TWI688394B - Use of parabacteroides goldsteinii to prevent or treat chronic obstructive pulmonary disease - Google Patents

Use of parabacteroides goldsteinii to prevent or treat chronic obstructive pulmonary disease Download PDF

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TWI688394B
TWI688394B TW108102979A TW108102979A TWI688394B TW I688394 B TWI688394 B TW I688394B TW 108102979 A TW108102979 A TW 108102979A TW 108102979 A TW108102979 A TW 108102979A TW I688394 B TWI688394 B TW I688394B
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gene
gordonii
chronic obstructive
obstructive pulmonary
pulmonary disease
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TW202010504A (en
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吳柏毅
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星聚樊生物科技有限公司
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Abstract

The present invention describes a method to improve the weight loss, the emphysema, the infiltration of inflammatory cells in lung tissues, the thickening of the tracheal wall, the pulmonary fibrosis, and abnormal lung function, which caused by chronic obstructive pulmonary disease, by administering the probiotic bacterium Parabacteroides goldsteiniitoa subject. The bacterium Parabacteroides goldsteinii can also modulate the expression of genes involved in lung fibrosis and mitochondrial activity in lung tissue. The bacterium Parabacteroides goldsteiniican therefore be used to treat chronic obstructive pulmonary disease.

Description

戈氏副擬桿菌用於預防或治療慢性阻塞性肺病之用途 Use of Parabacterium gordonii for preventing or treating chronic obstructive pulmonary disease

本發明係關於一種戈氏副擬桿菌(Parabacteroides goldsteinii)之用途,尤其是一種關於利用戈氏副擬桿菌預防或治療慢性阻塞性肺病的應用;其中該戈氏副擬桿菌可改善慢性阻塞性肺病患者的肺功能、促炎細胞因子積聚、呼吸道平滑肌增生、肺氣腫、肺纖維化、及粒線體功能障礙。 The present invention relates to the use of Parabacteroides goldsteinii , in particular to the application of using Parabacterium gordonii to prevent or treat chronic obstructive pulmonary disease; wherein the Parabacterium gordonii can improve chronic obstructive pulmonary disease The patient's lung function, proinflammatory cytokine accumulation, airway smooth muscle hyperplasia, emphysema, pulmonary fibrosis, and mitochondrial dysfunction.

慢性阻塞性肺病(Chronic obstructive pulmonary disease,COPD)是用於形容肺氣腫與慢性支氣管炎的一個複合術語。預計到2020年,慢性阻塞性肺病將成為全球人類死亡率第三高的疾病,其中慢性阻塞性肺病與慢性香菸煙霧(CS)的暴露有顯著關聯性。慢性阻塞性肺病患者的肺臟組織具有慢性發炎、黏液轉變(mucus metaplasia)、肺泡受損、及結構性細胞凋亡等特徵。同時,COPD患者常有體重減輕的現象,主要是由於基礎能量消耗增加、營養攝取減少及代謝效率變差所造成。COPD患者的營養不良會造成呼吸肌肉無力,進一步易有缺氧或二氧化碳滯留等併發症。另外營養不良也會造成免疫功能下降,增加肺部感染的頻率及嚴重性。 Chronic obstructive pulmonary disease (COPD) is a compound term used to describe emphysema and chronic bronchitis. It is estimated that by 2020, chronic obstructive pulmonary disease will become the third highest human mortality disease in the world, among which chronic obstructive pulmonary disease is significantly associated with chronic cigarette smoke (CS) exposure. The lung tissue of patients with chronic obstructive pulmonary disease has the characteristics of chronic inflammation, mucus metaplasia, damaged alveoli, and structural apoptosis. At the same time, COPD patients often suffer from weight loss, mainly due to increased basal energy consumption, reduced nutrient intake and poor metabolic efficiency. Malnutrition in COPD patients can cause respiratory muscle weakness, and further prone to complications such as hypoxia or carbon dioxide retention. In addition, malnutrition can also cause a decline in immune function, increasing the frequency and severity of lung infections.

最近的研究更指出慢性阻塞性肺病患者組織中的氣道經常被重塑和纖維化,且附近的肺泡會出現組織的稀薄化以及間隔的破裂的特徵。而慢性阻塞性肺病的肺臟組織中的發炎症狀被認為與該患者肺部的肺氣腫以及其他病理改變有因果關係,且會隨著疾病進展而惡化。然而,慢性阻塞性肺病中該些發炎症狀和肺臟組織的重塑反應之間的關聯以及機制尚不明瞭。COPD的發病 率及死亡率數量高居不下,係因如咳嗽、呼吸短促、痰液產生、或呼氣氣流減少等急性症狀發作所致,其中該些患者的總體健康狀況與該些疾病的進展速率與惡化頻率、以及肺功能的喪失息息相關。因此,該些急性症狀被視為治療慢性阻塞性肺病的主要目標。然而,該些急性症狀的調控機制、以及其對肺臟組織發炎症狀與重塑情況的影響仍尚未得到充分的研究證據。 Recent research has also pointed out that the airways in the tissues of patients with chronic obstructive pulmonary disease are often remodeled and fibrotic, and the nearby alveoli will show the characteristics of tissue thinning and interval rupture. Inflammatory symptoms in the lung tissue of chronic obstructive pulmonary disease are considered to be causally related to emphysema and other pathological changes in the patient's lungs, and will worsen as the disease progresses. However, the relationship and mechanism between these inflammatory symptoms and the remodeling response of lung tissue in chronic obstructive pulmonary disease are unknown. Onset of COPD The rate and mortality rate remain high due to the onset of acute symptoms such as coughing, shortness of breath, sputum production, or decreased expiratory airflow. The overall health status of these patients and the rate of progression and frequency of deterioration of these diseases , And the loss of lung function are closely related. Therefore, these acute symptoms are regarded as the main targets for the treatment of chronic obstructive pulmonary disease. However, the regulatory mechanisms of these acute symptoms and their effects on the inflammation and remodeling of lung tissue have not been fully studied.

近期研究顯示,呼吸道微生物群(airway microbiota)與慢性阻塞性肺病患者持續性地慢性呼吸道發炎相關,且在病情加重中扮演重要的角色並會導致此疾病的惡化。此外,先前研究亦顯示,動態的呼吸道微生物群的生態失調以及微生物組成的變化可能會影響慢性阻塞性肺病的發展與病程。目前的研究指出,在「健康的」(即未患有慢性阻塞性肺病)吸煙者中,其糞便微生物群之擬桿菌(Prevotella)的豐度會增加,且與非吸煙者相比,其厚壁菌門/擬桿菌(Firmicutes/Bacteroidetes)的比率會降低;而吸煙者的雙歧桿菌(Bifidobacterium spp.)數量也會減少,因此個體可能會失去該菌屬相關的抗發炎作用。然而,迄今為止並沒有關於慢性阻塞性肺病患者之腸道微生物群的變化之相關研究。 Recent studies have shown that airway microbiota is associated with persistent chronic respiratory tract inflammation in patients with chronic obstructive pulmonary disease, and it plays an important role in the aggravation of the condition and can cause the disease to worsen. In addition, previous studies have also shown that dysbiosis of dynamic respiratory microbiota and changes in microbial composition may affect the development and course of chronic obstructive pulmonary disease. Current research indicates that in "healthy" (ie, not suffering from chronic obstructive pulmonary disease) smokers, the abundance of fecal microbiota ( Prevotella ) will increase, and it is thicker than non-smokers. The ratio of Firmicutes/Bacteroidetes will decrease; and the number of Bifidobacterium spp. in smokers will also decrease, so individuals may lose the anti-inflammatory effects associated with the genus. However, to date there have been no relevant studies on the changes in the gut microbiota of patients with chronic obstructive pulmonary disease.

本發明之一目的在提供一種戈氏副擬桿菌(Parabacteroides goldsteinii)、其代謝產物、或其細菌成份之用途,藉由戈氏副擬桿菌的作用,調整受施用者個體之生理作用,達到抑制或治療慢性阻塞性肺病之目的。 One object of the present invention is to provide a use of Parabacteroides goldsteinii , its metabolites, or its bacterial components. By the role of Parabacteroides gordonii , the physiological function of the individual of the recipient is adjusted to achieve inhibition Or the purpose of treating chronic obstructive pulmonary disease.

為了達成前述的目的,本發明提供一種戈氏副擬桿菌(Parabacteroides goldsteinii)、該代謝產物、或該細菌成份用於製備預防及/或治療慢性肺阻塞性疾病之醫藥組成物的用途,其中該戈氏副擬桿菌之寄存編號為DSM 32939。藉由對患有慢性阻塞性肺病個體施用該醫藥組成物,改善因慢性肺阻塞性疾病導致之體重下降、促炎細胞因子積聚、呼吸道平滑肌增生、改善肺氣腫、改善肺纖維化、改善惡化之肺功能、及/或粒線體功能障礙,而達到抑制或治療慢性阻塞性肺病之目的;且該戈氏副擬桿菌係藉由降低肺臟細胞中IL-1β基因、TNF-α基因、COL3A1基因、及/或PGC-1α基因的表現量,以降低肺臟細胞發炎、肺纖維化及/或氧化壓力過高之情況,並可同時藉由提升肺臟細胞中Cytb 基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及/或TFAM基因的表現量,以提升肺臟細胞中粒線體之活性。 To achieve the aforementioned object, the present invention provides a use of Parabacteroides goldsteinii , the metabolite, or the bacterial component for the preparation of a pharmaceutical composition for preventing and/or treating chronic pulmonary obstructive diseases, wherein the The deposit number of B. gordonii is DSM 32939. By administering the pharmaceutical composition to individuals with chronic obstructive pulmonary disease, improve weight loss, proinflammatory cytokine accumulation, airway smooth muscle hyperplasia, improve emphysema, improve pulmonary fibrosis, and improve deterioration due to chronic obstructive pulmonary disease Lung function, and/or mitochondrial dysfunction, to achieve the purpose of inhibiting or treating chronic obstructive pulmonary disease; and the B. gordonii by reducing IL-1 β gene, TNF -α gene in lung cells, COL3A1 gene, and/or PGC-1 α gene expression, to reduce lung cell inflammation, pulmonary fibrosis and/or excessive oxidative stress, and by simultaneously enhancing Cytb gene and NRF-1 gene in lung cells , RNR-1 gene, RNR-2 gene, SIRT1 gene, and/or TFAM gene expression to enhance the activity of mitochondria in lung cells.

在本發明的一實施例中,該戈氏副擬桿菌係一活菌;且該醫藥組成物可進一步包含除該戈氏副擬桿菌之外的它種細菌。 In an embodiment of the present invention, the B. gordonii is a live bacterium; and the pharmaceutical composition may further include other bacteria than the B. gordonii.

在本發明的一實施例中,該戈氏副擬桿菌之有效劑量係每一個體每日至少給予5×109CFUs/kg,且其給藥期間可為12週。 In an embodiment of the present invention, the effective dose of the B. gordonii is that each individual is given at least 5×10 9 CFUs/kg per day, and the administration period may be 12 weeks.

利用本發明實施例之戈氏副擬桿菌於預防或治療慢性阻塞性肺病時,可為但不限於以口服方式給藥。其給藥時可與一般食物一同食用,因此製備包含戈氏副擬桿菌醫藥組成物時,該醫藥組成物可進一步包括蛋白質、單醣、雙醣、寡醣、低聚醣、多醣、碳水化合物、胺基酸、脂質、維他命或其任意組合的成分。 In the prevention or treatment of chronic obstructive pulmonary disease by using the B. gordonii according to the embodiment of the present invention, it can be orally administered. When it is administered, it can be eaten together with general foods. Therefore, when preparing a pharmaceutical composition containing B. gordonii, the pharmaceutical composition may further include protein, monosaccharide, disaccharide, oligosaccharide, oligosaccharide, polysaccharide, carbohydrate , Amino acids, lipids, vitamins or any combination thereof.

此外,於製備包含本發明實施例之戈氏副擬桿菌之醫藥組成物時,亦可進一步加入所屬技術領域所熟知之賦形劑、載劑、輔劑及/或食品添加劑。且其劑型可為但不限於一噴霧氣體、一溶液、一半固態、一固態、一明膠膠囊、一軟膠囊、一錠劑、一口含片、一口香糖及/或一冷凍乾燥粉末製劑。同時,本發明實施例之戈氏副擬桿菌或包含其他成分的醫藥組成物,亦可進一步用於製備食品、保健食品、膳食補充品或疫苗組合物。 In addition, in the preparation of the pharmaceutical composition containing Parabacterium gordonii according to the embodiment of the present invention, excipients, carriers, adjuvants and/or food additives well known in the technical field may be further added. The dosage form may be, but not limited to, a spray gas, a solution, a semi-solid, a solid, a gelatin capsule, a soft capsule, a lozenge, a lozenge, a chewing gum, and/or a freeze-dried powder formulation. At the same time, the B. gordonii or the pharmaceutical composition containing other components in the embodiment of the present invention can be further used for preparing food, health food, dietary supplement or vaccine composition.

藉由本發明之戈氏副擬桿菌用於製備預防或治療慢性阻塞性肺病之醫藥組成物的用途,該戈氏副擬桿菌具有改善動物或人類因慢性阻塞性肺病導致之體重下降以及肺氣腫的現象、肺臟組織中發炎細胞的浸潤現象、氣管壁變厚增生的現象、肺纖維化的現象、以及肺功能異常的現象,以減少促炎細胞因子積聚、呼吸道平滑肌增生、肺氣腫等肺部發炎反應、以及減輕惡化的肺功能;該戈氏副擬桿菌亦可有效降低肺臟組織中IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量,以降低肺臟細胞發炎、肺纖維化及/或氧化壓力過高之情況,並同時可有效提升肺臟組織中Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量,以提升肺臟細胞中粒線體之活 性,並修復因慢性阻塞性肺病所造成的粒線體功能障礙。因此,利用本發明之戈氏副擬桿菌的特性提供一種創新的預防或治療慢性阻塞性肺病得策略。 By the use of the B. gordonii of the present invention for preparing a pharmaceutical composition for preventing or treating chronic obstructive pulmonary disease, the B. gordonii can improve the weight loss and emphysema caused by chronic obstructive pulmonary disease in animals or humans Phenomenon, infiltration of inflammatory cells in lung tissue, thickening and hyperplasia of tracheal wall, pulmonary fibrosis, and abnormal lung function to reduce the accumulation of proinflammatory cytokines, airway smooth muscle hyperplasia, emphysema, etc. Inflammatory reaction and reduce the worsening lung function; the B. gordonii can also effectively reduce the expression of IL-1 β gene, TNF -α gene, COL3A1 gene, and PGC-1 α gene in lung tissue to reduce Inflammation of lung cells, pulmonary fibrosis and/or excessive oxidative stress, and at the same time can effectively improve the Cytb gene, NRF-1 gene, RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene in lung tissue Performance level to enhance the activity of mitochondria in lung cells and repair mitochondrial dysfunction caused by chronic obstructive pulmonary disease. Therefore, the use of the characteristics of the B. gordonii of the present invention provides an innovative strategy for preventing or treating chronic obstructive pulmonary disease.

以下將進一步說明本發明的實施方式,下述所列舉的實施例係用以闡明本發明,並非用以限定本發明之範圍,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可做些許更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 The embodiments of the present invention will be further described below. The examples listed below are used to clarify the present invention, and are not intended to limit the scope of the present invention. Anyone who is familiar with this art, without departing from the spirit and scope of the present invention, Some changes and retouching can be done, so the scope of protection of the present invention shall be deemed as defined by the scope of the attached patent application.

圖1係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠體重下降克數之長條圖。 FIG. 1 is a bar graph of P. goldsteinii improving the weight loss of chronic obstructive pulmonary disease mice according to an embodiment of the present invention.

圖2係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠體重下降百分比之長條圖。 2 is a bar graph of P. goldsteinii ( P. goldsteinii ) improving the percentage of weight loss in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖3係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠肺氣腫之組織學影像圖。 FIG. 3 is a histological image of P. goldsteinii improving emphysema in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖4係本發明之一實施例的戈氏副擬桿菌(P.goldsieinii)改善慢性阻塞性肺病小鼠肺臟組織中發炎細胞的浸潤、氣管壁變厚增生、以及肺纖維化之組織學影像圖。 4 is a histological image of P. goldsieinii of one embodiment of the present invention to improve the infiltration of inflammatory cells, thickening of the tracheal wall, and pulmonary fibrosis in the lung tissue of mice with chronic obstructive pulmonary disease. .

圖5係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠吸氣容積異常之長條圖。 FIG. 5 is a bar graph of P. goldsteinii ( P. goldsteinii ) improving abnormal inspiratory volume in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖6係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠肺部順應性異常之長條圖。 6 is a bar graph of P. goldsteinii improving lung compliance in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖7係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠功能性肺餘容積異常之長條圖。 7 is a bar graph of P. goldsteinii ( P. goldsteinii ) improving functional abnormality of residual lung volume in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖8係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠肺總量異常之長條圖。 8 is a bar graph of P. goldsteinii ( P. goldsteinii ) improving lung abnormalities in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖9係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)改善慢性阻塞性肺病小鼠第100毫秒的用力呼氣量/用力肺活量比例之異常之長條圖。 FIG. 9 is a bar graph showing that P. goldsteinii improves the abnormal forced expiratory volume/forced vital capacity ratio at 100 milliseconds in mice with chronic obstructive pulmonary disease according to an embodiment of the present invention.

圖10係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)降低慢性阻塞性肺病小鼠肺臟組織中IL-1β基因表現量之結果圖。* p值<0.05。 10 is a graph showing the results of reducing the expression of IL-1 β gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p value <0.05.

圖11係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)降低慢性阻塞性肺病小鼠肺臟組織中TNF-α基因表現量之結果圖。* p值<0.05。 11 is a graph showing the results of reducing the expression level of TNF -α gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p value <0.05.

圖12係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)降低慢性阻塞性肺病小鼠肺臟組織中COL3A1基因表現量之結果圖。*** p值<0.001。 12 is a graph showing the results of reducing the expression of COL3A1 gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. ***p value <0.001.

圖13係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)提升慢性阻塞性肺病小鼠肺臟組織中Cytb基因表現量之結果圖。*** p值<0.001。 FIG. 13 is a graph showing the results of increasing the expression level of Cytb gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. ***p value <0.001.

圖14係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)提升慢性阻塞性肺病小鼠肺臟組織中NRF-1基因表現量之結果圖。* p值<0.05;** p值<0.01。 FIG. 14 is a graph showing the results of the enhancement of NRF-1 gene expression in lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p-value <0.05; ** p-value <0.01.

圖15係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)降低慢性阻塞性肺病小鼠肺臟組織中PGC-1α基因表現量之結果圖。* p值<0.05;** p值<0.01。 15 is a graph showing the results of reducing the expression level of PGC-1 α gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p-value <0.05; ** p-value <0.01.

圖16係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)提升慢性阻塞性肺病小鼠肺臟組織中RNR-1基因表現量之結果圖。* p值<0.05;** p值<0.01。 FIG. 16 is a graph showing the results of increasing the expression level of RNR-1 gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p-value <0.05; ** p-value <0.01.

圖17係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)提升慢性阻塞性肺病小鼠肺臟組織中RNR-2基因表現量之結果圖。* p值<0.05;** p值<0.01。 FIG. 17 is a graph showing the results of increasing the expression level of RNR-2 gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p-value <0.05; ** p-value <0.01.

圖18係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)提升慢性阻塞性肺病小鼠肺臟組織中SIRT1基因表現量之結果圖。* p值<0.05;** p值<0.01。 18 is a graph showing the results of increasing the expression of SIRT1 gene in lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p-value <0.05; ** p-value <0.01.

圖19係本發明之一實施例的戈氏副擬桿菌(P.goldsteinii)提升慢性阻塞性肺病小鼠肺臟組織中TFAM基因表現量之結果圖。* p值<0.05;** p值<0.01。 FIG. 19 is a graph showing the results of enhancing the expression of TFAM gene in the lung tissue of mice with chronic obstructive pulmonary disease by P. goldsteinii according to an embodiment of the present invention. * p-value <0.05; ** p-value <0.01.

定義definition

本文所述之「有效劑量」係表示能改善哺乳動物或人類因慢性阻塞性肺病導致之體重下降以及肺氣腫現象、肺臟組織中發炎細胞的浸潤現象、氣管壁變厚增生現象、肺纖維化現象、肺功能異常的現象,或可有效降低肺臟組織中IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量,以及有效提升Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量所需戈氏副擬桿菌的數量。有效劑量依所治療的生物種類或個體差異而可能不同,但可藉由例如劑量遞增試驗(dose escalation)以實驗決定其有效劑量。 "Effective dose" as used herein means that it can improve the weight loss and emphysema caused by chronic obstructive pulmonary disease in mammals or humans, the infiltration of inflammatory cells in the lung tissue, the thickening and hyperplasia of the tracheal wall, and pulmonary fibrosis Phenomenon, abnormal lung function, or can effectively reduce the expression of IL-1 β gene, TNF -α gene, COL3A1 gene, and PGC-1 α gene in lung tissue, as well as effectively enhance Cytb gene, NRF-1 gene, The number of RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene required for the performance of the amount of Paracobacterium gordonii . The effective dose may vary depending on the biological species or individual being treated, but the effective dose can be experimentally determined by, for example, dose escalation.

本文中所使用數值為近似值,所有實驗數據皆表示在20%的範圍內,較佳為在10%的範圍內,最佳為在5%的範圍內。 The numerical values used in this article are approximate values, and all experimental data are expressed within a range of 20%, preferably within a range of 10%, and most preferably within a range of 5%.

依據本發明,有關細菌培養的操作程序與參數條件等是落在熟習此項技術之人士的專業素養與例行技術範疇內。 According to the present invention, the operation procedures and parameter conditions related to bacterial culture fall within the professional literacy and routine technical scope of those skilled in the art.

如本文中所使用的,用語「代謝產物」意為培養細菌時,經該細菌代謝後所分泌至細菌培養液中之物質,包含培養該菌的培養液。 As used herein, the term "metabolite" means the substance secreted into the bacterial culture fluid after the bacteria are metabolized when the bacteria is cultivated, including the culture fluid in which the bacteria is cultivated.

如本文中所使用的,用語「細菌成分」意為培養細菌時,該菌直接或間接相關之衍生物質,包括但不限於該細菌之代謝產物、該細菌之結構、細菌相關活性及非活性成分等。 As used herein, the term "bacterial component" means a derivative substance directly or indirectly related to the bacterium when cultivating the bacterium, including but not limited to the metabolite of the bacterium, the structure of the bacterium, the bacterium-related active and inactive ingredients Wait.

本發明提供一種以戈氏副擬桿菌用於製備預防或治療慢性阻塞性肺病之醫藥組成物的用途。以下實驗顯示本發明之戈氏副擬桿菌對改善哺乳動物或人類因慢性阻塞性肺病導致之體重下降以及肺氣腫現象、肺臟組織中發炎細胞的浸潤現象、氣管壁變厚增生現象、肺纖維化現象、肺功能異常的現象,或可有效降低肺臟組織中IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量,以及有效提升Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量之效用。一般而言,每日給予一哺乳動物或一人類本發明之戈氏副擬桿菌之有效劑量為至少5×109CFUs/kg,詳細說明如下。 The present invention provides a use of Paracobacterium gordonii for preparing a pharmaceutical composition for preventing or treating chronic obstructive pulmonary disease. The following experiments show that the B. gordonii of the present invention can improve the weight loss and emphysema, the infiltration of inflammatory cells in the lung tissue, the thickening and hyperplasia of the tracheal wall, and the lung fibers in mammals or humans due to chronic obstructive pulmonary disease. Phenomenon, abnormal lung function, or can effectively reduce the expression of IL-1 β gene, TNF -α gene, COL3A1 gene, and PGC-1 α gene in lung tissue, and effectively enhance Cytb gene, NRF-1 gene , RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene performance. In general, the effective dose of Paramycobacterium gordonii according to the present invention is at least 5×10 9 CFUs/kg administered daily to a mammal or a human, as detailed below.

戈氏副擬桿菌菌株Parabacterium gordonii

本發明實施例中所用之戈氏副擬桿菌(Parabacteroides goldsteinii,P.goldsteinii)MTS01是一種能預防或治療慢性阻塞性肺病的益生菌株(Probiotic bacteria)。該戈氏副擬桿菌係寄存於德國微生物菌種保存中心(Deutsche Sammlung von Mikroorganismen und Zellkulturen,DSMZ);民國107年10月29日;編號DSM 32939。且該戈氏副擬桿菌亦寄存於食品工業發展研究所;民國108年2月15日;編號BCRC 910869。戈氏副擬桿菌為絕對厭氧細菌,需於37℃之無氧培養箱培養約48小時。該菌之液態培養液為NIH thioglycollate broth(TGC II)(購自BD,美國,編號為225710),固態培養基則為Anaerobic blood agar plate(Ana.BAP)(購自啟新生物科技公司,台灣)。該菌長期保存於-80度冰箱,保護液為25%之甘油,無須特殊降溫處理,且可經由冷凍乾燥進行保存,以穩定其活性。本發明之實施例中經由動物實驗證實餵食本發明之戈氏副擬桿菌活菌株能夠改善因慢性阻塞性肺病導致之體重下降以及肺氣腫現象、改善慢性阻塞性肺病導致之肺臟組織中發炎細胞的浸潤現象、氣管壁變厚增生、以及肺纖維化的現象、改善慢性阻塞性肺病導致之肺功能異常現象,其亦可有效降低肺臟組織中IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量,以降低肺臟細胞發炎、肺纖維化及/或氧化壓力過高之情況,並同時可有效提升肺臟組織中Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量,以提升肺臟細胞中粒線體之活性,並修復因慢性阻塞性肺病所造成的粒線體功能障礙。顯示本發明之戈氏副擬桿菌可用於製備預防或治療慢性阻塞性肺病之醫藥組成物的用途。 Ge's sub-embodiment of the present invention used in the embodiment of Bacteroides (Parabacteroides goldsteinii, P.goldsteinii) MTS01 capable of preventing or treating a chronic obstructive pulmonary disease probiotic strains (Probiotic bacteria). The Bacteroides gordonii is deposited at the German Microbial Strains Preservation Center (Deutsche Sammlung von Mikroorganismen und Zellkulturen, DSMZ); October 29, 107; No. DSM 32939. And the B. gordonii was also deposited in the Food Industry Development Institute; February 15, 108; No. BCRC 910869. B. gordonii is an absolute anaerobic bacterium, which needs to be cultured in an anaerobic incubator at 37℃ for about 48 hours. The liquid culture medium of the bacteria is NIH thioglycollate broth (TGC II) (purchased from BD, United States, number 225710), and the solid culture medium is Anaerobic blood agar plate (Ana.BAP) (purchased from Qixin Biotechnology Company, Taiwan) . The bacteria are stored in a refrigerator at -80 degrees for a long time. The protective solution is 25% glycerin. No special cooling treatment is required, and it can be stored by freeze-drying to stabilize its activity. In the examples of the present invention, it has been confirmed by animal experiments that feeding the live strain of Parabacterium gordonii of the present invention can improve the weight loss and emphysema caused by chronic obstructive pulmonary disease, and improve the inflammatory cells in the lung tissue caused by chronic obstructive pulmonary disease The phenomenon of infiltration, thickening and hyperplasia of the tracheal wall, and pulmonary fibrosis, and the improvement of abnormal lung function caused by chronic obstructive pulmonary disease can also effectively reduce the IL-1β gene, TNF-α gene, COL3A1 gene in lung tissue, And PGC-1α gene expression to reduce lung cell inflammation, pulmonary fibrosis and/or excessive oxidative stress, and can effectively enhance Cytb gene, NRF-1 gene, RNR-1 gene, RNR in lung tissue -2 gene, SIRT1 gene, and TFAM gene expression levels to enhance the activity of mitochondria in lung cells and repair mitochondrial dysfunction caused by chronic obstructive pulmonary disease. It shows the use of the B. gordonii of the present invention for preparing a pharmaceutical composition for preventing or treating chronic obstructive pulmonary disease.

益生菌株(Probiotic或Probiotic bacteria)係為一微生物,其菌體、混合菌株、萃取物或代謝產物對於宿主本身係具有正面影響,通常源自於人體內、有益於腸道健康的活菌,亦可指外來補充、對身體可能有益的某些微生物。 Probiotic strains (Probiotic or Probiotic bacteria) are microorganisms whose bacteria, mixed strains, extracts or metabolites have a positive effect on the host's own system, usually derived from living bacteria in the human body that are beneficial to intestinal health. It can refer to some microorganisms that are supplemented from outside and may be beneficial to the body.

依據本發明,有關細菌培養的操作程序與參數條件等是落在熟習此項技術之人士的專業素養與例行技術範疇內。 According to the present invention, the operation procedures and parameter conditions related to bacterial culture fall within the professional literacy and routine technical scope of those skilled in the art.

實驗小鼠Experimental mice

本發明實施例中使用8至10週齡且無特定病原體的C57BL/6雌性小鼠,該小鼠係購自Jackson Laboratory(Bar Harbor,美國),且該所有小鼠隨意餵食食物和水。該小鼠係飼養在無特定病原體的設施中,並按照美國國立衛生研究院的指導原則進行治療。 In the examples of the present invention, C57BL/6 female mice 8 to 10 weeks old and free of specific pathogens were used. The mice were purchased from Jackson Laboratory (Bar Harbor, USA), and all the mice were fed food and water at will. The mice are housed in a facility free of specific pathogens and are treated according to the guidelines of the National Institutes of Health.

實施例1 戈氏副擬桿菌改善慢性阻塞性肺病小鼠之體重下降的功效Example 1 The effect of B. gordonii to improve the weight loss of mice with chronic obstructive pulmonary disease

本發明之一實施例為測試本發明之戈氏副擬桿菌改善慢性阻塞性肺病小鼠之體重下降的功效,首先將8-10週齡的C57BL/6Narl雌性小鼠分為以下三組(各組n=10):(1)暴露於室內空氣中且每日一次以胃內灌食方式給予100μL之PBS持續共12週之控制組、(2)每天兩次暴露於12支3R4F捲菸(肯塔基大學)的煙霧中且每日一次以胃內灌食方式給予PBS持續共12週之比較組、及(3)每天兩次暴露於12支3R4F捲菸(肯塔基大學)的煙霧中且每日一次以胃內灌食方式給予1x108CFU/20g之P.goldsteinii(CS+MTS01)持續共12週之實驗組;其中,每天兩次暴露於12支3R4F捲菸(肯塔基大學)的煙霧中持續12週係為以香菸煙霧(CS)誘導小鼠為慢性阻塞性肺疾病模型。 One embodiment of the present invention is to test the efficacy of the B. gordonii of the present invention to improve the weight loss of mice with chronic obstructive pulmonary disease. First, C57BL/6Narl female mice of 8-10 weeks old are divided into the following three groups (each Group n=10): (1) control group exposed to indoor air and given 100 μL of PBS once a day for 12 weeks by intragastric infusion; (2) exposed to 12 3R4F cigarettes twice a day (Kentucky) University) in the smoke and once a day by intragastric infusion of PBS for a total of 12 weeks, and (3) twice daily exposure to the smoke of 12 3R4F cigarettes (University of Kentucky) and once a day Intragastric administration of 1x10 8 CFU/20g of P. goldsteinii (CS+MTS01) for a total of 12 weeks in the experimental group; of which, twice a day was exposed to the smoke of 12 3R4F cigarettes (University of Kentucky) for 12 weeks It is a model of chronic obstructive pulmonary disease induced by cigarette smoke (CS) in mice.

於餵食之12週中,每週監測各組小鼠之體重,並將第12週之最終體重減去第0週之起始體重,以作為體重增加的數值,其結果如圖1所示;再將體重增加的數值除以起始體重並以百分比表示,以計算出各組中各隻小鼠的體重變化率,其結果如圖2所示。實驗結果之數據以平均值±標準差顯示,並以單變量變異數分析(One-way ANOVA)進行統計分析(*p值<0.05;**p值<0.01;***p值<0.001)。 During the 12 weeks of feeding, the weight of each group of mice was monitored weekly, and the final weight of week 12 minus the initial weight of week 0 was used as the value of weight gain. The results are shown in Figure 1; The value of weight gain is divided by the initial body weight and expressed as a percentage to calculate the rate of change in weight of each mouse in each group. The results are shown in FIG. 2. The data of the experimental results are displayed as the mean ± standard deviation, and statistical analysis is performed by One-way ANOVA (*p value<0.05; **p value<0.01; ***p value<0.001) .

本發明之戈氏副擬桿菌改善以CS誘導之慢性阻塞性肺病小鼠體重下降的實驗結果如圖1及圖2所示。由圖中可知,相較於暴露於室內空氣中的控制組小鼠,經CS誘導為慢性阻塞性肺病之比較組小鼠之體重增加的數值會顯著地降低,且體重變化率亦會顯著地降低;而若在以CS誘導小鼠為慢性阻塞性肺病時,同時餵食本發明之戈氏副擬桿菌,相較於比較組小鼠,體重增加的數值則可顯著地提高,且體重變化率亦會顯著地提高。此些結果顯示,本發明之戈氏副擬桿菌可有效改善慢性阻塞性肺病導致之個體體重下降的問題。 The experimental results of the present invention to improve the weight loss of CS-induced chronic obstructive pulmonary disease mice are shown in FIG. 1 and FIG. 2. It can be seen from the figure that compared with the control group mice exposed to indoor air, the weight gain value of the mice in the chronic obstructive pulmonary disease induced by CS will be significantly reduced, and the weight change rate will also be significantly reduced Reduced; and when CS-induced mice are chronic obstructive pulmonary disease, the paramycobacterium gordonii of the present invention is fed at the same time, compared with the mice in the comparison group, the value of weight gain can be significantly increased, and the rate of weight change It will also improve significantly. These results show that the B. gordonii of the present invention can effectively improve the problem of individual weight loss caused by chronic obstructive pulmonary disease.

實施例2 戈氏副擬桿菌改善慢性阻塞性肺病小鼠肺之肺氣腫、氣管壁重塑增生、以及肺纖維化的功效Example 2 Paracobacterium gordonii improves pulmonary emphysema, tracheal wall remodeling hyperplasia, and pulmonary fibrosis in chronic obstructive pulmonary disease mice

本發明之一實施例為觀察本發明之戈氏副擬桿菌改善慢性阻塞性肺病小鼠之肺氣腫、以及氣管壁重塑增生與肺纖維化的功效。首先,如前述實施例1將小鼠分組進行實驗,並於餵食12週後,將各組小鼠的肺臟組織取出,並以福馬林液進行固定後包埋於石蠟中,接著以4mm的厚度製作組織切片,並以蘇木精(Hematoxylin)及曙紅(Eosin,H&E)進行染色,再以光學顯微鏡(Olympus,日本)觀察與記錄各組小鼠肺臟組織染色切片,並使用Image J軟體(National Institutes of Health,美國)分析各組組織學影像,其中該影像是選自各組中10-15個切片中2個隨機的區域。 One embodiment of the present invention is to observe the efficacy of the B. gordonii of the present invention in improving emphysema, tracheal wall remodeling hyperplasia and pulmonary fibrosis in mice with chronic obstructive pulmonary disease. First, the mice were divided into groups for experimentation as in the previous Example 1, and after 12 weeks of feeding, the lung tissues of the mice in each group were taken out, fixed with formalin solution, and embedded in paraffin, followed by a thickness of 4 mm Tissue sections were prepared and stained with hematoxylin (Hematoxylin) and eosin (Eosin, H&E), and then observed and recorded with a light microscope (Olympus, Japan). Stained sections of lung tissues of each group of mice, and using Image J software ( National Institutes of Health (USA) analyzes the histological images of each group, where the images are selected from 2 random regions of 10-15 slices in each group.

本發明之戈氏副擬桿菌改善慢性阻塞性肺病小鼠之肺氣腫的實驗結果如圖3所示。由圖中可知,相較於暴露於室內空氣中的正控制組小鼠,經CS誘導為慢性阻塞性肺病之比較組小鼠之肺泡壁變薄且破壞較嚴重;而若在以CS誘導小鼠為慢性阻塞性肺病時,同時餵食本發明之戈氏副擬桿菌,相較於比較組小鼠,其肺氣腫現象則顯著降低。此結果顯示,本發明之戈氏副擬桿菌可有效改善慢性阻塞性肺病導致之肺氣腫現象。 The experimental results of the present invention to improve the emphysema of chronic obstructive pulmonary disease mice are shown in FIG. 3. It can be seen from the figure that the alveolar wall of the mice in the control group induced by CS to be chronic obstructive pulmonary disease is thinner and damaged more than the mice in the positive control group exposed to indoor air; When the rat is chronic obstructive pulmonary disease, the B. gordonii of the present invention is fed at the same time, and the emphysema phenomenon is significantly reduced compared with the mice in the comparative group. This result shows that the B. gordonii of the present invention can effectively improve emphysema caused by chronic obstructive pulmonary disease.

本發明之戈氏副擬桿菌改善慢性阻塞性肺病小鼠之氣管壁重塑增生與肺纖維化的實驗結果如圖4所示。由圖中可知,相較於暴露於室內空氣中的正控制組小鼠,經CS誘導為慢性阻塞性肺病之比較組小鼠的肺臟組織中,發炎細胞的浸潤現象、氣管壁變厚增生、以及肺纖維化的情況較為嚴重;而若在以CS誘導小鼠為慢性阻塞性肺病時,同時餵食本發明之戈氏副擬桿菌,相較於比較組小鼠,其發炎、氣管壁變厚增生、以及肺纖維化現象則顯著降低。此結果顯示,本發明之戈氏副擬桿菌可有效改善慢性阻塞性肺病所導致肺臟組織中,發炎細胞的浸潤現象、氣管壁變厚增生、以及肺纖維化的現象。 The experimental results of the present invention to improve the airway wall remodeling hyperplasia and pulmonary fibrosis of Paracetobacter gordonii in mice with chronic obstructive pulmonary disease are shown in FIG. 4. It can be seen from the figure that compared with the positive control group mice exposed to indoor air, the infiltration of inflammatory cells, thickening and hyperplasia of the tracheal wall in the lung tissue of the comparative group mice induced by CS to chronic obstructive pulmonary disease, And the situation of pulmonary fibrosis is more serious; and if the CS-induced mice are chronic obstructive pulmonary disease, and the paramycobacterium gordonii of the present invention is fed at the same time, the inflammation and the tracheal wall become thicker than the mice in the comparative group Hyperplasia and pulmonary fibrosis were significantly reduced. This result shows that the B. gordonii of the present invention can effectively improve the infiltration of inflammatory cells, thickening and hyperplasia of the tracheal wall, and pulmonary fibrosis in the lung tissue caused by chronic obstructive pulmonary disease.

實施例3 戈氏副擬桿菌改善慢性阻塞性肺病小鼠肺功能的功效Example 3 Efficacy of B. gordonii to improve lung function in mice with chronic obstructive pulmonary disease

本發明之一實施例為觀察本發明之戈氏副擬桿菌改善慢性阻塞性肺病小鼠之肺功能的功效。首先,如前述實施例1將小鼠分組進行實驗,並於餵食12週後,將所有小鼠進行麻醉以執行氣管造口,並將該些小鼠置於強制肺動作系統(Buxco Research Systems,美國,以下簡稱Buxco系統)中。首先,對麻醉的小鼠施加100次呼吸/分鐘的平均呼吸頻率,使用Buxco系統進行3次半自動機動,其中包括波以耳定律測定功能性肺餘容積(Functional residual capacity,FRC)、準靜態P-V(Quasistatic P-V)、及快速流量驅動(Fast flow volume maneuver);其中,該FRC係由波以耳定律所決定。 One embodiment of the present invention is to observe the efficacy of the B. gordonii of the present invention in improving lung function in mice with chronic obstructive pulmonary disease. First, the mice were grouped for experiments as in the previous Example 1, and after 12 weeks of feeding, all mice were anesthetized to perform tracheostomy, and the mice were placed in a forced lung action system (Buxco Research Systems, USA , Hereinafter referred to as Buxco system). First, apply an average breathing rate of 100 breaths/min to the anesthetized mice, and use the Buxco system to perform three semi-automatic maneuvers, including wave-ear law to measure functional residual capacity (FRC), quasi-static PV (Quasistatic PV), and Fast flow volume maneuver; where the FRC is determined by Boyle’s law.

進行準靜態P-V的操作係為測量肺總量(Total lung capacity,TLC)、殘氣量(Residual volume,RV)、吸氣容量(Inspiratory capacity,IC)、肺活量(Vital capacity,VC)、呼氣儲備容積(Expiratory reserve volume,ERV)、及肺部順應性(Chord compliance,Cchord)。 The operation of quasi-static PV is to measure total lung capacity (TLC), residual volume (Residual volume, RV), inspiratory capacity (IC), vital capacity (Vital capacity, VC), and expiratory reserve Expiratory reserve volume (ERV), and lung compliance (Chord compliance, Cchord).

進行快速流量驅動操作係為記錄用用力呼氣流量(Forced expiratory flows,FEFs)、平均呼氣時間(Times of expiration,Te)與平均吸氣時間(Times of inspiration,Ti)、以及用力呼氣容積(Forced expiratory volume,FEV);其中,該FEFs包含用力呼氣流速(Forced expiratory flow rate,FEF)、及最大呼氣流速(Peak expiratory flow rate,PEF);而該FEVs包含用力肺活量(Forced vital capacity,FVC)、第100毫秒的用力呼氣量(FEV100)、及第200毫秒的用力呼氣量(FEV200)。 The fast flow-driven operation is to record forced expiratory flows (FEFs), average expiratory time (Times of expiration, Te) and average inspiratory time (Times of inspiration, Ti), and forced expiratory volume (Forced expiratory volume, FEV); wherein, the FEFs include forced expiratory flow rate (FEF) and peak expiratory flow rate (PEF); and the FEVs include forced vital capacity (Forced vital capacity) , FVC), forced expiratory volume at 100 milliseconds (FEV100), and forced expiratory volume at 200 milliseconds (FEV200).

以上的所有操作及驅動皆持續執行至完成三次正確的測量為止,並將從各組中每隻小鼠所測得之以上各種參數的三次平均值,作為該隻小鼠該種參數的結果數值。接著,將該些結果數值以平均值±標準差顯示,並以單變量變異數分析(One-way ANOVA)以及Dunnett多重比較測試(GraphPad prism 6.01;GraphPad Software Inc.,美國)進行統計分析(*p值<0.05;**p值<0.01;***p值<0.001)。 All the above operations and driving are continued until the three correct measurements are completed, and the three averages of the above various parameters measured from each mouse in each group are used as the result value of the parameter of the mouse . Next, the result values are displayed as mean±standard deviation, and statistical analysis is performed by one-way ANOVA (One-way ANOVA) and Dunnett multiple comparison test (GraphPad prism 6.01; GraphPad Software Inc., United States) (* p value<0.05; **p value<0.01; ***p value<0.001).

本發明之戈氏副擬桿菌改善慢性阻塞性肺病小鼠之吸氣容積異常現象的實驗結果如圖5所示;改善慢性阻塞性肺病小鼠之肺部順應性異常現象 的實驗結果如圖6所示;改善慢性阻塞性肺病小鼠之功能性肺餘容積異常現象的實驗結果如圖7所示;改善慢性阻塞性肺病小鼠之肺總量異常現象的實驗結果如圖8所示;改善慢性阻塞性肺病小鼠之肺臟第100毫秒的用力呼氣量/用力肺活量比例之異常現象的實驗結果如圖9所示。 The experimental results of the present invention to improve the abnormal phenomenon of inspiratory volume in mice with chronic obstructive pulmonary disease are shown in Fig. 5; the improvement of abnormal lung compliance in chronic obstructive pulmonary disease mice The experimental results are shown in Figure 6; the experimental results for improving the abnormal phenomenon of functional residual lung volume in mice with chronic obstructive pulmonary disease are shown in Figure 7; the experimental results for improving the abnormal phenomenon of total lung volume in mice with chronic obstructive pulmonary disease are Fig. 8; the experimental result of improving the abnormal phenomenon of forced expiratory volume/forced vital capacity ratio at 100 milliseconds in the lungs of mice with chronic obstructive pulmonary disease is shown in FIG. 9.

由圖7至圖9中可知,相較於暴露於室內空氣中的控制組小鼠,經CS誘導為慢性阻塞性肺病之比較組小鼠的吸氣容積、肺部順應性、功能性肺餘容積、及肺總量會顯著地增加,且肺臟第100毫秒的用力呼氣量/用力肺活量比例會顯著地下降;而若在以CS誘導小鼠為慢性阻塞性肺病時,同時餵食本發明之戈氏副擬桿菌,相較於比較組小鼠,其吸氣容積、肺部順應性、功能性肺餘容積、及肺總量則會顯著地降低,且其肺臟第100毫秒的用力呼氣量/用力肺活量比例則會顯著地上升。此結果顯示,本發明之戈氏副擬桿菌可有效改善慢性阻塞性肺病導致之吸氣容積、肺部順應性、功能性肺餘容積、肺總量、及肺臟第100毫秒的用力呼氣量/用力肺活量比例異常的現象,可有效改善慢性阻塞性肺病之肺功能。 As can be seen from FIGS. 7 to 9, compared to the control group mice exposed to indoor air, the inspiratory volume, lung compliance, and functional lung residual of the control group mice induced by CS into chronic obstructive pulmonary disease The volume and total lung volume will increase significantly, and the ratio of forced expiratory volume/forced vital capacity at 100 milliseconds of the lung will decrease significantly; and if the CS-induced mice are chronic obstructive pulmonary disease, the Compared with the mice in the control group, the B. gordonii has a significant reduction in inspiratory volume, lung compliance, functional residual lung volume, and total lung volume, and its lungs are forced to exhale at 100 ms The volume/forced vital capacity ratio will increase significantly. This result shows that the B. gordonii of the present invention can effectively improve the inspiratory volume, lung compliance, functional residual lung volume, total lung volume, and forced expiratory volume of the lung at 100 milliseconds caused by chronic obstructive pulmonary disease /The abnormal ratio of forced vital capacity can effectively improve the lung function of chronic obstructive pulmonary disease.

實施例4 戈氏副擬桿菌調控慢性阻塞性肺病小鼠肺臟中與肺臟纖維化及粒線體活性相關之基因表現量的功效Example 4 Efficacy of B. gordonii in regulating the expression of genes related to lung fibrosis and mitochondrial activity in the lungs of mice with chronic obstructive pulmonary disease

本發明之一實施例為觀察本發明之戈氏副擬桿菌調控慢性阻塞性肺病小鼠肺臟中與肺臟纖維化及粒線體活性相關之基因表現量的功效。首先,如前述實施例1將小鼠分組進行實驗,並於餵食12週後,自各組小鼠之肺臟組織中以RNeasy®MiniKit(Qiagen,Valencia,CA,USA)萃取出總核醣核酸(Total RNA),接著利用Quant II快速反轉錄酶試劑套組(Tools,台灣),以萃取之Total RNA作為模板及表1之引子進行反轉錄,以產生該些特定基因之mRNA所相應的cDNA產物,再將1μL所得到的cDNA與1μL之特定基因的引子、5μL之2xqPCRBIO SyGreen Blue Mix Lo-ROX(PCR Biosystems,英國)、以及3μL之雙倍蒸餾水混合均勻後後進行定量即時聚合酶連鎖反應(Quantitative real-time polymerase chain reaction,qPCR),該PCR條件為在95℃預培養3分鐘的初始步驟後,以95℃反應10秒,60℃反應20秒,72℃反應5秒,總共重複50個迴圈後,再進行1個熔化曲 線循環,以偵測與肺臟纖維化、及粒線體活性相關之基因的表現量。其中,以18S核醣體(18S ribosome)作為qPCR測定的內部對照。 One embodiment of the present invention is to observe the efficacy of the B. gordonii of the present invention in regulating the gene expression level of lung fibrosis and mitochondrial activity in the lungs of mice with chronic obstructive pulmonary disease. First, the mice were divided into groups for experimentation as in the previous Example 1, and after 12 weeks of feeding, RNeasy ® MiniKit (Qiagen, Valencia, CA, USA) was used to extract total ribonucleic acid (Total) from the lung tissues of each group of mice. RNA), then use the Quant II rapid reverse transcriptase reagent kit (Tools, Taiwan), using the extracted Total RNA as a template and the primers of Table 1 for reverse transcription to generate cDNA products corresponding to the mRNA of these specific genes, Then mix 1μL of the obtained cDNA with 1μL of the specific gene primer, 5μL of 2xqPCRBIO SyGreen Blue Mix Lo-ROX (PCR Biosystems, UK), and 3μL of double-distilled water. real-time polymerase chain reaction (qPCR), the PCR conditions are after the initial step of pre-incubation at 95°C for 3 minutes, reaction at 95°C for 10 seconds, 60°C for 20 seconds, and 72°C for 5 seconds, a total of 50 cycles are repeated After the circle, another melting curve cycle was performed to detect the expression level of genes related to pulmonary fibrosis and mitochondrial activity. Among them, 18S ribosome (18S ribosome) was used as an internal control for qPCR measurement.

Figure 108102979-A0101-12-0012-1
Figure 108102979-A0101-12-0012-1

本發明之戈氏副擬桿菌降低慢性阻塞性肺病小鼠之IL-1β基因表現量的實驗結果如圖10所示;降低慢性阻塞性肺病小鼠之TNF-α基因表現量的實驗結果如圖11所示;降低慢性阻塞性肺病小鼠之COL3A1基因表現量的實驗結果如圖12所示;提升慢性阻塞性肺病小鼠之Cytb基因表現量的實驗結果如圖13所示;提升慢性阻塞性肺病小鼠之NRF-1基因表現量的實驗結果如圖14所示;降低慢性阻塞性肺病小鼠之PGC-1α基因表現量的實驗結果如圖15所示;提升慢性阻塞性肺病小鼠之RNR-1基因表現量的實驗結果如圖16所示;提升慢性阻塞性肺病小鼠之RNR-2基因表現量的實驗結果如圖17所示;提升慢性阻塞性肺病小鼠之SIRT1基因表現量的實驗結果如圖18所示;提升慢性阻塞性肺病小鼠之TFAM基因表現量的實驗結果如圖19所示。 The present invention's Ge sub Bacteroides decreased results of IL-1 β expression levels of the gene of COPD mice shown in Figure 10; reducing TNF results chronic obstructive pulmonary disease manifestations of mice amount -α genes such as Figure 11; the experimental results of reducing the COL3A1 gene expression of mice with chronic obstructive pulmonary disease are shown in Figure 12; the experimental results of increasing the Cytb gene expression of mice with chronic obstructive pulmonary disease are shown in Figure 13; improving chronic obstruction The experimental results of NRF-1 gene expression in mice with sexual lung disease are shown in Figure 14; the experimental results of reducing the PGC-1 α gene expression in mice with chronic obstructive pulmonary disease are shown in Figure 15; The experimental results of RNR-1 gene expression in mice are shown in Figure 16; the experimental results of increasing RNR-2 gene expression in mice with chronic obstructive pulmonary disease are shown in Figure 17; the SIRT1 gene is increased in mice with chronic obstructive pulmonary disease The experimental results of performance are shown in Figure 18; the experimental results of improving the expression of TFAM gene in mice with chronic obstructive pulmonary disease are shown in Figure 19.

其中,IL-1β基因及TNF-α基因為促進發炎之重要基因;COL3A1基因為導致肺臟纖維化的重要基因;Cytb基因為影響細胞粒線體功能的重要基因;NRF-1基因、PGC-1α基因、RNR1基因、RNR2基因、SIRT1基因、及TFAM基因為影響細胞粒線體功能及抗氧化壓力的重要基因,其中研究已知在慢性阻塞性肺病小鼠中PGC-1α基因的表現量會上升。 Among them, IL-1 β gene and TNF -α gene are important genes that promote inflammation; COL3A1 gene is an important gene that causes lung fibrosis; Cytb gene is an important gene that affects mitochondrial function; NRF-1 gene, PGC- 1 α gene, RNR1 gene, RNR2 gene, SIRT1 gene, and TFAM gene are important genes that affect mitochondrial function and anti-oxidative stress, in which the performance of PGC-1 α gene in mice with chronic obstructive pulmonary disease is known The volume will rise.

由圖10至圖19中可知,相較於暴露於室內空氣中的無吸菸控制組小鼠,經CS誘導為慢性阻塞性肺病之比較組小鼠肺臟組織細胞中的IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量會顯著地提升;而Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量則會顯著地降低。若在以CS誘導小鼠為慢性阻塞性肺病時,同時餵食本發明之戈氏副擬桿菌,相較於比較組小鼠,其肺臟組織細胞中的IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量會顯著地降低;而Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量則會顯著地提升。此結果顯示,本發明之戈氏副擬桿菌可有效降低與肺臟纖維化相關之IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量,以及有效提升與粒線體活性相關之Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量。 As can be seen from FIGS. 10 to 19, compared to the non-smoking control group mice exposed to indoor air, the IL-1 β gene in the lung tissue cells of the comparative group mice induced by CS to chronic obstructive pulmonary disease, The expression levels of TNF -α gene, COL3A1 gene, and PGC-1 α gene will be significantly improved; while the expression levels of Cytb gene, NRF-1 gene, RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene Will be significantly reduced. If the CS-induced mice are chronic obstructive pulmonary disease, the paramycobacterium gordonii of the present invention is fed at the same time. Compared with the mice in the comparative group, the IL-1 β gene, TNF -α gene in the lung tissue cells, The expression levels of COL3A1 gene and PGC-1 α gene will be significantly reduced; while the expression levels of Cytb gene, NRF-1 gene, RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene will be significantly increased . This result shows that the B. gordonii of the present invention can effectively reduce the expression levels of IL-1 β gene, TNF -α gene, COL3A1 gene, and PGC-1 α gene related to pulmonary fibrosis, as well as effectively improve The expression levels of Cytb gene, NRF-1 gene, RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene related to the body activity.

利用本發明實施例之戈氏副擬桿菌於預防或治療慢性阻塞性肺病時,可以口服方式給藥。其給藥時可與一般食物一同食用,因此製備包含戈氏副擬桿菌醫藥組成物時,該醫藥組成物可進一步包括蛋白質、單醣、雙醣、寡醣、多醣、碳水化合物、胺基酸、脂質、維他命或其任意組合的成分。 In the prevention or treatment of chronic obstructive pulmonary disease, the B. gordonii according to the embodiment of the present invention can be administered orally. When it is administered, it can be eaten together with general food. Therefore, when preparing a pharmaceutical composition containing Parabacterium gordonii, the pharmaceutical composition may further include protein, monosaccharide, disaccharide, oligosaccharide, polysaccharide, carbohydrate, amino acid , Lipid, vitamin, or any combination thereof.

此外,於製備包含本發明實施例之戈氏副擬桿菌之醫藥組成物時,亦可進一步加入所屬技術領域所熟知之載劑或其他輔劑。而其劑型,可為但不限於溶液、明膠膠囊、軟膠囊或錠劑,以便於將本發明之戈氏副擬桿菌傳遞至腸道及/或部分或全部定殖於腸道。同時,本發明實施例之戈氏副擬桿菌或包含其他成分的醫藥組成物,亦可添加於食品、保健食品或膳食補充品中。 In addition, in the preparation of the pharmaceutical composition containing the B. gordonii according to the embodiment of the present invention, a carrier or other adjuvants well known in the art may be further added. The dosage form may be, but not limited to, a solution, a gelatin capsule, a soft capsule, or a lozenge, so as to facilitate the transmission of the B. gordonii of the present invention to the intestinal tract and/or to colonize the intestinal tract partially or completely. At the same time, the B. gordonii or the pharmaceutical composition containing other ingredients in the embodiments of the present invention can also be added to foods, health foods or dietary supplements.

藉由上述試驗可知,本發明實施例所提供一種戈氏副擬桿菌用於製備預防或治療慢性阻塞性肺病之醫藥組成物的用途,該戈氏副擬桿菌具有改善動物或人類因慢性阻塞性肺病導致之體重下降以及肺氣腫現象的功效;其亦具有改善動物或人類肺臟組織中因慢性阻塞性肺病導致之發炎細胞的浸潤現象、氣管壁變厚增生、以及肺纖維化的現象的功效,可減少促炎細胞因子積聚、呼吸道平滑肌增生、及肺氣腫等肺部發炎反應;且能改善動物或人類因慢性阻塞性肺病導致之吸氣容積、肺部順應性、功能性肺餘容積、肺總量、及肺臟第100毫秒的用力呼氣量/用力肺活量比例異常的現象,以減輕惡化的肺功能;該戈氏副擬桿菌亦可有效降低肺臟組織中IL-1β基因、TNF-α基因、COL3A1基因、及PGC-1α基因的表現量,以降低肺臟細胞發炎、肺纖維化及/或氧化壓力過高之情況,並同時可有效提升肺臟組織中Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及TFAM基因的表現量,以提升肺臟細胞中粒線體之活性,並修復因慢性阻塞性肺病所造成的粒線體功能障礙。因此,本發明之戈氏副擬桿菌可應用於慢性阻塞性肺病之預防或治療以及相關醫藥組成物的製備。 It can be known from the above test that the embodiment of the present invention provides a use of Paracobacterium gordonii for the preparation of a pharmaceutical composition for the prevention or treatment of chronic obstructive pulmonary disease. The effect of weight loss and emphysema caused by lung disease; it also has the effect of improving the infiltration of inflammatory cells caused by chronic obstructive pulmonary disease, thickening of the tracheal wall, and pulmonary fibrosis in animal or human lung tissues , Can reduce proinflammatory cytokine accumulation, airway smooth muscle hyperplasia, emphysema and other lung inflammation; and can improve the inspiratory volume, lung compliance, and functional residual lung volume of animals or humans caused by chronic obstructive pulmonary disease , The total lung volume, and the abnormal ratio of forced expiratory volume/forced vital capacity in the 100 milliseconds of the lung to reduce the deterioration of lung function; the B. gordonii can also effectively reduce the IL-1 β gene and TNF in the lung tissue -Alpha gene, COL3A1 gene, and PGC-1 alpha gene expression, to reduce lung cell inflammation, pulmonary fibrosis and/or excessive oxidative stress, and also effectively enhance Cytb gene, NRF-1 in lung tissue Gene, RNR-1 gene, RNR-2 gene, SIRT1 gene, and TFAM gene expression levels to enhance the activity of mitochondria in lung cells and repair mitochondrial dysfunction caused by chronic obstructive pulmonary disease. Therefore, the B. gordonii of the present invention can be applied to the prevention or treatment of chronic obstructive pulmonary disease and the preparation of related pharmaceutical compositions.

【生物材料寄存】 【Biological Material Storage】

德國微生物菌種保存中心(Deutsche Sammlung von Mikroorganismen und Zellkulturen,DSMZ);民國107年10月29日;編號DSM 32939。食品工業發展研究所;民國108年2月15日;編號BCRC 910869。 German Microbial Culture Preservation Center (Deutsche Sammlung von Mikroorganismen und Zellkulturen, DSMZ); October 29, 107; No. DSM 32939. Food Industry Development Research Institute; February 15, 108; No. BCRC 910869.

<110> 星聚樊生物科技有限公司 <110> Xingjufan Biotechnology Co., Ltd.

<120> 戈氏副擬桿菌用於預防或治療慢性阻塞性肺病之用途 <120> The use of B. gordonii for the prevention or treatment of chronic obstructive pulmonary disease

<130> 107B0528-I1 <130> 107B0528-I1

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Figure 108102979-A0101-12-0023-23

Claims (11)

一種戈氏副擬桿菌(Parabacteroides goldsteinii)及其代謝產物之用途,其係用於製備預防及/或治療慢性肺阻塞性疾病之醫藥組成物的用途,其中該戈氏副擬桿菌之寄存編號為DSM 32939。 A use of Parabacteroides goldsteinii and its metabolites, which is used for the preparation of a pharmaceutical composition for the prevention and/or treatment of chronic pulmonary obstructive diseases, wherein the deposit number of Parabacteroides gordonii is DSM 32939. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌係一活菌。 The use as described in item 1 of the patent application scope, wherein the Bacteroides gordonii is a live bacterium. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌之有效劑量係每一個體每日至少給予5×109CFUs/kg。 The use as described in item 1 of the patent application scope, wherein the effective dose of the B. gordonii is that each individual is given at least 5×10 9 CFUs/kg per day. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌及其代謝產物係改善因慢性肺阻塞性疾病導致之體重下降、促炎細胞因子積聚、呼吸道平滑肌增生、肺氣腫、肺纖維化、惡化之肺功能、及/或粒線體功能障礙。 The use as described in item 1 of the patent application scope, wherein the B. gordonii and its metabolites improve weight loss, proinflammatory cytokine accumulation, airway smooth muscle hyperplasia, emphysema, caused by chronic pulmonary obstructive disease Pulmonary fibrosis, worsening lung function, and/or mitochondrial dysfunction. 如申請專利範圍第1項所述之用途,其中該醫藥組成物可進一步包含除該戈氏副擬桿菌之外的它種細菌。 The use as described in item 1 of the scope of the patent application, wherein the pharmaceutical composition may further include other bacteria than the B. gordonii. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌及其代謝產物係降低肺臟細胞發炎、肺纖維化及/或氧化壓力過高之情況。 The use as described in item 1 of the patent application scope, wherein the B. gordonii and its metabolites reduce inflammation of lung cells, pulmonary fibrosis and/or excessively high oxidative stress. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌及其代謝產物係降低肺臟細胞中IL-1β基因、TNF-α基因、COL3A1基因、及/或PGC-1α基因的表現量。 The use as described in item 1 of the patent application scope, wherein the B. gordonii and its metabolites reduce the expression of IL-1β gene, TNF-α gene, COL3A1 gene, and/or PGC-1α gene in lung cells the amount. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌及其代謝產物係提升肺臟細胞中粒線體之活性。 The use as described in item 1 of the patent application scope, wherein the B. gordonii and its metabolites increase the activity of mitochondria in lung cells. 如申請專利範圍第1項所述之用途,其中該戈氏副擬桿菌及其代謝產物係提升肺臟細胞中Cytb基因、NRF-1基因、RNR-1基因、RNR-2基因、SIRT1基因、及/或TFAM基因的表現量。 The use as described in item 1 of the patent application scope, in which the B. gordonii and its metabolites enhance the Cytb gene, NRF-1 gene, RNR-1 gene, RNR-2 gene, SIRT1 gene in lung cells, and /Or TFAM gene expression. 如申請專利範圍第1項所述之用途,其中該醫藥組成物進一步包括一醫藥學上可接受之賦形劑、載劑、輔劑及/或食品添加劑。 The use as described in item 1 of the patent application scope, wherein the pharmaceutical composition further includes a pharmaceutically acceptable excipient, carrier, adjuvant and/or food additive. 如申請專利範圍第1項所述之用途,其中該醫藥組成物的劑型係係一噴霧氣體、一溶液、一半固態、一固態、一明膠膠囊、一軟膠囊、一錠劑、一口含片、一口香糖及/或一冷凍乾燥粉末製劑。 The use as described in item 1 of the patent application scope, wherein the dosage form of the pharmaceutical composition is a spray gas, a solution, a semi-solid, a solid, a gelatin capsule, a soft capsule, a lozenge, a lozenge, Chewing gum and/or a freeze-dried powder preparation.
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Title
MARTIN J.TOBIN. "Chronic Obstructive Pulmonary Disease,Pollution,Pulmonary Vascular Disease,Transplantation, Pleural Disease,and Lung Cancer in AJRCCM 2000." American Journal of Respiratory and Critical Care Medicine 164.100 (2001):1789-1804. *

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