TWI407968B - Composition and method for prevention and treatment of alzheimer's disease - Google Patents

Composition and method for prevention and treatment of alzheimer's disease Download PDF

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TWI407968B
TWI407968B TW99139747A TW99139747A TWI407968B TW I407968 B TWI407968 B TW I407968B TW 99139747 A TW99139747 A TW 99139747A TW 99139747 A TW99139747 A TW 99139747A TW I407968 B TWI407968 B TW I407968B
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alzheimer
disease
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TW201138793A (en
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Tzu Ming Pan
Chun Lin Lee
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Sunway Biotech Co Ltd
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Abstract

This invention presented is a composition and method for prevention and treatment of Alzheimer's disease, the composition comprising monacolins and anti-inflammation agents is made by the method of the invention. The composition of the invention has effect on prevention and treatment of Alzheimer's disease without noticeable side effects caused to patients.

Description

治療與預防阿茲海默症之組合物及其製作方法Composition for treating and preventing Alzheimer's disease and preparation method thereof

本發明係關於一種治療與預防阿茲海默症之組合物及其製作方法,尤指一種可從紅麴米中的莫那可林(monacolins)、抗發炎物質與抗氧化物質來治療與預防阿茲海默症之組合物,可應用於錠劑、膠囊、粉末、飲品等方式讓消費者服用。The invention relates to a composition for treating and preventing Alzheimer's disease and a preparation method thereof, in particular to a treatment and prevention of monacolins, anti-inflammatory substances and antioxidant substances from red glutinous rice. The composition of Alzheimer's disease can be applied to consumers by means of tablets, capsules, powders, drinks and the like.

阿茲海默症(Alzheimer’s disease,簡稱AD),又稱老人癡呆症,是一種持續性神經功能障礙。得到阿茲海默症的人會漸漸的喪失記憶並且出現語言和情緒上的障礙。智力逐漸喪失的情形稱為癡呆(dementia)。當這個疾病越來越嚴重時,病患在生活各方面都需要他人的協助,像是洗澡、吃東西、上廁所…等等。由於阿茲海默症患者需要人日夜看護,因此病患親友的生活往往也跟著受到很大的影響。記憶的喪失可能是阿茲海默症最顯而易見的的病徵,尤其是記不住前不久才發生的事或是最近才獲得的訊息。初始的症狀細微而漸次的出現,不易察覺,而且這些症狀也可能出現在其他的失智症並非阿茲海默症特有。例如:在熟悉的地方迷路,忘了某件事做了沒,老是舊事重提或是無法學新東西。病情惡化時,患者可能會在談話時沒辦法找到適當的用字或是無法做重大的決定。阿茲海默症其中一項最令人痛苦的地方是患者有時會沒辦法認得親友。患者的性格也可能變得異常的煩躁,偏執多疑,不喜歡與人互動。到後期,患者可能會出現在街上遊蕩,迷路回不了家的情形。新的研究顯示阿茲海默症患者腦部處理視覺和空間訊息的區域可能受到損傷。這可說明患者為何會有沒辦法認出自己在哪兒或是搞不清方向的問題。患者也可能變的不專注,因此無法照料他們自己日常身體的各種需要。阿茲海默症患者腦部其他對記憶很重要的區域亦受到影響,例如基底前腦(basal forebrain)以及海馬迴(hippocampus)。許多為阿茲海默症所苦的人死於其它的原因,像是肺炎(pneumonia)。由診斷確定日算起,阿茲海默症的病人一般可有6-8年的壽命,但仍許多患者存活超過20年。Alzheimer's disease (AD), also known as Alzheimer's disease, is a persistent neurological disorder. People who get Alzheimer's disease will gradually lose their memory and have language and emotional barriers. The gradual loss of intelligence is called dementia. When the disease becomes more and more serious, the patient needs the assistance of others in all aspects of life, such as taking a bath, eating, going to the toilet, and so on. Because people with Alzheimer's disease need day and night care, the lives of their relatives and friends are often greatly affected. Loss of memory may be the most obvious symptom of Alzheimer's disease, especially if you can't remember what happened not recently or recently. The initial symptoms appear subtle and gradual, imperceptible, and these symptoms may also occur in other dementias that are not specific to Alzheimer's disease. For example: Lost in a familiar place, forgetting that something has been done, always revisiting old things or not being able to learn new things. When the condition worsens, the patient may not be able to find the appropriate word or make a major decision during the conversation. One of the most painful aspects of Alzheimer's disease is that patients sometimes have no way to recognize relatives and friends. The patient's personality may also become abnormally irritating, paranoid and disliking, and do not like to interact with people. In the later period, the patient may appear on the street and get lost. New research shows that areas of the brain that deal with visual and spatial information in Alzheimer's patients may be damaged. This explains why patients have no way of recognizing where they are or are confused. Patients may also become unfocused and therefore unable to care for the needs of their own daily body. Other areas of the brain that are important for memory in Alzheimer's disease are also affected, such as the basal forebrain and hippocampus. Many people suffering from Alzheimer's disease die from other causes, such as pneumonia. From the date of diagnosis, patients with Alzheimer's disease generally have a life span of 6-8 years, but many patients still survive for more than 20 years.

目前市面上約有五種治療阿茲海默症的藥物獲得美國食品藥物管制局(US Food and Drug Administration,簡稱FDA)的認可。這些藥物是膽鹼酯分解酵素抑制劑cholinesterase inhibitors(非商標名稱分別為tacrine and donepezil)Cholinesterase是乙醯膽鹼(acetylcholine)分解反應中的關鍵酵素,這些藥物藉著阻斷膽鹼酯分解酵素(cholinesterase)的作用來抑制乙醯膽鹼(acetylcholine)的分解。兩種藥物都可以增加腦中乙醯膽鹼(acetylcholine)的含量。兩種藥物皆可延緩記憶的喪失,並且有助於患者執行日常起居所需的動作。但很重要的一點是這些藥物並不能治癒阿茲海默症,它們只能減輕阿茲海默症的症狀。此外,此些藥品均會對患者造成一些副作用,如噁心、頭痛、腹瀉、失眠、疼痛、幻覺或暈眩等等,因此並非實用之阿茲海默症治療藥品。There are currently about five drugs for the treatment of Alzheimer's disease on the market that are approved by the US Food and Drug Administration (FDA). These drugs are cholinesterase inhibitors (non-trade name tacrine and donepezil). Cholinesterase is a key enzyme in the decomposition of acetylcholine. These drugs block enzymes by blocking choline esters ( The role of cholinesterase to inhibit the decomposition of acetylcholine. Both drugs can increase the content of acetylcholine in the brain. Both drugs delay the loss of memory and help the patient perform the actions required for daily living. But it is important that these drugs do not cure Alzheimer's disease, they can only alleviate the symptoms of Alzheimer's disease. In addition, these drugs can cause some side effects to patients, such as nausea, headache, diarrhea, insomnia, pain, hallucinations or dizziness, etc., so it is not a practical treatment for Alzheimer's disease.

如上所述,如有效的治療以及預防阿茲海默症的患者,使其沒有任何明顯的不良副作用,實為一具有實用性之思考方向。As mentioned above, such effective treatment and prevention of Alzheimer's disease, without any obvious adverse side effects, is a practical thinking direction.

由是,本發明之主要目的,即在於提供一種治療與預防阿茲海默症之組合物,以達到確實治療與預防阿茲海默症之功效。Accordingly, the main object of the present invention is to provide a composition for treating and preventing Alzheimer's disease for the purpose of effectively treating and preventing Alzheimer's disease.

本發明之另一目的,即在於提供一種治療阿茲海默症之組合物,使其於治療與預防阿茲海默症的同時,並不會產生任何明顯的不良副作用之功效。Another object of the present invention is to provide a composition for treating Alzheimer's disease which is effective in treating and preventing Alzheimer's disease without causing any significant adverse side effects.

根據本發明所揭露之一種治療與預防阿茲海默症之組合物,其係為一包含莫那可林(monacolins)、抗發炎物質與抗氧化物質之組合物,可應用實施在錠劑、膠囊、粉末、飲品等方式讓消費者服用。利用此三類物質所形成之組合物來治療與預防阿茲海默症,此外,在本目的實施中,莫那可林(monacolins)有效最低含量至少大於100μg,而抗發炎物質有效最低含量至少大於40μg,而抗氧化物質有效最低含量至少大於10μg,而莫那可林(Monacolins)、發炎物質與抗氧化物質的最佳重量比例為40:2:1的方式加以實施將可達到確實治療與預防以及不會產生任何明顯的不良副作用之功效者。A composition for treating and preventing Alzheimer's disease according to the present invention, which is a composition comprising monacolins, an anti-inflammatory substance and an antioxidant substance, which can be applied to a tablet, Capsules, powders, drinks, etc. are available to consumers. The composition formed by the three kinds of substances is used for treating and preventing Alzheimer's disease. In addition, in the practice of the present invention, the minimum effective amount of monacolins is at least more than 100 μg, and the effective minimum content of anti-inflammatory substances is at least More than 40μg, and the effective minimum content of antioxidants is at least greater than 10μg, and the optimal weight ratio of Monacolins, inflammatory substances and antioxidants is 40:2:1 to achieve the treatment and Prevention and efficacy without any obvious adverse side effects.

再者,在本發明中更揭露之一種治療與預防阿茲海默症之組合物,其係為包含莫那可林(Monacolins)、抗發炎物質之組合物,莫那可林(Monacolins)有效最低含量至少須大於200μg,而抗發炎物質有效最低含量需至少大於60μg,而莫那可林(Monacolins)與發炎物質的最佳重量比例為10:1,在此組合物中亦可達到確實治療與預防阿茲海默症以及不會產生任何明顯的不良副作用之功效。Furthermore, a composition for treating and preventing Alzheimer's disease disclosed in the present invention is a composition comprising monacolins and an anti-inflammatory substance, which is effective by Monacolins. The minimum content must be at least 200 μg, and the effective minimum content of anti-inflammatory substances should be at least greater than 60 μg, and the optimal weight ratio of Monacolins to inflammatory substances is 10:1, and the treatment can be achieved in this composition. It has the effect of preventing Alzheimer's disease and not causing any obvious adverse side effects.

再者,在本發明中更揭露之一種治療與預防阿茲海默症組合物之製作方法,步驟如下:首先清潔一米種並在高壓高溫環境下進行滅菌,接著將特定紅麴菌株接種至一種菌培養基中並在第一特定溫度溼度環境、特定震盪環境與第一特定時限進行接菌,接菌完成後,在第一特定溫度環境中進行攪拌種菌培養基並在第二特定時限內持續提供一特定比例之水分,在一第三特定時限內與第一特定溫度環境中每隔一固定時間進行適當攪拌來達成後熟,收取完成發酵後之紅麴發酵物並在第四特定期間內保持一第二特定溫度將其進行乾燥化,將已乾燥之紅麴發酵物磨成粉末狀並進行分析是否符合一成分比例條件,當符合本發明之治療與預防阿茲海默症組合物時,將製備完成的該紅麴發酵物之粉末以一特定比例添加入可食用之飲料中製作成一具有治療與預防阿茲海默症之紅麴飲品,也可以將製備完成的該紅麴發酵物之粉末填充至一膠囊中或是製作成一錠劑,透過此方式將可實施本組合物並可達到確實治療與預防阿茲海默症以及不會產生任何明顯的不良副作用之功效。Furthermore, in the present invention, a method for preparing and preventing an Alzheimer's disease composition is as follows: firstly, one meter is cleaned and sterilized under a high pressure and high temperature environment, and then a specific red peony strain is inoculated to In a culture medium and in a first specific temperature and humidity environment, a specific oscillating environment and a first specific time limit for inoculation, after the completion of the sterilization, stirring the inoculum culture medium in a first specific temperature environment and continuously providing for a second specific time limit a specific proportion of moisture is appropriately stirred at a fixed time in the first specific temperature environment for a post-ripening within a third specific time limit, and the red mash fermentation product after completion of the fermentation is collected and maintained for the fourth specific period. Drying at a second specific temperature, grinding the dried red peony fermentate into a powder and analyzing whether it meets the one-component ratio condition, when the composition for treating and preventing Alzheimer's disease according to the present invention is The prepared powder of the red sorghum fermented product is added to the edible beverage in a specific ratio to prepare a treatment and prevention of Alzheimer's The red glutinous beverage can also be filled into a capsule or prepared into a tablet by preparing the powder of the red sorghum fermented product. In this way, the composition can be implemented and the treatment and prevention of Alzheimer can be achieved. And the effect of not causing any obvious adverse side effects.

有關本發明之詳細內容及技術,茲說明如下:The details and techniques of the present invention are described below:

本發明係為一種治療與預防阿茲海默症之組合物,在介紹本發明的組合物前,先就本發明之觀念加以說明。阿茲海默症形成的主要因素為類澱粉樣蛋白(amyloid β-protein,Aβ)於腦部大量沈積所造成,並導致神經傳導物質的缺乏與氧化發炎反應而使病情逐漸加重。Aβ的產生即由切割酵素(secretase)對類澱粉樣前驅蛋白(amyloid precursor protein,APP)作專一性位置的切割後所產生的片段蛋白。剪切的酵素包含α、β及γ-secretase。而Aβ就是經過β-secretase可以切斷連接671、672的胺基酸鍵結,及γ-secretase對APP上713附近位置切割後可產生Aβ片段。在酵素對胺基酸序列上切割時,除了1-40、1-42片段之外也會產生其餘的片段。若APP單被α-secretase切割產生sAPP-α與p10 kDa的片段,而p10又可被γ-secretase切割產生p 3與p 7片段,其中p3為一小片段的Aβ。另外,若APP單被β-secretase切割產生sAPP-β與p12 kDa的片段,p12片段也可再次被γ-secretase切割產生Aβ與p7片段(Evin et al. 2003;Shoji et al. 1992)。這些小片段在腦中雖無聚集的能力,但可以證明不同型態secretase的切割活性表現。當APP經過β-secretase及γ-secretase的分解產生各型態的Aβ,其中可溶性的Aβ並不具毒性,必須經聚合形成纖維束(fibrils)後對神經細胞才具有毒性。可溶的Aβ並不具毒性,必須經聚合形成Aβ fibrils後才可經由破壞胞內鈣離子平衡與引發氧化壓力等機轉毒殺神經細胞。Aβ聚合物亦能經由促進胞內tau蛋白之過磷酸化(hyperphosphorylation)而干擾軸突之延展,造成細胞死亡。此外,Aβ纖維束尚可藉由與腦中microglia與astrocyte膜上的特殊受器結合,將其活化,前者會釋放多種神經毒素,包括介白素-1(IL-1)、介白素-6(IL-6)、腫瘤壞死因子(TNF-α)等致發炎物質以及一氧化氮、超氧陰離子等自由基去攻擊神經細胞,造成其死亡。近年發現,位於第19對染色體上的載脂蛋白E(ApoE,apolipoprotein E)基因與阿茲海默症相關,所表現的ApoE與Aβ迅速結合並沉積腦中形成老人斑塊,會造成神經細胞的壞死。The present invention is a composition for treating and preventing Alzheimer's disease, and the concept of the present invention will be described before introducing the composition of the present invention. The main factor in the formation of Alzheimer's disease is the deposition of amyloid β-protein (Aβ) in the brain, and the lack of neurotransmitters and oxidative inflammation cause the disease to gradually worsen. The production of Aβ is a fragment protein produced by cleavage of a secretase-like amyloid precursor protein (APP) by a secretase. The sheared enzymes contain alpha, beta and gamma-secretase. Aβ is a β-secretase that can cleave the amino acid linkages of 671 and 672, and γ-secretase can cleave Aβ fragments on the APP near 713. When the enzyme cleaves to the amino acid sequence, the remaining fragments are produced in addition to the 1-40, 1-42 fragments. If the APP is cleaved by α-secretase to produce a fragment of sAPP-α and p10 kDa, p10 can be cleaved by γ-secretase to generate p 3 and p 7 fragments, wherein p3 is a small fragment of Aβ. In addition, if APP alone is cleaved by β-secretase to produce fragments of sAPP-β and p12 kDa, the p12 fragment can be cleaved again by γ-secretase to produce Aβ and p7 fragments (Evin et al. 2003; Shoji et al. 1992). Although these small fragments have no ability to aggregate in the brain, they can demonstrate the cleavage activity of different types of secretase. When APP is decomposed by β-secretase and γ-secretase, various types of Aβ are produced. Among them, soluble Aβ is not toxic, and it must be polymerized to form fibrils, which is toxic to nerve cells. Soluble Aβ is not toxic and must be polymerized to form Aβ fibrils before it can be sterilized by disrupting intracellular calcium ion balance and inducing oxidative stress. Aβ polymers can also interfere with axonal elongation by promoting hyperphosphorylation of intracellular tau, resulting in cell death. In addition, Aβ fiber bundles can be activated by binding to specific receptors on the microglia and astrocyte membranes in the brain, which release a variety of neurotoxins, including interleukin-1 (IL-1) and interleukin- 6 (IL-6), tumor necrosis factor (TNF-α) and other inflammatory substances and free radicals such as nitric oxide and superoxide anion attack the nerve cells, causing their death. In recent years, it has been found that the apoE (apoE, apolipoprotein E) gene on the 19th pair of chromosomes is associated with Alzheimer's disease. The expression of ApoE and Aβ is rapidly combined and deposited in the brain to form plaques of the elderly, which will cause nerve cells. Necrosis.

此外,許多文獻中指出心血管疾病與阿茲海默症兩者具有一定之相關性。Martha等人經研究指出以65歲以上的老人為調查對象,飲食中富含易導致心血管疾病的飽和脂肪酸的老人,經追蹤調查平均在4年後有多數的老人會罹患阿茲海默症;而相反的飲食中富多元不飽和脂肪酸與單元不飽和脂肪酸的老人則有逆相關(Freund-Levi et al. 2006)。並有許多研究證明引起阿茲海默症的Aβ之產生與細胞內脂質代謝有相關(Frears et al. 1999;Kuo et al. 1998;Roher and Kuo 1999)。近年來研究指出Aβ會受到細胞內膽固醇的分佈與膽固醇酯化作用而改變(Frears et al. 1999)。ApoE會促使血漿中膽固醇的含量提高,是造成心血管疾病發生的危險因子之一。Puglielli等人於2001年指出倉鼠的細胞內乙醯膽鹼酶的活性會與膽固醇脂的含量呈正相關(Puglielli et al. 2001;Zhao et al. 2005)。所以心血管疾病與阿茲海默症具有正相關性。In addition, many literatures indicate that cardiovascular disease has a certain correlation with Alzheimer's disease. According to Martha et al., the elderly who are over 65 years old are surveyed. The elderly who are rich in saturated fatty acids that cause cardiovascular disease in their diets have been investigated. After 4 years, most elderly people will suffer from Alzheimer's disease. In contrast, the diet rich in polyunsaturated fatty acids is inversely related to the elderly with monounsaturated fatty acids (Freund-Levi et al. 2006). There are many studies demonstrating that the production of Aβ that causes Alzheimer's disease is associated with intracellular lipid metabolism (Frears et al. 1999; Kuo et al. 1998; Roher and Kuo 1999). In recent years, studies have shown that Aβ is altered by intracellular cholesterol distribution and cholesterol esterification (Frears et al. 1999). ApoE promotes the increase of cholesterol in plasma and is one of the risk factors for cardiovascular disease. Puglielli et al. (2001) indicated that intracellular acetylcholine activity in hamsters was positively correlated with cholesterol lipid content (Puglielli et al. 2001; Zhao et al. 2005). Therefore, cardiovascular disease has a positive correlation with Alzheimer's disease.

因此,本發明之組合物即著重於降低Aβ在腦中的沉積以及降低導致心血管疾病的飽和脂肪酸,用以治療阿茲海默症。Thus, the compositions of the present invention focus on reducing the deposition of A[beta] in the brain and reducing saturated fatty acids that cause cardiovascular disease for the treatment of Alzheimer's disease.

近年來紅麴菌(Monascus species)之相關研究日益增加。於未來之發展上紅麴將可被發展成為一複合式多功效之保健食品。紅麴中的monacolin K、γ-胺基丁酸(γ-aminobutyric acid,GABA)與抗氧化物質經過本發明之証實其對於治療與預防改善阿茲海默症之可行性將大幅提高。In recent years, related research on Monascus species has been increasing. In the future development, Hung Hom will be developed into a multi-functional health food. The monacolin K, γ-aminobutyric acid (GABA) and antioxidant substances in red peony have been confirmed by the present invention to greatly improve the feasibility of improving Alzheimer's disease for treatment and prevention.

莫那可林K(Monacolin K)之別名包含洛伐史坦汀(lovastatin),為膽固醇合成的速率限制酵素-羥甲基戊二酸輔酶A環袁酶(3-hydroxy-3-methylglutaryl-coenzyme A reductase,HMG CoA reductase)的抑制劑,屬於史坦汀(statin)類的化合物,臨床上也已證實此類化合物確實能有效改善心血管疾病(cardiovascular disease,CAD)。近年來的流行病學研究也指出以statin類藥物治療阿茲海默症病患,確實具有良好的改善效果。在歐洲醫師研究資料庫(UK General Practitioners Research Database)中指出以statin類藥物治療阿茲海默症時,有70%的病患具有明顯改善效果(Jick et al. 2000);類似實驗尚包含2000年Wolozin等人以美國三家不同醫院中60歲以上罹患阿茲海默症老人做為受試者,其診斷結果是根據NINCDS-ADRDA(National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer’s Disease and Related Disorders Association)之標準,此試驗是將受試者分為三組,A組為控制組,B組為使用statins來治療者,C組為以其他心血管疾病用藥(包含降血壓藥物)來治療者,其結果令人驚訝的是以statins治療病患時,可使罹患阿茲海默症的程度下降70%,其中又以洛伐史坦汀(lovastatin)與巴洛伐史坦汀(pravastatin)的效果最好(Wolozin et al. 2000)。Monacolin K's alias contains lovastatin, a rate-limiting enzyme for cholesterol synthesis - 3-hydroxy-3-methylglutaryl-coenzyme A reductase, an inhibitor of HMG CoA reductase, is a statin-like compound that has been clinically proven to be effective in improving cardiovascular disease (CAD). Epidemiological studies in recent years have also pointed out that patients with Alzheimer's disease treated with statin do have a good improvement effect. In the UK General Practitioners Research Database, 70% of patients with Alzheimer's disease treated with statin had significant improvement (Jick et al. 2000); similar experiments still included 2000. In the year, Wolozin et al. used Alzheimer's disease in the elderly in three different hospitals in the United States as a subject. The diagnosis was based on NINCDS-ADRDA (National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related). According to the Disorders Association, the subjects were divided into three groups, group A was the control group, group B was treated with statins, and group C was treated with other cardiovascular diseases (including blood pressure lowering drugs). The result is surprisingly that when statins are used to treat patients, the degree of Alzheimer's disease can be reduced by 70%, with lovastatin and palavastatin (pravastatin). ) works best (Wolozin et al. 2000).

阿茲海默症患者腦中的菸鹼酸(nicotinic)、毒蕈鹼(muscarinic)、血清素(serotonin)、麩胺酸(glutamate)受器以及γ-胺基丁酸(γ-aminobutyric acid,GABA)、新腎上腺素(norepinephrine)等神經衝動傳遞因子皆有缺損的現象。大腦在老化過程中體積會減少百分之十,最主要是大腦皮層神經元的數目減少所致,在某些區域甚至會減少30-50%,另外神經傳導物質亦會減少,如乙醯膽鹼、GABA、兒茶酚胺(catecholamine)等。由於這些物質的減少,使大腦認知功能降低或記憶能力障礙。最早的症狀有記憶力減退,失去對事物的判斷能力,容易迷失。到晚期時病人會出現語言障礙、異常行為、痙攣、生活無法自理(Mohr et al. 1994)。Nicotinic, muscarinic, serotonin, glutamate receptors and gamma-aminobutyric acid (γ-aminobutyric acid) in the brains of Alzheimer's patients GABA), norepinephrine and other nerve impulse transfer factors are all defective. The brain will be reduced by 10% during aging, mainly due to the decrease in the number of neurons in the cerebral cortex, which may even decrease by 30-50% in some areas, and the neurotransmitters will also decrease, such as acetylcholine Alkali, GABA, catecholamine, and the like. Due to the reduction of these substances, the cognitive function of the brain is reduced or the memory ability is impaired. The earliest symptoms are memory loss, loss of ability to judge things, and easy to get lost. In the advanced stage, the patient may have language disorders, abnormal behavior, paralysis, and life cannot take care of themselves (Mohr et al. 1994).

當粒腺體缺O2 或H2 O2 和OH‧過多時,會導致高反應性OH‧的形成。而Aβ經自由基氧化後又會導致不溶性Aβ生成,使阿茲海默症更加惡化(Hsieh and Tai 2003)。實驗發現口服抗氧化劑如維生素C及維生素E合併製劑可有效減緩阿茲海默症引起的現象(Yallampalli et al. 1998;Yamada et al. 1999)。另外像是神經醯胺(ceramlde),一種天然的神經鞘質,可對抗Aβ及FeSO4 導致海馬迴神經損傷的作用(Abousalham et al. 2002)。紅麴的抗氧化能力於1999年被Aniya等人提出,紅麴中紅麴抗氧化酸(dimerumic acid)的抗氧化機制可得知其可清除‧OH、‧O2 - 、ferryl-Mb、peroxyl radicals與對脂質過氧化(LPO)的抑制作用,其會提供一個電子給氧化物使本身氧化為一氧化氮自由基(nitroxide radical),而此一氧化氮自由基(nitroxide radical)會再被清除掉而達到抗氧化的效果(Taira et al. 2002)。紅麴的抗氧化效果可運用在阿茲海默症的預防上,以避免病情受氧化自由基的攻擊而加重。When the granular gland is deficient in O 2 or H 2 O 2 and OH‧, it leads to the formation of highly reactive OH‧. The release of Aβ by free radicals leads to the formation of insoluble Aβ, which worsens Alzheimer's disease (Hsieh and Tai 2003). Experiments have found that oral antioxidants such as vitamin C and vitamin E combined preparations can effectively alleviate the symptoms caused by Alzheimer's disease (Yallampalli et al. 1998; Yamada et al. 1999). In addition, it is called ceramlde, a natural nerve sheath that counteracts the effects of Aβ and FeSO 4 on hippocampal nerve injury (Abousalham et al. 2002). The antioxidant capacity of red peony was proposed by Aniya et al. in 1999. The antioxidant mechanism of dimerumic acid in red carp can be found to remove ‧ OH, ‧ O 2 - , ferryl-Mb, peroxyl The radicals and the inhibition of lipid peroxidation (LPO), which provide an electron to the oxide to oxidize itself to a nitroxide radical, and the nitroxide radical is removed again. Lose to achieve antioxidant effects (Taira et al. 2002). The anti-oxidant effect of red peony can be used in the prevention of Alzheimer's disease to avoid the disease being aggravated by the attack of oxidative free radicals.

本發明之已在2007年7月30日發表於Journal of Neuroscience Research(Lee CL ,Kuo TF,Wang JJ,Pan TM: Red mold rice ameliorates impairment of memory and learning ability in intracerebroventricular amyloid beta-infused rat via repressing amyloid beta accumulation. J Neurosci Res. 2007,85,3171-7182.),本發明之研究所採用之動物為購自國立臺灣大學醫學院實驗動物中心之Wistar品系雄性大鼠,週齡8週大,體重約250 g,每組7隻,飼養於具空調之空間,溫度維持在23±1℃燈光控制採12小時亮12小時暗(08:00燈亮、20:00燈暗),食物與水不予限制。大鼠預養至體重達到300 g時進行實驗分組與腦部輸注幫浦植入手術,各組之每日紅麴米攝取量與Aβ40之注射量如表3-2。Vehicle組為進行手術但不輸注Aβ40以作為正常記憶學習能力的大鼠,Aβ組為進行手術輸注Aβ40以作為記憶學習能力障礙的阿茲海默症大鼠,紅麴米之餵食劑量是經由FDA所公告之人體體表面積換算公式(Boyd’s Formula of Body Surface Area)計算得之(Boyd 1935;Lee et al. 2006)。本研究之一倍紅麴米餵食劑量相當於是成人(170 cm,65 kg)每日食用2 g的紅麴米,RH組為高劑量之紅麴米餵食組,而LS組則為每日餵食與RL組相同劑量的lovastatin(1.43 mg/kg rat),用於比較單純莫那可林K與含莫那可林、抗氧化物與抗發炎物質之紅麴組合物在阿茲海默症治療與預防之效果。The present invention was published on July 30, 2007 in the Journal of Neuroscience Research ( Lee CL , Kuo TF, Wang JJ, Pan TM: Red mold rice ameliorates impairment of memory and learning ability in intracerebroventricular amyloid beta-infused rat via repressing amyloid J Neurosci Res. 2007, 85, 3171-7182.) The animal used in the study of the present invention is a Wistar strain male rat purchased from the Experimental Animal Center of the National Taiwan University School of Medicine, 8 weeks old, weighing About 250 g, 7 in each group, kept in an air-conditioned space, the temperature is maintained at 23±1 °C, the lighting control is 12 hours, 12 hours, dark (08:00 light, 20:00 light), food and water are not given limit. Rats were pre-cultured to a body weight of 300 g. The experimental group and brain infusion were implanted. The daily intake of red glutinous rice and the amount of Aβ40 injected in each group are shown in Table 3-2. The Vehicle group was a rat who underwent surgery but did not infuse Aβ40 as a normal memory learning ability. The Aβ group was an Alzheimer's disease rat who underwent surgical infusion of Aβ40 as a memory learning dysfunction. The feeding dose of red glutinous rice was via FDA. The published Bodyd's Formula of Body Surface Area is calculated (Boyd 1935; Lee et al. 2006). One of the red glutinous rice feeding doses in this study was equivalent to 2 g of red glutinous rice per day for adults (170 cm, 65 kg), high dose red glutinous rice for RH group, and daily feeding for LS group. The same dose of lovastatin (1.43 mg/kg rat) as the RL group was used to compare the treatment of Alzheimer's disease with simple monacolin K and red scorpion containing monacolin, antioxidant and anti-inflammatory substances. And the effect of prevention.

阿茲海默症大鼠係以Aβ40連續28天輸注於大鼠腦部,使Aβ40直接於腦部大量沉積而引發阿茲海默症,試驗期間每日餵食紅麴發酵產物或相同濃度的lovastatin以探討紅麴對於已生成Aβ毒性之抑制效果並評估對記憶學習能力之影響。本發明之實驗結果顯示,以連續28天輸注Aβ40於大鼠腦部,會提升腦部乙醯膽鹼酶活性、活性氧原子(reactive oxygen species,ROS)生成量與脂質過氧化的程度,並降低總抗氧化力與超氧歧化酶(superoxide dismutase,SOD)活性。而紅麴米的餵食可顯著抑制這些因腦部輸注Aβ40所造成的損傷,並且其效果較lovastatin藥物治療組佳。此外,藉由抑制氧化發炎反應而使輸注之Aβ40無法於海馬迴組織中大量沈積。紅麴米首次被證實具降低阿茲海默症危險因子與改善記憶學習能力的效果,且其效果會較lovastatin藥物更具顯著效果。Alzheimer's disease rats were infused with Aβ40 for 28 consecutive days in the rat brain, causing Aβ40 to deposit directly in the brain and causing Alzheimer's disease. During the experiment, the red sorghum fermentation product or the same concentration of lovastatin was fed during the experiment. To investigate the inhibitory effect of red peony on the production of Aβ toxicity and to evaluate the impact on memory learning ability. The experimental results of the present invention show that infusion of Aβ40 in the brain of rats for 28 consecutive days increases the activity of acetylcholine activity, the amount of reactive oxygen species (ROS) and lipid peroxidation in the brain, and Reduce total antioxidant capacity and superoxide dismutase (SOD) activity. The feeding of red glutinous rice can significantly inhibit the damage caused by infusion of Aβ40 in the brain, and the effect is better than that of the lovastatin drug treatment group. In addition, the infused Aβ40 cannot be deposited in a large amount in the hippocampus back tissue by inhibiting the oxidative inflammatory response. Red glutinous rice was first confirmed to have a lower risk factor for Alzheimer's disease and improved memory learning ability, and its effect is more significant than lovastatin drugs.

本發明之試驗分組如表一所示:The test grouping of the present invention is shown in Table 1:

本發明之試驗裝置如第1圖所示,該試驗裝置10包含大小相同的明室11與暗室12,兩室中央有一10(W)×10(D)cm之閘門13,當閘門13開啟時,明室11與暗室12即可相通。明室11係具有光照,而暗室12不具光照,且其底部設有間隔1 cm平行排列之金屬線14,並通有電流。實驗流程為先將各組之大鼠輪流置入明室11,且同時開放閘門13。待大鼠進入暗室12後,立即關閉閘門13,同時於金屬線14通以電流(100 V,0.3 mA,2 sec),待電刺激後5秒,自暗室取出大鼠,歸回飼養籠。如大鼠300秒後未進入暗室12,則強迫大鼠進入暗室12且關閉閘門13,同時將暗室12底部金屬線14之通以電流,再歸回飼養籠。測定期:於訓練後24小時、48小時,再將大鼠置入明室11,同時並開啟閘門13,記錄大鼠在明室11之滯留時間(step-through latency)。當於明室11之滯留時間大於300秒時,則稱大鼠之學習記憶能力正常。The test apparatus of the present invention is as shown in Fig. 1. The test apparatus 10 includes a bright room 11 and a dark room 12 of the same size, and a 10 (W) × 10 (D) cm gate 13 is provided in the center of the two chambers, when the gate 13 is opened. The bright room 11 and the dark room 12 can be connected. The bright room 11 has illumination, while the dark room 12 has no light, and the bottom is provided with a metal wire 14 arranged in parallel at intervals of 1 cm, and is supplied with current. The experimental procedure is to first place the rats of each group in the bright room 11 and simultaneously open the gate 13. Immediately after the rat entered the dark room 12, the gate 13 was closed, and current (100 V, 0.3 mA, 2 sec) was applied to the wire 14, and 5 seconds after the electrical stimulation, the rat was taken out from the dark room and returned to the cage. If the rat does not enter the darkroom 12 after 300 seconds, the rat is forced into the darkroom 12 and the gate 13 is closed, and the current of the metal wire 14 at the bottom of the darkroom 12 is returned to the home cage. Measurement period: At 24 hours and 48 hours after the training, the rats were placed in the bright room 11 while the gate 13 was opened, and the step-through latency of the rats in the bright room 11 was recorded. When the residence time in the bright room 11 is more than 300 seconds, the learning and memory ability of the rat is said to be normal.

大鼠停留於明室11直到進入暗室12的時間可視為評估被動迴避試驗中記憶學習能力的指標。如第2圖所示,所有大鼠因趨暗之特性而在第一次試驗時立即進入暗室12之中,暗室12中所釋出的電擊刺激使具正常記憶學習能力的大鼠於下次試驗中懼怕再進入暗室12。因此,於第二次試驗中各組實驗動物停留在明室11之時間將因記憶學習能力的差異而具顯著差異。第二次試驗之結果顯示,Aβ組於明室所停留的時間會顯著低於vehicle組。試驗組RL與RH組於明室的停留時間會顯著長於Aβ組(p <0.05)。Lovastatin組的效果雖然不及具相同monacolin K含量的RL組,但記憶學習的效果依然顯著高於Aβ組。The time that the rat stays in the bright room 11 until entering the dark room 12 can be regarded as an indicator for evaluating the memory learning ability in the passive avoidance test. As shown in Fig. 2, all the rats immediately entered the dark room 12 during the first test due to the darkening characteristics, and the electric shock stimulated in the dark room 12 caused the rats with normal memory learning ability to be next. During the test, I was afraid to enter the darkroom 12 again. Therefore, in the second trial, the time that each group of experimental animals stayed in the bright room 11 will be significantly different due to the difference in memory learning ability. The results of the second trial showed that the Aβ group stayed in the bright room for significantly less time than the vehicle group. The residence time of the experimental group RL and RH in the bright room was significantly longer than that of the Aβ group ( p <0.05). Although the effect of the Lovastatin group was not as good as the RL group with the same monacolin K content, the effect of memory learning was still significantly higher than that of the Aβ group.

本發明之另一試驗裝置如第3圖所示,其係為一水迷宮裝置20,其圓形泳池21之直徑為140 cm,高度45 cm,泳池中含有一可移動的休息平臺P1(或稱逃逸平臺,escape platform)。平臺之直徑為12 cm,高度為25 cm。實驗進行前圓形泳池21須加水至27 cm之液面高度。圓形泳池21區分為四個象限(I、II、III與IV區),並設置5個起始點,休息平臺P1放置於任一象限之中心點。試驗期間並於泳池中心點之正上方架設攝影機以記錄實驗動物之游泳路徑。Another test device of the present invention, as shown in Fig. 3, is a water labyrinth device 20 having a circular swimming pool 21 having a diameter of 140 cm and a height of 45 cm. The swimming pool contains a movable rest platform P1 (or Called escape platform, escape platform). The platform has a diameter of 12 cm and a height of 25 cm. Before the experiment, the circular swimming pool 21 must be filled with water to a liquid level of 27 cm. The circular pool 21 is divided into four quadrants (I, II, III and IV zones) and five starting points are set, and the rest platform P1 is placed at the center of either quadrant. During the test, a camera was placed directly above the center point of the pool to record the swimming path of the experimental animals.

紅麴米對腦部輸注Aβ之阿茲海默症大鼠的參考記憶學習能力損傷之影響如第4圖所示。實驗動物自水迷宮裝置20起點至尋得休息平臺P1的時間視為評估參考記憶試驗之指標。由第2次至第9次的記憶訓練之結果顯示,Aβ輸注之阿茲海默症大鼠總是較具正常記憶能力的vehicle組花費較長的時間去找到休息平臺P1,但餵食紅麴米的阿茲海默症大鼠(RL與RH組)則可顯著降低尋找的時間(p< 0.05)。Lovastatin飲食雖然可較Aβ組花費較短的搜尋時間,但是其效果均低於RL組與RH組。相同的搜尋時間將呈現出相類似的游泳路徑長度。此外,各組實驗動物之間的游泳速度均不具顯著差異(data not shown)(p >0.05)。The effect of red glutinous rice on the impairment of reference memory learning ability in Alzheimer's disease rats with Aβ transfused into the brain is shown in Fig. 4. The time from the start of the water maze device 20 to the finding of the resting platform P1 of the experimental animals is regarded as an indicator for evaluating the reference memory test. From the results of the second to the ninth memory training, the Alzheimer's disease rats with Aβ infusion always took a longer time to find the rest platform P1 than the normal memory group, but fed the red scorpion. Alzheimer's disease rats (RL and RH groups) significantly reduced the time of search ( p < 0.05). Although the Lovastatin diet can take a shorter search time than the Aβ group, its effect is lower than that of the RL group and the RH group. The same search time will present a similar swim path length. In addition, there was no significant difference in swimming speed between the groups of experimental animals (data not shown) ( p > 0.05).

空間性探測試驗緊接於第24天的最後一次參考記憶試驗。休息平臺P1將在參考記憶試驗結束後自水迷宮裝置20移出,而實驗動物徘徊於原本放置休息平臺P1的象限中的時間視為空間性探測試驗的記憶學習能力指標。結果如第4圖A所示,Aβ組會於目標象限中搜尋的時間會顯著低於vehicle組(p< 0.05)。RL組與RH組則在目標象限的搜尋時間分別較Aβ組提高38.2%(p< 0.05)與48.0%(p< 0.01),證明紅麴米確實可改善阿茲海默症大鼠的記憶學習能力損傷。游泳路徑可有助於判斷實驗動物於空間性探測試驗中記憶學習能力表現的真實性。第4圖B顯示Aβ組在空間性探測試驗中無方向性與無目標性的尋找目標象限,且游泳的路徑遍及整個圓形泳池21。相反地,具有較佳記憶學習能力的RL組、RH組與vehicle組會直接遊入目標象限中,且花費較長的時間於目標區域徘徊。然而,lovastatin飲食組依然呈現介於RL組與Aβ組的效果在記憶學習能力的改善(第4圖B與第4圖C)。工作記憶試驗為短期記憶學習能力評估方式的一種,其結果如圖5所示,Aβ組在尋找休息平臺P1的時間會顯著長於vehicle組(p< 0.01)。然而,RL組與RH組在工作記憶試驗中可呈現如同正常記憶能力的vehicle組的記憶學習效果,並分別較Aβ組縮短57.3%與58.9%的搜尋時間(p< 0.01)。LS組雖然可較Aβ組顯著縮短26.7%的搜尋時間(p< 0.05),但其效果均較低於RL組與RH組(p< 0.05)。The spatial detection test was followed by the last reference memory test on day 24. The rest platform P1 will be removed from the water maze device 20 after the end of the reference memory test, and the time when the experimental animal is placed in the quadrant of the resting platform P1 is regarded as an indicator of the memory learning ability of the spatial detection test. As a result, as shown in Fig. 4A, the time required for the Aβ group to search in the target quadrant was significantly lower than that of the vehicle group ( p < 0.05). In the RL group and the RH group, the search time in the target quadrant was 38.2% ( p < 0.05) and 48.0% ( p < 0.01), respectively, which proved that red glutinous rice can improve memory learning in Alzheimer's rats. Impaired ability. The swimming path can help to judge the authenticity of the memory learning ability of experimental animals in the spatial detection test. Figure 4B shows that the Aβ group has no directional and non-targeted target quadrants in the spatial detection test, and the swimming path extends throughout the circular pool 21. Conversely, the RL group, the RH group, and the vehicle group with better memory learning ability will directly swim into the target quadrant, and it takes a long time to hang in the target area. However, the lovastatin diet group still showed an improvement in memory learning ability between the RL group and the Aβ group (Fig. 4B and Fig. 4C). The working memory test is a kind of short-term memory learning ability evaluation method. The results are shown in Fig. 5. The time of finding the resting platform P1 in the Aβ group is significantly longer than that in the vehicle group ( p< 0.01). However, the RL group and the RH group exhibited memory learning effects in the working memory test as in the normal memory group, and were shortened by 57.3% and 58.9% compared with the Aβ group ( p < 0.01). Although the LS group was significantly shorter than the Aβ group by 26.7% of the search time ( p < 0.05), the effect was lower in the RL group and the RH group ( p < 0.05).

Aβ已被證實為阿茲海默症病患記憶學習能力不足的主要危險因子(Hashimoto et al. 2005;Stephan and Phillips 2005)。輸注Aβ40於大鼠腦部之側腦室的方式已被證實可成功建立阿茲海默症之動物模式(Stephan and Phillips 2005)。而此種方式建立的模式動物亦具有記憶行為與學習能力不足的特性(Kar et al. 1998;Schubert et al. 1995;Townsend and Pratico 2005)。輸注的Aβ會誘發自由基與活性氧原子並造成神經元的損傷與突觸延伸受到抑制,進而造成記憶學習能力的不足(Townsend and Pratico 2005)。因此,目前有數研究均以抗氧化與抗發炎物質降低這些阿茲海默症腦部中的氧化發炎危險因子與減輕記憶學習能力的受損(Chauhan et al. 2004;Cordle et al. 2005)。Aβ has been shown to be a major risk factor for memory learning in patients with Alzheimer's disease (Hashimoto et al. 2005; Stephan and Phillips 2005). The manner in which Aβ40 is infused into the lateral ventricles of the rat brain has been shown to successfully establish an animal model of Alzheimer's disease (Stephan and Phillips 2005). The model animals established in this way also have the characteristics of insufficient memory behavior and learning ability (Kar et al. 1998; Schubert et al. 1995; Townsend and Pratico 2005). Infusion of Aβ induces free radicals and reactive oxygen atoms and causes neuronal damage and synaptic elongation to be inhibited, resulting in a lack of memory learning ability (Townsend and Pratico 2005). Therefore, there are several studies that have used antioxidant and anti-inflammatory substances to reduce the risk of oxidative inflammation in the brain of these Alzheimer's diseases and to reduce the ability to learn memory (Chauhan et al. 2004; Cordle et al. 2005).

莫氏(Morris)水迷宮試驗為評估記憶學習能力的主要方法之一,其中參考記憶試驗所代表的是一種長期記憶能力的評估方法,而工作記憶試驗則屬於短期記憶能力的評估方式。根據上述記憶學習試驗之結果顯示,餵食一倍劑量與五倍劑量紅麴米的阿茲海默症大鼠可縮短參考記憶試驗與工作記憶試驗的搜尋時間(p< 0.05)。此外,紅麴米飲食組更可在空間性探測試驗中延長於目標象限的搜尋時間。這些結果可清楚的指出餵食紅麴米可改善記憶學習能力以較短的時間尋得水迷宮的休息平臺。相反地,未治療的阿茲海默症大鼠則以無目標性的四處搜尋整個水迷宮,因此在參考記憶與工作記憶試驗中均需花費較多的時間。The Morris water maze test is one of the main methods for assessing memory learning ability. The reference memory test represents a long-term memory ability evaluation method, while the working memory test is a short-term memory ability evaluation method. According to the results of the above memory learning test, Alzheimer's rats fed a single dose and five times the dose of red glutinous rice can shorten the search time of the reference memory test and the working memory test ( p < 0.05). In addition, the red glutinous rice diet group can extend the search time of the target quadrant in the spatial detection test. These results clearly indicate that feeding red glutinous rice can improve memory learning ability and find a resting platform for the water maze in a shorter time. Conversely, untreated Alzheimer's rats searched the entire water maze in an untargeted manner, so it took more time in both the reference memory and the working memory test.

莫那可林K(Monacolin K)為紅麴米降血脂的主要功效成分之一,而statin類化合物因為具有抑制腦部Aβ的生成與抗發炎的效果,已被認為是治療阿茲海默症的新興藥物(Chauhan et al. 2004;Li et al. 2006)。多數有關阿茲海默症治療研究均使用statins以降低阿茲海默症之基因轉殖小鼠腦部Aβ的生成(Yamada et al. 1999)。目前所知的研究中尚未以lovastatin去減輕Aβ輸注之阿茲海默症模式大鼠之記憶學習能力的損傷。本研究以lovastatin替代紅麴米中的monacolin K,以探討紅麴米中的monacolin K是否為減輕阿茲海默症記憶學習能力損傷的唯一物質。但由上述記憶學習試驗之結果指出,lovastatin餵食組在減輕記憶學習能力損傷的效果均較弱於具相同monacolin K濃度的RL組。因此,證實紅麴米中的monacolin K並非唯一減輕Aβ引起記憶能力損傷的功效性成分。Monacolin K is one of the main functional components of red glutinous rice to lower blood fat, and statin compound has been considered to treat Alzheimer's disease because it has the effect of inhibiting the formation and anti-inflammatory of Aβ in the brain. Emerging drugs (Chauhan et al. 2004; Li et al. 2006). Most Alzheimer's disease treatment studies use statins to reduce the production of Aβ in the brain of mice transgenic with Alzheimer's disease (Yamada et al. 1999). In the current known studies, lovastatin has not been used to alleviate the impairment of memory learning ability of Alzheimer's disease model rats with Aβ infusion. In this study, lovastatin was used to replace monacolin K in red glutinous rice to explore whether monacolin K in red glutinous rice is the only substance that can alleviate the memory learning ability of Alzheimer's disease. However, the results of the above memory learning experiments indicated that the lovastatin feeding group was less effective in reducing memory learning impairment than the RL group with the same monacolin K concentration. Therefore, it was confirmed that monacolin K in red glutinous rice is not the only functional component that alleviates the damage of memory loss caused by Aβ.

Monacolin K為紅麴米降血脂的主要功效成分之一,而statin類化合物因為具有抑制腦部Aβ的生成與抗發炎的效果,已被認為是治療阿茲海默症的新興藥物(Chauhan et al. 2004;Li et al. 2006)。多數有關阿茲海默症治療研究均使用statins以降低阿茲海默症之基因轉殖小鼠腦部Aβ的生成(Yamada et al. 1999)。目前所知的研究中尚未以lovastatin去減輕Aβ輸注之阿茲海默症模式大鼠之記憶學習能力的損傷。本研究以lovastatin替代紅麴米中的monacolin K,以探討紅麴米中的monacolin K是否為減輕阿茲海默症記憶學習能力損傷的唯一物質。但由上述記憶學習試驗之結果指出,lovastatin餵食組在減輕記憶學習能力損傷的效果均較弱於具相同monacolin K濃度的RL組。因此,食用monacolin K確實可以有效改善因為Aβ所造成之阿茲海默症的症狀。Monacolin K is one of the main functional components of red glutinous rice, and statin has been considered as an emerging drug for the treatment of Alzheimer's disease because it has the effect of inhibiting the production and anti-inflammatory of Aβ in the brain (Chauhan et al) 2004; Li et al. 2006). Most Alzheimer's disease treatment studies use statins to reduce the production of Aβ in the brain of mice transgenic with Alzheimer's disease (Yamada et al. 1999). In the current known studies, lovastatin has not been used to alleviate the impairment of memory learning ability of Alzheimer's disease model rats with Aβ infusion. In this study, lovastatin was used to replace monacolin K in red glutinous rice to explore whether monacolin K in red glutinous rice is the only substance that can alleviate the memory learning ability of Alzheimer's disease. However, the results of the above memory learning experiments indicated that the lovastatin feeding group was less effective in reducing memory learning impairment than the RL group with the same monacolin K concentration. Therefore, consumption of monacolin K can effectively improve the symptoms of Alzheimer's disease caused by Aβ.

目前阿茲海默症的治療多著重於抑制乙醯膽鹼酶活性以提高乙醯膽鹼濃度與改善認知與記憶行為(Nabeshima and Nitta 1994)。阿茲海默症模式動物建立的相關研究亦證實以連續輸注Aβ至大鼠腦部將造成膽鹼神經功能衰退與不足的神經毒性。研究亦證實腦部輸注Aβ阿茲海默症大鼠之腦部乙醯膽鹼含量會較正常大鼠明顯不足(Arendt et al. 1984;Darvesh et al. 2004)。隨著乙醯膽鹼濃度的下降與乙醯膽鹼酶活性的增加將使神經元的喪失更為嚴重(Stephan and Phillips 2005)。此外,乙醯膽鹼酶活性增加亦被指出會造成Aβ的聚合程度更為嚴重,且形成更為安定與毒性更強的纖維化類澱粉樣蛋白(Aβ fibrils)(Stephan and Phillips 2005)。因此,抑制乙醯膽鹼酶的活性被認為是間接減輕Aβ引發記憶學習能力不足的神經保護作用。第6圖為紅麴米於對腦部輸注Aβ40之大鼠大腦皮質與海馬迴組織中乙醯膽鹼酶活性之影響,圖中指出Aβ組大腦皮質之乙醯膽鹼酶活性會較vehicle組提高50.5%,而於海馬迴組織中則提高179.1%。餵食一倍與五倍劑量的紅麴米均可顯著抑制受Aβ所提高的乙醯膽鹼酶活性,然而lovastatin卻對大腦皮質與海馬迴組織中的乙醯膽鹼酶活性不具抑制效果。此結果證實紅麴米中具有抑制乙醯膽鹼酶活性的物質,而此物質應不是monacolin K而是其他功能性代謝物。鮮少研究指出lovastatin可抑制乙醯膽鹼酶的活性,有研究指出lovastatin對於乙醯膽鹼酶的活性不具有顯著的抑制效果。此研究結果與本發明之趨勢相符合。除了monacolin K外,紅麴米的複合性功效代謝物可能包含其他乙醯膽鹼酶抑制劑。然而,紅麴米中的代謝物GABA亦是為一種神經傳導物質,亦有助於改善阿茲海默症的認知與記憶行為能力。Current treatments for Alzheimer's disease focus on inhibiting acetylcholine activity to increase acetylcholine concentration and improve cognitive and memory behavior (Nabeshima and Nitta 1994). Related studies established in Alzheimer's disease model animals have also demonstrated that continuous infusion of Aβ into the rat brain will result in neurotoxicity of choline neuronal decline and deficiency. Studies have also shown that the brain acetylcholine content in the brain of rats with Aβ Alzheimer's disease is significantly less than that of normal rats (Arendt et al. 1984; Darvesh et al. 2004). A decrease in acetylcholine concentration and an increase in acetylcholine activity will exacerbate neuronal loss (Stephan and Phillips 2005). In addition, increased acetylcholine activity has been noted to cause a greater degree of polymerization of Aβ and to form a more stable and more toxic fibrillar amyloid (Aβ fibrils) (Stephan and Phillips 2005). Therefore, inhibition of the activity of acetylcholine enzyme is considered to be an indirect reduction of the neuroprotective effect of Aβ-induced memory learning. Figure 6 shows the effect of red glutinous rice on the activity of acetylcholine in the cerebral cortex and hippocampus of rats with Aβ40 infusion. The figure indicates that the acetylcholine activity of the cerebral cortex of the Aβ group is higher than that of the vehicle group. Increased by 50.5%, and increased by 179.1% in the hippocampus. Both doubling and five-fold doses of red glutinous rice significantly inhibited the activity of acetylcholine enzyme increased by Aβ. However, lovastatin had no inhibitory effect on acetylcholine activity in cerebral cortex and hippocampus. This result confirmed that the red glutinous rice has a substance that inhibits the activity of acetylcholine enzyme, and this substance should not be monacolin K but other functional metabolites. Little research indicates that lovastatin inhibits the activity of acetylcholine enzyme. Studies have shown that lovastatin does not have a significant inhibitory effect on the activity of acetylcholine. The results of this study are consistent with the trends of the present invention. In addition to monacolin K, the complex efficacious metabolite of red glutinous rice may contain other acetylcholine inhibitors. However, GABA, a metabolite in red glutinous rice, is also a neurotransmitter that also helps improve the cognitive and memory behavior of Alzheimer's disease.

Aβ已被證實會引發阿茲海默症患者腦部之氧化壓力。因此,抑制Aβ誘發的氧化壓力被認為是阿茲海默症藥物開發的重要指標。如第7圖所示,腦部輸注Aβ將造成大腦皮質與海馬迴組織中的總抗氧化劑狀態(total antioxidants status,TAS)分別較vehicle組下降20.9%與20.4%。餵食lovastatin僅能提高大腦皮質之TAS 13.9%,但於海馬迴組織中則不具效果。RL組之大腦皮質與海馬迴組織中TAS則被顯著提高24.6%與46.2%。然而,本試驗發現餵食五倍劑量紅麴米的阿茲海默症大鼠之大腦皮質與海馬迴組織中的TAS均顯著高於Aβ組。Aβ has been shown to cause oxidative stress in the brain of Alzheimer's patients. Therefore, inhibition of Aβ-induced oxidative stress is considered to be an important indicator for the development of Alzheimer's disease drugs. As shown in Figure 7, infusion of Aβ into the brain resulted in a decrease in total antioxidants status (TAS) in the cerebral cortex and hippocampus tissue by 20.9% and 20.4%, respectively, compared to the vehicle group. Feeding lovastatin only increased the TAS of the cerebral cortex by 13.9%, but it was not effective in hippocampal gyrus. The TAS in the cerebral cortex and hippocampus of the RL group was significantly increased by 24.6% and 46.2%. However, this study found that TAS in the cerebral cortex and hippocampus of rats fed Alzheimer's disease with a five-fold dose of red glutinous rice was significantly higher than that of the Aβ group.

紅麴米對於大腦皮質與海馬迴組織中丙二醛(MDA)濃度之影響,如第8圖所示。大腦皮質與海馬迴組織中MDA濃度於腦部輸注Aβ後會分別被顯著提高95.3%與112%,但此MDA濃度的上升可因為提高紅麴的餵食劑量而有效地再度被降低。The effect of red glutinous rice on the concentration of malondialdehyde (MDA) in the cerebral cortex and hippocampal gyrus, as shown in Figure 8. MDA concentrations in the cerebral cortex and hippocampus were significantly increased by 95.3% and 112%, respectively, after transfusion of Aβ in the brain, but this increase in MDA concentration was effectively reduced again by increasing the feeding dose of red mites.

RL組與RH組之大腦皮質與海馬迴組織中超氧歧化酵素(superoxide dismutase,SOD)活性亦呈現相類似的神經元保護效果,即如第9圖所示。雖然大腦皮質與海馬迴組織中的SOD活性會受腦部輸注Aβ而分別降低19.8%與25.2%,但餵食一倍劑量的紅麴米會分別提高大腦皮質與海馬迴組織之海馬迴組織中的SOD活性27.2%與52.7%,5倍的紅麴米更可使其分別提升27.2%與60.9%。The superoxide dismutase (SOD) activity in the cerebral cortex and hippocampus of the RL group and the RH group also showed similar neuroprotective effects, as shown in Fig. 9. Although SOD activity in the cerebral cortex and hippocampus was reduced by 19.8% and 25.2%, respectively, in the brain, a double dose of red glutinous rice would increase the hippocampus in the cerebral cortex and hippocampus. SOD activity was 27.2% and 52.7%, and 5 times of red glutinous rice increased by 27.2% and 60.9%, respectively.

由上述之結果得知,記憶學習能力受損之阿茲海默症模式大鼠,其大腦皮質與海馬迴組織均有嚴重的氧化壓力。但這些氧化壓力可因為每日餵食紅麴米而得到改善,且其效果不僅具劑量效應關係,且更勝於lovastatin餵食組。紅麴發酵產物中之抗氧化物質目前已被提到的有紅麴抗氧化酸(dimerumic acid)、單寧(tannin)、酚化合物(phenol)、單元不飽和脂肪酸(monounsaturated fatty acid)、超氧歧化酵素與固醇類(sterols)(Aniya et al. 1999;Wang et al. 2006)。From the above results, it is known that Alzheimer's disease model rats with impaired memory learning have severe oxidative stress in the cerebral cortex and hippocampus. However, these oxidative stresses are improved by daily feeding of red glutinous rice, and the effects are not only dose-effect, but also better than the lovastatin feeding group. Antioxidant substances in the fermentation products of red peony have been mentioned as dimerumic acid, tannin, phenol, monounsaturated fatty acid, superoxide. Disproportionation enzymes and sterols (Aniya et al. 1999; Wang et al. 2006).

是故本發明之抗氧化物質可從紅麴抗氧化酸(dimerumic acid)、單寧(tannin)、酚化合物(phenol)、單元不飽和脂肪酸(monounsaturated fatty acid)、超氧歧化酵素與固醇類(sterols)與超氧化物歧化酵素(Superoxide dismutase;SOD)中任選一種。Therefore, the antioxidant substance of the present invention can be derived from dimerumic acid, tannin, phenol, monounsaturated fatty acid, superoxide dismutase and sterol. (sterols) and any of superoxide dismutase (SOD).

本發明之體內動物試驗之結果如第10圖A所示,Aβ的腦部輸注會使大鼠大腦皮質與海馬迴組織中的活性氧原子(reactive oxygen species,ROS)濃度分別顯著提高39.8%與28.7%(p< 0.05)。每日餵食紅麴米的阿滋海默症大鼠之大腦皮質與海馬迴組織中ROS濃度均會降低。其中RL組可分別降低16.0%(p< 0.05)與21.2%(p< 0.05),RH組則可分別降低35.4%(p< 0.01)與21.3%(p< 0.05)。Lovastatin飲食會降低大腦皮質中ROS濃度29.3%,並於海馬迴組織中降低15.7%(p< 0.05)。誘發性一氧化氮合成酶(iNOS)於海馬迴組織的表現量第10圖B之免疫組織染色所示,Aβ的輸注顯著增加iNOS的表現量,在RL組與RH組的海馬迴組織中可發現iNOS的表現量會被顯著受到抑制。但亦可發現對於抗發炎的效果lovastatin餵食組較差於1倍與5倍劑量之紅麴餵食組。The results of the in vivo animal test of the present invention are shown in Fig. 10A. The brain infusion of Aβ significantly increases the concentration of reactive oxygen species (ROS) in the cerebral cortex and hippocampus of the rat, respectively, by 39.8%. 28.7% ( p < 0.05). The concentration of ROS in the cerebral cortex and hippocampus of rats with Alzheimer's disease fed daily red glutinous rice decreased. The RL group was reduced by 16.0% ( p < 0.05) and 21.2% ( p < 0.05), respectively, and the RH group was decreased by 35.4% ( p < 0.01) and 21.3% ( p < 0.05), respectively. The Lovastatin diet reduced the ROS concentration in the cerebral cortex by 29.3% and decreased by 15.7% in the hippocampus ( p < 0.05). The expression of inducible nitric oxide synthase (iNOS) in hippocampus is shown in immunohistochemical staining in Figure 10B. Aβ infusion significantly increased iNOS expression in hippocampal gyrus of RL and RH groups. It was found that the amount of expression of iNOS was significantly suppressed. However, it was also found that the anti-inflammatory effect of the lovastatin feeding group was worse than the 1x and 5x doses of the red scorpion feeding group.

阿茲海默症大鼠之大腦皮質與海馬迴組織中ROS濃度會因提高餵食紅麴米的劑量而有更為顯著下降。雖然lovastatin曾經證實可有效於細胞模式中抑制Aβ所引發的發炎反應,但這樣的效果並未在動物模式中被證實,且statins的抗發炎效果亦未被應用於減經腦部輸注Aβ之阿茲海默症大鼠的記憶學習能力損傷。本研究證實lovastatin的餵食可顯著降低腦組織中的ROS含量與iNOS的表現量,但這些效果稍劣於紅麴米飲食組。近年來紅麴次級代謝物的保健功效已逐漸被開發研究,因此,許多抗發炎的物質亦陸續被提出,其中包含多種形式的莫那可林(monacolins)、6種紅麴代謝物(azaphilones):莫那斯辛(monascin)、安卡分拉命(ankaflavin)、路柏龐克坦汀(rubropunctatin)、莫那斯克布林(monascorburin)、路柏龐克胺(rubropunctamine)與莫那斯克布胺(monascorburamine),2種伏瑞喃薩弗萊德(furanoisophthalides):仙洛莫那斯辛A(xanthomonasin A)與仙洛莫那斯辛B(xanthomonasin B);及2種胺基酸(amino acids):(+)-莫那斯庫糜酸((+)-monascumic acid)與(-)-莫那斯庫糜酸((-)-monascumic acid)(Schubert et al. 1995)。因此,monacolin K確實並非抑制Aβ引起之發炎反應的唯一代謝物。Akihisa等人(2005)曾於小鼠動物模式中以紅麴米抑制致發炎物質(12-O-tetradecanoylphorbol-13-acetate;TPA)所引起的發炎反應。並證實主要的抗發炎物質為azaphilones類與furanoisophthalides類的化合物。綜合本研究之體外與體內動物評估之結果與紅麴抗發炎的相關研究,紅麴米抑制Aβ引發之發炎反應主要是來自於monacolin K與其他抗發炎物質共同呈現的協同機制。The concentration of ROS in the cerebral cortex and hippocampal gyrus of Alzheimer's disease rats was significantly reduced by increasing the dose of red glutinous rice. Although lovastatin has been shown to be effective in inhibiting the inflammatory response induced by Aβ in cell mode, such effects have not been demonstrated in animal models, and the anti-inflammatory effects of statins have not been applied to the reduction of brain transfusion Aβ. Injury in memory learning in rats with heather. This study confirmed that lovastatin feeding significantly reduced ROS content and iNOS expression in brain tissue, but these effects were slightly worse than the red glutinous rice diet group. In recent years, the health benefits of secondary metabolites of red peony have been gradually developed. Therefore, many anti-inflammatory substances have been proposed, including various forms of monacolins and 6 kinds of red peony metabolites (azaphilones). ): monascin, ankaflavin, rubropunctatin, monascorburin, rubropunctamine and monazkamine (monascorburamine), 2 species of furanoisophthalides: xanthomonasin A and xanthomonasin B; and 2 amino acids ): (+)-monascus acid ((+)-monascumic acid) and (-)-monascumic acid (Schubert et al. 1995). Therefore, monacolin K is not the only metabolite that inhibits the inflammatory response caused by Aβ. Akihisa et al. (2005) used an anti-inflammatory response caused by 12-O-tetradecanoylphorbol-13-acetate (TPA) in a mouse model. And confirmed that the main anti-inflammatory substances are azaphilones and furanoisophthalides. Based on the results of in vitro and in vivo animal evaluation of this study and the anti-inflammatory effects of red peony, the inhibition of Aβ-induced inflammatory response by red glutinous rice is mainly due to the synergistic mechanism of monacolin K and other anti-inflammatory substances.

是故本發明所提之發炎物質可以從γ-胺基丁酸(γ-aminobutyric acid,GABA)、莫那斯辛(monascin)、安卡分拉命(ankaflavin)、路柏龐克坦汀(rubropunctatin)、莫那斯克布林(monascorburin)、路柏龐克胺(rubropunctamine)、莫那斯克布胺(monascorburamine)、仙洛莫那斯辛A(xanthomonasin A)與仙洛莫那斯辛B(xanthomonasin B)、(+)-莫那斯庫糜酸((+)-monascumic acid)與(-)-莫那斯庫糜酸((-)-monascumic acid)中任選一種。Therefore, the inflammatory substances mentioned in the present invention can be derived from γ-aminobutyric acid (GABA), monascin, ankaflavin, and rubropunctatin. , monascorburin, rubropunctamine, monascorburamine, xanthomonasin A, and xanthomonasin B And (+)-monascus acid ((+)-monascumic acid) and (-)-monascusic acid ((-)-monascumic acid).

經28天連續輸注Aβ40至大鼠的海馬迴組織後,由第11圖中與vehicle組比較結果得知,Aβ組的海馬迴組織中有大量Aβ40的沈積。由上述結果與前人研究可得知輸注的Aβ40會於腦部中引起氧化壓力與發炎反應,進而造成Aβ40的沈積。當沈積的Aβ40含量越多時即引發更為嚴重的氧化壓力與發炎反應,反覆不斷惡性循環會造成腦部損傷持續加重。Lovastatin具有抑制Aβ40引起發炎反應的效果,但在對抗氧化壓力的能力則較為薄弱。因此由結果可發現,LS組之海馬迴組織中的Aβ40雖然些微低於Aβ組,但依然可發現大量的Aβ40的沈積。餵食紅麴米的RL組與RH組則有較為顯著降低Aβ40累積量的效果。紅麴米降低Aβ40於海馬迴組織之累積量的原因主要歸因於其對氧化壓力與發炎反應的抑制。輸注至腦部的Aβ40不受氧化發炎物質促進而沈積。使Aβ40無法對於腦部造成損傷,進而有效改善記憶學習的能力。After continuous infusion of Aβ40 to the hippocampal gyrus of the rats for 28 days, it was found from the comparison with the vehicle group in Fig. 11 that a large amount of Aβ40 was deposited in the hippocampal gyrus of the Aβ group. From the above results and previous studies, it can be known that the infused Aβ40 causes oxidative stress and inflammatory reaction in the brain, thereby causing deposition of Aβ40. When the deposited Aβ40 content is more, it will cause more severe oxidative stress and inflammatory reaction, and repeated vicious cycles will cause the brain damage to continue to increase. Lovastatin has the effect of inhibiting the inflammatory response caused by Aβ40, but its ability to resist oxidative stress is weak. Therefore, it can be found that the Aβ40 in the hippocampal gyrus of the LS group is slightly lower than that of the Aβ group, but a large amount of Aβ40 deposition can still be found. The RL group and the RH group fed red glutinous rice had the effect of significantly reducing the accumulation of Aβ40. The reason why red glutinous rice reduces the accumulation of Aβ40 in hippocampal gyrus is mainly due to its inhibition of oxidative stress and inflammatory reaction. Aβ40 infused into the brain is deposited without being promoted by oxidative inflammatory substances. Aβ40 can not cause damage to the brain, and thus effectively improve the ability of memory learning.

由於本發明之治療與預防阿茲海默症之莫那可林(Monacolins)、抗發炎物質與抗氧化物質之組合物均可於紅麴米提供改善阿茲海默症之症狀,其中在第一實施例中,每一克的紅麴米中莫那可林(Monacolins)有效最低含量至少大於100μg,而每一克的紅麴米中抗氧化物質有效最低含量至少大於40μg,而每一克的紅麴米中抗發炎物質有效最低含量至少大於10μg;其中莫那可林(Monacolins)、發炎物質與抗氧化物質的最佳重量比例為40:2:1為第一實施例中達到最佳功效者,此外莫那可林(Monacolins)、發炎物質與抗氧化物質的有效重量比例範圍為10:4:1至90:2:1均可加以實施,並應用實施在錠劑、膠囊、粉末、飲品等方式讓消費者服用。The combination of Monacolins, anti-inflammatory substances and antioxidant substances of the present invention for treating and preventing Alzheimer's disease can provide symptoms for improving Alzheimer's disease in red glutinous rice, wherein In one embodiment, the effective minimum content of monacolins per gram of red glutinous rice is at least greater than 100 μg, and the effective minimum content of antioxidants per gram of red glutinous rice is at least greater than 40 μg, and each gram The anti-inflammatory substance in red glutinous rice has an effective minimum content of at least 10 μg; wherein the optimal weight ratio of Monacolins, inflammatory substances and antioxidant substances is 40:2:1, which is the best in the first embodiment. Efficacy, in addition to the effective weight ratio of Monacolins, inflammatory substances and antioxidants ranging from 10:4:1 to 90:2:1 can be applied and applied in tablets, capsules, powders , drinks and other means for consumers to take.

此外,在第二實施例中,使用莫那可林(Monacolins)、抗發炎物質的組合物,也可治療與預防阿茲海默症,當每一克的紅麴米中莫那可林(Monacolins)有效最低含量至少大於200μg與每一克的紅麴米中抗發炎物質有效最低含量至少大於60μg的組合物中,亦可以有上述過程中的效用;其中莫那可林(Monacolins)與發炎物質的最佳重量比例為10:1為第二實施例中達到最佳功效者,此外莫那可林(Monacolins)與發炎物質的有效重量比例範圍為10:3至45:1,均可在第二實施例中加以實施,並應用實施在錠劑、膠囊、粉末、飲品等方式讓消費者服用。Further, in the second embodiment, a composition of Monacolins and an anti-inflammatory substance can also be used for the treatment and prevention of Alzheimer's disease, when each gram of red glutinous rice is monacolin ( Monacolins) may also have the effect of the above process in compositions having an effective minimum level of at least greater than 200 μg and an effective minimum level of anti-inflammatory substances of at least 60 μg per gram of red glutinous rice; wherein monacolins and inflammation are present. The optimum weight ratio of the substance is 10:1 for the best effect in the second embodiment, and the effective weight ratio of Monacolins to inflammatory substances ranges from 10:3 to 45:1. The second embodiment is carried out and applied to the consumer in the form of tablets, capsules, powders, drinks, and the like.

在紅麴米內所含之抗發炎物質係為γ-胺基丁酸(γ-aminobutyric acid,GABA),且紅麴米係為一天然食品,可透過特定的方式加以發酵提煉,因此對人體不會產生任何明顯不良的副作用。故若將紅麴米當做治療阿茲海默症的調理食品,其效果不但顯著,且並無一般藥品會令患者產生多種之副作用,實為一造福人群之發明。The anti-inflammatory substance contained in red glutinous rice is γ-aminobutyric acid (GABA), and red glutinous rice is a natural food, which can be fermented and refined in a specific way, so that it is applied to the human body. Does not produce any significant adverse side effects. Therefore, if red glutinous rice is used as a conditioning food for the treatment of Alzheimer's disease, the effect is not only significant, but there is no general medicine that will cause a variety of side effects for patients, which is an invention for the benefit of the population.

請參照第12-1圖至第12-3圖係為本發明之治療與預防阿茲海默症組合物之製作方法,說明如下:首先,先要清潔一米種並在一高壓高溫環境下進行滅菌(步驟100),此一米種係為一在來米(Oryza satiVa L.,Japonica) ,此高壓高溫環境係指在121℃以及1 kg/cm2 的壓力環境中,然後將一特定紅麴菌株接種至一種菌培養基中並在一第一特定溫度溼度環境、一特定震盪環境與一第一特定時限進行接菌(步驟110),此一種菌培養基其組成為至少5g該米種浸泡於蒸餾無菌水100ml中,此一第一特定時限係指48小時之後,此一第一特定溫度係保持在30℃,此一特定震盪環境係保持在100至150每分鐘轉速(revolutions per minute;rpm);也就是將紅麴菌株接種至種菌培養基,並保持在30℃、125 rpm振盪培養約48小時後便可進行接菌,秤取固態培養基500 g,清洗後浸水6~8小時。用棉布濾水後,置於麴布之上,鋪平在麴盤中,殺菌(121℃,20~25 min)。再進行灑水100 mL。進行第二次殺菌(121℃,20 min),並於冷卻後進行接菌。取種菌液接入固態基質中(5%),並充分攪拌均勻。接著在該第一特定溫度環境中進行攪拌該種菌培養基並在一第二特定時限內持續提供一特定比例之水分(步驟120),此一第二特定時限係指在72小時之內,此一該特定比例之水分係指20%之蒸餾無菌水,在72小時內,每隔24小時便攪拌該種菌培養基並補充20%之蒸餾無菌水並在30℃恆溫箱中培養,然後在一第三特定時限內與該第一特定溫度環境中每隔一固定時間進行適當攪拌來達成後熟(步驟130),後熟係指讓代謝物生成的階段,此一第三特定時限內係指在96小時之內。此一固定時間係指每10個小時。在96小時之內,平均每隔10個小時針對種菌培養基進行適當的攪拌,然後收取完成發酵後之一紅麴發酵物並在一第四特定期間內保持一第二特定溫度將其進行乾燥化(步驟140),此一第四特定期間係指在24小時之內,此一第二特定溫度係指保持在55-60℃。此步驟係為收麴,將完成發酵後的紅麴發酵物於烘箱內進行24小時60℃的乾燥程序,接著將已乾燥之該紅麴發酵物磨成粉末狀並進行分析是否符合一成分比例條件(步驟150),此一成分比例條件係指該組合物包含一莫那可林(monacolins)、一抗發炎物質與一抗氧化物質,此三種物質的有效重量比例範圍為10:4:1至90:2:1,在這範圍中,就確認是符合再該成分比例條件之中,若不是則結束本流程,因為係為失敗的製作過程;若確認在範圍中,更有步驟A與步驟B,請請參閱第12-2圖與第12-3圖,步驟A之後,將製備完成的該紅麴發酵物之粉末以一特定比例添加入可食用之飲料中製作成一具有治療與預防阿茲海默症之紅麴飲品(步驟160),並完成本製作流程。此一特定比例係指在1.0~4.0%之間。Please refer to Figures 12-1 to 12-3 for the preparation and treatment of Alzheimer's disease composition according to the present invention, as follows: First, first clean one meter and in a high pressure and high temperature environment. Sterilization (step 100), this one meter is a rice (Oryza satiVa L., Japonica) , this high pressure high temperature environment refers to a pressure environment of 121 ° C and 1 kg / cm 2 , and then a specific The red peony strain is inoculated into a bacterium culture medium and is inoculated in a first specific temperature and humidity environment, a specific oscillating environment and a first specific time limit (step 110), and the bacterium culture medium is composed of at least 5 g of the rice immersion. In 100 ml of distilled sterile water, this first specific time limit means that after 48 hours, the first specific temperature is maintained at 30 ° C, and the specific oscillating environment is maintained at 100 to 150 revolutions per minute (revolutions per minute; Rpm); that is, the red peony strain was inoculated to the inoculum culture medium, and cultured at 30 ° C, shaking at 125 rpm for about 48 hours, and then the bacteria were collected, and 500 g of the solid medium was weighed and washed for 6-8 hours. After filtering the water with cotton cloth, place it on a crepe cloth, flatten it in a tray and sterilize (121 ° C, 20~25 min). Sprinkle water 100 mL. A second sterilization (121 ° C, 20 min) was carried out and the cells were sterilized after cooling. The inoculum was taken into a solid matrix (5%) and stirred well. And then stirring the inoculum culture medium in the first specific temperature environment and continuously providing a specific proportion of water for a second specific time period (step 120), wherein the second specific time limit means within 72 hours, The specific proportion of water refers to 20% distilled sterile water, the culture medium is stirred every 24 hours within 72 hours and supplemented with 20% distilled water and cultured in a 30 ° C incubator, then in a third Within a certain time limit, appropriate agitation is performed at every fixed time in the first specific temperature environment to achieve post-ripening (step 130), and the post-mature refers to a stage in which metabolites are generated, and this third specific time limit is referred to in 96. Within hours. This fixed time means every 10 hours. Within 96 hours, the inoculum culture medium is appropriately stirred every 10 hours, and then one of the red sorghum fermented materials after the completion of the fermentation is collected and dried at a second specific temperature for a fourth specific period. (Step 140), this fourth specific period means that within 24 hours, this second specific temperature means that it is maintained at 55-60 °C. This step is a collection process, and the fermented red sorghum fermented product is subjected to a drying process of 24 hours at 60° C. in an oven, and then the dried red sorghum fermented product is ground into a powder and analyzed for compliance with a component ratio. Condition (step 150), the composition ratio condition means that the composition comprises a monacolins, an anti-inflammatory substance and an antioxidant substance, and the effective weight ratio of the three substances ranges from 10:4:1. To 90:2:1, in this range, it is confirmed that it is in the condition of the ratio of the component. If not, the process is terminated because it is a failed production process; if it is confirmed in the range, step A is further Step B, please refer to Figure 12-2 and Figure 12-3. After Step A, the prepared powder of the red sorghum fermented product is added into the edible beverage in a specific ratio to prepare a treatment and prevention. The sputum drink of Zhaimer's disease (step 160), and complete the production process. This specific ratio is between 1.0 and 4.0%.

步驟B之後,將製備完成的該紅麴發酵物之粉末填充至一膠囊中或是製作成一錠劑(步驟170),並完成本製作流程。After step B, the prepared powder of the red sorghum fermented product is filled into a capsule or made into a tablet (step 170), and the production process is completed.

本實施製作方式係可透過傳統麴盤進行培養,製作較小型之麴盤,長、寬、高各約20×30×5 cm;培養時底層放置麴布包裹固態基質,此有利於翻麴,同時可以保持濕度;上層再蓋上一層麴布以隔絕外界之污染,同時並可保持發酵過程紅麴米的濕度。整個培養過程於開放式空間進行,是故,透過本製作方式將可以實施本發明之組合物,並可應用在錠劑、膠囊、粉末、飲品等。The production method of the present embodiment can be cultured through a traditional tray, and a smaller type of tray can be made, which is about 20×30×5 cm in length, width and height. When the substrate is cultured, the enamel cloth is wrapped with a solid matrix, which is favorable for turning over. At the same time, the humidity can be maintained; the upper layer is covered with a layer of crepe to isolate the outside pollution, and at the same time maintain the humidity of the red glutinous rice during the fermentation process. The entire culture process is carried out in an open space, and the composition of the present invention can be carried out by the present production method, and can be applied to tablets, capsules, powders, drinks, and the like.

雖然本發明以前述之較佳實施例揭露如上,然其並非用以限定本發明,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可作些許之更動與潤飾,如其他利用含有莫那可林(Monacolins)、抗發炎物質與抗氧化物質來治療阿茲海默症之任何物品,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。Although the present invention has been described above in terms of the preferred embodiments thereof, it is not intended to limit the present invention, and those skilled in the art may make some modifications and refinements, such as others, without departing from the spirit and scope of the invention. Any article that treats Alzheimer's disease with monacolins, anti-inflammatory substances, and antioxidants is used, and the scope of the present invention is defined by the scope of the appended claims.

10...試驗裝置10. . . Test device

11...明室11. . . Ming room

12...暗室12. . . darkroom

13...閘門13. . . Gate

14...金屬線14. . . metal wires

20...水迷宮裝置20. . . Water maze device

21...圓形泳池twenty one. . . Round pool

P1...休息平臺P1. . . Rest platform

步驟100 清潔一米種並在一高壓高溫環境下進行滅菌Step 100 Clean one meter and sterilize in a high pressure and high temperature environment

步驟110 將一特定紅麴菌株接種至一種菌培養基中並在一第一特定溫度溼度環境、一特定震盪環境與一第一特定時限進行接菌Step 110: inoculating a specific red peony strain into a culture medium and inoculation in a first specific temperature and humidity environment, a specific oscillating environment and a first specific time limit

步驟120 在該第一特定溫度環境中進行攪拌該種菌培養基並在一第二特定時限內持續提供一特定比例之水分Step 120: stirring the inoculum culture medium in the first specific temperature environment and continuously providing a specific proportion of moisture within a second specific time limit

步驟130 在一第三特定時限內與該第一特定溫度環境中每隔一固定時間進行適當攪拌來達成後熟Step 130: performing a suitable agitation at a fixed time in the first specific temperature environment within a third specific time limit to achieve the post-ripening

步驟140 收取完成發酵後之一紅麴發酵物並在一第四特定期間內保持一第二特定溫度將其進行乾燥化Step 140: Receiving one of the red mash fermentation products after completion of the fermentation and drying it at a second specific temperature for a fourth specific period of time

步驟150 將已乾燥之該紅麴發酵物磨成粉末狀並進行分析是否符合一成分比例條件Step 150: grinding the dried red sorghum fermented product into a powder and analyzing whether it meets the ratio of one component

步驟160 將製備完成的該紅麴發酵物之粉末以一特定比例添加入可食用之飲料中製作成一具有治療與預防阿茲海默症之紅麴飲品Step 160: The prepared powder of the red sorghum fermented product is added into an edible beverage in a specific ratio to prepare a red scorpion drink having the treatment and prevention of Alzheimer's disease.

步驟170 將製備完成的該紅麴發酵物之粉末填充至一膠囊中或是製作成一錠劑Step 170: filling the prepared powder of the red sorghum fermented product into a capsule or making a tablet

第1圖係為本發明試驗裝置之示意圖;Figure 1 is a schematic view of the test device of the present invention;

第2圖為大鼠停留於明室直到進入暗室的時間統計圖;Figure 2 is a time chart of the rats staying in the bright room until entering the darkroom;

第3圖係為本發明水迷宮裝置與分區域示意圖;Figure 3 is a schematic view of the water maze device and sub-area of the present invention;

第4圖為紅麴米於對類澱粉樣蛋白40(Aβ40)腦部輸注之大鼠於參考記憶試驗與探測性試驗(probe test)中之記憶學習能力影響圖;Figure 4 is a graph showing the effect of red glutinous rice on memory learning ability in a reference memory test and a probe test in rats with amyloid 40 (Aβ40) brain infusion;

第5圖為紅麴米於對腦部輸注Aβ40之大鼠於工作記憶試驗中之記憶學習能力;Figure 5 is the memory learning ability of red glutinous rice in rats with Aβ40 infusion in the working memory test;

第6圖為紅麴米於對腦部輸注Aβ40之大鼠大腦皮質與海馬迴組織中乙醯膽鹼酶活性之影響圖;Figure 6 is a graph showing the effect of red glutinous rice on the activity of acetylcholine in the cerebral cortex and hippocampus of rats with Aβ40 infused into the brain;

第7圖為腦部輸注Aβ之大鼠大腦皮質與海馬迴組織中總抗氧化劑狀態(TAS)比較圖;Figure 7 is a comparison of total antioxidant status (TAS) in the cerebral cortex and hippocampal gyrus of rats with Aβ transfused;

第8圖為紅麴米對於大鼠大腦皮質與海馬迴組織中丙二醛(MDA)濃度之影響圖;Figure 8 is a graph showing the effect of red glutinous rice on the concentration of malondialdehyde (MDA) in the cerebral cortex and hippocampal gyrus of rats;

第9圖為紅麴米對於大鼠大腦皮質與海馬迴組織中超氧歧化酵素(superoxide dismutase,SOD)活性之影響圖;Figure 9 is a graph showing the effect of red glutinous rice on the activity of superoxide dismutase (SOD) in rat cerebral cortex and hippocampus.

第10圖為紅麴米於對Aβ40腦部輸注之大鼠大腦皮質與海馬迴組織中活性氧原子(ROS)含量與海馬迴組織中一氧化氮合成酶(iNOS)表現量之影響;Figure 10 is the effect of red glutinous rice on the content of reactive oxygen species (ROS) in the cerebral cortex and hippocampus of rat Aβ40 brain and the expression of nitric oxide synthase (iNOS) in hippocampus.

第11圖為連續輸注Aβ40至大鼠的海馬迴組織後,Aβ40的沈積示意圖;以及Figure 11 is a schematic diagram showing the deposition of Aβ40 after continuous infusion of Aβ40 to the hippocampus of rats;

第12-1~12-3圖為本發明之治療與預防阿茲海默症組合物之製作方法。Figures 12-1 to 12-3 show the preparation of the composition for treating and preventing Alzheimer's disease of the present invention.

Claims (2)

一種治療與預防阿茲海默症組合物之製作方法,其製作方法係包含下列步驟:(1)清潔一在來米(Oryza satiVa L.,Japonica)並在一高壓高溫環境下進行滅菌,其中該高壓高溫環境係指在121℃以及1 kg/cm2 的壓力環境中;(2)將一特定紅麴菌株接種至一種菌培養基中並在30℃、100~150每分鐘轉速(revolutions per minute;rpm)與48小時之後進行接菌,其中該種菌培養基係藉由將至少5g的該在來米浸泡於100ml的蒸餾無菌水之中而製得;(3)在30℃之下攪拌該種菌培養基並在72小時之內持續提供20%之蒸餾無菌水;(4)在96小時之內與30℃中每隔10個小時進行適當攪拌來達成後熟;(5)收取完成發酵後之一紅麴發酵物並在24小時之內保持55℃~60℃將其進行乾燥化;(6)將已乾燥之該紅麴發酵物磨成粉末狀並進行分析是否符合一成分比例條件,其中該成分比例條件係指磨成粉末狀的該紅麴發酵物包含有一莫那可林(monacolins)、一抗發炎物質與一抗氧化物質,此 三種物質的.最佳重量比例為40:2:1;以及(7)將製備完成的該紅麴發酵物之粉末以1.0~4.0%之比例添加入可食用之飲料中製作成一具有治療與預防阿茲海默症之紅麴飲品。The invention relates to a method for preparing and preventing a composition of Alzheimer's disease, which comprises the following steps: (1) cleaning a rice (Oryza satiVa L., Japonica) and sterilizing in a high-pressure high-temperature environment, wherein The high-pressure high-temperature environment refers to a pressure environment of 121 ° C and 1 kg / cm 2 ; (2) inoculate a specific red sputum strain into a culture medium and rotate at 30 ° C, 100 ~ 150 rpm (revolutions per minute ; rpm) and 48 hours after inoculation, wherein the inoculum culture medium is prepared by soaking at least 5 g of the dried rice in 100 ml of distilled sterile water; (3) stirring the inoculum at 30 ° C The medium is continuously provided with 20% distilled water for sterilization within 72 hours; (4) is suitably stirred within 96 hours with every 10 hours at 30 ° C to achieve ripening; (5) one of the collected fermentations The red sorghum fermented product is dried at 55 ° C to 60 ° C for 24 hours; (6) the dried red sorghum fermented product is ground into a powder and analyzed for compliance with a component ratio condition, wherein The component ratio condition means that the red mash fermentation product contained in a powder form contains a monacolins, an anti-inflammatory substance and an antioxidant substance, the optimal weight ratio of the three substances is 40:2:1; and (7) the prepared powder of the red peony ferment It is added to an edible beverage in a ratio of 1.0 to 4.0% to make a red sip drink with the treatment and prevention of Alzheimer's disease. 如申請專利範圍第1項所述之治療與預防阿茲海默症組合物之製作方法,其中該將已乾燥之該紅麴發酵物磨成粉末狀並進行分析是否符合一成分比例條件的步驟,更可包含將製備完成的該紅麴發酵物之粉末填充至一膠囊中或是製作成一錠劑之步驟。The method for producing a composition for treating and preventing Alzheimer's disease according to claim 1, wherein the step of drying the dried red peony fermentate into a powder and performing analysis to meet a component ratio condition Further, the method further comprises the steps of filling the prepared powder of the red peony fermentate into a capsule or making a tablet.
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Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
Lee Chun-Lin et al.;"Red Mold Rice Ameliorates Impairment of Memory and Learning Ability in Intracerebroventricular Amyloid beta-Infused Rat by Repressing Amyloid beta Accumulation";Journal of Neuroscience Research,vol.85,pages 3171~3182. *
Su Yuan-Chi et al. "Production of the secondary metabolites γ-aminobutyric acid and monacolin K by Monascus" J Ind Microbiol Biotechnol,2003,vol.30,pages 41~46. *
Wang Jyh-Jye et al. "Improvement of monacolin K,γ-aminobutyric acid and citrinin production ratio as a function of environmental conditions of Monascus purpureus NTU 601" J Ind Microbiol Biotechnol,2003,vol.30,pages 669~676. *

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