JPH0121A - Bone anti-porosis agent - Google Patents

Bone anti-porosis agent

Info

Publication number
JPH0121A
JPH0121A JP62-110875A JP11087587A JPH0121A JP H0121 A JPH0121 A JP H0121A JP 11087587 A JP11087587 A JP 11087587A JP H0121 A JPH0121 A JP H0121A
Authority
JP
Japan
Prior art keywords
bone
dihydroxyvitamin
osteotomy
porosis
coarsening
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP62-110875A
Other languages
Japanese (ja)
Other versions
JPS6421A (en
Inventor
竹光 義治
小野沢 敏弘
信一郎 吉村
能勢 義紀
泉 山下
加茂 裕樹
宮津 誠
修 浜田
有山 弘之
徳広 聴
川岸 尚子
麦倉 聴
松田 善春
Original Assignee
帝人株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 帝人株式会社 filed Critical 帝人株式会社
Priority to JP11087587A priority Critical patent/JPS6421A/en
Priority claimed from JP11087587A external-priority patent/JPS6421A/en
Publication of JPH0121A publication Critical patent/JPH0121A/en
Publication of JPS6421A publication Critical patent/JPS6421A/en
Pending legal-status Critical Current

Links

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 本発明は、骨折及び/又は骨切手術後に発生する全身的
な骨の粗層化を防止するための、骨の粗粒化防止剤に関
するものである。
DETAILED DESCRIPTION OF THE INVENTION The present invention relates to an agent for preventing bone coarsening, which is used to prevent systemic bone coarsening that occurs after bone fracture and/or osteotomy.

近年、特に子供あるいは老人におけるその易骨折性が社
会的問題となっている。その原因として、運動不足1食
物の偏り等、種々指摘されている。
In recent years, its tendency to fracture, especially in children and the elderly, has become a social problem. Various causes have been pointed out, including lack of exercise and unbalanced diet.

他方、従来、過去に骨折を経験した者は、そうでない者
に較べて、骨折を起しやすいのではないかという一般的
疑問について、データ的な確認は行われていないし、当
然ながら、易骨折性になることを防ぐ薬理的手段の検討
は、はとんど行われていない。低カルシウム食あるいは
ビタミンD欠食で飼育したラットにおいて、実験的骨折
の治癒時に骨の粗義化がおこること、そして粗鬆化した
骨が、最適カルシウム含有食摂取及び1α−とドロキシ
ビタミンD3の投与により、回復することが報告されて
いるのみである。
On the other hand, there has been no data-based confirmation of the general question of whether people who have experienced a fracture in the past are more likely to suffer a fracture than those who have not, and it goes without saying that Pharmacological means to prevent sexual development have rarely been investigated. In rats fed low-calcium or vitamin D-deficient diets, bone coarsening occurs during healing of experimental fractures, and the coarsened bones are associated with optimal calcium-containing dietary intake and 1α- and droxyvitamin D3 levels. It has only been reported that the disease can be recovered by administration.

本発明者等は該疑問に着目し、その解明を目的として、
骨折侵の治療期間中あるいは骨切手術施行後の治療期間
中に、標準量のカルシウム、リン。
The present inventors focused on this question, and with the aim of elucidating it,
Standard doses of calcium and phosphorus during the treatment of fracture lesions or after osteotomy.

ビタミンD含有食の摂取下において、全身的な骨の粗層
化が起るかどうか、そしてそれを防止スル薬理的手段に
ついて研究した。ヒトの場合には動物の場合と異なり、
均一な骨折モデルを実験的に作成できないということが
、従来、ヒトの骨折について報告が全くない理由である
。そこで、本発明者等はヒトの骨折のモデルとして変形
性膝関節症骨切手術が該研究に最適であることに着想し
、その治療期間中における全身的な骨の骨密度の変化を
、第2中手骨をその代表部位としてMD法(マイクロデ
ンシトメトリー)で測定した。
We investigated whether systemic bone coarsening occurs under the intake of a vitamin D-containing diet, and pharmacological means to prevent it. In humans, unlike animals,
The inability to experimentally create a uniform fracture model is the reason why there have been no reports on human fractures. Therefore, the present inventors came up with the idea that knee osteoarthritis osteotomy surgery would be most suitable for this research as a human fracture model, and investigated the changes in bone density of the whole body during the treatment period. The measurement was performed using the MD method (microdensitometry) using the second metacarpal bone as a representative site.

その結果、その治療期間が2α月間と短期間であるにも
かかわらず、骨密度が症例の年令、骨切手術前の骨密度
の高低に関係なく、すなわち、骨粗髭症患者であるとか
健常人の症例であるとか等の患者要因に無関係に、かな
りの程度に低下していること、及びそれが、骨の骨髄側
゛からの粗層化であることを知見した。すなわち、骨切
手術あるいは骨折を経験した者は、易骨折性が増すこと
が推定された。更に驚(べきことに、骨切手術時乃至治
療期間中、非常に少量の活性型ビタミンDを継続投与す
ることにより、症例の年令、骨切手術前の骨密度の高低
に関係なく一様に、骨の粗層化を完全に防止することが
できることを知見し、本発明に到達した。
As a result, although the treatment period was short (2α months), the bone density remained unchanged regardless of the patient's age or the level of bone density before osteotomy, that is, whether the patient had osteoporosis or not. It was found that there was a considerable decrease regardless of patient factors such as whether the case was a healthy person, and that this was due to coarsening of the bone from the bone marrow side. In other words, it was estimated that those who had undergone osteotomy or fracture had an increased tendency to fracture. Furthermore, surprisingly, by continuously administering a very small amount of active vitamin D during osteotomy surgery and the treatment period, the effect is uniform regardless of the age of the patient or the level of bone density before osteotomy surgery. The inventors have now discovered that bone coarsening can be completely prevented, and have arrived at the present invention.

すなわち、本発明は、活性型ビタミンDを有効成分とす
る、骨折及び/又は骨切手術後に発生する全身的な骨の
粗層化を防止するための骨の粗鬆化防止剤である。
That is, the present invention is a bone coarsening inhibitor that contains active vitamin D as an active ingredient and is used to prevent systemic bone coarsening that occurs after bone fracture and/or osteotomy.

本発明における活性型ビタミンDとしては、例えば、1
α−ヒドロキシビタミンD11α 、24−ジヒドロキ
シビタミンD、  1α 、25−ジヒドロキシビタミ
ンD、1α、  24.25−トリヒドロキシビタミン
D124,24− F 2  1α 、25−ジヒドロ
キシビタミンD及び26,26,26,27,27,2
7.− F s −1α 、25−ジヒドロキシビタミ
ンDが挙げられる。
The active vitamin D in the present invention includes, for example, 1
α-hydroxyvitamin D11α, 24-dihydroxyvitamin D, 1α, 25-dihydroxyvitamin D, 1α, 24.25-trihydroxyvitamin D124,24-F21α, 25-dihydroxyvitamin D and 26,26,26,27 ,27,2
7. -Fs-1α, 25-dihydroxyvitamin D.

好ましいのは、それぞれの活性型ビタミンD3である。Preferred is the respective active form of vitamin D3.

これらの有効成分は公知の方法で、適当な賦型剤等を用
いて軟カプセル剤、硬カプセル剤。
These active ingredients can be formulated into soft capsules or hard capsules using appropriate excipients using known methods.

錠剤、シロップ等の経口剤あるいは注射剤にして使用で
きる。有効成分の投与量は、通常0.01〜10μg/
日/人程度であり、投与回数は、通常〜3回/日であり
、このような条件を満足する。
It can be used in the form of oral preparations such as tablets and syrup, or injections. The dosage of the active ingredient is usually 0.01 to 10 μg/
The number of administrations is usually 3 times/day, which satisfies these conditions.

うに製剤を調製するのが好ましい。Preferably, a sea urchin formulation is prepared.

本発明において、活性型ビタミンDを有効成:とする製
剤は、骨折及び/又は骨切手術の前後)ら、骨折及び/
又は骨切が治癒するまでの期間1与される。通常は約2
〜3ケ月の期間である。
In the present invention, preparations containing active vitamin D as an active ingredient can be used to treat bone fractures and/or osteotomy (before and after bone fractures and/or osteotomy).
Or one period is given for the osteotomy to heal. Usually about 2
The period is ~3 months.

本発明の製剤は、カルシウム(化合物)、す;(化合物
)、カルチトニン鎮痛剤、蛋白同化ホノモン等と併用可
能であることはもちろんである。
It goes without saying that the preparation of the present invention can be used in combination with calcium (compound), sulphate (compound), calcitonin analgesic, protein anabolic monomones, and the like.

以下、実施例により本発明を詳述する。Hereinafter, the present invention will be explained in detail with reference to Examples.

実施例1 変形性膝関節症患者(年令52乃至76オ、平均66.
6オ)9例について、患者の同意を得た上で、骨切手術
に先立つ1週間前から、1α−ヒドロニジビタミンD3
 (1α−(OH)03 )1μ9゜日の投与を開始し
、手術後2ケ月間投与を継続また。該期間中、食事は標
準量のカルシウム、す:ビタミンDの含有食とした。骨
切手術前(投与[1始前)及び骨切手術2ケ月後の骨の
評価は、MD上  法(井よ、串田、宮本、矢島、伊丹
、山下、骨代謝、13巻、187〜195 (1980
) )により行った。
Example 1 Patients with knee osteoarthritis (age 52-76, average age 66.
6e) In 9 cases, with the patient's consent, 1α-hydronidivitamin D3 was administered for one week prior to osteotomy surgery.
Administration of (1α-(OH)03) 1μ was started for 9 days and continued for 2 months after the surgery. During this period, the diet consisted of a diet containing standard amounts of calcium and vitamin D. Bone evaluation before osteotomy surgery (before administration) and 2 months after osteotomy surgery was performed using the MD method (Iyo, Kushida, Miyamoto, Yajima, Itami, Yamashita, Bone Metabolism, Vol. 13, 187-195. (1980
)).

汗  骨切手術前及び骨切手術2ケ月後の、MD法の各
りゝ  指標の平均値は、第1表に示す通りであり、ど
の交  指標の悪化も認められなかった。
Sweat The average values of each index of the MD method before the osteotomy surgery and 2 months after the osteotomy surgery are shown in Table 1, and no deterioration of any of the intersection indexes was observed.

ン       第1表 1し 骨 ヤ   症例ごとの検討でも、1α−(OH)Daの効
′  果はG51in 、 GSmax テ有意であル
コトカχ2じ  検定で示された。すなわち比較例1と
の比較検定ン・  において、GSn+in : z2
−8.96  (P< 0.01 )Ill  GSm
ax:z2−6.32(P<0.05)rあり、本発明
の骨の粗鬆化防止の効果が立証された。
Table 1 1. In the case-by-case study, the effect of 1α-(OH)Da on G51in and GSmax was shown to be significant using the Rukotka chi-square test. That is, in the comparison test with Comparative Example 1, GSn+in: z2
-8.96 (P<0.01)Ill GSm
ax: z2-6.32 (P<0.05) r, proving the effect of the present invention in preventing bone coarsening.

比較例1 変形性膝関節症患者(年令61乃至73才、平均69.
7オ)7例について、実施例1と同様の測定を行った。
Comparative Example 1 Patients with osteoarthritis of the knee (age 61 to 73, average age 69.
7e) The same measurements as in Example 1 were performed for 7 cases.

但しこの場合には1α−(OH)D3の投与は行わなか
った。食事については実施例1の場合と同様である。そ
の結果は第2表に示す通りであり、MC1,dについて
は悪化は認められなかったが、骨密度関係の指標、特に
33 winの悪化か認められ骨の粗粒化が起ったこと
が示された。
However, in this case, 1α-(OH)D3 was not administered. The meals were the same as in Example 1. The results are shown in Table 2, and although no deterioration was observed in MC1,d, deterioration in bone density-related indicators, especially 33win, was observed, indicating that bone coarsening had occurred. Shown.

第2表 なおMD法とは、X線像の黒化度の基準として、アルミ
階段(G raY  S cafe)とともに平部のX
線像を藏影し、第■中手骨の近位端と遠位端の中間点で
、デンシトメータを用いて、その黒化度を測定し、コン
ピュータを用いて、ピーク高さをアルミ階段の段数に換
算し、骨幅(D)、骨髄幅(d)、骨皮質幅指数[MD
 I (−(D二d)/D)コ、骨皮質の密度の指標(
GSmax ) 、  (骨皮質+骨髄)の密度の指標
(GSllin > 、単位長さ当りの骨密度の指標(
ΣGS/D)等を求め、これらの指標から、骨萎縮(骨
の粗粒化)を判定する方法である。
Table 2 Note that the MD method is used as a standard for the degree of blackening of X-ray images.
The line image was shaded, the degree of darkening was measured using a densitometer at the midpoint between the proximal and distal ends of the first metacarpal, and the peak height was calculated using a computer. Converted to the number of steps, bone width (D), bone marrow width (d), bone cortical width index [MD
I (-(D2d)/D), index of bone cortex density (
GSmax), index of density of (bone cortex + bone marrow) (GSllin >, index of bone density per unit length (
This is a method of determining bone atrophy (coarsening of bones) from these indices.

Claims (1)

【特許請求の範囲】 1、活性型ビタミンDを有効成分とする、骨折及び/又
は骨切手術後に発生する全身的な骨の粗鬆化を防止する
ための骨の粗鬆化防止剤。 2、活性型ビタミンDが、1α−ヒドロキシビタミンD
、1α,24−ジヒドロキシビタミンD、1α,25−
ジヒドロキシビタミンD、24,25−ジヒドロキシビ
タミンD、1α,24,25−トリヒドロキシビタミン
D、24,25−F_2−1α,25−ジヒドロキシビ
タミンD及び26,26,26,27,27,27−F
_6−1α,25−ジヒドロキシビタミンDからなる群
から選ばれたものである、特許請求の範囲第1項記載の
骨の粗鬆化防止剤。
[Scope of Claims] 1. A bone porosis inhibitor containing active vitamin D as an active ingredient for preventing systemic bone porosis that occurs after bone fracture and/or osteotomy surgery. 2. Active vitamin D is 1α-hydroxyvitamin D
, 1α,24-dihydroxyvitamin D, 1α,25-
Dihydroxyvitamin D, 24,25-dihydroxyvitamin D, 1α,24,25-trihydroxyvitamin D, 24,25-F_2-1α,25-dihydroxyvitamin D and 26,26,26,27,27,27-F
_6-1α,25-dihydroxyvitamin D The anti-bone osteoporosis agent according to claim 1, which is selected from the group consisting of _6-1α,25-dihydroxyvitamin D.
JP11087587A 1987-02-27 1987-05-08 Preventive for osteoporosis Pending JPS6421A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP11087587A JPS6421A (en) 1987-02-27 1987-05-08 Preventive for osteoporosis

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
JP62-43036 1987-02-27
JP4303687 1987-02-27
JP11087587A JPS6421A (en) 1987-02-27 1987-05-08 Preventive for osteoporosis

Publications (2)

Publication Number Publication Date
JPH0121A true JPH0121A (en) 1989-01-05
JPS6421A JPS6421A (en) 1989-01-05

Family

ID=26382781

Family Applications (1)

Application Number Title Priority Date Filing Date
JP11087587A Pending JPS6421A (en) 1987-02-27 1987-05-08 Preventive for osteoporosis

Country Status (1)

Country Link
JP (1) JPS6421A (en)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0399022A (en) * 1989-09-12 1991-04-24 Teijin Ltd Medicine of bone cacochymia and evaluation of bone metabolism state
DE4212122C2 (en) * 1992-04-10 1999-07-29 Hesch Rolf Dieter Prof Dr Med Dietary low-energy food to support medical and non-medical measures against osteoporosis
US7044546B2 (en) 2002-08-14 2006-05-16 Johnson Safety, Inc. Headrest-mounted monitor
US10556549B2 (en) 2015-07-08 2020-02-11 Voxx International Corporation Headrest-integrated entertainment system
US10397684B2 (en) 2016-01-05 2019-08-27 Voxx International Corporation Wireless speaker system

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS59186956A (en) * 1983-04-07 1984-10-23 Teijin Ltd 24-hydroxy-25-dehydrovitamin d3, its production and calcium regulating agent containing the same as active constituent
JPS59190962A (en) * 1983-04-11 1984-10-29 Teijin Ltd 24-oxo-25-dehydrovitamin d3, its production and calcium regulating agent containing the same as active constituent
JPS6048963A (en) * 1983-08-24 1985-03-16 Teijin Ltd 26-halogenated vitamin d3 derivative, its preparation and drug comprising it as active ingredient
AU589113B2 (en) * 1984-01-30 1989-10-05 Wisconsin Alumni Research Foundation Side-chain unsaturated 1-hydroxyvitamin d compounds
JPS60185715A (en) * 1984-03-05 1985-09-21 Teijin Ltd Bone formation accelerator
JPS61189219A (en) * 1985-02-15 1986-08-22 Fujimoto Seiyaku Kk Preparation containing stable activated vitamin d3

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