TWI522111B - Peptide for preparing a pharmaceutical composition for alleviating pain - Google Patents

Peptide for preparing a pharmaceutical composition for alleviating pain Download PDF

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TWI522111B
TWI522111B TW104117236A TW104117236A TWI522111B TW I522111 B TWI522111 B TW I522111B TW 104117236 A TW104117236 A TW 104117236A TW 104117236 A TW104117236 A TW 104117236A TW I522111 B TWI522111 B TW I522111B
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peptide
pcd
pain
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cells
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TW201641116A (en
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溫志宏
陳志毅
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中央研究院
國立中山大學
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Description

胜肽用於製備用於緩解疼痛之醫藥組合物的用途 Use of a peptide for the preparation of a pharmaceutical composition for relieving pain

本發明係關於一種胜肽用於製備用於緩解疼痛之醫藥組合物的用途,特別是使用番石榴素(Piscidin,PCD)胜肽用於緩解疼痛。 The present invention relates to the use of a peptide for the preparation of a pharmaceutical composition for relieving pain, in particular the use of a guavacin (PCD) peptide for pain relief.

海洋生物能夠於致病微生物豐富的水生環境下生存,是憑藉自身強大的先天免疫系統的優勢,從而防止微生物的侵襲。故海洋生物中的抗菌胜肽(antimicrobial peptide)為抵禦病原體入侵的的第一道防線,並且與調節免疫反應中的宿主信號機制有關。之前的研究已揭示幾種抗菌胜肽藉由彼此作用或或影響一氧化氮合酶(nitric oxide synthase)進而抑制一氧化氮(nitric oxide)。而一種α螺旋型的抗菌胜肽,其命名為番石榴素-1(piscidin-1,PCD-1),於自然界中其帶有陽離子,且為兩性分子(amphipathic molecule)。PCD-1胜肽具有抗菌功效,可抵抗魚體外寄生蟲、細菌及真菌病原體。故目前尚未有文獻報導抗菌胜肽於抗疼痛方面的功效。 Marine organisms can survive in the aquatic environment rich in pathogenic microorganisms, relying on the advantages of their own powerful innate immune system to prevent microbial attack. Therefore, antimicrobial peptides in marine organisms are the first line of defense against pathogen invasion and are involved in the regulation of host signaling mechanisms in immune responses. Previous studies have revealed that several antibacterial peptides inhibit nitric oxide by acting on each other or affecting nitric oxide synthase. An α-helical antibacterial peptide, which is named as piscidin-1 (PCD-1), has a cation in nature and is an amphipathic molecule. PCD-1 peptide has antibacterial properties against ectoparasites, bacterial and fungal pathogens. Therefore, there is no literature on the efficacy of antibacterial peptides in anti-pain.

目前慢性疼痛(chronic pain)影響全世界15億人口,而2009年全球疼痛市場規模統計超過500億美元。此外,先前的研究顯示世界上大約20%的人罹患慢性疼痛,而神經性疼痛(neuropathic pain)的盛行率為6.9%。但目前神經性疼痛的具體機制尚不清楚。神經性疼痛是一種和於 週邊或中樞神經系統(CNS)上之神經受損、長時間的組織損傷或傷害有關的一個普遍性健康問題;其所導致的疼痛是因痛覺路徑上發生不同程度的複雜變化之結果。患有神經病性疼痛的患者一般呈現出痛覺過敏(hyperalgesia)(對疼痛刺激的反應增加)、觸痛覺過度敏感(allodynia)(由非疼痛刺激誘發的疼痛)及自發性疼痛、和對類鴉片(opioids)及其他止痛藥(analgesics)(如非固醇類抗發炎藥物(non-steroidal anti-inflammatory drugs))具有耐受性之現象。目前的研究報告指出並沒有可用的藥物治療能緩解所有的神經性疼痛的情況。因此,因其複雜的自然史、不明的病因以及對藥物反應差等原因,目前神經性症狀的治療處理仍然充滿挑戰。而抗癲癇藥物(anti-epileptic drug)中的佳巴本汀(gabapentin)廣泛用於治療神經性疼痛,並且有效地緩解觸痛覺過度敏感、灼痛、陣痛(shooting pain)及痛覺過敏。然而,佳巴本汀具有副作用,會對以下有害的情況產生戒斷,如頭暈,嗜睡,周圍神經病變,和步態障礙。因此,最近治療疼痛的研究專注於篩選一來自天然的安全、專一且有效的止痛化合物,以緩解神經性疼痛。 Chronic pain currently affects 1.5 billion people worldwide, and in 2009 the global pain market was over $50 billion. In addition, previous studies have shown that about 20% of people in the world suffer from chronic pain, and the prevalence of neuropathic pain is 6.9%. However, the specific mechanism of neuropathic pain is still unclear. Neuropathic pain is a kind of A general health problem associated with nerve damage, long-term tissue damage, or injury on the periphery or central nervous system (CNS); the resulting pain is the result of varying degrees of complex changes in the pain pathway. Patients with neuropathic pain generally exhibit hyperalgesia (increased response to painful stimuli), allodynia (pain induced by non-painful stimuli) and spontaneous pain, and opioid ( Opioids) and other analgesics (such as non-steroidal anti-inflammatory drugs) are tolerant. Current research reports indicate that no medication available can alleviate all neuropathic pain. Therefore, due to its complex natural history, unclear etiology, and poor response to drugs, the current treatment of neurological symptoms remains challenging. Gabapentin in anti-epileptic drugs is widely used to treat neuropathic pain and to effectively relieve hyperalgesia, burning pain, shooting pain and hyperalgesia. However, Jiaba Bentin has side effects that can cause withdrawals such as dizziness, lethargy, peripheral neuropathy, and gait disturbances. Therefore, recent studies in the treatment of pain have focused on screening for a safe, specific and effective analgesic compound from nature to relieve neuropathic pain.

因此,之前研究或報導並未探討PCD-1胜肽和神經性疼痛的關係。 Therefore, previous studies or reports did not explore the relationship between PCD-1 peptide and neuropathic pain.

在本發明中,觀察到番石榴素(Piscidin,PCD)胜肽的PCD-1胜肽能顯著抑制巨噬細胞(RAW264.7細胞)和小神經膠細胞(BV2細胞)中前發炎蛋白質(proinflammatory protein)之誘導型一氧化氮合成酵素(iNOS)及環氧化酵素-2(COX-2)的調升(up-regulation),因此包含該 胜肽的化合物具有作為止痛劑(analgesics)的使用上之輔助治療的潛力;且抗菌胜肽(如PCD-1胜肽)的使用上,不大可能誘發成癮,因該胜肽於血清中的半衰期短。另外,PCD-1胜肽具有麻醉藥物的性質,如注射PCD-1胜肽可顯著抑制因慢性緊縮傷害(CCI)所誘發的疼痛行為,如熱痛覺過敏(thermal hyperalgesia)、機械性疼痛(mechanical allodynia)、冷痛覺過敏(cold allodynia)以及雙足負重(Weight bearing)。而更重要的是,使用PCD-1胜肽治療,並不影響大鼠的原有的運動功能(如圖13所示),並且也沒導致外部行為之任何的明顯改變。總而言之,本發明證實椎管注射(i.t.administration)PCD-1胜肽於神經性病變之抗疼痛作用下的機制,其可包括降低脊髓神經發炎(spinal neuroinflammation)(如小神經膠細胞(microglia)及星形細胞(astrocyte)的活化與介白素-1β(IL-1β)的調升);降低星形細胞的磷酸化-哺乳類斥消靈標的蛋白(phospho-mTOR;p-mTOR)的調升;及降低星形細胞及神經元細胞(neurons)的腫瘤生長因子-β1(TGF-β1)的調降(down-regulation)。本發明證明PCD-1胜肽於體外(in vitro)和體內(in vivo)的兩種發炎模式皆展現出抗發炎和止痛的功效。是以,PCD-1胜肽是第一個被識別為一未來可發展成麻醉藥物的潛在候選化合物之抗菌胜肽。 In the present invention, it was observed that the PCD-1 peptide of the guavadin (PCD) peptide significantly inhibited the proinflammatory protein in macrophages (RAW264.7 cells) and microglia cells (BV2 cells). The inducible nitric oxide synthase (iNOS) and the up-regulation of epoxidase-2 (COX-2), so that the compound containing the peptide has an analgesic use. The potential for adjuvant therapy; and the use of antibacterial peptides (such as PCD-1 peptide) is unlikely to induce addiction because of the short half-life of the peptide in serum. In addition, PCD-1 peptide has the nature of anesthetic drugs, such as injection of PCD-1 peptide can significantly inhibit the pain behavior induced by chronic contraction injury (CCI), such as thermal hyperalgesia, mechanical pain (mechanical Allodynia), cold allodynia, and weight bearing. More importantly, treatment with PCD-1 peptide did not affect the original motor function of the rat (as shown in Figure 13) and did not result in any significant change in external behavior. In summary, the present invention demonstrates the mechanism by which itadministration of PCD-1 peptides under the anti-pain effects of neuropathy, which may include reduction of spinal neuroinflammation (eg, microglia and stars). Activation of astrocyte and upregulation of interleukin-1β (IL-1β); reduction of phosphorylation of astrocytes - upregulation of mammalian phosphatase (p-mTOR); And down-regulation of tumor growth factor-β1 (TGF-β1) which reduces astrocytes and neurons. The present invention demonstrates that both PCD-1 peptides exhibit anti-inflammatory and analgesic effects in both in vitro and in vivo modes. Therefore, the PCD-1 peptide is the first antibacterial peptide identified as a potential candidate compound that can be developed into an anesthetic drug in the future.

本文中的用語「一」或「一種」係用以敘述本發明之元件及成分。此術語僅為了敘述方便及給予本發明之基本觀念。此敘述應被理解為包括一種或至少一種,且除非明顯地另有所指,表示單數時亦包括複數。於申請專利範圍中和”包含”一詞一起使用時,該用語「一」可意謂一個或超過一個。 The articles "a" or "an" are used herein to describe the elements and compositions of the invention. This terminology is only for convenience of description and the basic idea of the invention. This description is to be construed as inclusive of the singular When used in conjunction with the word "comprising", the term "a" may mean one or more than one.

本發明提供一種胜肽用於製備用於緩解疼痛之醫藥組合物的用途,其中該胜肽為一番石榴素(Piscidin,PCD)胜肽。 The present invention provides a use of a peptide for the preparation of a pharmaceutical composition for relieving pain, wherein the peptide is a Picosidin (PCD) peptide.

該番石榴素(Piscidin)胜肽是一種抗菌胜肽。本文所用的「番石榴素(Piscidin)胜肽」一詞可參照引證Jorge A.Masso-Silva et al.(“Antimicrobial Peptides from Fish”,Pharmaceuticals 2014,7,265-310)的內容;此外本發明亦將該上述文獻的全部內容納入本文中。於一較佳具體實施例中,該PCD胜肽為一PCD-1胜肽。於一更佳具體實施例中,該PCD-1胜肽的胺基酸序列為SEQ ID NO:1。 The Piscidin peptide is an antibacterial peptide. The term "Piscidin peptide" as used herein may be referred to the contents of Jorge A. Masso-Silva et al. ("Antimicrobial Peptides from Fish", Pharmaceuticals 2014, 7, 265-310); The entire contents of the above-mentioned documents are incorporated herein. In a preferred embodiment, the PCD peptide is a PCD-1 peptide. In a more preferred embodiment, the amino acid sequence of the PCD-1 peptide is SEQ ID NO: 1.

本文所提的「緩解疼痛(alleviating pain)」意指以藥理方式以使症狀獲得改善。該緩解疼痛是指足以消除或顯著減輕疼痛或疼痛的影響。更具體地來說,此處的藥理方式包括給予包含該胜肽的混合物予一個體,如局部或全身給予、或口服給予的方式,以減輕或緩解疼痛。 As used herein, "alleviating pain" means pharmacologically improving the symptoms. This pain relief is sufficient to eliminate or significantly reduce the effects of pain or pain. More specifically, the pharmacological means herein includes administering a mixture comprising the peptide to a body, such as topical or systemic administration, or oral administration to alleviate or alleviate pain.

本發明可用於治療、減輕、改善、緩解、延遲發作、抑制進展、降低嚴重程度、及/或降低疼痛所引起的情況及/或疼痛的一或多種症狀或特徵的發生。在一較佳具體實施方式中,本發明進一步用於治療疼痛。 The invention may be used to treat, alleviate, ameliorate, ameliorate, delay onset, inhibit progression, reduce severity, and/or reduce the occurrence of one or more symptoms or features of pain and/or pain. In a preferred embodiment, the invention is further used to treat pain.

本文所用「疼痛(pain)」一詞包含但不限於急性(acute)或慢性(chronic)疼痛,其包含由外傷或發炎引起的疼痛,如背痛、牙痛,頭痛、經期痙攣(menstrual cramps)、喉嚨痛、發燒、風濕痛(rheumatic pain)(如關節痛、痛風性關節炎(gouty arthritis)、僵直性脊椎炎(ankylosing spondylitis)和風濕性關節炎(rheumatoid arthritis))以及與全身性結締組織疾病、癌症、神經病變及牽涉痛(referred pain)相關的疼痛。於一較佳具體實施例中,該疼痛為一慢性疼痛(chronic pain)。 As used herein, the term "pain" includes, but is not limited to, acute or chronic pain, which includes pain caused by trauma or inflammation, such as back pain, toothache, headache, menstrual cramps, Sore throat, fever, rheumatic pain (such as joint pain, gouty arthritis, ankylosing spondylitis, and rheumatoid arthritis) and systemic connective tissue disease , cancer, neuropathy and pain associated with referred pain. In a preferred embodiment, the pain is a chronic pain.

於另一具體實施例中,該疼痛為一神經性疼痛(neuropathic pain)。於一較佳具體實施例中,該疼痛係由神經發炎(neuroinflammation)所引發的疼痛。 In another embodiment, the pain is a neuropathic pain. In a preferred embodiment, the pain is caused by neuroinflammation.

該神經性疼痛係由神經發炎所引起。在神經病變(neuropathy)的模式中,小神經膠細胞(microglia)和星形細胞(astrocyte)的iNOS和COX-2之表現量是呈現調升的情況。脊髓中的小神經膠細胞、星形細胞及神經元細胞之iNOS的誘發與熱痛覺過敏(thermal hyperalgesia)相關。因此,PCD胜肽(或PCD-1胜肽)抑制發炎性蛋白(inflammatory protein)的表現以減輕疼痛。該發炎性蛋白包括但不限於COX-2和iNOS。於一具體實施例中,該PCD胜肽進一步抑制神經發炎。於另一具體實施例中,該PCD胜肽抑制發炎性蛋白的表現。於一較佳具體實施例中,該PCD胜肽抑制一環氧化酵素-2(COX-2)的表現量。於一更佳具體實施例中,該PCD胜肽抑制一誘導型一氧化氮合成酵素(iNOS)的表現量。 This neuropathic pain is caused by inflammation of the nerves. In the pattern of neuropathy, the expression levels of iNOS and COX-2 of microglia and astrocyte are upregulated. The induction of iNOS in small neuroglial cells, astrocytes, and neuronal cells in the spinal cord is associated with thermal hyperalgesia. Thus, the PCD peptide (or PCD-1 peptide) inhibits the performance of inflammatory proteins to reduce pain. Such inflammatory proteins include, but are not limited to, COX-2 and iNOS. In a specific embodiment, the PCD peptide further inhibits neuroinflammation. In another specific embodiment, the PCD peptide inhibits the performance of an inflammatory protein. In a preferred embodiment, the PCD peptide inhibits the expression of a epoxidase-2 (COX-2). In a more preferred embodiment, the PCD peptide inhibits the expression of an inducible nitric oxide synthase (iNOS).

本文所用的「表現量」一詞包含基因、RNA或蛋白質的表現量。 The term "performance" as used herein refers to the amount of expression of a gene, RNA or protein.

本發明的醫藥組合物可進一步包含本發明的PCD胜肽(或PCD-1胜肽)或其具相同功能活性的變異體,及一醫藥上可接受之載體。在本文中,「具相同功能活性的變異體」一詞係指一本質上同源於原始胜肽之胜肽,但由於一個或多個刪除、插入或置換,乃造成有與本發明胜肽不同之胺基酸序列。該置換可包括保留性置換之序列,意指已知胺基酸基團被一個具有類似生理化學特性之基團取代。在胜肽或蛋白質中,胺基酸之合適保留性置換,為此領域具通常知識者所熟知,且可在不改變結果分子 的生物活性而完成。較佳情況下,此變異體的立體結構必須與原始蛋白質胜肽相同。 The pharmaceutical composition of the present invention may further comprise a PCD peptide (or PCD-1 peptide) of the present invention or a variant thereof having the same functional activity, and a pharmaceutically acceptable carrier. As used herein, the term "variant with the same functional activity" refers to a peptide that is essentially homologous to the original peptide, but which results in a peptide with the present invention due to one or more deletions, insertions or substitutions. Different amino acid sequences. The substitution may include a sequence of retention substitutions, meaning that the amino acid group is known to be substituted with a group having similar physiochemical properties. Suitable retention of amino acids in peptides or proteins, well known to those of ordinary skill in the art, and without altering the resulting molecules The biological activity is completed. Preferably, the steric structure of this variant must be identical to the original protein peptide.

本發明的醫藥組合物包含一有效劑量的PCD胜肽(或PCD-1胜肽)。本文所用的「有效劑量(effective amount)」係指一種防止、降低、停止或反轉一個體欲治療的現有病症之發展,或部分或完全減輕該病症的有效劑量。於一具體實施例中,該有效劑量的範圍約0.1μg至100μg。於一較佳具體實施例中,該有效劑量的範圍約1μg至50μg。於一更佳具體實施例中,該有效劑量的範圍約10μg至30μg。 The pharmaceutical compositions of the present invention comprise an effective amount of a PCD peptide (or PCD-1 peptide). As used herein, "effective amount" refers to an effective dose that prevents, reduces, stops, or reverses the development of an existing condition that is desired to be treated, or that partially or completely alleviates the condition. In a particular embodiment, the effective dose ranges from about 0.1 [mu]g to 100 [mu]g. In a preferred embodiment, the effective dose ranges from about 1 [mu]g to 50 [mu]g. In a more preferred embodiment, the effective dose ranges from about 10 [mu]g to 30 [mu]g.

本文中用語「個體(subject)」一詞係指動物。於一較佳具體實施例中,該個體係指哺乳動物。於一更佳具體實施例中,該個體係指人類。 The term "subject" as used herein refers to an animal. In a preferred embodiment, the system refers to a mammal. In a more preferred embodiment, the system refers to a human.

如本文所用的術語「醫藥上可接受之載體(pharmaceutically acceptable carrier)」在某種程度上除了是由給予的特定組合物,還有給予該組合物之特定方法所決定。如本文所使用「載體(carrier)」包含任何和所有溶劑、分散介質(dispersion media)、媒介物(vehicle)、包衣(coating)、稀釋劑(diluent)、抗菌劑和抗真菌劑、等張和吸收延遲劑(isotonic and absorption delaying agent)、緩沖液、載體溶液、懸浮液、膠質(colloid)及其他類似物。這類介質和試劑用於醫藥活性成份的使用是本領域技術人員所熟知的。除了任何常規介質或試劑與活性成分不相容外,其使用於醫藥組合物上是可預期。輔助的活性成分也可摻入組合物中。而用語「醫藥上可接受」是指當給予一個體時,分子實體物和組合物並不引起過敏或類似的不良反應。而水溶性組合物的製備,其包含可作為有效成分的蛋白質是本領 域技術人員所熟知的。通常,這類組合物被製備為可注射的型態,如液體溶液或懸浮液;或適於溶於或懸浮於液體中的固體形式,其可於注射前先製備。 The term "pharmaceutically acceptable carrier" as used herein is to some extent determined by the particular composition being administered, as well as the particular method of administering the composition. As used herein, "carrier" includes any and all solvents, dispersion media, vehicles, coatings, diluents, antibacterial and antifungal agents, isotonics. And isotonic and absorption delaying agents, buffers, carrier solutions, suspensions, colloids and the like. The use of such media and agents for the use of pharmaceutically active ingredients is well known to those skilled in the art. In addition to any conventional media or agents that are incompatible with the active ingredients, their use in pharmaceutical compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions. The term "pharmaceutically acceptable" means that the molecular entities and compositions do not cause an allergic or similar adverse reaction when administered to a subject. And the preparation of a water-soluble composition comprising a protein which is an active ingredient is a skill Well known to those skilled in the art. Typically, such compositions are prepared in injectable form, such as liquid solutions or suspensions; or solid forms suitable for dissolving or suspending in liquids, which may be prepared prior to injection.

給予該醫藥上可接受之載體和PCD胜肽於一個體上可藉由本領域技術人員所熟知的許多方式/路徑及在各種制度規範下進行給予。在一些具體實施例中,給予該醫藥上可接受之載體和PCD胜肽可藉由靜脈內、肌肉內、皮下、局部、口服、或透過吸入等方式給予;其主要是透過消化系統和循環系統,以輸送到目標位置。 Administration of the pharmaceutically acceptable carrier and PCD peptide can be administered in a variety of ways/paths and under various institutional specifications well known to those skilled in the art. In some embodiments, the pharmaceutically acceptable carrier and the PCD peptide are administered by intravenous, intramuscular, subcutaneous, topical, oral, or by inhalation; the primary is through the digestive system and the circulatory system. To deliver to the target location.

用於給予的該醫藥上可接受之載體和PCD胜肽之配製可經由無菌水、分散液、水性懸浮液、油乳化液、油中水乳液、定點乳液(site-specific emulsion)、長滯留乳液(long-residence emulsion)、膠態乳液、微乳液、奈米乳液、微脂體、微粒、微球、奈米小球、奈米粒子、微量泵、或各種具有持續釋放能力的天然或合成的聚合物。該醫藥上可接受之載體和PCD胜肽可以配製成氣霧劑、片劑、丸劑、無菌粉劑、塞劑、塗劑、乳劑、軟膏劑、糊狀物、凝膠、水凝膠、持續釋放裝置、或用於藥物遞送的其他製劑。 The pharmaceutically acceptable carrier and PCD peptide for administration can be formulated via sterile water, dispersion, aqueous suspension, oil emulsion, aqueous emulsion in oil, site-specific emulsion, long-term retention emulsion (long-residence emulsion), colloidal emulsion, microemulsion, nanoemulsion, microlipid, microparticles, microspheres, nanospheres, nanoparticles, micro-pumps, or various natural or synthetic compounds with sustained release capability polymer. The pharmaceutically acceptable carrier and PCD peptide can be formulated into an aerosol, a tablet, a pill, a sterile powder, a suppository, a lotion, an emulsion, an ointment, a paste, a gel, a hydrogel, and a continuous Release device, or other formulation for drug delivery.

患有疼痛的個體會出現神經系統上神經膠細胞(glia)的活化(activation)以調節疼痛的現象。而神經膠細胞的活化會伴隨著許多細胞的反應,其中包括可使神經系統的疼痛路徑致敏化的物質之生產和釋放(如所謂的“前發炎細胞激素(proinflammatory cytokines)”)。神經膠細胞的類型包括小神經膠細胞(microglia)和大神經膠細胞(macroglia),該大神經膠細胞包含如星形細胞(astrocyte),寡樹突膠細胞(oligodendrocyte) 和許旺細胞(schwann cell)。於一具體實施例中,該PCD胜肽降低一神經膠細胞(glia)的活化。於一較佳具體實施例中,該PCD胜肽降低一小神經膠質細胞(microglia)的活化。於一更佳具體實施例中,該PCD胜肽降低一星狀細胞(astrocyte)的活化。 Individuals with pain develop activation of glia on the nervous system to regulate pain. The activation of glial cells is accompanied by a number of cellular responses, including the production and release of substances that sensitize the pain pathways of the nervous system (such as the so-called "proinflammatory cytokines"). Types of glial cells include microglia and macroglia, which contain, for example, astrocyte, oligodendrocyte. And Schwann cells. In a specific embodiment, the PCD peptide reduces the activation of a glia cell (glia). In a preferred embodiment, the PCD peptide reduces the activation of a microglia. In a more preferred embodiment, the PCD peptide reduces the activation of an astrocyte.

神經病變引起的疼痛過敏是需要哺乳類斥消靈標的蛋白(mammalian target of rapamycin,mTOR)的活化;而mTOR上的絲胺酸-2448(Ser-2448)的磷酸化正是mTOR處於活化狀態的標記。一般mTOR的抑制可減少神經發炎。此外,介白素-1β(IL-1β)是屬前發炎因子(proinflammatory factor)。因此,發炎反應而調升的發炎因子包含IL-1β和磷酸化-哺乳類斥消靈標的蛋白(phospho-mTOR,p-mTOR)。是以,該PCD-1透過抑制發炎反應以達到止痛或抗疼痛的目的。於一具體實施例中,該PCD胜肽抑制IL-1β或phospho-mTOR的表現量調升(up-regulation)。於一較佳具體實施例中,該PCD胜肽降低一磷酸化-哺乳類斥消靈標的蛋白(phospho-mTOR)的表現量。於一更佳具體實施例中,該PCD胜肽降低一介白素-1β(IL-1β)的表現量。 The neuropathy-induced pain allergy is the activation of the mammalian target of rapamycin (mTOR); the phosphorylation of serine-2448 (Ser-2448) on mTOR is the marker of mTOR activation. . In general, inhibition of mTOR reduces neuroinflammation. In addition, interleukin-1β (IL-1β) is a proinflammatory factor. Thus, the inflammatory factors that are elevated by the inflammatory response include IL-1β and phosphorylated-mammalian-deficient proteins (phosph-mTOR, p-mTOR). Therefore, the PCD-1 achieves analgesic or anti-pain by suppressing the inflammatory reaction. In a specific embodiment, the PCD peptide inhibits up-regulation of IL-1β or phospho-mTOR expression. In a preferred embodiment, the PCD peptide reduces the amount of monophosphorylation-mammalian-deficient protein (phospho-mTOR). In a more preferred embodiment, the PCD peptide reduces the amount of interleukin-1β (IL-1β) expression.

對患有周圍神經病變的個體而言,該PCD胜肽(或PCD-1胜肽)提供抗神經發炎性的功效。PCD胜肽可減低具有抗神經發炎功效的因子(如腫瘤生長因子-β1(TGF-β1))的調降(down-regulation),例如該因子會抑制小神經膠細胞和星形細胞的活化。於一具體實施例中,該PCD胜肽增加一腫瘤生長因子-β1(TGF-β1)的表現量。 For individuals with peripheral neuropathy, the PCD peptide (or PCD-1 peptide) provides anti-neuroinflammatory effects. The PCD peptide can reduce the down-regulation of a factor having anti-neuroinflammatory effects such as tumor growth factor-β1 (TGF-β1), for example, the factor inhibits the activation of microglia cells and astrocytes. In a specific embodiment, the PCD peptide increases the amount of expression of a tumor growth factor-β1 (TGF-β1).

本發明進一步可用於製備麻醉劑(anesthetic)、止痛劑(analgesic)或抗發炎劑(anti-inflammatory agent)。該疼痛及/或發炎可用 慢性疾病來舉例,例如包括類風濕性關節炎、骨性關節炎(osteoarthritis)、脊椎盤症(如坐骨神經痛),腕/跗管綜合症(carpal/tarsal tunnel syndrome)、腰痛、下肢痛、上肢痛、癌症、組織疼痛、以及與頸椎、胸椎及/或腰椎或椎間盤、旋轉肌腱、關節、顳顎關節障礙症(TMJ)、肌腱、韌帶、肌肉、椎間滑脫(spondilothesis)、狹窄症(stenosis)、椎間盤源性腰痛(discogenic back pain)、關節痛或其類似症狀之傷害或修復有關的疼痛。該麻醉劑(analgesic)意指是一種具有緩解疼痛但沒有降低感覺的麻醉效果之藥物。而止痛劑是指可降低、減輕或消除疼痛的藥劑或化合物。而用語「抗發炎劑」是指一種具有抗炎作用的藥劑或化合物。這些藥劑可降低發炎以減少疼痛。 The invention is further useful for the preparation of an anesthetic, analgesic or anti-inflammatory agent. The pain and / or inflammation are available Examples of chronic diseases include, for example, rheumatoid arthritis, osteoarthritis, spinal disc disease (such as sciatica), carpal/tarsal tunnel syndrome, low back pain, lower limb pain, upper limbs. Pain, cancer, tissue pain, and cervical, thoracic and/or lumbar or intervertebral discs, rotator tendons, joints, ankle joint disorders (TMJ), tendons, ligaments, muscles, spondilothesis, stenosis Stenosis), discogenic back pain, joint pain or similar symptoms of pain or repair related pain. The analgesic means an agent having an anesthetic effect that relieves pain but does not reduce the sensation. An analgesic is an agent or compound that reduces, reduces or eliminates pain. The term "anti-inflammatory agent" means an agent or compound having an anti-inflammatory effect. These agents reduce inflammation and reduce pain.

圖1為PCD-1胜肽降低酯多醣(LPS)所誘發的RAW264.7細胞表現發炎性蛋白iNOS與COX-2。(A)為RAW264.7細胞以不同劑量的PCD-1胜肽處理24小時的存活率,其中該存活率以Alamar blue測定法分析毒性。(B)為PCD-1胜肽抑制LPS刺激RAW264.7細胞表現iNOS與COX-2之西方免疫墨點法的結果及內控制組β-actin。(C)為不同處理下RAW264.7細胞中iNOS以西方免疫墨點法所測定的表現量之結果。(D)為不同處理下RAW264.7細胞中COX-2以西方免疫墨點法所測定的表現量之結果。PCD-1胜肽明顯抑制RAW264.7細胞表現iNOS及COX-2(重複實驗三次,其與單純加入LPS的組別作為比較,P<0.05以*表示)。 Figure 1 shows the expression of inflammatory proteins iNOS and COX-2 in RAW264.7 cells induced by PCD-1 peptide-lowering ester polysaccharide (LPS). (A) Survival of RAW264.7 cells treated with different doses of PCD-1 peptide for 24 hours, wherein the survival rate was analyzed by Alamar blue assay. (B) The results of Western immunological dot method for inhibiting LPS-stimulated RAW264.7 cells expressing iNOS and COX-2 by PCD-1 peptide and β-actin in the internal control group. (C) Results of the amount of iNOS measured by Western immunological dot method in RAW264.7 cells under different treatments. (D) Results of the amount of COX-2 measured by Western immunoblotting in RAW264.7 cells under different treatments. PCD-1 peptide significantly inhibited the expression of iNOS and COX-2 in RAW264.7 cells (repeated three times, compared with the group in which LPS alone was added, P < 0.05 is indicated by *).

圖2為PCD-1胜肽降低LPS所誘發的BV2細胞表現發炎性蛋白iNOS與COX-2。(A)為BV2細胞以不同劑量的PCD-1胜肽處理24 小時的存活率,其中該存活率以Alamar blue測定法分析毒性。(B)為PCD-1胜肽抑制LPS刺激BV2細胞表現iNOS與COX-2之西方免疫墨點法的結果及內控制組β-actin。(C)為不同處理下BV2細胞中iNOS以西方免疫墨點法所測定的表現量之結果。(D)為不同處理下BV2細胞中COX-2以西方免疫墨點法所測定的表現量之結果。PCD-1胜肽明顯抑制BV2細胞表現iNOS及COX-2(重複實驗三次,其與單純加入LPS的組別作為比較,P<0.05以*表示)。 Figure 2 shows that PCD-1 peptide reduces the expression of inflammatory proteins iNOS and COX-2 in BV2 cells induced by LPS. (A) Survival of BV2 cells treated with different doses of PCD-1 peptide for 24 hours, wherein the survival rate was analyzed by Alamar blue assay. (B) The results of Western immunological dot method for inhibiting LPS-stimulated BV2 cells expressing iNOS and COX-2 by PCD-1 peptide and β-actin in the internal control group. (C) Results of the amount of iNOS measured by Western immunological dot method in BV2 cells under different treatments. (D) Results of the amount of COX-2 measured by Western immunoblotting in BV2 cells under different treatments. PCD-1 peptide significantly inhibited the expression of iNOS and COX-2 in BV2 cells (repeated three times, compared with the group in which LPS alone was added, P < 0.05 is indicated by *).

圖3為PCD-1胜肽於接受慢性緊縮傷害(CCI)手術的大鼠上具有與佳巴本汀(gabapentin)相似的抑制熱痛覺過敏的功效。(A)為接受CCI手術的大鼠以椎管注射不同劑量(0、0.1、1、5、10、20μg)的PCD-1胜肽所呈現的對抗熱痛覺過敏之最大可能效應的百分比(MPE;%)的劑量反應曲線(各組別的實驗動物數量為6)。(B)為接受CCI手術的大鼠以椎管注射不同劑量(0、1、5、10、20μg)的佳巴本汀所呈現的對抗熱痛覺過敏之最大可能效應的百分比(MPE;%)的劑量反應曲線(各組別的實驗動物數量為6)。(C)為從標準曲線決定PCD-1胜肽及佳巴本汀之達百分之五十的有效劑量(ED50),PCD-1胜肽及佳巴本汀用於抗熱痛覺過敏之百分之五十的有效劑量分別為9.5±3.2μg和2.3±1.5μg(和接受CCI手術並給予空白溶劑的組別於指定的時間點進行比較,P<0.05以*表示)。 Figure 3 shows the effect of PCD-1 peptide on thermal hyperalgesia similar to gabapentin in rats undergoing chronic compact injury (CCI) surgery. (A) Percentage of the maximum possible effect of anti-thermal hyperalgesia induced by different doses (0, 0.1, 1, 5, 10, 20 μg) of PCD-1 peptide in rats subjected to CCI surgery (MPE) ;%) dose response curve (the number of experimental animals in each group is 6). (B) Percentage of the greatest possible effect of anti-hyperalgesia (JE; %) exhibited by different doses (0, 1, 5, 10, 20 μg) of Jiaba Bentin in rats subjected to CCI surgery The dose response curve (the number of experimental animals in each group is 6). (C) is to determine the effective dose (ED50) of PCD-1 peptide and Jiaba Bentin from the standard curve, PCD-1 peptide and Jiaba Bentin for heat hyperalgesia The effective doses of 50 were 9.5 ± 3.2 μg and 2.3 ± 1.5 μg, respectively (compared with the group receiving CCI surgery and given blank solvent at the indicated time points, P < 0.05 is indicated by *).

圖4為PCD-1胜肽於接受CCI手術的大鼠上具有抗機械性疼痛及抗冷痛覺過敏功效。(A)及(B)為PCD-1胜肽(20μg)對接受CCI手術的大鼠而誘發的機械性疼痛之影響。(C)及(D)為PCD-1胜肽(20μg)對接受CCI手術的大鼠而誘發的冷痛覺過敏之影響。其中於椎管注射PCD-1 胜肽後的抗疼痛的數據(A及C)以最大可能效應的百分比(%)表示(B及D)。於接受CCI手術的大鼠上,以椎管注射PCD-1胜肽後第30至第240分鐘內具有抗機械性疼痛之功效,而抗冷痛覺過敏功效則於注射後第30至第210分鐘內發生(各組實驗動物數量為6;和接受CCI手術並給予空白溶劑的組別於指定的時間點進行比較,P<0.05以*表示)。 Figure 4 shows that PCD-1 peptide has anti-mechanical and anti-cold hyperalgesia effects on rats undergoing CCI surgery. (A) and (B) are the effects of PCD-1 peptide (20 μg) on mechanical pain induced by rats undergoing CCI surgery. (C) and (D) are the effects of PCD-1 peptide (20 μg) on cold hyperalgesia induced by rats undergoing CCI surgery. Among them, PCD-1 was injected into the spinal canal. Anti-pain data (A and C) after peptides are expressed as a percentage (%) of the maximum possible effect (B and D). In rats receiving CCI surgery, the effect of anti-mechanical pain was observed in the 30th to 240th minute after injection of PCD-1 peptide into the spinal canal, and the anti-cold hyperalgesia effect was 30th to 210th minutes after injection. Occurred internally (the number of experimental animals in each group was 6; and the group receiving CCI surgery and given blank solvent was compared at the specified time point, P < 0.05 is indicated by *).

圖5為PCD-1胜肽於接受CCI手術的大鼠上具有抗雙足負重功效。於接受CCI手術的大鼠上,以椎管注射PCD-1胜肽(20μg)後第30至第210分鐘內具有雙足負重之功效(各組實驗動物數量為6;和接受CCI手術並給予空白溶劑的組別於指定的時間點進行比較,P<0.05以*表示)。 Figure 5 shows that PCD-1 peptide has anti-biological weight-bearing efficacy in rats undergoing CCI surgery. In rats receiving CCI surgery, PCD-1 peptide (20 μg) was injected into the spinal canal with a weight-bearing effect within 30 to 210 minutes (the number of experimental animals in each group was 6; and CCI surgery was given and given) The groups of blank solvents were compared at the indicated time points, P < 0.05 in *).

圖6為PCD-1胜肽處理抑制CCI所誘發的小神經膠細胞(microglia)的活化。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。脊髓上小神經膠細胞的活化可用OX42抗體進行免疫染色標記來觀察。(A)為控制組(未給予任何處理);(B)為CCI組(接受CCI手術並給予空白溶劑);(C)為CCI+PCD-1胜肽(20μg)後第30分鐘;(D)為CCI+PCD-1胜肽(20μg)後第90分鐘以及(E)為CCI+PCD-1胜肽(20μg)後第180分鐘。(F)為OX42抗體之免疫螢光表現定量統計結果,其顯示給予PCD-1胜肽後顯著但非完全抑制CCI所誘發在脊髓的背角上小神經膠細胞的活化(各組實驗動物數量為6;與控制組作為比較,P<0.05以#表示;與CCI組作為比較,P<0.05以*表示;比例尺=50μm)。 Figure 6 shows the activation of microglia induced by PCI-1 peptide treatment to inhibit CCI. Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Activation of microglia cells on the spinal cord can be observed by immunostaining markers with OX42 antibody. (A) is the control group (no treatment is given); (B) is the CCI group (accepting CCI surgery and given a blank solvent); (C) is 30 minutes after CCI + PCD-1 peptide (20 μg); (D) ) is the 90th minute after CCI + PCD-1 peptide (20 μg) and (E) is 180 minutes after CCI + PCD-1 peptide (20 μg). (F) Quantitative statistical results of immunofluorescence of OX42 antibody, which showed significant but not complete inhibition of CCI induced activation of microglia cells in the dorsal horn of the spinal cord after administration of PCD-1 peptide (number of experimental animals in each group) 6; compared with the control group, P < 0.05 is indicated by #; compared with the CCI group, P < 0.05 is indicated by *; scale bar = 50 μm).

圖7為PCD-1胜肽抑制CCI所誘發的星狀細胞(astrocyte)的活化。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。 脊髓上星狀細胞的活化可用GFAP抗體進行免疫染色標記來觀察。(A)為控制組(未給予任何處理);(B)為CCI組(接受CCI手術並給予空白溶劑);(C)為CCI+PCD-1胜肽(20μg)後第30分鐘;(D)為CCI+PCD-1胜肽(20μg)後第90分鐘以及(E)為CCI+PCD-1胜肽(20μg)後第180分鐘。(F)為GFAP抗體之免疫螢光表現定量統計結果,其顯示給予PCD-1胜肽後顯著抑制CCI所誘發在脊髓的背角上星狀細胞的活化(各組實驗動物數量為6;與控制組作為比較,P<0.05以#表示;與CCI組作為比較,P<0.05以*表示;比例尺=50μm)。 Figure 7 shows the activation of astrocyte induced by CCI by PCD-1 peptide. Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Activation of stellate cells on the spinal cord can be observed by immunostaining markers with GFAP antibodies. (A) is the control group (no treatment is given); (B) is the CCI group (accepting CCI surgery and given a blank solvent); (C) is 30 minutes after CCI + PCD-1 peptide (20 μg); (D) ) is the 90th minute after CCI + PCD-1 peptide (20 μg) and (E) is 180 minutes after CCI + PCD-1 peptide (20 μg). (F) is a quantitative statistical result of immunofluorescence of GFAP antibody, which shows that activation of stellate cells on the dorsal horn of the spinal cord induced by CCI is significantly inhibited after administration of PCD-1 peptide (the number of experimental animals in each group is 6; The control group was compared as a comparison, P < 0.05 is indicated by #; compared with the CCI group, P < 0.05 is indicated by *; scale bar = 50 μm).

圖8為PCD-1胜肽抑制CCI所誘發的介白素-1β(IL-1β)的活化。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。脊髓上IL-1β的活化可用抗IL-1β抗體進行免疫染色標記來觀察。(A)為控制組(未給予任何處理);(B)為CCI組(接受CCI手術並給予空白溶劑);(C)為CCI+PCD-1胜肽(20μg)後第30分鐘;(D)為CCI+PCD-1胜肽(20μg)後第90分鐘以及(E)為CCI+PCD-1胜肽(20μg)後第180分鐘。(F)為IL-1β之免疫螢光表現定量統計結果,其顯示給予PCD-1胜肽後顯著抑制CCI所誘發在脊髓的背角上IL-1β的調升(up-regulation)(各組實驗動物數量為6;與控制組作為比較,P<0.05以#表示;與CCI組作為比較,P<0.05以*表示;比例尺=50μm)。 Figure 8 shows the activation of interleukin-1β (IL-1β) induced by PCD-1 peptide inhibition of CCI. Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Activation of IL-1β on the spinal cord can be observed by immunostaining markers with anti-IL-1β antibodies. (A) is the control group (no treatment is given); (B) is the CCI group (accepting CCI surgery and given a blank solvent); (C) is 30 minutes after CCI + PCD-1 peptide (20 μg); (D) ) is the 90th minute after CCI + PCD-1 peptide (20 μg) and (E) is 180 minutes after CCI + PCD-1 peptide (20 μg). (F) is a quantitative statistical result of immunofluorescence of IL-1β, which shows that IL-β is up-regulated in the dorsal horn of the spinal cord induced by CCI after administration of PCD-1 peptide (groups) The number of experimental animals was 6; compared with the control group, P < 0.05 is indicated by #; compared with the CCI group, P < 0.05 is indicated by *; scale bar = 50 μm).

圖9為PCD-1胜肽抑制CCI所誘發的磷酸化-哺乳類斥消靈標的蛋白(p-mTOR)的調升。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。脊髓上p-mTOR的活化可用抗p-mTOR抗體進行免疫染色標記來觀察。(A)為控制組(未給予任何處理);(B)為CCI組 (接受CCI手術並給予空白溶劑);(C)為CCI+PCD-1胜肽(20μg)後第30分鐘;(D)為CCI+PCD-1胜肽(20μg)後第90分鐘以及(E)為CCI+PCD-1胜肽(20μg)後第180分鐘。(F)為p-mTOR之免疫螢光表現定量統計結果,其顯示給予PCD-1胜肽後顯著抑制CCI所誘發在脊髓的背角上p-mTOR的調升(各組實驗動物數量為6;與控制組作為比較,P<0.05以#表示;與CCI組作為比較,P<0.05以*表示;比例尺=50μm)。 Figure 9 shows the up-regulation of the phosphorylation-mammalian-suppressed protein (p-mTOR) induced by CCI by PCD-1 peptide. Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Activation of p-mTOR on the spinal cord can be observed by immunostaining with an anti-p-mTOR antibody. (A) is the control group (no treatment is given); (B) is the CCI group (CCI surgery and blank solvent); (C) 30 minutes after CCI+PCD-1 peptide (20 μg); (D) 90 minutes after CCI+PCD-1 peptide (20 μg) and (E) ) is the 180th minute after CCI + PCD-1 peptide (20 μg). (F) is a quantitative statistical result of immunofluorescence of p-mTOR, which shows that the inhibition of CCI induced a significant increase in p-mTOR in the dorsal horn of the spinal cord after administration of the PCD-1 peptide (the number of experimental animals in each group is 6). Compared with the control group, P < 0.05 is indicated by #; compared with the CCI group, P < 0.05 is indicated by *; scale bar = 50 μm).

圖10為PCD-1胜肽處理降低CCI誘發的小神經膠細胞、星狀細胞及神經元細胞(neuron)內的p-mTOR之調升。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。PCD-1胜肽注射後第180分鐘的脊髓切片以分析p-mTOR與對小神經膠細胞、星狀細胞或神經元細胞之特定標記的共定位(co-localization)情況。(A)、(D)及(G)為控制組(未給予任何處理);(B)、(E)及(H)為CCI組(接受CCI手術並給予空白溶劑);(C)、(E)及(I)為CCI+PCD-1胜肽(20μg)後第180分鐘的脊髓切片。而雙重免疫螢光染色顯示PCD-1胜肽明顯抑制CCI誘發的星狀細胞內的p-mTOR之調升。箭頭為標定GFAP抗體(星狀細胞的標記)與p-mTOR的共定位情況;這樣的情況於接受CCI手術並給予PCD-1胜肽處理的大鼠(F)相較於CCI組(E)是降低的(比例尺=25μm)。 Figure 10 shows that PCD-1 peptide treatment reduces CCI-induced upregulation of p-mTOR in small neuroglial cells, stellate cells, and neuronal cells (neuron). Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Spinal cord sections at 180 minutes after PCD-1 peptide injection to analyze the co-localization of p-mTOR with specific markers for microglia, stellate or neuronal cells. (A), (D) and (G) are the control group (no treatment is given); (B), (E) and (H) are the CCI group (accepting CCI surgery and giving blank solvent); (C), ( E) and (I) are spinal cord sections at 180 minutes after CCI + PCD-1 peptide (20 μg). Double immunofluorescence staining showed that PCD-1 peptide significantly inhibited the up-regulation of p-mTOR in CCI-induced stellate cells. The arrow marks the colocalization of GFAP antibodies (markers of stellate cells) with p-mTOR; such cases are compared with rats treated with CCI and given PCD-1 peptide (F) compared to CCI (E) It is reduced (scale bar = 25 μm).

圖11為PCD-1胜肽調節CCI所誘發的腫瘤生長因子-β1(TGF-β1)的調降。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。脊髓上TGF-β1的活化可用抗TGF-β1抗體進行免疫染色標記來觀察。(A)為控制組(未給予任何處理);(B)為CCI組(接受CCI手術並給予空白溶劑);(C)為CCI+PCD-1胜肽(20μg)後第30分鐘;(D) 為CCI+PCD-1胜肽(20μg)後第90分鐘以及(E)為CCI+PCD-1胜肽(20μg)後第180分鐘。(F)為TGF-β1之免疫螢光表現定量統計結果,其顯示給予PCD-1胜肽後顯著抑制CCI所誘發在脊髓的背角上TGF-β1的調降(down-regulation)(各組實驗動物數量為6;與控制組作為比較,P<0.05以#表示;與CCI組作為比較,P<0.05以*表示;比例尺=50μm)。 Figure 11 shows the downregulation of tumor growth factor-β1 (TGF-β1) induced by PCD-1 peptide in CCI regulation. Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Activation of TGF-β1 on the spinal cord can be observed by immunostaining with anti-TGF-β1 antibody. (A) is the control group (no treatment is given); (B) is the CCI group (accepting CCI surgery and given a blank solvent); (C) is 30 minutes after CCI + PCD-1 peptide (20 μg); (D) ) It was the 90th minute after CCI+PCD-1 peptide (20 μg) and (E) the 180th minute after CCI+PCD-1 peptide (20 μg). (F) is a quantitative statistical result of immunofluorescence of TGF-β1, which shows that down-regulation of TGF-β1 in the dorsal horn of the spinal cord induced by CCI is significantly inhibited after administration of PCD-1 peptide (groups) The number of experimental animals was 6; compared with the control group, P < 0.05 is indicated by #; compared with the CCI group, P < 0.05 is indicated by *; scale bar = 50 μm).

圖12為PCD-1胜肽抑制CCI誘發的小神經膠細胞、星狀細胞及神經元細胞內的TGF-β1之調降。接受CCI手術的大鼠以椎管注射20μg的PCD-1胜肽或空白溶劑。PCD-1胜肽注射後第180分鐘的脊髓切片以分析TGF-β1與對小神經膠細胞、星狀細胞或神經元細胞之特定標記的共定位情況。(A)、(D)及(G)為控制組(未給予任何處理);(B)、(E)及(H)為CCI組(接受CCI手術並給予空白溶劑);(C)、(E)及(I)為CCI+PCD-1胜肽(20μg)後第180分鐘的脊髓切片。而雙重免疫螢光染色結果顯示PCD-1胜肽明顯抑制CCI誘發的星狀細胞及神經元細胞內的TGF-β1之調降。箭頭為標定TGF-β1與GFAP抗體(星狀細胞的標記)或NeuN抗體(神經元細胞的標記)的共定位情況;這樣的情況於接受CCI手術並給予PCD-1胜肽處理的大鼠(F及I)相較於CCI組(E及H)是增加的(比例尺=25μm)。 Figure 12 shows that PCD-1 peptide inhibits CCI-induced downregulation of TGF-β1 in small glial cells, stellate cells, and neuronal cells. Rats undergoing CCI surgery were injected with 20 μg of PCD-1 peptide or blank solvent in the spinal canal. Spinal cord sections at 180 minutes after PCD-1 peptide injection to analyze the colocalization of TGF-β1 with specific markers for small neuroglial cells, stellate cells or neuronal cells. (A), (D) and (G) are the control group (no treatment is given); (B), (E) and (H) are the CCI group (accepting CCI surgery and giving blank solvent); (C), ( E) and (I) are spinal cord sections at 180 minutes after CCI + PCD-1 peptide (20 μg). Double immunofluorescence staining showed that PCD-1 peptide significantly inhibited the down-regulation of TGF-β1 in CCI-induced stellate cells and neuronal cells. The arrow marks the colocalization of TGF-β1 with GFAP antibodies (markers of stellate cells) or NeuN antibodies (markers of neuronal cells); such cases are in rats subjected to CCI surgery and given PCD-1 peptide treatment ( F and I) were increased compared to the CCI group (E and H) (scale bar = 25 μm).

圖13為PCD-1胜肽對於接受CCI手術的大鼠於獨木橋測試的運動功能並不影響。將接受CCI手術並給予空白溶劑的大鼠與接受CCI手術並給予PCD-1胜肽的大鼠之獨木橋行為所行走相對應的秒數進行比較;兩組別於480分鐘內並未觀察出任何顯著差異(各組實驗動物數量為6)。 Figure 13 shows that PCD-1 peptide did not affect the motor function of the CCI-treated rats in the single-wood bridge test. Rats who underwent CCI surgery and were given a blank solvent were compared with the number of seconds that the rats who received CCI surgery and were given PCD-1 peptide walked with the behavior of the single-wood bridge; no difference was observed between the two groups in 480 minutes. Significant differences (6 animals in each group).

本發明可能以不同的內容來實施,並不僅限於下列文中所提 及的實例。下列實施例僅作為本發明不同面向及特點中的代表。 The invention may be implemented in different content and is not limited to the following And examples. The following examples are merely representative of the various aspects and features of the present invention.

實施例1 Example 1 胜肽的製備 Preparation of peptide

本發明所使用的胜肽(peptide)為番石榴素(Piscidin,PCD)胜肽,更進一步使用PCD-1胜肽進行下述實驗,其中該PCD-1胜肽之胜肽序列為SEQ ID NO:1(FFHHIFRGIVHVGKTIHRLVTG)。該PCD-1胜肽透過GL Biochemistry(Shanghai,China)使其合成和純化程度大於95%。該胜肽的分子量和純度係透過高性能液相層析(HPLC)測定其超過95%。另外,合成胜肽係溶解於無菌的去離子水或PBS緩衝液以進行實驗。 The peptide used in the present invention is a guavamycin (Piscidin, PCD) peptide, and the PCD-1 peptide is further used for the following experiment, wherein the peptide sequence of the PCD-1 peptide is SEQ ID NO :1 (FFHHIFRGIVHVGKTIHRLVTG). The PCD-1 peptide was synthesized and purified by GL Biochemistry (Shanghai, China) to a degree greater than 95%. The molecular weight and purity of the peptide were determined to exceed 95% by high performance liquid chromatography (HPLC). In addition, synthetic peptides were dissolved in sterile deionized water or PBS buffer for experiments.

數據及統計分析 Data and statistical analysis

所有實驗所得數據呈現皆以平均值(mean)±均值標準誤差(SEM)的方式表示。而統計分析上,各組之間的差異比較的計算係利用one-way analysis of variance(ANOVA),同時根據Student-Newman-Keuls post hoc test進行多重組間差異性比較,以分析其顯著差異性。本發明界定當P值小於0.05時,表示有顯著差異。 The data presented in all experiments were presented as mean ± mean standard error (SEM). For statistical analysis, the difference between the groups was calculated by one-way analysis of variance (ANOVA), and the difference between multiple recombinations was compared according to the Student-Newman-Keuls post hoc test to analyze the significant differences. . The invention defines that when the P value is less than 0.05, there is a significant difference.

實施例2 Example 2 抗發炎及抗神經發炎活性分析方法: Anti-inflammatory and anti-neuroinflammatory activity analysis methods:

本發明透過巨噬細胞(macrophage cell)及小神經膠質細胞(microglia cell)進行抗發炎(anti-inflammatory)及抗神經發炎(anti-neuroinflammatory)活性分析。 The present invention performs anti-inflammatory and anti-neuroinflammatory activity analysis through macrophage cells and microglia cells.

(1)本發明的小鼠巨噬細胞(mouse macrophage cell line;RAW 264.7細胞)購自於American Type Culture Collection(ATCC,No. TIB-71)。將RAW 264.7細胞培養於DMEM(Dulcbeccos Modified Eagle Medium)培養基中,且含有10%胎牛血清(fetal bovine serum,FBS)以及penicillin G(100U/ml)及streptomycin(100μg/ml)抗生素,培養於37℃,5% CO2的培養箱,細胞長到八分滿時,抽乾培養液,以磷酸鹽緩衝溶液(phosphate buffered saline,PBS)輕洗兩次後,再利用胰蛋白酶(trypsin)將附著於培養皿上的細胞將其打落下來,進行繼代培養(subculture)。繼代培養RAW 264.7細胞株於6公分培養皿(ulture dish),控制在3 x 106個細胞數,培養12小時後,給予酯多醣(LPS,0.01μg/ml;Sigma L2654)和PCD-1胜肽並於16小時後收集細胞進行抗發炎測試;抗發炎實驗組,則是分別加入不同濃度的PCD-1胜肽(依序為2.5、5及10μg/ml)於培養皿後十分鐘,再加入LPS處理收集細胞進行抗發炎測試。 (1) Mouse macrophage cell line (RAW 264.7 cells) of the present invention was purchased from American Type Culture Collection (ATCC, No. TIB-71). RAW 264.7 cells were cultured in DMEM (Dulcbeccos Modified Eagle Medium) medium, and contained 10% fetal bovine serum (FBS) and penicillin G (100 U/ml) and streptomycin (100 μg/ml) antibiotics, cultured at 37 °C, 5% CO 2 incubator, when the cells grow to eight minutes, drain the culture solution, wash it twice with phosphate buffered saline (PBS), and then attach it with trypsin. The cells on the culture dish are knocked down and subcultured. The RAW 264.7 cell line was subcultured in a 6 cm ulture dish, controlled at 3 x 10 6 cells, and after 12 hours of culture, ester polysaccharide (LPS, 0.01 μg/ml; Sigma L2654) and PCD-1 were administered. The peptide was collected and the cells were collected for anti-inflammatory test after 16 hours. In the anti-inflammatory group, different concentrations of PCD-1 peptide (2.5, 5 and 10 μg/ml in sequence) were added to the culture dish for ten minutes. The cells were collected by LPS treatment and subjected to anti-inflammatory tests.

(2)本發明的小神經膠質細胞為小鼠小神經膠細胞(murine microglia cell line;BV2細胞)。將BV2細胞培養於DMEM(Dulcbeccos Modified Eagle Medium)培養基中,且含有10%胎牛血清(fetal bovine serum,FBS)以及penicillin G(100U/ml)及streptomycin(100μg/ml)抗生素,培養於37℃,5% CO2的培養箱,細胞長到八分滿時,抽乾培養液,以PBS輕洗兩次後,再利用胰蛋白酶(trypsin)將附著於培養皿上的細胞將其打落下來,進行繼代培養(subculture)。繼代培養BV2細胞株於6公分培養皿(culture dish),控制在3 x 106個細胞數,培養12小時後,給予酯多醣(0.01μg/ml;Sigma L2654)和PCD-1並於16小時後收集細胞進行抗發炎測試;抗發炎實驗組,則是分別加入不同濃度的PCD-1胜肽(依序為2.5、5及10μg/ml)於培養皿後十分鐘,再加入LPS處理收集細胞進行 抗發炎測試。 (2) The microglial cells of the present invention are murine microglia cell lines (BV2 cells). BV2 cells were cultured in DMEM (Dulcbeccos Modified Eagle Medium) medium, and contained 10% fetal bovine serum (FBS) and penicillin G (100 U/ml) and streptomycin (100 μg/ml) antibiotics, and cultured at 37 ° C. In a 5% CO 2 incubator, when the cells are as long as eight minutes, the culture medium is drained, washed twice with PBS, and then trypsin is used to knock down the cells attached to the culture dish. , subculture. The BV2 cell line was subcultured in a 6 cm culture dish, controlled at 3 x 10 6 cells, and after 12 hours of culture, ester polysaccharide (0.01 μg/ml; Sigma L2654) and PCD-1 were administered at 16 After an hour, the cells were collected for anti-inflammatory test; in the anti-inflammatory group, different concentrations of PCD-1 peptide (2.5, 5, and 10 μg/ml in sequence) were added to the culture dish for ten minutes, and then added to the LPS treatment. The cells were tested for anti-inflammatory.

上述細胞收集後,以冷的PBS進行清洗,然後以溶解液(pH 7.5,1μg/ml aprotinin,50mM Tris,150mM NaCl,100μg/ml phenylmethylsulfonyl fluoride,1% TritonX-100)進行溶解。溶解物在溫度4℃下,以20,000 x g下離心60分鐘,並取出上清液部分以西方免疫墨點法(west blotting)分析誘導型一氧化氮合成酵素(iNOS)及環氧化酵素-2(COX-2)的表現量。上清液的蛋白質濃度係使用DC protein assay kit(Bio-Rad,Hercules,CA,USA)進行檢測。於每個蛋白質樣本加入等量的樣本緩衝液(sample buffer;2% 2-mercaptoethanol,0.1% bromophenol bule,50mM Tris-HCl,2% SDS,pH 7.2)。利用電泳方式將蛋白質置於10%之SDS-PAGE(sodium dodecyl sulfate polyacrylamide gel electrophoresis)上以70伏特電壓進行分離90分鐘;再將SDS-PAGE上之蛋白質以135毫安培電流轉染到具有轉移緩衝液(transfer buffer;380mM glycine,1% SDS,50mM Tris-HCl,20% methanol)PVDF膜(Polyvinylidene Difluoride membrane)(0.45mm pore size,Immobilon-P,Millipore,Bedford,MA,USA)上,於4℃下置放至過夜。轉染後的PVDF膜於室溫下浸泡含5%脫酯奶粉TTBS溶液(Tris-Tween buffer saline)(Tris-HCl 20mM,NaCl 137mM,pH 7.4,0.1% Tween 20)1個小時;再與1:1000稀釋比例的抗iNOS的抗體(BD Pharmingen,San Diego,CA,USA;catalog no.6103322;polyclonal antibody)和抗COX-2的抗體(Cayman Chemical,Ann Arbor,MI,USA;catalog no.160106;polyclonal antibody)在室溫下反應180分鐘。而該iNOS(約135kDa)和COX-2(約70kDa)之蛋白質的免疫反應帶(immunoreactive band)可利 用試劑(enhanced chemiluminescence;ECL kit;Millipore)進行顯示,並利用影像分析處理設備(UVP BioChemi imaging system;UVP LLC,Upland,CA,USA)進行影像分析。而該免疫反應帶相對的密度定量分析是利用LabWorks 4.0 software(UVP LLC,Upland,CA,USA)進行計算,同時不同組別的免疫反應帶之間彼此的相對差異是利用相同的影像圖進行計算。而單純加入LPS的組別中每一個免疫反應帶之強度設定為100%。此外,本發明將PVDF膜與抗β-actin抗體(1:2500 dilution;catalog no.A5441;Sigma Co.,Ltd.,St Louis,MO,USA;monoclonal mouse antibody)反應,以將β-actin作為內控制組。 After the above cells were collected, they were washed with cold PBS, and then dissolved in a solution (pH 7.5, 1 μg/ml aprotinin, 50 mM Tris, 150 mM NaCl, 100 μg/ml phenylmethylsulfonyl fluoride, 1% Triton X-100). The lysate was centrifuged at 20,000 xg for 60 minutes at a temperature of 4 ° C, and the supernatant fraction was taken out and analyzed for inducible nitric oxide synthase (iNOS) and epoxidase-2 by western blotting. The amount of performance of COX-2). The protein concentration of the supernatant was detected using a DC protein assay kit (Bio-Rad, Hercules, CA, USA). An equal amount of sample buffer (2% 2-mercaptoethanol, 0.1% bromophenol bule, 50 mM Tris-HCl, 2% SDS, pH 7.2) was added to each protein sample. The protein was electrophoresed on a 10% SDS-PAGE (sodium dodecyl sulfate polyacrylamide gel electrophoresis) for 90 minutes at 70 volts; the protein on SDS-PAGE was transfected with 135 mA current to have a transfer buffer. Liquid (transfer buffer; 380 mM glycine, 1% SDS, 50 mM Tris-HCl, 20% methanol) PVDF membrane (Polyvinylidene Difluoride membrane) (0.45 mm pore size, Immobilon-P, Millipore, Bedford, MA, USA), at 4 Place at °C overnight. The transfected PVDF membrane was immersed in a 5% solution of Tris-Tween buffer saline (Tris-HCl 20 mM, NaCl 137 mM, pH 7.4, 0.1% Tween 20) for 1 hour at room temperature; : 1000 dilution ratio of anti-iNOS antibody (BD Pharmingen, San Diego, CA, USA; catalog no. 6103322; polyclonal antibody) and anti-COX-2 antibody (Cayman Chemical, Ann Arbor, MI, USA; catalog no. 160106 ;polyclonal antibody) was allowed to react at room temperature for 180 minutes. The immunoreactive band of the protein of iNOS (about 135 kDa) and COX-2 (about 70 kDa) is profitable. The display was performed with an agent (enhanced chemiluminescence; ECL kit; Millipore), and image analysis was performed using an image analysis processing apparatus (UVP BioChemi imaging system; UVP LLC, Upland, CA, USA). The relative density of the immunoreactive bands was calculated using LabWorks 4.0 software (UVP LLC, Upland, CA, USA), and the relative differences between the different groups of immunoreactive bands were calculated using the same image map. . The intensity of each immunoreaction zone in the group simply added to LPS was set to 100%. Further, the present invention reacts a PVDF membrane with an anti-β-actin antibody (1:2500 dilution; catalog no. A5441; Sigma Co., Ltd., St Louis, MO, USA; monoclonal mouse antibody) to treat β-actin as Internal control group.

分析結果: PCD-1胜肽抑制LPS處理的RAW264.7細胞和小神經膠細胞之iNOS及COX-2的表現量調升 Analysis results: PCD-1 peptide inhibits the expression of iNOS and COX-2 in LPS-treated RAW264.7 cells and small glial cells

該iNOS及COX-2的抑制可誘發抗疼痛(anti-nociceptive)行為。為了探討PCD-1胜肽對iNOS及COX-2的調節,本發明用無毒性的濃度的PCD-1胜肽處理該小鼠巨噬細胞(mouse macrophage cell;RAW264.7細胞)及免疫細胞,並檢測其對iNOS及COX-2之表現量的影響。本發明於20μg/ml的劑量範圍內之PCD-1胜肽處理RAW264.7細胞24小時,並不會影響該細胞的生長(如圖1A所示);因此本發明採用無毒性的濃度(0至10μg/ml)之PCD-1胜肽進行後續抗發炎活性(anti-inflammatory activity)分析。該iNOS及COX-2的表現量以西方免疫墨點法進行檢測(如圖1B所示);而表現量的相對強度(relative intensity)則顯示於圖1C及圖1D。單純加入LPS組別的iNOS及COX-2蛋白質表現量作為100%,並其他組 別則分別加入PCD-1胜肽濃度為2.5、5、10μg/ml,可以看出將細胞單純處理LPS會導致iNOS及COX-2的表現量的調升(up-regulation),且該PCD-1胜肽的加入則會依其濃度的上升而抑制iNOS及COX-2蛋白質表現量的情形也越明顯(如圖1B、1C及1D所示)。 Inhibition of iNOS and COX-2 induces anti-nociceptive behavior. In order to investigate the regulation of iNOS and COX-2 by the PCD-1 peptide, the present invention treats the mouse macrophage cell (RAW264.7 cells) and immune cells with a non-toxic concentration of PCD-1 peptide. The effect of iNOS and COX-2 on the amount of expression was also examined. The DD264.7 cells treated with the PCD-1 peptide in the dosage range of 20 μg/ml of the present invention for 24 hours did not affect the growth of the cells (as shown in Fig. 1A); therefore, the present invention employs a non-toxic concentration (0). PCD-1 peptide up to 10 μg/ml) was subjected to subsequent anti-inflammatory activity analysis. The expression levels of iNOS and COX-2 were detected by Western immunoblotting method (as shown in Fig. 1B); and the relative intensity of the expression was shown in Fig. 1C and Fig. 1D. The amount of iNOS and COX-2 protein expressed in the LPS group alone was 100%, and other groups Otherwise, the PCD-1 peptide concentration was 2.5, 5, and 10 μg/ml, respectively. It can be seen that simply treating the cells with LPS leads to up-regulation of iNOS and COX-2 expression, and the PCD- The addition of the peptide 1 will also inhibit the expression of iNOS and COX-2 protein depending on the increase in concentration (as shown in Figures 1B, 1C and 1D).

另外,本發明亦檢測PCD-1胜肽對小神經膠細胞株(BV2細胞)表現iNOS及COX-2之影響,以模擬對位於中樞神經系統(CNS)中的免疫細胞的影響。而如同於RAW264.7細胞上所觀察的結果,PCD-1胜肽可抑制LPS所誘發的BV2細胞上的iNOS及COX-2的表現量之調升情形(如圖2所示)。 In addition, the present invention also detects the effect of PCD-1 peptide on iNOS and COX-2 in small neuroglial cell lines (BV2 cells) to mimic the effects on immune cells located in the central nervous system (CNS). As observed on RAW264.7 cells, PCD-1 peptide inhibited the upregulation of iNOS and COX-2 expression on BV2 cells induced by LPS (as shown in Figure 2).

實施例3 Example 3 慢性緊縮傷害(chronic constriction injury)的大鼠模式及其測試 Rat model of chronic constriction injury and its testing 方法: method:

(1)慢性緊縮傷害(chronic constriction injury,CCI)及椎管(intrathecal catheter)的置入 (1) Chronic constriction injury (CCI) and placement of the spinal canal (intrathecal catheter)

大鼠以2.5% isofurane麻醉情形下接受椎管的置入手術。首先在大白鼠頭頂至後頸部剃毛消毒後,將大白鼠固定在手術台上並以腹腔注射方式注射抗生素。切開頸部背後中線的肌肉,分開和頭蓋骨相連肌肉層,不露出池狀膜(cisternal membrane)。使用針頭將池狀膜(戳一小洞並打開,此時會有腦脊髓液流出。並在鞘內插入椎管(PE5聚乙烯管,9公分長,內徑為0.008英吋,外徑為0.014英吋,Colorado Springs,CO,USA)以作為椎管注射。並至少讓接受椎管的置入手術之大鼠有五天的癒合時 間,再對其進行慢性緊縮傷害(CCI)的誘發手術。 Rats underwent spinal canal implantation with 2.5% isofurane anesthesia. First, after the head of the mouse was shaved to the back neck, the rats were fixed on the operating table and injected with antibiotics by intraperitoneal injection. Cut the muscles in the midline of the neck, separate the muscle layer from the skull, and do not expose the cisternal membrane. Use a needle to place the pool-like membrane (poke a small hole and open, at this time there will be cerebrospinal fluid outflow. Insert the spinal canal into the sheath (PE5 polyethylene tube, 9 cm long, inner diameter is 0.008 inches, outer diameter is 0.014 inches, Colorado Springs, CO, USA) for spinal canal injection and at least five days of healing for rats undergoing spinal canal implantation Induction surgery for chronic constriction injury (CCI).

慢性緊縮傷害(CCI)的誘發係參考先前文獻,本發明使用鈍式組織分離器(blunt dissection)讓大白鼠右側下肢大腿中段約5mm長的坐骨神經露出,以4-0鉻腸線(chronic gut)對坐骨神經進行4個輕度結紮(ligation),間距皆為1mm。 Induction of Chronic Tightening Injury (CCI) Referring to the prior literature, the present invention uses a blunt dissection to expose the sciatic nerve about 5 mm long in the right thigh of the right lower extremity of the rat, with a 4-0 chrome gut pair. The sciatic nerve was subjected to 4 mild ligations with a spacing of 1 mm.

(2)疼痛行為評估方法: (2) Pain behavior assessment method:

(a)熱痛覺過敏(thermal hyperalgesia) (a) Thermal hyperalgesia

本發明的熱痛覺過敏係採用IITC analgesiometer(IITC Inc.,Woodland Hills,CA,USA)進行檢測。將大白鼠放置於位於架高起來的玻璃板上方的塑膠籠中,並用低強度的放射性熱源(作用強度為25)照射大鼠的後腳掌,直至該大鼠表現積極的疼痛跡象(如舔或縮腳)。而縮足反應時間(paw withdrawal latency,PWL)是以秒為單位進行計算,並設定該放射性熱源照射30秒為上限。本發明分別於給予PCD-1胜肽或佳巴本汀(gabapentin)後的30、60、90、120、150及180分鐘記錄一次PWL。本發明進一步將PWL的數據轉成藥物的效應,並以最大可能效應的百分比(percentage of the maximum possible effect,MPE;%)呈現,其所使用的公式如下:最大可能效應的百分比=(給藥後反應時間的數值-基準值)/(上限值-基準值)x100% The thermal hyperalgesia of the present invention was tested using an IITC analgesiometer (IITC Inc., Woodland Hills, CA, USA). Place the rats in a plastic cage above the raised glass plate and irradiate the hind paws of the rats with a low-intensity radioactive heat source (25 in effect) until the rats show signs of positive pain (eg sputum or Shrink the foot). The paw withdrawal latency (PWL) is calculated in seconds and the irradiation of the radioactive heat source is set to an upper limit of 30 seconds. The present invention records PWL at 30, 60, 90, 120, 150 and 180 minutes after administration of PCD-1 peptide or gabapentin, respectively. The present invention further converts the PWL data into a drug effect and presents it as a percentage of the maximum possible effect (MPE; %) using the following formula: Percentage of the maximum possible effect = (administration) Value of post reaction time - reference value) / (upper limit value - reference value) x 100%

其中給藥後反應時間的數值係為給予PCD-1胜肽、佳巴本汀或空白溶劑(vehicle)後的第30、60、90、120、150及180分鐘記錄的縮足反應時間;基準值是指於椎管注射前的立即反應時間;而上限值為30 秒。 The value of the reaction time after administration is the time of the contraction reaction recorded at the 30th, 60th, 90th, 120th, 150th and 180th minutes after administration of the PCD-1 peptide, the gabapentine or the blank vehicle; Value refers to the immediate reaction time before spinal canal injection; the upper limit is 30 second.

(b)機械性疼痛(mechanical allodynia) (b) Mechanical allodynia

機械性疼痛係使用校準後的Von Frey細絲(Stoelting,Wood Dale,IL,USA)分析縮足閾值(paw withdrawal threshold,PWT),其以克為數值進行計算。將大鼠置於架高起來的金屬網狀地板上方的塑膠籠中,並採用Chaplan’s Up-Down方法以一系列的具有對數遞增強度的Von Frey細絲刺激大鼠後腳掌底中間的區域,觀察期後腳的反射反應,若無反應則逐漸增加至直至大鼠有反應為止並紀錄該造成反應所使用的細絲強度大小,作為縮足閾值。 Mechanical pain was analyzed using a calibrated Von Frey filament (Stoelting, Wood Dale, IL, USA) to analyze the paw withdrawal threshold (PWT), which was calculated in grams. Rats were placed in plastic cages above the raised metal mesh floor and stimulated by Chaplan's Up-Down method with a series of Von Frey filaments with logarithmic strength to stimulate the middle of the hind paw of the rat. The reflex reaction of the foot after the period, if there is no reaction, gradually increases until the rat reacts and records the strength of the filament used to cause the reaction as the threshold of the contraction.

(c)冷痛覺過敏(cold allodynia) (c) cold allergy (cold allodynia)

將大鼠放置於架高起來的金屬網狀板上方的塑膠籠中,以25μ1的丙酮刺激大鼠後腳腳底的中央區域,並於給予丙酮刺激1分鐘後監測大鼠的冷痛覺過敏的程度(以丙酮反應量級呈現),而本發明採用6個量級的分數分別為:0:於刺激後2秒內重複舔拭及拍打其腳掌;1:於刺激後2秒內長時間縮腳或反覆拍打腳掌;2:於刺激後2秒內快速和較劇烈地縮腳、拍打或頓足;3:於刺激後2秒內快速地縮腳、拍打或頓足;4:於刺激2秒後縮腳、拍打或頓足;5:沒有反應。 The rats were placed in a plastic cage above the raised metal mesh plate, and the central region of the hind paw of the rat was stimulated with 25 μl of acetone, and the degree of cold hyperalgesia in the rat was monitored after 1 minute of stimulation with acetone ( According to the magnitude of the acetone reaction, the scores of the six levels of the present invention are: 0: repeated wiping and tapping the soles of the feet within 2 seconds after the stimulation; 1: long-term retraction within 2 seconds after the stimulation or Repeatedly tapping the soles of the feet; 2: Quickly and violently shrinking, tapping or slamming within 2 seconds after stimulation; 3: Quickly retracting, tapping or slamming within 2 seconds after stimulation; 4: 2 seconds after stimulation Retracting, tapping or footing; 5: No reaction.

每隔五分鐘噴灑丙酮(acetone)重複實驗四次,再加總其得分。因此可能的最小總得分為0分,而可能的最大總得分為20分。 The experiment was repeated four times with acetone (acetone) every five minutes, and the total score was added. Therefore the smallest possible total score is 0 points and the maximum possible total score is 20 points.

(d)雙足負重測試(Weight bearing) (d) Weight bearing test

大鼠放置於雙足平衡測痛儀(incapacitance tester;Singa Technology Corporation,Taiwan)上,並將該大鼠的兩後腳集中於該雙足平衡測痛儀上的兩個力傳感器,測試大鼠左右後腳個別施力的重量。後腳的施力重量以克為單位進行呈現;並藉由測量同一時間點上正常後腳和受影響的後腳之間的差異以進行計算。 Rat placed in the biped balance tester (incapacitance tester; Singa Technology Corporation, Taiwan), and the two hind feet of the rat were concentrated on the two force sensors on the biped balance pain tester, and the weight of the individual force applied to the left and right hind legs of the rats was tested. The weight of the hind foot is expressed in grams; and the calculation is performed by measuring the difference between the normal hind foot and the affected hind foot at the same time point.

(e)獨木橋測試(narrow beam test) (e) Narrow beam test

本發明中使用的獨木橋是一長80公分及寬2.5公分的木製橫梁,其兩端以木製支架所撐起,使其離地100公分。並將一發泡填充物(1公尺寬,約12公分厚)置放於橫梁底下,以防大鼠摔倒而發生受傷的情況。而大鼠行走獨木橋花費時間上限設定為15秒,且在試驗前讓大鼠預先練習行走獨木橋。 The wooden bridge used in the present invention is a wooden beam having a length of 80 cm and a width of 2.5 cm, and the ends thereof are supported by wooden brackets so as to be 100 cm from the ground. A foaming filling (1 metre wide, about 12 cm thick) was placed under the beam to prevent the rat from falling and causing injury. The upper limit of the time taken for the rats to walk the single-wood bridge was set to 15 seconds, and the rats were pre-trained to walk the wooden bridge before the test.

(3)免疫組織螢光染色分析 (3) Immunostaining fluorescence staining analysis

從各組別的大鼠(包含未給予任何處理的正常大鼠、接受CCI手術並給予空白溶劑的大鼠以及接受CCI手術及給予PCD-1胜肽(20μg)後的第30、90、180分鐘的大鼠)身上收集脊髓組織。組織樣本以10μm厚度切片後,於4℃下與抗OX42抗體、抗GFAP抗體、抗磷酸化-哺乳類斥消靈標的蛋白(phospho-mTOR;p-mTOR)抗體、抗介白素-1β(IL-1β)抗體或抗腫瘤生長因子-β1(TGF-β1)抗體反應至過夜。細胞型態的鑑別係基於不同的生物標記,如小神經膠細胞(microglia;OX42)、星狀細胞(astrocyte;GFAP)或神經細胞(neuron;NeuN)。樣本切片於室溫下與Alexa Fluor 488標記的雞抗小鼠IgG抗體(1:400比例稀釋,cat.705-546-147;Jackson ImmunoResearch Laboratories Inc.,West Grove,PA,USA;green fluorescence)、DyLight 549-共軛的驢抗兔IgG抗體(1:400比例稀釋,cat. 711-506-152;Jackson ImmunoResearch Laboratories Inc.,West Grove,PA,USA;red fluorescence)或Alexa Fluor 488共軛的驢抗山羊IgG抗體(1:400比例稀釋,cat.705-546-147;Jackson ImmunoResearch Laboratories Inc.,West Grove,PA,USA;green fluorescence)反應40分鐘。這將使p-mTOR或TGF-β1的檢測可作為偽綠色信號。為了進行雙重免疫螢光染色,脊髓切片會與以下抗體混合物於4℃下反應至過夜抗,如抗OX42抗體和抗p-mTOR抗體、抗GFAP抗體和抗phosto-mTOR抗體、抗NeuN抗體和抗p-mTOR抗體、抗OX42抗體和抗TGF-β1抗體、抗GFAP抗體和抗TGF-β1抗體、抗NeuN抗體和抗TGF-β1抗體;接著再與Alexa Fluor 488共軛及DyLight 549共軛的二級抗體之混合物於室溫下反應40分鐘。隨機選擇四片脊髓切片,並用Leica DM-6000 CS螢光顯微鏡(Leica Instruments Inc.,Wetzlar,Germany)進行掃描,再以SPOT數位影像擷取系統(SPOT Xplorer Digital camera,Diagnostic Incstruments,Inc.,Sterling Heights,MI,USA)進行影像擷取。而螢光定量分析方面,則是一連續的脊髓切片中每隔四片取一片,四個連續切片進行計算。最後,計算觀察員於不知情的條件下,使用Image J(National Institutes of Health,Bethesda,Maryland,USA)影像軟體進行影像的定量分析。影像上脊髓的背角之免疫反應陽性區域的像素值(pixel value)納入計算。免疫組織染色的數據是以與未進行任何處理的正常動物組作為100%比較後的百分比變化進行呈現。 Rats from each group (including normal rats not given any treatment, rats receiving CCI surgery and given blank solvent, and 30, 90, 180 after receiving CCI surgery and giving PCD-1 peptide (20 μg) Spinal cord tissue was collected from the rats of the minute. Tissue samples were sliced at a thickness of 10 μm, and anti-OX42 antibody, anti-GFAP antibody, anti-phosphorylated-mammalian-deficient protein (phosph-mTOR; p-mTOR) antibody, anti-interleukin-1β (IL) at 4 °C The -1β) antibody or the anti-tumor growth factor-β1 (TGF-β1) antibody was reacted overnight. The identification of cell types is based on different biomarkers, such as microglia (OX42), astrocyte (GFAP) or neural cells (neun; NeuN). Sample sections were incubated with Alexa Fluor 488-labeled chicken anti-mouse IgG antibody at room temperature (1:400 ratio dilution, cat. 705-546-147; Jackson ImmunoResearch Laboratories Inc., West Grove, PA, USA; green fluorescence), DyLight 549-conjugated donkey anti-rabbit IgG antibody (1:400 ratio dilution, cat. 711-506-152; Jackson ImmunoResearch Laboratories Inc., West Grove, PA, USA; red fluorescence) or Alexa Fluor 488 conjugated donkey anti-goat IgG antibody (1:400 ratio dilution, cat. 705-546-147; Jackson ImmunoResearch Laboratories Inc., West Grove, PA, USA; green fluorescence) reaction for 40 minutes. This will enable detection of p-mTOR or TGF-β1 as a pseudo green signal. For dual immunofluorescence staining, spinal cord sections are reacted with the following antibody cocktails at 4 ° C to overnight anti-antises, such as anti-OX42 antibodies and anti-p-mTOR antibodies, anti-GFAP antibodies and anti-phosto-mTOR antibodies, anti-NeuN antibodies and antibodies p-mTOR antibody, anti-OX42 antibody and anti-TGF-β1 antibody, anti-GFAP antibody and anti-TGF-β1 antibody, anti-NeuN antibody and anti-TGF-β1 antibody; followed by conjugate with Alexa Fluor 488 and conjugated with DyLight 549 The mixture of grades of antibody was reacted at room temperature for 40 minutes. Four spinal cord sections were randomly selected and scanned with a Leica DM-6000 CS fluorescence microscope (Leica Instruments Inc., Wetzlar, Germany) followed by a SPOT digital image capture system (SPOT Xplorer Digital camera, Diagnostic Incstruments, Inc., Sterling) Heights, MI, USA) for image capture. In terms of quantitative fluorescence analysis, one continuous slice of spinal cord is taken every four slices, and four consecutive slices are calculated. Finally, the computational observer used the Image J (National Institutes of Health, Bethesda, Maryland, USA) imaging software to perform quantitative analysis of the image without knowing the conditions. The pixel value of the immunoreactive positive area of the dorsal horn of the spinal cord on the image was included in the calculation. The data for immunohistochemical staining were presented as a percentage change after 100% comparison with normal animal groups without any treatment.

結果: result:

(1)PCD-1胜肽對接受CCI手術的大鼠於抗熱痛覺過敏的影響有劑量依存效應 (1) PCD-1 peptide has a dose-dependent effect on the effects of heat-hyperalgesia in rats undergoing CCI surgery

縮足反應時間(PWL)依序於透過椎管注射0、0.1、1、5、10、20μg的PCD-1胜肽後的0至180分鐘內的不同時間點進行實驗。PCD-1胜肽的處理對接受CCI手術的大鼠對抗熱痛覺過敏(anti-thermal hyperalgesia)會導致最大可能效應的百分比(MPE;%)依著劑量依存效應(dose-dependent)增加(如圖3A所示)。特別是20μg劑量的PCD-1胜肽在抗熱痛覺過敏方面於所有實驗的時間點都是呈現顯著增加的情形,因此進一步的實驗都將採用這個劑量進行實驗。PCD-1胜肽對接受CCI手術的大鼠於抗熱痛覺過敏方面所呈現的功效,與給予佳巴本汀(gabapentin)(廣泛用於抗神經痛的藥物)的大鼠情況相似(如圖3B所示)。以標準曲線計算PCD-1胜肽及佳巴本汀之達百分之五十的有效劑量(ED50),而PCD-1胜肽和佳巴本汀對抗熱痛覺過敏的達百分之五十的有效劑量(ED50)分別為9.5±3.2μg和2.3±1.5μg(如圖3C所示)。 The paw withdrawal reaction time (PWL) was performed at different time points from 0 to 180 minutes after injection of 0, 0.1, 1, 5, 10, 20 μg of PCD-1 peptide through the spinal canal. Treatment of PCD-1 peptide increased the percentage of the greatest possible effect (MPE; %) against the hyper-hyperalgesia (CPE) in rats undergoing CCI surgery, depending on the dose-dependent increase (Figure 3A)). In particular, the 20 μg dose of PCD-1 peptide showed a significant increase in heat-induced hyperalgesia at all time points of the experiment, so further experiments will be conducted using this dose. The effect of PCD-1 peptide on the anti-hyperalgesia in rats undergoing CCI surgery is similar to that in rats given gabapentin (a widely used anti-neuropathic drug). 3B)). A 50% effective dose (ED50) of PCD-1 peptide and Jiaba Bentin was calculated using a standard curve, while PCD-1 peptide and Jiaba Bentin were 50% resistant to thermal hyperalgesia. The effective dose (ED50) was 9.5 ± 3.2 μg and 2.3 ± 1.5 μg, respectively (as shown in Figure 3C).

(2)PCD-1胜肽於接受CCI手術的大鼠上具有抗機械性疼痛、抗冷痛覺過敏及抗雙足負重的功效 (2) PCD-1 peptide has anti-mechanical pain, anti-cold hyperalgesia and anti-biological weight-bearing effect on rats undergoing CCI surgery

以空白溶劑(vehicle)處理的接受CCI手術之大鼠,其縮足閾值(PWT)於所有實驗時間點都不變(如圖4A所示)。相對於CCI組(接受CCI手術並給予空白溶劑),接受CCI手術的大鼠於注射PCD-1胜肽後第30分鐘可使縮足閾值顯著增加;於第60分鐘時其縮足閾值達到巔峰;且於接受PCD-1胜肽處理後240分鐘內都維持著顯著大於CCI組的縮足閾值之情況(如圖4A及4B所示)。接著,大鼠接受丙酮的冷刺激去測量冷痛覺過敏(cold allodynia)。以空白溶劑處理的大鼠之冷痛覺過敏於所有的實驗時間點皆接近基礎值,然而PCD-1胜肽處理的大鼠則於注射後30 分鐘呈現增強抗冷痛覺過敏的情況;而這抗冷痛覺過敏的情況於60分鐘達到巔峰;且於接受PCD-1胜肽處理後210分鐘內都維持著顯著大於CCI組的情況(如圖4C及4D所示)。此外,大鼠於接受PCD-1胜肽處理後的第30分鐘與第210分鐘內,以雙足平衡測痛儀測量雙足負重,發現其大大的降低(如圖5所示)。 Rats subjected to CCI surgery treated with blank vehicle had a paw withdrawal threshold (PWT) that remained unchanged at all experimental time points (as shown in Figure 4A). Compared with the CCI group (CCI surgery and blank solvent), rats receiving CCI surgery significantly increased the threshold of withdrawal at 30 minutes after injection of PCD-1 peptide; at the 60th minute, the threshold of contraction reached peak. And maintained significantly greater than the CCI group's paw withdrawal threshold within 240 minutes after receiving PCD-1 peptide treatment (as shown in Figures 4A and 4B). Next, the rats received cold stimulation of acetone to measure cold allodynia. Cold hyperalgesia in rats treated with blank solvent was close to the baseline value at all experimental time points, whereas PCD-1 peptide treated rats were 30 after injection. Minutes showed an increase in anti-cold hyperalgesia; this anti-cold hyperalgesia peaked at 60 minutes; and remained significantly greater than the CCI group within 210 minutes after receiving PCD-1 peptide treatment (Figure 4C) And 4D). In addition, in the 30th and 210th minute after receiving the PCD-1 peptide treatment, the rats were measured for the weight of the biped by the bipedal balance pain tester and found to be greatly reduced (as shown in Fig. 5).

(3)PCD-1胜肽降低CCI所誘發小神經膠細胞及星狀細胞的活化 (3) PCD-1 peptide reduces CCI-induced activation of microglia cells and stellate cells

為了探討中樞神經系統的神經膠細胞(glial cell)的活化,本發明將脊髓切片用特定的抗體,如OX42抗體對小神經膠細胞(microglial cell)及GFAP抗體對星狀細胞(astrocyte)進行染色標記。相對於控制組(未接受CCI手術及藥物處理的正常大鼠)(如圖6A所示),單純接受CCI手術的大鼠顯示出小神經膠細胞(OX42抗體所染)的活化(activation)增加(如圖6B所示)。但該接受CCI手術的大鼠於注射PCD-1胜肽後的第30、90及180分鐘亦降低該小神經膠細胞的活化情況(如圖6C至6F所示)。相似的情況,大鼠接受CCI手術後,其星狀細胞(GFAP抗體所染)亦被活化,但於注射PCD-1胜肽後的第30、90及180分鐘降低該星狀細胞的活化情況(如圖7A至7F所示)。 In order to investigate the activation of glial cells of the central nervous system, the present invention stains spinal cord slices with a specific antibody such as OX42 antibody against microglial cells and GFAP antibodies against astrocyte. mark. Compared with the control group (normal rats that did not receive CCI surgery and drug treatment) (as shown in Figure 6A), rats that received CCI alone showed an increase in activation of microglial cells (stained with OX42 antibody). (As shown in Figure 6B). However, the CCI-operated rats also reduced the activation of the microglial cells at 30, 90, and 180 minutes after injection of the PCD-1 peptide (as shown in Figures 6C to 6F). Similarly, after the CCI operation, the stellate cells (stained by GFAP antibody) were also activated, but the activation of the stellate cells was reduced at 30, 90, and 180 minutes after injection of the PCD-1 peptide. (as shown in Figures 7A to 7F).

(4)PCD-1胜肽調節CCI所介導調升的IL-1β和p-mTOR以及調降的TGF-β1 (4) PCD-1 peptide regulates CCI-mediated up-regulation of IL-1β and p-mTOR and down-regulated TGF-β1

為了檢測PCD-1胜肽對IL-1β的調控,本發明利用免疫組織染色法對控制組(未接受CCI手術及藥物處理的正常大鼠)及單純接受CCI手術的大鼠之脊髓切片上IL-1β的表現量進行檢測。單純接受CCI手術的大 鼠的IL-1β高於控制組及PCD-1胜肽(20μg)處理的大鼠(如圖8所示)。而單純接受CCI手術的大鼠的壓力相關蛋白(stress-associated protein)之p-mTOR亦被調升,但這樣的調升會因注射PCD-1胜肽而有所抑制(如圖9所示)。值得注意的是,於星狀細胞上的p-mTOR亦因CCI手術而調升,但這樣的調升會因注射PCD-1胜肽而有所抑制(如圖10所示)。另一與神經傳導路徑相關的蛋白質TGF-β1,相對於控制組(未接受CCI手術及藥物處理的正常大鼠),單純接受CCI手術的大鼠將其表現量調降,但這種調降現象亦因注射PCD-1胜肽而有所改善(如圖11所示)。最後,接受CCI手術的大鼠上的星狀細胞及神經元細胞可藉由PCD-1胜肽處理而調升TGF-β1的表現量(如圖12所示)。此外,本發明使用PCD-1胜肽治療,並不影響大鼠的原有的運動功能(如圖13所示),並且也沒導致外部行為之任何的明顯改變。 In order to detect the regulation of IL-1β by PCD-1 peptide, the present invention utilizes immunohistochemical staining for IL in the control group (normal rats not subjected to CCI surgery and drug treatment) and spinal cord slices of rats exclusively subjected to CCI surgery. The amount of -1β was measured. Simply accepting CCI surgery Rat IL-1β was higher than the control group and PCD-1 peptide (20 μg) treated rats (as shown in Figure 8). However, the p-mTOR of stress-associated protein in rats subjected to CCI surgery was also elevated, but such a rise was inhibited by injection of PCD-1 peptide (Figure 9). ). It is worth noting that p-mTOR on stellate cells is also elevated by CCI surgery, but such a rise is inhibited by the injection of PCD-1 peptide (see Figure 10). Another protein TGF-β1 associated with the nerve conduction pathway, compared with the control group (normal rats that did not receive CCI surgery and drug treatment), the rats that received CCI surgery only reduced their performance, but this reduction The phenomenon was also improved by the injection of PCD-1 peptide (as shown in Figure 11). Finally, stellate cells and neuronal cells on rats subjected to CCI surgery can upregulate the expression of TGF-β1 by PCD-1 peptide treatment (as shown in Figure 12). Furthermore, the present invention treated with PCD-1 peptide did not affect the original motor function of the rat (as shown in Figure 13) and did not cause any significant change in external behavior.

上列詳細說明係本發明之一較佳實施方式之具體說明,然其並非用以限定本創作,故任何熟習此技藝者,在不脫離本發明之精神和範圍內作些許之等效實施或變更,均應包含至本發明之申請專利範圍內。 The detailed description of the preferred embodiments of the present invention is not intended to limit the scope of the present invention, and it is intended to be The modifications are intended to be included in the scope of the patent application of the present invention.

<110> 中央研究院;國立中山大學 <110> Academia Sinica; National Sun Yat-Sen University

<120> 胜肽用於製備用於緩解疼痛的醫藥組合物的用途 <120> Use of a peptide for the preparation of a pharmaceutical composition for relieving pain

<130> 2448-AS-TW <130> 2448-AS-TW

<160> 1 <160> 1

<170> PatentIn version 3.5 <170> PatentIn version 3.5

<210> 1 <210> 1

<211> 22 <211> 22

<212> PRT <212> PRT

<213> Morone chrysops <213> Morone chrysops

<400> 1 <400> 1

Claims (11)

一種胜肽用於製備用於緩解疼痛之醫藥組合物的用途,其中該胜肽為一番石榴素(Piscidin,PCD)胜肽,其中該PCD胜肽為一PCD-1胜肽,其中該PCD-1胜肽的胺基酸序列為SEQ ID NO:1。 A use of a peptide for the preparation of a pharmaceutical composition for relieving pain, wherein the peptide is a Picosidin (PCD) peptide, wherein the PCD peptide is a PCD-1 peptide, wherein the PCD The amino acid sequence of the -1 peptide is SEQ ID NO: 1. 如申請專利範圍第1項所述的用途,其中該疼痛為一神經性疼痛。 The use of claim 1, wherein the pain is a neuropathic pain. 如申請專利範圍第1項所述的用途,其中該疼痛係由神經發炎所引發的疼痛。 The use of claim 1, wherein the pain is pain caused by nerve inflammation. 如申請專利範圍第3項所述的用途,其中該PCD胜肽進一步抑制神經發炎。 The use of claim 3, wherein the PCD peptide further inhibits neuroinflammation. 如申請專利範圍第1項所述的用途,其中該PCD胜肽抑制一環氧化酵素-2(COX-2)的表現量。 The use according to claim 1, wherein the PCD peptide inhibits the expression of a epoxidase-2 (COX-2). 如申請專利範圍第1項所述的用途,其中該PCD胜肽抑制一誘導型一氧化氮合成酵素(iNOS)的表現量。 The use according to claim 1, wherein the PCD peptide inhibits the expression level of an inducible nitric oxide synthase (iNOS). 如申請專利範圍第1項所述的用途,其中該PCD胜肽降低一小神經膠質細胞(microglia)的活化。 The use of claim 1, wherein the PCD peptide reduces the activation of a microglia. 如申請專利範圍第1項所述的用途,其中該PCD胜肽降低一星狀細胞(astrocytc)的活化。 The use of claim 1, wherein the PCD peptide reduces the activation of astrocytc. 如申請專利範圍第1項所述的用途,其中該PCD胜肽降低一介白素-1β(IL-1β)的表現量。 The use according to claim 1, wherein the PCD peptide reduces the amount of expression of an interleukin-1β (IL-1β). 如申請專利範圍第1項所述的用途,其中該PCD胜肽降低一磷酸化-哺乳類斥消靈標的蛋白(phospho-mTOR)的表現量。 The use of the first aspect of the invention, wherein the PCD peptide reduces the amount of monophosphorylation-mammalian-deficient protein (phospho-mTOR). 如申請專利範圍第1項所述的用途,其中該PCD胜肽增加一腫瘤生長 因子-β1(TGF-β1)的表現量。 The use according to claim 1, wherein the PCD peptide increases a tumor growth The amount of expression of factor-β1 (TGF-β1).
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Publication number Priority date Publication date Assignee Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111607495A (en) * 2020-06-04 2020-09-01 奥格诺德生物科技(北京)有限公司 Preparation method of tumor organoid, device and application thereof

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