TW202207960A - Composition and use of cocculus hirsutus in viral infections - Google Patents

Composition and use of cocculus hirsutus in viral infections Download PDF

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TW202207960A
TW202207960A TW110129974A TW110129974A TW202207960A TW 202207960 A TW202207960 A TW 202207960A TW 110129974 A TW110129974 A TW 110129974A TW 110129974 A TW110129974 A TW 110129974A TW 202207960 A TW202207960 A TW 202207960A
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composition
virus
serrata
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烏柏桑納 阿羅拉
拉維康德 拉傑普特
席馬拉塔 貝錫緹
魯奇 索德
亞爾塔夫 拉爾
席勒比 達萬
薩德娜 喬格萊卡
納文 卡納
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印度商太陽製藥工業有限公司
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Abstract

The present invention relates to a composite extract ofCocculus hirsutus, use in the prevention and treatment of infection caused by positive stranded RNA viruses and its pharmaceutical compositions. Further, it provides for a stable pharmaceutical composition comprising a therapeutically effective amount of the said extract for use in the prevention and/or treatment of virus infections in a mammal. It also provides for a method for reducing viral load, cytokine load and methods of improvement in signs and symptoms of virus infection by administering the composite extract or its pharmaceutical composition or particularly isolated compounds like Sinococuline, Magnoflorine, Makisterone A or 20-hydroxyecdysone or derivatives thereof to a mammal in need thereof. The present invention also provides various methods for reducing or inhibiting the proliferation of positive stranded RNA viruses in infected patients by administering a therapeutically effective amount of a composite extract ofCocculus hirsutus or compositions thereof.

Description

硬毛木防己組成物及其在病毒感染中的用途Hardwood tetragoni composition and its use in virus infection

本發明涉及一種包括有硬毛木防己的複合萃取物的組成物與醫藥組成物,以用於預防及/或治療哺乳動物中正向單股RNA病毒所引起的感染。本發明還提供了藉由投與治療有效量之硬毛木防己的複合萃取物以降低或抑制在受感染患者中之正向單股RNA病毒增生的各種方法。The present invention relates to a composition and a pharmaceutical composition comprising a compound extract of Tetrachia sclera, for preventing and/or treating infection caused by positive single-stranded RNA virus in mammals. The present invention also provides various methods for reducing or inhibiting the proliferation of positive single-stranded RNA viruses in infected patients by administering a therapeutically effective amount of a complex extract of Tetrachia solani.

正向單股RNA病毒是一種病毒,其使用正向單股RNA作為其遺傳物質。單股RNA病毒被分類為正向或負向,這依賴於RNA的方向或極性。正向病毒RNA基因體可當作信使RNA,且可以在宿主細胞中被轉譯成蛋白。正向單股RNA病毒被分類成三個目—網巢病毒目、微小核糖核酸病毒目以及蕪菁黃花葉病毒目—和33個科,其中的20個未分配至目。廣泛範圍的宿主可被正向單股RNA病毒感染,其包括細菌、真核微生物、植物、無脊椎動物及脊椎動物。A forward single-stranded RNA virus is a virus that uses forward single-stranded RNA as its genetic material. Single-stranded RNA viruses are classified as positive or negative, depending on the orientation or polarity of the RNA. Forward viral RNA genomes act as messenger RNAs and can be translated into proteins in host cells. Positive single-stranded RNA viruses are classified into three orders—Reticuloviruses, Picornaviruses, and Turnip Mosaicviruses—and 33 families, 20 of which are not assigned to an order. A wide range of hosts can be infected with positive single-stranded RNA viruses, including bacteria, eukaryotic microorganisms, plants, invertebrates and vertebrates.

正股RNA病毒涵蓋所有病毒屬中的三分之一,且包括大量病毒病原體如C型肝炎病毒、登革熱病毒、屈公病毒、SARS與MERS病毒、hCoV-OC43病毒;日本腦炎病毒(JEV)、茲卡(亞洲/巴西品系與非洲品系)病毒、黃熱病毒(YFV)、烏蘇土病毒(烏蘇土,在歐洲有增長的隱憂)、西尼羅病毒(WNV)、蜱傳腦炎病毒(TBEV)、冠狀病毒與SARS-CoV-2,以及其他較少臨床嚴重病原體,例如鼻病毒,其引起普通感冒。Positive-stranded RNA viruses cover one-third of all virus genera and include a large number of viral pathogens such as hepatitis C virus, dengue virus, Chikungunya virus, SARS and MERS virus, hCoV-OC43 virus; Japanese encephalitis virus (JEV) , Zika (Asian/Brazilian strains and African strains), Yellow Fever Virus (YFV), Usutu virus (Usutu, a growing concern in Europe), West Nile virus (WNV), tick-borne encephalitis Viruses (TBEV), coronaviruses and SARS-CoV-2, and other less clinically serious pathogens such as rhinoviruses, which cause the common cold.

最近冠狀病毒疾病2019 (COVID-19)的爆發由在2019年12月的SARS-CoV-2所引起,已引發全球健康問題。在2019年12月,在中國武漢觀察到具有無法解釋的下呼吸道感染的一些案例。該疾病的病因歸因於屬於冠狀病毒(CoV)科的新型病毒,以及由這種新型冠狀病毒所引起的疾病稱為COVID-19,其為「冠狀病毒疾病2019 (Coronavirus disease 2019)」的縮寫字。此新病毒已被發現非常易接觸傳染且在全世界已快速傳播。WHO已宣告該疾病爆發是國際公共衛生緊急事件(PHEIC)。最初該新病毒稱為2019-CoV,隨後國際病毒分類委員會(ICTV)的任務專家稱其為SARS-CoV-2(嚴重急性呼吸道症候群相關冠狀病毒-2)。CoVs為大型冠狀病毒科正向單股RNA病毒,其可以在不同動物物種內分離。對於尚未解釋的原因,這些病毒可以跨越物種障礙且可以在人類中引起,疾病範圍從普通感冒至更嚴重的情況,例如MERS與SARS。老年人與具有原發疾病的人易感染且傾向嚴重的後果,這可能與急性呼吸窘迫症候群(ARDS)與細胞激素風暴有關。(Guo等人,冠狀病毒疾病-19 (Covid-19)爆發起源、傳播及臨床治療-狀況更新,Mil Med Res,2020年3月13日;7(1): 11;還有Cascella等人,冠狀病毒(COVID-19)特徵、評估與治療,StatPearls,2020年5月20日)。基於已經發展的COVID-19爆發的速度,SARS-CoV-2似乎容易在人類族群中傳播。許多健康工作者已經被感染,且每過一天就檢測到更多案例群。依照世界衛生組織COVID-19之情況儀表板,截至2020年8月09日,有18,187,943個感染SARS-CoV-2的確診案例並且有716,075個死亡數。世界政府致力於建立對策以阻止可能的破壞性影響。同時,世界上的科學家正孜孜不倦地工作,以了解傳播機制、疾病的臨床圖譜、新診斷及預防及治療策略的發展。當前,應付感染的治療策略只是支持性的,以及旨在降低社區傳播的預防被認為是最好的武器(Cascella等人,冠狀病毒(COVID-19)特徵、評估與治療,StatPearls,2020年5月18日更新)。The recent outbreak of coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2 in December 2019, has caused global health concerns. In December 2019, some cases with unexplained lower respiratory tract infections were observed in Wuhan, China. The etiology of the disease is attributed to a novel virus belonging to the coronavirus (CoV) family, and the disease caused by this novel coronavirus is called COVID-19, short for "Coronavirus disease 2019" Character. This new virus has been found to be very contagious and has spread rapidly around the world. The WHO has declared the outbreak a Public Health Emergency of International Concern (PHEIC). Originally called 2019-CoV, the new virus was subsequently called SARS-CoV-2 (severe acute respiratory syndrome-associated coronavirus-2) by mission experts from the International Committee on Taxonomy of Viruses (ICTV). CoVs are large positive single-stranded RNA viruses of the family Coronaviridae, which can be isolated in different animal species. For reasons not yet explained, these viruses can cross species barriers and can cause diseases in humans ranging from the common cold to more severe conditions such as MERS and SARS. The elderly and those with primary disease are susceptible and prone to severe outcomes, which may be associated with acute respiratory distress syndrome (ARDS) and cytokine storm. (Guo et al., Origin, spread, and clinical treatment of the coronavirus disease-19 (Covid-19) outbreak—a status update, Mil Med Res, 2020 Mar 13;7(1):11; and Cascella et al., Coronavirus (COVID-19) Characteristics, Evaluation and Treatment, StatPearls, 20 May 2020). Based on the speed with which the COVID-19 outbreak has developed, SARS-CoV-2 appears to spread easily in the human population. Many health workers are already infected, and more clusters of cases are detected with each passing day. According to the World Health Organization's COVID-19 Situation Dashboard, as of 09 August 2020, there were 18,187,943 confirmed cases of SARS-CoV-2 infection and 716,075 deaths. World governments are committed to building countermeasures to stop potentially damaging effects. At the same time, scientists around the world are working tirelessly to understand transmission mechanisms, the clinical map of disease, and the development of new diagnostics and prevention and treatment strategies. Currently, treatment strategies to deal with infection are only supportive, and prevention aimed at reducing community transmission is considered the best weapon (Cacella et al., Coronavirus (COVID-19) Characterization, Evaluation and Treatment, StatPearls, May 2020 18th update).

不同抗病毒藥物及系統性皮質類固醇療法先前普遍用在臨床試驗,包括神經胺糖酸苷酶抑制劑(奧司他韋、帕拉米韋、扎那米韋等)、更昔洛韋、阿昔洛韋與利巴韋林,以及用於流感病毒的甲基培尼皮質醇,發現對於COVID-19無效,並不推薦。(Guo等人)。一些其他的抗病毒藥物像是瑞德西韋、洛匹那韋及利托那韋、抗瘧疾藥物像是氯喹、羥氯奎也被研究其對抗COVID-19的效果。此前所未有的爆發傳播速度呈現出對有效治療以對抗COVID-19之重要需求,其可以緩解症狀、降低普通症狀嚴重性、預防嚴重併發症發展,及容易製備。此外,亟需發展一種對抗SARS-CoV-2與所有其他類似正向單股RNA病毒的治療,其可降低早期階段之病毒載量,從而有可能潛在地預防其感染與傳播。還有很多致病性正向單股RNA病毒為節肢動物媒介病毒(稱為蟲媒病毒)—亦即,通過叮咬的昆蟲傳播並能夠在其中複製,然後將病原體轉移至動物宿主內。最近的環境基因體學研究也已經鑑定大量的RNA病毒,其宿主範圍特定於作為傳播病毒的載體的昆蟲。Different antiviral drugs and systemic corticosteroid therapy have previously been commonly used in clinical trials, including neuraminidase inhibitors (oseltamivir, peramivir, zanamivir, etc.), ganciclovir, Ciclovir and ribavirin, as well as methyl penicillin cortisol for influenza virus, were found to be ineffective against COVID-19 and are not recommended. (Guo et al.). Some other antiviral drugs like remdesivir, lopinavir and ritonavir, and antimalarial drugs like chloroquine and hydroxychloroquine have also been studied for their effectiveness against COVID-19. This unprecedented rate of outbreak spread presents an important need for effective treatments to combat COVID-19 that can relieve symptoms, reduce the severity of common symptoms, prevent the development of serious complications, and be easy to prepare. In addition, there is an urgent need to develop a therapy against SARS-CoV-2 and all other similar positive single-stranded RNA viruses that can reduce viral load in the early stages and thus potentially prevent its infection and spread. There are also many pathogenic positive single-stranded RNA viruses that are arthropod-borne (called arboviruses)—that is, transmitted by a biting insect and capable of replicating in it, and then transferring the pathogen to an animal host. Recent environmental genomics studies have also identified a large number of RNA viruses whose host ranges are specific to insects that act as vectors for virus transmission.

茲卡病毒也是一種蚊媒黃質病毒,其首次於1947年在烏干達的猴子中被鑑定出來。之後在1952年於烏干達與坦桑尼亞聯合共和國在人類中被鑑定出來。首次記錄的茲卡病毒疾病的爆發是自雅浦島(密克羅尼西亞聯邦)在2007年報導。隨後在2013年於法屬波利尼西亞及太平洋其他國家與領地內爆發大規模茲卡病毒感染。在2015年10月,Brazil報導一種茲卡病毒感染與小腦症之間的交集。爆發與傳播證據很快出現於整個美洲、非洲以及世界上其他地區。至今,總計86個國家及領地已經報導蚊蟲傳播之茲卡感染的證據。根據世界衛生組織的網站資訊,茲卡病毒感染或其相關的疾病尚未有可利用之特定療法。Zika virus, also a mosquito-borne xanthovirus, was first identified in monkeys in Uganda in 1947. It was later identified in humans in 1952 in Uganda and the United Republic of Tanzania. The first documented outbreak of Zika virus disease was reported from Yap Island (Federated States of Micronesia) in 2007. A large-scale outbreak of Zika virus infection followed in 2013 in French Polynesia and other countries and territories in the Pacific. In October 2015, Brazil reported an intersection between a Zika virus infection and cerebellar disease. Evidence of outbreak and spread quickly emerged throughout the Americas, Africa, and other parts of the world. To date, a total of 86 countries and territories have reported evidence of mosquito-borne Zika infection. According to the World Health Organization's website, there are no specific treatments available for Zika virus infection or related diseases.

因此,需要有效的治療或療法可用於預防及/或治療廣泛的病毒感染。Therefore, there is a need for effective treatments or therapies that can be used to prevent and/or treat a wide range of viral infections.

本發明提供了一種硬毛木防己的複合萃取物或其醫藥組成物,用於預防及/或治療哺乳動物中正向單股RNA病毒所引起的病毒感染。The present invention provides a compound extract of Fangji hardwood or its medicinal composition for preventing and/or treating virus infection caused by positive single-stranded RNA virus in mammals.

在另一態樣中,本發明還提供了藉由向有需要的哺乳動物投與硬毛木防己的複合萃取物或其醫藥組成物,以降低病毒載量來治療正向單股RNA病毒(包含新型冠狀病毒(COVID-19))所引起的病毒感染的方法。In another aspect, the present invention also provides the treatment of positive single-stranded RNA virus ( Methods containing viral infections caused by the novel coronavirus (COVID-19).

此外,還提供了穩定的醫藥組成物,其包括治療有效量的所述萃取物,以用來預防及治療正向單股RNA病毒(+ssRNA)引起的感染,如C型肝炎、登革熱病毒(所有4種血清型DENV 1-4)、屈公病毒(CHIKV)、SARS及MERS、hCoV-OC43;日本腦炎病毒(JEV)、茲卡病毒(亞洲/巴西品系與非洲品系)、黃熱病毒(YFV)、烏蘇土病毒(烏蘇土,在歐洲有增長的隱憂)、西尼羅病毒(WNV)、蜱傳腦炎病毒(TBEV)、冠狀病毒以及在哺乳動物中的SARS-CoV-2 (COVID-19)。In addition, there is also provided a stable pharmaceutical composition comprising a therapeutically effective amount of the extract for the prevention and treatment of infections caused by positive single-stranded RNA viruses (+ssRNA), such as hepatitis C, dengue virus ( All 4 serotypes DENV 1-4), Chikungunya virus (CHIKV), SARS and MERS, hCoV-OC43; Japanese encephalitis virus (JEV), Zika virus (Asian/Brazilian and African strains), yellow fever virus (YFV), Usutu virus (Usutu, a growing concern in Europe), West Nile virus (WNV), tick-borne encephalitis virus (TBEV), coronaviruses and, in mammals, SARS-CoV- 2 (COVID-19).

在又另一態樣中,本發明進一步提供了使用硬毛木防己的複合萃取物來預防及/或治療哺乳動物中正向單股RNA病毒所引起的病毒感染的方法。In yet another aspect, the present invention further provides a method for preventing and/or treating viral infection caused by positive single-stranded RNA virus in mammals using a complex extract of Tetrachia sclerata.

在又另一態樣中,本發明進一步提供了使用單獨化學實體(例如中國木防己鹼、硬毛鈎藤鹼,其衍生自硬毛木防己的複合萃取物)來預防及/或治療哺乳動物中正向單股RNA病毒所引起的病毒感染的方法。In yet another aspect, the present invention further provides for the prevention and/or treatment of mammals using individual chemical entities (eg, tetrandrine, sclerophylline, derived from a complex extract of tetrandrine sclera) A method for viral infection caused by a medium to positive single-stranded RNA virus.

本發明還涉及製備這些萃取物和分離相關治療化合物及其富集的過程。此外,這些萃取物被發現可以向人類安全投與,且在用以預防及/或治療哺乳動物中正向單股RNA病毒所引起的病毒感染的所需濃度下不會顯示任何毒性效應。The present invention also relates to processes for the preparation of these extracts and the isolation and enrichment of relevant therapeutic compounds. Furthermore, these extracts have been found to be safe for administration to humans and do not exhibit any toxic effects at the concentrations required to prevent and/or treat viral infection by positive single-stranded RNA viruses in mammals.

在一些實施例中,本發明提供一種組成物之用於治療正向單股RNA病毒所引起之病毒感染的用途,該組成物包括:治療有效量之硬毛木防己的複合萃取物;以及醫藥學上可接受的賦形劑,其包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合。In some embodiments, the present invention provides the use of a composition for the treatment of viral infection caused by positive single-stranded RNA virus, the composition comprising: a therapeutically effective amount of a compound extract of Fangji sclera; and a medicine Scientifically acceptable excipients including diluents, binders, disintegrants, lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, buffers, tonicity modifiers , or a combination thereof.

在一些實施例中,本發明提供一種硬毛木防己的複合萃取物用於製備正向單股RNA病毒所引起之病毒感染的藥劑的用途。In some embodiments, the present invention provides the use of a compound extract of Tetranychus serrata for preparing a medicament for viral infection caused by a positive single-stranded RNA virus.

在一些實施例中,本發明提供一種組成物,包括:治療有效量的硬毛木防己的複合萃取物;以及醫藥學上可接受的賦形劑,其包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合。In some embodiments, the present invention provides a composition comprising: a therapeutically effective amount of a complex extract of Tetrachia sclera; and a pharmaceutically acceptable excipient including a diluent, a binder, a disintegrant , lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, buffers, tonicity modifiers, or combinations thereof.

在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約50 wt %至約80 wt %。在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約60 wt %至約70 wt %。In some embodiments, the composite extract of Tetrachia serrata comprises about 50 wt % to about 80 wt % of the composition. In some embodiments, the composite extract of Tetrachia serrata comprises about 60 wt % to about 70 wt % of the composition.

在一些實施例中,該硬毛木防己的複合萃取物包括中國木防己鹼、木蘭花鹼、松柏醇、槲皮素、芸香苷、丁香脂素雙葡萄糖苷、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物或其組合。In some embodiments, the complex extract of Tetrachia sclera includes tetrandrine, magnolidine, coniferyl alcohol, quercetin, rutin, syringaresinol diglucoside, marxosterone A, bristle hook Metaphylline, 20-hydroxyecdysone, derivatives thereof, or combinations thereof.

在一些實施例中,該正向單股RNA病毒為C型肝炎病毒、西尼羅病毒(WNV)、登革熱病毒、屈公病毒(CHIKV)、日本腦炎病毒(JEV)、茲卡病毒、黃熱病毒(YFV)、烏蘇土病毒、蜱傳腦炎病毒(TBEV)、冠狀病毒或其組合。在一些實施例中,該冠狀病毒為SARS-CoV-2、SARS-CoV、MERS-CoV或hCoV-OC43。In some embodiments, the positive single-stranded RNA virus is hepatitis C virus, West Nile virus (WNV), Dengue virus, Chikungunya virus (CHIKV), Japanese encephalitis virus (JEV), Zika virus, yellow Fever virus (YFV), Usutu virus, tick-borne encephalitis virus (TBEV), coronavirus or a combination thereof. In some embodiments, the coronavirus is SARS-CoV-2, SARS-CoV, MERS-CoV or hCoV-OC43.

在一些實施例中,該硬毛木防己的複合萃取物為醇類萃取物、水合醇類萃取物或水性萃取物。在一些實施例中,該硬毛木防己的複合萃取物包括水、乙醇或其組合。在一些實施例中,該硬毛木防己的複合萃取物為水性萃取物。在一些實施例中,該萃取物包括比例為約1:99至99:1的醇類與水。In some embodiments, the compound extract of Tetrachia serrata is an alcohol extract, a hydrated alcohol extract or an aqueous extract. In some embodiments, the complex extract of Tetrachia serrata includes water, ethanol, or a combination thereof. In some embodiments, the compound extract of Tetrachia serrata is an aqueous extract. In some embodiments, the extract includes alcohol to water in a ratio of about 1:99 to 99:1.

在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約50重量(wt) %至約80 wt %。在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約60 wt %至約70 wt %。在一些實施例中,該硬毛木防己的複合萃取物包括約0.1 wt %至約1 wt %的木蘭花鹼。In some embodiments, the composite extract of Tetrachia serrata comprises from about 50 weight (wt) % to about 80 wt % of the composition. In some embodiments, the composite extract of Tetrachia serrata comprises about 60 wt % to about 70 wt % of the composition. In some embodiments, the complex extract of Tetrachia serrata includes from about 0.1 wt % to about 1 wt % magnolanine.

在一些實施例中,該醫藥學上可接受的賦形劑包括鎂鋁三矽酸鹽、乳糖單水合物、磷酸二鈣、澱粉、矽酸鈣、微晶型纖維素、膠體二氧化矽、交聯羧甲基纖維素、硬脂酸鎂或其組合。在一些實施例中,該組成物進一步包括膜衣、溶劑或其組合。在一些實施例中,該組成物或該藥劑為口服組成物,其選自粉劑、丸粒、顆粒、球體、迷你錠、膠囊型錠劑、錠劑、膠囊、液體或其組合。In some embodiments, the pharmaceutically acceptable excipients include magnesium aluminum trisilicate, lactose monohydrate, dicalcium phosphate, starch, calcium silicate, microcrystalline cellulose, colloidal silica, Croscarmellose, magnesium stearate, or a combination thereof. In some embodiments, the composition further includes a film coating, a solvent, or a combination thereof. In some embodiments, the composition or the medicament is an oral composition selected from powders, pellets, granules, spheres, mini-lozenges, caplets, lozenges, capsules, liquids, or combinations thereof.

在一些實施例中,該組成物或該藥劑包括選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮之至少三種化合物,其中該至少三種化合物佔該組成物或該藥劑約0.1%至約10% w/w。在一些實施例中,該中國木防己鹼佔該組成物或該藥劑約0.1 wt%至約20 wt%;該木蘭花鹼係約0.01 wt%至約5 wt%;該馬克甾酮A係約0.005 wt%至約5 wt%;以及該20-羥基蛻皮酮係約0.01 wt%至約5 wt%。In some embodiments, the composition or the medicament comprises at least three compounds selected from the group consisting of tetrandrine, magnolidine, marxosterone A, sclerophylline, and 20-hydroxyecdysone, wherein the at least three compounds About 0.1% to about 10% w/w of the composition or the agent. In some embodiments, the tetradine accounts for about 0.1 wt % to about 20 wt % of the composition or the agent; the magnolidine is about 0.01 wt % to about 5 wt %; the magsterone A is about 0.005 wt% to about 5 wt%; and the 20-hydroxyecdysone is about 0.01 wt% to about 5 wt%.

在一些實施例中,本發明提供了一種組成物,其包括:硬毛木防己的複合萃取物;以及一分離化合物,其選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物或其組合,其中該複合萃取物與該分離化合物的比例為約99:1至約1:99。In some embodiments, the present invention provides a composition comprising: a composite extract of Tetranychus sclera; and an isolated compound selected from the group consisting of tetrandrine, magnolidine, macosterone A, bristle Unchristine, 20-hydroxyecdysone, a derivative thereof, or a combination thereof, wherein the ratio of the complex extract to the isolated compound is from about 99:1 to about 1:99.

在一些實施例中,該分離化合物為中國木防己鹼。在一些實施例中,該分離化合物為木蘭花鹼。在一些實施例中,該複合萃取物與該分離化合物的比例為約70:30至約30:70。在一些實施例中,該複合萃取物與該分離化合物的比例為約40:60至約60:40。在一些實施例中,該複合萃取物與該分離化合物的比例為約1:1。In some embodiments, the isolated compound is tetrandine. In some embodiments, the isolated compound is magnolone. In some embodiments, the ratio of the composite extract to the isolated compound is from about 70:30 to about 30:70. In some embodiments, the ratio of the complex extract to the isolated compound is from about 40:60 to about 60:40. In some embodiments, the ratio of the complex extract to the isolated compound is about 1:1.

在一些實施例中,本發明提供了一種組成物,其包括:硬毛木防己的複合萃取物;鎂鋁三矽酸鹽;稀釋劑,其選自乳糖單水合物、磷酸二鈣、預膠化澱粉、矽酸鈣或其組合;微晶型纖維素;膠體二氧化矽;交聯羧甲基纖維素;硬脂酸鎂;以及可選的膜衣。In some embodiments, the present invention provides a composition comprising: a composite extract of Fangji sclera; magnesium aluminum trisilicate; a diluent selected from lactose monohydrate, dicalcium phosphate, pregelatin starch, calcium silicate, or combinations thereof; microcrystalline cellulose; colloidal silica; croscarmellose; magnesium stearate; and an optional film coating.

在一些實施例中,該組成物包括約10 wt%至約90 wt%之硬毛木防己的複合萃取物;約5 wt%至約50 wt%的鎂鋁三矽酸鹽;約0.1 wt%至約20 wt%的稀釋劑;約0.1 wt%至約10 wt%的微晶型纖維素;約0.1 wt%至約10 wt%的膠體二氧化矽;約0.1 wt%至約10 wt%的交聯羧甲基纖維素;以及約0.01 wt%至約5 wt%的硬脂酸鎂。In some embodiments, the composition includes from about 10 wt% to about 90 wt% of the composite extract of Tessyl sclera; from about 5 wt% to about 50 wt% of magnesium aluminum trisilicate; about 0.1 wt% to about 20 wt% diluent; about 0.1 wt% to about 10 wt% microcrystalline cellulose; about 0.1 wt% to about 10 wt% colloidal silica; about 0.1 wt% to about 10 wt% croscarmellose; and about 0.01 wt % to about 5 wt % magnesium stearate.

在一些實施例中,該組成物包括約30 wt%至約85 wt%之硬毛木防己的複合萃取物;約8 wt%至約40 wt%的鎂鋁三矽酸鹽;約0.5 wt%至約15 wt%的稀釋劑;約0.5 wt%至約8 wt%的微晶型纖維素;約0.2 wt%至約8 wt%的膠體二氧化矽;約0.5 wt%至約8 wt%的交聯羧甲基纖維素;以及約0.02 wt%至約2 wt%的硬脂酸鎂。In some embodiments, the composition includes from about 30 wt% to about 85 wt% of a composite extract of Tessyl sclera; from about 8 wt% to about 40 wt% of magnesium aluminum trisilicate; about 0.5 wt% to about 15 wt% diluent; about 0.5 wt% to about 8 wt% microcrystalline cellulose; about 0.2 wt% to about 8 wt% colloidal silica; about 0.5 wt% to about 8 wt% croscarmellose; and about 0.02 wt % to about 2 wt % magnesium stearate.

在一些實施例中,本發明提供了一種組成物,包括:約50 wt%至約80 wt%之硬毛木防己的複合萃取物;約10 wt%至約30 wt%的鎂鋁三矽酸鹽;約1 wt%至約10 wt%的稀釋劑,其係選自乳糖單水合物、磷酸二鈣、預膠化澱粉、矽酸鈣或其組合;約1 wt%至約5 wt%的微晶型纖維素;約0.5 wt%至約5 wt%的膠體二氧化矽;約1 wt%至約5 wt%的交聯羧甲基纖維素;約0.1 wt%至約1 wt%的硬脂酸鎂;以及可選的膜衣。In some embodiments, the present invention provides a composition comprising: about 50 wt % to about 80 wt % of a composite extract of Tessyl serrata; about 10 wt % to about 30 wt % magnesium aluminum trisilicic acid salt; about 1 wt% to about 10 wt% of a diluent selected from lactose monohydrate, dicalcium phosphate, pregelatinized starch, calcium silicate or combinations thereof; about 1 wt% to about 5 wt% of Microcrystalline cellulose; about 0.5 wt% to about 5 wt% colloidal silica; about 1 wt% to about 5 wt% croscarmellose; about 0.1 wt% to about 1 wt% hard Magnesium fatty acid; and optional film coating.

在一些實施例中,該組成物為口服醫藥組成物。在一些實施例中,該口服醫藥組成物為粉劑、丸粒、顆粒、球體、迷你錠、膠囊型錠劑、錠劑、膠囊、液體或其組合。在一些實施例中,該硬毛木防己的複合萃取物為複合水萃取物、複合一級醇萃取物、或複合水/醇類萃取物。In some embodiments, the composition is an oral pharmaceutical composition. In some embodiments, the oral pharmaceutical composition is a powder, pellet, granule, sphere, mini-lozenge, caplet, lozenge, capsule, liquid, or a combination thereof. In some embodiments, the composite extract of Tetrachia serrata is a composite water extract, a composite primary alcohol extract, or a composite water/alcohol extract.

在一些實施例中,本發明提供了一種組成物包括選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮之至少三種化合物,其中該至少三種化合物佔該組成物約0.1%至約10%。In some embodiments, the present invention provides a composition comprising at least three compounds selected from the group consisting of tetrandrine, magnolidine, maksterone A, sclerophylline, and 20-hydroxyecdysone, wherein the at least three compounds The compound comprises from about 0.1% to about 10% of the composition.

在一些實施例中,該中國木防己鹼佔該組成物約0.1 wt%至約20 wt%;該木蘭花鹼係約0.01 wt%至約5 wt%;該馬克甾酮A係約0.005 wt%至約5 wt%;以及該20-羥基蛻皮酮係約0.01 wt%至約5 wt%。In some embodiments, the tetradine is about 0.1 wt% to about 20 wt% of the composition; the magnolin is about 0.01 wt% to about 5 wt%; the marquesterone A is about 0.005 wt% to about 5 wt%; and the 20-hydroxyecdysone is about 0.01 wt% to about 5 wt%.

在一些實施例中,製備了硬毛木防己複合萃取物的組成物,其中複合萃取物於組成物中的重量範圍為約25 mg至1500 mg。在一些實施例中,製備了硬毛木防己複合萃取物的組成物,其中複合萃取物於組成物中的重量係選自25 mg、50 mg、100 mg、150 mg、200 mg、300 mg、400 mg、500 mg、600 mg、800 mg、1000 mg、1100 mg、1200 mg、1300 mg、1400 mg、或1500 mg。在一些實施例中,該組成物為單一劑量形式,具有上述所列任何含量的複合萃取物。In some embodiments, a composition of Tetrachia serrata complex extract is prepared, wherein the weight of the complex extract in the composition ranges from about 25 mg to 1500 mg. In some embodiments, a composition of the compound extract of Fangji hardwood is prepared, wherein the weight of the compound extract in the composition is selected from 25 mg, 50 mg, 100 mg, 150 mg, 200 mg, 300 mg, 400 mg, 500 mg, 600 mg, 800 mg, 1000 mg, 1100 mg, 1200 mg, 1300 mg, 1400 mg, or 1500 mg. In some embodiments, the composition is in a single dosage form with the complex extract in any of the amounts listed above.

在一些實施例中,該硬毛木防己的複合萃取物實質上不含木質素、纖維及單寧。In some embodiments, the composite extract of Tetrachia serrata is substantially free of lignin, fiber, and tannins.

在一些實施例中,本發明提供了一種用於降低或抑制個體中正向單股RNA病毒增生的方法,該方法包括向該個體投與治療有效量之如本文所述的組成物。在一些實施例中,本發明提供了一種用於降低個體中正向單股RNA病毒之病毒載量的方法,該方法包括向該個體投與治療有效量之如本文所述的組成物。在一些實施例中,該組成物係以每個個體的重量約1 mg/kg至約500 mg/kg之硬毛木防己的複合萃取物之劑量投與。In some embodiments, the present invention provides a method for reducing or inhibiting the proliferation of a positive single-stranded RNA virus in an individual, the method comprising administering to the individual a therapeutically effective amount of a composition as described herein. In some embodiments, the present invention provides a method for reducing the viral load of a positive single-stranded RNA virus in an individual, the method comprising administering to the individual a therapeutically effective amount of a composition as described herein. In some embodiments, the composition is administered at a dose of about 1 mg/kg to about 500 mg/kg of the complex extract of Tetrachia solani by weight per subject.

在一些實施例中,本發明提供了一種治療有需要的個體中之正向單股RNA病毒感染的方法,該方法包括向該個體投與治療有效量之硬毛木防己的複合萃取物。In some embodiments, the present invention provides a method of treating a positive single-stranded RNA virus infection in an individual in need thereof, the method comprising administering to the individual a therapeutically effective amount of a complex extract of Tetrachia serrata.

在一些實施例中,本發明提供了一種治療有需要的個體中之正向單股RNA病毒感染的方法,該方法包括向該個體投與包括有治療有效量之硬毛木防己的複合萃取物和醫藥學上可接受的賦形劑(包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合)的組成物。In some embodiments, the present invention provides a method of treating a positive single-stranded RNA virus infection in an individual in need thereof, the method comprising administering to the individual a complex extract comprising a therapeutically effective amount of Tetrachia solani and pharmaceutically acceptable excipients (including diluents, binders, disintegrants, lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, buffers, tonicity modifiers) agent, or a combination thereof).

在一些實施例中,本發明提供了一種治療有需要的個體中之正向單股RNA病毒感染的方法,該方法包括向該個體投與包括有治療有效量之中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物、或其組合的組成物。在一些實施例中,該組成物包括中國木防己鹼。在一些實施例中,該組成物包括木蘭花鹼。In some embodiments, the present invention provides a method of treating a positive single-stranded RNA virus infection in an individual in need thereof, the method comprising administering to the individual a therapeutically effective amount of tetrandrine, magnolidine , a composition of macosterone A, sclerophylline, 20-hydroxyecdysone, a derivative thereof, or a combination thereof. In some embodiments, the composition includes tetrandrine. In some embodiments, the composition includes magnolidine.

在一些實施例中,該組成物進一步包括醫藥學上可接受的賦形劑,其包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合。在一些實施例中,該硬毛木防己的複合萃取物實質上不含木質素、纖維及單寧。在一些實施例中,該組成物係每日投與一次、每日投與二次、每日投與三次、或每日投與四次。在一些實施例中,該硬毛木防己的複合萃取物係每日投與一次、每日投與二次、每日投與三次、或每日投與四次。In some embodiments, the composition further includes pharmaceutically acceptable excipients including diluents, binders, disintegrants, lubricants, slip agents, polymers, flavoring agents, surfactants, Preservatives, antioxidants, buffers, tonicity modifiers, or combinations thereof. In some embodiments, the composite extract of Tetrachia serrata is substantially free of lignin, fiber, and tannins. In some embodiments, the composition is administered once daily, twice daily, three times daily, or four times daily. In some embodiments, the complex extract of Fangji sclera is administered once a day, twice a day, three times a day, or four times a day.

在一些實施例中,該正向單股RNA病毒為C型肝炎病毒、西尼羅病毒(WNV)、登革熱病毒、屈公病毒(CHIKV)、日本腦炎病毒(JEV)、茲卡病毒、黃熱病毒(YFV)、烏蘇土病毒、蜱傳腦炎病毒(TBEV)、冠狀病毒或其組合。在一些實施例中,該冠狀病毒為SARS-CoV-2、SARS-CoV、MERS-CoV或hCoV-OC43。在一些實施例中,該病毒為SARS-CoV-2、登革熱病毒、屈公病毒或日本腦炎病毒(JEV)。In some embodiments, the positive single-stranded RNA virus is hepatitis C virus, West Nile virus (WNV), Dengue virus, Chikungunya virus (CHIKV), Japanese encephalitis virus (JEV), Zika virus, yellow Fever virus (YFV), Usutu virus, tick-borne encephalitis virus (TBEV), coronavirus or a combination thereof. In some embodiments, the coronavirus is SARS-CoV-2, SARS-CoV, MERS-CoV or hCoV-OC43. In some embodiments, the virus is SARS-CoV-2, Dengue virus, Chikungunya virus, or Japanese encephalitis virus (JEV).

在一些實施例中,該方法進一步包括向該個體共同投與額外的治療劑,其選自抗病毒劑、退熱劑、鎮痛劑或其組合。In some embodiments, the method further comprises co-administering to the individual an additional therapeutic agent selected from an antiviral agent, an antipyretic agent, an analgesic agent, or a combination thereof.

在一些實施例中,本發明提供了一種製備硬毛木防己之複合萃取物的方法,包括:a)使用包括有乙醇、水或以上兩者的溶劑來萃取硬毛木防己之植物塊,其中該萃取係在約50°C至約100°C下進行;b)濃縮(a)的萃取物;以及c)將(b)的濃縮萃取物乾燥,其中該乾燥係在約40°C至約95°C下進行,從而獲得該硬毛木防己的複合萃取物。在一些實施例中,在(c)之前該方法還包括進一步使用另外的溶劑萃取(b)的濃縮萃取物,其中該另外的溶劑為乙醇、水或以上兩者。In some embodiments, the present invention provides a method of preparing a composite extract of T. sclera, comprising: a) using a solvent comprising ethanol, water, or both to extract the plant pieces of T. sclerosus, wherein The extracting is performed at about 50°C to about 100°C; b) concentrating the extract of (a); and c) drying the concentrated extract of (b), wherein the drying is at about 40°C to about Carry out at 95 DEG C, thereby obtain the compound extract of this Tetrachia serrata. In some embodiments, prior to (c), the method further comprises further extracting the concentrated extract of (b) with an additional solvent, wherein the additional solvent is ethanol, water, or both.

將結合某些優選的與可選的實施例來詳細描述本發明,從而可以更充分地理解與領會其各種態樣。The present invention will be described in detail in conjunction with certain preferred and alternative embodiments so that its various aspects may be more fully understood and appreciated.

本發明的發明人已發現一種稱為硬毛木防己的植物的複合萃取物具有廣泛的對抗正向單股RNA病毒的抗病毒活性。此外,發明人還發現所述複合萃取物干擾正相單股RNA病毒的病毒生命週期。發明人還發現所述複合萃取物降低哺乳動物中TNF-α與IL-6的含量。The inventors of the present invention have discovered that a complex extract of the plant known as Fangji hardwood has broad antiviral activity against positive single-stranded RNA viruses. In addition, the inventors also found that the composite extract interferes with the viral life cycle of normal-phase single-stranded RNA viruses. The inventors also found that the complex extract reduces the levels of TNF-α and IL-6 in mammals.

所述複合萃取物可以用來預防及/或治療正向單股RNA病毒引起的不同感染疾病,像是C型肝炎病毒、西尼羅病毒(WNV)、登革熱病毒(所有4種血清型DENV 1-4)、屈公病毒(CHIKV)、SARS與MERS病毒、hCoV-OC43病毒;日本腦炎病毒(JEV)、茲卡病毒(亞洲/巴西品系與非洲品系)、黃熱病毒(YFV)、烏蘇土病毒(烏蘇土,在歐洲有增長的隱憂)、蜱傳腦炎病毒(TBEV)、冠狀病毒與SARS-CoV-2(COVID-19)、或哺乳動物中任何其他相關的正向單股RNA病毒。The complex extract can be used to prevent and/or treat different infectious diseases caused by positive single-stranded RNA viruses, such as hepatitis C virus, West Nile virus (WNV), dengue virus (all 4 serotypes DENV 1). -4), Chikungunya virus (CHIKV), SARS and MERS virus, hCoV-OC43 virus; Japanese encephalitis virus (JEV), Zika virus (Asian/Brazilian strain and African strain), yellow fever virus (YFV), Ukrainian Sutuvirus (Usutu, a growing concern in Europe), tick-borne encephalitis virus (TBEV), coronavirus and SARS-CoV-2 (COVID-19), or any other related positive virus in mammals Strand RNA virus.

硬毛木防己Linn (防己科),俗稱Jal-Jamni (Chopra等人,1958)或Broom匍匐植物,其發現於亞洲熱帶和非洲中度涼爽和炎熱的地區。其為多年生攀緣植物,且可達到離地2至3 m。本發明人已經發現硬毛木防己的萃取物及各種硬毛木防己的分離化合物像是中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、槲皮素、芸香苷、(-)丁香脂素雙葡萄糖苷或20-羥基蛻皮酮及其各種組合可有助於有效預防及/或治療包含COVID-19之正向單股RNA病毒所引起的各種感染疾病,並減少副作用。在一實施例中,本發明提供了一種硬毛木防己的複合萃取物,用於預防及/或治療哺乳動物中正向單股RNA病毒所引起的感染。The hardwood tree Linn (Teochondriaceae), commonly known as Jal-Jamni (Chopra et al., 1958) or Broom creeper, is found in tropical Asia and moderately cool and hot regions of Africa. It is a perennial climber and can reach 2 to 3 m above the ground. The present inventors have discovered extracts of Tetranychus serrata and isolated compounds of various tetrandrine (-) Syringaresinol diglucoside or 20-hydroxyecdysone and various combinations thereof can help effectively prevent and/or treat various infectious diseases caused by positive single-stranded RNA viruses including COVID-19, and reduce side effects . In one embodiment, the present invention provides a compound extract of Fangji sclera for preventing and/or treating infection caused by positive single-stranded RNA virus in mammals.

在另一實施例中,本發明提供了藉由投與治療有效量之硬毛木防己的複合萃取物以治療正向單股RNA病毒所引起的病毒感染的方法。In another embodiment, the present invention provides a method of treating viral infection caused by a positive single-stranded RNA virus by administering a therapeutically effective amount of a complex extract of Tetranychus edulis.

在又另一實施例中,本發明提供了藉由向有需要的哺乳動物投與治療有效量之硬毛木防己的複合萃取物以降低或抑制正向單股RNA病毒所引起的病毒感染增生的方法。In yet another embodiment, the present invention provides for reducing or inhibiting the proliferation of viral infections caused by positive single-stranded RNA viruses by administering to a mammal in need thereof a therapeutically effective amount of a complex extract of Tetrachia sclerata Methods.

在進一步的實施例中,本發明提供了硬毛木防己的複合萃取物用於預防及/或治療哺乳動物中之正向單股RNA病毒所引起之病毒感染的用途。In a further embodiment, the present invention provides the use of a complex extract of Tetranychus edulis for preventing and/or treating viral infection caused by positive single-stranded RNA virus in mammals.

在另一實施例中,本發明提供了硬毛木防己的複合萃取物用於降低或抑制在哺乳動物中之正向單股RNA病毒增生的用途。In another embodiment, the present invention provides the use of a complex extract of Tetranychus edulis for reducing or inhibiting the proliferation of positive single-stranded RNA viruses in mammals.

在進一步的實施例中,本發明還提供了硬毛木防己的複合萃取物的各種協同組合組成物,中國木防己鹼、硬毛鈎藤鹼、槲皮素、芸香苷、(-)丁香脂素雙葡萄糖苷、木蘭花鹼、松柏醇、馬克甾酮A或20-羥基蛻皮酮或其衍生物。In a further embodiment, the present invention also provides various synergistic composition compositions of compound extracts of Tetranychus serrata, tetrandrine, sclerophylline, quercetin, rutin, (-) syringin diglucoside, magnolidine, coniferyl alcohol, markasterone A or 20-hydroxyecdysone or derivatives thereof.

在進一步的實施例中,本發明還提供了從硬毛木防己的複合萃取物分離各種化合物的方法及其在治療或預防由正向單股RNA病毒在哺乳動物中所引起的病毒感染的方法中的用途。In a further embodiment, the present invention also provides methods of isolating various compounds from complex extracts of Tetranychus serrata and methods of treating or preventing viral infections in mammals caused by positive single-stranded RNA viruses use in.

從硬毛木防己的萃取物分離的化合物包括中國木防己鹼、硬毛鈎藤鹼、木蘭花鹼、松柏醇、槲皮素、芸香苷、丁香脂素雙葡萄糖苷、馬克甾酮A或20-羥基蛻皮酮或其衍生物。這些化合物中的每一者的結構如下所提供:

Figure 02_image001
Figure 02_image003
Figure 02_image005
中國木防己鹼              木蘭花鹼                   松柏醇
Figure 02_image007
Figure 02_image009
Figure 02_image011
槲皮素                  芸香苷             丁香脂素雙葡萄糖苷
Figure 02_image012
Figure 02_image014
Figure 02_image016
馬克甾酮A              20-羥基蛻皮酮                硬毛鈎藤鹼Compounds isolated from extracts of Tetranychus solani include tetrandrine, sclerophylline, magnolidine, coniferyl alcohol, quercetin, rutin, syringaresinol diglucoside, marxosterone A or 20 - Hydroxyecdysone or a derivative thereof. The structure of each of these compounds is provided below:
Figure 02_image001
Figure 02_image003
Figure 02_image005
Chinese tetrandrine Magnolia alkaloid coniferyl alcohol
Figure 02_image007
Figure 02_image009
Figure 02_image011
Quercetin Rutin Syringaresinol Diglucoside
Figure 02_image012
Figure 02_image014
Figure 02_image016
Markosterone A 20-Hydroxyecdysone Sclerophylline

如本文所用術語「複合萃取物」係指在任何濃度從硬毛木防己獲得的萃取物,其包括組分的混合物,且以液體、半固體、固體、凝膠、糊漿、分散液、溶液、或餾出液的形式呈現。優選地,該複合萃取物為固體形式,例如粉劑形式。所用術語「複合萃取物」在本說明書中可與「萃取物」交替使用。The term "composite extract" as used herein refers to an extract obtained at any concentration from T. hardwood, which includes a mixture of components and is available in the form of a liquid, semi-solid, solid, gel, paste, dispersion, solution , or in the form of distillate. Preferably, the complex extract is in solid form, such as a powder. The term "complex extract" is used interchangeably with "extract" in this specification.

在前述實施例中的一態樣中,該萃取物為水性萃取物或有機溶劑萃取物,其中所述有機溶劑為極性或非極性有機溶劑。In one aspect of the foregoing embodiments, the extract is an aqueous extract or an organic solvent extract, wherein the organic solvent is a polar or non-polar organic solvent.

在前述實施例中的另一態樣中,該萃取物為來自樹幹或植物其它部分之醇類萃取物或水合醇類萃取物,例如地上部或根。在其中一實施例中,該萃取物為水性萃取物。藉由蒸發作用,萃取物中的溶劑可被完全去除,以獲得乾燥萃取物。乾燥萃取物可被冷凍乾燥以形成粉劑,然後其可以被填充至小瓶或適當尺寸之膠囊或壓縮成有或無醫藥學上可接受的賦形劑的錠劑中。在相關的實施例中,所述萃取物可以液體或半固體形式使用,不用進一步與合適的醫藥學上可接受的載體一同乾燥以供投與。In another aspect of the foregoing embodiments, the extract is an alcoholic or hydrated alcoholic extract from the trunk or other parts of the plant, such as shoots or roots. In one embodiment, the extract is an aqueous extract. By evaporation, the solvent in the extract can be completely removed to obtain a dry extract. The dried extract can be lyophilized to form a powder, which can then be filled into vials or capsules of suitable size or compressed into lozenges with or without pharmaceutically acceptable excipients. In related embodiments, the extract can be used in liquid or semi-solid form without further drying with a suitable pharmaceutically acceptable carrier for administration.

在前述實施例中的另一態樣中,該萃取物為來自樹幹或植物其它部分之醇類萃取物或水合醇類萃取物,例如地上部或根。在其中一個較佳實施例中,該萃取物將衍生自植物的濕部分,以形成水性萃取物。藉由蒸發作用,萃取物中的溶劑可被完全去除,以獲得乾燥萃取物。乾燥萃取物可被冷凍乾燥以形成粉劑,然後其可以被填充至小瓶或適當尺寸之膠囊或壓縮成有或無醫藥學上可接受的賦形劑的錠劑中。在相關的實施例中,所述萃取物可以液體或半固體形式使用,不用進一步與合適的醫藥學上可接受的載體一同乾燥以供投與。In another aspect of the foregoing embodiments, the extract is an alcoholic or hydrated alcoholic extract from the trunk or other parts of the plant, such as shoots or roots. In one of the preferred embodiments, the extract will be derived from the wet parts of the plant to form an aqueous extract. By evaporation, the solvent in the extract can be completely removed to obtain a dry extract. The dried extract can be lyophilized to form a powder, which can then be filled into vials or capsules of suitable size or compressed into lozenges with or without pharmaceutically acceptable excipients. In related embodiments, the extract can be used in liquid or semi-solid form without further drying with a suitable pharmaceutically acceptable carrier for administration.

如本文所用術語「醇類萃取物」包含任何基於醇類的萃取物,例如,硬毛木防己之甲醇、乙醇、正丙醇、異丙醇、正丁醇、異丁醇或叔丁醇萃取物。The term "alcoholic extract" as used herein includes any alcohol-based extract, for example, methanol, ethanol, n-propanol, isopropanol, n-butanol, isobutanol, or tert-butanol extraction of Tesco thing.

如本文所用術語「水合醇類萃取物」包含使用醇類與純水的混合物製備的萃取物。其還可以包含用其他有機溶劑在變性酒精中製備的萃取物。醇類的實例為甲醇、乙醇、正丙醇、異丙醇、正丁醇、異丁醇及叔丁醇。在所述水合醇類萃取物中醇類與水的比例可以為以下比例:99:1至1:99、或95:1至1:95、或95:5至5:95、或90:10至10:90、或80:20至20:80、或70:30至30:70、或60:40至40:60、或1:1至95:5、或1:1之醇類與純水的混合物。The term "hydrated alcohol extract" as used herein includes extracts prepared using a mixture of alcohol and pure water. It may also contain extracts prepared in denatured alcohol with other organic solvents. Examples of alcohols are methanol, ethanol, n-propanol, isopropanol, n-butanol, isobutanol and tert-butanol. The ratio of alcohol to water in the hydrated alcohol extract may be the following ratio: 99:1 to 1:99, or 95:1 to 1:95, or 95:5 to 5:95, or 90:10 Alcohols and pure water mixture.

如本文所用術語「水性萃取物」包含硬毛木防己之水或純水萃取物,也縮寫為AQCH(硬毛木防己的水性萃取物)。The term "aqueous extract" as used herein includes aqueous or pure water extract of Tessica serrata, also abbreviated as AQCH (Aqueous Extract of Tessica serrata).

硬毛木防己的萃取物包含(a)使用一或多種溶劑來萃取硬毛木防己之植物塊來獲得萃取物,以及(b)使用一或多種溶劑通過分配步驟(a)的萃取物所獲得的部分。在一較佳實施例中,該硬毛木防己的萃取物包含(a)使用純水來萃取硬毛木防己樹幹之植物量來獲得萃取物,以及(b)使用一或多種溶劑通過分配步驟(a)的萃取物所獲得的部分。The extract of Tessica serrata comprises (a) the extract obtained by extracting the plant pieces of Tessica serrata using one or more solvents, and (b) obtained by partitioning the extract of step (a) using one or more solvents part. In a preferred embodiment, the extract of T. sclera comprises (a) using pure water to extract a vegetative amount of T. sclerosus trunk to obtain the extract, and (b) using one or more solvents to pass through a partitioning step (a) Fraction obtained from the extract.

用於萃取物的溶劑可以是例如水;醇類,例如甲醇、乙醇、丙醇、異丙醇、或丁醇;酮類,例如丙酮或甲基異丁基酮;酯類,例如乙酸甲酯或乙酸乙酯;鹵化碳氫化合物,例如氯仿、二氯甲烷、或二氯化乙烯;石油分餾物,例如已烷、石油醚或庚烷;或其混合物。Solvents for extracts can be, for example, water; alcohols, such as methanol, ethanol, propanol, isopropanol, or butanol; ketones, such as acetone or methyl isobutyl ketone; esters, such as methyl acetate or ethyl acetate; halogenated hydrocarbons, such as chloroform, dichloromethane, or ethylene dichloride; petroleum fractions, such as hexane, petroleum ether, or heptane; or mixtures thereof.

用於分配的溶劑可以是例如水;石油分餾物,例如已烷、石油醚或庚烷;鹵化碳氫化合物,例如氯仿、二氯甲烷、或二氯化乙烯;酯類,例如乙酸乙酯或乙酸甲酯;酮類,例如丙酮或甲基異丁基酮;醇類,例如丁醇;醚類,例如乙醚;或其混合物。Solvents used for distribution can be, for example, water; petroleum fractions, such as hexane, petroleum ether, or heptane; halogenated hydrocarbons, such as chloroform, dichloromethane, or ethylene dichloride; esters, such as ethyl acetate or Methyl acetate; ketones, such as acetone or methyl isobutyl ketone; alcohols, such as butanol; ethers, such as diethyl ether; or mixtures thereof.

如本文所用術語「硬毛木防己的植物塊」係指整個植物,其包含地上部,例如,水果、花、葉片、分枝、樹幹皮、樹幹、種子或心材及根。在一較佳實施例中,「硬毛木防己的植物塊」係指硬毛木防己的樹幹。在一態樣中,這種植物塊可來自濕部分或乾部分。As used herein, the term "plant pieces of Tessibuli" refers to a whole plant, which includes above-ground parts, eg, fruit, flowers, leaves, branches, trunk bark, trunk, seeds or heartwood, and roots. In a preferred embodiment, "the plant block of T. sclera" refers to the trunk of T. sclera. In one aspect, such plant pieces can be from wet or dry parts.

在又另一實施例中,該硬毛木防己的複合萃取物可包括中國木防己鹼、木蘭花鹼、松柏醇、馬克甾酮A或20-羥基蛻皮酮、硬毛鈎藤鹼、槲皮素、芸香苷、(-)丁香脂素雙葡萄糖苷或其衍生物。在相關的實施例中,該硬毛木防己的複合萃取物可用於分離化合物中國木防己鹼、木蘭花鹼、馬克甾酮A或20-羥基蛻皮酮或其衍生物,以及在治療或預防正向單股RNA病毒所引起的病毒感染的用途,或其在哺乳動物中抑制病毒增生的用途。In yet another embodiment, the compound extract of Teochondrial sclera may include tetrandrine, magnolidine, coniferyl alcohol, marxosterone A or 20-hydroxyecdysone, uricine sclerophylline, quercetin rutin, (-) syringaresinol diglucoside or derivatives thereof. In a related embodiment, the complex extract of Tetrachia serrata can be used to isolate the compounds tetrandrine, magnolidine, maxosterone A or 20-hydroxyecdysone or derivatives thereof, as well as in the treatment or prevention of positive Use of a viral infection by a single-stranded RNA virus, or use thereof to inhibit viral proliferation in a mammal.

在進一步的較佳實施例中,本發明提供了一種硬毛木防己的複合萃取物的富集部分,用於治療哺乳動物中正向單股RNA病毒所引起的病毒感染。該萃取物可以在任何類黃酮、生物鹼方面進行富集,例如,中國木防己鹼或木蘭花鹼;或其它化合物像是硬毛鈎藤鹼、松柏醇、槲皮素、芸香苷、(-)丁香脂素雙葡萄糖苷、馬克甾酮A或20-羥基蛻皮酮或其衍生化合物。該萃取物可以在化合物方面進行富集與標準化,例如,中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮或其衍生化合物。該富集萃取物可使用所述化合物的溶劑來製備。溶劑可為前面所討論的任何溶劑。In a further preferred embodiment, the present invention provides an enriched fraction of a compound extract of Tetrachia sclerata for the treatment of viral infections caused by positive single-stranded RNA viruses in mammals. The extract can be enriched in any flavonoids, alkaloids, for example, tetrandrine or magnolidine; or other compounds such as sclerophylline, coniferyl alcohol, quercetin, rutin, (- ) syringaresinol diglucoside, markosterone A or 20-hydroxyecdysone or derivatives thereof. The extract can be enriched and normalized in terms of compounds such as tetrandrine, magnolone, macosterone A, sclerophylline, 20-hydroxyecdysone, or derivatives thereof. The enriched extract can be prepared using a solvent for the compound. The solvent can be any of the solvents previously discussed.

在本發明中,發明人發現硬毛木防己的複合萃取物擁有廣泛的抗病毒活性,且已發現在其進入宿主細胞中後會干擾病毒生命週期。該複合萃取物被發現有效對抗正向單股RNA病毒。另外,非預期的發現該複合萃取物也會降低哺乳動物中之TNF-α與IL-6含量,從而貢獻展示其對抗COVID-19嚴重案例的功效。In the present invention, the inventors have found that the complex extract of Fangji hardwood possesses broad antiviral activity and has been found to interfere with the viral life cycle after it enters host cells. The complex extract was found to be effective against positive single-stranded RNA viruses. In addition, it was unexpectedly found that the complex extract also reduced TNF-α and IL-6 levels in mammals, thereby contributing to demonstrate its efficacy against severe cases of COVID-19.

在另一實施例中,本發明提供了一種硬毛木防己的複合萃取物以在哺乳動物中在治療正向單股RNA病毒(選自由以下所組成之群:C型肝炎、登革熱病毒(所有4種血清型DENV 1-4)、屈公病毒(CHIKV)、SARS與MERS、hCoV-OC43)所引起的病毒感染之早期階段降低病毒載量;日本腦炎病毒(JEV)、茲卡病毒(亞洲/巴西品系與非洲品系)、黃熱病毒(YFV)、烏蘇土病毒(烏蘇土,在歐洲有增長的隱憂)、西尼羅病毒(WNV)、蜱傳腦炎病毒(TBEV)、冠狀病毒與SARS-CoV-2 (COVID-19)。In another embodiment, the present invention provides a complex extract of Tetranychus serrata for the treatment of positive single-stranded RNA viruses (selected from the group consisting of: hepatitis C, dengue virus (all) in mammals 4 serotypes (DENV 1-4), Chikungunya virus (CHIKV), SARS and MERS, hCoV-OC43) reduce viral load in the early stage of viral infection; Japanese encephalitis virus (JEV), Zika virus ( Asian/Brazilian strains and African strains), Yellow Fever Virus (YFV), Usutu virus (Usutu, a growing concern in Europe), West Nile virus (WNV), tick-borne encephalitis virus (TBEV), Coronavirus and SARS-CoV-2 (COVID-19).

在又另一實施例中,本發明提供一種醫藥組成物,其包括硬毛木防己的萃取物、或中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、或松柏醇、槲皮素、芸香苷、(-)丁香脂素雙葡萄糖苷、或衍生物或其組合,其中該組成物展示了對抗選自由以下正向單股RNA病毒所組成之群:C型肝炎、黃熱病毒(YFV)、登革熱病毒(所有4種血清型DENV 1-4)、屈公病毒(CHIKV)、SARS與MERS、hCoV-OC43的抑制活性;日本腦炎病毒(JEV)、茲卡病毒(亞洲/巴西品系與非洲品系)、烏蘇土病毒(烏蘇土,在歐洲有增長的隱憂)、西尼羅病毒(WNV)、蜱傳腦炎病毒(TBEV)、冠狀病毒與SARS-CoV-2 (COVID-19)。In yet another embodiment, the present invention provides a pharmaceutical composition, which comprises the extract of Tetranychus sclera, or Tetrandrine, Magnoliaine, Markosterone A, Unchristine, 20-hydroxyl Ecdysone, or coniferyl alcohol, quercetin, rutin, (-) syringaresinol diglucoside, or a derivative or a combination thereof, wherein the composition exhibits resistance against a positive single-stranded RNA virus selected from the group consisting of Clusters: Hepatitis C, Yellow fever virus (YFV), Dengue virus (all 4 serotypes DENV 1-4), Chikungunya virus (CHIKV), SARS and MERS, Inhibitory activity of hCoV-OC43; Japanese encephalitis virus ( JEV), Zika virus (Asian/Brazilian strains and African strains), Usutu virus (Usutu, growing concerns in Europe), West Nile virus (WNV), tick-borne encephalitis virus (TBEV), Coronavirus and SARS-CoV-2 (COVID-19).

根據本發明獲得的複合萃取物可用於直接向哺乳動物投與以及用於製備醫藥組合物,劑量範圍為體重之約0.05 mg/kg至約1500 mg/kg,尤其範圍為體重之約0.1 mg/kg至約1200 mg/kg,更特別的範圍為體重之1mg/kg至約500 mg/kg,更特別的範圍為體重之2 mg/kg至約150 mg/kg。該複合萃取物或其組成物可每日投與一次、二次、三次、或四次。The complex extract obtained according to the present invention can be used for direct administration to mammals and for the preparation of pharmaceutical compositions in a dosage range of about 0.05 mg/kg to about 1500 mg/kg of body weight, especially in a range of about 0.1 mg/kg of body weight. kg to about 1200 mg/kg, a more specific range is 1 mg/kg to about 500 mg/kg body weight, a more specific range is 2 mg/kg to about 150 mg/kg body weight. The complex extract or composition thereof may be administered once, twice, three times, or four times daily.

在進一步的相關實施例中,本發明的複合萃取物可用來進一步分離或富集合式的化合物或衍生物,以用於預防及/或治療正向單股RNA病毒所引起的病毒感染的方法。In further related embodiments, the composite extracts of the present invention can be used to further isolate or enrich the aggregated compounds or derivatives for methods of preventing and/or treating viral infections caused by positive single-stranded RNA viruses.

在又另一相關的實施例中,本發明提供用於治療或降低正向單股RNA病毒所引起的病毒感染增生的方法,藉由向哺乳動物投與合適的醫藥劑量,包括有效量的一或多種選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼或20-羥基蛻皮酮或其組合或衍生物的化合物。In yet another related embodiment, the present invention provides methods for treating or reducing the proliferation of viral infections caused by positive single-stranded RNA viruses by administering to a mammal a suitable pharmaceutical dosage, including an effective amount of a or more compounds selected from the group consisting of tetrandrine, magnolidine, marxosterone A, sclerophylline, or 20-hydroxyecdysone, or combinations or derivatives thereof.

在另一實施例中,本發明提供一種硬毛木防己的複合萃取物以在治療病毒感染早期階段降低病毒載量、展示血小板保護作用、抑制受感染的哺乳動物中之病毒增生以及其他相關機制,從而促進受正向單股RNA病毒所引起的感染影響的患者康復。In another embodiment, the present invention provides a complex extract of Fangji hardwood to reduce viral load, exhibit platelet protection, inhibit viral proliferation in infected mammals, and other related mechanisms in the treatment of early stages of viral infection , thereby promoting the recovery of patients affected by infections caused by positive single-stranded RNA viruses.

在又另一較佳實施例中,本發明提供使用有或無一或多種選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮或其衍生物的化合物之硬毛木防己的複合萃取物來治療及/或預防病毒感染的方法。這可能會導致對抗由正向單股RNA病毒所引起的病毒感染的協同作用,從而增強製劑的(複合萃取物的)增生抑制能力或病毒療法。In yet another preferred embodiment, the present invention provides use with or without one or more selected from the group consisting of tetrandrine, magnolanine, maxosterone A, sclerophylline, 20-hydroxyecdysone or derivatives thereof A method for treating and/or preventing a viral infection by a compound extract of the compound of T. solani. This may lead to a synergistic effect against viral infections caused by positive single-stranded RNA viruses, thereby enhancing the proliferative inhibitory power of the formulation (of the complex extract) or virotherapy.

在一些實施例中,本發明提供一種組成物,其包括:硬毛木防己的複合萃取物;以及一分離化合物,其選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物或其組合,其中該複合萃取物與該分離化合物的比例為約99:1至約1:99。In some embodiments, the present invention provides a composition comprising: a composite extract of Tetrachia sclera; and an isolated compound selected from the group consisting of tetrandrine, magnolidine, macosterone A, H. bristle Metaphylline, 20-hydroxyecdysone, a derivative thereof, or a combination thereof, wherein the ratio of the complex extract to the isolated compound is from about 99:1 to about 1:99.

如本文所用,「分離化合物」實質上為從自然發生來源分離的純化化合物,例如,硬毛木防己植物,或是合成的。在一些實施例中,該分離化合物實質上為純化化合物,其包括少於5%、少於4%、少於3%、少於2%、少於1%、少於0.5%、或少於0.1%的雜質。As used herein, an "isolated compound" is essentially a purified compound isolated from a naturally-occurring source, eg, the Tetrachia serrata, or synthetic. In some embodiments, the isolated compound is substantially purified compound comprising less than 5%, less than 4%, less than 3%, less than 2%, less than 1%, less than 0.5%, or less than 0.1% impurities.

在另一實施例中,本發明提供了藉由投與硬毛木防己的複合萃取物之合適的組合物劑量形式與來自植物物種的分離化合物來治療及/或預防正向單股RNA病毒所引起的病毒感染的方法。In another embodiment, the present invention provides for the treatment and/or prevention of infection by a positive single-stranded RNA virus by administering a suitable composition dosage form of a complex extract of Tetranychus serrata and an isolated compound from a plant species. method of viral infection.

在又另一實施例中,本發明提供了將硬毛木防己的複合萃取物之合適的組成物劑量形式與來自植物物種的分離化合物用於預防及/或治療由正向單股RNA病毒所引起的病毒感染的用途。In yet another embodiment, the present invention provides a suitable composition dosage form of a complex extract of Tetrachia solani with an isolated compound from a plant species for the prevention and/or treatment of infection by a positive single-stranded RNA virus. Uses caused by viral infections.

在一相關實施例中,當組成物為分離化合物與硬毛木防己的複合萃取物的組成物時,比例為99:1至1:99、或95:5至5:95、或90:10至10:90、或80:20至20:80、或70:30至30:70、或60:40至40:60、或1:1。在前述實施例中,該分離化合物係選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮或其衍生物。在一些實施例中,該分離化合物為中國木防己鹼。在一些實施例中,該分離化合物為木蘭花鹼。In a related embodiment, when the composition is a composition of a composite extract of the isolated compound and Tetrachia serrata, the ratio is 99:1 to 1:99, or 95:5 to 5:95, or 90:10 To 10:90, or 80:20 to 20:80, or 70:30 to 30:70, or 60:40 to 40:60, or 1:1. In the foregoing embodiments, the isolated compound is selected from the group consisting of tetrandrine, magnolidine, marxosterone A, sclerophylline, 20-hydroxyecdysone, or derivatives thereof. In some embodiments, the isolated compound is tetrandine. In some embodiments, the isolated compound is magnolone.

在一些實施例中,當投與該複合萃取物時,在濃度為約0.1至約500 μg/mL時顯示治療效果。在一些實施例中,該複合萃取物在組成物濃度為約0.1至約200 μg/mL時顯示治療效果。在一些實施例中,該複合萃取物在組成物濃度為約1至約100 μg/mL時顯示治療效果。在一些實施例中,該分離化合物在組成物濃度為約0.01至約100 μg/mL時顯示治療效果。在一些實施例中,該分離化合物在組成物濃度為約0.01至約50 μg/mL時顯示治療效果。在一些實施例中,該分離化合物以組合物的約0.01至20 μg/mL的濃度呈現。In some embodiments, the complex extract exhibits a therapeutic effect at a concentration of about 0.1 to about 500 μg/mL when administered. In some embodiments, the complex extract exhibits a therapeutic effect at a composition concentration of about 0.1 to about 200 μg/mL. In some embodiments, the complex extract exhibits a therapeutic effect at a composition concentration of about 1 to about 100 μg/mL. In some embodiments, the isolated compound exhibits a therapeutic effect at a composition concentration of from about 0.01 to about 100 μg/mL. In some embodiments, the isolated compound exhibits a therapeutic effect at a composition concentration of from about 0.01 to about 50 μg/mL. In some embodiments, the isolated compound is present at a concentration of about 0.01 to 20 μg/mL of the composition.

本文術語「組合」係指硬毛木防己的複合萃取物與選自中國木防己鹼、硬毛鈎藤鹼、木蘭花鹼、松柏醇、槲皮素、芸香苷、丁香脂素雙葡萄糖苷、馬克甾酮A或20-羥基蛻皮酮或其衍生物之一或多種分離化合物的混合物或組合。此外術語「組合」也可包含以單一組成物或不同組成物同時、依次或共同投與的形式投與。The term "combination" herein refers to a complex extract of Teochondrial sclera combined with a compound selected from the group consisting of tetrandrine, rhynchophylline, magnolin, coniferyl alcohol, quercetin, rutin, syringaresinol diglucoside, A mixture or combination of one or more isolated compounds of Markosterone A or 20-hydroxyecdysone or derivatives thereof. Furthermore, the term "combination" can also encompass administration as a single component or simultaneous, sequential or co-administration of different components.

本文術語「哺乳動物」係指包括有人類的所有哺乳動物。哺乳動物包含,通過一些非限制性實例,人類、非人類靈長類動物、牛、犬、貓、山羊、綿羊、豬、大鼠、小鼠及兔子。The term "mammal" herein refers to all mammals including humans. Mammals include, by way of some non-limiting examples, humans, non-human primates, bovines, dogs, cats, goats, sheep, pigs, rats, mice, and rabbits.

在另一實施例中,本發明提供一種用於預防及/或治療哺乳動物中正向單股RNA病毒所引起的病毒感染的醫藥組成物,其包括:硬毛木防己的複合萃取物與一或多種醫藥學上可接受的賦形劑。在前述實施例的一態樣中,本發明提供一種穩定的醫藥組成物,其包括:治療有效量的硬毛木防己的複合萃取物,以用於預防及/或治療哺乳動物中之病毒感染,其中當向有需要的哺乳動物投與該組成物時會降低病毒載量及/或抑制病毒增生。In another embodiment, the present invention provides a pharmaceutical composition for preventing and/or treating viral infection caused by positive single-stranded RNA virus in mammals, comprising: a compound extract of Tetrachia sclera and one or Various pharmaceutically acceptable excipients. In one aspect of the foregoing embodiments, the present invention provides a stable pharmaceutical composition comprising: a therapeutically effective amount of a compound extract of Tetrachia sclerata, for preventing and/or treating viral infections in mammals , wherein the composition reduces viral load and/or inhibits viral proliferation when administered to a mammal in need thereof.

本發明之穩定的醫藥組成物進一步包括一或多種醫藥學上可接受的賦形劑。如本文所用術語「醫藥組成物」包含任何可以有效遞送硬毛木防己的萃取物至所需作用位置的組成物,或分離化合物或其混合物,以治療或預防正向單股RNA病毒所引起的病毒感染。組合物可以通過任何合適的投與途徑遞送,例如口服的、鼻的、非經口的、肺臟的、經皮或直腸的。該醫藥組成物包含一或多種醫藥學上可接受的賦形劑。該口服醫藥組成物可以為粉劑、丸粒、顆粒、球體、迷你錠、膠囊型錠劑、錠劑、或膠囊形式。該粉劑可以冷凍乾燥粉劑的形式與醫藥學上可接受的賦形劑一同填充至合適尺寸的膠囊中。優選地,該醫藥組成物為錠劑形式。該口服醫藥組成物可以液體形式呈現,其包含但不限於溶液、懸浮液、乳液或糖漿。根據本發明,非口服的組成物可適用於例如但不限於靜脈內、皮下的、肌內的、腹膜內的、鞘內腔的、眼球玻璃體內等投藥路徑。The stable pharmaceutical compositions of the present invention further comprise one or more pharmaceutically acceptable excipients. As used herein, the term "pharmaceutical composition" includes any composition effective to deliver an extract of Tetrachia serrata to the desired site of action, or an isolated compound or mixture thereof, for the treatment or prevention of infection caused by a positive single-stranded RNA virus Viral infection. The compositions can be delivered by any suitable route of administration, eg, oral, nasal, parenteral, pulmonary, transdermal, or rectal. The pharmaceutical composition includes one or more pharmaceutically acceptable excipients. The oral pharmaceutical compositions can be in the form of powders, pellets, granules, spheres, mini-lozenges, caplets, lozenges, or capsules. The powder can be filled into capsules of suitable size in the form of a freeze-dried powder together with a pharmaceutically acceptable excipient. Preferably, the pharmaceutical composition is in the form of a lozenge. The oral pharmaceutical composition may be presented in liquid form including, but not limited to, solutions, suspensions, emulsions or syrups. In accordance with the present invention, parenteral compositions may be suitable for administration routes such as, but not limited to, intravenous, subcutaneous, intramuscular, intraperitoneal, intrathecal, intravitreal, and the like.

如本文所用術語「穩定的醫藥組成物」係指如標準教科書所描述,從組成物中的一種或多種雜質的含量來評估之在長期時間儲存中穩定的一種組成物。本發明之穩定的醫藥組成物被發現在穩定性測試的加速條件下能穩定至少3個月,即,40 ± 2°C溫度與75 ± 5%相對溼度(RH),以及在30 ± 2°C/75 ± 5% RH 和25 ± 2°C/60 ± 5% RH的長期儲存穩定性條件下。該產品於室溫下可貯存約6個月至2年或更長的保存期限。發現該組成物室穩定的,不管存在類黃酮、生物鹼、樹脂腦等作為水性萃取物中的組分,這些組分一起可能難以配製且在儲存期間可能不穩定。The term "stable pharmaceutical composition" as used herein refers to a composition that is stable over long-term storage, as described in standard textbooks, as assessed from the content of one or more impurities in the composition. The stable pharmaceutical compositions of the present invention were found to be stable for at least 3 months under accelerated conditions of stability testing, i.e., 40 ± 2°C temperature and 75 ± 5% relative humidity (RH), and at 30 ± 2°C Long term storage stability at C/75 ± 5% RH and 25 ± 2°C/60 ± 5% RH. The product can be stored at room temperature for a shelf life of about 6 months to 2 years or more. The composition was found to be stable despite the presence of flavonoids, alkaloids, resin brains, etc. as components in the aqueous extract, which together may be difficult to formulate and may not be stable during storage.

在一些實施例中,本發明提供一種組成物,包括:治療有效量的硬毛木防己的複合萃取物;以及醫藥學上可接受的賦形劑,其包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合。In some embodiments, the present invention provides a composition comprising: a therapeutically effective amount of a complex extract of Tetrachia sclera; and a pharmaceutically acceptable excipient including a diluent, a binder, a disintegrant , lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, buffers, tonicity modifiers, or combinations thereof.

在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約20 wt %至約95 wt %。在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約30 wt %至約90 wt %。在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約40 wt %至約85 wt %。在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約50 wt %至約80 wt %。在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約60 wt %至約70 wt %。In some embodiments, the composite extract of Tetrachia serrata comprises from about 20 wt % to about 95 wt % of the composition. In some embodiments, the composite extract of Tetrachia serrata comprises about 30 wt % to about 90 wt % of the composition. In some embodiments, the composite extract of Tetrachia serrata comprises about 40 wt % to about 85 wt % of the composition. In some embodiments, the composite extract of Tetrachia serrata comprises about 50 wt % to about 80 wt % of the composition. In some embodiments, the composite extract of Tetrachia serrata comprises about 60 wt % to about 70 wt % of the composition.

在一些實施例中,該硬毛木防己的複合萃取物包括中國木防己鹼、木蘭花鹼、松柏醇、槲皮素、芸香苷、丁香脂素雙葡萄糖苷、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物或其組合。In some embodiments, the complex extract of Tetrachia sclera includes tetrandrine, magnolidine, coniferyl alcohol, quercetin, rutin, syringaresinol diglucoside, marxosterone A, bristle hook Metaphylline, 20-hydroxyecdysone, derivatives thereof, or combinations thereof.

在一些實施例中,該硬毛木防己的複合萃取物包括約0.01 wt%至約5 wt%之中國木防己鹼、木蘭花鹼、松柏醇、槲皮素、芸香苷、丁香脂素雙葡萄糖苷、馬克甾酮A、硬毛鈎藤鹼及20-羥基蛻皮酮中的每一者。在一些實施例中,該硬毛木防己的複合萃取物包括約0.01 wt %至約5 wt %的木蘭花鹼。在一些實施例中,該硬毛木防己的複合萃取物包括約0.1 wt %至約1 wt %的木蘭花鹼。在一些實施例中,該硬毛木防己的複合萃取物包括約0.29 wt%至約0.43 wt%的木蘭花鹼。In some embodiments, the complex extract of Teochondrial sclera includes from about 0.01 wt% to about 5 wt% of tetrandrine, magnolidine, coniferyl alcohol, quercetin, rutin, syringaresinol diglucose each of glycosides, maxosterone A, sclerophylline, and 20-hydroxyecdysone. In some embodiments, the complex extract of Tetrachia serrata includes from about 0.01 wt % to about 5 wt % magnolanine. In some embodiments, the complex extract of Tetrachia serrata includes from about 0.1 wt % to about 1 wt % magnolanine. In some embodiments, the complex extract of Tetrachia serrata includes about 0.29 wt % to about 0.43 wt % magnolanine.

如本文所用術語「治療有效量」係指本發明足夠提供治療或預防正向單股RNA病毒所引起的病毒感染之效益的萃取物含量,以延遲或最小化與病毒感染相關的症狀,或治癒或改善感染或其病因。尤其,治療有效量係指足以提供活體內 治療效益的含量。如本文所用術語「醫藥學上可接受的賦形劑」可包含稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液及張力修飾劑。The term "therapeutically effective amount" as used herein refers to an amount of the extract of the present invention sufficient to provide the benefit of treating or preventing viral infection caused by a positive single-stranded RNA virus, to delay or minimize symptoms associated with viral infection, or to cure or amelioration of infection or its etiology. In particular, a therapeutically effective amount refers to an amount sufficient to provide a therapeutic benefit in vivo . The term "pharmaceutically acceptable excipient" as used herein may include diluents, binders, disintegrants, lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, Buffers and tonicity modifiers.

稀釋劑之非限制性實例包含微晶型纖維素、粉狀纖維素、澱粉、預膠化澱粉、葡萄糖結合劑、乳糖醇、果糖、壓縮糖、粉糖、右旋糖、無水乳糖、二鹽基性的磷酸鈣、三鹽基性的磷酸鈣、硫酸鈣及其混合物。Non-limiting examples of diluents include microcrystalline cellulose, powdered cellulose, starch, pregelatinized starch, glucose binders, lactitol, fructose, compressed sugar, powdered sugar, dextrose, anhydrous lactose, disalts Basic calcium phosphate, tribasic calcium phosphate, calcium sulfate and mixtures thereof.

黏合劑之非限制性實例包含水溶性澱粉,例如預膠化澱粉;多醣,例如瓊脂、阿拉伯膠、糊精、藻酸鈉、紫雲英樹膠、三仙膠、玻尿酸、果膠、或軟骨素硫酸鈉;合成聚合物,例如聚乙烯吡咯烷酮、聚乙烯醇、羧乙烯基聚合物、聚丙烯酸系列聚合物、聚乳酸、或聚乙二醇;纖維素醚,例如甲基纖維素、乙基纖維素、羧甲纖維素、羥乙基纖維素、羥丙織維素、或羥丙甲纖維素;及其混合物。Non-limiting examples of binders include water-soluble starches, such as pregelatinized starch; polysaccharides, such as agar, acacia, dextrin, sodium alginate, vetch gum, sanxian gum, hyaluronic acid, pectin, or sodium chondroitin sulfate ; Synthetic polymers such as polyvinylpyrrolidone, polyvinyl alcohol, carboxyvinyl polymers, polyacrylic acid series polymers, polylactic acid, or polyethylene glycol; cellulose ethers such as methylcellulose, ethylcellulose, Carboxymethylcellulose, hydroxyethylcellulose, hypromellose, or hypromellose; and mixtures thereof.

崩解劑之非限制性實例包含碳酸鈣、羧甲纖維素或其鹽類,例如交聯羧甲基纖維素鈉、交聯聚乙烯吡咯烷酮、低取代羥丙基纖維素及甘醇酸澱粉鈉。Non-limiting examples of disintegrants include calcium carbonate, carboxymethyl cellulose, or salts thereof, such as croscarmellose sodium, crospovidone, low-substituted hydroxypropyl cellulose, and sodium starch glycolate .

潤滑劑/助滑劑之非限制性實例包含滑石、硬脂酸鎂、氫化植物油、延胡索硬脂酸鈉、硬脂酸鈣、膠體二氧化矽、Aerosil®、硬酯酸、月桂醇硫酸鈉、苯甲酸鈉、聚乙二醇、氫化蓖麻油、脂肪酸蔗糖酯、微晶蠟、黃蜂蠟、白蜂蠟及其混合物。Non-limiting examples of lubricants/slip agents include talc, magnesium stearate, hydrogenated vegetable oils, sodium fumarate, calcium stearate, colloidal silica, Aerosil®, stearic acid, sodium lauryl sulfate, Sodium benzoate, polyethylene glycol, hydrogenated castor oil, sucrose fatty acid esters, microcrystalline wax, yellow beeswax, white beeswax and mixtures thereof.

調味劑之非限制性實例包含合成的調味油與調味芳香料;來自植物、葉片、花及水果的天然油或萃取物;及其組合。這些可包含肉桂油、鹿蹄草油、薄荷油、月桂油、洋茴香油、桉樹、麝香草油、香草、包含有檸檬、柑橘萊姆及葡萄柚的橘皮油、及包括有蘋果、香蕉、葡萄、梨、桃、草莓、覆盆子、櫻桃、李、鳳梨及杏的水果精油。Non-limiting examples of flavoring agents include synthetic flavoring oils and flavoring aromas; natural oils or extracts from plants, leaves, flowers, and fruits; and combinations thereof. These may include cinnamon oil, stagwort oil, peppermint oil, bay oil, anise oil, eucalyptus, thyme oil, vanilla, orange peel oil including lemon, citrus lime and grapefruit, and apple, banana , grape, pear, peach, strawberry, raspberry, cherry, plum, pineapple and apricot fruit essential oils.

界面活性劑之非限制性實例包含陰離子界面活性劑,例如,磺酸或其鹽類(例如苯磺酸、十二烷基苯磺酸、或十二烷基磺酸);烷基硫酸鹽,例如十二基硫酸鈉鹽或月桂醇硫酸鈉鹽;陽離子界面活性劑,例如四級銨鹽(例如鹵化四烷胺、氯化本索寧、氯化苄烷銨、或氯化鯨蠟吡啶);非離子界面活性劑,例如,聚氧乙烯山梨糖醇長鏈脂肪酸酯如聚氧乙烯山梨醇酐月桂酸酯,例如,聚山梨糖醇酯;兩性界面活性劑,例如,甘胺酸化合物例如十二烷基二(氨乙基)甘胺酸、甜菜鹼化合物(例如甜菜鹼或二甲基十二烷基羧基甜菜鹼)以及磷脂酸衍生物如卵燐脂;聚合界面活性劑,例如聚氧乙烯聚氧丙烯二醇如Pluronic®或泊洛沙姆;及其混合物。Non-limiting examples of surfactants include anionic surfactants, eg, sulfonic acids or salts thereof (eg, benzenesulfonic acid, dodecylbenzenesulfonic acid, or dodecylsulfonic acid); alkyl sulfates, For example, sodium dodecyl sulfate or sodium lauryl sulfate; cationic surfactants, such as quaternary ammonium salts (such as tetraalkylamine halides, benzalkonium chloride, benzalkonium chloride, or cetyl pyridine chloride) ; nonionic surfactants, eg, polyoxyethylene sorbitan long-chain fatty acid esters such as polyoxyethylene sorbitan laurate, eg, polysorbates; amphoteric surfactants, eg, glycine compounds For example dodecylbis(aminoethyl)glycine, betaine compounds such as betaine or dimethyldodecylcarboxybetaine and phosphatidic acid derivatives such as lecithin; polymeric surfactants such as Polyoxyethylene polyoxypropylene glycols such as Pluronic® or poloxamers; and mixtures thereof.

緩衝液之非限制性實例包含磷酸鹽緩衝液,例如磷酸二氫鈉、檸檬酸鹽緩衝液例如檸檬酸鈉、葡甲胺、三(羥甲基)胺基甲烷及其混合物。Non-limiting examples of buffers include phosphate buffers such as sodium dihydrogen phosphate, citrate buffers such as sodium citrate, meglumine, tris(hydroxymethyl)aminomethane, and mixtures thereof.

張力修飾劑之非限制性實例包含氯化鈉、甘露醇、右旋糖、葡萄糖、乳糖、蔗糖、氯化鈣、氯化鎂、氯化鉀、其他無機鹽類、尿素、丙三醇、甘油、木糖醇、果糖、甘露糖、麥芽糖醇、肌醇或菌藻糖或其混合物。Non-limiting examples of tonicity modifiers include sodium chloride, mannitol, dextrose, glucose, lactose, sucrose, calcium chloride, magnesium chloride, potassium chloride, other inorganic salts, urea, glycerol, glycerol, wood Sugar alcohol, fructose, mannose, maltitol, inositol or fucose or mixtures thereof.

用於製備醫藥組成物的溶劑之非限制性實例包含水;水可混溶的有機溶劑,例如異丙醇或乙醇;偶極非質子性溶劑;氯化甲烷;丙酮;聚乙二醇;聚乙二醇醚;單或雙甘油酯的聚乙二醇衍生物;緩衝液;有機溶劑;及其組合。Non-limiting examples of solvents used to prepare pharmaceutical compositions include water; water-miscible organic solvents such as isopropanol or ethanol; dipolar aprotic solvents; chlorinated methane; acetone; polyethylene glycol; Glycol ethers; polyethylene glycol derivatives of mono- or diglycerides; buffers; organic solvents; and combinations thereof.

在一較佳實施例中,在本發明組成物中醫藥學上可接受的賦形劑包含微晶型纖維素、無水乳糖、交聯羧甲基纖維素鈉鹽、膠體二氧化矽及硬脂酸鎂。在一些實施例中,該醫藥學上可接受的賦形劑包括鎂鋁三矽酸鹽、乳糖單水合物、磷酸二鈣、澱粉、矽酸鈣、微晶型纖維素、膠體二氧化矽、交聯羧甲基纖維素、硬脂酸鎂或其組合。In a preferred embodiment, the pharmaceutically acceptable excipients in the composition of the present invention comprise microcrystalline cellulose, anhydrous lactose, croscarmellose sodium salt, colloidal silica and stearic acid magnesium. In some embodiments, the pharmaceutically acceptable excipients include magnesium aluminum trisilicate, lactose monohydrate, dicalcium phosphate, starch, calcium silicate, microcrystalline cellulose, colloidal silica, Croscarmellose, magnesium stearate, or a combination thereof.

在一些實施例中,本文所提供的組成物進一步包括膜衣、溶劑或其組合。在一些實施例中,該膜衣包括聚合物、塑化劑、著色劑、不透明劑、溶劑、載劑或其組合。膜衣之非限制性實例包含以下商品名銷售之商業的膜衣:Opadry®、Opalux®、Acryl-Eze®、Sureteric®、Surelease®及Ethocel™。膜衣進一步描述於,例如,Zaid,AN,Drug Des Devel Ther 14:4613-4623 (2020)。在一些實施例中,該溶劑包括水、醇、甘油、酮、油、環糊精或其組合。在一些實施例中,該組成物包括Opadry®膜衣與水。In some embodiments, the compositions provided herein further comprise a film coating, a solvent, or a combination thereof. In some embodiments, the film coating includes a polymer, a plasticizer, a colorant, an opacifying agent, a solvent, a vehicle, or a combination thereof. Non-limiting examples of film coatings include those commercially available under the trade names Opadry®, Opalux®, Acryl-Eze®, Sureteric®, Surelease® and Ethocel™. Film coatings are further described in, eg, Zaid, AN, Drug Des Devel Ther 14:4613-4623 (2020). In some embodiments, the solvent includes water, alcohol, glycerol, ketone, oil, cyclodextrin, or a combination thereof. In some embodiments, the composition includes an Opadry® film coat and water.

在一些實施例中,本發明提供了一種組成物,其包括:硬毛木防己的複合萃取物;鎂鋁三矽酸鹽;稀釋劑,其選自乳糖單水合物、磷酸二鈣、預膠化澱粉、矽酸鈣或其組合;微晶型纖維素;膠體二氧化矽;交聯羧甲基纖維素;硬脂酸鎂;以及可選的膜衣。In some embodiments, the present invention provides a composition comprising: a composite extract of Fangji sclera; magnesium aluminum trisilicate; a diluent selected from lactose monohydrate, dicalcium phosphate, pregelatin starch, calcium silicate, or combinations thereof; microcrystalline cellulose; colloidal silica; croscarmellose; magnesium stearate; and an optional film coating.

在一些實施例中,該硬毛木防己的複合萃取物佔該組成物約5 wt%至約95 wt%、或約10 wt%至約90 wt%、或約15 wt%至約85 wt%、或約20 wt%至約90 wt%、或25%至約85 wt%、或約30 wt%至約80 wt%、或約35 wt%至約75 wt%、或約40 wt%至約75 wt%、或約45 wt%至約70 wt%、或約50 wt%至約75 wt%、或約55 wt%至約70 wt%、或約50 wt%至約60 wt%。在一些實施例中,該硬毛木防己的複合萃取物按重量計佔該組成物約5%、約10%、約15%、約20%、約25%、約30%、約35%、約40%、約45%、約50%、約55%、約60%、約65%、約70%、約75%、約80%、約85%、約90%、或約95%。In some embodiments, the composite extract of Tetrachia serrata comprises about 5 wt % to about 95 wt %, or about 10 wt % to about 90 wt %, or about 15 wt % to about 85 wt % of the composition , or about 20 wt% to about 90 wt%, or 25% to about 85 wt%, or about 30 wt% to about 80 wt%, or about 35 wt% to about 75 wt%, or about 40 wt% to about 75 wt%, or about 45 wt% to about 70 wt%, or about 50 wt% to about 75 wt%, or about 55 wt% to about 70 wt%, or about 50 wt% to about 60 wt%. In some embodiments, the complex extract of Tetrachia serrata comprises about 5%, about 10%, about 15%, about 20%, about 25%, about 30%, about 35%, about 35%, about 35%, by weight of the composition. About 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, or about 95%.

在一些實施例中,該鎂鋁三矽酸鹽佔該組成物約1 wt%至約70 wt%、或約2 wt%至約60 wt%、或約5 wt%至約50 wt%、或約8 wt%至約40 wt%、或約10 wt%至約30 wt%、或約12 wt%至約25 wt%、或約15 wt%至約20 wt%。在一些實施例中,該鎂鋁三矽酸鹽佔該組成物按重量計佔該組成物約1%、約2%、約3%、約4%、約5%、約6%、約7%、約8%、約9%、約10%、約15%、約20%、約25%、約30%、約35%、約40%、約45%、或約50%。In some embodiments, the magnesium aluminum trisilicate comprises about 1 wt% to about 70 wt%, or about 2 wt% to about 60 wt%, or about 5 wt% to about 50 wt%, or about 5 wt% of the composition From about 8 wt% to about 40 wt%, or from about 10 wt% to about 30 wt%, or from about 12 wt% to about 25 wt%, or from about 15 wt% to about 20 wt%. In some embodiments, the magnesium aluminum trisilicate comprises about 1%, about 2%, about 3%, about 4%, about 5%, about 6%, about 7% by weight of the composition of the composition %, about 8%, about 9%, about 10%, about 15%, about 20%, about 25%, about 30%, about 35%, about 40%, about 45%, or about 50%.

在一些實施例中,該稀釋劑佔該組成物約0.05 wt%至約30 wt%、或約0.1 wt%至約25 wt%、或約0.1 wt%至約20 wt%、或約0.5 wt%至約15 wt%、或約1 wt%至約10 wt%、或約2 wt%至約8 wt%。在一些實施例中,該稀釋劑按重量計佔該組成物約0.1%、約0.2%、約0.3%、約0.4%、約0.5%、約0.6%、約0.7%、約0.8%、約0.9%、約1%、約2%、約5%、約8%、約10%、約12%、約15%、約18%、或約20%。In some embodiments, the diluent comprises about 0.05 wt% to about 30 wt%, or about 0.1 wt% to about 25 wt%, or about 0.1 wt% to about 20 wt%, or about 0.5 wt% of the composition From about 15 wt%, or from about 1 wt% to about 10 wt%, or from about 2 wt% to about 8 wt%. In some embodiments, the diluent is about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9% by weight of the composition %, about 1%, about 2%, about 5%, about 8%, about 10%, about 12%, about 15%, about 18%, or about 20%.

在一些實施例中,該微晶型纖維素佔該組成物約0.05 wt%至約20 wt%、或約0.1 wt%至約15 wt%、或約0.1 wt%至約10 wt%、或約0.5 wt%至約8 wt%、或約1 wt%至約5 wt%、或約1.5 wt%至約4 wt%。在一些實施例中,該微晶型纖維素按重量計佔該組成物約0.1%、約0.2%、約0.3%、約0.4%、約0.5%、約0.6%、約0.7%、約0.8%、約0.9%、約1%、約2%、約5%、約8%、約10%、約12%、約15%、約18%、或約20%。In some embodiments, the microcrystalline cellulose comprises about 0.05 wt% to about 20 wt%, or about 0.1 wt% to about 15 wt%, or about 0.1 wt% to about 10 wt%, or about 0.1 wt% to about 10 wt% of the composition 0.5 wt% to about 8 wt%, or about 1 wt% to about 5 wt%, or about 1.5 wt% to about 4 wt%. In some embodiments, the microcrystalline cellulose comprises about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8% by weight of the composition , about 0.9%, about 1%, about 2%, about 5%, about 8%, about 10%, about 12%, about 15%, about 18%, or about 20%.

在一些實施例中,該膠體二氧化矽佔該組成物約0.05 wt%至約20 wt%、或約0.1 wt%至約15 wt%、或約0.1 wt%至約10 wt%、或約0.5 wt%至約8 wt%、或約1 wt%至約5 wt%、或約1.5 wt%至約4 wt%。在一些實施例中,該膠體二氧化矽按重量計佔該組成物約0.1%、約0.2%、約0.3%、約0.4%、約0.5%、約0.6%、約0.7%、約0.8%、約0.9%、約1%、約2%、約5%、約8%、約10%、約12%、約15%、約18%、或約20%。In some embodiments, the colloidal silica comprises about 0.05 wt % to about 20 wt %, or about 0.1 wt % to about 15 wt %, or about 0.1 wt % to about 10 wt %, or about 0.5 wt % of the composition wt % to about 8 wt %, or about 1 wt % to about 5 wt %, or about 1.5 wt % to about 4 wt %. In some embodiments, the colloidal silica comprises about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.8%, about 0.8%, by weight of the composition. About 0.9%, about 1%, about 2%, about 5%, about 8%, about 10%, about 12%, about 15%, about 18%, or about 20%.

在一些實施例中,該交聯羧甲基纖維素佔該組成物約0.05 wt%至約20 wt%、或約0.1 wt%至約15 wt%、或約0.1 wt%至約10 wt%、或約0.5 wt%至約8 wt%、或約1 wt%至約5 wt%、或約1.5 wt%至約4 wt%。在一些實施例中,該交聯羧甲基纖維素按重量計佔該組成物約0.1%、約0.2%、約0.3%、約0.4%、約0.5%、約0.6%、約0.7%、約0.8%、約0.9%、約1%、約2%、約5%、約8%、約10%、約12%、約15%、約18%、約20%。In some embodiments, the croscarmellose comprises about 0.05 wt % to about 20 wt %, or about 0.1 wt % to about 15 wt %, or about 0.1 wt % to about 10 wt %, Or about 0.5 wt% to about 8 wt%, or about 1 wt% to about 5 wt%, or about 1.5 wt% to about 4 wt%. In some embodiments, the croscarmellose comprises by weight about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 5%, about 8%, about 10%, about 12%, about 15%, about 18%, about 20%.

在一些實施例中,該硬脂酸鎂佔該組成物約0.005 wt%至約10 wt%、或約0.01 wt%至約5 wt%、或約0.02 wt%至約2 wt%、或約0.05 wt%至約1 wt%、或約0.1 wt%至約1 wt%、或約0.2 wt%至約0.5 wt%。在一些實施例中,該膠體二氧化矽按重量計佔該組成物約0.001%、約0.005%、約0.01%、約0.02%、約0.05%、約0.08%、約0.1%、約0.12%、約0.15%、約0.18%、約0.2%、約0.3%、約0.4%、約0.5%、約0.6%、約0.7%、約0.8%、約0.9%、約1%、約2%、約3%、約4%、或約5%。In some embodiments, the magnesium stearate comprises about 0.005 wt% to about 10 wt%, or about 0.01 wt% to about 5 wt%, or about 0.02 wt% to about 2 wt%, or about 0.05 wt% of the composition wt % to about 1 wt %, or about 0.1 wt % to about 1 wt %, or about 0.2 wt % to about 0.5 wt %. In some embodiments, the colloidal silica comprises by weight about 0.001%, about 0.005%, about 0.01%, about 0.02%, about 0.05%, about 0.08%, about 0.1%, about 0.12%, about 0.15%, about 0.18%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 3% %, about 4%, or about 5%.

在一些實施例中,該組成物包括約10 wt%至約90 wt%之硬毛木防己的複合萃取物;約5 wt%至約50 wt%的鎂鋁三矽酸鹽;約0.1 wt%至約20 wt%的稀釋劑;約0.1 wt%至約10 wt%的微晶型纖維素;約0.1 wt%至約10 wt%的膠體二氧化矽;約0.1 wt%至約10 wt%的交聯羧甲基纖維素;以及約0.01 wt%至約5 wt%的硬脂酸鎂。在一些實施例中,該組成物進一步包括膜衣。In some embodiments, the composition includes from about 10 wt% to about 90 wt% of the composite extract of Tessyl sclera; from about 5 wt% to about 50 wt% of magnesium aluminum trisilicate; about 0.1 wt% to about 20 wt% diluent; about 0.1 wt% to about 10 wt% microcrystalline cellulose; about 0.1 wt% to about 10 wt% colloidal silica; about 0.1 wt% to about 10 wt% croscarmellose; and about 0.01 wt % to about 5 wt % magnesium stearate. In some embodiments, the composition further comprises a film coating.

在一些實施例中,該組成物包括約30 wt%至約85 wt%之硬毛木防己的複合萃取物;約8 wt%至約40 wt%的鎂鋁三矽酸鹽;約0.5 wt%至約15 wt%的稀釋劑;約0.5 wt%至約8 wt%的微晶型纖維素;約0.2 wt%至約8 wt%的膠體二氧化矽;約0.5 wt%至約8 wt%的交聯羧甲基纖維素;以及約0.02 wt%至約2 wt%的硬脂酸鎂。在一些實施例中,該組成物進一步包括膜衣。In some embodiments, the composition includes from about 30 wt% to about 85 wt% of a composite extract of Tessyl sclera; from about 8 wt% to about 40 wt% of magnesium aluminum trisilicate; about 0.5 wt% to about 15 wt% diluent; about 0.5 wt% to about 8 wt% microcrystalline cellulose; about 0.2 wt% to about 8 wt% colloidal silica; about 0.5 wt% to about 8 wt% croscarmellose; and about 0.02 wt % to about 2 wt % magnesium stearate. In some embodiments, the composition further comprises a film coating.

在一些實施例中,本發明提供了一種組成物,包括:約50 wt%至約80 wt%之硬毛木防己的複合萃取物;約10 wt%至約30 wt%的鎂鋁三矽酸鹽;約1 wt%至約10 wt%的稀釋劑,其係選自乳糖單水合物、磷酸二鈣、預膠化澱粉、矽酸鈣或其組合;約1 wt%至約5 wt%的微晶型纖維素;約0.5 wt%至約5 wt%的膠體二氧化矽;約1 wt%至約5 wt%的交聯羧甲基纖維素;約0.1 wt%至約1 wt%的硬脂酸鎂;以及可選的膜衣。In some embodiments, the present invention provides a composition comprising: about 50 wt % to about 80 wt % of a composite extract of Tessyl serrata; about 10 wt % to about 30 wt % magnesium aluminum trisilicic acid salt; about 1 wt% to about 10 wt% of a diluent selected from lactose monohydrate, dicalcium phosphate, pregelatinized starch, calcium silicate or combinations thereof; about 1 wt% to about 5 wt% of Microcrystalline cellulose; about 0.5 wt% to about 5 wt% colloidal silica; about 1 wt% to about 5 wt% croscarmellose; about 0.1 wt% to about 1 wt% hard Magnesium fatty acid; and optional film coating.

在另一實施例中,本發明提供了一種穩定的醫藥組成物,其包括:治療有效量的硬毛木防己的複合萃取物,用以治療哺乳動物中之正向單股RNA病毒所引起的病毒感染,其中當向有需要的哺乳動物投與該組成物時會降低病毒載量或病毒增生。In another embodiment, the present invention provides a stable pharmaceutical composition comprising: a therapeutically effective amount of a compound extract of Tetrachia sclerata, for the treatment of rheumatoid arthritis caused by a positive single-stranded RNA virus in mammals Viral infections wherein viral load or viral proliferation is reduced when the composition is administered to a mammal in need thereof.

在進一步的實施例中,本發明提供了一種醫藥組成物,其包括:硬毛木防己的複合萃取物與一或多種醫藥學上可接受的賦形劑,以在哺乳動物中於治療正向單股RNA病毒所引起的感染早期階段降低病毒載量。優選地,該組成物為穩定的醫藥組成物。更優選地,該組成物為穩定的口服醫藥組成物。In a further embodiment, the present invention provides a pharmaceutical composition comprising: a complex extract of Tetrachia sclera and one or more pharmaceutically acceptable excipients, for use in mammals in the treatment of positive Single-stranded RNA viruses reduce viral load in the early stages of infection. Preferably, the composition is a stable pharmaceutical composition. More preferably, the composition is a stable oral pharmaceutical composition.

在進一步的實施例中,本發明提供了一種口服組成物,其包括:硬毛木防己的複合萃取物,其中所述組成物展示了抑制活性,IC50 值範圍為約1至100 μg/ml,如藉由基於斑塊與流式細胞分析技術的病毒抑制測定法所決定。In a further embodiment, the present invention provides an oral composition comprising: a complex extract of Tetranychus edulis, wherein the composition exhibits inhibitory activity with IC50 values ranging from about 1 to 100 μg/ml , as determined by viral inhibition assays based on plaque and flow cytometry.

在進一步的實施例中,本發明提供了一種口服組成物,其包括:硬毛木防己的水性複合萃取物,其中所述組成物展示了對抗日本腦炎病毒(JEV)之IC50 值範圍約4-12 μg/ml,優選為約5-11 μg/ml,更優選為約6-10 μg/ml。In a further embodiment, the present invention provides an oral composition comprising: an aqueous co-extract of Tetrachia solani, wherein the composition exhibits an IC50 value range of about 4-12 μg/ml, preferably about 5-11 μg/ml, more preferably about 6-10 μg/ml.

在進一步的實施例中,本發明提供了一種口服組成物,其包括:硬毛木防己的水性複合萃取物,其中所述組成物展示了對抗屈公病毒(CHIKV)之IC50 值範圍約40-70 μg/ml,優選為約45-65 μg/ml,更優選為約50-60 μg/ml。In a further embodiment, the present invention provides an oral composition comprising: an aqueous co-extract of Tetrachia solani, wherein the composition exhibits an IC50 value range of about 40 against Chikungunya virus (CHIKV) -70 μg/ml, preferably about 45-65 μg/ml, more preferably about 50-60 μg/ml.

在進一步的實施例中,本發明提供口服組成物,其包括:中國木防己鹼,其中所述組成物展示了IC50 值範圍為約0.1-3 μg/ml的抑制活性。在一態樣中,發現中國木防己鹼對抗登革熱病毒(DENV 1-4)的IC50 範圍為0.1-2 μg/ml。在一態樣中,發現中國木防己鹼對抗屈公病毒(CHIKV)的IC50 範圍為0.5-15 μg/ml,優選為1-10 μg/ml,更優選為1-5 μg/ml。在另一態樣中,發現中國木防己鹼對抗日本腦炎病毒(JEV)的IC50 範圍為約0.1-3 μg/ml,優選為約0.2-2 μg/ml,更優選為約0.2-1 μg/ml。In a further embodiment, the present invention provides an oral composition comprising: tetrandrine, wherein the composition exhibits inhibitory activity with IC50 values ranging from about 0.1-3 μg/ml. In one aspect, Chinese tetrandrine was found to have an IC50 range of 0.1-2 μg/ml against dengue virus (DENV 1-4). In one aspect, Chinese tetrandrine was found to have an IC50 range of 0.5-15 μg/ml, preferably 1-10 μg/ml, more preferably 1-5 μg/ml against Chikungunya virus (CHIKV). In another aspect, tetrandrine was found to have an IC50 against Japanese encephalitis virus (JEV) in the range of about 0.1-3 μg/ml, preferably about 0.2-2 μg/ml, more preferably about 0.2-1 μg/ml.

本發明中預期的萃取物與各種組成物也被發現能有效抑制許多其它病毒感染中細胞激素的分泌。大量製造促炎性細胞激素像是TNF-α與IFN-γ,其導致疾病進展。在活體內 研究中,本發明的該萃取物與該組成物抑制細胞激素在小腸內分泌。與沒有接受任何治療的組別相比,發現用病毒免疫複合物(ICs)誘發小鼠並餵予100 mg/kg/天的萃取物顯示較少量的TNFα與IL-6。萃取物治療 組分泌較少細胞激素確認了萃取物抑制病毒增生的能力。與僅有病毒的控制組別相比,沒有任何萃取物治療之IC誘發小鼠由於通過ADE增強感染顯示較高的細胞激素含量。機理研究已經顯示該萃取物靶向初始階段,即病毒進入細胞後。添加時間和去除時間研究測定法顯示該萃取物早在病毒進入宿主細胞3-4小時之前就會干擾。本發明人還測試了中國木防己鹼的抗病毒活性並發現中國木防己鹼顯示抗病毒活性,其藉由干擾進入後的步驟。使用中國木防己鹼之進一步時間消除研究也顯示其阻止了病毒複製早期步驟。The extracts and various compositions contemplated by the present invention have also been found to be effective in inhibiting the secretion of cytokines in many other viral infections. Pro-inflammatory cytokines like TNF-[alpha] and IFN-[gamma] are produced in large quantities, which contribute to disease progression. In in vivo studies, the extract and the composition of the present invention inhibited the secretion of cytokines in the small intestine. Mice induced with viral immune complexes (ICs) and fed 100 mg/kg/day of the extract were found to show lower amounts of TNFα and IL-6 compared to groups that did not receive any treatment. The extract-treated group secreted less cytokines confirming the ability of the extract to inhibit viral proliferation. Compared to virus-only controls, IC-induced mice without any extract treatment showed higher cytokine levels due to enhanced infection by ADE. Mechanistic studies have shown that the extract targets the initial stage, after the virus has entered the cell. Addition time and removal time study assays showed that the extract interfered as early as 3-4 hours before the virus entered the host cell. The present inventors also tested the antiviral activity of Chinese tetrandrine and found that Chinese tetrandrine showed antiviral activity by interfering with the post-entry step. Further time-elimination studies using Chinese tetrandrine also showed that it prevented the early steps of viral replication.

在又另一實施例中,本發明提供一種穩定的醫藥組成物,其包括:治療有效量的硬毛木防己的複合萃取物,用以治療哺乳動物中之正向單股RNA病毒所引起的病毒感染,其中當向有需要的哺乳動物投與該組成物時會對延遲的治療開始有效。In yet another embodiment, the present invention provides a stable pharmaceutical composition, comprising: a therapeutically effective amount of a compound extract of Tetrachia sclerata, for the treatment of rheumatoid arthritis caused by a positive single-stranded RNA virus in mammals Viral infections in which the composition is effective for delayed onset of treatment when administered to a mammal in need thereof.

在進一步的實施例中,本發明提供一種穩定的醫藥組成物,其包括:治療有效量的硬毛木防己的複合萃取物,以用於預防及/或治療哺乳動物中之正向單股RNA病毒感染。當在感染登革熱病毒的動物模型中的活體內 研究中進行測試時,發現當在感染前投與本發明的萃取物與組成物時顯示對抗二次感染的保護功效。In a further embodiment, the present invention provides a stable pharmaceutical composition comprising: a therapeutically effective amount of a complex extract of Tetrachia sclerata, for the prevention and/or treatment of positive single-stranded RNA in mammals Viral infection. When tested in an in vivo study in an animal model of infection with dengue virus, the extracts and compositions of the present invention were found to show protective efficacy against secondary infection when administered prior to infection.

在一實施例中,硬毛木防己的萃取物包括一或多種組分,其選自以下所組成之群:類黃酮、樹脂腦及生物鹼或其組合。在一態樣中,該硬毛木防己的複合萃取物包括木蘭花鹼作為生物鹼之一。在進一步的態樣中,該硬毛木防己的複合萃取物包括木蘭花鹼,其含量範圍佔組成物中萃取物的總重量的0.1%至1%。在又另一態樣中,該硬毛木防己的複合萃取物包括木蘭花鹼,其含量範圍佔組成物中萃取物的總重量的0.29%至0.43%。In one embodiment, the extract of T. similis includes one or more components selected from the group consisting of flavonoids, resinous alkaloids, and alkaloids or combinations thereof. In one aspect, the complex extract of Tetrachia serrata includes magnolanine as one of the alkaloids. In a further aspect, the complex extract of Tetrachia sclera includes magnolidin in an amount ranging from 0.1% to 1% by weight of the total extract in the composition. In yet another aspect, the complex extract of Tetrachia serrata includes magnolidin in an amount ranging from 0.29% to 0.43% by weight of the total extract in the composition.

在該實施例的另一態樣中,該硬毛木防己的複合萃取物包括槲皮素作為類黃酮之一。在該實施例的另一態樣中,該硬毛木防己的複合萃取物包括中國木防己鹼作為類黃酮之一。In another aspect of this embodiment, the complex extract of Tetranychus serrata includes quercetin as one of the flavonoids. In another aspect of this embodiment, the complex extract of Tetranychus serrata includes tetrandrine as one of the flavonoids.

在一些實施例中,本文所提供的硬毛木防己的複合萃取物實質上不含木質素、纖維及單寧。在一些實施例中,該硬毛木防己的複合萃取物包括少於10 wt%、少於8 wt%、少於5 wt%、少於2 wt%、少於1 wt%、少於0.5 wt%、或少於0.1 wt%的木質素、纖維及單寧。In some embodiments, the composite extracts of Tetrachia solani provided herein are substantially free of lignin, fibers, and tannins. In some embodiments, the composite extract of Fangji hardwood comprises less than 10 wt%, less than 8 wt%, less than 5 wt%, less than 2 wt%, less than 1 wt%, less than 0.5 wt% %, or less than 0.1 wt% of lignin, fibers and tannins.

在一些實施例中,本發明提供一種組成物,其包括選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮之至少三種化合物,其中該至少三種化合物佔該組成物約0.05%至約10%、或佔該組成物約0.1%至約5%。在一些實施例中,該組成物實質上不含木質素、纖維及單寧。In some embodiments, the present invention provides a composition comprising at least three compounds selected from the group consisting of tetrandrine, magnolone, maksterone A, sclerophylline, and 20-hydroxyecdysone, wherein the at least The three compounds comprise from about 0.05% to about 10% of the composition, or from about 0.1% to about 5% of the composition. In some embodiments, the composition is substantially free of lignin, fibers and tannins.

在一些實施例中,該中國木防己鹼按重量計佔該組成物約0.01%至約30%、或約0.05%至約25%、或約0.1%至約20%、或約0.5%至約15%、或約1%至10%。在一些實施例中,該木蘭花鹼按重量計佔該組成物約0.001%至約20%、或約0.005%至約8%、或約0.01%至約10%、或約0.08%至約5%、或約0.05%至約3%、或約1%至約2%。In some embodiments, the tetradine comprises about 0.01% to about 30%, or about 0.05% to about 25%, or about 0.1% to about 20%, or about 0.5% to about 0.5% by weight of the composition 15%, or about 1% to 10%. In some embodiments, the magnolidine comprises about 0.001% to about 20%, or about 0.005% to about 8%, or about 0.01% to about 10%, or about 0.08% to about 5% by weight of the composition %, or from about 0.05% to about 3%, or from about 1% to about 2%.

在一些實施例中,該馬克甾酮A按重量計佔該組成物約0.0001%至約10%、或約0.005%至約5%、或約0.01%至約3%、或約0.02%至約2%。在一些實施例中,該2-羥基蛻皮酮按重量計佔該組成物約0.001%至約20%、或約0.005%至約8%、或約0.01%至約10%、或約0.08%至約5%、或約0.05%至約3%、或約1%至約2%。In some embodiments, the Markosterone A comprises about 0.0001% to about 10%, or about 0.005% to about 5%, or about 0.01% to about 3%, or about 0.02% to about 0.02% by weight of the composition 2%. In some embodiments, the 2-hydroxyecdysone comprises about 0.001% to about 20%, or about 0.005% to about 8%, or about 0.01% to about 10%, or about 0.08% to about 8% by weight of the composition About 5%, or about 0.05% to about 3%, or about 1% to about 2%.

在一些實施例中,該組成物包括約0.1 wt%至約20 wt%的中國木防己鹼;約0.01 wt%至約5 wt%的木蘭花鹼;約0.005 wt%至約5 wt%的馬克甾酮A;以及約0.01 wt%至約5 wt%的20-羥基蛻皮酮。在一些實施例中,該組成物包括約0.5 wt%至約15 wt%的中國木防己鹼;約0.05 wt%至約3 wt%的木蘭花鹼;約0.01 wt%至約3 wt%的馬克甾酮A;以及約0.05 wt%至約3 wt%的20-羥基蛻皮酮。In some embodiments, the composition includes about 0.1 wt% to about 20 wt% tetrandrine; about 0.01 wt% to about 5 wt% magnolidine; about 0.005 wt% to about 5 wt% Markus sterone A; and from about 0.01 wt % to about 5 wt % of 20-hydroxyecdysone. In some embodiments, the composition comprises about 0.5 wt% to about 15 wt% tetrandrine; about 0.05 wt% to about 3 wt% magnolidine; about 0.01 wt% to about 3 wt% Markus sterone A; and from about 0.05 wt% to about 3 wt% of 20-hydroxyecdysone.

在進一步的實施例中,發現本發明的該萃取物與組成物是安全的,且在向有需要的哺乳動物投與治療有效劑量時不會顯示任何毒性效應。在Wistar大鼠中通過口服胃管灌食法以劑量含量為100、300、600及1200 mg/kg/天的相關口服給藥14後,Wistar大鼠中的NOAEL建立在300 mg/kg/天。因此,發現該萃取物於供人類使用時是安全的且沒有任何毒性。In further examples, the extracts and compositions of the present invention were found to be safe and did not exhibit any toxic effects when administered in therapeutically effective doses to mammals in need thereof. NOAELs in Wistar rats were established at 300 mg/kg/day following oral gavage in Wistar rats at relevant oral doses of 100, 300, 600, and 1200 mg/kg/day. . Therefore, the extract was found to be safe for human use without any toxicity.

在一實施例中,本發明提供了一種哺乳動物中之治療正向單股RNA病毒感染的方法,其包括向有需要的哺乳動物投與包括有治療有效量之硬毛木防己的複合萃取物的醫藥組成物,其中該萃取物降低病毒載量或病毒增生或病毒。In one embodiment, the present invention provides a method of treating a positive single-stranded RNA virus infection in a mammal, comprising administering to a mammal in need thereof a complex extract comprising a therapeutically effective amount of Tetrachia solani The pharmaceutical composition, wherein the extract reduces viral load or viral proliferation or virus.

在又另一實施例中,本發明提供了一種用於在哺乳動物中之治療病毒感染早期階段降低病毒載量的方法,其包括向有需要的哺乳動物投與硬毛木防己的複合萃取物。In yet another embodiment, the present invention provides a method for reducing viral load in an early stage of treatment of a viral infection in a mammal, comprising administering to a mammal in need thereof a complex extract of Tesco sclera .

在又另一實施例中,本發明提供了一種用於預防及/或治療哺乳動物中之正向單股RNA所引起的病毒感染的方法,其包括向有需要的哺乳動物投與硬毛木防己的複合萃取物。In yet another embodiment, the present invention provides a method for preventing and/or treating a viral infection by positive single-stranded RNA in a mammal, comprising administering to a mammal in need thereof a hardwood tree A complex extract of fenugreek.

在進一步的實施例中,本發明提供一種抑制哺乳動物中正向單股RNA病毒感染細胞激素分泌的方法,其包括向有需要的哺乳動物投與硬毛木防己的複合萃取物。In a further embodiment, the present invention provides a method of inhibiting cytokine secretion in a mammal that is infected with a single-stranded RNA virus, comprising administering to a mammal in need thereof a complex extract of Tetranychus serrata.

在又另一實施例中,本發明提供一種預防及/或治療哺乳動物中正向單股RNA病毒感染的方法,其包括向有需要的哺乳動物投與硬毛木防己的複合萃取物,其中該萃取物對延遲的治療開始有效。In yet another embodiment, the present invention provides a method of preventing and/or treating a positive single-stranded RNA virus infection in a mammal, comprising administering to a mammal in need thereof a complex extract of Tesco sclera, wherein the The extract is effective for delayed onset of treatment.

在又另一實施例中,本發明提供了一種預防哺乳動物中正向單股RNA病毒感染的方法,其包括向有需要的哺乳動物投與硬毛木防己的複合萃取物。In yet another embodiment, the present invention provides a method of preventing infection by a positive single-stranded RNA virus in a mammal comprising administering to a mammal in need thereof a complex extract of Tetrachia solani.

在進一步的實施例中,發明提供了將硬毛木防己的複合萃取物用於治療或預防正向單股RNA病毒所引起的病毒感染或用於降低或抑制病毒增生的用途,其藉由投與治療有效量的硬毛木防己的複合萃取物或其醫藥組成物。In a further embodiment, the invention provides the use of a complex extract of Tetranychus serrata for treating or preventing viral infection caused by positive single-stranded RNA virus or for reducing or inhibiting viral proliferation by administering A compound extract or a medicinal composition thereof with a therapeutically effective amount of Fangji sclera.

在進一步的實施例中,本發明提供了化合物(例如來自硬毛木防己的萃取物之中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮或其衍生物或其組合)在用於治療或預防正向單股RNA病毒所引起的病毒感染或用於降低或抑制病毒增生之方法中的用途,其藉由投與治療有效量的硬毛木防己的此種化合物或其醫藥組成物。In a further embodiment, the present invention provides compounds such as tetrandrine, magnolidine, marxosterone A, sclerophylline, 20-hydroxyecdysone, or its Derivatives or combinations thereof) in the method for treating or preventing viral infection caused by positive single-stranded RNA viruses or for reducing or inhibiting viral proliferation, by administering a therapeutically effective amount of T. sclera of this compound or its pharmaceutical composition.

在又另一實施例中,發現本發明的複合萃取物在治療病毒感染方面更好且優於其他基於植物的萃取物,尤其是使用錫生藤萃取物來治療登革熱病毒感染。In yet another embodiment, the complex extracts of the present invention were found to be better and superior to other plant-based extracts in treating viral infections, especially the use of cinnabar vine extracts to treat dengue virus infections.

在一些實施例中,該萃取物可通過本領域已知的過程製備。在一些實施例中,本發明提供了一種製備硬毛木防己之複合萃取物的方法,包括:a)使用包括有乙醇、水或以上兩者的溶劑來萃取硬毛木防己之植物塊,其中該萃取係在約50°C至約100°C下進行;b)濃縮(a)的萃取物;以及c)將(b)的濃縮萃取物乾燥,其中該乾燥係在約40°C至約95°C下進行,從而獲得該硬毛木防己的複合萃取物。在一些實施例中,在(c)之前該方法還包括進一步使用另外的溶劑萃取(b)的濃縮萃取物,其中該另外的溶劑為乙醇、水或以上兩者。在一些實施例中,該另外的溶劑為乙醇。在一些實施例中,該另外的溶劑為水。在一些實施例中,該另外的溶劑包括乙醇和水的比例為約1:99至約99:1、或約5:95至約95:5、或約10:90至約90:10、或約20:80至約80:20、或約30:70至約70:30、或約40:60至約60:40、或約1:1的組合。In some embodiments, the extract can be prepared by procedures known in the art. In some embodiments, the present invention provides a method of preparing a composite extract of T. sclera, comprising: a) using a solvent comprising ethanol, water, or both to extract the plant pieces of T. sclerosus, wherein The extracting is performed at about 50°C to about 100°C; b) concentrating the extract of (a); and c) drying the concentrated extract of (b), wherein the drying is at about 40°C to about Carry out at 95 DEG C, thereby obtain the compound extract of this Tetrachia serrata. In some embodiments, prior to (c), the method further comprises further extracting the concentrated extract of (b) with an additional solvent, wherein the additional solvent is ethanol, water, or both. In some embodiments, the additional solvent is ethanol. In some embodiments, the additional solvent is water. In some embodiments, the additional solvent comprises ethanol and water in a ratio of about 1:99 to about 99:1, or about 5:95 to about 95:5, or about 10:90 to about 90:10, or A combination of about 20:80 to about 80:20, or about 30:70 to about 70:30, or about 40:60 to about 60:40, or about 1:1.

在一些實施例中,該過程包括使用一或多種溶劑萃取硬毛木防己的植物塊,以及將該萃取物乾燥,或使用一或多種溶劑萃取硬毛木防己的植物塊、濃縮該萃取物、添加水並用一或多種溶劑分配該萃取物,以及將該萃取物乾燥,或使用一或多種溶劑萃取硬毛木防己的植物塊、濃縮該萃取物、使用一或多種溶劑萃取該萃取物,以及將該萃取物乾燥。在前述實施例中的另一態樣中,硬毛木防己的植物塊萃取係在溫度範圍為約50 ºC至約100 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的植物塊萃取係在溫度範圍為約80 ºC至約85 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的植物塊萃取係在溫度範圍為約60 ºC至約65 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的萃取物乾燥係在溫度範圍為約40 ºC至約95 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的萃取物乾燥係在溫度範圍為約40 ºC至約45 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的萃取物乾燥係在溫度範圍為約45 ºC至約50 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的萃取物乾燥係在溫度範圍為約55 ºC至約65 ºC下進行。在前述實施例中的另一態樣中,硬毛木防己的萃取物乾燥係在溫度範圍為約90 ºC至約95 ºC下進行。在又另一態樣中,該植物塊可自植物的乾部分或濕部分萃取。In some embodiments, the process includes extracting the plant pieces of T. sclera with one or more solvents and drying the extract, or extracting the plant pieces of T. sclera with one or more solvents, concentrating the extract, Water is added and the extract is partitioned with one or more solvents, and the extract is dried, or the plant pieces of T. sclera are extracted with one or more solvents, the extract is concentrated, the extract is extracted with one or more solvents, and The extract was dried. In another aspect of the foregoing embodiments, the extraction of the plant pieces of Tetrachia serrata is performed at a temperature ranging from about 50 ºC to about 100 ºC. In another aspect of the foregoing embodiments, the extraction of the plant pieces of Tetrachia serrata is performed at a temperature ranging from about 80°C to about 85°C. In another aspect of the foregoing embodiments, the extraction of the plant pieces of Tetrachia serrata is performed at a temperature ranging from about 60°C to about 65°C. In another aspect of the foregoing embodiment, the drying of the extract of Tetrachia serrata is performed at a temperature ranging from about 40°C to about 95°C. In another aspect of the foregoing embodiments, the drying of the extract of Tetrachia serrata is performed at a temperature ranging from about 40°C to about 45°C. In another aspect of the foregoing embodiments, the drying of the Tetrachia sclera extract is carried out at a temperature ranging from about 45°C to about 50°C. In another aspect of the foregoing embodiments, the drying of the Tetrachia serrata extract is carried out at a temperature ranging from about 55°C to about 65°C. In another aspect of the foregoing embodiments, the drying of the Tetrachia sclera extract is carried out at a temperature ranging from about 90°C to about 95°C. In yet another aspect, the plant pieces can be extracted from dry or wet parts of the plant.

在又另一實施例中,本發明提供一種根據本發明的複合萃取物製備錠劑組合物的過程,用於治療正向單股RNA病毒所引起的病毒感染,該過程包括以下步驟: (i)         篩分萃取物並與醫藥學上可接受的賦形劑摻合; (ii)        潤滑從步驟(i)獲得的摻合物並壓縮成錠劑,以及 (iii)       對步驟(ii)的錠劑進行包膜。In yet another embodiment, the present invention provides a process for preparing a lozenge composition according to the composite extract of the present invention for the treatment of viral infection caused by a positive single-stranded RNA virus, the process comprising the following steps: (i) sieving the extract and blending with a pharmaceutically acceptable excipient; (ii) lubricating the blend obtained from step (i) and compressing it into a lozenge, and (iii) coating the tablet of step (ii).

在又另一實施例中,本發明提供一種根據本發明的複合萃取物製備錠劑組合物的過程,用於治療正向單股RNA病毒所引起的病毒感染,該過程包括以下步驟: (i)         將該萃取物與醫藥學上可接受的賦形劑摻合; (ii)        用溶劑粒化步驟(i)的摻合物; (iii)       潤滑並壓縮該摻合物至錠劑中,以及 (iv)       對步驟(iii)的錠劑進行包膜。In yet another embodiment, the present invention provides a process for preparing a lozenge composition according to the composite extract of the present invention for the treatment of viral infection caused by a positive single-stranded RNA virus, the process comprising the following steps: (i) blending the extract with a pharmaceutically acceptable excipient; (ii) granulating the blend of step (i) with a solvent; (iii) lubricating and compressing the blend into a lozenge, and (iv) coating the tablet of step (iii).

在進一步的實施例中,本發明提供一種複合萃取物製備錠劑組合物的過程,用於治療正向單股RNA病毒所引起的病毒感染,該過程包括以下步驟: (i)         將該萃取物與醫藥學上可接受的賦形劑摻合,並壓實該混合物; (ii)        將該壓實體磨碎並使用特級狀結構賦形劑混合; (iii)       潤滑步驟(ii)的摻合物並壓縮成錠劑,以及 (iv)       對步驟(iii)的錠劑進行包膜。In a further embodiment, the present invention provides a process for preparing a lozenge composition from a compound extract for the treatment of viral infection caused by a positive single-stranded RNA virus, the process comprising the following steps: (i) blending the extract with a pharmaceutically acceptable excipient and compacting the mixture; (ii) grinding the compacted body and mixing using a superstructure excipient; (iii) lubricating the blend of step (ii) and compressing it into a lozenge, and (iv) coating the tablet of step (iii).

雖然上述實施例涉及錠劑組成物,然而所述硬毛木防己的複合萃取物也可製成任何其他合適的口服劑量形式,像是粉劑、丸粒、顆粒、球體、迷你錠、膠囊型錠劑。Although the above examples relate to lozenge compositions, the compound extract of Tetrachia serrata can also be formulated into any other suitable oral dosage form, such as powders, pellets, granules, spheres, mini lozenges, caplets agent.

在進一步的相關實施例中,該萃取物可同時或依次與一或多種額外的治療劑共同投與。在一些實施例中,額外的治療劑包括抗病毒劑、退熱劑、鎮痛劑或其組合。在另一實施例中,本發明的組成物可進一步包括一或多種額外的治療劑。該一或多種額外的治療劑可選自相關的抗病毒療法或化合物,例如其可從條件提供症狀緩解,例如退熱劑與鎮痛藥物。In further related embodiments, the extract may be co-administered simultaneously or sequentially with one or more additional therapeutic agents. In some embodiments, the additional therapeutic agent includes an antiviral agent, an antipyretic agent, an analgesic agent, or a combination thereof. In another embodiment, the compositions of the present invention may further comprise one or more additional therapeutic agents. The one or more additional therapeutic agents may be selected from related antiviral therapies or compounds, eg, which may provide symptomatic relief from conditions, such as antipyretics and analgesics.

本文術語「共同投與」係指向哺乳動物投與一或多種額外的治療劑與萃取物。該萃取物與額外的治療劑可以為單一醫藥組成物,或可以為個別的醫藥組成物。該萃取物或額外的治療劑之每一者可通過相同或不同投與途徑同時或依次投與。 實例The term "co-administration" herein refers to the administration of one or more additional therapeutic agents and extracts to a mammal. The extract and additional therapeutic agent can be a single pharmaceutical composition, or can be separate pharmaceutical compositions. Each of the extract or additional therapeutic agents can be administered simultaneously or sequentially by the same or different routes of administration. Example

以下實例僅包括示例性實施例,將用來說明本發明的實踐。對於本領域技術人員來說明顯的是,本發明不限於以下說明性實例的細節,並且本發明可在不脫離其基本屬性的情況下以其他具體形式實施,因此期望本實施例與實例在所有方面都被認為是說明性且非限制性的。 實例1:製備95:5乙醇:純水之硬毛木防己萃取物The following examples include exemplary embodiments only, and will serve to illustrate the practice of the invention. It will be apparent to those skilled in the art that the present invention is not limited to the details of the following illustrative examples, and that the present invention may be embodied in other specific forms without departing from its essential attributes, and it is therefore intended that the present embodiments and examples be used in all Aspects are considered to be illustrative and non-limiting. Example 1: Preparation of 95:5 Ethanol:Pure Water Tetrachia serrata extract

將該硬毛木防己的植物塊(1公斤)在周圍溫度* 下裝進萃取器。添加乙醇與純水的混合物(95:5; 6L),並在溫度60-65 ºC加熱該反應混合物約3小時。將萃取團塊過濾、收集,並貯存在容器中。用乙醇與純水的混合物(95:5; 3L)重複萃取與過濾步驟兩次。合併三種過濾的萃取物並在低溫減壓條件下濃縮至最大可能範圍。將萃取物倒出至不鏽鋼托盤,然後在真空下於45-50 ºC乾燥直到乙醇含量不超過10,000 ppm且含水量不超過5%。將乾燥萃取物冷卻至約20-25 ºC並在受控濕度下卸載(RH NMT 40%)。This hardwood tetrakis plant piece (1 kg) was loaded into the extractor at ambient temperature * . A mixture of ethanol and purified water (95:5; 6L) was added and the reaction mixture was heated at a temperature of 60-65 °C for about 3 hours. The extract mass was filtered, collected, and stored in a container. The extraction and filtration steps were repeated twice with a mixture of ethanol and pure water (95:5; 3 L). The three filtered extracts were combined and concentrated to the maximum possible extent under reduced pressure at low temperature. The extract was poured into stainless steel trays and dried under vacuum at 45-50 ºC until the ethanol content did not exceed 10,000 ppm and the water content did not exceed 5%. Cool the dry extract to about 20-25 ºC and unload under controlled humidity (RH NMT 40%).

獲得產量= 90 g至120 g 實例2:製備1:1乙醇:純水之硬毛木防己萃取物Get Yield = 90 g to 120 g Example 2: Preparation of 1 : 1 Ethanol:Pure Water Tetrachia serrata extract

將該硬毛木防己的植物塊(1公斤)在周圍溫度* 下裝進萃取器。添加乙醇與純水的混合物(1:1; 6L),並在溫度60-65 ºC加熱該反應混合物約3小時。將萃取團塊過濾、收集,並貯存在容器中。用乙醇與純水的混合物(1:1, 3L)重複萃取與過濾步驟兩次。合併三種過濾的萃取物並在低溫減壓條件下濃縮至最大可能範圍。將萃取物倒出至不鏽鋼托盤,然後在真空下於45-50 ºC乾燥直到乙醇含量不超過10,000 ppm且含水量不超過5%。將乾燥萃取物冷卻至約20-25 ºC並在受控濕度下卸載(RH NMT 40%)。This hardwood tetrakis plant piece (1 kg) was loaded into the extractor at ambient temperature * . A mixture of ethanol and purified water (1:1; 6L) was added and the reaction mixture was heated at a temperature of 60-65 ºC for about 3 hours. The extract mass was filtered, collected, and stored in a container. The extraction and filtration steps were repeated twice with a mixture of ethanol and pure water (1:1, 3 L). The three filtered extracts were combined and concentrated to the maximum possible extent under reduced pressure at low temperature. The extract was poured into stainless steel trays and dried under vacuum at 45-50 ºC until the ethanol content did not exceed 10,000 ppm and the water content did not exceed 5%. Cool the dry extract to about 20-25 ºC and unload under controlled humidity (RH NMT 40%).

獲得產量= 80 g至120 g 實例3:製備硬毛木防己的水性萃取物Get Yield = 80 g to 120 g Example 3: Preparation of Aqueous Extracts of Tessica serrata

將該硬毛木防己的植物塊(1公斤)在周圍溫度* 下裝進萃取器。添加純水(6L),並在溫度60-65 ºC加熱該反應混合物約3小時。將萃取團塊過濾、收集,並貯存在容器中。用純水(3L)重複萃取與過濾步驟兩次。合併三種過濾的萃取物並在低溫減壓條件下濃縮至最大可能範圍。將萃取物倒出至不鏽鋼托盤,然後在真空下於45-50 ºC乾燥直到乙醇含量不超過10,000 ppm且含水量不超過5%。將乾燥萃取物冷卻至約20-25 ºC並在受控濕度下卸載(RH NMT 40%)。This hardwood tetrakis plant piece (1 kg) was loaded into the extractor at ambient temperature * . Pure water (6 L) was added and the reaction mixture was heated at a temperature of 60-65 ºC for about 3 hours. The extract mass was filtered, collected, and stored in a container. The extraction and filtration steps were repeated twice with pure water (3 L). The three filtered extracts were combined and concentrated to the maximum possible extent under reduced pressure at low temperature. The extract was poured into stainless steel trays and dried under vacuum at 45-50 ºC until the ethanol content did not exceed 10,000 ppm and the water content did not exceed 5%. Cool the dry extract to about 20-25 ºC and unload under controlled humidity (RH NMT 40%).

獲得產量= 80 g至120 gGet Yield = 80 g to 120 g

*如本文所用術語「周圍溫度」包含溫度範圍約18 °C至約25 °C。*The term "ambient temperature" as used herein includes temperatures ranging from about 18°C to about 25°C.

相似的,該萃取物也可以藉由噴霧乾燥使用進氣口溫度為160o C-190o C與出口溫度為105o C至120o C來製備。 實例4:分離來自硬毛木防己的各種化合物:Similarly, the extract can also be prepared by spray drying using an inlet temperature of 160 ° C-190 ° C and an outlet temperature of 105 ° C to 120 ° C. Example 4: Isolation of various compounds from Tesco sclera:

將硬毛木防己的乾燥水性萃取物(粉劑,500 gm)溶解於蒸餾水並過濾。使濾液分配於CHCl3 (A)與H2 O (B)之間。然後用HCl水溶液區分CHCl3 可溶部分(A) 以產生CHCl3 層(C)與酸性H2 O層(D)。對氯仿層(C)進行管柱層析法,以CHCl3 -MeOH的梯度溶析並濃縮得到30個餾分。基於TLC圖譜得到純淨形式餾分的松柏醇(SP-A-01)。然後用NH4 OH水溶液鹼化酸性的H2 O層(D) 以製造游離鹼,然後用CHCl3 萃取,產生含生物鹼的氯仿層(E)。將CHCl3 餾分(E)乾燥並通過管柱層析法純化,並用CHCl3 -MeOH梯度溶析,以分離木蘭花鹼。此外,用氫氧化銨(NH4 OH)溶液將水性層(B)鹼化,接著用CHCl3 萃取,產出生物鹼富含部分(E1)與水性層(F1)。通過使用CHCl3 -MeOH溶析的管柱層析法來進一步處理該CHCl3 層(E1)以分離中國木防己鹼。將水性層(F1)冷凍乾燥法粉末化且溶於甲醇中。用管柱層析法進一步純化甲醇溶解部分,用CHCl3 -MeOH梯度溶析,並濃縮得到50個餾分。在TLC上可看見兩個UV活性點。包含兩個UV活性化合物的混合物進一步進行RP-HPLC(使用(MeOH/H2 O)的梯度溶劑系統來獲得20-羥基蛻皮酮與馬克甾酮A。 實例5:使用壓縮技術來製備來自硬毛木防己的萃取物的錠劑 S/N 成分 數量 (mg/ ) (1) (2) (3) (4) 1 萃取物 (來自實例1、2或3) 1000.0 1000.0 1000.0 1000.0 2 鎂鋁三矽酸鹽 300.0 300.0 300.0 300.0 3 乳糖單水合物 90.0 - - - 4 磷酸二鈣 - 90.0 - - 5 預膠化澱粉 - - 90.0 - 6 矽酸鈣 - - - 90.0 7 微晶型纖維素 40.0 40.0 40.0 40.0 8 膠體二氧化矽 20.0 20.0 20.0 20.0 9 交聯羧甲基纖維素 40.0 40.0 40.0 40.0 10 硬脂酸鎂 10.0 10.0 10.0 10.0 核心錠劑重量 1500.0 1500.0 1500.0 1500.0 11 Opadry Green 45.0 45.0 45.0 45.0 12 純水 Qs. Qs. Qs. Qs.   包衣錠總重量 1545.0 1545.0 1545.0 1545.0 A dry aqueous extract of T. serrata (powder, 500 gm) was dissolved in distilled water and filtered. The filtrate was partitioned between CHCl3 (A) and H2O (B). The CHCl3 soluble fraction (A) was then separated with aqueous HCl to yield the CHCl3 layer (C) and the acidic H2O layer (D). The chloroform layer (C) was subjected to column chromatography, eluted with a gradient of CHCl3 -MeOH and concentrated to obtain 30 fractions. A fraction of coniferyl alcohol (SP-A-01) was obtained in pure form based on the TLC spectrum. The acidic H2O layer (D) was then basified with aqueous NH4OH to make the free base, followed by extraction with CHCl3 , yielding the alkaloid-containing chloroform layer (E). The CHCl3 fraction (E) was dried and purified by column chromatography and eluted with a CHCl3 -MeOH gradient to isolate magnolidine. In addition, the aqueous layer (B) was basified with ammonium hydroxide ( NH4OH ) solution, followed by extraction with CHCl3 , yielding the alkaloid rich fraction (E1) and the aqueous layer (F1). The CHCl3 layer (E1) was further processed by column chromatography using CHCl3 -MeOH elution to isolate tetrandine. The aqueous layer (F1) was lyophilized powdered and dissolved in methanol. The methanol soluble fraction was further purified by column chromatography, eluted with a CHCl3 -MeOH gradient, and concentrated to give 50 fractions. Two UV active spots were visible on TLC. The mixture containing the two UV active compounds was further subjected to RP-HPLC (using a gradient solvent system of (MeOH/H 2 O) to obtain 20-hydroxyecdysone and maxosterone A. Example 5: Preparation from bristles using compression technique lozenge of fenugreek extract S/N Element Quantity (mg/ tablet ) (1) (2) (3) (4) 1 Extract (from Example 1, 2 or 3) 1000.0 1000.0 1000.0 1000.0 2 Magnesium Aluminum Trisilicate 300.0 300.0 300.0 300.0 3 Lactose monohydrate 90.0 - - - 4 Dicalcium Phosphate - 90.0 - - 5 pregelatinized starch - - 90.0 - 6 calcium silicate - - - 90.0 7 microcrystalline cellulose 40.0 40.0 40.0 40.0 8 Colloidal silica 20.0 20.0 20.0 20.0 9 Croscarmellose 40.0 40.0 40.0 40.0 10 Magnesium stearate 10.0 10.0 10.0 10.0 Core Lozenge Weight 1500.0 1500.0 1500.0 1500.0 11 Opadry Green 45.0 45.0 45.0 45.0 12 pure water Qs. Qs. Qs. Qs. The total weight of the coated tablet 1545.0 1545.0 1545.0 1545.0

製造程序: 1.     將該萃取物通過10號網目的篩網(2 mm); 2.     將步驟1材料與鎂鋁三矽酸鹽篩選通過14號網目(1.4 mm); 3.     乳糖單水合物、磷酸二鈣、預膠化澱粉及矽酸鈣篩選通過36號網目(420 µ); 4.     將微晶型纖維素、膠體二氧化矽及交聯羧甲基纖維素通過25號網目(600 µ); 5.     將自步驟3與步驟4的材料與步驟2的材料在攪拌機中摻合; 6.     用硬脂酸鎂將自步驟5得到的摻合物潤滑並壓縮成錠劑; 7.     將Opadry Green分散在純水中以製備分散液;以及 8.     將步驟7之分散液塗覆於來自步驟6之壓縮錠劑。 實例5.1:使用直接壓縮技術來製備來自硬毛木防己的萃取物的錠劑: S/N 成分 數量 (mg/ ) (1) (2) (3) (4) (5) (6) 1 萃取物(來自實例1、2或3) 100.0 200.0 300.0 400.0 500.0 800.0 2 鎂鋁三矽酸鹽 30.0 60.0 90.0 120.0 150.0 240.0 5 乳糖單水合物 9.0 - - - - - 6 磷酸二鈣 - 18.0 - - - - 7 預膠化澱粉 - - 27.0 - - - 8 矽酸鈣 - - - 36.0 45.0 72.0 9 微晶型纖維素 4.0 8.0 12.0 16.0 20.0 32.0 10 膠體二氧化矽 2.0 4.0 6.0 8.0 10.0 16.0 11 交聯羧甲基纖維素 4.0 8.0 12.0 16.0 20.0 32.0 12 硬脂酸鎂 1.0 2.0 3.0 4.0 5.0 8.0   核心錠劑重量 150.0 300.0 450.0 600.0 750.0 1200.0 13 Opadry Green 4.47 8.94 13.41 17.88 22.35 35.76 14 純水 Qs. Qs. Qs. Qs. Qs. Qs. 包衣錠總重量 154.47 308.94 463.41 617.88 772.35 1235.76 Manufacturing procedure: 1. Pass the extract through a No. 10 mesh screen (2 mm); 2. Pass the step 1 material and magnesium aluminum trisilicate through a No. 14 mesh screen (1.4 mm); 3. Lactose monohydrate , dicalcium phosphate, pregelatinized starch and calcium silicate were screened through No. 36 mesh (420 µ); 4. Microcrystalline cellulose, colloidal silica and croscarmellose were screened through No. 25 mesh (600 μ). µ); 5. Blend the materials from Steps 3 and 4 with the materials from Step 2 in a blender; 6. Lubricate the blend from Step 5 with magnesium stearate and compress into a lozenge; 7. Disperse Opadry Green in pure water to prepare a dispersion; and 8. Apply the dispersion from step 7 to the compressed tablet from step 6. Example 5.1: Preparation of lozenges from extracts of Tessica serrata using direct compression technique: S/N Element Quantity (mg/ tablet ) (1) (2) (3) (4) (5) (6) 1 Extract (from Example 1, 2 or 3) 100.0 200.0 300.0 400.0 500.0 800.0 2 Magnesium Aluminum Trisilicate 30.0 60.0 90.0 120.0 150.0 240.0 5 Lactose monohydrate 9.0 - - - - - 6 Dicalcium Phosphate - 18.0 - - - - 7 pregelatinized starch - - 27.0 - - - 8 calcium silicate - - - 36.0 45.0 72.0 9 microcrystalline cellulose 4.0 8.0 12.0 16.0 20.0 32.0 10 Colloidal silica 2.0 4.0 6.0 8.0 10.0 16.0 11 Croscarmellose 4.0 8.0 12.0 16.0 20.0 32.0 12 Magnesium stearate 1.0 2.0 3.0 4.0 5.0 8.0 Core Lozenge Weight 150.0 300.0 450.0 600.0 750.0 1200.0 13 Opadry Green 4.47 8.94 13.41 17.88 22.35 35.76 14 pure water Qs. Qs. Qs. Qs. Qs. Qs. The total weight of the coated tablet 154.47 308.94 463.41 617.88 772.35 1235.76

製造程序係如實例5。 實例6:使用濕製粒技術(通過快速混合製粒機)來製備來自硬毛木防己的萃取物的錠劑 S/N 成分 數量 ( mg/錠) (1) (2) (3) (4) (a) 部分:顆粒內部分 1 萃取物(來自實例1、2或3) 1000.0 1000.0 1000.0 1000.0 2 鎂鋁三矽酸鹽 250.0 250.0 250.0 250.0 3 甲醇 Qs. Qs. Qs. Qs. 總計 1250.0 1250.0 1250.0 1250.0 (b) 部分:顆粒外部分 4 鎂鋁三矽酸鹽 40.0 40.0 40.0 40.0 5 乳糖單水合物 90.0 - - - 6 磷酸二鈣 - 90.0 - - 7 預膠化澱粉 - - 90.0 - 8 矽酸鈣 - - - 90.0 9 微晶型纖維素 40.0 40.0 40.0 40.0 10 膠體二氧化矽 20.0 20.0 20.0 20.0 11 交聯羧甲基纖維素 40.0 40.0 40.0 40.0 12 硬脂酸鎂 10.0 10.0 10.0 10.0   核心錠劑重量 1490.0 1490.0 1490.0 1490.0 13 Opadry Green 44.7.0 44.7 44.7 44.7 14 純水 Qs. Qs. Qs. Qs. 包衣錠總重量 1534.7 1534.7 1534.7 1534.7 The manufacturing procedure is as in Example 5. Example 6: Preparation of lozenges from extracts of Tessica serrata using wet granulation techniques (via a quick-mix granulator) S/N Element Quantity ( mg/tablet) (1) (2) (3) (4) Part (a) : Intragranular part 1 Extract (from Example 1, 2 or 3) 1000.0 1000.0 1000.0 1000.0 2 Magnesium Aluminum Trisilicate 250.0 250.0 250.0 250.0 3 methanol Qs. Qs. Qs. Qs. total 1250.0 1250.0 1250.0 1250.0 Part (b) : Extragranular part 4 Magnesium Aluminum Trisilicate 40.0 40.0 40.0 40.0 5 Lactose monohydrate 90.0 - - - 6 Dicalcium Phosphate - 90.0 - - 7 pregelatinized starch - - 90.0 - 8 calcium silicate - - - 90.0 9 microcrystalline cellulose 40.0 40.0 40.0 40.0 10 Colloidal silica 20.0 20.0 20.0 20.0 11 Croscarmellose 40.0 40.0 40.0 40.0 12 Magnesium stearate 10.0 10.0 10.0 10.0 Core Lozenge Weight 1490.0 1490.0 1490.0 1490.0 13 Opadry Green 44.7.0 44.7 44.7 44.7 14 pure water Qs. Qs. Qs. Qs. The total weight of the coated tablet 1534.7 1534.7 1534.7 1534.7

製造程序: 1.     將該萃取物通過10號網目的篩網(2 mm); 2.     將鎂鋁三矽酸鹽篩選通過36號網目的篩網(420 µ); 3.     將來自步驟1和步驟2的材料用甲醇造粒並乾燥; 4.     將來自步驟3的乾燥材料通過16號網目(1 mm); 5.     鎂鋁三矽酸鹽、乳糖單水合物、磷酸二鈣、預膠化澱粉及矽酸鈣篩選通過36號網目(420 µ); 6.     將微晶型纖維素、膠體二氧化矽及交聯羧甲基纖維素通過25號網目(600 µ); 7.     將自步驟5與步驟6的材料與步驟4的材料在攪拌機中混合; 8.     用硬脂酸鎂將上述步驟得到的摻合物潤滑並壓縮成錠劑; 9.     將Opadry Green分散在純水中以製備分散液;以及 10.   將步驟9之分散液塗覆於來自步驟8之壓縮錠劑。 實例7:使用乾式造粒技術(通過壓實機)來製備來自硬毛木防己的萃取物的錠劑 S/N 成分 數量 (mg/ ) (1) (2) (3) (4) (a) 部分:顆粒內部分   1 萃取物(來自實例1、2或3) 1000.0 1000.0 1000.0 1000.0 2 鎂鋁三矽酸鹽 300.0 300.0 300.0 300.0 3 硬脂酸鎂 15.0 15.0 15.0 15.0   總計 1315.0 1315.0 1315.0 1315.0 (b) 部分顆粒外部分 4 乳糖單水合物 30.0 - - - 5 磷酸二鈣 - 30.0 - - 6 預膠化澱粉    - 30.0 - 7 矽酸鈣    - - 30.0 8 微晶型纖維素 100.0 100.0 100.0 100.0 9 膠體二氧化矽 10.0 10.0 10.0 10.0 10 交聯羧甲基纖維素 30.0 30.0 30.0 30.0 11 硬脂酸鎂 15.0 15.0 15.0 15.0 核心錠劑重量 1500.0 1500.0 1500.0 1500.0 12 Opadry Green 45.0 45.0 45.0 45.0 13 純水 Qs. Qs. Qs. Qs.   包衣錠總重量 1545.0 1545.0 1545.0 1545.0 Manufacturing procedure: 1. Pass the extract through a No. 10 mesh screen (2 mm); 2. Pass the magnesium aluminum trisilicate through a No. 36 mesh screen (420 µ); Material from step 2 was granulated with methanol and dried; 4. Pass dried material from step 3 through No. 16 mesh (1 mm); 5. Magnesium aluminum trisilicate, lactose monohydrate, dicalcium phosphate, pregelatinized Starch and calcium silicate were screened through No. 36 mesh (420 µ); 6. Microcrystalline cellulose, colloidal silica and croscarmellose were passed through No. 25 mesh (600 µ); 7. 5. Mix the materials from step 6 with the materials from step 4 in a blender; 8. Lubricate and compress the blend from the above step with magnesium stearate into a lozenge; 9. Disperse Opadry Green in purified water to prepare and 10. Apply the dispersion from Step 9 to the compressed tablet from Step 8. Example 7: Preparation of lozenges from extract of Tessica serrata using dry granulation technique (by compactor) S/N Element Quantity (mg/ tablet ) (1) (2) (3) (4) Part (a) : Intragranular part 1 Extract (from Example 1, 2 or 3) 1000.0 1000.0 1000.0 1000.0 2 Magnesium Aluminum Trisilicate 300.0 300.0 300.0 300.0 3 Magnesium stearate 15.0 15.0 15.0 15.0 total 1315.0 1315.0 1315.0 1315.0 (b) Part of the extragranular part 4 Lactose monohydrate 30.0 - - - 5 Dicalcium Phosphate - 30.0 - - 6 pregelatinized starch - 30.0 - 7 calcium silicate - - 30.0 8 microcrystalline cellulose 100.0 100.0 100.0 100.0 9 Colloidal silica 10.0 10.0 10.0 10.0 10 Croscarmellose 30.0 30.0 30.0 30.0 11 Magnesium stearate 15.0 15.0 15.0 15.0 Core Lozenge Weight 1500.0 1500.0 1500.0 1500.0 12 Opadry Green 45.0 45.0 45.0 45.0 13 pure water Qs. Qs. Qs. Qs. The total weight of the coated tablet 1545.0 1545.0 1545.0 1545.0

製造程序: 1.     將該萃取物通過10號網目(2 mm); 2.     將步驟1材料與鎂鋁三矽酸鹽篩選通過14號網目(1.4 mm); 3.     將硬脂酸鎂篩選通過36號網目(420 µ)並與步驟2的材料在攪拌機中混合; 4.     使用壓實機將摻合材料壓實; 5.     將步驟4得到的壓實體磨碎; 6.     將顆粒外賦形劑篩分並與硬脂酸鎂摻合,以獲得潤滑摻合物; 7.     將步驟6的潤滑摻合物壓縮成錠劑; 8.     將Opadry Green分散在純水中以製備分散液;以及 9.     將步驟8之分散液塗覆於來自步驟7之壓縮錠劑。 實例8:治療各種正向單股RNA病毒所引起的病毒感染之生物活性評估:A .評估硬毛木防己的水性萃取物 (AQCH) 在治療 COVID-19 患者的有效性。 Manufacturing Procedure: 1. Screen the extract through No. 10 mesh (2 mm); 2. Screen the Step 1 material with magnesium aluminum trisilicate through No. 14 mesh (1.4 mm); 3. Screen magnesium stearate through 36 mesh (420 µ) and mix with the material from step 2 in a blender; 4. Use a compactor to compact the blended material; 5. Grind the compacted body from step 4; 6. Shape the extra-granular 7. Compress the lubricating blend of Step 6 into a lozenge; 8. Disperse Opadry Green in purified water to prepare a dispersion; and 9. Apply the dispersion from Step 8 to the compressed tablet from Step 7. Example 8: Evaluation of Biological Activity in Treating Viral Infections Caused by Various Positive Single-Stranded RNA Viruses: A. Evaluation of the efficacy of aqueous extracts of Fangji hardwood (AQCH) in the treatment of patients with COVID-19 .

按照以下納入及排除條件選定的患者在飯前每日被投與400-800 mg之硬毛木防己的水性萃取物的錠劑三次(每8±1小時),優選在相同時間服用10天。- 納入條件 :如果個體符合以下所有標準,則包括在研究中: 1.   提供書面知情同意書。 2.   男性或年齡≥18歲與≤65歲之非懷孕、非哺乳期的女性。 3.   急性呼吸道疾病患者(發燒與至少一個以下咳嗽或呼吸急促),具有: a)     在近14天內之高風險COVID-19感染國家旅遊史或者。 b)     在14天內與實驗室COVID-19確診案例密切接觸或者。 c)     當管理呼吸窘迫/嚴重急性呼吸系統疾病案例的健康照護人員有症狀時。 4.     實驗室確診COVID-19。 5.     能夠口服藥物並遵守研究程序。 6.     有生育潛力的女性在進入研究前必須具尿液懷孕試驗陰性,並同意使用高效避孕方法,以避免從進入研究至最後一次給予研究藥物期間懷孕(此類避孕措施可能包含荷爾蒙避孕,例如,包含[口服、陰道內或經皮]的合併的雌激素及助孕素或與排卵抑制相關之僅黃體酮[口頭、注射或植入式]荷爾蒙避孕、子宮內的裝置、子宮內荷爾蒙釋放系統或雙側輸尿管閉塞、已切除輸精管的伴或性禁慾)。 -.排除條件 :如果患者落入任何以下標準,則被視為沒有資格參與研究: 1.     持續嘔吐的患者(12小時內嘔吐超過3次,防止適當的口腔水合作用),使其難以吞嚥藥物。 2.     精神狀態改變的患者。 3.     實驗室篩檢異常,包括以下任一者: a.     AST或ALT > 5次ULN b.     未使用吸氧治療下氧飽和度< 90% c.     絕對嗜中性球數量< 1500/μL d.     血清肌酐> ULN e.     總膽紅素> ULN 4.     患有活動性肝炎、結核病及確定的細菌或真菌感染的患者。 5.     需要ICU監測與治療的合併器官衰竭患者。 6.     呼吸衰竭與需要機械通氣的患者。 7.     休克患者。 8.     患有任何併發醫療狀況或不受控制的臨床重大全身性疾病(例如,腎衰竭、心衰竭、高血壓、肝疾病、糖尿病、貧血等)的患者,根據研究者的看法,排除了受試者參與該研究或干擾對研究結果的判讀。 9.     具有B型肝炎、C型肝炎或人類免疫缺乏病毒之血清測試陽性病史的患者。 10.   在住院前一週內接受特定抗病毒藥物利托那韋/洛匹那韋、氯奎、羥氯喹、單株抗體的患者。 11.   在篩檢三十(30)天前參與其他臨床研究。 12.   在於本研究中登記3個月前曾參與其他調查研究的患者。 13.   調查人員、研究人員、贊助商代表及其一等親屬。Patients selected according to the following inclusion and exclusion criteria were administered lozenges of 400-800 mg of aqueous extract of Tetrachia serrata three times daily (every 8±1 hour) before meals, preferably at the same time for 10 days. - Inclusion criteria : Individuals were included in the study if they met all of the following criteria: 1. Provided written informed consent. 2. Men or non-pregnant, non-breastfeeding women aged ≥18 years and ≤65 years old. 3. Patients with acute respiratory disease (fever and at least one of the following cough or shortness of breath) with: a) Travel history to high-risk COVID-19 infection countries within the last 14 days OR. b) close contact with a laboratory confirmed case of COVID-19 within 14 days or. c) When health care workers managing respiratory distress/severe acute respiratory illness cases are symptomatic. 4. Laboratory confirmed COVID-19. 5. Able to take medication by mouth and adhere to study procedures. 6. Females of reproductive potential must have a negative urine pregnancy test before entering the study, and agree to use a highly effective method of contraception to avoid pregnancy from study entry to the last administration of the study drug (such contraceptives may include hormonal contraception, such as , containing [oral, intravaginal, or transdermal] combined estrogens and progestins or progesterone only associated with ovulation inhibition [oral, injectable, or implantable] hormonal contraception, intrauterine devices, intrauterine hormone release Systemic or bilateral ureteral occlusion, vasectomy partner or sexual abstinence). -. Exclusion criteria : Patients were considered ineligible to participate in the study if they fell into any of the following criteria: 1. Patients with persistent vomiting (more than 3 times in 12 hours to prevent proper oral hydration), making it difficult to swallow drug. 2. Patients with altered mental status. 3. Laboratory screening abnormalities, including any of the following: a. AST or ALT > 5 ULN b. Oxygen saturation < 90% without oxygen therapy c. Absolute neutrophil count < 1500/μL d . Serum creatinine > ULN e. Total bilirubin > ULN 4. Patients with active hepatitis, tuberculosis, and established bacterial or fungal infections. 5. Patients with combined organ failure who require ICU monitoring and treatment. 6. Respiratory failure and patients requiring mechanical ventilation. 7. Shock patients. 8. Patients with any concurrent medical condition or uncontrolled clinically significant systemic disease (eg, renal failure, heart failure, hypertension, liver disease, diabetes, anemia, etc.), according to the investigator's opinion, were excluded from the study. Participation in the study or interference with the interpretation of study results. 9. Patients with a seropositive history of Hepatitis B, Hepatitis C, or Human Immunodeficiency Virus. 10. Patients receiving specific antiviral drugs ritonavir/lopinavir, chloroquine, hydroxychloroquine, monoclonal antibodies within one week prior to hospitalization. 11. Participate in other clinical studies thirty (30) days prior to screening. 12. Patients who participated in other research studies 3 months earlier were enrolled in this study. 13. Investigators, researchers, sponsor representatives and their first-degree relatives.

有效性評估 :基於臨床以及實驗室評估。進行以下評估: ˙    在篩檢時、每天直到出院、出院日、第17天與依臨床指示之身體檢查。 ˙    在篩檢時、在第1天第一次給藥前10分鐘內,然後每24小時(± 10分鐘)直至出院(在第11天或之後)、在第17天FU就診時與依臨床指示之生命跡象(脈膊率、呼吸率、收縮壓與舒張壓)。 ˙    將在篩檢時、在第1天第一次給藥前30分鐘內,然後每24小時(± 10分鐘)直至出院日(第11天或之後)、在第17天(或之後)FU就診時與依臨床指示測量體溫(口)。 ˙    用於肝臟血液學與生物化學評估用的血液及腎功能測試將在篩檢時撤回,隨後在第3、5、7、10天撤回。根據研究者的裁量,可進行額外的血液學與生物化學評估直至康復。 ˙    用於冠狀病毒校價的PCR:在篩檢時、在第1天第一次給藥前30分鐘內,然後每24小時(± 10分鐘)直至第10天與出院時。 ˙    胸部X光片–在第3、5、7、10天篩檢時與出院時。 Efficacy assessment : Based on clinical as well as laboratory assessments. Perform the following assessments: ˙ At screening, daily until discharge, discharge day, day 17 and physical examination as clinically indicated. ˙ At screening, within 10 minutes before the first dose on Day 1, then every 24 hours (± 10 minutes) until discharge (on or after Day 11), at the FU visit on Day 17 and as clinically indicated Indicated vital signs (pulse rate, respiratory rate, systolic and diastolic blood pressure). ˙ FU will be administered at screening, within 30 minutes before the first dose on Day 1, then every 24 hours (± 10 minutes) until discharge day (on or after Day 11), on (or after) Day 17 Measure body temperature (oral) at the time of visit and as clinically indicated. ˙ Blood and kidney function tests for evaluation of liver hematology and biochemistry will be withdrawn at screening and subsequently on days 3, 5, 7, and 10. At the investigator's discretion, additional hematologic and biochemical evaluations may be performed until recovery. ˙ PCR for coronavirus school pricing: at screening, within 30 minutes before the first dose on Day 1, then every 24 hours (± 10 minutes) until Day 10 and at discharge. ˙ Chest X-rays – at screening and at discharge on days 3, 5, 7, 10.

通過對不良事件、生命跡象(脈膊率、收縮壓與舒張血壓(坐著)、體溫及呼吸率)、ECG、身體檢查及臨床實驗室調查(血液學、生物化學及尿分析法)記錄的評估來評估安全性。不良事件基於CTCAE v 5.0標準根據其嚴重程度分類。在併行的醫療條件、身體檢查及/或實驗室數據下,從基線到任何臨床顯著的異常變化應記錄為AE。在篩檢時、在第1天給藥1小時後與24小時後(± 10分鐘)重複直至第10天、在出院日與依臨床指示進行12導聯ECG。任何被治療醫生/PI判定處於發展嚴重疾病風險的患者將按照護理標準進行管理。Recorded by adverse events, vital signs (pulse rate, systolic and diastolic blood pressure (sitting), body temperature and respiratory rate), ECG, physical examination and clinical laboratory investigations (hematology, biochemistry and urinalysis) assessment to assess safety. Adverse events were classified according to their severity based on CTCAE v 5.0 criteria. Any abnormal change from baseline to any clinically significant abnormality should be recorded as an AE under concurrent medical conditions, physical examination, and/or laboratory data. A 12-lead ECG was performed at screening, 1 hour after dosing on Day 1 and repeated 24 hours later (± 10 minutes) until Day 10, on discharge day, and as clinically indicated. Any patient determined by the treating physician/PI to be at risk of developing serious disease will be managed in accordance with the standard of care.

主要評估指標為鼻咽拭子中病毒載量減少以及受試者達到臨床治療百分比(臨床治療被定義當測量頻率大於或等於一天時連續兩次呼吸道樣本之病毒載量為負的、肺圖像改善、正常體溫超過3天及臨床特徵改善)。第二評估指標為:病毒核酸轉化率和天數從正變為負的(時間架構:入院後10天內)、臨床改善的時間作為發燒、呼吸率、氧飽和度及咳嗽衰減之正常化的時間、臨床定義的時間作為死亡、機械通風或ICU引進時間、由治療突發不良事件評估之藥物安全性與容忍度。萃取物的醫藥組成物對治療沒有顯著副作用的COVID-19患者有效。B .評估硬毛木防己的水性萃取物 (AQCH) 在治療屈公病毒 (CHIKV) 所引起的感染的有效性。 The primary outcome measure was the reduction in viral load in nasopharyngeal swabs and the percentage of subjects reaching clinical treatment (clinical treatment was defined as negative viral load in two consecutive respiratory samples when measurement frequency was greater than or equal to one day, lung images improvement, normothermia for more than 3 days, and improvement in clinical features). The second evaluation indicators are: viral nucleic acid conversion rate and days from positive to negative (time frame: within 10 days after admission), time to clinical improvement as time to normalize fever, respiratory rate, oxygen saturation, and cough attenuation , Clinically defined time as time to death, mechanical ventilation or ICU introduction, drug safety and tolerability assessed by treatment-emergent adverse events. The medicinal composition of the extract is effective in treating COVID-19 patients without significant side effects. B. Evaluation of the efficacy of an aqueous extract of Fangji hardwood (AQCH) in the treatment of infections caused by Chikungunya virus (CHIKV) .

用於測試使用病毒斑塊减少測定法抑制CHIKV的AQCH的測定規程: i.      於12孔盤的每孔內種入於DMEM + 10% ΔFBS中之每ml 20萬個綠猴腎細胞; ii.     在培養箱中於37 ºC與10%二氧化碳設置下培養該盤24小時; iii.    培養期間結束後,用CHIKV感染綠猴腎細胞; iv     .在感染完畢後,在培養箱中於37 ºC與10% CO2 下培養該盤2小時; v.     兩小時後,去除感染媒介,然後放置不同濃度的待測藥物(AQCH)與甲基纖維素覆蓋物; vi.    藉由在37o C與10%二氧化碳下培養該盤多於3天,每種藥物濃度進行雙重或三重測試; vii.   培養期間結束後,將盤自培養箱中移除; viii.  用1X PBS以每孔分配500 µl清洗該盤三次; ix.    在一疊紙巾上輕拍該盤,並添加500 µl的10%甲醛(在1X PBS中製備)來固定細胞。 x.     在室溫下培養細胞30分鐘,接著用1X PBS以每孔分配500 µl再次清洗該盤三次; xi.    在一疊紙巾上輕拍該盤。添加200 µl的0.25%結晶紫染劑(在30%甲醇中製備並在使用前過濾)並在室溫培養該盤5-10分鐘;以及 xii.   將缸裝滿自來水並浸入該盤以去除多餘的染劑。 -       步驟iii)的感染是通過在DMEM + 0.5 % ΔFBS中製備所需的病毒原液稀釋液來完成的,以使病毒控制孔於每250 µl感染媒介(DMEM + 0.5 % ΔFBS)產生80-100個斑塊。實驗盤設計中所包含的細胞控制孔不接受任何病毒感染,但僅接受250 µl DMEM + 0.5 % ΔFBS。 -       在步驟v)中 通過在熱水中製備2%甲基纖維素(MC)並高壓滅菌來製備不同濃度的藥物。在2X DMEM + 1.0 % ΔFBS中製備合適的待測藥物稀釋液。在每個孔中混合500 µL的2% MC及500 µL藥物稀釋液,並在去除病毒感染媒介後添加(總共1 ml)於細胞上方。Assay protocol for testing AQCH inhibition of CHIKV using a viral plaque reduction assay: i. 200,000 green monkey kidney cells per ml seeded in DMEM + 10% ΔFBS in each well of a 12-well plate; ii. Incubate the plate in an incubator at 37 ºC and 10% CO2 setting for 24 hours; iii. After the incubation period, infect green monkey kidney cells with CHIKV; iv. After infection, incubate at 37 ºC with 10 The plate was incubated under % CO for 2 hours; v. After two hours, the infection medium was removed and then different concentrations of the drug to be tested ( AQCH ) and methylcellulose overlays were placed; vi. Incubate the plate for more than 3 days under carbon dioxide and perform a double or triple test for each drug concentration; vii. At the end of the incubation period, remove the plate from the incubator; viii. Wash the plate with 1X PBS, dispensing 500 µl per well Three times; ix. Tap the plate on a stack of paper towels and add 500 μl of 10% formaldehyde (prepared in IX PBS) to fix the cells. x. Incubate the cells for 30 minutes at room temperature, then wash the plate three more times with 1X PBS, dispensing 500 µl per well; xi. Tap the plate on a stack of paper towels. Add 200 µl of 0.25% crystal violet stain (prepared in 30% methanol and filtered before use) and incubate the dish at room temperature for 5-10 minutes; and xii. Fill the jar with tap water and submerge the dish to remove excess of dyes. - Infection in step iii) is done by preparing the required virus stock dilutions in DMEM + 0.5 % ΔFBS to yield 80-100 virus control wells per 250 µl of infection medium (DMEM + 0.5 % ΔFBS) plaque. Cell control wells included in the experimental plate design did not receive any viral infection, but received only 250 µl DMEM + 0.5 % ΔFBS. - Different concentrations of drug were prepared in step v) by preparing 2% methylcellulose (MC) in hot water and autoclaving. Prepare appropriate test drug dilutions in 2X DMEM + 1.0% ΔFBS. 500 µL of 2% MC and 500 µL of the drug dilution were mixed in each well and added over the cells after removal of the viral infection medium (1 ml total).

結果: 使用對CHIKV的斑塊測定對AQCH做篩檢。在使用實驗室規模與植物規模AQCH萃取物的總計四個獨立實驗中,IC50 在10-20 µg/ml範圍內。因此,結果顯示本發明複合萃取物對抗病毒(CHIKV)的潛在抑制活性。C .評估硬毛木防己的萃取物或分離化合物 中國木防己鹼、木蘭花鹼、20-羥基蛻皮酮在治療登革熱病毒 (DENV) 所引起的感染的有效性,使用基於FACS 中和測定法: Results: AQCH was screened using the plaque assay for CHIKV. In a total of four independent experiments using laboratory-scale and plant-scale AQCH extracts, IC50s were in the range of 10-20 µg/ml. Therefore, the results show the potential inhibitory activity of the complex extracts of the present invention against the virus (CHIKV). C. To evaluate the efficacy of the extracts or isolated compounds of Tetranychus solani, magnolidine, 20-hydroxyecdysone in the treatment of infections caused by Dengue virus (DENV) , using a FACS -based neutralization assay:

此測定法用來檢測在總細胞群體中感染DENV的細胞數量。在96孔平底盤之補充有10%熱滅活胎牛血清ΔFBS (20,000-25,000個細胞/200μl/孔)的達爾伯克氏改良伊格爾培養基中種入綠猴腎細胞(無菌、組織培養處理),並在37°C下於具有10% CO2 的濕潤培養箱中培養24-26小時(綠猴腎細胞倍增時間)。在該方法中,細胞應不少於20,000/孔。抽吸媒介且在補充有0.5% ΔFBS媒介(100μl/孔)的DMEM中以0.1 MOI的DENV-1、2、3、4感染細胞。該盤在37°C下於濕潤培養箱中以10% CO2 培養2小時。製備硬毛木防己水性萃取物之作用原液及其不同的濃度,即 100μg/ml、50 μg/ml、25 μg/ml、12.5 μg/ml、6.25 μg/ml及3.125 μg/ml至96孔盤的各個孔中。感染後允許該盤在37°C下於濕潤室中以10%二氧化碳培養42-46小時。培養期間結束後,用螢光標記抗體將細胞染色以呈現細胞溶質DENV。關於染色,從細胞頂部抽吸媒介,用PBS清洗。細胞經胰蛋白酶化並移轉至96孔U底盤。然後離心並抽吸上清液。用通透緩衝液清洗細胞兩次,並用1%正常老鼠血清(在通透緩衝液中製備)阻斷30分鐘。添加2H2-Alexa488抗體以染色具有DENV的細胞,並溫和的搖動培養。培養完後,將細胞離心並抽吸上清液。清洗細胞並再懸浮於PBS中。上述經處理的細胞通過流式細胞儀分析,且每孔計數5000個細胞。分析獲得的數據(通過FlowJo軟體)以決定每個萃取物濃度與只有病毒控制組(無任何萃取物處理)之感染細胞的相對百分比。萃取物的IC50被確定為抑制50%登革熱病毒感染的萃取物濃度,使用GraphPad Prism軟件來計算。This assay was used to detect the number of cells infected with DENV in the total cell population. Green monkey kidney cells (sterile, tissue culture) were seeded in 96-well plates in Dulbecco's modified Eagle's medium supplemented with 10% heat-inactivated fetal bovine serum ΔFBS (20,000-25,000 cells/200 μl/well). treatment) and incubated at 37°C in a humidified incubator with 10% CO for 24-26 hours (green monkey kidney cell doubling time). In this method, cells should be no less than 20,000/well. Media was aspirated and cells were infected with 0.1 MOI of DENV-1, 2, 3, 4 in DMEM supplemented with 0.5% ΔFBS media (100 μl/well). The plate was incubated for 2 hours at 37°C in a humidified incubator with 10% CO. Preparation of the active stock solution and its different concentrations of the aqueous extract of hardwood repellent, i.e. 100 μg/ml, 50 μg/ml, 25 μg/ml, 12.5 μg/ml, 6.25 μg/ml and 3.125 μg/ml to 96-well plates in each hole. The plates were allowed to incubate at 37°C in a humidified chamber with 10% carbon dioxide for 42-46 hours after infection. After the incubation period, cells were stained with fluorescently labeled antibodies to visualize cytosolic DENV. For staining, aspirate the medium from the top of the cells and wash with PBS. Cells were trypsinized and transferred to a 96-well U-bottom. Then centrifuge and aspirate the supernatant. Cells were washed twice with permeabilization buffer and blocked with 1% normal mouse serum (prepared in permeabilization buffer) for 30 min. 2H2-Alexa488 antibody was added to stain cells with DENV and incubated with gentle shaking. After incubation, the cells were centrifuged and the supernatant was aspirated. Cells were washed and resuspended in PBS. The above-treated cells were analyzed by flow cytometry and 5000 cells per well were counted. The data obtained were analyzed (by FlowJo software) to determine the relative percentage of infected cells for each extract concentration compared to the virus-only control group (without any extract treatment). The IC50 of the extract was determined as the concentration of the extract that inhibited 50% dengue virus infection and was calculated using GraphPad Prism software.

經FNT評估,發現萃取物對抑制所有四種DENV血清型有效。每個DENV血清型的IC50值一般範圍介乎5-10 μg/ml(表1),表明在此測定法中需要5-10 μg/ml的萃取物來抑制50%所有四種DENV感染。表1 :通過FNT檢查之萃取物對抗所有四種登革熱病毒血清型的IC50 (μg/ml)表格表示法: 測試候選物 IC50 (μg/ml) DENV-1 DENV-2 DENV-3 DENV-4 硬毛木防己水性萃取物 7.3 8.2 5.5 6.9 As assessed by FNT, the extract was found to be effective against all four DENV serotypes. IC50 values for each DENV serotype generally ranged from 5-10 μg/ml (Table 1), indicating that 5-10 μg/ml of extract was required to inhibit 50% of all four DENV infections in this assay. Table 1 : Tabular representation of IC50 (μg/ml) of extracts examined by FNT against all four dengue virus serotypes: test candidates IC50 (μg/ml) DENV-1 DENV-2 DENV-3 DENV-4 Hardwood water repellent extract 7.3 8.2 5.5 6.9

還通過FNT檢查對根據本發明的其它分離化合物對抗登革熱病毒血清型4(DENV4或DV4)進行了類似的評估研究,測試結果提供於下方表2: 2 :通過FNT檢查之分離化合物對抗登革熱病毒血清型4(DV4)的IC50 (μg/ml)表格表示法: 化合物 DV4 (µg/ml) 中國木防己鹼 0.34 - 0.80 木蘭花鹼 >100 20-羥基蛻皮酮 >500 A similar evaluation study was also performed on other isolated compounds according to the invention against Dengue virus serotype 4 (DENV4 or DV4) by FNT examination, and the test results are provided in Table 2 below: Table 2 : Isolated compounds examined by FNT against Dengue virus Tabular representation of IC 50 (μg/ml) for serotype 4 (DV4): compound DV4 (µg/ml) Chinese tetrandrine 0.34 - 0.80 Magnoliaine >100 20-Hydroxyecdysone >500

因此,基於上述表1與表2,很清楚硬毛木防己的複合萃取物或分離化合物(中國木防己鹼、木蘭花鹼、20-羥基蛻皮酮)能有效治療登革熱病毒(DENV)所引起的感染。 實例9:評估中國木防己鹼對抗正股RNA病毒的抗病毒效果:1. 中國木防己鹼於試管內 抗病毒效果: A. 對抗登革熱病毒 (DENV) 基於流式細胞分析技術的病毒抑制測定法。 Therefore, based on the above Table 1 and Table 2, it is clear that the compound extracts or isolated compounds of Tetranychus denguetus (Tendrogine chinensis, magnolidine, 20-hydroxyecdysone) can effectively treat dengue fever virus (DENV) caused by Infect. Example 9: Evaluation of antiviral effect of Chinese tetrandrine against positive-stranded RNA viruses: 1. Chinese tetrandrine in vitro Antiviral effect: A. Against Dengue virus (DENV) : flow cytometry-based viral inhibition assay Law.

將在200 μl DMEM + 10% ΔFBS中的綠猴腎細胞種入96孔盤(20,000-25,000 細胞/孔)中,並在調整為37o C與10% CO2 的培養箱中培養24小時。隔天,用100 μl的DENV-1、DENV-2、DENV-3及DENV-4稀釋液感染細胞,以在DMEM + 0.5% ΔFBS (稀釋媒介)中產出10%感染。在37o C、10% CO2 培養綠猴腎細胞2小時後,抽吸病毒並將在稀釋媒介中製備之200 μl合適範圍測試物(中國木防己鹼)以雙重複添加至孔中。在培養箱中在37o C、10% CO2 下將細胞進一步培養額外46小時。感染病毒但沒有任何後續萃取物/藥物處理的孔當作病毒控制組,而沒有感染且沒有處理的孔當作細胞控制組。這些實驗控制組分別用於相對病毒感染計算和抗體背景信號調整。培養期間結束後,用Alexa-488標記2H2 mAb將細胞染色以呈現細胞溶質DENV。關於染色,從細胞頂部抽吸媒介並用PBS清洗。細胞經胰蛋白酶化並移轉至96孔U底盤。移轉後,將細胞以1500 rpm離心5分鐘並抽吸上清液。用PBS再次清洗細胞,然後用4%仲甲醛固定20分鐘。將細胞以2500 rpm離心5分鐘並抽吸上清液。用通透緩衝液清洗細胞兩次,並用1%正常老鼠血清(在通透緩衝液中製備)阻斷30分鐘。在不去除阻斷液的情况下,添加標記有Alexa-488的2H2 mAb以染色具有DENV的細胞,並在37 °C下溫和的搖動培養1小時。培養完畢後,將細胞以2500 rpm離心5分鐘並抽吸上清液。用通透緩衝液清洗細胞兩次並再懸浮於100 μl的PBS中。上述經處理的細胞通過BD FACS Verse流式細胞儀分析,且每孔計數5000個細胞。通過FlowJo軟體分析數據以決定每個待測物濃度與只有病毒控制組之感染細胞的相對百分比。待測物的50%抑制濃度(IC50 )被確定為相對於病毒控制組抑制50%登革熱病毒感染的濃度,使用GraphPad Prism軟件的非線性回歸分析來計算。 3 顯示中國木防己鹼對抗DENV(1-4)的IC50 中國木防己鹼對抗 DENV IC50 (μg/ml) DENV-1 DENV-2 DENV-3 DENV-4 0.62 0.73 0.74 0.92 Green monkey kidney cells in 200 μl DMEM + 10% ΔFBS were seeded in 96-well dishes (20,000-25,000 cells/well) and cultured for 24 hours in an incubator adjusted to 37 ° C and 10% CO2 . The next day, cells were infected with 100 μl of DENV-1, DENV-2, DENV-3 and DENV-4 dilutions to yield 10% infection in DMEM + 0.5% ΔFBS (dilution medium). After culturing the green monkey kidney cells for 2 hours at 37 ° C, 10% CO 2 , the virus was aspirated and 200 μl of the appropriate range of test substance (tetrandine Chinese) prepared in dilution medium was added to the wells in duplicate. Cells were further cultured in an incubator at 37 o C, 10% CO 2 for an additional 46 h. Wells infected with virus but without any subsequent extract/drug treatment served as virus controls, while wells uninfected and untreated served as cell controls. These experimental control groups were used for relative viral infection calculations and antibody background signal adjustments, respectively. After the incubation period, cells were stained with Alexa-488-labeled 2H2 mAb to visualize cytosolic DENV. For staining, aspirate the medium from the top of the cells and wash with PBS. Cells were trypsinized and transferred to a 96-well U-bottom. After transfer, cells were centrifuged at 1500 rpm for 5 minutes and the supernatant was aspirated. Cells were washed again with PBS and then fixed with 4% paraformaldehyde for 20 min. The cells were centrifuged at 2500 rpm for 5 minutes and the supernatant was aspirated. Cells were washed twice with permeabilization buffer and blocked with 1% normal mouse serum (prepared in permeabilization buffer) for 30 min. Without removing blocking solution, Alexa-488-labeled 2H2 mAb was added to stain cells with DENV and incubated for 1 hr at 37 °C with gentle shaking. After incubation, the cells were centrifuged at 2500 rpm for 5 minutes and the supernatant was aspirated. Cells were washed twice with permeabilization buffer and resuspended in 100 μl of PBS. The above-treated cells were analyzed by a BD FACS Verse flow cytometer and 5000 cells were counted per well. The data were analyzed by FlowJo software to determine the relative percentage of infected cells for each analyte concentration to the virus-only control group. The 50% inhibitory concentration ( IC50 ) of the analyte was determined as the concentration that inhibited 50% of dengue virus infection relative to the virus control group and was calculated using nonlinear regression analysis of GraphPad Prism software. Table 3 : shows the IC50 of Chinese tetrandrine against DENV (1-4): IC 50 of Chinese tetrandrine against DENV ( μg/ml) DENV-1 DENV-2 DENV-3 DENV-4 0.62 0.73 0.74 0.92

結果 :發現中國木防己鹼對抗DENV 1-4的IC50 為0.62-0.91 μg/ml。B. 對抗屈公病毒 (CHIKV) 病毒斑塊減少測定法 Results : The IC50 of Chinese tetrandrine against DENV 1-4 was found to be 0.62-0.91 μg/ml. B. Against Chikungunya Virus (CHIKV) : Viral Plaque Reduction Assay .

在DMEM + 10% ΔFBS中於12孔盤內種入20萬個/孔/ml的綠猴腎細胞,並在37o C、10% CO2 下過夜培養。24小時後,在冰上解凍病毒以設置病毒感染。在病毒控制組孔中用DMEM + 2% ΔFBS (稀釋液)稀釋病毒以在每250 μl/孔產生~80斑塊。在實驗中保持細胞控制組沒有接受病毒感染,只接受稀釋液。在設置感染後每15分鐘搖晃該盤。2小時後,去除病毒感染媒介並用DMEM清洗孔。在各孔中添加1 ml含有1%甲基纖維素之所需測試物(中國木防己鹼)的稀釋液,並在37o C、10% CO2 下培養2天。細胞與病毒控制組孔將接受在稀釋液中製備之不含待測物的甲基纖維素覆蓋物。培養期間結束後,將盤自培養箱中移除。每次向每孔中分配500 µl的1X PBS,用1X PBS清洗盤三次。添加500 μl 4%仲甲醛(在1X PBS中製備)來固定細胞。在室溫下培養細胞30分鐘。每次向每孔中分配500 µl的1X PBS,用1X PBS再次清洗盤三次。添加100 μl的0.25%結晶紫染劑(在30%甲醇中製備並在使用前過濾),並在RT下培養該盤10分鐘。用水清洗盤以去除過量染劑並計算斑塊。Green monkey kidney cells were seeded at 200,000/well/ml in DMEM + 10% ΔFBS in a 12-well dish and cultured overnight at 37 ° C, 10% CO 2 . After 24 hours, thaw the virus on ice to set up viral infection. Viruses were diluted in DMEM + 2% ΔFBS (diluent) in virus control wells to generate ~80 plaques per 250 μl/well. A control group of cells was kept free of virus infection during the experiment and received only the dilution. Shake the plate every 15 minutes after setting the infection. After 2 hours, the viral infection medium was removed and the wells were washed with DMEM. 1 ml of a dilution of the desired test substance (tetrandine) containing 1% methylcellulose was added to each well and incubated for 2 days at 37 ° C, 10% CO2. Cell and virus control wells will receive analyte-free methylcellulose covers prepared in diluent. At the end of the incubation period, the dish was removed from the incubator. Dispense 500 µl of 1X PBS into each well and wash the plate three times with 1X PBS. Cells were fixed by adding 500 μl of 4% paraformaldehyde (prepared in IX PBS). Cells were incubated for 30 minutes at room temperature. Dispense 500 µl of 1X PBS into each well and wash the plate three more times with 1X PBS. 100 μl of 0.25% crystal violet stain (prepared in 30% methanol and filtered before use) was added and the plate was incubated at RT for 10 minutes. Wash the dish with water to remove excess stain and count plaques.

結果 :發現中國木防己鹼對抗CHIKV的IC50 為~2 μg/ml。 4 總結中國木防己鹼對抗所測試不同病毒的IC50 正向單股 RNA 病毒 IC50 ( μg/ml) 試管內 測定法 DENV 1-4 0.62-0.91 基於流式細胞分析技術的病毒抑制測定法 CHIKV 2 斑塊減少測定法 2. 中國木防己鹼在 AG129 小鼠活體內 抗病毒效果 Results : The IC50 of Chinese tetrandrine against CHIKV was found to be ~2 μg/ml. Table 4 : Summary of IC50s of Chinese tetrandrine against different viruses tested Forward single-stranded RNA virus IC50 ( μg/ml) In vitro assay DENV 1-4 0.62-0.91 Flow Cytometry-Based Viral Inhibition Assay CHIKV 2 Plaque Reduction Assay 2. Antiviral effect of Chinese tetrandrine in vivo in AG129 mice

通過IV接種DENV-2 S221 (2x104 FIU)之亞致死劑量的免疫複合體(IC)並中和4G2 mAb (10 µg)濃度來建立第二登革熱AG129小鼠模型。將中國木防己鹼溶解於水中並在0.1%甲基纖維素中製備1 mg/ml的溶液。IC誘發小鼠(n=4-6)在IC接種後5天內分別以QID和BID給藥方式口服餵食並注射10 mg/kg/天的中國木防己鹼。監測小鼠體重變化、疾病症狀及存活率。每天在早上與晚上監測體重兩次,然後繪製圖表的平均值。以5分制為基礎之發病率評分:0.5,輕度不平整的毛皮;1.0,不平整的毛皮;1.5,受損的眼睛;2,受損的眼睛與駝背;2.5,鬆散糞便;3.0,運動受限;3.5,無運動/後腿麻痹;4.0,累計分數為5時進行安樂死。<0.05的p值被認為是顯著的(*p < 0.05)。A second dengue AG129 mouse model was established by IV inoculation with a sublethal dose of immune complex (IC) of DENV- 2 S221 (2x104 FIU) and neutralization of the 4G2 mAb (10 μg) concentration. Tetrandrine was dissolved in water and a 1 mg/ml solution was prepared in 0.1% methylcellulose. IC-induced mice (n=4-6) were orally fed and injected with 10 mg/kg/day of tetrandrine with QID and BID dosing, respectively, within 5 days after IC inoculation. Mice were monitored for weight changes, disease symptoms, and survival. Body weight was monitored twice a day in the morning and in the evening, and averaged on a graph. Incidence score on a 5-point scale: 0.5, mildly uneven fur; 1.0, uneven fur; 1.5, damaged eyes; 2, damaged eyes and hunchback; 2.5, loose stools; 3.0, Movement limitation; 3.5, no movement/hind leg paralysis; 4.0, euthanasia at a cumulative score of 5. A p value of < 0.05 was considered significant (*p < 0.05).

結果 :中國木防己鹼在AG129小鼠中可提供保護以對抗第二次登革熱感染。口服投與QID後,觀察到70%的存活率。當在腹腔內投與BID時,觀察到完整的保護。 Results : Chinese tetrandrine provided protection against second dengue infection in AG129 mice. Following oral administration of QID, a 70% survival rate was observed. Complete protection was observed when BID was administered intraperitoneally.

雖然本文相當強調在各種優選配方及生物活性評估研究中硬毛木防己成分的特定萃取物以及特定分離化合物,應瞭解可添加許多另外的成分,且可在不偏離本發明原則的情况下對優選配方或萃取物進行許多改變。本發明優選的萃取物及配方中的這些和其它變化根據本發明對於本領域技術人員來說將是顯而易見的,由此應清楚地理解前述敘述性事項僅解釋為本發明的說明性內容,而不是限制性內容。 實例10:評估AQCH錠劑及中國木防己鹼對抗屈公病毒(CHIKV)的有效性:While considerable emphasis is placed herein on specific extracts and specific isolated compounds of the Tetrachia solani components in various preferred formulations and bioactivity evaluation studies, it should be understood that many additional components can be added and the preferred Many changes are made to the formula or extract. These and other variations in the preferred extracts and formulations of the present invention will be apparent to those skilled in the art in light of the present invention, from which it should be clearly understood that the foregoing recited matters are to be construed as illustrative of the present invention, and Not restricted content. Example 10: Evaluation of the efficacy of AQCH lozenges and Chinese tetrandrine against Chikungunya virus (CHIKV):

根據實例8B中的測定程序進行額外斑塊減少中和試驗(PRNT)。通過病毒斑塊減少中和試驗(PRNT)對AQCH及中國木防己鹼對抗屈公病毒(CHIKV)非洲CHIKV品系的試管內 活性進行評分,並將引起50%病毒抑制的藥物濃度計算為50%抑制濃度或IC50An additional plaque reduction neutralization test (PRNT) was performed according to the assay procedure in Example 8B. The in vitro activity of AQCH and Chinese tetrandrine was scored against the African CHIKV strain against Chikungunya virus (CHIKV) by the viral plaque reduction neutralization test (PRNT), and the drug concentration that caused 50% viral inhibition was calculated as 50% inhibition concentration or IC50 .

關於有效性評估,中國木防己鹼、AQCH錠劑及安慰劑錠劑樣品在以下濃度範圍製備: ˙  AQCH及安慰劑錠劑為100至3.12 µg/ml; ˙  中國木防己鹼為10至0.31 µg/ml。For efficacy evaluation, samples of Chinese tetradine, AQCH lozenges, and placebo lozenges were prepared at the following concentration ranges: ˙ 100 to 3.12 µg/ml for AQCH and placebo lozenges; ˙ Chinese tetrandrine is 10 to 0.31 µg/ml.

測試結果統整於下方表-5中: -5 :從試管內 CHIKV PRNT 實驗中獲得的 IC50 樣本細節 對抗 CHIKV IC50 (µg/ml) 中國木防己鹼 3.95 AQCH錠劑 58.2 安慰劑錠劑 NA *NA:在評估濃度為100至3.12 µg/ml中未觀察到任何活性The test results are summarized in Table-5 below: Table - 5 : IC50 values obtained from in vitro anti- CHIKV PRNT experiments Sample Details IC50 value against CHIKV ( µg/ml) Chinese tetrandrine 3.95 AQCH lozenges 58.2 placebo lozenges NA *NA: No activity observed at concentrations assessed from 100 to 3.12 µg/ml

結論: 中國木防己鹼及AQCH在PRNT實驗中抑制CHIKV。 實例11:評估AQCH錠劑及中國木防己鹼對抗日本腦炎病毒(JEV)的有效性: Conclusion: Chinese tetrandrine and AQCH inhibit CHIKV in PRNT experiments. Example 11: Evaluation of the efficacy of AQCH lozenge and Chinese tetrandrine against Japanese encephalitis virus (JEV):

通過基於流式細胞中和試驗(FNT)對AQCH及中國木防己鹼對抗日本腦炎病毒(JEV)的試管內 活性,並將引起50%病毒抑制的藥物濃度計算為50%抑制濃度或IC50The 50% inhibitory concentration or IC50 was calculated based on the in vitro activity of AQCH and Chinese tetrandrine against Japanese encephalitis virus (JEV) based on flow cytometric neutralization assay (FNT) and the drug concentration that caused 50 % viral inhibition .

關於有效性評估,中國木防己鹼、AQCH錠劑及安慰劑錠劑樣品在以下濃度範圍製備: ˙  AQCH及安慰劑錠劑為50至1.56252 µg/ml; ˙  中國木防己鹼為10至0.31 µg/ml。For efficacy evaluation, samples of Chinese tetradine, AQCH lozenges, and placebo lozenges were prepared at the following concentration ranges: ˙ 50 to 1.56252 µg/ml for AQCH and placebo lozenges; ˙ Chinese tetrandrine is 10 to 0.31 µg/ml.

實驗細節:1. 接種綠猴腎細胞: 用1x TE對綠猴腎細胞的融合T-75燒瓶進行胰蛋白酶化。關於此,從燒瓶抽吸覆蓋物媒介並用4 mL DMEM潤洗。添加4 mL 1x TE並在10% CO2 培養箱中於37˚C下培養該燒瓶5-10分鐘以移去附著的綠猴腎細胞。收集細胞懸浮液至含有0.4 mL具有10% ΔFBS的DMEM的管中。在室溫下以1500 rpm離心5分鐘。丟棄上清液然後將團塊再懸浮於期望體積之10% ΔFBS-DMEM中以在每200 µl懸浮液中產生20,000 - 25,000個綠猴腎細胞。在96孔平底盤中每孔種入200 µl綠猴腎細胞懸浮液。在10% CO2 培養箱中於37˚C下培養24小時。2. 製備測試項目原液: 使用前2小時,在1x DMEM中以1 mg/mL溶解中國木防己鹼、以5 mg/mL溶解AQCH以及以5 mg/mL濃度溶解安慰劑,並在RT下保持在正反器上以便均勻混合。3.     JEV 感染: 在1x DMEM + 0.5% ΔFBS中稀釋JEV原液至期望體積以產生10%感染。去除接種的綠猴腎細胞頂部的媒介並添加80µl JEV的作用液。此測定法對所有測試項目之濃度以雙重複設置。在10% CO2 培養箱中於37˚C下培養該盤2小時。4. 測試項目稀釋: 從在步驟2製備的原液在無菌1x DMEM + 0.5 % ΔFBS中製備所需測試項目的稀釋液;使用具0.45u過濾器之注射式過濾器將第一稀釋液無菌過濾,其用來製備接續的稀釋液。5. 用測試項目進行處理: 在JEV感染結束2小時後,抽吸病毒並添加200 µl包含有來自步驟4的藥物稀釋液的媒介至細胞上。在10% CO2 培養箱中於37˚C下培養該盤22-24小時。6. 染色: 染色可以在添加病毒接種體後22-24小時進行。關於此,在用Alexa488標記的4G2 mAb染色前,細胞經胰蛋白酶化、固定、通透及阻斷。具體步驟如下:6.1. 完成22-24小時培養後從細胞頂部抽吸媒介。用1X-PBS (100 µl/孔)清洗細胞。抽吸 添加1x胰蛋白酶EDTA (25 µl/孔) 在37˚C下培養直至細胞分離(1-2分鐘),並添加150 µl在PBS中的10% ΔFBS至每個孔中。適當混合並移轉至96孔圓底盤。6.2. 將盤的內容物在室溫(RT)下以1500 rpm離心5分鐘;抽吸上清液。6.3. 添加1x PBS (100 µl/孔)來清洗細胞團塊。不要混合。6.4. 將盤的內容物在RT下以1500 rpm離心5分鐘。抽吸上清液。6.5. 向細胞團塊添加4%仲甲醛(50 µl/孔)。適當混合並在RT下培養15-30分鐘。6.6. 將該盤在RT下以2500 rpm離心5分鐘。抽吸上清液。6.7. 用1x PBS (100 µl/孔)清洗細胞團塊兩次。在此階段盤可以在2-8°C中貯存2-3天。6.8. 使用10x通透緩衝液在PBS中製備1x通透緩衝液。6.9. 將該盤在RT下以2500 rpm離心5分鐘。抽吸上清液。6.10. 向細胞團塊添加1x通透緩衝液(100 µl/孔)。不要混合。6.11. 將該盤在RT下以2500 rpm離心5分鐘。抽吸上清液。6.12. 向每個孔添加50 µl阻斷液(在1x通透緩衝液中之1%正常老鼠血清)。適當混合。6.13. 在室溫下培養該盤30分鐘。6.14. 阻斷後,向每個孔添加25 µl在阻斷液中製備的4G2-alexa 488 mAb的預先優化的稀釋液到阻斷液頂部。預先確定4G2-alexa 488 mAb的最佳用量,以識別所需的mAb之飽和濃度[在阻斷緩衝液中以1:400稀釋,其與本批次4G2-Alexa 488一起使用]。從這裡開始,該盤在黑暗或昏暗光線下處理。6.15. 在溫和的搖動下,在37°C黑暗中培養該盤1小時。6.16. 在室溫下以2500 rpm離心該盤5分鐘;抽吸上清液。6.17. 向細胞團塊添加1x通透緩衝液(100 µl/孔)。不要混合。6.18. 在室溫下以2500 rpm離心該盤5分鐘;抽吸上清液。6.19. 向細胞團塊添加1x通透緩衝液(100 µl/孔)。不要混合。6.20. 在室溫下以2500 rpm離心該盤5分鐘;抽吸上清液。6.21. 將細胞懸浮在1x PBS中。7. 用流式細胞儀讀取該盤(染色7天內;該盤可用鋁箔覆蓋並貯存在2-8°C直到那時)並計算5000個細胞。用Flowjo與Graphpad prism軟體來分析數據,並計算IC50 ,其對應於藥物的濃度,其中觀察到50%病毒抑制(或50%感染)。Experimental details: 1. Seeding of green monkey kidney cells: Confluent T-75 flasks of green monkey kidney cells were trypsinized with 1x TE. For this, the mulch medium was aspirated from the flask and rinsed with 4 mL of DMEM. Add 4 mL of 1x TE and incubate the flask at 37˚C for 5-10 min in a 10% CO incubator to remove attached green monkey kidney cells. Collect the cell suspension into tubes containing 0.4 mL of DMEM with 10% ΔFBS. Centrifuge at 1500 rpm for 5 minutes at room temperature. The supernatant was discarded and the pellet was resuspended in the desired volume of 10% ΔFBS-DMEM to yield 20,000 - 25,000 green monkey kidney cells per 200 μl of suspension. Seed 200 µl of green monkey kidney cell suspension per well in a 96-well plate. Incubate at 37˚C for 24 hours in a 10% CO2 incubator. 2. Prepare test item stock solutions: 2 hours before use, dissolve tetrandrine at 1 mg/mL, AQCH at 5 mg/mL, and placebo at 5 mg/mL in 1x DMEM and keep at RT on a flip-flop for even mixing. 3. JEV infection: Dilute JEV stock to desired volume in 1x DMEM + 0.5% ΔFBS to produce 10% infection. Remove the medium on top of the seeded green monkey kidney cells and add 80 µl of JEV's reaction solution. The assay was set up in double replicates for the concentrations of all tested items. Incubate the plate at 37˚C for 2 hours in a 10% CO2 incubator. 4. Test item dilution: Prepare a dilution of the desired test item from the stock solution prepared in step 2 in sterile 1x DMEM + 0.5% ΔFBS; sterile filter the first dilution using a syringe filter with a 0.45u filter, It is used to prepare successive dilutions. 5. Treatment with test items: 2 hours after JEV infection ends, aspirate virus and add 200 µl of vehicle containing the drug dilution from step 4 to the cells. Incubate the plate at 37˚C for 22-24 hours in a 10% CO2 incubator. 6. Staining: Staining can be performed 22-24 hours after adding the virus inoculum. In this regard, cells were trypsinized, fixed, permeabilized and blocked prior to staining with Alexa488-labeled 4G2 mAb. The specific steps are as follows: 6.1. Aspirate the medium from the top of the cells after completing the 22-24 hour incubation. Wash cells with 1X-PBS (100 µl/well). Add 1x Trypsin EDTA (25 µl/well) by aspiration and incubate at 37˚C until cells detach (1-2 min), and add 150 µl of 10% ΔFBS in PBS to each well. Mix appropriately and transfer to a 96-well round dish. 6.2. Centrifuge the contents of the dish at 1500 rpm for 5 minutes at room temperature (RT); aspirate the supernatant. 6.3. Add 1x PBS (100 µl/well) to wash the cell pellet. Do not mix. 6.4. Centrifuge the contents of the dish at 1500 rpm for 5 minutes at RT. Aspirate the supernatant. 6.5. Add 4% paraformaldehyde (50 µl/well) to the cell pellet. Mix appropriately and incubate at RT for 15-30 minutes. 6.6. Centrifuge the plate at 2500 rpm for 5 minutes at RT. Aspirate the supernatant. 6.7. Wash the cell pellet twice with 1x PBS (100 µl/well). Plates can be stored at 2-8°C for 2-3 days at this stage. 6.8. Prepare 1x permeabilization buffer in PBS using 10x permeabilization buffer. 6.9. Centrifuge the plate at 2500 rpm for 5 minutes at RT. Aspirate the supernatant. 6.10. Add 1x permeabilization buffer (100 µl/well) to the cell pellet. Do not mix. 6.11. Centrifuge the plate at 2500 rpm for 5 minutes at RT. Aspirate the supernatant. 6.12. Add 50 µl of blocking solution (1% normal mouse serum in 1x permeabilization buffer) to each well. Mix properly. 6.13. Incubate the plate for 30 minutes at room temperature. 6.14. After blocking, add 25 µl of the pre-optimized dilution of 4G2-alexa 488 mAb prepared in blocking solution to each well on top of the blocking solution. The optimal amount of 4G2-Alexa 488 mAb was predetermined to identify the desired saturation concentration of mAb [diluted 1:400 in blocking buffer, which was used with this batch of 4G2-Alexa 488]. From here, the disc is processed in dark or dim light. 6.15. Incubate the plate for 1 hour at 37°C in the dark with gentle shaking. 6.16. Centrifuge the plate at 2500 rpm for 5 minutes at room temperature; aspirate the supernatant. 6.17. Add 1x permeabilization buffer (100 µl/well) to the cell pellet. Do not mix. 6.18. Centrifuge the plate at 2500 rpm for 5 minutes at room temperature; aspirate the supernatant. 6.19. Add 1x permeabilization buffer (100 µl/well) to the cell pellet. Do not mix. 6.20. Centrifuge the plate at 2500 rpm for 5 minutes at room temperature; aspirate the supernatant. 6.21. Suspend cells in 1x PBS. 7. Read the plate by flow cytometer (within 7 days of staining; the plate can be covered with aluminum foil and stored at 2-8°C until then) and count 5000 cells. Data were analyzed using Flowjo with Graphpad prism software and IC50 calculated, which corresponds to the concentration of drug at which 50% viral inhibition (or 50% infection) was observed.

測試結果統整於下方表-6中: -6 :從試管內抗 JEV FNT 實驗中獲得的 IC50 值及抑制百分比圖: 樣本細節 對抗 JEV 的IC50 值(µg/ml) 中國木防己鹼 0.4022 AQCH錠劑 6.239 安慰劑錠劑 NA *NA:在評估濃度為50至1.5625 µg/ml中未觀察到任何活性The test results are summarized in Table-6 below: Table - 6 : IC50 values and percentage inhibition graphs obtained from in vitro anti- JEV FNT experiments : Sample Details IC50 value against JEV (µg/ml) Chinese tetrandrine 0.4022 AQCH lozenges 6.239 placebo lozenges NA *NA: No activity observed at concentrations assessed from 50 to 1.5625 µg/ml

結論: 中國木防己鹼及AQCH在PRNT實驗中抑制CHIKV。 實例12:在穩定性下對AQCH萃取物及藥物製劑試管內抗登革熱活性評估: Conclusion: Chinese tetrandrine and AQCH inhibit CHIKV in PRNT experiments. Example 12: Evaluation of in vitro anti-dengue activity of AQCH extracts and pharmaceutical formulations under stability:

通過基於流式細胞中和試驗(FNT)對AQCH萃取物及藥物配方對抗所有四種登革熱病毒血清型(DENV-1-4)的試管內 活性進行評分。將引起50%病毒抑制的藥物濃度計算為50%抑制濃度或IC50AQCH extracts and drug formulations were scored for in vitro activity against all four dengue virus serotypes (DENV-1-4) based on flow cytometric neutralization assays (FNT). The drug concentration that caused 50% viral inhibition was calculated as the 50% inhibitory concentration or IC50 .

關於有效性評估,AQCH萃取物及AQCH錠劑的測試樣品用來評估測試樣品對抗登革熱病毒血清型(DENV-1, -2, -3及-4)的活性。For efficacy evaluation, test samples of AQCH extract and AQCH lozenge were used to evaluate the activity of the test samples against dengue virus serotypes (DENV-1, -2, -3 and -4).

測試樣品的濃度範圍為50至1.5625 µg/ml。The concentration range of the test samples was 50 to 1.5625 µg/ml.

測試結果於表-7及表-8中提供,如下: 表7:在穩定性下自AQCH萃取物之試管內 抗登革熱FNT實驗獲得的IC50 值(在30°C ± 2°C/ 60% ± 5% RH下24個月): 樣本細節 貯存條件 對抗之IC50 值(µg/ml) DENV-1 DENV-2 DENV-3 DENV-4 AQCH萃取物 30°C ± 2°C/ 60% ± 5% RH持續24個月 3.827 5.874 2.981 4.366 表8:在穩定性下自AQCH錠劑之試管內 抗登革熱FNT實驗獲得的IC50 值(在30°C/ 65% RH下18個月): 樣本細節 貯存條件 對抗之IC50 值(µg/ml) DENV-1 DENV-2 DENV-3 DENV-4 AQCH錠劑(25 mg) 30°C ± 2°C/ 60% ± 5% RH持續24個月 6.434 6.228 5.398 7.945 AQCH錠劑(100 mg) 6.750 6.635 5.710 7.930 AQCH錠劑(300 mg) 5.610 5.167 5.049 7.589 AQCH錠劑(500 mg) 6.520 6.296 4.694 7.405 Test results are provided in Table-7 and Table-8 as follows: Table 7: IC50 values obtained from in vitro anti-dengue FNT experiments of AQCH extracts under stability (at 30°C ± 2°C/60% ± 5% RH for 24 months): Sample Details Storage conditions IC 50 value for resistance (µg/ml) DENV-1 DENV-2 DENV-3 DENV-4 AQCH extract 30°C ± 2°C/ 60% ± 5% RH for 24 months 3.827 5.874 2.981 4.366 Table 8: IC50 values obtained from in vitro anti-dengue FNT experiments of AQCH lozenges under stability (18 months at 30°C/65% RH): Sample Details Storage conditions IC 50 value for resistance (µg/ml) DENV-1 DENV-2 DENV-3 DENV-4 AQCH lozenge (25 mg) 30°C ± 2°C/ 60% ± 5% RH for 24 months 6.434 6.228 5.398 7.945 AQCH lozenge (100 mg) 6.750 6.635 5.710 7.930 AQCH lozenge (300 mg) 5.610 5.167 5.049 7.589 AQCH Lozenges (500 mg) 6.520 6.296 4.694 7.405

結論: 在試管內FNT實驗中,不同強度的AQCH萃取物與AQCH錠劑在30°C下分別貯存24個月及18個月後會抑制所有四種登革熱血清型(DENV-1, -2, -3及-4)。 CONCLUSION: In in vitro FNT experiments, AQCH extracts of different strengths and AQCH lozenges inhibited all four dengue serotypes (DENV-1, -2, -3 and -4).

雖然本文相當強調在各種優選配方及生物活性評估研究中硬毛木防己成分的特定萃取物以及特定分離化合物,應瞭解可添加許多另外的成分,且可在不偏離本發明原則的情况下對優選配方或萃取物進行許多改變。本發明優選的萃取物及配方中的這些和其它變化根據本發明對於本領域技術人員來說將是顯而易見的,由此應清楚地理解前述敘述性事項僅解釋為本發明的說明性內容,而不是限制性內容。While considerable emphasis is placed herein on specific extracts and specific isolated compounds of the Tetrachia solani components in various preferred formulations and bioactivity evaluation studies, it should be understood that many additional components can be added and the preferred Many changes are made to the formula or extract. These and other variations in the preferred extracts and formulations of the present invention will be apparent to those skilled in the art in light of the present invention, from which it should be clearly understood that the foregoing recited matters are to be construed as illustrative of the present invention, and Not restricted content.

without

以下圖式構成本說明書的一部分,且其被包含以進一步展示本發明的某些態樣的例示性實施例。The following drawings form a part of this specification and are included to further demonstrate illustrative embodiments of certain aspects of the invention.

[圖1(a)]:在Y軸上JEV的抑制百分比與在X軸上中國木防己鹼試驗濃度的對數關係圖。[FIG. 1(a)]: Plot of the logarithmic relationship between the percent inhibition of JEV on the Y-axis and the test concentration of tetrandrine on the X-axis.

[圖1(b)]:在Y軸上JEV的抑制百分比與在X軸上AQCH試驗濃度的對數關係圖。[FIG. 1(b)]: Plot of the logarithmic relationship between percent inhibition of JEV on the Y-axis and AQCH assay concentration on the X-axis.

Claims (49)

一種組成物之用於治療正向單股RNA病毒所引起之病毒感染的用途,該組成物包括:治療有效量之硬毛木防己的複合萃取物;以及醫藥學上可接受的賦形劑,其包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合。Use of a composition for treating viral infection caused by a positive single-stranded RNA virus, the composition comprising: a therapeutically effective amount of a compound extract of Fangji sclera; and a pharmaceutically acceptable excipient, It includes diluents, binders, disintegrants, lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, buffers, tonicity modifiers, or combinations thereof. 一種硬毛木防己的複合萃取物用於製備正向單股RNA病毒所引起之病毒感染的藥劑的用途。The invention relates to the use of a compound extract of Fangji hardwood for preparing a medicament for viral infection caused by a forward single-stranded RNA virus. 如請求項1或2所述的用途,其中該硬毛木防己的複合萃取物包括中國木防己鹼、木蘭花鹼、松柏醇、槲皮素、芸香苷、丁香脂素雙葡萄糖苷、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物或其組合。The use as claimed in claim 1 or 2, wherein the complex extract of Tetranychus serrata includes tetrandrine, magnolidine, coniferyl alcohol, quercetin, rutin, syringaresinol diglucoside, macosterol Ketone A, sclerophylline, 20-hydroxyecdysone, derivatives thereof, or combinations thereof. 如請求項1至3中任一項所述的用途,其中該正向單股RNA病毒為C型肝炎病毒、西尼羅病毒(WNV)、登革熱病毒、屈公病毒(CHIKV)、日本腦炎病毒(JEV)、茲卡病毒、黃熱病毒(YFV)、烏蘇土病毒、蜱傳腦炎病毒(TBEV)、冠狀病毒或其組合;視情況其中該冠狀病毒為SARS-CoV-2、SARS-CoV、MERS-CoV或hCoV-OC43。The use according to any one of claims 1 to 3, wherein the positive single-stranded RNA virus is hepatitis C virus, West Nile virus (WNV), Dengue virus, Chikungunya virus (CHIKV), Japanese encephalitis Virus (JEV), Zika virus, Yellow fever virus (YFV), Ussutu virus, tick-borne encephalitis virus (TBEV), coronavirus or a combination thereof; as the case may be, the coronavirus is SARS-CoV-2, SARS -CoV, MERS-CoV or hCoV-OC43. 如請求項1至4中任一項所述的用途,其中該硬毛木防己的複合萃取物為醇類萃取物、水合醇類萃取物或水性萃取物。The use according to any one of claims 1 to 4, wherein the composite extract of Tetrachia serrata is an alcohol extract, a hydrated alcohol extract or an aqueous extract. 如請求項1至4中任一項所述的用途,其中該硬毛木防己的複合萃取物包括水、乙醇或其組合。The use according to any one of claims 1 to 4, wherein the composite extract of Tetrachia serrata comprises water, ethanol or a combination thereof. 如請求項5所述的用途,其中該硬毛木防己的複合萃取物為水性萃取物。The use according to claim 5, wherein the composite extract of Tetrachia serrata is an aqueous extract. 如請求項5所述的用途,其中該複合萃取物包括比例為約1:99至99:1的醇類與水。The use of claim 5, wherein the complex extract comprises alcohol and water in a ratio of about 1:99 to 99:1. 如請求項1至8中任一項所述的用途,其中該硬毛木防己的複合萃取物佔該組成物約50重量(wt) %至約80 wt %。The use according to any one of claims 1 to 8, wherein the composite extract of Tetrachia serrata accounts for about 50 weight (wt) % to about 80 wt % of the composition. 如請求項9所述的用途,其中該硬毛木防己的複合萃取物佔該組成物約60 wt %至約70 wt %。The use as claimed in claim 9, wherein the composite extract of Tetrachia serrata accounts for about 60 wt % to about 70 wt % of the composition. 如請求項3所述的用途,其中該硬毛木防己的複合萃取物包括約0.1 wt %至約1 wt %的木蘭花鹼。The use as claimed in claim 3, wherein the composite extract of Tetrachia serrata comprises about 0.1 wt % to about 1 wt % magnolanine. 如請求項1或3至11中任一項所述的用途,其中該醫藥學上可接受的賦形劑包括鎂鋁三矽酸鹽、乳糖單水合物、磷酸二鈣、澱粉、矽酸鈣、微晶型纖維素、膠體二氧化矽、交聯羧甲基纖維素、硬脂酸鎂或其組合。The use according to any one of claims 1 or 3 to 11, wherein the pharmaceutically acceptable excipient comprises magnesium aluminum trisilicate, lactose monohydrate, dicalcium phosphate, starch, calcium silicate , microcrystalline cellulose, colloidal silica, croscarmellose, magnesium stearate, or a combination thereof. 如請求項1或3至12中任一項所述的用途,其中該組成物進一步包括膜衣、溶劑或其組合。The use as claimed in any one of claims 1 or 3 to 12, wherein the composition further comprises a film coating, a solvent or a combination thereof. 如請求項1至13中任一項所述的用途,其中該組成物或該藥劑為口服組成物,其選自粉劑、丸粒、顆粒、球體、迷你錠、膠囊型錠劑、錠劑、膠囊、液體或其組合。The use as claimed in any one of claims 1 to 13, wherein the composition or the medicament is an oral composition selected from the group consisting of powders, pellets, granules, spheres, mini-lozenges, caplets, lozenges, Capsules, liquids or combinations thereof. 如請求項1至14中任一項所述的用途,其中該組成物或該藥劑包括選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮之至少三種化合物,其中該至少三種化合物佔該組成物或該藥劑約0.1%至約10% w/w。The use as described in any one of claims 1 to 14, wherein the composition or the medicament comprises a compound selected from the group consisting of tetrandrine, magnolidine, maxosterone A, sclerophylline, 20-hydroxyecdysone of at least three compounds, wherein the at least three compounds comprise from about 0.1% to about 10% w/w of the composition or the agent. 如請求項15所述的用途,其中該中國木防己鹼佔該組成物或該藥劑約0.1 wt%至約20 wt%;該木蘭花鹼係約0.01 wt%至約5 wt%;該馬克甾酮A係約0.005 wt%至約5 wt%;以及該20-羥基蛻皮酮係約0.01 wt%至約5 wt%。The use as claimed in claim 15, wherein the tetrandrine accounts for about 0.1 wt % to about 20 wt % of the composition or the medicament; the magnolanine is about 0.01 wt % to about 5 wt %; Ketone A is about 0.005 wt% to about 5 wt%; and the 20-hydroxyecdysone is about 0.01 wt% to about 5 wt%. 一種組成物,其包括:硬毛木防己的複合萃取物;以及一分離化合物,其選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物或其組合,其中該複合萃取物與該分離化合物的比例為約99:1至約1:99。A composition, which comprises: a composite extract of Tetranychus serrata; and an isolated compound selected from the group consisting of tetrandrine, magnolidine, macosterone A, sclerophylline, 20-hydroxyecdysone, A derivative or combination thereof, wherein the ratio of the complex extract to the isolated compound is from about 99:1 to about 1:99. 如請求項17所述的組成物,其中該分離化合物為中國木防己鹼。The composition of claim 17, wherein the isolated compound is tetrandrine. 如請求項17所述的組成物,其中該分離化合物為木蘭花鹼。The composition of claim 17, wherein the isolated compound is magnolanine. 如請求項17至19中任一項所述的組成物,其中該複合萃取物與該分離化合物的比例為約70:30至約30:70。The composition of any one of claims 17 to 19, wherein the ratio of the composite extract to the isolated compound is from about 70:30 to about 30:70. 如請求項17至20中任一項所述的組成物,其中該複合萃取物與該分離化合物的比例為約40:60至約60:40。The composition of any one of claims 17 to 20, wherein the ratio of the composite extract to the isolated compound is from about 40:60 to about 60:40. 如請求項17至20中任一項所述的組成物,其中該複合萃取物與該分離化合物的比例為約1:1。The composition of any one of claims 17 to 20, wherein the ratio of the composite extract to the isolated compound is about 1:1. 一種組成物,包括: 硬毛木防己的複合萃取物; 鎂鋁三矽酸鹽; 稀釋劑,其選自乳糖單水合物、磷酸二鈣、預膠化澱粉、矽酸鈣或其組合; 微晶型纖維素; 膠體二氧化矽; 交聯羧甲基纖維素; 硬脂酸鎂;以及 可選的膜衣。A composition comprising: Complex extract of tetragoni hardwood; magnesium aluminum trisilicate; a diluent selected from lactose monohydrate, dicalcium phosphate, pregelatinized starch, calcium silicate or a combination thereof; Microcrystalline cellulose; Colloidal silica; Croscarmellose; Magnesium stearate; and Optional film coat. 如請求項23所述的組成物,包括: 約10 wt%至約90 wt%的硬毛木防己的複合萃取物; 約5 wt%至約50 wt%的鎂鋁三矽酸鹽; 約0.1 wt%至約20 wt%的稀釋劑; 約0.1 wt%至約10 wt%的微晶型纖維素; 約0.1 wt%至約10 wt%的膠體二氧化矽; 約0.1 wt%至約10 wt%的交聯羧甲基纖維素;以及 約0.01 wt%至約5 wt%的硬脂酸鎂。The composition of claim 23, comprising: From about 10 wt% to about 90 wt% of a complex extract of Tetrachia serrata; from about 5 wt% to about 50 wt% of magnesium aluminum trisilicate; from about 0.1 wt% to about 20 wt% of a diluent; from about 0.1 wt% to about 10 wt% of microcrystalline cellulose; about 0.1 wt% to about 10 wt% colloidal silica; from about 0.1 wt% to about 10 wt% of croscarmellose; and From about 0.01 wt% to about 5 wt% of magnesium stearate. 如請求項23或24所述的組成物,包括: 約30 wt%至約85 wt%的硬毛木防己的複合萃取物; 約8 wt%至約40 wt%的鎂鋁三矽酸鹽; 約0.5 wt%至約15 wt%的稀釋劑; 約0.5 wt%至約8 wt%的微晶型纖維素; 約0.2 wt%至約8 wt%的膠體二氧化矽; 約0.5 wt%至約8 wt%的交聯羧甲基纖維素;以及 約0.02 wt%至約2 wt%的硬脂酸鎂。The composition of claim 23 or 24, comprising: From about 30 wt% to about 85 wt% of a complex extract of Tetrachia serrata; about 8 wt% to about 40 wt% magnesium aluminum trisilicate; from about 0.5 wt% to about 15 wt% of a diluent; from about 0.5 wt% to about 8 wt% of microcrystalline cellulose; about 0.2 wt% to about 8 wt% colloidal silica; from about 0.5 wt% to about 8 wt% of croscarmellose; and From about 0.02 wt% to about 2 wt% of magnesium stearate. 一種組成物,包括: 約50 wt%至約80 wt%的硬毛木防己的複合萃取物; 約10 wt%至約30 wt%的鎂鋁三矽酸鹽; 約1 wt%至約10 wt%的稀釋劑,其係選自乳糖單水合物、磷酸二鈣、預膠化澱粉、矽酸鈣或其組合; 約1 wt%至約5 wt%的微晶型纖維素; 約0.5 wt%至約5 wt%的膠體二氧化矽; 約1 wt%至約5 wt%的交聯羧甲基纖維素; 約0.1 wt%至約1 wt%的硬脂酸鎂;以及 可選的膜衣。A composition comprising: From about 50 wt% to about 80 wt% of a complex extract of Tetrachia serrata; from about 10 wt% to about 30 wt% of magnesium aluminum trisilicate; from about 1 wt% to about 10 wt% of a diluent selected from lactose monohydrate, dicalcium phosphate, pregelatinized starch, calcium silicate, or combinations thereof; from about 1 wt% to about 5 wt% of microcrystalline cellulose; about 0.5 wt% to about 5 wt% colloidal silica; from about 1 wt% to about 5 wt% of croscarmellose; about 0.1 wt% to about 1 wt% of magnesium stearate; and Optional film coat. 如請求項17至26中任一項所述的組成物,其中該組成物為口服醫藥組成物。The composition according to any one of claims 17 to 26, wherein the composition is an oral pharmaceutical composition. 如請求項27所述的組成物,其中該口服醫藥組成物為粉劑、丸粒、顆粒、球體、迷你錠、膠囊型錠劑、錠劑、膠囊、液體或其組合。The composition of claim 27, wherein the oral pharmaceutical composition is a powder, pellet, granule, sphere, mini-lozenge, capsule-type lozenge, lozenge, capsule, liquid, or a combination thereof. 如請求項17至28中任一項所述的組成物,其中該硬毛木防己的複合萃取物為複合水萃取物、複合一級醇萃取物、或複合水/醇類萃取物。The composition according to any one of claims 17 to 28, wherein the composite extract of Tetrachia serrata is a composite water extract, a composite primary alcohol extract, or a composite water/alcohol extract. 一種組成物,其包括選自中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮之至少三種化合物,其中該至少三種化合物佔該組成物約0.1%至約10%。A composition comprising at least three compounds selected from the group consisting of tetrandrine, magnolidine, maksterone A, sclerophylline, 20-hydroxyecdysone, wherein the at least three compounds account for about 0.1% of the composition to about 10%. 如請求項28所述的組成物,其中該中國木防己鹼佔該組成物約0.1 wt%至約20 wt%;該木蘭花鹼係約0.01 wt%至約5 wt%;該馬克甾酮A係約0.005 wt%至約5 wt%;以及該20-羥基蛻皮酮係約0.01 wt%至約5 wt%。The composition of claim 28, wherein the tetrandrine accounts for about 0.1 wt % to about 20 wt % of the composition; the magnolanine is about 0.01 wt % to about 5 wt %; the magsterone A is about 0.005 wt% to about 5 wt%; and the 20-hydroxyecdysone is about 0.01 wt% to about 5 wt%. 如請求項1至17中任一項所述的用途或如請求項17至31中任一項所述的組成物,其中該硬毛木防己的複合萃取物實質上不含木質素、纖維及單寧。The use as claimed in any one of Claims 1 to 17 or the composition as claimed in any one of Claims 17 to 31, wherein the composite extract of Tetrachia serrata is substantially free of lignin, fiber and Tannins. 一種用於降低或抑制個體中正向單股RNA病毒增生的方法,該方法包括向該個體投與治療有效量之如請求項17至32中任一項所述的組成物。A method for reducing or inhibiting the proliferation of positive single-stranded RNA viruses in an individual, the method comprising administering to the individual a therapeutically effective amount of a composition of any one of claims 17-32. 一種用於降低個體中正向單股RNA病毒之病毒載量的方法,該方法包括向該個體投與治療有效量之如請求項17至32中任一項所述的組成物。A method for reducing the viral load of a positive single-stranded RNA virus in an individual, the method comprising administering to the individual a therapeutically effective amount of a composition of any one of claims 17-32. 如請求項33或34所述的方法,其中該組成物係以每個個體的重量約1 mg/kg至約500 mg/kg之硬毛木防己的複合萃取物之劑量投與。The method of claim 33 or 34, wherein the composition is administered in a dose of about 1 mg/kg to about 500 mg/kg of the complex extract of Tetrachia serrata by weight per individual. 一種治療有需要的個體中之正向單股RNA病毒感染的方法,該方法包括向該個體投與治療有效量之硬毛木防己的複合萃取物。A method of treating a positive single-stranded RNA virus infection in an individual in need thereof, the method comprising administering to the individual a therapeutically effective amount of a complex extract of Fangji sclera. 一種治療有需要的個體中之正向單股RNA病毒感染的方法,該方法包括向該個體投與包括有治療有效量之硬毛木防己的複合萃取物與醫藥學上可接受的賦形劑(包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合)的組成物。A method of treating a positive single-stranded RNA virus infection in an individual in need, the method comprising administering to the individual a complex extract comprising a therapeutically effective amount of Fangji sclera and a pharmaceutically acceptable excipient (including diluents, binders, disintegrants, lubricants, slip agents, polymers, flavoring agents, surfactants, preservatives, antioxidants, buffers, tonicity modifiers, or combinations thereof). 一種治療有需要的個體中之正向單股RNA病毒感染的方法,該方法包括向該個體投與包括友治療有效量之中國木防己鹼、木蘭花鹼、馬克甾酮A、硬毛鈎藤鹼、20-羥基蛻皮酮、其衍生物、或其組合的組成物。A method of treating a positive single-stranded RNA virus infection in an individual in need, the method comprising administering to the individual a therapeutically effective amount comprising tetrandrine, magnolidine, macosterone A, Uncaria hirsutes Compositions of base, 20-hydroxyecdysone, derivatives thereof, or combinations thereof. 如請求項38所述的方法,其中該組成物包括中國木防己鹼。The method of claim 38, wherein the composition comprises tetrandrine. 如請求項38所述的方法,其中該組成物包括木蘭花鹼。The method of claim 38, wherein the composition comprises magnolanine. 如請求項38至40中任一項所述的方法,其中該組成物進一步包括醫藥學上可接受的賦形劑,其包括稀釋劑、黏合劑、崩解劑、潤滑劑、助滑劑、聚合物、調味劑、界面活性劑、防腐劑、抗氧化劑、緩衝液、張力修飾劑、或其組合。The method of any one of claims 38 to 40, wherein the composition further comprises pharmaceutically acceptable excipients including diluents, binders, disintegrants, lubricants, slip agents, Polymers, flavors, surfactants, preservatives, antioxidants, buffers, tonicity modifiers, or combinations thereof. 如請求項36至41中任一項所述的方法,其中該硬毛木防己的複合萃取物實質上不含木質素、纖維及單寧。The method of any one of claims 36 to 41, wherein the composite extract of Tetrachia serrata is substantially free of lignin, fibers and tannins. 如請求項33至35或37至42中任一項所述的方法,其中該組成物係每日投與一次、每日投與二次、每日投與三次、或每日投與四次。The method of any one of claims 33 to 35 or 37 to 42, wherein the composition is administered once a day, twice a day, three times a day, or four times a day . 如請求項36所述的方法,其中該硬毛木防己的複合萃取物係每日投與一次、每日投與二次、每日投與三次、或每日投與四次。The method of claim 36, wherein the complex extract of Fangji sclera is administered once a day, twice a day, three times a day, or four times a day. 如請求項33至44中任一項所述的方法,其中該正向單股RNA病毒為C型肝炎病毒、西尼羅病毒(WNV)、登革熱病毒、屈公病毒(CHIKV)、日本腦炎病毒(JEV)、茲卡病毒、黃熱病毒(YFV)、烏蘇土病毒、蜱傳腦炎病毒(TBEV)、冠狀病毒或其組合;視情況其中該冠狀病毒為SARS-CoV-2、SARS-CoV、MERS-CoV或hCoV-OC43。The method of any one of claims 33 to 44, wherein the positive single-stranded RNA virus is hepatitis C virus, West Nile virus (WNV), Dengue virus, Chikungunya virus (CHIKV), Japanese encephalitis Virus (JEV), Zika virus, Yellow fever virus (YFV), Ussutu virus, tick-borne encephalitis virus (TBEV), coronavirus or a combination thereof; as the case may be, the coronavirus is SARS-CoV-2, SARS -CoV, MERS-CoV or hCoV-OC43. 如請求項33至45中任一項所述的方法,其中該病毒為SARS-CoV-2、登革熱病毒、屈公病毒或日本腦炎病毒(JEV)。The method of any one of claims 33 to 45, wherein the virus is SARS-CoV-2, Dengue virus, Chikungunya virus or Japanese encephalitis virus (JEV). 如請求項33至46中任一項所述的方法,進一步包括向該個體共同投與額外的治療劑,其選自抗病毒劑、退熱劑、鎮痛劑或其組合。The method of any one of claims 33 to 46, further comprising co-administering to the individual an additional therapeutic agent selected from an antiviral agent, an antipyretic agent, an analgesic agent, or a combination thereof. 一種製備硬毛木防己之複合萃取物的方法,包括: a)     使用包括有乙醇、水或以上兩者的溶劑來萃取硬毛木防己之植物塊,其中該萃取係在約50°C至約100°C下進行; b)     濃縮(a)的萃取物;以及 c)     將(b)的濃縮萃取物乾燥,其中該乾燥係在約40°C至約95°C下進行, 從而獲得該硬毛木防己的複合萃取物。A method for preparing the compound extract of Tetrachia serrata, comprising: a) using a solvent comprising ethanol, water, or both to extract the plant pieces of Tesco sclera, wherein the extraction is performed at about 50°C to about 100°C; b) Concentrate the extract of (a); and c) drying the concentrated extract of (b), wherein the drying is performed at about 40°C to about 95°C, Thereby, the compound extract of Tessica serrata is obtained. 如請求項48所述的方法,在(c)之前還包括進一步使用進的另外的溶劑萃取(b)的濃縮萃取物,其中該另外的溶劑為乙醇、水或以上兩者。The method of claim 48, further comprising, prior to (c), extracting the concentrated extract of (b) with an additional solvent, wherein the additional solvent is ethanol, water, or both.
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