TWI454273B - Compositions and methods for maintaining bone health or reducing bone loss - Google Patents

Compositions and methods for maintaining bone health or reducing bone loss Download PDF

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TWI454273B
TWI454273B TW098113753A TW98113753A TWI454273B TW I454273 B TWI454273 B TW I454273B TW 098113753 A TW098113753 A TW 098113753A TW 98113753 A TW98113753 A TW 98113753A TW I454273 B TWI454273 B TW I454273B
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milk
bone
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whey
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TW200946125A (en
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Linda May Schollum
Marlena Cathorina Kruger
Wei-Hang Chua
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Fonterra Co Operative Group
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/73Rosaceae (Rose family), e.g. strawberry, chokeberry, blackberry, pear or firethorn
    • A61K36/738Rosa (rose)
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/08Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/08Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • A61P19/10Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease for osteoporosis

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Description

供維持骨質健康或減少骨質流失之組合物及方法Composition and method for maintaining bone health or reducing bone loss

本發明係關於玫瑰果之水溶性提取物供維持或改良骨質健康及治療或預防以弱化或易碎骨骼為特徵之骨骼病症之用途。本發明亦係關於適用於維持或改良骨質健康及治療或預防以弱化或易碎骨骼為特徵之骨骼病症之包含玫瑰果之水溶性提取物之組合物。The present invention relates to the use of a water-soluble extract of rose hip for maintaining or improving bone health and treating or preventing a bone disorder characterized by weakened or fragile bone. The invention also relates to compositions comprising a water-soluble extract of rosehip suitable for maintaining or improving bone health and treating or preventing a bone disorder characterized by weakened or fragile bone.

隨著世界人口老齡化,骨骼病症變得愈加普遍。此等病症(諸如骨質減少及骨質疏鬆症)在資金及疾病對於患者之生活品質所造成之損失方面皆為代價高的。As the world's population ages, bone disorders become more common. These conditions, such as osteopenia and osteoporosis, are costly in terms of funding and the damage that the disease causes to the quality of life of the patient.

骨骼包含散布有骨骼細胞(骨細胞)之細胞外蛋白基質(類骨質),且由鈣鹽及其他礦物組成之礦物組分鋪在細胞外基質內。骨骼經受再成型,其為骨骼藉由破骨細胞分解且隨後經成骨細胞置換之再吸收過程(重組)。進行再成型以調節鈣穩定、修復已在平常應力期間損傷之骨骼且在生長或機械應力分布形式之變化期間使骨骼成形。The bone contains an extracellular protein matrix (osteoid) interspersed with bone cells (osteocytes), and a mineral component composed of calcium salts and other minerals is deposited in the extracellular matrix. The bone undergoes reshaping, which is a resorption process (recombination) in which the bone is broken down by osteoclasts and subsequently replaced by osteoblasts. Reshaping is performed to adjust calcium stability, repair bone that has been damaged during normal stress, and shape the bone during changes in growth or mechanical stress distribution.

破骨細胞降解特定區域處之骨骼且隨後經受細胞凋亡。成骨細胞重建新骨骼且介導其再礦物化。在再礦物化期間,一些成骨細胞包覆於鈣化物質內且變為骨細胞。Osteoclasts degrade bone at specific regions and are subsequently subjected to apoptosis. Osteoblasts rebuild new bone and mediate their remineralization. During remineralization, some osteoblasts coat within the calcified material and become bone cells.

一旦在成年早期已達到骨骼質量峰值,則再吸收過程幾乎完全與重組耦合。然而,隨著人衰老,再成型系統受調節之有效性變小。隨著女性絕經期開始,該兩種過程可變得去同步化,且再吸收佔優勢。另外,隨著衰老,可存在骨骼礦物密度流失、骨骼微架構之破環及導致骨折風險增加之其他變化。通常,骨質流失過程為逐漸的,且不存在明顯症狀直至疾病為完全晚期為止。Once the peak bone mass has been reached in early adulthood, the resorption process is almost completely coupled with recombination. However, as people age, the effectiveness of the reshaping system is reduced. As women begin menopause, the two processes can become desynchronized and reabsorption predominates. In addition, with aging, there may be loss of bone mineral density, disruption of the bone micro-architecture, and other changes that lead to an increased risk of fracture. Usually, the process of bone loss is gradual and there are no obvious symptoms until the disease is completely advanced.

因此,隨著時間的過去維持骨質品質及密度以使得骨骼不隨著衰老而變得弱化及易碎為重要的。Therefore, it is important to maintain bone quality and density over time so that bones do not become weak and fragile with aging.

骨質減少為骨骼礦物密度低於正常骨骼礦物密度的病狀且已被一些人視為骨質疏鬆症之前體。然而,並非每一個經診斷患有骨質減少的人將顯現骨質疏鬆症。骨質減少定義為如藉由DXA量測的低於骨骼質量峰值(20歲健康女性平均值)1-2.5個標準差之骨骼礦物密度T計分。Osteopenia is a condition in which bone mineral density is lower than normal bone mineral density and has been considered by some to be a precursor to osteoporosis. However, not every person diagnosed with osteopenia will develop osteoporosis. Osteopenia was defined as a bone mineral density T score of 1-2.5 standard deviations, as measured by DXA, below the peak bone mass (average of 20 healthy women).

骨質疏鬆症表徵為骨骼之逐漸變薄及弱化,其在不治療的情況下可導致骨架脆弱及骨折風險增加。骨質疏鬆症定義為如藉由DXA量測的低於骨質質量峰值(20歲健康女性平均值)2.5個標準差之骨骼礦物密度。Osteoporosis is characterized by the gradual thinning and weakening of the bone, which can lead to fragile skeleton and increased risk of fracture without treatment. Osteoporosis is defined as the bone mineral density of 2.5 standard deviations, as measured by DXA, below the peak bone mass (average of 20 healthy women).

骨質減少及骨質疏鬆症之病理為破骨細胞之分解骨骼(再吸收)及成骨細胞之建立骨骼(重組)之過程之間之不平衡。在健康個體中,骨骼再吸收及骨骼重組之此過程幾乎完全平衡。若此平衡歸因於各種原因(亦即絕經期、藥物等)而破壞,則骨骼之分解最終超過骨骼之建立且可顯現骨質減少或更嚴重之骨質疏鬆症。The pathology of osteopenia and osteoporosis is the imbalance between the broken bones (resorption) of osteoclasts and the process of establishing bones (recombination) of osteoblasts. In healthy individuals, this process of bone resorption and bone reorganization is almost completely balanced. If this balance is broken due to various reasons (ie, menopause, drugs, etc.), the decomposition of the bone eventually exceeds the establishment of the bone and can manifest osteoporosis or more severe osteoporosis.

女性歸因於在絕經期之後產生之雌激素減少而通常有發生骨質減少及骨質疏鬆症之更大風險。然而,老年男性及患有特定激素病症之人,或特定藥物之長期使用者亦易患骨質減少及骨質疏鬆症。Women are attributable to a greater risk of osteopenia and osteoporosis due to a decrease in estrogen produced after menopause. However, older men and people with specific hormonal disorders, or long-term users of certain drugs, are also susceptible to osteopenia and osteoporosis.

如骨質疏鬆症之骨骼病症之治療通常為不令人滿意的,其導致患者受經開具以治療骨骼病症之療法之副作用的困擾。Treatment of skeletal disorders such as osteoporosis is generally unsatisfactory, which causes the patient to suffer from the side effects of therapies prescribed to treat skeletal disorders.

骨質減少通常不被診斷,且若經診斷,則歸因於治療成本及持續時間而通常未經醫學治療。因為骨質減少之患者通常比經診斷患有骨質疏鬆症之人年紀小,所以其需要在許多年中接受治療。該長期治療之成本/效益比為未知的且因此骨質減少通常未經醫學治療。Osteopenia is usually not diagnosed and, if diagnosed, is usually not medically treated due to the cost and duration of treatment. Because patients with osteopenia are usually younger than those diagnosed with osteoporosis, they need to be treated for many years. The cost/benefit ratio for this long-term treatment is unknown and therefore bone loss is usually not medically treated.

各種藥物目前經開具供治療骨質疏鬆症。在確認患者受骨質疏鬆症困擾的情況下,通常開具雙膦酸鹽。然而,經口雙膦酸鹽的吸收不良且必須空腹服用。另外,有些人可能對其耐受性不良且與食道炎相關。Various drugs are currently prescribed for the treatment of osteoporosis. In cases where it is confirmed that the patient is suffering from osteoporosis, the bisphosphonate is usually prescribed. However, oral bisphosphonates are poorly absorbed and must be taken on an empty stomach. In addition, some people may be poorly tolerated and associated with esophagitis.

經開具用於骨質疏鬆症之其他藥物(諸如特立帕肽(teriparatide)及雷尼酸鍶(strontium ranelate))亦不被有些人較好地耐受。特立帕肽必須藉由注射給予且不適合於年輕的、先前已經受放射療法,或受佩吉特氏病(Paget's disease)困擾的患者。雷尼酸鍶具有比雙膦酸鹽少的副作用但已與靜脈血栓栓塞之風險增加相關。另外,雷尼酸鍶代替鈣經吸收至骨骼基質中,其導致經DXA掃描量測的骨骼礦物密度不成比例的增加。Other drugs prescribed for osteoporosis, such as teriparatide and strontium ranelate, are not well tolerated by some. Teriparatide must be administered by injection and is not suitable for young patients who have previously been exposed to radiation therapy or who are plagued by Paget's disease. Barium ranelate has fewer side effects than bisphosphonates but has been associated with an increased risk of venous thromboembolism. In addition, barium ranelate is absorbed into the bone matrix in place of calcium, which results in a disproportionate increase in bone mineral density as measured by DXA scanning.

因此,存在提供維持或改良骨質健康之療法的需要,其克服或改善與已知治療相關之問題中之至少一者,或至少向公眾提供適用選擇。Accordingly, there is a need to provide a therapy for maintaining or ameliorating bone health that overcomes or ameliorates at least one of the problems associated with known treatments, or at least provides the public with a suitable choice.

因此,在第一態樣中,本發明係關於玫瑰果之水溶性提取物在製造供治療或預防以弱化或易碎骨骼為特徵之骨骼病狀之組合物中之用途。Thus, in a first aspect, the invention relates to the use of a water-soluble extract of rosehip in the manufacture of a composition for treating or preventing a skeletal condition characterized by weakened or fragile bone.

在另一態樣中,本發明係關於供治療或預防以弱化或易碎骨骼為特徵之骨骼病狀之包含玫瑰果之水溶性提取物的組合物。In another aspect, the invention relates to a composition comprising a water-soluble extract of rosehip for treating or preventing a skeletal condition characterized by weakened or fragile bone.

在一實施例中,組合物進一步包含一或多種選自以下各者之藥劑:鈣、鎂、鋅、維生素D、維生素K、葉酸或葉酸鹽、維生素B6及維生素B12。In one embodiment, the composition further comprises one or more agents selected from the group consisting of calcium, magnesium, zinc, vitamin D, vitamin K, folic acid or folate, vitamin B6 and vitamin B12.

在另一態樣中,本發明係關於治療或預防以弱化或易碎骨骼為特徵之骨骼病狀之方法,其包含向有需要之受治者投予包含有效量之玫瑰果之水溶性提取物的組合物。In another aspect, the invention relates to a method of treating or preventing a skeletal condition characterized by weakened or fragile bones comprising administering to a subject in need thereof a water soluble extract comprising an effective amount of rose hips Composition of matter.

在另一態樣中,本發明係關於治療或預防骨質疏鬆症之方法,其包含向有需要之受治者投予包含有效量之玫瑰果之水溶性提取物的組合物。In another aspect, the invention relates to a method of treating or preventing osteoporosis comprising administering to a subject in need thereof a composition comprising a water-soluble extract of an effective amount of rosehip.

在另一態樣中,本發明係關於治療或預防骨質減少之方法,其包含向有需要之受治者投予包含有效量之玫瑰果之水溶性提取物的組合物。In another aspect, the invention relates to a method of treating or preventing osteopenia comprising administering to a subject in need thereof a composition comprising a water-soluble extract of an effective amount of rosehip.

在一實施例中,受治者需要維持或增加骨質形成、維持或增加骨骼礦物密度、維持或增加骨質質量(包括骨質質量峰值)、骨折癒合期間之骨質再生、降低骨質再吸收、減少骨質流失,或維持或增加骨質強度。In one embodiment, the subject is required to maintain or increase bone formation, maintain or increase bone mineral density, maintain or increase bone quality (including peak bone mass), bone regeneration during fracture healing, reduce bone resorption, and reduce bone loss. , or maintain or increase bone strength.

以下實施例可與上述態樣中之任一者有關。The following embodiments may be related to any of the above aspects.

在一實施例中,組合物不包括以下各者中之任一者:藍莓、黑莓、接骨木果、越橘、迷迭香、丁香、小白菊、蕁麻根、朝鮮薊、靈芝、橄欖提取物、綠茶提取物、葡萄籽提取物、白藜蘆醇、葡萄素、梅萊蓋塔胡椒(Aframomum melegueta)、乳香提取物、乳香(boswellia forte)、依普黃酮(ipriflavone)、生育三烯酚、月見草油、INM-176、琉璃苣籽油、磷蝦油、至少一種類型之葉黃素(例如還原蝦紅素)、生咖啡提取物或阿魏酸。In one embodiment, the composition does not include any of the following: blueberry, blackberry, elderberry, cranberry, rosemary, clove, white chrysanthemum, ramie root, artichoke, ganoderma lucidum, olive extract , green tea extract, grape seed extract, resveratrol, glucosin, Aframomum melegueta, frankincense extract, boswellia forte, ipriflavone, tocotrienol, Evening primrose oil, INM-176, borage seed oil, krill oil, at least one type of lutein (eg reduced astaxanthin), green coffee extract or ferulic acid.

在一實施例中,待治療之病狀為骨質疏鬆症或骨質減少。In one embodiment, the condition to be treated is osteoporosis or osteopenia.

在一實施例中,組合物維持或增加骨質形成、維持或增加骨質密度、維持或增加骨質質量、刺激骨折癒合期間之骨質再生、降低骨質再吸收、減少骨質流失,或維持或增加骨質強度。In one embodiment, the composition maintains or increases bone formation, maintains or increases bone density, maintains or increases bone mass, stimulates bone regeneration during fracture healing, reduces bone resorption, reduces bone loss, or maintains or increases bone strength.

在一實施例中,組合物為食品、甜點、乳、乳產品、乳粉、復原乳、醱酵乳、飲用酸乳、凝固酸乳、飲料、食品添加劑、飲料添加劑、膳食增補劑、營養產品、醫學食品、保健食品或醫藥。In one embodiment, the composition is a food, dessert, milk, dairy product, milk powder, reconstituted milk, fermented milk, drinking yogurt, coagulated yogurt, beverage, food additive, beverage additive, dietary supplement, nutritional product, Medical food, health food or medicine.

在一實施例中,適用於本發明中之組合物進一步包含一或多種乳品成份。乳品成份可選自包含以下各者之群:重組、粉末或新鮮脫脂乳、復原全脂或脫脂乳粉、脫脂乳濃縮物、脫脂乳保留物、濃縮乳、超濾乳保留物、乳蛋白濃縮物、乳蛋白分離物、去鈣之乳蛋白濃縮物、低脂肪乳、低脂肪乳蛋白濃縮物、酪蛋白、酪蛋白鹽、乳脂肪、高CLA乳脂肪、乳油、白脫油(butter)、脫水乳脂肪、白脫乳、白脫乳清、硬乳脂肪分離份、軟乳脂肪分離份、鞘脂分離份、乳脂肪球狀膜分離份、磷脂分離份、複合脂質分離份、初乳、初乳分離份、初乳蛋白濃縮物、初乳乳清、來自初乳之免疫球蛋白分離份、乳清、乳鐵傳遞蛋白、一或多種乳鐵傳遞蛋白片段、乳清蛋白分離物、乳清蛋白濃縮物、甜乳清、乳酸乳清、無機酸乳清、復原乳清粉、乳礦物、自任何乳或初乳加工物流衍生之組合物、自藉由任何乳或初乳加工物流之超濾或微濾獲得之保留物或滲透物衍生之組合物、自藉由任何乳或初乳加工物流之層析(包括(但不限於)離子及凝膠滲透層析)分離獲得之通過或吸附分離份衍生之組合物、任何該等成份之提取物,包括藉由多段分餾、差異結晶、溶劑分餾、超臨界分餾、近超臨界分餾、蒸餾、離心分餾或具有改質劑(例如皂或乳化劑)之分餾製備之提取物、任何該等成份之水解產物、水解產物之分離份及該等成份中之任何兩者或兩者以上之任何組合,包括水解分離份之組合、非水解分離份之組合,及水解及非水解分離份之組合。In one embodiment, the compositions suitable for use in the present invention further comprise one or more dairy ingredients. The dairy component can be selected from the group consisting of recombinant, powder or fresh skim milk, reconstituted whole or skim milk powder, skim milk concentrate, skim milk retentate, concentrated milk, ultrafiltered milk retentate, milk protein concentrate , milk protein isolate, decalcified milk protein concentrate, low fat milk, low fat milk protein concentrate, casein, casein salt, milk fat, high CLA milk fat, emulsifiable concentrate, butter, Dehydrated milk fat, white emulsified milk, white whey clear, hard milk fat fraction, soft milk fat fraction, sphingolipid fraction, milk fat globular membrane fraction, phospholipid fraction, complex lipid fraction, colostrum, early Milk fraction, colostrum protein concentrate, colostrum whey, immunoglobulin fraction from colostrum, whey, lactoferrin, one or more lactoferrin fragments, whey protein isolate, whey Protein concentrate, sweet whey, lactic acid whey, inorganic acid whey, reconstituted whey powder, milk minerals, compositions derived from any milk or colostrum processing stream, super processed by any milk or colostrum Filter or microfiltration Or a composition derived from a permeate, a composition derived by or by adsorption of a fraction obtained by chromatography of any milk or colostrum processing stream, including but not limited to ion and gel permeation chromatography, Extract of any of these ingredients, including extraction by multistage fractionation, differential crystallization, solvent fractionation, supercritical fractionation, near supercritical fractionation, distillation, centrifugation fractionation or fractionation with a modifier such as soap or emulsifier Any combination of any one or more of the hydrolysate of any of the components, the hydrolysate, and any combination of the two, including a combination of hydrolyzed fractions, a combination of non-hydrolyzed fractions, and hydrolyzed and non-hydrolyzed A combination of hydrolyzed fractions.

在一實施例中,投予之玫瑰果之水溶性提取物之量為每天每kg體重約1mg至約2000mg、每kg體重約100至約1000mg、每kg體重約50至約500mg,或每kg體重約0.05mg至約300mg。In one embodiment, the amount of water-soluble extract of the administered rose hip is from about 1 mg to about 2000 mg per kg of body weight per day, from about 100 to about 1000 mg per kg of body weight, from about 50 to about 500 mg per kg of body weight, or per kg. The body weight is from about 0.05 mg to about 300 mg.

在一實施例中,鈣為鈣或鈣鹽。在一實施例中,鎂為鎂或鎂鹽。在一實施例中,鋅為鋅或鋅鹽。在一實施例中,維生素D為維生素D或維生素D衍生物(包括(但不限於)維生素D1[光甾醇(lamisterol)]、維生素D2[麥角鈣化醇(ergocalciferol)]、維生素D3[膽鈣化醇(cholecalciferol)、1,25-二羥基膽鈣化醇]、維生素D4[二氫速甾醇(dihydrotachysterol)]、維生素D5[7-脫氫植甾醇(7-dehydrositosterol)])或維生素D類似物。在一實施例中,葉酸為葉酸或葉酸鹽(folic acid salt)(亦即葉酸鹽(folate))或其衍生物。在一實施例中,維生素B12為維生素B12或其衍生物。In one embodiment, the calcium is a calcium or calcium salt. In one embodiment, the magnesium is a magnesium or magnesium salt. In one embodiment, the zinc is a zinc or zinc salt. In one embodiment, the vitamin D is a vitamin D or vitamin D derivative (including but not limited to, vitamin D1 [lamisterol], vitamin D2 [ergocalciferol], vitamin D3 [biliary calcification) Cholecalciferol, 1,25-dihydroxycholecalciferol, vitamin D4 [dihydrotachysterol], vitamin D5 [7-dehydrositosterol] or vitamin D analog. In one embodiment, the folic acid is a folic acid salt (i.e., folate) or a derivative thereof. In one embodiment, the vitamin B12 is vitamin B12 or a derivative thereof.

本文中適用之鹽包括(但不限於)銨(NH4 + )、硼、鈣、銅、鐵(亞鐵,Fe2+ 及正鐵,Fe3+ )、鎂、錳、磷、鉀、吡錠(C5 H5 NH+ )、第四銨(NR4 + )、矽、鈉、鍶及鋅鹽,或其組合。Salts suitable for use herein include, but are not limited to, ammonium (NH 4 + ), boron, calcium, copper, iron (ferrous, Fe 2+ and ortho, Fe 3+ ), magnesium, manganese, phosphorus, potassium, pyr Ingot (C 5 H 5 NH + ), tetraammonium (NR 4 + ), cesium, sodium, rubidium and zinc salts, or a combination thereof.

在一實施例中,本文中適用之組合物進一步包含醫藥學上可接受之載劑。在另一實施例中,組合物為或調配為食品、飲料、食品添加劑、飲料添加劑、膳食增補劑、營養產品、醫學食品、保健食品、藥物、醫藥、經腸或非經腸進食產品或膳食替代品。在一實施例中,組合物呈錠劑、囊片、丸劑、硬或軟膠囊或口含劑之形式。在一實施例中,組合物呈扁囊劑、可分配粉末、顆粒、懸浮液、酏劑、液體之形式或可添加至食品或飲料之任何其他形式,包括(例如)水、乳或果汁。在一實施例中,組合物進一步包含預防或減少在儲存期間或投予之後組合物之降解的一或多種成分(諸如抗氧化劑)。此等組合物可包括能夠攜帶玫瑰果之水溶性提取物之任何可食消費產品。適合可食消費產品之實例包括含水產品、烘焙製品、甜點產品(包括巧克力、凝膠、冰淇淋)、復原水果產品、點心棒、食品棒、穆茲利棒(muesli bar)、塗抹食品、調味品、澆汁、乳品產品(包括酸乳及乳酪)、飲料(包括基於乳品及基於非乳品之飲料)、乳、乳粉、運動增補劑(包括基於乳品及基於非乳品之運動增補劑)、果汁、食品添加劑(諸如蛋白食品頂層)及膳食增補劑產品(包括每日增補劑錠劑)。可以類似形式提供本文中適用之適合保健食品組合物。In one embodiment, a composition suitable for use herein further comprises a pharmaceutically acceptable carrier. In another embodiment, the composition is or formulated as a food, beverage, food additive, beverage additive, dietary supplement, nutritional product, medical food, health food, pharmaceutical, pharmaceutical, enteral or parenteral product or meal substitute. In one embodiment, the composition is in the form of a troche, caplet, pill, hard or soft capsule or buccal. In one embodiment, the composition is in the form of a cachet, dispensable powder, granules, suspension, elixir, liquid or any other form that can be added to the food or beverage, including, for example, water, milk or juice. In one embodiment, the composition further comprises one or more ingredients (such as antioxidants) that prevent or reduce degradation of the composition during or after administration. Such compositions may include any edible consumer product capable of carrying a water soluble extract of rosehip. Examples of suitable edible products include aqueous products, baked products, dessert products (including chocolate, gel, ice cream), reconstituted fruit products, snack bars, food bars, muesli bars, spreads, condiments , pouring juice, dairy products (including yogurt and cheese), beverages (including dairy based and non-dairy based beverages), milk, milk powder, sports supplements (including dairy based and non-dairy based sports supplements), juice , food additives (such as protein food tops) and dietary supplement products (including daily supplement tablets). Suitable health food compositions suitable for use herein can be provided in a similar form.

在一實施例中,組合物包含或方法包含投予藥劑,諸如玫瑰果、鈣、鎂、鋅、維生素D、維生素K、葉酸或葉酸鹽、維生素B6、維生素B12、乳品成份或醫藥劑。在一實施例中,本文中適用之組合物包含至少約0.01、0.02、0.05、0.07、0.1、0.2、0.5、1、5、10、15、20、25、30、35、40、45、50、55、60、65、70、75、80、85、90、95、99、99.5、99.8或99.9重量%之該等藥劑中之一或多者、基本上由其組成,或由其組成,且適用範圍可在任何該等前述值之間選擇(例如,約0.1至約50%,約0.2至約50%,約0.5至約50%,約1至約50%,約5至約50%,約10至約50%,約15至約50%,約20至約50%,約25至約50%,約30至約50%,約35至約50%,約40至約50%,約45至約50%,約0.1至約60%,約0.2至約60%,約0.5至約60%,約1至約60%,約5至約60%,約10至約60%,約15至約60%,約20至約60%,約25至約60%,約30至約60%,約35至約60%,約40至約60%,約45至約60%,約0.1至約70%,約0.2至約70%,約0.5至約70%,約1至約70%,約5至約70%,約10至約70%,約15至約70%,約20至約70%,約25至約70%,約30至約70%,約35至約70%,約40至約70%,約45至約70%,約0.1至約80%,約0.2至約80%,約0.5至約80%,約1至約80%,約5至約80%,約10至約80%,約15至約80%,約20至約80%,約25至約80%,約30至約80%,約35至約80%,約40至約80%,約45至約80%,約0.1至約90%,約0.2至約90%,約0.5至約90%,約1至約90%,約5至約90%,約10至約90%,約15至約90%,約20至約90%,約25至約90%,約30至約90%,約35至約90%,約40至約90%,約45至約90%,約0.1至約99%,約0.2至約99%,約0.5至約99%,約1至約99%,約5至約99%,約10至約99%,約15至約99%,約20至約99%,約25至約99%,約30至約99%,約35至約99%,約40至約99%及約45至約99%)。In one embodiment, the composition comprises or comprises administering a medicament such as rosehip, calcium, magnesium, zinc, vitamin D, vitamin K, folic acid or folate, vitamin B6, vitamin B12, a dairy ingredient or a pharmaceutical agent. In one embodiment, a composition suitable for use herein comprises at least about 0.01, 0.02, 0.05, 0.07, 0.1, 0.2, 0.5, 1, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50. And consisting essentially of, consisting of, or consisting of one or more of 55, 60, 65, 70, 75, 80, 85, 90, 95, 99, 99.5, 99.8 or 99.9% by weight of such agents, And the scope of application may be selected between any of the foregoing values (eg, from about 0.1 to about 50%, from about 0.2 to about 50%, from about 0.5 to about 50%, from about 1 to about 50%, from about 5 to about 50%) From about 10 to about 50%, from about 15 to about 50%, from about 20 to about 50%, from about 25 to about 50%, from about 30 to about 50%, from about 35 to about 50%, from about 40 to about 50%, From about 45 to about 50%, from about 0.1 to about 60%, from about 0.2 to about 60%, from about 0.5 to about 60%, from about 1 to about 60%, from about 5 to about 60%, from about 10 to about 60%, about 15 to about 60%, about 20 to about 60%, about 25 to about 60%, about 30 to about 60%, about 35 to about 60%, about 40 to about 60%, about 45 to about 60%, about 0.1. Up to about 70%, from about 0.2 to about 70%, from about 0.5 to about 70%, from about 1 to about 70%, from about 5 to about 70%, from about 10 to about 70%, from about 15 to about 70%, from about 20 to About 70%, about 25 to about 70%, about 30 to about 70%, about 35 About 70%, about 40 to about 70%, about 45 to about 70%, about 0.1 to about 80%, about 0.2 to about 80%, about 0.5 to about 80%, about 1 to about 80%, about 5 to about 80%, from about 10 to about 80%, from about 15 to about 80%, from about 20 to about 80%, from about 25 to about 80%, from about 30 to about 80%, from about 35 to about 80%, from about 40 to about 80 %, from about 45 to about 80%, from about 0.1 to about 90%, from about 0.2 to about 90%, from about 0.5 to about 90%, from about 1 to about 90%, from about 5 to about 90%, from about 10 to about 90% From about 15 to about 90%, from about 20 to about 90%, from about 25 to about 90%, from about 30 to about 90%, from about 35 to about 90%, from about 40 to about 90%, from about 45 to about 90%, From about 0.1 to about 99%, from about 0.2 to about 99%, from about 0.5 to about 99%, from about 1 to about 99%, from about 5 to about 99%, from about 10 to about 99%, from about 15 to about 99%, about 20 to about 99%, about 25 to about 99%, about 30 to about 99%, about 35 to about 99%, about 40 to about 99%, and about 45 to about 99%).

本文中適用之組合物適用於治療或預防以弱化或易碎骨骼為特徵之骨骼病狀。在一實施例中,待治療之病狀為需要維持或增加骨質質量或骨質強度或骨質質量及骨質強度兩者之病狀。在一實施例中,病狀為需要減少骨質流失之病狀。在一實施例中,病狀為需要骨骼細胞增生、骨骼細胞分化、骨骼細胞介導之礦物化或骨骼細胞增生、骨骼細胞分化及骨骼細胞介導之礦物化中之任何兩者或兩者以上之組合的病狀。在一實施例中,病狀為需要抑制骨質再吸收、增加骨質形成、減少骨質流失或抑制骨質再吸收、增加骨質形成及減少骨質流失中之任何兩者或兩者以上之組合之病狀。在一實施例中,病狀為需要改良或維持骨質密度、骨質質量、骨質強度或骨質健康或改良或維持骨質密度、骨質質量、骨質強度及骨質健康中之任何兩者或兩者以上之組合之病狀。在一實施例中,病狀為骨質疏鬆症。在一實施例中,病狀為骨質減少。The compositions useful herein are useful for treating or preventing skeletal conditions characterized by weakened or fragile bones. In one embodiment, the condition to be treated is a condition in which maintenance or increase in bone mass or bone strength or bone quality and bone strength is desired. In one embodiment, the condition is a condition in which bone loss is required to be reduced. In one embodiment, the condition is any two or more of skeletal cell proliferation, skeletal cell differentiation, skeletal cell-mediated mineralization or skeletal cell proliferation, skeletal cell differentiation, and skeletal cell-mediated mineralization. The condition of the combination. In one embodiment, the condition is a condition in which any two or a combination of two or more of which is required to inhibit bone resorption, increase bone formation, reduce bone loss or inhibit bone resorption, increase bone formation, and reduce bone loss. In one embodiment, the condition is a combination of any two or more of the need to improve or maintain bone density, bone quality, bone strength or bone health or to improve or maintain bone density, bone quality, bone strength, and bone health. The condition. In one embodiment, the condition is osteoporosis. In one embodiment, the condition is osteopenia.

在一實施例中,治療或預防以弱化或易碎骨骼為特徵之骨骼病狀包括維持或增加骨質形成、維持或增加骨骼礦物密度、維持或增加骨質質量(包括骨質質量峰值)、治療或預防骨質疏鬆症、治療或預防骨質減少、刺激骨折癒合期間之骨質再生、降低骨質再吸收或增加骨質品質(例如,如藉由抗斷應力或骨質強度所量測)中之一或多者。In one embodiment, treating or preventing a skeletal condition characterized by weakened or fragile bones includes maintaining or increasing bone formation, maintaining or increasing bone mineral density, maintaining or increasing bone quality (including peak bone mass), treatment or prevention Osteoporosis, treating or preventing osteopenia, stimulating bone regeneration during fracture healing, reducing bone resorption or increasing bone quality (eg, as measured by resistance to stress or bone strength).

本文中適用之組合物適用於投予有需要之受治者以供治療骨骼病狀。在一實施例中,受治者需要增加骨質質量。在一實施例中,受治者需要治療需要減少骨質流失之病狀。在一實施例中,受治者需要治療需要骨骼細胞增生、骨骼細胞分化、骨骼細胞介導之礦物化或骨骼細胞增生、骨骼細胞分化及骨骼細胞介導之礦物化中之任何兩者或兩者以上之組合的病狀。在一實施例中,受治者需要治療需要抑制骨質再吸收、增加骨質形成或減少骨質流失或抑制骨質再吸收、增加骨質形成及減少骨質流失之組合之病狀。在一實施例中,受治者需要治療需要改良或維持骨質密度、改良或維持骨質質量、改良或維持骨質強度或改良或維持骨質健康或該等效應中之任何兩者或兩者以上之組合之病狀。The compositions useful herein are suitable for administration to a subject in need thereof for the treatment of a skeletal condition. In one embodiment, the subject needs to increase bone quality. In one embodiment, the subject is in need of treatment for a condition that requires a reduction in bone loss. In one embodiment, the subject is in need of treatment for any two or both of skeletal cell proliferation, skeletal cell differentiation, skeletal cell-mediated mineralization or skeletal cell proliferation, skeletal cell differentiation, and bone cell-mediated mineralization. The condition of the combination of the above. In one embodiment, the subject is in need of treatment for a condition that requires inhibition of bone resorption, increased bone formation or reduced bone loss or inhibition of bone resorption, increased bone formation, and reduced bone loss. In one embodiment, the subject is in need of treatment for a combination of two or more of the need to improve or maintain bone density, improve or maintain bone quality, improve or maintain bone strength, or improve or maintain bone health or such effects. The condition.

在一實施例中,受治者需要減少骨質再吸收或減少破骨細胞生成或兩者。因此,在一實施例中,本發明係關於改善、治療或預防與淨骨質再吸收或破骨細胞生成增加相關之病狀。In one embodiment, the subject needs to reduce bone resorption or reduce osteoclastogenesis or both. Thus, in one embodiment, the invention is directed to ameliorating, treating or preventing a condition associated with increased bone resorption or increased osteoclastogenesis.

在另一實施例中,受治者需要增加骨質形成或增加成骨細胞增生、增加成骨細胞分化、增加礦物化或其組合。因此,在此實施例中,本發明係關於改善、治療或預防與骨質形成不良或成骨細胞增生減少、分化減少及礦物化減少或其組合相關之病狀。In another embodiment, the subject is in need of increased bone formation or increased osteoblast proliferation, increased osteoblast differentiation, increased mineralization, or a combination thereof. Thus, in this embodiment, the present invention relates to the improvement, treatment or prevention of conditions associated with poor bone formation or decreased osteoblast proliferation, reduced differentiation and reduced mineralization, or a combination thereof.

在一實施例中,治療或預防以弱化或易碎骨骼為特徵之骨骼病狀包括減少受治者之骨質流失,尤其與衰老相關之骨質流失。In one embodiment, treating or preventing a skeletal condition characterized by weakened or fragile bones includes reducing bone loss in the subject, particularly bone loss associated with aging.

在一實施例中,組合物包含約0.1、0.5、1、5、10、15、20、25、30、35、40、45、50、55、60、65、70、75、80、85、90、95、99、99.5、99.8或99.9重量%之選自新鮮、重組或粉末全脂乳或乳衍生物之一或多種乳品成份、基本上由其組成,或由其組成,且適用範圍可在任何該等前述值之間選擇(例如,約0.1至約50%,約0.2至約50%,約0.5至約50%,約1至約50%,約5至約50%,約10至約50%,約15至約50%,約20至約50%,約25至約50%,約30至約50%,約35至約50%,約40至約50%及約45至約50%)。乳衍生物較佳選自重組、粉末或新鮮脫脂乳、復原全脂或脫脂乳粉、脫脂乳濃縮物、脫脂乳保留物、濃縮乳、超濾乳保留物、乳蛋白濃縮物(MPC)、乳蛋白分離物(MPI)、去鈣之乳蛋白濃縮物(MPC)、低脂肪乳、低脂肪乳蛋白濃縮物(MPC)、酪蛋白、酪蛋白鹽、乳脂肪、高CLA乳脂肪、乳油、白脫油、脫水乳脂肪(AMF)、白脫乳、白脫乳清、硬乳脂肪分離份、軟乳脂肪分離份、鞘脂分離份、乳脂肪球狀膜分離份、磷脂分離份、複合脂質分離份、初乳、初乳分離份、初乳蛋白濃縮物(CPC)、初乳乳清、來自初乳之免疫球蛋白分離份、乳清、乳鐵傳遞蛋白、一或多種乳鐵傳遞蛋白片段、乳清蛋白分離物(WPI)、乳清蛋白濃縮物(WPC)、甜乳清、乳酸乳清、無機酸乳清、復原乳清粉、乳礦物、自任何乳或初乳加工物流衍生之組合物、自藉由任何乳或初乳加工物流之超濾或微濾獲得之保留物或滲透物衍生之組合物、自藉由任何乳或初乳加工物流之層析(包括(但不限於)離子及凝膠滲透層析)分離獲得之通過或吸附分離份衍生之組合物、任何該等乳衍生物之提取物,包括藉由多段分餾、差異結晶、溶劑分餾、超臨界分餾、近超臨界分餾、蒸餾、離心分餾或具有改質劑(例如皂或乳化劑)之分餾製備之提取物、任何該等衍生物之水解產物、水解產物之分離份及該等衍生物中之任何兩者或兩者以上之任何組合,包括水解分離份之組合、非水解分離份之組合,及水解及非水解分離份之組合。In one embodiment, the composition comprises about 0.1, 0.5, 1, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 99, 99.5, 99.8 or 99.9% by weight of, consisting essentially of, consisting of, or consisting of one or more dairy ingredients of fresh, recombinant or powdered whole milk or milk derivatives, and the scope of application is Choose between any of the foregoing values (eg, from about 0.1 to about 50%, from about 0.2 to about 50%, from about 0.5 to about 50%, from about 1 to about 50%, from about 5 to about 50%, from about 10 to About 50%, about 15 to about 50%, about 20 to about 50%, about 25 to about 50%, about 30 to about 50%, about 35 to about 50%, about 40 to about 50%, and about 45 to about 50%). The milk derivative is preferably selected from the group consisting of recombinant, powder or fresh skim milk, reconstituted whole fat or skim milk powder, skim milk concentrate, skim milk retentate, concentrated milk, ultrafiltration milk retentate, milk protein concentrate (MPC), Milk protein isolate (MPI), decalcified milk protein concentrate (MPC), low fat milk, low fat milk protein concentrate (MPC), casein, casein salt, milk fat, high CLA milk fat, emulsifiable concentrate, White oil, dehydrated milk fat (AMF), white milk, white whey, hard milk fat fraction, soft milk fat fraction, sphingolipid fraction, milk fat globular membrane fraction, phospholipid fraction, complex lipid Separate, colostrum, colostrum fraction, colostrum protein concentrate (CPC), colostrum whey, immunoglobulin fraction from colostrum, whey, lactoferrin, one or more lactoferrin Fragments, whey protein isolate (WPI), whey protein concentrate (WPC), sweet whey, lactic acid whey, inorganic acid whey, reconstituted whey powder, milk minerals, derived from any milk or colostrum processing stream The composition is obtained by ultrafiltration or microfiltration of any milk or colostrum processing stream Retention or permeate-derived composition, a combination derived from separation by adsorption or separation of any milk or colostrum processing stream (including but not limited to ion and gel permeation chromatography) Extracts of any of these milk derivatives, including by multistage fractionation, differential crystallization, solvent fractionation, supercritical fractionation, near supercritical fractionation, distillation, centrifugation fractionation or with modifiers such as soaps or emulsifiers Extracts prepared by fractionation, hydrolysates of any such derivatives, fractions of hydrolysate, and any combination of any two or more of these derivatives, including combinations of hydrolyzed fractions, non-hydrolyzed fractions Combination, and a combination of hydrolyzed and non-hydrolyzed fractions.

期望本文中揭示之數字範圍(例如1至10)之提及亦包括彼範圍內之所有有理數(例如1、1.1、2、3、3.9、4,5、6、6.5、7、8、9及10)之提及以及彼範圍內之有理數之任何範圍(例如2至8、1.5至5.5及3.1至4.7)且因此據此明確地揭示本文中明確地揭示之所有範圍之所有子範圍。此等僅為具體所欲數值範圍之實例且所列舉之最低值與最高值之間之數值之所有可能組合應被視為以類似方式明確地陳述在本申請案中。It is intended that the recitation of ranges of numbers (e.g., 1 to 10) disclosed herein also include all rational numbers within the scope (e.g., 1, 1.1, 2, 3, 3.9, 4, 5, 6, 6.5, 7, 8, 9 and Any reference to 10) and any range of rational numbers within the scope (e.g., 2 to 8, 1.5 to 5.5, and 3.1 to 4.7) and thus all sub-ranges of all ranges explicitly disclosed herein are expressly disclosed. All such possible combinations of numerical values between the minimum and maximum values recited are to be construed as being

在本說明書中,在已提及專利說明書、其他外部文件或其它資訊來源的情況下,此通常出於提供討論本發明之特徵之背景之目的。除非另外具體陳述,否則該等外部文件之提及在任何管轄權中不應被理解為承認該等文件或該等資訊來源為先前技術,或形成此項技術中之共同常識之一部分。In the present specification, where reference is made to a patent specification, other external document or other information source, this is generally for the purpose of providing a background for the discussion of the features of the invention. References to such external documents are not to be construed as an admission that such documents or such sources are prior art or form part of common general knowledge in the art, unless specifically stated otherwise.

亦可寬泛地宣稱本發明存在於本申請案之說明書中所提及或指示之部分、要素及特徵中(以個別方式或以集合方式),存在於該等部分、要素或特徵之兩者或兩者以上之任何或所有組合中,且在本文中提及在本發明所屬之技術中具有已知均等物之特定整數的情況下,應將該等已知均等物視為包括於本文中,如同個別地闡明一般。It is also to be understood that the present invention resides in a part of the elements, features and features In any and all combinations of the above, and where specific integers having known equivalents in the technology to which the invention pertains are referred to herein, such known equivalents are considered to be included herein. As clarified in general.

本發明基於玫瑰果之水提取物對於維持骨質健康及治療骨骼疾病(諸如骨質疏鬆症或骨質減少)具有積極效應的發現。The present invention is based on the discovery that the extract of rosehip water has a positive effect on maintaining bone health and treating bone diseases such as osteoporosis or osteopenia.

1.定義Definition

如用於本說明書及申請專利範圍中之術語「包含」意謂「至少部分地由...組成」。當解釋本說明書及申請專利範圍中之包括彼術語之陳述時,在每一陳述中藉由彼術語開端之特徵皆必須存在但亦可存在其他特徵。應以同樣方式來解釋諸如「包含」及「所包含」之相關術語。The term "comprising" as used in the specification and claims is intended to mean "consist at least in part." When interpreting statements in this specification and the scope of the claims, including the terminology, the features in the beginning of the term must be present in each statement, but other features may be present. Terms such as "include" and "included" should be interpreted in the same way.

術語「玫瑰果之水溶性提取物」意謂藉由一方法製造之提取物,在該方法中將諸如水、乙酸及醇(諸如甲醇、乙醇、丙醇或丁醇)之任何食品級極性溶劑用以自玫瑰果提取水溶性組份。較佳地,溶劑為水。The term "water-soluble extract of rosehip" means an extract produced by a method in which any food-grade polar solvent such as water, acetic acid and an alcohol such as methanol, ethanol, propanol or butanol is used. Used to extract water-soluble components from rose hips. Preferably, the solvent is water.

術語「維持骨質健康」意謂將個體之骨質維持於健康密度,(例如)如WHO之DEXA標準所定義之在20歲人之骨質密度之±1SD內。The term "maintaining bone health" means maintaining the bone quality of an individual at a healthy density, for example within ±1 SD of the bone density of a 20-year-old as defined by the WHO DEXA standard.

術語「弱化或易碎骨骼」意謂個體具有低於健康密度之骨質密度,該健康密度為(例如)如WHO之DEXA標準所定義之在20歲人之骨質密度之±1SD內。The term "weakened or fragile bone" means that the individual has a bone density below the healthy density, which is, for example, within ±1 SD of the bone density of a 20-year-old as defined by the WHO DEXA standard.

「有效量」為賦予治療效應之所需量。用於動物及人類之劑量之相互關係(以毫克/平方公尺體表計)藉由Freireich等人(1966)描述。體表面積可近似地自受治者之身高及體重測定。參見例如Scientific Tables,Geigy Pharmaceuticals,Ardley,New York,1970,537。如熟習此項技術者所認可,有效劑量亦視投予途徑、載劑使用、物種及個體遺傳變異及其類似因素而變化。The "effective amount" is the amount required to impart a therapeutic effect. The correlation between doses for animals and humans (in milligrams per square meter) is described by Freireich et al. (1966). The body surface area can be approximated from the height and weight of the subject. See, for example, Scientific Tables, Geigy Pharmaceuticals, Ardley, New York, 1970, 537. As recognized by those skilled in the art, the effective dose will also vary depending on the route of administration, the use of the carrier, the species and individual genetic variation, and the like.

術語「經口投予」包括經口、經頰、腸內及胃內投予。The term "oral administration" includes oral, buccal, enteral, and intragastric administration.

術語「醫藥學上可接受之載劑」意指包括(但不限於)賦形劑、稀釋劑、助劑或其組合之載劑,其可以本發明之組合物之組份形式投予受治者,其當以足以傳遞有效量之玫瑰果提取物之劑量投予時不降低組合物之活性且無毒性。調配物可經口、經鼻及局部地投予。The term "pharmaceutically acceptable carrier" means a carrier including, but not limited to, excipients, diluents, auxiliaries or combinations thereof, which can be administered as a component of the compositions of the present invention. Those which are administered at a dose sufficient to deliver an effective amount of rosehip extract do not degrade the activity of the composition and are non-toxic. Formulations can be administered orally, nasally, and topically.

根據本發明之「受治者」為動物,較佳哺乳動物,更佳哺乳動物伴侶動物或人類。較佳伴侶動物包括貓、狗及馬。A "subject" according to the invention is an animal, preferably a mammal, a better mammal companion animal or a human. Preferred companion animals include cats, dogs and horses.

術語「治療」及其派生詞應在其最廣泛的可能背景中予以解釋。該術語不應理解為暗示受治者經治療直至完全康復。因此,「治療」廣泛地包括改善或預防或改善及預防症狀之開始或特定病狀之嚴重程度;例如預防或改善骨質密度之降低、預防或以其他方式降低發生骨質疏鬆症之風險、預防或以其他方式降低發生骨質減少之風險,或預防或改善其他疾病症狀。術語「治療」亦廣泛地包括維持良好骨質健康及確立骨質品質以便預防疾病或病症。The term "treatment" and its derivatives should be interpreted in its broadest possible context. This term should not be understood to imply that the subject is treated until complete recovery. Therefore, "treatment" broadly includes improving or preventing or ameliorating and preventing the onset of symptoms or the severity of a particular condition; for example, preventing or ameliorating the reduction of bone density, preventing or otherwise reducing the risk of developing osteoporosis, prevention or Other ways to reduce the risk of osteopenia, or to prevent or improve other disease symptoms. The term "treatment" also broadly includes maintaining good bone health and establishing bone quality in order to prevent a disease or condition.

2.玫瑰果2. Rose hip

玫瑰果(Rosehip)有時稱為玫瑰果(rosehaw),其為發現於玫瑰植物(玫瑰屬(Rosa spp. ))上之果實,其含有若干維生素,包括高含量之維生素C。發現於玫瑰果中之其他維生素為維生素A、D及E。玫瑰果亦含有高含量鐵及一些必需脂肪酸及抗氧化劑。Rosehip is sometimes called rosehaw, a fruit found on rose plants ( Rosa spp. ) that contains several vitamins, including high levels of vitamin C. Other vitamins found in rose hips are vitamins A, D and E. Rose hips also contain high levels of iron and some essential fatty acids and antioxidants.

若干玫瑰種之果實可用於製造適用於本發明中之玫瑰果之水溶性提取物。此等物種包括(但不限於)犬玫瑰(Rosa canina )、灰藍色犬玫瑰布西亞種(Rosa dumalis subsp.boissieri )、灰藍色犬玫瑰安塔利亞種(Rosa dumalis subsp.antalyensis )、長柔毛玫瑰(Rosa villosa )、粉玫瑰(Rosa pulverulenta )、紅花玫瑰(Rosa moyesii )、法國玫瑰(Rosa gallica )、玫瑰(Rosa condita )、齒葉玫瑰(Rosa rugosa )及豌豆狀玫瑰(Rosa pisiformis )。The fruit of several rose species can be used to make a water soluble extract of rose hip suitable for use in the present invention. Such species include (but are not limited to) Dog rose (Rosa canina), dog rose gray blue Busia species (Rosa dumalis subsp. Boissieri), gray-blue Antalya dog rose species (Rosa dumalis subsp. Antalyensis), Rosa villosa , Rosa pulverulenta , Rosa moyesii , Rosa gallica , Rosa condita , Rosa rugosa and Rosa pisiformis ).

玫瑰果之可能提取方法如下。將新鮮玫瑰果浸軟或將乾燥玫瑰果粉末化。將浸軟或粉末化玫瑰果以1:5(w/w)之比率與蒸餾水或其他水溶液(例如緩衝液)混合,以使得可自玫瑰果提取水溶性組份。可將水溶劑置換一或多次,較佳3次,且使每一量之溶劑保持與植物物質接觸若干小時,較佳12、24或48小時,較佳伴以連續攪拌。將全部提取物過濾或離心後,可隨後將水溶液冷凍或噴霧乾燥以形成可用作供本文使用之水提取物之粉末。The possible extraction methods of rose hips are as follows. Fresh rose hips are macerated or dried rose hips are powdered. The macerated or powdered rose hips are mixed with distilled water or other aqueous solution (e.g., buffer) at a ratio of 1:5 (w/w) to allow extraction of the water soluble component from rose hips. The aqueous solvent may be replaced one or more times, preferably three times, and each amount of solvent is maintained in contact with the plant material for several hours, preferably 12, 24 or 48 hours, preferably with continuous agitation. After filtering or centrifuging the entire extract, the aqueous solution can then be frozen or spray dried to form a powder that can be used as an aqueous extract for use herein.

可藉由離子交換層析或膜分離之標準方法或在此項技術中已知之其他該等分離技術來進一步分餾此提取物。參見例如Ion Exchange Chromatography & Chromatofocusing,Principles and Methods,Amersham Biosciences Limited 2004,Code 11-0004-21,第AA版,http://www.amersham.com。The extract can be further fractionated by standard methods of ion exchange chromatography or membrane separation or other such separation techniques known in the art. See, for example, Ion Exchange Chromatography & Chromatofocusing, Principles and Methods, Amersham Biosciences Limited 2004, Code 11-0004-21, AA Edition, http://www.amersham.com.

3.治療或預防方法3. Treatment or prevention methods

本文中描述之組合物及組合物之用途適用於治療或預防以弱化或易碎骨骼為特徵之骨骼病狀,諸如骨質疏鬆症或骨質減少。The use of the compositions and compositions described herein is useful for treating or preventing a skeletal condition characterized by weakened or fragile bone, such as osteoporosis or osteopenia.

在一實施例中,待治療之病狀為需要增加骨質質量之病狀。在一實施例中,病狀為需要減少骨質流失之病狀。在一實施例中,病狀為需要骨骼細胞增生、骨骼細胞分化、或骨骼細胞介導之礦物化或其兩者或兩者以上之組合的病狀。在一實施例中,病狀為需要抑制骨質再吸收、增加骨質形成,或減少骨質流失,或其兩者或兩者以上之組合之病狀。在一實施例中,病狀為需要改良或維持骨質強度、骨質密度或骨質質量,或其兩者或兩者以上之組合之病狀。在一實施例中,病狀為骨質疏鬆症。在一實施例中,病狀為骨質減少。In one embodiment, the condition to be treated is a condition in which bone quality is required to be increased. In one embodiment, the condition is a condition in which bone loss is required to be reduced. In one embodiment, the condition is a condition requiring skeletal cell proliferation, skeletal cell differentiation, or skeletal cell-mediated mineralization, or a combination of two or more thereof. In one embodiment, the condition is a condition in which inhibition of bone resorption, increased bone formation, or reduction of bone loss, or a combination of two or more thereof. In one embodiment, the condition is a condition in which improvement or maintenance of bone strength, bone density or bone quality, or a combination of two or more thereof is desired. In one embodiment, the condition is osteoporosis. In one embodiment, the condition is osteopenia.

4.本發明之適用組合物4. Applicable compositions of the invention

本文中描述包含玫瑰果之水溶性提取物及一或多種選自鈣、鎂、鋅、維生素D、維生素K、葉酸或葉酸鹽、維生素B6及維生素B12之成份、基本上由其組成或由其組成之組合物。Illustrated herein, consisting essentially of or consisting of a water-soluble extract of rosehip and one or more components selected from the group consisting of calcium, magnesium, zinc, vitamin D, vitamin K, folic acid or folate, vitamin B6 and vitamin B12 A composition of its composition.

亦描述基本上由玫瑰果之水溶性提取物及一或多種選自鈣、鎂、鋅、維生素D、葉酸、葉酸鹽及維生素B12之成份組成之組合物,其中組合物經調配以便同時、分開或順次投予玫瑰果之水溶性提取物及該或該等成份。Also described is a composition consisting essentially of a water-soluble extract of rosehip and one or more components selected from the group consisting of calcium, magnesium, zinc, vitamin D, folic acid, folate, and vitamin B12, wherein the composition is formulated to simultaneously, The water-soluble extract of rose hips and the ingredients or ingredients are administered separately or sequentially.

本文中亦描述包含玫瑰果之水溶性提取物及一或多種乳品成份之組合物。Compositions comprising a water soluble extract of rosehip and one or more dairy ingredients are also described herein.

本文中之適用組合物包括可攜帶玫瑰果之水溶性提取物之任何組合物,包括能攜帶玫瑰果之水溶性提取物之任何消費產品及任何醫藥產品。組合物可調配為食品、飲料、食品添加劑、飲料添加劑、膳食增補劑、營養產品、醫學食品、保健食品、藥物或醫藥。較佳地,本發明之組合物調配為粉末、液體、食品棒、塗抹食品、調味品、軟膏劑、錠劑或膠囊。適合食品及飲料包括乳品及非乳品食品及飲料。在一實施例中,組合物為乳粉、乳飲料、酸乳、酸乳粉末、酸乳飲料、醬油、酸化飲品、UHT、經巴氏殺菌、白脫油或乳酪。合適調配物可藉由熟習此項技術者鑒於彼技術及本說明書之教示來製備。Suitable compositions herein include any composition that can carry a water-soluble extract of rosehip, including any consumer product and any pharmaceutical product that can carry a water-soluble extract of rosehip. The composition can be formulated as a food, beverage, food additive, beverage additive, dietary supplement, nutritional product, medical food, health food, medicine or medicine. Preferably, the compositions of the present invention are formulated as powders, liquids, food bars, spreads, dressings, ointments, lozenges or capsules. Suitable for food and beverages including dairy and non-dairy foods and beverages. In one embodiment, the composition is a milk powder, a milk beverage, a yogurt, a yogurt powder, a yogurt drink, a soy sauce, an acidified beverage, UHT, pasteurization, butter oil or cheese. Suitable formulations can be prepared by those skilled in the art in view of the teachings of the art and the teachings herein.

根據本發明使用之保健食品組合物可為膳食增補劑(例如膠囊、迷你袋或錠劑)或食品產品(例如乳、漿汁、軟飲料、草本茶葉袋或甜點)。組合物亦可包括其他營養物,諸如蛋白、碳水化合物、脂質、維生素、礦物或胺基酸。組合物可呈適合於經口使用之形式,諸如錠劑、硬或軟膠囊、含水或油懸浮液,或糖漿;或呈適合於非經腸使用之形式,諸如丙二醇水溶液,或緩衝水溶液。保健食品組合物中之活性成份之量在很大程度上視受治者之特定需要而定。如熟習此項技術者所認可,該量亦視投予途徑、物種、遺傳/生理學素質及可能共同使用之其他骨質增強藥劑而變化。The health food composition for use in accordance with the present invention may be a dietary supplement (e.g., a capsule, mini bag or lozenge) or a food product (e.g., milk, juice, soft drink, herbal tea bag, or dessert). The composition may also include other nutrients such as proteins, carbohydrates, lipids, vitamins, minerals or amino acids. The composition may be in a form suitable for oral use such as a troche, a hard or soft capsule, an aqueous or oily suspension, or a syrup; or in a form suitable for parenteral use, such as an aqueous solution of propylene glycol, or a buffered aqueous solution. The amount of active ingredient in the health food composition will depend to a large extent on the particular needs of the subject. As will be recognized by those skilled in the art, this amount will also vary depending on the route of administration, the species, the genetic/physiological qualities, and other bone enhancing agents that may be used in combination.

根據本發明使用之包含玫瑰果提取物之食品、食品添加劑或食品增補劑包括能夠攜帶水溶性植物提取物之任何可食消費產品。適合可食消費產品之實例包括甜點產品、復原水果產品、點心棒、穆茲利棒、烘焙產品、塗抹食品、澆汁、乳品產品(包括酸乳及乳酪)、飲料(包括基於乳品及基於非乳品之飲料)、乳粉、運動增補劑(包括基於乳品及基於非乳品之運動增補劑)、食品添加劑(諸如蛋白食品頂層)及膳食增補劑產品(包括每日增補劑錠劑)。可以類似形式提供本文中適用之適合保健食品組合物。Food, food additives or food supplements comprising rose hip extract for use in accordance with the present invention include any edible consumer product capable of carrying a water soluble plant extract. Examples of suitable consumer products include dessert products, reconstituted fruit products, snack bars, muesli bars, baked products, spreads, sauces, dairy products (including yogurt and cheese), beverages (including dairy based and non-based) Dairy beverages), milk powder, sports supplements (including dairy based and non-dairy based sports supplements), food additives (such as protein food tops) and dietary supplement products (including daily supplement tablets). Suitable health food compositions suitable for use herein can be provided in a similar form.

本文中適用組合物可經調配以允許藉由任何所選途徑(包括(但不限於)經口或經鼻投予)而投予受治者。Suitable compositions herein can be formulated to allow administration to a subject by any selected route including, but not limited to, oral or nasal administration.

較佳地,經口投予本文中之適用組合物。Preferably, the suitable compositions herein are administered orally.

如將瞭解,投予之組合物之劑量、投予時段及一般投予方案可視諸如受治者之症狀之嚴重程度、待治療之病症之類型、所選投予模式及受治者之年齡、性別及一般健康狀況之變數而在各受治者之間不同。然而,作為一般實例,本發明者預期投予每天每kg體重約1mg至約2000mg之玫瑰果、較佳每天每kg體重約100至約1000mg之玫瑰果或每天每kg體重約50至約500mg之玫瑰果。在一實施例中,本發明者預期投予每kg體重約0.05mg至約300mg之玫瑰果。As will be appreciated, the dosage of the administered composition, the time of administration, and the general dosage regimen can be such as the severity of the symptoms of the subject, the type of condition being treated, the mode of administration selected, and the age of the subject, The gender and general health status vary from subject to subject. However, as a general example, the inventors expect to administer from about 1 mg to about 2000 mg of rose hip per kg body weight per day, preferably from about 100 to about 1000 mg of rose hip per kg of body weight per day or from about 50 to about 500 mg per kg of body weight per day. Rose hips. In one embodiment, the inventors expect to administer from about 0.05 mg to about 300 mg of rose hip per kg body weight.

較佳地,至少一天一次投予本文中之適用組合物。較佳地,一天2-3次投予本文中之適用組合物。或者,可一週一次投予本文中之適用組合物。Preferably, the suitable compositions herein are administered at least once a day. Preferably, the suitable compositions herein are administered 2-3 times a day. Alternatively, the suitable compositions herein can be administered once a week.

較佳地,在絕經期開始之前以預防劑形式投予本文中之適用組合物。或者,在絕經期開始之後投予本文中適用組合物以便維持或增加骨質健康或治療或預防骨骼病狀。Preferably, the suitable compositions herein are administered as prophylactic agents prior to the onset of menopause. Alternatively, the compositions herein are administered after the onset of menopause in order to maintain or increase bone health or to treat or prevent skeletal conditions.

應瞭解一般熟習此項技術者鑒於彼技術及本揭示案在無須過度實驗的情況下能夠測定用於給定病狀之有效劑量方案(包括日劑量及投予時間選擇)。It will be appreciated that those skilled in the art will be able to determine an effective dosage regimen (including daily dosage and timing of administration) for a given condition without undue experimentation, in view of the teachings of the present invention.

根據本發明適用之組合物之功效可活體外及活體內評估。參見(例如)以下實例。簡言之,可活體外測試組合物促進成骨細胞發育及活性或抑制破骨細胞生成、限制破骨細胞活性,或降低破骨細胞數目的能力。對於活體內研究,可將組合物投予動物(例如大鼠)且隨後獲取其對於骨質組織之效應。基於結果,可確定合適劑量範圍及投予途徑。The efficacy of compositions suitable for use in accordance with the present invention can be assessed in vitro and in vivo. See, for example, the following example. Briefly, the composition can be tested in vitro to promote osteoblast development and activity or to inhibit osteoclastogenesis, limit osteoclast activity, or reduce the number of osteoclasts. For in vivo studies, the composition can be administered to an animal (e.g., a rat) and subsequently obtained for its effect on bone tissue. Based on the results, a suitable dosage range and route of administration can be determined.

本文中適用組合物可單獨或與一或多種其他治療劑組合使用。治療劑可為食品、飲料、食品添加劑、飲料添加劑、食品組份、飲料組份、膳食增補劑、營養產品、醫學食品、保健食品、藥物或醫藥。治療劑較佳可有效地促進成骨細胞發育及活性、抑制破骨細胞生成、降低破骨細胞數目或限制破骨細胞活性。Suitable compositions herein may be used alone or in combination with one or more other therapeutic agents. The therapeutic agent can be a food, a beverage, a food additive, a beverage additive, a food component, a beverage component, a dietary supplement, a nutritional product, a medical food, a health food, a medicine, or a medicine. The therapeutic agent is preferably effective for promoting osteoblast development and activity, inhibiting osteoclastogenesis, reducing the number of osteoclasts, or limiting osteoclast activity.

當與另一治療劑組合使用時,本文中之適用組合物與另一治療劑之投予可為同時或順次的。同時投予包括投予包含所有組份之單一劑型或大體上同時投予分開劑型。順次投予包括根據不同時程投予,較佳以使得在提供本文中之適用組合物及其他治療劑之時段中存在重疊。When used in combination with another therapeutic agent, the administration of a suitable composition herein and another therapeutic agent can be simultaneous or sequential. Simultaneous administration includes administration of a single dosage form comprising all of the components or administration of the divided dosage forms substantially simultaneously. Sequential administration includes administration according to different time courses, preferably such that there is an overlap in the period of providing the applicable compositions and other therapeutic agents herein.

在一實施例中,本文中之適用組合物包括諸如乳清蛋白、乳清蛋白分離份(包括酸性或鹼性乳清蛋白分離份或其組合)、糖巨肽、乳鐵傳遞蛋白或功能性乳鐵傳遞蛋白變異體或乳鐵傳遞蛋白片段、維生素D、維生素D衍生物、維生素D類似物或鈣及其鹽或其組合之乳組份,或與其同時或順次投予。含有乳組份之適用組合物包括諸如食品、飲料、食品添加劑、飲料添加劑、膳食增補劑、營養產品、醫學食品或保健食品之組合物。亦可使用經濃縮用於此等組份之乳分離份。In one embodiment, suitable compositions herein include, for example, whey protein, whey protein fraction (including acidic or basic whey protein fractions or combinations thereof), glycomacropeptide, lactoferrin or functionality. A milk component of a lactoferrin variant or a lactoferrin fragment, a vitamin D, a vitamin D derivative, a vitamin D analog or calcium and a salt thereof, or a combination thereof, or a simultaneous or sequential administration thereof. Suitable compositions containing the milk component include compositions such as foods, beverages, food additives, beverage additives, dietary supplements, nutritional products, medical foods or health foods. Milk fractions that are concentrated for use in such components can also be used.

應瞭解以上列舉之額外治療劑(基於食品及醫藥劑兩者)亦可用於本發明之方法中,在該方法中其與本文中之適用組合物分開地、同時或順次投予。It will be appreciated that the additional therapeutic agents listed above (based on both food and pharmaceutical agents) can also be used in the methods of the invention, in which it is administered separately, simultaneously or sequentially from the applicable compositions herein.

本文中之適用組合物可進一步包括另一骨質健康藥劑,諸如鈣、氟化物、鎂、鋅、鈣鹽、氟化物鹽、鎂鹽、鋅鹽、維生素A、葉酸鹽或葉酸,或維生素B12、維生素B6、維生素C、維生素D、維生素D衍生物(包括(但不限於)維生素D(包括維生素D1[光甾醇]、維生素D2[麥角鈣化醇]、維生素D3[膽鈣化醇,1,25-二羥基膽鈣化醇]、維生素D4[二氫速甾醇]及維生素D5[7-脫氫植甾醇]及維生素D類似物)、維生素E、維生素E衍生物、維生素E類似物、維生素K、維生素K衍生物、維生素K類似物、維生素K2、乳清蛋白、乳清蛋白分離份(包括酸性或鹼性乳清蛋白分離份或其組合)、糖巨肽、乳鐵傳遞蛋白、功能性乳鐵傳遞蛋白變異體、功能性乳鐵傳遞蛋白片段、異黃酮、植物雌激素、益菌助生質或益生菌,或可影響礦物吸收之此等物中任何兩者或兩者以上之組合、多不飽和脂肪酸,及其組合。Suitable compositions herein may further comprise another bone health agent such as calcium, fluoride, magnesium, zinc, calcium, fluoride, magnesium, zinc, vitamin A, folate or folic acid, or vitamin B12. , vitamin B6, vitamin C, vitamin D, vitamin D derivatives (including but not limited to vitamin D (including vitamin D1 [photo oxime], vitamin D2 [ergocalciferol], vitamin D3 [cholecalciferol, 1, 25-dihydroxycholecalciferol], vitamin D4 [dihydrotachysterol] and vitamin D5 [7-dehydrophytosterol] and vitamin D analogues), vitamin E, vitamin E derivatives, vitamin E analogues, vitamin K , vitamin K derivatives, vitamin K analogs, vitamin K2, whey protein, whey protein fractions (including acidic or basic whey protein fractions or combinations thereof), glycomacropeptide, lactoferrin, functionality a lactoferrin variant, a functional lactoferrin fragment, an isoflavone, a phytoestrogens, a probiotic or probiotic, or a combination of any two or more of these, which may affect mineral absorption, Polyunsaturated fatty acids, and Co.

含有玫瑰果或其組份之醫藥組合物之用途亦在本發明之範疇內。醫藥組合物可用於預防及治療如上所述之骨骼相關病症。醫藥組合物可進一步包括有效量之另一骨質增強藥劑。醫藥學上可接受之載劑包括溶劑、分散介質、塗層、抗細菌及抗真菌劑,及等滲及吸收延遲劑。The use of a pharmaceutical composition containing rose hips or a component thereof is also within the scope of the invention. Pharmaceutical compositions are useful for the prevention and treatment of bone related disorders as described above. The pharmaceutical composition can further comprise an effective amount of another bone enhancing agent. Pharmaceutically acceptable carriers include solvents, dispersion media, coatings, antibacterial and antifungal agents, and isotonic and absorption delaying agents.

可用鑒於所欲投予途徑及標準醫藥實務所選之合適醫藥學上可接受之載劑(包括賦形劑及稀釋劑)調配適用於本發明中之醫藥組合物。例如,本發明之組合物可經口以粉末、液體、錠劑、泡騰錠劑或膠囊形式投予。適合調配物可視需要含有額外藥劑,包括乳化劑、抗氧化劑、調味劑或著色劑,且可適合於立即釋放、延遲釋放、修飾釋放、持續釋放、脈衝釋放或控制釋放。The pharmaceutical compositions suitable for use in the present invention may be formulated in a suitable pharmaceutically acceptable carrier (including excipients and diluents) selected in accordance with the desired route of administration and standard pharmaceutical practice. For example, the compositions of the present invention can be administered orally in the form of a powder, a liquid, a lozenge, an effervescent tablet or a capsule. Suitable formulations may contain additional agents, including emulsifiers, antioxidants, flavoring or coloring agents, as appropriate, and may be suitable for immediate release, delayed release, modified release, sustained release, pulsed release or controlled release.

在一較佳實施例中,根據本發明使用之組合物經調配用於攝食。In a preferred embodiment, the compositions used in accordance with the present invention are formulated for ingestion.

膠囊可含有任何標準醫藥學上可接受之物質,諸如明膠或纖維素。可根據習知程序藉由將活性成份與固體載體及潤滑劑之混合物壓縮來調配錠劑。固體載體之實例包括(但不限於)澱粉及糖膨潤土。活性成份亦可以含有黏合劑(例如乳糖或甘露糖醇)、習知填充劑及製錠劑之硬殼錠劑或膠囊形式投予。The capsules may contain any standard pharmaceutically acceptable material such as gelatin or cellulose. The lozenge can be formulated according to conventional procedures by compressing the active ingredient with a mixture of the solid carrier and the lubricant. Examples of solid carriers include, but are not limited to, starch and sugar bentonite. The active ingredient may also be administered in the form of a hard shell or capsule containing a binder such as lactose or mannitol, conventional fillers and tableting agents.

泡騰錠劑可使用任何習知程序來調配且可包括任何適合的醫藥學上可接受之泡騰物質。泡騰物質之實例包括(但不限於)檸檬酸、蘋果酸、重碳酸鈉、重碳酸鉀、碳酸鈉及碳酸鉀。Effervescent lozenges can be formulated using any conventional procedure and can include any suitable pharmaceutically acceptable effervescent material. Examples of effervescent materials include, but are not limited to, citric acid, malic acid, sodium bicarbonate, potassium bicarbonate, sodium carbonate, and potassium carbonate.

本發明之組合物可利用習知方法調配為用於不同投予途徑之劑型。例如,其可調配為膠囊、凝膠密封或錠劑以用於經口投予。The compositions of the present invention can be formulated into dosage forms for different routes of administration using conventional methods. For example, it can be formulated as a capsule, gel seal or lozenge for oral administration.

適合的醫藥組合物可與鑒於所欲劑型及標準醫藥調配實務所選之合適的醫藥學上可接受之賦形劑、稀釋劑或載劑一起調配。本文中適用之劑型可經口以粉末、液體、錠劑或膠囊形式投予。適合劑型可視需要含有額外藥劑,包括乳化劑、抗氧化劑、調味劑或著色劑。本文中適用之劑型可適合於活性組份之立即、延遲、修飾、持續、脈衝或控制釋放。Suitable pharmaceutical compositions can be formulated with suitable pharmaceutically acceptable excipients, diluents or carriers in accordance with the desired dosage form and standard pharmaceutical formulation practice. Dosage forms for use herein can be administered orally in the form of a powder, liquid, lozenge or capsule. Suitable dosage forms may contain additional agents, including emulsifiers, antioxidants, flavoring or coloring agents, as desired. Formulations suitable for use herein may be suitable for immediate, delayed, modified, sustained, pulsed or controlled release of the active ingredient.

包含玫瑰果之組合物可用以治療或預防骨架病症。該等病症之實例包括(但不限於)骨質疏鬆症、肝性骨營養障礙、軟骨病、佝僂病、囊狀纖維性骨炎、腎性骨營養障礙、骨質硬化、骨質減少、骨纖維生成不良、繼發性甲狀旁腺機能亢進、甲狀旁腺機能減退、甲狀旁腺機能亢進、慢性腎病、肉狀瘤病、糖皮質激素誘導之骨質疏鬆症、特發性高鈣血症、佩吉特氏病及成骨不全。Compositions comprising rose hips can be used to treat or prevent skeletal disorders. Examples of such conditions include, but are not limited to, osteoporosis, hepatic bone dystrophy, rickets, rickets, cystic fibrosis, renal bone dystrophy, osteosclerosis, osteopenia, poor bone fibrogenesis, Secondary hyperparathyroidism, hypoparathyroidism, hyperparathyroidism, chronic kidney disease, sarcoidosis, glucocorticoid-induced osteoporosis, idiopathic hypercalcemia, Pei Git's disease and osteogenesis imperfecta.

玫瑰果提取物可單獨或與一或多種其他治療劑(例如保健食品、醫藥或醫學食品)組合使用。當與另一治療劑組合使用時,兩種藥劑之投予可為分開的、同時或順次的。同時投予包括投予包含兩種藥劑之單一劑型及大體上同時投予呈分開劑型之兩種藥劑。順次投予包括根據不同時程投予兩種藥劑,較佳以使得在提供兩種藥劑之時段中存在重疊。本發明之組合物可與之共投予之適合藥劑包括其他骨質生長劑或骨質疾病治療,及在此項技術中已知之其他適合藥劑。該等藥劑較佳非經腸(較佳藉由靜脈內、皮下、肌肉內、腹膜內、髓內、硬膜外、皮內、經皮(局部)、經黏膜、關節內及胸膜內)投予以及經口、吸入及直腸投予。Rosehip extract can be used alone or in combination with one or more other therapeutic agents, such as health foods, pharmaceuticals or medical foods. When used in combination with another therapeutic agent, the administration of the two agents can be separate, simultaneous or sequential. Simultaneous administration includes administration of a single dosage form comprising two agents and administration of two agents in a divided dosage form substantially simultaneously. Sequential administration involves administering two agents according to different time courses, preferably such that there is an overlap in the period in which the two agents are provided. Suitable agents with which the compositions of the present invention may be administered include other bone growth agents or bone disease treatments, as well as other suitable agents known in the art. Preferably, the agents are parenteral (preferably by intravenous, subcutaneous, intramuscular, intraperitoneal, intramedullary, epidural, intradermal, transdermal (topical), transmucosal, intra-articular, and intrapleural) It is administered orally, by inhalation and rectal administration.

本文中之適用組合物可與之共投予之適合藥劑包括αvβ3整合素受體拮抗劑、抗雌激素或SERM(選擇性雌激素受體調節劑)(包括(但不限於)他莫昔芬(tamoxifen)、雷洛昔芬(raloxifene)、拉索昔芬(lasofoxifene)、托瑞米芬(toremifene)、阿佐普芬(azorxifene)、氯米芬(clomiphene)、曲洛昔芬(droloxifene)、艾多昔芬(idoxifene)、左美洛昔芬(levormeloxifene)、珠氯米芬(zuclomiphene)、恩氯米芬(enclomiphene)、萘福昔定(nafoxidene)及其鹽)、抗再吸收劑、雙膦酸鹽(包括(但不限於)阿侖膦酸鹽(alendronate)、氯屈膦酸鹽(clodronate)、依替膦酸鹽(etidronate)、伊班膦酸鹽(ibandronate)、英卡膦酸鹽(incadronate)、密諾膦酸鹽(minodronate)、奈立膦酸鹽(neridronate)、奧帕膦酸鹽(olpadronate)、帕米膦酸鹽(pamidronate)、吡膦酸鹽(piridronate)、利塞膦酸鹽(risedronate)、替魯膦酸鹽(tiludronate)、唑來膦酸鹽(zoledronate)及其醫藥學上可接受之鹽)、鈣受體拮抗劑、鈣增補劑、組織蛋白酶K抑制劑、雙重作用骨形成劑(DABA)(包括(但不限於)雷尼酸鍶(strontium ranelate))、雌激素及雌激素衍生物(包括(但不限於)17β-雌二醇、雌酮、結合雌激素、馬雌激素及17β-乙炔基雌二醇)、類黃酮、葉酸、葉酸鹽、維生素B12、刺激骨質增生劑、骨保護素、孕酮及孕酮衍生物(包括(但不限於)炔諾酮及醋甲孕酮)、液泡ATP酶抑制劑、VEGF拮抗劑、噻唑啶二酮、降鈣素、蛋白激酶抑制劑、副甲狀腺素(PTH)、PTH類似物、重組副甲狀腺素、生長激素促分泌劑、生長激素釋放激素、高同型半胱胺酸血症胰島素樣成長因子抑制劑、骨質形態發生蛋白(BMP)、BMP拮抗作用之抑制劑、前列腺素衍生物、纖維母細胞生長因子、斯達汀(statin)(包括(但不限於)洛伐他汀(lovastatin)、辛伐他汀(simvastatin)、普伐他汀(pravastatin)、氟伐他汀(fluvastatin)、阿托伐他汀(atorvastatin)、西立伐他汀(cerivastatin)、羅素他汀(rosuvastatin)及匹伐他汀(pitavastatin))、鈣、氟化物、鎂、鋅、鈣鹽、氟化物鹽、鎂鹽、鋅鹽、維生素A、維生素A衍生物、維生素A類似物、維生素B6、維生素C、維生素C衍生物、維生素C類似物、維生素D、維生素D衍生物(包括(但不限於)維生素D(包括維生素D1[光甾醇]、維生素D2[麥角鈣化醇]、維生素D3[膽鈣化醇、1,25-二羥基膽鈣化醇]、維生素D4[二氫速甾醇]及維生素D5[7-脫氫植甾醇]及維生素D類似物)、維生素E、維生素E衍生物、維生素E類似物、維生素K、維生素K衍生物、維生素K類似物、維生素K2、乳清蛋白、乳清蛋白分離份(包括酸性或鹼性乳清蛋白分離份或其組合)、糖巨肽、乳鐵傳遞蛋白、功能性乳鐵傳遞蛋白變異體、功能性乳鐵傳遞蛋白片段、乳脂肪、高CLA乳脂肪、乳脂肪分離份、異黃酮、植物雌激素、益菌助生質或益生菌或可能影響礦物吸收之此等藥劑之任何兩者或兩者以上之組合、多不飽和脂肪酸及其組合,及在此項技術中已知之其他適合藥劑。Suitable agents with which the compositions of the invention may be co-administered include αvβ3 integrin receptor antagonists, antiestrogens or SERMs (selective estrogen receptor modulators) including but not limited to tamoxifen (tamoxifen), raloxifene, lasofoxifene, toremifene, azorxifene, clomiphene, droloxifene, Idoxifene, levomeloxifene, zuclomiphene, enclomiphene, nafoxidene and its salts, anti-resorptive agents, Bisphosphonates (including but not limited to) alendronate, clodronate, etidronate, ibandronate, incaphosphine Incadronate, minodronate, neridronate, olpadronate, pamidronate, piridronate, Ripedronate, tiludronate, zoledronate and pharmaceutically acceptable salts thereof Calcium receptor antagonists, calcium supplements, cathepsin K inhibitors, dual acting bone forming agents (DABA) (including but not limited to strontium ranelate), estrogens and estrogen derivatives (including (but not limited to) 17β-estradiol, estrone, conjugated estrogen, equine estrogen and 17β-ethynyl estradiol), flavonoids, folic acid, folate, vitamin B12, stimulating bone proliferator, bone protection , progesterone and progesterone derivatives (including but not limited to norethisterone and medroxyprogesterone), vacuolar ATPase inhibitors, VEGF antagonists, thiazolidinedione, calcitonin, protein kinase inhibitors, Parathyroid hormone (PTH), PTH analog, recombinant parathyroid hormone, growth hormone secretagogue, growth hormone releasing hormone, hyperhomocysteinemia insulin-like growth factor inhibitor, bone morphogenetic protein (BMP), Inhibitors of BMP antagonism, prostaglandin derivatives, fibroblast growth factor, statin (including but not limited to lovastatin, simvastatin, pravastatin (pravastatin) ), fluvastatin, atorvastat (atorvastatin), cerivastatin, rosuvastatin and pitavastatin, calcium, fluoride, magnesium, zinc, calcium, fluoride, magnesium, zinc, vitamin A , vitamin A derivatives, vitamin A analogues, vitamin B6, vitamin C, vitamin C derivatives, vitamin C analogs, vitamin D, vitamin D derivatives (including but not limited to vitamin D (including vitamin D1 [photo sterol ], vitamin D2 [ergocalciferol], vitamin D3 [cholecalciferol, 1,25-dihydroxycholecalciferol], vitamin D4 [dihydrotachysterol] and vitamin D5 [7-dehydrophytosterol] and vitamins D analog), vitamin E, vitamin E derivative, vitamin E analog, vitamin K, vitamin K derivative, vitamin K analog, vitamin K2, whey protein, whey protein fraction (including acidic or alkaline milk) Albumin fraction or combination thereof, glycomacropeptide, lactoferrin, functional lactoferrin variant, functional lactoferrin fragment, milk fat, high CLA milk fat, milk fat fraction, isoflavone Phytoestrogens, probiotics Or probiotic biomass is or may be any combination of two or more of these agents, or both of mineral absorption, polyunsaturated fatty acids and combinations thereof, and other suitable agents known in the art.

公開國際專利申請案WO 03/082921及WO 2007/043900描述適用乳鐵傳遞蛋白及乳鐵傳遞蛋白片段及水解產物且以引用的方式併入本文中。The application of lactoferrin and lactoferrin fragments and hydrolysates is described in the published International Patent Application No. WO 03/082921 and WO 2007/043900, the disclosure of which is incorporated herein by reference.

公開國際專利申請案WO 2008/147228描述能治療或預防將受益於骨質再吸收降低之骨骼病狀的脂肪酸、脂肪酸衍生物及包括高CLA乳脂肪及乳脂肪分離份之乳脂肪組合物且以引用的方式併入本文中。The published international patent application WO 2008/147228 describes fatty acids, fatty acid derivatives and milk fat compositions comprising high CLA milk fat and milk fat fractions which are capable of treating or preventing skeletal conditions which will benefit from reduced bone resorption and are cited The way is incorporated in this article.

另外,預期根據本發明之組合物可與在特定情況中可對受治者有利之額外活性成份一起調配。例如,可使用目標為疾病過程之相同或不同方面的治療劑。Additionally, it is contemplated that the compositions according to the present invention may be formulated with additional active ingredients which may be beneficial to the subject in certain circumstances. For example, therapeutic agents that target the same or different aspects of the disease process can be used.

現在以非限制方式參考以下實例來說明本發明之各種態樣。The following examples are now described in a non-limiting manner to illustrate various aspects of the invention.

實例Instance 細胞培養、檢定物質Cell culture, assay substance

所有細胞培養物質皆自Invitrogen購得。MC3T3-E1前成骨細胞自ATCC,Manassas,VA,USA獲得。玫瑰果提取物自Paninkret,Germany購得。All cell culture materials were purchased from Invitrogen. MC3T3-E1 pre-osteoblasts were obtained from ATCC, Manassas, VA, USA. Rosehip extract was purchased from Paninkret, Germany.

實例1-成骨細胞分化Example 1 - Osteoblast differentiation

將MC3T3-E1/4細胞以0.55×105 細胞/毫升接種於每孔0.3ml之48孔板中。在每一實驗中每一處理使用一式四個孔且將實驗重複三次以保證結果一致性。培養基為具有10%FCS之α-MEM。在板初始接種之後24小時添加處理以使細胞黏附於孔。在培養3天之後,將培養基變換為具有10%FCS、10mM β-甘油磷酸鹽及50μg/ml抗壞血酸之α-MEM,且經處理或不經處理。每2-3天變換培養基。在培養10天之後,將培養基自孔移除且以PBS洗滌細胞。在37℃下將細胞與200μl鹼性磷酸酶測試試劑(TBS(pH值9.5)中之0.05M對硝基苯基磷酸酯)一起培育1hr。將來自每一孔之測試試劑之兩個試樣(100μl)轉移至96孔板且使用ELx808 Ultra微板讀取器(Bio-Tek Instruments Inc.,Vermont,USA)在405nm下讀取吸光度。將細胞再次以PBS洗滌,以1%甲醛固定15分鐘且藉由結晶紫檢定來測定細胞數目。將細胞與300μL 1%結晶紫(溶解於PBS中)一起培育兩小時且隨後在流水下洗滌15分鐘以移除過量染料且使其空氣乾燥。將500微升/孔之Triton-X 100(dd H2 O中之0.2%)添加至乾燥板且將板在室溫下培育2小時以溶解所吸收染料。將100μl之兩份等分試樣自每一孔取出且轉移至96孔板。在550nm下使用0.2% Triton-X 100作為對照、使用ELx808 Ultra微板讀取器(Bio-Tek Instruments,Inc. Vermont,USA)讀取吸光度。藉由將405nm下之吸光度量測值(對硝基苯基產生或鹼性磷酸酶活性之度量)除以550nm下之吸光度量測值(來自結晶紫檢定,細胞數目之度量)來測定以每一細胞計之鹼性磷酸酶活性。所得指數用以代表以每一細胞計之鹼性磷酸酶活性。結果展示於圖1中。與對照相比,玫瑰果之投予將分化增加了17%。MC3T3-E1/4 cells were seeded at 0.55 x 10 5 cells/ml in 0.3 ml 48-well plates per well. Four wells were used for each treatment in each experiment and the experiment was repeated three times to ensure consistency of results. The medium was α-MEM with 10% FCS. A treatment was added 24 hours after the initial inoculation of the plate to adhere the cells to the wells. After 3 days of culture, the medium was changed to α-MEM with 10% FCS, 10 mM β-glycerophosphate and 50 μg/ml ascorbic acid, with or without treatment. The medium was changed every 2-3 days. After 10 days of culture, the medium was removed from the wells and the cells were washed with PBS. The cells were incubated with 200 μl of alkaline phosphatase test reagent (0.05 M p-nitrophenyl phosphate in TBS (pH 9.5)) for 1 hr at 37 °C. Two samples (100 μl) of test reagent from each well were transferred to a 96-well plate and the absorbance was read at 405 nm using an ELx808 Ultra microplate reader (Bio-Tek Instruments Inc., Vermont, USA). The cells were again washed with PBS, fixed with 1% formaldehyde for 15 minutes and the number of cells was determined by crystal violet assay. The cells were incubated with 300 μL of 1% crystal violet (dissolved in PBS) for two hours and then washed under running water for 15 minutes to remove excess dye and air dry. 500 μl/well of Triton-X 100 (0.2% in dd H 2 O) was added to the dried plate and the plate was incubated at room temperature for 2 hours to dissolve the absorbed dye. Two aliquots of 100 [mu]l were removed from each well and transferred to a 96 well plate. Absorbance was read using a 0.2% Triton-X 100 as a control at 550 nm using an ELx808 Ultra microplate reader (Bio-Tek Instruments, Inc. Vermont, USA). Determined by dividing the absorbance measurement at 405 nm (a measure of p-nitrophenyl production or alkaline phosphatase activity) by the absorbance measurement at 550 nm (from the crystal violet assay, a measure of the number of cells) One cell counts alkaline phosphatase activity. The resulting index is used to represent alkaline phosphatase activity per cell. The results are shown in Figure 1. Compared with the control, the administration of rosehip increased the differentiation by 17%.

實例2-破骨細胞形成Example 2 - Osteoclast Formation

破骨細胞可自鼠類巨噬細胞RAW 264.7細胞株產生。將RAW 264.7細胞接種於含有蓋玻片之24孔板中且以鼠類RANK-L處理。添加不同濃度化合物至含有RANK-L之細胞培養基,測試化合物對於破骨細胞形成之效應。將此等細胞培育5天,且在第3天更換培養基。隨後將蓋玻片固定且針對TRAP染色且隨後以蘇木精對比染色。定量較大多核破骨細胞。破骨細胞顯現為染紫紅色之較大多核細胞且可形成甚至更大的巨細胞。於每一蓋玻片上之三個隨機區域進行顯微照相且隨後計算具有多於三個核心之TRAP(+)細胞數目,且以「每單位面積具有多於三個核心之TRAP(+)細胞數目」來定量藥劑對於破骨細胞形成之效應。亦溶解TRAP染色且以比色法量測。將此等結果呈現為圖表。在活體外檢定之驗證之第一步驟中,執行細胞密度滴定。Osteoclasts can be produced from murine macrophage RAW 264.7 cell line. RAW 264.7 cells were seeded in 24-well plates containing coverslips and treated with murine RANK-L. Different concentrations of compounds were added to the cell culture medium containing RANK-L to test the effect of the compound on osteoclast formation. The cells were incubated for 5 days and the medium was changed on day 3. The coverslips were then fixed and stained for TRAP and subsequently stained with hematoxylin. Quantify larger multinucleated osteoclasts. Osteoclasts appear as large multinucleated cells that stain purple and can form even larger giant cells. Micrographing was performed on three random regions on each coverslip and then calculating the number of TRAP(+) cells with more than three cores, and with "TRAP(+) cells with more than three cores per unit area The number is used to quantify the effect of the agent on osteoclast formation. TRAP staining was also dissolved and measured by colorimetry. These results are presented as a chart. In the first step of verification of the in vitro assay, cell density titration is performed.

為了確定接種細胞之最佳細胞密度,將細胞依2×103 -6×104 細胞/毫升與35ng/ml RANK-L一起接種。由此選擇1.5×104 細胞/毫升之密度用於其他分析板。隨後使用所選細胞密度執行RANK-L滴定(1ng/ml-35ng/ml)。自此等兩個結果選擇1.5×104 細胞/毫升之細胞接種密度及15ng/ml之RANK-L濃度作為在所有將來活體外檢定中觀察破骨細胞生成之最佳條件。結果展示於圖2中。與對照相比,玫瑰果之投予導致破骨細胞數目減少達29%。在10μg/ml下,與對照相比,沒有觀察到類似破骨細胞之細胞。不影響細胞生存力。To determine the optimal cell density of the seeded cells, cells were seeded at 2 x 10 3 -6 x 10 4 cells/ml with 35 ng/ml RANK-L. A density of 1.5 x 10 4 cells/ml was thus selected for use in other assay plates. RANK-L titration (1 ng/ml - 35 ng/ml) was then performed using the selected cell density. From these two results, a cell seeding density of 1.5 × 10 4 cells/ml and a RANK-L concentration of 15 ng/ml were selected as the optimal conditions for observing osteoclastogenesis in all future in vitro assays. The results are shown in Figure 2. Compared to the control, the administration of rose hips resulted in a 29% reduction in the number of osteoclasts. At 10 μg/ml, no osteoclast-like cells were observed compared to the control. Does not affect cell viability.

實例3-骨質再吸收Example 3 - Bone resorption

此研究經設計以評定增補玫瑰果之膳食是否能夠在OVX大鼠模式中型影響骨質品質。This study was designed to assess whether dietary supplementation of rose hips can affect bone quality in the OVX rat model.

動物animal

向44隻5.5月齡之雌性大鼠供給基於酪蛋白之膳食歷時兩週(第-2週至第0週)。在第-2週,大鼠在麻醉下經受活體內DEXA掃描。在第0週,對大鼠進行假手術(假處理;n=15)或切除卵巢(n=30)。假處理大鼠藉由吸入異氟醚麻醉,且造成切口但卵巢保持完整。移除切除卵巢組動物之卵巢。將切除卵巢之大鼠隨機分配至對照組(OVX)且供給酪蛋白對照膳食或治療組(玫瑰果)且供給占對照膳食0.5% w/w之玫瑰果提取物歷時28週。A casein-based diet was administered to 44 female rats of 5.5 months old for two weeks (week-2 to week 0). At week -2, the rats were subjected to an in vivo DEXA scan under anesthesia. At week 0, the rats were sham operated (false treatment; n=15) or ovariectomized (n=30). The sham-treated rats were anesthetized by inhalation of isoflurane and caused an incision but the ovaries remained intact. The ovaries of the ovariectomized group animals were removed. Ovariectomized rats were randomly assigned to a control group (OVX) and fed a casein control diet or treatment group (rose hips) and supplied with rose fruit extract at 0.5% w/w of the control diet for 28 weeks.

成功卵巢切除術之確認藉由量測子宮重量來確定。OVX(0.14g;p<0.0001)及玫瑰果(0.13g;p<0.0001)組皆具有比假處理(0.86g)顯著地較低之子宮重量。Confirmation of successful oophorectomy is determined by measuring uterine weight. The OVX (0.14 g; p < 0.0001) and rose hip (0.13 g; p < 0.0001) groups all had significantly lower uterine weight than the sham treatment (0.86 g).

在第28週,將大鼠禁食隔夜且隨後藉由放血(在麻醉下穿刺心臟)而安樂死。在穿刺心臟之後,將動物暴露於100% CO2 。將軀體解剖且收集各種骨骼且經固定以便進一步分析。At week 28, the rats were fasted overnight and then euthanized by bleeding (puncture of the heart under anesthesia). After puncture of the heart, the animals were exposed to 100% CO 2 . The body was dissected and various bones were collected and fixed for further analysis.

膳食meal

向動物供給由15%(w/w)酪蛋白(呈酪蛋白鹽形式)、5%(w/w)纖維素、5%(w/w)玉米油、0.5%(w/w)鈣、62%(w/w)澱粉及添加之維生素、礦物及胺基酸組成之平衡半合成膳食以符合根據AIN93M(National Research Council,1995)之要求。Animals are supplied with 15% (w/w) casein (in the form of caseinate), 5% (w/w) cellulose, 5% (w/w) corn oil, 0.5% (w/w) calcium, A balanced semi-synthetic diet consisting of 62% (w/w) starch and added vitamins, minerals and amino acids to meet the requirements of AIN93M (National Research Council, 1995).

骨骼之機械性質Mechanical properties of bones

將右股骨之黏連肌肉刮削乾淨且儲存於-20℃之磷酸鹽緩衝生理食鹽水溶液中。在生物機械測試之前,將骨骼解凍。使用電子測徑規量測股骨之長度。將中點以防水筆標記且亦記錄在中點處股骨之寬度及厚度。隨後在測試之前及期間將股骨保持於為室溫之23℃下。將股骨置放於經構建用於三點彎曲測試之測試架中。支撐棒之間之距離具有12mm之固定長度。以50mm min-1 之恆定變形速率施加負荷。使用Shimadzu Ezi-測試質地分析器(Kyoto,Japan)量測最大負荷(N)、硬度(Nmm-2 )及能量(J)。結果展示於圖3中。對於假處理、OVX及玫瑰果,在三點彎曲測試中使右股骨斷裂所需之能量之量分別為118、96及101N/mm2 。假處理及OVX顯著地不同(p=0.0105)。玫瑰果不顯著地不同於假處理或OVX,而是在其使得骨骼對於斷裂更有彈性方面位於中間。The adhesion muscles of the right femur were scraped clean and stored in a phosphate buffered physiological saline solution at -20 °C. The bones are thawed prior to biomechanical testing. The length of the femur was measured using an electronic caliper gauge. The midpoint was marked with a waterproof pen and the width and thickness of the femur at the midpoint were also recorded. The femur was then maintained at 23 ° C at room temperature before and during the test. The femur was placed in a test stand constructed for a three point bending test. The distance between the support rods has a fixed length of 12 mm. The load was applied at a constant deformation rate of 50 mm min -1 . The maximum load (N), hardness (Nmm -2 ), and energy (J) were measured using a Shimadzu Ezi-Test Texture Analyzer (Kyoto, Japan). The results are shown in Figure 3. For the pseudo-treatment, OVX, and rose hips, the amount of energy required to fracture the right femur in the three-point bending test was 118, 96, and 101 N/mm 2 , respectively . False processing and OVX were significantly different (p=0.0105). Rose hips are not significantly different from pseudo-treatment or OVX, but are located in the middle of which makes the bone more elastic for fracture.

實例4-骨質再吸收及機械性質Example 4 - Bone resorption and mechanical properties

此研究經設計以評定增補玫瑰果之膳食是否能夠在OVX大鼠模型中抑制骨質再吸收或影響骨質生物化學及機械性質。This study was designed to assess whether dietary supplementation of rose hips can inhibit bone resorption or affect bone biochemical and mechanical properties in an OVX rat model.

動物animal

將約5月齡之45隻雌性Sprague Dawley大鼠各別地收容於鞋盒籠中,且隨意取用Milli-Q水。歷時三週使其適應膳食及其環境,均向其供給基於酪蛋白之營養充分的膳食,該膳食由14%(w/w)酪蛋白鹽、5%(w/w)纖維素、5%(w/w)維生素、5%(w/w)礦物、1.3%(w/w)碳酸鈣、4%(w/w)玉米油、5.7%(w/w)蔗糖及60%(w/w)小麥玉米澱粉組成。Forty-five female Sprague Dawley rats, approximately 5 months old, were individually housed in shoebox cages and Milli-Q water was taken ad libitum. It is adapted to the diet and its environment for three weeks, and is supplied with a nutrient-based diet based on casein, 14% (w/w) casein, 5% (w/w) cellulose, 5%. (w/w) vitamins, 5% (w/w) minerals, 1.3% (w/w) calcium carbonate, 4% (w/w) corn oil, 5.7% (w/w) sucrose, and 60% (w/ w) Wheat corn starch composition.

不將維生素C添加至任一膳食且維生素混合物不含有任何維生素C。將玫瑰果添加至其膳食提供約0.08%(w/w)維生素C。Vitamin C is not added to any meal and the vitamin mixture does not contain any vitamin C. Adding rose hips to their diet provides about 0.08% (w/w) vitamin C.

三週之後,將30隻動物切除卵巢,且對另外15隻進行假手術以模擬卵巢切除術,而實際不移除卵巢。自此以後,向15隻隨機選擇之切除卵巢之大鼠及15隻經假手術之動物供給基於酪蛋白之標準膳食,同時另外15隻經切除卵巢之動物接收增補2%玫瑰果提取物之基本膳食。24週之後,如實例3中描述使動物安樂死,將其右股骨移除且經製備以便用於使用如實例3中描述之3點斷裂測試方案之骨骼生物機械測試。藉由1因子ANOVA來比較結果。Three weeks later, 30 animals were ovariectomized and another 15 were sham operated to simulate oophorectomy without actually removing the ovaries. Since then, 15 randomly selected ovariectomized rats and 15 sham-operated animals have been fed a standard casein-based diet, while another 15 ovariectomized animals receive supplementation with 2% rosehip extract. meal. After 24 weeks, the animals were euthanized as described in Example 3, their right femurs were removed and prepared for use in bone biomechanical testing using the 3-point break test protocol as described in Example 3. The results were compared by a factor of ANOVA.

生化分析Biochemical analysis

對於OVX、假處理及玫瑰果動物之右股骨執行生物機械分析。最大負荷、斷裂負荷及能量全部使用Shimadzu Ezi-測試質地分析器(Kyoto,Japan)來計算。最大負荷定義為在三點彎曲測試期間施加於股骨之最大記錄力。斷裂負荷定義為在三點彎曲測試期間骨折之力。該力藉由力轉換器來量測。該單元使骨骼斷裂且收集及記錄力及位移。將此作圖以產生力-位移曲線,其明確識別最大及斷裂負荷。軟體自動地識別此等點。Biomechanical analysis was performed on the right femur of OVX, pseudo-treated and rosehip animals. The maximum load, breaking load and energy were all calculated using a Shimadzu Ezi-Test Texture Analyzer (Kyoto, Japan). The maximum load is defined as the maximum recording force applied to the femur during the three-point bending test. The breaking load is defined as the force of the fracture during the three-point bending test. This force is measured by a force transducer. This unit breaks the bones and collects and records forces and displacements. This is plotted to produce a force-displacement curve that clearly identifies the maximum and breaking load. The software automatically recognizes these points.

能量為使骨骼斷裂所消耗之能量之度量,且亦使用Shimadzu Ezi-測試質地分析器(Kyoto,Japan)使用力記錄及獲得斷裂及最大力量測值之已知點來計算。Energy is a measure of the energy consumed to break a bone and is also calculated using the Shimadzu Ezi-Test Texture Analyzer (Kyoto, Japan) using force recording and obtaining known points of fracture and maximum force measurements.

此等結果展示來自供給2%玫瑰果提取物之動物之骨骼之斷裂需要比OVX動物更多之力/能量,及與假處理動物相等的力/能量。最大負荷展示於圖4中,斷裂負荷展示於圖5中且能量展示於圖6中。These results show that the fracture from the bone of the animal supplying 2% rosehip extract requires more force/energy than the OVX animal and the same force/energy as the sham treated animal. The maximum load is shown in Figure 4, the breaking load is shown in Figure 5 and the energy is shown in Figure 6.

工業應用Industrial application

本發明具有維持骨質健康或改善導致骨質流失之骨質再成型不平衡的效用。The present invention has the utility of maintaining bone health or improving bone remodeling imbalance leading to bone loss.

所描述之組合物可用作食品、飲料、食品添加劑、飲料添加劑、膳食增補劑、營養產品、醫學食品、保健食品、藥物或醫藥。The compositions described can be used as foods, beverages, food additives, beverage additives, dietary supplements, nutritional products, medical foods, health foods, pharmaceuticals or pharmaceuticals.

熟習此項技術者瞭解以上描述僅作為說明而提供且本發明不限於此。Those skilled in the art will appreciate that the above description is provided by way of illustration only and the invention is not limited thereto.

參考文獻references

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Gillies,R. Didier,N.,Denton,M. Determination of cell number in monolayer cultures,Analytical Biochemistry,1986,159:109-113)Gillies, R. Didier, N., Denton, M. Determination of cell number in monolayer cultures, Analytical Biochemistry, 1986, 159: 109-113)

Green JH,Booth C,Bunning R. Post prandial metabolic responses to milk enriched with milk calcium are different from responses to milk enriched with calcium carbonate. Asia Pacific J Clin Nutr 2003;12:109-19Green JH, Booth C, Bunning R. Post prandial metabolic responses to milk enriched with milk calcium are different from responses to milk enriched with calcium carbonate. Asia Pacific J Clin Nutr 2003;12:109-19

Murray T. Calcium nutrition and osteoporosis. CMAJ 1996;155:935-9。Murray T. Calcium nutrition and osteoporosis. CMAJ 1996; 155:935-9.

National Research Council .1995. Nutrient requirements of laboratory animals。第4版National Academic Press. Washington,DC。National Research Council .1995. Nutrient requirements of laboratory animals. 4th edition National Academic Press. Washington, DC.

Zikan V,Roubal P,Haast T,Stepan JJ.「Acute effects of calcium carbonate and milk on the calcium-parathyroid axis and bone resorption in healthy women.」In:Bruckhardt P,Dawson-Hughes B,Heaney RP編Nutritional Aspects of Osteoporosis:Proceedings of the 4th International Symposium Lausanne,2000年5月。Academic Press,London,2001. 131-140。Zikan V, Roubal P, Haast T, Stepan JJ. "Acute effects of calcium carbonate and milk on the calcium-parathyroid axis and bone resorption in healthy women." In: Bruckhardt P, Dawson-Hughes B, Heaney RP, Editorial Aspects of Osteoporosis: Proceedings of the 4 th International Symposium Lausanne, May 2000. Academic Press, London, 2001. 131-140.

圖1為展示與對照相比,以鹼性磷酸酶產量所表示之玫瑰果對於成骨細胞分化之效應之圖表(p=0.0093)。Figure 1 is a graph showing the effect of rose hips expressed by alkaline phosphatase production on osteoblast differentiation compared to control (p = 0.0093).

圖2為展示玫瑰果提取物對於破骨細胞生成之效應之圖表。玫瑰果隨劑量變化抑制破骨細胞之形成。結果與對照相比處於p<0.05。Figure 2 is a graph showing the effect of rosehip extract on osteoclastogenesis. Rose hips inhibit the formation of osteoclasts as a function of dosage. The results were at p < 0.05 compared to the control.

圖3為展示右股骨之三點彎曲測試之抗斷應力結果之圖表。一組大鼠進行假手術(假處理;n=15)且供給對照膳食歷時28週。另一組經切除卵巢且供給對照膳食(OVX;n=15)或含有玫瑰果提取物之治療膳食(玫瑰果;n=15)歷時28週。結果以平均值±SEM表示。結果顯示假處理與OVX之間之有顯著差異(p=0.0105)且假處理與玫瑰果之間(p=0.8450)或OVX與玫瑰果之間(p=0.5754)無顯著差異。Figure 3 is a graph showing the results of the stress resistance of the three-point bending test of the right femur. One group of rats underwent sham surgery (fake treatment; n=15) and the control diet was administered for 28 weeks. Another group of ovariectomized and treated diets (OVX; n=15) or a therapeutic diet containing rose hip extract (rose hips; n=15) lasted 28 weeks. Results are expressed as mean ± SEM. The results showed a significant difference between the pseudo-treatment and OVX (p=0.0105) and no significant difference between the pseudo-treatment and rose hip (p=0.8450) or between OVX and rose hip (p=0.5754).

圖4為展示右股骨之最大負荷之圖表。最大負荷定義為股骨在三點彎曲測試期間可承受之最大力。向45隻大鼠供給對照膳食歷時3週。3週之後,一組大鼠進行假手術(假處理;n=15)且繼續供給對照膳食。另外30隻大鼠經切除卵巢。向一組經切除卵巢之大鼠供給對照膳食(OVX;n=15)且向另一組供給增補玫瑰果之膳食(玫瑰果;n=15)。結果以平均值±SEM表示。結果顯示OVX與玫瑰果之間有顯著差異,p=0.035。Figure 4 is a graph showing the maximum load of the right femur. The maximum load is defined as the maximum force the femur can withstand during the three-point bending test. A control diet was administered to 45 rats for 3 weeks. After 3 weeks, a group of rats underwent sham surgery (fake treatment; n=15) and continued to supply a control diet. Another 30 rats were ovariectomized. A group of ovariectomized rats were fed a control diet (OVX; n=15) and the other group was supplemented with a rose hip diet (rose hips; n=15). Results are expressed as mean ± SEM. The results showed a significant difference between OVX and rose hip, p=0.035.

圖5為展示斷裂負荷之圖表。斷裂負荷為股骨骨折時之力,通常小於最大力。向45隻大鼠供給對照膳食歷時3週。3週之後,一組大鼠進行假手術(假處理;n=15)且繼續供給對照膳食。另外30隻大鼠經切除卵巢。向一組經切除卵巢之大鼠供給對照膳食(OVX;n=15)且向另一組供給增補玫瑰果之膳食(玫瑰果;n=15)。結果以平均值±SEM表示。結果顯示OVX與玫瑰果之間有顯著差異,p=0.030。Figure 5 is a graph showing the breaking load. The breaking load is the force at which the femur is fractured, usually less than the maximum force. A control diet was administered to 45 rats for 3 weeks. After 3 weeks, a group of rats underwent sham surgery (fake treatment; n=15) and continued to supply a control diet. Another 30 rats were ovariectomized. A group of ovariectomized rats were fed a control diet (OVX; n=15) and the other group was supplemented with a rose hip diet (rose hips; n=15). Results are expressed as mean ± SEM. The results showed a significant difference between OVX and rose hip, p=0.030.

圖6為展示使大鼠之右股骨斷裂時所消耗能量之圖表。向45隻大鼠供給對照膳食歷時3週。3週之後,一組大鼠進行假手術(假處理;n=15)且繼續供給對照膳食。另外30隻大鼠經切除卵巢。向一組經切除卵巢之大鼠供給對照膳食(OVX;n=15)且向另一組供給增補玫瑰果之膳食(玫瑰果;n=15)。結果以平均值±SEM表示。結果顯示OVX與玫瑰果之間有顯著差異,p=0.030。Figure 6 is a graph showing the energy consumed when the right femur of a rat is broken. A control diet was administered to 45 rats for 3 weeks. After 3 weeks, a group of rats underwent sham surgery (fake treatment; n=15) and continued to supply a control diet. Another 30 rats were ovariectomized. A group of ovariectomized rats were fed a control diet (OVX; n=15) and the other group was supplemented with a rose hip diet (rose hips; n=15). Results are expressed as mean ± SEM. The results showed a significant difference between OVX and rose hip, p=0.030.

(無元件符號說明)(no component symbol description)

Claims (15)

一種玫瑰果之水溶性提取物在製造供治療或預防以弱化或易碎骨骼為特徵之骨骼病狀之組合物之用途。 A use of a water-soluble extract of rosehip in the manufacture of a composition for treating or preventing a skeletal condition characterized by weakened or fragile bone. 如請求項1之用途,其中該用途係維持或增加骨質形成、維持或增加骨骼礦物密度、維持或增加骨質質量、刺激骨折癒合期間之骨質再生、降低骨質再吸收、減少骨質流失,或維持或增加骨質強度。 The use of claim 1, wherein the use is to maintain or increase bone formation, maintain or increase bone mineral density, maintain or increase bone quality, stimulate bone regeneration during fracture healing, reduce bone resorption, reduce bone loss, or maintain or Increase bone strength. 如請求項1之用途,其中該組合物提供每天每kg體重約1mg至約2000mg之玫瑰果水溶性提取物。 The use of claim 1, wherein the composition provides from about 1 mg to about 2000 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項1之用途,其中該組合物提供每天每kg體重約100mg至約1000mg之玫瑰果水溶性提取物。 The use of claim 1, wherein the composition provides from about 100 mg to about 1000 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項1之用途,其中該組合物提供每天每kg體重約50mg至約500mg之玫瑰果水溶性提取物。 The use of claim 1, wherein the composition provides from about 50 mg to about 500 mg of rosehip water-soluble extract per kg body weight per day. 如請求項1之用途,其中該組合物提供每天每kg體重約0.05mg至約300mg之玫瑰果水溶性提取物。 The use of claim 1, wherein the composition provides from about 0.05 mg to about 300 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項2之用途,其中該組合物提供每天每kg體重約1mg至約2000mg之玫瑰果水溶性提取物。 The use of claim 2, wherein the composition provides from about 1 mg to about 2000 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項2之用途,其中該組合物提供每天每kg體重約100mg至約1000mg之玫瑰果水溶性提取物。 The use of claim 2, wherein the composition provides from about 100 mg to about 1000 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項2之用途,其中該組合物提供每天每kg體重約50mg至約500mg之玫瑰果水溶性提取物。 The use of claim 2, wherein the composition provides from about 50 mg to about 500 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項2之用途,其中該組合物提供每天每kg體重約0.05mg至約300mg之玫瑰果水溶性提取物。 The use of claim 2, wherein the composition provides from about 0.05 mg to about 300 mg of rosehip water-soluble extract per kg of body weight per day. 如請求項1之用途,其中該組合物進一步包含一或多種 乳品成份。 The use of claim 1, wherein the composition further comprises one or more Dairy ingredients. 如請求項11之用途,其中該乳品成份選自包含以下各者之群:重組、粉末或新鮮脫脂乳、復原全脂或脫脂乳粉、脫脂乳濃縮物、脫脂乳保留物、濃縮乳、超濾乳保留物、乳蛋白濃縮物、乳蛋白分離物、去鈣之乳蛋白濃縮物、低脂肪乳、低脂肪乳蛋白濃縮物、酪蛋白、酪蛋白鹽、乳脂肪、高CLA乳脂肪、乳油、白脫油(butter)、脫水乳脂肪、白脫乳、白脫乳清、硬乳脂肪分離份、軟乳脂肪分離份、鞘脂分離份、乳脂肪球狀膜分離份、磷脂分離份、複合脂質分離份、初乳、初乳分離份、初乳蛋白濃縮物、初乳乳清、來自初乳之免疫球蛋白分離份、乳清、乳鐵傳遞蛋白、一或多種乳鐵傳遞蛋白片段、乳清蛋白分離物、乳清蛋白濃縮物、甜乳清、乳酸乳清、無機酸乳清、復原乳清粉、乳礦物、自任何乳或初乳加工物流衍生之組合物、自任何乳或初乳加工物流藉由超濾或微濾獲得之保留物或滲透物衍生之組合物、自任何乳或初乳加工物流藉由層析分離獲得之通過或吸附分離份衍生之組合物、任何該等成份之提取物,包括藉由多段分餾、差異結晶、溶劑分餾、超臨界分餾、近超臨界分餾、蒸餾、離心分餾或具有改質劑之分餾製備之提取物、任何該等成份之水解產物、該等水解產物之分離份及該等成份中之任何兩者或兩者以上之任何組合,包括水解分離份之組合、非水解分離份之組合,及水解及非水解分離份之組合。 The use of claim 11, wherein the dairy component is selected from the group consisting of recombinant, powder or fresh skim milk, reconstituted whole or skim milk powder, skim milk concentrate, skim milk retentate, concentrated milk, super Milk Retention Retention, Milk Protein Concentrate, Milk Protein Isolate, Calcium-Free Milk Protein Concentrate, Low-fat Milk, Low-fat Milk Protein Concentrate, Casein, Casein Salt, Milk Fat, High CLA Milk Fat, Emulsifiable Oil , butter, dehydrated milk fat, buttermilk, butter whey, hard milk fat fraction, soft milk fat fraction, sphingolipid fraction, milk fat globular membrane fraction, phospholipid fraction, compound Lipid fraction, colostrum, colostrum fraction, colostrum protein concentrate, colostrum whey, immunoglobulin fraction from colostrum, whey, lactoferrin, one or more lactoferrin fragments, Whey protein isolate, whey protein concentrate, sweet whey, lactic acid whey, mineral acid whey, reconstituted whey powder, milk minerals, compositions derived from any milk or colostrum processing stream, from any milk or Colostrum processing logistics a retentate or permeate-derived composition obtained by ultrafiltration or microfiltration, a composition derived by or separated from any milk or colostrum processing stream by chromatographic separation, an extract derived from any of the components, Including extracts prepared by multi-stage fractionation, differential crystallization, solvent fractionation, supercritical fractionation, near supercritical fractionation, distillation, centrifugal fractionation or fractionation with modifiers, hydrolysates of any of these components, such hydrolysates Any combination of any two or more of the fractions and the components, including combinations of hydrolyzed fractions, combinations of non-hydrolyzed fractions, and combinations of hydrolyzed and non-hydrolyzed fractions. 如請求項1之用途,其中該組合物進一步包含一或多種選自鈣、鎂、鋅、維生素D、維生素K、葉酸或葉酸鹽、維生素B6及維生素B12之藥劑。 The use of claim 1, wherein the composition further comprises one or more agents selected from the group consisting of calcium, magnesium, zinc, vitamin D, vitamin K, folic acid or folate, vitamin B6 and vitamin B12. 如請求項1之用途,其中該組合物為食品、甜點、乳、乳產品、乳粉、復原乳、醱酵乳、酸乳、飲用酸乳、凝固酸乳、飲料、食品添加劑、飲料添加劑、膳食增補劑、營養產品、醫學食品、保健食品或醫藥。 The use of claim 1, wherein the composition is food, dessert, milk, dairy product, milk powder, reconstituted milk, fermented milk, yogurt, drinking yogurt, coagulated yogurt, beverage, food additive, beverage additive, meal Additives, nutritional products, medical foods, health foods or medicines. 如請求項1至14中任一項之用途,其中該病狀為骨質疏鬆症或骨質減少。 The use of any one of claims 1 to 14, wherein the condition is osteoporosis or osteopenia.
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