KR102338416B1 - Pharmaceutical composition for preventing or treating osteoarthritis comprising 4,5-dicaffeoylquinic acid - Google Patents

Abstract

The present invention relates to a pharmaceutical composition for preventing or treating osteoarthritis. More particularly, by including 4,5-dicaffeoylquinic acid (diCQA) or a pharmaceutically acceptable salt thereof, the pharmaceutical composition of the present invention has an inflammatory mediator and matrix-degrading enzyme inhibitory effect in chondrocytes, which can help prevent, treat or alleviate osteoarthritis.

Description

Pharmaceutical composition for preventing or treating osteoarthritis comprising 4,5-dicaffeoylquinic acid TECHNICAL FIELD

The present invention relates to a pharmaceutical composition for preventing or treating osteoarthritis.

Arthritis is a disease caused by inflammation and pain in the joints, and includes osteoarthritis, rheumatoid arthritis, gout, and sciatica, and 95% of arthritis patients suffer from degenerative arthritis. Degenerative arthritis (degenerative arthritis) is a disease in which local degenerative changes appear as joint cartilage is worn away, also called osteoarthritis. Degenerative arthritis is a representative degenerative disease closely related to aging, and about 10 to 15% of the entire population suffers, and in particular, about 60 to 80% of the elderly population over 65 suffer from degenerative arthritis.

The cause of osteoarthritis is closely related to aging or excessive body weight, and as the age increases, more women develop it. The initial symptoms are accompanied by aching pain along with stiffness in one or both joints, and if it is prolonged, excessive bone formation around the joint and deformation of the joint will result. Osteoarthritis is caused by increased production of pro-inflammatory cytokines and increased secretion of MMPs such as collagenase and stromelysin, leading to damage to the articular cartilage matrix. do.

As the treatment of osteoarthritis currently clinically used, drugs such as pain relievers, steroids, and non-steroidal anti-inflammatory drugs or chondroprotectors such as hyaluronic acid, glucosamine, and chondroitin are used, arthroscopic surgery, proximal tibial osteotomy, and joint part Surgical treatment such as replacement surgery or total knee arthroplasty is used. However, in the case of drug treatments, they only have the effect of relieving pain or inflammatory reaction itself non-specifically, and chondroprotectors only serve to protect joints by supplying nutrients to cartilage cells or alleviating shock.

Korean Patent No. 1896020

An object of the present invention is to provide a pharmaceutical composition for preventing or treating osteoarthritis.

An object of the present invention is to provide a food composition for preventing or improving osteoarthritis.

1. A pharmaceutical composition for preventing or treating osteoarthritis, comprising 4,5-dicaffeoylquinic acid (diCQA) or a pharmaceutically acceptable salt thereof.

2. Food composition for preventing or improving osteoarthritis comprising 4,5-dicaffeoylquinic acid (diCQA) or a pharmaceutically acceptable salt thereof.

The pharmaceutical and food compositions of the present invention have an inflammatory mediator and matrix-degrading enzyme inhibitory effect in cartilage cells, and thus can help prevent, treat or improve osteoarthritis.

1 shows the effect of 4,5-dicaffeoylquinic acid (4,5-diCQA) on the viability of white paper primary chondrocytes.
2 shows the inhibitory effect of 4,5-diCQA on IL-1β-induced nitrite in white paper primary chondrocytes.
3 shows the inhibitory effect of 4,5-diCQA on IL-1β-induced iNOS, COX-2 and TNF-α in white paper primary chondrocytes.
4 shows the inhibitory effect of 4,5-diCQA on IL-1β-induced MMP-1 and MMP-13 in white paper primary chondrocytes.
5 shows the inhibitory effect of 4,5-diCQA on IL-1β-induced ADAMTS4 in white paper primary chondrocytes.
6 shows the inhibitory effect of 4,5-diCQA on IL-1β-induced aggrecan degradation in white paper primary chondrocytes.

Hereinafter, the present invention will be described.

The present invention provides a pharmaceutical composition for preventing or treating osteoarthritis.

The pharmaceutical composition includes 4,5-dicaffeoylquinic acid (diCQA) or a pharmaceutically acceptable salt thereof.

4,5-dicaffeoyl quinic acid may be a compound having the following formula.

The composition of the present invention has an excellent preventive or therapeutic effect on osteoarthritis by inhibiting inflammatory mediators and matrix degrading enzymes in chondrocytes.

Inflammatory mediators are messengers that act on blood vessels or cells to promote sequential inflammatory responses, for example, cytokines, chemokines, nitric oxide, oxygen free radicals, proteins, It may be arachidonic acid metabolites including peptides, glycoproteins, prostaglandins and leukotrienes, and specifically, nitrite, iNOS, COX-2, TNF-α, L-1β, IL-6, IL -15, IL-8, GRO-α, and the like.

Cartilage matrix degrading enzyme is an enzyme that induces gradual degeneration of cartilage tissue by directly degrading the extracellular matrix (eg, aggrecan, type II collagen) surrounding chondrocytes. For example, it may be MMPs and ADAMTS, which is an aggrecanase.

Arthritis is a disease caused by inflammation or pain in the joints, and includes osteoarthritis, rheumatoid arthritis, gout, and spondyloarthritis, and the cause or treatment method for each arthritis is different. Osteoarthritis, also called degenerative arthritis, is a disease in which local degenerative changes appear as joint cartilage is worn away. Osteoarthritis is caused by an increase in the production of pro-inflammatory cytokines or an increase in the secretion of MMPs or aggrecanase, such as collagenase and stromelysin, in the articular cartilage matrix. This can be caused by damage.

The term "pharmaceutically acceptable" means exhibiting properties that do not cause serious irritation to the subject, cell, tissue, etc. to which the compound or composition is administered and do not impair the biological activity and physical properties of the compound.

The term "pharmaceutically acceptable salt" refers to a salt prepared using a specific compound according to the present invention and a relatively non-toxic acid or base. The pharmaceutically acceptable salt may be, for example, an acid addition salt or a metal salt.

Acid addition salts include inorganic acids such as hydrochloric acid, nitric acid, phosphoric acid, sulfuric acid, hydrobromic acid, hydroiodic acid, nitrous acid or phosphorous acid, and aliphatic mono and dicarboxylates, phenyl-substituted alkanoates, hydroxy alkanoates and alkanes. It can be formed from non-toxic organic acids such as dioates, aromatic acids, aliphatic and aromatic sulfonic acids. These pharmaceutically non-toxic salts include sulfate, pyrosulfate, bisulfate, sulfite, bisulfite, nitrate, phosphate, monohydrogen phosphate, dihydrogen phosphate, metaphosphate, pyrophosphate, chloride, bromide, ioda. Id, fluoride, acetate, propionate, decanoate, caprylate, acrylate, formate, isobutyrate, caprate, heptanoate, propylate, oxalate, malonate, succinate, suberate, Sebacate, fumarate, maleate, butyne-1,4-dioate, nucleic acid-1,6-dioate, benzoate, chlorobenzoate, methylbenzoate, dinitrobenzoate, hydroxybenzoate, methoxy Benzoate, phthalate, terephthalate, benzenesulfonate, etuenesulfonate, chlorobenzenesulfonate, xylenesulfonate, phenyl acetate, phenylpropionate, phenylbutyrate, citrate, lactate, β_hydroxybutyrate, glycol lactate, malate, tartrate, methanesulfonate, propanesulfonate, naphthalene-1-sulfonate, naphthalene-2-sulfonate or mandelate. For example, acid addition salts can be obtained by dissolving the compound in an aqueous solution of excess acid and precipitating the salt using a hydrating organic solvent such as methanol, ethanol, acetone or acetonitrile.

The metal salt may be a sodium, potassium or calcium salt. Metal salts can be prepared using a base, for example an alkali metal or alkaline earth metal salt by dissolving the compound in an excess of alkali metal hydroxide or alkaline earth metal hydroxide solution, filtering the undissolved compound salt and evaporating the filtrate and/or Or it can be obtained by drying.

The term “prevention” refers to prophylactics that result in any degree of reduction in the likelihood of developing the condition to be prevented or recurrent or recurrent conditions, including minor, substantial, or large reductions in the likelihood of developing or recurring conditions, as well as overall prophylaxis. refers to an action, and the degree of likelihood reduction is at least a slight reduction.

The term “treatment” refers to treatment that results in a beneficial effect in a subject or patient suffering from the condition being treated, including not only cure, but also any degree of remission, including mild remission, substantial remission, major remission, the degree of remission being At least it's a slight relief.

The pharmaceutical composition of the present invention may be formulated in the form of powders, granules, tablets, capsules, suspensions, emulsions, syrups, aerosols, etc., external preparations, suppositories, and sterile injection solutions according to conventional methods, respectively. can, but is not limited thereto.

Carriers, excipients and diluents that may be included in the composition include lactose, dextrose, sucrose, dextrin, maltodextrin, 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. In the case of formulation, it is prepared using usually used diluents or excipients such as fillers, extenders, binders, wetting agents, disintegrants, and surfactants, but is not limited thereto.

Solid preparations for oral administration include, but are not limited to, tablets, pills, powders, granules, capsules, etc., but these solid preparations include at least one excipient in the compound, for example, starch, calcium carbonate , sucrose or lactose, gelatin, etc. are mixed and prepared. In addition to simple excipients, lubricants such as magnesium stearate and talc may also be used.

Liquid formulations for oral use include suspensions, solutions, emulsions, syrups, etc. In addition to water and liquid paraffin, which are commonly used simple diluents, various excipients such as wetting agents, sweeteners, fragrances, and preservatives may be included. . Formulations for parenteral administration include sterile aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories. Non-aqueous solvents and suspending agents include propylene glycol, polyethylene glycol, vegetable oils such as olive oil, and injectable esters such as ethyl oleate. As the base of the suppository, witepsol, macrogol, tween 61, cacao butter, laurin, glycerogelatin, and the like can be used.

The pharmaceutical composition of the present invention is administered in a pharmaceutically effective amount. In the present invention, "pharmaceutically effective amount" means an amount sufficient to treat a disease with a reasonable benefit/risk ratio applicable to medical treatment, and the effective dose level is determined by the type, severity, activity of the drug, and the type of disease in the patient; Sensitivity to the drug, time of administration, route of administration and excretion rate, duration of treatment, factors including concomitant drugs and other factors well known in the medical field. The pharmaceutical composition of the present invention may be administered as an individual therapeutic agent or may be administered in combination with other therapeutic agents, may be administered sequentially or simultaneously with conventional therapeutic agents, and may be administered singly or multiple times. In consideration of all of the above factors, it is important to administer an amount that can obtain the maximum effect with a minimum amount without side effects, which can be easily determined by a person skilled in the art.

The effective amount in the pharmaceutical composition of the present invention may vary depending on the age, sex, and weight of the patient, and generally 1 to 6000 mg per kg of body weight, preferably 60 to 600 mg per kg of body weight, may be administered once or divided into three doses. have. However, since it may increase or decrease depending on the route of administration, disease severity, sex, weight, age, etc., the dosage is not intended to limit the scope of the present invention in any way.

The present invention provides a food composition for preventing or improving osteoarthritis.

The food composition includes 4,5-dicaffeoylquinic acid (diCQA) or a pharmaceutically acceptable salt thereof.

The composition of the present invention has an excellent effect of preventing or improving osteoarthritis by inhibiting inflammatory mediators and matrix degrading enzymes in cartilage cells.

4,5-dicaffeoylquinic acid, inflammatory mediators, matrix degrading enzymes, osteoarthritis, the terms “prevention” and “treatment” may be within the above-described ranges, but are not limited thereto.

The term “improvement” refers to any action that at least reduces a parameter associated with the condition being treated, eg, the severity of a symptom.

The term “food acceptable” means exhibiting properties that do not cause serious irritation to the subject, cell, tissue, etc. to which the compound or composition is administered and do not impair the biological activity and physical properties of the compound.

The term "food-acceptable salt" means a salt prepared using a specific compound according to the present invention and a relatively non-toxic acid or base, and the pharmaceutically acceptable salt is, for example, an acid addition salt or a metal salt. And, the acid addition salt and the metal salt may be within the above-described range, but is not limited thereto.

The food composition of the present invention may be manufactured and processed in the form of tablets, capsules, powders, granules, liquids, pills, etc. for the purpose of preventing or improving osteoarthritis.

The food composition of the present invention may contain conventional food additives, and unless otherwise specified, whether it is suitable as a food additive is a standard for the item according to the general rules and general test method of food additives approved by the Food and Drug Administration. and standards.

Examples of the items listed in the Food Additives Code include chemical compounds such as ketones, glycine, calcium citrate, nicotinic acid, and cinnamic acid; natural additives such as persimmon pigment, licorice extract, crystalline cellulose, high pigment, and guar gum; Mixed preparations such as sodium L-glutamate preparation, noodles added alkali agent, preservative agent, tar color agent, etc. are not limited thereto.

For example, a food composition in the form of a tablet is granulated in a conventional manner by mixing a mixture of the composition with an excipient, binder, disintegrant and other additives, and then a lubricant is added to compression molding, or the mixture is directly compressed can be molded. In addition, the food composition in the form of tablets may contain a corrosive agent and the like, if necessary.

Among the capsule-type food compositions, hard capsules can be prepared by filling a conventional hard capsule with a mixture of the composition and additives such as excipients, and for soft capsules, a mixture of the composition and additives such as excipients is mixed with gelatin and It can be prepared by filling the same capsule base. The soft capsules may contain a plasticizer such as glycerin or sorbitol, a colorant, a preservative, and the like, if necessary.

A food composition in the form of a ring can be prepared by molding a mixture of the composition and an excipient, a binder, a disintegrant, etc. by a known method, and if necessary, can be coated with sucrose or other skinning agent, or starch, It is also possible to coat the surface with a material such as talc.

A food composition in the form of granules may be prepared in a granular form by a conventionally known method by mixing a mixture of the composition with an excipient, a binder, a disintegrant, etc., and may contain a flavoring agent, a flavoring agent, etc. as necessary.

The food composition includes beverages, meat, chocolate, foods, and confectionery. It may be pizza, ramen, other noodles, gums, candies, ice cream, alcoholic beverages, vitamin complexes, health supplements, and the like.

The food composition may be orally applied for use as a nutrient, and the application form is not particularly limited. For example, in the case of oral administration, the daily intake is preferably 5000 mg or less, more preferably 2000 mg or less, and most preferably 500 to 1500 mg or 650 mg daily. When formulated as a capsule or tablet, 1 tablet may be administered with water once a day.

Hereinafter, examples will be given to describe the present invention in detail.

Example

Way

1. Reagents

4,5-dicaffeoylquinic acid (catalog No. PHL80427), Sulfanilamide, N-(1-naphthyl)ethylenediamine dihydrochloride, phosphoric acid and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) ) was purchased from Sigma-Aldrich (St. Louis, MO, USA). Interleukin-1β (IL-1β) was purchased from ProSpec-Protein Specialists (Rehovot, Israel). Dulbecco's modified Eagle's medium/nutrient mixture F-12 (DMEM/F12) and penicillin-streptomycin solution were purchased from WELGENE (Daegu, Republic of Korea). Fetal bovine serum (FBS) was purchased from iNtRON Biotechnology (Gyeonggido, Republic of Korea). Collagenase type II was purchased from Worthington Biochemical Corporation (Lakewood, NJ, USA). Primary and secondary antibodies were purchased from Cell Signaling Technology (Danvers, MA, USA) except for anti-inducible NO synthase (iNOS) (Abcam, Cambridge, MA, USA). The kilodaltons (kDa) of all antibodies used were as follows; iNOS (130-140 kDa), COX-2 (74 kDa), TNF-α (17 kDa), MMP1 (54 kDa), MMP13 (60 kDa), Adamts-4 (90 kDa) and α-tubulin (56 kDa) ).

2. White Paper Primary Chondrocyte Culture

Under sterile conditions, dissected knee cartilage of 5-day-old Sprague-Dawley white paper was enzymatically digested with 0.3% (w/v) collagenase type II dissolved in DMEM/F12, and at 37°C with gentle agitation. It was repeated twice for 45 minutes. After that, the cartilage was digested once again with 0.3% (w/v) collagenase type II at 37°C with gentle stirring for 5 hours. After the enzymatic digestion reaction, undigested cells and debris were filtered with a cell strainer (0.45 μm), and then chondrocytes were isolated. Chondrocytes were cultured in DMEM/F12 containing 10% FBS and antibiotics (100 U/mL penicillin and 100 mg/mL streptomycin) at 37° C. with 5% CO ₂ . All methods of breeding and operating laboratory animals were approved by the Chosun University Animal Experimental Ethics Committee (CIACUC2018-S0046).

3. Cell Viability Assay

For cell viability analysis, isolated primary chondrocytes were inoculated into a 12-well culture plate at ^{1x10 6 cells/mL and cultured for 3 days.} Then, after treatment with various concentrations of 4,5-diCQA (0, 10, 20, 40, 100 and 200 uM) for 24 h, MTT solution (5 mg/mL) was added to each well (100 µL/well). was added and further incubated at 37°C for 4 hours. Thereafter, after removing the cell culture medium containing the MTT solution, 1 mL of DMSO was added to each well, and absorbance was measured at 590 nm using a microplate reader (Epoch BioTek Instruments Inc., Winooski, VT, USA).

4. Reactive Nitrogen Species (RNS) Measurement

White paper primary chondrocytes were inoculated in a 12-well culture plate at 1×10 ⁶ cells/mL, and then cultured for 18 hours. After 18 hours of incubation, 4,5-diCQA (0, 10, 20 and 40 uM) was treated and 1 hour later, IL-1β (5 ng/mL) was treated and cultured for 24 hours. Nitrite oxide (NO) production was shown by measuring the accumulation _{of nitrite (NO 2} ⁻ ), a stable oxidation product of NO, using Griess reagent. Briefly, 100 μl of cell culture medium was mixed with 100 μl of Griess reagent (1% (w/v) sulfanilamide and 0.1% (w/v) naphthylethylenediamine in 5% (v/v) phosphoric acid) at room temperature. After reacting for 5 minutes, absorbance was measured at 540 nm. Fresh culture medium was used as a blank in all experiments. Nitrite was quantified based on a sodium nitrite standard curve.

5. Western blot analysis

White paper primary chondrocytes were pretreated with 4,5-diCQA for 1 hour and stimulated with IL-1β (5 ng/mL) for 24 hours. To extract the total intracellular protein, the PRO-PREP protein extraction solution (iNtRON Biotechnology, Republic of Korea) was used for reaction on ice for 30 minutes, and then centrifuged at 15,000 x g for 15 minutes at 4°C, followed by total intracellular protein. got Protein concentration was quantified using a bicinchoninic acid (BCA) protein assay (Pierce, Rockford, IL, USA). The same amount of protein (20 μg) was loaded on 8%, 10%, or 15% sodium dodecyl sulfate-polyacrylamide gel (SDS-PAGE) and then transferred to a polyvinylidene difluoride membrane (PVDF membrane). The trans-blotted membrane was blocked with TBST (0.1% Tween-20 + TBS) containing 5% BSA (bovine serum albumin) for 30 minutes. Thereafter, the membrane was reacted overnight at 4°C with a specific primary antibody (1:1000, except α-tubulin; 1:5000), followed by a horseradish peroxidase (HRP)-conjugated secondary antibody (1:2500) at room temperature. was reacted for 1 hour. Protein bands were detected and visualized with a MicroChemi 4.2 imager (DNR Bioimaging Systems, Jerusalem, Israel) using an enhanced chemiluminescence (ECL) kit (Millipore, Bedford, MA, USA).

6. Statistical Analysis

All data were obtained from at least three independent experiments. Results are expressed as mean ± standard deviation (SD). A one-way analysis of variance (ANOVA) and Dunnett's test were used for multiple comparisons using GraphPad Prism (GraphPad Software Inc., CA, USA). Significance was considered from p value < 0.05.

result

1. Effect of 4,5-dicaffeoylquinic acid (4,5-diCQA) on viability of white paper primary chondrocytes

To evaluate the cytotoxicity of 4,5-diCQA, chondrocytes were treated with various concentrations of 4,5-diCQA (0, 10, 20, 40, 100 and 200 uM) and MTT assay was performed 24 hours later. As shown in Figure 1, compared to the control group, 4,5-diCQA treatment had no cytotoxicity up to 200 uM treatment.

2. Inhibitory effect of 4,5-diCQA on IL-1β-induced nitrite, iNOS, COX-2 and TNF-α in white paper primary chondrocytes

Inflammation by the release of inflammatory mediators such as nitrite, iNOS, COX-2 and TNF-α is one of the major factors in the multi-factor etiology of osteoarthritis. Therefore, we investigated the effect of 4,5-diCQA on the expression of inflammatory mediators such as nitrite, iNOS, COX-2, and TNF-α induced by IL-1β in white paper primary chondrocytes using Western blot analysis. evaluated.

Chondrocytes stimulated with IL-1β significantly increased the expression of nitrite, iNOS, COX-2 and TNF-α compared to chondrocytes that were not stimulated with IL-1β. , iNOS, COX-2 and TNF-α expression were dose-dependently inhibited ( FIGS. 2 and 3 ). These results suggest that 4,5-diCQA has a strong anti-inflammatory effect on the IL-1β-induced inflammatory response in white paper primary chondrocytes.

3. Inhibitory effect of 4,5-diCQA on IL-1β-induced MMP-1, MMP-13 and ADAMTS4 in white paper primary chondrocytes

Degradation of cartilage matrix by activation of matrix degrading enzymes such as MMPs and aggrecanase ADAMTS4 is a typical characteristic of osteoarthritis. Therefore, the present inventors confirmed the effect of 4,5-diCQA on the expression of MMP-1, MMP-13 and ADAMTS4 induced by IL-1β in white paper primary chondrocytes.

The present inventors observed that the protein expression of MMP-1, MMP-13 and ADAMTS4 was increased in IL-1β-stimulated chondrocytes compared to the control, but the activity was significantly inhibited in chondrocytes pretreated with 4,5-diCQA. (FIGS. 4 and 5). And it was observed that the level of aggrecan protein, a cartilage matrix, decreased in chondrocytes stimulated with IL-1β compared to the control, but the decrease was blocked in chondrocytes pretreated with 4,5-diCQA ( FIG. 6 ). .

Claims (2)

At least one selected from the group consisting of MMP-1, MMP-13 and ADAMTS4 in vitro containing 4,5-dicaffeoylquinic acid (diCQA) or a pharmaceutically acceptable salt thereof A composition for inhibiting the expression of cartilage matrix degrading enzyme.
The method according to claim 1, wherein the cartilage matrix degrading enzyme is MMP-1, MMP-13 and ADAMTS4, the expression inhibition composition.

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