TW201817426A - Uses of a triterpenoid mixture for treating multiple sclerosis - Google Patents

Uses of a triterpenoid mixture for treating multiple sclerosis Download PDF

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TW201817426A
TW201817426A TW105136054A TW105136054A TW201817426A TW 201817426 A TW201817426 A TW 201817426A TW 105136054 A TW105136054 A TW 105136054A TW 105136054 A TW105136054 A TW 105136054A TW 201817426 A TW201817426 A TW 201817426A
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mixture
acid
gac
weight
triterpene
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TW105136054A
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TWI620566B (en
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陳登海
黃政博
陳光地
陳孟堂
趙逸璇
王建元
黃馨慧
曹正秋
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三華生物科技股份有限公司
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Abstract

Disclosed herein is a novel use of a triterpenoid mixture for the treatment of multiple sclerosis (MS). The triterpenoid mixture consists of, ganoderic acid A (GAA), ganoderic acid B (GAB), ganoderic acid C (GAC), ganoderic acid C5(GAC5), ganoderic acid C6(GAC6), ganoderic acid D (GAD), ganoderic acid E (GAE), ganoderic acid G (GAG), and ganoderenic acid D. The triterpenoid mixture may be administered to a subject suffering from MS in a dose of about 1 to 10 mg/Kg to ameliorate or alleviate symptoms associated with MS.

Description

三萜混合物用以治療多發性硬化的用途Use of triterpenoid mixture for the treatment of multiple sclerosis

本發明大致是關於將一種三萜混合物用於治療多發性硬化(multiple sclerosis, MS)之新穎用途。The present invention is generally directed to the novel use of a triterpene mixture for the treatment of multiple sclerosis (MS).

多發性硬化 (MS) 是一種肇因於個體免疫系統攻擊中樞神經系統(例如腦、脊髓以及視神經)之疾病。當部分免疫系統攻擊中樞神經系統時,通常可在腦部與脊髓觀察到擴散之塊狀髓鞘脫失,導致多種神經性病症與症狀,且通常會重複地發作以及緩解。目前,尚未有治癒多發性硬化之方法,然而,已有舒緩多發性硬化症狀之療法,例如藉由口服腎上腺皮質類固醇或維生素B12 ,以及皮下注射干擾素β。然而,腎上腺皮質類固醇之使用僅限於急性發作情況,若長期使用類固醇可能會引發不欲產生之副作用。至於干擾素β,其價格昂貴,因此,長期使用這類治療將產生大量花費,況且,皮下注射干擾素β需要到醫院才能進行,更降低病患接受治療的意願。Multiple sclerosis (MS) is a disease caused by the individual's immune system attacking the central nervous system (such as the brain, spinal cord, and optic nerve). When part of the immune system attacks the central nervous system, diffuse lumps of myelin are often observed in the brain and spinal cord, leading to a variety of neurological conditions and symptoms, and often recurrent and remission. At present, there is no cure for multiple sclerosis. However, there are therapies for soothing multiple sclerosis symptoms, such as oral corticosteroids or vitamin B 12 , and subcutaneous injection of interferon beta. However, the use of adrenal corticosteroids is limited to acute episodes, and long-term use of steroids may cause undesirable side effects. As for interferon beta, it is expensive, and therefore, long-term use of such treatment will incur a large amount of cost. Moreover, subcutaneous injection of interferon beta needs to be performed in a hospital, and the patient's willingness to receive treatment is further reduced.

因此,相關領域需要一種可以改善及/或舒緩多發性硬化症狀的改良藥物,其中,該藥物適用於口服施用,其能有效治療多發性硬化且不會產生任何副作用。Accordingly, there is a need in the related art for an improved drug that can ameliorate and/or soothe the symptoms of multiple sclerosis, wherein the drug is suitable for oral administration, which is effective for treating multiple sclerosis without causing any side effects.

為了提供讀者基礎之認識,以下將呈現本案之簡單概要。本概要並非對本案全面之概述,且並未指出本發明之關鍵要素或是界定本發明之範圍。其目的僅在於以一簡單之形式呈現此處揭露之觀念,作為之後呈現之詳細說明的序言。In order to provide a reader-based understanding, a brief summary of the case will be presented below. This Summary is not an extensive overview of the present invention, and is not intended to identify the essential elements of the invention or the scope of the invention. Its purpose is to present the concepts disclosed herein in a simplified form as a

整體而言,本案揭露內容係關於一種無法預期之新發現,其係為將三萜混合物用於治療受多發性硬化(MS)所苦個體之新穎用途。因此,該三萜混合物對於發展用於治療多發性硬化相關疾病及/或症狀的醫藥品相當有用。Overall, the disclosure of this case relates to an unanticipated new discovery for the novel use of a mixture of triterpenoids for the treatment of individuals suffering from multiple sclerosis (MS). Therefore, the triterpene mixture is quite useful for developing a pharmaceutical for treating multiple sclerosis-related diseases and/or symptoms.

因此,本揭露內容第一目標在於一種三萜混合物之新用途,其可用於製造適於治療 MS 之醫藥品。Accordingly, the first object of the present disclosure is a new use of a triterpene mixture that can be used to manufacture a pharmaceutical product suitable for treating MS.

依據本揭露內容之實施態樣,該醫藥品包含 10 至 1,000 mg 之三萜混合物;較佳地為 50 至 500 mg 之三萜混合物;更佳地為 100 至 300 mg 之三萜混合物。According to an embodiment of the present disclosure, the pharmaceutical product comprises from 10 to 1,000 mg of a triterpene mixture; preferably from 50 to 500 mg of a triterpene mixture; more preferably from 100 to 300 mg of a triterpene mixture.

依據本揭露內容較佳之實施態樣,該三萜混合物係由靈芝酸A (ganoderic acid A, GAA)、靈芝酸B (ganoderic acid B, GAB)、 靈芝酸C (ganoderic acid C, GAC)、靈芝酸C5 (ganoderic acid C5 , GAC5 )、靈芝酸C6 (ganoderic acid C6 , GAC6 )、靈芝酸D (ganoderic acid D, GAD), 靈芝酸E (ganoderic acid E, GAE)、靈芝酸G (ganoderic acid G, GAG)、以及靈芝烯酸D (ganoderenic acid D) 所組成,其中 GAA 於混合物中所佔重量約為 30-40%,GAB、GAC、GAD 以及 GAG 於混合物中所佔重量分別約為 10-15%, GAC5 、GAC6 、GAE 以及靈芝烯酸D 於混合物中所佔重量約為 3-6%,其中該三萜混合物之總重量視為100%。According to a preferred embodiment of the present disclosure, the triterpene mixture is composed of ganoderic acid A (GAA), ganoderic acid B (GAB), ganoderic acid C (GAC), and ganoderma lucidum. acid C 5 (ganoderic acid C 5, GAC 5), Ganoderma acid C 6 (ganoderic acid C 6, GAC 6), Ganoderma acid D (ganoderic acid D, GAD) , Ganoderma acid E (ganoderic acid E, GAE) , Ganoderma Acid G (GAOD), and ganoderenic acid D, wherein GAA accounts for about 30-40% by weight of the mixture, and GAB, GAC, GAD, and GAG account for the mixture. The weight is about 10-15%, and the weight of GAC 5 , GAC 6 , GAE and Ganoderma acid D in the mixture is about 3-6%, wherein the total weight of the triterpene mixture is regarded as 100%.

依據本揭露內容較佳之實施態樣,該醫藥品適用口服施藥。According to a preferred embodiment of the present disclosure, the pharmaceutical product is suitable for oral administration.

本揭露內容第二方面目標在於提供一種治療受MS所苦之個體的方法。該方法包含以一約1至10mg/Kg之劑量,施予該個體前述之三萜混合物,以改良或緩和多發性硬化相關之症狀。A second aspect of the present disclosure is directed to a method of treating an individual suffering from MS. The method comprises administering to the individual a mixture of the foregoing triterpenes at a dose of from about 1 to 10 mg/kg to improve or alleviate the symptoms associated with multiple sclerosis.

依據本揭露內容較佳之實施態樣,該GAA於混合物中所佔重量約為30-40%,GAB、GAC、GAD以及GAG於混合物中所佔重量分別約為10-15%,GAC5 、GAC6 、GAE以及靈芝烯酸D於混合物中所佔重量約為3-6%,其中該三萜混合物之總重量視為100%。According to a preferred embodiment of the present disclosure, the weight of the GAA in the mixture is about 30-40%, and the weights of GAB, GAC, GAD, and GAG in the mixture are about 10-15%, respectively, GAC 5 , GAC. 6. The weight of the GAE and the ganoderma acid D in the mixture is about 3-6%, wherein the total weight of the triterpene mixture is regarded as 100%.

依據本揭露內容較佳之實施態樣,該三萜混合物係以口服方式施予該個體。In accordance with a preferred embodiment of the present disclosure, the triterpene mixture is administered orally to the subject.

依據本揭露內容較佳之實施態樣,該個體係為一哺乳類,較佳地為一人類。According to a preferred embodiment of the present disclosure, the system is a mammal, preferably a human.

關於本案揭露內容中一或多個實施態樣之細節將於以下說明一併闡述。本發明其他特徵以及優點由詳細說明以及申請專利範圍明顯呈現。Details regarding one or more implementation aspects of the present disclosure will be set forth in the following description. Other features and advantages of the present invention are apparent from the detailed description and claims.

必須理解的是,以上概述以及以下之詳細說明係舉例,目的僅在於替本案所請求之發明提供進一步之說明。It is to be understood that the above summary, as well as the following detailed description, are intended to provide a further description of the invention claimed.

較佳實施態樣之詳細說明Detailed description of preferred embodiments

以下提供之詳細說明與附加之圖式旨在於描述本案揭露內容,而非用於代表本揭露內容可被解讀或理解之唯一形式。The detailed description and the accompanying drawings are intended to be illustrative,

1.1. 定義definition

方便起見,本揭露內容中所使用之特定用語彙整於此。除非另有定義,此處所使用之所有技術以及科學用語,與本發明所屬技術領域中通常知識者所共同理解之意義相同。For convenience, the specific terms used in this disclosure are summarized herein. All technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the invention pertains, unless otherwise defined.

此處所使用之用語「治療(treatment)」係用於表示獲得一所需之藥學以及/或生理學效果,例如,抑制或壓制MS之病程。其效果可能為預防性的,意即完全或部分防止該疾病或症狀,以及/或治療性的,意即為部分或完全治癒一疾病及/或該疾病造成之不良反應。此處使用之用語「治療」包含預防性的(例如預防藥)、治癒性的或緩和治療一哺乳類,特別是人類的疾病;且包括:(1)預防性的(例如預防藥)、治癒性的或緩和治療一疾病或症狀(例如MS),避免該疾病或症狀發生於一可能有該疾病傾向、但尚未被診斷出患病之個體;(2)抑制一疾病(例如,藉由停止其發展);或(3)緩解一疾病(例如,減緩與該疾病相關之症狀)。The term "treatment" as used herein is used to mean obtaining a desired pharmaceutical and/or physiological effect, for example, inhibiting or suppressing the course of MS. The effect may be prophylactic, meaning to completely or partially prevent the disease or condition, and/or therapeutic, meaning to partially or completely cure a disease and/or an adverse reaction caused by the disease. The term "treatment" as used herein includes prophylactic (eg, prophylactic), curative or palliative treatment of a mammal, particularly a human disease; and includes: (1) prophylactic (eg, prophylactic), curative Or alleviating the treatment of a disease or condition (such as MS), preventing the disease or symptom from occurring in an individual who may have a predisposition to the disease but has not yet been diagnosed; (2) inhibiting a disease (eg, by stopping it) Development); or (3) alleviating a disease (eg, slowing the symptoms associated with the disease).

用語「被施予(administered)」、「施予(administering)」或「施藥(administration)」於此處可交互替換使用,表示一種遞送模式,包含但不限於靜脈內、肌肉內、腹膜內、動脈內、顱內或皮下施予一本發明之藥劑(例如本案之三萜混合物)。在一些實施例中,本案揭露之三萜混合物係製為粉末狀,以便於使用前,例如靜脈注射前,與適當之載體(例如緩衝溶液)混合。在其他實施例中,本案揭露之三萜混合物係製為粉末狀並與適當之賦形劑用於口服。The terms "administered", "administering" or "administration" are used interchangeably herein to mean a mode of delivery, including but not limited to intravenous, intramuscular, intraperitoneal. An agent of the invention (for example, a triterpene mixture of the present invention) is administered intra-arterially, intracranically or subcutaneously. In some embodiments, the triterpene mixture disclosed herein is in the form of a powder for mixing with a suitable vehicle (e.g., a buffer solution) prior to use, such as prior to intravenous injection. In other embodiments, the triterpene mixture disclosed herein is in the form of a powder and is administered orally with a suitable excipient.

此處所使用之用語「一有效劑量」係用於表示於劑量上以及時間上必須之期間,在治療一MS造成之疾病方面,可達到所欲結果的一有效的量。舉例來說,所呈現之三萜混合物在治療MS方面,可減緩、預防、延遲、抑制或停止任何MS臨床徵兆即為有效的。一試劑之有效劑量並不必然治癒一疾病或症狀,但能提供一疾病或症狀之治療方法,而延後、阻止或預防該疾病或症狀之發生,或是使該疾病或症狀獲得改善。其特定之效果或足夠之劑量會隨不同因素改變,例如接受治療之特定狀況、病患的生理狀況(例如病患的體重、年齡或性別)、治療之哺乳類或動物種類、治療期間、同時進行之療法(若有)的本質、以及採用的特定配方等等。有效劑量可以用下列方式表達,可為一活性試劑之總量(例如公克、毫克或微克),或為一活性試劑對身體重量之比例,例如每公斤體重之毫克數(mg/kg)。該有效劑量可分為一、二或數劑,以一適當形式,於一段指定期間被施予一、二或數次。The term "an effective dose" as used herein is used to mean an effective amount of the desired result in the treatment of a disease caused by MS, both in dose and in time. For example, the presented triterpene mixture can be effective in reducing, preventing, delaying, inhibiting, or stopping any clinical signs of MS in treating MS. An effective dose of a reagent does not necessarily cure a disease or condition, but provides a treatment for a disease or condition, delays, prevents or prevents the occurrence of the disease or condition, or improves the disease or condition. The specific effect or sufficient dose will vary depending on factors such as the particular condition being treated, the physiological condition of the patient (eg, the patient's weight, age or sex), the mammal or animal species being treated, during treatment, and concurrently. The nature of the therapy, if any, and the specific formula used. The effective dose can be expressed in the form of a total amount of active agent (e.g., grams, milligrams, or micrograms), or a ratio of active agent to body weight, such as milligrams per kilogram of body weight (mg/kg). The effective dose can be divided into one, two or several doses, administered in one suitable form, one, two or several times over a specified period of time.

用語「個體」或「病患」於此處可交互替換使用,其係用於表示一可被本發明之化合物治療的哺乳類包含人類。用語「哺乳類」表示所有哺乳綱分類下之成員,包含人類、靈長類、家畜及農場動物,例如兔子、豬、羊以及牛,也包含動物園、競賽動物與寵物;以及嚙齒類例如小鼠與大鼠。另外,用語「個體」或「病患」表示包含男性與女性兩個性別,除非另有特別指出其中一個性別。因此,用語「個體」或「病患」包含任何可由本案揭露之治療方法受益之哺乳類。「個體」或「病患」之例子包含但不限於一人類、大鼠、小鼠、天竺鼠、猴子、豬、山羊、牛、馬、狗、貓、鳥以及禽類。在一較佳之實施例中,該個體為一人類。The terms "individual" or "patient" are used interchangeably herein to mean that a mammal that can be treated by a compound of the invention comprises a human. The term "mammal" refers to all members of the Mammalia classification, including humans, primates, livestock and farm animals, such as rabbits, pigs, sheep and cattle, as well as zoos, race animals and pets; and rodents such as mice and Rat. In addition, the term "individual" or "patient" means both male and female genders unless one of the genders is specifically indicated. Therefore, the term "individual" or "patient" encompasses any mammal that can benefit from the treatments disclosed in this case. Examples of "individual" or "patient" include, but are not limited to, a human, a rat, a mouse, a guinea pig, a monkey, a pig, a goat, a cow, a horse, a dog, a cat, a bird, and a bird. In a preferred embodiment, the individual is a human.

用語「醫藥上可接受」,表示當一分子或組成物被施予一個體,例如人類時,不會產生不良反應或不欲產生的反應。The term "pharmaceutically acceptable" means that when a molecule or composition is administered to a body, such as a human, there is no adverse reaction or undesired reaction.

此處使用之用語「賦形劑」意指任何惰性物質(例如一粉末或液體),其可為活性物質形成一載體/攜帶者。賦形劑通常安全、無毒,且廣泛而言亦可包含任何醫藥產業上已知可用於準備醫藥組成物之物質,例如填充劑、稀釋劑、凝集劑、粘合劑、潤滑劑、助流劑、穩定劑、著色劑、潤濕劑、崩解劑等。The term "excipient" as used herein means any inert substance (e.g., a powder or liquid) which can form a carrier/carrier for the active substance. Excipients are generally safe, non-toxic, and broadly include any material known in the pharmaceutical industry to be useful in the preparation of pharmaceutical compositions, such as fillers, diluents, aggregators, binders, lubricants, glidants , stabilizers, colorants, wetting agents, disintegrating agents, and the like.

雖然界定本發明較廣範圍的數值範圍與參數是約略的數值,此處已盡可能精確地呈現具體實施例中的相關數值。然而,任何數值本質上不可避免地含有因個別測試方法所致的標準偏差。另外,如此處所使用,用語「約」通常係指在所提供之數值或範圍的10%、5%、1%或0.5%之內。或者是,「約」一詞代表本發明所屬技術領域中具有通常知識者的認知中,在平均值可接受標準誤差之內。除了在操作實例中,或除非另有明確的表明,此處揭露之所有範圍、數量、數值與百分比,例如用以描述材料用量、時間長短、溫度、操作條件、數量比例及其他相似者,均應理解為經過「約」的修飾。因此,除非另有相反的說明,本案揭露內容與附隨申請專利範圍所揭示的數值參數皆為約略的數值,且可視需求而更動。至少應將這些數值參數理解為所指出的有效位數與套用一般進位法所得到的數值。Notwithstanding that the numerical ranges and parameters of the invention are intended to be <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; However, any numerical value inherently inevitably contains standard deviations due to individual test methods. Also, as used herein, the term "about" generally means within 10%, 5%, 1%, or 0.5% of the value or range provided. Alternatively, the term "about" is used in the recognition of those of ordinary skill in the art to which the invention pertains, within the standard tolerance of the average. Except in the operating examples, or unless otherwise explicitly indicated, all ranges, quantities, values, and percentages disclosed herein, such as describing the amount of material used, the length of time, temperature, operating conditions, quantity ratios, and the like, are It should be understood as a modification of "about". Therefore, the numerical parameters disclosed in the present disclosure and the scope of the accompanying claims are all approximate values, and may be changed as needed, unless otherwise stated. At a minimum, these numerical parameters should be understood as the number of significant digits indicated and the values obtained by applying the general carry method.

此處所使用之單數形「一」以及「該」係包含複數型,除非另有明確界定。The singular forms "a", "the", "the", and "the"

2.2. 較佳實施態樣之詳細說明Detailed description of preferred embodiments

本案揭露內容係至少一部分基於一意外之發現,其發現按照本揭露內容所製備之三萜混合物可能壓制或抑制多發性硬化之病程。因此,本案之三萜混合物可用於發展治療多發性硬化相關疾病、異常或症狀之醫藥品。The disclosure of the present invention is based, at least in part, on an unexpected finding that it has been found that a mixture of triterpenes prepared in accordance with the present disclosure may suppress or inhibit the course of multiple sclerosis. Therefore, the triterpene mixture of the present invention can be used for the development of a medicament for treating a disease, abnormality or symptom associated with multiple sclerosis.

以下提供實施本發明三萜混合物之詳細描述,該三萜混合物係由靈芝酸A (GAA)、 靈芝酸B (GAB)、靈芝酸C (GAC)、靈芝酸C5 (GAC5 )、靈芝酸C6 (GAC6 )、靈芝酸D (GAD)、靈芝酸E (GAE)、靈芝酸G (GAG)、以及靈芝烯酸D 所組成;其可用於製備一醫藥品,預防或治療一個體或病患的MS或其所引發之疾病。如以下所描述之本研究結果,其顯示本案之三萜混合物對於正常細胞具有最低量之細胞毒性或是無細胞毒性,且能降低血液中發炎細胞激素IL-17,進而抑制活體內MS之病程發展。A detailed description of the practice of the triterpene mixture of the present invention is provided below. The triterpene mixture is composed of Ganoderma lucidum A (GAA), Ganoderma lucidum B (GAB), Ganoderma lucidum C (GAC), Ganoderma lucidum C 5 (GAC 5 ), Ganoderma lucidum. C 6 (GAC 6 ), Ganoderma D (GAD), Ganoderma E (GAE), Ganoderma G (GAG), and Ganoderma acid D; it can be used to prepare a pharmaceutical, prevent or treat a body or The MS of the patient or the disease caused by it. The results of this study, as described below, show that the triterpene mixture of this case has the lowest amount of cytotoxicity or no cytotoxicity to normal cells, and can reduce the inflammatory cytokine IL-17 in the blood, thereby inhibiting the course of MS in vivo. development of.

本案之應用在第一方面係關於一種治療一患有MS之個體的方法。該方法包含以下步驟:施予一所需個體有效劑量之三萜混合物,其係由靈芝酸A (GAA)、靈芝酸B (GAB)、靈芝酸C (GAC)、靈芝酸C5 (GAC5 )、靈芝酸C6 (GAC6) 、靈芝酸D (GAD)、靈芝酸E (GAE)、靈芝酸G (GAG)、以及靈芝烯酸D 所組成;以減輕或緩和多發性硬化相關之症狀。The application of this case relates in a first aspect to a method of treating an individual having MS. The method comprises the steps of: administering to a desired individual an effective dose of a triterpene mixture comprising Ganoderma lucidum A (GAA), Ganoderma lucidum B (GAB), Ganoderma lucidum C (GAC), Ganoderma lucidum C 5 (GAC 5) ), Ganoderma C 6 (GAC 6) , Ganoderma D (GAD), Ganoderma E (GAE), Ganoderma G (GAG), and Ganoderma acid D; to alleviate or alleviate the symptoms associated with multiple sclerosis .

根據本案揭露內容之實施例,GAA於混合物中所佔重量約為30-40%,GAB、GAC、GAD以及GAG於混合物中所佔重量分別約為10-15%,GAC5 、GAC6 、GAE以及靈芝烯酸D於混合物中所佔重量約為3-6%,其中該三萜混合物之總重量視為100%。根據本案揭露內容其中一特定之實施例,GAA於混合物中所佔重量約為35%,GAB、GAC、GAD以及GAG於混合物中所佔重量分別約為12%,GAC5 、GAC6 、GAE以及靈芝烯酸D於混合物中所佔重量分別約為3、6、3.5以及4.5%,其中該三萜混合物之總重量視為100%。According to an embodiment of the present disclosure, the weight of the GAA in the mixture is about 30-40%, and the weight of the GAB, GAC, GAD, and GAG in the mixture is about 10-15%, respectively, GAC 5 , GAC 6 , GAE And the weight of the ganoderma acid D in the mixture is about 3-6%, wherein the total weight of the triterpene mixture is regarded as 100%. According to one particular embodiment of the present disclosure, the weight of GAA in the mixture is about 35%, and the weights of GAB, GAC, GAD, and GAG in the mixture are about 12%, respectively, GAC 5 , GAC 6 , GAE, and Ganoderma acid D is about 3, 6, 3.5, and 4.5% by weight of the mixture, respectively, wherein the total weight of the triterpene mixture is considered to be 100%.

根據本案揭露內容較佳之實施例,該三萜混合物係以0.1-100 mg/Kg個體體重之劑量,經由口服、靜脈內或皮下施予該個體,較佳地,該劑量為 0.5-50 mg/Kg 個體體重;更佳地,該劑量為1-10 mg/Kg個體體重。According to a preferred embodiment of the present disclosure, the triterpene mixture is administered orally, intravenously or subcutaneously at a dose of 0.1 to 100 mg/kg of the individual body weight, preferably 0.5-50 mg / Kg individual body weight; more preferably, the dose is 1-10 mg/Kg body weight.

根據本案揭露內容其中之實施例,該三萜混合物可與其他抗MS藥劑共同使用,適合與本案三萜混合物共同使用之抗MS藥劑舉例而言包括腎上腺皮質類固醇、維生素B12 與干擾素β等。According to an embodiment of the present disclosure, the triterpene mixture can be used together with other anti-MS agents, and the anti-MS agents suitable for use with the triterpene mixture of the present invention include, for example, adrenal corticosteroids, vitamin B 12 and interferon beta. .

本案之應用在第二方面係關於一用於治療MS之醫藥品。該醫藥品包含一有效劑量之三萜混合物,以及一醫藥上可接受之賦形劑。The application of this case relates to a pharmaceutical product for treating MS in the second aspect. The pharmaceutical product comprises an effective amount of a triterpene mixture and a pharmaceutically acceptable excipient.

一般而言,本案之三萜混合物於該醫藥品中之重量百分比,約佔該醫藥品總重量之0.01%至99.9%。在某些實施例中,本案之三萜混合物於該醫藥品中之重量百分比,約佔該醫藥品總重量之至少0.1%。在某些特定之實施例中,本案之三萜混合物於該醫藥品中之重量百分比,約佔該醫藥品總重量之至少5%。而在一些其他的實施例中,本案之三萜混合物於該醫藥品中之重量百分比,約佔該醫藥品總重量之至少10%。而在一些其他的實施例中,本案之三萜混合物於該醫藥品中之重量百分比,約佔該醫藥品總重量之至少25%。In general, the weight percentage of the triterpenoid mixture in the present invention is from about 0.01% to 99.9% by weight based on the total weight of the pharmaceutical product. In certain embodiments, the weight percent of the triterpene mixture of the present invention in the pharmaceutical product is at least about 0.1% by weight of the total weight of the pharmaceutical product. In certain specific embodiments, the weight percent of the triterpene mixture of the present invention in the pharmaceutical product is at least 5% of the total weight of the pharmaceutical product. In some other embodiments, the weight percentage of the triterpene mixture of the present invention in the pharmaceutical product is about 10% of the total weight of the pharmaceutical product. In some other embodiments, the weight percent of the triterpene mixture of the present invention in the pharmaceutical product is at least about 25% of the total weight of the pharmaceutical product.

依據本案揭露內容之實施例,每一樣醫藥品包含10至1,000 mg 之三萜混合物;較佳地為50至500 mg之三萜混合物;更佳地為100至300 mg之 三萜混合物。According to an embodiment of the present disclosure, each pharmaceutical product comprises 10 to 1,000 mg of a triterpene mixture; preferably 50 to 500 mg of a triterpene mixture; more preferably 100 to 300 mg of a triterpene mixture.

在一些實施例中,本發明之醫藥品進一步包含一已知可減輕或緩和多發性硬化症狀之藥劑(例如抗MS藥劑)。前揭藥劑之範例包含但不限於腎上腺皮質類固醇、維生素B12 與干擾素β等。在一範例中,干擾素β係與本案之三萜混合物共同施予。In some embodiments, the pharmaceutical of the present invention further comprises an agent (e.g., an anti-MS agent) known to alleviate or alleviate the symptoms of multiple sclerosis. Examples of prior agents include, but are not limited to, adrenal corticosteroids, vitamin B 12 and interferon beta. In one example, the interferon beta is administered in conjunction with the triterpene mixture of the present invention.

醫藥上可接受的賦形劑,係可與配方中其他成分相容,並為生物可接受者。A pharmaceutically acceptable excipient that is compatible with the other ingredients of the formulation and which is biologically acceptable.

該醫藥品可依據所欲施藥之途徑,包含不同形式之賦形劑。本案之醫藥組成物可透過靜脈內、皮內、動脈內、腹膜內、損傷區、顱內、鼻內、胸腔內、氣管內、直腸內、局部、肌肉內、皮下、囊胞內、心包內、眼內、口服、特定部位、局部地、注射、吸入、輸液、以及局部灌注之方式被施予,其可為任何適當之形式,例如粉末、乳劑、液態與噴霧劑等。The pharmaceutical product may contain different forms of excipients depending on the route to be administered. The pharmaceutical composition of the case can be intravenous, intradermal, intraarterial, intraperitoneal, damaged, intracranial, intranasal, intrathoracic, intratracheal, intrarectal, local, intramuscular, subcutaneous, intracystic, pericardial. Intraocular, oral, specific, topical, injection, inhalation, infusion, and topical perfusion are administered in any suitable form, such as powders, emulsions, liquids, and sprays.

該醫藥品之實際劑量可由參與治療之醫師依據該個體之物理與生理因素決定。該些因素包含但不限於年齡、性別、體重、接受治療之疾病、症狀之嚴重程度、先前病史、使用之其他醫藥品、施藥途徑等。根據本案揭露內容非限制性的例子,每次施藥之劑量係依每公斤體重給予 0.1-100 mg 之三萜混合物 ,例如每次施藥之劑量依每公斤體重給予 0.1、0.2、0.3、0.4、 0.5、 0.6、0.7、 0.8、 0.9、1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49、50、51、52、53、54、55、56、57、58、59、60、61、62、63、64、65、66、67、68、69、70、71、72、73、74、75、76、77、78、79、 80、81、82、83、84、85、86、87、88、89、90、91、92、93、94、95、96、97、98、99以及100 mg 之三萜混合物;較佳地,每次施藥之劑量依每公斤體重給予 0.5-50 mg 之三萜混合物,例如每次施藥之劑量依每公斤體重給予0.5、0.6、0.7、0.8、0.9、1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49以及50mg之三萜混合物;更佳地,每次施藥之劑量依每公斤體重給予1-10mg之三萜混合物,例如每次施藥之劑量依每公斤體重給予1、2、3、4、5、6、7、8、9以及10mg之三萜混合。The actual dosage of the pharmaceutical product can be determined by the physician participating in the treatment based on the physical and physiological factors of the individual. Such factors include, but are not limited to, age, sex, weight, disease being treated, severity of symptoms, prior medical history, other pharmaceuticals used, routes of administration, and the like. According to a non-limiting example of the disclosure of the present invention, the dose per administration is 0.1-100 mg of a mixture of triterpenoids per kilogram of body weight, for example, 0.1, 0.2, 0.3, 0.4 per kilogram of body weight per application dose. , 0.5, 0.6, 0.7, 0.8, 0.9, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 , 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45 , 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70 , 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95 , 96, 97, 98, 99 and 100 mg of a mixture of triterpenoids; preferably, the dose per application is 0.5-50 mg of a mixture of triterpenoids per kilogram of body weight, for example, the dose per administration is per kilogram. Weight given 0.5, 0.6, 0.7, 0.8, 0.9, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 1 7, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49 and 50 mg of the triterpene mixture; more preferably, the dose per administration is 1-10 mg of the triterpene mixture per kg of body weight, for example, each application The dose is administered in a ratio of 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 mg of triterpene per kg of body weight.

包含本案三萜混合物之醫藥品可能為一適用於口服之形式,例如片劑、錠劑、水性或油性懸浮液、可分散之粉末或顆粒、乳化劑、硬式或軟式膠囊、糖漿或酏劑。欲使用於口服之醫藥品可依據任何製備醫藥組成物所屬領域習知之方法製備,此類組成物可包含一或多種試劑,該試劑係選自於由甜味劑、調味劑、著色劑以及防腐劑組成之群組,以供製備精美與可口之醫藥品。片劑包含本案之三萜混合物以及非毒性之醫藥上可接受的賦形劑,該賦形劑係適合用於製造片劑。該賦形劑可為,例如,惰性稀釋劑,例如碳酸鈣、碳酸鈉、乳糖、磷酸鈣或磷酸鈉;或為成粒與崩解劑,例如玉米澱粉或藻酸;或為結合劑如澱粉、明膠或阿拉伯膠;以及潤滑劑,例如硬脂酸鎂,硬脂酸或滑石。The pharmaceutical product comprising the triterpenoid mixture of the present invention may be in a form suitable for oral administration, such as tablets, troches, aqueous or oily suspensions, dispersible powders or granules, emulsifiers, hard or soft capsules, syrups or elixirs. The pharmaceutical intended for oral administration can be prepared according to any method known in the art for preparing pharmaceutical compositions, and such compositions may comprise one or more agents selected from the group consisting of sweeteners, flavoring agents, coloring agents, and preservatives. A group of agents for the preparation of exquisite and tasty pharmaceuticals. Tablets comprise a triterpene mixture of the present invention and a non-toxic pharmaceutically acceptable excipient which is suitable for use in the manufacture of tablets. The excipient can be, for example, an inert diluent such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; or a granulating and disintegrating agent such as corn starch or alginic acid; or a binding agent such as starch. , gelatin or gum arabic; and a lubricant such as magnesium stearate, stearic acid or talc.

該片劑可為無覆膜或可利用習知技術包膜以延緩瓦解、於腸胃道中被吸收,以提供較長時間之延續作用。舉例而言,可使用如硬脂酸甘油單酯或硬脂酸甘油二酯。該些片劑亦可利用包膜形成滲透壓式治療性片劑以控制其釋放。The tablet may be uncoated or may be coated with conventional techniques to delay disintegration and absorption in the gastrointestinal tract to provide a longer duration of action. For example, monoglyceride stearate or diglyceride stearate can be used. The tablets may also utilize an envelope to form an osmotic therapeutic tablet to control its release.

口服的配方亦能以硬式膠囊之形式呈現,其中該活性成分係與惰性固態稀釋劑混合,例如碳酸鈣、磷酸鈣或高嶺石,或者亦能為軟式膠囊,其中該活性成分係與水溶性溶劑如丙二醇、PEG與乙醇混合,或與油性介質混合,如花生油、液態石蠟或橄欖油。The oral formulation can also be presented in the form of a hard capsule, wherein the active ingredient is mixed with an inert solid diluent such as calcium carbonate, calcium phosphate or kaolinite, or a soft capsule, wherein the active ingredient is a water-soluble solvent Such as propylene glycol, PEG mixed with ethanol, or mixed with oily medium, such as peanut oil, liquid paraffin or olive oil.

舉例而言,一固態口服醫藥品如一片劑或膠囊,可包含1至99% (w/w)之本案三萜混合物;0至99% (w/w)稀釋劑或填充劑;0至20% (w/w)之崩解劑;0至5% (w/w)之潤滑劑;0至5% (w/w) 之助流動劑;0至50% (w/w)之成粒劑或結合劑;0至5% (w/w) 之抗氧化劑;以及0至5% (w/w) 之色素。一控制釋放之片劑可能進一步包含0至90% (w/w) 控制釋放的多分子。For example, a solid oral pharmaceutical such as a tablet or capsule may contain from 1 to 99% (w/w) of the triterpene mixture; from 0 to 99% (w/w) diluent or filler; from 0 to 20 % (w/w) disintegrant; 0 to 5% (w/w) lubricant; 0 to 5% (w/w) flow aid; 0 to 50% (w/w) granulation Agent or binder; 0 to 5% (w/w) antioxidant; and 0 to 5% (w/w) pigment. A controlled release tablet may further comprise from 0 to 90% (w/w) controlled release of the multimolecule.

一非口服之配方(例如一用來注射之溶液或懸浮液,或是一用於灌流之溶液)可包含1至50% (w/w)之本案三萜混合物;以及50% (w/w)至99% (w/w)之液體或半液態載體(例如,一溶劑,如水);以及0-20% (w/w) 一或多種賦形劑如緩衝溶劑、抗氧化劑、懸浮安定劑、張力調節劑以及防腐劑。A non-oral formulation (eg, a solution or suspension for injection, or a solution for perfusion) may comprise from 1 to 50% (w/w) of the triterpene mixture; and 50% (w/w) ) to 99% (w/w) of a liquid or semi-liquid carrier (eg, a solvent such as water); and 0-20% (w/w) of one or more excipients such as buffer solvents, antioxidants, suspension stabilizers , tension modifiers and preservatives.

本發明之一藥品可以是水包油滴乳化液。其中油相可為一植物油,例如橄欖油或花生油,或礦物油例如液態石蠟,或其混合物。適當的乳化劑可為自然產生之磷脂質,例如大豆、卵磷脂,以及由脂肪酸與己醣醇酐衍生之酯類或偏酯,例如山梨醇單油酸酯,以及該偏酯與氧化乙烯之縮合產物,例如聚氧化乙烯山梨醇單油酸酯。該乳化液亦可包含甜味劑與調味劑。One of the drugs of the present invention may be an oil-in-water emulsion. The oil phase may be a vegetable oil such as olive oil or peanut oil, or a mineral oil such as liquid paraffin, or a mixture thereof. Suitable emulsifiers may be naturally occurring phospholipids such as soy, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, such as sorbitan monooleate, and the partial esters and ethylene oxide. Condensation products such as polyoxyethylene sorbitol monooleate. The emulsion may also contain a sweetener and a flavoring agent.

糖漿和酏劑可與甜味劑共同配製,甜味劑舉例而言如甘油、丙二醇、山梨醇或蔗糖。這類配方可包含一防腐劑、調味劑與著色劑。該醫藥品可能為一無菌可供注射之水性或油性懸浮液形式。該懸浮液可依據習知技術利用合適之分散劑或潤濕劑或懸浮劑配製。無菌可供注射之製劑可以將無菌可供注射之溶液或懸浮液溶於一無毒性、注射上可接受之稀釋劑或溶劑當中,例如溶於1,3-丁烷二醇。可接受的載體與溶劑之中,可使用如水、任氏液(Ringers solution) 以及等滲透壓氯化鈉溶液。共溶劑如乙醇、丙二醇、或聚乙烯二醇亦可適用。另外,無菌 、不揮發油一般亦可作為溶劑或懸浮介質。在前述目的下,可使用任何無味不揮發油,包含合成的單-或雙-甘油酯。另外,脂肪酸如油酸也能使用於製備注射劑上。Syrups and elixirs may be formulated with sweetening agents such as, for example, glycerol, propylene glycol, sorbitol or sucrose. Such formulations may contain a preservative, flavoring, and coloring agent. The pharmaceutical product may be in the form of a sterile aqueous or oily suspension for injection. The suspension may be formulated according to conventional techniques using suitable dispersing or wetting agents or suspending agents. Sterile Injectable Formulations Sterile injectable solutions or suspensions may be dissolved in a non-toxic, injectionally acceptable diluent or solvent, for example, in 1,3-butanediol. Among the acceptable carriers and solvents, for example, water, Ringers solution, and isotonic sodium chloride solution can be used. Cosolvents such as ethanol, propylene glycol, or polyethylene glycol are also suitable. In addition, sterile, fixed oils may also be employed as a solvent or suspension medium. For the foregoing purposes, any odorless, non-volatile oil may be employed, including synthetic mono- or di-glycerides. In addition, fatty acids such as oleic acid can also be used in the preparation of injectables.

本案之三萜混合物亦能以一栓劑形式施藥,將該藥物經直腸給藥。這些組成物可藉由混合三萜混合物與一適當之無刺激性賦形劑進行製備,該賦型劑於室溫下為固態,但於直腸溫度下將融化於直腸內並釋放藥物。這類材料包含可可脂與聚乙二醇。The triterpene mixture of the present invention can also be administered as a suppository, and the drug is administered rectally. These compositions can be prepared by mixing a triterpene mixture with a suitable non-irritating excipient which is solid at room temperature but which will melt into the rectum and release the drug at rectal temperatures. Such materials include cocoa butter and polyethylene glycol.

當使用於局部時,可採用包含本案三萜混合物之乳膏、軟膏、凝膠、溶液或懸浮液(在本應用之目的下,局部使用應包含漱口)。局部使用之配方通常可包含一醫藥上之載體、共溶劑、乳化劑、滲透促進劑、防腐劑系統以及潤膚劑。When used topically, a cream, ointment, gel, solution or suspension containing the triterpene mixture of the present invention may be employed (for topical use, the topical use should include a mouthwash). Formulations for topical use may generally comprise a pharmaceutically acceptable carrier, cosolvent, emulsifier, penetration enhancer, preservative system, and emollient.

以下之實施例將提供對於本發明特定方面之闡述,並幫助所屬技術領域通常知識者實施本發明。這些範例並非用於以任何方式限制本發明之範圍。相信不需進一步之闡釋,一本領域之習知技藝者能依據本案說明書之內容,完整利用並實施本發明。The following examples are provided to illustrate the specific aspects of the invention and to assist those of ordinary skill in the art to practice the invention. These examples are not intended to limit the scope of the invention in any way. It is believed that one skilled in the art can fully utilize and implement the present invention in light of the teachings of the present invention without further elaboration.

實施例Example

材料與方法Materials and Methods

動物:C57BL/6J鼠係容置於一動物設施中,提供食物與飲水供其任食。Animals: The C57BL/6J mouse system is housed in an animal facility that provides food and water for its own food.

多發性硬化Multiple sclerosis (MS)(MS) 之實驗模式Experimental mode :: 實驗性自體免疫性腦脊髓炎Experimental autoimmune encephalomyelitis (Experimental Autoimmune Encephalomyelitis, EAE)(Experimental Autoimmune Encephalomyelitis, EAE)

為了誘發 EAE,於10週大之雌性C57BL/6J小鼠側腹兩個位置以皮下(s.c.)注射200 μL 將髓鞘少突膠質細胞醣蛋白(myelin oligodendrocyte glycoprotein, MOG)胜肽35-55 (MOG35-55)混合於佛氏完全佐劑(Complete Freund's Adjuvant, CFA)之免疫接種混合物。該免疫接種混合物之製備方法,係將 MOG35-55 (2mg/mL)與CFA以1:1之比例混合直到形成乳化狀混合物而得。在免疫接種後第二天,由腹膜內施予百日咳毒素(Pertussis toxin, PT, 400 ng)。每天評估小鼠之臨床疾病徵狀直到接種後第14天。臨床徵狀之嚴重程度如表1所示,係由0-5分進行評估。In order to induce EAE, 200 μL of myelin oligodendrocyte glycoprotein (MOG) peptide 35-55 was injected subcutaneously (sc) in the flank of 10 weeks old female C57BL/6J mice. MOG35-55) is mixed with an immunization mixture of Complete Freund's Adjuvant (CFA). The immunization mixture was prepared by mixing MOG35-55 (2 mg/mL) with CFA in a ratio of 1:1 until an emulsified mixture was formed. On the second day after immunization, pertussis toxin (Pertussis toxin, PT, 400 ng) was administered intraperitoneally. The clinical signs of the mice were evaluated daily until the 14th day after inoculation. The severity of the clinical signs is shown in Table 1, and is assessed from 0-5 points.

表1 Table 1

治療: 本發明之三萜混合物係以口服之方式,以600mg/Kg之劑量連續七天施予經MOG/CFA免疫之小鼠,其中該些小鼠具有至少1之臨床分數。小鼠在實驗最後的階段被犧牲。 Treatment: The triterpene mixture of the present invention is administered orally to MOG/CFA-immunized mice at a dose of 600 mg/kg for seven consecutive days, wherein the mice have a clinical score of at least 1. The mice were sacrificed at the final stage of the experiment.

蘇木紫與伊紅 (Hematoxylin and Eosin, H&E) 染色 :使用H&E染色顯示急性EAE小鼠、CFA控制組小鼠以及經本案混合物治療之急性EAE小鼠脊髓白質細胞浸潤情形之差異。所有的染色係於實驗最後階段所收集之組織上依據標準程序進行。 Hematoxylin and eosin (Hematoxylin and Eosin, H & E ) staining: H & E stained using EAE mice show acute, CFA control mice and acute EAE mice by treatment of the mixture is the case of spinal cord white matter of the difference in the case of infiltration. All staining was performed on the tissues collected in the final stage of the experiment according to standard procedures.

IL-17 ELISAIL-17 ELISA :

IL-17係利用商業上之 ELISA 套組 (Invitrogen cat # KMC3021),依據製造商之指示進行分析。取得標準曲線,並依據標準之統計方法由標準曲線決定IL-17之含量。The IL-17 line was analyzed using a commercial ELISA kit (Invitrogen cat # KMC3021) according to the manufacturer's instructions. The standard curve was obtained and the content of IL-17 was determined from the standard curve according to the standard statistical method.

實施例Example 11 本案三萜混合物對In this case, the mixture of triterpenoids EAEEAE 小鼠之功效Mouse efficacy

EAE係一種由CD4+ T細胞介導中樞神經系統(CNS)產生脫髓鞘之疾病,其係作為人類 MS之模式。EAE 發展之病理機制,包含抗原專一性T細胞(antigen-specific T cell)之活化以及T細胞與巨噬細胞穿透入CNS之後的Th1分化。而IL-17造成多發性硬化(MS)之病理。先前研究指出,MS損傷之人類病患會展現出增加之IL-17。因此,本案三萜混合物對於作為MS模式之EAE小鼠的功效,係以H&E染色以及血液中IL-17含量進行評估。EAE is a disease in which the central nervous system (CNS) is demyelinated by CD4+ T cells, which serves as a model for human MS. The pathological mechanism of EAE development includes activation of antigen-specific T cells and Th1 differentiation of T cells and macrophages after penetration into the CNS. IL-17 causes pathology of multiple sclerosis (MS). Previous studies have indicated that human patients with MS lesions will show an increased IL-17. Therefore, the efficacy of the triterpenoid mixture in this case for EAE mice as MS mode was evaluated by H&E staining and IL-17 content in blood.

EAE小鼠係依據「材料與方法」段落中所敘述之步驟進行誘發以及治療,實驗結果總結於表2以及圖1至圖3。EAE mice were induced and treated according to the procedures described in the "Materials and Methods" section. The results of the experiments are summarized in Table 2 and Figures 1 to 3.

依據表2以及圖1之資料,EAE小鼠MS的臨床症狀於第2天出現,若未接受治療,EAE知情況隨著時間惡化,其分數逐漸上升至超過3.5;相反的,接受本案三萜混合物治療之EAE小鼠則具有低的分數,明顯顯示本案之三萜混合物能有效抑制EAE小鼠MS之發展。According to the data in Table 2 and Figure 1, the clinical symptoms of MS in EAE mice appeared on the second day. If the treatment was not received, EAE knew that the condition gradually increased over time to 3.5, and on the contrary, the three cases were accepted. The EAE mice treated with the mixture had a low score, which clearly showed that the triterpene mixture of the present invention can effectively inhibit the development of MS in EAE mice.

表2 Table 2

前述之結果進一步經由組織學分析確認,其中,係於實驗最後的階段將所有小鼠之脊髓用於製備6-10 um組織切片。這些組織進行H&E染色以顯示發炎浸潤之狀況,一代表性實例之結果如圖2所示。圖2中,可於控制組動物中觀察到顯著數量之發炎細胞、脫髓鞘以及凋亡細胞(圖2A);而由接受三萜混合物治療之動物取出之組織則維持健康狀態(圖2B)。The foregoing results were further confirmed by histological analysis in which the spinal cord of all mice was used to prepare 6-10 um tissue sections at the final stage of the experiment. These tissues were subjected to H&E staining to show the condition of inflamed infiltration, and the results of a representative example are shown in Fig. 2. In Figure 2, significant numbers of inflammatory cells, demyelinated cells, and apoptotic cells were observed in the control animals (Fig. 2A); while tissues removed from animals treated with the triterpenoid mixture maintained their health (Fig. 2B). .

IL-17係一習知之發炎趨化激素(chemokine),其能活化T細胞以及其他類型之免疫細胞,並於不同的免疫疾病中大量表現,如類風濕性關節炎、狼瘡、氣喘和多發性硬化。先前研究已確認EAE小鼠脊髓內有顯著數量之IL-17蛋白質,因此IL-17之含量為一良好之指標,可用於作為評估治療MS候選藥物。接受與未接受本案三萜化合物治療的EAE小鼠中的IL-17含量係如圖3所顯示。IL-17 is a well-known chemokine that activates T cells and other types of immune cells and manifests in a variety of immune diseases such as rheumatoid arthritis, lupus, asthma and multiple hardening. Previous studies have confirmed that there is a significant amount of IL-17 protein in the spinal cord of EAE mice, so the IL-17 content is a good indicator that can be used as an evaluation candidate for MS treatment. The IL-17 content in EAE mice receiving and not receiving the triterpenoids in this case is shown in Figure 3.

依據圖3所顯示,本案之三萜混合物可降低EAE小鼠之IL-17含量,其係與圖1以及圖2之發現一致,本案之三萜混合物可能壓制或抑制MS之發展。As shown in Figure 3, the triterpene mixture of the present invention can reduce the IL-17 content of EAE mice, which is consistent with the findings of Figures 1 and 2, which may suppress or inhibit the development of MS.

應理解的是,上述之實施態樣僅用於提供實例,且習知此技藝者可對其進行各種修飾。上述說明書、實施例與數據係提供本發明實施態樣之使用與其結構完整之描述。雖然本發明不同之實施態樣已經以一定程度之特點描述如上,或係關於一或多個獨立之實施態樣,然本領域之通常知識者,可在不脫離本案揭露內容之精神和範圍內,對揭露之實施態樣作各種之更動。It is to be understood that the above-described embodiments are only provided to provide examples, and various modifications may be made by those skilled in the art. The above description, examples, and data sets provide a description of the embodiments of the invention and its structural details. Although the various embodiments of the present invention have been described above with a certain degree of detail, or with respect to one or more independent embodiments, those of ordinary skill in the art may, without departing from the spirit and scope of the disclosure. , to make various changes to the implementation of the disclosure.

以下所附圖式係包含並構成本說明書之一部分,其繪示出本發明多種態樣之各種例示性系統、方法以及其他實施方式。本案詳細說明之內容可依下列詳細之描述佐以圖式之說明,更清楚地理解其內容,其中, 圖1描繪依本案揭露內容其中一實施例中EAE小鼠之臨床分數; 圖2係依本案揭露內容其中一實施例中,自EAE小鼠取出之脊髓組織以H&E染色之照片,其中A:控制組載體,以及B:經本案三萜混合物處理,為100x倍率,其發炎細胞、髓鞘脫失及/或凋亡細胞係由方框標示;以及 圖3係一長條圖,其描述依本案揭露內容其中一實施例中,本案三萜混合物對血液中IL-17含量之影響。The following figures are included to form and constitute a part of this specification, which illustrates various illustrative systems, methods, and other embodiments of various aspects of the invention. The details of the present invention can be more clearly understood by the following detailed description in the following detailed description, wherein FIG. 1 depicts the clinical score of EAE mice in one embodiment according to the disclosure of the present disclosure; DISCLOSURE OF THE INVENTION In one embodiment, photographs of spinal cord tissue taken from EAE mice were stained with H&E, wherein A: control group vector, and B: treated with the mixture of triterpenoids in this case, 100x magnification, inflammatory cells, myelin sheath The depleted and/or apoptotic cell lines are indicated by boxes; and Figure 3 is a bar graph depicting the effect of the triterpenoid mixture on the IL-17 content in the blood in one embodiment of the present disclosure.

Claims (3)

一種將一混合物用於製備一治療多發性硬化(MS)之醫藥品的用途,其中該混合物係由靈芝酸A (ganoderic acid A, GAA)、靈芝酸B (ganoderic acid B, GAB)、 靈芝酸C (ganoderic acid C, GAC)、靈芝酸C5 (ganoderic acid C5 , GAC5 )、靈芝酸C6 (ganoderic acid C6 , GAC6 )、靈芝酸D (ganoderic acid D, GAD)、靈芝酸E (ganoderic acid E, GAE)、靈芝酸G (ganoderic acid G, GAG)以及靈芝烯酸D (ganoderenic acid D)所組成。A use of a mixture for the preparation of a medicament for treating multiple sclerosis (MS), wherein the mixture is composed of ganoderic acid A (GAA), ganoderic acid B (GAB), ganoderic acid C (ganoderic acid C, GAC) , Ganoderma acid C 5 (ganoderic acid C 5, GAC 5), Ganoderma acid C 6 (ganoderic acid C 6, GAC 6), Ganoderma acid D (ganoderic acid D, GAD) , Ganoderma acid E (ganoderic acid E, GAE), ganoderic acid G (GAG), and ganoderenic acid D. 如申請專利範圍第1項之用途,其中該GAA於混合物中所佔重量約為30-40%,GAB、GAC、GAD以及GAG於混合物中所佔重量分別約為10-15%,GAC5 、GAC6 、GAE 以及靈芝烯酸 D於混合物中所佔重量分別約為3-6%。The use of the first aspect of the patent application, wherein the weight of the GAA in the mixture is about 30-40%, and the weight of the GAB, GAC, GAD, and GAG in the mixture is about 10-15%, respectively, GAC 5 , The weight of GAC 6 , GAE and Ganoderma acid D in the mixture is approximately 3-6%. 如申請專利範圍第2項之用途,其中該GAA於混合物中所佔重量約為35%,GAB、GAC、GAD以及GAG於混合物中所佔重量分別約為12%,GAC5 、GAC6 、GAE以及靈芝烯酸D於混合物中所佔重量分別約為3、6 、3.5以及 4.5%。The use of the second aspect of the patent application, wherein the weight of the GAA in the mixture is about 35%, and the weight of the GAB, GAC, GAD, and GAG in the mixture is about 12%, respectively, GAC 5 , GAC 6 , GAE And the weight of the ganoderma acid D in the mixture is about 3, 6, 3.5, and 4.5%, respectively.
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