KR20220130882A - Composition for preventing or treating cancer comprising Eubacterium callanderi, its culture medium or its culture medium extract thereof as an active ingredient - Google Patents
Composition for preventing or treating cancer comprising Eubacterium callanderi, its culture medium or its culture medium extract thereof as an active ingredient Download PDFInfo
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- KR20220130882A KR20220130882A KR1020210035684A KR20210035684A KR20220130882A KR 20220130882 A KR20220130882 A KR 20220130882A KR 1020210035684 A KR1020210035684 A KR 1020210035684A KR 20210035684 A KR20210035684 A KR 20210035684A KR 20220130882 A KR20220130882 A KR 20220130882A
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- cancer
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- eubacterium
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Abstract
Description
본 발명은 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물을 유효성분으로 포함하는 암 예방 또는 치료용 조성물에 관한 것이다.The present invention relates to a composition for preventing or treating cancer comprising Eubacterium callanderi , a culture solution thereof, or an extract thereof as an active ingredient.
포유류의 위장관에는 "마이크로비오타 (microbiota)"를 구성하는 수많은 종류의 균이 공생한다. 국제적으로 많은 연구에서 장내 미생물은 비만을 비롯해, 당뇨, 암, 출산, 장 질환, 발육, 성장, 노화, 수명, 알츠하이머, 우울증, 자폐증 및 심지어 인간의 뇌에 영향을 주어 인간의 행동(Behavior)과 사교성(Sociality)에도 영향을 미치고 있음이 증명되고 있다. 차세대 염기 서열 기술의 발전으로 장내 마이크로바이옴(장내 미생물과 미생물의 유전정보 전체)에 대한 광범위한 정보를 얻을 수 있게 되었다. In the gastrointestinal tract of mammals, numerous types of bacteria that make up "microbiota" live symbiotically. Internationally, many studies have shown that the gut microbiome affects obesity, diabetes, cancer, childbirth, intestinal disease, growth, growth, aging, lifespan, Alzheimer's, depression, autism and even the human brain, affecting human behavior and behavior. It has been proven that it also affects sociability. With the development of next-generation sequencing technology, it has become possible to obtain extensive information about the gut microbiome (the entire genetic information of gut microbes and microorganisms).
장내 미생물(Gut microbiota)의 대부분은 혐기적인 환경에서 서식하고 있으며, 체외 환경에서 분리 배양이 매우 까다롭다. 이와 같은 장내 미생물의 특성상 배양학적 접근으로는 장내 미생물의 군집과 특성을 파악하는 것이 매우 제한적이다. 기존 연구에서 밝혀진 장내 미생물들은 유전적 형질과 식습관이 전혀 다른 서구인의 장으로부터 배양되어 보고된 것이므로 한국인의 장내 미생물 환경에 맞는 새로운 접근법이 필요하다. 장내 미생물(Gut microbiota)을 이용한 신약 개발은 대부분 연구개발 단계이거나 임상단계에 있다. 국내 몇몇 대학병원에서는 '클로스트리듐 디피실'과 같은 항생제 내성 박테리아에 대한 대장염과 과민성 장질환 치료에 분변이식술을 사용하고 있다. Most of the gut microbiota live in an anaerobic environment, and it is very difficult to separate and culture them in an in vitro environment. Due to the characteristics of such intestinal microbes, it is very limited to identify the community and characteristics of the gut microbes through a culturing approach. Since the gut microbes identified in previous studies were cultured and reported from the guts of Westerners with completely different genetic traits and dietary habits, a new approach is needed to suit the gut microbiome environment of Koreans. Most of the new drug development using gut microbiota is in the R&D stage or clinical stage. Some university hospitals in Korea are using fecal transplantation to treat colitis and irritable bowel disease against antibiotic-resistant bacteria such as Clostridium difficile.
유박테리움(Eubacterium)은 그람 양성(Gram-positive) 혐기성 간균의 속(genus)으로, 대변(feces), 반추위(rumen) 및 치주 조직(periodontal tissue)으로부터 정상적인 상재균(flora)으로 분리되었다. 상기 유박테리움은 세포 형태가 균일하거나 또는 다형태성이며 포자를 형성하지 않는다. 유박테리움의 최적 성장 온도는 37℃이고, 최적 pH는 7.0이다. 유박테리움 칼란데리(Eubacterium callanderi)는 그람 양성 박테리아의 일종으로 Eubacteriaceae 과의 Eubacterium 속에 해당한다. 1998년 산업 혐기성 소화조에서 처음 분리된 환경 혐기성 막대 모양의 박테리아이다.Eubacterium ( Eubacterium ) is a genus of Gram-positive anaerobic bacilli, and was isolated as a normal flora from feces, rumen and periodontal tissue. The Eubacterium is homogeneous or polymorphic in cell morphology and does not form spores. The optimum growth temperature for Eubacterium is 37° C., and the optimum pH is 7.0. Eubacterium callanderi ( Eubacterium callanderi ) is a kind of Gram-positive bacteria and corresponds to the genus Eubacterium in the family Eubacteriaceae . It is an environmental anaerobic rod-shaped bacterium first isolated in 1998 from an industrial anaerobic digester.
한국공개특허 제2019-0117687호는 담즙산 유도체와 마이크로바이옴의 약학 조성물 및 이의 용도에 관한 것으로, 유박테리움을 포함하는 장 마이크로바이옴의 FXR 매개 질병 또는 질환을 치료하는 방법이 개시되어 있고, 한국공개특허 제2020-0053531호는 박테리아 세포외 소포에 관한 것으로, 유박테리움을 포함하는 박테리아 세포외 소포의 자가면역질환, 염증성 질환, 대사질환 또는 암 질환을 치료하는 방법이 개시되어 있으며, 한국공개특허 제2009-0075566호는 항암효과, 비만억제 및 지질저하효과를 갖는 면역강화김치조성물 및 그 제조방법에 관한 것으로, 콜레스테롤을 저하시키는 기작으로서는 면역강화 김치에 함유된 Rhizopus균과 젖산균의 증식에 의한 장내 균총의 변화로 Bifidobacterium, Clostridium, Bacteroides 및 Eubacterium 등의 장내세균은 콜레스테롤을 coprostanol로 전환시킴으로서 흡수가 되지 않게 하거나, hydroxymethylglutarate(HMG) reductase 혹은 acetyl CoA synthetase의 활성을 억제함으로서 생체 내에서 콜레스테롤의 생합성을 저해한다는내용이 개시되어 있고, 한국공개특허 제2020-0125637호는 마이크로바이옴 관련 면역요법에 관한 것으로, 미생물 제제를 포함하는 대상체에게 투여함을 포함하여 항암 요법에 의해 유도된 종양학-치료 유도 병태를 치료 또는 예방하는 방법에 미생물의 일종으로 인간 공여자의 분변 미생물총을 포함하는 내용이 개시되어 있다. Korean Patent Application Laid-Open No. 2019-0117687 relates to a pharmaceutical composition of a bile acid derivative and a microbiome and uses thereof, and discloses a method for treating FXR-mediated diseases or disorders of the intestinal microbiome including Eubacterium, Korean Patent Application Laid-Open No. 2020-0053531 relates to bacterial extracellular vesicles, and discloses a method for treating autoimmune diseases, inflammatory diseases, metabolic diseases or cancer diseases of bacterial extracellular vesicles including Eubacterium, Korea Patent Publication No. 2009-0075566 relates to an immune-enhancing kimchi composition having anticancer effect, obesity suppression and lipid lowering effect, and a method for manufacturing the same. Intestinal bacteria such as Bifidobacterium, Clostridium, Bacteroides and Eubacterium convert cholesterol into coprostanol to prevent absorption, or inhibit the activity of hydroxymethylglutarate (HMG) reductase or acetyl CoA synthetase to synthesize cholesterol in vivo. is disclosed, and Korean Patent Application Laid-Open No. 2020-0125637 relates to microbiome-related immunotherapy, oncology induced by anticancer therapy, including administration to a subject containing a microbial agent - treatment induction A method of treating or preventing a condition comprising the fecal microbiota of a human donor as a type of microorganism is disclosed.
그러나, 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물을 유효성분으로 포함하는 암 예방 또는 치료용 조성물은 개시된 바 없다.However, Eubacterium callanderi ( Eubacterium callanderi ), a culture solution thereof or a composition for preventing or treating cancer comprising an extract thereof as an active ingredient has not been disclosed.
본 발명은 상기와 같은 요구에 의해 도출된 것으로서, 본 발명자들은 한국인의 분변에서 분리한 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물이 in vitro와 in vivo에서 암세포 증식 억제 효과를 발견하여 본 발명을 완성하였다. The present invention has been derived from the above needs, and the present inventors have found that Eubacterium callanderi isolated from Korean feces, its culture medium, or its culture medium extract has an inhibitory effect on cancer cell proliferation in vitro and in vivo . Found and completed the present invention.
상기 과제를 해결하기 위하여, 본 발명은 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물을 유효성분으로 포함하는 암 예방 또는 치료용 약학 조성물을 제공한다. In order to solve the above problems, the present invention is Eubacterium callanderi ( Eubacterium callanderi ), It provides a pharmaceutical composition for preventing or treating cancer comprising a culture solution thereof or an extract thereof as an active ingredient.
본 발명의 일 예에서, 상기 배양액은 Reinforced clostridial 배지(RCM)에서 혐기상태로 2일 동안 액체 배양 후 필터로 여과한 것으로 세포가 제거된 것이고, 상기 배양액 추출물은 에틸 아세테이트(ethyl acetate) 추출물인 것이다. In one example of the present invention, the culture medium is anaerobic in a reinforced clostridial medium (RCM) for 2 days and then filtered through a filter to remove cells, and the culture medium extract is an ethyl acetate extract. .
본 발명의 다른 예에서, 상기 암은 고형암인 것이고, 상기 암은 대장암, 결장직장암, 위암, 유방암, 뇌암, 흑색종, 자궁경부암, 두경부암, 신장암, 폐암, 난소암, 전립선암으로 이루어진 군에서 선택된 하나 이상인 것이다. In another embodiment of the present invention, the cancer is a solid cancer, and the cancer is colorectal cancer, colorectal cancer, stomach cancer, breast cancer, brain cancer, melanoma, cervical cancer, head and neck cancer, kidney cancer, lung cancer, ovarian cancer, prostate cancer It is at least one selected from the group.
또한, 본 발명은 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물을 유효성분으로 포함하는 암 개선용 건강기능식품 조성물을 제공한다. In addition, the present invention is Eubacterium callanderi ( Eubacterium callanderi ), It provides a health functional food composition for improving cancer comprising its culture solution or its culture solution extract as an active ingredient.
본 발명의 한국인의 분변에서 분리한 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물이 in vitro와 in vivo에서 암세포 증식을 억제하는 효과를 통해 암의 예방 또는 치료에 유용하게 사용될 수 있다. Eubacterium callanderi isolated from Korean feces of the present invention, its culture medium, or its culture medium extract can be usefully used for the prevention or treatment of cancer through the effect of inhibiting the proliferation of cancer cells in vitro and in vivo . have.
도 1은 본 발명의 일 구현 예에 따른 인간 분변에서 분리한 Eubacterium callanderi 배양액(CFS)이 농도 의존적으로 인간대장암세포(HCT116)의 증식 억제 활성을 나타내는 것이다.
도 2는 본 발명의 일 구현 예에 따른 Eubacterium callanderi CFS가 HCT116 뿐만 아니라 마우스대장암세포(CT26)에서도 세포 증식 억제 활성을 보이고, 또한 이러한 활성은 인간대장정상세포(CCD 841 CoN)에서는 나타나지 않음을 보여주는 것이다.
도 3은 본 발명의 일 구현 예에 따른 Eubacterium callanderi CFS의 대장암 증식 억제 활성이 세포사멸과 cell cycle arrest를 통해 나타남을 보여주는 것이다.
도 4는 본 발명의 일 구현 예에 따른 Eubacterium callanderi CFS의 활성 물질이 Heat-inactivation과 enzyme 처리에 영향을 받지 않고 유기용매 추출 시 수층에 있음을 보여주는 것이다.
도 5는 본 발명의 일 구현 예에 따른 BALB/C 마우스에서 Eubacterium callanderi live bacteria와 배양액의 대장암 증식 억제 효과를 보여주는 것이다. 1 shows that Eubacterium callanderi culture medium (CFS) isolated from human feces according to an embodiment of the present invention exhibits a concentration-dependent growth inhibitory activity of human colorectal cancer cells (HCT116).
Figure 2 shows that Eubacterium callanderi CFS according to an embodiment of the present invention exhibits cell proliferation inhibitory activity not only in HCT116 but also in mouse colorectal cancer cells (CT26), and that this activity does not appear in human colonic normal cells (
Figure 3 shows that the colorectal cancer proliferation inhibitory activity of Eubacterium callanderi CFS according to an embodiment of the present invention is shown through apoptosis and cell cycle arrest.
Figure 4 shows that the active material of Eubacterium callanderi CFS according to an embodiment of the present invention is not affected by heat-inactivation and enzyme treatment and is present in the aqueous layer during organic solvent extraction.
5 shows the effect of inhibiting colon cancer growth of Eubacterium callanderi live bacteria and culture medium in BALB/C mice according to an embodiment of the present invention.
이하, 본 발명의 바람직한 구현예에 대하여 상세히 설명한다. 또한, 하기의 설명에서는 구체적인 구성요소 등과 같은 많은 특정 사항들이 도시되어 있는데, 이는 본 발명의 보다 전반적인 이해를 돕기 위해서 제공된 것일 뿐 이러한 특정 사항들 없이도 본 발명이 실시될 수 있음은 이 기술분야에서 통상의 지식을 가진 자에게는 자명하다 할 것이다. 그리고, 본 발명을 설명함에 있어서, 관련된 공지 기능 혹은 구성에 대한 구체적인 설명이 본 발명의 요지를 불필요하게 흐릴 수 있다고 판단되는 경우 그 상세한 설명을 생략한다.Hereinafter, preferred embodiments of the present invention will be described in detail. In addition, many specific details such as specific components are shown in the following description, which are provided to help a more general understanding of the present invention, and it is common in the art that the present invention can be practiced without these specific details. It will be self-evident to those who have the knowledge of And, in describing the present invention, if it is determined that a detailed description of a related known function or configuration may unnecessarily obscure the gist of the present invention, the detailed description thereof will be omitted.
본 발명의 목적을 달성하기 위하여, 본 발명은 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물을 유효성분으로 포함하는 암 예방 또는 치료용 약학 조성물을 제공한다. In order to achieve the object of the present invention, the present invention is Eubacterium callanderi ( Eubacterium callanderi ), It provides a pharmaceutical composition for preventing or treating cancer comprising a culture solution thereof or an extract thereof as an active ingredient.
상기 균주는 인체에서 유래한 것일 수 있으며, 특히 사람의 분변(feces) 시료에서 유래한 것일 수 있으나, 이에 제한되는 것은 아니다. The strain may be derived from the human body, in particular, may be derived from a human feces sample, but is not limited thereto.
상기 균주는 생 균주 또는 약독화 균주(사균주)일 수 있다. "약독화"는 균주의 병원성을 감소시키도록 변형시키는 것을 의미한다. 약독화는 균주를 대상체에 투여할 경우 독성 및 다른 부작용을 감소시킬 목적으로 이루어진다. 약독화 균주는 당업계에 공지된 다양한 방법을 통하여 제조될 수 있다. 예를 들어, 약독화는 균주가 숙주 세포에서 생존하도록 하는 독성인자(virulence factor)을 결실시키거나 파괴하여 달성될 수 있다. 상기 결실 및 파괴는 당업계에 잘 알려져 있으며, 예컨대, 상동성 재조합, 화학적 변이유발, 조사 변이유발 또는 트랜스포존 변이유발 등과 같은 방법에 의해 실시된다. 특히, 본 발명의 균주는 인체에서 유래한 것으로 안전하여 생 균주 형태로 사용될 수 있으나, 이에 제한되는 것은 아니다.The strain may be a live strain or an attenuated strain (dead strain). By "attenuation" is meant modifying a strain to reduce its pathogenicity. Attenuation is for the purpose of reducing toxicity and other side effects when the strain is administered to a subject. The attenuated strain can be prepared through a variety of methods known in the art. For example, attenuation can be achieved by deleting or disrupting a virulence factor that allows the strain to survive in the host cell. Such deletions and disruptions are well known in the art and are carried out by methods such as, for example, homologous recombination, chemical mutagenesis, irradiation mutagenesis or transposon mutagenesis. In particular, since the strain of the present invention is derived from the human body and is safe, it may be used in the form of a live strain, but is not limited thereto.
본 발명의 일 예에서, 상기 배양액은 유효한 활성 성분이 방출될 수 있는 일정 시간 이상의 배양 조건을 모두 포괄하여 제조할 수 있다. 바람직하게는 24시간 이상, 48시간 이상 또는 72시간 이상 배양되는 것일 수 있으며, 더욱 바람직하게는 48시간 이상 배양하는 것이나, 이에 제한되는 것은 아니다. In one embodiment of the present invention, the culture solution can be prepared to cover all of the culture conditions for a predetermined time or longer in which an effective active ingredient can be released. Preferably, it may be cultured for 24 hours or more, 48 hours or more, or 72 hours or more, and more preferably, cultured for 48 hours or more, but is not limited thereto.
또한, 추가적으로 세포의 혼입을 방지하기 위하여 액체 배양 후 필터로 여과한 후 사용한다. In addition, in order to further prevent cell incorporation, it is used after filtration with a filter after liquid culture.
본 발명에서 배양액은 유박테리움 칼란데리(Eubacterium callanderi)가 배양될 수 있는 해당 분야의 모든 배지를 포함하는 것이고, 바람직하게는 Reinforced clostridial 배지(RCM)를 사용하는 것이나, 이에 제한되는 것은 아니다. In the present invention, the culture medium includes all media in the field in which Eubacterium callanderi can be cultured, and preferably Reinforced clostridial medium (RCM) is used, but is not limited thereto.
상기 배양액 추출물은 물 또는 유기 용매를 사용하여 추출할 수 있는데, 추출한 액은 액체 형태로 사용하거나 또는 농축 및/또는 건조하여 사용할 수 있다. 상기 유기용매는 반드시 이로 제한되는 것은 아니지만, 메탄올, 에탄올, 이소프로판올, 부탄올, 에틸렌, 아세톤, 헥산, 에테르, 클로로포름, 에틸아세테이트, 부틸아세테이트, 디클로로메탄, N, N-디메틸포름아미드(DMF), 디메틸설폭사이드(DMSO), 1,3-부틸렌글리콜, 프로필렌글리콜 또는 이들의 혼합용매이며, 바람직하게는 메탄올, 에탄올, 부탄올, 헥산, 디클로로메탄, 에틸아세테이트 또는 이들의 혼합용매이고, 더욱 바람직하게는 에틸 아세테이트(ethyl acetate) 추출물이나 이에 제한되는 것은 아니다. The culture solution extract may be extracted using water or an organic solvent, and the extracted solution may be used in liquid form or concentrated and/or dried. The organic solvent is not necessarily limited thereto, but methanol, ethanol, isopropanol, butanol, ethylene, acetone, hexane, ether, chloroform, ethyl acetate, butyl acetate, dichloromethane, N, N-dimethylformamide (DMF), dimethyl Sulfoxide (DMSO), 1,3-butylene glycol, propylene glycol, or a mixed solvent thereof, preferably methanol, ethanol, butanol, hexane, dichloromethane, ethyl acetate, or a mixed solvent thereof, more preferably Ethyl acetate (ethyl acetate) extract, but is not limited thereto.
또한, 추출물의 유효 성분이 파괴되지 않거나 최소화된 조건에서 실온 또는 가온하여 추출할 수 있다. 추출하는 유기용매에 따라 추출물의 유효성분의 추출정도와 손실정도가 차이가 날 수 있으므로, 알맞은 유기용매를 선택하여 사용하도록 한다. 상기 유기용매로 추출 방법이 특별히 제한되지 않으며, 예를 들어 냉침 추출, 초음파 추출, 환류 냉각 추출 등이 있다.In addition, the extract can be extracted by heating or at room temperature under conditions in which the active ingredient of the extract is not destroyed or minimized. Depending on the organic solvent to be extracted, the degree of extraction and loss of the active ingredient of the extract may be different, so an appropriate organic solvent should be selected and used. The extraction method of the organic solvent is not particularly limited, and examples thereof include cold extraction, ultrasonic extraction, and reflux cooling extraction.
본 발명에서 용어 '암'은 숙주 자체 세포의 제어되지 않은 비정상적인 성장을 광범위하게 지칭하며, 숙주에서 비정상적 세포 성장의 초기 위치의 원위부에 있는 조직 및 주변 조직의 침윤을 초래한다. 주요 종류는 상피조직(예를 들어, 피부, 편평세포)의 암인 암종, 결합조직(예를 들어, 뼈, 연골, 지방, 근육, 혈관 등)의 암인 육종, 뇌 및 척추 조직으로부터의 암을 포함하는 중추 신경계 암을 포함한다. 이는 신규 또는 재발 여부에 관계 없이 모든 유형의 암을 포괄하는 암, 신생물 또는 악성 종양을 지칭한다.As used herein, the term 'cancer' broadly refers to the uncontrolled abnormal growth of the host's own cells, resulting in infiltration of tissues and surrounding tissues distal to the initial site of abnormal cell growth in the host. The main types include carcinomas, which are cancers of epithelial tissue (e.g., skin, squamous cells), sarcomas, which are cancers of connective tissue (e.g., bone, cartilage, fat, muscle, blood vessels, etc.), and cancers from brain and spinal tissues. cancers of the central nervous system. It refers to cancer, neoplasia or malignancy, encompassing all types of cancer, whether new or recurrent.
본 발명의 다른 예에서, 상기 암은 고형암인 것이고, 바람직하게는 대장암, 결장직장암, 위암, 유방암, 뇌암, 흑색종, 자궁경부암, 두경부암, 신장암, 폐암, 난소암, 전립선암으로 이루어진 군에서 선택된 하나 이상인 것이나, 이에 제한되는 것은 아니다. In another example of the present invention, the cancer is a solid cancer, preferably colon cancer, colorectal cancer, stomach cancer, breast cancer, brain cancer, melanoma, cervical cancer, head and neck cancer, kidney cancer, lung cancer, ovarian cancer, consisting of prostate cancer At least one selected from the group, but is not limited thereto.
본 발명에서 용어, "예방"이라 함은 질환의 원인으로부터 발생을 억제하거나 지연시키는 것을 의미한다.As used herein, the term “prevention” refers to inhibiting or delaying the occurrence of a disease from the cause.
본 명세서에서, "치료"라 함은 완전히 치유하지 않아도 증상의 진전 및/또는 악화를 억제하여 손상의 진행을 멈추거나, 또는 증상의 일부 혹은 전부를 개선하여 치유의 방향으로 유도하는 것을 의미한다.As used herein, the term "treatment" means to stop the progression of damage by inhibiting the progress and/or aggravation of symptoms even without complete cure, or to ameliorate some or all of the symptoms to guide them in the direction of healing.
본 발명의 약학 조성물은 조성물의 제조에 통상적으로 사용하는 적절한 담체, 부형제 및 희석제를 더 포함할 수 있다.The pharmaceutical composition of the present invention may further include suitable carriers, excipients and diluents commonly used in the preparation of the composition.
본 발명의 약학 조성물은 질환의 예방 및 치료를 위하여 단독으로, 또는 수술, 약물 치료 및 생물학적 반응 조절제를 사용하는 방법들과 병용하여 사용할 수 있다. The pharmaceutical composition of the present invention may be used alone or in combination with methods using surgery, drug treatment, and biological response modifiers for the prevention and treatment of diseases.
추가의 치료제로 사용될 수 있는 암 치료제는 화학요법제로서, 알킬화제, 예컨대 티오테파 및 사이클로포스파미드; 알킬 술포네이트, 예컨대 부술판, 임프로술판 및 피포술판; 아지리딘, 예컨대 벤조도파, 카르보쿠온, 메투레도파 및 우레도파; 알트레타민, 트리에틸렌멜라민, 트리에틸렌포스포르아미드, 트리에티일렌티오포스포르아미드 및 트리메틸올로멜라민을 포함하는 에틸렌이민 및 메틸라멜라민; 아세토게닌(특히, 불라타신 및 불라타시논); 캄프토테신(합성 유사체 토포테칸 포함); 브리오스타틴; 칼리스타틴; CC-1065(그의 아도젤레신, 카젤레신 및 비젤레신 합성 유사체 포함); 크립토피신(특히, 크립토피신 1 및 크립토피신 8); 돌라스타틴; 듀오카마이신(합성 유사체, KW-2189 및 CB1-TM1 포함); 엘레우테로빈; 판크라티스타틴; 사르코딕티인; 스폰기스타틴; 질소 머스타드, 예컨대 클로람부실, 클로르나파진, 콜로포스파미드, 에스트라무스틴, 이포스파미드, 메클로레타민, 메클로레타민 옥사이드 하이드로클로라이드, 멜팔란, 노벰비친, 페네스테린, 프레드니무스틴, 트로포스파미드, 우라실 머스타드; 니트로스우레아, 예컨대 카르무스틴, 클로로조토신, 포테무스틴, 로무스틴, 니무스틴 및 라님누스틴; 항생제, 예컨대 에네디인 항생제(예를 들어, 칼리케아미신, 특히 칼리케아미신 감마1I 및 칼리케아미신 오메가1I; 다이네미신 A를 포함한 다이네미신; 비스포스포네이트, 예컨대 클로드로네이트; 에스페라미신; 뿐만 아니라 네오카지노스타틴 발색단 및 관련 크로모단백질 에네디인 항생제 발색단, 아클라시노마이신, 악티노마이신, 오트라르나이신, 아자세린, 블레오마이신, 칵티노마이신, 카라비신, 카미노마이신, 카르지노필린, 크로모마이시니스, 닥티노마이신, 다우노루비신, 데토루비신, 6-디아조-5-옥소-L-노를류신, 독소루비신(모르폴리노-독소루비신, 시아노모르폴리노-독소루비신, 2-피롤리노-독소루비신 및 데옥시독소루비신 포함), 에피루비신, 에소루비신, 이다루비신, 마르셀로마이신, 미토마이신, 예컨대 미토마이신 C, 미코페놀산, 노갈라마이신, 올리보마이신, 페플로마이신, 폿피로마이신, 퓨로마이신, 쿠엘라마이신, 로도루비신, 스트렙토니그린, 스트렙토조신, 투베르시딘, 우베니멕스, 지노스타틴, 조루비신; 항-대사물질, 예컨대 메토트렉세이트 및 5-플루오로우라실(5-FU); 엽산 유사체, 예컨대 데노프테린, 메토트렉세이트, 프테로프테린, 트리메트렉세이트; 퓨린 유사체, 예컨대 플루다라빈, 6-머캅토퓨린, 티아미프린, 티오구아닌; 피리미딘 유사체, 예컨대 안시타빈, 아자시티딘, 6-아자우리딘, 카모푸르, 시타라빈, 디데옥시우리딘, 독시플루리딘, 에노시타빈, 플록스리딘; 안드로겐, 예컨대 칼루스테론, 드로모스타놀론 프로피오네이트, 에피티오스타놀, 메피티오스탄, 테스토락톤; 항-아드레날, 예컨대 아미노글루테티미드, 미토탄, 트릴로스탄; 엽산 보충제, 예컨대 프롤린산; 아세글라톤; 알도포스파미드 글리코시드; 아미노레불린산; 에닐우라실; 암사크린; 베스트라부실; 비산트렌; 에다트랙세이트; 데포파민; 데메콜신; 디아지쿠온; 엘포르미틴; 엘립티늄 아세테이트; 에포틸론; 에토글루시드; 갈륨 질산염; 하이드록시우레아; 렌티난; 로니다이닌; 메이탄시노이드, 예컨대 메이탄신 및 안사미토신; 미토구아존; 미톡산트론; 모피단몰; 니트라에린; 펜토스타틴; 페나멧; 피라루비신; 로속산트론; 포도필린산; 2-에틸하이드라지드; 프로카바진; PSK 다당류 복합체); 라족산; 리족신; 시조푸란; 스피로게르마늄; 테누아존산; 트리아지쿠온; 2,2',2''-트리클로로트리에틸아민; 트리코테센(특히 T-2 독소, 베르라쿠린 A, 로리딘 A 및 안구이딘); 우레탄; 빈데신; 다카바진; 만노무스틴; 미토브로니톨; 미톨락톨; 피보브로만; 가시토신; 아라비노시드("Ara-C"); 시클로포스파미드; 티오테파; 탁소이드, 예를 들어 파클리탁셀 및 독세탁셀; 클로람부실; 겜시타빈; 6-티오구아닌; 머캅토퓨린; 메토트렉세이트; 백금 배위 착물, 예컨대 시스플라틴, 옥살리플라틴 및 카보플라틴; 빈블라스틴; 백금; 에토포시드(VP-16); 이포스파미드; 미톡산트론; 빈크리스틴; 비노렐빈; 노반트론; 테니포시드; 에다트렉세이트; 다우노마이신; 아미노프테린; 젤로다; 이반드로네이트; 이리노테칸(예를 들어, CPT-11); 토포이소머라제 억제제 RFS 2000; 디플루오로메틸오미틴(DMFO); 레티노이드, 예컨대 레티노산; 카페시타빈; 및 상기 중 임의의 것의 약제학적으로 허용가능한 염, 산 또는 유도체를 포함하지만, 이에 제한되지 않는다.Cancer therapeutic agents that can be used as additional therapeutic agents include chemotherapeutic agents, such as alkylating agents such as thiotepa and cyclophosphamide; alkyl sulfonates such as busulfan, improsulfan and piposulfan; aziridines such as benzodopa, carboquone, meturedopa and uredopa; ethylenimine and methyllamelamine, including altretamine, triethylenemelamine, triethylenephosphoramide, triethyylenethiophosphoramide and trimethylolomelamine; acetogenins (particularly bullatacin and bullatacinone); camptothecin (including the synthetic analogue topotecan); bryostatin; callistatin; CC-1065 (including its adozelesin, cazelesin and bizelesin synthetic analogs); cryptophycins (particularly cryptophycin 1 and cryptophycin 8); dolastatin; duocarmycin (including synthetic analogs, KW-2189 and CB1-TM1); eleuterobin; pancratistatin; sarcodictine; Spongistatin; nitrogen mustards such as chlorambucil, chlornaphazine, colophosphamide, estramustine, ifosfamide, mechlorethamine, mechlorethamine oxide hydrochloride, melphalan, novembicin, phenesterine, prednimu Steen, trophosphamide, uracil mustard; nitrosureas such as carmustine, chlorozotocin, fotemustine, lomustine, nimustine and ranimnustine; antibiotics such as enedyin antibiotics (eg, calicheamicins, particularly calicheamicin gamma 1I and calicheamicin omega 1I; dynemycins, including dynemycin A; bisphosphonates such as clodronate; esperamicin; as well as neocardinostatin chromophore and related chromoprotein enediin antibiotic chromophore, aclasinomycin, actinomycin, otrarnycin, azaserine, bleomycin, cactinomycin, carabicin, caminomycin, carzinophylline , chromomycinis, dactinomycin, daunorubicin, detorubicin, 6-diazo-5-oxo-L-norleucine, doxorubicin (morpholino-doxorubicin, cyanomorpholino-doxorubicin, 2-pyrrolino-doxorubicin and deoxydoxorubicin), epirubicin, esorubicin, idarubicin, marcelomycin, mitomycin such as mitomycin C, mycophenolic acid, nogalamicin, olibomycin, peflo mycin, poppyromycin, puromycin, quelamycin, rhodorubicin, streptonigrin, streptozocin, tubersidin, ubenimex, ginostatin, zorubicin; Lauracil (5-FU): folic acid analogues such as denopterin, methotrexate, pteropterin, trimetrexate; analogs such as ancitabine, azacitidine, 6-azauridine, camofur, cytarabine, dideoxyuridine, doxyfluridine, enocitabine, floxridine; androgens such as calusterone, dromostanolone pro Cypionate, epithiostanol, mephithiostan, testolactone; ; aminolevulinic acid; enyluracil; amsacrine; bestrabucil; bisantrene; edataxate; depopamine; demecholcin; diaziquone; elformitin; elliptinium acetate; epothilone; etoglucide; gallium nitrate ; hydroxyurea; lentinan; ronidinin; maytansinoids such as maytansine and ansamitosine; mitogua zone; mitoxantrone; fur short mole; nitraerin; pentostatin; phennamet; pyrarubicin; losoxantrone; podophyllic acid; 2-ethylhydrazide; procarbazine; PSK polysaccharide complex); Lazoxic acid; lyzoxine; sizofuran; spirogermanium; tenuazonic acid; triaziquone; 2,2',2''-trichlorotriethylamine; trichothecenes (especially T-2 toxins, veraculin A, loridine A and anguidin); urethane; vindesine; Dacarbazine; mannomustine; mitobronitol; mitolactol; Fivobroman; gastocin; arabinoside ("Ara-C"); cyclophosphamide; thiotepa; taxoids such as paclitaxel and docetaxel; chlorambucil; gemcitabine; 6-thioguanine; mercaptopurine; methotrexate; platinum coordination complexes such as cisplatin, oxaliplatin and carboplatin; vinblastine; platinum; etoposide (VP-16); ifosfamide; mitoxantrone; vincristine; vinorelbine; novantron; teniposide; edatrexate; daunomycin; aminopterin; Zeloda; ibandronate; irinotecan (eg, CPT-11); topoisomerase inhibitor RFS 2000; difluoromethylomitin (DMFO); retinoids such as retinoic acid; capecitabine; and pharmaceutically acceptable salts, acids or derivatives of any of the above.
다른 형태의 암 치료제는 암 면역요법제이다. 면역요법은 대상체의 면역계를 사용하여 암을 치료하는 치료법, 예를 들어 관문 억제제, 암 백신, 사이토카인, 세포 요법, CAR-T 세포 및 수지상 세포 요법을 지칭한다. 면역요법의 비-제한적인 예는 관문 억제제로서 니볼루맙(BMS, 항-PD-1), 펨브롤리주맙(Merck, 항-PD-1), 이필리무맙(BMS, 항-CTLA-4), MEDI4736(AstraZeneca, 항-PD-L1), 및 MPDL3280A(Roche, 항-PD-L1)를 포함한다. 다른 면역요법은 종양 백신, 예컨대 Gardail, Cervarix, BCG, 시풀렌셀(sipulencel)-T, Gp100:209-217, AGS-003, DCVax-L, 알젠판투셀(Algenpantucel)-L, 터겐판투셀(Tergenpantucel)-L, TG4010, ProstAtak, Prostvac-V/RTRICOM, 린도페피물(Rindopepimul), E75 펩타이드 아세테이트, IMA901, POL-103A, 벨라겐푸마투셀(Belagenpumatucel)-L, GSK1572932A, MDX-1279, GV1001, 및 테세모티드(Tecemotide)일 수 있다. 면역요법은 주사를 통해 (예를 들어, 정맥내, 종양내, 피하 또는 림프절로) 투여될 수 있지만, 경구, 국소 또는 에어로졸을 통해 투여될 수도 있다. 면역요법은 사이토카인과 같은 아주반트를 포함할 수 있다.Another form of cancer treatment is cancer immunotherapy. Immunotherapy refers to therapies that use a subject's immune system to treat cancer, such as checkpoint inhibitors, cancer vaccines, cytokines, cell therapy, CAR-T cell and dendritic cell therapy. Non-limiting examples of immunotherapy include nivolumab (BMS, anti-PD-1), pembrolizumab (Merck, anti-PD-1), ipilimumab (BMS, anti-CTLA-4) as checkpoint inhibitors, MEDI4736 (AstraZeneca, anti-PD-L1), and MPDL3280A (Roche, anti-PD-L1). Other immunotherapies include tumor vaccines such as Gardail, Cervarix, BCG, sipulencel-T, Gp100:209-217, AGS-003, DCVax-L, Algenpantucel-L, Tergenpantucel )-L, TG4010, ProstAtak, Prostvac-V/RTRICOM, Rindopepimul, E75 peptide acetate, IMA901, POL-103A, Belagenpumatucel-L, GSK1572932A, MDX-1279, GV1001, and It may be Tecemotide. Immunotherapy may be administered via injection (eg, intravenously, intratumorally, subcutaneously or into lymph nodes), but may also be administered orally, topically or via aerosol. Immunotherapy may include adjuvants such as cytokines.
또 다른 암 치료제는 면역 관문 억제제이다. 면역 관문 억제는 암 세포가 면역 반응을 예방 또는 하향조절하기 위해 생성할 수 있는 관문을 억제하는 것을 광범위하게 지칭한다. 면역 관문 단백질의 예는 CTLA4, PD-1, PD-L1, PD-L2, A2AR, B7-H3, B7-H4, BTLA, KIR, LAG3, TIM-3 또는 VISTA를 포함하지만, 이에 제한되지 않는다. 면역 관문 억제제는 면역 관문 단백질에 결합하여 면역 관문 단백질을 억제하는 항체 또는 이의 항원 결합 단편일 수 있다. 면역 관문 억제제의 예는 니볼루맙, 펨브롤리주맙, 피딜리주맙, AMP-224, AMP-514, STI-A1110, TSR-042, RG-7446, BMS-936559, MEDI-4736, MSB-0020718C, AUR-012 및 STI-A1010을 포함하지만, 이에 제한되지 않는다.Another cancer treatment is immune checkpoint inhibitors. Immune checkpoint inhibition broadly refers to inhibiting the checkpoint that cancer cells can create to prevent or downregulate an immune response. Examples of immune checkpoint proteins include, but are not limited to, CTLA4, PD-1, PD-L1, PD-L2, A2AR, B7-H3, B7-H4, BTLA, KIR, LAG3, TIM-3 or VISTA. The immune checkpoint inhibitor may be an antibody or antigen-binding fragment thereof that binds to the immune checkpoint protein and inhibits the immune checkpoint protein. Examples of immune checkpoint inhibitors include nivolumab, pembrolizumab, pidilizumab, AMP-224, AMP-514, STI-A1110, TSR-042, RG-7446, BMS-936559, MEDI-4736, MSB-0020718C, AUR -012 and STI-A1010.
본 발명의 약학 조성물은, 통상의 방법에 따라 산제, 과립제, 정제, 캡슐제, 현탁액, 에멀젼, 시럽, 에어로졸 등의 경구형 제형, 외용제, 좌제 및 멸균 주사용액의 형태로 제제화될 수 있으며, 산제, 정제, 캡슐제, 주사제 및 액제가 보다 바람직하다. 이러한 제제화는 약제학 분야에서 통상적으로 행하여지는 방법으로 수행될 수 있으며, Remington's Pharmaceutical Science, Mack Publishing Company, Easton PA에 개시되어 있는 방법을 이용하여 각 질환에 따라 또는 성분에 따라 바람직하게 제제화할 수 있다. The pharmaceutical composition of the present invention may be formulated in the form of oral dosage forms such as powders, granules, tablets, capsules, suspensions, emulsions, syrups, aerosols, external preparations, suppositories, and sterile injection solutions according to conventional methods, and powders , tablets, capsules, injections and liquids are more preferred. Such formulation may be performed by a method conventionally performed in the pharmaceutical field, and may be preferably formulated according to each disease or component using the method disclosed in Remington's Pharmaceutical Science, Mack Publishing Company, Easton PA.
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, 셀룰로오스, 메틸 셀룰로오스, 미정질 셀룰로오스, 폴리비닐피롤리돈, 물, 메틸히드록시벤조에이트, 프로필히드록시벤조에이트, 탈크, 마그네슘 스테아레이트, 및 광물유 등을 포함한다.Carriers, excipients and diluents that may be included in the pharmaceutical composition include lactose, dextrose, sucrose, sorbitol, mannitol, xylitol, erythritol, maltitol, starch, acacia gum, alginate, gelatin, calcium phosphate, calcium silicate, cellulose , methyl cellulose, microcrystalline cellulose, polyvinylpyrrolidone, water, methylhydroxybenzoate, propylhydroxybenzoate, talc, magnesium stearate, and mineral oil.
제제화할 경우에는 보통 사용하는 충진제, 증량제, 결합제, 습윤제, 붕해제, 계면활성제 등의 희석제 또는 부형제를 추가로 사용하여 조제될 수 있다.In the case of formulation, it may be prepared by additionally using diluents or excipients such as commonly used fillers, extenders, binders, wetting agents, disintegrants, and surfactants.
경구 투여를 위한 고형 제제에는 정제, 환제, 산제, 과립제, 캡슐제 등이 포함되며, 이러한 고형 제제는 적어도 하나 이상의 부형제, 예를 들면 전분, 칼슘카보네이트(calcium carbonate), 수크로오스(sucrose) 또는 락토오스(lactose), 젤라틴 등을 섞어 조제된다. 또한, 단순한 부형제 이외에 마그네슘 스테아레이트, 탈크 같은 윤활제들도 사용된다.Solid preparations for oral administration include tablets, pills, powders, granules, capsules, and the like, and these solid preparations include at least one excipient, for example, starch, calcium carbonate, sucrose or lactose ( lactose), gelatin, etc. In addition to simple excipients, lubricants such as magnesium stearate and talc are also used.
경구 투여를 위한 액상 제제로는 현탁액, 내용액제, 유제, 시럽제 등이 해당되는데, 흔히 사용되는 단순 희석제인 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. 비수용제, 현탁제로는 프로필렌글리콜(propylene glycol), 폴리에틸렌 글리콜, 올리브 오일과 같은 식물성 기름, 에틸올레이트와 같은 주사 가능한 에스테르 등이 사용될 수 있다. 좌제의 기제로는 위텝솔(witepsol), 마크로골, 트윈(tween), 카카오지, 라우린지, 글리세로제라틴 등이 사용될 수 있다. Liquid formulations for oral administration include suspensions, solutions, emulsions, syrups, etc., and various excipients, such as wetting agents, sweeteners, fragrances, and preservatives, in addition to water and liquid paraffin, which are commonly used simple diluents, may be included. have. Formulations for parenteral administration include sterile aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories. As the non-aqueous agent and suspending agent, propylene glycol, polyethylene glycol, vegetable oils such as olive oil, and injectable esters such as ethyl oleate may be used. As a base of the suppository, witepsol, macrogol, tween, cacao butter, laurin, glycerogelatin, and the like may be used.
본 발명의 약학 조성물의 바람직한 투여량은 대상체의 종, 크기, 신체 표면적, 연령, 성별, 면역능력 및 일반적인 건강, 투여될 특정 미생물, 지속 기간 및 투여 경로, 질환의 종류 및 단계, 예를 들어 종양 크기, 및 동시에 투여되는 약물과 같은 다른 화합물을 비롯한 많은 인자에 의존할 수 있다. 상기 인자 이외에, 이러한 수준은 당업자의 결정에 따라 미생물의 감염성 및 미생물의 성질에 의해 영향을 받을 수 있다. 본 발명에서, 미생물의 적절한 최소 투여량 수준은 미생물이 생존, 성장 및 복제하기에 충분한 수준일 수 있다. 본 발명에 기재된 약제학적 조성물의 용량은 투여 형태, 투여 경로, 표적 질환의 정도 또는 단계 등에 따라 적절히 설정되거나 조정될 수 있다. 예를 들어, 제제의 일반적인 유효 용량은 0.01 mg/kg 체중/일 내지 1000 mg/kg 체중/일, 0.1 mg/kg 체중/일 내지 1000 mg/kg 체중/일, 0.5 mg/kg 체중/일 내지 500 mg/kg 체중/일, 1 mg/kg 체중/일 내지 100 mg/kg 체중/일, 또는 5 mg/kg 체중/일 내지 50 mg/kg 체중/일의 범위일 수 있다. 유효 용량은 0.01, 0.05, 0.1, 0.5, 1, 2, 3, 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 500, 또는 1000 mg/kg 체중/일 이상일 수 있지만, 이에 제한되지 않는다.A preferred dosage of the pharmaceutical composition of the present invention is the species, size, body surface area, age, sex, immune capacity and general health of the subject, the specific microorganism to be administered, the duration and route of administration, the type and stage of the disease, for example, a tumor It may depend on many factors, including size, and other compounds such as drugs administered concurrently. In addition to the above factors, these levels may be affected by the infectivity of the microorganism and the nature of the microorganism as determined by one of ordinary skill in the art. In the present invention, an appropriate minimum dosage level of the microorganism may be a level sufficient for the microorganism to survive, grow and replicate. The dosage of the pharmaceutical composition described in the present invention may be appropriately set or adjusted according to the dosage form, administration route, the degree or stage of the target disease, and the like. For example, a typical effective dose of the formulation is 0.01 mg/kg body weight/day to 1000 mg/kg body weight/day, 0.1 mg/kg body weight/day to 1000 mg/kg body weight/day, 0.5 mg/kg body weight/day to 500 mg/kg body weight/day, 1 mg/kg body weight/day to 100 mg/kg body weight/day, or 5 mg/kg body weight/day to 50 mg/kg body weight/day. Effective doses are 0.01, 0.05, 0.1, 0.5, 1, 2, 3, 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 500, or 1000 mg/kg body weight/ It may be more than one day, but is not limited thereto.
또한, 효과적인 투여량 및 치료 프로토콜은 일반적으로 최적 용량보다 적은 양에서 개시된다. 그 후에, 상황에 따라 최적의 효과에 도달할 때까지 소량씩 증가시키는 것이 바람직하다. 이는 당업계의 일반적인 용량 확인 과정에 따라 진행할 수 있다. In addition, effective dosages and treatment protocols are generally initiated at less than optimal dosages. After that, depending on the circumstances, it is preferable to increase it in small increments until the optimum effect is reached. This can be done according to the general capacity verification process in the art.
개별 투여는 2회, 3회, 4회, 5회 또는 6회 투여를 포함하여 임의의 수의 2회 이상의 투여를 포함할 수 있다. 당업자는 본원에 제공된 치료 방법 및 다른 모니터링 방법을 모니터링하기 위해 당 업계에 공지된 방법에 따라 수행할 투여 횟수 또는 하나 이상의 추가 투여를 수행하는 것이 바람직하다는 것을 쉽게 결정할 수 있다. 따라서, 본 발명에서 대상체에게 약제학적 조성물의 하나 이상의 투여를 제공하는 경우 투여 횟수는 대상체를 모니터링함으로써 결정될 수 있고, 모니터링의 결과에 기초하여, 하나 이상의 추가의 투여를 제공할지 여부를 결정한다. 하나 이상의 추가 투여를 제공할지 여부를 결정하는 것은 다양한 모니터링 결과를 기반으로 할 수 있다.Individual administrations may include any number of two or more administrations, including 2, 3, 4, 5 or 6 administrations. One of ordinary skill in the art can readily determine the number of doses to be performed or it is desirable to perform one or more additional doses according to methods known in the art for monitoring the methods of treatment and other monitoring methods provided herein. Accordingly, in the present invention, when one or more administrations of the pharmaceutical composition are provided to a subject, the number of administrations may be determined by monitoring the subject, and based on the results of the monitoring, it is determined whether to provide one or more additional administrations. The determination of whether to give one or more additional doses may be based on various monitoring results.
투여 사이의 기간은 임의의 다양한 기간일 수 있다. 투여 사이의 기간은 투여 횟수, 대상체가 면역 반응을 일으키는 기간과 관련하여 설명된 바와 같이 모니터링 단계를 포함하는 다양한 요인의 함수일 수 있다. 일 예에서, 기간은 대상체가 면역 반응을 일으키는 시간의 함수일 수 있으며; 예를 들어, 기간은 약 1주일 초과, 약 10일 초과, 약 2주 초과, 또는 약 1개월 초과와 같은, 대상체가 면역 반응을 일으키는 기간보다 길 수 있거나; 다른 예에서, 기간은 약 1주일 미만, 약 10일 미만, 약 2주 미만, 또는 약 1개월 미만과 같은, 대상체가 면역 반응을 일으키는 기간보다 짧을 수 있다. The period between administrations can be any of a variety of periods. The period between administrations can be a function of a variety of factors including the number of administrations, a monitoring step as described with respect to the period during which the subject develops an immune response. In one example, the duration may be a function of time in which the subject elicits an immune response; For example, the period of time may be longer than the period in which the subject develops an immune response, such as greater than about 1 week, greater than about 10 days, greater than about 2 weeks, or greater than about 1 month; In other examples, the period of time may be shorter than the period in which the subject elicits an immune response, such as less than about 1 week, less than about 10 days, less than about 2 weeks, or less than about 1 month.
일부 실시예에서, 본 발명에서 포함하는 약학 조성물과 조합된 추가의 치료제의 전달은 부작용을 감소시키기 위한 것일 수 있다. 부작용 또는 독성은 치료 동안 및 치료 후에 대상체가 경험하는 모든 종류의 증상을 포함하는 것이다. 대표적인 부작용 또는 독성은 복통, 위산 과다, 위산 역류, 알레르기 반응, 탈모증, 아나필락시스, 빈혈, 불안, 식욕 부진, 관절통, 무력증, 운동 실조증, 질소혈증, 균형 상실, 뼈 통증, 출혈, 혈전, 저혈압, 고혈압, 호흡 곤란, 기관지염, 멍, 백혈구 수 감소, 적혈구 수 감소, 낮은 혈소판 수, 심장독성, 방광염, 출혈성 방광염, 부정맥, 심장 판막 질환, 심근병증, 관상 동맥 질환, 백내장, 중추 신경독성, 인지 장애, 혼란, 결막염, 변비, 기침, 경련, 방광염, 심부정맥 혈전증, 탈수, 우울증, 설사, 현기증, 구강 건조, 건조한 피부, 소화불량, 호흡곤란, 부종, 전해질 불균형, 식도염, 피로, 생식 능력 상실, 열, 헛배부름, 홍조, 위 역류, 위식도 역류 질환, 생식기 통증, 과립구감소증, 여성형 유방, 녹내장, 탈모, 손발 증후군, 두통, 청력 손실, 심부전, 심계항진, 속쓰림, 혈종, 출혈성 방광염, 간독성, 고아밀라제혈증, 고칼슘혈증, 고염소혈증, 고혈당증, 고칼륨혈증, 고리파제혈증, 고마그네슘혈증, 고나트륨혈증, 고인산혈증, 과다색소침착, 고중성지방혈증, 고요산혈증, 저알부민혈증, 저칼슘혈증, 저염소혈증, 저혈당증, 저칼륨혈증, 저마그네슘혈증, 저나트륨혈증, 저인산혈증, 무력증, 감염, 주사 부위 반응, 불면증, 철 결핍증, 가려움증, 관절 통증, 신장병, 백혈구감소증, 간기능 부전증, 기억 상실, 폐경, 구강 궤양, 점막염, 근육통, 근육통(myalgias), 골수억제, 심근염, 호중구 발열, 구역질, 신독성, 호중구 감소증, 코피, 마비, 이 독성, 통증, 손발바닥 홍반성 감각이상, 범혈구감소증, 심낭염, 말초신경염증, 인두염, 눈부심, 광과민성, 폐렴(pneumonia), 폐렴(pneumonitis), 단백뇨, 폐색전증, 폐 섬유증, 폐 독성, 발진, 빠른 심장 박동, 직장 출혈, 불안, 비염, 발작, 호흡 곤란, 부비동염, 혈소판 감소증, 이명, 요로 감염, 질 출혈, 질 건조증, 현기증, 보수력, 나약, 체중 감소, 체중 증가 및 구강 건조증을 포함하지만, 이에 제한되지 않는다. 일반적으로, 요법을 통해 달성된 대상체에 대한 이익이 요법으로 인해 대상체가 경험한 부작용보다 더 클 경우 독성이 허용될 수 있다.In some embodiments, delivery of an additional therapeutic agent in combination with a pharmaceutical composition comprising the present invention may be for reducing side effects. Side effects or toxicity are those that include all kinds of symptoms experienced by a subject during and after treatment. Typical side effects or toxicity are abdominal pain, acid excess, acid reflux, allergic reaction, alopecia, anaphylaxis, anemia, anxiety, anorexia, arthralgia, asthenia, ataxia, azotemia, loss of balance, bone pain, bleeding, blood clots, hypotension, hypertension , dyspnea, bronchitis, bruising, low white blood cell count, red blood cell count, low platelet count, cardiotoxicity, cystitis, hemorrhagic cystitis, arrhythmia, heart valve disease, cardiomyopathy, coronary artery disease, cataract, central neurotoxicity, cognitive impairment, Confusion, conjunctivitis, constipation, cough, convulsions, cystitis, deep vein thrombosis, dehydration, depression, diarrhea, dizziness, dry mouth, dry skin, indigestion, dyspnea, edema, electrolyte imbalance, esophagitis, fatigue, loss of fertility, fever , flatulence, flushing, gastric reflux, gastroesophageal reflux disease, genital pain, granulocytopenia, gynecomastia, glaucoma, hair loss, hand-foot syndrome, headache, hearing loss, heart failure, palpitations, heartburn, hematoma, hemorrhagic cystitis, hepatotoxicity, hyperamylase Hyperemia, hypercalcemia, hyperchloremia, hyperglycemia, hyperkalemia, hyperlipaseemia, hypermagnesemia, hypernatremia, hyperphosphatemia, hyperpigmentation, hypertriglyceridemia, hyperuricemia, hypoalbuminemia, hypocalcemia, Hypochloremia, hypoglycemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia, asthenia, infection, injection site reaction, insomnia, iron deficiency, pruritus, joint pain, nephropathy, leukopenia, hepatic insufficiency, memory loss, menopause, mouth ulcers, mucositis, myalgia, myalgias, myelosuppression, myocarditis, neutrophil fever, nausea, nephrotoxicity, neutropenia, nosebleeds, paralysis, ototoxicity, pain, paresthesia erythematosus, pancytopenia, Pericarditis, peripheral neuritis, pharyngitis, glare, photosensitivity, pneumonia, pneumonia, proteinuria, pulmonary embolism, pulmonary fibrosis, pulmonary toxicity, rash, rapid heartbeat, rectal bleeding, anxiety, rhinitis, seizures, dyspnea, Sinusitis, thrombocytopenia, tinnitus, urinary tract infection, vaginal bleeding, vaginal dryness, dizziness, water retention, weakness, weight loss, weight loss increase and dry mouth. In general, toxicity is acceptable if the benefit to the subject achieved with the therapy outweighs the side effects experienced by the subject with the therapy.
또한, 본 발명은 유박테리움 칼란데리(Eubacterium callanderi), 이의 배양액 또는 이의 배양액 추출물을 유효성분으로 포함하는 암 개선용 건강기능식품 조성물을 제공한다. In addition, the present invention is Eubacterium callanderi ( Eubacterium callanderi ), It provides a health functional food composition for improving cancer comprising its culture solution or its culture solution extract as an active ingredient.
본 명세서에서 "개선"이란, 본 발명에 따른 건강기능식품 조성물의 섭취에 의해 암의 증상이 완화 또는 감소되거나 소멸시키는 등 그 증세를 호전시키거나 이롭게 변경하는 모든 행위를 의미한다As used herein, "improvement" refers to any action that improves or beneficially changes the symptoms of cancer, such as alleviation, reduction, or disappearance of symptoms of cancer by ingestion of the health functional food composition according to the present invention
본 발명의 조성물을 건강기능식품에 포함하여 사용할 경우, 상기 조성물을 그대로 첨가하거나 다른 건강기능식품 또는 건강기능식품 성분과 함께 사용할 수 있고, 다른 성분에는 특별히 제한이 없으며 통상의 식품과 같이 여러 가지 생약추출물, 식품 보조 첨가제 또는 천연 탄수화물 등을 추가 성분으로 포함할 수 있으며, 통상적인 방법에 따라 적절하게 사용할 수 있다. 유효성분의 혼합량은 사용 목적에 따라 적합하게 결정될 수 있다. 일반적으로, 식품 또는 음료의 제조 시에 본 발명의 조성물은 원료에 대하여 바람직하게는 15 중량부 이하, 보다 바람직하게는 10 중량부 이하의 양으로 첨가할 수 있다. 그러나, 건강 조절 및 위생을 목적으로 하는 장기간의 섭취의 경우에는 상기 양은 상기 범위 이하일 수 있으며, 안전성 면에서 문제가 없기 때문에 유효성분은 상기 범위 이상의 양으로도 사용할 수 있다.When the composition of the present invention is included in health functional food, the composition can be added as it is or used together with other health functional food or health functional food ingredients, and there is no particular limitation on the other ingredients, and various herbal medicines like ordinary food Extracts, food supplement additives or natural carbohydrates may be included as additional ingredients, and may be appropriately used according to a conventional method. The mixing amount of the active ingredient may be suitably determined according to the purpose of use. In general, in the production of food or beverage, the composition of the present invention may be added in an amount of preferably 15 parts by weight or less, more preferably 10 parts by weight or less, based on the raw material. However, in the case of long-term intake for the purpose of health control and hygiene, the amount may be less than the above range, and since there is no problem in terms of safety, the active ingredient may be used in an amount above the above range.
본 발명의 조성물을 포함할 수 있는 건강기능식품의 종류에는 특별한 제한은 없으며, 구체적인 예로는 육류, 소세지, 빵, 쵸코렛, 캔디류, 스넥류, 과자류, 피자, 라면, 기타 면류, 껌류, 아이스크림류를 포함한 낙농제품, 각종 스프, 음료수, 차, 드링크제, 알코올 음료 및 비타민 복합제 등이 있고, 통상적인 의미에서의 건강기능식품을 모두 포함할 수 있으며, 동물을 위한 사료로 이용되는 식품을 포함할 수 있다.There is no particular limitation on the type of health functional food that can contain the composition of the present invention, and specific examples include meat, sausage, bread, chocolate, candy, snacks, confectionery, pizza, ramen, other noodles, gum, and ice cream. There are dairy products, various soups, beverages, teas, drinks, alcoholic beverages and vitamin complexes, and may include all health functional foods in a conventional sense, and may include foods used as feed for animals.
상기 천연 탄수화물의 예는 모노사카라이드, 예를 들어, 포도당, 과당 등; 다이사카라이드, 예를 들어 말토스, 슈크로스 등; 및 폴리사카라이드, 예를 들어 덱스트린, 시클로덱스트린 등과 같은 통상적인 당, 및 자일리톨, 소르비톨, 에리트리톨 등의 당알콜이다. 상술한 것 이외에 향미제로서 천연 향미제 (예를 들어 레바우디오시드 A, 글리시르히진 등) 및 합성 향미제 (사카린, 아스파르탐 등)를 유리하게 사용할 수 있다.Examples of the natural carbohydrate include monosaccharides such as glucose, fructose and the like; disaccharides such as maltose, sucrose and the like; and polysaccharides such as conventional sugars such as dextrin and cyclodextrin, and sugar alcohols such as xylitol, sorbitol, and erythritol. As flavoring agents other than those described above, natural flavoring agents (eg rebaudioside A, glycyrrhizin, etc.) and synthetic flavoring agents (saccharin, aspartame, etc.) can be advantageously used.
상기 외에 본 발명의 조성물은 여러 가지 영양제, 비타민, 광물(전해질), 합성 풍미제 및 천연 풍미제 등의 풍미제, 착색제 및 중진제(치즈, 초콜릿 등), 펙트산 및 그의 염, 알긴산 및 그의 염, 유기산, 보호성 콜로이드 증점제, pH 조절제, 안정화제, 방부제, 글리세린, 알코올, 탄산 음료에 사용되는 탄산화제 등을 포함할 수 있다. 그밖에 천연 과일쥬스 및 과일 쥬스 음료 및 야채 음료의 제조를 위한 과육을 포함할 수 있다. 이러한 성분은 독립적으로 또는 조합하여 사용할 수 있다.In addition to the above, the composition of the present invention contains various nutrients, vitamins, minerals (electrolytes), flavoring agents such as synthetic flavoring agents and natural flavoring agents, coloring agents and thickening agents (cheese, chocolate, etc.), pectic acid and its salts, alginic acid and its salts. salts, organic acids, protective colloidal thickeners, pH adjusters, stabilizers, preservatives, glycerin, alcohols, carbonation agents used in carbonated beverages, and the like. Other natural fruit juices and fruit juice beverages and fruit juices for the production of vegetable beverages may be included. These components may be used independently or in combination.
본 발명에서, 건강 기능(성) 식품 (functional food)이란, 특정보건용 식품(food for special health use, FoSHU)와 동일한 용어로, 영양 공급 외에도 생체조절기능이 효율적으로 나타나도록 가공된 의학, 의료효과가 높은 식품을 의미한다. 여기서 "기능(성)"이라 함은 인체의 구조 및 기능에 대하여 영양소를 조절하거나 생리학적 작용 등과 같은 보건용도에 유용한 효과를 얻는 것을 의미한다. 본 발명의 식품은 당 업계에서 통상적으로 사용되는 방법에 의하여 제조가능하며, 상기 제조시에는 당 업계에서 통상적으로 첨가하는 원료 및 성분을 첨가하여 제조할 수 있다. 또한 상기 식품의 제형 또한 식품으로 인정되는 제형이면 제한 없이 제조될 수 있다. 본 발명의 식품 조성물은 다양한 형태의 제형으로 제조될 수 있으며, 일반 약품과는 달리 식품을 원료로 하여 약품의 장기 복용시 발생할 수 있는 부작용 등이 없는 장점이 있고, 휴대성이 뛰어나다.In the present invention, health functional (sex) food (functional food) is the same term as food for special health use (FoSHU), and in addition to nutritional supply, medical and medical processed to efficiently exhibit bioregulatory functions. Foods that are highly effective. Here, "function (sex)" means to obtain a useful effect for health purposes such as regulating nutrients or physiological action with respect to the structure and function of the human body. The food of the present invention can be prepared by a method commonly used in the art, and at the time of manufacture, it can be prepared by adding raw materials and components commonly added in the art. In addition, the formulation of the food may be prepared without limitation as long as it is a formulation recognized as a food. The food composition of the present invention can be prepared in various types of dosage forms, and unlike general drugs, it has the advantage of not having side effects that may occur during long-term administration of the drug using food as a raw material, and has excellent portability.
본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 상세하게 후술되어있는 실시예들을 참조하면 명확해질 것이다. 그러나 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 것이며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하고, 본 발명이 속하는 기술 분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다.Advantages and features of the present invention, and methods for achieving them, will become apparent with reference to the embodiments described below in detail. However, the present invention is not limited to the embodiments disclosed below, but will be implemented in a variety of different forms, and only these embodiments allow the disclosure of the present invention to be complete, and common knowledge in the technical field to which the present invention belongs It is provided to fully inform the possessor of the scope of the invention, and the present invention is only defined by the scope of the claims.
<실시예 1> 유박테리움 칼란데리(<Example 1> Eubacterium calenderi ( Eubacterium callanderiEubacterium callanderi )) 균주의 분리, 배양액의 제조 및 인간 대장암 세포 억제 효과Isolation of strains, preparation of culture medium, and inhibition of human colorectal cancer cells
인간 분변에서 분리한 Eubacterium callanderi를 RCM 배지에서 혐기상태로 2일 동안 액체 배양 후 이를 필터로 여과하여 미생물 배양액(CFS; cell free supernatant)을 만들었다. 인간대장암세포(HCT116)를 96 well plate에 1x104 cells/well로 시딩 후 24시간 뒤 필터한 배양액을 농도별로 처리하였다(0 ~ 100 ㎕/ml). 배양액 처리 후 3일 뒤 MTT assay를 통해 세포 증식을 관찰한 결과 농도 의존적으로 세포 성장억제 활성이 있음을 확인하였다(도 1). Eubacterium callanderi isolated from human feces was cultured in anaerobic conditions in RCM medium for 2 days and then filtered through a filter to prepare a microbial culture medium (CFS; cell free supernatant). Human colorectal cancer cells (HCT116) were seeded in 96-well plates at 1x10 4 cells/well, and the filtered culture solution was treated for each concentration after 24 hours (0 ~ 100 μl/ml). As a result of observing cell proliferation through MTT assay 3 days after treatment with the culture medium, it was confirmed that there was a concentration-dependent cell growth inhibitory activity (FIG. 1).
<실시예 2> 유박테리움 칼란데리(<Example 2> Eubacterium calenderi ( Eubacterium callanderiEubacterium callanderi ) 균주 배양액의 대장암 특이적 항암 효과) Colorectal cancer-specific anticancer effect of the culture medium
실시예 1에서 만든 CFS의 활성이 in vivo 마우스 동물 실험을 위해 마우스대장암세포(CT26)에도 활성이 있는지 마찬가지로 MTT assay를 통해 확인한 결과 활성이 나타남을 확인하였다. 그리고 이러한 활성이 암세포에 대한 특이적 활성임을 확인하기 위해 인간대장정상세포(CCD 841 CoN)에 배양액을 처리하여 MTT assay를 통하여 확인한 결과 정상세포에서는 세포 증식 저해 활성이 거의 나타나지 않음을 확인하였다(도 2).Similarly, it was confirmed by MTT assay whether the activity of CFS prepared in Example 1 was also active in mouse colorectal cancer cells (CT26) for in vivo mouse animal experiments. And in order to confirm that this activity is a specific activity for cancer cells, human colonic normal cells (
<실시예 3> 유박테리움 칼란데리(<Example 3> Eubacterium calander ( Eubacterium callanderiEubacterium callanderi ) 균주 배양액의) of the strain culture 세포주기와 세포고사(apoptosis)에 미치는 효과Effect on cell cycle and apoptosis
Eubacterium callanderi CFS에 대해 인간대장암세포(HCT116)에서 세포 증식 억제 활성의 메커니즘을 확인하기 위해 Flow cytometry assay를 수행하였다. HCT116 세포에 Eubacterium callanderi 배양액을 처리한 후 3일간 배양시키고 AnnexinV와 Propidium Iodide(PI)를 처리하여 Flow cytometry assay를 수행하였을 때, CFS 처리군의 HCT116이 control 대비 G2기의 cell이 6.8% 증가하였고 apoptosis가 12% 증가하는 것을 확인하였다. 따라서 Eubacterium callanderi 배양액이 cell cycle arrest와 apoptosis 둘 다 영향을 미치는 것을 확인하였다(도 3).Flow cytometry assay was performed to confirm the mechanism of cell proliferation inhibitory activity in human colorectal cancer cells (HCT116) against Eubacterium callanderi CFS. When HCT116 cells were treated with Eubacterium callanderi culture medium, cultured for 3 days, and flow cytometry assay was performed with AnnexinV and Propidium Iodide (PI), HCT116 cells in CFS-treated group increased by 6.8% in G2 phase cells compared to control, and apoptosis was confirmed to increase by 12%. Therefore, it was confirmed that the culture medium of Eubacterium callanderi affects both cell cycle arrest and apoptosis (FIG. 3).
<실시예 4> 유박테리움 칼란데리(<Example 4> Eubacterium calenderi ( Eubacterium callanderiEubacterium callanderi ) 균주 배양액의 활성 물질의 성질 분석) Analysis of the properties of the active substances in the culture medium of the strain
Eubacterium callanderi CFS의 활성 물질의 성질을 규명하기 위해 Heat-inactivation (A) Protease 및 α-amylase 처리 (B), Ethyl acetate 추출 (C)을 수행하였다. RCM과 CFS를 100℃에서 10분간 열처리 한 뒤 활성을 확인하였고, enzyme 또한 RCM과 CFS를 37℃에서 한 시간 동안 각 enzyme을 처리 후 활성을 확인하였다. Ethyl acetate 추출의 경우 RCM과 CFS에 Ethyl acetate를 같은 용량으로 섞어준 뒤 층 분리를 통해 aqueous phase와 organic phase를 분리하였다. organic phase는 rotary evaporator로 ethyl acetate를 증발시킨 뒤 methanol에 녹여 사용하였다. 그 결과 Heat-inactivation과 enzyme 처리에 영향을 받지 않는 물질임을 확인하였고, Ethyl acetate로 추출 시 수층(aqueous phase)에 활성 물질이 존재함을 확인하였다(도 4).To characterize the active substance of Eubacterium callanderi CFS, heat-inactivation (A), protease and α-amylase treatment (B), and ethyl acetate extraction (C) were performed. RCM and CFS were heat-treated at 100° C. for 10 minutes, then the activity was checked, and the enzymes were also treated with RCM and CFS at 37° C. for one hour, and then the activity was checked. In the case of ethyl acetate extraction, ethyl acetate was mixed with RCM and CFS in the same volume, and the aqueous phase and organic phase were separated through layer separation. The organic phase was used by evaporating ethyl acetate with a rotary evaporator and then dissolving it in methanol. As a result, it was confirmed that the material was not affected by heat-inactivation and enzyme treatment, and it was confirmed that the active material was present in the aqueous phase when extracted with ethyl acetate (FIG. 4).
<실시예 5> 유박테리움 칼란데리(<Example 5> Eubacterium calander ( Eubacterium callanderiEubacterium callanderi ) 균주 또는 배양액의 ) of the strain or culture medium in vivoin vivo 효과 effect
Eubacterium callanderi 배양액(A) 및 균주(B)의 대장암 세포 증식 억제 능력을 in vivo에서 확인하기 위해 마우스대장암세포 CT26을 6주령 BALB/C 마우스 옆구리에 피하 주사한 뒤, PBS와 균주의 경우 암세포 접종 전/후 경구투여하였고, RCM배지와 CFS의 경우 종양 주변에 피하주사하여 암세포 접종 4일 후부터 2일 간격으로 총 30일 동안 종양의 크기를 측정하였다. 그 결과 배양액 접종 시 크기는 25.6%, 무게는 32% 감소하였고, 균주 접종 시 대장암의 크기는 30.5%, 무게는 29.5% 감소함을 확인하였다(도 5).To confirm in vivo the ability of Eubacterium callanderi culture medium (A) and strain (B) to inhibit colorectal cancer cell proliferation, mouse colorectal cancer cells CT26 were subcutaneously injected into the flank of 6-week-old BALB/C mice, followed by inoculation of cancer cells with PBS and strains It was orally administered before/after, and RCM medium and CFS were injected subcutaneously around the tumor to measure the tumor size for a total of 30 days from 4 days after cancer cell inoculation at 2 day intervals. As a result, it was confirmed that the size of the culture medium was reduced by 25.6% and the weight by 32%, and the size of colorectal cancer was reduced by 30.5% and the weight by 29.5% when the strain was inoculated (FIG. 5).
Claims (10)
According to claim 6, wherein the cancer is colorectal cancer, colorectal cancer, stomach cancer, breast cancer, brain cancer, melanoma, cervical cancer, head and neck cancer, kidney cancer, lung cancer, ovarian cancer, characterized in that at least one selected from the group consisting of prostate cancer Health functional food composition for improving cancer
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