TWI421082B - Usage of 20-hydroxy ecdysone for manufacturing drug of kidney fibrosis and usage of a medication for manufacturing drug of kidney fibrosis - Google Patents

Usage of 20-hydroxy ecdysone for manufacturing drug of kidney fibrosis and usage of a medication for manufacturing drug of kidney fibrosis Download PDF

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TWI421082B
TWI421082B TW100132736A TW100132736A TWI421082B TW I421082 B TWI421082 B TW I421082B TW 100132736 A TW100132736 A TW 100132736A TW 100132736 A TW100132736 A TW 100132736A TW I421082 B TWI421082 B TW I421082B
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ecdysone
renal fibrosis
medicament
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preparation
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TW201311250A (en
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Yu Lin Yang
Tsung Jen Hung
Li Te Yin
Wei Ming Chen
Chia Hsiang Lin
Wen Teng Chang
Jau Shyang Huang
Shu Fen Liu
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Chung Hwa University Of Medical Technolgy
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蛻皮激素用以製備治療腎纖維化藥物之用途及醫藥組合物用 以製備治療腎纖維化之藥物的用途 Use of ecdysone for preparing medicine for treating renal fibrosis and pharmaceutical composition Use for preparing a medicament for treating renal fibrosis

本發明係關於一種蛻皮激素之用途,特別是一種關於蛻皮激素用以製備治療腎纖維化藥物之用途,及治療腎纖維化之醫藥組合物。 The present invention relates to the use of an ecdysone, in particular to a pharmaceutical composition for the preparation of a medicament for treating renal fibrosis and for the treatment of renal fibrosis.

請參照第1圖所示,係蛻皮激素(20-Hydroxy ecdysone,簡稱20HE)之化學結構,分子式為C27H44O7,其IUPAC命名為(2β,3β,5β,22R)-2,3,14,20,22,25-hexa hydroxycholest-7-en-6-one。蛻皮激素係一種去氫化的植物固醇,常見於植物或無脊椎動物中,例如菠菜或山藥等,而蛻皮激素主要係用以調控昆蟲的蛻皮及變態現象。 Please refer to Figure 1 for the chemical structure of 20-Hydroxy ecdysone (20HE). The molecular formula is C 27 H 44 O 7 and its IUPAC is named (2β, 3β, 5β, 22R)-2,3. , 14, 20, 22, 25-hexa hydroxycholest-7-en-6-one. Ecdysone is a dehydrogenated phytosterol commonly found in plants or invertebrates, such as spinach or yam, and ecdysone is mainly used to regulate the molting and metamorphosis of insects.

許多研究已對蛻皮激素於脊椎動物之生物活性進行探討,證實蛻皮激素對於脊椎動物亦具有多種生理活性。舉例而言,蛻皮激素具有降低膽固醇、降血糖、具有免疫調節、抗心律不整以及保護肝臟等作用;此外,根據Yoshida等人於1971年之研究(Effect of ecdysterone on hyper-glycemia in experimental animals.Biochem.Pharmacol.(1971)20:3263-3268.)證實蛻皮激素具有調節醣類代謝、降低膽固醇,並且抑制糖尿病對腎臟所造成的損傷之效果。 Many studies have investigated the biological activity of ecdysone in vertebrates, confirming that ecdysone also has a variety of physiological activities in vertebrates. For example, ecdysone has the effects of lowering cholesterol, lowering blood sugar, having immune regulation, preventing arrhythmia, and protecting the liver; in addition, according to Yoshida et al. (1971), Effect of ecdysterone on hyper-glycemia in experimental animals. Pharmacol. (1971) 20: 3263-3268.) It was confirmed that ecdysone has an effect of regulating carbohydrate metabolism, lowering cholesterol, and inhibiting damage to the kidney caused by diabetes.

然而,截至目前為止,尚未有研究資料指出蛻皮激素具有治療腎纖維化之功用,以避免腎纖維化而加速腎臟病患者的腎功能喪失。 However, as of now, no research data has indicated that ecdysone has the function of treating renal fibrosis to avoid renal fibrosis and accelerate renal function loss in patients with kidney disease.

更詳言之,慢性腎臟疾病(Chronic Kidney disease, 簡稱CKD),是指腎臟受到傷害(如高血糖、高血壓、高蛋白尿或其他氧化壓力等)而可能導致腎臟功能下降,或逐漸演變成腎纖維化,進而發生腎功能喪失。 More specifically, Chronic Kidney disease, Referred to as CKD), the kidney is injured (such as hyperglycemia, high blood pressure, high proteinuria or other oxidative stress), which may lead to a decline in kidney function, or gradually evolve into renal fibrosis, which leads to loss of renal function.

腎纖維化的過程可分為兩個階段: The process of renal fibrosis can be divided into two phases:

(1)腎纖維化初期:腎臟組織接受不同的生理壓力(包含高血糖、高血壓、高蛋白尿或其他氧化壓力等)時,腎臟細胞或其周邊組織會釋放一系列的發炎物質,使腎臟組織持續地慢性發炎,促進腎臟細胞失去其固有特性,並發生細胞型態改變,隨後腎臟細胞開始釋放一系列生長因子,例如第一型乙型轉型生長因子(Transforming growth factor β type I,簡稱TGF-β1)、結締組織生長因子(Connective tissue growth factor,簡稱CTGF)或表皮生長因子(Epidermal growth factor,簡稱EGF)等,進而導致腎間質的纖維母細胞增生與分化,並合成細胞外基質(Extracellular matrix,簡稱ECM)。 (1) Early stage of renal fibrosis: When the kidney tissue receives different physiological pressures (including hyperglycemia, hypertension, high proteinuria or other oxidative stress), the kidney cells or their surrounding tissues release a series of inflammatory substances to make the kidneys The tissue continues to chronically inflame, promotes the loss of its intrinsic properties and changes in cell type, and then the kidney cells begin to release a series of growth factors, such as the first type of transforming growth factor β type I (TGF). -β1), connective tissue growth factor (CTGF) or epidermal growth factor (EGF), which leads to the proliferation and differentiation of renal interstitial fibroblasts and synthesis of extracellular matrix ( Extracellular matrix, referred to as ECM).

此時,腎臟結構及功能雖然已經發生變化,但受損的腎臟細胞仍能夠行使部分功能,在腎纖維化初期係能夠透過治療而使受損的腎臟細胞恢復成原來功能,阻斷受損的腎臟細胞轉化成類纖維細胞是阻斷腎臟纖維化的關鍵環節。更詳言之,類纖維細胞係一種已分化細胞,失去原有細胞標記,而在細胞表面出現類似纖維細胞的標記,由此現象認定為細胞轉化的開始,若誘導轉化的因子消失,則細胞仍可回到原細胞的型態以及表徵,因此,阻斷腎臟細胞轉化成為纖維母細胞,是防止腎臟纖維化的重要關鍵。 At this time, although the structure and function of the kidney have changed, the damaged kidney cells can still perform some functions. In the early stage of renal fibrosis, the damaged kidney cells can be restored to their original functions and blocked. The conversion of kidney cells into fibroblasts is a key link in blocking renal fibrosis. More specifically, a fibroblast cell line is a differentiated cell that loses its original cell marker, and a cell-like marker appears on the cell surface. This phenomenon is recognized as the beginning of cell transformation, and if the factor that induces transformation disappears, the cell It can still return to the type and characterization of the original cells. Therefore, blocking the transformation of kidney cells into fibroblasts is an important key to prevent renal fibrosis.

(2)腎纖維化後期:當腎臟細胞受到發炎物質的刺 激並轉變成類纖維細胞後,持續地與發炎物質接觸,該類纖維細胞將會轉化成纖維母細胞,此時纖維母細胞將不需要發炎物質的刺激,即可自行增殖,並持續合成第I及Ⅲ型膠原蛋白,使ECM快速堆積,最終導致腎小管及腎臟間質的纖維化產生。 (2) Late stage of renal fibrosis: when kidney cells are punctured by inflammatory substances After being transformed into fibroblasts, it is continuously contacted with inflammatory substances, and the fibroblasts will be transformed into fibroblasts. At this time, the fibroblasts will proliferate without stimulating the inflammatory substances, and the synthesis will continue. Collagen type I and III cause ECM to accumulate rapidly, eventually leading to fibrosis of renal tubules and renal interstitium.

腎纖維化發展至此,有效的腎功能單位數量逐漸消失,就算阻止腎臟進一步的纖維化產生,對於已經纖維化的腎臟組織則無法再進行修復,當腎功能完全喪失時,則腎臟病患者僅能藉由血液透析或腹膜透析的方式維持其腎臟功能。 Since the development of renal fibrosis, the number of effective renal function units has gradually disappeared, and even if the kidneys are prevented from further fibrosis, the already fibrotic kidney tissue can no longer be repaired. When the renal function is completely lost, the kidney disease patient can only Maintain renal function by hemodialysis or peritoneal dialysis.

在學理研究上,腎纖維化係與上皮-間質轉換(Epithelial-mesenchymal transition,簡稱EMT)現象有關,EMT現象是在胚胎發育、纖維化及上皮癌症轉移時會出現的型態轉變過程。更詳言之,當腎臟細胞受到壓力刺激時會分泌發炎物質,促使正常腎臟細胞發生EMT現象,特別係指原本呈正方體的腎上皮細胞,轉變成梭狀型態並具有移動性,該腎上皮細胞脫離原本上皮區域後,轉化成纖維母細胞並分泌ECM以修復受損的腎臟組織,最終導致腎臟的纖維硬化。 In academic studies, renal fibrosis is associated with epithelial-mesenchymal transition (EMT), an EMT phenomenon that occurs during embryonic development, fibrosis, and epithelial cancer metastasis. More specifically, when the kidney cells are stimulated by stress, they will secrete inflammatory substances, which will cause EMT in normal kidney cells, especially the kidney epithelial cells which are originally in the shape of a square, which are transformed into a fusiform type and have mobility. After the cells are detached from the original epithelial area, they are transformed into fibroblasts and secrete ECM to repair damaged kidney tissue, which eventually leads to hardening of the kidney fibers.

當腎上皮細胞發生EMT現象,原本使腎上皮細胞相互連結在一起的黏附蛋白(E-cadherin)會喪失,因此,藉由測量黏附蛋白的表現量可作為判斷腎上皮細胞發生EMT現象的標準(Li et al.,2006)。 When EMT occurs in renal epithelial cells, the adhesion protein (E-cadherin) that originally binds the renal epithelial cells to each other is lost. Therefore, by measuring the amount of adhesion protein, it can be used as a criterion for judging the EMT phenomenon of renal epithelial cells ( Li et al ., 2006).

根據Border等人於1998年之研究指出,腎纖維化的患者,其腎臟細胞所表現的TGF-β1較正常人多,且腎臟 細胞藉由TGF-β1活化Smad信號傳遞路徑(Smad signaling),便開始表現Snail轉錄因子,使腎上皮細胞的黏附蛋白降解而發生EMT現象,並由上述的結果導至腎臟組織完全失去功能。 According to a 1998 study by Border et al., patients with renal fibrosis have more TGF-β1 than normal and kidneys. By activating the Smad signaling pathway (Smad signaling) by TGF-β1, the cells begin to express Snail transcription factors, which degrade the adhesion proteins of renal epithelial cells to cause EMT, and the above results lead to complete loss of function of kidney tissues.

目前尚無有效抑制腎纖維化之藥物,僅能藉由控制引發腎纖維化之危險因子來減緩腎纖維化的發生,如控制血壓、血糖或限制蛋白質攝取;其中,對於高血壓患者而言,藉由給予降血壓藥物來控制血壓,例如血管張力素轉換酵素抑制劑(Angiotensin Converting Enzyme Inhibitor,簡稱ACE-I),以降低高血壓對於腎臟組織造成的生理壓力。 There is currently no effective drug for inhibiting renal fibrosis. It can only slow the occurrence of renal fibrosis by controlling risk factors that cause renal fibrosis, such as controlling blood pressure, blood sugar or limiting protein intake. Among them, for patients with hypertension, The blood pressure is controlled by administering a blood pressure lowering drug, such as Angiotensin Converting Enzyme Inhibitor (ACE-I), to reduce the physiological stress caused by hypertension on kidney tissues.

請參照巫文平於中國醫藥大學98學年度發表之碩士論文指出,組合絡舒樂適(Aliskiren)及纈沙坦(Valsartan)等降血壓藥物,對於治療由單側輸尿管阻斷所造成的腎纖維化具有療效,然而,該等降血壓藥物可能伴隨有頭痛、暈眩、咳嗽、腹瀉、腹痛、血管性水腫、甚至腎衰竭等副作用;此外,另有資料指出,史塔丁類(Statin)降血脂藥物亦具有治療腎纖維化之效果,然而,對於降血脂藥物過敏的患者,則可能會發生橫紋肌溶解症之副作用。 Please refer to the master's thesis published by Wu Wenping at the China Medical University in the 98th year. It is indicated that the combination of Aliskiren and Valsartan is a blood pressure lowering drug for the treatment of renal fibrosis caused by unilateral ureteral obstruction. Efficacy, however, these antihypertensive drugs may be accompanied by side effects such as headache, dizziness, cough, diarrhea, abdominal pain, angioedema, and even kidney failure; in addition, there are other data indicating that Statin is a hypolipidemic drug. It also has the effect of treating renal fibrosis. However, in patients who are allergic to hypolipidemic drugs, side effects of rhabdomyolysis may occur.

上述藥物除了可能伴隨有令服用者產生不適之副作用外,該等藥物皆僅適用於患有高血壓或者高血脂的腎纖維化患者,如腎纖維化患者不具有上述適應病症,則不適用上述藥物作為治療腎纖維化之用。 The above drugs may be used only in patients with renal fibrosis suffering from hypertension or hyperlipidemia, except for the side effects that may cause discomfort to the user. For example, patients with renal fibrosis do not have the above-mentioned adaptive conditions. The drug is used as a treatment for renal fibrosis.

由上述可知,若能提供一種天然化合物係能夠作為治療腎纖維化之有效成分,並製備成一腎纖維化藥物供人類等哺乳動物攝取,而能夠減緩慢性腎臟病患者之腎纖維化 現象,以避免腎功能喪失的發生,並有助於改善現行臨床醫療上無法有效控制腎纖維化發生之問題。 It can be seen from the above that if a natural compound can be provided as an active ingredient for treating renal fibrosis, and a renal fibrosis drug can be prepared for consumption by a mammal such as a human, the renal fibrosis of a patient with chronic kidney disease can be alleviated. Phenomena, to avoid the occurrence of renal function loss, and help to improve the current clinical medical treatment can not effectively control the occurrence of renal fibrosis.

本發明之主要目的係提供一種蛻皮激素用以製備治療腎纖維化藥物之用途,特別係藉由蛻皮激素抑制腎臟細胞轉變為纖維母細胞之現象。 The main object of the present invention is to provide a ecdysone for the preparation of a medicament for treating renal fibrosis, in particular, a phenomenon in which ecdysone inhibits the conversion of kidney cells into fibroblasts.

本發明之次一目的係提供一種醫藥組合物用以製備治療腎纖維化之藥物的用途,係以蛻皮激素作為抑制腎纖維化之活性成分,以減緩腎臟細胞轉變為纖維母細胞之情形。 A second object of the present invention is to provide a pharmaceutical composition for the preparation of a medicament for treating renal fibrosis, which uses ecdysone as an active ingredient for inhibiting renal fibrosis to slow the conversion of kidney cells into fibroblasts.

為達到前述發明目的,本發明所運用之技術手段包含有:一種蛻皮激素用以製備治療腎纖維化藥物之用途,蛻皮激素係具有抑制腎臟細胞在受到生理性或非生理性刺激的情況而發生腎纖維化之作用。 In order to achieve the above object, the technical means used in the present invention include: a ecdysone for preparing a drug for treating renal fibrosis, and an ecdysone for inhibiting renal cells from being subjected to physiological or non-physiological stimulation. The role of renal fibrosis.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該腎臟細胞係受到一誘導纖維化刺激物之刺激後,活化該腎臟細胞之第一型乙型轉型生長因子(Transforming growth factor β type I,簡稱TGF-β1)訊息傳遞路徑及上皮-間質轉換(Epithelial-mesenchymal transition,簡稱EMT)現象。 The use of the ecdysone of the present invention for the preparation of a medicament for treating renal fibrosis, the kidney cell line being stimulated by an induced fibrotic stimulator to activate the first type B transforming growth factor of the kidney cell (Transforming growth factor β Type I, referred to as TGF-β1) message transmission path and epithelial-mesenchymal transition (EMT) phenomenon.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該蛻皮激素係抑制該腎臟細胞表現纖維蛋白(Fibronectin)。 The ecdysone of the present invention is used for the preparation of a medicament for treating a renal fibrosis which inhibits the expression of fibronectin in the kidney cells.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該蛻皮激素係抑制該腎臟細胞之TGF-β1R I之表現量。 In the use of the ecdysone of the present invention for the preparation of a medicament for treating renal fibrosis, the ecdysone inhibits the expression of TGF-β1R I in the kidney cells.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該蛻皮激素係抑制該腎臟細胞Snail轉錄因子之表現。 The ecdysone of the present invention is used for the preparation of a medicament for treating a renal fibrosis which inhibits the expression of a Snail transcription factor of the kidney cell.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該蛻皮激素係抑制該腎臟細胞間黏附蛋白受到該Snail轉錄因子之活化而水解。 In the use of the ecdysone of the present invention for the preparation of a medicament for treating renal fibrosis, the ecdysone inhibits the hydrolysis of the intercellular adhesion protein of the kidney by activation of the Snail transcription factor.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該蛻皮激素係於該腎臟細胞受到刺激後,抑制該腎臟細胞之受器活化Smad蛋白,特別係指Smad2/3及pSmad2/3之表現量。 The use of the ecdysone of the present invention for the preparation of a medicament for treating renal fibrosis, the ecdysone inhibiting the receptor-activated Smad protein of the kidney cell after stimulation of the kidney cell, in particular, Smad2/3 and pSmad2/3 The amount of performance.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,該蛻皮激素係於該腎臟細胞受到刺激後,促進該腎臟細胞之抑制性Smad蛋白,特別係指Smad7之表現量。 The ecdysone of the present invention is used for the preparation of a medicament for treating a renal fibrosis which promotes the inhibitory Smad protein of the kidney cell after stimulation of the kidney cell, in particular, the expression amount of Smad7.

本發明之蛻皮激素用以製備治療腎纖維化藥物之用途中,蛻皮激素之施予劑量係每公斤體重之個體投予0.06~0.24克(g)之介白素7。 In the use of the ecdysone of the present invention for the preparation of a medicament for the treatment of renal fibrosis, the ecdysone is administered at a dose of 0.06 to 0.24 g (g) of interleukin 7 per kg of body weight.

一種醫藥組合物用以製備治療腎纖維化之藥物的用途,該醫藥組合物係包含:蛻皮激素,作為抑制腎纖維化之活性成分;及至少一種醫藥可接受之藥物佐劑或藥物載劑與蛻皮激素結合,以形成該醫藥組合物。 A pharmaceutical composition for the preparation of a medicament for treating renal fibrosis, the pharmaceutical composition comprising: ecdysone as an active ingredient for inhibiting renal fibrosis; and at least one pharmaceutically acceptable drug adjuvant or drug carrier and The ecdysone binds to form the pharmaceutical composition.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係一非經腸道或口服投藥之劑型。 The pharmaceutical composition of the present invention is for use in the preparation of a medicament for treating renal fibrosis, which is a parenteral or oral administration dosage form.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係注射品、無菌的粉劑、錠劑、膠囊、丸劑、粒劑或滴劑。 The pharmaceutical composition of the present invention is used for the preparation of a medicament for treating renal fibrosis, which is an injection, a sterile powder, a tablet, a capsule, a pill, a granule or a drop.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係以非經腸道之注射方式投與個體。 The pharmaceutical composition of the present invention is for use in the preparation of a medicament for treating renal fibrosis, which is administered to a subject by parenteral injection.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係包含0.06~0.24克(g)之蛻皮激素以施予每公斤體重之生物個體。 The pharmaceutical composition of the present invention is for use in the preparation of a medicament for treating renal fibrosis, which comprises 0.06 to 0.24 g (g) of ecdysone for administration to a biological individual per kg of body weight.

為讓本發明之上述及其他目的、特徵及優點能更明顯易懂,下文特舉本發明之較佳實施例,並配合所附圖式,作詳細說明如下:本發明係提供一種蛻皮激素用以製備治療腎纖維化藥物之用途,請參照第1圖所示,係本發明蛻皮激素之化學結構,蛻皮激素係能夠作為治療腎纖維化之活性成分,特別係當抑制腎臟細胞受到刺激(如高血糖、高血壓、高蛋白尿或其他氧化壓力等刺激因子)後,蛻皮激素能夠經由下列路徑抑制腎臟細胞發生纖維化:(1)抑制腎臟細胞因上述之刺激因子所誘導纖維蛋白(Fibronectin)之表現;(2)抑制腎臟細胞中Snail轉錄因子的表現,降低腎臟細胞間黏附蛋白(E-cadherin)的水解,以穩定腎臟細胞之間的結合穩定性,抑制腎臟細胞因受到刺激而發生EMT現象;(3)藉由調控TGF-β1訊息傳遞路徑的因子之活性, 例如受器活化Smad蛋白(Receptor-activated Smads,簡稱R-Smads)-Smad2及Smad3,或抑制性Smad蛋白(Inhibitory Smads,簡稱I-Smads)-Smad7,以降低腎臟細胞發生EMT現象。如此,本發明之蛻皮激素能夠有效抑制腎臟細胞發生纖維化之路徑,係可應用於製備治療腎纖維化之藥物,蛻皮激素與至少一種醫學上可接受之藥物佐劑或藥物載劑結合,形成一醫藥組合物供人類等脊椎動物服用,藉以達到減緩或抑制腎臟細胞轉變為纖維母細胞之功效。 The above and other objects, features and advantages of the present invention will become more <RTIgt; For the purpose of preparing a medicament for treating renal fibrosis, please refer to Fig. 1 for the chemical structure of the ecdysone of the present invention. The ecdysone can be used as an active ingredient for the treatment of renal fibrosis, especially when the kidney cells are inhibited from being stimulated (e.g., After hyperglycemia, hypertension, high proteinuria or other stimulating factors such as oxidative stress, ecdysone can inhibit the fibrosis of kidney cells via the following pathways: (1) inhibiting fibronectin induced by the above-mentioned stimulating factors in kidney cells. (2) inhibiting the expression of Snail transcription factors in kidney cells, reducing the hydrolysis of intercellular adhesion proteins (E-cadherin), stabilizing the binding stability between kidney cells, and inhibiting the occurrence of EMT in renal cells due to stimulation. Phenomenon; (3) by regulating the activity of the TGF-β1 signaling pathway, For example, Receptor-activated Smads (R-Smads)-Smad2 and Smad3, or Inhibitory Smads (I-Smads)-Smad7 are activated to reduce EMT in kidney cells. Thus, the ecdysone of the present invention can effectively inhibit the path of fibrosis of kidney cells, and can be applied to the preparation of a medicament for treating renal fibrosis, and the ecdysone is combined with at least one medically acceptable drug adjuvant or drug carrier to form A pharmaceutical composition is administered to a vertebrate such as a human to achieve the effect of slowing or inhibiting the conversion of kidney cells into fibroblasts.

本發明之蛻皮激素係可由各種人工合成方式獲得,或者由天然植物中萃取而得,例如莧科(Amaranthaceae,如菠菜或土牛膝)、鴨拓草科(Commelinaceae,如露水草)、羅漢松科(Podocarpaceae,如百日青)或薯蕷科(Dioscoreaceae,如山藥)等植物;本發明之蛻皮激素為一種天然化合物,因此,長期服用蛻皮激素對人體所造成之肝腎毒性較低,且不會對人體產生副作用。本實施例之蛻皮激素係選擇但不限定購自Sigma公司之天然萃取物進行試驗。 Ecdysone The present invention can be obtained various synthetic ways, derived or extracted from natural plants, e.g. Amaranthaceae (Amaranthaceae, such as spinach or Achyranthes aspera), duck extension Caoke (Commelinaceae, such as exposed plants), Podocarpaceae ( Podocarpaceae, such as cyan Days) or Dioscoreaceae (Dioscoreaceae, such as yam) and other plants; ecdysone present invention is a natural compound, thus ecdysone long-term use of liver and kidney toxicity caused by the lower body, the body will not Produce side effects. The ecdysone of this example was selected but not limited to the natural extracts purchased from Sigma.

為證實本發明之蛻皮激素具有抑制腎臟細胞轉變為纖維母細胞之作用,以達到抑制生物體之腎臟細胞在受到生理性或非生理性刺激之情況下所發生的腎纖維化,(A)先建立一腎臟細胞纖維化之體外模式,再以該纖維化之腎臟細胞進行以下各試驗:(B)受刺激之腎臟細胞的纖維蛋白產生率、(C)受刺激之腎臟細胞的TGF-β1受體表現量、(D)受刺激之腎臟細胞的TGF-β1訊息傳遞路徑之活化、 及(E)腎臟細胞之EMT現象等試驗,以證實本發明之蛻皮激素確實能夠抑制受刺激之腎臟細胞轉變成纖維母細胞之作用,而達到抑制腎纖維化之功效。 In order to confirm that the ecdysone of the present invention has an effect of inhibiting the transformation of kidney cells into fibroblasts, in order to inhibit renal fibrosis of the kidney cells of the living body under physiological or non-physiological stimulation, (A) An in vitro model of renal cell fibrosis was established, and the fibrotic kidney cells were subjected to the following tests: (B) fibrin production rate of stimulated kidney cells, and (C) TGF-β1 of stimulated kidney cells Body volume, (D) activation of the TGF-β1 message transmission pathway in stimulated kidney cells, And (E) an EMT phenomenon of kidney cells and the like to confirm that the ecdysone of the present invention can inhibit the conversion of stimulated kidney cells into fibroblasts, thereby achieving the effect of inhibiting renal fibrosis.

本發明所述之「生理性刺激」係指生物體的生理條件呈現高血壓、高血糖、高血脂或高尿蛋白之情形;而本發明所述之「非生理性刺激」係指生物體受到病毒、細菌或化學物質等外來刺激,經由生理性刺激或非生理性刺激導致腎臟細胞發生腎纖維化。 The term "physiological stimulation" as used in the present invention refers to a situation in which the physiological condition of the living body exhibits hypertension, hyperglycemia, hyperlipemia or high urine protein; and the "non-physiological stimulation" as used in the present invention means that the organism is subjected to Exogenous stimuli such as viruses, bacteria or chemicals cause renal fibrosis in kidney cells via physiological or non-physiological stimuli.

本實施例係選擇但不限定為人類近端腎小管上皮細胞株HK-2(後簡稱為腎上皮細胞HK-2),該腎上皮細胞HK-2係購自美國菌種保存中心(American Type Culture Collection,簡稱ATCC),其ATCC編號為CRL-2190。本實施例將該腎上皮細胞HK-2培養於一適當培養基中進行繼代培養,待該腎上皮細胞HK-2數量增殖至培養容器之七至八分滿,取一緩衝液,將增殖培養之腎上皮細胞HK-2由該培養容器之器壁沖刷至該緩衝液中,以方便進行該腎上皮細胞HK-2之細胞計數。 This embodiment is selected but not limited to human proximal tubular epithelial cell line HK-2 (hereinafter referred to as renal epithelial cell HK-2), and the renal epithelial cell HK-2 is purchased from the American Type Culture Center (American Type). Culture Collection (ATCC), whose ATCC number is CRL-2190. In this embodiment, the renal epithelial cell HK-2 is cultured in a suitable medium for subculture, and the number of the renal epithelial cells HK-2 is expanded to seven to eight minutes of the culture container, and a buffer is taken to proliferate and culture. Renal epithelial cells HK-2 were flushed into the buffer from the wall of the culture vessel to facilitate cell counting of the renal epithelial cells HK-2.

更詳言之,本實施例係選擇但不限定將該腎上皮細胞HK-2於含有10%胎牛血清蛋白之DMEM/F-12培養基(Dulbecco’s modified Eagle medium nutrient mixture F-12 HAM(DMEM/F-12=1:1 mixture),Sigma-Aldrich Chemical,St Louis,MO)中增殖培養,其中,每毫升之DMEM/F-12培養基內含有100units/ml之抗生素(Penicillin,Biowest)培養條件為5%二氧化碳氣體、溫度為37℃,待該腎上皮細胞HK-2長至培養容器之七或八成滿,以一商用胰蛋白 酶酵素緩衝液(Trypsin-EDTA,Gibco)重複沖洗該培養容器,以便將貼壁生長的腎上皮細胞HK-2沖刷至該胰蛋白酶酵素緩衝液,即完成該腎上皮細胞HK-2之活化,以進行細胞計數及後續試驗。 More specifically, this example selects, but does not limit, the renal epithelial cell HK-2 in DMEM/F-12 medium (Dulbecco's modified Eagle medium nutrient mixture F-12 HAM (DMEM/) containing 10% fetal bovine serum albumin. Proliferation culture in F-12 = 1:1 mixture), Sigma-Aldrich Chemical, St Louis, MO), in which 100 units/ml of antibiotic (Penicillin, Biowest) was cultured per ml of DMEM/F-12 medium. 5% carbon dioxide gas, the temperature is 37 ° C, until the renal epithelial cells HK-2 grow to seven or eighty percent of the culture container, a commercial trypsin The culture vessel is repeatedly rinsed with enzyme enzyme buffer (Trypsin-EDTA, Gibco) to wash the adherent growth of renal epithelial cells HK-2 into the trypsin buffer, thereby completing activation of the renal epithelial cell HK-2. For cell counting and subsequent testing.

(A)腎臟細胞纖維化之體外模式(A) In vitro model of renal cell fibrosis

為建立一纖維化之腎臟細胞體外模式,將一腎臟細胞與一誘導纖維化刺激物接觸,以模擬該腎臟細胞發生腎纖維化,其中,該誘導纖維化刺激物可以選擇為TGF-β1、β-羥丁酸(β-Hydroxybutyrate)或醣類化合物(如葡萄糖)等;本實施例係取上述已活化之腎上皮細胞HK-2轉殖於含有0.5%胎牛血清及濃度為5奈克/毫升(ng/ml)之TGF-β1的DMEM/F-12培養基中,於充滿5%二氧化碳氣體、溫度為37℃之條件下培養24小時後,即可得到該纖維化之腎臟細胞體外模式(請參照第2圖之第(a)及(b)圖)。 In order to establish a fibrotic kidney cell in vitro mode, a kidney cell is contacted with an induced fibrotic stimulator to simulate renal fibrosis of the kidney cell, wherein the induced fibrotic stimulator can be selected as TGF-β1, β - hydroxybutyric acid (β-Hydroxybutyrate) or a saccharide compound (such as glucose); in this example, the above-mentioned activated renal epithelial cells HK-2 were transplanted to contain 0.5% fetal bovine serum and the concentration was 5 Ng/ In a milliliter (ng/ml) of TGF-β1 in DMEM/F-12 medium, after 24 hours of incubation with 5% carbon dioxide gas at a temperature of 37 ° C, the fibrotic kidney cell in vitro mode can be obtained ( Please refer to (a) and (b) of Figure 2).

為證實本發明蛻皮激素確實能夠抑制腎臟細胞之纖維化,本實施例係取5組腎上皮細胞HK-2(每組至少含有1×105cells/ml之腎上皮細胞HK-2),以第1表所示之條件培養,其中,第A1組係僅以含有0.5%胎牛血清的DMEM/F-12培養基培養48小時,第A2組係以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養48小時後,第A3至A5組係先以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養24小時後,分別加入濃度為12.5、25及50微莫耳濃度(μM)之蛻皮激素後,續陪養24小時,待培養結束後取各組腎上皮細胞HK-2於相位差顯微鏡下觀察。 In order to confirm that the ecdysone of the present invention can inhibit the fibrosis of kidney cells, in this example, five groups of renal epithelial cells HK-2 (each group containing at least 1×10 5 cells/ml of renal epithelial cells HK-2) were taken. Conditional culture shown in Table 1, wherein the group A1 was cultured only for 48 hours in DMEM/F-12 medium containing 0.5% fetal bovine serum, and the group A2 was cultured with 0.5% fetal bovine serum and TGF-β1. After 48 hours of culture in DMEM/F-12 medium, groups A3 to A5 were cultured for 24 hours in DMEM/F-12 medium containing 0.5% fetal bovine serum and TGF-β1, and then added at concentrations of 12.5, 25 and 50, respectively. After the ecdysone concentration of micromolar (μM), the ecdysone was continued for 24 hours. After the culture was completed, each group of renal epithelial cells HK-2 was observed under a phase contrast microscope.

請參照第2圖之第(a)至(e)圖所示,分別為本實施例之第A1至A5組腎上皮細胞HK-2之相位差顯微照片(放大倍率皆為200×)。比較第(a)及(b)圖可知,在未以TGF-β1刺激的情況下(第A1組),腎上皮細胞HK-2係呈現橢圓狀型態(如第(a)圖之箭頭所指之處),而第A2組之腎上皮細胞HK-2則呈現細長狀型態(如第(b)圖之箭頭所指之處),代表該腎上皮細胞HK-2受到TGF-β1刺激後,有趨向於纖維化的現象;而比較第(c)至(e)圖可知,受到TGF-β1刺激的組別皆隨蛻皮激素之作用濃度增加,其纖維化現象的情況趨緩(特別係由細長狀型態轉變為橢圓狀型態),特別係第A4及A5組的細胞型態與第A1組相似,表示,本實施例之腎上皮細胞HK-2受到本發明之蛻皮激素之影響,而抑制該腎上皮細胞HK-2之纖維化現象。由此可知,當腎臟細胞受到刺激而發生纖維化現象,在添加不同作用濃度之蛻皮激素,該腎臟細胞纖維化現象係隨蛻皮激素之 作用濃度增加而被抑制,顯示蛻皮激素確實對於腎臟細胞具有抑制腎纖維化現象發生之功效。 Referring to Figures (a) to (e) of Fig. 2, the phase difference micrographs of the renal epithelial cells HK-2 of Groups A1 to A5 of the present Example (magnifications are all 200×). Comparing the graphs (a) and (b), it can be seen that in the case of not being stimulated by TGF-β1 (group A1), the renal epithelial cell HK-2 line exhibits an elliptical shape (as indicated by the arrow in (a) Whereas), the renal epithelial cell HK-2 of group A2 is in a slender form (as indicated by the arrow in figure (b)), indicating that the renal epithelial cell HK-2 is stimulated by TGF-β1 After that, there is a tendency to fibrosis; and comparing the graphs (c) to (e), it is known that the group stimulated by TGF-β1 increases with the concentration of ecdysone, and the fibrosis phenomenon tends to slow down (especially The cell type of the group A4 and A5 is similar to that of the group A1, indicating that the renal epithelial cell HK-2 of the present embodiment is subjected to the ecdysone of the present invention. The effect is to inhibit the fibrosis of the renal epithelial cell HK-2. It can be seen that when the kidney cells are stimulated and fibrotic, the ecdysone of different concentrations is added, and the renal cell fibrosis is accompanied by ecdysone. The concentration of action is inhibited and it is shown that ecdysone does have an effect of inhibiting renal fibrosis in kidney cells.

(B)受刺激之腎臟細胞的纖維蛋白產生率(B) Fibrin production rate of stimulated kidney cells

由於腎臟細胞在受刺激之情況下會產生如纖維蛋白(Fibronectin)、膠原蛋白(Collagen)、肌腱蛋白(Tenascin)或層黏蛋白(Laminin)等間質蛋白,並將該間質蛋白分泌至腎臟細胞外,特別係提高腎臟細胞間的纖維蛋白含量。為證實本發明之蛻皮激素確實具有抑制腎臟細胞分泌纖維蛋白之作用,本實施例係以一誘導纖維化刺激物誘導腎臟細胞內產生纖維蛋白,並以西方墨點法(Western blotting)觀察該腎臟細胞內的纖維蛋白產生率,以酵素連結免疫吸附法(Enzyme-Linked ImmunoSorbet Assay,簡稱ELISA)觀察該腎臟細胞外的纖維蛋白產生率,並以本發明之蛻皮激素抑制由該誘導纖維化刺激物所引發之纖維蛋白產生率。 Because kidney cells produce interstitial proteins such as Fibronectin, Collagen, Tenascin, or Laminin under stimulation, and secrete the mesenchymal protein to the kidneys. Extracellular, in particular, increases fibrin content between kidney cells. In order to confirm that the ecdysone of the present invention does have the effect of inhibiting the secretion of fibrin by the kidney cells, in this example, fibrin is induced in the kidney cells by an induced fibrotic stimulator, and the kidney is observed by Western blotting. The rate of fibrin production in the cells, the rate of fibrin production outside the kidney is observed by Enzyme-Linked ImmunoSorbet Assay (ELISA), and the stimulating hormone of the present invention is inhibited by the ecdysone of the present invention. The rate of fibrin production that is initiated.

舉例而言,本實施例係以TGF-β1刺激該腎上皮細胞HK-2產生纖維蛋白後,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法(為第B1-1至B1-5組),另取該腎上皮細胞HK-2之上清液進行ELISA(為第B2-1至B2-5組)。本實施例係取5組腎上皮細胞HK-2(每組至少含有1×105cells/ml之腎上皮細胞HK-2),以第2表所示之條件培養,其中,第B1-1及B2-1組係僅以含有0.5%胎牛血清的DMEM/F-12培養基培養48小時,第B1-2及B2-2組係以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養48小時後,第B1-3至B1-5組及第B2-3至B2-5組係先 以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養24小時後,分別加入濃度為12.5、25及50μM之蛻皮激素後,續陪養24小時。 For example, in the present embodiment, after the renal epithelial cell HK-2 is produced by TGF-β1 to produce fibrin, the cell lysate of the renal epithelial cell HK-2 is taken for Western blotting (for the B1-1 to B1). -5 groups), the kidney epithelial cells HK-2 supernatant was taken for ELISA (groups B2-1 to B2-5). In this example, five groups of renal epithelial cells HK-2 (each group containing at least 1 × 10 5 cells/ml of renal epithelial cells HK-2) were cultured, and cultured under the conditions shown in Table 2, wherein, B1-1 The B2-1 group was cultured only for 48 hours in DMEM/F-12 medium containing 0.5% fetal calf serum, and the B1-2 and B2-2 groups were DMEM/F containing 0.5% fetal bovine serum and TGF-β1. After culturing for 48 hours in -12 medium, groups B1-3 to B1-5 and groups B2-3 to B2-5 were cultured for 24 hours in DMEM/F-12 medium containing 0.5% fetal bovine serum and TGF-β1. After that, ecdysone was added at a concentration of 12.5, 25 and 50 μM, respectively, and continued for 24 hours.

待培養結束後,第B1-1至B1-5組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,該一級抗體為一商用抗纖維蛋白(sc-9068)抗體(Santa Cruz Biotechnology,CA),並以一商用肌動蛋白抗體(Sigma,St.Louis,MO)偵測各組腎上皮細胞HK-2之肌動蛋白(β-actin,分子量43KDa)表現作為對照。 After the end of the culture, the B1-1 to B1-5 groups were taken from the cell culture medium of each group of renal epithelial cells HK-2, and the cells were lysed by lysis buffer, and then the Western blotting method was performed. The antibody was a commercial anti-fibrin (sc-9068) antibody (Santa Cruz Biotechnology, CA), and the muscle of each group of renal epithelial cells HK-2 was detected with a commercial actin antibody (Sigma, St. Louis, MO). Kinesin (β-actin, molecular weight 43KDa) was expressed as a control.

第B2-1至B2-5組係取各組腎上皮細胞HK-2之細胞培養液,以12000rpm離心10分鐘後,得到各組之上清液,以一商用纖維蛋白ELISA試劑組(Assaypro,St.Charles,MO)測量各組上清液於波長450nm之吸光值。 In group B2-1 to B2-5, the cell culture medium of each group of renal epithelial cells HK-2 was taken, and after centrifugation at 12000 rpm for 10 minutes, the supernatant of each group was obtained, and a commercial fibrin ELISA reagent group (Assaypro, St. Charles, MO) The absorbance of each group of supernatants at a wavelength of 450 nm was measured.

請參照第3及4圖所示,分別係該腎上皮細胞HK-2 內的纖維蛋白之西方墨點法蛋白質染色結果圖及其纖維蛋白表現量化長條圖。本實施例係以未受TGF-β1刺激之第B1-1組所測得之吸光值為基準(該組腎上皮細胞HK-2之纖維蛋白表現量定義為100%),而受TGF-β1刺激之第B1-2組具有很高的纖維蛋白產生率(約為190%),與第B1-1組相較具有顯著差異(p<0.005),表示本實施例以TGF-β1刺激確實能夠提高腎上皮細胞HK-2內所含之纖維蛋白量;而第B1-4及B1-5組之纖維蛋白產生率係與第B1-2組相較具有顯著差異(p<0.05),且第B1-3至B1-5組之纖維蛋白產生率係隨蛻皮激素之作用濃度增加而遞減,其中,特別係於25及50μM之作用濃度之下,確實能降低纖維蛋白產生率;由此可知,本發明之蛻皮激素濃度為25及50μM,即可抑制受刺激之腎上皮細胞HK-2的纖維蛋白產生率之功效。 Please refer to Figures 3 and 4 for the Western blotting protein staining results of fibrin in the renal epithelial cell HK-2 and the fibrin expression quantification bar graph. This example is based on the absorbance value measured in the B1-1 group not stimulated by TGF-β1 (the fibrin expression amount of the renal epithelial cell HK-2 is defined as 100%), and is subjected to TGF-β1. The stimulated group B1-2 had a high fibrin production rate (about 190%), which was significantly different from the group B1-1 ( p < 0.005), indicating that the TGF-β1 stimulation in this example can indeed The amount of fibrin contained in renal epithelial cells HK-2 was increased; while the fibrin production rate in groups B1-4 and B1-5 was significantly different from that in group B1-2 ( p < 0.05), and The fibrin production rate of the B1-3 to B1-5 group decreased with the increase of the concentration of ecdysone. Among them, especially under the action concentration of 25 and 50 μM, the fibrin production rate was indeed reduced; The ecdysone concentration of the present invention is 25 and 50 μM, thereby inhibiting the fibrin production rate of the stimulated renal epithelial cell HK-2.

請參照第5圖所示,係該腎上皮細胞HK-2外的纖維蛋白表現量化長條圖。本實施例係以未受TGF-β1刺激之第B2-1組所測得之吸光值為基準(該組腎上皮細胞HK-2之纖維蛋白表現量定義為100%),而受TGF-β1刺激之第B2-2組具有很高的纖維蛋白產生率(約為180%),與第B2-1組相較具有顯著差異(p<0.01),表示本實施例以TGF-β1刺激確實能夠提高腎上皮細胞HK-2之纖維蛋白量;而第B2-5組之纖維蛋白產生率係與第B2-2組相較具有顯著差異(p<0.05),且第B2-3至B2-5組之纖維蛋白產生率係隨蛻皮激素之作用濃度增加而遞減,其中,於蛻皮激素為25及50μM之作用濃度之下,確實能降低腎上皮細 胞HK-2之纖維蛋白產生率。 Please refer to Figure 5 for a quantitative bar graph of fibrin expression outside the renal epithelial cell HK-2. This example is based on the absorbance measured in the B2-1 group not stimulated by TGF-β1 (the fibrin expression of the renal epithelial cell HK-2 is defined as 100%), and is subjected to TGF-β1. The stimulated group B2-2 had a high fibrin production rate (about 180%), which was significantly different from the group B2-1 ( p < 0.01), indicating that the TGF-β1 stimulation in this example can indeed The amount of fibrin in renal epithelial cells HK-2 was increased; while the fibrin production rate in group B2-5 was significantly different from that in group B2-2 ( p < 0.05), and B2-3 to B2-5 The fibrin production rate of the group decreased with increasing concentration of ecdysone, and the fibrin production rate of renal epithelial cells HK-2 was indeed reduced under the action concentration of ecdysone at 25 and 50 μM.

此外,本實施例取第B2-1、B2-2及B2-5組之細胞培養液進行免疫螢光染色法,觀察該腎上皮細胞HK-2之纖維蛋白分佈,其中,該免疫螢光染色法係選擇但不限定以一商用抗纖維蛋白(ab23751)與一包含FITC之二級抗體偵測該纖維蛋白之分佈情形;請參照第6圖之第(a)至(c)圖,圖面所示之綠色螢光處為纖維蛋白之標記,第B2-1組僅表現少許纖維蛋白,第B2-2組則明顯較第B2-1組表現出大量纖維蛋白,且藉由濃度為50μM之蛻皮激素可抑制纖維蛋白之表現。由此可知,本發明之蛻皮激素濃度為25及50μM,確實具有抑制受刺激之腎上皮細胞HK-2的纖維蛋白表現之作用。 In addition, in the present embodiment, the cell culture medium of the B2-1, B2-2, and B2-5 groups was subjected to immunofluorescence staining, and the fibrin distribution of the renal epithelial cell HK-2 was observed, wherein the immunofluorescence staining was performed. The method selects, but is not limited to, the detection of the distribution of the fibrin by a commercial anti-fibrin (ab23751) and a secondary antibody containing FITC; please refer to the figures (a) to (c) of Figure 6, The green fluorescence shown is a fibrin marker, the B2-1 group shows only a small amount of fibrin, and the B2-2 group shows a larger amount of fibrin than the B2-1 group, and the concentration is 50 μM. Ecdysone inhibits fibrin expression. From this, it is understood that the ecdysone concentration of the present invention is 25 and 50 μM, and does have an effect of suppressing the fibrin expression of the stimulated renal epithelial cell HK-2.

藉此,本發明之蛻皮激素能夠達到有效抑制腎臟細胞受到誘導纖維化刺激物之刺激所產生的纖維蛋白產生率,進而降低生物體發生腎纖維化速度的功效。 Thereby, the ecdysone of the present invention can effectively inhibit the production rate of fibrin produced by the stimulation of the renal cell by the induced fibrotic stimulator, thereby reducing the rate of renal fibrosis in the living body.

(C)受刺激之腎臟細胞的TGF-β1受體表現量(C) TGF-β1 receptor expression in stimulated kidney cells

為證實本發明之蛻皮激素係藉由抑制TGF-β1受體之活性,進而抑制該腎臟細胞因接受外來刺激而發生腎纖維化之現象,更詳言之,該腎臟細胞受到高糖環境刺激後,增加腎臟細胞產生TGF-β1之生成,並且活化與該TGF-β1結合之TGF-β1受體(TGF-β1 receptor,簡稱TGF-β1R),目前已知三種TGF-β1受體(分別為TGF-β1R I、TGF-β1R Ⅱ及TGF-β1R Ⅲ)。 In order to confirm that the ecdysone of the present invention inhibits the activity of the TGF-β1 receptor, thereby inhibiting the renal cell from undergoing external stimulation, renal fibrosis occurs. More specifically, the kidney cell is stimulated by a high glucose environment. Increases the production of TGF-β1 by kidney cells and activates the TGF-β1 receptor (TGF-β1 receptor, TGF-β1R for short) that binds to this TGF-β1. Three TGF-β1 receptors are known (TGF, respectively) -β1R I, TGF-β1R II and TGF-β1R III).

本實施例係以西方墨點法觀察腎臟細胞中TGF-β1R的表現量;舉例而言,本實施例係以TGF-β1刺激該腎上 皮細胞HK-2,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法,偵測該腎上皮細胞之TGF-β1R I及TGF-β1R Ⅱ表現量。 In this embodiment, the expression level of TGF-β1R in kidney cells is observed by Western blotting; for example, this embodiment stimulates the kidney with TGF-β1. The skin cell HK-2 was taken from the cell lysate of the renal epithelial cell HK-2, and the Western blotting method was used to detect the expression of TGF-β1R I and TGF-β1R II in the renal epithelial cells.

本實施例係將5組腎上皮細胞HK-2(各組均含有1×105cells/ml之腎上皮細胞HK-2),其中,第C1組係僅以含有0.5%胎牛血清的DMEM/F-12培養基培養48小時,第C2組係以含有0.5%胎牛血清及5ng/ml之TGF-β1的DMEM/F-12培養基培養48小時後,第C3至C5組係先以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養24小時後,分別加入濃度為12.5、25及50μM之蛻皮激素後,續陪養24小時。 In this example, 5 groups of renal epithelial cells HK-2 (each group contains 1×10 5 cells/ml of renal epithelial cells HK-2), wherein the group C1 is only DMEM containing 0.5% fetal bovine serum. /F-12 medium was cultured for 48 hours, and group C2 was cultured for 48 hours in DMEM/F-12 medium containing 0.5% fetal bovine serum and 5 ng/ml of TGF-β1, and the C3 to C5 group was first containing 0.5. After 24 hours of incubation with % fetal bovine serum and TGF-β1 in DMEM/F-12 medium, ecdysone was added at concentrations of 12.5, 25 and 50 μM, respectively, and continued for 24 hours.

待培養結束後,第C1至C5組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,以兩種一級抗體(分別為購自Santa Cruz Biotechnology公司之一商用抗TGF-β1R I抗體及一商用TGF-β1R Ⅱ抗體)偵測各組腎上皮細胞HK-2之TGF-β1R I或TGF-β1R Ⅱ之表現,另以一商用肌動蛋白抗體(Sigma)偵測各組腎上皮細胞HK-2之肌動蛋白表現作為對照。 After the completion of the culture, the cell culture medium of each group of renal epithelial cells HK-2 was taken from the group C1 to C5, and the cells were lysed by the lysis buffer, followed by Western blotting method, in which two primary antibodies were used ( The performance of TGF-β1R I or TGF-β1R II of each group of renal epithelial cells HK-2 was detected by commercial anti-TGF-β1R I antibody and a commercial TGF-β1R II antibody purchased from Santa Cruz Biotechnology, respectively. The actin expression of HK-2 in each group of renal epithelial cells was detected as a control by a commercial actin antibody (Sigma).

請參照第7及8a圖所示,係該腎上皮細胞HK-2內TGF-β1R I(分子量為53KDa)之西方墨點法蛋白質染色結果圖及其TGF-β1R I表現量化長條圖。本實施例之第C1組係未與蛻皮激素共同培養且未以TGF-β1刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之TGF-β1R I表現量定義為100%);第C2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第8a圖可知, 該TGF-β1R I之表現量確實有增加,與第8a圖之第C1組相較具有顯著差異(p<0.05);而第C3至C5組之TGF-β1R I表現量係隨著蛻皮激素之作用濃度增加而被抑制,蛻皮激素濃度為25μM以上即可使腎臟細胞之TGF-β1R I表現量明顯降低,第C4及C5組與第C2組相較具有顯著差異(p<0.01)。 Please refer to Figures 7 and 8a for the Western blotting protein staining results of TGF-β1R I (molecular weight 53KDa) in the renal epithelial cell HK-2 and its TGF-β1R I expression quantitative bar graph. The C1 group of this example was measured by the absorbance value of the group (control group) which was not co-cultured with ecdysone and was not stimulated by TGF-β1 (TGF-β1R I expression of the renal epithelial cell HK-2 in this group) The amount is defined as 100%); the C2 group is not co-cultured with ecdysone, and the group stimulated by TGF-β1, as shown in Fig. 8a, the expression of TGF-β1R I does increase, and Fig. 8a The C1 group was significantly different ( p <0.05); while the CGF to β1R I expression in the C3 to C5 group was inhibited as the concentration of ecdysone increased, and the ecdysone concentration was 25 μM or more. The expression of TGF-β1R I in renal cells was significantly decreased, and the C4 and C5 groups were significantly different from those in the C2 group ( p <0.01).

請參照第7及8b圖所示,係該腎上皮細胞HK-2內TGF-β1R Ⅱ(分子量為70KDa)之西方墨點法蛋白質染色結果圖及其TGF-β1R Ⅱ表現量化長條圖。本實施例之第C1組係未與蛻皮激素共同培養且未以TGF-β1刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之TGF-β1R Ⅱ表現量定義為100%),然而,第C2至C5組之TGF-β1R Ⅱ表現量並未受到TGF-β1或蛻皮激素之刺激而有所增減,第C2至C5組之TGF-β1R Ⅱ表現量與第C1組不具有顯著差異。 Please refer to Figures 7 and 8b for the Western blotting protein staining results of TGF-β1R II (molecular weight 70KDa) in the renal epithelial cells HK-2 and the TGF-β1R II expression quantitative bar graph. The group C1 of the present example was measured by the absorbance value of the group (control group) which was not co-cultured with ecdysone and was not stimulated by TGF-β1 (TGF-β1R II expression of the renal epithelial cell HK-2 in this group) The amount was defined as 100%), however, the amount of TGF-β1R II in the C2 to C5 group was not increased or decreased by stimulation with TGF-β1 or ecdysone, and the amount of TGF-β1R II in the C2 to C5 group was observed. There was no significant difference from Group C1.

由此可知,本發明之蛻皮激素能夠降低由TGF-β1刺激腎臟細胞所誘導的TGF-β1R I表現量,而達到抑制經由TGF-β1刺激使腎臟細胞產生腎纖維化現象之功效。 From this, it is understood that the ecdysone of the present invention can reduce the expression of TGF-β1R I induced by TGF-β1-stimulated kidney cells, and can inhibit the renal fibrosis caused by stimulation of TGF-β1.

(D)受刺激之腎臟細胞的TGF-β1訊息傳遞路徑之活化(D) Activation of the TGF-β1 message transmission pathway in stimulated kidney cells

為證實腎臟細胞受到誘導纖維化刺激物之刺激後所誘導的TGF-β1訊息傳遞路徑中相關蛋白的活化,以及該TGF-β1訊息傳遞路徑中所活化之相關蛋白,在添加本發明之蛻皮激素後被抑制,以證實本發明之蛻皮激素能夠抑制腎纖維化之作用;更詳言之,腎臟細胞中的Smad2/3及 pSmad2/3係與促進腎纖維化發生之相關轉錄因子,Smad7則係用以抑制Smad2/3活化之抑制性因子,進而抑制腎纖維化之發生。 In order to confirm the activation of a related protein in the TGF-β1 signaling pathway induced by stimulation of the renal cell by the induction of fibrotic stimuli, and the related protein activated in the TGF-β1 message transmission pathway, the ecdysone of the present invention is added. It is then inhibited to confirm that the ecdysone of the present invention can inhibit the action of renal fibrosis; more specifically, Smad2/3 in kidney cells and The pSmad2/3 line is a transcription factor involved in the promotion of renal fibrosis, and Smad7 is an inhibitory factor that inhibits the activation of Smad2/3, thereby inhibiting the occurrence of renal fibrosis.

舉例而言,本實施例係以TGF-β1刺激該腎上皮細胞HK-2,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法,偵測該腎上皮細胞中Smad2/3、磷酸化之Smad2/3(簡稱pSmad2/3)及Smad7之蛋白質表現量。 For example, in the present embodiment, the renal epithelial cell HK-2 is stimulated by TGF-β1, and the cell lysate of the renal epithelial cell HK-2 is taken for Western blotting to detect Smad2/3 in the renal epithelial cell. Protein expression of phosphorylated Smad2/3 (pSmad2/3 for short) and Smad7.

本實施例係將5組腎上皮細胞HK-2(各組均含有1×105cells/ml之腎上皮細胞HK-2),其中,第D1組係僅以含有0.5%胎牛血清的DMEM/F-12培養基培養48小時,第D2組係以含有0.5%胎牛血清及5ng/ml之TGF-β1的DMEM/F-12培養基培養48小時後,第D3至D5組係先以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養24小時後,分別加入濃度為12.5、25及50μM之蛻皮激素後,續陪養24小時。 In this example, 5 groups of renal epithelial cells HK-2 (each group contains 1×10 5 cells/ml of renal epithelial cells HK-2), wherein the D1 group is only DMEM containing 0.5% fetal bovine serum. /F-12 medium was cultured for 48 hours, and group D2 was cultured for 48 hours in DMEM/F-12 medium containing 0.5% fetal bovine serum and 5 ng/ml of TGF-β1, and the D3 to D5 group was first contained at 0.5. After 24 hours of incubation with % fetal bovine serum and TGF-β1 in DMEM/F-12 medium, ecdysone was added at concentrations of 12.5, 25 and 50 μM, respectively, and continued for 24 hours.

待培養結束後,第D1至D5組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,以一級抗體(分別為一商用抗Smad2/3(sc-8332)抗體、一商用抗pSmad2/3(sc-11769)抗體及一商用抗Smad7(sc-11392)抗體)偵測各組腎上皮細胞HK-2之Smad2/3、pSmad2/3及Smad7之表現,另以一商用肌動蛋白抗體(Sigma,USA)偵測各組腎上皮細胞HK-2之肌動蛋白表現作為對照。 After the end of the culture, the D1 to D5 groups were taken from the cell culture medium of each group of renal epithelial cells HK-2, and the cells were lysed by lysis buffer, followed by Western blotting method, in which primary antibodies were used. A commercial anti-Smad2/3 (sc-8332) antibody, a commercial anti-pSmad2/3 (sc-11769) antibody and a commercial anti-Smad7 (sc-11392) antibody were used to detect Smad2/ of each group of renal epithelial cells HK-2. 3. The performance of pSmad2/3 and Smad7, and the actin expression of HK-2 in each group of renal epithelial cells was detected as a control by a commercial actin antibody (Sigma, USA).

請參照第9及10a圖所示,係該腎上皮細胞HK-2內Smad2/3(分子量為55~60KDa)之西方墨點法蛋白質染色 結果圖及其Smad2/3表現量化長條圖。本實施例之第D1組係未與蛻皮激素共同培養且未以TGF-β1刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之Smad2/3表現量定義為100%);第D2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第10a圖可知,該Smad2/3表現量確實有增加,與第10a圖之第D1組相較具有顯著差異(p<0.01);而第D3至D5組之Smad2/3表現量係隨著蛻皮激素之作用濃度增加而被抑制,蛻皮激素濃度為50μM可使腎臟細胞之Smad2/3表現量明顯降低,第D3至D5組與第D2組相較具有顯著差異(p<0.05)。 Please refer to Figures 9 and 10a for the Western blotting protein staining results of Smad2/3 (molecular weight 55~60KDa) in the renal epithelial cells HK-2 and the Smad2/3 performance quantitative bar graph. The D1 group of this example was not measured by the ecdysone and was not stimulated by TGF-β1 (control group). The absorbance value was measured (the Smad2/3 expression of the renal epithelial cell HK-2 in this group) It is defined as 100%); the D2 group is not co-cultured with ecdysone, and the group stimulated by TGF-β1, as shown in Fig. 10a, the Smad2/3 expression does increase, and the D1 of Fig. 10a There was a significant difference between the groups ( p <0.01); while the Smad2/3 expression in the D3 to D5 group was inhibited with the increase of the concentration of ecdysone, and the ecdysone concentration of 50 μM could make the Smad2/3 of the kidney cells. The performance was significantly reduced, and the D3 to D5 groups were significantly different from the D2 group ( p < 0.05).

請參照第9及10b圖所示,係該腎上皮細胞HK-2內pSmad2/3(分子量為65KDa)之西方墨點法蛋白質染色結果圖及其pSmad2/3表現量化長條圖。本實施例之第D1組係未與蛻皮激素共同培養且未以TGF-β1刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之pSmad2/3表現量定義為100%);第D2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第10b圖可知,該pSmad2/3表現量確實有增加,與第10b圖之第D1組相較具有顯著差異(p<0.01);而第D3至D5組之pSmad2/3表現量係隨著蛻皮激素之作用濃度增加而被抑制,蛻皮激素濃度為50μM可使腎臟細胞之pSmad2/3表現量明顯降低,第D3至D5組與第D2組相較具有顯著差異(p<0.05)。 Please refer to Figures 9 and 10b for the Western blotting protein staining results of pSmad2/3 (molecular weight 65KDa) in the renal epithelial cells HK-2 and the pSmad2/3 performance quantitative bar graph. The D1 group of this example was not measured by the ecdysone and was not stimulated by TGF-β1 (control group). The absorbance value was measured (the pSmad2/3 expression of the renal epithelial cell HK-2 in this group) It is defined as 100%); the D2 group is not co-cultured with ecdysone, and the group stimulated by TGF-β1, as shown in Figure 10b, the pSmad2/3 expression does increase, and the D1 of Figure 10b There was a significant difference between the groups ( p <0.01); while the pSmad2/3 expression levels in groups D3 to D5 were inhibited with increasing concentration of ecdysone, and the concentration of ecdysone was 50 μM to make pSmad2/3 of kidney cells. The performance was significantly reduced, and the D3 to D5 groups were significantly different from the D2 group ( p < 0.05).

請參照第9及10c圖所示,係該腎上皮細胞HK-2內Smad7(分子量為51KDa)之西方墨點法蛋白質染色結果圖及其Smad7表現量化長條圖。本實施例之第D1組係未 與蛻皮激素共同培養且未以TGF-β1刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之Smad7表現量定義為100%);第D2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第10c圖可知,第D2組之Smad7表現量與第D1組相較不具有顯著差異,表示TGF-β1並不會誘導或抑制Smad7之表現;而第D3至D5組之Smad7表現量係隨著蛻皮激素之作用濃度增加而增加,當蛻皮激素之作用濃度為25μM即可使腎臟細胞之Smad7表現量明顯增加,第D4及D5組與第D2組相較具有顯著差異(p<0.01)。 Please refer to Figures 9 and 10c for the Western blotting protein staining results of Smad7 (molecular weight 51KDa) in the renal epithelial cells HK-2 and the quantitative bar graph of Smad7 expression. The D1 group of the present example was not measured by the ecdysone and was not stimulated by TGF-β1 (control group), and the absorbance value was determined as the reference (the amount of Smad7 expression of the renal epithelial cell HK-2 in this group was defined as 100%); Group D2 was not co-cultured with ecdysone, but with TGF-β1-stimulated group, it can be seen from Figure 10c that the amount of Smad7 in group D2 was not significantly different from that in group D1. TGF-β1 does not induce or inhibit the expression of Smad7; while the Smad7 expression of group D3 to D5 increases with the concentration of ecdysone, and when the concentration of ecdysone is 25μM, the Smad7 of kidney cells can be made. The amount of performance increased significantly, and the D4 and D5 groups were significantly different from the D2 group ( p <0.01).

由此可知,本發明之蛻皮激素能夠抑制腎臟細胞中誘導發生腎纖維化之轉錄因子-Smad2/3及pSmad2/3之表現,同時活化Smad7之活性,以達到有效抑制Smad2/3及pSmad2/3之表現,藉此而抑制該腎臟細胞受到誘導纖維化刺激物之刺激所產生的腎纖維化現象。 It can be seen that the ecdysone of the present invention can inhibit the expression of transcription factors Smad2/3 and pSmad2/3 which induce renal fibrosis in kidney cells, and simultaneously activate the activity of Smad7 to effectively inhibit Smad2/3 and pSmad2/3. In this way, the kidney cells are inhibited from being affected by the stimulation of fibrotic stimuli.

(E)腎臟細胞之EMT現象(E) EMT phenomenon of kidney cells

為了證實本發明之蛻皮激素係具有抑制腎臟細胞在受到刺激的情況下發生EMT現象,進而使腎臟細胞發生腎纖維化,本實施例係以西方墨點法分析腎臟細胞內的Snail轉錄因子表現量,以及腎臟細胞之間的黏附蛋白表現量及平滑肌肌動蛋白表現量(α-Smooth muscle actin,簡稱α-SMA)。更詳言之,該Snail轉錄因子係促使腎臟細胞間黏附蛋白之水解,進而使腎臟細胞發生上皮-間質轉換(EMT)現象,藉由本實施例證實本發明之蛻皮激素係能夠抑制該Snail轉錄因子之活性,避免該黏附蛋白發生水 解,保持各腎臟細胞之間的結合穩定性。 In order to confirm that the ecdysone of the present invention inhibits the occurrence of EMT in kidney cells under stimulation, and thereby causes renal fibrosis in kidney cells, this embodiment analyzes the expression of Snail transcription factors in kidney cells by Western blotting. And the amount of adhesion protein between kidney cells and the expression of α-Smooth muscle actin (α-SMA). More specifically, the Snail transcription factor promotes the hydrolysis of renal intercellular adhesion proteins, thereby causing epithelial-mesenchymal transition (EMT) phenomenon in kidney cells, and the present embodiment demonstrates that the ecdysone of the present invention can inhibit the Snail transcription. Factor activity, avoiding water from the adhesion protein Solution to maintain the stability of binding between kidney cells.

舉例而言,本實施例係以TGF-β1刺激該腎上皮細胞HK-2活化Snail轉錄因子後,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法,並偵測該腎上皮細胞HK-2之Snail轉錄因子及該黏附蛋白之表現量;更詳言之,該黏附蛋白係為上皮細胞之特徵,而該α-SMA係為間質細胞之特徵,本實施例同時偵測該腎臟細胞之黏附蛋白及平滑肌肌動蛋白表現量,證實該腎上皮細胞HK-2並未由上皮細胞轉變為間質細胞。 For example, in the present embodiment, after the renal epithelial cell HK-2 is activated by TGF-β1 to activate the Snail transcription factor, the cell lysate of the renal epithelial cell HK-2 is taken for Western blotting, and the renal epithelium is detected. The Snail transcription factor of the cell HK-2 and the expression amount of the adhesion protein; more specifically, the adhesion protein is characteristic of epithelial cells, and the α-SMA is a characteristic of interstitial cells, and the present embodiment simultaneously detects The expression of adhesion proteins and smooth muscle actin in the kidney cells confirmed that the renal epithelial cells HK-2 did not change from epithelial cells to interstitial cells.

本實施例係取5組腎上皮細胞HK-2(每組至少含有1×105cells/ml之腎上皮細胞HK-2),其中,第E1組係係僅以含有0.5%胎牛血清的DMEM/F-12培養基培養48小時,第E2組係以含有0.5%胎牛血清及5ng/ml之TGF-β1的DMEM/F-12培養基培養48小時後,第E3至E5組係先以含有0.5%胎牛血清及TGF-β1的DMEM/F-12培養基培養24小時後,分別加入濃度為12.5、25及50μM之蛻皮激素後,續陪養24小時。 In this example, 5 groups of renal epithelial cells HK-2 (each group containing at least 1×10 5 cells/ml of renal epithelial cells HK-2) were selected, wherein the group E1 was only containing 0.5% fetal bovine serum. The DMEM/F-12 medium was cultured for 48 hours, and the E2 group was cultured for 48 hours in DMEM/F-12 medium containing 0.5% fetal bovine serum and 5 ng/ml of TGF-β1, and the E3 to E5 group was first contained. After incubation with 0.5% fetal bovine serum and TGF-β1 in DMEM/F-12 medium for 24 hours, ecdysone at concentrations of 12.5, 25 and 50 μM were added, respectively, and incubated for 24 hours.

待培養結束後,第E1至E5組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,以一級抗體(分別為一商用抗Snail(C15D3)抗體及一商用抗黏附蛋白(sc-7870)抗體)偵測各組腎上皮細胞HK-2之Snail轉錄因子、黏附蛋白及平滑肌肌動蛋白(α-SMA)之表現,另以一商用肌動蛋白抗體(Sigma,USA)偵測各組腎上皮細胞HK-2之肌動蛋白(β-actin)表現作為對照。 After the end of the culture, the E1 to E5 group was taken from the cell culture medium of each group of renal epithelial cells HK-2, and the cells were lysed by lysis buffer, followed by Western blotting method, in which the primary antibody (respectively A commercial anti-Snail (C15D3) antibody and a commercial anti-adhesion protein (sc-7870) antibody were used to detect the expression of Snail transcription factor, adhesion protein and smooth muscle actin (α-SMA) in each group of renal epithelial cells HK-2. In addition, a commercial actin antibody (Sigma, USA) was used to detect the expression of actin (beta-actin) of each group of renal epithelial cells HK-2 as a control.

請參照第11及12圖所示,係該腎上皮細胞HK-2內Snail轉錄因子(分子量為29KDa)之西方墨點法蛋白質染色結果圖及其Snail轉錄因子表現量化長條圖。本實施例之第E1組係未與蛻皮激素共同培養且未以TGF-β1刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之Snail轉錄因子表現量定義為100%);第E2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第12圖可知,該Snail轉錄因子表現量確實有增加,與第E1組相較具有顯著差異(p<0.01);而第E3至E5組之Snail轉錄因子表現量係隨著蛻皮激素之作用濃度增加而被抑制,蛻皮激素濃度為25μM可使腎臟細胞之Snail轉錄因子表現量明顯降低,第E4及E5組與第E2組相較具有顯著差異(p<0.01)。 Please refer to Figures 11 and 12 for the Western blotting protein staining results of the Snee transcription factor (molecular weight 29KDa) in the renal epithelial cell HK-2 and the quantitative bar graph of the Snail transcription factor. The E1 group of the present Example was measured by the absorbance value of the group (control group) which was not co-cultured with ecdysone and was not stimulated by TGF-β1 (the amount of Snail transcription factor of the renal epithelial cell HK-2 in this group) It is defined as 100%); the E2 group is not co-cultured with ecdysone, and the TGF-β1-stimulated group, as shown in Fig. 12, the Snail transcription factor does increase in the amount of expression, compared with the E1 group. Significant difference ( p <0.01); while the Snail transcription factor expression levels in groups E3 to E5 were inhibited with increasing concentration of ecdysone, and the ecdysone concentration of 25 μM significantly reduced the expression of Snail transcription factors in kidney cells. There was a significant difference between the E4 and E5 groups and the E2 group ( p <0.01).

此外,本實施例取第E1、E2及E5組之細胞培養液進行免疫螢光染色法,觀察該腎上皮細胞HK-2之Snail轉錄因子分佈,其中,該免疫螢光染色法係選擇但不限定以一商用抗Snail轉錄因子(ab85931)抗體(Abcam Biotechnology)與一包含FITC之二級抗體偵測該Snail轉錄因子之分佈情形;請參照第13圖之第(a)至(c)圖,圖面所示之綠色螢光處為Snail轉錄因子之標記,第E1組僅表現少許Snail轉錄因子,第E2組則明顯較第E1組表現出大量Snail轉錄因子,且藉由濃度為50μM之蛻皮激素可抑制Snail轉錄因子之表現。由此可知,本發明之蛻皮激素濃度為50μM,確實具有抑制受刺激之腎上皮細胞HK-2的Snail轉錄因子表現之作用。 In addition, in this example, the cell culture medium of the E1, E2, and E5 groups was subjected to immunofluorescence staining to observe the distribution of the Snail transcription factor of the renal epithelial cell HK-2, wherein the immunofluorescence staining method was selected but not The distribution of the Snail transcription factor is detected by a commercial anti-Snail transcription factor (ab85931) antibody (Abcam Biotechnology) and a secondary antibody containing FITC; please refer to the figures (a) to (c) of Fig. 13, The green fluorescent light shown in the figure is labeled with the Snail transcription factor, the E1 group shows only a few Snail transcription factors, and the E2 group shows a large amount of Snail transcription factor compared to the E1 group, and the concentration is 50 μM. Hormones inhibit the performance of Snail transcription factors. From this, it is understood that the ecdysone concentration of the present invention is 50 μM, and it does have an effect of suppressing the expression of the Snail transcription factor of the stimulated renal epithelial cell HK-2.

請參照第14及15圖所示,係該腎上皮細胞HK-2內黏附蛋白(分子量為135KDa)之西方墨點法蛋白質染色結果圖及其黏附蛋白表現量化長條圖。本實施例各組別培養條件係與上述第E1至E5組相同,在此恕不贅述,其中,以第E1組所測得之吸光值為基準(該組腎上皮細胞HK-2之黏附蛋白表現量定義為100%);第E2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第15圖可知,該黏附蛋白表現量確實有減少,與第E1組相較具有顯著差異(p<0.01);而第E3至E5組之黏附蛋白表現量係隨著蛻皮激素之作用濃度增加而增加,蛻皮激素濃度為25μM可使腎臟細胞之黏附蛋白表現量明顯提升,第E4及E5組與第E2組相較具有顯著差異(p<0.01)。由此可知,該腎上皮細胞HK-2能夠藉由蛻皮激素的影響,降低因TGF-β1刺激所造成的黏附蛋白水解現象。 Please refer to Figures 14 and 15 for the Western blotting protein staining results of the renal epithelial cell HK-2 adhesion protein (molecular weight 135KDa) and the quantitative bar graph of the adhesion protein expression. The culture conditions of each group in this example are the same as those in the above E1 to E5 groups, and will not be described here. Among them, the absorbance value measured by the E1 group is the adhesion protein of the renal epithelial cell HK-2. The amount of performance was defined as 100%); the group E2 was not co-cultured with ecdysone, and the group stimulated with TGF-β1, as shown in Figure 15, the amount of adhesion protein did decrease, compared with group E1. There was a significant difference ( p <0.01); while the expression of adhesion protein in group E3 to E5 increased with the concentration of ecdysone, and the concentration of ecdysone was 25μM, which could significantly increase the expression of adhesion protein in kidney cells. There was a significant difference between the E4 and E5 groups compared with the E2 group ( p <0.01). It can be seen that the renal epithelial cell HK-2 can reduce the adhesion proteolysis caused by TGF-β1 stimulation by the influence of ecdysone.

請參照第14及16圖所示,係該腎上皮細胞HK-2內α-SMA(分子量為43KDa)之西方墨點法蛋白質染色結果圖及其平滑肌肌動蛋白表現量化長條圖。本實施例各組別培養條件係與上述第E1至E5組相同,在此恕不贅述,其中,以第E1組所測得之吸光值為基準(該組腎上皮細胞HK-2之α-SMA表現量定義為100%);第E2組係未與蛻皮激素共同培養,而以TGF-β1刺激之組別,由第16圖可知,該α-SMA表現量確實有增加,與第E1組相較具有顯著差異(p<0.01);而第E3至E5組之α-SMA表現量係隨著蛻皮激素之作用濃度增加而被抑制,蛻皮激素濃度為12.5μM可使腎臟細胞之α-SMA表現量明顯降低,第E4及E5組與 第E2組相較具有顯著差異(p<0.01)。由此可知,該腎上皮細胞HK-2能夠藉由蛻皮激素的影響,降低因TGF-β1刺激所造成的α-SMA形成現象。 Please refer to Figures 14 and 16 for the Western blotting protein staining results of α-SMA (molecular weight 43KDa) in the renal epithelial cells HK-2 and the quantitative bar graph of smooth muscle actin expression. The culture conditions of each group in the present embodiment are the same as those in the above E1 to E5 groups, and will not be described herein. Among them, the absorbance value measured in the E1 group is based on the α-the renal epithelial cells of the group - The SMA expression was defined as 100%); the E2 group was not co-cultured with ecdysone, and the TGF-β1-stimulated group, as shown in Fig. 16, the α-SMA expression did increase, and the E1 group There was a significant difference ( p <0.01); while the α-SMA expression in the E3 to E5 group was inhibited with the increase of the concentration of ecdysone, and the ecdysone concentration of 12.5 μM could make the α-SMA of the kidney cells. The performance was significantly lower, and the E4 and E5 groups were significantly different from the E2 group ( p < 0.01). From this, it can be seen that the renal epithelial cell HK-2 can reduce the formation of α-SMA caused by TGF-β1 stimulation by the influence of ecdysone.

此外,本實施例取第E1、E2及E5組之細胞培養液進行免疫螢光染色法,觀察該腎上皮細胞HK-2之黏附蛋白及其平滑肌肌動蛋白(α-SMA)之分佈,其中,該免疫螢光染色法係選擇但不限定以一商用抗黏附蛋白(ab53033)抗體及一商用α-SMA(ab5694)抗體與一包含FITC之二級抗體分別偵測該黏附蛋白及α-SMA之分佈情形。 In addition, in the present embodiment, the cell culture medium of the E1, E2, and E5 groups was subjected to immunofluorescence staining, and the distribution of the adhesion protein of the renal epithelial cell HK-2 and the smooth muscle actin (α-SMA) was observed. The immunofluorescence staining method selects, but is not limited to, a commercial anti-adhesion protein (ab53033) antibody and a commercial α-SMA (ab5694) antibody and a secondary antibody containing FITC to detect the adhesion protein and α-SMA, respectively. The distribution situation.

請參照第17圖之第(a)至(c)圖,圖面所示之綠色螢光處為黏附蛋白之標記,第E1組表現部分黏附蛋白,第E2組則明顯較第E1組表現出較少量之黏附蛋白,且藉由濃度為50μM之蛻皮激素可增進黏附蛋白之表現;請參照第17圖之第(d)至(f)圖,圖面所示之綠色螢光處為α-SMA之標記,第E1組僅表現少許α-SMA,第E2組則明顯較第E1組表現出大量α-SMA,且藉由濃度為50μM之蛻皮激素可抑制α-SMA之表現;本實施例之腎上皮細胞HK-2係藉由該蛻皮激素而提高其結合穩定度,使該腎上皮細胞HK-2之黏附蛋白不會因受到TGF-β1刺激而減少,且其α-SMA亦不會增加,代表本實施例之腎上皮細胞HK-2並未發生EMT現象。 Please refer to the figure (a) to (c) in Figure 17. The green fluorescent light shown in the figure is the label of adhesion protein, the E1 group shows partial adhesion protein, and the E2 group shows significantly more than the E1 group. A small amount of adhesion protein, and the expression of adhesion protein can be enhanced by a concentration of 50 μM ecdysone; please refer to the figure (d) to (f) of Figure 17, where the green fluorescence is α - SMA marker, the E1 group showed only a little α-SMA, the E2 group showed significantly a large amount of α-SMA compared with the E1 group, and the expression of α-SMA was inhibited by the concentration of 50 μM ecdysone; The renal epithelial cell HK-2 enhances the binding stability by the ecdysone, so that the adhesion protein of the renal epithelial cell HK-2 is not reduced by TGF-β1 stimulation, and the α-SMA is not It will increase, and the EMT phenomenon does not occur in the renal epithelial cell HK-2 of the present embodiment.

由此可知,本發明之蛻皮激素確實能夠降低由TGF-β1刺激所誘導的Snail轉錄因子,並且提高黏附蛋白表現量,降低α-SMA表現量,而達到抑制腎臟細胞發生EMT現象,藉由蛻皮激素抑制該腎臟細胞受到刺激而產生EMT現 象,進而達到有效抑制腎纖維化發生之功效。 It can be seen that the ecdysone of the present invention can reduce the Snail transcription factor induced by TGF-β1 stimulation, and increase the expression of adhesion protein and decrease the expression of α-SMA, thereby inhibiting the occurrence of EMT in kidney cells by molting. Hormone inhibits the kidney cells from being stimulated to produce EMT In order to achieve the effect of effectively inhibiting the occurrence of renal fibrosis.

承上所述,本發明之蛻皮激素係可以抑制腎臟細胞受到刺激後,所產生的纖維蛋白表現量,抑制Snail轉錄因子的表現,降低腎臟細胞間黏附蛋白的水解作用,而達到穩定腎臟細胞之間的結合穩定性,並且,本發明之蛻皮細胞又能抑制腎臟細胞受到刺激後,其TGF-β1訊息傳遞路徑中Smad2/3及pSmad2/3的表現,同時促進腎臟細胞之Smad7的活性,以確實降低該腎臟細胞之Smad2/3及pSmad2/3的表現,進而達到防止腎臟細胞發生EMT現象。由上述可知,本發明之蛻皮激素確實具有腎臟細胞發生纖維化現象的作用,以降低生物體的腎臟在受到刺激的情況下,其腎纖維化作用之進程;據此,本發明之蛻皮激素可應用於開發抑制腎纖維化作用之醫藥組合物,具有提升臨床醫療品質之功效。 According to the above, the ecdysone of the present invention can inhibit the expression of fibrin produced by stimulation of kidney cells, inhibit the expression of Snail transcription factors, and reduce the hydrolysis of adhesion proteins between kidney cells, thereby achieving stabilization of renal cells. The stability of binding between the two, and the ecdysis cells of the present invention can inhibit the expression of Smad2/3 and pSmad2/3 in the TGF-β1 signaling pathway, and promote the activity of Smad7 in renal cells. It does reduce the expression of Smad2/3 and pSmad2/3 in the kidney cells, thereby preventing the occurrence of EMT in kidney cells. It can be seen from the above that the ecdysone of the present invention does have a function of fibrosis of kidney cells to reduce the progress of renal fibrosis in the case where the kidney of the organism is stimulated; accordingly, the ecdysone of the present invention can be It is used to develop pharmaceutical compositions that inhibit renal fibrosis and has the effect of improving clinical medical quality.

本發明之蛻皮激素係可以做為一種用以治療腎纖維化之活性成分(Active substrate),以各種方式單獨,或者結合至少一種醫藥可接受之藥物佐劑、藥物載劑、其他副成分、營養成分或他種藥物活性成分,使蛻皮激素成型為該醫藥組合物,並共同給予各種生物個體,較佳係藉由該非經腸道之注射方式給予各種生物個體一適當劑量,本實施例係根據Yang等人於2007年,發表於Journal of Cellular Biochemistry之「Safflower Extract:A Novel Renal Fibrosis Antagonist That Functions by Suppressing Autocrine TGF-β」之論文,換算本發明之蛻皮激素施予生物體之劑量,較佳係生物體之每公斤體重給予0.06~0.24g之蛻皮激素,較佳 係每天給予1~2次,能夠有效抑制該腎纖維化之病理特徵;再者,本發明之蛻皮激素可以利用本發明所屬技術領域者所詳知的技術,而被製造成一適合於非經腸道或口服投藥的劑型,舉例而言,注射品、無菌的粉劑、錠劑、膠囊、丸劑、粒劑或滴劑,較佳係以注射方式施予生物個體,以避免胃腸道之消化液破壞該蛻皮激素之化學結構,而影響該蛻皮激素抑制該腎纖維化之作用效果。 The ecdysone of the present invention can be used as an active substrate for treating renal fibrosis, in various ways alone or in combination with at least one pharmaceutically acceptable drug adjuvant, drug carrier, other accessory ingredients, nutrition. a component or other pharmaceutically active ingredient, which forms ecdysone into the pharmaceutical composition and co-administers to various biological individuals, preferably by parenteral injection to a variety of biological individuals, the present embodiment is based on In 2007, Yang et al. published the paper "Safflower Extract: A Novel Renal Fibrosis Antagonist That Functions by Suppressing Autocrine TGF-β" in the Journal of Cellular Biochemistry, and it is preferred to convert the dose of the ecdysone to the organism of the present invention. 0.06~0.24g of ecdysone is administered per kilogram of body weight of the organism, preferably It is effective to inhibit the pathological characteristics of the renal fibrosis by administering 1 or 2 times a day; further, the ecdysone of the present invention can be manufactured into a parenteral using the technique known to those skilled in the art. Dosage forms for oral or oral administration, for example, injections, sterile powders, lozenges, capsules, pills, granules or drops, are preferably administered to a biological individual by injection to avoid gastrointestinal gastrointestinal damage The chemical structure of the ecdysone affects the effect of the ecdysone on the inhibition of the renal fibrosis.

綜上所述,本發明之蛻皮激素用以製備治療腎纖維化藥物之用途,特別係以蛻皮激素作為抑制腎纖維化之活性成分,藉由(1)抑制腎臟細胞之纖維蛋白表現;(2)抑制腎臟細胞中Snail轉錄因子的表現,降低腎臟細胞間黏附蛋白的水解,以穩定腎臟細胞之間的結合穩定性,抑制腎臟細胞因受到刺激而發生EMT現象;(3)藉由調控TGF-β1訊息傳遞路徑的因子之活性,特別係指抑制該受器活化Smad蛋白(Smad2/3)之表現,或促進該抑制性Smad蛋白(Smad7)之表現,以降低腎臟細胞發生EMT現象,藉此達到降低腎纖維化發生之功效。 In summary, the ecdysone of the present invention is used for the preparation of a medicament for treating renal fibrosis, in particular by using ecdysone as an active ingredient for inhibiting renal fibrosis, by (1) inhibiting fibrin expression of kidney cells; (2) It inhibits the expression of Snail transcription factors in kidney cells, reduces the hydrolysis of adhesion proteins between kidney cells, stabilizes the binding stability between kidney cells, and inhibits EMT in renal cells due to stimulation; (3) by regulating TGF- The activity of the factor of the β1 message transmission pathway specifically means inhibiting the expression of the activated Smad protein (Smad2/3) or promoting the expression of the inhibitory Smad protein (Smad7) to reduce the EMT phenomenon in the kidney cells. Achieve the effect of reducing the occurrence of renal fibrosis.

本發明之治療腎纖維化之醫藥組合物,特別係藉由蛻皮激素有效抑制生物體內腎臟細胞TGF-β1訊息傳遞路徑及EMT現象之活化,使腎臟細胞在受到刺激的情況下,不會發生腎纖維化,具有達到避免慢性腎臟病患者因發生腎纖維化而使其腎功能喪失之功效。 The pharmaceutical composition for treating renal fibrosis according to the present invention is particularly effective for inhibiting the activation of TGF-β1 signaling pathway and EMT phenomenon in kidney cells by ecdysone, so that kidney cells do not develop kidney under stimulation. Fibrosis has the effect of preventing kidney function loss caused by renal fibrosis in patients with chronic kidney disease.

雖然本發明已利用上述較佳實施例揭示,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之內,相對上述實施例進行各種更動與修改仍屬本 發明所保護之技術範疇,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。 While the invention has been described in connection with the preferred embodiments described above, it is not intended to limit the scope of the invention. The technical scope of the invention is protected, and therefore the scope of the invention is defined by the scope of the appended claims.

第1圖:本發明之蛻皮激素化學結構示意圖。 Fig. 1 is a schematic view showing the chemical structure of ecdysone of the present invention.

第2圖:本發明較佳實施例之不同培養條件的腎臟細胞相位差顯微照片。 Fig. 2 is a photomicrograph of a phase difference of kidney cells of different culture conditions in accordance with a preferred embodiment of the present invention.

第3圖:本發明較佳實施例之腎臟細胞纖維蛋白之西方墨點法蛋白質染色結果圖。 Fig. 3 is a graph showing the results of Western blotting protein staining of kidney cell fibrin in a preferred embodiment of the present invention.

第4圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之細胞內纖維蛋白表現量化長條圖。 Figure 4: Quantitative bar graph of intracellular fibrin expression of different concentrations of ecdysone on kidney cells in a preferred embodiment of the invention.

第5圖:本發明較佳實施例之蛻皮激素對腎臟細胞作用之細胞外纖維蛋白表現量化長條圖。 Figure 5: Quantitative bar graph of extracellular fibrin expression of ecdysone on kidney cells in a preferred embodiment of the invention.

第6圖:本發明較佳實施例之不同培養條件的腎臟細胞纖維蛋白之免疫螢光染色照片。 Figure 6 is a photograph of immunofluorescence staining of kidney cell fibrin in different culture conditions in accordance with a preferred embodiment of the present invention.

第7圖:本發明較佳實施例之腎臟細胞TGF-β1R I及TGF-β1R Ⅱ之西方墨點法蛋白質染色結果圖。 Fig. 7 is a graph showing the results of Western blotting protein staining of kidney cells TGF-β1R I and TGF-β1R II in a preferred embodiment of the present invention.

第8a圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之TGF-β1R I表現量化長條圖。 Figure 8a: Quantitative bar graph of TGF-β1R I expression of different concentrations of ecdysone on kidney cells in a preferred embodiment of the invention.

第8b圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之TGF-β1R Ⅱ表現量化長條圖。 Figure 8b is a quantitative bar graph showing the effect of different concentrations of ecdysone on renal cells in the preferred embodiment of the invention.

第9圖:本發明較佳實施例之腎臟細胞之Smad2/3、pSmad2/3及Smad7西方墨點法蛋白質染色結果圖。 Fig. 9 is a graph showing the results of protein staining of Smad2/3, pSmad2/3 and Smad7 Western blotting methods of kidney cells according to a preferred embodiment of the present invention.

第10a圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之Smad2/3表現量化長條圖。 Figure 10a: Quantitative bar graph of Smad2/3 expression of quercetin at different concentrations of kidney cells in a preferred embodiment of the invention.

第10b圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之pSmad2/3表現量化長條圖。 Figure 10b is a quantitative bar graph showing the effect of different concentrations of ecdysone on the expression of pSmad2/3 in kidney cells in a preferred embodiment of the invention.

第10c圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之Smad7表現量化長條圖。 Figure 10c: A quantitative bar graph of Smad7 expression of different concentrations of ecdysone on kidney cells in a preferred embodiment of the invention.

第11圖:本發明較佳實施例之腎臟細胞之Snail轉錄因子西方墨點法蛋白質染色結果圖。 Figure 11 is a graph showing the results of protein staining of the Snail transcription factor western blot method of kidney cells according to a preferred embodiment of the present invention.

第12圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之Snail轉錄因子表現量化長條圖。 Figure 12: Quantitative bar graph of Snail transcription factor performance of different concentrations of ecdysone on kidney cells in a preferred embodiment of the invention.

第13圖:本發明較佳實施例之不同培養條件的腎臟細胞Snail轉錄因子之免疫螢光染色照片。 Figure 13 is a photograph of immunofluorescence staining of kidney cells Snail transcription factors under different culture conditions in accordance with a preferred embodiment of the present invention.

第14圖:本發明較佳實施例之腎臟細胞之黏附蛋白西方墨點法蛋白質染色結果圖。 Figure 14 is a graph showing the results of Western blotting protein staining of adhesion proteins of kidney cells in a preferred embodiment of the present invention.

第15圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之黏附蛋白表現量化長條圖。 Figure 15 is a quantitative bar graph showing the expression of adhesion proteins of different concentrations of ecdysone to kidney cells in a preferred embodiment of the invention.

第16圖:本發明較佳實施例不同濃度之蛻皮激素對腎臟細胞作用之α-SMA表現量化長條圖。 Figure 16 is a graph showing the quantitative bar graph of α-SMA expression of different concentrations of ecdysone on kidney cells in the preferred embodiment of the present invention.

第17圖:本發明較佳實施例之不同培養條件的腎臟細胞黏附蛋白及α-SMA之免疫螢光染色照片。 Figure 17 is a photograph of immunofluorescence staining of kidney cell adhesion proteins and α-SMA under different culture conditions in accordance with a preferred embodiment of the present invention.

Claims (16)

一種蛻皮激素用以製備治療腎纖維化藥物之用途,蛻皮激素係具有抑制腎臟細胞在受到生理性或非生理性刺激的情況而發生腎纖維化之作用。 A ecdysone for the preparation of a medicament for treating renal fibrosis, which has the effect of inhibiting renal fibrosis by renal cells under physiological or non-physiological stimulation. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該腎臟細胞係受到一誘導纖維化刺激物之刺激後,活化該腎臟細胞之第一型乙型轉型生長因子(Transforming growth factor β type I,簡稱TGF-β1)訊息傳遞路徑及上皮-間質轉換(Epithelial-mesenchymal transition,簡稱EMT)現象。 The use of ecdysone according to item 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the kidney cell line is stimulated by an induced fibrotic stimulator to activate the first type B of the kidney cell Transforming growth factor β type I (TGF-β1) message transmission pathway and epithelial-mesenchymal transition (EMT) phenomenon. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該蛻皮激素係抑制該腎臟細胞表現纖維蛋白(Fibronectin)。 The use of ecdysone according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the ecdysone inhibits the expression of fibronectin in the kidney cells. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該蛻皮激素係抑制該腎臟細胞之TGF-β1R I之表現量。 The use of ecdysone according to the first aspect of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the ecdysone inhibits the expression of TGF-β1R I of the kidney cells. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該蛻皮激素係抑制該腎臟細胞Snail轉錄因子之表現。 The use of ecdysone according to item 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the ecdysone inhibits the expression of a Snail transcription factor of the kidney cell. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該蛻皮激素係抑制該腎臟細胞間黏附蛋白(E-cadherin)受到該Snail轉錄因子之活化而水解。 The use of ecdysone according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the ecdysone inhibits the activation of the kidney cell adhesion protein (E-cadherin) by activation of the Snail transcription factor . 依申請專利範圍第1項所述之蛻皮激素用以製備治療 腎纖維化藥物之用途,其中,該蛻皮激素係於該腎臟細胞受到刺激後,抑制該腎臟細胞之受器活化Smad蛋白之表現量。 Preparation of treatment by ecdysone according to item 1 of the patent application scope The use of a renal fibrosis drug, wherein the ecdysone inhibits the expression of the activated Smad protein of the kidney cell after the kidney cell is stimulated. 依申請專利範圍第7項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該受器活化Smad蛋白係Smad2/3及pSmad2/3。 The use of ecdysone according to item 7 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the receptor activates the Smad protein lines Smad2/3 and pSmad2/3. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該蛻皮激素係於該腎臟細胞受到刺激後,促進該腎臟細胞之抑制性Smad蛋白之表現量。 The use of ecdysone according to the first aspect of the patent application for the preparation of a medicament for treating a renal fibrosis, wherein the ecdysone promotes the expression of an inhibitory Smad protein of the kidney cell after the kidney cell is stimulated. 依申請專利範圍第9項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該抑制性Smad蛋白係Smad7。 The use of ecdysone according to claim 9 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the inhibitory Smad protein is Smad7. 依申請專利範圍第1項所述之蛻皮激素用以製備治療腎纖維化藥物之用途,其中,該蛻皮激素之施予劑量係每公斤體重之個體投予0.06~0.24克(g)之蛻皮激素。 The use of ecdysone according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the ecdysone is administered in an amount of 0.06 to 0.24 g (g) of ecdysone per kg body weight of the individual. . 一種醫藥組合物用以製備治療腎纖維化之藥物的用途,該醫藥組合物係包含蛻皮激素,作為腎纖維化之活性成分;及至少一種醫藥可接受之藥物佐劑或藥物載劑與蛻皮激素結合,以形成該醫藥組合物。 Use of a pharmaceutical composition for preparing a medicament for treating renal fibrosis, comprising ecdysone as an active ingredient of renal fibrosis; and at least one pharmaceutically acceptable pharmaceutical adjuvant or drug carrier and ecdysone Combining to form the pharmaceutical composition. 依申請專利範圍第12項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係一非經腸道或口服投藥之劑型。 The pharmaceutical composition according to claim 12, wherein the pharmaceutical composition is a parenteral or oral dosage form. 依申請專利範圍第12項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係注射 品、無菌的粉劑、錠劑、膠囊、丸劑、粒劑或滴劑。 Use of the pharmaceutical composition according to claim 12 for the preparation of a medicament for treating renal fibrosis, wherein the pharmaceutical composition is injected Products, sterile powders, lozenges, capsules, pills, granules or drops. 依申請專利範圍第12項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係以非經腸道之注射方式投予個體。 The pharmaceutical composition according to claim 12, for use in the preparation of a medicament for treating renal fibrosis, wherein the pharmaceutical composition is administered to a subject by parenteral injection. 依申請專利範圍第12項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係包含0.06~0.24g之蛻皮激素以施予每公斤體重之生物個體。 The pharmaceutical composition according to claim 12, wherein the pharmaceutical composition comprises 0.06 to 0.24 g of ecdysone to administer a biological individual per kilogram of body weight.
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Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
Báthori M,et al."Phytoecdysteroids - From Isolation to Their Effects on Humans",Current Medicinal Chemistry, 2005, 12, 153-172. *
M. Sautour et al."A new ecdysteroid and other constituents from two Dioscorea species",Biochemical Systematics and Ecology 36 (2008) 559–563. *

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