sakamoto no Kurozu” (trade name) commercially available from Kurozu Sakamoto Brewing Co., Ltd. was used as the black vinegar in the examples.

〔試験例1〕
(1)本試験用黒酢10倍濃縮液の調製
黒酢には、約4%の酢酸が含まれており、この酢酸にはいくつかの生理作用が報告されている。本試験では、黒酢成分のうち酢酸以外の成分、すなわち黒酢特有の成分の作用を検討するため、以下の操作により黒酢から酢酸を除去して用いた。
黒酢(坂元醸造(株))1000mlを、真空凍結乾燥器(東京理化器械(株) FD-81D)を用いて真空状態にして凍結乾燥した。すなわち、[1]なす型フラスコ内に試料200mlを凍結し、凍結乾燥器の所定の位置にこれを取り付けて、容器内を減圧にする。(×5本)[2]減圧状態を保ったまま一昼夜凍結乾燥する。[3]試料に水気がなくなった、若しくは、容器に水滴がつかなくなる、容器を触って冷たくなくなったら終わりとする。[4]容器内の乾燥物に超純水200mlを加え、これを溶解する。この操作を5回繰り返し、最終の乾燥物全量を超純水で100mlとし、酢酸をほぼ完全に除去したものをサンプルとして用いた。なお、酢酸の除去は、HPLC(高速液体クロマトグラフィー)において酢酸に相当するピークが0.01%未満であることを確認した。
[Test Example 1]
(1) Preparation of 10 times concentrated black vinegar for this test Black vinegar contains about 4% acetic acid, and several physiological effects have been reported for this acetic acid. In this test, in order to examine the action of components other than acetic acid among black vinegar components, that is, components specific to black vinegar, acetic acid was removed from black vinegar by the following operation.
1000 ml of black vinegar (Sakamoto Brewing Co., Ltd.) was lyophilized in a vacuum state using a vacuum freeze dryer (Tokyo Rika Kikai Co., Ltd. FD-81D). That is, 200 ml of the sample is frozen in the eggplant type flask, and this is attached to a predetermined position of the freeze dryer, and the inside of the container is depressurized. (× 5) [2] Freeze-dry overnight with the vacuum maintained. [3] End when the sample has been drained or no water droplets have been deposited on the container, or the container has become cold by touching. [4] Add 200 ml of ultrapure water to the dried product in the container and dissolve it. This operation was repeated 5 times, and the final total amount of the dried product was made 100 ml with ultrapure water, and acetic acid was almost completely removed. In addition, the removal of acetic acid confirmed that the peak corresponding to an acetic acid was less than 0.01% in HPLC (high performance liquid chromatography).

(2)飼料の調製
飼料は日本クレア株式会社が製造しているQuick Fat を使用した。Quick Fat はマウス・ラット生育用の標準飼料であるCE-2の脂肪含有量、ショ糖添加量を増加させた高カロリー飼料である。各飼料の栄養成分およびエネルギー量を以下に示す。
(2-1)通常食飼料(CE-2)の栄養成分およびエネルギー量
水分 9.1%
粗蛋白 25.0%
粗脂質 4.8%
粗繊維 4.2%
粗灰分 6.7%
可溶性無窒素物 50.1%
エネルギー量 3.442 kcal/g
(2-2)高脂肪食飼料(Quick Fat)の組成
水分 7.1%
粗蛋白 24.1%
粗脂質 13.9%
粗繊維 2.9%
粗灰分 5.2%
可溶性無窒素物 46.8%
エネルギー量 4.087 kcal/g
(2-3) 本試験用飼料の組成
前記(1)で作成した試験用黒酢を、Quick Fat 1kgに対して6ml添加したものを本試験用飼料とした。本試験用飼料は、0.6%(V/W)の本試験用黒酢を含む高脂肪食飼料ということになる。マウスの1日摂食量が2.5gの場合、10濃縮黒酢を0.015 ml摂取することになる。体表面積あたりの投与量で換算すると黒酢原液を20 ml/m2摂取することになり、身長170 cm、65 kgの大人の場合(体表面積:1.75 m2、DuBois式で計算)、摂取量は1日当たり35 mlになる。これはヒトにおける黒酢1日摂取量の目安である30mlに相当する。(非特許文献5)
(2-4) 対照試験用飼料の組成
Quick Fat 1kgに対してレスベラトロール0.4g添加(0.04% w/w)したものを対照試験用飼料とした。(非特許文献6)
(2) Preparation of feed For the feed, Quick Fat manufactured by CLEA Japan was used. Quick Fat is a high-calorie diet with increased fat content and sucrose addition in CE-2, a standard diet for growing mice and rats. The nutrient components and energy content of each feed are shown below.
(2-1) Nutritional components and energy content of normal dietary feed (CE-2) 9.1%
Crude protein 25.0%
Crude lipid 4.8%
Crude fiber 4.2%
Coarse ash 6.7%
Soluble nitrogen free 50.1%
Energy 3.442 kcal / g
(2-2) Moisture content of high fat diet (Quick Fat) 7.1%
Crude protein 24.1%
Crude lipid 13.9%
Coarse fiber 2.9%
Coarse ash 5.2%
Soluble nitrogen free 46.8%
Energy 4.087 kcal / g
(2-3) Composition of the test feed The test black vinegar prepared in the above (1) was added to 6 ml of Quick Fat 1 kg as the test feed. This test feed is a high-fat diet containing 0.6% (V / W) black vinegar for this test. If the mouse's daily intake is 2.5 g, it will take 0.015 ml of 10 concentrated black vinegar. In terms of the dose per body surface area, you will consume 20 ml / m 2 of black vinegar stock solution. For adults with a height of 170 cm and 65 kg (body surface area: 1.75 m 2 , calculated using the DuBois equation) Will be 35 ml per day. This corresponds to 30 ml, which is a standard for daily intake of black vinegar in humans. (Non-Patent Document 5)
(2-4) Composition of feed for control test
A diet containing 0.4 g resveratrol (0.04% w / w) per 1 kg of Quick Fat was used as a control test feed. (Non-patent document 6)

(3)試験動物及び方法
(3−1)試験動物
10週令のC57BL6J雄性マウス(株式会社ホクドー)を用いた。各群15〜16匹を飼育し、それぞれの飼料は自由摂食させ、110週間飼育した。飼育室は、12時間明暗サイクル・温度23℃±2℃に維持した。以下、Quick Fat投与群をHC(High Calorie)群、本試験用飼料投与群をBV(Black Vinegar)群、レスベラトロール投与群をRes(Resveratrol)群、CE-2投与群をSD(Standard Diet)群として示す。本実験は、「北海道大学における動物実験に関する規則」による審査を受け、動物実験にかかる倫理基準を順守して実施された。
(3−2)試験方法
(3−2−1)血液および臓器の採取
110週間飼育したマウスを、ぺントバルビタールの腹腔内投与による麻酔後、心臓からの採血と同時に失血死させた。肝臓を採取時に脂肪肝発生および腹部内臓器の腫瘤形成について観察し、転移巣は組織学的分析に用いた。組織採取時に得られた臓器は10%中性緩衝ホルマリン液に固定し、冷蔵保存した組織から切片を採取し、ヘマトキシリン・エオジン染色して組織学的分析に使用した。
(3−2−2)老化関連ホルモンの測定
臓器採取時に得た血液から血清を分離し、凍結保存した。得られた血清はMouse Dehydroepiandrosterone sulfate,DHEA-S ELISA Kit(TSZ Scientific, MA, USA)、Mouse/Rat IGF-1 Quantikine ELISA(R & D System, Inc. MN, USA)、Rat/Mouse Growth Hormone ELISA KIT(Millipore, MA, USA)によりそれぞれ硫酸デヒドロエピアンドロステロン(DHEA-S)、インスリン様成長因子1(IGF-1)および成長ホルモン(GH)を測定した。
(3) Test animals and methods (3-1) Test animals
Ten-week-old C57BL6J male mice (Hokudo Co., Ltd.) were used. 15 to 16 animals were reared in each group, and each feed was fed freely and reared for 110 weeks. The breeding room was maintained at a 12 hour light / dark cycle and a temperature of 23 ° C. ± 2 ° C. Hereinafter, the HC (High Calorie) group is the Quick Fat administration group, the BV (Black Vinegar) group is the feed administration group for this test, the Res (Resveratrol) group is the resveratrol administration group, and the SD (Standard Diet) is the CE-2 administration group ) Shown as a group. This experiment was conducted according to the “Regulations on Animal Experiments at Hokkaido University” and was in compliance with ethical standards for animal experiments.
(3-2) Test method (3-2-1) Collection of blood and organ
Mice reared for 110 weeks were anesthetized by intraperitoneal administration of pentobarbital, and then died from blood loss simultaneously with blood collection from the heart. When the liver was collected, fatty liver development and abdominal organ mass formation were observed, and the metastasis was used for histological analysis. The organs obtained at the time of tissue collection were fixed in 10% neutral buffered formalin solution, sections were collected from the refrigerated tissues, stained with hematoxylin and eosin, and used for histological analysis.
(3-2-2) Measurement of aging-related hormones Serum was separated from blood obtained at the time of organ collection and stored frozen. The obtained serum is Mouse Dehydroepiandrosterone sulfate, DHEA-S ELISA Kit (TSZ Scientific, MA, USA), Mouse / Rat IGF-1 Quantikine ELISA (R & D System, Inc. MN, USA), Rat / Mouse Growth Hormone ELISA KIT (Millipore, MA, USA) was used to measure dehydroepiandrosterone sulfate (DHEA-S), insulin-like growth factor 1 (IGF-1) and growth hormone (GH), respectively.

(5)結果
(5−1)脂肪肝の発生率抑制効果
110週飼育後の脂肪肝および肝臓癌発生率を表1に示す。臓器採取時に目視にて確認し、脂肪肝発生数を調べた。脂肪肝および肝細胞癌については認められた組織の切片を作成し、組織学的に脂肪肝、肝細胞癌の発生について評価した。採取した肝臓の代表的な組織像を図1および図2に示す。
(5) Results (5-1) Effect of suppressing the incidence of fatty liver
Table 1 shows the incidence of fatty liver and liver cancer after 110 weeks of breeding. The number of fatty liver occurrence was examined by visual inspection at the time of organ collection. For fatty liver and hepatocellular carcinoma, sections of the recognized tissue were prepared and histologically evaluated for the occurrence of fatty liver and hepatocellular carcinoma. Representative tissue images of the collected liver are shown in FIG. 1 and FIG.

脂肪肝発生率の検定: C-BV: p= 0.0170; HC-SD: p= 0.0029, SD-BV: p=1.0; BV-Res: p=0.54; HC-Res: p=0.11; がん発生率の検定: HC-BV: p= 0.600; HC-SD: p= 0.3137
(5−2) 老化関連ホルモン
110週飼育後の血清中老化関連ホルモンの値を表2に示す。本試験用飼料摂取マウスおよびレスベラトロール投与群においてDHEA-Sの有意な上昇が認められた。
Fatty liver incidence test: C-BV: p = 0.0170; HC-SD: p = 0.0029, SD-BV: p = 1.0; BV-Res: p = 0.54; HC-Res: p = 0.11; Rate test: HC-BV: p = 0.600; HC-SD: p = 0.3137
(5-2) Aging hormone
Table 2 shows the values of serum aging-related hormones after 110 weeks of breeding. Significant increases in DHEA-S were observed in the mice fed the test feed and resveratrol.

(5−3) 体重変化
飼育期間中における毎週ごとの体重の推移を図3に示す。
飼育11週から47週目まで、高脂肪食飼料摂取マウス(HC)と比較して、本試験用飼料摂取マウス(BV)の体重の増加抑制傾向が見られ、飼育11週目から23週目まで、25週から37週目では、有意な増加抑制が確認された(図3)。生存期間を延長する陽性コントロールとして知られている(非特許文献6)レスベラトロール投与群においても同様な体重増加抑制効果が認められた(Tukey法)。
飼育76週から96週目までの高齢期に相当する期間では、高脂肪食飼料摂取マウス(Hc)と比較して、本試験用飼料摂取マウス(BV)の体重の有意な低下抑制効果が認められた。このような体重低下抑制効果はレスベラトロール投与群(Res)では認められなかった。
飼育91週から96週までの摂食量を調べたが有意な差は認められなかった(HD群:2.47 ± 0.24, BV群:2.50 ± 0.07, Res群:2.55 ± 0.19, SD群:3.26 ± 0.11, 1匹あたりの1日摂取量(g)、平均値±標準偏差を示す)。生存率は各群とも有意差は認められなかった。(Log-Rank test)
(5-3) Change in body weight FIG. 3 shows the change in body weight every week during the breeding period.
From the 11th week to the 47th week of breeding, there was a tendency to suppress the increase in the body weight of the test feed-fed mice (BV) compared to the high-fat diet-fed mice (HC). Up to 25 to 37 weeks, significant increase suppression was confirmed (FIG. 3). A similar weight gain inhibitory effect was also observed in the resveratrol administration group, which is known as a positive control that prolongs the survival period (Non-Patent Document 6) (Tukey method).
In the period corresponding to the elderly period from the 76th week to the 96th week of breeding, a significant decrease in the body weight of the test feed-fed mice (BV) was observed compared to the high-fat diet feed-fed mice (Hc). It was. Such an effect of suppressing weight loss was not observed in the resveratrol administration group (Res).
Food intake from week 91 to week 96 was examined, but no significant difference was observed (HD group: 2.47 ± 0.24, BV group: 2.50 ± 0.07, Res group: 2.55 ± 0.19, SD group: 3.26 ± 0.11 , Daily intake per animal (g), mean ± standard deviation). Survival rates were not significantly different in each group. (Log-Rank test)

(6)考察
以上の結果より、黒酢のうち酢酸以外の成分、すなわち、黒酢特有成分は高脂肪食に伴う脂肪肝の発生を抑制し、老化の指標の1つであるDHEA-Sの低下を抑制することがわかった。さらに、体重に関し高齢期は体重減少による脂肪リスクの上昇が知られているところ(非特許文献7,8)、黒酢特有成分には、体重低下を抑制する作用があることが明らかとなった。
これまで黒酢が脂質代謝の改善作用、サーチュイン遺伝子発現亢進作用があることなどを発明者らは報告してきたが、これらの効果とともに、長期投与における効果として、高脂肪食に伴う脂肪肝発生率を低下させ、かつ加齢に伴い理想的な体重のコントロール効果があると考えられた。
(6) Consideration Based on the above results, components other than acetic acid in black vinegar, that is, black vinegar-specific components suppress the development of fatty liver accompanying high-fat diet, and DHEA-S is one of the indicators of aging. It was found that the decrease was suppressed. Furthermore, when it is known that an increase in fat risk due to weight loss is known in the elderly in terms of body weight (Non-patent Documents 7 and 8), it has been clarified that black vinegar-specific components have an effect of suppressing weight loss. .
Until now, the inventors have reported that black vinegar has an effect of improving lipid metabolism and enhancing the expression of sirtuin gene. In addition to these effects, the incidence of fatty liver associated with a high-fat diet as an effect of long-term administration is reported. It was thought that there was an ideal body weight control effect with aging.

黒酢はもっぱら食品として使用されており、安全性の高い食品である。従って本発明は、安全かつ経済的に、高脂肪食に伴う脂肪肝の発生とDHEA-Sの低下を抑制、および/または高齢期における体重低下を抑制する方法を提供する。脂肪肝の発症を防止する確立された方法は知られておらず、本発明は脂肪肝発症の予防に有効である可能性があり、従って本発明は医学または獣医学の関連産業分野において活用され得る。   Black vinegar is used exclusively as a food and is a highly safe food. Therefore, the present invention provides a method for suppressing the generation of fatty liver and the decrease in DHEA-S associated with a high-fat diet and / or the suppression of weight loss in old age, safely and economically. An established method for preventing the development of fatty liver is not known, and the present invention may be effective in preventing the development of fatty liver. Therefore, the present invention is utilized in the related industrial fields of medicine or veterinary medicine. obtain.

Claims (4)

黒酢を有効成分とするdehydroepiandrosterone-sulfate(DHEA-S)低下抑制剤(ただし、アルツハイマー症の改善剤を除く)Dehydroepiandrosterone-sulfate (DHEA-S) lowering inhibitor containing black vinegar as an active ingredient (except for Alzheimer's disease improving agent) . 酢酸成分を除いた黒酢を有効成分とするdehydroepiandrosterone-sulfate(DHEA-S)低下
抑制剤(ただし、アルツハイマー症の改善剤を除く)
Dehydroepiandrosterone-sulfate (DHEA-S) decrease inhibitor (excluding Alzheimer's ameliorating agent ) containing black vinegar as the active ingredient, excluding the acetic acid component.
黒酢を有効成分とする高齢期での体重低下抑制剤。 An agent for inhibiting weight loss in the elderly with black vinegar as an active ingredient. 酢酸成分を除いた黒酢を有効成分とする高齢期での体重低下抑制剤。 An inhibitor of weight loss in the elderly with black vinegar as an active ingredient excluding the acetic acid component.
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