TWI522108B - Compositions for treating diabetes - Google Patents

Compositions for treating diabetes Download PDF

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TWI522108B
TWI522108B TW099127102A TW99127102A TWI522108B TW I522108 B TWI522108 B TW I522108B TW 099127102 A TW099127102 A TW 099127102A TW 99127102 A TW99127102 A TW 99127102A TW I522108 B TWI522108 B TW I522108B
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compound
acid
diabetes
insulin
formula
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TW201206458A (en
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楊文欽
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中央研究院
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治療糖尿病之組合物Composition for treating diabetes

本發明係關於一種治療糖尿病之組合物,其係包含來自茯苓之萃取物,具體而言,此萃取物係以有機溶劑萃取而得。本發明亦關於一種治療糖尿病之組合物,其係包含具有式(I)之化合物。The present invention relates to a composition for treating diabetes comprising an extract derived from hydrazine, and in particular, the extract is obtained by extraction with an organic solvent. The invention also relates to a composition for the treatment of diabetes comprising a compound of formula (I).

茯苓(多孔茵科)為一種腐朽松樹上的真菌。長久以來被用為傳統中藥及食品。如先前所述,已有數種三萜化合物(triterpenes)從茯苓中被鑑定出來。參見,例如,Phytochemistry,vol. 32,No. 5,pp. 1239-1244,1993;以及Phytochemistry,vol. 39,No. 5,pp. 1165-1169。茯苓 (Polyaceae) is a fungus on decaying pine trees. It has long been used as a traditional Chinese medicine and food. As mentioned previously, several triterpenes have been identified from sputum. See, for example, Phytochemistry , vol. 32, No. 5, pp. 1239-1244, 1993; and Phytochemistry , vol. 39, No. 5, pp. 1165-1169.

糖尿病是一種嚴重的慢性代謝疾病,目前世界上有3%的人口受此疾病折磨。超過90%的糖尿病人口被診斷為第二型糖尿病。糖尿病起因於胰島素產生之缺陷、胰島素作用之缺陷或兩者皆具。治療糖尿病的藥物可為胰島素釋放劑(增加胰島素之釋放),或胰島素增敏劑(增進胰島素之作用),或類昇糖素胜肽-1(Glucagon-like peptide-1,GLP-1)等。然而,可用於糖尿病的臨床藥物並不多,且可用的藥物通常有不利的副作用,例如,功效隨時間減低及成本效益低。Diabetes is a serious chronic metabolic disease, and currently 3% of the world's population suffers from this disease. More than 90% of the diabetic population is diagnosed with type 2 diabetes. Diabetes is caused by defects in insulin production, defects in insulin action, or both. The drug for treating diabetes may be an insulin releasing agent (increasing the release of insulin), or an insulin sensitizer (promoting the action of insulin), or a Glucagon-like peptide-1 (GLP-1), etc. . However, there are not many clinical drugs available for diabetes, and available drugs often have adverse side effects such as reduced efficacy over time and low cost effectiveness.

因此,仍然需要治療糖尿病的替代藥劑。Therefore, there is still a need for alternative agents for treating diabetes.

基於生物活性導向分層及分離法(bioactivity-directed fractionation and isolation,BDFI,見圖1),我們證明茯苓之粗萃取物與氯仿分層以及從其中分離而得的三萜化合物於db/db小鼠表現出降血糖活性,以及於STZ小鼠表現出經由增進胰島素增敏劑活性而降低血糖濃度之能力,其係與過氧化體增殖劑活化受器-γ(PPAR-γ)路徑無關。我們的結果提供用於發展經由不同機制之對抗糖尿病之藥物的其他選擇。Based on bioactivity-directed fractionation and isolation (BDFI, see Figure 1), we demonstrate that the crude extract of ruthenium and chloroform are layered and the triterpenoids isolated therefrom are small in db/db. Mice exhibited hypoglycemic activity, and the ability of STZ mice to reduce blood glucose concentrations via increased insulin sensitizer activity was independent of the peroxisome proliferator-activated receptor-gamma (PPAR-[gamma]) pathway. Our results provide additional options for developing drugs that fight diabetes through different mechanisms.

因此,在一方面,本發明提供了一種治療糖尿病之組合物,其係包含有效量之來自茯苓之萃取物。具體而言,此茯苓萃取物係以有機溶劑萃取而得。在一特定實例中,使用的有機溶劑係選自由醇類、氯仿、乙酸乙酯及其任何組合所組成之群組。Accordingly, in one aspect, the invention provides a composition for treating diabetes comprising an effective amount of an extract from sputum. Specifically, the hydrazine extract is obtained by extraction with an organic solvent. In a particular example, the organic solvent used is selected from the group consisting of alcohols, chloroform, ethyl acetate, and any combination thereof.

在另一方面,本發明提供一種治療糖尿病之組合物,其係包含有效量之化合物式(I):In another aspect, the present invention provides a composition for treating diabetes comprising an effective amount of a compound of formula (I):

其中,R1為H、OH、酮基、OCH3或OR,R為烷基、烯基、炔基或單醣基;Ca-Cf,為三萜主鏈,包含Ca-Cd共軛烯基、Ca-Cb及/或Cd-Ce烯基、Cb-Cc烯基或Cc-Cf共軛烯基;R2為COOH、COOCH3或COOR,R為烷基、烯基或炔基;R3為2-(3-甲基-1-丁基)或1-異丙烯基;R4為CH3或OCH3;R5為H或與Cc形成O-O橋;以及R6為H或OH。Wherein, R 1 is H, OH, keto group, OCH 3 or OR, R is an alkyl group, alkenyl group, alkynyl group or mono-glycosylated; C a -C f, triterpene backbone, comprising C a -C d conjugated alkenyl group, C a -C b and / or C d -C e alkenyl, C b -C c alkenyl or C c -C f conjugated alkenyl group; R 2 is COOH, COOCH 3 or COOR, R Is an alkyl, alkenyl or alkynyl group; R 3 is 2-(3-methyl-1-butyl) or 1-isopropenyl; R 4 is CH 3 or OCH 3 ; R 5 is H or C c Forming an OO bridge; and R 6 is H or OH.

典型地,具有式(I)之化合物係由茯苓中分離而得。Typically, compounds of formula (I) are isolated from hydrazine.

具體而言,本發明中之組合物係作為胰島素增敏劑。更具體而言,此胰島素增敏劑與PPAR-γ無關。在一具體實施例中,依據本發明之組合物進一步包含此領域中已知之抗糖尿病藥劑,例如,來自咸豐草(Bidens pilosa)之產品。Specifically, the composition of the present invention is used as an insulin sensitizer. More specifically, this insulin sensitizer is independent of PPAR-γ. In a specific embodiment, the composition according to the invention further comprises an anti-diabetic agent known in the art, for example, a product from Bidens pilosa .

亦在本發明範圍之內的是一種如本文所描述之來自茯苓之萃取物及具有式(I)之化合物之用於治療糖尿病及製備治療糖尿病之藥劑之用途。具體而言,此藥劑係作為胰島素增敏劑。更具體而言,此胰島素增敏劑與PPAR-γ無關。在一具體實施例中,依據本發明之藥劑係與此領域已知之抗糖尿病藥劑結合使用,例如,來自咸豐草之產品。Also within the scope of the invention is an extract from medlar and a compound of formula (I) for use in the treatment of diabetes and in the preparation of a medicament for the treatment of diabetes. Specifically, this agent acts as an insulin sensitizer. More specifically, this insulin sensitizer is independent of PPAR-γ. In a specific embodiment, the pharmaceutical system according to the present invention is used in combination with an anti-diabetic agent known in the art, for example, a product from Xianfeng Grass.

本發明之一或多個具體實施例之細節陳述於下。其他本發明之特徵或優勢將從以下數個具體實施例之詳細說明及所附申請專利範圍中而清楚呈現。The details of one or more specific embodiments of the invention are set forth below. Other features and advantages of the present invention will be apparent from the description of the appended claims appended claims.

除非另外定義,所有本文中使用之技術及科學術語與熟習本發明所屬領域者之一般理解有相同的意義。所有本文中提及之文獻被併入本文作為參考資料以揭示及描述與引用文獻相關聯之方法及/或材料。Unless otherwise defined, all technical and scientific terms used herein have the same meaning meaning All documents mentioned herein are incorporated herein by reference to disclose and describe the methods and/or materials associated with the reference.

在本文中,除非文中另外明確規定,單數型式之「一」及「該」係包含複數個指稱物。因此,例如,當引述「一化合物」時,其係包含複數個熟習此領域者所知之此種化合物及其等同物。In this document, the singular forms "a", "the" Thus, for example, when reference is made to "a compound", it includes a plurality of such compounds and their equivalents known to those skilled in the art.

在一方面,本發明提供一種治療糖尿之組合物,其係包含有效量之來自茯苓之萃取物。In one aspect, the invention provides a composition for treating diabetes comprising an effective amount of an extract derived from mash.

如在此領域中所知,糖尿病包括第一型及第二型。本文所使用術語「第一型糖尿病」、「幼年發病型糖尿病」或「胰島素依賴型糖尿病」是指特徵為胰臟產生的胰島素過少或不產生胰島素之疾病。本文所使用術語「第二型糖尿病」、「成年發病型糖尿病」或「非胰島素依賴型糖尿病」是指特徵如下之疾病:即使有胰島素,仍有過多葡萄糖產生,且由於葡萄糖清除不充分,造成血糖維持於過高之濃度。As is known in the art, diabetes includes both first and second types. The term "type 1 diabetes", "young-onset diabetes" or "insulin-dependent diabetes" as used herein refers to a disease characterized by too little or no insulin produced by the pancreas. The term "type 2 diabetes", "adult-onset diabetes" or "non-insulin-dependent diabetes" as used herein refers to a disease characterized by excessive glucose production even with insulin and insufficient glucose clearance. Blood sugar is maintained at an excessively high concentration.

本文所使用「治療」乙詞包括預防特定失調或病狀,或減輕關聯於特定失調或病狀之症狀,及/或防止或消除上述症狀。例如,本文所使用的「治療糖尿病」乙詞一般而言意指降低葡萄糖濃度、增進胰島素敏感度或增加葡萄糖消耗。The term "treatment" as used herein includes the prevention of a particular disorder or condition, or the alleviation of symptoms associated with a particular disorder or condition, and/or the prevention or elimination of such symptoms. For example, the term "treating diabetes" as used herein generally refers to reducing glucose concentration, increasing insulin sensitivity, or increasing glucose consumption.

本文所使用的「有效量」是指不論單獨或與一或多種其他活性劑組合使用,各活性劑於個體提供治療效果之所需量。如熟習本領域者所認知,有效量係隨給藥途徑、賦形劑使用及與其他活性劑共同使用而變化。As used herein, "effective amount" refers to the amount of each active agent that provides a therapeutic effect to an individual, either alone or in combination with one or more other active agents. As will be appreciated by those skilled in the art, effective amounts will vary with the route of administration, the use of excipients, and in conjunction with other active agents.

本文所使用的「茯苓」包含此真菌類本身及任何由其製得之產品,例如,粉劑、顆粒、萃取物、切片、濃縮物及沈澱物。茯苓可從商業上獲得。茯苓之萃取物可以此領域中已知之方法製備。典型地,由台灣台北當地市場購得乾燥茯苓,將之研磨成粉末狀,並與溶劑混合形成懸浮液,再收集上清液,以取得茯苓之萃取物。可再接著進行為了濃縮之額外步驟,例如,蒸發,或為了純化之額外步驟,例如,過濾、離心及色層分析。在一具體實施例中,來自茯苓之萃取物係以有機溶劑萃取而得,具體而言,此有機溶劑係選自由醇類、氯仿、乙酸乙酯及其任何組合所組成之群組。「醇類」是指任何含有羥基(OH)之化合物,包括但不限於甲醇及乙醇。As used herein, "茯苓" encompasses the fungus itself and any products made therefrom, such as powders, granules, extracts, slurries, concentrates, and precipitates.茯苓 is commercially available. The extract of Lycium barbarum L. can be prepared by methods known in the art. Typically, dried mash is purchased from the local market in Taipei, Taiwan, ground into a powder, mixed with a solvent to form a suspension, and the supernatant is collected to obtain an extract of sputum. Additional steps for concentration, such as evaporation, or additional steps for purification, such as filtration, centrifugation, and chromatography, can be performed. In a specific embodiment, the extract from hydrazine is obtained by extraction with an organic solvent, specifically, the organic solvent is selected from the group consisting of alcohols, chloroform, ethyl acetate, and any combination thereof. "Alcohol" means any compound containing a hydroxyl group (OH) including, but not limited to, methanol and ethanol.

在另一方面,本發明提供一種治療糖尿病之組合物,其係包含化合物式(I):In another aspect, the present invention provides a composition for treating diabetes comprising a compound of formula (I):

其中,R1為H、OH、酮基、OCH3或OR,R為烷基、烯基、炔基或單醣基;Ca-Cf,為三萜主鏈,包含Ca-Cd共軛烯基、Ca-Cb及/或Cd-Ce烯基、Cb-Cc烯基或Cc-Cf共軛烯基;R2為COOH、COOCH3或COOR,R為烷基、烯基或炔基;R3為2-(3-甲基-1-丁基)或1-異丙烯基;R4為CH3或OCH3;R5為H或與Cc形成O-O橋;以及R6為H或OH。Wherein R 1 is H, OH, keto, OCH 3 or OR, R is alkyl, alkenyl, alkynyl or monosaccharide; C a- C f is a triterpene backbone comprising C a -C d conjugated alkenyl group, C a -C b and / or C d -C e alkenyl, C b -C c alkenyl group or a C c -C f conjugated alkenyl group; R 2 is COOH, COOCH 3 or COOR, R Is an alkyl, alkenyl or alkynyl group; R 3 is 2-(3-methyl-1-butyl) or 1-isopropenyl; R 4 is CH 3 or OCH 3 ; R 5 is H or C c Forming an OO bridge; and R 6 is H or OH.

「酮基」乙詞是指Rx(CO)Ry基團,其中Rx及Ry可各自獨立為烷基、烷氧基、烯基、炔基或芳基,透過碳-碳鍵結合至(CO)基團。The term "keto" refers to a Rx(CO)Ry group, wherein Rx and Ry are each independently alkyl, alkoxy, alkenyl, alkynyl or aryl, bonded to (CO) through a carbon-carbon bond. Group.

「烷基」乙詞是指直鏈或支鏈單價碳氫化合物,除非另外陳述,包含1至20個碳原子(例如,C1-C8)。烷基之實例包括但不限於甲基、乙基、正丙基、異丙基、正丁基、異丁基及第三丁基。「烯基」乙詞是指直鏈或支鏈雙價碳氫化合物,包含2至20個碳原子(例如,C2-C10)及一或多個雙鍵。烯基之實例包括但不限乙烯基、丙烯基、亞丙烯基、烯丙基及1,4-丁二烯基。「炔基」乙詞是指直鏈或支鏈單價或雙價碳氫化合物,包含2至20個碳原子(例如,C2-C10)及一或多個三鍵。炔基之實例包括但不限於乙炔基、亞乙炔基、1-丙炔基、1-及2-丁炔基及1-甲基-2-丁炔基。本文所使用的「單醣基」乙詞意謂可經糖苷鍵(酯鍵)連結之糖單元(如六碳糖或五碳糖),例如,葡萄糖基及阿拉伯糖基。在本文中,不論是單獨或結合使用,「共軛烯基」乙詞是指具有至少兩個碳-碳雙鍵之烯基,兩者係間隔一碳-碳單鍵。"Alkyl" is the term B means a straight or branched chain monovalent hydrocarbon, unless otherwise stated, contain 1 to 20 carbon atoms (e.g., C 1 -C 8). Examples of alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, and tert-butyl. The term "alkenyl" refers to a straight or branched divalent hydrocarbon containing from 2 to 20 carbon atoms (eg, C 2 -C 10 ) and one or more double bonds. Examples of alkenyl groups include, but are not limited to, vinyl, propenyl, propenylene, allyl, and 1,4-butadienyl. The term "alkynyl" refers to a straight or branched chain monovalent or divalent hydrocarbon containing from 2 to 20 carbon atoms (eg, C 2 -C 10 ) and one or more triple bonds. Examples of alkynyl groups include, but are not limited to, ethynyl, ethynylene, 1-propynyl, 1- and 2-butynyl, and 1-methyl-2-butynyl. As used herein, the term "monosaccharide" refers to a saccharide unit (such as a six-carbon sugar or a five-carbon sugar) that can be linked via a glycosidic linkage (ester linkage), for example, a glucosyl group and an arabinose group. As used herein, the term "conjugated alkenyl", when taken alone or in combination, refers to an alkenyl group having at least two carbon-carbon double bonds, both of which are separated by a carbon-carbon single bond.

本文中描述具有式(I)之三萜化合物包括此化合物本身及其鹽類、前藥及溶劑化物(如適當的話)。例如,鹽類可在陰離子及化合物上之陽離子基團(如,胺基)間形成。適合之陰離子包括氯、溴、碘、硫酸根、硝酸根、磷酸根、檸檬酸根、甲磺酸根、三氟醋酸根、醋酸根、蘋果酸根、甲苯磺酸根、酒石酸根、反丁烯二酸根、麩胺酸根、葡萄糖醛酸根、乳酸根、戊二酸根、及順丁烯二酸根。同樣地,鹽類亦可在陽離子及三萜化合物上之陰離子團(如,羧基)間形成。適合之陽離子包括鈉離子、鉀離子、鎂離子、鈣離子及銨陽離子,例如,四甲基銨離子。前藥之實例包括酯類及其他醫藥上可接受之化合物,其當投用於個體時,可提供具活性之三萜化合物。溶劑化物係指由具活性之三萜化合物與醫藥上可接受之溶劑形成之複合物。The triterpene compounds described herein having formula (I) include the compounds themselves as well as their salts, prodrugs and solvates (if appropriate). For example, a salt can be formed between an anion and a cationic group (e.g., an amine group) on the compound. Suitable anions include chlorine, bromine, iodine, sulfate, nitrate, phosphate, citrate, mesylate, trifluoroacetate, acetate, malate, tosylate, tartrate, fumarate, Glutamate, glucuronide, lactate, glutarate, and maleate. Similarly, salts can also be formed between the cation and an anion group (e.g., a carboxyl group) on the triterpene compound. Suitable cations include sodium ions, potassium ions, magnesium ions, calcium ions, and ammonium cations, for example, tetramethylammonium ions. Examples of prodrugs include esters and other pharmaceutically acceptable compounds which, when administered to an individual, provide an active triterpenoid compound. By solvate is meant a complex formed from a reactive triterpenoid compound with a pharmaceutically acceptable solvent.

在一具體實施例中,R1為OH;R2為COOH;三萜主鏈包含Ca-Cd共軛烯基;R3為2-(3-甲基-1-丁基);R4為CH3;R5為H;及/或R6為OH。In a particular embodiment, R 1 is OH; R 2 is COOH; the triterpene backbone comprises a C a -C d conjugated alkenyl group; and R 3 is 2-(3-methyl-1-butyl); 4 is CH 3 ; R 5 is H; and/or R 6 is OH.

在另一具體實施例中,R1為OH;R2為COOH;三萜主鏈包含Ca-Cd共軛烯基;R3為1-異丙烯基;R4為CH3;R5為H;及/或R6為H。In another particular embodiment, R 1 is OH; R 2 is of COOH; triterpene backbone comprises a C a -C d conjugated alkenyl group; R 3 is a 1-isopropenyl group; R 4 is CH 3; R 5 Is H; and/or R 6 is H.

在特定的實例中,本發明中之特定三萜化合物係選自由去氫16α-羥基齒孔酸(dehydrotumulosic acid,DHTuA)、茯苓酸(pachymic acid,PA)及去氫栓菌酸(dehydrotrametenolic acid,DHTA)所組成之群。DHTuA、PA及DHTA之結構如下:In a specific example, the specific triterpene compound of the present invention is selected from the group consisting of dehydrotumulosic acid (DHTuA), pachymic acid (PA), and dehydrotrametenolic acid (dehydrotrametenolic acid, Group of DHTA). The structure of DHTuA, PA and DHTA is as follows:

本發明使用之三萜化合物可為經分離之形式,即,以合成方法或由天然來源(如茯苓)富集而製備。經分離之三萜化合物係指一含有至少30%、較佳為至少40%、更佳為至少50%之該化合物的製備物(以乾重計)。經分離之化合物之純度可被測量,藉由,例如,管柱色層分析法、質譜分析、高效液相層析(HPLC)、NMR或任何其他合適之方法。分離此等化合物之方法已為此領域所熟知。參見,例如,Phytochemistry,vol. 32,No. 5,pp. 1239-1244;及Phytochemistry,vol. 39,No. 5,pp. 1165-1169。The triterpenoid compound used in the present invention may be in an isolated form, i.e., prepared by synthetic methods or by enrichment from a natural source such as hydrazine. By isolated triterpene compound is meant a preparation (by dry weight) containing at least 30%, preferably at least 40%, more preferably at least 50% of the compound. The purity of the isolated compound can be measured by, for example, column chromatography, mass spectrometry, high performance liquid chromatography (HPLC), NMR, or any other suitable method. Methods for isolating such compounds are well known in the art. See, for example, Phytochemistry , vol. 32, No. 5, pp. 1239-1244; and Phytochemistry , vol. 39, No. 5, pp. 1165-1169.

三萜化合物可包含非芳香族雙鍵及一或多個對稱中心。因此,三萜化合物可下列形式存在:消旋物及消旋混合物、單一鏡相異構物、單一非鏡相異構物、鏡相異構物混合物及順式或反式異構物。所有如上述之異構形式皆被考慮。The triterpene compound can comprise a non-aromatic double bond and one or more centers of symmetry. Thus, triterpenoid compounds can exist in the following forms: racemates and racemic mixtures, single mirror phase isomers, single non-mirror isomers, mirror phase isomer mixtures, and cis or trans isomers. All isomeric forms as described above are contemplated.

為了實施以上所述之治療,本文中所描述之茯苓之萃取物或一或多種三萜化合物可與生理上可接受之載體調配成組合物。To carry out the treatments described above, the extract of sputum or one or more triterpenoids described herein can be formulated into a composition with a physiologically acceptable carrier.

本文所使用的「生理上可接受」意謂此載體相容於此組合物所包含之活性成分,較佳地能穩定此活性成分,且對欲受治療之個體無害。載體可作為活性成分之稀釋劑、載劑、賦形劑或基質劑。適合的賦形劑之實例包含乳糖、右旋糖、蔗糖、山梨醇、甘露醇、澱粉、阿拉伯膠、磷酸鈣、藻朊酸鹽、膠黃蓍樹膠、明膠、矽酸鈣、微晶纖維素、聚乙烯吡咯烷酮、纖維素、無菌水、糖漿及甲基纖維素。此組合物可額外包含潤滑劑,例如,滑石、硬脂酸鎂及礦物油;潤濕劑;乳化及懸浮劑;防腐劑,例如,甲基苯甲酸及丙基羥基苯甲酸;甜味劑;及調味劑。As used herein, "physiologically acceptable" means that the carrier is compatible with the active ingredient contained in the composition, preferably to stabilize the active ingredient, and is not deleterious to the individual to be treated. The carrier can act as a diluent, carrier, excipient or matrix for the active ingredient. Examples of suitable excipients include lactose, dextrose, sucrose, sorbitol, mannitol, starch, gum arabic, calcium phosphate, alginate, gum arabic gum, gelatin, calcium citrate, microcrystalline cellulose. , polyvinylpyrrolidone, cellulose, sterile water, syrup and methylcellulose. The composition may additionally comprise a lubricant, for example, talc, magnesium stearate and mineral oil; wetting agents; emulsifying and suspending agents; preservatives, for example, methylbenzoic acid and propylhydroxybenzoic acid; sweeteners; And flavoring agents.

本發明中之組合物可經口服、非經腸胃、吸入噴霧或植入式儲藥器給藥。典型地,本發明中之組合物係供口服給藥。The compositions of the present invention can be administered orally, parenterally, by inhalation spray or in an implantable reservoir. Typically, the compositions of the invention are for oral administration.

無菌可注射組合物(例如,水性或油性懸浮液)可依據本領域已知之技術使用適合之分散劑或濕潤劑(例如,Tween 80)及懸浮劑配製之。無菌可注射製備物亦可為一溶於無毒、非經腸胃可接受之稀釋劑或溶劑中之無菌可注射溶液或懸浮液,例如,溶於1,3-丁二醇之溶液。在可接受之載劑及溶劑中,可使用的有甘露醇、水、林格氏溶液及等張氯化鈉溶液。另外,習知地使用無菌固定油作為溶劑或懸浮基質劑(合成的單甘油或雙甘油)。脂肪酸,例如,十八烯酸及其甘油酯衍生物,及醫藥上可接受之天然油,例如,橄欖油或篦麻油,特別是其聚氧乙烯化形式,可用於可注射物之製備。上述油溶液或懸浮液亦可包含長鍵醇類稀釋劑或分散劑,或羧甲基纖維素或類似之分散劑。Sterile injectable compositions (e.g., aqueous or oily suspensions) can be formulated according to techniques known in the art using suitable dispersing or wetting agents (for example, Tween 80) and suspending agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic, parenterally acceptable diluent or solvent, for example, a solution in 1,3-butanediol. Among the acceptable carriers and solvents, mannitol, water, Ringer's solution and isotonic sodium chloride solution can be used. In addition, sterile fixed oils are conventionally employed as a solvent or suspension base (synthetic monoglycerin or diglycerol). Fatty acids, for example, oleic acid and its glyceride derivatives, and pharmaceutically acceptable natural oils, for example, olive oil or castor oil, especially in its polyoxyethylated form, are useful in the preparation of injectables. The above oil solution or suspension may also contain a long-chain alcohol diluent or dispersant, or carboxymethyl cellulose or a similar dispersing agent.

口服組合物可以為任何可口服之藥劑形式,包括但不限於錠劑、膠囊、乳劑及水溶性懸浮劑、分散液及溶液。普遍使用之錠劑載體包括乳糖及玉米澱粉。潤滑劑如硬脂酸鎂亦典型地被添加於錠劑。對於膠囊形式之口服給藥,可用之稀釋劑包括乳糖及乾燥玉米澱粉。當水溶性懸浮劑或乳劑以口服給藥時,活性成分可被懸浮或溶解於一與乳化劑或懸浮劑混合之油相。如有需要,可添加特定甜味劑、調味劑或著色劑。Oral compositions can be in any form suitable for oral administration, including, but not limited to, lozenges, capsules, emulsions, and aqueous suspensions, dispersions and solutions. Tablet carriers commonly used include lactose and corn starch. Lubricants such as magnesium stearate are also typically added to the tablet. For oral administration in capsule form, diluents which may be employed include lactose and dried corn starch. When the water-soluble suspending agent or emulsion is administered orally, the active ingredient can be suspended or dissolved in an oil phase in admixture with an emulsifying or suspending agent. Specific sweeteners, flavoring or coloring agents may be added if desired.

吸入式組合物可以按照醫藥調配領域所熟知之技術製備,並可利用苯甲醇或其他適合之防腐劑、增進生物可用率之吸收促進劑、氟碳化物及/或其他在此領域中已知之助溶劑或分散劑,配製成溶於鹽水之溶液。Inhaled compositions can be prepared according to techniques well known in the art of pharmaceutical formulation, and may utilize benzyl alcohol or other suitable preservatives, absorption enhancers that enhance bioavailability, fluorocarbons, and/or other agents known in the art. A solvent or dispersant formulated as a solution in saline.

如以下實例所證實者,本發明之包含茯苓之萃取物或具有式(I)之化合物之組合物可降低血糖濃度,因此可用於治療糖尿病。具體而言,本發明之組合物係作為胰島素增敏劑。更具體而言,此胰島素增敏劑係與PPAR-γ無關。As evidenced by the following examples, the extract comprising hydrazine or the composition of the compound of formula (I) of the present invention lowers blood glucose concentration and is therefore useful for treating diabetes. In particular, the compositions of the invention are useful as insulin sensitizers. More specifically, this insulin sensitizer is independent of PPAR-γ.

「胰島素增敏劑」乙詞是指藉由增進在目標組織之胰島素作用而顯現降血糖活性之化合物。胰島素增敏劑係藉由容許身體對於胰島素之分泌表現出更正常的反應而對具胰島素抗性之病人的治療特別有用,其抑制胰臟分泌過多胰島素並幫助恢復荷爾蒙平衡。The term "insulin sensitizer" refers to a compound which exhibits hypoglycemic activity by enhancing the action of insulin in a target tissue. Insulin sensitizers are particularly useful for the treatment of insulin-resistant patients by allowing the body to exhibit a more normal response to insulin secretion, which inhibits pancreatic secretion of insulin and helps restore hormonal balance.

在一具體實例中,本發明中之組合物進一步包含此領域已知之抗糖尿病藥品,例如,來自咸豐草(Bidens pilosa)之產品。In one embodiment, the compositions of the present invention further comprise an anti-diabetic drug known in the art, for example, a product from Bidens pilosa .

亦在本發明範圍之內的是一種如本文所描述之來自茯苓之萃取物及具有式(I)之化合物之用於治療糖尿病及製備治療糖尿病之藥劑之用途。具體而言,此藥劑係作為胰島素增敏劑。更具體而言,此胰島素增敏劑係與PPAR-γ無關。在一具體實施例中,依據本發明之藥劑係與此領域已知之抗糖尿病藥品結合使用,例如,來自咸豐草之產品。Also within the scope of the invention is an extract from medlar and a compound of formula (I) for use in the treatment of diabetes and in the preparation of a medicament for the treatment of diabetes. Specifically, this agent acts as an insulin sensitizer. More specifically, this insulin sensitizer is independent of PPAR-γ. In a specific embodiment, the pharmaceutical system according to the present invention is used in combination with an anti-diabetic drug known in the art, for example, a product from Xianfeng Grass.

在無進一步闡述之下,相信以上說明已充分地使本發明可據以實施。因此,以下特定實例應被理解為僅係例示說明,而無論如何非以任何方式限制本說明書中的其他部分。所有本文中引用之文獻包括專利文件,在此以其全文併入作為參考資料。Without further elaboration, it is believed that the foregoing description may be Accordingly, the following specific examples are to be understood as merely illustrative, and in no way limit the. All documents cited herein are incorporated herein by reference in their entirety.

材料material

二甲基亞碸(DMSO)、瑪爾胰(glimepiride,GLM)、甲福明(metformin,Met)、甲醇、乙酸乙酯(EA)、氯仿、氰甲烷(ACN)、三氟乙酸(TFA)及鏈脲佐菌素(streptozocin,STZ)由Sigma-Aldrich公司(美國,密蘇里州)購得。茯苓酸及胰島素分別由Apin化學有限公司(牛津郡,英國)及諾和諾德公司(紐澤西州,美國)購得。3T3-L1脂肪細胞培養於37℃、5% CO2及DMEM培養液(Invitrogen,加州,美國)輔加以10%小牛血清(BCS)、100單位/ml之青黴素、100 μg/ml之鍊黴素、6 mM之HEPES(Invitrogen,加州,美國)及2 mM之L-麩醯胺酸(Invitrogen)。pSGGAL-PPAR-γ,其表現Gal-4 DNA結合域連接至PPAR-γ配體結合域之嵌合蛋白質,以及(UAS)5-tk-LUC報導者構築體,其包含連接至冷光酶基因之酵母菌上游激活序列五聚體,均係由Krister Bamberg博士(阿斯特捷利康公司,默恩達爾市,瑞典)慷慨贈與。Dimethyl sulfoxide (DMSO), glimepiride (GLM), metformin (Met), methanol, ethyl acetate (EA), chloroform, cyanomethane (ACN), trifluoroacetic acid (TFA) And streptozocin (STZ) was purchased from Sigma-Aldrich (Missouri, USA). Tannin and insulin were purchased from Apin Chemical Co., Ltd. (Oxfordshire, England) and Novo Nordisk (New Jersey, USA). 3T3-L1 adipocytes were cultured at 37 ° C, 5% CO 2 and DMEM medium (Invitrogen, California, USA) supplemented with 10% calf serum (BCS), 100 units/ml penicillin, 100 μg/ml of Streptomyces , 6 mM HEPES (Invitrogen, California, USA) and 2 mM L-glutamic acid (Invitrogen). pSGGAL-PPAR-γ, a chimeric protein that expresses a Gal-4 DNA binding domain linked to a PPAR-γ ligand binding domain, and a (UAS) 5-tk-LUC reporter construct comprising a gene linked to a cold light enzyme The upstream activated sequence pentamers of yeast are generously donated by Dr. Krister Bamberg (Asttricon, Moendal, Sweden).

統計分析Statistical Analysis

三次或更多次獨立實驗之結果以平均值±標準誤差呈現。數據以ANOVA分析。當適合檢測顯著差異之來源時,使用Bonferroni法進行事後比較。P值小於0.05之差異被認為具統計學上之顯著意義。The results of three or more independent experiments are presented as mean ± standard error. Data were analyzed by ANOVA. Post-comparison comparisons were made using the Bonferroni method when it was appropriate to detect sources of significant differences. Differences in P values less than 0.05 were considered statistically significant.

實例1:茯苓之粗萃取物、分層及三萜化合物之製備Example 1: Preparation of Crude Extract, Layering and Preparation of Triterpenoid Compound

茯苓由台灣台北當地市場購得。其經台灣財團法人生物技術開發中心鑑定。證據標本係寄存於農業生物科技研究中心。It was purchased by the local market in Taipei, Taiwan. It was appraised by the Taiwan Biotechnology Development Center. The evidence specimens are deposited in the Agricultural Biotechnology Research Center.

為製備茯苓之甲醇粗萃取物,將乾燥茯苓研磨成粉末狀。以甲醇(1:10 w/v)萃取茯苓粉末(5 kg),三次六天,產生純度7.5‰之甲醇萃取物。將此甲醇粗萃取物溶於水(1L)中並以氯仿(1 L×5)區隔萃取之。取得氯仿分層(0.82‰)後,剩餘之萃取物進一步以乙酸乙酯(1 L×5)區隔萃取之,產生乙酸乙酯分層(2.9‰)及水分層(1.8‰)。藉由使用設定為流速5 ml/min、以242 nm紫外光進行偵測之正相高效液相層析(HPLC)管柱(Phenomenex,Luna 5 μ silica,250×10 mm),具活性之氯仿分層被進一步分層為氯仿次分層1(0.10‰)、2(0.11‰)、3(0.11‰)、4(0.12‰)、5(0.10‰)、及6(0.24‰)。HPLC之溶劑梯度為乙酸乙酯(A)及正己烷(B):0至60分鐘,30%A;60至90分鐘,100%A。如同被發表於他處(J Pharm Biomed Anal 2009;49:267-275),使用設定為流速1 ml/min、以242 nm紫外光進行偵測之RP-C 18HPLC管柱(Phenomenex,Luna 5 μ C18,250×4.6 mm),以描述此六個氯仿次分層之化學特徵。HPLC之溶劑梯度為水/0.05% TFA(C)及乙腈/0.05%之TFA(D):0至15分鐘,5至15%D;15至35分鐘,5至20%之D;35至65分鐘,20至40%之D;65至100分鐘,40至100%之D;100至110分鐘,100%之D。使用流速5 ml/min、以242 nm紫外光進行偵測之RP HPLC管柱(Cosmosil,5 μ C18,250×10 mm),由氯仿次分層中鑑定出三萜化合物。HPLC使用之溶劑梯度為水/0.05%之TFA(E)及乙腈/0.05%之TFA(F):0至10分鐘,30至52%之F;10至50分鐘,51至100%之F;50至60分鐘,100%之F。藉由比較得自NMR及MS之數據與先前已發表之數據(J Pharm Biomed Anal 2009;49:267-275;Phytochemistry 1993;32:1239-1244;Phytochemistry 1995;39:1165-1169),鑑定出去氫16α-羥基齒孔酸、去氫栓菌酸及茯苓酸。To prepare a crude methanol extract of hydrazine, the dried mash was ground to a powder. The cerium powder (5 kg) was extracted with methanol (1:10 w/v) three times for six days to yield a methanol extract of 7.5 纯度 purity. The crude methanol extract was dissolved in water (1 L) and extracted with chloroform (1 L x 5). After chloroform layering (0.82 Torr) was obtained, the remaining extract was further extracted with ethyl acetate (1 L×5) to give ethyl acetate layer (2.9 ‰) and water layer (1.8 ‰). Active chloroform by using a normal phase high performance liquid chromatography (HPLC) column (Phenomenex, Luna 5 μ silica, 250 × 10 mm) set to a flow rate of 5 ml/min and detected with 242 nm UV light. The layering was further layered into chloroform sub-layers 1 (0.10 ‰), 2 (0.11 ‰), 3 (0.11 ‰), 4 (0.12 ‰), 5 (0.10 ‰), and 6 (0.24 ‰). The solvent gradient for HPLC was ethyl acetate (A) and n-hexane (B): 0 to 60 minutes, 30% A; 60 to 90 minutes, 100% A. As published elsewhere ( J Pharm Biomed Anal 2009; 49:267-275), an RP-C 18 HPLC column (Phenomenex, Luna 5 μ) set at a flow rate of 1 ml/min and detected at 242 nm UV light C18, 250 x 4.6 mm) to describe the chemical characteristics of the six chloroform sub-layers. The solvent gradient for HPLC is water/0.05% TFA (C) and acetonitrile/0.05% TFA (D): 0 to 15 minutes, 5 to 15% D; 15 to 35 minutes, 5 to 20% D; 35 to 65 Minutes, 20 to 40% of D; 65 to 100 minutes, 40 to 100% of D; 100 to 110 minutes, 100% of D. A ruthenium compound was identified from a chloroform sub-layer using a RP HPLC column (Cosmosil, 5 μC18, 250 × 10 mm) with a flow rate of 5 ml/min and detection at 242 nm. The solvent gradient used in HPLC was water/0.05% TFA (E) and acetonitrile/0.05% TFA (F): 0 to 10 minutes, 30 to 52% F; 10 to 50 minutes, 51 to 100% F; 50 to 60 minutes, 100% F. Identification was obtained by comparing data from NMR and MS with previously published data ( J Pharm Biomed Anal 2009; 49:267-275; Phytochemistry 1993; 32:1239-1244; Phytochemistry 1995; 39:1165-1169) Hydrogen 16α-hydroxy perforate, dehydroabietic acid and citric acid.

圖1A標示茯苓粗之粗萃取物、分層、次分層及三萜化合物之產率。測定HPLC圖譜,如圖1B所示。根據此處之結果,氯仿次分層4及6具活性,而在具活性之氯仿次分層4中鑑定出一種三萜化合物,去氫16α-羥基齒孔酸。另外兩種三萜化合物:茯苓酸及去氫栓菌酸,則分離自不具活性之氯仿次分層2及3中。Figure 1A shows the crude extract, layered, sub-layered and triterpene compound yields. The HPLC profile was determined as shown in Figure 1B. According to the results herein, chloroform sub-layers 4 and 6 are active, while in the active chloroform sub-layer 4, a triterpenoid compound, dehydrogenated 16α-hydroxy perforate, is identified. The other two triterpenoids, citric acid and dehydroabietic acid, were isolated from the non-active chloroform sub-layers 2 and 3.

實例2:生物分析Example 2: Biological Analysis 2.1 動物2.1 Animals

從傑克森實驗室(緬因州,美國)及國家實驗研究院實驗動物中心(台灣,台北)購買動物,其係具有瘦素受器之點突變的雄性C57BL/KsJ-db/db小鼠,及雄性C57BL/6J小鼠。所有的動物均根據中央研究院動物實驗管理小組之準則飼養及處理。Animals were purchased from Jackson Laboratory (Maine, USA) and the National Experimental Research Laboratory Experimental Animal Center (Taiwan, Taipei), which were male C57BL/KsJ-db/db mice with point mutations in leptin receptors. And male C57BL/6J mice. All animals were housed and treated according to the guidelines of the Academia Sinica Animal Management Group.

2.2於第二型糖尿病模型之降血糖作用2.2 hypoglycemic effect in type 2 diabetes model

6至8週齡之糖尿病C57BL/KsJ小鼠(第二型)在實驗前被禁食12小時,接著使其自由取得食物及水2小時。在時間點0,將食物移去(水可取得),由此時間點起取樣之血液屬於餐後。分組後,小鼠以管灌餵食載劑、甲福明(metformin,此領域中已知之抗糖尿病藥物)、粗萃取物、分層、次分層或經分離之化合物。監測餐後血糖濃度4小時。表1顯示結果。Six to eight week old diabetic C57BL/KsJ mice (type 2) were fasted for 12 hours prior to the experiment and then allowed to free access to food and water for 2 hours. At time 0, the food is removed (water is available), and the blood sampled at this point in time belongs to the postprandial. After grouping, the mice were fed a tube carrier, metformin (an anti-diabetic drug known in the art), a crude extract, a layered, sub-stratified or isolated compound. The postprandial blood glucose concentration was monitored for 4 hours. Table 1 shows the results.

表1A顯示茯苓之粗萃取物於db/db小鼠之降血糖作用。Table 1A shows the hypoglycemic effect of the crude extract of Lycium barbarum L. in db/db mice.

註:糖尿病db/db小鼠以管灌餵食水(Ctr)、甲福明(Met,60 mg/kg體重)及粗萃取物(CE,10、50、100 mg/kg體重)。於管灌餵食前(0小時)及後(1至4小時)測量血糖濃度。Note: Diabetic db/db mice were fed with water (Ctr), metformin (Met, 60 mg/kg body weight) and crude extract (CE, 10, 50, 100 mg/kg body weight). Blood glucose concentrations were measured before (0 hours) and after (1 to 4 hours) tube feeding.

如表1A所示,糖尿病db/db小鼠自發地產生高血糖症,其餐後血糖濃度大約在350到400 mg/dL之間,而接受一劑量的對照載劑之db/db小鼠,其血糖濃度在4小時後降至165 mg/dL。如預期地,甲福明顯著地降低db/db小鼠之血糖濃度。出人意料地,茯苓之粗萃取物在50或100 mg/kg體重之單一劑量下亦顯著地降低血糖濃度。As shown in Table 1A, diabetic db/db mice spontaneously developed hyperglycemia with a postprandial blood glucose concentration of approximately 350 to 400 mg/dL, whereas db/db mice receiving a dose of control vehicle, Its blood glucose concentration dropped to 165 mg/dL after 4 hours. As expected, formazan significantly reduced the blood glucose concentration of db/db mice. Unexpectedly, the crude extract of sputum also significantly reduced blood glucose concentration at a single dose of 50 or 100 mg/kg body weight.

表1B展示茯苓之水、乙酸乙酯及氯仿分層於db/db小鼠之降血糖作用。Table 1B shows the hypoglycemic effect of sputum water, ethyl acetate and chloroform layered on db/db mice.

註:與表1A步驟相同,除了改以水(Ctr)、甲福明(Met,60 mg/kg體重)、水分層(Water,50 mg/kg體重)、乙酸乙酯分層(EA,50 mg/kg體重)及氯仿分層(Chl,50 mg/kg體重)投餵。Note: Same as the procedure in Table 1A except that water (Ctr), metformin (Met, 60 mg/kg body weight), water layer (Water, 50 mg/kg body weight), ethyl acetate layer (EA, 50) Mg/kg body weight) and chloroform layer (Chl, 50 mg/kg body weight) were administered.

如表1B所示,接受一劑量的對照載劑之db/db小鼠,其血糖濃度在4小時後降至164.5 mg/dL,甲福明有效地降低血糖濃度,而出人意料地,氯仿分層亦顯著地降低血糖濃度。As shown in Table 1B, db/db mice receiving a dose of control vehicle reduced their blood glucose concentration to 164.5 mg/dL after 4 hours, and metformin effectively lowered blood glucose levels, and surprisingly, chloroform stratified It also significantly reduces blood sugar levels.

吾人進一步評估來自具活性之氯仿分層之氯仿次分層1至6的降血糖效應。表1C顯示結果。We further evaluated the hypoglycemic effect of chloroform sub-stratification from 1 to 6 with active chloroform stratification. Table 1C shows the results.

註:與表1A步驟相同,除了改以水(Ctr)、甲福明(Met,60 mg/kg體重)及六個氯仿次分層(Chl-1至Chl-6,50 mg/kg體重)投餵。Note: Same as the procedure in Table 1A except that water (Ctr), metformin (Met, 60 mg/kg body weight) and six chloroform substrates (Chl-1 to Chl-6, 50 mg/kg body weight) Feeding.

如表1C所示,相較於對照載劑,一劑量之甲福明有效地降低db/db小鼠之血糖濃度,而氯仿次分層4及6亦比其他四個次分層以較大幅度地顯著降低血糖濃度。此次分層4(50 mg/kg體重)之降血糖作用似乎較次分層6(50 mg/kg體重)持久。As shown in Table 1C, one dose of metformin effectively reduced the blood glucose concentration of db/db mice compared to the control vehicle, while chloroform sub-stratifications 4 and 6 were larger than the other four sub-stratifications. Significantly lower blood glucose levels. The grading 4 (50 mg/kg body weight) hypoglycemic effect seems to last longer than the secondary stratification 6 (50 mg/kg body weight).

最後,吾人評估如實例1中獲得之三萜化合物於db/db小鼠之降血糖作用。表1D顯示結果。Finally, we evaluated the hypoglycemic effect of the triterpenoid compound obtained in Example 1 in db/db mice. Table 1D shows the results.

註:與表1A步驟相同,除了改以DMSO/水(Ctr)、甲福明(Met,60 mg/kg體重)、去氫16α-羥基齒孔酸(DHTuA,1、5、10 mg/kg體重)、茯苓酸(PA,1、5、10 mg/kg體重)及去氫栓菌酸(DHTA,1、5、10 mg/kg體重)投餵。所有以上之數據以平均值±標準誤差表示。P值(*)小於0.05被認為具統計學上之顯著意義。實驗小鼠之數目標示於括號中。Note: Same as the procedure in Table 1A except that DMSO/water (Ctr), metformin (Met, 60 mg/kg body weight), dehydrogenated 16α-hydroxyporous acid (DHTuA, 1, 5, 10 mg/kg) Body weight), niacin (PA, 1, 5, 10 mg/kg body weight) and dehydroabietic acid (DHTA, 1, 5, 10 mg/kg body weight) were administered. All of the above data are expressed as mean ± standard error. A P value (*) of less than 0.05 was considered to be statistically significant. The number of experimental mice is indicated in brackets.

類似於甲福明,去氫16α-羥基齒孔酸於db/db小鼠顯示顯著的降血糖活性,而去氫栓菌酸及茯苓酸亦顯示降血糖活性。Similar to metformin, dehydrogenated 16α-hydroxy perforate showed significant hypoglycemic activity in db/db mice, while dehydrochaetinoic acid and citric acid also showed hypoglycemic activity.

2.3於第一型糖尿病模型之降血糖作用2.3 hypoglycemic effect in the first type of diabetes model

為瞭解茯苓之粗萃取物及三萜化合物之抗糖尿病機制,吾人於β胰島細胞被破壞之經STZ處理的小鼠(第一型)中檢驗其降血糖作用。5週齡之C57BL/6J小鼠經腹腔注射之鏈尿佐菌素(STZ,200 mg/kg)處理。選出餐後血糖濃度高於500 mg/dL及血清中胰島素濃度低於0.18 ng/ml之小鼠,然後以管灌餵食對照用劑、甲福明、瑪爾胰(glimepiride,此領域已知之另一抗糖尿病藥物)、粗萃取物及經分離之化合物(時間點-1小時)。管灌餵食小鼠後60分鐘,小鼠經腹腔注射2.5 IU/kg(體重)之胰島素。測量4小時內之血糖濃度,並且於所有時間點均使小鼠可自由取得食物及水。血糖濃度係使用Elite血糖測試儀(美國,賓州,拜耳公司)測量。此實驗修改自先前之研究(Diabetes 2000;49:436-444;J Ethnopharmacol 2009;122:379-383)。表2顯示茯苓之粗萃取物及三萜化合物於STZ處理小鼠之降血糖作用。In order to understand the anti-diabetic mechanism of the crude extract and the triterpenoid compound, we tested the hypoglycemic effect in STZ-treated mice (type 1) in which β-islet cells were destroyed. Five-week-old C57BL/6J mice were treated with intraperitoneal injection of streptozotocin (STZ, 200 mg/kg). Mice with a blood glucose concentration higher than 500 mg/dL and a serum insulin concentration of less than 0.18 ng/ml were selected, and then the control agent, metformin, and melmepiride were fed by tube irrigation (known in this field). An anti-diabetic drug), a crude extract and an isolated compound (time point - 1 hour). Sixty minutes after the tube was fed with the mice, the mice were intraperitoneally injected with 2.5 IU/kg of body weight of insulin. The blood glucose concentration was measured within 4 hours, and the mice were given free access to food and water at all time points. Blood glucose concentrations were measured using an Elite blood glucose tester (Bayer, PA, USA). This test modified from the previous study (Diabetes 2000; 49: 436-444; J Ethnopharmacol 2009; 122: 379-383). Table 2 shows the hypoglycemic effect of the crude extract of sputum and the triterpenoid compound in STZ-treated mice.

註:針對已接受高劑量STZ之C57BL/6J小鼠,以管灌餵食一劑量之載劑(DMSO/水,Ctr)、福甲明(Met)、瑪爾胰(GLM)、茯苓之粗萃取物(CE)、去氫16α-羥基齒孔酸(DHTuA)、去氫栓菌酸(DHTA)及茯苓酸(PA)。於管灌餵食及腹腔注射胰島素(2.5 IU/kg體重)之前(-1及0小時)及之後(1至4小時)測定血糖濃度。P值(*)小於0.05被認為具統計學上之顯著意義。Note: For C57BL/6J mice that have received high doses of STZ, one dose of vehicle (DMSO/water, Ctr), formic acid (Met), Marlin (GLM), and crude extract of sputum are fed by tube irrigation. (CE), dehydrogenated 16α-hydroxy perforate (DHTuA), dehydroabietic acid (DHTA) and citric acid (PA). Blood glucose concentrations were determined before (-1 and 0 hours) and after (1 to 4 hours) before tube feeding and intraperitoneal injection of insulin (2.5 IU/kg body weight). A P value (*) of less than 0.05 was considered to be statistically significant.

如表2所示,胰島素投藥可降低STZ小鼠之血糖濃度,且如預期,瑪爾胰(胰島素釋放劑)於STZ處理之小鼠未顯示受胰島素調節之血糖下降,但甲福明(胰島素增敏劑)則有效地增強受胰島素調節之血糖下降。藉由與甲福明相同之方式,茯苓之粗萃物增強受胰島素調節之血糖下降。去氫16α-羥基齒孔酸、去氫栓菌酸及(如果有的話)苻苓酸亦得到相似的結果。上述結果說明茯苓及三萜化合物具有胰島素增敏劑之活性而非胰島素釋放劑。As shown in Table 2, insulin administration reduced the blood glucose concentration of STZ mice, and as expected, Marse's pancreas (insulin release agent) did not show insulin-regulated blood glucose decline in STZ-treated mice, but metformin (insulin) The sensitizer) effectively enhances the insulin-regulated blood glucose drop. In the same manner as metformin, the crude extract of sputum enhances insulin-regulated blood glucose decline. Similar results were obtained with dehydrogenation of 16α-hydroxy perforate, dehydroabietic acid and, if any, citric acid. The above results indicate that the guanidine and triterpenoid compounds have an activity as an insulin sensitizer rather than an insulin release agent.

2.4 PPAR-γ報導者分析2.4 PPAR-γ reporter analysis

PPAR-γ在葡萄糖代謝中扮演一種角色,其係胰島素增敏藥物之標的。因此,吾人進一步檢驗茯苓之粗萃取物及三萜化合物是否調節PPAR-γ之活化。使用設定為260 V及975μF之Bio-Rad電穿孔器(加州,Hercules,Bio-Rad公司),以pSGGAL-PPAR-γ及(UAS)5-tk-LUC對3T3-L1(107)細胞進行電穿孔。轉染後2小時,將細胞分組,以DMSO、羅格列酮(rosiglitazone,RSG)、茯茯之粗萃取物及三萜化合物處理24小時。10 μg之全細胞溶解物進行雙冷光酶分析,如已發表文獻所示(Mol Immunol 2009;46:3218-3223)。PPAR-γ活性倍數定義為螢火蟲/水母冷光酶比例,經過對照組之螢火蟲/水母冷光酶比例之正常化。圖3顯示結果。PPAR-γ plays a role in glucose metabolism, which is the target of insulin sensitizing drugs. Therefore, we further examined whether the crude extract and the triterpenoid compound regulate the activation of PPAR-γ. 3T3-L1 (10 7 ) cells were treated with pSGGAL-PPAR-γ and (UAS)5-tk-LUC using a Bio-Rad electroporator (Hercules, Bio-Rad, Calif.) set at 260 V and 975 μF. Electroporation. Two hours after transfection, the cells were grouped and treated with DMSO, rosiglitazone (RSG), crude extract of sputum and triterpenoids for 24 hours. 10 μg of whole cell lysate was subjected to double luminescence enzyme assay as shown in published literature ( Mol Immunol 2009; 46:3218-3223). The PPAR-γ activity multiple was defined as the firefly/jellyfish luminescence enzyme ratio, normalized by the firefly/jelly chilling enzyme ratio of the control group. Figure 3 shows the results.

如預期,羅格列酮(PPAR-γ激動劑)可活化PPAR-γ。然而,茯苓之粗萃取物、去氫栓菌酸及茯苓酸並不活化PPAR-γ。所有數據暗示茯苓及三萜化合物經由之胰島素感度增強以降低血糖濃度,其與PPAR-γ無關(圖3)。As expected, rosiglitazone (PPAR-gamma agonist) activates PPAR-[gamma]. However, the crude extract, dehydroabietic acid and citric acid did not activate PPAR-γ. All data suggest that sputum and triterpenoids are enhanced by insulin sensitivity to lower blood glucose concentrations, which is independent of PPAR-[gamma] (Figure 3).

整體而言,db/db小鼠及STZ處理的小鼠之實驗顯示茯苓之粗萃取物及三萜化合物顯著地增強胰島素敏感度,並因此降低糖尿病小鼠模型之血糖濃度。此增強係與PPAR-γ活化無關。Overall, experiments with db/db mice and STZ-treated mice showed that crude extracts of triterpenoids and triterpenoids significantly enhanced insulin sensitivity and thus reduced blood glucose concentrations in diabetic mouse models. This enhancement is independent of PPAR-γ activation.

其他具體實例Other specific examples

所有於本說明書中揭示之特徵可以任何方式組合。本說明書中揭示之每一特徵可被取代為一作為相同、等同或類似目的之替代特徵。因此,除非另外清楚地陳述,所揭示的每一特徵僅係同屬性之一系列的等同物或具類似特徵者的一個實例。All features disclosed in this specification can be combined in any manner. Each feature disclosed in this specification can be substituted for an alternative feature that is the same, equivalent, or the like. Therefore, unless expressly stated otherwise, each feature disclosed is merely an equivalent of the one of the one of the

由以上描述,熟習此領域者可容易地確認本發明之必要特徵,並可以在不脫離其精神及範圍下,做出本發明之各式變化及修改,以使其適應於各種使用及狀況。因此,其他具體實例亦在申請專利範圍之中。From the above description, those skilled in the art can readily clarify the essential features of the invention, and various modifications and changes can be made to the various uses and conditions without departing from the spirit and scope of the invention. Therefore, other specific examples are also in the scope of patent application.

為了例示說明本發明,在圖示顯示目前較佳之具體實施例。然而應理解的是,本發明不限於所示之較佳具體實施例。To illustrate the invention, the presently preferred embodiments are shown in the drawings. However, it should be understood that the invention is not limited to the preferred embodiments shown.

在圖式中:In the schema:

圖1顯示以生物活性導向分層及分離法(bioactivity-directed fractionation and isolation,BDFI)研究茯苓及其對糖尿病具活性之化合物。Figure 1 shows a bioactive-directed fractionation and isolation (BDFI) study of sputum and its activity against diabetes.

圖2顯示茯苓之粗萃取物、分層(fractions)、次分層(sub-fractions)及三萜化合物之分離步驟及其高效液相層析(High-performance liquid chromatography,HPLC)圖譜。圖2A呈現茯苓之粗萃取物、分層、次分層及三萜化合物之製備步驟流程圖,其產率標示於括號中。圖2B呈現使用HPLC管柱後以紫外光偵測器偵測而獲得的茯苓之粗萃取物及分層之化學圖譜,其中去氫16α-羥基齒孔酸(dehydrotumulosic acid,DHTuA,1)、茯苓酸(pachymic acid,PA,2)及去氫栓菌酸(dehydrotrametenolic acid,DHTA,3)分別從次分層Chl-4、Chl-2及Chl-3中被鑑定出來。Figure 2 shows the separation steps of crude extracts, fractions, sub-fractions and triterpenoids and their high-performance liquid chromatography (HPLC) spectra. Figure 2A is a flow chart showing the steps for preparing the crude extract, layered, sub-layered and triterpene compound, the yields of which are indicated in parentheses. Figure 2B shows the chemical extract of the crude extract and layered ruthenium obtained by UV detector after HPLC column, in which dehydrogenated 16α-hydroxy perforated acid (DHTuA, 1), 茯苓Acid (pachymic acid, PA, 2) and dehydrotrametenolic acid (DHTA, 3) were identified from sub-stratified Chl-4, Chl-2 and Chl-3, respectively.

圖3顯示茯苓之粗萃取物、去氫16α-羥基齒孔酸(DHTuA)及茯苓酸(PA)PPAR-γ活化之影響。在圖3A中,「N」表示以DMSO處理(陰性對照),「RSG」表示以羅格列酮(1 μM)處理,而「CE」表示以茯苓之粗萃取物(0.063,0.25 and 0.63 mg/ml)處理。在圖3B中,「N」表示以DMSO處理(陰性對照),「RSG」表示以羅格列酮(1 μM)處理,DHTuA表示以去氫16α-羥基齒孔酸(10、40或100 μM)處理,而PA表示以茯苓酸(10、40或100 μM)處理。所有此圖中的資料以平均值±標準誤差表示。P值小於0.05被認為具統計學上之顯著意義。Figure 3 shows the effect of crude extracts of deuterium, dehydrogenation of 16α-hydroxy perforate (DHTuA) and citrate (PA) PPAR-γ. In Fig. 3A, "N" indicates treatment with DMSO (negative control), "RSG" indicates treatment with rosiglitazone (1 μM), and "CE" indicates crude extract with sputum (0.063, 0.25 and 0.63 mg) /ml) processing. In Figure 3B, "N" indicates treatment with DMSO (negative control), "RSG" indicates treatment with rosiglitazone (1 μM), and DHTuA indicates dehydrogenation of 16α-hydroxy perforate (10, 40 or 100 μM) Treatment, while PA means treatment with citric acid (10, 40 or 100 μM). All data in this figure are expressed as mean ± standard error. A P value of less than 0.05 was considered statistically significant.

Claims (6)

一種茯苓之甲醇或乙醇萃取物或式(I)化合物在製備針對糖尿病患者的胰島素增敏劑藥物之用途,其中該式(I)化合物係: 其中,R1為OH或酮基;Ca-Cf,為三萜主鏈,包含Ca-Cd共軛烯基、Ca-Cb及/或Cd-Ce烯基、Cb-Cc烯基或Cc-Cf共軛烯基;R2為COOH或COOR,R為烷基、烯基或炔基;R3為2-(3-甲基-1-丁基)或1-異丙烯基;R4為CH3或OCH3;R5為H;以及R6為H或OH;且該式(I)化合物係選自由去氫16α-羥基齒孔酸(dehydrotumulosic acid,DHTuA)、茯苓酸(pachymic acid,PA)及去氫栓菌酸(dehydrotrametenolic acid,DHTA)所組成之群。 Use of a methanol or ethanol extract of hydrazine or a compound of formula (I) for the preparation of a medicament for insulin sensitizers for diabetic patients, wherein the compound of formula (I) is: Wherein R 1 is OH or a keto group; and C a -C f is a triterpene main chain comprising a C a -C d conjugated alkenyl group, C a -C b and/or C d -C ealkenyl , C b -C c alkenyl or C c -C f conjugated alkenyl group; R 2 is COOH or COOR, R is an alkyl, alkenyl or alkynyl group; R 3 is 2- (3-methyl-1-butyl Or 1-isopropenyl; R 4 is CH 3 or OCH 3 ; R 5 is H; and R 6 is H or OH; and the compound of formula (I) is selected from dehydrogenated 16α-hydroxy perforate (dehydrotumulosic) Acid, DHTuA), pachymic acid (PA) and dehydrotrametenolic acid (DHTA). 根據申請專利範圍第1項之用途,其中該糖尿病患者為第一型糖尿病患者。 According to the use of the first aspect of the patent application, wherein the diabetic patient is a type 1 diabetes patient. 根據申請專利範圍第1項之用途,其中該藥物係供口服給藥。 The use according to the first aspect of the patent application, wherein the medicament is for oral administration. 根據申請專利範圍第1項之用途,其中該式(I)化合物為茯苓酸或去氫栓菌酸。 The use according to the first aspect of the patent application, wherein the compound of the formula (I) is citric acid or dehydroabietic acid. 申請專利範圍第1至4項中任一項之用途,其中該藥物可進 一步與來自咸豐草(Bidens pilosa)之產品併用以治療糖尿病。 The use of any one of claims 1 to 4, wherein the medicament is further compatible with a product from Bidens pilosa for treating diabetes. 一種如請求項1-4項中任一項所述之茯苓之甲醇或乙醇萃取物或式(I)化合物與來自咸豐草(Bidens pilosa)之產品的組合之用途,其係用於製備治療糖尿病之藥物。 Use of a methanol or ethanol extract of any of claims 1 to 4 or a combination of a compound of formula (I) with a product from Bidens pilosa for the treatment of diabetes The drug.
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