JP6981641B2 - PDE5 activity inhibitor - Google Patents

PDE5 activity inhibitor Download PDF

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JP6981641B2
JP6981641B2 JP2017074785A JP2017074785A JP6981641B2 JP 6981641 B2 JP6981641 B2 JP 6981641B2 JP 2017074785 A JP2017074785 A JP 2017074785A JP 2017074785 A JP2017074785 A JP 2017074785A JP 6981641 B2 JP6981641 B2 JP 6981641B2
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正樹 加藤
勉 野崎
健夫 石原
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BHN Co Ltd
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本発明は、特定の植物を原料として使用したPDE5活性阻害剤及びその利用に関するものである。より詳細には、アカショウマ等のチダケサシ属に属する植物を含有してなるPDE5活性阻害剤及びこれを用いた経口組成物に関する。 The present invention relates to a PDE5 activity inhibitor using a specific plant as a raw material and its use. More specifically, the present invention relates to a PDE5 activity inhibitor comprising a plant belonging to the genus False goat's beetle such as red pepper and an oral composition using the same.

近年、中高齢者人口の増加に伴い、陰茎勃起機能不全症(ED)患者が増加している。1998年に行われた疫学調査では日本国内のED患者数が推計1,130万人、40歳以上の男性の3人に1人が該当すると報告されている(非特許文献1)。ストレス等による交感神経活性化による海綿体血液流入の低下、加齢や生活習慣病による血管障害による海綿体血液流入の低下、グアニル酸シクラーゼ活性の低下、ホスホジエステラーゼ5(PDE5)活性の亢進等のいずれか又はこれらが複合して起こることによりEDを発症するとされているため、今後も高齢者人口の増加に伴いED患者数が増加すると考えられている。 In recent years, the number of patients with penile erectile dysfunction (ED) has increased along with the increase in the middle-aged and elderly population. An epidemiological survey conducted in 1998 reported that the number of ED patients in Japan was estimated to be 11.3 million, and one in three men aged 40 and over was one (Non-Patent Document 1). Decreased corpus cavernosum blood inflow due to sympathetic nerve activation due to stress, decreased corpus cavernosum blood inflow due to vascular disorders due to aging or lifestyle diseases, decreased guanylate cyclase activity, increased phosphodiesterase 5 (PDE5) activity, etc. Or, since it is said that ED develops when these occur in combination, it is considered that the number of ED patients will continue to increase as the elderly population increases.

陰茎勃起は陰茎海綿体平滑筋が弛緩し、海綿体洞内に血液が貯留(充血)して起きる。海綿体平滑筋には一酸化窒素(NO)を神経伝達物質とするNO神経が分布し、性的刺激によりNOが遊離される。遊離されたNOは平滑筋細胞内でグアニル酸シクラーゼを活性化し、cGMPを増加させ、その結果平滑筋が弛緩し、勃起が起こる。 Penile erection occurs when the smooth muscle of the corpus cavernosum relaxes and blood accumulates (hyperemia) in the corpus cavernosum sinus. NO nerves using nitric oxide (NO) as a neurotransmitter are distributed in the smooth muscle of the corpus cavernosum, and NO is released by sexual stimulation. The released NO activates guanylate cyclase in smooth muscle cells and increases cGMP, resulting in relaxation of smooth muscle and erection.

ED改善のために、PDE5活性阻害(以下単にPDE5阻害ということがある。)作用を有する物質が使用されている。PDEは1〜11まで11種類のファミリーが確認されており、cAMP及びcGMPを加水分解することにより、細胞内のシグナル伝達を調節する酵素である。その中でも、PDE5は、陰茎海綿体に豊富に存在するcGMPに特異的な酵素である。このcGMPの不活性化作用を抑制することにより、NOによって増加したcGMPの分解を妨げかつcGMP濃度を高めて、海綿体平滑筋を弛緩させ局所的な血流量を増大させることによりEDを改善することが可能となる。 In order to improve ED, a substance having an action of inhibiting PDE5 activity (hereinafter, may be simply referred to as PDE5 inhibition) is used. Eleven families of PDEs have been identified from 1 to 11, and are enzymes that regulate intracellular signal transduction by hydrolyzing cAMP and cGMP. Among them, PDE5 is an enzyme specific to cGMP, which is abundant in the corpus cavernosum penis. By suppressing this inactivating action of cGMP, ED is improved by preventing the decomposition of cGMP increased by NO and increasing the cGMP concentration, relaxing the corpus cavernosum smooth muscle and increasing the local blood flow. Is possible.

現在使用されているPDE5阻害薬は、シルデナフィル、バルデナフィル、タダラフィルが挙げられるが、これらの副作用として血圧降下によるめまい、頭痛や顔のほてり、又はPDE6阻害による青視症等があり、特に狭心症や重度の心血管系障害等の治療のために硝酸剤やNO供与剤を服用している人に対しては急激な血圧降下により死に至ることがあるため禁忌である。これらPDE5阻害薬の副作用の発生率については、バイアグラ(シルデナフィル)は、1回投与量が25mg、 50mg、及び100mgで30〜40%、シアリス(タダラフィル)は同2.5〜20mgで約30%、及びレビトラ(バルデナフィル)は同5〜20mgで約30%と報告されている(非特許文献2〜4)。 PDE5 inhibitors currently in use include sildenafil, vardenafil, and tadalafil, but their side effects include dizziness due to decreased blood pressure, headache and facial burning, and cyanopsia due to PDE6 inhibition, especially angina. It is contraindicated for people taking nitrates or NO donors for the treatment of severe cardiovascular disorders, etc., as they may die from a sudden drop in blood pressure. Regarding the incidence of side effects of these PDE5 inhibitors, Viagra (sildenafil) is 30-40% at single doses of 25 mg, 50 mg, and 100 mg, and Cialis (tadalafil) is about 30% at 2.5-20 mg. , And Levitra (Vardenafil) are reported to be about 30% at 5 to 20 mg (Non-Patent Documents 2 to 4).

PDE5阻害作用を有する食品成分についてもこれまで研究されており、黒ショウガ中に含まれる5,7−ジメトキシフラボン(非特許文献5)、イカリソウに含まれるイカリイン(非特許文献6)等が報告されている。 Food ingredients having a PDE5 inhibitory effect have also been studied so far, and 5,7-dimethoxyflavone contained in black ginger (Non-Patent Document 5), icariin contained in Epimedium (Non-Patent Document 6), etc. have been reported. ing.

トレハロース(特許文献1)、ビタミンC及びビタミンP(特許文献2)、アルギニン(特許文献3)等の食品成分をPDE5阻害剤と組み合わせた経口摂取物が提案されているが、これらの食品成分は単独でPDE5阻害作用を有するという報告は見当たらない。又、アルギニンを高含有する滋養強壮飲料(特許文献4)、卵白加水分解物(特許文献5)等の血管内皮細胞でのNOを増加させることによる男性機能改善剤が提案されているが、内皮細胞由来のNOは陰茎勃起の維持に関与するとされていること(非特許文献7)、前述の硝酸剤やNO供与剤はED治療剤として使用されていないことから、内皮細胞由来のNOは直接EDの予防や改善に関与するものではないと考えられる。一方、PDE5は陰茎勃起及びその維持に関与するため、PDE5の阻害はED予防や改善に非常に重要である。 Oral ingestions in which food ingredients such as trehalose (Patent Document 1), vitamin C and vitamin P (Patent Document 2), and arginine (Patent Document 3) are combined with a PDE5 inhibitor have been proposed. There are no reports that it has a PDE5 inhibitory effect alone. Further, a male function improving agent by increasing NO in vascular endothelial cells such as a nourishing tonic beverage containing a high amount of arginine (Patent Document 4) and an egg white hydrolyzate (Patent Document 5) has been proposed. Since cell-derived NO is considered to be involved in the maintenance of penile erection (Non-Patent Document 7), and the above-mentioned nitrates and NO donors are not used as ED therapeutic agents, endothelial cell-derived NO is directly used. It is not considered to be involved in the prevention or improvement of ED. On the other hand, since PDE5 is involved in penile erection and its maintenance, inhibition of PDE5 is very important for prevention and improvement of ED.

特開2012−197274号公報Japanese Unexamined Patent Publication No. 2012-197274 特開2012−41337号公報Japanese Unexamined Patent Publication No. 2012-413337 特開2010−163426号公報Japanese Unexamined Patent Publication No. 2010-163426 特開2007−116939号公報Japanese Unexamined Patent Publication No. 2007-116939 特開2011−173817号公報Japanese Unexamined Patent Publication No. 2011-173817

丸井英二、わが国におけるEDの疫学とリスクファクター、2002年、医学のあゆみ、第201巻、第397頁〜第400頁Eiji Marui, Epidemiology and Risk Factors of ED in Japan, 2002, History of Medicine, Vol. 201, pp. 397-400 バイアグラ インタビューフォーム、第14版、ファイザー、2016年Viagra Interview Form, 14th Edition, Pfizer, 2016 シアリス インタビューフォーム、第5版、日本新薬、2015年Cialis Interview Form, 5th Edition, Nippon Shinyaku, 2015 レビトラ インタビューフォーム、第14版、バイエル薬品、2016年Levitra Interview Form, 14th Edition, Bayer Yakuhin, 2016 Prapapan Temkitthawon等、“Kaempferia parviflora,a plant used in traditional medicine to enhance sexual performance contains large amounts of low affinity PDE5 inhibitors”(オランダ)、2011年、J.Ethnopharmacol.、第137巻、第1437頁〜第1441頁Prapapan Temkitthawon et al., "Kaempferia parviflora, a plant used in traditional medicine to enhance sexual permanent permanent Ethnopharmacol. , Vol. 137, pp. 1437 to pp. 1441 Hongxiu Ning等、“Effects of icariin on phosphodiesterase−5 activity in vitro and cyclic guanosine monophosphate levelin cavernous smoothmuscle cells”(オランダ)、2006年、Urology、第68巻、第1350頁〜第1354頁Hongxiu Ning et al., "Effects of icariin on phosphodiesterase-5 activity in vitro and cyclic guanosine gnosine monophosphate levelin car 佐々木春明等、男性機能障害、2016年、昭和学士会誌、第76巻,第133頁〜第139頁Haruaki Sasaki et al., Male Dysfunction, 2016, Showa Bachelor's Journal, Vol. 76, pp. 133-139

前記薬剤はPDE5阻害作用を有するものの副作用があり、医師の指導のもとに用法用量を守らなければならない制限があった。又、食品から分離した前記成分は実際的には効果が低かったり、実用的ではない摂取条件下での実験結果に基づくものであったり、あるいは通常の食事形態において多量に摂取しなければならず、いずれも十分に満足できる効果を発揮し得るものではなかった。
かかる現状に鑑み、本発明では、EDの予防や改善に有効利用し得る天然物由来のPDE5活性阻害剤を開発し、これを産業上有用に活用できる態様の組成物として提供することを課題とした。
Although the drug has a PDE5 inhibitory effect, it has side effects, and there is a limitation that the dosage should be adhered to under the guidance of a doctor. In addition, the above-mentioned ingredients separated from foods are practically ineffective, are based on experimental results under impractical intake conditions, or must be ingested in large amounts in a normal dietary form. None of them could exert a sufficiently satisfactory effect.
In view of this situation, it is an object of the present invention to develop a PDE5 activity inhibitor derived from a natural product that can be effectively used for the prevention and improvement of ED, and to provide it as a composition in a mode that can be effectively utilized industrially. did.

前記課題を解決するために、本発明者らは、前述のPDE5活性を抑制する作用のある各種素材について鋭意検討した結果、アカショウマ等のチダケサシ属に属する植物がPDE5活性を極めて強力に抑制し得ること、又、これを飲食品等の経口組成物として有効利用できることを見出し、本発明を完成するに至った。 In order to solve the above-mentioned problems, the present inventors have diligently studied various materials having an action of suppressing PDE5 activity, and as a result, plants belonging to the genus False goat's beetle such as red pepper can suppress PDE5 activity extremely strongly. In addition, they have found that this can be effectively used as an oral composition for foods and drinks, and have completed the present invention.

すなわち、本発明の特徴は、チダケサシ属に属する植物を有効成分としてなるPDE5活性阻害剤にある。このPDE5活性阻害剤において、チダケサシ属に属する植物はアカショウマであることが望ましい。 That is, the feature of the present invention is a PDE5 activity inhibitor containing a plant belonging to the genus False goat's beetle as an active ingredient. In this PDE5 activity inhibitor, it is desirable that the plant belonging to the genus False goat's beetle is false goat's beetle.

前記PDE5活性阻害剤は、前記アカショウマ等のチダケサシ属に属する植物を水及び/又は親水性有機溶剤を用いて抽出したエキス又はその精製物を含有することがより望ましい。 It is more desirable that the PDE5 activity inhibitor contains an extract or a purified product thereof obtained by extracting a plant belonging to the genus False goat's beetle such as red pepper with water and / or a hydrophilic organic solvent.

前記PDE5活性阻害剤は、前記アカショウマ等のチダケサシ属に属する植物を水及び/又は親水性有機溶剤を用いて抽出したエキスとして用いることがさらに望ましい。 It is more desirable that the PDE5 activity inhibitor is used as an extract obtained by extracting a plant belonging to the genus False goat's beetle such as red pepper with water and / or a hydrophilic organic solvent.

本発明の他の特徴は、前記PDE5活性阻害剤を含有してなる経口組成物にある。この経口組成物は飲食品であることが望ましい。 Another feature of the present invention is an oral composition comprising the PDE5 activity inhibitor. It is desirable that this oral composition be a food or drink.

本発明の他の特徴は、前記PDE5活性阻害剤あるいは経口組成物がEDを予防するためのものである点にある。 Another feature of the present invention is that the PDE5 activity inhibitor or oral composition is for preventing ED.

本発明のさらなる他の特徴は、チダケサシ属に属する植物、望ましくはアカショウマを水及び/又は親水性有機溶剤で抽出処理して得られるエキスを有効成分として含有せしめるPDE5活性阻害剤の製造方法にある。 A further other feature of the present invention lies in a method for producing a PDE5 activity inhibitor containing an extract obtained by extracting a plant belonging to the genus False goat's beetle, preferably red pepper, with water and / or a hydrophilic organic solvent as an active ingredient. ..

本発明のさらなる他の特徴は、チダケサシ属に属する植物、望ましくはアカショウマを水及び/又は親水性有機溶剤で抽出処理して得られるエキスを経口投与することを特徴とする、PDE5活性阻害を介したEDの発生を予防する方法にある。 Yet another feature of the present invention is mediated by inhibition of PDE5 activity, characterized by oral administration of an extract obtained by extracting a plant belonging to the genus False goat's beetle, preferably red pepper, with water and / or a hydrophilic organic solvent. There is a way to prevent the occurrence of ED.

本発明のさらなる他の特徴は、EDを予防するために前記PDE5活性阻害剤あるいは経口組成物を経口投与又は摂取する方法にある。 Yet another feature of the present invention is a method of orally administering or ingesting the PDE5 activity inhibitor or oral composition to prevent ED.

本発明に係るアカショウマやトリアシショウマ等のチダケサシ属に属する植物、その抽出物とりわけ親水性成分を含む該抽出物は、これを経口摂取することにより、日常の生活習慣や加齢にともなって生じるEDを顕著に予防する効果を奏する。
また、本発明によれば、従来のED治療薬にて問題となっていた副作用がなく、医師の指導等が不要で、適量で確実な効果をもたらす、EDの予防や改善に有効利用し得る天然物由来のPDE5活性阻害剤提供することが可能となった。
Plants belonging to the genus False goat's beetle such as Astilbe odontophyllum and Astilbe odontophyllum according to the present invention, and extracts thereof, particularly the extracts containing hydrophilic components, are produced by oral ingestion thereof with daily lifestyle and aging. It has the effect of significantly preventing ED.
Further, according to the present invention, there are no side effects that have been a problem with conventional ED therapeutic agents, no guidance from a doctor or the like is required, and an appropriate amount can be effectively used for prevention or improvement of ED, which brings about a certain effect. It has become possible to provide a PDE5 activity inhibitor derived from a natural product.

以下に本発明を詳細に説明する。先ず、本発明のPDE5活性阻害剤は、チダケサシ属(Astilbe)に属する植物あるいはその抽出物を有効成分として含有してなるものである。チダケサシ属に属する植物はユキノシタ科に分類され、本発明に係るものは種々あるが、その代表例としてアカショウマ(学名:Astilbe thunbergii(SIEB.et ZUCC.)MIQ.)を挙げることができる。アカショウマは日本の山地にも自生する多年草で、その根茎を赤升麻とよび、古来より下熱や解毒等の目的で升麻(キンポウゲ科のサラシナショウマ:Cimicifuga simplex WORMSKJORD等)の代用品として利用されてきた。本発明では赤升麻あるいは紅升麻と称せられるものも包含する。 The present invention will be described in detail below. First, the PDE5 activity inhibitor of the present invention contains a plant belonging to the genus False goat's beetle (Astilbe) or an extract thereof as an active ingredient. Plants belonging to the genus False goat's beetle are classified into the family Saxifragaceae, and there are various plants according to the present invention, and as a representative example thereof, red pepper (scientific name: Astilbe sumbergii (SIEB. Et ZUCC.) MIQ.) Can be mentioned. Akashoma is a perennial plant that grows naturally in the mountains of Japan, and its rhizome is called red buttercup. It has been. In the present invention, what is called red or red hemp is also included.

チゲタサシ属に属する植物の例としてAstilbe chinensis、A.austrosinensis、A.thunbergii、A.thunbergii(SIEB.et ZUCC.)Miq.:アカショウマ、A.thunbergii(SIEB.et ZUCC.)MIQ.var.congesta BOISS.(=A.odontophylla MIQ.):トリアシショウマ、A.polyandra、A.grandis、A.rivularis、A.japonica(MORR.et DECNE.)A.GRAY:アワモリショウマ、A.microphylla KNOLL:チダケサシ、A.myriantha等を挙げることができる。本発明においてアカショウマ、トリアシショウマは好適な原料であり、アカショウマが最も望ましい。 As an example of a plant belonging to the genus False goat's beetle, Astilbe chinensis, A. et al. austrosinensis, A. et al. thunbergii, A.M. thumbergii (SIEB.et ZUCC.) Miq. : Akashouma, A. thumbergii (SIEB.et ZUCC.) MIQ. var. congesta BOISS. (= A. odontophylla MIQ.): Astilbe odontophylla, A. polyandra, A. grandis, A. rivularis, A. japonica (MORR. et DECNE.) A. GRAY: Buck's beetle, A. microphylla KNOLL: False goat's beetle, A. Myriantha and the like can be mentioned. In the present invention, Akashouma and Astilbe odontophyllum are suitable raw materials, and Akashouma is the most desirable.

本発明において、原料として用いるアカショウマ等のチダケサシ属に属する植物は、生の植物体あるいはその乾燥物を使用することができるが、その部位は根及び/又は根茎が望ましく、その態様は根及び/又は根茎に乾燥、細断あるいは粉砕等の加工処理を適宜に施したものが望ましい。 In the present invention, as a plant belonging to the genus False goat's beetle such as red pepper used as a raw material, a raw plant body or a dried product thereof can be used, but the site is preferably root and / or rhizome, and the embodiment is root and /. Alternatively, it is desirable that the rhizome is appropriately processed by drying, shredding or crushing.

前記抽出処理にあたって、抽出溶媒としては水、親水性有機溶剤又はこれらの混合溶剤を用いるのがよい。親水性有機溶剤としてメタノール、エタノール、プロパノール、イソプロパノール等の低級一価アルコール類、プロピレングリコール、1,3−ブタンジオール、グリセリン等の多価アルコール類、アセトン、メチルエチルケトン、エーテル、石油エーテル、酢酸エチル及びこれらの含水物や混合物を例示することができる。本発明の所望の効果を奏するためのエキスを効率的に得るには、エタノール、アセトン、及びこれらの含水物を抽出用溶媒とすることが望ましい。なお、該含水物の水分含量は、例えば、エタノールの場合では1〜99質量%、より好ましくは10〜50質量%であり、アセトンの場合には1〜50質量%、より好ましくは10〜30質量%である。これらの範囲を外れると本発明の所望の効果が減少し又はエキスの収量が低下する。又、本発明に係る精製物を簡便かつ効率的に得るには、例えば、含水エタノール又は含水アセトンで抽出し、該抽出物(エキス)を採取するのがよい。 In the extraction treatment, it is preferable to use water, a hydrophilic organic solvent, or a mixed solvent thereof as the extraction solvent. Lower monohydric alcohols such as methanol, ethanol, propanol and isopropanol, polyhydric alcohols such as propylene glycol, 1,3-butanediol and glycerin, acetone, methyl ethyl ketone, ether, petroleum ether, ethyl acetate and These hydrous substances and mixtures can be exemplified. In order to efficiently obtain an extract for achieving the desired effect of the present invention, it is desirable to use ethanol, acetone, and a water-containing substance thereof as an extraction solvent. The water content of the water-containing material is, for example, 1 to 99% by mass, more preferably 10 to 50% by mass in the case of ethanol, and 1 to 50% by mass, more preferably 10 to 30 in the case of acetone. It is mass%. Outside these ranges, the desired effect of the present invention is reduced or the yield of the extract is reduced. Further, in order to easily and efficiently obtain the purified product according to the present invention, for example, it is preferable to extract with hydrous ethanol or hydrous acetone and collect the extract.

抽出処理は前記原料に対して1〜100質量倍程度の抽出溶媒を加え、常圧もしくは加圧下、常温又は加熱状態で、適宜に攪拌して10分〜数日間抽出処理する。ついで不溶物を濾過又は遠心分離して除き本発明に係るエキス液を得ることができ、さらに該エキス液から減圧蒸留、噴霧乾燥、凍結乾燥等の公知の手段で溶媒を除去することによって本発明に係るエキスを得ることができる。又、このエキスを吸着剤(シリカゲル、ケイ酸マグネシウム、イオン交換樹脂、活性アルミナ、セルロース、活性炭等)による分画、溶剤分別、これらの組み合わせ等の公知の精製処理に供することによって精製物を得ることができる本発明ではいずれの処理物も使用することができるが、後述する用途の利便性や本発明の効果の点から前記のエキスあるいはその精製物が望ましい。 In the extraction treatment, an extraction solvent of about 1 to 100 times by mass is added to the raw material, and the mixture is appropriately stirred under normal pressure or pressure at room temperature or in a heated state for 10 minutes to several days. Then, the insoluble material can be filtered or centrifuged to obtain an extract solution according to the present invention, and the present invention is further removed by removing the solvent from the extract solution by known means such as distillation under reduced pressure, spray drying, and freeze drying. The extract according to the above can be obtained. Further, a purified product is obtained by subjecting this extract to a known purification treatment such as fractionation with an adsorbent (silica gel, magnesium silicate, ion exchange resin, activated alumina, cellulose, activated carbon, etc.), solvent separation, and a combination thereof. Any treated product can be used in the present invention, but the above-mentioned extract or a purified product thereof is desirable from the viewpoint of convenience of use described later and the effect of the present invention.

本発明に係る原料を前述のように処理して得られる生成物は、量的な差はあるものの多種多様な成分を含有する複雑な組成物であり、ベルゲニン、アスチルビン、タキシフォリン、ポリフェノール類、タンニン類、各種水溶性成分(多糖、オリゴ糖、単糖、蛋白、ペプチド、アミノ酸、これらの複合体など)を含んでいる。 The product obtained by treating the raw material according to the present invention as described above is a complex composition containing a wide variety of components, although there are quantitative differences, and it is a complex composition containing bergenin, astilbin, taxifolin, polyphenols, and tannins. It contains various water-soluble components (polysaccharides, oligosaccharides, monosaccharides, proteins, peptides, amino acids, complexes thereof, etc.).

本発明のPDE5阻害剤は、チダケサシ属植物の前記処理物を有効物質として用いて、これに必要に応じて公知の賦形剤、結合剤、崩壊剤、潤沢剤、希釈剤等、例えば、糖類、糖アルコール類、澱粉類、セルロース類、第二リン酸カルシウム、マイカ、タルク、精製水、エタノール等を適量混合して、固体状、粉末状、ペースト状又は液体状の形態に加工することができる。又、前述したような公知のPDE5阻害作用のある物質や抽出物を適宜併用してもよい。本発明のPDE5阻害剤におけるチダケサシ属植物の前記処理物の含量は、その形態の違い等により一律には規定し難いが、約0.1質量%〜100質量%であり、より好ましくは約10質量%〜約80質量%である。約0.1質量%を下回ると本発明のPDE5阻害剤又は経口組成物において所望の効果を発現しなくなることがある。 The PDE5 inhibitor of the present invention uses the treated product of a plant belonging to the genus Chidake as an active substance, and if necessary, known excipients, binders, disintegrants, abundant agents, diluents and the like, for example, saccharides. , Sugar alcohols, starches, celluloses, dicalcium phosphate, mica, talc, purified water, ethanol and the like can be mixed in appropriate amounts and processed into solid, powder, paste or liquid forms. Further, a known substance or extract having a PDE5 inhibitory action as described above may be appropriately used in combination. The content of the treated product of the false goat's beetle plant in the PDE5 inhibitor of the present invention is difficult to uniformly define due to the difference in its morphology and the like, but is about 0.1% by mass to 100% by mass, more preferably about 10. It is from% by mass to about 80% by mass. If it is less than about 0.1% by mass, the desired effect may not be exhibited in the PDE5 inhibitor or oral composition of the present invention.

次に、本発明の経口組成物は、前記PDE5阻害剤をそのまま経口組成物としても差し支えないが、適宜に、通常の飲食品、医薬品、医薬部外品、動物用飼料等に利用される公知の添加物を併用して、常法により含有せしめて組成物となすことが望ましい。ここで、公知の添加物としては、前記の各種製品に配合され得るものであって本発明の趣旨に反しないものであればよく、例えば、賦形剤、結合剤、崩壊剤、滑沢剤、湿潤剤、流動化剤、保存剤、界面活性剤、安定剤、希釈剤、溶解剤、等張化剤、殺菌剤、防腐剤、矯味剤、矯臭剤、着色剤、香料等の添加物質を使用することができる。 Next, in the oral composition of the present invention, the PDE5 inhibitor may be used as it is as an oral composition, but it is known to be appropriately used for ordinary foods and drinks, pharmaceuticals, quasi-drugs, animal feeds and the like. It is desirable to use the above additives in combination and add them by a conventional method to form a composition. Here, the known additive may be any additive that can be blended in the above-mentioned various products and does not contradict the gist of the present invention, and is, for example, an excipient, a binder, a disintegrant, and a lubricant. , Wetting agents, fluidizing agents, preservatives, surfactants, stabilizers, diluents, solubilizers, tonicity agents, bactericides, preservatives, flavoring agents, deodorants, coloring agents, fragrances and other additives Can be used.

本発明においては、前記PDE5阻害剤をそのままの形態で飲食品、医薬品、医薬部外品、飼料、その他産業分野の様々な製品として利用することができ、あるいは、かかる製品の配合原料の一部として使用する態様でも利用できる。とりわけ前述のEDを予防するための経口組成物として利用することが好ましく、この経口組成物の最も好適な態様は飲食品である。この例を以下に述べるが、本発明はこれにより限定されるものではない。 In the present invention, the PDE5 inhibitor can be used as it is in various products in foods and drinks, pharmaceuticals, quasi-drugs, feeds, and other industrial fields, or a part of the compounding raw materials of such products. It can also be used in the mode of using as. In particular, it is preferable to use it as an oral composition for preventing the above-mentioned ED, and the most preferable embodiment of this oral composition is food and drink. This example will be described below, but the present invention is not limited thereto.

飲食品の具体例としては、野菜ジュース、果汁飲料、清涼飲料、茶等の飲料類、スープ、ゼリー、プリン、ヨーグルト、ケーキプレミックス製品、菓子類、ふりかけ、味噌、醤油、ソース、ドレッシング、マヨネーズ、植物性クリーム、焼肉用たれや麺つゆ等の調味料、麺類、うどん、蕎麦、スパゲッティ、ハムやソーセージ等の畜肉魚肉加工食品、ハンバーグ、コロッケ、ふりかけ、佃煮、ジャム、牛乳、クリーム、バター、スプレッドやチーズ等の粉末状、固形状又は液状の乳製品、マーガリン、パン、ケーキ、クッキー、チョコレート、キャンディー、グミ、ガム等の各種一般加工食品のほか、粉末状、顆粒状、丸剤状、錠剤状、ソフトカプセル状、ハードカプセル状、ペースト状又は液体状の栄養補助食品、特定保健用食品、機能性食品、健康食品、濃厚流動食や嚥下障害用食品の治療食等を挙げることができる。これらのうち、本発明に係る有効成分を高濃度に配合でき、本発明の効果をより確かに実感するためには、粉末状、顆粒状、錠剤状、カプセル状、液体状等の栄養補助食品、特定保健用食品、機能性食品又は健康食品が望ましい。 Specific examples of foods and drinks include vegetable juices, fruit juice beverages, refreshing beverages, tea and other beverages, soups, jellies, puddings, yogurts, cake premix products, confectionery, sprinkles, miso, soy sauce, sauces, dressings, and mayonnaise. , Vegetable cream, seasonings such as grilled meat sauce and noodle soup, noodles, udon, soba, spaghetti, processed meat and fish meat such as ham and sausage, hamburger, croquette, sprinkle, boiled noodles, jam, milk, cream, butter, Powdered, solid or liquid dairy products such as spreads and cheese, various general processed foods such as margarine, bread, cakes, cookies, chocolates, candies, gummy and gum, as well as powdered, granular and rounded foods. Examples thereof include tablet-shaped, soft-capsule-shaped, hard-capsule-shaped, pasty-shaped or liquid-shaped nutritional supplements, foods for specified health use, functional foods, health foods, concentrated liquid foods, and therapeutic foods for swallowing disorders. Of these, in order to be able to blend the active ingredient according to the present invention in a high concentration and to realize the effect of the present invention more reliably, dietary supplements such as powder, granule, tablet, capsule, and liquid , Foods for specified health use, functional foods or health foods are desirable.

これらの飲食品を製造するには、本発明のPDE5阻害剤と公知の原材料を用い、あるいは公知の原材料の一部を本発明のPDE5阻害剤で置き換え、常法によって製造すればよい。例えば、本発明のPDE5阻害剤を、必要に応じてグルコース(ブドウ糖)、テキストリン、乳糖、澱粉又はその加工物、セルロース粉末等の賦形剤、ビタミン、ミネラル、動植物や魚介類の油脂、蛋白(動植物や酵母由来の蛋白質、その加水分解物等)、糖質、色素、香料、酸化防止剤、界面活性剤、その他の食用添加物、各種栄養機能成分を含む粉末やエキス類等の食用素材とともに混合して粉末、顆粒、ペレット、錠剤等の形状に加工したり、常法により前記例の一般加工食品に加工処理したり、これらを混合した液状物をゼラチン、アルギン酸ナトリウム、カルボキシメチルセルロース等の被覆剤で被覆してソフトカプセルに成形したり、あるいは飲料(ドリンク類)の形態に加工して、栄養補助食品や健康食品として利用することは好適である。 In order to produce these foods and drinks, the PDE5 inhibitor of the present invention and known raw materials may be used, or a part of the known raw materials may be replaced with the PDE5 inhibitor of the present invention and produced by a conventional method. For example, the PDE5 inhibitor of the present invention can be used as necessary for glucose (dextrose), textrin, lactose, starch or processed products thereof, excipients such as cellulose powder, vitamins, minerals, fats and oils of animals, plants and seafood, and proteins. (Proteins derived from animals and plants and yeast, their hydrolyzates, etc.), sugars, pigments, fragrances, antioxidants, surfactants, other edible additives, powders and extracts containing various nutritional functional ingredients, etc. It can be mixed with and processed into the shape of powder, granules, pellets, tablets, etc., or processed into the general processed food of the above example by a conventional method, and the liquid material mixed with these can be processed into gelatin, sodium alginate, carboxymethyl cellulose, etc. It is suitable to coat it with a coating agent and form it into a soft capsule, or to process it into a beverage (drinks) and use it as a dietary supplement or a health food.

かかる飲食品における本発明のPDE5阻害剤の含有量は、飲食品の形態、本発明のPDE5阻害剤の形態及び有効成分の含量、併用する配合原料の種類、成分、配合量等の違いにより一律に規定し難いが、本発明に係るエキス(チダケサシ属に属する植物の水及び/又は親水性有機溶剤による抽出エキス)に換算して約0.01質量%〜約90質量%、より好ましくは約1質量%〜約50質量%である。約0.01質量%を下回るような飲食品では前記エキスによる所望効果を期待するために多量の当該飲食品を摂取しなければならず、一方、前記エキスの含量が約90質量%を超えると実用的な飲食品を製造することが困難になる場合がある。 The content of the PDE5 inhibitor of the present invention in such foods and drinks is uniform depending on the form of the food and drink, the form of the PDE5 inhibitor of the present invention, the content of the active ingredient, the type, the component, the blending amount and the like of the compounded raw material to be used in combination. Although it is difficult to specify in the above, it is about 0.01% by mass to about 90% by mass, more preferably about, in terms of the extract according to the present invention (extract extracted with water and / or a hydrophilic organic solvent of a plant belonging to the genus Chidakesashi). It is 1% by mass to about 50% by mass. For foods and drinks less than about 0.01% by mass, a large amount of the foods and drinks must be ingested in order to expect the desired effect of the extract, while when the content of the extract exceeds about 90% by mass. It may be difficult to produce practical food and drink.

本発明の飲食品の利用にあたっては、ヒト成人の場合1日あたりの前記エキスの摂取量の目安を約10mg〜約1,000mg、好ましくは約30mg〜約500mg、より好ましくは約50mg〜約300mgとして任意の方法、例えば、食事の摂取と同時又は前後に、経口摂取、経管投与等の方法で体内に取り込むことができる。 In using the food and drink of the present invention, in the case of a human adult, the standard daily intake of the extract is about 10 mg to about 1,000 mg, preferably about 30 mg to about 500 mg, and more preferably about 50 mg to about 300 mg. It can be taken into the body by any method, for example, at the same time as or before or after ingesting a meal, by oral ingestion, tube administration, or the like.

次に、実施例を挙げて本発明を詳細に説明するが、本発明はこれによって何ら限定されるものではない。各例において、%、部及び比率はいずれも質量基準である。 Next, the present invention will be described in detail with reference to examples, but the present invention is not limited thereto. In each example,%, parts and ratios are all based on mass.

製造例1
アカショウマ(Astilbe thunbergii(SIEB.etZUCC.)MIQ.)の根茎を水洗し、長さ1〜2cm、幅3〜5mmにみじん切りした後、天日干しで乾燥してアカショウマ乾燥物を調製した。このアカショウマ乾燥物1Kgをステンレス製抽出釜に仕込み、水9Lを加え、適宜に撹拌しながら70℃で6時間抽出処理した。この後、不溶の残渣を濾別してエキス液を採取し、該エキス液を減圧濃縮、凍結乾燥及び粉砕処理に供して赤褐色のエキス末(試料A)を得た。
Production Example 1
The rhizome of False goat's beetle (SIEB. EtZUCC.) MIQ. Was washed with water, chopped into 1 to 2 cm in length and 3 to 5 mm in width, and then dried in the sun to prepare a dried false goat's beetle. 1 kg of this dried red pepper was charged in a stainless steel extraction kettle, 9 L of water was added, and extraction treatment was performed at 70 ° C. for 6 hours with appropriate stirring. Then, the insoluble residue was filtered off to collect an extract, and the extract was subjected to vacuum concentration, freeze-drying and pulverization to obtain a reddish brown extract powder (Sample A).

製造例2
製造例1で調製したアカショウマ乾燥物1Kgをステンレス製抽出釜に仕込み、含水率45%の含水エタノール9Lを加え、適宜に撹拌しながら70℃で6時間抽出処理した。この後、不溶の残渣を濾別してエキス液を採取し、該エキス液を減圧濃縮、凍結乾燥及び粉砕処理に供して赤褐色のエキス末(試料B)を得た。
Manufacturing example 2
1 kg of the dried red pepper prepared in Production Example 1 was placed in a stainless steel extraction kettle, 9 L of hydrous ethanol having a water content of 45% was added, and extraction treatment was performed at 70 ° C. for 6 hours with appropriate stirring. Then, the insoluble residue was filtered off to collect an extract, and the extract was subjected to vacuum concentration, freeze-drying and pulverization to obtain a reddish brown extract powder (Sample B).

製造例3
製造例1で調製したアカショウマ乾燥物1Kgをステンレス製抽出釜に仕込み、エタノール9Lを加え、適宜に撹拌しながら70℃で6時間抽出処理した。この後、不溶の残渣を濾別してエキス液を採取し、該エキス液を減圧濃縮、凍結乾燥及び粉砕処理に供して薄い赤褐色のエキス末(試料C)を得た。
Production example 3
1 kg of the dried red pepper prepared in Production Example 1 was placed in a stainless steel extraction kettle, 9 L of ethanol was added, and extraction treatment was performed at 70 ° C. for 6 hours with appropriate stirring. Then, the insoluble residue was filtered off to collect an extract, and the extract was subjected to vacuum concentration, freeze-drying and pulverization to obtain a light reddish brown extract powder (Sample C).

試験例
前記製造例で得た各試料のPDE5活性阻害作用、及び、アカショウマエキス末の安全性について以下に述べる方法で調べた。
Test Example The PDE5 activity inhibitory action of each sample obtained in the above-mentioned production example and the safety of the red pepper extract powder were investigated by the methods described below.

試験例1:アカショウマエキス末によるPDE5活性阻害作用(1)
PDE5活性阻害作用は、酵素としてPDE5A(human),(Recombinant)(Enzo Biochem社製)を用い、Cyclic Nucleotide Phosphodiesterase assay kit(Enzo Biochem社製)のプロトコルに従い実施した。検体は試料A、B及びCを終濃度1、10μg/mLとなるようにAssay Bufferに溶解した。検体10μL又は標準液40μLをキット付属の96ウェルハーフエリアプレートに加えた。検体を加えたウェルにcGMP基質(0.5mM)を20μL、PDE5Aを5μL及びAssay Bufferを加え全量を40μLとした。全てのウェルに5’−nuleotidaseを10μL加え、30℃で30分間インキュベートした。BIOMOL GREEN Reagentを100μL加え、30分間室温で静置し、620nmにおける吸光度を測定した。標準品により検量線を作成し、PDE5により産生された5’−GMP濃度を求めた。各試料のPDE5活性阻害率は、前記吸光度に基づいて、次の式すなわち〔{(コントロールの5’−GMP濃度)−(試料添加検体の5’−GMP濃度)}/(コントロールの5’−GMP濃度)〕×100から算出し、同時に実施した試料未添加(コントロール)の場合を0%としたときの相対値で示した(表1〜表3)。
Test Example 1: PDE5 activity inhibitory action by red pepper extract powder (1)
The PDE5 activity inhibitory action was carried out using PDE5A (human), (Recombinant) (manufactured by Enzo Biochem) as enzymes, and according to the Cyclic Nucleotide Phosphodiesterase assay kit (manufactured by Enzo Biochem). Samples A, B and C were dissolved in Assay Buffer to a final concentration of 1,10 μg / mL. 10 μL of sample or 40 μL of standard solution was added to the 96-well half area plate included in the kit. 20 μL of cGMP substrate (0.5 mM), 5 μL of PDE5A and Assay Buffer were added to the wells to which the sample was added to make the total volume 40 μL. 10 μL of 5'-nuleotidase was added to all wells and incubated at 30 ° C. for 30 minutes. 100 μL of BIOMOL GREEN Reagent was added, and the mixture was allowed to stand at room temperature for 30 minutes, and the absorbance at 620 nm was measured. A calibration curve was prepared from the standard product, and the 5'-GMP concentration produced by PDE5 was determined. The PDE5 activity inhibition rate of each sample is calculated by the following formula, that is, [{(control 5'-GMP concentration)-(sample-added sample 5'-GMP concentration)} / (control 5'-) based on the absorbance. It was calculated from GMP concentration)] × 100, and was shown as a relative value when 0% was used when no sample was added (control), which was carried out at the same time (Tables 1 to 3).

この結果を表1に示す。表1のデータから、アカショウマエキス末の水又は含水エタノール抽出エキスはPDE5阻害作用を有することを確認した。 The results are shown in Table 1. From the data in Table 1, it was confirmed that the water of the red pepper extract powder or the hydrous ethanol extract has a PDE5 inhibitory effect.

Figure 0006981641
Figure 0006981641

試験例2:アカショウマエキス末によるPDE5活性阻害作用(2)
アカショウマエキス末が濃度依存的にPDE5活性を阻害するか検討した。PDE5活性の測定は試験例1と同様の方法を用いて行った。なお、検体は試料Bを終濃度1、2、3、4、5、10μg/mLとなるようにAssay Bufferに溶解した。
Test Example 2: PDE5 activity inhibitory action by red pepper extract powder (2)
It was investigated whether the red pepper extract powder inhibits PDE5 activity in a concentration-dependent manner. The PDE5 activity was measured using the same method as in Test Example 1. The sample B was dissolved in Assay Buffer so as to have a final concentration of 1, 2, 3, 4, 5, and 10 μg / mL.

この結果を表2に示す。表2のデータから、本発明に関わるアカショウマエキス末は濃度依存的にPDE5活性を阻害することを確認した。更に、このデータを元にして50%阻害率を算出したところ、1.78μg/mLとなり、アカショウマエキス末には非常に強いPDE5阻害作用があることが認められた。 The results are shown in Table 2. From the data in Table 2, it was confirmed that the red pepper extract powder according to the present invention inhibits PDE5 activity in a concentration-dependent manner. Furthermore, when the 50% inhibition rate was calculated based on this data, it was 1.78 μg / mL, and it was confirmed that the red pepper extract powder had a very strong PDE5 inhibitory effect.

Figure 0006981641
Figure 0006981641

試験例3:アカショウマエキス末と他のED改善剤のPDE5活性阻害作用
本試験において、アカショウマエキス末と比較する男性機能改善剤として、マカエキスパウダー(MACAXS(登録商標)−HC、TOWA CORPORATION社製)(対象▲1▼とする。)、BHN黒ウコンエキス末(ビーエイチエヌ社製、5,7−ジメトキシフラボン2%含有)(対象▲2▼とする。)及びシルデナフィル(Cayman Chemical社製)(対象▲3▼とする。)を用いた。PDE5活性の測定は試験例1と同様の方法を用いて行った。なお、検体の試料B、マカエキスパウダー及び黒ウコンエキス末は終濃度1、10μg/mLとなるように、シルデナフィルは終濃度0.01、0.1μg/mLとなるようにAssay Bufferに溶解して使用した。
Test Example 3: PDE5 activity inhibitory effect of red pepper extract powder and other ED improving agents In this test, as a male function improving agent compared with red pepper extract powder, maca extract powder (MACAXS (registered trademark) -HC, manufactured by TOWA CORPORATION). (Target ▲ 1 ▼), BHN black turmeric extract powder (manufactured by BHN, containing 2% 5,7-dimethoxyflavone) (target ▲ 2 ▼) and sildenafil (manufactured by Cayman Chemical) (target ▲ 3 ▼) was used. The PDE5 activity was measured using the same method as in Test Example 1. The sample B, maca extract powder and black turmeric extract powder were dissolved in Assay Buffer so that the final concentration was 1,10 μg / mL, and sildenafil was 0.01, 0.1 μg / mL. used.

この結果を表3に示す。表3のデータから、本発明に関わるアカショウマエキス末は男性機能改善剤として知られているマカエキスパウダー及び黒ウコンエキス末に比べ非常に強いPDE5阻害率を示した。又、アカショウマエキス末はPDE5阻害薬として使用されているシルデナフィルの1/10程度の阻害率であることが確認された。 The results are shown in Table 3. From the data in Table 3, the red pepper extract powder according to the present invention showed a very strong PDE5 inhibition rate as compared with the maca extract powder and the black turmeric extract powder known as male function improving agents. It was also confirmed that the red pepper extract powder has an inhibition rate of about 1/10 of sildenafil used as a PDE5 inhibitor.

Figure 0006981641
Figure 0006981641

試験例4 アカショウマエキス末の安全性(血圧)
被験者は健常男性(年齢:32〜59歳)、被験者数は5名(肥満気味2名、糖尿病気味1名、標準体重2名)、被験食はハードカプセル(アカショウマエキス末200mg/1粒処方)を1日3カプセル(毎食前)、12週間に渡り摂取し、被験者の血圧の状態を調べた。被験者のデータを表4に、被験者の血圧の状況を示すデータを表5に示す。
Test Example 4 Safety of red pepper extract powder (blood pressure)
The subjects were healthy males (age: 32 to 59 years old), the number of subjects was 5 (2 obese, 1 diabetic, 2 standard weights), and the test meal was a hard capsule (red pepper extract powder 200 mg / tablet prescription). Three capsules a day (before each meal) were ingested for 12 weeks, and the blood pressure status of the subjects was examined. Table 4 shows the data of the subjects, and Table 5 shows the data showing the blood pressure status of the subjects.

Figure 0006981641
Figure 0006981641

Figure 0006981641
Figure 0006981641

試験期間中、すべての被験者において血圧は安定しており、現在使用されているPDE5阻害薬(シルデナフィル、バルデナフィル、タダラフィル等)の副作用の特徴であるめまい、頭痛や顔のほてり感は認められなかった。又、青視症等の異常所見は認められなかった。 Blood pressure was stable in all subjects during the study, and no dizziness, headache, or hot flashes characteristic of the side effects of currently used PDE5 inhibitors (sildenafil, vardenafil, tadalafil, etc.) were observed. .. No abnormal findings such as cyanopsia were observed.

試作例1
試料A又は試料Bをカプセル充填機に供して、常法により1粒あたり内容量が250mgのゼラチン被覆ハードカプセル製剤を試作した。このカプセル製剤は経口摂取できる医薬品又は栄養補助食品として利用できる。
Prototype example 1
The sample A or the sample B was subjected to a capsule filling machine, and a gelatin-coated hard capsule preparation having a content of 250 mg per capsule was prototyped by a conventional method. This capsule formulation can be used as an orally ingestible drug or dietary supplement.

試作例2
市販の野菜ジュース1Lに、試料A又は試料B5gを加えて混合し、男性機能増強用野菜ジュースを試作した。これは元の野菜ジュースと比較して何ら遜色のないものであった。
Prototype example 2
Sample A or sample B 5 g was added to 1 L of commercially available vegetable juice and mixed to prepare a prototype vegetable juice for enhancing male function. This was comparable to the original vegetable juice.

試作例3
試料A又は試料B5.0Kgを化工澱粉(松谷化学(株)製、商品名:パインフロー(登録商標))3.5Kg、第三リン酸カルシウム0.3Kg、ビタミンB10.3Kg、ビタミンB20.3Kg、ビタミンB60.2Kg及びビタミンC0.4Kgとともに配合機に仕込み10分間攪拌混合した。該混合物を直打式打錠機に供給して直径7mm、高さ4mm、重量150mgのタブレットを作成した後、コーティング機でシェラック薄膜をコーティングして錠剤形状の食品を試作した。
Prototype example 3
Sample A or Sample B 5.0 kg, modified starch (manufactured by Matsutani Chemical Co., Ltd., trade name: Pineflow (registered trademark)) 3.5 kg, tertiary calcium phosphate 0.3 kg, vitamin B 10.3 kg, vitamin B 20.3 kg, vitamin It was charged into a compounding machine together with 60.2 kg of B and 0.4 kg of vitamin C, and stirred and mixed for 10 minutes. The mixture was supplied to a direct-type tableting machine to prepare a tablet having a diameter of 7 mm, a height of 4 mm, and a weight of 150 mg, and then a shellac thin film was coated with a coating machine to make a tablet-shaped food product as a prototype.

本発明に係るアカショウマやトリアシショウマ等のチダケサシ属に属する植物、その抽出物とりわけ親水性成分を含む該抽出物を経口摂取することにより、日常の生活習慣や加齢にともない生じるEDを、副作用なしに顕著に予防する効果を奏することができる。
又、本発明は、該抽出物を含有する飲食品、医薬品、医薬部外品、飼料、その他産業分野の様々な製品として有効利用できる。
By orally ingesting plants belonging to the genus False goat's beetle, such as Akashouma and Astilbe odontophyllum, and the extracts thereof, especially those containing hydrophilic components, ED caused by daily lifestyle and aging is adversely affected. It can have a remarkable preventive effect without it.
Further, the present invention can be effectively used as foods and drinks containing the extract, pharmaceuticals, quasi-drugs, feeds, and various other products in the industrial field.

Claims (4)

チダケサシ属に属する植物であるアカショウマの水及び/又は親水性有機溶媒抽出エキス又はその精製物を含有してなるPDE5活性阻害剤。A PDE5 activity inhibitor comprising water and / or a hydrophilic organic solvent extract or a purified product thereof of False goat's beetle, which is a plant belonging to the genus False goat's beetle. EDを予防するためのものである請求項1記載のPDE5活性阻害剤。The PDE5 activity inhibitor according to claim 1, which is for preventing ED. チダケサシ属に属する植物であるアカショウマを水及び/又は親水性有機溶媒を用いて抽出したエキスを有効成分として含有せしめることを特徴とするPDE5活性阻害剤の製造方法。A method for producing a PDE5 activity inhibitor, which comprises containing an extract obtained by extracting red pepper, which is a plant belonging to the genus False goat's beetle, with water and / or a hydrophilic organic solvent as an active ingredient. EDを予防するために請求項1記載のPDE5活性阻害剤を経口投与又は摂取する方法(但し、人間を治療する方法を除く。)A method of orally administering or ingesting the PDE5 activity inhibitor according to claim 1 to prevent ED (excluding the method of treating humans) .
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