TW200930387A - Pharmaceutical composition for treating aristolochic acid nephropathy - Google Patents

Pharmaceutical composition for treating aristolochic acid nephropathy Download PDF

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TW200930387A
TW200930387A TW97100939A TW97100939A TW200930387A TW 200930387 A TW200930387 A TW 200930387A TW 97100939 A TW97100939 A TW 97100939A TW 97100939 A TW97100939 A TW 97100939A TW 200930387 A TW200930387 A TW 200930387A
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ginseng
pharmaceutical composition
group
composition according
aristolochic acid
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TW97100939A
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Chinese (zh)
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Shih-Ming Chen
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Shih-Ming Chen
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Abstract

A pharmaceutical composition comprises a ginseng extract which includes ginsenosides for the active ingredient of treating aristolochic acid nephropathy.

Description

200930387 九、發明說明: 【發明所屬之技術領域】 - 本發明係關於一種治療腎病之醫藥組合物,特別是關 於一種治療馬兜鈴酸所引起的腎病之醫藥組合物。 【先前技術】 1991年比利時的年輕婦女服用含有中草藥成分的減 肥藥後發生腎衰竭,進一步分析發現這些減肥藥含有馬兜 〇 鈴酸的成分。腎臟受損部位侷限於近曲小管,有明顯的細 胞浸潤、腎小管萎縮,以及間質纖維化的情形。 馬兜鈴酸(Aristolochic acid,AA)是馬兜鈐科 植物所含的共同成分,包含以ι〇-氮菲 -1-酸(10-nitrophenanthrene-l-acid)為基本骨架的混合物,最 主要是馬兜鈴酸I (Aristolochic acid I,AAI)和馬兜鈐酸π (Aristolochic acid II,AAII)(如圖一)。馬兜鈐酸 I 的彿點200930387 IX. DESCRIPTION OF THE INVENTION: TECHNICAL FIELD OF THE INVENTION The present invention relates to a pharmaceutical composition for treating kidney disease, and more particularly to a pharmaceutical composition for treating kidney disease caused by aristolochic acid. [Prior Art] In 1991, young women in Belgium took kidney failure after taking a fat-reducing drug containing a Chinese herbal medicine component, and further analysis revealed that these diet pills contained a component of sedative. The damaged part of the kidney is confined to the proximal convoluted tubule, with obvious cell infiltration, tubular atrophy, and interstitial fibrosis. Aristolochic acid (AA) is a common component of the family of the genus Ranunculaceae, and contains a mixture of 10-nitrophenanthrene-l-acid as the basic skeleton. It is Aristolochic acid I (AAI) and Aristolochic acid II (AAII) (Fig. 1). Maple Point of Maplecan Acid I

(boiling point,B.P.)為 275-278°C,裂解溫度(onset O temPerature 〇f decomposition)為 28 l-286°c ;而馬兜鈴酸 II 的沸點為270-273°C,裂解溫度為270-272X:,因為沸點和 裂解溫度很高’一般生藥煎煮方式並不會使其分解。 馬兜鈴酸誘發的腎病變(Aristolochic acid nephropathy, AAN)是一種持續惡化的腎臟疾病。在臨床表徵方面,主 要包括早期嚴重的貧血、正常無菌性膿尿、輕微腎小管性 蛋白尿’例如.低分子量蛋白尿(l〇w m〇lecular weight proteinuria),尿中的低分子量蛋白包括:微球蛋白(cd_ microglobulin),02-微球蛋白(02-micr〇gi〇buHn),克氏細胞 5 200930387 蛋白(dam cell protein),網膜醇結合蛋白(retin〇l binding protein)等都會上升。 在病理特徵方面’腎臟體積縮小且不對稱,由病人腎 臟切片可見肢的腎間質纖維化,合併腎小管萎縮及空洞 化,間質有細胞浸潤的情形’病變以皮f表層最嚴重,入 球及出球小動脈嶋有纖維化及不_增厚,腎絲球損傷 則較輕微。約有40%病人產生泌尿系統惡性腫瘤,且主要 發生於上泌尿道。 目前AAN的致病機轉仍不清楚,推測可能原因如下: (1)AA可能有直接的細胞毒殺作用,導致腎小管損害以及 後續的非細胞性的間質性纖維化;(2) AA和DNA^化的 加成物(AA-DNA adducts)可能誘發突變而導致AAN相 關,惡性腫瘤以及纖維化的過程;(3)細胞内鈣離子濃度 升高可能是AAI誘發細胞凋零的原因之一;(4) μ使腎小 管增厚而使管腔狹窄引起缺血,最後導致腎小管萎縮;(5) 腎小管間質畜積免疫細胞,活化免疫導致纖維化。 馬兜鈴酸腎病變的治療方法仍無定論。臨床上只有回 顧性、非隨機分配的小型研究和少數的案例報主 醇可以延遲腎臟持續惡化^== 長期服用類固醇產生可預期、不可避免的藥物副作用,包 括骨折、血糖值異常、深層靜脈栓塞、潰瘍、型態上的改 變等’往往造成另一個治療上的新問題。 AAN進展到末期腎病是非常快速的,以至於使用一些 保護腎臟的藥物,如:血管收縮素轉化酵素抑制劑 Cangiotensin-converting enzyme inhibit〇rs)或鈣通道阻滯藥 6 200930387 (calcium-channelblockers)也無法延緩腎病的惡化。 因此,發覺有效且安全的藥物來治療AAN具有其臨 ' 床應用的價值。 ' • 【發明内容】 本發明之目的在於提供一種醫藥組合物含有人參濃縮 劑以治療馬兜鈐酸腎病變。 本發明之目的在於提供一種醫藥組合物含有人參皂苷 以治療馬兜鈴酸腎病變。 為達上述之一或部份或全部目的或是其他目的,本發 明之一實施例為一治療腎病之醫藥組合物,用以治療由馬 兜鈴酸所誘發的腎病,該醫藥組合物包括—經萃取而得之 人參濃縮劑,其以人參皂苷為有效成份。 該人參濃縮劑之有效劑量為USmg/kg至5〇〇mg/kg , 較佳有效劑量為250 mg/kg。 該人參濃縮劑’係將紅參置於圓底燒瓶中,以5〇%乙 Ο 醇水溶液加熱萃取6小時,反覆操作三次,過濾後收集三 次濾液,經由減壓濃縮、冷凍乾燥之步驟而製得。每 公克該紅參約可製成該人參濃縮劑39公克。 ,在-較佳實施例中’上述治療f病之醫藥組合物包括 至少-種人參皂物insenGside) m絲由馬兜鈴酸所引 起的腎病。 該人參4¾1係選自ginsenosidei^、目丨咖咖丨如叫 以及_咖也則所構成的群組中,其有效漠度為5 mg/kg ° 7 200930387 【實施方式】 茲配合圖示詳述本發明「治療馬兜鈴酸腎病變之醫藥 • 組合物」’並列舉較佳實施例說明該醫藥組合物之藥理作 • 用’使熟知本技藝之人士根據下文所揭示之内容、圖示以 及說明’將可無困難地充分利用本發明進行產業上之利用。 以下實施例係藉由投予AA引起馬兜領酸腎病變 (AAN) ’以評估人參濃縮劑(ginseng狀仕⑽,QE)及其成份人 參皂苷(ginsenoside Rh、Rd及Rgl)對AAN的改善效果, © 再以免疫螢光化學染色探討細胞激素TGF-/3、蛋白酶 MMP-9、HGF(Hepatocyte Growth Factor)和此腎病變的關 係。 在以下實施例中’人參gi似C.A. Meyer) 為五加科(Jra/kcefle)人參屬的多年生草本植物,藥用部 位為乾燥根。 人參種類繁多,依據其基源的不同,大致可分為韓國 ❾ 及大陸東北生產的尸妙脱喂C.A. Meyer ;美國與加拿 大所產的P· guinquefoHus L兩大類。尚有其他同為人參屬 但不同種的人參’如:竹節人參/日本人參^ A. Meyer);三七/田七[p⑽吻聰叹(Burkm ) F H ] •,越 南人參(户We仂ame«成Ha & Grushv)等。 若依照人參的生長方式來分,可分為栽培參、野生參 及移山參。栽培參又稱園參,是人工栽培而成。移山參則 是幼小野生參雜於频,將則、_參佩於山野而 長成。 若依照加,絲區分’可分為自參(Ginseng 8 200930387 )及、’工參(Ginseng Radix Rubra)。兩者的差異在於紅 參有經過蒸製處理,最後乾燥而得 。然而,本發明之實施 例不需限定人參種類。 • 人參的效用除了和種類有關,也與其生長年齡有關, -般而言’六年生的人參,抑成份的種類量多、成份均 衡、分佈平均,功效較佳。 人參的主要活性成份為人參息普(ginsen〇side),目前 發現約有30餘種人參息苷,依人參不同的種類、部位,所 © 含的皂普種類及含量各有不同;人參的組成除了息皆外, 尚包含醣類、含氮化合物、胺基酸、植物固醇、精油、有 機酸、維他命及礦物質等。 人參皂苷(ginsenoside肋丨、Rd及Rgl)約占人參的 3 6/〇屬於二萜配餹體(池erpene办⑺gde),由醣基及非 醣基(saP〇genin)所組成。依據其非醣基的結構可將人參 息普分為三大類:protopanaxadi()ls €PpD〇、(Boiling point, BP) is 275-278 ° C, the onset O temPerature 〇f decomposition is 28 l-286 ° c; while the aristolochic acid II has a boiling point of 270-273 ° C, the pyrolysis temperature is 270 -272X: Because the boiling point and cracking temperature are very high, the general method of decoction does not decompose. Aristolochic acid nephropathy (ANN) is a persistently worsening kidney disease. In terms of clinical characterization, it mainly includes early severe anemia, normal aseptic pyuria, mild renal tubular proteinuria, such as low molecular weight proteinuria, and low molecular weight proteins in urine including: microspheres. Protein (cd_microglobulin), 02-microglobulin (02-micr〇gi〇buHn), Krebs 5 200930387 dam cell protein, retin〇l binding protein, etc. will all rise. In terms of pathological features, the kidneys are reduced in size and asymmetry. The renal interstitial fibrosis of the limbs is visible in the kidney slices of the patient, and the tubular atrophy and hollowing are formed. The interstitial cells are infiltrated. The lesion is the most severe in the surface of the skin. The ball and the afferent arterioles are fibrotic and not thickened, and the glomerular damage is mild. About 40% of patients develop urinary malignancies and mainly occur in the upper urinary tract. At present, the pathogenesis of AAN is still unclear. The possible causes are as follows: (1) AA may have direct cytotoxicity, leading to tubular damage and subsequent non-cellular interstitial fibrosis; (2) AA and DNA-added adducts (AA-DNA adducts) may induce mutations leading to AAN-related, malignant tumors and fibrosis processes; (3) elevated intracellular calcium concentration may be one of the causes of AAI-induced cell wilting; (4) μ thickens the renal tubules to cause ischemia of the lumen, and finally leads to tubular atrophy; (5) renal tubular mesenchymal immune cells, activated immunity leading to fibrosis. The treatment of aristolochic acid nephropathy remains inconclusive. Clinically, only retrospective, non-randomized small studies and a small number of cases report that primary alcohol can delay the progression of the kidneys. ^== Long-term use of steroids produces predictable and unavoidable side effects, including fractures, abnormal blood glucose levels, and deep vein thrombosis. ', ulcers, changes in type, etc.' often cause another new problem in treatment. The progression of AAN to end stage renal disease is so rapid that some kidney-protecting drugs such as Cangiotensin-converting enzyme inhibit rss or calcium channel blockers 6 200930387 (calcium-channelblockers) are also used. Can not delay the deterioration of kidney disease. Therefore, finding effective and safe drugs to treat AAN has its value in clinical applications. 'A Summary of the Invention>> It is an object of the present invention to provide a pharmaceutical composition comprising a ginseng concentrate for the treatment of nephrotic kidney disease. It is an object of the present invention to provide a pharmaceutical composition comprising ginsenoside for the treatment of aristolochic acid nephropathy. In order to achieve one or a part or all of the above or other objects, an embodiment of the present invention is a pharmaceutical composition for treating kidney disease for treating kidney disease induced by aristolochic acid, the pharmaceutical composition comprising- The ginseng concentrate obtained by extraction has ginsenoside as an active ingredient. The effective dose of the ginseng concentrate is from USmg/kg to 5〇〇mg/kg, and the preferred effective dose is 250 mg/kg. The ginseng concentrate agent was prepared by placing red ginseng in a round bottom flask, heating and extracting with a 5 〇% aqueous solution of acetol for 6 hours, repeating the operation three times, collecting the filtrate three times after filtration, and performing the steps of concentration under reduced pressure and freeze-drying. Got it. The red ginseng can be made into 39 grams of the ginseng concentrate per gram. In the preferred embodiment, the pharmaceutical composition for treating the above disease comprises a kidney disease caused by at least a ginseng soap insenGside) m silk by aristolochic acid. The ginseng 43⁄41 is selected from the group consisting of ginsenosidei^, 丨咖咖咖丨, and _咖也, and its effective desertility is 5 mg/kg ° 7 200930387 [Embodiment] The invention relates to a "pharmaceutical composition for treating aristolochic acid nephropathy" and exemplifies a preferred embodiment for explaining the pharmacology of the pharmaceutical composition, which is used to enable those skilled in the art to disclose the contents, the illustration and the following. The description 'will make full use of the present invention for industrial use without difficulty. The following examples are based on the evaluation of ginseng concentrate (10, QE) and its constituent ginsenosides (ginsenoside Rh, Rd and Rgl) to improve AAN by administering AA. Effect, © The relationship between cytokines TGF-/3, protease MMP-9, HGF (Hepatocyte Growth Factor) and this nephropathy was investigated by immunofluorescence staining. In the following examples, 'ginseng gi like C.A. Meyer' is a perennial herb of the ginseng genus of the genus Jac/kcefle, and the medicinal part is a dry root. There are many kinds of ginseng. According to their different basic sources, they can be roughly divided into Korean ❾ and C.A. Meyer produced in the northeast of China, and P·guinquefoHus L produced by the United States and Canada. There are other ginsengs of the same kind but different species such as: bamboo ginseng / Japanese ginseng ^ A. Meyer); Sanqi / Tianqi [p (10) kiss sigh (Burkm) FH] •, Vietnamese ginseng ( household We仂ame «Into Ha & Grushv) and so on. According to the growth method of ginseng, it can be divided into cultivated ginseng, wild ginseng and ginseng. The cultivated ginseng, also known as the garden ginseng, is artificially cultivated. The ginseng is a young wild mixed with the frequency, and it will grow into a mountain. According to the addition, the silk distinction can be divided into self-referential (Ginseng 8 200930387) and 'Ginseng Radix Rubra'. The difference between the two is that the red ginseng has been steamed and finally dried. However, embodiments of the invention do not need to limit the ginseng species. • The efficacy of ginseng is related to the type and age of growth. In general, ginseng, which is a six-year-old ginseng, has a large variety of ingredients, a balanced composition, an average distribution, and better efficacy. The main active ingredient of ginseng is ginsen〇side. At present, there are about 30 kinds of human ginseng glycosides. According to different types and parts of ginseng, the types and contents of soaps are different. The composition of ginseng In addition to sugar, nitrogen compounds, amino acids, phytosterols, essential oils, organic acids, vitamins and minerals. Ginsenosides (ginsenoside ribs, Rd and Rgl) account for about 3 6 / 〇 of ginseng belongs to diterpene steroids (pool erpene (7) gde), composed of glycosyl and non-glycosyl (saP〇genin). According to its non-glycosyl structure, ginseng can be divided into three categories: protopanaxadi () ls € PpD 〇,

Pr〇t〇Panaxatri〇ls (PPTs)及 〇leanolic acid (圖二 a 至圖一 ❹ C)。 间一 人參皂苷Rb!有保護神經,改善學習及記情功 氧化,保護肝臟,抗癌等作用。 的產生’對其他前發炎物質如:interleukin_^ mterleukin-6(IL-6)的產生也有抑制作用。此外,人參皂 Rg!可改善腎組織’而人參料則對腎臟亦有保護作用。 [實施例一】人參濃縮劑在AAN之藥效評估 實驗動物C3H/He六週齡雄性小鼠,以一般小鼠飼料 9 200930387 (褐哥牌’臺灣)飼養’供其自由攝食及充足的飲水,代養 在室溫約2H、相對渥度約7〇〜8〇%的環境,動物房内維 持I2小時明暗自動光照。此實驗動物適用於本發明之所有 . 實施例。 附帶說明的是,本發明之實施例分別針對BALB/C, C3H/He,(:5術6三種品系小鼠腹腔注射或口服給予 AA,發現C3H/He有明顯的腎間質纖維化及細胞浸潤,與 臨床上AAN病人的病徵最相似,故選擇以C3醒^小鼠為 © 實驗動物。 製備人參濃縮劑(GE)時’紅參(韓國產)3〇〇公克置 於圓底燒瓶中,加入1:1之水醇溶液(1:1〇, _〇1),置放 於水浴槽加熱迴流六小時,反鶴作三次,㈣三次爐液 合併後過濾,以減壓濃縮機濃縮後,冷凍乾燥之,即為人 參濃縮劑Pr〇t〇Panaxatri〇ls (PPTs) and 〇leanolic acid (Fig. 2a to Fig. 1 ❹ C). One ginsenoside Rb! protects the nerves, improves learning and melody, oxidizes, protects the liver, and fights cancer. The production of 'anti-inflammatory substances such as: interleukin_^ mterleukin-6 (IL-6) also inhibited the production. In addition, ginseng soap Rg! can improve kidney tissue while ginseng also protects the kidneys. [Example 1] Efficacy evaluation of ginseng concentrate in AAN Experimental animals C3H/He six-week-old male mice were fed with normal mouse feed 9 200930387 (brown brand 'Taiwan) for free food intake and sufficient drinking water In the environment of about 2H at room temperature and about 7〇~8〇% relative humidity, I2 hours of automatic light and illumination are maintained in the animal room. This experimental animal is suitable for use in all of the invention. Incidentally, the examples of the present invention are directed to BALB/C, C3H/He, (5:6, 6 strains of mice, intraperitoneal injection or oral administration of AA, and found that C3H/He has significant renal interstitial fibrosis and cells. Infiltration, the most similar to the clinical symptoms of AAN patients, so choose C3 wake mice as the experimental animals. Preparation of ginseng concentrate (GE) 'red ginseng (Korea) 3 gram in a round bottom flask Add 1:1 water alcohol solution (1:1〇, _〇1), place it in a water bath and heat it for reflux for six hours, anti-hewn three times, (four) three times the furnace liquid is combined and filtered, and concentrated under reduced pressure. , lyophilized, that is, ginseng concentrate

在本實施例中,實驗開始前,每隻小鼠的每曰平均飲 水量約為3.5 ml。將馬兜鈐酸鈉鹽s〇dium sak (AAI © 63%,AAII 31%) (Sigma,USA))溶於蒸餾水(distilled water, d.W.)當作小鼠之飲用水,劑量為3.0 y g/mL (0.5 mg/kg/day) ’連續投予56天後恢復正常飲水,並分別經口 投予0_1 ml人參濃縮劑(ge) 125、250、500 mg/kg,持續 投藥14天,對照組投予等量蒸餾水,N〇rmal組則全程給 予蒸顧水。為了觀察人參濃縮劑對AAN的治療效果,給 予治療藥物後14天犧牲各組的動物,實驗組、對照組及 normal組每組動物各10隻,共5〇隻。 尿液及血液分析的結果如下: 200930387 尿蛋白含量分析:在尿蛋白的分析中’投予治療藥物 GE 7 天,實驗組中 125 mg/kg (2.52±0.20* mg/day),250 mg/kg (2.12±0.27* mg/day),500 mg/kg 組(2.34±0.03* • mg/day)之24小時尿蛋白含量減少,相較於AAN對照組 (2.88±0.04mg/day)皆有統計學上顯著的意義。而在給予治 療藥物 14 天後,125 mg/kg 組(2.12±0.15* mg/day),250 mg/kg 組(1.94±0·2Γ mg/day),500 mg/kg 組(2.00±0.2Γ mg/day)之尿蛋白含量持續降低,與對照組(3.02±0.09 ❹ mg/day)相較有統計學上顯著的意義(>< 〇.〇5)。(圖三) NAG含量分析:在NAG的含量分析中,投予GE 7 天後,實驗組中 125 mg/kg (2.88±0.22* //M/min/L),250 mg/kg (2.82±0.22* /zM/min/L),500 mg/kg 組(2.91±0.09* //M/min/L)之尿中NAG含量與對照組(3.29±0.01 a M/min/L)相較有降低的趨勢。而在治療14天後,!25 mg/kg (2.66 ± 0.07* " M/min/L),250 mg/kg (2.36 ± 0·〇Γ " M/min/L)與 500 mg/kg 組(2.46±0.05料 // M/min/T.)皆可降 ❹ 低尿中NAG含量’與對照組(3.39±0.15 /zM/min/L)相較 有統計學上顯著的意義(*Ρ<〇.〇5,**ρ<〇.〇ι)。(圖四) 也清中BUN值:連續投予Η天GE 250 mg/kg (20.00 ±1.22 mg /dL)會降低血清中BUN值,相較於AAN對照 組(23.75±2.06mg/dL)有統計學上的意義(·><0.05)。但 投予 125 mg/kg (21.25±0.96 mg/dL),500 mg/kg (23.33±1·15 mg/dL)的組別則沒有明顯的改善。 企清中分析:在給予治療藥物14天後,25〇 mg/kg 組(〇·33±〇·〇4 mg/dL)可降低金清 creatinine 值,與In this example, the average drinking water per sputum per mouse was approximately 3.5 ml before the start of the experiment. Dissolve sodium sulphate s〇dium sak (AAI © 63%, AAII 31%) (Sigma, USA) in distilled water (dW) as drinking water for mice at a dose of 3.0 μg/mL (0.5 mg/kg/day) 'The normal drinking water was returned after 56 days of continuous administration, and 0_1 ml ginseng concentrate (ge) 125, 250, 500 mg/kg was administered orally, and the drug was administered continuously for 14 days. The same amount of distilled water was given, and the N〇rmal group was given steaming water throughout. In order to observe the therapeutic effect of ginseng concentrate on AAN, animals of each group were sacrificed 14 days after the administration of the therapeutic drugs, and 10 animals in each group of the experimental group, the control group and the normal group, a total of 5 animals. The results of urine and blood analysis were as follows: 200930387 Urinary protein content analysis: In the analysis of urine protein, 'therapeutic drug GE was administered for 7 days, 125 mg/kg (2.52±0.20* mg/day), 250 mg/ in the experimental group. Kg (2.12 ± 0.27 * mg / day), 500 mg / kg group (2.34 ± 0.03 * • mg / day) 24 hours urine protein content decreased, compared to the AAN control group (2.88 ± 0.04 mg / day) Statistically significant. After 14 days of treatment, the 125 mg/kg group (2.12±0.15* mg/day), the 250 mg/kg group (1.94±0·2Γ mg/day), and the 500 mg/kg group (2.00±0.2Γ) The urine protein content of mg/day) continued to decrease, which was statistically significant compared with the control group (3.02 ± 0.09 ❹ mg/day) (>< 〇.〇5). (Fig. 3) NAG content analysis: In the analysis of NAG content, after administration of GE for 7 days, the experimental group was 125 mg/kg (2.88±0.22* //M/min/L), 250 mg/kg (2.82±). 0.22* /zM/min/L), the NAG content in the urine of the 500 mg/kg group (2.91±0.09* //M/min/L) was compared with the control group (3.29±0.01 a M/min/L). Reduced trend. After 14 days of treatment,! 25 mg/kg (2.66 ± 0.07* " M/min/L), 250 mg/kg (2.36 ± 0·〇Γ " M/min/L) and 500 mg/kg group (2.46 ± 0.05 material // M/min/T.) can be lowered. The NAG content in low urine is statistically significant compared with the control group (3.39±0.15 /zM/min/L) (*Ρ<〇.〇5,* *ρ<〇.〇ι). (Fig. 4) BUN value in the clearing: Continuous administration of GE天GE 250 mg/kg (20.00 ± 1.22 mg /dL) reduced the BUN value in serum compared with the AAN control group (23.75±2.06 mg/dL). Statistical significance (·><0.05). However, there was no significant improvement in the group administered at 125 mg/kg (21.25 ± 0.96 mg/dL) and 500 mg/kg (23.33 ± 1.15 mg/dL). Analysis in Qiqing: After 14 days of treatment, the 25〇 mg/kg group (〇·33±〇·〇4 mg/dL) can reduce the claratinine value of Jinqing.

II 200930387 對照組(0.40±0.01 mg/dL)相較有統計學上的意義(> < 0.05) 〇 但投予 125 mg/kg (〇.38±0.〇4 mg/dL),500 mg/kg , (〇.36±0.05 mg/dL)的組別則沒有明顯的改變。 • 血糖值··在AAN小鼠投予14天GE治療之實驗組中, 發現 125 mg/kg (122.00±2.65* mg/dL) » 250 mg/kg (122.00 ±6.24* mg/dL)’500 mg/kg 組(130.00±4.36* mg/dL)的血糖 值和對照組(141.70±5.81 mg/dL)相較皆有降低的趨勢, 且有統計上顯著的差異(><〇.〇5)。 ❹ 在光學顯微鏡200倍下,觀察投予治療藥物GE之小 鼠腎組織病理變化,分別可見Normal (圖五A),對照組(圖 五 B)及連續投予 14 天 GE (125 mg/kg,250 mg/kg,500 mg/kg)之治療組(圖五c,D,E)的病理組織圖。相較於對 照組’二組治療組都可發現腎小管萎縮及間質細胞浸潤和 纖維化的情形明顯減緩,腎小管的損傷也較輕微。 經PAS染色之組織在顯微鏡下觀察,依病理組織損傷 程度量化指標(THIS)予以計分。經量化結果發現,以 ❹ 125 mg/kg (3.38±0·74 *),250 mg/kg (2.33±〇.87料),500 mg/kg (3.29±0.49^治療之組別,其組織損傷程度皆有減 輕的趨勢’與對照組(7.14±1.21)相較有統計學上的意義 (尸<0.01)。(圖六) TGF-β 組織以免疫螢光染色’利用共輛焦雷射掃描式顯微鏡 觀察腎組織化學激素TGF-沒沉積情形。相較於對照組 (95.75±8.62)之腎組織,GE 125(32.00±4.9(T)的抗體^著 12 200930387 點降低了 67 %、GE 250 (29.00±1.55”)的抗體接著點降低 70 %、GE 500 (32.20±1.33、的抗體接著點降低 66 %。 三組皆可發現腎小管和腎間質部位之紅色呈色減少,顯示 給予GE 125 ’ 250,500 mg/kg皆可減少TGF-/S蓄積。(圖 七) MMP-9 觀察腎組織以MMP-9免疫螢光染色後的沉積,相較 於對照組(1.25±0.50),GE 125 (11.50±4.20*)的亮點增加了 ❹ 8.2倍、GE250(20.67±4.99*)的亮點增加了 15.5倍、GE500 (13.00±2.94、的亮點增加了 9.4倍,三組在腎小管和腎間 質部位的紅色呈色均有增加的情形,表示給予GE 125, 250 ’ 500 mg/kg可增加MMP-9的沉積。(圖七)II 200930387 The control group (0.40±0.01 mg/dL) was statistically significant (>< 0.05) but administered 125 mg/kg (〇.38±0.〇4 mg/dL), 500 There were no significant changes in the mg/kg, (〇.36±0.05 mg/dL) group. • Blood glucose values • 125 mg/kg (122.00 ± 2.65* mg/dL) was found in the experimental group of 14 days of GE treatment in AAN mice » 250 mg/kg (122.00 ± 6.24* mg/dL) '500 The blood glucose level of the mg/kg group (130.00±4.36* mg/dL) was lower than that of the control group (141.70±5.81 mg/dL), and there was a statistically significant difference (><〇.〇 5). ❹ Under the optical microscope 200 times, the pathological changes of the kidney tissue of the mice treated with the therapeutic drug GE were observed. Normal (Fig. 5A), control group (Fig. 5B) and continuous administration for 14 days GE (125 mg/kg). , 250 mg/kg, 500 mg/kg) of the treatment group (Fig. 5 c, D, E). Compared with the control group, the two groups of treatment groups were found to have a significant slowing of tubular atrophy, interstitial cell infiltration and fibrosis, and less damage to the renal tubules. The tissue stained with PAS was observed under a microscope and scored according to the pathological tissue damage quantitative index (THIS). Quantitative results showed that 组织 125 mg / kg (3.38 ± 0 · 74 *), 250 mg / kg (2.33 ± 〇.87 material), 500 mg / kg (3.29 ± 0.49 ^ treatment group, tissue damage The degree of alleviation was statistically significant compared with the control group (7.14±1.21) (cadax <0.01). (Fig. 6) TGF-β tissue was stained with immunofluorescence using a common focal laser scan Microscopic observation of renal tissue chemical hormone TGF-no deposition. Compared with the control group (95.75±8.62) of kidney tissue, GE 125 (32.00±4.9 (T) antibody ^ 12 200930387 point decreased by 67 %, GE 250 The antibody (29.00±1.55”) decreased by 70%, and the GE 500 (32.20±1.33, antibody decreased by 66%. The red color of the renal tubules and renal interstitial sites decreased in all three groups, indicating that GE was given to GE. 125 '250,500 mg/kg can reduce the accumulation of TGF-/S. (Fig. 7) MMP-9 was observed after deposition of MMP-9 immunofluorescence staining in kidney tissue compared with the control group (1.25±0.50). The highlight of GE 125 (11.50±4.20*) increased by 8.2 times, the highlight of GE250 (20.67±4.99*) increased by 15.5 times, and the highlight of GE500 (13.00±2.94) increased. 9.4 times, between the three groups in the renal tubules and red coloring matter portion of the case are increased, represents a given GE 125, is deposited 250 '500 mg / kg increase of MMP-9. (Figure 7)

HGF 組織以免疫螢光染色,利用共軛焦雷射掃描式顯微鏡 觀察腎組織HGF沉積情形。相較於對照組(8.〇〇±〇. 82)之 腎組織,GE 125(21.00±2.83*)的亮點增加了 1.6倍、GE250 ❹ (67.00±8.55,的亮點增加了 7.4 倍、GE 500 (52.50±7.6广) 的亮點增加了 5.6倍。三組皆可發現腎小管和腎間質部位 之紅色呈色增加,顯示給予GE 125 ’ 250,500 mg/kg可增 加HGF沉積。(圖七)。The HGF tissues were stained with immunofluorescence, and the deposition of HGF in renal tissues was observed by a conjugated-focus laser scanning microscope. Compared with the kidney tissue of the control group (8.±±.82), the bright spot of GE 125 (21.00±2.83*) increased by 1.6 times, GE250 ❹ (67.00±8.55, the bright spot increased by 7.4 times, GE 500 The highlights of (52.50±7.6 guang) increased by 5.6 times. The red coloration of the renal tubules and renal interstitial sites was found in all three groups, indicating that the administration of GE 125 '250,500 mg/kg increased HGF deposition. ).

【實施例二】Ginsenoside Rbl,Rd,Rgl 對慢性 AAN 的藥效評估 本實施例將AA溶於d.w.當作小鼠之飲用水,劑量為 3-0 /zg/mL (0.5mg/kg/day),連續投予56天後,恢復正常 13 200930387 飲水,並分別經口投予〇 lml ginsen〇side Rbl,hi,如(以 下簡稱GS) 5 mg/kg,持續投藥14天,對照組投予等量蒸 餾水’ Normal組則全程給予蒸顧水。4 了觀察治療藥物= AAN之效果,給予治療藥物後14天犧牲各組的動物,實 驗組及對照組及normal組動物每組各1〇隻,共5〇隻。 尿液及血液分析的結果如下:[Example 2] Evaluation of the efficacy of Ginsenoside Rbl, Rd, Rgl on chronic AAN In this example, AA was dissolved in dw as drinking water of mice at a dose of 3-0 /zg/mL (0.5 mg/kg/day). ), after 56 days of continuous administration, return to normal 13 200930387 drinking water, and sputum lml ginsen〇side Rbl,hi, such as (GS) 5 mg/kg, for 14 days, the control group was administered. The same amount of distilled water 'Normal group is given to the steaming water. 4 The effect of the therapeutic drug = AAN was observed. The animals in each group were sacrificed 14 days after the administration of the therapeutic drug. The experimental group and the control group and the normal group each had 1 各 each, a total of 5 〇. The results of urine and blood analysis are as follows:

Ο 尿蛋白含量分析:在尿蛋白的分析中,投予治療藥物 GS 5 mgAg 7 天,實驗組中 Rbl (191±〇〇9* mg/day):肋 (2.05±〇.14*mg/day),Rgl 組(2.03±〇 〇3*mg/day)之以小 時尿蛋白含量齡,相概AAN_i (2 98±G G5 皆有統計學上顯著的意義。而在給予治療藥物14天後, 叫組(umn** mg/day),Rd 組(2 〇6±〇 〇Γ _吻), 厌心組(1.83±0.l/*mg/day)尿蛋白含量持續降低,與對照 組(3.06±0.08 mg/day)相較有統計學上顯著的意義(>= 0.05,*>< 〇.〇1)。(圖八) NAG含#分析:在NAG的含量分析巾,投予Gs 5 mg/kg 7天後’實驗組中Rbl⑽说⑽^购流),如 (2·98±〇·13* "M/min/L),Rgi 組(2_7*_ 之尿t NAG含量與對照組(3.65±〇〇5⑽爪流)相較 有降低的趨勢。而在治療14天後,%組(2 85±讀、 M/min/L) ’ Rd 組(3.01_8、M/min/L)與秘組⑽ 土〇.〇4 vM/min/L)組皆可降低尿中NAG含量,與對照纽 (3.85±0.M /zM/min/L)相較皆有統計學上顯著的意 <〇.〇5)。(圖九) 血清中BUN值:連續投予14天GS吻5 mg/kg (19 5〇 200930387 土 1.29 mg /dL),Rd 5 mg/kg (17.40±1.52** mg /dL),Rgi 5 mg/kg (20.50±0.58* mg /dL)皆會降低血清中BUN值,相 較於AAN對照組(22.55± 1,08 mg/dL)有統計學上的意義 (><0.05,><〇.〇1)。 血清中Creatinine分析:在給予治療藥物GS 5 mg/kg 14 天後,(OJOiO.ofmg/dL^RgiM (0.30±0.〇rmg /dL)可降低血清creatinine值,與對照組(0.38±0.04 mg/dL) 相較有統計學上的意義(> < 0.05)。但投予Rd (0.33±0.05 ❺ mg/dL)的組別則沒有明顯的降低。 血糖值.在AAN小鼠投予14天GS治療之實驗組中, 發現 Rbi 組(132.00±3.46* mg/dL),Rgi 組(131.75±2.36* mg/dL)的血糖值和對照組(142.20± 1.92 mg/dL)相較皆 有降低的趨勢,且有統計上顯著的差異(*P<〇〇5)tMiRd 組(137.75±9.74mg/dL)則沒有明顯的降低。 在光學顯微鏡200倍下,觀察投予治療藥物Gs之小 鼠腎組織病理變化,分別可見N〇rmal組(圖十A),對照 〇 組(圖十B)與連續投予14天5mg/kg GS叫,Rd,Rgl 之治療組(圖十C,D,E)的病理組織圖。相較於對照組,三 組治療組都可發現腎小管及間質細胞浸潤和纖維化的情形 明顯減緩,腎小管的損傷也較輕微。 經PAS染色之組織在光學顯微鏡下觀察,依病理組織 損傷程度量化指標(TIHS)予以計分。經量化結果發現,以 GS 叫(2.50±0.55**),Rd (3.84±0.83、Rgl (2.33±0.65**)治 療之組別,組織損傷程度皆有減輕的趨勢,相較於對照: (7.14±1.21)有統計學上的意義(*><〇〇1)。(圖十一)一、 200930387 TGF^ 組織以免疫螢光染色,利用共軛焦雷射掃描式顯微鏡 觀察腎組織化學激素TGF-β沉積情形。對照組之腎組織與 GS Rbi、Rd、Rgl治療組的TGF-yS沉積程度不同。相較於 對照組(95.75±8.62)之腎組織,GSRbl (32.50±7.18**)的 抗體接著點降低了 66 %、Rd(29.00±3.79**)的抗體接著點 降低了 70 %、Rgl (22.67±6.62**)的抗體接著點降低了 76 %。三組皆可發現腎小管和腎間質部位之紅色呈色減少, ❹ 顯示TGF-万蓄積減少。(圖十二) MMP-9 觀察腎組織以MMP-9免疫螢光染色後的沉積,相較 於對照組(1.25±0.50) ’ GS (35.67±5.38,的亮點増加了 27.5 倍、Rd (26.86±5.98**)的亮點增加了 2〇 5 倍、他(28 5〇 ±3.94 )的凴點增加了 21_8倍。三組治療組在腎小管和腎 間質部位的紅色呈色皆有增加的情形,即表示給予gs Rth,Rd,Rgl可增加MMP-9的沉積。(圖十二) _以免疫螢光染色’利用共輛焦雷射掃描式顯微鏡 觀察腎組織HGF沉積情形。相較於對照組(8 〇〇±〇 82)之 腎組織’ G!叫(22.67±3.36、的亮點增加了 i 8倍,如 (Π.00±2·94 )的亮點增加了 〇.6 倍,Rgi (23 5敝 點增加了 1.9倍。三組皆可發現腎小管和腎㈣部位之= 色呈色增加’此顯示給予GS Rbi,Rd,%可增加服 的沉積(圖十二)。 16 200930387 ^本發明之實施例發現,GE可降低ααν小鼠尿蛋白含 量的結果相同。純成份的部分,Rd能夠降低cephal〇ridine 引起的尿蛋白;尺引能夠有效降低尿蛋白;除了 Rd&Rgi 外,本發明之實施例還發現Rbl也具有相同的效果,推測 可月b由於人參及其純成份能使腎血流量上升,進而改善腎 功能。 本發明之實施例中’我們發現連續投予14天人參濃縮 劑及人參皂苷Rb! ’Rd’Rgl都會降低尿中NAG含量,顯 示GE及GS能夠減緩AA造成的腎小管損傷。 BUN、serum creatinine方面,本發明之實施例發現人 參》辰縮劑250 mg/kg可以明顯降低血清中bun及creatinine 值;純成份部分’本發明之實施例發現Rbi及Rgi會明顯 降低BUN及creatinine,而Rd會使BUN降低。 在血糖值方面,給予人參濃縮劑125、250、500 mg/kg 三組皆有下降的趨勢;純成份的部分,組也觀察 到血糖值有下降的現象’推測可能因為人參能夠減少葡萄 糖在小腸的吸收及促進胰島素(insulin)分泌有關。 腎組織鏡檢觀察發現投予〇£及〇8111)1、11(1、1^1皆 可減低腎小管損傷、間質細胞浸潤和纖維化。Ο Urine protein content analysis: In the analysis of urinary protein, the therapeutic drug GS 5 mgAg was administered for 7 days, and in the experimental group, Rbl (191±〇〇9* mg/day): rib (2.05±〇.14*mg/day) ), the age of urine protein in the Rgl group (2.03 ± 〇〇 3 * mg / day), the equivalent AAN_i (2 98 ± G G5 are statistically significant. After 14 days of treatment, Called group (umn** mg/day), Rd group (2 〇6±〇〇Γ _ kiss), nausea group (1.83±0.l/*mg/day) urinary protein content continued to decrease, and the control group ( 3.06±0.08 mg/day) is statistically significant (>= 0.05,*>< 〇.〇1). (Fig. 8) NAG inclusion #analysis: analysis of NAG content, investment After Gs 5 mg/kg for 7 days, 'Rbl (10) in the experimental group said (10) ^ purchase flow), such as (2·98±〇·13* "M/min/L), Rgi group (2_7*_ urine t NAG) The content was lower than that of the control group (3.65±〇〇5(10) claw flow), and after 14 days of treatment, the % group (2 85±read, M/min/L) ' Rd group (3.01_8, M/) Min/L) and the secret group (10) bandit.〇4 vM/min/L) group can reduce the NAG content in urine, compared with the control New Zealand (3.85±0.M /zM/min/L) Significant statistically significant on < 〇.〇5). (Fig. 9) BUN value in serum: continuous administration of 14 days GS kiss 5 mg/kg (19 5〇200930387 soil 1.29 mg /dL), Rd 5 mg/kg (17.40±1.52** mg /dL), Rgi 5 Both mg/kg (20.50 ± 0.58 * mg / dL) reduced the BUN value in serum, which was statistically significant compared to the AAN control group (22.55 ± 1,08 mg/dL) (><0.05,&gt ;<〇.〇1). Creatinine analysis in serum: After administration of the therapeutic drug GS 5 mg/kg for 14 days, (OJOiO.ofmg/dL^RgiM (0.30±0.〇rmg /dL) can reduce serum creatinine value, compared with the control group (0.38±0.04 mg) /dL) was statistically significant (>< 0.05), but there was no significant decrease in the group administered with Rd (0.33 ± 0.05 ❺ mg/dL). Blood glucose values. In AAN mice. In the 14-day GS-treated group, the Rbi group (132.00±3.46* mg/dL) was found, and the Rgi group (131.75±2.36* mg/dL) was compared with the control group (142.20±.92 mg/dL). There was a trend of decrease, and there was a statistically significant difference (*P<〇〇5). There was no significant decrease in the tMiRd group (137.75±9.74 mg/dL). Under the optical microscope 200 times, the therapeutic drug Gs was observed. The pathological changes of mouse kidney tissue were observed in the N〇rmal group (Fig. 10A), the control group (Fig. 10B) and the continuous administration of 5 mg/kg GS, Rd, Rgl treatment group for 14 days (Fig. 10C, D, E) pathological tissue map. Compared with the control group, the three groups of treatment groups can be found that renal tubular and interstitial cell infiltration and fibrosis significantly slowed down, renal tubular damage is also lighter The PAS-stained tissue was observed under a light microscope and scored according to the pathological tissue damage quantitative index (TIHS). Quantitative results were found to be GS (2.50±0.55**), Rd (3.84±0.83, Rgl ( 2.33±0.65**) In the treatment group, the degree of tissue damage was alleviated, compared with the control: (7.14±1.21) was statistically significant (*><〇〇1). I) I. 200930387 TGF^ tissue was stained with immunofluorescence, and the renal tissue chemical hormone TGF-β deposition was observed by conjugated-focus laser scanning microscopy. The renal tissue of the control group and the TGF- of the GS Rbi, Rd, and Rgl treatment groups. The degree of deposition of yS was different. Compared with the control group (95.75±8.62), the antibody of GSRbl (32.50±7.18**) decreased by 66%, and the antibody of Rd (29.00±3.79**) decreased. The 70%, Rgl (22.67±6.62**) antibody decreased by 76%. In both groups, the red coloration of the renal tubules and renal interstitial sites was reduced, and ❹ showed a decrease in TGF-Million accumulation. MMP-9 was observed after deposition of MMP-9 immunofluorescence staining in kidney tissue compared with the control group (1.25±0.50) ’ GS (35.67±5.38, the highlights added 27.5 times, Rd (26.86±5.98**) increased by 2〇 5 times, and his (28 5〇 ±3.94) points increased by 21_8 times. The red coloration of the renal tubules and the renal interstitium was increased in the three treatment groups, indicating that gs Rth, Rd, and Rgl were added to increase the deposition of MMP-9. (Fig. 12) _ Immunofluorescence staining' The HGF deposition of renal tissue was observed using a co-focus laser scanning microscope. Compared with the control group (8 〇〇 ± 〇 82), the kidney tissue 'G! is called (22.67±3.36, the bright spot increased by 8 times, such as (Π.00±2·94), the bright spot increased 〇.6 Times, Rgi (23 5 points increased by 1.9 times. In all three groups, the renal tubules and kidneys (4) were found to have an increase in color coloration. This shows that GS Rbi, Rd, % can increase the deposition of the clothes (Figure 12). 16 200930387 ^ The examples of the present invention found that GE can reduce the urine protein content of ααν mice. The pure component part, Rd can reduce the urinary protein caused by cephal〇ridine; the ruler can effectively reduce the urine protein; except for Rd & In addition to Rgi, the examples of the present invention also found that Rbl has the same effect, and it is speculated that the monthly b can increase renal blood flow due to ginseng and its pure components, thereby improving renal function. In the embodiment of the present invention, we find continuous 14 days of ginseng concentrate and ginsenoside Rb! 'Rd'Rgl will reduce the urine NAG content, showing that GE and GS can reduce the damage of AA caused by tubular damage. BUN, serum creatinine, the embodiment of the present invention found ginseng The shrinkage agent 250 mg/kg can be clearly Lowering the serum bun and creatinine values; pure component part 'The examples of the present invention found that Rbi and Rgi significantly reduced BUN and creatinine, while Rd reduced BUN. In terms of blood sugar level, ginseng concentrate 125, 250, 500 mg was given. /kg The three groups all showed a downward trend; the pure component part, the group also observed a decline in blood glucose levels 'presumably because ginseng can reduce the absorption of glucose in the small intestine and promote insulin secretion. Kidney tissue microscopy It was observed that administration of 〇£ and 〇8111)1,11(1,1^1 can reduce tubular damage, interstitial cell infiltration and fibrosis.

本發明之實施例進一步選用TGF-/31、MMP-9及HGF 為一次抗體,利用免疫螢光染色法探討此腎炎模型的免疫 病理機轉。本發明之實施例中,在共軛焦顯微鏡觀察下發 現’ GE及GS的TGF-石沉積的情形降低,MMP-9及HGF 17 200930387 沉積的情形增加,顯示aa引起的纖維化情況獲得改善。 在本發明之實施例中也觀察到給予GE及GS後, TGF-沒的沉積明顯降低。另外,投予GE及GS後,mmp_9 及HGF沉積增加的現象,推測可能與人參的抗發炎作用有 關。 在人參濃縮劑方面’綜合各方面測量指標的結果,GE 250的效果最好,推估人參濃縮劑藥效可能在25〇 mg/kg 已達飽和。 綜合上述討論’本發明之醫藥組合物治療有效的可能 的機轉為:人參具有抗發炎及抗氧化的作用,且人參結構類 似類固醇也許能增加體内corticosterone含量,而能夠有效 治療AA引起之腎損傷,抑制腎臟損傷持續進展。 經口投予人參濃縮劑可降低小鼠尿蛋白,nag, BUN ’ SCr ’腎組織鏡檢觀察亦有顯著改善,免疫螢光染 色發現TGF-召表現減少’ MMP-9及HGF表現增加。顯示 人參濃縮劑能減輕AAN小鼠腎臟受損情形,其中以人參 濃縮劑250 mg/kg的效果最好。 在人參皂苷的部分,經口投予人參皂苷可降低小鼠尿 蛋白、NAG、BUN及SCr,腎組織鏡檢觀察亦有顯著改善。 免疫螢光染色發現TGF-/3表現減少,Mjyjpj及表 現增加。顯示人參皂苷能減輕AAN小鼠腎臟受損情形, 綜合以上各方面測量指標的結果’評估治療藥物在本發明 之實施例腎炎模型的療效依序為Rgi、Rbi、Rd。 上列詳細說明係針對本發明較佳實施例之具體說明, 200930387 惟上述實施例並非用以限制本發明之專利範圍,凡未脫離 本發明技藝精神所為之等效實施或變更,均應包含於本案 之專利範圍中。 【圖式簡單說明】 圖一、Aristolochic acid I, II 的化學結構式; 圖二A至圖二C、人參皂苷之結構分類; 圖三、人參濃縮劑在此腎炎模型之尿蛋白含量分析; 圖四、人參濃縮劑在此腎炎模型之NAG含量分析; 圖五A至圖五E、人參濃縮劑在此腎炎模型之腎組織 病理變化情形; 圖六、人參濃縮劑在此腎炎模型之組織損傷量化分析; 圖七、人參在此腎炎模型之免疫螢光染色定量分析; 圖八' Ginsenosides在此腎炎模型之尿蛋白含量分析; 圖九、Ginsenosides在此腎炎模型之NAG含量分析; 圖十A至圖十E、Ginsenosides在此腎炎模型之腎組 織病理變化情形; 圖Η—、Ginsenosides在此腎炎模型之組織損傷量化 分析;以及 圖十二、Ginsenosides在此腎炎模型之免疫螢光染色 定量分析。 【主要元件符號說明】 無In the examples of the present invention, TGF-/31, MMP-9 and HGF were further used as primary antibodies, and the immunopathological changes of the nephritis model were investigated by immunofluorescence staining. In the examples of the present invention, it was found that the case of TGF-stone deposition of 'GE and GS was lowered under the conjugate focal-focus microscope observation, and the deposition of MMP-9 and HGF 17 200930387 was increased, showing that the fibrosis caused by aa was improved. It has also been observed in the examples of the present invention that the deposition of TGF-No is significantly reduced after administration of GE and GS. In addition, the increase in deposition of mmp_9 and HGF after administration of GE and GS is presumed to be related to the anti-inflammatory effect of ginseng. In terms of ginseng concentrates, GE 250 has the best results, and it is estimated that the efficacy of ginseng concentrate may be saturated at 25 〇 mg/kg. Combining the above discussion, the possible mechanism for the therapeutic effect of the pharmaceutical composition of the present invention is that ginseng has anti-inflammatory and anti-oxidative effects, and the ginseng structure similar to steroid may increase the content of corticosterone in the body, and can effectively treat the kidney caused by AA. Injury, inhibiting the progression of kidney damage. Oral administration of ginseng concentrate reduced mouse urine protein, nag, BUN 'SCr' kidney tissue microscopy also showed significant improvement, immunofluorescence staining found that TGF-call performance decreased 'MMP-9 and HGF increased. It was shown that ginseng concentrate can alleviate kidney damage in AAN mice, with ginseng concentrate 250 mg/kg being the best. In the part of ginsenosides, oral administration of ginsenosides reduced urine protein, NAG, BUN and SCr in mice, and renal tissue microscopy also showed significant improvement. Immunofluorescence staining revealed a decrease in TGF-/3 expression and an increase in Mjyjpj and expression. It was shown that ginsenoside can alleviate the kidney damage in AAN mice, and the results of the above various aspects of the measurement are evaluated. The evaluation of the therapeutic effect of the therapeutic drug in the nephritis model of the embodiment of the present invention is Rgi, Rbi, and Rd. The above detailed description of the preferred embodiments of the present invention is intended to be limited to the scope of the invention, which is not intended to limit the scope of the invention. The patent scope of this case. [Simplified illustration] Figure 1. Chemical structure of Aristolochic acid I, II; Figure 2A to Figure 2C, structural classification of ginsenosides; Figure 3. Analysis of urine protein content of ginseng concentrate in this nephritis model; 4. Analysis of NAG content of ginseng concentrate in this nephritis model; Figure 5A to Figure 5E, renal tissue pathological changes of ginseng concentrate in this nephritis model; Figure 6. Quantification of tissue damage in ginseng concentrate in this nephritis model Figure 7. Quantitative analysis of immunofluorescence staining of ginseng in this nephritis model; Figure VIII. Analysis of urine protein content of Ginsenosides in this nephritis model; Figure 9. Analysis of NAG content of Ginsenosides in this nephritis model; Figure 10A to Ten E, Ginsenosides in this nephritis model of renal tissue pathological changes; Figure Η, Ginsenosides in this nephritis model of tissue damage quantitative analysis; and Figure 12, Ginsenosides in this nephritis model immunofluorescence staining quantitative analysis. [Main component symbol description] None

Claims (1)

200930387 十、申請專利範圍: 勤療腎狀醫齡合物,包括—人參濃縮劑, ^含-人參皂料有效成份,其中該人參濃縮劑係經由 一卒取程序製造而得,其中該腎病係由馬兜鈴酸所誘發。 2.如申請專利範圍第1項所述之醫藥組合物,其中該 人參濃縮#!之有效為125mg/kg i 5()()mg/kg。 ❹200930387 X. Patent application scope: Diligent treatment of kidney-like medicinal compounds, including - ginseng concentrate, ^-containing ginseng soap active ingredient, wherein the ginseng concentrate is produced through a stroke procedure, wherein the kidney disease system Induced by aristolochic acid. 2. The pharmaceutical composition according to claim 1, wherein the ginseng concentration #! is effective at 125 mg/kg i 5 () () mg/kg. ❹ 3. 如申請專利範圍第!項所述之醫藥組合物,其中該 人參濃縮劑之有效劑量為25〇 mg/kg。 4. 如申請專利範圍第1項所述之醫藥組合物,其中該 人參濃,劑’係將紅參置關底燒瓶中,以5G%乙醇水溶 液加熱萃取6小時’反鶴作三次,過驗收集三次濾、液, 經由減壓濃縮、冷凍乾燥之步驟而製得。 5. 如申請專利範圍第4項所述之醫藥組合物,其中每 100公克該紅參可製成該人參濃縮劑39公克。 6. —種治療腎病之醫藥組合物,用以治療由馬兜鈴酸 所引起的腎病,該醫藥組合物包括至少一種人參皂苷其 中該人參4#係選自ginsenGSide咕、ginsenGSide处丨以及 ginsenoside Rd所構成的群組中。 7. 如申請專利範圍第6項所述之醫藥組合物,其中該 人參皂苷之有效濃度為5 mg/kg。 203. If you apply for a patent scope! The pharmaceutical composition according to the invention, wherein the effective dose of the ginseng concentrate is 25 〇 mg/kg. 4. The pharmaceutical composition according to claim 1, wherein the ginseng is concentrated, and the red ginseng is placed in a bottoming flask and heated and extracted with a 5G% aqueous solution of ethanol for 6 hours. It is prepared by collecting three times of filtration and liquid, and concentrating under reduced pressure and freeze-drying. 5. The pharmaceutical composition according to claim 4, wherein the red ginseng is made into 39 grams of the ginseng concentrate per 100 grams. 6. A pharmaceutical composition for treating kidney disease for treating kidney disease caused by aristolochic acid, the pharmaceutical composition comprising at least one ginsenoside wherein the ginseng 4# is selected from the group consisting of ginsenGSide(R), ginsenGSide, and ginsenoside Rd In the group formed. 7. The pharmaceutical composition according to claim 6, wherein the effective concentration of the ginsenoside is 5 mg/kg. 20
TW97100939A 2008-01-10 2008-01-10 Pharmaceutical composition for treating aristolochic acid nephropathy TW200930387A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015165422A1 (en) * 2014-05-02 2015-11-05 Sheau-Long Lee Use of ginsenoside m1 for treating lupus nephritis
WO2016070795A1 (en) * 2014-11-03 2016-05-12 Sheau-Long Lee Use of ginsenoside m1 for treating iga nephropathy

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015165422A1 (en) * 2014-05-02 2015-11-05 Sheau-Long Lee Use of ginsenoside m1 for treating lupus nephritis
WO2016070795A1 (en) * 2014-11-03 2016-05-12 Sheau-Long Lee Use of ginsenoside m1 for treating iga nephropathy
CN106573010A (en) * 2014-11-03 2017-04-19 理筱龙 Use of ginsenoside M1 for treating IGA nephropathy
CN106573010B (en) * 2014-11-03 2019-04-19 理筱龙 Ginsenoside M1 is used to treat the purposes of IGA ephritis

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