JPH0436240A - Treating agent for adult t-cell leukemia - Google Patents

Treating agent for adult t-cell leukemia

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Publication number
JPH0436240A
JPH0436240A JP14034790A JP14034790A JPH0436240A JP H0436240 A JPH0436240 A JP H0436240A JP 14034790 A JP14034790 A JP 14034790A JP 14034790 A JP14034790 A JP 14034790A JP H0436240 A JPH0436240 A JP H0436240A
Authority
JP
Japan
Prior art keywords
adult
digitoxin
cell leukemia
treating agent
drug
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
JP14034790A
Other languages
Japanese (ja)
Inventor
Hisanaga Igarashi
五十嵐 久永
Kiyoshi Takemura
清 竹村
Osamu Yoshie
義江 修
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shionogi and Co Ltd
Original Assignee
Shionogi and Co Ltd
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 Shionogi and Co Ltd filed Critical Shionogi and Co Ltd
Priority to JP14034790A priority Critical patent/JPH0436240A/en
Publication of JPH0436240A publication Critical patent/JPH0436240A/en
Pending legal-status Critical Current

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Abstract

PURPOSE:To obtain a treating agent for adult T-cell leukemia by using digitoxin as an active component. CONSTITUTION:The objective treating agent contains, as an active component, digitoxin of formula which is a kind of cardiotonic glycoside used as a peroral drug. The compound can easily be absorbed through small intestine and administered by oral administration. It is used in the form of tablet, powder, etc., and administered by oral administration at a dose of 0.01-1mg and 1-3 doses a day for adult.

Description

【発明の詳細な説明】 東!上9上月±1 本発明はジキトキシンを有効成分として含有することを
特徴とする成人T細胞白血病治療剤に関する。
[Detailed description of the invention] East! The present invention relates to a therapeutic agent for adult T-cell leukemia characterized by containing diquitoxin as an active ingredient.

従jトク乏迷 ジギトキシンは、下記の構造式: %式%) (D−ジギト寿ソース)(D−ジイトキソース>(D−
ジギト臀ソ=ス)を有する強心配糖体の一種で、経口剤
として用いられてきた1強心配糖体の薬理作用は種類に
依らず極めてよく似ており、心臓に対する作用が主なも
のであるが、やや大量では腎臓や中枢神経系にも作用す
る0作用点は、細胞膜のナトリウムポンプを抑制(Na
”、Ko、ATPaseの抑制)する結果、細胞内Ca
”+イオンの増大がおこるためと考えられている。この
作用はmp毒性とは区別できていなかった2強心配糖体
の1種である0uabain の細胞毒性に関する報告
は多い。
Digitoxin has the following structural formula: % formula %) (D-digitoxose) (D-digitoxose
Cardiac glycoside is a type of cardiac glycoside that has been used as an oral drug.The pharmacological actions of cardiac glycosides are very similar regardless of the type, and the main action is on the heart. However, at moderately high doses, the 0-point of action also acts on the kidneys and central nervous system, inhibiting the sodium pump in the cell membrane (Na
”, Ko, ATPase inhibition), intracellular Ca
This effect is thought to be due to an increase in + ions.This effect could not be distinguished from MP toxicity.There are many reports regarding the cytotoxicity of Ouabain, a type of dicardial glycoside.

0uabainはphytohaamagglutin
in (PHA )でのヒトリンパ球の活性化を抑制し
、この抑制は0uabain添加後直ちにタンパク合成
阻害が、遅れて核酸合成阻害が起きる結果と考えられた
Ouabain is phytohaamaggglutin
In (PHA), activation of human lymphocytes was suppressed, and this suppression was thought to be the result of immediate protein synthesis inhibition and delayed nucleic acid synthesis inhibition after addition of Ouabain.

0uabainの抗!瘍活性については次のような報告
がある1種々のオンコジーン(H−ras、 K−ra
s。
0uabain's resistance! Regarding tumor activity, there are reports on various oncogenes (H-ras, K-ra
s.

met、 raf、 fms、 mos、 sis )
でトランスホームしたマウスNIH/3T3細胞は0u
abainに対する感受性が高くなったと言う、また、
ヒト細胞(HO5cell 1ine)でもに−ras
でトランスホームすると同時に0uabainに感受性
が高まった。このように0uabainは増殖の盛んな
細胞に、より強い毒性を示すことが分かる。しかし、ジ
ギトキシンについてはこのような報告はまだなされてい
ない。
met, raf, fms, mos, sis)
Mouse NIH/3T3 cells transformed with 0u
It is said that the sensitivity to abain has increased, and
Human cells (HO5cell 1ine) Moni-ras
The sensitivity to Ouabain increased at the same time as the transformation. Thus, it can be seen that Ouabain exhibits stronger toxicity toward cells that are actively proliferating. However, no such report has been made regarding digitoxin.

明が解決しようとする課 成人T細胞白血病(Adult T−cell leu
kemia(ATL) )はヒトT細胞白血病ウィルス
(HTLV−1)の感染に起因して起きる疾病である。
Adult T-cell leukemia (Adult T-cell leukemia)
kemia (ATL)) is a disease caused by infection with human T-cell leukemia virus (HTLV-1).

その感染経路としては、母から乳児へ、また輸血などの
感染ノンバ球の混入によるものと考えられている。
The route of infection is thought to be from mother to infant, or through contamination with infected non-baby cells such as through blood transfusions.

HTLV−1健康保因者のうち、1500人に1人の割
合で40〜60才代で発症する。TmPの腫瘍化により
免疫機能低下を来し、多くは日和見感染により死に至る
。しかし、まだ的確な治療薬も存在しないのが現状であ
る。
Among healthy HTLV-1 carriers, 1 in 1,500 people will develop the disease between the ages of 40 and 60. Tumorization of TmP causes a decline in immune function, and in many cases, death occurs due to opportunistic infections. However, the current situation is that there is still no exact therapeutic drug.

課 を 決しようとする手段 本発明者らは、公知のジギトキシンが成人T細胞白血病
細胞阻害作用を有することを発見し、本発明を完成する
に至った。上記のとおり抗ATL活性を持つ化合物が待
望きれており、本発明は抗ATL治療に大きく貢献する
ものである。
The present inventors have discovered that the known digitoxin has an inhibitory effect on adult T-cell leukemia cells, and have completed the present invention. As mentioned above, compounds with anti-ATL activity have been long-awaited, and the present invention will greatly contribute to anti-ATL treatment.

本発明はジギトキシンを有効成分として含有することを
特徴とする成人T細胞白血病治療剤に関し、その製剤例
としては、錠剤あるいは散剤が挙げられる0例えば、錠
剤1錠中、生薬としてジギトキシンを約0.1mg含有
させ、賦形剤・結合剤として乳糖、デンプン、結晶セル
ロース、ヒドロキシプロピルセルロースなど、崩壊剤と
してカルボキシメチルセルロースカルシウムなど、滑沢
剤としてステアリン酸マグネシウム、タルクなどを用い
て製剤化することができる。また、散剤1g中、ンギト
キシン0.1mgを含有させ、賦形剤として乳糖、デン
プンなどを用いて製剤化することができる。
The present invention relates to a therapeutic agent for adult T-cell leukemia characterized by containing digitoxin as an active ingredient, and examples of its formulation include tablets or powders.For example, one tablet contains about 0.0% of digitoxin as a crude drug. It can be formulated using lactose, starch, crystalline cellulose, hydroxypropyl cellulose, etc. as an excipient/binder, carboxymethyl cellulose calcium, etc. as a disintegrant, and magnesium stearate, talc, etc. as a lubricant. . Further, it can be formulated by containing 0.1 mg of ngitoxin per 1 g of powder and using lactose, starch, etc. as excipients.

ジギトキシンの急性毒性(LDgo): 7.5mg/
kg(マウス経口) 投与方法、患者の年齢、性別、症状により異なるが、成
人に対しては、1回0.01〜1mgを1B1ないし3
回経口投与すればよい。
Acute toxicity of digitoxin (LDgo): 7.5mg/
kg (mouse oral) Although it varies depending on the administration method, age, sex, and symptoms of the patient, for adults, 0.01 to 1 mg at a time is 1B1 to 3.
It can be administered orally.

(以下余白) 1亙忽 下記組成を有する錠剤および散剤を一般的製法に従って
製剤化した。
(Left below) Tablets and powders having the following compositions were prepared according to a general manufacturing method.

(1)錠剤 ジギトキンン           0 、1 rr、
 g乳糖              90   mg
トウモロコシデンプン      適量ヒドロキシプロ
ピルセルロース   2  mgステアリン酸マグネシ
ウム     2   mg(2)散剤(1万倍敗) ジギトキシン 乳糖 バレイショデンブン トウモロコシデンプン 0.1mg 40    mg 適量  g 合計  g 抗ATL活性 材料 薬剤:ジギトキシン(シグマ社、分子量764.92)
およびouabain (シグマ社:分子量584.6
4)を先ずエタノールで溶解し、それを10倍のPBS
に溶 解した(500μM)。
(1) Tablet digitkin 0, 1 rr,
g lactose 90 mg
Corn starch Appropriate amount Hydroxypropyl cellulose 2 mg Magnesium stearate 2 mg (2) Powder (10,000x loss) Digitoxin Lactose Potato starch Corn starch 0.1 mg 40 mg Appropriate amount g Total g Anti-ATL active material Drug: Digitoxin (Sigma, molecular weight 764.92)
and ouabain (Sigma: molecular weight 584.6
4) was first dissolved in ethanol, and then dissolved in 10x PBS.
(500 μM).

株化細胞:ATL由来T細胞株4株(MT(、MT−2
、Ml−4、Huτ−102) ; HILV−1キャ
ノア由来Tm胞株1株(τL−5u )細胞培養:培地
F RPMI−1640+ 10%ウシ胎児血清を用い
、5%炭酸ガス培養、3 7℃で実験 末梢白血球(Peripheral blood ly
mphocyta(PBL) )の分離:凝固阻止剤(
ヘパリン)加面液からPBLをFicoll−Paqu
e (7アルマシア社)を用いて分離した6株 化細胞と同じ培地を用いた。但し、 Phytohaemmagglutinin p (P
HA−p )を1:1000添加した。正常人15人お
よびATL患者8人の検体を用いた。
Established cell lines: 4 ATL-derived T cell lines (MT (, MT-2)
, Ml-4, Huτ-102) ; 1 HILV-1 Canoa-derived Tm cell line (τL-5u) Cell culture: Using medium F RPMI-1640 + 10% fetal bovine serum, 5% carbon dioxide culture, 37°C Experimental peripheral leukocytes (Peripheral blood ly
mphocyta (PBL)): Separation of anticoagulant (
Ficoll-Paqu (Heparin)
The same medium as used for the 6 cell lines isolated using 7A (Almasia) was used. However, Phytohaemmagglutinin p (P
HA-p) was added at a ratio of 1:1000. Specimens from 15 normal subjects and 8 ATL patients were used.

MTTアッセイ法による細胞毒活性試験:96穴プレー
トを用いて、まず培地で薬剤を1000.500.25
0.125.62.5.31.3.15.6.7.8そ
して無添加対照のOnMをそれぞれ3ウエルずつ用意し
た。これらに等量(100μP)の細胞浮遊液を加えた
。従って、薬剤の最終濃度は上記の半分となる。培養3
日後、MTTアッセイを行なった。
Cytotoxic activity test using MTT assay method: Using a 96-well plate, first add 1000.500.25 ml of the drug to the culture medium.
0.125.62.5.31.3.15.6.7.8 and OnM as a non-additive control were prepared in three wells each. An equal volume (100 μP) of cell suspension was added to these. Therefore, the final concentration of drug will be half of the above. Culture 3
Days later, MTT assay was performed.

MTTアッセイ法:3日培養後の各ウェルにMTT液(
3−(4,5−ジメチルチアゾール−2−イル)−2,
5−ジフェニルテトラゾリウム ブロマイド) 5 m
g/ml P B 5(−))を30μiずつ加え、き
らに1時間培養する。各ウェルから培養液を150μ!
除去し、代わりに100μ!の溶解液(2ml濃塩酸入
り500m1のインプロパツールで10%トリトンX−
100としたもの)を加え、結晶状のformasan
 (M T Tから生きた細胞中で形成きれた色素)を
激しく攪拌溶解する。
MTT assay method: After 3 days of culture, add MTT solution (
3-(4,5-dimethylthiazol-2-yl)-2,
5-diphenyltetrazolium bromide) 5 m
Add 30 μi of PB 5(-)) to the seedlings and culture for 1 hour. 150μ of culture solution from each well!
Removed and replaced with 100μ! solution (10% Triton X-
100) and add crystalline formasan.
(Dye formed in living cells from MTT) is dissolved by stirring vigorously.

各ウェルを550nm波長(対照:630nm)で吸光
度(0ptical density : OD )を
測定する。
The optical density (OD) of each well is measured at a wavelength of 550 nm (control: 630 nm).

薬剤最終濃度500nM(最高濃度)のウェルの測定値
をブランク(o、o o o )と設定した。このウェ
ルは薬剤により細胞が100%死に至る対照になる。
The reading of the well with a final drug concentration of 500 nM (highest concentration) was set as blank (o, o o o ). This well serves as a control where the drug kills 100% of the cells.

50%細胞毒性濃度(CC,。)の計算法=(1)各薬
剤濃度毎の3ウエルの平均OD値を求める。
Calculation method for 50% cytotoxic concentration (CC, .) = (1) Calculate the average OD value of 3 wells for each drug concentration.

(2)薬剤濃度On M (対照)のOD値(A)を細
胞毒活性0%、薬剤濃度500 nMのOD値(B)で
細胞毒活性を100%とした。その他の薬剤濃度のOD
値を(C)としたときの細胞毒活性は(A−C)/(A
−B)Xi o o%と計算きれる。(3)全ての薬剤
濃度において(2)の細胞毒活性%が得られたら、その
活性値50%を挾む活性値をYlおよびY2とし、これ
に対応する薬剤濃度(n M )をXlおよびX2とす
る。
(2) The OD value (A) of drug concentration On M (control) was taken as 0% cytotoxic activity, and the OD value (B) of drug concentration 500 nM was taken as 100% cytotoxic activity. OD of other drug concentrations
When the value is (C), the cytotoxic activity is (A-C)/(A
-B) It can be calculated as Xi o o%. (3) When the cytotoxic activity % of (2) is obtained at all drug concentrations, the activity values that sandwich the 50% activity value are defined as Yl and Y2, and the corresponding drug concentrations (n M ) are defined as Xl and Y2. Let it be X2.

(以下余白) (4)ccs。の計算式は 結果: a)正常人対照PBL 対照として15人の10m1ヘパリン加血液を採り、そ
のPBLを用いた結果を下記表1に示す。
(Left below) (4) ccs. The calculation formula is the result: a) Normal human control PBL 10 ml of heparinized blood was collected from 15 people as a control, and the results using the PBL are shown in Table 1 below.

(以下余白) ム b)ATL患者PBL 8検体のATL患者由来のPBLの結果を表2に示す。(Margin below) Mu b) ATL patient PBL Table 2 shows the results of PBL derived from 8 ATL patients.

(以下余白) C)組織培養細胞株 ATL由来細胞株4種とHTLV ア由来細胞株1種の結果を表3に示す。(Margin below) C) Tissue culture cell line Four ATL-derived cell lines and HTLV Table 3 shows the results for one cell line derived from A.

表1 1キヤリ ンギトキンンの強心剤としての臨床経験からその有効血
中濃度は13〜32.7 nMで、中毒量(以下余白) は32.7 nM以上である。このことを基にして結果
を考察すると、正常人対照データでは試料4および14
の検体以外は、CC5゜値は中毒量の範囲に入る結果と
なった。即ち、固体毒性(invivo )と細胞毒性
(in vitro )の結果がよく合致した結果とな
った。しかし、ジギトキシンの毒性には個人差が存在す
ることも示きれ、生体投与時にはこの点注意が肝要であ
る。事実、強心剤として使用される時も、血中濃度をモ
ニターして十分な注意を払って行なわれている。
Table 1 Based on clinical experience as a cardiotonic agent, its effective blood concentration is 13 to 32.7 nM, and the toxic dose (hereinafter referred to as the margin) is 32.7 nM or more. Considering the results based on this, the normal control data shows that samples 4 and 14
Except for the samples above, the CC5° values were within the toxic dose range. That is, the solid toxicity (in vivo) and cytotoxicity (in vitro) results were in good agreement. However, it has been shown that there are individual differences in the toxicity of digitoxin, and it is important to pay attention to this point when administering it to living organisms. In fact, even when it is used as a cardiotonic agent, blood levels are monitored and sufficient care is taken.

ATL患者PBLのデータについて見ると、試料7の検
体以外はジギトキンンの臨床的有効濃度の範囲内の値と
なった。また、正常人対照の範囲の値であった検体7を
省いた平均CC,。は26゜1±3.4nMで、正常人
対照と比較すると有意に低い値となった。正常人対照と
同様に、検体7で見られた個人差が何に由来するかのか
は不明である0表2の臨床データによれば検体7が特別
正常に近い検体とは考えられなかった。
Looking at the data for ATL patient PBL, all samples other than sample 7 had values within the clinically effective concentration range of digitokin. Also, the average CC, excluding sample 7, which had a value in the range of normal human controls. was 26°1±3.4 nM, which was significantly lower than that of normal human controls. As with normal human controls, it is unclear what causes the individual differences observed in Sample 7. According to the clinical data in Table 2, Sample 7 was not considered to be a sample that is particularly close to normal.

組織培養細胞株のデータでは、ジギトキシンの強心剤と
しての臨床的有効量の範囲より低い値となった。ATL
由来細胞株とHTLV−1キャリア由来細胞株の結果に
有意差は認められなかった。これは、株化I5た組織培
養細胞では由来が正常であってもin vitroで腫
瘍化している為と考えられる。患者検体よりも培養細胞
株のほうが、ジギトキシンに対してより高い感受性を示
した。
Data from tissue culture cell lines indicate values below the range of clinically effective doses of digitoxin as a cardiotonic agent. ATL
No significant difference was observed between the results of the derived cell line and the HTLV-1 carrier derived cell line. This is considered to be because the tissue culture cells of cell line I5 turn into tumors in vitro even if they are of normal origin. Cultured cell lines were more sensitive to digitoxin than patient samples.

これは培養細胞株が均一な細胞集団の為と考えられる。This is considered to be because the cultured cell line is a homogeneous cell population.

以上のことから、ジギトキシンは抗ATL剤として有用
であると充分考えられる。また、対照薬として用いた0
uabainは消化管での吸収が殆ど認められず、経口
投与が不可能であることも治療薬としては適していない
が、ジギトキシンはノJ\膓からの吸収が良く、経口投
与も可能である。従ってジギトキシンは抗ATL剤とし
ての臨床応用の可能性が示唆される。
From the above, digitoxin is fully considered to be useful as an anti-ATL agent. In addition, 0 used as a control drug
Uabain is hardly absorbed in the gastrointestinal tract and cannot be administered orally, making it unsuitable as a therapeutic agent, but digitoxin is well absorbed from the stomach and can be administered orally. Therefore, the possibility of clinical application of digitoxin as an anti-ATL agent is suggested.

Claims (1)

【特許請求の範囲】[Claims] (1)ジギトキシンを有効成分として含有することを特
徴とする成人T細胞白血病治療剤。
(1) A therapeutic agent for adult T-cell leukemia characterized by containing digitoxin as an active ingredient.
JP14034790A 1990-05-29 1990-05-29 Treating agent for adult t-cell leukemia Pending JPH0436240A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP14034790A JPH0436240A (en) 1990-05-29 1990-05-29 Treating agent for adult t-cell leukemia

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP14034790A JPH0436240A (en) 1990-05-29 1990-05-29 Treating agent for adult t-cell leukemia

Publications (1)

Publication Number Publication Date
JPH0436240A true JPH0436240A (en) 1992-02-06

Family

ID=15266717

Family Applications (1)

Application Number Title Priority Date Filing Date
JP14034790A Pending JPH0436240A (en) 1990-05-29 1990-05-29 Treating agent for adult t-cell leukemia

Country Status (1)

Country Link
JP (1) JPH0436240A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006029020A2 (en) 2004-09-02 2006-03-16 Bionaut Pharmaceuticals, Inc. Treatments of refractory cancers using na+/k+-atpase inhibitors
JP2008122403A (en) * 2000-12-04 2008-05-29 Cascade Microtech Inc Method for assembly of wafer probe
WO2010032582A1 (en) 2008-09-22 2010-03-25 国立大学法人鹿児島大学 Therapeutic agent for adult t-cell leukemia

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008122403A (en) * 2000-12-04 2008-05-29 Cascade Microtech Inc Method for assembly of wafer probe
WO2006029020A2 (en) 2004-09-02 2006-03-16 Bionaut Pharmaceuticals, Inc. Treatments of refractory cancers using na+/k+-atpase inhibitors
WO2006029020A3 (en) * 2004-09-02 2006-06-01 Bionaut Pharmaceuticals Inc Treatments of refractory cancers using na+/k+-atpase inhibitors
WO2010032582A1 (en) 2008-09-22 2010-03-25 国立大学法人鹿児島大学 Therapeutic agent for adult t-cell leukemia

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