TWI445538B - Use of lanostane and poria extract in treating diabetic - Google Patents

Use of lanostane and poria extract in treating diabetic Download PDF

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TWI445538B
TWI445538B TW98129136A TW98129136A TWI445538B TW I445538 B TWI445538 B TW I445538B TW 98129136 A TW98129136 A TW 98129136A TW 98129136 A TW98129136 A TW 98129136A TW I445538 B TWI445538 B TW I445538B
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transporter
glucose
glut4
extract
adipocytes
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TW201106958A (en
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Hang Ching Lin
Yu Chuan Huang
Tsu Chung Chang
Wen Liang Chang
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Sinphar Pharmaceutical Co Ltd
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以羊毛甾烷及茯苓萃取物治療糖尿病的用途Use of lanosterone and anthraquinone extract for the treatment of diabetes

本發明係關於一種以茯苓萃取物治療糖尿病的用途,尤其有關以萃取自茯苓的化合物治療因血中胰島素不足所引起的糖尿病的用途發明。The present invention relates to the use of a sputum extract for the treatment of diabetes, and more particularly to the use of a compound extracted from sputum for the treatment of diabetes caused by insulin deficiency in the blood.

糖尿病為富裕國家之成人(尤指老年人)常見的慢性病。糖尿病人主要可分為兩種,第一型糖尿病或稱胰島素依賴型糖尿病,其病因是免疫反應造成胰臟之β-細胞破壞而無法生產胰島素,血中無胰島素因此此種型病人必需藉助於注射胰島素補充才能治療糖尿病。第二型糖尿病或稱非胰島素依賴型糖尿病,其病因不明,但是遺傳基因問題為重要因素之一,另外生活方式影響(如肥胖)也是重要因素之一。Diabetes is a common chronic disease common in adults (especially the elderly) in rich countries. Diabetes can be divided into two types, type 1 diabetes or insulin-dependent diabetes mellitus. The cause is that the immune response causes β-cell destruction of the pancreas and cannot produce insulin. There is no insulin in the blood. Insulin supplementation can be used to treat diabetes. Type 2 diabetes or non-insulin-dependent diabetes mellitus is unknown, but genetic problems are one of the important factors, and lifestyle effects such as obesity are also important factors.

大約西元500年,唐朝之醫學書籍備急千金要方記載著用於治療的糖尿病的多種複方,其中某些複方含有茯苓。2002年日本研究人員M.Sato發表茯苓皮部份的氫化去氫松苓酸(Dehydrotrametenolic acid)能夠應用在第二型糖尿病(Biol.Pharm.Bull.2002,25(1),81-86)的治療,其作用原理是經由增加胰島素敏感度(即減少人體對胰島素抗藥性)而達到治療目的。但是從其體外脂肪細胞試驗知道氫化去氫松苓酸的有效濃度為10-5 M,及從體內小老鼠動物實驗的結果得知氫化去氫松苓酸的有效劑量為110 mg/kg,顯然應用在人體其有效劑量至少高達大於700mg以上。700mg之有效劑量相當於目前臨床使用之用藥劑量的10倍以上,因此發展成臨床用藥會造成困難。Around 500 AD, the Tang Dynasty medical books prepared a variety of prescriptions for the treatment of diabetes, some of which contain sputum. In 2002, Japanese researcher M. Sato published that the hydrolyzed dehydrotrametenolic acid of the molting part can be applied to type 2 diabetes (Biol. Pharm. Bull. 2002, 25(1), 81-86). Treatment, the principle of action is to achieve therapeutic goals by increasing insulin sensitivity (ie, reducing the body's resistance to insulin). However, from its in vitro fat cell test, the effective concentration of hydrogenated dehydroabietic acid was 10 -5 M, and the effective dose of hydrogenated dehydroabietic acid was 110 mg/kg from the results of animal experiments in vivo. The effective dose in the human body is at least as high as more than 700 mg. The effective dose of 700 mg is equivalent to more than 10 times the amount of the currently used clinical use, so development into a clinical medication can cause difficulties.

本發明的一個目的在揭示一種使用具下列化學式(I)的羊毛甾烷或其醫藥上可接受的鹽作為有效成分在製備一種用於治療哺乳類動物因血中胰島素不足所引起的糖尿病藥物的用途, 於式中R1 為H或CH3 ;R2 為OCOCH3 ,=O或OH;R3 為H或OH;R4 為-C(=CH2 )-C(CH3 )2 Ra ,其中Ra 為H或OH,或-CH=C(CH3 )-Rb ,其中Rb 為CH3 或CH2 OH;R5 為H或OH;及R6 為CH3 或CH2 OH。An object of the present invention is to disclose a use of lanostere having the following chemical formula (I) or a pharmaceutically acceptable salt thereof as an active ingredient for the preparation of a medicament for treating diabetes caused by insulin deficiency in a mammal , Wherein R 1 is H or CH 3 ; R 2 is OCOCH 3 , =O or OH; R 3 is H or OH; and R 4 is -C(=CH 2 )-C(CH 3 ) 2 R a , wherein R a is H or OH, or -CH=C(CH 3 )-R b , wherein R b is CH 3 or CH 2 OH; R 5 is H or OH; and R 6 is CH 3 or CH 2 OH.

本發明亦揭示一種使用茯苓萃取物作為有效成分在製備一種用於治療哺乳類動物因血中胰島素不足所引起的糖尿病藥物的用途,其中該茯苓萃取物包含1-60重量%的所述 的羊毛甾烷(I)且實質上不含開環羊毛甾烷。較佳的,該茯苓萃取物包含包含5-35重量%的羊毛甾烷(I)。The present invention also discloses the use of a cockroach extract as an active ingredient in the preparation of a medicament for treating diabetes caused by insulin deficiency in a mammal, wherein the cockroach extract comprises 1-60% by weight of said Wool decane (I) and substantially free of ring-opened lanostane. Preferably, the mash extract comprises from 5 to 35% by weight of lanostere (I).

較佳的,該羊毛甾烷(I)具有下列化學式: 更佳的,該羊毛甾烷(I)具有下列化學式: Preferably, the lanostane (I) has the following chemical formula: More preferably, the lanostane (I) has the following chemical formula:

較佳的,該藥物為注射劑型。Preferably, the drug is in the form of an injection.

較佳的,該藥物為口服劑型。Preferably, the drug is in an oral dosage form.

較佳的,該糖尿病為第一型糖尿病。Preferably, the diabetes is type 1 diabetes.

較佳的,該糖尿病為第二型糖尿病。Preferably, the diabetes is type 2 diabetes.

較佳的,該哺乳類動物為人類。Preferably, the mammal is a human.

本發明證明,從茯苓分離出來的有效成分能夠發揮同胰島素一樣功能:(1)增加葡萄糖轉運蛋白(GLUT4)之基因表達(mRNA),(2)葡萄糖轉運蛋白(GLUT4)製造,(3)能夠將轉運蛋白(GLUT4)從細胞內轉位(translocatin)到脂肪(或肌肉)細胞膜上,(4)葡萄糖轉運蛋白能夠將細胞外葡萄糖運送至細胞內,及(5)同胰島素功能一様能夠製造三酸甘油脂儲存在細胞內。故茯苓有效成分成功地扮演了胰島素之角色,可將血糖運送至細胞內而降低血糖,可運用在第一型糖尿病及因血中胰島素不足所引起的第二型糖尿病之治療。另外最重要的是從脂肪體外試驗說明在0.01μM濃度下就能產生葡萄糖吸收作用,相較於上述日學者Sato研究需要10-5 M才能產生作用,二者之間劑量差1000倍。The present invention proves that the active ingredient isolated from sputum can function as insulin: (1) increase gene expression (mRNA) of glucose transporter (GLUT4), (2) manufacture of glucose transporter (GLUT4), and (3) Translocating the transporter (GLUT4) from the cell to the fat (or muscle) cell membrane, (4) the glucose transporter can transport extracellular glucose into the cell, and (5) can be manufactured in the same way as the insulin function Triglycerides are stored in cells. Therefore, the active ingredient has successfully played the role of insulin, which can transport blood sugar to the cells and lower blood sugar. It can be used in the treatment of type 2 diabetes and type 2 diabetes caused by insufficient insulin in the blood. In addition, the most important thing is that the in vitro test of fat can produce glucose absorption at a concentration of 0.01 μM. Compared with the above-mentioned Japanese scholar Sato, it takes 10 -5 M to produce a effect, and the dose difference between the two is 1000 times.

本發明所揭示之從茯苓製備具有治療因血中胰島素不足所引起的糖尿病的有效成分的一合適方法例如為EP 1535619 A1所揭示的方法,包括利用傳統萃取法萃取茯苓得到一粗萃取物,再經由層析法,分成極性小之羊毛甾烷(lanostane)類部位(以二氯甲烷:甲醇(96:4)為沖提液)和極性大之開環羊毛甾烷(secolanostane)類部位(以二氯甲烷:甲醇(90:10或0:100)為沖提液),其中,利用矽膠薄層層析法,顯示出羊毛甾烷(lanostane)類部位之所在位置,即展開溶媒為二氯甲烷一甲醇(96:4)時,層析值(Rf)為;至於開環羊毛甾烷(secolanostane)類成分,則層析值小於0.1。用矽膠管柱層析法可進一步分離該羊毛甾烷類部位,其中沖提液使用二氯甲烷:甲醇(97:3至95:5),分離出數種羊毛甾烷(lanostane)類化合物。A suitable method for preparing an active ingredient for treating diabetes caused by insulin deficiency in blood is disclosed in the present invention, for example, the method disclosed in EP 1535619 A1, which comprises extracting hydrazine by a conventional extraction method to obtain a crude extract, and then By chromatography, it is divided into a small lanostane-like site (with dichloromethane:methanol (96:4) as the extract) and a highly polar open-chain lanolinane (secolanostane) Dichloromethane: methanol (90:10 or 0:100) is the extract), wherein the position of the lanostane-like part is shown by the thin layer chromatography of tannin, that is, the developing solvent is dichloro For methane-methanol (96:4), the chromatographic value (Rf) is As for the open-chain spheranostane-like component, the chromatographic value is less than 0.1. The lanostane moiety can be further separated by a gel column chromatography in which several lanostane compounds are isolated using dichloromethane:methanol (97:3 to 95:5).

下面結合實施例對本發明做進一步詳細的描述,但不以此限制本發明。The present invention will be further described in detail below with reference to the embodiments, but without the invention.

實施例一Embodiment 1

雲南產茯苓26公斤,以260升含75%酒精,加熱萃取三次,合併酒精萃取液,經減壓濃縮後可得225.2克萃取物。萃取物經定量分析知道每一克萃取物可得76.27毫克之羊毛甾烷,其中K1(茯苓酸(Pachymic acid))33.4亳克,K1-1(去氫茯苓酸(dehydropachymic acid))9.59亳克,K2-1(块苓酸(tumulosic acid))19.01亳克,K2-2(去氫块苓酸(dehydrotumulosic acid))6.75亳克,K3(多孔覃酸C(poylporenic acid C))5.06mg,K4(3-表氫块苓酸(3-epidehydrotumulosic acid))2.46亳克。In Yunnan, 26 kg of pupa, 260 liters containing 75% alcohol, heated three times, combined with alcohol extract, concentrated under reduced pressure to obtain 225.2 grams of extract. The extract was quantitatively analyzed to obtain 76.27 mg of lanostere per gram of extract, of which K1 (Pachymic acid) 33.4 gram, K1-1 (dehydropachymic acid) 9.59 gram. , K2-1 (tumulosic acid) 19.01 gram, K2-2 (dehydrotumulosic acid) 6.75 gram, K3 (poylporenic acid C) 5.06 mg, K4 (3-epidehydrotumulosic acid) 2.46 g.

實施例二Embodiment 2

實施例一酒精萃取物125克以1.3升二氯甲烷萃取6次,合併二氯甲烷萃取液,經濃縮後可得22.26克之萃取物。以95%熱酒精溶解二氯甲烷萃取物,放冷後過濾不溶物,濾液以水少量加入直到酒精含量為45%為止,此時會有沉澱產生,用離心方式取沉澱物,可得17.4克沉澱物。經定量分析可得知每克沉澱物含有264.78毫克羊毛甾烷,其中K1-1 159.7毫克,K1-2 56.96毫克,K2-1 24.43毫克,K2-2 8.8毫克,K3 9.84毫克,K4 5.05毫克。該沉澱物經矽膠薄層層析法檢測證明其不含有開環羊毛甾烷。Example 1 125 g of the alcohol extract was extracted 6 times with 1.3 liters of dichloromethane, and the dichloromethane extract was combined. After concentration, 22.26 g of the extract was obtained. The dichloromethane extract was dissolved in 95% hot alcohol, and the insoluble matter was filtered after being allowed to cool. The filtrate was added in a small amount of water until the alcohol content was 45%. At this time, a precipitate was formed, and the precipitate was obtained by centrifugation to obtain 17.4 g. Precipitate. Quantitative analysis revealed that each gram of precipitate contained 264.78 mg of lanostane, of which K1-1 159.7 mg, K1-2 56.96 mg, K2-1 24.43 mg, K2-2 8.8 mg, K3 9.84 mg, K4 5.05 mg. The precipitate was tested by silica gel thin layer chromatography to prove that it did not contain ring-opened lanostane.

實施例三Embodiment 3

茯苓藥材100公斤以800公斤水煮沸3小時後,靜置冷卻至50℃,以5N NaOH調節溶液至pH 11,再攪拌溶液3小時。接著以離心機分離液體和固體,固體再以800公斤水加入,同上述方法,以NaOH調至pH 11、攪拌和離心機分離,去掉固體。合併兩次液體,在50℃將液體真空濃縮至100公斤溶液,再加入3N HCl至pH 6.5,產生沈澱物。分離出該沈澱物,再以40L H2 O清洗,接著以離心機分離出沈澱物,加入8L水噴霧乾燥(spray dry),得到約380g粉末。再以4L之酒精萃取該粉末三次,合併萃取液並濃縮可得238.9克酒精萃取物。該萃取物經矽膠薄層層析法(TLC)檢測證明其不含有開環羊毛甾烷。該萃取物再經過HPLC分離,每克該萃取物可得主成分為K2 214mg,K3 23mg,K4 24mg及少量成分K1 4.52mg,即萃取物每克約含265mg羊毛甾烷。After immersing 100 kg of medicinal herbs in 800 kg of water for 3 hours, the mixture was allowed to cool to 50 ° C, and the solution was adjusted to pH 11 with 5 N NaOH, and the solution was stirred for 3 hours. The liquid and solid were then separated by a centrifuge, and the solid was further added with 800 kg of water. The mixture was adjusted to pH 11 with NaOH as described above, stirred and centrifuged to remove the solid. The two liquids were combined, and the liquid was concentrated in vacuo to a 100 kg solution at 50 ° C, and then 3N HCl was added to pH 6.5 to give a precipitate. The precipitate was separated, washed with 40 L of H 2 O, and then the precipitate was separated by a centrifuge, and sprayed with 8 L of water to obtain about 380 g of a powder. The powder was extracted three times with 4 L of alcohol, and the extracts were combined and concentrated to give 238.9 g of an alcohol extract. The extract was tested by silica gel thin layer chromatography (TLC) to prove that it did not contain ring-opened lanostane. The extract was further separated by HPLC, and the extract was obtained as a main component of K2 214 mg, K3 23 mg, K4 24 mg and a small amount of K1 4.52 mg per gram of the extract, i.e., the extract contained about 265 mg of lanostane per gram.

或以4L之50%酒精水溶液萃取該粉末,去除50%酒精水溶液部份收取不溶之粉末,重覆三次可得245.7克之50%酒精水溶液不溶物,經TLC法檢測顯示該不溶物不含開環羊毛甾烷,再經過HPLC純化分離該不溶物,每克可得主成分為K2 214mg,K3 23mg,K4 24mg及少量成分K1 4.52mg,即萃取物每克約含261mg羊毛甾烷。Or extract the powder with 4L of 50% alcohol aqueous solution, remove 50% alcohol aqueous solution and collect insoluble powder, and repeat three times to obtain 245.7g of 50% alcohol aqueous solution insoluble matter. The TLC method indicates that the insoluble matter does not contain open loop. The lanostere was further purified by HPLC to separate the insoluble matter, and the main component was K2 214 mg, K3 23 mg, K4 24 mg and a small amount of K1 4.52 mg per gram, that is, the extract contained about 261 mg of lanostane per gram.

實施例四Embodiment 4

以雲南產茯苓30公斤,磨成粉後,利用120L酒精(濃度95%)萃取24小時,及過濾分離。再重復前述萃取及固液分離三次。合併濾液,並將之濃縮後得乾燥萃取物265.2克。再利用一兩相萃取劑(己烷:95%甲醇=1:1)對該乾燥萃取物進行分配萃取。取出甲醇層並加予濃縮後得到乾燥固體246.9克。利用矽膠管柱層析對該乾燥固體進行分離,該矽膠管柱填充有該乾燥固體重量10-40倍的矽膠,係購自Merck公司,Silica gel 60,70-230 mesh。以二氯甲烷/甲醇混合液作為沖提劑(eluent),依序以96:4、90:10、0:100比例的混合液進行沖提,溶離液(eluate)以矽膠薄層層析法(Thin Layer Chromatography)(紫外光燈及碘作檢測,展開液為二氯甲烷:甲醇=96:4)檢測成分,將相同成分合併。After 30 kg of glutinous rice in Yunnan, it was ground into powder and extracted with 120 L of alcohol (concentration 95%) for 24 hours, and separated by filtration. The foregoing extraction and solid-liquid separation were repeated three times. The filtrate was combined and concentrated to give a dry extract 265.2 g. The dried extract was subjected to partition extraction using a two-phase extractant (hexane: 95% methanol = 1:1). The methanol layer was taken out and concentrated to give 246.9 g of dry solid. The dried solid was separated by a silica gel column chromatography, which was filled with 10-40 times the weight of the dry solid, which was purchased from Merck, Silica gel 60, 70-230 mesh. The mixture of dichloromethane/methanol was used as a solvent (eluent), and the mixture was extracted in a ratio of 96:4, 90:10, and 0:100, and the eluate was subjected to silica gel thin layer chromatography. (Thin Layer Chromatography) (UV light and iodine detection, the developing solution is dichloromethane: methanol = 96: 4) The components are detected, and the same components are combined.

以二氯甲烷一甲醇(96:4)混合液進行矽膠管柱層析,可得到屬本發明的茯苓萃取物之PCM部份78克。PCM部份依上述矽膠薄層層析法可明顯看到6個跡點。以二氯甲烷:甲醇(90:10)及(0:100)沖提液層析合併可得到PCW部份168克。The PCM fraction of the hydrazine extract of the present invention was obtained by subjecting a mixture of dichloromethane-methanol (96:4) to a gel column chromatography. The PCM part can clearly see 6 traces according to the above-mentioned silica gel thin layer chromatography. The combined chromatography of dichloromethane:methanol (90:10) and (0:100) gave 168 g of PCW fraction.

PCM部份進一步以二氯甲烷:甲醇(96.5:3.5)作為沖提劑進行矽膠管柱層析(同上述矽膠管柱),進一步分離可得純化之羊毛甾烷(lanostane)類成分K1(K1-1及K1-2),K2(K2-1及K2-2),K3,K4,K4a,K4b,K5,K6a及K6b。詳細分離步驟及鑑定分析數據請參見EP 1535619 A1。The PCM fraction was further chromatographed with dichloromethane:methanol (96.5:3.5) as a stripping agent (same as the above-mentioned ruthenium column), and further purified to obtain a lanostane-like component K1 (K1) -1 and K1-2), K2 (K2-1 and K2-2), K3, K4, K4a, K4b, K5, K6a and K6b. Detailed separation steps and identification analysis data can be found in EP 1535619 A1.

上述之K1至K6b化合物,其結構如下:The above K1 to K6b compounds have the following structure:

從PCM部份分離出來羊毛甾烷化合物K1至K6b的產量如下表所示。PCM部份含有約15重量%的羊毛甾烷化合物K1至K6b。The yields of the lanosterane compounds K1 to K6b separated from the PCM fraction are shown in the following table. The PCM fraction contains about 15% by weight of lanosterane compounds K1 to K6b.

實施例五:膠囊製備Example 5: Preparation of capsules

依下列組成製備含有實施例四所製得的茯苓萃取物PCM成份的膠囊:A capsule containing the hydrazine extract PCM component prepared in Example 4 was prepared according to the following composition:

將茯苓萃取物PCM與矽鋁酸鈉分別以#80目(mesh)篩網過篩,馬鈴薯澱粉以#60目篩網過篩,硬脂酸鎂以#40目篩網過篩後,置入混合機攪拌均勻,接著填充入壹號空膠囊,每顆膠囊含有約1.68mg(0.42wt%)的有效成份K1-K6。The cockroach extract PCM and sodium strontium aluminate were respectively sieved through a #80 mesh sieve, the potato starch was sieved through a #60 mesh sieve, and magnesium stearate was sieved through a #40 mesh sieve, and then placed. The mixer was stirred well and then filled into vacant capsules, each containing about 1.68 mg (0.42% by weight) of active ingredient K1-K6.

實施例六Embodiment 6

茯苓三萜類化合物預防及治療第一型糖尿病試驗Prevention and treatment of type 1 diabetes by triterpenoids

進行下列細胞實驗之茯苓萃取物為由實施例二所製得者或示於圖1的純化合物。它們被溶在酒精:DMSO(9:1)溶媒,所得溶液加入在培養盤上,其中每一個孔(well)僅加入最後體積之千分之一。The hydrazine extract subjected to the following cell experiments was either the one prepared in Example 2 or the pure compound shown in Fig. 1. They are dissolved in an alcohol: DMSO (9:1) solvent and the resulting solution is added to a culture dish where each well is only added to one thousandth of the final volume.

一、脂肪細胞培養First, fat cell culture

3T3-L1為一種老鼠前脂肪細胞,型態為紡綞狀,當加入誘導劑培養2-3天後,可以觀察到細胞型態轉為圓型,而且細胞內有油滴累積,隨著分化天數增加,會分化的越完全。分化前的細胞,主要的葡萄糖轉運蛋白為GLUT1,而分化後的細胞,則主要作用的葡萄糖轉運蛋白為GLUT4,如細胞膜上的GLUT4蛋白數目愈多,血液中葡萄糖穿越細胞膜被細胞吸收的速度與量也愈大,血糖下降速度越快。此3T3-L1脂肪細胞內具有完整的胰島素活化葡萄糖吸收的系統,可以進行糖類代謝與胰島素信息路徑的研究,另外也可以觀察完整的脂質新生調節過程,因此分化的3T3-L1脂肪細胞為一具代表性且應用廣泛的模式細胞株,由於人體組織內真正的脂肪細胞難以繼代培養,故學術界一般使用此模式進行各項試驗及評估。3T3-L1 is a mouse preadipocyte, which is in the form of a spine. After 2-3 days of incorporation of the inducer, the cell type can be observed to be round, and there is oil droplet accumulation in the cell. As the number of days increases, the more complete the differentiation. Before the differentiation, the main glucose transporter is GLUT1, and the differentiated cell, the main glucose transporter is GLUT4. For example, the more the GLUT4 protein on the cell membrane, the faster the glucose in the blood is absorbed by the cell through the cell membrane. The greater the amount, the faster the blood sugar drops. This 3T3-L1 adipocyte has a complete system of insulin-activated glucose uptake, which can be used for the study of carbohydrate metabolism and insulin information pathway. In addition, the complete lipid modulating process can be observed, so the differentiated 3T3-L1 adipocytes are one. Representative and widely used model cell lines, because the real fat cells in human tissues are difficult to subculture, the academic community generally uses this model for various tests and evaluations.

(a)脂肪細胞培養:(a) Fat cell culture:

3T3-L1細胞於DMEM(Dulbecco's minimal essential medium)及37℃培養箱(5%二氧化碳,95%空氣)中進行培養,該DMEM被添加10%成牛血清的(calf serum)、100IU/mL青黴素、100μg/mL鏈黴素及1%非必需性胺基酸。待細胞完全長滿後,加入含脂肪細胞分化促進劑[含0.5mM 3-異丁基-1 -甲基黃嘌呤(3-isobutyl-1-methylxanthane,IBMX),1μM皮質類固醇激素(dexamethasone),10μg/mL胰島素]之10% FBS/DMEM培養液培養二天,更換成含有10μg/mL胰島素之10%FBS/DMEM培養液中二天後,再以每二天更換無胰島素培養液乙次進行培養4-6天。此時3T3-L1細胞將近90%形成脂肪細胞(adipocyte phenotype)之型態後即可進行試驗。試驗進行前先以PBS溶液清洗3T3-L1細胞,再以無血清及無胰島素之0.2% BSA/DMEM培養液培養過夜,以去除血清及胰島素之干擾。3T3-L1 cells were cultured in DMEM (Dulbecco's minimal essential medium) and 37 ° C incubator (5% carbon dioxide, 95% air), which was supplemented with 10% calf serum, 100 IU/mL penicillin, 100 μg/mL streptomycin and 1% non-essential amino acid. After the cells were completely covered, containing added fat cell differentiation promoting agent [containing 0.5mM 3- isobutyl - 1 - methylxanthine (3-isobutyl-1-methylxanthane , IBMX), 1μM corticosteroids (dexamethasone), 10% of 10μg/mL insulin] FBS/DMEM culture medium was cultured for two days, replaced with 10% FBS/DMEM medium containing 10μg/mL insulin for two days, and then replaced with insulin-free medium every two days for culture 4- 6 days. At this time, nearly 90% of the 3T3-L1 cells form the form of adipocyte phenotype, and then the test can be performed. 3T3-L1 cells were washed with PBS solution before the test, and then cultured overnight in serum-free and insulin-free 0.2% BSA/DMEM medium to remove serum and insulin interference.

(b)抑制葡萄糖轉運體4基因表達(mRNA)實驗之脂肪細胞培養:(b) Adipocyte culture to inhibit glucose transporter 4 gene expression (mRNA) experiments:

利用攜帶抑制葡萄糖轉運體4核醣核酸之病毒載體(TRCN0000043630 shRNA,中央研究院基因體研究中心,台灣)感染3T3-L1前脂肪細胞(shG4-30),以建立長期性抑制葡萄糖轉運體4基因表達,並以此株細胞分化後之脂肪細胞進行試驗。Infection of 3T3-L1 preadipocytes (shG4-30) with a viral vector carrying the glucose transporter 4 ribonucleic acid (TRCN0000043630 shRNA, Academia Sinica Genome Research Center, Taiwan) to establish long-term inhibition of glucose transporter 4 gene expression And test the fat cells after differentiation of the strain cells.

(c)檢測葡萄糖轉運體4轉運蛋白質轉位實驗之脂肪細胞培養:(c) Detection of fat transport in the glucose transporter 4 transporter protein translocation assay:

將帶有流行感冒病毒蛋白HA標幟之葡萄糖轉運體4(HA-GLUT4-GFP,Timothy E. McGraw贈送,美國紐約Well Gornell醫學院)載體以Lipofectamine 2000(Invitrogen,CA,USA)轉染到3T3-L1前脂肪細胞,並利用G418篩檢出持續表達帶有流行感冒病毒蛋白HA標幟之葡萄糖轉運體4轉運蛋白之脂肪細胞株,分化成脂肪細胞後進行葡萄糖轉運體4轉運蛋白轉位試驗評估。The glucose transporter 4 (HA-GLUT4-GFP, presented by Timothy E. McGraw, Well Gornell Medical College, New York, USA) with the influenza virus protein HA marker was transfected into 3T3 with Lipofectamine 2000 (Invitrogen, CA, USA). -L1 preadipocytes, and the fat cell strain that continuously expresses the glucose transporter 4 transporter with the influenza virus protein HA marker was detected by G418 screening, and the glucose transporter 4 transporter translocation test was performed after differentiation into adipocytes. Evaluation.

二、2-去氧葡萄糖吸收評估Second, 2-deoxyglucose absorption assessment

茯苓三萜類化合物促進3T3-L1脂肪細胞對於葡萄糖吸收的測試中,3T3-L1前脂肪細胞被培養於6-孔培養盤上,待細胞長滿以脂肪細胞分化促進劑進行分化刺激,待7-12天3T3-L1細胞成熟分化成脂肪細胞後,可用以進行葡萄糖吸收的測試。將前述脂肪細胞先置於無血清培養液(含0.2% BSA/DMEM)過夜後,以含不同濃度的茯苓三萜類化合物的無血清細胞培養液,培養2-6小時後,用PBS溶液洗滌一次,改換以KRP緩衝液(20mM HEPES,137mM NaCl,4.7mM KCl,1.2mM MgSO4 ,1.2mM KH2 PO4 ,2.5mM CaCl2 ,and 2mM丙酮酸鹽(pyruvate),pH 7.4及0.2% BSA)於37℃培養3小時後,再使用加入0.2μCi/mL之[14 C]2-去氧葡萄糖[2-deoxy-D-[14 C]-glucose(2-DG,Amersham Biosciences,Little Chalfont,Bucks,U.K.)]和無放射性0.1mM 2DG之0.2ml葡萄糖緩衝液來取代KRP緩衝液以開始葡萄糖的吸收實驗。5分鐘後移出細胞並以PBS清洗來終止葡萄糖攝取。以0.2mL之0.2%SDS中溶解細胞並將10μL之細胞溶離液轉置至含有過濾底盤之UniFilter盤中(Perkim-Elmer,Wellesley,MA,USA)於37℃真空烘箱中乾燥,並將在每孔中加入30μL之計數溶液,利用微盤液體閃爍計數器(TopCount,Packard NXT,Packard BioScience Company,Meriden,CT,USA)分析。計算出累積在細胞內之葡萄糖含量,並除以蛋白質濃度,所得攝取速率係以每分鐘每毫克細胞蛋白質之奈莫耳葡萄糖(nmol/min/mg)來表示。蛋白質濃度可利用標準二辛可寧酸(Bicinchoninic acid;BCA)試劑(Pierce,Rockford,IL,USA)分析來測定。加入0.2μCi之L-[14 C]-葡萄糖以測量非特定葡萄糖的攝取,並與每個測定值中相減,而得到特定葡萄糖攝取量。觀察3T3-L1脂肪細胞在不同濃度的茯苓三萜類化合物的作用下對葡萄糖的吸收是否有所影響。In the test of glucose uptake by 3T3-L1 adipocytes, 3T3-L1 preadipocytes were cultured on a 6-well culture plate, and the cells were overgrown with adipocyte differentiation promoter for differentiation stimulation. After -12 days of 3T3-L1 cells mature into adipocytes, they can be used for glucose uptake testing. The above fat cells were first placed in serum-free medium (containing 0.2% BSA/DMEM) overnight, and then cultured in serum-free cell culture medium containing different concentrations of triterpenoids for 2-6 hours, and then washed with PBS solution. Once, change to KRP buffer (20 mM HEPES, 137 mM NaCl, 4.7 mM KCl, 1.2 mM MgSO 4 , 1.2 mM KH 2 PO 4 , 2.5 mM CaCl 2 , and 2 mM pyruvate, pH 7.4 and 0.2% BSA) After incubation at 37 ° C for 3 hours, [ 14 C] 2-deoxyglucose [2-deoxy-D-[ 14 C]-glucose (2-DG, Amersham Biosciences, Little Chalfont, 0.2 μCi/mL) was added. Bucks, UK)] and 0.2 ml glucose buffer without radioactive 0.1 mM 2DG were substituted for KRP buffer to initiate glucose uptake experiments. After 5 minutes, the cells were removed and washed with PBS to stop glucose uptake. The cells were lysed in 0.2 mL of 0.2% SDS and 10 μL of the cell-dissolved solution was transposed into a UniFilter disk containing a filter tray (Perkim-Elmer, Wellesley, MA, USA) and dried in a vacuum oven at 37 ° C, and 30 μL of the counting solution was added to the wells and analyzed using a microdisc liquid scintillation counter (TopCount, Packard NXT, Packard BioScience Company, Meriden, CT, USA). The amount of glucose accumulated in the cells was calculated and divided by the protein concentration, and the resulting uptake rate was expressed as nanomolar glucose (nmol/min/mg) per milligram of cellular protein per minute. Protein concentration can be determined using standard Bicinchoninic acid (BCA) reagent (Pierce, Rockford, IL, USA) analysis. 0.2 μCi of L-[ 14 C]-glucose was added to measure the uptake of non-specific glucose and subtracted from each of the measured values to obtain a specific glucose uptake. It was observed whether 3T3-L1 adipocytes had an effect on the absorption of glucose under the action of different concentrations of triterpenoids.

三、對葡萄糖轉運體1及4(GLUT1 & 4)轉運蛋白之評估3. Evaluation of glucose transporter 1 and 4 (GLUT1 & 4) transporters

茯苓三萜類化合物促進3T3-L1脂肪細胞之葡萄糖轉運體表達之測試中,同上述說明分化成熟之3T3-L1脂肪細胞以無血清細胞培養液培養過夜後,以含不同濃度之茯苓三萜類化合物之無血清細胞培養液培養24小時,再以PBS溶液清洗,接著以0.2ml溶解細胞液[1% NP-40,150mM NaCl,0.1% SDS,50mM Tris-HCl pH 7.6,10mM EDTA,0.5%去氧膽酸鹽(deoxycholate),1mM PMSF,1mM Na3 VO4 ,10mM NaF,10mM β-磷酸甘油酯(glycerophosphate),10μg/mL蛋白酵素抑制劑和磷酸酯酶(phosphatase)抑制劑]作用30分(4℃溫度下)。每一樣品經SDS-10%聚丙烯醯胺(polyacrylamide)電泳分離,轉漬至PVDF膜(Millipore,Bedford,MA,USA)。利用西方點墨法以專一性抗體,葡萄糖轉運體1抗體(GLUT1,Abcam,Cambridge,MA),葡萄糖轉運體4抗體(GLUT4,R&D systems,Minneapolis,MN),及β-肌動蛋白抗體(β-Actin,Chemicon,Temecula,CA,USA),來觀察3T3-L1脂肪細胞在不同濃度的茯苓三萜類化合物的作用下對葡萄糖轉運體蛋白質表達是否有影響。每一個樣品(蛋白)以化學冷光處理,再暴露在X光片,再以軟體分析含量。In the test of the triterpenoids promoting the expression of glucose transporters in 3T3-L1 adipocytes, the 3T3-L1 adipocytes differentiated and matured in the same manner as described above were cultured in serum-free cell culture medium overnight, and then contained in different concentrations of triterpenoids. The serum-free cell culture solution of the compound was cultured for 24 hours, and then washed with PBS solution, followed by 0.2 ml of lysed cell fluid [1% NP-40, 150 mM NaCl, 0.1% SDS, 50 mM Tris-HCl pH 7.6, 10 mM EDTA, 0.5%. Deoxycholate, 1 mM PMSF, 1 mM Na 3 VO 4 , 10 mM NaF, 10 mM β-glycerophosphate (glycerophosphate), 10 μg/mL protein inhibitor and phosphatase inhibitor] (at 4 ° C temperature). Each sample was separated by SDS-10% polyacrylamide electrophoresis and transferred to a PVDF membrane (Millipore, Bedford, MA, USA). Western blotting with specific antibodies, glucose transporter 1 antibody (GLUT1, Abcam, Cambridge, MA), glucose transporter 4 antibody (GLUT4, R&D systems, Minneapolis, MN), and β-actin antibody (β -Actin, Chemicon, Temecula, CA, USA) to observe whether 3T3-L1 adipocytes have an effect on glucose transporter protein expression under the action of different concentrations of triterpenoids. Each sample (protein) was treated with chemical luminescence, exposed to X-ray film, and analyzed for content in software.

四、葡萄糖轉運體1及4(GLUT1&4)轉運蛋白之基因表達評估IV. Evaluation of gene expression of glucose transporter 1 and 4 (GLUT1&4) transporters

利用即時定量聚合酵素鏈鎖反應(Q-PCR)對3T3-L1脂肪細胞在不同濃度的茯苓三萜類化合物的作用下對葡萄糖轉運體訊息核醣核酸(mRNA)之表達進行評估。將分化完全之3T3-L1脂肪細胞,給予不同濃度的茯苓三萜類化合物24小時後,去除細胞培養液後,用Trizol試劑(Invitrogen,Irvine,CA,USA)提取總RNA,並取1μg RNA利用反轉錄試劑(High-Capacity cDNA Reverse Transcription Kits,Applied Biosystems,Darmstadt,Germany)將mRNA反轉錄成cDNA 。分別針對葡萄糖轉運體1、葡萄糖轉運體4及β-肌動蛋白,設計出專一引子(primer),及利用SYBR Green Q-PCR分析(Applied Biosystems,Foster City,CA,USA)擴增待測基因(GLUT1及GLUT4)及內參基因(β-actin),並以StepOne v2.0 software(Applied Biosystems)軟體以ΔΔC T 方法計算相對因表達值。The expression of glucose transporter ribonucleic acid (mRNA) was evaluated by 3T3-L1 adipocytes under the action of different concentrations of triterpenoids using real-time quantitative polymerase chain reaction (Q-PCR). The fully differentiated 3T3-L1 adipocytes were administered with different concentrations of the triterpenoids for 24 hours. After removing the cell culture medium, total RNA was extracted with Trizol reagent (Invitrogen, Irvine, CA, USA), and 1 μg of RNA was used. The mRNA was reverse transcribed into cDNA by High-Capacity cDNA Reverse Transcription Kits (Applied Biosystems, Darmstadt, Germany). Specific primers were designed for glucose transporter 1, glucose transporter 4 and β-actin, respectively, and the gene to be tested was amplified by SYBR Green Q-PCR analysis (Applied Biosystems, Foster City, CA, USA). (GLUT1 and GLUT4) and the internal reference gene (β-actin), and the relative cause expression value was calculated by the ΔΔ C T method using StepOne v2.0 software (Applied Biosystems) software.

五、對葡萄糖轉運體4轉運蛋白轉位之評估V. Evaluation of the translocation of glucose transporter 4 transporter

(1)對葡萄糖轉運體4轉運蛋白轉位分析(一)(1) Analysis of translocation of glucose transporter 4 transporter (1)

因胰島素促進脂肪細胞或肌肉細胞之葡萄糖吸收之機轉中,葡萄糖轉運體4(GLUT4)轉運蛋白從細胞內胞器轉位(translocation)到質膜(plasma membrane(PM))扮演重要角色,故進行以茯苓三萜類化合物促進3T3-L1脂肪細胞之葡萄糖轉運體4轉運蛋白轉位到質膜之測試。分化成熟之3T3-L1脂肪細胞以無血清細胞培養液培養過夜後,再以含不同濃度之茯苓三萜類化合物之無血清細胞培養液培養2小時,接著以不同轉速高速離心(16,000g ~200,000g ),將細胞之質膜部份(plasma membrane(PM)fraction)及低密度微粒體(low density microsome(LDM))分離出(Liu,L. Z.等;Mol Biol. Cell 17,(5),2322-2330,2006)。利用西方點墨法以葡萄糖轉運體4的專一性抗體來觀察3T3-L1脂肪細胞在不同濃度的茯苓三萜類化合物的作用下對葡萄糖轉運體4轉運蛋白從細胞之LDM轉位到質膜(PM)是否有影響。As insulin promotes glucose uptake by adipocytes or muscle cells, the glucose transporter 4 (GLUT4) transporter plays an important role in translocation from the intracellular organelle to the plasma membrane (PM). A test for translocation of the glucose transporter 4 transporter of 3T3-L1 adipocytes to the plasma membrane by a triterpenoid compound was performed. The mature and mature 3T3-L1 adipocytes were cultured in serum-free cell culture medium overnight, and then cultured in serum-free cell culture medium containing different concentrations of triterpenoids for 2 hours, followed by high-speed centrifugation at different speeds (16,000 g to 200,000). g ), separating the plasma membrane (PM) fraction and the low density microsome (LDM) of the cell (Liu, LZ, etc.; Mol Biol. Cell 17, (5), 2322 -2330, 2006). Using Western blotting method to observe the specificity of glucose transporter 4, 3T3-L1 adipocytes were translocated from the LDM of the cells to the plasma membrane by different concentrations of triterpenoids. PM) Whether it has an impact.

(2)對葡萄糖轉運體4轉運蛋白轉位分析(二)(2) Analysis of translocation of glucose transporter 4 transporter (2)

將穩定表達HA-GLUT4-GFP蛋白之3T3-L1前脂肪細胞種於96孔培養盤,待長滿後以分化促進劑進行分化(Govers,R.等;Mol Cell Biol. 24(14),6456-6466,2004)。將分化完全之3T3-L1脂肪細胞,給予不同濃度的茯苓三萜類化合物2小時,去除細胞培養液,用冰PBS清洗細胞。再以4%三聚甲醛(paraformaldehyde)於室溫下固定細胞15分鐘,接著以冰PBS清洗2-3次,再加入針對HA之一級抗體(12CA5)培育2小時。以冰PBS清洗2-3次,加入共軛架接螢光染料鹽基桃紅精之二級抗體(rhodamine-conjugated secondary antibody)(Leinco,Ballwin,MO)培育細胞1小時。以冰PBS清洗2-3次,再以螢光免疫分析儀(POLARstar Galaxy;BMG Labtechnologies,Offenburg,Germany)分別偵測鹽基桃紅精(rhodamine)及綠色螢光蛋白(GFP)之激發波長強度(Em. 480/Ex. 425nm及Em. 576nm/Ex. 550nm),並以鹽基桃紅精對綠色螢光蛋白之比值評估HA-GLUT4-GFP轉位之質膜之相對量。因為僅有在HA-tagged GLUT4移位到質膜上時,才會被鹽基桃紅精標識,故此比值可用來評估葡萄糖轉運體4轉運蛋白轉位到質膜之情形。3T3-L1 preadipocytes stably expressing HA-GLUT4-GFP protein were seeded in 96-well culture plates, and differentiated with differentiation promoters after they were overgrown (Govers, R. et al; Mol Cell Biol. 24(14), 6456 -6466, 2004). The fully differentiated 3T3-L1 adipocytes were administered to different concentrations of the triterpenoids for 2 hours, the cell culture medium was removed, and the cells were washed with ice PBS. The cells were fixed with 4% paraformaldehyde at room temperature for 15 minutes, then washed 2-3 times with ice PBS, and then incubated with HA primary antibody (12CA5) for 2 hours. The cells were washed 2-3 times with ice PBS, and cells were incubated with a conjugated rhodamine-conjugated secondary antibody (Leinco, Ballwin, MO) for 1 hour. The cells were washed 2-3 times with ice PBS, and the excitation wavelengths of rhodamine and green fluorescent protein (GFP) were detected by a fluorescence immunoassay analyzer (POLARstar Galaxy; BMG Labtechnologies, Offenburg, Germany). Em. 480/Ex. 425 nm and Em. 576 nm/Ex. 550 nm), and the relative amount of the plasma membrane of HA-GLUT4-GFP translocation was evaluated by the ratio of the salt-based peach red pigment to the green fluorescent protein. Because only when HA-tagged GLUT4 is translocated to the plasma membrane, it is labeled by the salt-based peach pigment, so the ratio can be used to assess the translocation of the glucose transporter 4 transporter to the plasma membrane.

六、三酸甘油酯堆積及甘油釋放之影響The effects of hexaglyceride accumulation and glycerol release

在茯苓三萜類化合物對3T3-L1脂肪細胞內的三酸甘油酯堆積和甘油之釋出的測試中,已分化成熟之3T3-L1脂肪細胞以無血清細胞培養液培養過夜,再以含不同濃度之茯苓三萜類化合物之無血清細胞培養液培養24小時。收集培養液以甘油檢測試劑(glycerol assay kit(Randox Laboratories,Antrim,UK))進行甘油釋出檢測,觀察3T3-L1脂肪細胞在不同濃度的茯苓三萜類化合物的作用下對脂肪分解的甘油釋出是否有所影響。脂肪細胞內三酸甘油酯檢測利用油紅染色法(Oil-Red O staining)進行(Ramirez-Zacarias,J. L.等;Histochemistry 97,(6),493-497,1992 )。將細胞內脂質堆積形成的脂肪油滴染色,經60%異丙醇洗滌二次,再以100%異丙醇萃取後,檢測490nm吸光值。以未給予茯苓三萜類化合物之脂肪細胞之吸光值進行比較,來評估不同濃度的茯苓三萜類化合物作用下對脂肪細胞的三酸甘油酯堆積之影響。In the test of the accumulation of triglyceride and the release of glycerol in 3T3-L1 adipocytes by the triterpenoids, the mature and mature 3T3-L1 adipocytes were cultured overnight in serum-free cell culture medium, and then contained in different The serum-free cell culture medium of the concentration of the triterpenoid was cultured for 24 hours. The culture medium was collected and detected by glycerol assay kit (Randox Laboratories, Antrim, UK). The release of glycerol from 3T3-L1 adipocytes under different concentrations of triterpenoids was observed. Does it affect? Detection of triglyceride in adipocytes was carried out by Oil-Red O staining (Ramirez-Zacarias, JL et al; Histochemistry 97, (6), 493-497, 1992 ). Fatty oil droplets formed by intracellular lipid accumulation were stained, washed twice with 60% isopropanol, and then extracted with 100% isopropanol, and the absorbance at 490 nm was measured. The absorbance values of fat cells not given triterpenoids were compared to evaluate the effect of different concentrations of triterpenoids on the accumulation of triglycerides in adipocytes.

實驗結果說明茯苓三萜類化合物如同胰島素一樣具備下列四種性質,因此具有治療第一型糖尿病患的能力:The results of the experiment indicate that the triterpenoids have the following four properties as insulin, and therefore have the ability to treat type 1 diabetes:

(一)茯苓成分或萃取物於脂肪細胞模式下具促進葡萄糖從細胞外吸收進入細胞內之能力:(a) The sputum component or extract in the adipocyte mode has the ability to promote the absorption of glucose from the cell into the cell:

茯苓萃取物(實施例二)在成熟脂肪細胞之評估,如圖2A結果顯示茯苓萃取物具有顯著增加葡萄糖吸收之作用,其促進吸收效果隨給與劑量增加而增加。如給予100nM胰島素則一樣看到葡萄糖吸收。進一步以實施例二之純化合物作試驗。如圖2B所示,純化合物給予脂肪細胞二小時後,其中三個化合物茯苓酸(PA)、块苓酸(TA)及多孔覃酸C(PPA)於0.01μM顯著增加糖吸收分別增加至165.89%,142.5%及147.9%。其中以PA增加程度最為顯著,故後續試驗之評估均以PA進行試驗。The evaluation of the sputum extract (Example 2) on mature adipocytes, as shown in Fig. 2A, shows that the sputum extract has a significant effect of increasing glucose absorption, which promotes the absorption effect as the dose is increased. Glucose uptake was observed as with 100 nM insulin. Further, the pure compound of Example 2 was used as an experiment. As shown in Fig. 2B, after the pure compound was administered to the adipocytes for two hours, three of the compounds citrate (PA), citric acid (TA) and porous citrate C (PPA) significantly increased the sugar uptake to 165.89 at 0.01 μM, respectively. %, 142.5% and 147.9%. Among them, the degree of PA increase was the most significant, so the evaluation of subsequent tests was carried out with PA.

圖3A顯示,PA隨投予時間之增加而促使糖吸收隨之增加,而以投予2小時之增加最為顯著(增加165.89%)另外,PA隨投予濃度之增加,糖吸收之促進程度亦隨之增加,1μMPA時,增加至209.84%,如圖3B 所示。Figure 3A shows that PA increases the sugar absorption with the increase of the administration time, and the increase of the two hours is the most significant (increased by 165.89%). In addition, with the increase of the concentration of PA, the degree of promotion of sugar absorption is also increased. increases, when 1μMPA, increased to 209.84%, as shown in Figure 3 B.

如圖4結果所示,PA促進糖吸收效果僅對已分化之脂肪細胞,對於前脂肪細胞PA無促進葡萄糖吸收之效果。如對前脂肪細胞及成熟脂肪細胞二者給予葡萄糖轉運體轉運蛋白抑制劑(PT,phloretin)後觀察到二種細胞之促進吸收能力大幅被抑制。跟據文獻前脂肪細胞僅有葡萄糖轉運體-1(GLUT1)轉運蛋白,而成熟脂肪細胞則為葡萄糖轉運體-4(GLUT4)轉運蛋白,故PA之作用應為增加GLUT4而增加糖吸收。As shown in the results of Fig. 4, the PA promoted the sugar absorption effect only for the differentiated fat cells, and the pre-adipocyte PA did not promote the glucose absorption effect. For example, when a glucose transporter transporter inhibitor (PT, phloretin) was administered to both pre-adipocytes and mature adipocytes, the ability of the two cells to promote absorption was significantly suppressed. According to the literature, the fat cells only have the glucose transporter-1 (GLUT1) transporter, while the mature fat cells are the glucose transporter-4 (GLUT4) transporter. Therefore, the role of PA should increase GLUT4 and increase sugar uptake.

(二)茯苓三萜類化合物PA對成熟脂肪細胞有顯著誘導葡萄糖轉運體4轉運蛋白質(GLUT4)及信息核醣核酸(mRNA)之表達(B) The triterpenoid compound PA significantly induced the expression of glucose transporter 4 transporter protein (GLUT4) and information ribonucleic acid (mRNA) in mature adipocytes.

圖5結果顯示,對成熟脂肪細胞給予不同劑量之PA,作用24小時後,以西方點墨法分析葡萄糖轉運體1及4轉運蛋白(GLUT1,4),進行評估PA對GLUT1及GLUT4轉運蛋白表達的影響,結果PA具促進GLUT4轉運蛋白表達之效果(圖5A),而其不具有促進GLUT1轉運蛋白之表達效果(圖5B)。The results in Figure 5 show that different doses of PA were administered to mature adipocytes. After 24 hours, the glucose transporter 1 and 4 transporters (GLUT1, 4) were analyzed by Western blotting to evaluate the expression of GLUT1 and GLUT4 transporters by PA. As a result, PA had an effect of promoting expression of the GLUT4 transporter (Fig. 5A), and it did not have an effect of promoting expression of the GLUT1 transporter (Fig. 5B).

以定量聚合酵素鏈鎖反應(Q-PCR)及以專一之探針來觀察PA對成熟之3T3-L1脂肪細胞在不同濃度作用下對葡萄糖轉運體訊息核醣核酸(mRNA)之表達進行評估,圖6結果顯示,1μM PA促進GLUT4基因表達至228%。顯示PA具調節增加GLUT4基因及蛋白質表達之能力。另外利用干擾訊息核醣核酸技術建立持續性降低GLUT4轉運蛋白之3T3-L1脂肪細胞(圖7A),並以此脂肪細胞進行糖吸收評估,如圖7B所示,所有PA之不同劑量均無法促進該脂肪細胞之糖吸收,進一步證實PA之促進糖吸收與GLUT4轉運蛋白有直接關係。Quantitative polymerase chain reaction (Q-PCR) and specific probes were used to observe the expression of glucose transporter ribonucleic acid (mRNA) in mature 3T3-L1 adipocytes at different concentrations. 6 Results showed that 1 μM PA promoted GLUT4 gene expression to 228%. PA is shown to regulate the ability to increase GLUT4 gene and protein expression. In addition, interfering message ribonucleic acid technology was used to establish 3T3-L1 adipocytes that continuously reduced the GLUT4 transporter (Fig. 7A), and the fat cells were evaluated for sugar uptake. As shown in Fig. 7B, all the different doses of PA could not promote the The sugar uptake of fat cells further confirms that PA promotes sugar uptake directly related to GLUT4 transporter.

(三)PA對成熟脂肪細胞具有促進GLUT4轉運蛋白從細胞內轉位移至質膜之功效(3) PA has the effect of promoting the transfer of GLUT4 transporter from intracellular to plasma membrane in mature adipocytes

胰島素促進糖吸收之機轉之一為促使大量GLUT4由細胞內胞器轉位到質膜(PM)上進行糖吸收。故利用具備完整的胰島素活化葡萄糖吸收的系統的3T3-L1成熟脂肪細胞進行GLUT4轉運蛋白轉位效能評估。由圖8A結果觀察利用超高速離心方法所分離之質膜(PM)之西方點墨法觀察到0.01μM PA顯著增加GLUT4於質膜量達到141%,隨劑量增加到1μM則增加至328%。而利用持續表達HA-GLUT4-GFP蛋白之3T3-L1脂肪細胞方式及螢光檢測,再次確認PA促進糖吸收為增加GLUT4轉運蛋白轉位移到質膜所導致。圖8B結果觀察到於PA劑量1.0μM時GLUT4轉運蛋白轉位到質膜顯著增加達2.71倍。上述結果證實PA確實具有促進GLUT4轉運蛋白轉位到質膜之能力。One of the mechanisms by which insulin promotes sugar uptake is to cause a large amount of GLUT4 to be translocated from the intracellular organelles to the plasma membrane (PM) for sugar absorption. Therefore, the GLUT4 transporter translocation efficiency was evaluated using 3T3-L1 mature adipocytes with intact insulin-activated glucose uptake system. From the results of Fig. 8A, it was observed by the Western blotting method of the plasma membrane (PM) separated by the ultracentrifugation method that 0.01 μM PA significantly increased the amount of GLUT4 in the plasma membrane to 141%, and increased to 328% as the dose was increased to 1 μM. Using the 3T3-L1 adipocyte method and fluorescent assay, which continuously expressed HA-GLUT4-GFP protein, it was confirmed that PA promoted glucose uptake to increase the shift of GLUT4 transporter protein to the plasma membrane. Figure 8B shows a significant increase in the translocation of the GLUT4 transporter to the plasma membrane by a 2.71 fold at a PA dose of 1.0 [mu]M. The above results demonstrate that PA does have the ability to promote translocation of the GLUT4 transporter to the plasma membrane.

(四)PA具促進脂肪細胞三酸甘油酯累積及減少脂肪細胞釋放甘油至細胞培養液之能力(4) PA has the ability to promote the accumulation of triglycerides in fat cells and reduce the ability of fat cells to release glycerol into cell culture fluid.

除了觀察PA促進糖吸收,也觀察脂肪細胞之影響,我們評估脂肪細胞三酸甘油酯合成(儲存)及脂肪分解(甘油釋出)情形。圖9結果所示,給予不同劑量之PA 24小時候,以油紅染色方法評估三酸甘油酯累積情形,觀察到三酸甘油酯累積超過137%,PA給予也觀察到甘油釋出降至原本70%以下。顯示PA具有促進脂肪新生及抑制脂肪分解之能力。In addition to observing the effect of PA on sugar uptake and observing the effects of fat cells, we evaluated the synthesis (storage) and lipolysis (glycerol release) of adipocyte triglycerides. As shown in the results of Fig. 9, when different doses of PA 24 were administered, the accumulation of triglyceride was evaluated by the oil red staining method, and it was observed that the accumulation of triglyceride exceeded 137%, and the release of glycerol was also observed to be reduced to 70 in PA administration. %the following. It shows that PA has the ability to promote fat regeneration and inhibit fat breakdown.

圖1示出由茯苓分離純化所得之羊毛甾烷型三萜類化合物的結構。Figure 1 shows the structure of a lanosterane-type triterpenoid obtained by separation and purification of hydrazine.

圖2A顯示茯苓萃取物促進3T3-L1脂肪細胞糖吸收。Figure 2A shows that the sputum extract promotes sugar uptake by 3T3-L1 adipocytes.

圖2B顯示胰島素(0.1μM)作用30分鐘及純化之三萜類化合物於0.01μM劑量二小時反加糖測試下促進糖吸收。數據以平均值±標準誤差(n=6)表示。*p<0.05,**p<0.01與對照組(不給藥)比較。Figure 2B shows that insulin (0.1 μM) was applied for 30 minutes and the purified triterpenoids promoted sugar uptake at a 0.01 μM dose for two hours of anti-sugar test. Data are expressed as mean ± standard error (n = 6). *p<0.05, **p<0.01 compared with the control group (no administration).

圖3A顯示茯苓酸(PA)於0.01μM劑量下給予二小時吸收速率最高。圖3B顯示給予不同劑量之pachymic acid(PA)隨劑量增加,糖吸收有增加趨勢。PA作用2小時後,再加入糖測驗,數據以平均值±標準誤差(n=6)表達,*p<0.05,**p<0.01與對照組(不給藥)比較Figure 3A shows that citric acid (PA) gave the highest absorption rate at a dose of 0.01 μM for two hours. Figure 3B shows that the increase in sugar absorption is increased with increasing doses of pachymic acid (PA). After 2 hours of PA treatment, the sugar test was added, and the data were expressed as mean ± standard error (n=6), *p<0.05, **p<0.01 compared with the control group (not administered).

圖4顯示PA促進糖吸收僅作用於分化成熟之脂肪細胞。如將未成熟與成熟脂肪細胞除加入PA處理2小時外,另外加入或不加入葡萄糖轉運蛋白抑制劑(PT)則顯著抑制二種細胞之糖吸收作用也抑制PA之糖吸收促進作用。數據以平均值±標準誤差(n=6)表示。*p<0.05,**p<0.01與對照組比較。Figure 4 shows that PA promotes sugar uptake only on differentiated mature adipocytes. For example, when immature and mature adipocytes were added to the PA for 2 hours, the addition or absence of the glucose transporter inhibitor (PT) significantly inhibited the glucose uptake of the two cells and also inhibited the glucose uptake promotion of PA. Data are expressed as mean ± standard error (n = 6). *p<0.05, **p<0.01 compared with the control group.

圖5A顯示PA不具有促進葡萄糖轉運體1(GLUT1)轉運蛋白表達之能力。而圖5B顯示PA具有促進葡萄糖轉運體4(GLUT4)轉運蛋白表達之能力。分化成熟細胞以不同濃度PA處理24小時,然後分析GLUT1及GLUT4轉運蛋白,數據以平均值±標準誤差(n=3)表示。*p<0.05,**p<0.01與對照組(不給藥)作比較。Figure 5A shows that PA does not have the ability to promote expression of the glucose transporter 1 (GLUT1) transporter. While Figure 5B shows that PA has the ability to promote the expression of the glucose transporter 4 (GLUT4) transporter. Differentiated mature cells were treated with different concentrations of PA for 24 hours, and then GLUT1 and GLUT4 transporters were analyzed, and the data were expressed as mean ± standard error (n = 3). *p<0.05, **p<0.01 was compared to the control group (no administration).

圖6顯示PA具有促進GLUT4 mRNA表達的能力,其中分化成熟細胞分別以胰島素(0.1μM)及0.01μM PA處理24小時,然後分析GLUT1及GLUT4 mRNA之表達,數據以平均值±標準誤差(n=3)表示。*p<0.05,**p<0.01與對照組作比較。Figure 6 shows that PA has the ability to promote the expression of GLUT4 mRNA, which was treated with insulin (0.1 μM) and 0.01 μM PA for 24 hours, respectively, and then analyzed for expression of GLUT1 and GLUT4 mRNA, with mean ± standard error (n = 3) Representation. *p<0.05, **p<0.01 was compared with the control group.

圖7顯示對抑制GLUT4 mRNA的表達的脂肪細胞PA不具促進糖吸收之能力。成熟脂肪細胞與抑制GLUT4 mRNA表達的脂肪細胞(shG4-30)二者以不同濃度PA及胰島素處理,然後分析GLUT4轉運蛋白(圖7A)及其糖吸收能力(圖7B),數據以平均值±標準誤差(n=6)表示。*p<0.05,**p<0.01與對照組作比較。Figure 7 shows that adipocyte PA, which inhibits the expression of GLUT4 mRNA, does not have the ability to promote sugar uptake. Mature adipocytes and adipocytes (shG4-30) that inhibit GLUT4 mRNA expression were treated with different concentrations of PA and insulin, and then analyzed for GLUT4 transporter (Fig. 7A) and its sugar uptake capacity (Fig. 7B). The standard error (n=6) is indicated. *p<0.05, **p<0.01 was compared with the control group.

圖8A、通過分析由離心方法分離的不同細胞膜層之GLUT4轉運蛋白,顯示PA具有促進葡萄糖轉運體4轉運蛋白從細胞內胞器轉運到細胞膜之能力。圖8B、以螢光分析完整細胞之細胞膜層之GLUT4轉運蛋白,顯示PA具有促進GLUT4從細胞內胞器轉運到細胞膜之能力。數據以平均值±標準誤差(n=3)(圖8A),(n=6)(圖8B)表示。*p<0.05,**p<0.01與對照組(不給藥)作比較。Figure 8A, by analyzing the GLUT4 transporter of different cell membrane layers isolated by centrifugation, shows that PA has the ability to facilitate transport of the glucose transporter 4 transporter from intracellular organelles to the cell membrane. Figure 8B. Fluorescence analysis of the GLUT4 transporter of the cell membrane layer of intact cells, showing that PA has the ability to promote transport of GLUT4 from intracellular organelles to the cell membrane. Data are expressed as mean ± standard error (n = 3) (Fig. 8A), (n = 6) (Fig. 8B). *p<0.05, **p<0.01 was compared to the control group (no administration).

圖9顯示PA具有促進脂肪細胞三酸甘油酯合成及抑制脂肪分解(產物甘油)產生之能力。成熟之脂肪細胞以胰島素(0.1μM)及不同濃度PA處理24小時,數據以平均值±標準誤差(n=6)表示。*p<0.05,**p<0.01與對照組作比較。Figure 9 shows that PA has the ability to promote the synthesis of adipocyte triglycerides and inhibit the production of lipolysis (product glycerol). Mature adipocytes were treated with insulin (0.1 μM) and different concentrations of PA for 24 hours, and the data were expressed as mean ± standard error (n = 6). *p<0.05, **p<0.01 was compared with the control group.

Claims (5)

一種使用具下列化學式的茯苓酸或其醫藥上可接受的鹽作為有效成分在製備一種用於治療哺乳類動物的第一型糖尿病藥物的用途,並且該藥物不與其它治療第一型糖尿病的藥物合併施用, A use of citric acid or a pharmaceutically acceptable salt thereof having the following chemical formula as an active ingredient for preparing a first type diabetes drug for treating a mammal, and the drug is not combined with other drugs for treating type 1 diabetes Application, 如申請專利範圍第1項的用途,其中該藥物為注射劑型。 The use of the first aspect of the patent application, wherein the medicament is an injectable dosage form. 如申請專利範圍第1項的用途,其中該藥物為口服劑型。 The use of the first aspect of the patent application, wherein the drug is an oral dosage form. 如申請專利範圍第1項的用途,其中該哺乳類動物為人類。 The use of the first aspect of the patent application, wherein the mammal is a human. 如申請專利範圍第1項的用途,其中該其它治療第一型糖尿病的藥物為胰島素。 The use of the first aspect of the patent application, wherein the other drug for treating type 1 diabetes is insulin.
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