TWI587858B - Uses of butylidenephthalide - Google Patents

Uses of butylidenephthalide Download PDF

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TWI587858B
TWI587858B TW105100148A TW105100148A TWI587858B TW I587858 B TWI587858 B TW I587858B TW 105100148 A TW105100148 A TW 105100148A TW 105100148 A TW105100148 A TW 105100148A TW I587858 B TWI587858 B TW I587858B
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cells
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fbmf
submucosal tissue
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TW201725037A (en
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韓鴻志
邱紫文
林欣榮
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長弘生物科技股份有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
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Description

亞丁基苯酞之應用 Application of butylene benzoquinone

本發明係關於使用亞丁基苯酞以預防及/或治療口腔黏膜下纖維化症(oral submucous fibrosis,OSF)的應用。 The present invention relates to the use of butylene benzoquinone to prevent and/or treat oral submucous fibrosis (OSF).

口腔黏膜下纖維化症為一種口腔癌的癌前病變(pre-cancerous condition),但並非口腔癌,主要特徵在於口腔黏膜下組織和深層結締組織的發炎反應以及纖維化現象,若是不及時加以治療,極有可能進一步演變成口腔癌。 Oral submucous fibrosis is a pre-cancerous condition of oral cancer, but it is not oral cancer. It is mainly characterized by inflammatory reaction and fibrosis in oral submucosal tissue and deep connective tissue. It is highly likely that it will further evolve into oral cancer.

流行病學之研究指出,嚼食檳榔是造成口腔黏膜下纖維化症最主要的原因,病灶常見於頰黏膜、其次是腭部(Palatal portion)與臼齒後區,患部黏膜首先會變白,接著反覆出現潰瘍或水泡,最後黏膜會失去彈性,造成患者無法將口張大,嚴重影響進食、刷牙、口腔檢查與治療等日常口腔功能。病灶若發生於口咽之間的軟腭部位,可能導致吞嚥困難、懸雍垂萎縮或變形。患者口內常有灼熱、刺痛、乾澀的感覺,對辛辣、熱等食物極度敏感,但味覺卻是減退。 Epidemiological studies have pointed out that chewing betel nut is the most important cause of oral submucous fibrosis. The lesion is common in the buccal mucosa, followed by the Palatal portion and the posterior caries. The mucosa of the affected part will first turn white, then Repeated ulcers or blisters will eventually cause the mucous membrane to lose its elasticity, causing the patient to be unable to enlarge the mouth, seriously affecting daily oral functions such as eating, brushing, oral examination and treatment. If the lesion occurs in the soft palate between the oropharynx, it may cause difficulty in swallowing, atrophy or deformation of the uvula. The patient often has a feeling of burning, tingling, and dryness in the mouth. It is extremely sensitive to spicy, hot foods, but the taste is diminished.

目前並沒有可有效預防及/或治療口腔黏膜下纖維化症的藥物,通常係依賴類固醇注射來減少膠原蛋白在口腔黏膜 下組織中的含量、或是經由外科手術或雷射來切除病變組織。然而,類固醇注射僅可減緩症狀,並不能治癒口腔黏膜下纖維化症,且經常伴隨著月亮臉、變胖、水牛肩、骨質疏鬆、皮膚變薄、水腫、容易感染、青春痘、長不高、血糖上升、感染率增加、口腔黴菌感染、體毛增多、傷口癒合力變差等副作用。此外,經由外科手術或雷射外科手術及雷射切除較大的病變組織後,傷口癒合時容易收縮而形成疤痕,需要考量張口受限以及美觀的問題,於此,口腔外科醫師會考慮以植皮的方式補救,但是植皮的部位會有遮掩早期復發病變的隱憂。以外科手術或雷射對年長的患者或病灶太大的患者進行治療時,更是要考慮手術的傷害性、病人身體抵抗力與生活品質的問題。 There are currently no drugs that can effectively prevent and/or treat oral submucous fibrosis, usually relying on steroid injection to reduce collagen in the oral mucosa. The amount of tissue in the lower tissue, or surgical or laser to remove the diseased tissue. However, steroid injection only slows down the symptoms and does not cure oral submucous fibrosis, and often accompanied by moon face, fat, buffalo shoulder, osteoporosis, thin skin, edema, easy infection, acne, and long Side effects such as increased blood sugar, increased infection rate, oral mold infection, increased body hair, and poor wound healing. In addition, after surgically or laser surgery and laser ablation of large diseased tissue, the wound is easily contracted to form a scar when it is healed, and it is necessary to consider the limitation of mouth opening and aesthetics. Here, the dental surgeon will consider skin grafting. The way to remedy, but the site of the skin graft will have hidden concerns about early recurrence. When treating an elderly patient or a patient with a large lesion with surgery or laser, it is necessary to consider the injury of the surgery, the patient's physical resistance and quality of life.

有鑒於上述關於口腔黏膜下纖維化症治療的問題,目前醫藥界仍致力於開發可預防及/或治療口腔黏膜下纖維化症的藥物。本案發明人研究後發現,亞丁基苯酞可有效抑制口腔黏膜下組織細胞進行上皮間質轉換(epithelial-mesenchymal transition,EMT)、抑制口腔黏膜下組織細胞分化成肌纖維母細胞(myofibroblasts)、及抑制肌纖維母細胞的活化,故可抑制口腔黏膜下組織的膠原蛋白累積、抑制口腔黏膜下組織細胞間質內的收縮,用於提供預防及/或治療口腔黏膜下纖維化症的藥物。 In view of the above-mentioned problems regarding the treatment of oral submucous fibrosis, the pharmaceutical industry is still developing a drug that can prevent and/or treat oral submucous fibrosis. The inventors of the present study found that butylene benzoquinone can effectively inhibit epithelial-mesenchymal transition (EMT) in oral submucosal tissue cells, inhibit the differentiation of oral submucosal tissue cells into myofibroblasts, and inhibit The activation of myofibroblasts inhibits the accumulation of collagen in the submucosal tissues and inhibits the contraction of interstitial cells in the submucosal tissues, and is useful for the prevention and/or treatment of oral submucous fibrosis.

本發明之一目的,在於提供一種使用一活性成分於製造一藥劑的用途,其中該活性成分係選自以下群組:亞丁基苯酞(butylidenephthalide,BP)、其醫藥上可接受之鹽、及前述之組 合,且該藥劑係用於預防及/或治療口腔黏膜下纖維化症(oral submucous fibrosis,OSF)。較佳地,該藥劑係一針劑、錠劑、口服液、或塗抹劑。 It is an object of the present invention to provide an use of an active ingredient for the manufacture of a medicament, wherein the active ingredient is selected from the group consisting of butylidenephthalide (BP), a pharmaceutically acceptable salt thereof, and The aforementioned group And the agent is used for the prevention and/or treatment of oral submucous fibrosis (OSF). Preferably, the medicament is an injection, a lozenge, an oral solution, or an smear.

本發明之另一目的,在於提供一種使用預防及/或治療口腔黏膜下纖維化症(oral submucous fibrosis,OSF)的醫藥組合物,其係包含一有效量之活性成分以及一醫藥上可接受之載劑,其中該活性成分係選自以下群組:亞丁基苯酞(butylidenephthalide,BP)、其醫藥上可接受之鹽、及前述之組合。較佳地,該醫藥組合物係一針劑、錠劑、口服液、或塗抹劑。 Another object of the present invention is to provide a pharmaceutical composition for preventing and/or treating oral submucous fibrosis (OSF) comprising an effective amount of an active ingredient and a pharmaceutically acceptable substance A carrier wherein the active ingredient is selected from the group consisting of butylidenephthalide (BP), a pharmaceutically acceptable salt thereof, and combinations of the foregoing. Preferably, the pharmaceutical composition is an injection, a lozenge, an oral solution, or an smear.

本發明之又一目的,在於提供一種預防及/或治療口腔黏膜下纖維化症(oral submucous fibrosis,OSF)的方法,其係包含於有需要之個體中投予有效量之活性成分,其中該活性成分係選自以下群組:亞丁基苯酞(BP)、其醫藥上可接受之鹽、或前述之組合。其中,該活性成分可以一針劑、錠劑、口服液、或塗抹劑之型式施用到該個體。 A further object of the present invention is to provide a method for preventing and/or treating oral submucous fibrosis (OSF), which comprises administering an effective amount of an active ingredient to an individual in need thereof, wherein The active ingredient is selected from the group consisting of butylene benzoquinone (BP), a pharmaceutically acceptable salt thereof, or a combination of the foregoing. Wherein the active ingredient can be administered to the individual in the form of an injection, a lozenge, an oral solution, or a spread.

本發明之詳細技術內容及部分具體實施態樣,將描述於以下內容中,以供本發明所屬領域具通常知識者據以明瞭本發明之特徵。 The detailed technical content and some of the specific embodiments of the present invention will be described in the following, and the present invention will be apparent to those of ordinary skill in the art.

第1圖係顯示經不同濃度之亞丁基苯酞(BP)處理之正常口腔頰黏膜之初代纖維母細胞(buccal mucosal fibroblasts,BMFs;包括「BMF-1(即,◆)」及「BMF-2(即,■)」)以及纖維化之口腔頰黏膜的初代纖維母細胞(fibrotic buccal mucosal fibroblasts,fBMFs;包括「fBMF-1(即,△)」及「fBMF-2(即,□)」的相對存活率(%)的曲線圖; 第2A、2B圖係顯示以即時定量聚合酶鏈鎖反應(Quanititative real-time polymerase chain reaction,Q-PCR)分析經不同濃度之亞丁基苯酞(BP)處理之fBMF-1或fBMF-2之TwistSnail、及ZEB1基因的相對表現量(倍數)的長條圖,其中第2A圖係fBMF-1的結果,第2B圖則是fBMF-2的結果; 第3A圖係顯示BMFs及經不同濃度之亞丁基苯酞(BP)處理之fBMFs自上層盤移行至下層盤之情形的照片圖,其中染有紫色的部分即為細胞; 第3B圖係顯示BMFs(包括BMF-1(深灰色長條)、以及BMF-2(淺灰色長條))以及經不同濃度之亞丁基苯酞(BP)處理之fBMFs(包括fBMF-1(深灰色長條)、以及fBMF-2(淺灰色長條))的相對移行能力(%)的長條圖; 第4A、4B圖係顯示以即時定量聚合酶鏈鎖反應(Q-PCR)分析經不同濃度之亞丁基苯酞(BP)處理之fBMF-1或fBMF-2之α-SMACol1a1、及S100A4基因的相對表現量(倍數)的長條圖,其中第A圖係fBMF-1的結果,第4B圖則是fBMF-2的結果; 第5A圖係顯示BMFs以及經不同濃度之亞丁基苯酞(BP)處理之fBMFs引起膠體收縮之情形的照片圖,其中,綠色虛線所圈選的範圍即係該膠體;以及 第5B圖係顯示膠體經由BMFs(包括BMF-1(深灰色長條)、以及BMF-2(淺灰色長條))以及經不同濃度之亞丁基苯 酞(BP)處理之fBMFs(包括fBMF-1(深灰色長條)、以及fBMF-2(淺灰色長條))誘導收縮後之相對膠體面積(%)的長條圖。 Figure 1 shows buccal mucosal fibroblasts (BMFs; including "BMF-1 (ie, ◆)" and "BMF-2" in normal oral buccal mucosa treated with different concentrations of butylenephthalide (BP). (ie, ■)") and fibrotic buccal mucosal fibroblasts (fBMFs; including "fBMF-1 (ie, △)" and "fBMF-2 (ie, □)") Graph of relative survival rate (%); Figures 2A and 2B show the analysis of different concentrations of butylenephthalide (BP) by Quantitative Real-time Polymerase Chain Reaction (Q-PCR) Bar graph of the relative expression (multiple) of the Twist , Snail , and ZEB1 genes of fBMF-1 or fBMF-2, of which the second graph is the result of fBMF-1 and the second graph is the result of fBMF-2. Figure 3A is a photographic diagram showing the migration of BMFs and fBMFs treated with different concentrations of butylene benzoquinone (BP) from the upper tray to the lower tray, wherein the purple stained part is the cell; Figure 3B shows BMFs (including BMF-1 (dark gray strips), and BMF-2 (light gray strips)) and different concentrations Bar graph of the relative mobility (%) of fBMFs treated with butylene benzoquinone (BP) (including fBMF-1 (dark gray strip) and fBMF-2 (light gray strip)); 4A, 4B The relative amount of α-SMA , Col1a1 , and S100A4 genes of fBMF-1 or fBMF-2 treated with different concentrations of butylenephthalide (BP) was analyzed by real-time quantitative polymerase chain reaction (Q-PCR). a bar graph of (multiple), wherein the graph A is the result of fBMF-1, the graph 4B is the result of fBMF-2, and the graph 5A shows the BMFs and the treatment with different concentrations of butylenephthalide (BP). Photograph of a situation in which fBMFs cause colloidal contraction, where the circle enclosed by the green dashed line is the colloid; and Figure 5B shows the colloid via BMFs (including BMF-1 (dark gray strip), and BMF-2 ( Light gray strips)) and relative colloids induced by fBMFs treated with different concentrations of butylene benzoquinone (BP), including fBMF-1 (dark gray strips) and fBMF-2 (light gray strips) Bar graph of area (%).

以下將描述根據本發明之部分具體實施態樣;惟,在不背離本發明精神下,本發明尚可以多種不同形式之態樣來實踐,不應將本發明保護範圍解釋為限於說明書所陳述者。此外,除非文中有另外說明,於本說明書中(尤其是在後述專利申請範圍中)所使用之「一」、「該」及類似用語應理解為包含單數及複數形式。另,本說明書中所使用的「約」、「大約」或「近乎」等詞,係實質上代表與所述之數值相差在20%以內者,較佳在10%以內者,且更佳在5%以內者。 The invention will be described in detail below with reference to the embodiments of the present invention. The present invention may be practiced in various different forms without departing from the spirit and scope of the invention. . In addition, the terms "a", "an" and "the" In addition, the words "about", "about" or "nearly" as used in this specification mean substantially the difference between the stated value and the stated value within 20%, preferably within 10%, and more preferably Within 5%.

於本說明書中,所謂「預防(prevention、prevent、preventing、preventive、及prophylaxix)」,係指將在疾病或病症發病之前,使其發病或惡化得以迴避、減至最小、或變得困難的能力;所謂「治療」,係指包括根除、去除、逆轉、緩和、改善、或控制一疾病或病症;所謂「有效量」或「治療有效量」,係指投予至個體時,可有效至少部分改善懷疑個體之病情的化合物用量;所謂「個體」係指哺乳動物,哺乳動物可為人類或非人動物。 In the present specification, the term "prevention, preventive, preventive, preventive, and prophylaxix" refers to the ability to prevent or minimize the onset or deterioration of a disease or condition before it occurs. "treatment" means the eradication, removal, reversal, mitigation, improvement, or control of a disease or condition; the so-called "effective amount" or "therapeutically effective amount" means that at least part of the treatment is effective when administered to an individual. An amount of a compound which improves the condition of a suspected individual; the term "individual" means a mammal, and the mammal can be a human or a non-human animal.

經研究證實,在口腔黏膜下纖維化的過程中,口腔黏膜下之組織細胞會進行上皮間質轉換(epithelial-mesenchymal transition,EMT),並分化成為肌纖維母細胞(myofibroblasts)。其中,當細胞進行上皮間質轉換(EMT)時,細胞中的TwistSnail、及ZER1等基因會高度表現,同時細胞與細胞之間的極性會漸漸喪 失,且細胞的移行能力增加而容易爬行及侵襲,參與組織纖維化。肌纖維母細胞是一種會表現α-SMACol1a1、及S100A4等標記基因且具備高度移動性的細胞,其活化後會分泌過多的胞外基質(extracellular matrix,ECM),例如纖網蛋白(Fibronectin)、膠原蛋白(Collagen),並誘導組織細胞間質內的收縮,因而促進組織纖維化。亦經證實,過多的胞外基質累積亦與口腔黏膜下纖維化症的發生密切相關。前述可參見例如:The role of epithelial-mesenchymal transition in oral squamous cell carcinoma and oral submucous fibrosis.Clin Chim Acta.Aug;383(1-2):51-56(2007)、Oral submucous fibrosis:An update on etiology and pathogenesis-A review.Rama Univ J Dent Sci.Mar;2(1):24-33(2015)、Oral submucous fibrosis:Review on aetiology and pathogenesis.Oral Oncol.Jul;42(6):561-568(2006)、以及Molecular pathogenesis of oral submucous fibrosis- a collagen metabolic disorder.J Oral Pathol Med.Jul;34(6):321-328(2005),該等文獻之全文併於此處以供參考。 Studies have confirmed that in the process of oral submucous fibrosis, the submucosal tissue cells undergo epithelial-mesenchymal transition (EMT) and differentiate into myofibroblasts. Among them, when the cells undergo epithelial-mesenchymal transition (EMT), the genes such as Twist , Snail , and ZER1 in the cells are highly expressed, and the polarity between the cells and cells is gradually lost, and the migration ability of the cells is increased and it is easy to crawl. And invasion, participating in tissue fibrosis. Myofibroblasts are highly mobile cells that display marker genes such as α-SMA , Col1a1 , and S100A4 . When activated, they secrete excessive extracellular matrix (ECM), such as fibronectin. Collagen, and induces contraction in the interstitial tissue of the tissue, thereby promoting tissue fibrosis. It has also been confirmed that excessive accumulation of extracellular matrix is also closely related to the occurrence of oral submucous fibrosis. For example, the role of epithelial-mesenchymal transition in oral squamous cell carcinoma and oral submucous fibrosis. Clin Chim Acta. Aug; 383(1-2): 51-56 (2007), Oral submucous fibrosis: An update on etiology And pathogenesis-A review. Rama Univ J Dent Sci. Mar;2(1):24-33(2015), Oral submucous fibrosis: Review on aetiology and pathogenesis. Oral Oncol. Jul;42(6):561-568( 2006), and Molecular pathogenesis of oral submucous fibrosis-a collagen metabolic disorder. J Oral Pathol Med. Jul; 34(6): 321-328 (2005), the entire disclosure of which is hereby incorporated by reference.

由於組織細胞之上皮間質轉換(EMT)及肌纖維母細胞的活化與口腔黏膜下纖維化密切相關,咸信若能抑制口腔黏膜下組織細胞進行上皮間質轉換(EMT)、抑制口腔黏膜下組織細胞分化成肌纖維母細胞、及/或抑制肌纖維母細胞的活化,即可有效抑制胞外基質過度累積、抑制組織細胞間質內的收縮,而可預防及/或治療口腔黏膜下纖維化症。前述可參見例如:Betal-drived alkaloid up-regulates keratinocyte alphavbeta6 integrin expression and promotes oral submucous fibrosis.J Pathol.Feb; 223(3):366-377(2011)、Arecoline-induced myofibroblast transdifferentiation from human buccal mucosal fibroblasts is mediated by ZEB1.J Cell Mol Med.Apr;18(4):698-708(2014)、以及Elevation of S100A4 expression in buccal mucosal fibroblasts by arecoline:involvement in the pathogenesis of oral submucous fibrosis.PLoS One.8(1):e55122(2013),該等文獻之全文併於此處以供參考。 Because tissue cell epithelial-mesenchymal transition (EMT) and activation of myofibroblasts are closely related to oral submucous fibrosis, Xianxin can inhibit epithelial-mesenchymal transition (EMT) and inhibit oral submucosal tissue in oral submucosal tissue cells. Differentiation of cells into myofibroblasts and/or inhibition of activation of myofibroblasts can effectively inhibit excessive accumulation of extracellular matrix, inhibit contraction of tissue interstitial cells, and prevent and/or treat oral submucous fibrosis. See, for example, Betal-drived alkaloid up-regulates keratinocyte alphavbeta6 integrin expression and promotes oral submucous fibrosis. J Pathol. Feb; 223(3): 366-377 (2011), Arecoline-induced myofibroblast transdifferentiation from human buccal mucosal fibroblasts is Mediated by ZEB1. J Cell Mol Med. Apr;18(4):698-708(2014), and Elevation of S100A4 expression in buccal mucosal fibroblasts by arecoline:involvement in the pathogenesis of oral submucous fibrosis. PLoS One .8(1 ): e55122 (2013), the entire contents of which are hereby incorporated by reference.

本案發明人研究發現,對於纖維化之口腔黏膜下組織細胞,若以亞丁基苯酞(BP)進行處理,可有效抑制該組織中的細胞進行上皮間質轉換(EMT),尤其可抑制該細胞表現TwistSnail、及ZEB1等基因、及抑制該細胞之爬行與侵襲,故可達到抑制口腔黏膜下組織纖維化的效果。 The inventors of the present invention have found that treatment of fibrotic oral submucosal tissue cells with p-butylphenyl hydrazine (BP) can effectively inhibit epithelial-to-mesenchymal transition (EMT) of cells in the tissue, especially inhibiting the cells. It can express the genes such as Twist , Snail , and ZEB1 , and inhibit the creep and invasion of the cells, so it can inhibit the fibrosis of the oral mucosa.

本案發明人另發現,以亞丁基苯酞(BP)對纖維化之口腔黏膜下組織細胞進行處理,可有效抑制該組織中細胞分化成肌纖維母細胞、及抑制肌纖維母細胞活化,尤其可抑制該組織細胞表現α-SMA、Col1a1、及S100A4等基因、及抑制組織細胞間質內的收縮,而可達到抑制口腔黏膜下組織纖維化的效果。 The inventors of the present invention have further found that the treatment of fibrotic oral submucosal tissue cells with butylene benzoquinone (BP) can effectively inhibit the differentiation of cells into myofibroblasts and inhibit the activation of myofibroblasts in the tissue, especially inhibiting the inhibition. The tissue cells express genes such as α-SMA, Col1a1 , and S100A4 , and inhibit the contraction of interstitial cells in the tissue, and can inhibit the fibrosis of the oral mucosa.

因此,本發明係關於提供預防及/或治療口腔黏膜下纖維化症之藥劑、醫藥組合物、及方法。其中,該藥劑的製造係使用一活性成分,該醫藥組合物係包含一有效量之活性成分以及一醫藥上可接受之載劑,該方法係包含將有效量之活性成分投予至有需要之個體中。根據本發明之藥劑、醫藥組合物、及方法,該活性成分係選自以下群組:亞丁基苯酞(BP)、其醫藥上可接受之鹽、或前述之組合。 Accordingly, the present invention relates to medicaments, pharmaceutical compositions, and methods for providing prevention and/or treatment of oral submucous fibrosis. Wherein the pharmaceutical preparation comprises an active ingredient comprising an effective amount of the active ingredient and a pharmaceutically acceptable carrier, the method comprising administering an effective amount of the active ingredient to the need thereof. In the individual. According to the agent, pharmaceutical composition, and method of the present invention, the active ingredient is selected from the group consisting of butylenebenzaldehyde (BP), a pharmaceutically acceptable salt thereof, or a combination thereof.

於本發明之藥劑、醫藥組合物、及方法中,該醫藥上可接受之鹽的例子包含但不限於:鹼金屬鹽類,如鈉鹽及鉀鹽;鹼土金屬鹽類,如鈣鹽、鎂鹽及鋇鹽;過渡金屬鹽類,如鋅鹽、銅鹽、鐵鹽、鈷鹽、鈦鹽、釩鹽;鋁鹽;錫鹽;烷醇胺鹽類如二乙醇胺鹽、2-胺基-2-乙基-1,3-丙二醇鹽、及三乙醇胺鹽;雜環胺鹽類如嗎福林鹽(morpholine salts)、哌嗪鹽(piperazine salts)、及哌啶鹽(piperidine salts);以及鹼胺鹽類如銨鹽、精胺酸鹽、離胺酸鹽、及組胺酸鹽等。較佳地,於本發明之藥劑、醫藥組合物、及方法中所使用的活性成分係亞丁基苯酞(BP)。 In the pharmaceutical, pharmaceutical composition, and method of the present invention, examples of the pharmaceutically acceptable salt include, but are not limited to, alkali metal salts such as sodium salts and potassium salts; alkaline earth metal salts such as calcium salts and magnesium salts. Salts and strontium salts; transition metal salts such as zinc salts, copper salts, iron salts, cobalt salts, titanium salts, vanadium salts; aluminum salts; tin salts; alkanolamine salts such as diethanolamine salts, 2-amino groups - 2-ethyl-1,3-propanediol salt, and triethanolamine salt; heterocyclic amine salts such as morpholine salts, piperazine salts, and piperidine salts; Alkali amine salts such as ammonium salts, arginine salts, persalt salts, and histidine salts, and the like. Preferably, the active ingredient used in the medicament, pharmaceutical composition, and method of the present invention is butylene benzoquinone (BP).

當使用本發明之藥劑或醫藥組合物以預防及/或治療口腔黏膜下纖維化症時,該藥劑或醫藥組合物可視所欲之投藥形式而呈對應之合宜劑型。舉例言之,但不以此為限,該藥劑或醫藥組合物可經由皮內、肌肉、腹膜內、靜脈、皮下、口服、皮膚、以及黏膜等投藥途徑而投予至有需要之個體。 When the agent or pharmaceutical composition of the present invention is used to prevent and/or treat oral submucous fibrosis, the agent or pharmaceutical composition may be in a correspondingly convenient dosage form depending on the desired form of administration. For example, but not limited thereto, the pharmaceutical or pharmaceutical composition can be administered to an individual in need via a route of administration such as intradermal, intramuscular, intraperitoneal, intravenous, subcutaneous, oral, dermal, and mucosal.

以適於皮內、肌肉、腹膜內、靜脈、皮下等投藥途徑之劑型為例,本發明之藥劑或醫藥組合物可以針劑的型式提供,但不以此為限。舉例言之,該針劑的例子係包括靜脈輸注液、乳劑靜脈輸注液、乾粉注射劑、懸液注射劑、以及乾粉懸液注射劑,但不以此為限。此外,可將該藥劑或醫藥組合物製備成一注射前固體,以可溶於其他溶液或懸浮液中之劑型、或可乳化之劑型提供該注射前固體,並於投予至該有需要之個體之前,將該注射前固體溶於其他溶液或懸浮液中、或將其乳化,提供所欲之注射劑。 The pharmaceutical or pharmaceutical composition of the present invention can be provided in the form of an injection, but is not limited thereto, as an example of a dosage form suitable for intradermal, intramuscular, intraperitoneal, intravenous, subcutaneous, or the like. For example, examples of the injection include intravenous infusion, emulsion intravenous infusion, dry powder injection, suspension injection, and dry powder suspension injection, but are not limited thereto. In addition, the pharmaceutical or pharmaceutical composition can be prepared as a pre-injection solid, the pre-injection solid is provided in a dosage form soluble in other solutions or suspensions, or in an emulsifiable dosage form, and administered to the individual in need thereof. Previously, the pre-injection solid is dissolved in other solutions or suspensions or emulsified to provide the desired injectables.

以適於口服投藥的劑型為例,本發明所提供之藥劑 或醫藥組合物可以例如錠劑、丸劑、膠囊劑、顆粒劑、散劑等固體型式、或是例如口服液、糖漿劑、醑劑(spirit)、酏劑(elixir)、酊劑(tincture)等液體型式提供,但不以此為限。 Taking the dosage form suitable for oral administration as an example, the medicament provided by the present invention Or the pharmaceutical composition may be in the form of a solid such as a tablet, a pill, a capsule, a granule, a powder, or the like, or a liquid type such as an oral solution, a syrup, a spirit, an elixir, a tincture, or the like. Provided, but not limited to.

以適於皮膚、黏膜等投藥途徑的劑型為例,本發明藥劑或醫藥組合物可以例如乳液、乳霜、凝膠(水凝膠)、膏狀物(分散膏、軟膏)等塗抹劑、漱口劑、洗劑、噴霧劑、或是貼劑(貼片)的型式提供,但不以此為限。 The dosage form of the present invention may be, for example, an emulsion, a cream, a gel (hydrogel), a paste (dispersion cream, an ointment), or the like, or a medicinal preparation, which is suitable for administration routes such as skin and mucous membranes. The form of mouth, lotion, spray, or patch (patch) is provided, but not limited to.

較佳地,本發明之藥劑及醫藥組合物係以針劑、錠劑、口服液、或塗抹劑的型式提供。 Preferably, the agents and pharmaceutical compositions of the present invention are provided in the form of injections, lozenges, oral solutions, or spreads.

於本發明中,視投藥途徑及/或投藥形式而定,可選用合宜之醫藥上可接受之載劑以提供本發明藥劑,另外,亦可於本發明醫藥組合物中包含一醫藥上可接受之載劑。舉例言之,該醫藥上可接受之載劑的例子包含但不限於:溶劑(緩沖液、水、食鹽水、葡萄糖(dextrose)、甘油、乙醇或其類似物、及前述之組合)、油性溶劑、稀釋劑、安定劑、吸收延遲劑、崩散劑、乳化劑、抗氧化劑、黏合劑、結合劑、增黏劑、增溶劑、分散劑、懸浮化劑、潤滑劑、吸濕劑、固體載劑(例如澱粉、及皂土(bentonite))。 In the present invention, depending on the route of administration and/or the form of administration, a suitable pharmaceutically acceptable carrier may be optionally provided to provide the agent of the present invention, and a pharmaceutical acceptable composition may also be included in the pharmaceutical composition of the present invention. Carrier. By way of example, examples of such pharmaceutically acceptable carriers include, but are not limited to, solvents (buffers, water, saline, dextrose, glycerol, ethanol or the like, and combinations thereof), oily solvents , diluent, stabilizer, absorption retarder, disintegrating agent, emulsifier, antioxidant, binder, binder, tackifier, solubilizer, dispersant, suspending agent, lubricant, moisture absorbent, solid carrier (eg starch, and bentonite).

視需要地,可將本發明之藥物或醫藥組合物封裝於微脂體、微粒子、或微膠囊等藥物輸送系統中,再投予至有需要之個體,以提高藥物或醫藥組合物中之活性成分的輸送效率,只要構成該藥物輸送系統的成分對該活性成分(即,亞丁基苯酞(BP)、其醫藥上可接受之鹽、或前述之組合)之所欲效益沒有不利的影響即可。 Optionally, the pharmaceutical or pharmaceutical composition of the present invention may be encapsulated in a drug delivery system such as a liposome, microparticles, or microcapsules, and then administered to an individual in need thereof to increase the activity in the drug or pharmaceutical composition. The delivery efficiency of the component is such that the constituents of the drug delivery system have no adverse effect on the desired benefit of the active ingredient (i.e., butylene benzoquinone (BP), its pharmaceutically acceptable salt, or a combination of the foregoing). can.

視需要地,亦可於本發明所提供之藥劑或醫藥組合物中另含有合宜用量之添加劑,例如可提高該藥劑或醫藥組合物於服用時的口適感及視覺感受之調味劑(例如蔗糖)、調色劑、著色劑等,以及可改善該藥劑或醫藥組合物的穩定性及儲存性之緩衝劑、保存劑、防腐劑、抗菌劑、抗真菌劑等。此外,該藥劑或醫藥組合物可視需要另含一或多種其他活性成分(例如類固醇),或者與含該一或多種其他活性成分之藥物併用,以進一步加強該藥劑或醫藥組合物之功效或增加製劑配方的運用靈活性與調配度,只要該其他活性成分對本發明之活性成分(即,亞丁基苯酞(BP)、其醫藥上可接受之鹽、或前述之組合)之所欲效益沒有不利的影響即可。 Optionally, a suitable amount of an additive may be further added to the pharmaceutical or pharmaceutical composition provided by the present invention, for example, a flavoring agent (for example, sucrose) which improves the mouthfeel and visual sensation of the pharmaceutical or pharmaceutical composition when administered. A toner, a coloring agent, or the like, and a buffering agent, a preservative, a preservative, an antibacterial agent, an antifungal agent, and the like which can improve the stability and storage property of the pharmaceutical or pharmaceutical composition. In addition, the pharmaceutical or pharmaceutical composition may optionally contain one or more additional active ingredients (eg, steroids) or may be combined with a medicament containing the one or more other active ingredients to further enhance the efficacy or increase of the pharmaceutical or pharmaceutical composition. Flexibility and formulation of the formulation of the formulation, as long as the other active ingredient is not detrimental to the desired benefit of the active ingredient of the present invention (i.e., butylene benzoquinone (BP), its pharmaceutically acceptable salt, or a combination of the foregoing) The impact can be.

可以一日一次、一日多次、或數日一次等不同頻率施用本發明所提供之藥劑或醫藥組合物,端視投予個體之年齡、體重、及健康況狀而異。舉例言之,當以口服方式施用至一個體以預防及/或治療口腔黏膜下纖維化症時,以亞丁基苯酞(BP)計,其用量為每天約5毫克/公斤體重至約500毫克/公斤體重,較佳為每天約10毫克/公斤體重至約120毫克/公斤體重,更佳為每天約20毫克/公斤體重至約90毫克/公斤體重,其中,該單位『毫克/公斤體重』係指每公斤體重個體所須之投藥量。惟,對於急性患者而言,其用量可視實際需要而酌增,例如增加至數倍或數十倍。 The medicament or pharmaceutical composition provided by the present invention may be administered at different frequencies, such as once a day, multiple times a day, or once every other day, depending on the age, weight, and health condition of the individual to be administered. For example, when administered orally to a body for the prevention and/or treatment of oral submucous fibrosis, it is administered in an amount of about 5 mg/kg body weight to about 500 mg per day in terms of butylene benzoquinone (BP). / kg body weight, preferably about 10 mg / kg body weight to about 120 mg / kg body weight per day, more preferably about 20 mg / kg body weight to about 90 mg / kg body weight per day, wherein the unit "mg / kg body weight" Refers to the amount of drug required per kilogram of body weight. However, for acute patients, the amount can be increased according to actual needs, for example, increased to several times or tens of times.

此外,亦可將本發明所提供之藥劑或醫藥組合物與以下之一者併用,以預防及/或治療口腔黏膜下纖維化症:外科手術治療、及雷射治療。 Further, the agent or pharmaceutical composition provided by the present invention may be used in combination with one of the following to prevent and/or treat oral submucous fibrosis: surgical treatment, and laser treatment.

根據本發明之預防及/或治療口腔黏膜下纖維化症的方法中,有關該活性成分(即,亞丁基苯酞(BP)、其醫藥上可接受之鹽、或前述之組合)的投予途徑、投予形式、適用劑量、以及相關治療之應用,均如上述之說明。 According to the method of the present invention for preventing and/or treating oral submucous fibrosis, administration of the active ingredient (i.e., butylene benzoquinone (BP), a pharmaceutically acceptable salt thereof, or a combination thereof) Routes, administration forms, dosages, and related therapeutic applications are as described above.

茲以下列實施例進一步例示說明本發明。其中該等實施例僅提供作為說明,而非用以限制本發明之保護範圍。本發明保護範圍係如後附申請專利範圍所示。 The invention is further illustrated by the following examples. The embodiments are provided by way of illustration only and are not intended to limit the scope of the invention. The scope of the invention is shown in the appended claims.

實施例Example

[製備實施例]:[Preparation Example]:

A. 細胞之培養A. Cell culture

將二組取自正常口腔頰黏膜之初代纖維母細胞(buccal mucosal fibroblasts;以下簡稱為「BMF-1」及「BMF-2」;或統稱為「BMFs」)、以及二組取自纖維化之口腔頰黏膜的初代纖維母細胞(fibrotic buccal mucosal fibroblasts;以下簡稱為「fBMF-1」及「fBMF-2」;或統稱為「fBMFs」),分別進行以下處理:以每孔2x104的細胞數分別接種(seed)於24孔盤中,並培養至8分滿(即,達到80% confluence),再分別以不同濃度(0、12.5、25、50、100、或200微克/毫升)之亞丁基苯酞(BP)進行處理,歷時48小時。 The two groups were taken from the normal buccal mucosa (buccal mucosal fibroblasts; hereinafter referred to as "BMF-1" and "BMF-2"; or collectively referred to as "BMFs"), and the two groups were taken from fibrosis. The fibrotic buccal mucosal fibroblasts (hereinafter referred to as "fBMF-1" and "fBMF-2"; or "fBMFs") are treated as follows: 2 x 10 4 cells per well Separately seeded in 24-well plates and cultured to 8 minutes (ie, 80% confluence), then at different concentrations (0, 12.5, 25, 50, 100, or 200 μg / ml) of Aden Benzoquinone (BP) was processed for 48 hours.

B. 細胞總RNA(Total RNA)之萃取B. Extraction of total RNA from cells

以胰蛋白酶(trypsin)使[製備實施例]A所提供之各組細胞懸浮後,分別進行以下步驟:(i)離心(1000rpm、5分鐘)後去除上清液;(ii)加入1毫升之TRIzol試劑(購自Invitrogen Life Technologies公司),混合均勻後,置於室溫下靜置5分鐘;(iii)加 入100微升之BCP(bromochloropropane)並上下搖晃使其混和均勻,再置於室溫下靜置5分鐘;(iv)離心(Eppendorf離心機、F45-30-11轉子、4℃、12000rpm、15分鐘)後將上層液體移至新的離心小管,並於其中加入異丙酮(isopropanol)混和均勻,再置於室溫下靜置5分鐘;(v)離心(Eppendorf離心機、F45-30-11轉子、4℃、12000rpm、10分鐘)後去除上清液,再以500微升之75%酒精清洗沈澱於管底的RNA;(vi)離心(室溫、12000rpm、5分鐘)後去除酒精層,並置於抽風櫃中風乾;以及(vii)以20微升之經焦碳酸二乙酯(diethyl pyrocarbonate,DEPC)處理的水回溶RNA沉澱物,以測量其於260奈米波長下的吸光值,並計算RNA濃度。 After suspending each group of cells provided in [Preparation Example] A with trypsin, the following steps were carried out separately: (i) centrifugation (1000 rpm, 5 minutes), removal of the supernatant; (ii) addition of 1 ml TRIzol reagent (purchased from Invitrogen Life Technologies), after mixing evenly, let stand at room temperature for 5 minutes; (iii) add Enter 100 μl of BCP (bromochloropropane) and shake it up and down to make it evenly mixed, then let it stand at room temperature for 5 minutes; (iv) Centrifugation (Eppendorf centrifuge, F45-30-11 rotor, 4 ° C, 12000 rpm, 15 After the minute, the upper liquid was transferred to a new centrifuge tube, and isopropanol was added thereto to mix well, and then allowed to stand at room temperature for 5 minutes; (v) centrifugation (Eppendorf centrifuge, F45-30-11) After removing the supernatant from the rotor, 4 ° C, 12000 rpm, 10 minutes), the RNA precipitated at the bottom of the tube was washed with 500 μl of 75% alcohol; (vi) centrifugation (room temperature, 12000 rpm, 5 minutes) to remove the alcohol layer And air-dried in a plenum; and (vii) water-resolved RNA precipitate treated with 20 microliters of diethyl pyrocarbonate (DEPC) to measure its absorbance at 260 nm. And calculate the RNA concentration.

實施例1:評估亞丁基苯酞(BP)之細胞毒性Example 1: Evaluation of cytotoxicity of butylene benzoquinone (BP)

取[製備實施例]A所提供之各組細胞,分別進行以下步驟:(i)去除24孔盤中的上清液,再於各孔中加入500微升之3-(4,5-二甲基噻唑-2)-2,5-二苯基四氮唑溴鹽(3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide,簡稱MTT)緩衝液(最終濃度為0.5毫克/毫升);(ii)將孔盤放置於37℃、5% CO2之培養箱中作用,歷時3個小時;(iii)去除上清液後,分別於各孔中加入1000微升的異丙醇,並將孔盤放置於震盪器(shaker)上搖晃,歷時10分鐘;以及(iv)從各孔取200微升之混合溶液至96孔盤中,以分光光度計測定其於570奈米波長下之吸光值,並換算成各組細胞的相對存活率(%),結果示於第1圖。 Take the cells of each group provided in [Preparation Example] A, and perform the following steps separately: (i) remove the supernatant in the 24-well plate, and then add 500 μl of 3-(4,5-two) to each well. 3-(4,5-dimethylthiazol-2-yl-2,5-diphenyl tetrazolium bromide (MTT) buffer (final concentration) (0.5 mg/ml); (ii) Place the well plate in a 37 ° C, 5% CO 2 incubator for 3 hours; (iii) After removing the supernatant, add 1000 μm to each well. Raise the isopropanol and place the well plate on a shaker for 10 minutes; and (iv) take 200 μl of the mixed solution from each well into a 96-well plate and measure it with a spectrophotometer. The absorbance at a wavelength of 570 nm was converted into the relative survival rate (%) of each group of cells, and the results are shown in Fig. 1.

由第1圖可知,於培養液中添加濃度為50微克/毫升以下之亞丁基苯酞(BP),對正常頰黏膜之初代纖維母細胞(BMFs) 的生長不會有顯著影響。因此,後續之實驗係以濃度為0至50微克/毫升之亞丁基苯酞(BP)進行。 It can be seen from Fig. 1 that a concentration of 50 μg/ml of butylene benzoquinone (BP) is added to the culture medium, and primary fibroblasts (BMFs) of the normal buccal mucosa are added. Growth will not have a significant impact. Therefore, the subsequent experiments were carried out with butylene benzoquinone (BP) at a concentration of 0 to 50 μg/ml.

實施例2:分析亞丁基苯酞(BP)於抑制口腔黏膜下組織細胞進行上皮間質轉換(epithelial-mesenchymal transition,EMT)的效益Example 2: Analysis of the efficacy of butylene benzoquinone (BP) in inhibiting oral epithelial tissue cells for epithelial-mesenchymal transition (EMT)

A.上皮間質轉換(EMT)之標記基因的表現量A. Expression of marker genes in epithelial-mesenchymal transition (EMT)

已知細胞在進行上皮間質轉換(EMT)的過程中,TwistSnail、及ZEB1等基因的表現量會增加,故該等基因被視為上皮間質轉換(EMT)的標記基因。本實驗係透過即時定量聚合酶鏈鎖反應(Quanititative real-time polymerase chain reaction,Q-PCR),探討亞丁基苯酞(BP)是否會影響TwistSnail、及ZEB1等基因在口腔頰黏膜組織細胞中的表現。 It is known that during the process of epithelial-mesenchymal transition (EMT), the expression of genes such as Twist , Snail , and ZEB1 is increased, so these genes are regarded as marker genes for epithelial-mesenchymal transition (EMT). This experiment explores whether butylenebenzaphthalein (BP) affects genes such as Twist , Snail , and ZEB1 in buccal mucosa cells through quantagonistic real-time polymerase chain reaction (Q-PCR). Performance in the middle.

首先,取[製備實施例]B所提供之總RNA(各組取1微克),進行反轉錄作用,以提供互補去氧核醣核酸(cDNA)。接著,以基因定量系統(PRISM ABI7700 Sequence Detecting System,購自美國Applied Biosystems公司)搭配特定基因之引子(如下表1所示)進行即時定量聚合酶鏈鎖反應(Q-PCR),以分析TwistSnail、及ZEB1等基因在經不同濃度(0、25、或50微克/毫升)之亞丁基苯酞(BP)處理的fBMFs(包括fBMF-1、fBMF-2)中的表現。最後,以未經亞丁基苯酞(BP)處理之細胞的結果為基準,計算各組的相對基因表現量(倍數),結果示於第2圖。 First, the total RNA (1 μg of each group) provided in [Preparation Example] B was taken for reverse transcription to provide complementary deoxyribonucleic acid (cDNA). Next, a real-time quantitative polymerase chain reaction (Q-PCR) was performed using a gene quantification system (PRISM ABI7700 Sequence Detecting System, available from Applied Biosystems, USA) with primers for specific genes (shown in Table 1 below) to analyze Twist , The expression of Snail , and ZEB1 genes in fBMFs (including fBMF-1, fBMF-2) treated with different concentrations (0, 25, or 50 μg/ml) of butylenephthalide (BP). Finally, the relative gene expression (multiple) of each group was calculated based on the results of cells treated without butyl benzoquinone (BP), and the results are shown in Fig. 2.

由第2圖的結果可知,不論是fBMF-1或fBMF-2,TwistSnail、及ZEB1等基因的表現皆明顯隨著亞丁基苯酞(BP)的濃度提高而下降。前述結果顯示,亞丁基苯酞(BP)可有效抑制口腔黏膜下組織細胞進行上皮間質轉換(EMT),故可用於預防及/或治療口腔黏膜下組織的纖維化。 From the results of Fig. 2, it was found that the expression of genes such as fBMF-1 or fBMF-2, Twist , Snail , and ZEB1 was markedly decreased as the concentration of butylene benzoquinone (BP) was increased. The foregoing results show that butylene benzoquinone (BP) can effectively inhibit epithelial-mesenchymal transition (EMT) in oral submucosal tissue cells, and thus can be used for preventing and/or treating fibrosis of oral submucosal tissues.

B. 口腔黏膜下組織細胞之爬行能力與侵襲能力B. Crawling ability and invasive ability of oral submucosal tissue cells

本研究進一步以穿透式細胞移行試驗系統(Transwell®system,購自英國Corning公司)搭配孔徑大小為8微米之聚碳酸酯濾膜(polycarbonate membrane,購自英國Corning公司),探討亞丁基苯酞(BP)是否可抑制口腔黏膜下組織細胞之爬行能力與侵襲能力。 In this study, we conducted a penetrating cell migration test system (Transwell® system, purchased from Corning, UK) with a polycarbonate membrane with a pore size of 8 μm (purchased from Corning, UK) to investigate butylene benzoquinone. Whether (BP) can inhibit the crawling ability and invasive ability of oral submucosal tissue cells.

首先,於下層盤(lower chamber)加入含有10% FBS(胎牛血清)的培養液,並將該聚碳酸酯濾膜裝置置於一細胞培養盤的底部,此稱為上層盤(upper chamber)。另一方面,取[製備實施例]A中的BMF-1、BMF-2、fBMF-1、fBMF-2細胞(各取2×104個細胞),分別與含有0、25、或50微克/毫升之亞丁基苯酞(BP)但不含血清之培養液(250微升)混合均勻,再將混合溶液注入上層盤裝置中。接著,將該穿透式細胞移行試驗系統放置於培養箱 中培養,誘使細胞移行,歷時24小時。將該穿透式細胞移行試驗系統取出,將未自上層盤膜面移行至下層盤膜面的細胞移除後,以4%之聚甲醛(paraformaldehyde)固定該聚碳酸酯濾膜(10分鐘),並以0.1%結晶紫(crystal violet)進行染色。最後,將該聚碳酸酯濾膜小心切下放置於載玻片上,於顯微鏡下以100倍之放大倍率進行觀察(各組皆觀察5個不同視野)、拍照紀錄,並以未經亞丁基苯酞(BP)進行處理之BMFs的結果為基準,將該膜上的細胞數目換算成細胞的相對移行能力(%)。前述實驗係進行三重複,且結果係示於第3A、3B圖,其中,第3A圖中染有紫色的部分即係自上層盤移行至下層盤的細胞,第3B圖則係將該三重複實驗之結果平均而得到的細胞相對移行能力(%)。 First, a culture solution containing 10% FBS (fetal calf serum) is added to a lower chamber, and the polycarbonate filter device is placed at the bottom of a cell culture plate, which is called an upper chamber. . On the other hand, BMF-1, BMF-2, fBMF-1, and fBMF-2 cells (2 x 10 4 cells each) in [Preparation Example] A were taken, respectively, containing 0, 25, or 50 μg. /ml of butyl benzoquinone (BP) but serum-free medium (250 μl) was mixed well, and the mixed solution was injected into the upper tray device. Next, the penetrating cell migration assay system was placed in an incubator to induce cell migration for 24 hours. The penetrating cell migration test system was taken out, and the cells not moved from the upper disc membrane surface to the lower disc membrane surface were removed, and the polycarbonate filter membrane was fixed with 4% paraformaldehyde (10 minutes). And stained with 0.1% crystal violet. Finally, the polycarbonate filter was carefully cut and placed on a glass slide, and observed under a microscope at a magnification of 100 times (5 different fields of view were observed in each group), photographed, and unp-butylene benzene. Based on the results of BMFs treated with 酞 (BP), the number of cells on the membrane was converted into the relative mobility (%) of the cells. The above experiment was performed in three replicates, and the results are shown in Figures 3A and 3B, wherein the purple-stained portion of Figure 3A is the cell that migrated from the upper disk to the lower disk, and the third B-picture is the three-fold The results of the experiment averaged the relative mobility of the cells (%).

由第3A、3B圖的結果可知,相較於「BMFs組」,「fBMF組」自上層盤移行至下層盤的細胞明顯較多。然而,在「fBMFs組」中,若細胞係先經亞丁基苯酞(BP)處理,則自上層盤移行至下層盤的細胞係明顯隨著亞丁基苯酞(BP)的濃度提高而減少。前述結果顯示,相較於正常之口腔黏膜下組織細胞,纖維化之口腔黏膜下組織細胞具有較強之爬行能力與侵襲能力,容易進行上皮間質轉換(EMT),而亞丁基苯酞(BP)可有效抑制口腔黏膜下組織細胞之爬行能力與侵襲能力。此即,亞丁基苯酞(BP)可有效抑制口腔黏膜下組織細胞進行上皮間質轉換(EMT),故可用於預防及/或治療口腔黏膜下組織的纖維化。 From the results of the 3A and 3B graphs, the "fBMF group" migrated from the upper tray to the lower tray significantly more than the "BMFs group". However, in the "fBMFs group", if the cell line was first treated with butylene benzoquinone (BP), the cell line that migrated from the upper disc to the lower disc significantly decreased as the concentration of butylene benzoquinone (BP) increased. The above results show that fibrotic oral submucosal tissue cells have strong crawling ability and invasive ability compared with normal oral submucosal tissue cells, and easy epithelial-mesenchymal transition (EMT), while butylenephthalide (BP) ) can effectively inhibit the crawling ability and invasive ability of oral submucosal tissue cells. That is, butylene benzoquinone (BP) can effectively inhibit epithelial-mesenchymal transition (EMT) in oral submucosal tissue cells, and thus can be used for preventing and/or treating fibrosis of oral submucosal tissues.

實施例3:分析亞丁基苯酞(BP)於抑制口腔黏膜下組織細胞分化成肌纖維母細胞的效益Example 3: Analysis of the efficacy of butylene benzoquinone (BP) in inhibiting the differentiation of oral submucosal tissue cells into myofibroblasts

已知在組織發生纖維化的過程中,組織中的細胞會 分化、轉變成肌纖維母細胞,而α-SMA、Col1a1、及S100A4等基因係肌纖維母細胞的標記基因。因此,本實驗係透過即時定量聚合酶鏈鎖反應(Q-PCR),探討亞丁基苯酞(BP)是否會抑制α-SMA、Col1a1、及S100A4等基因在纖維化口腔頰黏膜組織之細胞中的表現。 It is known that in the process of fibrosis of tissues, cells in tissues are differentiated and transformed into myofibroblasts, and marker genes of myofibroblasts such as α-SMA, Col1a1 , and S100A4 . Therefore, this experiment explores whether butylenebenzaphthalein (BP) inhibits α-SMA, Col1a1 , and S100A4 in cells of fibrotic oral buccal mucosa by real-time quantitative polymerase chain reaction (Q-PCR). Performance.

取[製備實施例]B所提供之總RNA(各組取1微克),進行反轉錄作用,以提供互補去氧核醣核酸(cDNA)。接著,以基因定量系統(PRISM ABI7700 Sequence Detecting System,購自美國Applied Biosystems公司)搭配特定基因之引子(如下表2所示)進行即時定量聚合酶鏈鎖反應(Q-PCR),以分析α-SMACol1a1、及S100A4等基因在經不同濃度(0、25、或50微克/毫升)之亞丁基苯酞(BP)處理的fBMFs(包括fBMF-1、fBMF-2)中的表現。最後,以未經亞丁基苯酞(BP)處理之細胞的結果為基準,計算各組的相對基因表現量(倍數),結果示於第4圖。 The total RNA (1 μg of each group) provided in [Preparation Example] B was subjected to reverse transcription to provide complementary deoxyribonucleic acid (cDNA). Next, a real-time quantitative polymerase chain reaction (Q-PCR) was performed using a gene quantification system (PRISM ABI7700 Sequence Detecting System, available from Applied Biosystems, USA) with primers for specific genes (shown in Table 2 below) to analyze α- Genes such as SMA , Col1a1 , and S100A4 were expressed in fBMFs (including fBMF-1, fBMF-2) treated with different concentrations (0, 25, or 50 μg/ml) of butylenephthalide (BP). Finally, the relative gene expression (multiple) of each group was calculated based on the results of cells treated without butyl benzoquinone (BP), and the results are shown in Fig. 4.

由第4圖的結果可知,不論是fBMF-1或fBMF-2, α-SMA、Col1a1、及S100A4等基因的表現皆明顯隨著亞丁基苯酞(BP)的濃度提高而下降。前述結果顯示,亞丁基苯酞(BP)具有抑制口腔黏膜下組織細胞分化成肌纖維母細胞的效益,故可抑制口腔黏膜下組織的膠原蛋白累積,有效預防及/或治療口腔黏膜下組織的纖維化。 From the results of Fig. 4, it was found that the expression of genes such as α-SMA, Col1a1 , and S100A4 , whether fBMF-1 or fBMF-2, significantly decreased as the concentration of butylene benzoquinone (BP) increased. The foregoing results show that butylene benzoquinone (BP) has the effect of inhibiting the differentiation of oral submucosal tissue cells into myofibroblasts, thereby inhibiting the accumulation of collagen in the oral submucosal tissue and effectively preventing and/or treating the fibers of the oral submucosal tissue. Chemical.

實施例4:分析亞丁基苯酞(BP)於抑制口腔黏膜下組織細胞間質內收縮的效益Example 4: Analysis of the effect of butylene benzoquinone (BP) on inhibiting interstitial contraction of oral submucosal tissue

取[製備實施例]A中的BMF-1、BMF-2、fBMF-1、fBMF-2細胞,分別將前述細胞溶於0.5毫升之濃度為2毫克/毫升的膠原蛋白溶液(購自Sigma-Aldrich)中,再將各該混合溶液移至24孔盤,並置於37℃、5% CO2之培養箱中作用2小時,使膠原蛋白膠體凝結,所獲得之膠體係分別稱為「BMFs組」、以及「fBMFs組」。接著,將凝結的膠體脫離培養盤,加入0.5毫升之含有不同濃度(0、25、或50微克/毫升)之亞丁基苯酞(BP)的細胞培養液進行培養,歷時48小時後,觀察各組膠體收縮的情形、拍照記錄,並使用影像分析軟體ImageJ(美國,國立衛生研究院),以未經亞丁基苯酞(BP)處理之「BMFs組」的膠體面積為基準,計算各組的相對膠體面積(%)。結果示於第5A、5B圖,其中,第5A圖係顯示各組細胞所引起之膠體收縮的情形,而第5B圖係顯示各組之相對膠體面積(%)。 Take BMF-1, BMF-2, fBMF-1, and fBMF-2 cells in [Preparation Example] A, and dissolve the above cells in 0.5 ml of collagen solution at a concentration of 2 mg/ml (purchased from Sigma- In Aldrich, each mixed solution was transferred to a 24-well plate and placed in an incubator at 37 ° C and 5% CO 2 for 2 hours to coagulate the collagen colloid. The obtained gel system was called "BMFs group". And "fBMFs group". Next, the coagulated colloid was detached from the culture plate, and 0.5 ml of a cell culture medium containing different concentrations (0, 25, or 50 μg/ml) of butylene benzoquinone (BP) was added for cultivation, and after 48 hours, each was observed. The colloid shrinkage, photo recording, and image analysis software ImageJ (National Institute of Health, USA) were used to calculate the colloidal area of the "BMFs group" without butyl benzoquinone (BP). Relative colloid area (%). The results are shown in Figures 5A and 5B, in which Figure 5A shows the colloidal contraction caused by each group of cells, and Figure 5B shows the relative colloidal area (%) of each group.

由第5A、5B圖可知,相較於「BMFs組」,「fBMF組」的膠體面積明顯較小,此即,膠體明顯有收縮的現象。然而,在「fBMFs組」當中,若膠體中的細胞係先經亞丁基苯酞(BP)處理,則該膠體收縮的現象會明顯改善,且改善的程度係隨著亞丁 基苯酞(BP)的濃度上升而增加。前述結果顯示,亞丁基苯酞(BP)可有效抑制肌纖維母細胞的活化,而抑制肌纖維母細胞誘導之組織細胞間質內收縮。 As can be seen from the 5A and 5B graphs, the colloidal area of the "fBMF group" is significantly smaller than that of the "BMFs group", that is, the colloid is significantly contracted. However, in the "fBMFs group", if the cell line in the colloid is first treated with butylene benzoquinone (BP), the colloid shrinkage phenomenon is significantly improved, and the degree of improvement is accompanied by Aden. The concentration of phenylhydrazine (BP) increases as the concentration increases. The foregoing results show that butylene benzoquinone (BP) can effectively inhibit the activation of myofibroblasts and inhibit the interstitial contraction of tissue cells induced by myofibroblasts.

由以上實驗結果可知,亞丁基苯酞(BP)可有效抑制口腔黏膜下組織細胞進行上皮間質轉換(EMT)、抑制口腔黏膜下組織細胞分化成肌纖維母細胞、抑制肌纖維母細胞的活化,故可抑制口腔黏膜下組織的膠原蛋白累積、抑制口腔黏膜下組織細胞間質內的收縮。 From the above experimental results, it can be known that butylene benzoquinone (BP) can effectively inhibit epithelial-mesenchymal transition (EMT) in oral submucosal tissue cells, inhibit the differentiation of oral submucosal tissue cells into myofibroblasts, and inhibit the activation of myofibroblasts. It can inhibit the accumulation of collagen in the submucosal tissues and inhibit the contraction of interstitial cells in the oral submucosa.

<110> 長弘生物科技股份有限公司 <110> Changhong Biotechnology Co., Ltd.

<120> 亞丁基苯酞之應用 <120> Application of butylene benzoquinone

<130> 無 <130> None

<160> 12 <160> 12

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

<210> 1 <210> 1

<211> 20 <211> 20

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> Twist引子-順向序列 <223> Twist primer-forward sequence

<400> 1 <400> 1

<210> 2 <210> 2

<211> 20 <211> 20

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> Twist引子-反向序列 <223> Twist primer-reverse sequence

<400> 2 <400> 2

<210> 3 <210> 3

<211> 20 <211> 20

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> Snail引子-順向序列 <223> Snail primer-forward sequence

<400> 3 <400> 3

<210> 4 <210> 4

<211> 20 <211> 20

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> Snail引子-反向序列 <223> Snail primer-reverse sequence

<400> 4 <400> 4

<210> 5 <210> 5

<211> 23 <211> 23

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> ZEB1引子-順向序列 <223> ZEB1 primer-forward sequence

<400> 5 <400> 5

<210> 6 <210> 6

<211> 21 <211> 21

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> ZEB1引子-反向序列 <223> ZEB1 primer-reverse sequence

<400> 6 <400> 6

<210> 7 <210> 7

<211> 24 <211> 24

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> α-SMA引子-順向序列 <223> α-SMA primer-forward sequence

<400> 7 <400> 7

<210> 8 <210> 8

<211> 20 <211> 20

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> α-SMA引子-反向序列 <223> α-SMA primer-reverse sequence

<400> 8 <400> 8

<210> 9 <210> 9

<211> 17 <211> 17

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> Col1a1引子-順向序列 <223> Col1a1 primer-forward sequence

<400> 9 <400> 9

<210> 10 <210> 10

<211> 19 <211> 19

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> Col1a1引子-反向序列 <223> Col1a1 primer-reverse sequence

<400> 10 <400> 10

<210> 11 <210> 11

<211> 18 <211> 18

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> S100A4引子-順向序列 <223> S100A4 primer-forward sequence

<400> 11 <400> 11

<210> 12 <210> 12

<211> 20 <211> 20

<212> DNA <212> DNA

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> S100A4引子-反向序列 <223> S100A4 primer-reverse sequence

<400> 12 <400> 12

Claims (8)

一種使用一活性成分於製造一藥劑的用途,其中該活性成分係選自以下群組:亞丁基苯酞(butylidenephthalide,BP)、其醫藥上可接受之鹽、及前述之組合,且該藥劑係用於預防及/或治療口腔黏膜下纖維化症(oral submucous fibrosis,OSF)。 An use of an active ingredient for the manufacture of a medicament, wherein the active ingredient is selected from the group consisting of butylidenephthalide (BP), a pharmaceutically acceptable salt thereof, and combinations thereof, and the pharmaceutical system is For the prevention and / or treatment of oral submucous fibrosis (OSF). 如請求項1之用途,其中該藥劑係用於抑制口腔黏膜下組織細胞進行上皮間質轉換(epithelial-mesenchymal transition,EMT)。 The use of claim 1, wherein the agent is for inhibiting epithelial-mesenchymal transition (EMT) in oral submucosal tissue cells. 如請求項2之用途,其中該藥劑係用於抑制口腔黏膜下組織細胞之爬行能力與侵襲能力。 The use of claim 2, wherein the agent is for inhibiting the ability of the oral submucosal tissue cells to crawl and invade. 如請求項1之用途,其中該藥劑係用於抑制口腔黏膜下組織細胞分化成肌纖維母細胞。 The use of claim 1, wherein the agent is for inhibiting differentiation of oral submucosal tissue cells into myofibroblasts. 如請求項1之用途,其中該藥劑係用於抑制肌纖維母細胞的活化。 The use of claim 1, wherein the agent is for inhibiting activation of myofibroblasts. 如請求項1至5任一項之用途,其中該藥劑係用於抑制口腔黏膜下組織細胞間質內的收縮。 The use according to any one of claims 1 to 5, wherein the agent is for inhibiting contraction in the interstitial cells of the oral submucosal tissue. 如請求項6之用途,其中該藥劑係一針劑、錠劑、口服液、或塗抹劑。 The use of claim 6, wherein the agent is an injection, a lozenge, an oral solution, or an smear. 如請求項1至5中任一項之用途,其中該藥劑係一針劑、錠劑、口服液、或塗抹劑。 The use of any one of claims 1 to 5, wherein the medicament is an injection, a lozenge, an oral solution, or an smear.
TW105100148A 2016-01-05 2016-01-05 Uses of butylidenephthalide TWI587858B (en)

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TWI675678B (en) * 2018-08-23 2019-11-01 國為生醫科技股份有限公司 Use of n-butylidenephthalide in dopaminergic progenitor cell transplantation

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Title
Liu PY et al,"Expression of Nur77 induced by an n-butylidenephthalide derivative promotes apoptosis and inhibits cell growth in oral squamous cell carcinoma", Invest New Drug, Vol 30(1), 2012 Feb, pages 79-89. *

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