KR102253667B1 - A composition comprising Ukgansan for preventing or treating dyskinesia - Google Patents
A composition comprising Ukgansan for preventing or treating dyskinesia Download PDFInfo
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- KR102253667B1 KR102253667B1 KR1020180143714A KR20180143714A KR102253667B1 KR 102253667 B1 KR102253667 B1 KR 102253667B1 KR 1020180143714 A KR1020180143714 A KR 1020180143714A KR 20180143714 A KR20180143714 A KR 20180143714A KR 102253667 B1 KR102253667 B1 KR 102253667B1
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- KR
- South Korea
- Prior art keywords
- levodopa
- composition
- dyskinesia
- preventing
- administration
- Prior art date
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Abstract
본 발명은 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 유효성분으로 포함하는 이상운동증 예방 또는 치료용 조성물에 관한 것으로, 구체적으로 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 치료용 약학 조성물, 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 개선용 식품 조성물, 사료 조성물 및 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 인간을 제외한 개체에 투여하는 단계를 포함하는 이상운동증 예방 또는 치료방법에 관한 것이다. 본 발명에 따른 억간산은 레보도파의 파킨슨 병 치료효과에 영향을 주지 않는 동시에 도파민으로 유발된 비정상 불수의 운동을 치료하였으며, 레보도파에 의해 증가된 도파민 수용체, ERK, FosB의 수준을 정상군에 근접하게 감소시켰으므로, 이상운동증 예방 또는 치료용 조성물로 유용하게 사용될 수 있다.The present invention relates to a composition for preventing or treating dyskinesia comprising Ekgansan or any one or more extracts of its constituents as an active ingredient, and specifically, dysbiosis including Ekgansan or any one or more extracts of its constituents A pharmaceutical composition for preventing or treating symptoms, a food composition for preventing or improving dyskinesia containing any one or more extracts of Ekgansan or its constituents, a feed composition, and any one or more extracts of Ekganic acid or its constituents, excluding humans It relates to a method for preventing or treating dyskinesia comprising the step of administering to an individual. Ekgansan according to the present invention did not affect the therapeutic effect of levodopa on Parkinson's disease, but at the same time treated abnormal involuntary exercise induced by dopamine, and reduced the levels of dopamine receptors, ERK, and FosB increased by levodopa close to that of the normal group. So, it can be usefully used as a composition for preventing or treating dyskinesia.
Description
본 발명은 억간산을 포함하는 이상운동증 예방 또는 치료용 조성물에 관한 것으로, 구체적으로 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 치료용 약학 조성물, 억간산 또는 이의 구성성분 중 어느 하나이상의 추출물을 포함하는 이상운동증 예방 또는 개선용 식품 조성물, 사료 조성물 및 상기 약학 조성물을 인간을 제외한 개체에 투여하는 단계를 포함하는 이상운동증 예방 또는 치료방법에 관한 것이다.The present invention relates to a composition for preventing or treating dyskinesia containing Ekgansan, specifically a pharmaceutical composition for preventing or treating dyskinesia comprising an extract of any one or more of Ekgansan or its constituents, Ekgansan or its It relates to a method for preventing or treating dyskinesia comprising administering a food composition for preventing or improving dyskinesia comprising an extract of any one or more of the constituents, a feed composition, and the pharmaceutical composition to individuals other than humans.
파킨슨병은 만성적이고 진행성을 나타내는 퇴행성 뇌질환으로서, 중뇌의 흑질 (substantia nigra) 부위의 도파민 세포 사멸로 인한 수의 운동 (voluntary movements) 저하를 보이는 것을 특징으로 한다. 대표적 파킨슨병 치료법으로 도파민 대체 요법이 있으며 그 중 도파민 전구체인 레보도파 (levodopa)의 투여는 파킨슨병 치료에 가장 효과적이고 가장 일반적으로 사용되는 것으로 알려져 있다.Parkinson's disease is a chronic and progressive degenerative brain disease, characterized by a decrease in voluntary movements due to dopamine cell death in the substantia nigra region of the midbrain. Dopamine replacement therapy is a representative Parkinson's disease treatment. Among them, administration of levodopa, a dopamine precursor, is known to be the most effective and most commonly used treatment for Parkinson's disease.
그러나, 도파민 약물 요법은 흑질 부위의 도파민 세포 사멸을 촉진할 수 있으며, 다수의 환자의 경우 장기간 도파민 약물 요법으로 발생하는 이상운동증(불수의 운동, involuntary movements)과 같은 부작용을 호소한다. 특히 도파민 유발 이상운동증은 도파민 요법을 처리한 파킨슨병 환자의 90%에서 나타나는 증상으로 이를 억제 또는 치료를 위한 효과적인 요법이 필요한 상황이다.However, dopamine drug therapy can promote dopamine cell death in the black matter region, and many patients complain of side effects such as dyskinesia (involuntary movements) caused by long-term dopamine drug therapy. In particular, dopamine-induced dyskinesia is a symptom that occurs in 90% of Parkinson's disease patients who have been treated with dopamine therapy, and an effective therapy is required to suppress or treat it.
한편, 억간산은 복령 (Poria cocos Wolf), 창출 (Atractylodes lancea De Candolle), 조구등 (Uncaria sinensis Havil), 일당귀 (Angelica acutiloba kitagawa), 천궁 (Cnidium officinale Makino), 시호 (Bupleurum falctatum Linne), 및 감초 (Glycyrrhiza uralensis Fischer)로 구성되어 있으며, 전통의학에서 무력감, 불안, 떨림 등의 증상에 사용되어 온 처방으로, 현대에서는 본 처방을 파킨슨병, 알츠하이머병 등과 같은 퇴행성 뇌질환에 적용하고 있고 국내 파킨슨병에 가장 많이 적용되는 한약으로 알려져 있다.On the other hand, Eunggansan is Poria cocos Wolf, Atractylodes lancea De Candolle, Uncaria sinensis Havil, Angelica acutiloba kitagawa, Cnidium officinale Makino, Bupleurum falctatum Linne, and licorice. ( Glycyrrhiza uralensis Fischer), a prescription that has been used in traditional medicine for symptoms such as helplessness, anxiety, and trembling.In modern times, this prescription is applied to degenerative brain diseases such as Parkinson's disease and Alzheimer's disease, and Parkinson's disease in Korea. It is known as the most commonly applied herbal medicine.
억간산은 파킨슨병에 대하여 운동개선 효능이 있다고 보고되어 있으나 이상운동증에 대한 효능이 보고된 바가 없으며, 또한 억간산 구성 약재 추출물 또는 유효성분이 이상운동증에 대한 효능이 있는지에 대해서도 알려진 바가 없다.Eokgansan is reported to have an effect on improving movement against Parkinson's disease, but no effect has been reported on dyskinesia, and there is no known whether the extract or active ingredient consisting of Eokgansan is effective against dyskinesia.
이에, 본 발명자들은 이상운동증을 치료하기 위해 예의 연구 노력한 결과, 억간산이 레보도파에 의해 유발된 비정상 불수의 운동을 치료하고, 레보도파에 의해 증가된 도파민 수용체, ERK 인산화, FosB 수준을 감소시켜 최종적으로는 이상운동증에 대해 치료할 수 있음을 확인함으로써, 본 발명을 완성하였다.Accordingly, as a result of the present inventors' intensive research efforts to treat dyskinesia, Ekgansan treats abnormal involuntary movements caused by levodopa, and decreases dopamine receptors, ERK phosphorylation, and FosB levels increased by levodopa. By confirming that it can be cured for dyskinesia, the present invention was completed.
본 발명의 하나의 목적은 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 치료용 약학 조성물을 제공하는 것이다.One object of the present invention is to provide a pharmaceutical composition for preventing or treating dyskinesia comprising an extract of any one or more of Eokgansan or its constituents.
본 발명의 다른 하나의 목적은 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 개선용 식품 조성물을 제공하는 것이다.Another object of the present invention is to provide a food composition for preventing or improving dyskinesia comprising an extract of any one or more of Eokgansan or its constituents.
본 발명의 또 다른 하나의 목적은 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 개선용 사료 조성물을 제공하는 것이다.Another object of the present invention is to provide a feed composition for preventing or improving dyskinesia comprising an extract of any one or more of Ekgansan or its constituents.
본 발명의 또 다른 하나의 목적은 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 인간을 제외한 개체에 투여하는 단계를 포함하는 이상운동증 예방 또는 치료방법을 제공하는 것이다.Another object of the present invention is to provide a method for preventing or treating dyskinesia comprising administering to an individual other than humans an extract of Eokgansan or any one or more of its constituents.
본 발명의 또 다른 하나의 목적은 상기 약학 조성물 및 레보도파를 포함하는, 이상운동증의 예방 또는 치료용 약학 조성물을 제공하는 것이다.Another object of the present invention is to provide a pharmaceutical composition for preventing or treating dyskinesia, including the pharmaceutical composition and levodopa.
본 발명의 또 다른 하나의 목적은 상기 약학 조성물 및 레보도파를 포함하는, 부작용이 감소된 파킨슨 병 치료용 약학 조성물을 제공하는 것이다.Another object of the present invention is to provide a pharmaceutical composition for treating Parkinson's disease with reduced side effects, including the pharmaceutical composition and levodopa.
상기 목적을 달성하기 위한 하나의 양태는, 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 이상운동증 예방 또는 치료용 약학 조성물을 제공한다.One aspect for achieving the above object provides a pharmaceutical composition for preventing or treating dyskinesia comprising an extract of any one or more of Eokgansan or its constituents.
본 발명에서 용어, "억간산"은 전통의학 처방 중 하나로, 전통의학에서 무력감, 불안, 떨림 등의 증상에 사용되어 온 처방으로, 현대에서는 본 처방을 파킨슨병, 알츠하이머병 등과 같은 퇴행성 뇌질환에 적용하고 있으며 국내 파킨슨병에 가장 많이 적용되는 한약으로 알려져 있다.In the present invention, the term "Eokgansan" is one of the prescriptions of traditional medicine, which has been used for symptoms such as weakness, anxiety, and tremors in traditional medicine. In modern times, this prescription is used for degenerative brain diseases such as Parkinson's disease and Alzheimer's disease. It is applied and is known as the most widely applied herbal medicine for Parkinson's disease in Korea.
상기 억간산은 파킨슨병에 운동개선 효능이 보고되어 있으나 도파민 유발 이상운동증에 대한 효능이 보고된 바가 없으며, 본 발명자들에 의해 최초로 규명되었다.The Eokgansan has been reported to improve exercise in Parkinson's disease, but no effect on dopamine-induced dyskinesia has been reported, and was first identified by the present inventors.
상기 억간산은 조구등, 백출, 백복령, 당귀, 천궁, 시호, 및 감초를 구성성분으로 하는 것으로서, 상기 성분 중 어느 하나를 빼거나 다른 성분을 더한 것이라 할지라도 이상운동증에 대한 치료 효과를 가지는 것이면, 본 발명의 범위에 제한 없이 포함될 수 있다.The Eokgansan is composed of Jogudeung, Baekchul, Baekbokryeong, Angelica, Cheongung, Siho, and Licorice as constituents, and has a therapeutic effect on dyskinesia even if one of the above ingredients is removed or another ingredient is added. , It may be included without limitation in the scope of the present invention.
본 발명에서 용어, "이의 구성성분"은 억간산을 구성하는 구성성분을 의미하는 것으로서, 구체적으로는 조구등, 백출, 백복령, 당귀, 천궁 또는 감초를 의미하며, 본 발명에서 사용되는 조구등, 백출, 백복령, 당귀, 천궁 또는 감초는 자연에서 채취 또는 재배하거나, 상업적으로 판매되는 것을 구입할 수 있으나, 이에 제한되지 않는다.In the present invention, the term "constituents thereof" refers to the constituents constituting Eokgansan, specifically, it means jogudeung, baekchul, baekbokryeong, angelica, cheonggung or licorice, and jogudeung, baekchul, used in the present invention Baekbokryeong, angelica, cheonggung, or licorice can be harvested or cultivated in nature or purchased commercially, but is not limited thereto.
본 발명에서 용어, "추출물"은 하나 이상의 용매로 추출하여 수득한 추출물의 형태를 의미하는 것으로, 상기 추출물의 제조에 사용되는 용매로는 물, 탄소수 1(C1) 내지 탄소수 4(C4) 알코올, 바람직하게는 메탄올, 에탄올 또는 부탄올, 또는 이들의 혼합 용매를 사용할 수 있으나, 이에 제한되지 않는다. 추출방법으로는 용매 추출, 열수 추출, 냉침 추출, 환류 냉각 추출, 초음파 추출, 또는 증기 추출 등의 방법을 사용할 수 있으나, 이에 제한되지 않는다.In the present invention, the term "extract" refers to the form of an extract obtained by extraction with one or more solvents, and as a solvent used for preparing the extract, water, carbon number 1 (C 1 ) to carbon number 4 (C 4 ) Alcohol, preferably methanol, ethanol or butanol, or a mixed solvent thereof may be used, but is not limited thereto. As the extraction method, a method such as solvent extraction, hot water extraction, cold needle extraction, reflux cooling extraction, ultrasonic extraction, or steam extraction may be used, but is not limited thereto.
본 발명에서 용어, "이상운동증"은 수의적인 움직임이 감소되고 불수의적인 움직임, 예컨대 틱이나 무도증 등이 나타나는 증상으로, 구체적으로는 도파민 수용체의 자극을 증가시키는 약물 등에 의하여 나타나는 이 상운동증을 의미할 수 있다. 또한, 이러한 이상운동증은 상기 파킨슨병의 도파민 효능제의 부작용으로 종종 나타나나, 유일한 원인은 아니며, 이러한 이상운동증의 특징은 운동 장애, 예를 들어 느리고 비협동적인 불수의 운동의 출현, 떨림, 경직 및 보행 장애를 포함하다.In the present invention, the term "dyskinesia" refers to symptoms in which voluntary movements are reduced and involuntary movements, such as tics or chorea, appear. Specifically, dyskinesia manifested by drugs that increase the stimulation of dopamine receptors. It can mean. In addition, such dyskinesia often appears as a side effect of dopamine agonists of Parkinson's disease, but is not the only cause, and the characteristics of these dyskinesia are movement disorders, such as the appearance of slow and uncooperative involuntary movements, tremors, Includes spasticity and impaired mobility.
상기 용어 "도파민 효능제"는 도파민 수용체 자극을 증가시키는 임의의 작용제를 의미한다. 구체적으로 도파민 효능제는 레보도파, 레보도파 데카르복실라제, 모노아민 옥시다제 B, 브로모크립틴, 페르골리드, 프라미펙솔, 로피니롤, 카베르골린, 아포모르핀 또는 리수리드 일 수 있다. The term “dopamine agonist” refers to any agent that increases dopamine receptor stimulation. Specifically, the dopamine agonist may be levodopa, levodopa decarboxylase, monoamine oxidase B, bromocriptine, pergolide, pramipexole, ropinirol, cabergoline, apomorphine, or lisuride.
본 발명에서 도파민 유발 이상운동증은 구체적으로 파킨슨병에 대한 레보도파 장기투여로 인한 이상운동증 일 수 있으나, 이에 제한되는 것은 아니다.In the present invention, the dopamine-induced dyskinesia may specifically be a dyskinesia caused by long-term administration of levodopa to Parkinson's disease, but is not limited thereto.
본 발명에서 용어, "레보도파(levodopa)"는 항파킨슨계의 성질을 가진 도파민의 아미노산 전구체이다. 레보도파는 혈액 순환 장벽을 통과할 수 있으며, 도파 디카르복실라아제에 의해 도파민으로 변환될 수 있다. 상기 레보도파는 L-3,4-디하이드로시페닐알라닌 roxyphenylalanine [L-3,4- dihydroxyphenylalanine]의 IUPAC 명을 가진다. 이로 인해 레보도파는 파킨슨병 환자에게 투여시 뇌내의 혈관에 들어가 도파민으로 변환되고 도파민 수용체를 자극하여 파킨슨병에서 보이는 내생적 도파민의 고갈을 막는 방법을 통해 파킨슨 병을 치료하는 효과를 갖는다.In the present invention, the term "levodopa" is an amino acid precursor of dopamine having anti-Parkinsonian properties. Levodopa can cross the blood circulation barrier and can be converted to dopamine by dopa decarboxylase. The levodopa has the IUPAC name of L-3,4-dihydrocyphenylalanine roxyphenylalanine [L-3,4-dihydroxyphenylalanine]. For this reason, when levodopa is administered to Parkinson's disease patients, it enters blood vessels in the brain and is converted to dopamine, and it has the effect of treating Parkinson's disease by stimulating dopamine receptors to prevent endogenous dopamine depletion seen in Parkinson's disease.
구체적으로, 레보도파로 치료받은 파킨슨병 환자는 종종 감소된 파킨슨병 증상을 갖지만, 이들은 서 있거나 심지어 앉아 있는 것을 유지하기가 점점 더 곤란해지는 것을 경험한다. 지속적인 레보도파의 사용 후에는 환자의 대부분에서 이러한 이상운동증이 발병한다. 이상운동증은 레보도파를 이용한 치료 주기 동안 어느 시점에든 나타날 수 있다.Specifically, Parkinson's patients treated with levodopa often have reduced Parkinson's symptoms, but they experience increasingly difficult to maintain standing or even sitting. Most of the patients develop this dyskinesia after continued use of levodopa. Dyskinesia can appear at any point during a treatment cycle with levodopa.
본 발명의 구체적인 일 양태는 레보도파(L-DOPA) 또는 이의 약학적으로 허용가능한 염과의 병용치료에 사용 되는 것일 수 있으나, 이에 제한되지 않는다.A specific aspect of the present invention may be used in combination treatment with levodopa (L-DOPA) or a pharmaceutically acceptable salt thereof, but is not limited thereto.
억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물은 레보도파 또는 이의 약학적으로 허용 가능한 염과 병용하여 사용됨으로써, 보다 효과적인 도파민 유발 이상운동증의 예방 또는 치료, 보다 구체적으로 레보도파 장기투여로 인한 파킨슨병의 이상운동증의 예방 또는 치료를 가지고 올 수 있다.Eokgan acid or any one or more extracts of its constituents is used in combination with levodopa or a pharmaceutically acceptable salt thereof, thereby preventing or treating more effective dopamine-induced dyskinesia, and more specifically, of Parkinson's disease caused by long-term administration of levodopa. Prevention or treatment of dyskinesia can be brought.
본 발명의 구체적인 일 실시예에서는, 6-OHDA로 파킨슨병을 유도한 마우스에 레보도파를 투여한 결과, 파킨슨병에 의해 나타나는 증상인 운동장애를 치료하는 것을 확인하였다 (도 1).In a specific embodiment of the present invention, as a result of administering levodopa to a mouse inducing Parkinson's disease with 6-OHDA, it was confirmed that movement disorders, a symptom of Parkinson's disease, were treated (FIG. 1).
상기 레보도파 유발 이상운동증은 파킨슨병을 치료하기 위해 레보도파를 장기간 사용한 환자에게서 나타나는 증상 중 하나로, 레보도파를 4 내지 6년간 복용한 사람의 40%, 9 내지 15년 복용한 사람의 90%가 상기 이상운동증을 경험한 것으로 나타났다. 레보도파 유발 이상운동증은 발생하는 기전이 명확하게 알려져 있지 않으나, 최근 파킨슨병의 동물실험모델에서 NMDA (N - methyl-D-aspartate) 길항체가 레보도파에 의해 유발된 이상운동증을 경감시킨다는 보고가 있었고, 사람을 대상으로 한 연구에서도 NMDA 길항체인덱스트로메트로판 (dextromethorphan) 과 그것의 대사물인덱스트로판 (dextrophan)이 레보도파에 의해 유발된 운동합병증을 완화시킨다는 보고가 있었다 (Papa SM et al., 1996; Verhagen ML et al., 1996).The levodopa-induced dyskinesia is one of the symptoms that occurs in patients who have used levodopa for a long time to treat Parkinson's disease, and 40% of those who have been taking levodopa for 4 to 6 years and 90% of those who have taken levodopa for 9 to 15 years have the above abnormalities. It was found to have experienced dyskinesia. The mechanism by which levodopa-induced dyskinesia occurs is not clearly known, but a recent report on an animal model of Parkinson's disease shows that NMDA (N-methyl-D-aspartate) antagonists alleviate levodopa-induced dyskinesia. In addition, human studies have also reported that the NMDA antagonist, dextromethorphan, and its metabolite index, dextrophan, alleviate levodopa-induced motor complications (Papa SM et al. , 1996; Verhagen ML et al., 1996).
본 발명에서 상기 억간산 또는 이의 구성성분 중 하나 이상의 추출물은 도파민 수용체 발현량을 감소시키고, ERK 인산화 수준과 FosB 발현량을 감소시키는 것일 수 있다. 본 발명의 구체적인 일 실시예에서는, 6-OHDA에 의해 파킨슨병이 유도된 마우스에 레보도파를 투여한 후 억간산을 투여하여 도파민 수용체 발현량을 측정한 결과, 레보도파 만을 투여한 실험군 대비 레보도파 투여 후 억간산을 투여한 실험군에서 도파민 수용체의 발현량이 정상군에 근접하게 감소한 것을 확인하였다 (도 7).In the present invention, the extract of Eokgan acid or one or more of its constituents may reduce the expression level of dopamine receptors and decrease the level of ERK phosphorylation and the expression level of FosB. In a specific embodiment of the present invention, as a result of measuring the expression level of dopamine receptor by administering levodopa to a mouse in which Parkinson's disease was induced by 6-OHDA and then administering Eokgan acid, the amount of expression of dopamine receptors was measured. It was confirmed that the expression level of the dopamine receptor in the experimental group administered with liver acid decreased close to that of the normal group (FIG. 7).
또한, 본 발명의 구체적인 일 실시예에서는, 6-OHDA에 의해 파킨슨병이 유도된 마우스에 레보도파를 투여한 후 억간산을 투여하여 ERK의 인산화 수준을 측정한 결과, 레보도파 만을 투여한 실험군 대비 레보도파 투여 후 억간산을 투여한 실험군에서 ERK의 인산화 수준이 정상군에 근접하게 감소한 것을 확인하였다 (도 8).In addition, in a specific embodiment of the present invention, as a result of measuring the phosphorylation level of ERK by administering levodopa to mice induced with Parkinson's disease by 6-OHDA and then administering Eokgan acid, administration of levodopa compared to the experimental group to which only levodopa was administered. It was confirmed that the phosphorylation level of ERK decreased close to that of the normal group in the experimental group to which Ekgan-san was administered (FIG. 8).
또한, 본 발명의 구체적인 일 실시예에서는, 6-OHDA에 의해 파킨슨병이 유도된 마우스에 레보도파를 투여한 후 억간산을 투여하여 FosB 발현량을 측정한 결과, 레보도파 만을 투여한 실험군 대비 레보도파 투여 후 억간산을 투여한 실험군에서 FosB 발현량이 정상군에 근접하게 감소한 것을 확인하였다 (도 9).In addition, in a specific embodiment of the present invention, as a result of measuring the expression level of FosB by administering levodopa to mice in which Parkinson's disease was induced by 6-OHDA and then administering Eokgan acid, after administration of levodopa compared to the experimental group to which only levodopa was administered. In the experimental group to which Eokgansan was administered, it was confirmed that the expression level of FosB decreased close to that of the normal group (Fig. 9).
본 발명에서 용어, "예방"은 본 발명에 따른 억간산을 포함하는 조성물의 투여로 레보도파 유발 이상운동증의 증상을 억제 또는 지연시키는 모든 행위를 말한다.In the present invention, the term "prevention" refers to any action that suppresses or delays the symptoms of levodopa-induced dyskinesia by administration of the composition containing Ekganic acid according to the present invention.
본 발명에서 용어, "치료"는 본 발명에 따른 억간산을 포함하는 조성물의 투여로 상기 레보도파 유발 이상운동증의 증상이 호전되거나 이롭게 변경되는 모든 행위를 말한다.In the present invention, the term "treatment" refers to any action in which the symptoms of levodopa-induced dyskinesia are improved or beneficially changed by administration of the composition containing Ekganic acid according to the present invention.
본 발명에서 사용된 용어 "약학 조성물"이란, 질병의 예방 또는 치료를 목적으로 제조된 것을 의미하며, 각각의 통상의 방법에 따라 다양한 형태로 제형화하여 사용될 수 있다. 예컨대, 산제, 과립제, 정제, 캡슐제, 현탁액, 에멀젼, 시럽 등의 제형으로 제형화할 수 있고, 외용제, 좌제 및 멸균 주사용액의 형태로 제형화하여 사용될 수 있다. 구체적으로, 점안투여하기 적합한 형태, 예를 들어, 점안제, 크림제, 연고제, 겔제 또는 로션제로 제형화하여 사용될 수 있다.The term "pharmaceutical composition" used in the present invention means that it is prepared for the purpose of preventing or treating diseases, and may be formulated and used in various forms according to each conventional method. For example, it may be formulated in the form of powders, granules, tablets, capsules, suspensions, emulsions, syrups, and the like, and may be formulated in the form of external preparations, suppositories, and sterile injectable solutions. Specifically, it may be formulated and used in a form suitable for eye drop administration, for example, an eye drop, a cream, an ointment, a gel, or a lotion.
본 발명의 용어, "약학적으로 허용가능한 염"은 양이온과 음이온이 정전기적 인력에 의해 결합하고 있는 물질인 염 중에서도 약제학적으로 사용될 수 있는 형태의 염을 의미하며, 통상적으로 금속염, 유기염기와의 염, 무기산과의 염, 유기산과의 염, 염기성 또는 산성 아미노산과의 염 등이 될 수 있다. 예를 들어, 금속염으로는 알칼리 금속염(나트륨염, 칼륨염 등), 알칼리 토금속염(칼슘염, 마그네슘염, 바륨염 등), 알루미늄염 등이 될 수 있고; 유기염기와의 염으로는 트리에틸아민, 피리딘, 피콜린, 2,6-루티딘, 에탄올아민, 디에탄올아민, 트리에탄올아민, 시클로헥실아민, 디시클로헥실아민, N,N-디벤질에틸렌디아민 등과의 염이 될 수 있으며; 무기산과의 염으로는 염산, 브롬화수소산, 질산, 황산, 인산 등과의 염이 될 수 있고; 유기산과의 염으로는 포름산, 아세트산, 트리플루오로아세트산, 프탈산, 푸마르산, 옥살산, 타르타르산, 말레인산, 시트르산, 숙신산, 메탄술폰산, 벤젠술폰산, p-톨루엔술폰산 등과의 염이 될 수 있으며; 염기성 아미노산과의 염으로는 아르기닌, 라이신, 오르니틴 등과의 염이 될 수 있고; 산성 아미노산과의 염으로는 아스파르트산, 글루탐산 등과의 염이 될 수 있다.The term "pharmaceutically acceptable salt" of the present invention refers to a salt in a form that can be used pharmaceutically among salts in which cations and anions are bound by electrostatic attraction, and generally, metal salts, organic bases and Salts, salts with inorganic acids, salts with organic acids, salts with basic or acidic amino acids, and the like. For example, the metal salt may be an alkali metal salt (sodium salt, potassium salt, etc.), alkaline earth metal salt (calcium salt, magnesium salt, barium salt, etc.), aluminum salt, and the like; Salts with organic bases include triethylamine, pyridine, picoline, 2,6-lutidine, ethanolamine, diethanolamine, triethanolamine, cyclohexylamine, dicyclohexylamine, N,N-dibenzylethylenediamine May be salts with the like; Salts with inorganic acids may be salts of hydrochloric acid, hydrobromic acid, nitric acid, sulfuric acid, phosphoric acid, and the like; Salts with organic acids may be salts of formic acid, acetic acid, trifluoroacetic acid, phthalic acid, fumaric acid, oxalic acid, tartaric acid, maleic acid, citric acid, succinic acid, methanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, and the like; Salts with basic amino acids may be salts with arginine, lysine, ornithine; Salts with acidic amino acids may be salts with aspartic acid, glutamic acid, and the like.
본 발명의 약학 조성물은 조성물 총 중량에 대하여 억간산 또는 이의 약학적으로 허용가능한 염을 0.01 내지 80%, 구체적으로 0.01 내지 70%, 더욱 구체적으로 0.01 내지 60 중량%로 포함할 수 있으나, 이상운동증 예방 또는 치료 효과를 나타내는 한, 이에 제한되지 않는다.The pharmaceutical composition of the present invention may contain 0.01 to 80%, specifically 0.01 to 70%, and more specifically 0.01 to 60% by weight, of redundant acid or a pharmaceutically acceptable salt thereof based on the total weight of the composition. As long as it shows the effect of preventing or treating symptoms, it is not limited thereto.
상기 본 발명의 조성물은, 약학적 조성물의 제조에 통상적으로 사용하는 적절한 담체, 부형제 또는 희석제를 추가로 포함하는 레보도파 유발 이상운동증 예방 또는 치료용 약학 조성물의 형태로 제조될 수 있는데, 상기 담체는 비자연적 담체(non-naturally occuring carrier)를 포함할 수 있다. The composition of the present invention may be prepared in the form of a pharmaceutical composition for preventing or treating levodopa-induced dyskinesia further comprising an appropriate carrier, excipient, or diluent commonly used in the manufacture of pharmaceutical compositions, wherein the carrier is It may include a non-naturally occuring carrier.
본 발명에서, 상기 약학 조성물에 포함될 수 있는 담체, 부형제 및 희석제로는 락토즈, 덱스트로즈, 수크로스, 솔비톨, 만니톨, 자일리톨, 에리스리톨, 말티톨, 전분, 아카시아 고무, 알지네이트, 젤라틴, 칼슘 포스페이트, 칼슘 실리케이트, 셀룰로즈, 메틸 셀룰로즈, 미정질 셀룰로스, 폴리비닐 피롤리돈, 물, 메틸히드록시벤조에이트, 프로필히드록시벤조에이트, 탈크, 마그네슘 스테아레이트 및 광물유를 들 수 있다.In the present invention, the carriers, excipients and diluents that may be included in the pharmaceutical composition include lactose, dextrose, sucrose, sorbitol, mannitol, xylitol, erythritol, maltitol, starch, gum acacia, alginate, gelatin, calcium phosphate, Calcium silicate, cellulose, methyl cellulose, microcrystalline cellulose, polyvinyl pyrrolidone, water, methylhydroxybenzoate, propylhydroxybenzoate, talc, magnesium stearate, and mineral oil.
제제화할 경우에는 보통 사용하는 충진제, 증량제, 결합제, 습윤제, 붕해제, 계면활성제 등의 희석제 또는 부형제를 사용하여 조제된다. 경구투여를 위한 고형제제에는 정제, 환제, 산제, 과립제, 캡슐제 등이 포함되며, 이러한 고형제제는 상기 상엽 추출물과 이의 분획물들에 적어도 하나 이상의 부형제 예를 들면, 전분, 칼슘카보네이트(calcium carbonate), 수크로스(sucrose) 또는 락토오스(lactose), 젤라틴 등을 섞어 조제된다. 또한 단순한 부형제 이외에 마그네슘 스티레이트, 탈크 같은 윤활제들도 사용된다. 경구를 위한 액상 제제로는 현탁제, 내용액제, 유제, 시럽제 등이 해당되는 데 흔히 사용되는 단순희석제인 물, 리퀴드 파라핀 이외에 여러 가지 부형제, 예를 들면 습윤제, 감미제, 방향제, 보존제 등이 포함될 수 있다. 비경구 투여를 위한 제제에는 멸균된 수용액, 비수성용제, 현탁제, 유제, 동결건조 제제, 좌제가 포함된다. 비수성용제, 현탁제로는 프로필렌글리콜(propylene glycol), 폴리에틸렌 글리콜, 올리브 오일과 같은 식물성 기름, 에틸올레이트와 같은 주사 가능한 에스테르 등이 사용될수 있다. 좌제의 기제로는 위텝솔(witepsol), 마크로골, 트윈(tween) 61, 카카오지, 라우린지, 글리세로제라틴 등이 사용될 수 있다.In the case of formulation, it is prepared using diluents or excipients such as fillers, extenders, binders, wetting agents, disintegrants, and surfactants that are usually used. Solid preparations for oral administration include tablets, pills, powders, granules, capsules, and the like, and these solid preparations include at least one excipient, such as starch, calcium carbonate, in the upper leaf extract and its fractions. , Sucrose (sucrose) or lactose (lactose), gelatin, etc. are mixed and prepared. In addition to simple excipients, lubricants such as magnesium stearate and talc are also used. Liquid preparations for oral use include water and liquid paraffin, which are simple diluents commonly used for suspensions, liquid solutions, emulsions, syrups, etc., and various excipients such as wetting agents, sweetening agents, fragrances, and preservatives. have. Formulations for parenteral administration include sterilized aqueous solutions, non-aqueous solutions, suspensions, emulsions, lyophilized formulations, and suppositories. As the non-aqueous solvent and suspending agent, propylene glycol, polyethylene glycol, vegetable oil such as olive oil, and injectable ester such as ethyl oleate may be used. As a base for suppositories, witepsol, macrogol, tween 61, cacao butter, laurin paper, glycerogelatin, and the like may be used.
본 발명의 약학 조성물은 목적하는 방법에 따라 경구, 비경구, 직장, 국소, 경피, 정맥 내, 근육 내, 복강 내, 피하 등으로 투여할 수 있으며, 약학 조성물의 유효성분은 투여받을 대상의 연령, 성별, 체중, 병리 상태 및 그 심각도, 투여 경로 또는 처방자의 판단에 따라 달라질 것이다. 이러한 인자에 기초한 적용량 결정은 당업자의 수준 내에 있으며, 이의 1일 투여 용량은 예를 들어 0.1 mg/g/일 내지 100 mg/g/일, 보다 구체적으로는 5 mg/g/일 내지 50 mg/g/일이 될 수 있고, 본 발명의 조성물의 투여빈도는 특별히 이에 제한되지 않으나, 1일 1회 투여하거나 또는 용량을 분할하여 수회 투여할 수 있다. 상기 투여량은 어떠한 면으로든 본 발명의 범위를 한정하는 것은 아니다.The pharmaceutical composition of the present invention can be administered orally, parenteral, rectal, topical, transdermal, intravenous, intramuscular, intraperitoneal, subcutaneous, etc. according to a desired method, and the active ingredient of the pharmaceutical composition is the age of the subject to be administered. , Sex, weight, pathology and severity, route of administration, or the judgment of the prescriber. Determination of the application amount based on these factors is within the level of those skilled in the art, and its daily dose is, for example, 0.1 mg/g/day to 100 mg/g/day, more specifically 5 mg/g/day to 50 mg/day. It may be g/day, and the frequency of administration of the composition of the present invention is not particularly limited thereto, but may be administered once a day or several times by dividing the dose. The above dosage does not limit the scope of the present invention in any way.
본 발명의 다른 하나의 양태는, 억간산 또는 이의 구성성분 어느 하나 이상의 추출물을 포함하는 이상운동증(dyskinesia) 예방 또는 개선용 식품 조성물을 제공한다.Another aspect of the present invention provides a food composition for preventing or improving dyskinesia, including extracts of one or more extracts of Ekgansan or its constituents.
또한, 본 발명은 억간산 또는 이의 구성성분 어느 하나 이상의 추출물을 포함하는 이상운동증(dyskinesia) 예방 또는 개선용 사료 조성물을 제공한다.In addition, the present invention provides a feed composition for preventing or improving dyskinesia (dyskinesia) comprising an extract of any one or more of Eokgansan or its constituents.
본 발명에서 용어, "억간산", "이의 구성성분", "추출물", 및"이상운동증" 은 상기에서 설명한 바와 같다.In the present invention, the terms "Ekgansan", "constituents thereof", "extract", and "dyskinesia" are as described above.
본 발명의 식품 조성물은 식품학적으로 허용가능한 담체를 추가로 포함하는 것일 수 있다.The food composition of the present invention may further include a food pharmaceutically acceptable carrier.
상기 사료 조성물은 사료학적으로 허용가능한 담체를 추가로 포함할 수 있다.The feed composition may further include a feed rationally acceptable carrier.
본 발명의 억간산을 포함하는 조성물을 첨가할 수 있는 식품의 종류에는 별다른 제한이 없으며, 예를 들어 각종 음료, 껌, 차, 비타민 복합제, 건강보조 식품류 등이 있다. 상기 식품 조성물에는 이상운동증 치료 효과에 방해가 되지 않는 다른 성분을 추가할 수 있으며, 그 종류는 특별히 제한되지 않는다. 예를 들어, 통상의 식품과 같이 여러 가지 생약 추출물, 식품학적으로 허용가능한 식품보조첨가제 또는 천연 탄수화물 등을 추가 성분으로서 함유할 수 있다.There is no particular limitation on the types of foods to which the composition containing Ekgan acid of the present invention can be added, and for example, there are various beverages, gums, teas, vitamin complexes, health supplement foods, and the like. Other ingredients that do not interfere with the therapeutic effect of dyskinesia may be added to the food composition, and the kind is not particularly limited. For example, as an ordinary food, various herbal extracts, food additives or natural carbohydrates that are acceptable for food may be contained as an additional component.
상기 식품보조첨가제는 각 제형의 식품 조성물을 제조하는데 첨가되는 것으로서 당업자가 적절히 선택하여 사용할 수 있다. 예를 들어 여러 가지 영양제, 비타민, 광물 (전해질), 합성 풍미제 및 천연 풍미제 등의 풍미제, 착색제 및 충진제, 펙트산 및 그의 염, 알긴산 및 그의 염, 유기산, 보호성 콜로이드 증점제, pH 조절제, 안정화제, 방부제, 글리세린, 알코올, 탄산음료에 사용되는 탄산화제 등이 포함되지만, 상기 예들에 의해 그 종류가 제한되는 것은 아니다.The food additives are added to prepare food compositions of each formulation, and may be appropriately selected and used by those skilled in the art. For example, various nutrients, vitamins, minerals (electrolytes), flavoring agents such as synthetic flavors and natural flavoring agents, coloring agents and fillers, pectic acid and salts thereof, alginic acid and salts thereof, organic acids, protective colloidal thickeners, pH adjusters , Stabilizers, preservatives, glycerin, alcohol, carbonates used in carbonated beverages, etc. are included, but the types are not limited by the above examples.
이때, 상기 식품에 포함되는 추출물의 함량은 특별히 이에 제한되지 않으나, 식품 조성물의 총 중량에 대하여 0.01 내지 100 중량%, 보다 바람직하게는 1 내지 80 중량%로 포함될 수 있다. At this time, the content of the extract contained in the food is not particularly limited thereto, but may be included in 0.01 to 100% by weight, more preferably 1 to 80% by weight based on the total weight of the food composition.
식품이 음료인 경우에는 100 ㎖를 기준으로 1 내지 30g, 바람직하게는 3 내지 20g의 비율로 포함될 수 있다. 또한, 상기 조성물은 식품 조성물에 통상 사용되어 냄새, 맛, 시각 등을 향상시킬 수 있는 추가 성분을 포함할 수 있다. 예를 들어, 비타민 A, C, D, E, B1, B2, B6, B12, 니아신 (niacin), 비오틴 (biotin), 폴레이트 (folate), 판토텐산 (panthotenic acid) 등을 포함할 수 있다. 또한, 아연 (Zn), 철 (Fe), 칼슘 (Ca), 크롬 (Cr), 마그네슘 (Mg), 망간 (Mn), 구리 (Cu) 등의 미네랄을 포함할 수 있다. 또한, 라이신, 트립토판, 시스테인, 발린 등의 아미노산을 포함할 수 있다. 또한, 방부제 (소르빈산 칼륨, 벤조산나트륨, 살리실산, 데히드로초산나트륨 등), 살균제 (표백분과 고도 표백분, 차아염소산나트륨 등), 산화방지제 (부틸히드록시아니졸 (BHA), 부틸히드록시톨류엔 (BHT) 등), 착색제 (타르색소 등), 발색제 (아질산 나트륨, 아초산 나트륨 등), 표백제 (아황산나트륨), 조미료 (MSG 글루타민산나트륨 등), 감미료 (둘신, 사이클레메이트, 사카린, 나트륨 등), 향료 (바닐린, 락톤류 등), 팽창제 (명반, D-주석산수소칼륨 등), 강화제, 유화제, 증점제 (호료), 피막제, 검기초제, 거품억제제, 용제, 개량제 등의 식품 첨가물 (food additives)을 첨가할 수 있다. 상기 첨가물은 식품의 종류에 따라 선별되고 적절한 양으로 사용된다.When the food is a beverage, it may be included in a ratio of 1 to 30 g, preferably 3 to 20 g, based on 100 ml. In addition, the composition may include additional ingredients that are commonly used in food compositions to improve odor, taste, vision, and the like. For example, vitamins A, C, D, E, B1, B2, B6, B12, niacin, biotin, folate, panthotenic acid, and the like may be included. In addition, minerals such as zinc (Zn), iron (Fe), calcium (Ca), chromium (Cr), magnesium (Mg), manganese (Mn), and copper (Cu) may be included. In addition, amino acids such as lysine, tryptophan, cysteine, and valine may be included. In addition, preservatives (potassium sorbate, sodium benzoate, salicylic acid, sodium dehydroacetate, etc.), disinfectants (bleached and highly bleached, sodium hypochlorite, etc.), antioxidants (butylhydroxyanisole (BHA), butylhydroxytoleuene ( BHT), etc.), colorants (tar colors, etc.), coloring agents (sodium nitrite, sodium nitrite, etc.), bleach (sodium sulfite), seasoning (MSG sodium glutamate, etc.), sweeteners (dulsin, cyclamate, saccharin, sodium, etc.) , Flavorings (vanillin, lactones, etc.), expanding agents (alum, D-potassium hydrogen stannate, etc.), reinforcing agents, emulsifying agents, thickening agents (thickening agents), coating agents, gum base agents, foam inhibitors, solvents, and food additives such as improving agents. ) Can be added. The additive is selected according to the type of food and used in an appropriate amount.
본 발명의 식품 조성물은 당업계에서 통상적으로 사용되는 방법에 의하여 제조가능하며, 상기 제조 시에는 당업계에서 통상적으로 첨가하는 원료 및 성분을 첨가하여 제조할 수 있다. 또한 일반 약품과는 달리 식품을 원료로 하여 약품의 장기 복용 시 발생할 수 있는 부작용 등이 없는 장점이 있고, 휴대성이 뛰어날 수 있다.The food composition of the present invention can be prepared by a method commonly used in the art, and at the time of the production, it may be prepared by adding raw materials and ingredients commonly added in the art. In addition, unlike general drugs, it has the advantage of not having side effects that may occur when taking drugs for a long time by using food as a raw material, and it may be excellent in portability.
본 발명의 또 다른 하나의 양태는, 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 인간을 제외한 개체에 투여하는 단계를 포함하는 이상운동증(dyskinesia) 예방 또는 치료방법을 제공한다.Another aspect of the present invention provides a method for preventing or treating dyskinesia, comprising administering to an individual other than humans an extract of Ekgansan or any one or more of its constituents.
본 발명에서 용어, "억간산", "이의 구성성분", "추출물" 및 "이상운동증"은 상기에서 설명한 바와 같다.In the present invention, the terms "Ekgansan", "constituents thereof", "extract" and "dyskinesia" are as described above.
본 발명에서 사용되는 용어, "개체"란, 이상운동증이 발병되었거나 발병할 가능성이 있는 인간을 포함한 모든 동물을 의미할 수 있다. 상기 동물은 인간뿐만 아니라 이와 유사한 증상의 치료를 필요로 하는 소, 말, 양, 돼지, 염소, 낙타, 영양, 개, 고양이 등의 포유동물일 수 있으나, 이에 제한되지는 않는다.The term "individual" as used in the present invention may mean all animals including humans who have or are likely to develop dyskinesia. The animals may be mammals such as cattle, horses, sheep, pigs, goats, camels, antelopes, dogs, cats, etc. in need of treatment for symptoms similar to humans, but are not limited thereto.
본 발명의 상기 예방 또는 치료 방법은 구체적으로, 이상운동증이 발병하였거나 발병할 위험이 있는 개체에 상기 조성물을 약학적으로 유효한 양으로 투여하는 단계를 포함할 수 있다.The prevention or treatment method of the present invention may specifically include administering the composition in a pharmaceutically effective amount to an individual who has or is at risk of developing dyskinesia.
본 발명에서 사용된 용어, "투여"는 어떠한 적절한 방법으로 환자에게 본 발명의 약학적 조성물을 도입하는 것을 의미하며, 본 발명의 조성물의 투여 경로는 목적 조직에 도달할 수 있는 한 경구 또는 비경구의 다양한 경로를 통하여 투여될 수 있다.As used herein, the term "administration" means introducing the pharmaceutical composition of the present invention to a patient by any suitable method, and the route of administration of the composition of the present invention is oral or parenteral as long as it can reach the target tissue. It can be administered through a variety of routes.
본 발명의 또 다른 하나의 양태는, 상기 약학 조성물 및 레보도파를 포함하는, 이상운동증의 예방 또는 치료용 약학 조성물을 제공한다.Another aspect of the present invention provides a pharmaceutical composition for preventing or treating dyskinesia, including the pharmaceutical composition and levodopa.
또한, 본 발명의 또 다른 하나의 양태는, 상기 약학 조성물 및 레보도파를 포함하는, 부작용이 감소된 파킨슨 병 치료용 약학 조성물을 제공한다.In addition, another aspect of the present invention provides a pharmaceutical composition for treating Parkinson's disease with reduced side effects, including the pharmaceutical composition and levodopa.
본 발명에서 용어, "약학 조성물"은 상기에서 설명한 바와 같으며, 구체적으로는 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 조성물일 수 있다. 또한, "레보도파" 및 "이상운동증"은 상기에서 설명한 바와 같다.In the present invention, the term "pharmaceutical composition" is as described above, and specifically, it may be a composition comprising an extract of any one or more of Ekgansan or its constituents. In addition, "levodopa" and "dyskinesia" are as described above.
본 발명의 구체적인 일 실시예에서는, 6-OHDA로 파킨슨병을 유도한 마우스에서 레보도파와 억간산을 병용투여할 경우, 레보도파 만을 투여한 실험군과 비교하여 파킨슨병에 의한 운동장애 치료 효과가 감소하지 않는 것을 확인하였다 (도 1).In a specific embodiment of the present invention, when co-administration of levodopa and euganic acid in mice induced Parkinson's disease with 6-OHDA, the effect of treating dyskinesia caused by Parkinson's disease is not reduced compared to the experimental group to which only levodopa was administered. It was confirmed (Fig. 1).
또한, 본 발명의 다른 일 실시예에서는, 6-OHDA로 파킨슨병을 유도한 마우스에서 레보도파를 투여한 후 억간산을 투여한 경우, 레보도파 만을 투여한 실험군과 비교하여 비정상 불수의 운동의 수준이 감소하는 것을 확인하였다 (도 3 내지 6).In addition, in another embodiment of the present invention, when levodopa is administered in mice induced Parkinson's disease with 6-OHDA and then Ekgan acid is administered, the level of abnormal involuntary exercise is reduced compared to the experimental group to which only levodopa was administered. It was confirmed (Figs. 3 to 6).
따라서, 본 발명에 따른 억간산 또는 이의 구성성분 중 어느 하나 이상의 추출물을 포함하는 조성물은 레보도파의 파킨슨병 치료효과를 저해하지 않는 동시에 도파민 유발 이상운동증을 감소시킬 수 있으므로, 레보도파와 병용하여 이상운동증의 예방 또는 치료에 사용될 수 있으며, 나아가 부작용이 감소된 파킨슨 병 치료용 조성물로도 사용될 수 있음을 시사하는 것이다.Therefore, since the composition containing Ekgansan or an extract of any one or more of its constituents according to the present invention can reduce dopamine-induced dyskinesia while not inhibiting the therapeutic effect of levodopa, it is used in combination with levodopa. It can be used for the prevention or treatment of symptoms, and further suggests that it can be used as a composition for treating Parkinson's disease with reduced side effects.
본 발명에 따른 억간산은 레보도파의 파킨슨 병 치료효과에 영향을 주지 않는 동시에 비정상 불수의 운동을 치료하였으며, 레보도파에 의해 증가된 도파민 수용체, ERK, FosB의 수준을 정상군에 근접하게 감소시켰으므로, 이상운동증 예방 또는 치료용 조성물로 유용하게 사용될 수 있다.Eokgansan according to the present invention did not affect the therapeutic effect of levodopa on Parkinson's disease, but at the same time treated abnormal involuntary exercise, and reduced the levels of dopamine receptors, ERK, and FosB increased by levodopa close to that of the normal group. It can be usefully used as a composition for preventing or treating movement syndrome.
도 1은 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 로타로드 시험을 통한 수동운동능력을 측정 결과를 나타낸 그래프이다.
도 2는 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 앞발 사용 횟수 측정 결과를 나타낸 그래프이다.
도 3은 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 총 AIM 점수를 나타낸 그래프이다.
도 4는 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 Axial AIM 점수를 나타낸 그래프이다.
도 5는 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 Limb AIM 점수를 나타낸 그래프이다.
도 6은 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 Orolingual AIM 점수를 나타낸 그래프이다.
도 7은 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 선조체 부위에서의도파민 수용체 발현량 측정 결과를 나타낸 그래프이다.
도 8은 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 선조체 부위에서의 ERK 인산화 수준 측정 결과를 나타낸 그래프이다.
도 9는 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 선조체 부위에서의 FosB 발현량 측정 결과를 나타낸 그래프이다.FIG. 1 is a graph showing the results of measuring passive exercise capacity through the rotarod test of the normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration after 6-OHDA induction, and Eungan acid administration group.
Figure 2 is a graph showing the measurement results of the number of times of use of the forefoot of the normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration after 6-OHDA induction, and Ekgan acid administration group.
3 is a graph showing the total AIM score of the 6-OHDA induction group, the levodopa administration group after 6-OHDA induction, the levodopa administration after 6-OHDA induction, and the Eungan acid administration group.
FIG. 4 is a graph showing the Axial AIM scores of the 6-OHDA induction group, the levodopa administration group after 6-OHDA induction, the levodopa administration after 6-OHDA induction, and the Eungan acid administration group.
5 is a graph showing the Limb AIM score of the 6-OHDA induction group, the levodopa administration group after 6-OHDA induction, the levodopa administration after 6-OHDA induction, and the Eungan acid administration group.
6 is a graph showing the Orolingual AIM score of the 6-OHDA induction group, the levodopa administration group after 6-OHDA induction, the levodopa administration after 6-OHDA induction, and the Eungan acid administration group.
FIG. 7 is a graph showing the results of measuring the expression level of dopamine receptors in the striatum of the normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration after 6-OHDA induction, and enggansan acid administration group.
FIG. 8 is a graph showing the results of measuring ERK phosphorylation levels in striatal regions of the normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration after 6-OHDA induction, and Eungan acid administration group.
9 is a graph showing the results of measuring the amount of FosB expression in the striatal region of the normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration after 6-OHDA induction, and Ekgansan acid administration group.
이하, 본 발명을 실시예를 통하여 보다 상세하게 설명한다. 그러나 이들 실시예는 본 발명을 예시적으로 설명하기 위한 것으로 본 발명의 범위가 이들 실시예에 한정되는 것은 아니다. Hereinafter, the present invention will be described in more detail through examples. However, these examples are for illustrative purposes only, and the scope of the present invention is not limited to these examples.
실시예 1. 억간산 제조Example 1. Preparation of Eokgansan
본 발명의 억간산은 쯔무라 사에서 구입하여 사용하였다.Ekgansan of the present invention was purchased and used from Tsumura.
실시예 2. 억간산 투여시 레보도파의 운동 장애 치료 효능 변화 측정Example 2. Measurement of the effect of levodopa in the treatment of motor disorders upon administration of Eokgan-san
레보도파의 파킨슨 병 치료효과가 억간산의 병용투여에 의해 영향을 받는지 확인하기 위해, 병용투여시의 효과 변화를 분석하였다.In order to determine whether the effect of levodopa on Parkinson's disease was affected by the combination administration of Ekgansan, the effect of the combination administration was analyzed.
6-OHDA 유발된 파킨슨병 마우스에서 발생한 운동장애에 대하여 레보도파의 치료 효능이 억간산의 병용투여에 의해 영향을 받는지 알아보기 위해, 마우스에 대하여 로타로드 시험을 통한 수동운동능력을 측정하였다. 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군에서 각각 로타로드 기구에서 운동하는 시간을 측정하였다. 구체적으로, 로타로드 기구에서 3분간 트레이닝을 시킨 후 측정 RPM에서 운동하는 시간 (최대 3분)을 측정하였다. In order to determine whether the therapeutic efficacy of levodopa was affected by co-administration of Ekgansan for movement disorders arising in 6-OHDA-induced Parkinson's disease mice, passive motor ability was measured for mice through a rotarod test. In the normal group, the 6-OHDA induction group, the levodopa administration group after 6-OHDA induction, the levodopa administration after 6-OHDA induction, and the Eungansan acid administration group, exercise time in the rotarod apparatus was measured. Specifically, after training for 3 minutes in a rotarod device, the time to exercise at the measured RPM (maximum 3 minutes) was measured.
그 결과, 도 1에 나타낸 바와 같이, 6-OHDA 유도군에서 정상군에 비해 운동시간이 현저히 줄어드는 것을 확인하였으며, 레보도파 투여에 의해 증가되는 것을 확인함으로서 레보도파의 파킨슨병 운동장애 치료 효능을 확인하였고, 억간산 500 mg/kg을 레보도파와 함께 투여하더라도 운동장애에 대한 레보도파의 파킨슨병 치료 효과를 유지 시키는 것을 확인하였다As a result, as shown in FIG. 1, it was confirmed that exercise time was significantly reduced in the 6-OHDA induction group compared to the normal group, and by confirming that it was increased by administration of levodopa, the efficacy of levodopa in treating Parkinson's movement disorder was confirmed, Even if 500 mg/kg of Eokgansan was administered with levodopa, it was confirmed that levodopa maintained the therapeutic effect of Parkinson's disease on movement disorders.
또한, 마우스에 대하여 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군에서 각각 실린더를 이용하여 앞발 사용 횟수를 측정하였다. 구체적으로, 실린더에서 3분간 왼쪽 앞발과 왼쪽앞발로 실린더 벽면을 짚는 횟수를 측정한 다음 전체 앞발 사용 횟수에서 오른쪽 다리의 짚는 횟수의 퍼센트를 산정하였다. In addition, the number of use of the forefoot was measured using a cylinder in the normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration after 6-OHDA induction, and Eungan acid administration group with respect to mice. Specifically, the number of times the cylinder wall touched the cylinder wall with the left forefoot and left forefoot was measured for 3 minutes, and then the percentage of the number of times the right leg was touched was calculated from the total number of forefoot use.
그 결과, 도 2에 나타낸바와 같이, 6-OHDA 유도군에서 정상군에 비해 왼쪽다리의 짚는 횟수가 현저히 줄어드는 것을 확인하였으며, 레보도파 투여에 의해 증가되는 것을 확인함으로서 레보도파의 파킨슨병 운동장애 치료 효능을 확인하였고, 억간산 500 mg/kg을 레보도파와 함께 투여하더라도 운동장애에 대한 레보도파의 파킨슨병 치료 효과를 유지 시키는 것을 확인하였다.As a result, as shown in FIG. 2, it was confirmed that the number of pinching of the left leg was significantly reduced in the 6-OHDA-induced group compared to the normal group, and by confirming that it was increased by administration of levodopa, the efficacy of levodopa in treating Parkinson's movement disorders was confirmed. It was confirmed that even if 500 mg/kg of Eokgansan was administered with levodopa, it was confirmed that levodopa maintained the therapeutic effect of Parkinson's disease on movement disorders.
실시예 3. 억간산의 레보도파 유발 이상운동증 치료 효과 분석Example 3. Analysis of the effect of Eokgansan on the treatment of levodopa-induced dyskinesia
3-1. 레보도파 투여 후 억간산 투여에 따른 비정상 불수의 운동 변화 측정3-1. Measurement of abnormal involuntary motor changes following administration of levodopa followed by administration of Ekgan-san
6-OHDA 유발된 파킨슨병 마우스에서 억간산을 사용하여 레보도파 유도 이상운동증의 치료 여부를 알아보기 위해, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군에서 20일간 비정상 불수의 운동 (Abnormal involuntary movements, AIM)을 측정하였다. 구체적으로, 레보도파 유발 이상운동증이 발현된 시점으로부터 억간산을 투여하는 21일동안 3일 간격으로 불수의 운동을 측정하였다. 불수의 운동은 레보도파 투여 후 180분 간 20분 간격으로 1분씩 (모니터링 기간) 평가하였으며, 평가 기준은 3 가지 하위유형으로 분류하였다: 축 (axial: 목 및 상체의 대측성 이상긴장 상태), 사지 (limb: 병변 옆쪽의 대퇴 사지의 떨림) 및 비정형성 (oroligual: 진공 턱 운동 및 혀 돌기). 각 하위유형은 0에서 4까지의 심각도 척도로 점수를 매겼다(0: 없음, 1: 가끔, 2; 자주, 3: 연속, 4: 연속적이고 외부 자극에 의해 방해되지 않음). 총 AIM 점수는 각 하위유형의 점수 합계에 해당한다. In order to determine whether levodopa-induced dyskinesia was treated with Ekganic acid in 6-OHDA-induced Parkinson's disease mice, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration and suppression after 6-OHDA induction. Abnormal involuntary movements (AIM) were measured for 20 days in the liver acid administration group. Specifically, involuntary exercise was measured at 3-day intervals during 21 days of administration of Ekgansan from the time when levodopa-induced dyskinesia was expressed. Involuntary exercise was evaluated for 1 minute (monitoring period) at 20 minute intervals for 180 minutes after administration of levodopa, and the evaluation criteria were classified into three subtypes: axial (lateral dystonia of the neck and upper body), limbs ( limb: tremor of the femoral extremities on the side of the lesion) and atypical (oroligual: vacuum jaw movement and tongue protrusion). Each subtype was scored on a severity scale from 0 to 4 (0: none, 1: occasional, 2; frequent, 3: continuous, 4: continuous and not disturbed by external stimuli). The total AIM score corresponds to the sum of the scores for each subtype.
그 결과, 도 3 내지 6에 나타낸 바와 같이, 총 AIM 점수뿐만 아니라 각 하위 유형 모두 레보도파 투여에 의해 AIM 점수가 증가되는 것을 확인하였고, 억간산 500 mg/kg을 레보도파와 병용투여 시 20일 동안 AIM 점수가 현저히 저하되는 것을 확인하였다.As a result, as shown in Figs. 3 to 6, it was confirmed that the AIM score was increased by the administration of levodopa for each subtype as well as the total AIM score. It was confirmed that the score significantly decreased.
따라서, 본 발명에 따른 조성물은 레보도파에 의해 유발되는 비정상 불수의 운동을 치료할 수 있음을 확인하였다.Accordingly, it was confirmed that the composition according to the present invention can treat abnormal involuntary movement caused by levodopa.
3-2. 레보도파 투여 후 억간산 투여에 따른 도파민 수용체 발현량 변화 측정3-2. Measurement of changes in the expression level of dopamine receptors after administration of levodopa followed by administration of Ekgan-san
6-OHDA 유발된 파킨슨병 마우스에서 억간산을 사용하여 레보도파 유도 이상운동증의 치료 여부를 알아보기 위해, 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 선조체 부위에서의 도파민 수용체 1 (D1 receptor) 발현량을 측정하였다. 구체적으로, 6-OHDA를 주입한 부위와 반대 부위에서의 D1 receptor 발현량을 웨스턴 블랏법 (Western blot)을 이용하여 측정하였다. In order to determine whether levodopa-induced dyskinesia was treated with Ekgan acid in 6-OHDA-induced Parkinson's disease mice, normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa after 6-OHDA induction. The expression level of the dopamine receptor 1 (D1 receptor) in the striatum of the administration and administration groups of Eokgansan was measured. Specifically, the expression level of the D1 receptor at the site where 6-OHDA was injected and the site opposite to the injection site was measured using a Western blot method.
그 결과, 도 7에 나타낸 바와 같이, 레보도파 투여에 의해 D1 receptor의 발현이 증가되는 것을 확인하였고, 억간산 500 mg/kg을 레보도파와 병용투여 시 D1 receptor 발현이 정상군 정도로 저하되는 것을 확인하였다.As a result, as shown in FIG. 7, it was confirmed that the expression of D1 receptor was increased by administration of levodopa, and it was confirmed that the expression of D1 receptor decreased to the level of the normal group when 500 mg/kg of Euganic acid was co-administered with levodopa.
따라서, 본 발명에 따른 조성물은 도파민 수용체의 발현량을 감소시킴으로써 레보도파 유발 이상운동증을 치료할 수 있음을 시사한다.Accordingly, it is suggested that the composition according to the present invention can treat levodopa-induced dyskinesia by reducing the expression level of dopamine receptors.
3-3. 레보도파 투여 후 억간산 투여에 따른 ERK 인산화 수준 변화 측정3-3. Measurement of changes in ERK phosphorylation level after administration of levodopa and administration of Ekgan-san
6-OHDA 유발된 파킨슨병 마우스에서 억간산을 사용하여 레보도파 유도 이상운동증의 치료 여부를 알아보기 위해, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 선조체 부위에서의 Extracellular signal-Regulated Kinase (ERK)의 인산화 정도를 측정하였다. 구체적으로, 6-OHDA를 주입한 부위와 반대 부위에서의 ERK 인산화 정도를 웨스턴 블랏법 (Western blot)을 이용하여 측정하였다. In order to determine whether levodopa-induced dyskinesia was treated with Ekganic acid in 6-OHDA-induced Parkinson's disease mice, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa administration and suppression after 6-OHDA induction. The degree of phosphorylation of extracellular signal-regulated kinase (ERK) in the striatum of the liver acid administration group was measured. Specifically, the degree of ERK phosphorylation at the site where 6-OHDA was injected and the site opposite to the injection site was measured using a Western blot method.
그 결과, 도 8에 나타낸 바와 같이,레보도파 투여에 의해 ERK 인산화가 증가되는 것을 확인하였고,억간산 500 mg/kg을 레보도파와 병용투여 시 ERK 인산화 정도가 정상군 정도로 저하되는 것을 확인하였다.As a result, as shown in FIG. 8, it was confirmed that ERK phosphorylation was increased by administration of levodopa, and it was confirmed that the degree of ERK phosphorylation decreased to the level of the normal group when 500 mg/kg of euganic acid was administered in combination with levodopa.
따라서, 본 발명에 따른 조성물은 ERK 인산화 수준을 감소시킴으로써 레보도파 유발 이상운동증을 치료할 수 있음을 시사한다.Therefore, it is suggested that the composition according to the present invention can treat levodopa-induced dyskinesia by reducing the level of ERK phosphorylation.
3-4. 레보도파 투여 후 억간산 투여에 따른 FosB 발현량 변화 측정3-4. Measurement of changes in the expression level of FosB after administration of levodopa and administration of Ekgan-san
6-OHDA 유발된 파킨슨병 마우스에서 억간산을 사용하여 레보도파 유도 이상운동증의 치료 여부를 알아보기 위해, 정상군, 6-OHDA 유도군, 6-OHDA 유도 후 레보도파 투여군, 6-OHDA 유도 후 레보도파 투여 및 억간산 투여군의 선조체 부위에서의 FosB의 발현량을 측정하였다. 구체적으로, 6-OHDA를 주입한 부위와 반대 부위에서의 FosB의 발현량을 웨스턴 블랏법 (Western blot)을 이용하여 측정하였다. In order to determine whether levodopa-induced dyskinesia was treated with Ekgan acid in 6-OHDA-induced Parkinson's disease mice, normal group, 6-OHDA induction group, levodopa administration group after 6-OHDA induction, levodopa after 6-OHDA induction. The amount of expression of FosB in the striatal region of the administration and Eokgansan administration groups was measured. Specifically, the expression level of FosB at the site where 6-OHDA was injected and the site opposite to the injection site was measured using a Western blot method.
그 결과, 도 9에 나타낸 바와 같이, 레보도파 투여에 의해 FosB의 발현량이 증가되는 것을 확인하였고, 억간산 500 mg/kg을 레보도파와 병용투여 시 FosB의 발현이 정상군 정도로 저하되는 것을 확인하였다.As a result, as shown in FIG. 9, it was confirmed that the expression level of FosB was increased by administration of levodopa, and it was confirmed that the expression of FosB decreased to the level of the normal group when 500 mg/kg of Euganic acid was co-administered with levodopa.
따라서, 본 발명에 따른 조성물은 FosB의 발현량을 감소시킴으로써 레보도파 유발 이상운동증을 치료할 수 있음을 시사한다.Therefore, it is suggested that the composition according to the present invention can treat levodopa-induced dyskinesia by reducing the expression level of FosB.
종합하면, 본 발명에 따른 억간산은 레보도파에 의해 유발되는 비정상 불수의 운동을 치료할 수 있으며, 레보도파에 의해 영향을 받는 도파민 수용체, ERK, 또는 FosB의 수준 변화를 정상군에 근접하게 개선하는 것을 확인하여, 억간산이 레보도파 유발 이상운동증 치료 효과를 가지는 것을 확인할 수 있었다.Taken together, it was confirmed that Eokgansan according to the present invention can treat abnormal involuntary exercise caused by levodopa, and improves the level change of dopamine receptor, ERK, or FosB affected by levodopa close to that of the normal group. , It was confirmed that Eokgansan has the therapeutic effect of levodopa-induced dyskinesia.
본 명세서는 본 발명의 기술 분야에서 통상의 지식을 가진 자이면 충분히 인식하고 유추할 수 있는 내용은 그 상세한 기재를 생략하였으며, 본 명세서에 기재된 구체적인 예시들 이외에 본 발명의 기술적 사상이나 필수적 구성을 변경하지 않는 범위내에서 보다 다양한 변형이 가능하다. 따라서 본 발명은 본 명세서에서 구체적으로 설명하고 예시한 것과 다른 방식으로 실시될 수 있으며, 이는 본 발명의 기술 분야에 통상의 지식을 가진 자이면 이해할 수 있는 사항이다.In the present specification, details that can be sufficiently recognized and inferred by those of ordinary skill in the technical field of the present invention have been omitted, and the technical spirit or essential configuration of the present invention other than the specific examples described in the present specification has been changed. More various modifications are possible within the range that does not. Accordingly, the present invention may be implemented in a manner different from that specifically described and illustrated in the present specification, which is a matter that can be understood by those of ordinary skill in the technical field of the present invention.
Claims (11)
A pharmaceutical composition for the prevention or treatment of dyskinesia induced by dopamine containing Ekgan acid as an active ingredient.
상기 억간산은 조구등, 백출, 백복령, 당귀, 천궁, 시호 및 감초로 구성된 군에서 선택되는 하나 이상인 것인, 약학 조성물.
The method of claim 1,
The Eokgansan is one or more selected from the group consisting of Jogudeung, Baekchul, Baekbokryeong, Angelica, Cheongung, Siho and Licorice.
상기 조성물은 도파민 수용체 발현량을 감소시키는 것인, 약학 조성물.
The method of claim 1,
The composition is to reduce the expression level of the dopamine receptor, pharmaceutical composition.
상기 조성물은 ERK 인산화 수준을 감소시키는 것인, 약학 조성물.
The method of claim 1,
The composition is to reduce the level of ERK phosphorylation, the pharmaceutical composition.
상기 조성물은 FosB 발현량을 감소시키는 것인, 약학 조성물.
The method of claim 1,
The composition is to reduce the expression of FosB, pharmaceutical composition.
A food composition for preventing or improving dyskinesia induced by dopamine containing Ekgansan as an active ingredient.
A method for preventing or treating dopamine-induced dyskinesia, comprising administering Ekgan-san to an individual other than humans.
A feed composition for preventing or improving dyskinesia induced by dopamine containing Ekgansan as an active ingredient.
A pharmaceutical composition for the prevention or treatment of dopamine-induced dyskinesia, comprising the composition of any one of claims 1, 2, and 4 to 6 and levodopa.
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JP2011037722A (en) | 2009-08-06 | 2011-02-24 | Osaka Univ | Prophylactic or inhibitive agent of neurocyte death caused by endoplasmic reticulum stress |
JP2016079125A (en) | 2014-10-16 | 2016-05-16 | 学校法人近畿大学 | β-SECRETASE INHIBITOR AND ACETYLCHOLINE ESTERASE INHIBITOR |
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KR101391466B1 (en) * | 2013-12-17 | 2014-05-07 | 경북대학교 산학협력단 | Feed additives using herb and the method of manufacturing thereof |
KR20160066850A (en) * | 2014-12-03 | 2016-06-13 | 충북대학교 산학협력단 | A pharmaceutical composition for prevention or treatment of l-dopa-induced dyskinesia comprising extract of gynostemma pentaphyllum as an active ingredient |
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Patent Citations (2)
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JP2011037722A (en) | 2009-08-06 | 2011-02-24 | Osaka Univ | Prophylactic or inhibitive agent of neurocyte death caused by endoplasmic reticulum stress |
JP2016079125A (en) | 2014-10-16 | 2016-05-16 | 学校法人近畿大学 | β-SECRETASE INHIBITOR AND ACETYLCHOLINE ESTERASE INHIBITOR |
Non-Patent Citations (4)
Title |
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BRAIN RESEARCH BULLETIN, 2012 |
Brain Research Bulletin, 89, 151-158(2012.09.05.) 1부.* |
PHYTOTHER. RES., 2010 |
대한한방내과학회지, 2016 |
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