TW201827060A - Use of zinc salts and zinc compounds for stimulating erythropoiesis characterized in that the amount of red blood cells in the organism can be effectively increased, and the diseases related to the deficiency of red blood cells can be treated or prevented - Google Patents

Use of zinc salts and zinc compounds for stimulating erythropoiesis characterized in that the amount of red blood cells in the organism can be effectively increased, and the diseases related to the deficiency of red blood cells can be treated or prevented Download PDF

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TW201827060A
TW201827060A TW106115656A TW106115656A TW201827060A TW 201827060 A TW201827060 A TW 201827060A TW 106115656 A TW106115656 A TW 106115656A TW 106115656 A TW106115656 A TW 106115656A TW 201827060 A TW201827060 A TW 201827060A
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zinc
red blood
cells
blood cells
cell
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TW106115656A
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鄭森雄
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國立臺灣海洋大學
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • A61K33/30Zinc; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/555Heterocyclic compounds containing heavy metals, e.g. hemin, hematin, melarsoprol

Abstract

The present invention provides the use of a zinc salts and zinc compounds for preparing a pharmaceutical composition capable of stimulating erythropeiesis. The pharmaceutical composition provided by the present invention includes an effectively therapeutic amount of zinc salts and zinc compounds, a pharmaceutically acceptable carrier and excipient. By providing the present pharmaceutical composition containing the zinc salts and zinc compounds, the amount of red blood cells in the organism can be effectively increased, thereby being applied to treat and/or prevent the diseases related to the deficiency of red blood cells.

Description

鋅鹽及鋅化合物用於促進紅血球生成之應用    Application of zinc salt and zinc compound for promoting red blood cell formation   

本發明係關於一種鋅鹽及鋅化合物用於醫藥組成物之新用途,尤其是關於鋅鹽及鋅化合物用於製備促進紅血球生成之醫藥組成物的用途。 The invention relates to a new use of a zinc salt and a zinc compound for a pharmaceutical composition, and more particularly to a use of the zinc salt and a zinc compound for the preparation of a pharmaceutical composition for promoting red blood cell formation.

貧血是一種血液疾病,泛指血液內紅血球(Red blood cell,RBC)的數量、血色素(Hemoglobin,Hb)或平均血球容積(mean corpuscular volume,MCV)降低至參考值以下之狀態,其中又因為血色素與血液攜帶氧氣的能力最為直接相關,因此以血色素的含量做為判斷貧血的標準是最為常見的,一般而言,如果每100毫升血液中,男性血色素少於14克或女性低於12克,即認定其具有貧血的症狀。而由於過長時間的貧血會導致記憶力衰退、心臟衰竭等情況,加上其可能是部分重大疾病的潛在徵兆,因此儘管造成的傷害並非立即性的,但仍是相當被重視的一項疾病。 Anemia is a blood disease that generally refers to the state where the number of red blood cells (RBC), Hemoglobin (Hb), or mean corpuscular volume (MCV) in the blood has fallen below a reference value. It is most directly related to the ability of the blood to carry oxygen, so it is most common to use the hemoglobin content as the criterion for judging anemia. In general, if every 100 ml of blood, male hemoglobin is less than 14 grams or female hemoglobin is less than 12 grams, It is considered to have symptoms of anemia. And because prolonged anemia can lead to memory loss, heart failure and other conditions, and it may be a potential sign of some major diseases, although the damage caused is not immediate, it is still a very important disease.

造成貧血的原因很多,包含慢性疾病、急性出血、遺傳性的成因(如地中海型貧血)、營養素不足所導致的貧血(如葉酸、維生素B12或鐵質等營養素之缺乏),或是器官功能衰退老化所導致的貧血,如肝臟、甲狀腺或腎臟的衰退或相關疾病所導致之貧血。若依照病因及發病之機制對貧血進行分類的話,則可將貧血分成紅血球生成減少性貧血、紅血球破壞過多性貧血及失血性貧血,其中,導致紅血球生成減少的原因又包含了造血原料缺乏、造血細胞異常或造血調控異常等原因所造成,其中造血細胞異常及造血過程調控上的 異常較容易造成慢性且長期的貧血,因此,目前在貧血治療的相關研究上,多以此類的貧血為目標做為重點防範或治療的方向。 There are many causes of anemia, including chronic diseases, acute bleeding, hereditary causes (such as thalassemia), anemia caused by insufficient nutrients (such as lack of nutrients such as folic acid, vitamin B12, or iron), or organ function decline Anemia caused by aging, such as the decline of the liver, thyroid or kidney, or anemia caused by related diseases. If the anemia is classified according to the etiology and pathogenesis, the anemia can be divided into reduced red blood cell anemia, excessive red blood cell destruction anemia, and hemorrhagic anemia. Among them, the cause of reduced red blood cell production includes the lack of hematopoietic materials and hematopoietic Caused by cell abnormalities or abnormal hematopoiesis regulation, among which abnormalities in hematopoietic cells and abnormalities in the regulation of hematopoietic processes are more likely to cause chronic and long-term anemia. Therefore, in the current research on the treatment of anemia, such anemia is often targeted As a priority prevention or treatment direction.

紅血球生成素(Erythropoietin,EPO)為一種醣蛋白激素,用以控制人體內之紅血球生成,其主要是在人體之肝臟和腎臟中被合成及分泌,而在成年期之後,又主要由腎臟合成為主。於一般正常生理情況下,貧血發生時,健康的腎臟會感受到血液循環中缺乏氧氣的壓力,進而生成更多的紅血球生成素,以刺激骨髓中的造血幹細胞,製造更多紅血球,來增加氧氣供應。然而部分的貧血患者,如罹患慢性腎衰竭的病人,由於其腎臟功能逐漸被破壞,當其感受到血液循環中缺乏氧氣的壓力時,並無法產生足夠的紅血球生成素刺激骨髓造血以緩解貧血之症狀,遂導致其貧血的狀況無法改善或越來越糟,稱之為腎性貧血。 Erythropoietin (EPO) is a glycoprotein hormone used to control the production of red blood cells in the body. It is mainly synthesized and secreted in the liver and kidneys of the human body. After adulthood, it is mainly synthesized by the kidneys into the Lord. Under normal physiological conditions, when anemia occurs, healthy kidneys will feel the pressure of lack of oxygen in the blood circulation, and then generate more erythropoietin to stimulate hematopoietic stem cells in the bone marrow, create more red blood cells, and increase oxygen. supply. However, some patients with anemia, such as those with chronic renal failure, gradually lose their kidney function. When they feel the pressure of lack of oxygen in the blood circulation, they cannot produce enough red blood cells to stimulate bone marrow hematopoiesis to relieve the anemia. Symptoms that lead to their anemia cannot be improved or become worse, which is called renal anemia.

一般而言,腎性貧血的成因有很多種,其中包括紅血球生成減少、紅血球破壞增多、出血機會增加及重要營養素缺乏等因素,其中又以紅血球生成素的產量減少係為最主要的原因。而目前,因應上述的腎性貧血成因,其治療方式主要可分為注射人工重組之紅血球生成素、鐵劑之攝取、透析療法、施打雄性素、輸血及施打其他營養劑(如:維生素C、葉酸或維生素B12)等,而除了上述之治療方法以外,近幾年持續發展紅血球生成素以外之生物製劑作為紅血球刺激劑(Erythropoiesis-stimulating agents,ESAs),包含與紅血球生成素之受體具有高親和性之胜肽藥物(如:Peginesatide)、對紅血球生成機制直接進行調控之缺氧誘導因子穩定劑(Hypoxia-Inducible Factor Stabilizer)或GATA-2抑制劑等。 In general, there are many causes of renal anemia, including factors such as reduced red blood cell production, increased red blood cell destruction, increased bleeding opportunities, and lack of important nutrients. Among them, the decrease in red blood cell production is the main reason. At present, in response to the above-mentioned causes of renal anemia, the treatment methods can be divided into injections of artificially reconstituted erythropoietin, iron intake, dialysis therapy, androgen, blood transfusion, and other nutrients (such as vitamins) C, folic acid or vitamin B12), etc., in addition to the above-mentioned treatment methods, in recent years, biological agents other than erythropoietin have been continuously developed as erythrocyte stimulating agents (ESAs), including receptors for erythropoietin Peptide drugs with high affinity (eg, Peginesatide), Hypoxia-Inducible Factor Stabilizer or GATA-2 inhibitors that directly regulate the mechanism of red blood cell production.

然而上述的療法,有些係為重組蛋白或胜肽之生物製劑藥物,其製備複雜又有療程費用高昂的疑慮,另外,其他營養素的補充,或是血液透析或輸血等直接對血液成分進行更換的治療方法,又會存在著僅能治標卻無法治本的疑 慮,因此如何找尋更有效但價格相對低廉的治療方法,即成為相關領域中亟需解決之課題。 However, some of the above-mentioned therapies are biologic drugs of recombinant proteins or peptides, which are complicated to prepare and have high doubts about the cost of treatment. In addition, other nutrients are supplemented, or blood components such as hemodialysis or blood transfusion are directly replaced. There are doubts about the treatment method that can only cure the symptoms but not the root cause. Therefore, how to find a more effective but relatively low-cost treatment method has become an urgent problem in related fields.

本發明之主要目的,係提供一種包含鋅鹽及鋅化合物之促進紅血球生成的醫藥組成物及其用途,藉由提供此種包含鋅鹽及鋅化合物之醫藥組成物,可有效的提升生物體中紅血球之數量,進而應用於治療與缺乏紅血球相關之疾病。 The main object of the present invention is to provide a pharmaceutical composition containing zinc salts and zinc compounds to promote red blood cell production and use thereof. By providing such a pharmaceutical composition containing zinc salts and zinc compounds, it is possible to effectively improve the biological composition of organisms. The number of red blood cells is then used to treat diseases associated with lack of red blood cells.

本發明之又一目的,係提供一種以鋅鹽及鋅化合物用於製備促進紅血球生成之醫藥組成物的用途,利用此種具有鋅鹽及鋅化合物之醫藥組成物,能提供一成本較低的選擇來提升生物體中紅血球之數量。 Yet another object of the present invention is to provide a use of a zinc salt and a zinc compound for the preparation of a medicinal composition that promotes the formation of red blood cells. Using such a medicinal composition with a zinc salt and a zinc compound can provide a lower cost Choose to increase the number of red blood cells in the organism.

為了達到上述之目的,本發明揭示一種鋅鹽及鋅化合物用於製備促進紅血球生成之醫藥組成物的用途,其中,該醫藥組成物包含一有效治療量之鋅鹽及鋅化合物及醫藥可接受之一賦形劑或載劑。 In order to achieve the above object, the present invention discloses the use of a zinc salt and a zinc compound for preparing a pharmaceutical composition for promoting the formation of red blood cells, wherein the pharmaceutical composition comprises an effective therapeutic amount of the zinc salt and the zinc compound and a pharmaceutically acceptable An excipient or vehicle.

於本發明之一實施例,所述之鋅鹽及鋅化合物係包括(但不限定於)鋅離子之硫酸鹽、氫鹵酸鹽、硝酸鹽、碳酸鹽、檸樣酸鹽等,例如選自由硫酸鋅、硝酸鋅、氯化鋅、碳酸鋅、胺基酸鋅及生物鋅所組成之群組中之一者或其任意之組合。 In one embodiment of the present invention, the zinc salt and zinc compound include (but are not limited to) zinc sulfate, hydrohalide, nitrate, carbonate, citrate, etc. One of the group consisting of zinc sulfate, zinc nitrate, zinc chloride, zinc carbonate, zinc amino acid, and biological zinc, or any combination thereof.

於本發明之一些實施例,係揭露所述之醫藥組成物係透過促進特定細胞之紅血球生成素自分泌現象,來達到促進紅血球生成之目的。 In some embodiments of the present invention, it is disclosed that the medicinal composition described above promotes the formation of red blood cells by promoting the autocrine phenomenon of erythropoietin in specific cells.

於本發明之其他實施例,亦揭露所述醫藥組成物係用於改善動物體內紅血球缺乏之症狀。 In other embodiments of the present invention, it is also disclosed that the medicinal composition is used to improve the symptoms of red blood cell deficiency in animals.

於本發明之一些實施例,所述之賦形劑係選自於一輔劑、一稀釋劑及一載劑所組成之群組中之一者或其任意 之組合。 In some embodiments of the present invention, the excipient is one selected from the group consisting of an adjuvant, a diluent, and a carrier, or any combination thereof.

於本發明之另一些實施例,係將所述之藥物組合物製成一劑型,該劑型係選自一錠劑、一膠囊劑、一散劑、一粉劑、一溶液劑、一懸浮液劑、一乳劑、一顆粒劑、一滴丸劑、一丸劑及一針劑所組成之群組中之一者或其任意之組合。 In other embodiments of the present invention, the pharmaceutical composition is made into a dosage form, the dosage form is selected from a lozenge, a capsule, a powder, a powder, a solution, a suspension, One of the group consisting of an emulsion, a granule, a drop of pills, a pill, and an injection, or any combination thereof.

於本發明之其他實施例,係揭露將該藥物組合物係對所需之動物進行給藥,所述之動物可為一哺乳類動物、一禽類或一魚類動物。 In other embodiments of the present invention, it is disclosed that the pharmaceutical composition is administered to a desired animal, and the animal may be a mammal, a bird or a fish.

本發明所提供之彩色圖式係為了明確表彰本發明所提供之技術內涵及發明精神所採之必要之主張,特此聲明。 The color scheme provided by the present invention is hereby stated in order to clearly commend the technical connotation and spirit of the invention provided by the present invention.

第1圖:其係為本發明一較佳實施例之四種魚類之頭腎細胞,其細胞培養液在有/無添加鋅鹽情況下培養後的細胞數量比較圖;第2圖:其係為本發明一較佳實施例之四種魚類,其細胞培養液於不同鋅鹽添加濃度與細胞增生比例之間之關係圖;第3圖:其係為本發明一較佳實施例之鯽魚頭腎細胞,其細胞培養液在有/無添加鋅鹽情況下培養後,經細胞染色後之顯微鏡視野圖;第4圖:其係為本發明一較佳實施例之草魚、鰱魚及吳郭魚之頭腎細胞,其細胞培養液在有/無添加鋅鹽情況下培養後,經細胞染色後之顯微鏡視野圖;第5圖:其係為本發明一較佳實施例之四種魚類,由其細胞培養液於抽取鋅結合蛋白後,蛋白質電泳及LC-MS/MS 上之組成成分表現;第6圖:其係為本發明一較佳實施例之吳郭魚,其在活體失血模型中不同時間點,血液中紅血球數目、血球容積比及血色素之變化圖;第7圖:其係為本發明一較佳實施例之吳郭魚,其在活體失血模型中不同時間點,經注射含鹽水或硫酸鋅溶液後,採集之血液樣本經細胞染色後之顯微鏡視野圖;第8圖:其係為本發明一較佳實施例之鯽魚,其鋅鹽促進之紅血球生成反應,與添加可溶性紅血球生成素受體,或人類重組紅血球生成素中和抗體後,對紅血球生成之影響圖;第9圖:其係為本發明一較佳實施例之大鼠骨髓細胞,其細胞培養液在有/無添加鋅鹽情況下培養後的細胞尺寸及細胞數量之關係圖;第10圖:其係為本發明一較佳實施例之大鼠骨髓細胞,其細胞培養液在有/無添加鋅鹽情況下培養後的細胞種類及細胞數量之關係圖;第11圖:其係為本發明一較佳實施例之大鼠骨髓細胞,其細胞培養液在有/無添加鋅鹽情況下培養後,經CD71轉鐵蛋白受體螢光染色法及膜蛋白TER119紅細胞特異性血型糖蛋白A染色後之顯微鏡視野圖;及第12圖:其係為本發明一較佳實施例之大鼠骨髓細胞,其鋅鹽促進之紅血球生成反應,與添加可溶性紅血球生成素受體,或大鼠紅血球生成素中和抗體後,對紅血球生成之影響圖。 Figure 1: This is a comparison diagram of the number of cells in the head kidney cells of four fish species according to a preferred embodiment of the present invention. Figure 4 shows the relationship between the cell culture broth at different zinc salt addition concentrations and cell proliferation ratio in four types of fish according to a preferred embodiment of the present invention. Figure 3: This is a catfish head according to a preferred embodiment of the present invention. Renal cells, the microscopic field view of the cell culture solution after being cultured in the presence or absence of added zinc salt, and stained with cells; Figure 4: This is a grass carp, catfish and Wu Guo according to a preferred embodiment of the present invention Fish head kidney cells, whose cell culture solution is cultured with or without the addition of zinc salt, and the microscopic field view of the cells after staining; Figure 5: These are four types of fish according to a preferred embodiment of the present invention. After extracting zinc-binding protein from its cell culture solution, the components of protein electrophoresis and LC-MS / MS were performed; Figure 6: This is a Wu Guoyu, which is a preferred embodiment of the present invention, and its blood loss model in vivo Number of red blood cells, blood cell volume in blood at different time points And hemoglobin changes; Figure 7: This is a preferred embodiment of the Wu Guoyu, a blood sample collected at different time points in a living blood loss model after injection of saline or zinc sulfate solution. Microscopic view of the cells after staining; Figure 8: This is a catfish, a preferred embodiment of the present invention, the zinc-stimulated erythropoiesis reaction, and the addition of soluble erythropoietin receptors, or human recombinant erythropoietin Figure 9 shows the effect of red blood cells on antibody formation. Figure 9: This is a rat bone marrow cell of a preferred embodiment of the present invention. Relationship between the number of cells; Figure 10: This is a relationship between the number of cells and the number of cells in the culture medium of a rat bone marrow cell with / without the addition of zinc salts in a preferred embodiment of the present invention Figure 11: This is a rat bone marrow cell according to a preferred embodiment of the present invention. After the cell culture medium is cultured with or without the addition of zinc salt, it is subjected to CD71 transferrin receptor fluorescence staining method and membrane. protein Microscopic view of TER119 erythrocyte-specific blood group glycoprotein A staining; and Fig. 12: This is a rat bone marrow cell of a preferred embodiment of the present invention. The zinc salt promotes the red blood cell formation reaction and the addition of soluble red blood cell formation. Effect of serotonin receptors or rat erythropoietin neutralizing antibodies on erythrocyte production.

為使 貴審查委員對本發明之特徵及所達成之功效有更進一步之瞭解與認識,謹佐以較佳之實施例及配合 詳細之說明,說明如後:在本發明中,針對目前重組蛋白或胜肽之生物製劑藥物製備複雜且療程費用高昂,以及血液透析或輸血等治療方法只能治標卻無法治本之狀況,提供一種新穎的促進紅血球生成之醫藥組成物及其用途。本發明之醫藥組成物藉由促進紅血球之生成,可有效增加服用者體內紅血球之生成量,進而達到控制生物體內紅血球數量之目的,同時,所使用之醫藥組成物成分之製備成本較為低廉,且無須過度繁複之製備技術,能有效的減少治療過程中患者的經濟負擔。 In order for your reviewers to have a better understanding and understanding of the features of the present invention and the effects achieved, I would like to refer to the preferred embodiments and detailed explanations as follows: In the present invention, the current recombinant protein or Peptide biological preparations are complicated in preparation and costly, and treatment methods such as hemodialysis or blood transfusion can only treat the symptoms but not the root cause, and provide a novel medicinal composition that promotes the formation of red blood cells and uses thereof. By promoting the formation of red blood cells, the pharmaceutical composition of the present invention can effectively increase the amount of red blood cells in the body of the user, thereby achieving the purpose of controlling the amount of red blood cells in the body. At the same time, the preparation cost of the used medical composition components is relatively low, and Without excessively complicated preparation technology, it can effectively reduce the financial burden of patients during treatment.

因此,本發明提供一種鋅鹽及鋅化合物用於製備促進紅血球生成之醫藥組成物的用途,其中,該醫藥組成物包含一有效治療量之鋅鹽及鋅化合物及醫藥可接受之一載體或賦形劑。所述之醫藥組成物主要係利用鋅鹽及鋅化合物能有效提高生物體內紅血球生成素(Erythropoietin,EPO)濃度之作用,藉以達到促進生物體內紅血球生成之目的。另一方面,所述之醫藥組成物可藉由輔劑之作用,使鋅鹽及鋅化合物能以更為多種之形式進入生物體內,提供最適合患者需求之方式進行醫藥組成物成分之遞送。 Therefore, the present invention provides a use of a zinc salt and a zinc compound for preparing a pharmaceutical composition that promotes the formation of red blood cells, wherein the pharmaceutical composition comprises an effective therapeutic amount of the zinc salt and the zinc compound and a pharmaceutically acceptable carrier or agent. Shape agent. The pharmaceutical composition mainly uses zinc salts and zinc compounds to effectively increase the concentration of Erythropoietin (EPO) in the body, thereby achieving the purpose of promoting the formation of red blood cells in the body. On the other hand, the pharmaceutical composition can allow zinc salts and zinc compounds to enter the body in a variety of forms through the action of adjuvants, providing the delivery of the pharmaceutical composition components in a manner most suitable for the needs of patients.

於本發明,所述之有效治療量係指受試者在服用該醫藥組成物後,達到產生治療反應或期望效果的藥物的劑量或量,其通常係介於最小有效劑量(minimum effective dose,MED)和最大耐受劑量(maximum tolerated dose,MTD)之間的範圍,而其通常係高於能引起藥物療效之一平均數值,且在統計意義上需顯著高於安慰劑所給予使用者之治療成效。 In the present invention, the effective therapeutic amount refers to the dose or amount of a drug that achieves a therapeutic response or desired effect after a subject takes the pharmaceutical composition, which is usually between the minimum effective dose (minimum effective dose, The range between MED) and the maximum tolerated dose (MTD), which is usually higher than one of the average values that can cause the drug's efficacy, and it needs to be statistically higher than that given to users by placebo. Effectiveness of treatment.

於本發明,所使用之鋅鹽及鋅化合物為一種鋅金屬離子(Zn2+)與酸根離子或非金屬離子結合後所生成之化合物,鋅離子雖然是一種能與所有陰離子形成化合物之離子,然而為了能讓鋅鹽於遞送至生物體內後能順利解離成鋅離子進行藥理作用,於本發明中,僅提供能溶解在水或是類似之溶劑中之鋅鹽,進行本發明所提供之醫藥組成物之製備。而 鋅鹽及鋅化合物之製備過程及其材料來源之取得,一般而言並不繁複。舉例而言,鋅金屬與鹵素氣體或固體之來源進行反應之後,即可獲得鹵化鋅化合物(如:氯化鋅或溴化鋅等),即是為一種相當常見的鋅鹽來源。基於上述之原則,本發明所提供之鋅鹽及鋅化合物係(例如)鋅離子與硫酸、氫鹵酸、硝酸、檸檬酸等所形成的鹽類。舉例而言,本發明所述之鋅鹽可選自於硫酸鋅、硝酸鋅及氯化鋅所組成之群組中之一者或其任意之組合。然而,本發明所提供之鋅鹽及鋅化合物種類及其來源並不以此為限,任何符合前述發明精神之鋅鹽及鋅化合物皆應係為本發明保護範圍之對象。 In the present invention, the zinc salt and zinc compound used are a compound formed by combining zinc metal ion (Zn 2+ ) with acid ion or non-metal ion. Although zinc ion is an ion capable of forming a compound with all anions, However, in order to allow the zinc salt to dissociate into zinc ions for pharmacological effects after delivery to the body, in the present invention, only the zinc salt that can be dissolved in water or a similar solvent is provided for the medicine provided by the present invention Preparation of composition. The preparation of zinc salts and zinc compounds and the acquisition of their material sources are generally not complicated. For example, after reacting zinc metal with a source of halogen gas or solid, a zinc halide compound (such as zinc chloride or zinc bromide, etc.) can be obtained, which is a fairly common source of zinc salt. Based on the above principles, the zinc salts and zinc compounds provided by the present invention are, for example, salts formed by zinc ions and sulfuric acid, hydrohalic acid, nitric acid, citric acid, and the like. For example, the zinc salt according to the present invention may be selected from one of the group consisting of zinc sulfate, zinc nitrate and zinc chloride, or any combination thereof. However, the types and sources of zinc salts and zinc compounds provided by the present invention are not limited thereto, and any zinc salt and zinc compound that conforms to the spirit of the foregoing invention should be the object of the protection scope of the present invention.

其中,本發明所使用之賦形劑,係為醫藥組成物中用以提升藥物中有效成分的作用,或在藥物最終劑型中促進溶解、吸收以增強有效成分的發揮之化合物。除此之外,賦形劑在藥物製作過程中亦能穩定有效成份之物理性質及化學性質,避免醫藥組成物產生變性並穩定其品質,而賦形劑的選擇除了前述之因素之外,尚取決於該醫藥組成物於製備完成後之給藥途徑、劑型或有效成分等其它因素。基於上述之原則,本發明所提供之賦形劑係選自於一輔劑、一稀釋劑及一載劑所組成之群組中之一者或其任意之組合。 Among them, the excipient used in the present invention is a compound used in a pharmaceutical composition to enhance the effect of an active ingredient in a drug, or to promote dissolution and absorption in a final dosage form of a drug to enhance the display of the active ingredient. In addition, excipients can also stabilize the physical and chemical properties of the active ingredients during the pharmaceutical manufacturing process, avoiding the denaturation of the pharmaceutical composition and stabilizing its quality. In addition to the factors mentioned above, the choice of excipients is still It depends on other factors such as the route of administration, dosage form or active ingredients of the pharmaceutical composition after preparation. Based on the above principles, the excipient provided by the present invention is selected from one of the group consisting of an adjuvant, a diluent, and a carrier, or any combination thereof.

其中,本發明所提供之醫藥組成物,其給藥途徑主要係以口服給藥及注射給藥為主,然而本發明所提供之給藥途徑並不以此為限,任何能順利將鋅鹽及鋅化合物遞送至生物體內並達到足夠之藥物血中濃度之給藥方式皆應係為本發明保護範圍之對象。基於前述之原則,本發明所提供之藥物組合物係製成一劑型進行鋅鹽及鋅化合物之遞送,其中,該劑型係選自一錠劑、一膠囊劑、一散劑、一粉劑、一溶液劑、一懸浮液劑、一乳劑、一顆粒劑、一滴劑、一丸劑及一針劑所組成之群組中之一者或其任意之組合,然而本發明所提供之醫藥組成物劑型並不以此為限。 Among them, the medicinal composition provided by the present invention is mainly administered by oral administration or injection. However, the administration route provided by the present invention is not limited to this. And the way of administration of zinc compounds to the body to achieve a sufficient drug blood concentration should be the subject of the scope of the present invention. Based on the foregoing principles, the pharmaceutical composition provided by the present invention is made into a dosage form for the delivery of zinc salts and zinc compounds, wherein the dosage form is selected from a lozenge, a capsule, a powder, a powder, a solution Agent, a suspension agent, an emulsion, a granule, a drop, a pill and an injection, or any combination thereof, however, the dosage form of the pharmaceutical composition provided by the present invention is not based on This is limited.

其中,本發明所提供之鋅鹽及鋅化合物用於製備 促進紅血球生成之用途,係利用係透過促進特定細胞之紅血球生成素自分泌現象,以達到促進紅血球生成之目的,所述之特定細胞係包含魚類動物之頭腎細胞或哺乳類動物之骨髓細胞。藉由促進特定細胞之紅血球生成素自分泌現象,紅血球生成素將進一步刺激紅血球之分化及生成,藉以改善生物體內缺乏紅血球之病症,進而治療生物體因缺乏紅血球所導致的各種疾病,做為提供新穎之醫藥組成物用途之基礎。 Among them, the zinc salt and zinc compound provided by the present invention are used for the preparation for promoting the formation of red blood cells, by utilizing the phenomenon of promoting the autocrine phenomenon of erythropoietin in specific cells to achieve the purpose of promoting the formation of red blood cells. The specific cell line Contains head kidney cells of fish animals or bone marrow cells of mammals. By promoting the autocrine phenomenon of erythropoietin in specific cells, erythropoietin will further stimulate the differentiation and production of red blood cells, thereby improving the lack of red blood cells in the body, and then treating various diseases caused by the lack of red blood cells in the body. The basis of novel pharmaceutical composition uses.

以下,以具體實施之範例作為此發明之組織技術內容、特徵及成果之闡述之用,並可據以實施,但本發明之保護範圍並不以此為限。 In the following, specific implementation examples are used for the description of the organizational technical content, features, and results of this invention, and can be implemented accordingly, but the scope of protection of the present invention is not limited thereto.

【材料與方法】【Materials and Methods】

【實驗動物】[Experimental animal]

在本發明所提供之實驗中所使用之成年雄性大鼠(Sprague-Dawley品種)重量皆係為210±20克,並飼養在22±3℃和55±5%相對濕度的室內動物設施中,具有每12小時進行替換之光-暗循環。且動物之使用皆經由國立台灣海洋大學的機構動物護理和使用委員會審查和批准。 The adult male rats (Sprague-Dawley breed) used in the experiments provided by the present invention weigh 210 ± 20 grams and are housed in indoor animal facilities at 22 ± 3 ° C and 55 ± 5% relative humidity. Light-dark cycle with replacement every 12 hours. The use of animals has been reviewed and approved by the Institutional Animal Care and Use Committee of National Ocean University of Taiwan.

在本發明所提供之實驗中所使用之魚類共有鯽魚(crucian carp)、草魚(grass carp)、鰱魚(silver carp)和吳郭魚(tilapia)四種,在實驗前自養殖場獲得該些魚種後,將其放置於聚乙烯槽中飼養兩個月進行準備。實驗魚種相關數據平均如下:鯽魚總長為22±3公分,重約207±69克(n=44);草魚總長為41±2公分,重約680±101克(n=6);鰱魚總長為39±3公分,重約556±73克(n=6);27±1魚總長為27±1公分,重約362±43克(n=15),且動物之使用皆經由國立台灣海洋大學的機構動物護理和使用委員會審查和批准。 There are four types of fish used in the experiments provided by the present invention: crucian carp, grass carp, silver carp, and tilapia. These fish were obtained from the farm before the experiment. After fingerlings, they are kept in polyethylene tanks for two months to prepare. The average data of experimental fish species are as follows: the total length of catfish is 22 ± 3 cm and weighs about 207 ± 69 g (n = 44); the total length of grass carp is 41 ± 2 cm and weighs about 680 ± 101 g (n = 6); The total length is 39 ± 3 cm and weighs about 556 ± 73 grams (n = 6); the 27 ± 1 fish has a total length of 27 ± 1 cm and weighs about 362 ± 43 grams (n = 15). All animals are used by National Taiwan Review and approval by Institutional Animal Care and Use Committee of Ocean University.

【各個魚種之頭腎細胞之樣品製備】[Sample preparation of head kidney cells of each species]

在本發明提供之實驗中,所使用之頭腎細胞係從前述之各個魚種之頭腎(head kidney)取得。將魚類之頭腎透過孔徑係為26微米之濾網進行過篩以獲得細胞,再利用DMEM 細胞培養液(Dulbecco's Modified Eagle's medium,DMEM)沖洗,而後重複離心洗滌去除雜質後,以細胞培養液使餘下的細胞重新懸浮於培養液之中,以完成魚類頭腎細胞懸浮液之製備。 In the experiment provided by the present invention, the head kidney cell line used was obtained from the head kidney of each of the aforementioned fish species. The fish's head and kidneys were sieved through a sieve with a pore size of 26 microns to obtain cells, and then washed with DMEM cell culture solution (Dulbecco's Modified Eagle's medium, DMEM), and then repeated centrifugal washing to remove impurities, and then used the cell culture solution The remaining cells are resuspended in the culture medium to complete the preparation of the fish head and kidney cell suspension.

【大鼠骨髓細胞之樣品製備】[Sample preparation of rat bone marrow cells]

在本發明提供之實驗中,所使用之骨髓細胞係從12週齡大之大鼠的股骨中分離而得,其係利用DMEM細胞培養液(Dulbecco's Modified Eagle's medium,DMEM)沖洗並收集股骨中之骨髓內容物,而後重複離心洗滌去除雜質後,以細胞培養液使餘下的細胞重新懸浮於培養液之中,以完成大鼠骨髓細胞懸浮液之製備。 In the experiment provided by the present invention, the bone marrow cell line used was isolated from the femur of a 12-week-old rat. It was rinsed with DMEM cell culture solution (Dulbecco's Modified Eagle's medium, DMEM) and collected from the femur. After the bone marrow contents are repeatedly washed by centrifugation to remove impurities, the remaining cells are resuspended in the culture solution with the cell culture solution to complete the preparation of the rat bone marrow cell suspension.

【實施例1】[Example 1]

【鋅鹽及鋅化合物對四種魚類之頭腎細胞之紅血球生成功能影響】 [ Effects of zinc salts and zinc compounds on erythrocyte production of head kidney cells in four fish species]

為了觀察鋅鹽及鋅化合物對於四種魚類之頭腎細胞之紅血球生成功能之影響,本發明係將四種魚類之頭腎細胞於細胞培養液(10%之魚類血清,對應於頭腎細胞之來源)以懸浮培養的方式進行一天之培養,並於各個細胞培養液中分別添加0.01mM-2mM不等之氯化鋅之組別作為實驗組,進行比對。比對之項目係將細胞培養液經過Percoll密度層析後,獲得之第一類細胞之數量,如前所述,該第一類細胞係屬於未成熟之紅血球細胞,密度係為1.020g/mL。 In order to observe the effect of zinc salts and zinc compounds on the erythropoiesis function of the head kidney cells of the four fish species, the present invention uses the head kidney cells of the four fish species in cell culture fluid (10% of fish serum, corresponding to the head kidney cells). Source) The culture was carried out in suspension culture for one day, and each group was added with a zinc chloride ranging from 0.01 mM to 2 mM as an experimental group for comparison. The comparison item is the number of the first type of cells obtained after the cell culture fluid is subjected to Percoll density chromatography. As mentioned earlier, the first type of cell line is an immature red blood cell with a density of 1.020 g / mL. .

從結果中可以發現,四種魚類之頭腎細胞經過添加不同濃度氯化鋅之細胞培養液培養一天後,細胞培養液內的細胞總數量皆有顯著的變化(如第1圖所示),然而,在四種魚類同時觀察到第一類細胞之數目增加且第二類細胞之數目減少之趨勢(如第1圖所示),其中,在第一類細胞數目增加的部分,細胞數量於第一天顯著的增加之後即進入平原期,不再具有顯著的變化,而細胞增加的比例係未添加氯化鋅之控制組之三倍,表示添加的鋅鹽在一天的時間刺激未成熟之紅 血球細胞之增生,且增加的細胞數量有三倍之多。 From the results, it can be found that after the kidney cells of the four fish species were cultured for one day with a cell culture solution containing different concentrations of zinc chloride, the total number of cells in the cell culture solution significantly changed (as shown in Figure 1). However, an increase in the number of cells of the first type and a decrease in the number of the cells of the second type were observed in the four types of fish at the same time (as shown in Fig. 1). After the significant increase on the first day, it entered the plain period and no longer had significant changes. The proportion of cells increased was three times that of the control group without added zinc chloride, indicating that the added zinc salt stimulated the immature Proliferation of red blood cells, and the number of cells increased by three times.

【實施例2】[Example 2]

【不同鋅鹽濃度對四種魚類之頭腎細胞之紅血球生成功能影響】[Effects of Different Zinc Salt Concentrations on the Red Blood Cell Production Function of Head Kidney Cells in Four Fishes]

為了觀察不同鋅鹽濃度對四種魚類之頭腎細胞之紅血球生成功能影響,本發明係將四種魚類之頭腎細胞於細胞培養液(10%之魚類血清,對應於頭腎細胞之來源)以懸浮培養的方式進行一天之培養,並以細胞培養液中未添加鋅鹽之組別做為控制組,細胞培養液中添加0.3mM-1.2mM之氯化鋅之組別作為實驗組,進行比對。比對之項目係分為細胞培養液經過四天培養後之總細胞數目,及細胞培養液經過Percoll密度層析後依照密度分類的兩大類別(fraction 1和fraction 2)細胞之總數。選擇觀察於Percoll密度層析後細胞培養液的分層狀況是因為在硬骨魚類中,紅血球的成熟與否與細胞大小有相當密切的關聯,因此藉由細胞密度層析分辨成熟與未成熟之紅血球細胞並觀察其細胞數量,其中第一類之細胞屬於未成熟之紅血球細胞,密度係為1.020g/mL,第二類之細胞則係屬於已成熟之紅血球細胞,其密度係為1.070g/mL。 In order to observe the effect of different zinc salt concentrations on the erythropoiesis function of the head kidney cells of the four fish species, the present invention uses the head kidney cells of the four fish species in cell culture fluid (10% fish serum, corresponding to the source of the head kidney cells) The suspension culture was performed for one day, and the group without adding zinc salt in the cell culture solution was used as the control group, and the group with 0.3 mM-1.2 mM zinc chloride in the cell culture solution was used as the experimental group. Comparison. The comparison items are divided into the total number of cells in the cell culture solution after four days of culture, and the total number of cells in the two major categories (fraction 1 and fraction 2) classified by density after the cell culture solution is subjected to Percoll density chromatography. The layered state of the cell culture fluid was selected for observation after Percoll density chromatography, because the maturity of red blood cells is closely related to the cell size in the bone cartilage. Therefore, the mature and immature red blood cells are distinguished by cell density chromatography. And observe the number of cells. The first type of cells are immature red blood cells with a density of 1.020 g / mL, and the second type of cells are mature red blood cells with a density of 1.070 g / mL. .

從結果可以發現,四種魚類之頭腎細胞經過添加不同濃度氯化鋅之細胞培養液培養一天後,細胞培養液內的第一類細胞數量有顯著的變化(如第2圖所示),其中,鯽魚(crucian carp)係於氯化鋅添加濃度大於0.6mM時開始具有顯著之未成熟紅血球細胞增生效果,並於氯化鋅添加濃度為1.2mM時具有最大之細胞增生比例(500%);草魚(grass carp)係於氯化鋅添加濃度大於0.2mM時開始具有顯著之未成熟紅血球細胞增生效果,並於氯化鋅添加濃度為0.6mM時具有最大之細胞增生比例(520%);鰱魚(silver carp)係於氯化鋅添加濃度大於0.3mM時開始具有顯著之未成熟紅血球細胞增生效果,並於氯化鋅添加濃度為0.3mM時具有最大之細胞增生比 例(660%);而吳郭魚(tilapia)係於氯化鋅添加濃度大於1.2mM時開始具有顯著之未成熟紅血球細胞增生效果,並於氯化鋅添加濃度為1.5mM時具有最大之細胞增生比例(290%)。 From the results, it can be found that after the kidney cells of the four types of fish were cultured for one day with a cell culture solution containing different concentrations of zinc chloride, the number of the first type of cells in the cell culture solution changed significantly (as shown in Figure 2). Among them, crucian carp has a significant immature red blood cell proliferation effect when the zinc chloride is added at a concentration greater than 0.6mM, and has the largest cell proliferation ratio (500%) when the zinc chloride is added at a concentration of 1.2mM. Grass carp (Grass carp) has significant immature red blood cell proliferation effect when zinc chloride is added at a concentration greater than 0.2mM, and has the largest cell proliferation ratio (520%) when zinc chloride is added at a concentration of 0.6mM. Carp (silver carp) has significant immature red blood cell proliferation effect when zinc chloride is added at a concentration greater than 0.3mM, and has the largest cell proliferation ratio (660%) when zinc chloride is added at a concentration of 0.3mM. However, tilapia has significant immature red blood cell proliferation effect when zinc chloride is added at a concentration greater than 1.2 mM, and has maximum cell proliferation when zinc chloride is added at a concentration of 1.5 mM. Example (290%).

【實施例3】[Example 3]

【以顯微鏡搭配細胞染色觀察鋅鹽及鋅化合物對鯽魚之頭腎細胞之紅血球生成】 [Observation of erythrocytes of sturgeon head kidney cells by zinc salts and zinc compounds with microscope and cell staining ]

為了觀察鋅鹽對於四種魚類之頭腎細胞之紅血球生成功能之影響,本發明係將四種魚類之頭腎細胞與細胞培養液以懸浮培養的方式進行一天之培養,並以細胞培養液中未添加鋅鹽之組別做為控制組,細胞培養液中依魚種之不同分別添加1.2mM、0.6mM、0.3mM、1.5mM之氯化鋅(鯽魚草魚、鰱魚和吳郭魚)作為實驗組,將兩組別進行比對。比對之項目係分為經過一天培養後之細胞培養液其細胞粒徑分佈之組成,以及用顯微鏡觀察配合吉姆薩染色法(Giemsa Stain)及轉鐵蛋白受體(transferrin receptor)免疫螢光染色法,進行觀察。 In order to observe the effect of zinc salt on the erythrocyte production function of the head kidney cells of the four fish species, the present invention is to culture the head kidney cells and the cell culture fluid of the four fish species in suspension culture for one day, The group without zinc salt was used as the control group. 1.2 mM, 0.6 mM, 0.3 mM, and 1.5 mM zinc chloride (Carassius auratus, catfish, and kokoku) were added to the cell culture medium depending on the species of fish. In the experimental group, the two groups were compared. The comparison items are divided into the composition of the cell particle size distribution of the cell culture medium after one day of culture, and observation with a microscope with Giemsa Stain and transferrin receptor immunofluorescence staining Observe.

觀察經染色之細胞於顯微鏡下之狀態,可發現到,未經培養的細胞培養液中存在的細胞大多係為淋巴細胞(a)(約占70%)、嗜中性球細胞(b)及嗜鹼性球細胞(c)(如第3圖(A)所示),而經過添加0.3mM氯化鋅之細胞培養液培養一天後後,細胞培養液中開始出現刺激增生紅血球生成相關的細胞(約占42%),包含(1)淋巴血球母細胞細胞(lymphoid hemoblasts)、(2)早期紅血球母細胞(early erythroblasts)、(3)嗜多色素性紅血球母細胞(polychromatophilic erythroblast)、(4)正染色性紅血球母細胞(orthochromatic erythroblasts)和(5)紅血球細胞(erythrocytes)(如第3圖(B)所示),該些細胞中僅有細胞(1)~(3)會被轉鐵蛋白受體染色,而細胞(4)~(5)則無法被轉鐵蛋白受體染色(如第3圖(D)所示),表示轉鐵蛋白受體的免疫螢光染色可用於鑑定未成熟的紅血球細胞。 Observing the state of the stained cells under a microscope, it can be found that most of the cells present in the uncultured cell culture medium are lymphocytes (a) (about 70%), neutrophils (b), and Basophilic cells (c) (as shown in Figure 3 (A)), and after a day of culture with 0.3 mM zinc chloride in the cell culture medium, cells in the culture medium began to stimulate the proliferation of red blood cells. (About 42%), including (1) lymphoid hemoblasts, (2) early erythroblasts, (3) polychromatophilic erythroblast, (4 ) Orthochromatic erythroblasts and (5) erythrocytes (as shown in Figure 3 (B)), only cells (1) ~ (3) of these cells will be transferred to iron Protein receptor staining, while cells (4) ~ (5) cannot be stained by transferrin receptor (as shown in Figure 3 (D)), indicating that immunofluorescent staining of transferrin receptor can be used to identify Mature red blood cells.

進一步以此為基礎,觀察草魚、鰱魚及吳郭魚之頭腎細胞與添加鋅鹽之細胞培養液進行培養之情況,在培養之前,並沒有細胞在轉鐵蛋白受體之免疫螢光染色中呈色(如第4圖(A)(C)(E)所示),而在細胞培養一天過後,可明顯觀察到部分細胞在轉鐵蛋白受體之免疫螢光染色中呈色,表示草魚、鰱魚及吳郭魚之頭腎細胞於添加鋅鹽之細胞培養液培養一天後,確實具有新增生之未成熟紅血球細胞。(如第4圖(B)(D)(F)所示) Based on this, we observed that the head kidney cells of grass carp, catfish, and kelp were cultured with zinc salt-added cell culture solution. Before the culture, no cells were immunofluorescently stained at the transferrin receptor. Medium color (as shown in Figure 4 (A) (C) (E)), and after one day of cell culture, it can be clearly observed that some cells show color in immunofluorescent staining of transferrin receptor, indicating that After the head kidney cells of grass carp, catfish, and pelagic fish were cultured in a cell culture solution supplemented with zinc salt for one day, they did have newly-born immature red blood cells. (As shown in Figure 4 (B) (D) (F))

【實施例4】[Example 4]

【以蛋白質電泳及LC-MS/MS的方式觀察增殖血液細胞中之血液成分組成】[Observe the composition of blood components in proliferating blood cells by protein electrophoresis and LC-MS / MS]

一般而言,轉鐵蛋白(transferrin)係被認定為是魚類血清中攜帶鋅以刺激頭腎生成紅血球增生之活性物質,因此為了確認本發明血液中係何種成分攜帶鋅,本發明係將前述實驗獲得之增殖細胞樣品,以洗滌劑(detergent)及固定化金屬離子親和性層析法(Immobilized Metal Affinity Chromatography,IMAC)的方式,抽取樣品中的鋅結合蛋白(zinc-binding proteins)後,再以蛋白質電泳及LC-MS/MS的方式進行觀察。 Generally speaking, transferrin is considered to be an active substance that carries zinc in fish serum to stimulate the head kidney to produce erythrocyte hyperplasia. Therefore, in order to confirm which component of blood in the present invention carries zinc, the present invention uses the aforementioned The proliferating cell sample obtained in the experiment was extracted with zinc-binding proteins in the sample by means of detergent and Immobilized Metal Affinity Chromatography (IMAC). Observe by protein electrophoresis and LC-MS / MS.

從結果可以發現,於四種魚類之增殖血液細胞樣品中,皆於72kDa的蛋白質位置處看到表現,另外,LC-MS/MS的結果中,亦可在乙酸鹽緩衝溶液(acetate buffer)的洗提下,於波長280nm的條件下獲得明顯的吸收值(如第5圖所示),證明本實驗提供之血液細胞增殖樣品中,確實具有轉鐵蛋白(transferrin)做為血清中攜帶鋅之活性物質。 From the results, it can be found that in the proliferating blood cell samples of the four fish, the performance was seen at the protein position of 72 kDa. In addition, the results of LC-MS / MS can also be used in the acetate buffer solution (acetate buffer). Under elution, a significant absorption value was obtained at a wavelength of 280 nm (as shown in Figure 5), which proves that the blood cell proliferation sample provided in this experiment does have transferrin as the zinc-carrying zinc in the serum. Active substance.

【實施例5】[Example 5]

【以魚類失血模型觀察鋅鹽及鋅化合物對紅血球生成功能之效應】 [ Effects of zinc salts and zinc compounds on erythrocyte function in fish blood loss models ]

為了觀察鋅及其衍生物對紅血球生成功能之效應,本發明係將提供一種吳郭魚之失血模型進行模擬,該失 血模型係提供54尾吳郭魚進行試驗,其中六尾先抽取0.2mL的血液做為實驗對照之基準線,而後將剩餘之48尾吳郭魚以尾靜脈穿刺之方式取樣3.0mL之血液,並表示為處於失血20%的狀態。接著將48尾吳郭魚平均分成兩組,注射0.25mL之食鹽水溶液(控制組)及0.25mL之硫酸鋅水溶液(濃度為1.47mg/mL或5.1mM),並於注射後之2小時(0天)、第3天、第6天及第12天,於各實驗組中選取6尾魚進行0.2mL的血液取樣,並將採集的血液用於血液分析和顯微鏡觀察。 In order to observe the effect of zinc and its derivatives on the function of erythrocytes, the present invention will provide a simulation model of blood loss of Wu Guoyu. The blood loss model provides 54 Wu Guoyu for testing, of which 0.2 mL of Blood was used as the reference line for the experimental control, and then the remaining 48 tails of kelp were sampled with 3.0 mL of blood by tail vein puncture, and expressed as a state of blood loss of 20%. Then, 48 fins were divided into two groups, and 0.25 mL of saline solution (control group) and 0.25 mL of zinc sulfate solution (concentration of 1.47 mg / mL or 5.1 mM) were injected, and 2 hours (0 Day), 3rd day, 6th day and 12th day, 6 fish were selected from each experimental group for 0.2mL blood sampling, and the collected blood was used for blood analysis and microscope observation.

從結果可以發現,在吳郭魚取樣血液做為模擬失血20%的兩小時後後,其體內之紅血球數目、血球容積比(hematocrit)及血色素(hemoglobin)之數值約降低至起始基準值之55%-65%(如第6圖所示)。注射食鹽水溶液之控制組,在注射後的2小時(0天)一直到第12天,都沒有對吳郭魚體內之紅血球數目、血球容積比及血色素蛋白之數值產生明顯之變化,反之,當模擬失血狀況之吳郭魚,於注射硫酸鋅水溶液之後的第3天起,無論是紅血球數目、血球容積比及血色素蛋白都有顯著之提升,並且至第6天及第12天時,都有持續增加之趨勢,顯見鋅鹽於吳郭魚之失血模型中,確實具有促進紅血球生成之能力。 It can be found from the results that two hours after Wu Guoyu took blood as a simulated blood loss of 20%, the number of red blood cells, hematocrit, and hemoglobin in his body decreased to about the initial reference value. 55% -65% (as shown in Figure 6). In the control group injected with saline solution, there were no significant changes in the number of red blood cells, blood cell volume ratio, and hemoglobin protein in the body of Wu Guoyu from 2 hours (day 0) to day 12 after injection. On the contrary, when From the third day after the injection of zinc sulfate aqueous solution, Wu Guoyu, which simulates blood loss, has significantly improved both the number of red blood cells, the volume ratio of hemoglobin and hemoglobin, and by the 6th and 12th days, The trend of continuous increase shows that zinc salt in Wu Guoyu's blood loss model does have the ability to promote red blood cells.

另外,將取樣之細胞以吉姆薩染色法(Giemsa Stain)配合顯微鏡進行觀察,可以發現注射食鹽水溶液之組別(控制組)及注射硫酸鋅水溶液之組別(實驗組)於第0天時,血液中之細胞組成係以成熟之紅血球細胞為主(如第7圖(A)(B)所示之細胞5),而在第3天和第6天所取樣之樣品中,注射食鹽水溶液之組別(控制組)之細胞組成仍係以成熟之紅血球細胞為主(如第7圖(C)(E)所示之細胞5)並帶有少數之正染色性紅血球母細胞(orthochromatic erythroblasts)(如第7圖(C)所示之細胞4);而注射硫酸鋅水溶液之組別(實驗組)於第3天之細胞組成則主要係以新增殖的淋巴血球母細胞細胞(lymphoid hemoblasts)、早期紅血球母細胞(early erythroblasts) 及嗜多色素性紅血球母細胞(polychromatophilic erythroblast)為主(如第7圖(D)所示之細胞1,2及3),另外,注射硫酸鋅水溶液之組別(實驗組)在第6天時,則進一步發現有正染色性紅血球母細胞(如第7圖(F)所示之細胞4),證明鋅鹽於吳郭魚之失血模型中確實能在三天內誘發紅血球生成發生,並於第6天後開始生成較為成熟之紅血球細胞(正染色性紅血球母細胞)。 In addition, by observing the sampled cells with Giemsa Stain and a microscope, it can be found that the group injected with saline solution (control group) and the group injected with zinc sulfate aqueous solution (experimental group) on day 0, The cell composition in the blood is mainly mature red blood cells (cells 5 shown in Figure 7 (A) (B)), and the samples taken on the 3rd and 6th days were injected with saline solution. The cell composition of the group (control group) is still dominated by mature red blood cells (such as cells 5 shown in Figure 7 (C) (E)) with a small number of orthochromatic erythroblasts (Cells 4 shown in Figure 7 (C)); and the cell composition of the group (experimental group) injected with a zinc sulfate aqueous solution on the 3rd day was mainly the newly proliferated lymphoid hemoblasts (lymphoid hemoblasts) , Early erythroblasts and polychromatophilic erythroblast (early erythroblasts) (cells 1, 2 and 3 as shown in Figure 7 (D)), and the group injected with zinc sulfate aqueous solution (Experimental group) On the 6th day, further positive staining was found Chromochromoblasts (cell 4 shown in Figure 7 (F)), prove that zinc salt can indeed induce erythropoiesis within three days in Wu Guoyu's blood loss model, and it begins to form after day 6 More mature red blood cells (positive staining red blood cells).

【實施例6】[Example 6]

【鋅鹽及鋅化合物影響魚類頭腎細胞進行紅血球生成之途徑】 [Zinc salts and zinc compounds affect the way red blood cells are produced in fish head and kidney cells]

為了觀察鋅鹽及鋅化合物影響魚類頭腎細胞進行紅血球生成之途徑,於本實例係將鯽魚之頭腎細胞、細胞培養液(DMEM/F12 medium和20% carp serum,FBS)及1.2mM氯化鋅之混合細胞培養液,加入各種不同濃度之可溶性紅血球生成素受體(soluble erythropoietin receptor)或人類重組紅血球生成素抗體(recombinant human erythropoietin antibody)後,共同培養一天後,收取細胞並通過Percoll密度離心分離並計算第一類細胞中的細胞數量,並與培養開始時的細胞數量進行比較並計算比例,最後觀察其結果。 In order to observe the effect of zinc salts and zinc compounds on the red blood cell formation of fish head and kidney cells, in this example, the carp head kidney cells, cell culture fluid (DMEM / F12 medium and 20% carp serum, FBS), and 1.2 mM chloride were used. Zinc mixed cell culture solution, after adding various concentrations of soluble erythropoietin receptor or recombinant human erythropoietin antibody, the cells were collected for one day after co-cultivation, and the cells were collected and centrifuged through Percoll density Isolate and calculate the number of cells in the first type of cells, compare with the number of cells at the beginning of the culture and calculate the ratio, and finally observe the results.

從結果中可以發現,在加入不同濃度之可溶性紅血球生成素受體,或人類重組紅血球生成素抗體共同培養後,鋅鹽所誘導之紅血球生成(Erythropoiesis),其細胞生成數量會隨著加入之可溶性紅血球生成素受體,或人類重組紅血球生成素抗體的濃度升高而減少,當可溶性紅血球生成素受體的濃度為7.5μg/mL時,或當人類重組紅血球生成素抗體的濃度為200μg/mL時,約有80%的紅血球生成(Erythropoiesis)效果被撤除(如第8圖所示)。在本發明所提供之培養系統中沒有額外添加紅血球生成素,並且在細胞培養液沒有檢測到紅血球生成素免疫活性的情況下,得以證明本發明所提供之鋅鹽所誘導之紅血球生成,係藉由使魚類頭腎細胞自分泌促紅 血球生成素所達成。 It can be found from the results that after adding different concentrations of soluble erythropoietin receptors or human recombinant erythropoietin antibodies to co-culture, the amount of erythropoiesis induced by zinc salts will increase with the added soluble The concentration of erythropoietin receptor, or human recombinant erythropoietin antibody increases and decreases, when the concentration of soluble erythropoietin receptor is 7.5 μg / mL, or when the concentration of human recombinant erythropoietin antibody is 200 μg / mL At about 80% of the Erythropoiesis effect was removed (as shown in Figure 8). In the case that the erythropoietin is not added in the culture system provided by the present invention, and the erythropoietin immune activity is not detected in the cell culture medium, it can be proved that the erythropoiesis induced by the zinc salt provided by the present invention is borrowed It is achieved by making fish head kidney cells autocrine erythropoietin.

【實施例7】[Example 7]

【鋅鹽及鋅化合物對大鼠骨髓細胞之紅血球生成功能影響】 [ Effects of zinc salts and zinc compounds on erythrocyte production of rat bone marrow cells]

為了觀察鋅鹽及鋅化合物對於大鼠骨髓細胞之紅血球生成功能之影響,於本實例係將大鼠之骨髓細胞與細胞培養液(DMEM/F12 medium and 10% fetal bovine serum,FBS)以懸浮培養的方式進行培養一天,並以細胞培養液中未添加鋅鹽之組別做為控制組,細胞培養液中添加0.3mM氯化鋅之組別作為實驗組,進行比對。比對之項目係分為經過一天培養後之細胞培養液其細胞粒徑分佈之組成,以及用顯微鏡觀察配合吉姆薩染色法(Giemsa Stain)、O-鄰聯茴香胺染色法(o-dianisidine stain)、CD71轉鐵蛋白受體(transferrin receptor)螢光染色法、膜蛋白TER119紅細胞特異性血型糖蛋白A(erythroid-specific glycophorin A)螢光染色法及DNA染色法等不同的染色方式,對細胞培養液之細胞生理狀態進行觀察。 In order to observe the effect of zinc salts and zinc compounds on the erythropoiesis function of rat bone marrow cells, in this example, rat bone marrow cells and cell culture fluid (DMEM / F12 medium and 10% fetal bovine serum, FBS) were cultured in suspension. The culture was performed for one day, and the group without adding zinc salt in the cell culture solution was used as the control group, and the group with 0.3 mM zinc chloride in the cell culture solution was used as the experimental group for comparison. The comparison items are divided into the composition of the cell particle size distribution of the cell culture solution after one day of culture, and observation with a microscope, Giemsa Stain, and O-dianisidine stain. ), CD71 transferrin receptor fluorescent staining method, membrane protein TER119 erythroid-specific glycophorin A (erythroid-specific glycophorin A) fluorescent staining method and DNA staining method, etc. The physiological state of cells in the culture medium was observed.

從結果中可以發現,大鼠之骨髓細胞經過添加0.3mM氯化鋅之細胞培養液培養一天後,其中培養一天後的細胞培養液中粒徑大小為5.1μm的細胞數較培養前同樣粒徑大小之細胞數增加了1.64倍(n=11),而培養液中粒徑大小為6.1μm的細胞,其培養一天後的細胞數量則較未經培養的同樣粒徑大小之細胞數減少了55%(如第9圖所示),另外,搭配經吉姆薩染色法(Giemsa Stain)及O-鄰聯茴香胺染色法(o-dianisidine stain)之細胞於顯微鏡下之觀察後,可進一步發現到,未經培養的細胞培養液中粒徑大小為5.1μm的細胞係為網狀紅細胞(reticulocyte)(如第10圖(A)所示之R細胞),而粒徑大小為6.1μm的細胞則係為紅血球細胞(Erythrocytes)或部分之淋巴細胞(Lymphocytes)(如第10圖(A)所示之E及L細胞);經過添加0.3mM氯化鋅之細胞培養液培養一天後所增加 之細胞,其細胞之粒徑大小雖同約為5.1μm,但從其細胞態樣呈現為多分葉之星形形狀可進一步判斷,其係為尚未成熟之網狀紅細胞(如第10圖(B)(D)所示之x細胞);而透過顯微鏡觀察細胞種類及形體之比對,可以發現紅血球細胞(erythrocyte)之數量有所減少(如第10圖(C)(D)所示),此結果亦與前述之細胞計數結果相符合。 It can be seen from the results that, after the rat bone marrow cells were cultured for one day with 0.3 mM zinc chloride-containing cell culture solution, the number of cells with a particle size of 5.1 μm in the cell culture solution after one day of culture was larger than the same particle diameter before the culture. The number of large and small cells increased by 1.64 times (n = 11), and the number of cells with a particle size of 6.1 μm in the culture medium decreased by 55 days compared with the number of cells with the same particle size without culture. % (As shown in Figure 9). In addition, after observing under the microscope with Giemsa Stain and o-dianisidine stain, cells can be further found. The cell line with a particle size of 5.1 μm in the uncultured cell culture medium is a reticulocyte (the R cell shown in Figure 10 (A)), while the cell with a particle size of 6.1 μm Erythrocytes or part of Lymphocytes (E and L cells as shown in Figure 10 (A)); cells added after cultured with 0.3mM zinc chloride for one day Although the particle size of the cells is about 5.1 μm, It can be further judged that the appearance is a multi-lobed star shape, which is an immature reticular red blood cell (such as the x cell shown in Figure 10 (B) (D)); and observe the cell type and shape through a microscope By comparison, it can be found that the number of erythrocytes has decreased (as shown in Figure 10 (C) (D)), and this result is also consistent with the aforementioned cell count results.

另外,在紅血球生成的過程中,於前紅血球母細胞(proerythroblast)分化為正染色性紅血球母細胞(orthochromatic erythroblasts)和網狀紅細胞(reticulocyte)的期間,CD71轉鐵蛋白受體(transferrin receptor)及膜蛋白TER119紅細胞特異性血型糖蛋白A(erythroid-specific glycophorin A)會被高度的表達,因此在本發明所提供之實驗當中,未經培養及經與0.3mM氯化鋅之細胞培養液培養一天後之細胞樣品,皆透過CD71轉鐵蛋白受體(transferrin receptor)螢光染色法、膜蛋白TER119紅細胞特異性血型糖蛋白A(erythroid-specific glycophorin A)螢光染色法及DNA染色法,進行進一步的細胞態樣判斷。 In addition, during the process of red blood cell production, during the differentiation of preerythroblasts into orthochromatic erythroblasts and reticulocytes, the CD71 transferrin receptor and The membrane protein TER119 is highly expressed in erythroid-specific glycophorin A. Therefore, in the experiments provided by the present invention, the cells were cultured for one day without being cultured and cultured with 0.3 mM zinc chloride. All subsequent cell samples were further stained with CD71 transferrin receptor fluorescence staining, membrane protein TER119 red blood cell-specific blood group glycoprotein A (erythroid-specific glycophorin A) fluorescence staining, and DNA staining. The state of the cell.

從染色結果中發現,”細胞x”與CD71轉鐵蛋白受體和膜蛋白TER119具有對應之抗體反應(如第11圖(A)(B)所示),卻沒有DNA染色反應(如第11圖(C)(D)所示),由此判斷,該些粒徑大小約為5μm的細胞,不僅具有可用血紅素進行染色之特性,且具有多分葉之外觀,並與CD71轉鐵蛋白和膜蛋白TER119具有對應之抗體反應,但沒有細胞核(沒有DNA染色反應),新生成之星形”細胞x”確認係為不成熟的網織紅細胞;而紅血球細胞生成的最後一步驟,是將正染色性紅血球母細胞(orthochromatic erythroblasts)分化成一有核的網狀紅細胞(reticulocyte)和另一種含有被細胞質薄層包圍之”凝聚核紅細胞”(pyrenocyte)。從(第10圖(B)(D)及第10圖所示)可以發現,”細胞y”係從”細胞x”分離出來且無法被血紅素染色,但含有具有被細胞質膜包覆之細胞核,因此判定” 細胞y”係為紅血球細胞核遭擠出之”凝聚核紅細胞”(pyrenocyte)。 It was found from the staining results that "Cell X" had a corresponding antibody response to CD71 transferrin receptor and membrane protein TER119 (as shown in Figure 11 (A) (B)), but no DNA staining reaction (as shown in Figure 11). Figures (C) and (D)), from which it is judged that these cells with a particle size of about 5 μm not only have the characteristic of staining with heme, but also have a multi-leafed appearance, and are associated with CD71 transferrin and The membrane protein TER119 has a corresponding antibody response, but no cell nucleus (no DNA staining reaction). The newly formed star “cell x” is confirmed to be immature reticulocytes; the last step in the production of red blood cells is to transform the positive Orthochromatic erythroblasts differentiate into a nucleated reticulocyte and another type of "pyrenocyte" containing a thin layer of cytoplasm. From (Figure 10 (B) (D) and Figure 10), it can be found that "cell y" is separated from "cell x" and cannot be stained by heme, but contains a nucleus with a cytoplasmic membrane coating. Therefore, it is determined that "cell y" is a "pyrenocyte" with the nucleus of red blood cells squeezed out.

最後,為了確認氯化鋅的添加就是促成前述未成熟網狀紅細胞之細胞數目增加(細胞數目為對照組的164%,n=11)的原因,因此除了前述之實驗條件(DMEM/F12 medium,10% FBS和0.3mM氯化鋅)之外,我們另外測試了氯化鋅和胎牛血清蛋白(FBS)單獨與細胞培養之實驗組別,觀察其對於刺激細胞增殖的功能是否影響,以及為了測試是否其他金屬離子亦能達到同樣的功效,而測試了單獨氯化鐵和氯化鐵添加胎牛血清蛋白(FBS)兩項實驗組別,觀察其對於刺激細胞增殖的功能是否影響,實驗結果證實其他組別對於細胞培養幾乎沒有影響,實驗樣品中的未成熟網狀紅細胞亦未見增加(數據未提供),表示僅有前述之實驗條件(DMEM/F12 medium,10% FBS和0.3mM氯化鋅)能達到促進未成熟網狀紅細胞之細胞數目增加之功效,達到紅血球生成之目的。 Finally, in order to confirm that the addition of zinc chloride contributed to the increase in the number of cells of the aforementioned immature reticulocytes (the number of cells was 164% of the control group, n = 11), so in addition to the experimental conditions (DMEM / F12 medium, In addition to 10% FBS and 0.3 mM zinc chloride), we also tested zinc chloride and fetal bovine serum albumin (FBS) separately from the experimental group of cell culture to observe whether it affects the function of stimulating cell proliferation, and in order to Test whether other metal ions can achieve the same effect. Two experimental groups, ferric chloride and ferric chloride added fetal bovine serum protein (FBS), were tested to see if it affected the function of stimulating cell proliferation. The experimental results It was confirmed that the other groups had almost no effect on cell culture, and the immature reticulocytes in the experimental samples did not increase (data not provided), indicating that only the aforementioned experimental conditions (DMEM / F12 medium, 10% FBS and 0.3mM chlorine Zinc) can achieve the effect of promoting the increase of the number of immature reticulocytes, and the purpose of red blood cell formation.

【實施例8】[Example 8]

【鋅鹽及鋅化合物影響大鼠骨髓細胞之紅血球生成之途徑】 [Zinc salts and zinc compounds affect red blood cell formation in rat bone marrow cells]

為觀察鋅鹽及鋅化合物影響大鼠骨髓細胞之紅血球生成途徑,於本實例係將大鼠之骨髓細胞、細胞培養液(DMEM/F12 medium and 20% fetal bovine serum,FBS)及0.6mM氯化鋅之混合細胞培養液,加入各種不同濃度之可溶性紅血球生成素受體(soluble erythropoietin receptor)或大鼠紅血球生成素中和抗體(rat erythropoietin antibody)後,共同培養一天後觀察結果。 In order to observe the effect of zinc salts and zinc compounds on the erythrocyte formation of rat bone marrow cells, in this example, rat bone marrow cells, cell culture fluid (DMEM / F12 medium and 20% fetal bovine serum, FBS) and 0.6 mM chlorinated The mixed cell culture solution of zinc was added with various concentrations of soluble erythropoietin receptor or rat erythropoietin antibody, and the results were observed after co-culture for one day.

從結果中可以發現,在加入不同濃度之可溶性紅血球生成素受體或大鼠紅血球生成素中和抗體後共同培養後,鋅鹽所誘導之紅血球生成(Erythropoiesis),其細胞生成數量會隨著加入之可溶性紅血球生成素受體或大鼠紅血球生成素抗體的濃度升高而減少,當可溶性紅血球生成素受體的濃度為 30μg/mL時,約有60%的紅血球生成(Erythropoiesis)效果被撒除,而當大鼠紅血球生成素中和抗體的濃度為70μg/mL時,則紅血球生成的成效會完全被消除(如第12圖所示)所示)。因此,在本發明所提供之培養系統中沒有額外添加紅血球生成素,並且在細胞培養液沒有檢測到紅血球生成素免疫活性的情況下,得以證明本發明所提供之鋅鹽所誘導之紅血球生成係藉由使骨髓細胞自分泌促紅血球生成素所達成。 It can be found from the results that after adding different concentrations of soluble erythropoietin receptors or rat erythropoietin neutralizing antibodies and co-cultivation, the amount of erythropoiesis induced by zinc salts will increase as the cells are added. When the concentration of soluble erythropoietin receptor or rat erythropoietin antibody increases and decreases, when the concentration of soluble erythropoietin receptor is 30 μg / mL, about 60% of the effect of erythropoiesis (Erythropoiesis) is eliminated When the concentration of rat erythropoietin-neutralizing antibody is 70 μg / mL, the effect of erythrocyte production will be completely eliminated (as shown in Figure 12). Therefore, in the case that the erythropoietin is not added to the culture system provided by the present invention, and the erythropoietin immune activity is not detected in the cell culture solution, the erythropoiesis system induced by the zinc salt provided by the present invention can be proved This is achieved by causing bone marrow cells to secrete erythropoietin.

綜上所述,本發明確實提供一種以鋅鹽及鋅化合物用於製備促進紅血球生成之醫藥組成物的用途,本發明所提供之鋅鹽及鋅化合物可透過促進特定細胞之紅血球生成素自分泌現象達到促進紅血球生成之目的,並於魚類及哺乳類動物上驗證其促進網狀紅細胞(reticulocyte)生成之能力。藉由提供此一用途,鋅鹽及鋅化合物可用於促進紅血球生成素自分泌以加速動物體內紅血球生成之效率,利用改善動物體內缺乏紅血球之情況,進而減緩因缺乏紅血球而引發之相關疾病(如:貧血)。同時,由於鋅鹽及鋅化合物具有較為低廉的生產成本及取得之方便性,本發明確實提供一種在促進紅血球生成的目的上,更為經濟實惠的醫藥組成物選擇。 In summary, the present invention does provide a use of a zinc salt and a zinc compound for preparing a medicinal composition that promotes the formation of red blood cells. The zinc salt and the zinc compound provided by the present invention can promote the secretion of erythropoietin by specific cells. The phenomenon achieves the purpose of promoting the formation of red blood cells, and its ability to promote the production of reticulocytes has been verified on fish and mammals. By providing such a use, zinc salts and zinc compounds can be used to promote the autocrine of erythropoietin to accelerate the efficiency of erythrocyte production in animals, to improve the lack of red blood cells in animals, and to reduce related diseases caused by lack of red blood cells (such as :anemia). At the same time, because zinc salts and zinc compounds have relatively low production costs and ease of acquisition, the present invention does provide a more economical and economical choice of pharmaceutical compositions for the purpose of promoting the formation of red blood cells.

惟以上所述者,僅為本創作之較佳實施例而已,並非用來限定本創作實施之範圍,舉凡依本創作申請專利範圍所述之形狀、構造、特徵及精神所為之均等變化與修飾,均應包括於本創作之申請專利範圍內。 However, the above are only the preferred embodiments of this creation, and are not intended to limit the scope of implementation of this creation. For example, all changes and modifications based on the shapes, structures, features, and spirits described in the scope of this creation application patent Shall be included in the scope of the patent application for this creation.

Claims (10)

一種鋅鹽及鋅化合物用於製備促進紅血球生成之醫藥組成物的用途,其中,該醫藥組成物包含一有效治療量之鋅鹽及醫藥可接受之一賦形劑。     A zinc salt and a zinc compound are used for preparing a medicinal composition that promotes the formation of red blood cells, wherein the medicinal composition comprises an effective therapeutic amount of a zinc salt and a pharmaceutically acceptable excipient.     如申請專利範圍第1項所述之用途,其中該鋅鹽及鋅化合物係選自於由硫酸鋅、硝酸鋅、氯化鋅、碳酸鋅、胺基酸鋅及生物鋅所組成之群組中之一者或其任意之組合。     The use according to item 1 of the scope of patent application, wherein the zinc salt and zinc compound are selected from the group consisting of zinc sulfate, zinc nitrate, zinc chloride, zinc carbonate, zinc amino acid, and biological zinc One of them or any combination thereof.     如申請專利範圍第1項所述之用途,其中該醫藥組成物係透過促進特定細胞之紅血球生成素自分泌現象以達到促進紅血球生成之目的。     The use as described in item 1 of the scope of the patent application, wherein the pharmaceutical composition achieves the purpose of promoting red blood cell production by promoting the autocrine phenomenon of erythropoietin in specific cells.     如申請專利範圍第1項所述之用途,其中該醫藥組成物係用於改善動物體內缺乏紅血球之相關症狀。     The use according to item 1 of the scope of the patent application, wherein the pharmaceutical composition is used to improve the symptoms related to lack of red blood cells in animals.     如申請專利範圍第1項所述之用途,其中該缺乏紅血球之相關症狀為貧血。     The use according to item 1 of the scope of patent application, wherein the symptom associated with the lack of red blood cells is anemia.     如申請專利範圍第1項所述之用途,其中該賦形劑係選自於一輔劑、一稀釋劑及一載劑所組成之群組中之一者或其任意之組合。     The use according to item 1 of the scope of patent application, wherein the excipient is selected from one of the group consisting of an adjuvant, a diluent, and a carrier, or any combination thereof.     如申請專利範圍第1項所述的用途,其中該醫藥組成物係製成一劑型,該劑型係選自一錠劑、一膠囊劑、一散劑、一粉劑、一溶液劑、一懸浮液劑、一乳劑、一顆粒劑、一滴劑、一丸劑及一針劑所組成之群組中之一者或其任意之組合。     The use according to item 1 of the scope of patent application, wherein the pharmaceutical composition is made into a dosage form, the dosage form is selected from a lozenge, a capsule, a powder, a powder, a solution, and a suspension. , An emulsion, a granule, a drop, a pill, and an injection, or any combination thereof.     如申請專利範圍第1項所述的用途,其中該藥物組合物係對所需之一哺乳類動物或一魚類動物進行給藥。     The use according to item 1 of the patent application scope, wherein the pharmaceutical composition is administered to a mammal or a fish animal as required.     如申請專利範圍第3項所述的用途,其中該特定細胞係魚類動物之頭腎細胞。     The use according to item 3 of the patent application scope, wherein the specific cell line is a head kidney cell of a fish animal.     如申請專利範圍第3項所述的用途,其中該特定細胞為哺乳類動物之骨髓細胞。     The use according to item 3 of the scope of patent application, wherein the specific cell is a bone marrow cell of a mammal.    
TW106115656A 2017-01-26 2017-05-11 Use of zinc salts and zinc compounds for stimulating erythropoiesis characterized in that the amount of red blood cells in the organism can be effectively increased, and the diseases related to the deficiency of red blood cells can be treated or prevented TW201827060A (en)

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