TWI726904B - Medical uses of fungal immunomodulatory proteins in treatment and prophylaxis of alveolar bone loss due to periodontal disease - Google Patents

Medical uses of fungal immunomodulatory proteins in treatment and prophylaxis of alveolar bone loss due to periodontal disease Download PDF

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TWI726904B
TWI726904B TW105127354A TW105127354A TWI726904B TW I726904 B TWI726904 B TW I726904B TW 105127354 A TW105127354 A TW 105127354A TW 105127354 A TW105127354 A TW 105127354A TW I726904 B TWI726904 B TW I726904B
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黃仁勇
陳子智
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益生生技開發股份有限公司
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Abstract

The invention generally related to new medical uses of fungal immunomodulatory proteins. More particularly, the invention relates to using a fungal immunomodulatory protein and compositions containg a fungal immunomodulatory protein for inhibition of osteoclastogenesis, inhibition of bone resorption, and prevention and treatment of bone loss-associated diseases.

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真菌免疫調節蛋白在治療和預防因牙周病所造成的齒槽 骨流失上的醫藥用途 Fungal immunomodulatory protein in the treatment and prevention of alveolar caused by periodontal disease Medical uses for bone loss

本發明大致上關於真菌免疫調節蛋白的新醫藥用途。更特定地說,本發明關於運用真菌免疫調節蛋白以及包含真菌免疫調節蛋白的組成物來抑制蝕骨細胞新生作用、抑制骨質再吸收,以及預防和治療骨質流失相關性疾病。 The present invention generally relates to new medical uses of fungal immunomodulatory proteins. More specifically, the present invention relates to the use of fungal immunomodulatory protein and a composition containing fungal immunomodulatory protein to inhibit the regeneration of osteoclasts, inhibit bone resorption, and prevent and treat bone loss-related diseases.

靈芝屬植物(Ganoderma)是稀有且珍貴的中藥材,在中國泛稱為「靈芝」超過5000年。各種各樣的靈芝屬植物包括:赤芝(G.lucidum;紅色)、樹舌靈芝(G.applanatum;棕色)、松杉靈芝(G.tsugae;紅褐色)、甜芝(G.sinense;黑色)及俄勒岡靈芝(G.oregonense;深棕色)。 Ganoderma ( Ganoderma ) is a rare and precious Chinese medicinal material. It has been called "Ganoderma" in China for more than 5000 years. Various species of Ganoderma include: Ganoderma lucidum ( G. lucidum; red), Ganoderma lucidum ( G. applanatum ; brown), pine fir Ganoderma ( G. tsugae ; red-brown), and sweet lucid (G. sinense ; black) And Oregon Ganoderma ( G. oregonense ; dark brown).

已經知道靈芝有抗過敏(Chen H.Y et al.,J.Med.Mycol.1992;33:505-512)、保肝(Lin J.M.et al.,Am J Chin Med.1993;21(1):59-69)、抗癌(Wasser SP,Crit Rev Immunol 1999.19:65-96)與增加免疫力等功能(Kino,J Biol.Chem.1989.264(1):472-8)。然而,靈芝在利用上,仍侷限於粗萃物 (Horner W.E.et al.,Allergy 1993;48:110-116)或是小分子萃出物(Kawagishi H.,et al.,Phytochemistry 1993;32:239-241)的形式。 Ganoderma has been known to have anti-allergic properties (Chen HY et al. , J. Med. Mycol. 1992; 33: 505-512) and liver protection (Lin JM et al. , Am J Chin Med. 1993; 21(1): 59 -69), anti-cancer (Wasser SP, Crit Rev Immunol 1999.19:65-96) and immunity enhancement (Kino, J Biol.Chem. 1989.264(1):472-8). However, the use of Ganoderma lucidum is still limited to crude extracts (Horner WE et al. , Allergy 1993; 48: 110-116) or small molecule extracts (Kawagishi H., et al. , Phytochemistry 1993; 32: 239-241).

數種源自於例如赤芝(Ganoderma lucidum)、草菇(Volvariella volvacea)、金針菇(Flammulina velutipes)等可食性菌類的蛋白質具有相似的胺基酸序列和免疫調節功能。這些蛋白質被命名為真菌免疫調節蛋白(FIPs,Ko J.L.,Eur.J.Biochem.1995;228:224-249)。 Several proteins derived from edible fungi such as Ganoderma lucidum , Volvariella volvacea and Flammulina velutipes have similar amino acid sequences and immunomodulatory functions. These proteins are named fungal immunomodulatory proteins (FIPs, Ko JL, Eur. J. Biochem. 1995; 228: 224-249).

1989年,Kino等人由赤芝中發現命名為Ling Zhi-8(LZ-8)的蛋白(Kino K.et al.,J.Biol.Chem.1989;264(1):472-8)。LZ-8對全身性過敏反應有正面療效,而且可以用於治療肝癌以及預防糖尿病。LZ-8以及另一種從金針菇(Flammulina velutipes)中發現到的真菌免疫調節蛋白FIP-fve具有與免疫球蛋白重鏈相似的胺基酸序列與折疊結構。另外又顯示,增強LZ-8的表現量會顯現免疫調節活性,而且對於患有全身系統性過敏反應的病人有很好的療效(Ko J.L.,Eur.J.Biochem.1995;228:224-249)。進一步研究指出,FIP可以活化人類週邊血液單核淋巴球(HPBMCs,human peripheral blood mononuclear cells),並且促進HPBMCs與老鼠脾細胞的增生(van der Hem,et al.,Transplantation,1995;60,438-443)。利用氚標定胸腺嘧啶核苷(3H-thymidine)分析FIP-gts對細胞增生的效應時進一步發現,5μg/ml的FIP-gts或是100μg/ml的FIP-fve相較於植物凝集素(PHA,phytoagglutinin)足以讓人類淋巴球達到最大增生速率。於非-B與非-T兩群細胞,研究發現FIP-gts只能促進非-B細胞的增生。 In 1989, Kino et al. discovered a protein named Ling Zhi-8 (LZ-8) from Ganoderma lucidum (Kino K. et al. , J. Biol. Chem. 1989; 264(1): 472-8). LZ-8 has a positive effect on systemic allergic reactions, and can be used to treat liver cancer and prevent diabetes. LZ-8 and another fungal immunomodulatory protein FIP-fve found from Flammulina velutipes have amino acid sequences and folding structures similar to immunoglobulin heavy chains. In addition, it has been shown that enhancing the expression level of LZ-8 will show immunomodulatory activity, and has a good effect on patients suffering from systemic allergic reactions (Ko JL, Eur. J. Biochem. 1995; 228: 224-249 ). Further research pointed out that FIP can activate human peripheral blood mononuclear cells (HPBMCs, human peripheral blood mononuclear cells), and promote the proliferation of HPBMCs and mouse splenocytes (van der Hem, et al. , Transplantation , 1995; 60,438-443) . Using tritium-calibrated thymidine ( 3 H-thymidine) to analyze the effect of FIP-gts on cell proliferation, it was further found that 5μg/ml FIP-gts or 100μg/ml FIP-fve was compared with phytohemagglutinin (PHA). , phytoagglutinin) is sufficient to allow human lymphocytes to reach the maximum rate of proliferation. For the two populations of non-B and non-T cells, studies have found that FIP- gts can only promote the proliferation of non-B cells.

與植物凝集素和其他凝集素類細胞分裂激素(lectin mitogen)相似,LZ-8會促進細胞分裂。LZ-8主要是在單核球細胞的幫助下使T-細胞增生。一種新的真菌免疫調節蛋白(FIPs)家族最近已經被鑑定出來(Ko JL et al.Eur J Biochem 1995;228(2):244-249)。從赤芝(Ganoderma lucidum)、金針菇(Flammulina veltipes)、草菇(Volvariella volvacea)、松杉靈芝(Ganoderma tsugae)、紫芝(Ganoderma japoncium)、小孢子靈芝(Ganoderma microsporum)、甜芝(Ganoderma sinense)、紅球叢赤殼菌(Nectria haematococca)、銀耳(Tremella fuciformis)、樟芝(Antrodia camphorate)中已經鑑定並單離出至少10種FIPs,而且分別命名為LZ-8(亦被稱為FIP-glu)、FIP-fve、FIP-vvo、FIP-gts、FIP-gja(GenBank:AY987805)、FIP-gmi、FIP-gsi、FIP-nha、FIP-tfu(GenBank:EF152774)和FIP-aca(Hsu H C,et al.,Biochem J 1997;323(Pt 2):557-565;Kong et al.,Int.J.Mol.Sci.2013;14:2230-2241;Han et al.,J Appl Microbiol 2010,109:1838-44;美國專利第7,531,627號;以及中國專利第102241751B號)。FIPs於活體外對於人類周邊血液淋巴細胞(hPBLs)和老鼠脾細胞來說是促進有絲分裂物質。他們所引起的鐘形劑量反應曲線與凝集素類細胞分裂激素類似。hPBLs受到FIPs所活化導致了IL-2、IFN-γ及腫瘤壞死因子-α等分子的產量增加,並且與ICAM-1的表現相關(Wang P H,et al.,J Agric Food Chem 2004;52(9):2721-2725.)。FIPs也能作為免疫抑制劑。於活體內,這些蛋白質能防止全身的過敏反應,並且在老鼠的阿都司氏(Arthus)反應期間能顯著地減少足墊水腫。這些觀察顯示FIPs能夠促進健康而且具有療效。 Similar to lectin and other lectin mitogens, LZ-8 promotes cell division. LZ-8 mainly proliferates T-cells with the help of monocytes. A new family of fungal immunomodulatory proteins (FIPs) has recently been identified (Ko JL et al. Eur J Biochem 1995; 228(2):244-249). From Ganoderma lucidum , Flammulina veltipes , Volvariella volvacea , Ganoderma tsugae , Ganoderma japoncium , Ganoderma microsporum , Ganoderma microsporum, Ganoderma sinense At least 10 FIPs have been identified and isolated from Nectria haematococca (Nectria haematococca), Tremella fuciformis ( Tremella fuciformis ) and Antrodia camphorate (Antrodia camphorate), and they were named LZ-8 (also known as FIP- glu ). , FIP- fve , FIP- vvo , FIP- gts , FIP- gja (GenBank: AY987805), FIP-gmi , FIP- gsi , FIP- nha , FIP- tfu (GenBank: EF152774) and FIP- aca (Hsu HC, et al. , Biochem J 1997; 323(Pt 2): 557-565; Kong et al. , Int. J. Mol. Sci. 2013; 14: 2230-2241; Han et al. , J Appl Microbiol 2010,109 : 1838-44; U.S. Patent No. 7,531,627; and Chinese Patent No. 102241751B). FIPs are mitogenic substances for human peripheral blood lymphocytes (hPBLs) and mouse spleen cells in vitro. The bell-shaped dose-response curve they cause is similar to that of lectin-like cytokines. The activation of hPBLs by FIPs leads to increased production of molecules such as IL-2, IFN-γ, and tumor necrosis factor-α, and is related to the performance of ICAM-1 (Wang PH, et al. , J Agric Food Chem 2004; 52( 9): 2721-2725.). FIPs can also be used as immunosuppressive agents. In vivo, these proteins can prevent allergic reactions throughout the body, and can significantly reduce foot pad edema during the Arthus reaction in rats. These observations show that FIPs can promote health and have curative effects.

Lin等人由松杉靈芝(Ganoderma tsugae)菌絲體中純化出一種免疫調節蛋白,命名為FIP-gts(Lin,W.H.,et al.,J Biol.Chem.1997.272,20044-20048.)。只有從松杉靈芝菌絲體中純化的FIP-gts有免疫調節的功效,而松杉靈芝子實體純化的FIP-gts則無效果。選殖FIP-gts基因後,發現 其去氧核醣核酸序列與赤芝中發現的LZ-8一樣。二分子皆具有免疫調節功效,顯示它們是相同的蛋白質。 Lin et al. purified an immunomodulatory protein from Ganoderma tsugae mycelium and named it FIP- gts (Lin, WH, et al., J Biol. Chem. 1997.272, 20044-20048.). Only purified from the mycelium of Ganoderma tsugae FIP- gts immunomodulatory effect, fruiting body of Ganoderma tsugae and purified FIP- gts had no effect. After the FIP- gts gene was cloned, it was found that its DNA sequence was the same as the LZ-8 found in Ganoderma lucidum. Both molecules have immunomodulatory effects, showing that they are the same protein.

以Garnier分析法預測FIP-gts的二級結構發現,此蛋白有兩個α-螺旋、七個β-摺片與一個β-轉折。以SDS-PAGE分析,FIP-gts的分子量為13kDa。以20μM戊二醛進行胺基酸結合分析,發現FIP-gts為兩個相同次單元所組成的雙聚體(homodimer),分子量為26kDa。 Using Garnier analysis to predict the secondary structure of FIP-gts , it was found that this protein has two α-helices, seven β-sheets and one β-turn. According to SDS-PAGE analysis, the molecular weight of FIP- gts is 13kDa. Amino acid binding analysis with 20μM glutaraldehyde revealed that FIP- gts is a homodimer composed of two identical subunits with a molecular weight of 26kDa.

已經知道骨骼是一種動態組織,其持續地藉由成骨細胞(osteoblasts)和蝕骨細胞(osteoclasts)進行重塑,其中成骨細胞製造並分泌基質蛋白,而且將礦物質運送至基質,因而導致骨質生成,蝕骨細胞則執行骨質再吸收(bone resorption)過程,使骨組織崩解。因此,由蝕骨細胞所造成的骨質再吸收過程與由成骨細胞所造成的骨質生成過程之間的平衡維持了骨質的水準,相反地,這兩個過程之間的失衡可能會導致許多骨骼相關性疾病,例如骨質疏鬆症(osteoporosis)、骨質石化症(osteopetrosis)、成骨不全症(osteogenesis imperfect)、佩吉特氏症(Paget’s disease)、類風濕性關節炎(rheumatoid arthritis)、牙周病(periodontal disease)、骨肉瘤(osteosarcoma)和癌骨轉移(cancer bone metastasis)。蝕骨細胞是特殊的多核細胞,其是由屬於骨髓單核球/巨噬細胞系的細胞所衍生而來的前蝕骨細胞(preosteoclasts)融合而成。蝕骨細胞的數量異常增加及/或過度活化可能造成骨質流失。核因數活化B細胞κ輕鏈增強子(NF-κB)的受體活化因子(RANK)及其天然配體(RANKL)是蝕骨細胞的前驅細胞分化成為成熟蝕骨細胞的必須調控因子,這暗示著以RANKL-RANK和其訊息傳導途徑為標靶的藥物,可能適用於治療骨質流失相關性疾病(Wada T.et al.,Trend Mol Med,2006;12(1):17-25)。 It is known that bone is a dynamic tissue that is continuously remodeled by osteoblasts and osteoclasts. Osteoblasts produce and secrete matrix proteins, and transport minerals to the matrix, resulting in Osteogenesis, osteoeclasts perform a bone resorption process, disintegrating bone tissue. Therefore, the balance between the bone resorption process caused by osteoclasts and the bone formation process caused by osteoblasts maintains the level of bone. On the contrary, the imbalance between these two processes may lead to many bones. Related diseases, such as osteoporosis, osteopetrosis, osteogenesis imperfect, Paget's disease, rheumatoid arthritis, periodontal Disease (periodontal disease), osteosarcoma (osteosarcoma) and cancer bone metastasis (cancer bone metastasis). Osteoclasts are special multinucleated cells, which are formed by the fusion of preosteoclasts derived from cells belonging to the bone marrow monocyte/macrophage cell line. An abnormal increase in the number of osteoeclasts and/or excessive activation may cause bone loss. Nuclear factor activated B cell κ light chain enhancer (NF-κB) receptor activator (RANK) and its natural ligand (RANKL) are necessary regulators for the differentiation of the precursor cells of osteoclasts into mature osteoclasts. It implies that drugs targeting RANKL-RANK and its signaling pathways may be suitable for the treatment of bone loss-related diseases (Wada T. et al. , Trend Mol Med , 2006; 12(1): 17-25).

在上述骨質流失相關性疾病當中,牙周病已被認定是世界性的主要公共衛生問題,而且是成人牙齒脫落的最常見病因。細菌侵襲對於牙周病的發生具有決定性。細菌也會致使宿主組織表現出免疫發炎反應,而這個過程可能導致齒槽骨再吸收、結締組織流失並形成牙周囊帶,最終導致牙齒脫落。研究顯示,在由紥線所誘發的大鼠牙周炎模式中,可以藉由抑制RANK/RANKL的訊息傳導來降低齒槽骨的再吸收(Jin Q.et al.,J Periodontol 2007;78(7):1300-1308;Crotti T.,et al.,J.Periodontal Res.2003;38(4):380-387;以及Lu S.H.et al.,Evid Based Complement Alternat Med,2013;Article ID 634095),這些結果暗示著,RANKL在牙周病性骨質再吸收上扮演重要角色,而抑制RANKL可以壓制牙周病性骨質再吸收,從而防止齒槽骨流失並治療牙周病。 Among the above-mentioned bone loss-related diseases, periodontal disease has been recognized as a major public health problem worldwide, and it is the most common cause of tooth loss in adults. Bacterial invasion is decisive for the occurrence of periodontal disease. Bacteria can also cause the host tissues to exhibit an immune inflammatory response, and this process may lead to alveolar bone resorption, loss of connective tissue and the formation of periodontal sacs, and eventually tooth loss. Studies have shown that in the rat periodontitis model induced by threading, the resorption of alveolar bone can be reduced by inhibiting the signal transmission of RANK/RANKL (Jin Q. et al. , J Periodontol 2007; 78( 7): 1300-1308; Crotti T., et al. , J. Periodontal Res. 2003; 38(4): 380-387; and Lu SH et al. , Evid Based Complement Alternat Med , 2013; Article ID 634095) These results suggest that RANKL plays an important role in periodontal bone resorption, and inhibition of RANKL can suppress periodontal bone resorption, thereby preventing alveolar bone loss and curing periodontal disease.

已有研究指出,針對蝕骨細胞的成熟化及其活性的一些抑制劑可以預防或治療骨質流失相關性疾病(回顧性論文請參見Kim S.H.and Moon,S.-H.,Expert Opin.Ther.Patents,2013;23(12):1591-1610)。舉例來說,雙磷酸鹽可以結合至與骨骼,防止蝕骨細胞將鈣質移除,其已被發現在治療骨質疏鬆症上非常有效。對抗RANKL的治療用抗體,例如狄諾單抗(denosumab),經顯示有效於預防和治療骨質疏鬆症。厚朴酚(magnolol)是由厚朴(Magnolia officinalis)的根和樹皮中所分離出來的一種具有生物活性的植物成份,其經報導對於抑制蝕骨細胞新生作用有效,因而在治療牙周病上也有效(Lu S.H.等人,論文同上)。 Studies have pointed out that some inhibitors against the maturation and activity of osteoclasts can prevent or treat bone loss-related diseases (for retrospective papers, please refer to Kim SHand Moon, S.-H., Expert Opin. Ther. Patents , 2013; 23(12): 1591-1610). For example, bisphosphonates can bind to bones and prevent osteoeclasts from removing calcium. It has been found to be very effective in treating osteoporosis. Therapeutic antibodies against RANKL, such as denosumab, have been shown to be effective in preventing and treating osteoporosis. Magnolol (magnolol) is a biologically active plant component isolated from the root and bark of Magnolia officinalis . It has been reported to be effective in inhibiting the regeneration of osteoeclasts, and thus is useful in the treatment of periodontal disease. It is also valid (Lu SH et al., the paper ibid.).

雖然FIPs的免疫調節活性已被廣泛研究,但其在骨質代謝上的效果仍然不清楚。在本申請人的PCT申請案PCT/CN2015/074059中敘述了FIP-gts和FIP-fve可用於減低由化學治療用藥劑歐洲紫杉醇(Docetaxel)所 引發的骨質流失等副作用。但是,其他的研究顯示,歐洲紫杉醇本身就會抑制蝕骨細胞的生成和活性,從而抑制骨質的再吸收(Takahashi M.et al.,J Bone Miner Metab.2009;27(1):24-35),這指出由歐洲紫杉醇所引發的骨質流失並不是由於蝕骨細胞的過度生成所導致,而且FIP也不可能經由抑制蝕骨細胞新生作用而是經由其他機轉來改善藥劑的副作用。另外的研究甚至指出,FIP在兔竇底動物模式中還會略微增加蝕骨細胞的數量(Hsu et al.,J Oral Maxillofac Surg,72(9),2014;1703e1-e10)。這些研究皆沒有顯示,FIP適用於預防或治療骨質流失相關性疾病。 Although the immunomodulatory activity of FIPs has been extensively studied, its effect on bone metabolism is still unclear. In the applicant's PCT application PCT/CN2015/074059, it is described that FIP- gts and FIP-fve can be used to reduce the side effects such as bone loss caused by the chemotherapy drug European paclitaxel (Docetaxel). However, other studies have shown that European paclitaxel itself inhibits the production and activity of osteoeclasts, thereby inhibiting bone resorption (Takahashi M. et al. , J Bone Miner Metab. 2009; 27(1): 24-35 ), which indicates that the bone loss caused by European paclitaxel is not caused by the over-production of osteoclasts, and it is impossible for FIP to improve the side effects of the drug by inhibiting the regeneration of osteoclasts but through other mechanisms. Other studies even pointed out that FIP will slightly increase the number of osteoeclasts in the rabbit sinus floor animal model (Hsu et al. , J Oral Maxillofac Surg , 72(9), 2014; 1703e1-e10). These studies have not shown that FIP is suitable for the prevention or treatment of bone loss-related diseases.

因此,需要新的醫藥組成物、醫療方法和醫藥用途,用於預防或治療骨質流失相關性疾病。 Therefore, there is a need for new medical compositions, medical methods, and medical uses for the prevention or treatment of bone loss-related diseases.

如下文所述,發明人應用FIP-gts、FIP-gmi和FIP-vvo為代表性的FIP而發現到,FIP與前蝕骨細胞共同培育,將會以劑量相依方式抑制由RANKL所誘發的蝕骨細胞形成和蝕骨細胞性骨質再吸收。發明人進一步發現,FIP-gts在紥線所誘發的大鼠牙周病模式中會抑制齒槽骨再吸收。根據這些發現,本說明書提出了例如牙周病等與骨質流失相關的疾病和病況的新醫藥用途。 People described below, the invention application FIP -gts, FIP- gmi and FIP- vvo is found to be representative FIP, FIP front osteoclasts co-cultivation, will be suppressed in a dose-dependent manner by the etching induced RANKL Osteocyte formation and osteoecotic bone resorption. The inventors further discovered that FIP- gts inhibits alveolar bone resorption in the rat periodontal disease model induced by threading. Based on these findings, this specification proposes new medical applications for diseases and conditions related to bone loss such as periodontal disease.

在第一方面中,本申請所提供的是一種用於在一患者體內抑制蝕骨細胞新生作用的方法,其包含將一足以抑制蝕骨細胞新生作用的有效量的真菌免疫調節蛋白(FIP)給予所述患者。 In the first aspect, the present application provides a method for inhibiting the renewal of osteoclasts in a patient, which comprises adding an effective amount of fungal immunomodulatory protein (FIP) sufficient to inhibit the renewal of osteoclasts. Give to the patient.

在第二方面中,本申請所提供的是一種用於抑制蝕骨細胞新生作用的藥學組成物,其包含一足以抑制蝕骨細胞新生作用的有效量的真菌免疫調節蛋白(FIP),以及藥學上可接受的載劑或稀釋劑。 In the second aspect, the present application provides a pharmaceutical composition for inhibiting the neonatal action of osteoclasts, which contains an effective amount of fungal immunomodulatory protein (FIP) sufficient to inhibit the neonatal action of osteoclasts, and a pharmaceutical composition Acceptable carrier or diluent.

在第三方面中,本申請所提供的是一種真菌免疫調節蛋白(FIP)在製造一醫藥品上的用途,所述醫藥品用於在一患者體內抑制蝕骨細胞新生作用。 In the third aspect, the present application provides the use of a fungal immunomodulatory protein (FIP) in the manufacture of a medicine, which is used to inhibit the renewal effect of osteoclasts in a patient.

在第四方面中,本申請所提供的是一種用於治療一個罹患一骨質流失相關性疾病的患者的方法,其包含將一足以抑制骨質流失的有效量的真菌免疫調節蛋白(FIP)給予所述患者。在一較佳具體例中,所述骨質流失相關性疾病是牙周病。 In the fourth aspect, this application provides a method for treating a patient suffering from a bone loss-related disease, which comprises administering an effective amount of fungal immunomodulatory protein (FIP) sufficient to inhibit bone loss. The patient. In a preferred embodiment, the bone loss-related disease is periodontal disease.

在第五方面中,本申請所提供的是一種用於預防一骨質流失相關性疾病發生於一個容易罹患該疾病的患者的方法,其包含將一足以抑制骨質流失的有效量的真菌免疫調節蛋白(FIP)給予所述患者。在一較佳具體例中,所述骨質流失相關性疾病是牙周病。 In the fifth aspect, this application provides a method for preventing a bone loss-related disease from occurring in a patient who is prone to the disease, which comprises adding an effective amount of fungal immunomodulatory protein sufficient to inhibit bone loss (FIP) to the patient. In a preferred embodiment, the bone loss-related disease is periodontal disease.

在第六方面中,本申請所提供的是一種用於預防或治療一骨質流失相關性疾病的藥學組成物,其包含一足以抑制骨質流失的有效量的真菌免疫調節蛋白(FIP),以及藥學上可接受的載劑或稀釋劑。在一較佳具體例中,所述骨質流失相關性疾病是牙周病。 In the sixth aspect, this application provides a pharmaceutical composition for preventing or treating a bone loss-related disease, which contains an effective amount of fungal immunomodulatory protein (FIP) sufficient to inhibit bone loss, and a pharmaceutical composition Acceptable carrier or diluent. In a preferred embodiment, the bone loss-related disease is periodontal disease.

在第七方面中,本申請所提供的是一種真菌免疫調節蛋白(FIP)在製造一醫藥品上的用途,所述醫藥品用於在一個罹患一骨質流失相關性疾病的患者體內治療所述疾病。在一較佳具體例中,所述骨質流失相關性疾病是牙周病。 In the seventh aspect, this application provides the use of a fungal immunomodulatory protein (FIP) in the manufacture of a medicine for the treatment of a patient suffering from a bone loss-related disease. disease. In a preferred embodiment, the bone loss-related disease is periodontal disease.

在第八方面中,本申請所提供的是一種真菌免疫調節蛋白(FIP)在製造一醫藥品上的用途,所述醫藥品用於預防一骨質流失相關性疾病發生於一個容易罹患該疾病的患者。在一較佳具體例中,所述骨質流失相關性疾病是牙周病。 In the eighth aspect, this application provides the use of a fungal immunomodulatory protein (FIP) in the manufacture of a medicine, which is used to prevent a bone loss-related disease from occurring in a person prone to the disease patient. In a preferred embodiment, the bone loss-related disease is periodontal disease.

在第九方面中,本申請所提供的是一種用於在一患者體內抑制骨質再吸收的方法,其包含將一足以抑制骨質再吸收的有效量的真菌免疫調節蛋白(FIP)給予所述患者。 In a ninth aspect, this application provides a method for inhibiting bone resorption in a patient, which comprises administering to the patient an effective amount of fungal immunomodulatory protein (FIP) sufficient to inhibit bone resorption .

在第十方面中,本申請所提供的是一種用於在一患者體內抑制骨質再吸收的藥學組成物,其包含一足以抑制骨質再吸收的有效量的真菌免疫調節蛋白(FIP),以及藥學上可接受的載劑或稀釋劑。 In a tenth aspect, this application provides a pharmaceutical composition for inhibiting bone resorption in a patient, which contains an effective amount of fungal immunomodulatory protein (FIP) sufficient to inhibit bone resorption, and a pharmaceutical composition Acceptable carrier or diluent.

在第十一方面中,本申請所提供的是一種真菌免疫調節蛋白(FIP)在製造一醫藥品上的用途,所述醫藥品用於在一患者體內抑制骨質再吸收。 In the eleventh aspect, this application provides the use of a fungal immunomodulatory protein (FIP) in the manufacture of a medicine for inhibiting bone resorption in a patient.

本發明的上述與其他目的、特徵與效應在參照下列較佳具體例的說明連同隨附圖式將變得顯明,其中:圖1A-1C為柱狀圖,顯示給予2.5至10μg/ml濃度的FIP對於前蝕骨細胞不具有毒性;圖2A-2C為柱狀圖,顯示FIP以劑量相依方式抑制了RANKL誘發前蝕骨細胞分化成為蝕骨細胞,其中符號*代表相對於僅含有培養基的對照組呈現P<0.05,而符號**代表相對於對照組呈現P<0.01,數據以平均值±標準差來表示; 圖3A顯示經過TRAP染色的成熟蝕骨細胞的組織學影像,其顯示前蝕骨細胞在經過RANKL(R)和不同濃度的FIP-gts共同處理後的形態變化;圖3B為一柱狀圖,其顯示在0-10μg/ml的FIP-gts存在下,於RNAKL所誘發的蝕骨細胞分化中所計算出來的蝕骨細胞(OC)數目,與未處理對照組作比較;圖4顯示活體外模式所使用的實驗流程,細胞先經過RANKL的前處理,再以RANKL和FIP-gts共同處理(左圖),柱狀圖則顯示FIP-gts對於RANKL所誘發的蝕骨細胞生成具有抑制效果(右圖),其中符號**代表相對於僅含有培養基的對照組呈現P<0.01,而符號***代表相對於對照組呈現P<0.001,數據以平均值±標準差來表示;圖5A顯示在大鼠模式中設置紥線,其中牙根分叉區以符號◎標示、紥線周圍區以符號☆標示、接近紥線區以符號¥標示,以及遠離紥線區以符號※標示;圖5B顯示在大鼠模式設置紥線的同時才開始給予FIP-gts所得到的微型電腦斷層掃描(micro-CT)影像;圖5C顯示在實例5大鼠模式的紥線附近四個區域所測得的CEJ-ABC數值;圖5D顯示實例5大鼠模式的第二臼齒近心表面經過蘇木素和伊紅染色的組織學影像,其中牙釉質交界(CEJ)和齒槽骨嵴頂(ABC)的位置分別由白色和黑色箭頭標示;圖6A顯示在大鼠模式設置紥線之前就開始給予FIP-gts所得到的微型電腦斷層掃描影像; 圖6B在實例6大鼠模式的紥線附近四個區域所測得的CEJ-ABC數值;圖6C顯示實例6大鼠模式的第二臼齒近心表面經過蘇木素和伊紅染色的組織學影像,其中牙釉質交界(CEJ)和齒槽骨嵴頂(ABC)的位置分別由白色和黑色箭頭標示;圖7顯示於存在有或不存在有FIP-gts的條件下,在RANKL所誘發的蝕骨細胞培養物中所形成的肌動蛋白環螢光影像;圖8A顯示於存在有或不存在有FIP-gts的條件下,RANKL所誘發的蝕骨細胞培養物的陷窩形成影像;以及圖8B和8C為柱狀圖,顯示於存在有或不存在有FIP-gts的條件下,在RANKL所誘發的蝕骨細胞培養物中所形成的陷窩面積和數目。 The above and other objectives, features and effects of the present invention will become apparent with reference to the description of the following preferred specific examples together with the accompanying drawings. Among them: Figures 1A-1C are bar graphs showing the administration of 2.5 to 10 μg/ml FIP is not toxic to pre-osteocytes; Figures 2A-2C are bar graphs, showing that FIP inhibits the differentiation of RANKL-induced pre-osteocytes into osteoclasts in a dose-dependent manner, where the symbol * represents relative to the control containing only medium The group showed P <0.05, and the symbol ** represents P <0.01 relative to the control group, and the data is expressed as mean±standard deviation; Figure 3A shows the histological image of mature osteoeclasts stained with TRAP, which shows anterior erosion The morphological changes of bone cells after being treated with RANKL(R) and different concentrations of FIP- gts ; Figure 3B is a bar graph showing that in the presence of 0-10μg/ml FIP- gts , RNAKL induced The number of osteoclasts (OC) calculated in the differentiation of osteoclasts is compared with the untreated control group; Figure 4 shows the experimental procedure used in the in vitro model. The cells are pre-treated with RANKL and then treated with RANKL and FIP. -gts co-treatment (left picture), the histogram shows that FIP- gts has an inhibitory effect on RANKL-induced osteoclastogenesis (right picture), where the symbol ** represents P <compared to the control group containing only medium 0.01, and the symbol *** represents P <0.001 relative to the control group, and the data is represented by the mean ± standard deviation; Figure 5A shows the setting of the ties in the rat model, where the root bifurcation area is marked by the symbol ◎ The area around the line is marked with the symbol ☆, the area close to the tie is marked with the symbol ¥, and the area away from the tie is marked with the symbol ※; Figure 5B shows the microcomputer obtained by FIP-gts when the tie is set in the rat mode Tomography (micro-CT) image; Figure 5C shows the CEJ-ABC values measured in four areas near the tie line in the rat model of Example 5; Figure 5D shows the proximal surface of the second molar in the rat model of Example 5 passing by The histological image of hematoxylin and eosin staining. The positions of the enamel junction (CEJ) and the alveolar crest (ABC) are marked by white and black arrows, respectively; Start giving FIP- gts the microcomputer tomography image obtained; Figure 6B shows the CEJ-ABC values measured in the four areas near the tie line of the rat model of Example 6; Figure 6C shows the second molar tooth of the rat model of Example 6 The histological image of the proximal surface stained with hematoxylin and eosin. The positions of the enamel junction (CEJ) and the alveolar crest (ABC) are marked by white and black arrows, respectively; Figure 7 shows the presence or absence of In the presence of FIP- gts , the fluorescent image of the actin ring formed in RANKL-induced osteoclast cell culture; Figure 8A shows the presence or absence of FIP- gts in the bar In this case, the lacuna formation image of the osteoclast cell culture induced by RANKL; and Figures 8B and 8C are histograms showing the bone erosion induced by RANKL in the presence or absence of FIP- gts . The area and number of pits formed in cell culture.

除非另行說明,否則本說明書和各請求項中所使用的下列用語具有下文給予的定義。請注意,本案說明書和各請求項中所使用的單數形用語「一」意欲涵蓋在一個以及一個以上的所載事項,例如至少一個、至少二個或至少三個,而非意味著僅僅具有單一個所載事項。此外,本案各請求項中使用的「包含」、「具有」等開放式連接詞是表示請求項中所記載的元件或成分的組合中,不排除請求項未載明的其他元件或成分。亦應注意到用語「或」在意義上一般也包括「及/或」,除非內容另有清楚表明。 Unless otherwise stated, the following terms used in this specification and each claim have the definitions given below. Please note that the singular term "一" used in the description of this case and each claim is intended to cover one and more than one item, such as at least one, at least two, or at least three, rather than implying only a single item. A contained matter. In addition, the open connectives such as "include" and "have" used in each claim in this case mean that the combination of elements or components described in the claim does not exclude other elements or components that are not specified in the claim. It should also be noted that the term "or" generally also includes "and/or" in its meaning, unless the content clearly indicates otherwise.

本申請所使用的用語「真菌免疫調節蛋白」或縮寫成“FIP”指的是,基於胺基酸序列與免疫反應效應的相似性,屬於首先定義於Ko et al.,Eur.J.Biochem.1995;228:244-249的蛋白家族中的蛋白。經報導,FIP家族的免疫 調節蛋白共享至少57%的序列相同性。尤其,FIP-gts、FIP-fve、FIP-vvo與LZ-8的一級結構展現60-70%的序列相同性(Kong et al.,Int.J.Mol.Sci.2013,14,2230-2241;中國專利第CN102241751B號;Wang XF et al.,Curr.Topics Nutraceutical Res.2012,10(1):1-12;以及Li OZ et al.,Crit.Rev.Biotech.2011,31(4):365-375)。因此,本申請所使用的用語「真菌免疫調節蛋白」意欲涵蓋與序列識別號第1號所示FIP-gts的胺基酸序列具有至少57%、較佳為至少60%、至少70%、至少80%、至少90%或至少95%胺基酸相同性並具有引發、增強或延伸個體免疫反應的能力的任何多肽。在一較佳具體例中,所述真菌免疫調節蛋白具有選自於由下列所組成的群組的胺基酸序列:序列識別號第1號(FIP-gts)、序列識別號第2號(FIP-fve)、序列識別號第3號(FIP-vvo)、序列識別號第4號(LZ-8)、序列識別號第5號(FIP-gja)、序列識別號第6號(FIP-gmi)、序列識別號第7號(FIP-gsi)與序列識別號第8號(FIP-nha),及其作為免疫調節劑的功能性變異體。在另一較佳具體例中,所述FIP源自於靈芝屬或草菇,尤其是具有選自於由下列所組成的群組中的胺基酸序列:序列識別號第1號、序列識別號第2號、序列識別號第3號、序列識別號第4號、序列識別號第5號、序列識別號第6號與序列識別號第7號。更佳為所述FIP具有選自於由序列識別號第1號、序列識別號第2號、序列識別號第3號和序列識別號第4號所組成的群組中的胺基酸序列。最佳者包含序列識別號第1號的胺基酸序列、基本上由序列識別號第1號的胺基酸序列所組成、或由序列識別號第1號的胺基酸序列所組成。 The term "fungal immunomodulatory protein" or abbreviated as "FIP" as used in this application refers to the similarity between the amino acid sequence and the immune response effect, which is first defined in Ko et al. , Eur.J.Biochem. 1995;228: A protein in the protein family of 244-249. It has been reported that the immunomodulatory proteins of the FIP family share at least 57% sequence identity. In particular, the primary structures of FIP-gts , FIP-fve , FIP-vvo and LZ-8 exhibit 60-70% sequence identity (Kong et al. , Int.J.Mol.Sci. 2013,14,2230-2241 ; Chinese Patent No. CN102241751B; Wang XF et al. , Curr. Topics Nutraceutical Res. 2012, 10(1): 1-12; and Li OZ et al. , Crit. Rev. Biotech. 2011, 31(4): 365-375). Therefore, the term "fungal immunomodulatory protein" used in this application is intended to cover the amino acid sequence of FIP-gts shown in SEQ ID NO. 1 having at least 57%, preferably at least 60%, at least 70%, at least Any polypeptide that is 80%, at least 90%, or at least 95% amino acid identical and has the ability to initiate, enhance, or extend an individual's immune response. In a preferred embodiment, the fungal immunomodulatory protein has an amino acid sequence selected from the group consisting of: sequence identification number 1 (FIP- gts ), sequence identification number 2 ( FIP-fve ), serial identification number 3 ( FIP-vvo ), serial identification number 4 (LZ-8), serial identification number 5 ( FIP-gja ), serial identification number 6 (FIP- gmi ), Sequence ID No. 7 ( FIP-gsi ) and Sequence ID No. 8 ( FIP-nha ), and their functional variants as immunomodulators. In another preferred embodiment, the FIP is derived from Ganoderma or Straw mushroom, especially having an amino acid sequence selected from the group consisting of: sequence identification number No. 1, sequence identification No. 2, Serial ID No. 3, Serial ID No. 4, Serial ID No. 5, Serial ID No. 6, and Serial ID No. 7. More preferably, the FIP has an amino acid sequence selected from the group consisting of Sequence ID No. 1, Sequence ID No. 2, Sequence ID No. 3, and Sequence ID No. 4. The best one includes the amino acid sequence of SEQ ID No. 1, basically consisting of the amino acid sequence of SEQ ID No. 1, or the amino acid sequence of SEQ ID No. 1.

本申請所使用的FIP可得自於天然來源、真菌培養物,抑或是於諸如細菌或酵母菌宿主等原核或真核微生物宿主中重組表現。依此獲得的FIP可為粗製物形式,或是藉由任何適宜技術而從真菌物質分離、分餾、抑或 部分地或實質地純化出來的精製調配物形式。較佳為所述蛋白在使用前經過至少部分地純化。可供用於製備FIP的一種方法揭示於WO2005/040375A1,所述方法涉及培養一攜帶有FIP基因的表現載體的酵母轉形株,並從酵母培養物收集重組型FIP蛋白。其他可供運用的方法可見於,舉例來說,Kong et al.(同前)與CN101205553A;以及Wang XF et al.,Curr.Topics Nutraceutical Res.2012;10(1):1-12。 The FIP used in this application can be obtained from natural sources, fungal cultures, or recombinantly expressed in prokaryotic or eukaryotic microbial hosts such as bacteria or yeast hosts. The FIP thus obtained may be in the form of a crude product, or in the form of a refined formulation separated, fractionated, or partially or substantially purified from the fungal substance by any suitable technique. Preferably, the protein is at least partially purified before use. One method available for preparing FIP is disclosed in WO2005/040375A1, and the method involves culturing a transformed yeast strain carrying an FIP gene expression vector, and collecting recombinant FIP protein from the yeast culture. Other available methods can be found in, for example, Kong et al. (supra) and CN101205553A; and Wang XF et al. , Curr. Topics Nutraceutical Res. 2012; 10(1): 1-12.

在所使用的FIP為LZ-8或FIP-gts的情況下,所述FIP可以直接單離自於赤芝或松杉靈芝,或在宿主細胞系統中由重組蛋白技術製備出來。宿主細胞可為酵母菌或細菌系統。較佳為宿主細胞系統選自於由下列所組成的群組:啤酒酵母(Saccharomyces cerevisiae)、嗜甲醇酵母(Pichia pastoris)、漢遜氏酵母(Hansenula polymorpha)、產朊假絲酵母(Candida utilis)、博伊假絲酵母(Candida boidinii)、麥芽糖假絲酵母(Candida maltose)、乳糖克魯維酵母(Kluyveromyces lactis)、解脂耶羅威亞酵母(Yarrowia lipolytica)、西方許旺酵母(Schwanniomyces occidentalis)、粟酒裂殖酵母(Schizosaccaromyces pombe)、球擬酵母屬(Torulopsis sp.)、陸地酵母(Arxula adeninivorans)、曲黴屬(Aspergillus sp.)(例如構巢曲黴(A.nidulans)、黑曲黴(A.niger)、泡盛曲黴(A.awamori)和米曲黴(A.oryzae)),以及木黴屬(Tricoderma sp.)(例如瑞氏木黴(T.reesei))。 When the FIP used is LZ-8 or FIP- gts , the FIP can be directly isolated from Ganoderma lucidum or Pine Fir Ganoderma lucidum, or prepared by recombinant protein technology in a host cell system. The host cell can be a yeast or a bacterial system. Preferably, the host cell system is selected from the group consisting of Saccharomyces cerevisiae , Pichia pastoris , Hansenula polymorpha , Candida utilis , Boyd Candida (Candida boidinii), maltose Candida (Candida maltose), lactose Kluyveromyces (Kluyveromyces lactis), Yarrowia lipolytica yeast (Yarrowia lipolytica), Schwanniomyces occidentalis (Schwanniomyces occidentalis) , Schizosaccharomyces pombe (Schizosaccaromyces pombe), Torulopsis (Torulopsis sp.), yeast terrestrial (Arxula adeninivorans), Aspergillus (Aspergillus sp.) (e.g. A. nidulans (the A. nidulans), Aspergillus niger (A niger ), Aspergillus awamori ( A.awamori ) and Aspergillus oryzae ( A.oryzae ), and Tricoderma sp. (for example, T.reesei ).

本申請所使用的FIPs是根據上述方法實質上單離或純化出來,例如WO2005/040375A1所揭露的方法。本申請所使用的用語「實質上單離」或「實質上純化」指的是從天然環境或宿主系統內移出的FIPs,且其至少60%不含、較佳至少75%不含、且更佳至少90%不含、甚至更佳至少95%不含宿主系統內自然結合或伴隨的其他組分。 The FIPs used in this application are substantially isolated or purified according to the above method, for example, the method disclosed in WO2005/040375A1. The term "substantially isolated" or "substantially purified" as used in this application refers to FIPs that are removed from the natural environment or host system and are at least 60% free, preferably at least 75% free, and more It is preferably at least 90% free, and even more preferably at least 95% free from other components that are naturally bound or accompanied by the host system.

本申請所使用的用語「蝕骨細胞新生作用(osteoclastogenesis)」意指由單核球/巨噬細胞系的細胞融合而形成蝕骨細胞的過程,而用語「成骨細胞新生作用(osteoblastogenesis)」意指間質幹細胞等幹細胞和前驅細胞分化成為具有功能的成骨細胞的過程。「骨質再吸收(bone resorption)」意指至少部分地因為異常上升的蝕骨細胞活性或蝕骨細胞生成所導致的非所欲骨質流失。 The term "osteoclastogenesis" used in this application refers to the process of fusion of monocyte/macrophage cells to form osteoeclasts, and the term "osteoblastogenesis" It refers to the process by which stem cells and precursor cells such as mesenchymal stem cells differentiate into functional osteoblasts. "Bone resorption" refers to the loss of undesired bone due at least in part to abnormally increased osteoclast activity or osteoclast production.

本申請所使用的用語「抑制」意指降低一特定活性的量、質或效果,舉例來說,「抑制」指的是藉由將有效量的FIP給予患者而降低蝕骨細胞的生成,從而降低其蝕骨活性。 The term "inhibition" used in this application means to reduce the amount, quality or effect of a specific activity. For example, "inhibition" means to reduce the production of osteoeclasts by administering an effective amount of FIP to the patient, thereby Reduce its bone erosion activity.

如本說明書中所揭露,本發明主要基於發明人發現到,FIP-gts、FIP-gmi和FIP-vvo等FIP對於蝕骨細胞新生作用能夠展現出強烈的抑制效應。後文實例2-4和7-8運用了數種既定的活體外模式,它們顯示FIP以劑量相依方式抑制了RANKL誘發RAW264.7巨噬細胞分化成為蝕骨細胞。由於蝕骨細胞新生作用相較於成骨細胞新生作用更為活躍已被認定是骨質再吸收上升的成因,且其與各種各樣的骨質流失相關性疾病的開始或發展密切關聯,所以本申請顯示了FIP在治療和預防下文所述諸多疾病上是一種具有潛力的藥物。 As disclosed in the present specification, the present invention is primarily based on the inventors have found that, FIP- gts, FIP- gmi and other FIP in newborn FIP- vvo osteoclasts effect capable of exhibiting a strong inhibitory effect. The following examples 2-4 and 7-8 used several established in vitro models, and they showed that FIP inhibited RANKL-induced differentiation of RAW264.7 macrophages into osteoclasts in a dose-dependent manner. Since the new effect of osteoecotic cells is more active than that of osteoblasts, it has been identified as the cause of increased bone resorption, and it is closely related to the beginning or development of various bone loss-related diseases, so this application It shows that FIP is a potential drug in the treatment and prevention of many diseases described below.

用語「骨質流失相關性疾病」在本申請中是以其最廣泛的意義來使用,其涵蓋以骨質量或骨密度的降低做為一症狀或病理狀態的疾病、病況、障礙和症候群。較佳為骨質流失相關性疾病主要是肇因於骨質再吸收淨高於骨質生成,特別是蝕骨細胞新生作用相較於成骨細胞新生作用更為活躍,所造成的代謝失衡。這些疾病可以包括但不限於骨質疏鬆症、幼年型骨質疏鬆症(juvenile osteoporosis)、成骨不全症(osteogenesis imperfecta)、高血鈣症(hypercalcemia)、副甲狀腺機能亢進症(hyperparathyroidism)、骨軟化症(osteomalacia)、骨鈣質缺乏症(osteohalisteresis)、溶骨性骨病變(osteolytic bone disease)、骨壞死(osteonecrosis)、佩吉特氏症、類風濕性關節炎所導致的骨質流失、炎徵性關節炎(inflammatory arthritis)所導致的骨質流失、骨髓炎(osteomyelitis)所導致的骨質流失、類固醇治療所導致的骨質流失、牙周病、癌症所造成的骨質流失、與年齡相關的骨質量流失和其他類型的骨質缺乏症。 The term "bone loss-related diseases" is used in its broadest sense in this application, and it covers diseases, conditions, disorders, and syndromes in which the decrease in bone mass or bone density is a symptom or pathological state. Preferably, the bone loss-related diseases are mainly caused by bone resorption net higher than bone production, especially the new effect of osteoblasts is more active than that of osteoblasts, resulting in metabolic imbalance. These diseases can include, but are not limited to, osteoporosis, juvenile osteoporosis, osteogenesis imperfecta (osteogenesis imperfecta), hypercalcemia (hypercalcemia), hyperparathyroidism, osteomalacia (osteomalacia), osteocalcemia (osteohalisteresis), osteolytic bone disease (osteolytic bone disease), osteonecrosis ( osteonecrosis), Paget's disease, bone loss caused by rheumatoid arthritis, bone loss caused by inflammatory arthritis, bone loss caused by osteomyelitis, and steroid treatment Bone loss, periodontal disease, bone loss caused by cancer, age-related bone loss and other types of osteodeficiencies.

以FIP來抑制蝕骨細胞新生作用也可以適用於希望促進骨骼修復和更新的情況,例如骨折、骨骼缺損、整形手術、植牙和其他移植手術。 The use of FIP to inhibit the regeneration of osteocytes can also be applied to situations that want to promote bone repair and renewal, such as fractures, bone defects, plastic surgery, dental implants and other transplants.

在一個特佳具體例中,所述疾病是牙周病。如前所述,牙周病被認定是因為受到口腔細菌膜微生物的感染而發生,細菌感染轉而引發宿主的免疫反應而活化了蝕骨細胞新生作用,因而造成骨質再吸收與骨質生成的失衡,以及用於支持牙齒的齒槽骨的退化。一般相信,齒槽骨再吸收可以藉由壓制蝕骨細胞新生作用而受到抑制,從而預防或治療與牙周病相關的各種併發症。本申請所使用的用語「牙周病(periodontal disease)」意指涉及齒槽骨再吸收及/或牙周附著喪失的組織破壞性疾病。在實例5-6所顯示的臨床前分析實驗中使用一種既定的大鼠紥線模式,其中在實驗動物的牙齒周圍設置紥線,使牙菌斑堆積並且造成牙齦溝上皮潰瘍,從而引發牙齒周邊骨質和組織的流失。FIP-gts被選用來代表上文所定義的FIP,其顯示能夠在紥線所誘發的牙周炎實驗中抑制發炎反應和齒槽骨流失。重要的是,在設置紥線之前或大致同時給予FIP,可以有利地改善所述大鼠模式中所發生的症狀,這證明FIP對於牙周病具有治療和預防的效果。 In a particularly preferred embodiment, the disease is periodontal disease. As mentioned earlier, periodontal disease is believed to occur due to infection by oral bacterial membrane microorganisms. The bacterial infection in turn triggers the host's immune response and activates the new role of osteoclasts, thus causing an imbalance between bone resorption and bone production. , And the degeneration of the alveolar bone used to support the teeth. It is generally believed that alveolar bone resorption can be inhibited by suppressing the new effect of eroded bone cells, thereby preventing or treating various complications related to periodontal disease. The term "periodontal disease" used in this application means a tissue-destructive disease involving resorption of alveolar bone and/or loss of periodontal attachment. In the pre-clinical analysis experiments shown in Examples 5-6, an established rat tying pattern was used, in which a tying was set around the teeth of the experimental animal, which caused plaque to accumulate and cause gingival sulcus epithelial ulcers, thereby triggering the periphery of the teeth Loss of bone and tissue. FIP-gts was chosen to represent the FIP defined above, which was shown to inhibit inflammation and alveolar bone loss in the periodontitis test induced by threading. It is important that FIP is administered before or approximately at the same time as the ligature is set, which can beneficially improve the symptoms that occur in the rat model, which proves that FIP has therapeutic and preventive effects on periodontal disease.

用語「預防」意指於一骨質流失相關性疾病開始發生前,在一可能暴露於致病劑或是容易罹患所述疾病的患者中,降低罹患或發展成所述疾病的風險,也就是說使其不會發展出所述疾病的至少一個臨床病徵。用語「治療」包括在一骨質流失相關性疾病的至少一個臨床病徵出現後予以緩解。但是,這用語在意義上不應被理解成對於所述疾病永遠有100%的保護力,而是用以表示實質上減輕或消除一個已經發生或可能即將發生於患者身上的臨床病徵。 The term "prevention" means that before a bone loss-related disease begins to occur, in a patient who may be exposed to a pathogenic agent or is prone to suffering from the disease, the risk of developing or developing the disease is reduced, that is to say So that it will not develop at least one clinical sign of the disease. The term "treatment" includes the relief of at least one clinical sign of a bone loss-related disease. However, this term should not be understood in the sense that it is always 100% protective against the disease, but is used to mean that a clinical symptom that has occurred or may be about to occur in the patient is substantially reduced or eliminated.

根據本申請提供的揭示內容,用語「患者」意欲涵蓋需要預防或治療骨質流失相關性疾病或其病況的人類或非人類脊椎動物,例如非人類哺乳動物。非人類哺乳動物包括家畜動物、陪伴動物、實驗室動物、和非人靈長類。非人類個體亦包括而不限於馬、牛、豬、山羊、狗、貓、小鼠、大鼠、天竺鼠、沙鼠、倉鼠、水貂、兔和魚。應該理解,較佳的患者為人類,尤其患有一骨質流失相關性疾病或是有罹患此疾病的風險的人類病患。 According to the disclosure provided in this application, the term "patient" is intended to cover human or non-human vertebrates, such as non-human mammals, who need to prevent or treat bone loss-related diseases or their conditions. Non-human mammals include livestock animals, companion animals, laboratory animals, and non-human primates. Non-human individuals also include, but are not limited to, horses, cows, pigs, goats, dogs, cats, mice, rats, guinea pigs, gerbils, hamsters, mink, rabbits, and fish. It should be understood that the preferred patients are humans, especially human patients who suffer from a bone loss-related disease or are at risk of suffering from this disease.

可以藉由習用診斷手段和條件來鑑定出患有一骨質流失相關性疾病的患者。在本技術領域中一般從業人員可以基於家族醫療史及/或是否存在與骨質流失相關性疾病有關的遺傳標記或基因,而鑑定出容易罹患一骨質流失相關性疾病的患者。本申請所使用的用語「容易罹患(susceptible to)」意指相較於一般族群,對於一骨質流失相關性疾病具有升高的風險及/或傾向(通常以遺傳體質傾向、環境因素或其組合為基礎)。用語「容易罹患」在其意義上也想要涵蓋所謂「容易罹患」骨質流失相關性疾病的患者也可能永遠都不會被診斷出罹患這個疾病。 A patient with a bone loss-related disease can be identified by conventional diagnostic methods and conditions. A general practitioner in this technical field can identify patients who are susceptible to a bone loss-related disease based on family medical history and/or whether there are genetic markers or genes related to bone loss-related diseases. The term "susceptible to" used in this application means that compared with the general population, there is an increased risk and/or tendency for a bone loss-related disease (usually based on genetic predisposition, environmental factors, or a combination thereof). As the basis). The term "easy to suffer" in its meaning also intends to cover the so-called "easy to suffer" bone loss-related diseases, and may never be diagnosed with this disease.

根據本申請所提供的揭示內容,用語「給予一患者」包括以適宜藥學調配物將FIP藉由用於遞送FIP至所述個體所欲位置的任何適宜途徑而分配、遞送或施用至一患者,以使FIP接觸目標細胞、組織或器官。 According to the disclosure provided in this application, the term "administering to a patient" includes allocating, delivering, or administering FIP to a patient in a suitable pharmaceutical formulation by any suitable means for delivering FIP to the desired location of the individual. In order to make FIP contact the target cell, tissue or organ.

FIP可藉由任何適宜途徑投至所述個體,例如局部、直腸、腸內或非經腸途徑,舉例來說,口服、靜脈內、皮下、腫瘤內、肌肉內、腹膜內、穿皮、脊鞘內、或腦內途徑。投藥可以是快速的,例如藉由注射,或歷經一段時間,例如藉由緩慢輸注或給予緩釋調配物。 FIP can be administered to the individual by any suitable route, such as topical, rectal, enteral or parenteral routes, for example, oral, intravenous, subcutaneous, intratumoral, intramuscular, intraperitoneal, transdermal, spinal Intrathecal, or intracerebral route. Administration can be rapid, such as by injection, or over a period of time, such as by slow infusion or administration of sustained release formulations.

在一較佳具體例中,FIP是欲以口服給予並製備成可口服給予調配物形式。此類調配物較佳以適宜載劑、賦形劑、潤滑劑、乳化劑、懸浮劑、甜味劑、加味劑、防腐劑調配,並打成錠劑或囊封成固體膠囊或軟膠囊。亦設想得到此類調配物可設計成下列劑型:口服溶液、或口服小包、或口服丸劑。或者除了口服給予,還可設想得到此類調配物可設計成灌腸劑、或栓劑、或植入物、或貼片、或乳霜、或軟膏劑型。適宜載劑、賦形劑、與稀釋劑的若干例子包括乳糖、右旋糖、蔗糖、山梨醇、甘露醇、澱粉、阿拉伯膠、磷酸鈣、藻酸鹽、矽酸鈣、微晶纖維素、聚乙烯吡咯烷酮、纖維素、明膠、糖漿、甲基纖維素、甲基-丙基-羥基苄酸鹽、滑石、硬脂酸鎂、水、礦物油等等。調配物亦可額外包括潤滑劑、濕潤劑、乳化劑與懸浮劑、防腐劑、甜味劑或加味劑。FIP組成物可調配成能夠在運用本領域習知流程給予病患後快速、持續或延遲釋放活性成分。調配物亦可含有減少蛋白水解、核酸和其他降解作用的物質及/或促進吸收的物質,例如,舉例來說,表面活性劑。所述組成物可和聚乙二醇(即PEG化)、白蛋白或類似物錯合,以幫助促進在血流中的穩定性。 In a preferred embodiment, FIP is intended to be administered orally and prepared in the form of an orally administrable formulation. Such formulations are preferably formulated with suitable carriers, excipients, lubricants, emulsifiers, suspending agents, sweeteners, flavoring agents, and preservatives, and are formulated into tablets or encapsulated into solid capsules or soft capsules. It is also envisaged that such formulations can be designed into the following dosage forms: oral solutions, or oral sachets, or oral pills. Or in addition to oral administration, it is also conceivable that such formulations can be designed as enema, or suppository, or implant, or patch, or cream, or ointment. Some examples of suitable carriers, excipients, and diluents include lactose, dextrose, sucrose, sorbitol, mannitol, starch, acacia, calcium phosphate, alginate, calcium silicate, microcrystalline cellulose, Polyvinylpyrrolidone, cellulose, gelatin, syrup, methylcellulose, methyl-propyl-hydroxybenzate, talc, magnesium stearate, water, mineral oil, etc. The formulation may additionally include lubricants, wetting agents, emulsifying and suspending agents, preservatives, sweetening agents or flavoring agents. The FIP composition can be formulated to be able to quickly, continuously or delay the release of active ingredients after being administered to patients using procedures known in the art. The formulation may also contain substances that reduce proteolysis, nucleic acid and other degradation and/or promote absorption, such as, for example, surfactants. The composition can be complexed with polyethylene glycol (ie PEGylation), albumin or the like to help promote stability in the bloodstream.

在一些較佳具體例中,FIP被調配成可口服給予劑型。 In some preferred embodiments, FIP is formulated into a dosage form that can be administered orally.

另一較佳的FIP製劑是利用生理鹽水溶液載體;可設想到其他藥學上可接受的載劑,例如亦可使用無毒鹽或化合物的生理濃度、5%葡萄糖水溶液、無菌水或等等。可能也會希望組成物內存在有適宜的緩衝液。若有需要,此類溶液可凍乾儲存在無菌安瓿裡,待加入無菌水復溶即可用於注射。主要溶劑可為水性或者非水性。 Another preferred FIP formulation is to use a physiological saline solution carrier; other pharmaceutically acceptable carriers are conceivable, for example, non-toxic salts or physiological concentrations of compounds, 5% dextrose aqueous solution, sterile water or the like can also be used. It may also be desirable to have a suitable buffer in the composition. If necessary, such solutions can be lyophilized and stored in sterile ampoules, and can be used for injection after being reconstituted with sterile water. The main solvent can be aqueous or non-aqueous.

所述載劑也可以含有其他藥學上可接受的賦形劑,以調整或維持調配物的pH、滲透壓、黏度、澄清度、顏色、無菌性、穩定性、溶解速率或氣味。類似地,載劑可另含有其他藥學上可接受的賦形劑,以調整或維持調配物的釋放或吸收或滲透穿過血腦屏障。此類賦形劑為慣用於調配供單位劑量或多劑量形式的非經腸給予或供藉由連續或週期性輸注來直接輸注的藥劑的物質。 The carrier may also contain other pharmaceutically acceptable excipients to adjust or maintain the pH, osmotic pressure, viscosity, clarity, color, sterility, stability, dissolution rate, or odor of the formulation. Similarly, the carrier may additionally contain other pharmaceutically acceptable excipients to adjust or maintain the release or absorption or penetration of the formulation through the blood-brain barrier. Such excipients are substances customarily used to formulate pharmaceuticals for parenteral administration in unit dose or multiple dose forms or for direct infusion by continuous or periodic infusion.

FIP可藉由習用生藥技術合宜地調配成上述單位劑型。此類技術包括使FIP與生理上可接受的載劑、稀釋劑、佐劑及/或賦形劑結合在一起的步驟。一般而言,調配物是藉由使FIP和液體載劑或細微化固體載劑或此兩者均勻且緊密地結合在一起來進行製備,隨後視必要性塑形成各種產品。 FIP can be suitably formulated into the above-mentioned unit dosage form by using conventional crude drug technology. Such techniques include the step of combining FIP with physiologically acceptable carriers, diluents, adjuvants, and/or excipients. Generally speaking, the formulation is prepared by uniformly and tightly combining FIP and a liquid carrier or a finely divided solid carrier or both, and then forming various products as necessary.

FIP是以足以抑制蝕骨細胞新生作用的一治療或預防有效量給予患者。因此,用語「有效量」與用詞「以一有效量給予」在本申請中可以互換地使用,而且意欲指稱在患者的罹病組織或容易罹病組織中產生抑制蝕骨細胞新生作用或是降低骨質流失的醫藥效果的FIP用量,當有效量的FIP被給予患有或容易罹患一骨質流失相關性疾病的患者時,可以觀察到上述效果。儘管有效量通常藉由有效量所具有的效果相較於在不包括本申請所述FIP的一組成物(即對照組)給予類似情況患者觀察到的效果來測定,但實際劑量係依據所選定的特定投藥途徑來計算。為決定適當投藥劑量所必 要的進一步精細計算是由具本領域通常知識者以常規方式進行。於是,在給予一人類個體時,FIP較佳地每日、每週或一週兩次給予一介於0.01毫克/公斤體重/日至100毫克/公斤體重/日之間,更佳為0.1毫克/公斤/日至10毫克/公斤/日的份量。視藥劑調配物的藥動學參數與使用的投藥途徑而定,可重複多劑投藥。 FIP is administered to the patient in a therapeutically or preventively effective amount sufficient to inhibit the neonatal effect of osteoeclasts. Therefore, the term "effective amount" and the term "administered in an effective amount" can be used interchangeably in this application, and it is intended to refer to the effect of inhibiting the regeneration of osteoeclasts or reducing bone quality in diseased tissues or susceptible tissues of patients. The amount of FIP for lost medical effects can be observed when an effective amount of FIP is administered to patients suffering from or prone to suffering from a bone loss-related disease. Although the effective amount is usually determined by the effect of the effective amount compared to the effect observed in a composition that does not include the FIP described in this application (ie the control group) administered to patients with similar conditions, the actual dosage is based on the selected The specific route of administration is calculated. Necessary to determine the appropriate dosage The necessary further detailed calculations are carried out in a conventional manner by persons with ordinary knowledge in the field. Therefore, when administered to a human individual, FIP is preferably administered between 0.01 mg/kg body weight/day to 100 mg/kg body weight/day, more preferably 0.1 mg/kg daily, weekly or twice a week /Day to 10 mg/kg/day. Depending on the pharmacokinetic parameters of the pharmaceutical formulation and the route of administration used, multiple doses can be administered repeatedly.

下列實例僅供用於例示目的,而非意圖限制本發明的範疇。 The following examples are for illustrative purposes only, and are not intended to limit the scope of the present invention.

實例1:製備FIPsExample 1: Preparation of FIPs

序列識別號第1號的FIP-gts如WO2005/040375A1所述在啤酒酵母宿主細胞內重組表現。表現FIP-gts的細胞被打碎、離心,並使上清液通過濾器與分子篩,以獲得介於10kDa與100kDa之間的蛋白質。濾液進一步使用FPLC以Superdex® 75管柱(GE Healthcare)進行純化。純度經FPLC測定為超過95%。 The FIP-gts with sequence identification number 1 was expressed recombinantly in S. cerevisiae host cells as described in WO2005/040375A1. The cells expressing FIP- gts were broken up, centrifuged, and the supernatant was passed through a filter and molecular sieve to obtain a protein between 10kDa and 100kDa. The filtrate was further purified with Superdex® 75 column (GE Healthcare) using FPLC. The purity is determined by FPLC to exceed 95%.

使用本申請中所敘述的相同方法製得FIP-vvo(序列識別號第3號)和FIP-gmi(序列識別號第6號),發現依此製備出來的蛋白質有超過95%的純度。 FIP-vvo (Sequence ID No. 3) and FIP-gmi (Sequence ID No. 6) were prepared using the same method described in this application, and it was found that the protein prepared according to this method had a purity of more than 95%.

實例2:FIP對於前蝕骨細胞不具有毒性Example 2: FIP is not toxic to pre-osteoecotic cells

RAW 264.7細胞是一種鼠白血病單核球/巨噬細胞細胞系,購自於食品工業發展研究所的生物資源保存及研究中心(台灣新竹)。將RAW 264.7細胞以1×105個細胞/井孔的密度植入24-井孔的平盤培養皿中,並且在實例1所製得的各種濃度的FIP-gts的存在下(2.5-20微克/毫升),培養於補充有10%熱去活小牛血清(FBS;美國紐約州Gibco公司)的杜氏改良伊格爾培養基(Dulbecco's Modified Eagle Medium,DMEM;美國密蘇里州聖路易市Sigma Chemical Co.),歷時5天。將上清液移除並於每個井孔加入25 微升溶於磷酸鹽緩衝鹽水(PBS)的2.5毫克/毫升MTT(3-[4,5-二甲基吡啶-2-基]-2,5-二苯基四唑溴化物;美國密蘇里州聖路易市Sigma Chemical Co.)。將平盤培養皿於37℃培育1小時,以容許MTT轉變成不溶於水的甲臢結晶。隨後,將上清液移除並將二甲亞碸(DMSO)加至所有井孔中,徹底混合,以溶解深藍色結晶。置於室溫幾分鐘以確保所有結晶完全溶解後,於570nm取得平盤培養皿中各井孔的讀數。 RAW 264.7 cells are a murine leukemia monocyte/macrophage cell line purchased from the Biological Resources Conservation and Research Center of the Food Industry Development Institute (Hsinchu, Taiwan). RAW 264.7 cells were implanted in a 24-well flat plate culture dish at a density of 1×10 5 cells/well, and in the presence of various concentrations of FIP-gts prepared in Example 1 (2.5-20 Μg/ml), cultured in Dulbecco's Modified Eagle Medium (DMEM) supplemented with 10% heat-deactivated calf serum (FBS; Gibco, New York, USA); Sigma Chemical Co, St. Louis, Missouri, USA .), which lasted 5 days. Remove the supernatant and add 25 μl of 2.5 mg/ml MTT (3-[4,5-dimethylpyridin-2-yl]-2 in phosphate buffered saline (PBS) to each well , 5-Diphenyltetrazolium bromide; Sigma Chemical Co., St. Louis, Missouri, USA). The petri dish was incubated at 37°C for 1 hour to allow MTT to transform into water-insoluble formazan crystals. Subsequently, the supernatant was removed and dimethyl sulfoxide (DMSO) was added to all wells and mixed thoroughly to dissolve the dark blue crystals. After placing it at room temperature for a few minutes to ensure that all crystals are completely dissolved, the readings of each well in the flat petri dish are taken at 570nm.

圖1A所載結果顯示,接受濃度為2.5至10微克/毫升的FIP-gts處理後的細胞存活率大致相同於未經處理細胞的存活率,這指出FIP-gts在上述濃度下對於RAW 264.7前蝕骨細胞是沒有毒性的。 The results shown in Figure 1A show that the survival rate of cells treated with FIP-gts at a concentration of 2.5 to 10 μg/ml is approximately the same as that of untreated cells. This indicates that FIP- gts is better than RAW 264.7 at the above concentration. Osteocytes are not toxic.

重覆前述實驗,但分別以實例1所製得的FIP-gmi和FIP-vvo來取代FIP-gts。結果顯示於圖1B和1C,其中數據是代表4個再現性實驗。與圖1A所示運用FIP-gts所得到的結果一致,FIP-gmi和FIP-vvo在2.5至10微克/毫升的濃度下,對於RAW 264.7前蝕骨細胞是沒有毒性的。 Repeat the previous experiment, but use FIP-gmi and FIP-vvo prepared in Example 1 to replace FIP-gts . The results are shown in Figures 1B and 1C, where the data are representative of 4 reproducibility experiments. Consistent with the results obtained using FIP-gts as shown in Figure 1A , FIP-gmi and FIP-vvo are not toxic to RAW 264.7 pre-osteoclasts at a concentration of 2.5 to 10 μg/ml.

實例3:FIP對於蝕骨細胞生成的抑制效應Example 3: The inhibitory effect of FIP on the formation of osteoclasts

將RAW 264.7細胞懸浮於補充有10%熱去活小牛血清的DMEM中,並且以1×105個細胞/井孔的密度植入24-井孔的平盤培養皿中,隨後培養至隔天。在第1天,將培養基移除,並且將α-最低限度基礎培養基(α-MEM;美國紐約州Grand Island市GIBCO Life Technologies公司)加入細胞培養物中,同時添加或不添加2.5-10μg/ml的FIP-gts和100ng/ml的RANKL(美國新澤西州Rocky Hill市PeproTech Inc)。在第5天,移去α-MEM,並且以PBS洗滌細胞培養物二次。 RAW 264.7 cells were suspended in DMEM supplemented with 10% heat-deactivated calf serum, and implanted in a 24-well flat plate at a density of 1×10 5 cells/well, and then cultured to the septum. day. On day 1, the medium was removed, and α-minimal basal medium (α-MEM; GIBCO Life Technologies, Grand Island, New York, USA) was added to the cell culture, with or without 2.5-10μg/ml FIP- gts and 100ng/ml RANKL (PeproTech Inc, Rocky Hill, New Jersey, USA). On day 5, the α-MEM was removed, and the cell culture was washed twice with PBS.

隨後,憑藉著只有成熟蝕骨細胞才會分泌出耐酒石酸酸性磷酸酶(TRAP)這個事實,運用TRAP活性分析來評估由RANKL所誘發的前蝕骨 細胞分化程度。在這個分析中,利用200微升的0.1% Triton X-100來處理各井孔中的細胞培養物,並且以PBS洗滌細胞培養物一次。接著,在各井孔的細胞培養物中加入100微升的TRAP溶液(2毫升0.1M的醋酸鈉,pH 5.8;1毫升1mM的抗壞血酸;1.9毫升0.15M的KCl;50mM的酒石酸鈉;以及0.1毫升10mM的磷酸對硝基苯酯)。在37℃下培育0.5至1小時後,將反應混合物轉移到新的平盤培養皿中,並且加入等體積的0.3N NaOH使反應驟止。利用一具微盤分光光度儀在410nm下測量各細胞培養物的光學密度。結果顯示於圖2A。 Subsequently, relying on the fact that only mature osteoclasts can secrete tartrate-resistant acid phosphatase (TRAP), the TRAP activity analysis was used to evaluate the pre-eclipse induced by RANKL The degree of cell differentiation. In this analysis, 200 microliters of 0.1% Triton X-100 was used to treat the cell culture in each well, and the cell culture was washed once with PBS. Next, add 100 microliters of TRAP solution (2 ml of 0.1 M sodium acetate, pH 5.8; 1 ml of 1 mM ascorbic acid; 1.9 ml of 0.15 M KCl; 50 mM of sodium tartrate; and 0.1 Milliliters of 10 mM p-nitrophenyl phosphate). After incubating at 37°C for 0.5 to 1 hour, the reaction mixture was transferred to a new flat-plate petri dish, and an equal volume of 0.3N NaOH was added to quench the reaction. A microdisk spectrophotometer was used to measure the optical density of each cell culture at 410nm. The results are shown in Figure 2A.

在一個分開進行的TRAP染色分析中,RAW264.7細胞是在前述存在有或不存在有2.5-10μg/ml FIP-gts和100ng/ml RANKL的條件下進行培養。在第5天,以3.7%福馬林(美國密蘇里州聖路易市Sigma Chemical Co.)固定細胞10分鐘,並且以0.1% Triton-X100處理1分鐘,接著在37℃下藉由TRAP染色溶液(美國密蘇里州聖路易市Sigma Chemical Co.)進行染色,歷時30分鐘。拍攝呈現TRAP-陽性的多核細胞(≧三個細胞核)的影像(圖3A),並且在一具光學顯微鏡下(德國Vertrieb Deutschland市Leica公司)計算出成熟蝕骨細胞的數目(圖3B)。 In a separate TRAP staining analysis, RAW264.7 cells were cultured under the aforementioned conditions with or without 2.5-10μg/ml FIP- gts and 100ng/ml RANKL. On the 5th day, the cells were fixed with 3.7% formalin (Sigma Chemical Co., St. Louis, Missouri, USA) for 10 minutes, and treated with 0.1% Triton-X100 for 1 minute, followed by TRAP staining solution (USA Sigma Chemical Co., St. Louis, Missouri, was dyed for 30 minutes. The images showing TRAP-positive multinucleated cells (≧three nuclei) were taken (Figure 3A), and the number of mature osteoeclasts was calculated under an optical microscope (Leica, Vertrieb Deutschland, Germany) (Figure 3B).

圖2A和3A-3B中所顯示的結果一致性地指出,相較於只含有培養基的對照組實驗,添加RANKL會誘發RAW 264.7前蝕骨細胞分化成為蝕骨細胞,而FIP-gts則會以劑量相依方式來抑制RANKL誘發RAW 264.7細胞成熟為成蝕骨細胞。 The results shown in Figures 2A and 3A-3B consistently pointed out that, compared to the control experiment containing only medium, the addition of RANKL induced the differentiation of RAW 264.7 pre-osteoeclasts into osteoeclasts, while FIP- gts would In a dose-dependent manner, RANKL inhibits the maturation of RAW 264.7 cells into osteoblasts.

重覆上述TRAP活性分析,但分別以實例1所製得的FIP-gmi和FIP-vvo來取代FIP-gts。結果顯示於圖2B和2C,其指出這兩種FIP對於由RANKL所誘發的蝕骨細胞生成,展現出類似的抑制效應。 Repeat the above TRAP activity analysis, but replace FIP-gts with FIP-gmi and FIP-vvo prepared in Example 1 respectively. The results are shown in Figures 2B and 2C, which indicate that these two FIPs exhibit similar inhibitory effects on osteoclast production induced by RANKL.

實例4:FIP是蝕骨細胞生成受到抑制的主因Example 4: FIP is the main cause of the inhibition of osteoclast production

如實例3所述,以10μg/ml FIP-gts和100ng/ml RANKL來處理RAW 264.7細胞,但FIP-gts是在RANKL加入細胞培養物後的第0、1、2或3天再添加。如圖4所示,FIP-gts對於RANKL誘發RAW 264.7細胞形成蝕骨細胞的抑制效應,隨著添加RANKL和添加FIP-gts之間的時間間隔增加而減弱,這結果指出FIP-gts就是由RANKL所誘發的蝕骨細胞生成受到抑制的主因As described in Example 3, RAW 264.7 cells were treated with 10 μg/ml FIP- gts and 100 ng/ml RANKL, but FIP- gts was added at 0, 1, 2, or 3 days after RANKL was added to the cell culture. As shown in Figure 4, the inhibitory effect of FIP-gts on the formation of osteoclasts in RAW 264.7 cells induced by RANKL decreased as the time interval between adding RANKL and adding FIP-gts increased. This result indicates that FIP- gts is caused by RANKL. The main reason for the inhibition of the induced formation of osteoeclasts.

實例5:FIP對於牙周病的治療效果Example 5: The therapeutic effect of FIP on periodontal disease

為了檢驗FIP對於蝕骨細胞生成的效應,本說明書依據Cheng et al.,J.Periodont.Res.2010;45:788-795這篇論文中所敘述的實驗流程,使用了一個大鼠紥線模式來產生牙周骨質流失的臨床特徵。將18隻Sprague-Dawley大鼠隨機分成3組,在對照組、紥線組以及紥線+FIP-gts組中各有6隻。對照組中的大鼠不施作紥線,而紥線組以及紥線+FIP-gts組的大鼠則在第0天於其頸緣兩側包繞3-O絲質縫合線(直徑0.2毫米;台灣台北市佳合醫材股份有限公司),並且在其上頷第二大臼齒和下頷第一大臼齒的近頰側處打結。藉由在牙齒頸部周圍紥結絲線以累積細菌,而在大鼠模式中引發供實驗用的牙周炎。這些大鼠是以12-小時日/12-小時夜的週期被飼養在無病原體條件下,並給予高壓滅菌飲食,可自由取用標準囓齒動物飼料(Laboratory Rodent Diet 5001,LabDiet,美國密蘇里州聖路易市)和飲水。在紥線前一天,紥線+FIP-gts組的大鼠開始以每公斤體重1.5毫克的劑量灌食給予FIP-gts,而整個實驗持續供應日常飼料和飲水。在第0、3、7和10日,藉由微型電腦斷層掃描技術(micro-CT)來檢查各組大鼠的臼齒和齒槽骨的形態。在第14天讓所有的動物藉由CO2窒息犧牲。取得上頷骨 和上頷骨樣品,以4%多聚甲醛加以固定,準備接受微型電腦斷層掃描和組織學分析。 In order to test the effect of FIP on the formation of osteoeclasts, this manual uses a rat stringing model according to the experimental procedure described in Cheng et al. , J.Periodont.Res. 2010;45:788-795. To produce the clinical features of periodontal bone loss. Eighteen Sprague-Dawley rats were randomly divided into 3 groups, 6 in each of the control group, the tie group and the tie+FIP- gts group. The rats in the control group were not applied with ligature, while the rats in the ligature group and the ligature+FIP-gts group were wrapped with 3-O silk sutures (diameter 0.2 Mm; Taipei City Jiahe Medical Materials Co., Ltd., Taiwan), and knotted at the proximal buccal side of the second molar of the upper jaw and the first molar of the lower jaw. By tying a silk thread around the neck of the tooth to accumulate bacteria, it induces periodontitis for experimental use in the rat model. These rats were bred under pathogen-free conditions on a 12-hour day/12-hour night cycle, and were given an autoclaved diet, with free access to standard rodent diet (Laboratory Rodent Diet 5001, LabDiet, St. Missouri, USA). Louis City) and drinking water. On the day before tying , rats in the tying+FIP-gts group were fed with FIP-gts at a dose of 1.5 mg per kilogram of body weight, and daily feed and drinking water were continuously supplied throughout the experiment. On the 0th, 3rd, 7th, and 10th days, the morphology of the molar teeth and alveolar bone of each group of rats were examined by micro-computer tomography (micro-CT). All animals were sacrificed by CO 2 suffocation on the 14th day. Obtain maxillary bone and maxillary bone samples, fix them with 4% paraformaldehyde, and prepare for micro-computer tomography and histological analysis.

微型電腦斷層掃描是運用一具設有斷層掃描次系統的多態臨床前成像系統來進行(美國加州Northridge市Gamma Medica-Ideas Inc.所出品的FLEX TriumphTM臨床前PET/CT掃描儀)。X光管是在75仟伏峰值(kVp)的加速電位下進行操作,掃描束電流為120mA。微型電腦斷層掃描的視野被固定在61.44毫米,使影像放大2倍。在飛行模式下攝取微型電腦斷層掃描的影像,1024次投影,每次投影一幀,以達到120毫米×120毫米×120毫米的立體像素大小(voxel size)。微型電腦斷層掃描數據是運用Triumph XO軟體(美國加州Northridge市Gamma Medica-Ideas Inc.)取得並進行重建,隨後利用VIVID軟體(美國加州Northridge市Gamma Medica-Ideas Inc.)具像化並進行分析。利用微型電腦斷層掃描數據和經過重建的三維影像,在牙根分叉區(圖5A中以符號◎標示)、紥線周圍區(以符號☆標示)、接近紥線區(以符號¥標示)和遠離紥線區(以符號※標示)等四個區域估算牙釉質交界(cement-enamel junction;CEJ)與齒槽骨嵴頂(ABC)之間的距離。由此所獲取的微型電腦斷層掃描影像以及所測得的CEJ-ABC數值分別顯示於圖5B和5C。 Micro computed tomography is performed using a polymorphic preclinical imaging system with a tomographic sub-system (FLEX Triumph TM preclinical PET/CT scanner produced by Gamma Medica-Ideas Inc., Northridge, California, USA). The X-ray tube is operated at an acceleration potential of 75 kilovolt peak (kVp), and the scanning beam current is 120 mA. The field of view of the microcomputer tomography is fixed at 61.44 mm, which magnifies the image by 2 times. In the flight mode, the microcomputer tomography image is captured, 1024 times of projection, one frame each time, to achieve a voxel size of 120 mm × 120 mm × 120 mm. The micro computed tomography data was obtained and reconstructed using Triumph XO software (Gamma Medica-Ideas Inc., Northridge, California, USA), and then visualized and analyzed using VIVID software (Gamma Medica-Ideas Inc., Northridge, California, USA). Using micro-computer tomography data and reconstructed three-dimensional images, in the root bifurcation area (marked by the symbol ◎ in Figure 5A), the area around the tie line (marked by the symbol ☆), the close tie area (marked by the symbol ¥) and Estimate the distance between the cement-enamel junction (CEJ) and the crest of the alveolar bone (ABC) away from the four areas (marked with the symbol ※) and other areas away from the tie line. The resulting microcomputer tomography image and the measured CEJ-ABC value are shown in Figures 5B and 5C, respectively.

第14天所取得的上頷骨樣品在10%緩衝化中性福馬林溶液中進行固定,歷時48小時,並且在10%乙二胺四乙酸(EDTA;美國密蘇里州聖路易市Sigma公司)中進行脫鈣,歷時4週。將各個樣品包埋在石蠟中,並且朝近中遠側方向(mesiodistal direction)切下數個4微米厚的切片。將切片放在玻璃片上,以蘇木素-伊紅加以染色(H&E染色)。測量每隻大鼠第二 臼齒的近心表面處由CEJ至ABC的距離。結果顯示於圖5D,其中CEJ和ABC的位置分別以白色和黑色的箭頭來標示。 The maxillary bone sample obtained on day 14 was fixed in 10% buffered neutral formalin solution for 48 hours and in 10% ethylenediaminetetraacetic acid (EDTA; Sigma, St. Louis, Missouri, USA) Decalcification lasted 4 weeks. Each sample was embedded in paraffin, and several 4 micron thick sections were cut in the mesiodistal direction. The sections were placed on glass slides and stained with hematoxylin-eosin (H&E staining). Measure the second for each rat The distance from CEJ to ABC on the proximal surface of the molar tooth. The results are shown in Figure 5D, where the positions of CEJ and ABC are marked with white and black arrows, respectively.

運用重複測量變異數分析(ANOVA)來評估紥結處理的結果。p值<0.05即被認定具有顯著性。 Repeated measures analysis of variance (ANOVA) was used to evaluate the results of the ligation treatment. The p value<0.05 is considered significant.

圖5B-5C所顯示的微型電腦斷層掃描數據指出,牙根分叉區、紥線周圍區和接近紥線區的齒槽骨位置相較於遠離紥線區更接近牙根尖,而遠離紥線區的齒槽骨位置在三個動物組中則相近。結果又進一步顯示,在第7、10和14天,紥線組的齒槽骨嵴頂相較於對照組顯著地更接近牙根尖,這指出在紥線組中由絲質紥線所引發的齒槽骨流失是在第7天開始顯現。然而,相較於紥線組,紥線+FIP-gts組在牙根分叉區(第10天開始)以及紥線周圍區和接近紥線區(第14天開始)皆恢復了齒槽骨嵴頂的高度。圖5D所顯示的組織學數據可以見到類似結果,其中紥線+FIP-gts組相較於紥線組,其齒槽骨嵴頂位置比較接近牙冠,發炎細胞浸潤程度較低,而且結締組織的黏附程度也比較低。這些組織學數據進一步確認了圖5B-5C所顯示的結果,顯示藉由測量CEJ至ABC的距離所得到齒槽骨再吸收程度,在紥線+FIP-gts組中相較於紥線組會受到顯著的抑制。本實例中揭露所有的數據都指出,在設置紥線之後或大致同時給予FIP-gts,可以成功地改善大鼠模式中所發生的症狀,這證明了FIP-gts對於牙周病具有治療的效果。 The microcomputer tomography data shown in Figures 5B-5C indicate that the root bifurcation area, the area around the ligature and the alveolar bone position close to the ligation area are closer to the root tip than the ligation area, and far away from the ligation area. The location of the alveolar bone is similar in the three animal groups. The results further showed that on days 7, 10 and 14, the crest of the alveolar bone in the ligation group was significantly closer to the root tip than in the control group. This indicated that the ligation group was caused by silk ties. Alveolar bone loss began to appear on the 7th day. However, compared with the ligature group, the ligature + FIP- gts group recovered the alveolar ridge in the root bifurcation area (starting on day 10), the area around the ties and the area close to the ties (starting on the 14th day). The height of the top. Similar results can be seen in the histological data shown in Figure 5D. Compared with the ligature group, the alveolar bone crest position of the ligature+FIP-gts group is closer to the crown, the degree of inflammatory cell infiltration is lower, and the connection is The degree of tissue adhesion is also relatively low. These histological data further confirm the results shown in Figures 5B-5C, showing that the degree of alveolar bone resorption obtained by measuring the distance from CEJ to ABC, in the ligature + FIP- gts group compared to the ligature group Significantly inhibited. All the data disclosed in this example point out that FIP- gts can successfully improve the symptoms that occur in the rat model after setting up the thread or roughly at the same time, which proves that FIP-gts has a therapeutic effect on periodontal disease. .

實例6:FIP對於牙周病的預防效果Example 6: Preventive effect of FIP on periodontal disease

重覆實例5,但紥線+FIP-gts組中的大鼠在紥線前7天就開始被餵食FIP-gts。紥線後的第0、3、7、10和14天,分別藉由微型電腦斷層掃描來檢查各組大鼠的臼齒和齒槽骨周圍的形態。由此所獲取的微型電腦斷層掃描影像以及所測得的CEJ-ABC數值分別顯示於圖6A和6B。這些微型電腦斷層 掃描影像顯示,在第7、10和14天,紥線組的齒槽骨嵴頂相較於對照組顯著地更接近牙根尖,這指出在紥線組中由絲質紥線所引發的齒槽骨流失是在紥線後第7天開始顯現。相較於紥線組,紥線+FIP-gts組在牙根分叉區、紥線周圍區和接近紥線區都從第7天開始顯著地恢復齒槽骨嵴頂的高度。針對第14天所採集到的上頜骨樣品進行組織病理學檢驗(圖6C)也確認了微型電腦斷層掃描所獲得的結果,其顯示將FIP-gts給予接受紥線的大鼠可以顯著地抑制齒槽骨再吸收,這由紥線+FIP-gts組相較於紥線組具有更短的CEJ-ABC距離和較低的發炎細胞浸潤程度即可證實。本實例中揭露所有的數據都指出,在設置紥線之前給予FIP-gts,可以成功地改善大鼠模式中所發生的症狀,這證明了FIP-gts對於牙周病具有預防的效果。 Example 5 was repeated, but the rats in the ligation +FIP-gts group were fed FIP-gts 7 days before the ligation. At 0, 3, 7, 10 and 14 days after the threading, the morphology of the molar teeth and alveolar bones of the rats in each group were examined by micro-computer tomography. The resulting microcomputer tomography image and the measured CEJ-ABC value are shown in Figures 6A and 6B, respectively. These micro computed tomography images showed that the crest of the alveolar bone in the ligation group was significantly closer to the root apex than the control group on days 7, 10, and 14, which indicated that the ligation group was ligated by silk. The induced alveolar bone loss began to appear on the 7th day after the threading. Compared with the ligature group, the ligature+FIP- gts group significantly restored the height of the alveolar crest in the root bifurcation area, the area around the ligature and the area close to the ligature from the 7th day. The histopathological examination of the maxillary bone sample collected on the 14th day (Figure 6C) also confirmed the results obtained by the micro-computed tomography, which showed that the administration of FIP-gts to the rats that received the ligature can significantly inhibit the teeth. The trough bone resorption can be confirmed by the shorter CEJ-ABC distance and lower infiltration of inflammatory cells in the ligature +FIP-gts group than the ligature group. All the data disclosed in this example point out that giving FIP- gts before setting the ligature can successfully improve the symptoms that occur in the rat model, which proves that FIP- gts has a preventive effect on periodontal disease.

實例7:肌動蛋白環分析Example 7: Actin loop analysis

已知在骨質再吸收期間,蝕骨細胞會重組其本身的肌動蛋白细胞骨架,因此,肌動蛋白環的形成被認定是一個與蝕骨細胞的再吸收活性相關的生物標記。本申請的發明人運用本說明書中所敘述的肌動蛋白環染色分析,就FIP對於蝕骨細胞調控的骨質再吸收所產生的影響進行研究。 It is known that during bone resorption, osteoclasts will reorganize their own actin cytoskeleton. Therefore, the formation of actin loops is considered to be a biomarker related to the resorption activity of osteoclasts. The inventor of the present application used the actin ring staining analysis described in this specification to study the effect of FIP on bone resorption regulated by osteoclasts.

在這個分析中,RAW264.7細胞是在存在有或不存在有FIP-gts的條件下,於100ng/mL的RANKL中進行培養,歷時5天。將細胞加以洗滌,以3.7%福馬林加以固定,並且在0.1% Triton-PBS中培育15分鐘使細胞通透化。細胞在調配於PBS中的1%牛血清白蛋白中進行阻隔處理,並與經過羅丹明標誌化的鬼筆環肽(rhodamine-labeled phalloidin;美國加州聖地牙哥市InvivoGen公司)共同培育30分鐘。經過洗滌後,在螢光顯微鏡下(Axiovert 100;德國Oberkochen市Carl Zeiss GmbH)觀察肌動蛋白環的生成情形。如 果一肌動蛋白環所顯現的典型肌動蛋白環形態不足一半,即認定其結構瓦解。 In this analysis, RAW264.7 cells were cultured in 100ng/mL RANKL in the presence or absence of FIP- gts for 5 days. The cells were washed, fixed with 3.7% formalin, and incubated in 0.1% Triton-PBS for 15 minutes to permeabilize the cells. The cells were blocked in 1% bovine serum albumin formulated in PBS, and incubated with rhodamine-labeled phalloidin (rhodamine-labeled phalloidin; InvivoGen, San Diego, California, USA) for 30 minutes. After washing, the formation of actin loops was observed under a fluorescent microscope (Axiovert 100; Carl Zeiss GmbH, Oberkochen, Germany). If an actin ring exhibits less than half of the typical actin ring shape, it is considered that its structure has collapsed.

結果顯示於圖7,肌動蛋白環被發出螢光的鬼筆環肽所染色,顯示其生成是以劑量相依方式被FIP-gts所抑制,這個結果確認了FIP對於蝕骨細胞的再吸收能力具有抑制效果。 The results are shown in Figure 7. The actin ring was stained with fluorescent phalloidin, showing that its production was inhibited by FIP-gts in a dose-dependent manner. This result confirmed the resorption capacity of FIP for osteoeclasts. Has a suppressive effect.

實例8:功能性骨質再吸收陷窩分析Example 8: Analysis of functional bone resorption lacuna

由於成熟的蝕骨細胞會分泌出組織蛋白酶K(Cathepsin;CTSK)和耐酒石酸酸性磷酸酶(TRAP)等許多種酵素,以溶解骨質的礦物質成份,本實例使用RANKL來誘發RAW264.7細胞並且計算由此所形成的陷窩數目和面積,細胞是被培養在一個24-井孔的Corning®骨分析用表面培養皿上(美國紐約州康寧生活科學公司),而所述培養皿是在聚苯乙烯製成的皿表面上覆設一層無機磷酸鈣結晶,以模擬骨骼環境。 Since mature osteoclasts secrete cathepsin K (Cathepsin; CTSK) and tartrate-resistant acid phosphatase (TRAP) and many other enzymes to dissolve the mineral components of bone, this example uses RANKL to induce RAW264.7 cells and Calculate the number and area of the lacunae formed. The cells were cultured on a 24-well Corning® surface petri dish for bone analysis (Corning Life Sciences, New York, USA). The surface of the dish made of styrene is covered with a layer of inorganic calcium phosphate crystals to simulate the bone environment.

以1×105個細胞/井孔的密度將RAW264.7細胞植入培養皿,接著以FIP-gts或載劑(0.1% DMSO)預處理2小時,再添加100ng/Ml的RANKL。經過5天的培育後,使用1N NaOH使細胞分解10分鐘,並且以PBS洗滌井孔二次。藉由Metamorph影像分析軟體(Metamorph成像系統;美國賓州Universal Imaging Corp)來分析因為再吸收所形成的陷窩數目和面積。 RAW264.7 cells were implanted into a culture dish at a density of 1×10 5 cells/well, and then pretreated with FIP-gts or vehicle (0.1% DMSO) for 2 hours, and then 100 ng/Ml RANKL was added. After 5 days of incubation, 1N NaOH was used to decompose the cells for 10 minutes, and the wells were washed twice with PBS. Metamorph image analysis software (Metamorph imaging system; Universal Imaging Corp., Pennsylvania, USA) was used to analyze the number and area of lacunae formed by resorption.

結果顯示於圖8A-8C,其指出在表面覆有磷酸鈣的培養皿上因骨質再吸收所形成的陷窩數目和程度是被FIP-gts劑量相依地降低,這結果再次確認了FIP對於蝕骨細胞的再吸收能力具有抑制效果。 The results are shown in Figures 8A-8C, which indicate that the number and extent of lacunae formed by bone resorption on the petri dish coated with calcium phosphate are reduced in a dependent manner by the dose of FIP- gts. This result again confirms that FIP is effective for erosion. The resorption capacity of bone cells has an inhibitory effect.

儘管本發明已參照以上較佳具體例說明,應認知到較佳具體例僅為例示目的給予而非意圖限制本發明的範疇,可進行對熟習相關技藝者而言極為明顯的各種更動與改變,而無逸離本發明精神與範疇。 Although the present invention has been described with reference to the above preferred specific examples, it should be understood that the preferred specific examples are provided for illustrative purposes only and not intended to limit the scope of the present invention, and various modifications and changes that are extremely obvious to those skilled in the relevant art can be made. Without departing from the spirit and scope of the present invention.

本申請提到的所有論文、刊物、文獻、專利、專利申請案、網址、及其他印刷或電子文件-包括但不限於下文所列參考文獻-以參照方式整體併入。若有衝突,將以本說明-包括定義-為準。 All papers, publications, documents, patents, patent applications, websites, and other printed or electronic documents mentioned in this application-including but not limited to the references listed below-are incorporated by reference in their entirety. In case of conflict, this description, including definitions, will prevail.

<110>益生生技開發股份有限公司 <120>真菌免疫調節蛋白在治療和預防因牙周病所造成的齒槽骨流失上的醫藥用途   <160> 序列識別號之數目: 8 <210> 序列識別號: 第1號 <211> 序列長度: 111 <212> 序列類型: PRT <213> 生物體: 松杉靈芝(Ganoderma tsugae ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(111) <400> 序列: 1     Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1               5                   10                  15        Leu Ser Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Asn Pro Asn Asn             20                  25                  30            Phe Ile Asp Thr Val Thr Phe Pro Lys Val Leu Thr Asp Lys Ala Tyr         35                  40                  45                Thr Tyr Arg Val Ala Val Ser Gly Arg Asn Leu Gly Val Lys Pro Ser     50                  55                  60                    Tyr Ala Val Glu Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65                  70                  75                  80    Asn Ser Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val                 85                  90                  95        Val Asp Pro Asp Thr Asn Asn Asp Phe Ile Ile Ala Gln Trp Asn             100                 105                 110     <210> 序列識別號: 第2號 <211> 序列長度: 114 <212> 序列類型: PRT <213> 生物體: 金針菇(Flammulina Velutipes ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(114) <400> 序列: 2     Ser Ala Thr Ser Leu Thr Phe Gln Leu Ala Tyr Leu Val Lys Lys Ile 1               5                   10                  15        Asp Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Thr Pro Ser Ser Tyr             20                  25                  30            Ile Asp Asn Leu Thr Phe Pro Lys Val Leu Thr Asp Lys Lys Tyr Ser         35                  40                  45                Tyr Arg Val Val Val Asn Gly Ser Asp Leu Gly Val Glu Ser Asn Phe     50                  55                  60                     Ala Val Thr Pro Ser Gly Gly Gln Thr Ile Asn Phe Leu Gln Tyr Asn 65                  70                  75                  80    Lys Gly Tyr Gly Val Ala Asp Thr Lys Thr Ile Gln Val Phe Val Val                 85                  90                  95         Ile Pro Asp Thr Gly Asn Ser Glu Glu Tyr Ile Ile Ala Glu Trp Lys             100                 105                 110   Lys Thr     <210> 序列識別號: 第3號 <211> 序列長度: 112 <212> 序列類型: PRT <213> 生物體: 草菇(Volvariella volvacea ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(112) <400> 序列: 3     Ser Thr Asp Leu Thr Gln Leu Leu Phe Phe Ile Ala Tyr Asn Leu Gln 1               5                   10                  15        Lys Val Asn Phe Asp Tyr Thr Pro Gln Trp Gln Arg Gly Asn Pro Ser             20                  25                  30            Ser Tyr Ile Asp Ala Val Val Phe Pro Arg Val Leu Thr Asn Lys Ala         35                  40                  45                Tyr Gln Tyr Arg Val Val Thr Gly Asp Lys Asp Leu Gly Ile Lys Pro     50                  55                  60                    Ser Tyr Ser Val Gln Ala Asp Gly Ser Gln Lys Val Asn Leu Leu Glu 65                  70                  75                  80    Tyr Asn Gly Gly Tyr Gly Val Ala Asp Thr Thr Thr Ile Lys Ile Tyr                 85                  90                  95        Val Val Asp Pro Ser Asn Gly Asn Gln Tyr Leu Ile Ala Gln Trp Lys             100                 105                 110       <210> 序列識別號: 第4號 <211> 序列長度: 111 <212> 序列類型: PRT <213> 生物體: 赤芝(Ganoderma lucidum ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(111) <400> 序列: 4     Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1               5                   10                  15        Leu Ser Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Asn Pro Asn Asn             20                  25                  30            Phe Ile Asp Thr Val Thr Phe Pro Lys Val Leu Thr Asp Lys Ala Tyr         35                  40                  45                Thr Tyr Arg Val Ala Val Ser Gly Arg Asn Leu Gly Val Lys Pro Ser     50                  55                  60                    Tyr Ala Val Glu Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65                  70                  75                  80    Asn Ser Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val                 85                  90                  95        Val Asp Pro Asp Thr Asn Asn Asp Phe Ile Ile Ala Gln Trp Asn             100                 105                 110       <210> 序列識別號: 第5號 <211> 序列長度: 111 <212> 序列類型: PRT <213> 生物體: 紫芝(Ganoderma japoncium ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(111) <400> 序列: 5     Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1               5                   10                  15        Leu Ser Phe Asp Tyr Thr Pro Thr Trp Gly Arg Gly Asn Pro Ser Arg             20                  25                  30            Phe Val Asp Asn Val Thr Phe Pro Gln Val Leu Ala Asp Lys Ala Tyr         35                  40                  45                Thr Tyr Arg Val Val Val Ser Gly Arg Asp Leu Gly Val Arg Pro Ser     50                  55                  60                    Tyr Ala Val Gly Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65                  70                  75                  80    Asn Gln Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val                 85                  90                  95        Ile Asp Pro Asp Thr Asp Ala Asp Phe Ile Ile Ala Gln Trp Asn             100                 105                 110         <210> 序列識別號: 第6號 <211> 序列長度: 111 <212> 序列類型: PRT <213> 生物體: 小孢子靈芝(Ganoderma microsporum ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(111) <400> 序列: 6     Met Ser Asp Thr Ala Leu Ile Phe Thr Leu Ala Trp Asn Val Lys Gln 1               5                   10                  15        Leu Ala Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Arg Pro Ser Ser             20                  25                  30            Phe Ile Asp Thr Val Thr Phe Pro Thr Val Leu Thr Asp Lys Ala Tyr         35                  40                  45                Thr Tyr Arg Val Val Val Ser Gly Lys Asp Leu Gly Val Arg Pro Ser     50                  55                  60                    Tyr Ala Val Glu Ser Asp Gly Ser Gln Lys Ile Asn Phe Leu Glu Tyr 65                  70                  75                  80    Asn Ser Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Tyr Val                 85                  90                  95        Ile Asp Pro Asp Thr Gly Asn Asn Phe Ile Val Ala Gln Trp Asn             100                 105                 110       <210> 序列識別號: 第7號 <211> 序列長度: 111 <212> 序列類型: PRT <213> 生物體: 甜芝(Ganoderma sinense ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(111) <400> 序列: 7     Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1               5                   10                  15        Leu Ser Phe Asp Tyr Thr Pro Thr Trp Gly Arg Gly Asn Pro Ser Arg             20                  25                  30            Phe Val Asp Asn Val Thr Phe Pro Gln Val Leu Ala Asp Lys Ala Tyr         35                  40                  45                Thr Tyr Arg Val Val Val Ser Gly Arg Asp Leu Gly Val Arg Pro Ser     50                  55                  60                    Tyr Ala Val Gly Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65                  70                  75                  80    Asn Gln Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val                 85                  90                  95        Ile Asp Pro Asp Thr Gly Ala Asp Phe Ile Ile Ala Gln Trp Asn             100                 105                 110   <210> 序列識別號: 第8號 <211> 序列長度: 114 <212> 序列類型: PRT <213> 生物體: 紅球叢赤殼菌(Nectria haematococca ) <221> 名稱/關鍵字:胜肽 <222> 位置:(1)…(114) <400> 序列: 8     Met Ala Thr Thr Asn Asp Ser Ala Val Leu Phe Tyr Ile Val Ala Ser 1               5                   10                  15        Gln Lys Lys Leu Ser Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Ser             20                  25                  30            Pro Asn Ser Tyr Ile Asp Asn Leu Thr Phe Pro Arg Val Leu Thr Asn         35                  40                  45                Lys Pro Tyr Lys Tyr Arg Val Val Lys Ala Gly Gln Asp Leu Gly Val     50                  55                  60                    Arg Asp Ser Tyr Ser Val Gln Ser Asp Gly Ser Gln Lys Val Asn Phe 65                  70                  75                  80    Leu Glu Tyr Asn Ala Gly Arg Gly Ile Ala Asp Thr Gln Thr Ile Gln                 85                  90                  95        Val Tyr Val Val Asp Pro Asp Asn Gly Asn Gln Tyr Leu Val Ala Gln             100                 105                 110   Trp Lys<110> Probiotics Technology Development Co., Ltd. <120> The medical use of fungal immunomodulatory protein in the treatment and prevention of alveolar bone loss caused by periodontal disease <160> Number of serial identification numbers: 8 <210> Sequence Identification number: No. 1 <211> Sequence length: 111 <212> Sequence type: PRT <213> Organism: Ganoderma tsugae (Ganoderma tsugae) <221> Name/Keyword: Peptide <222> Position: (1 )…(111) <400> Sequence: 1 Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1 5 10 15 Leu Ser Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Asn Pro Asn Asn 20 25 30 Phe Ile Asp Thr Val Thr Phe Pro Lys Val Leu Thr Asp Lys Ala Tyr 35 40 45 Thr Tyr Arg Val Ala Val Ser Gly Arg Asn Leu Gly Val Lys Pro Ser 50 55 60 Tyr Ala Val Glu Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65 70 75 80 Asn Ser Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val 85 90 95 Val Asp Pro Asp Thr Asn Asn Asp Phe Ile Ile Ala Gln Trp Asn 100 105 110 <210> Serial identification number: No. 2 <211> Sequence length: 114 <212> Sequence type: PRT <213> Organism: Flammulina Velutipes <221> Name/Keyword: Peptide <222> Position: (1)…(114) <400> Sequence: 2 Ser Ala Thr Ser Leu Thr Phe Gln Leu Ala Tyr Leu Val Lys Lys Ile 1 5 10 15 Asp Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Thr Pro Ser Ser Tyr 20 25 30 Ile Asp Asn Leu Thr Phe Pro Lys Val Leu Thr Asp Lys Lys Tyr Ser 35 40 45 Tyr Arg Val Val Val Asn Gly Ser Asp Leu Gly Val Glu Ser Asn Phe 50 55 60 Ala Val Thr Pro Ser Gly Gly Gln Thr Ile Asn Phe Leu Gln Tyr Asn 65 70 75 80 Lys Gly Tyr Gly Val Ala Asp Thr Lys Thr Ile Gln Val Phe Val Val 85 90 95 Ile Pro Asp Thr Gly Asn Ser Glu Glu Tyr Ile Ile Ala Glu Trp Lys 100 105 110 Lys Thr <210> Serial identification number: No. 3 <211> Sequence length: 112 <212> Sequence type: PRT <213> Organism: Straw mushroom (Volvariella volvacea ) <221> Name /Keyword: peptide <222> Position: (1)…(112) <400> Sequence: 3 Ser Thr Asp Leu Thr Gln Leu Leu Phe Phe Ile Ala Tyr Asn Leu Gln 1 5 10 15 Lys Val Asn Phe Asp Tyr Thr Pro Gln Trp Gln Arg Gly Asn Pro Ser 20 25 30 Ser Tyr Ile Asp Ala Val Val Phe Pro Arg Val Leu Thr Asn Lys Ala 35 40 45 Tyr Gln Tyr Arg Val Val Thr Gly Asp Lys Asp Leu Gly Ile Lys Pro 50 55 60 Ser Tyr Ser Val Gln Ala Asp Gly Ser Gln Lys Val Asn Leu Leu Glu 65 70 75 80 Tyr Asn Gly Gly Tyr Gly Val Ala Asp Thr Thr Thr Ile Lys Ile Tyr 85 90 95 Val Val Val Asp Pro Ser Asn Gly Asn Gln Tyr Leu Ile Ala Gln Trp Lys 100 105 110 <210> Serial identification number: No. 4 <211> Sequence length: 111 <212> Sequence type: PRT <213> Organism: Ganoderma lucidum <221> Name /Keyword: peptide <222> Position: (1)…(111) <400> Sequence: 4 Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1 5 10 15 Leu Ser Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Asn Pro Asn Asn 20 25 30 Phe Ile Asp Thr Val Thr Phe Pro Lys Val Leu Thr Asp Lys Ala Tyr 35 40 45 Thr Tyr Arg Val Ala Val Ser Gly Arg Asn Leu Gly Val Lys Pro Ser 50 55 60 Tyr Ala Val Glu Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65 70 75 80 Asn Ser Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val 85 90 95 Val Asp Pro Asp Thr Asn Asn As p Phe Ile Ile Ala Gln Trp Asn 100 105 110 <210> Serial identification number: No. 5 <211> Sequence length: 111 <212> Sequence type: PRT <213> Organism: Ganoderma japoncium (Ganoderma japoncium) <221> Name /Keyword: peptide <222> Position: (1)…(111) <400> Sequence: 5 Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1 5 10 15 Leu Ser Phe Asp Tyr Thr Pro Thr Trp Gly Arg Gly Asn Pro Ser Arg 20 25 30 Phe Val Asp Asn Val Thr Phe Pro Gln Val Leu Ala Asp Lys Ala Tyr 35 40 45 Thr Tyr Arg Val Val Val Ser Gly Arg Asp Leu Gly Val Arg Pro Ser 50 55 60 Tyr Ala Val Gly Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65 70 75 80 Asn Gln Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val 85 90 95 Ile Asp Pro Asp Thr Asp Ala Asp Phe Ile Ile Ala Gln Trp Asn 100 105 110 <210> Sequence identification number: No. 6 <211> Sequence length: 111 <212> Sequence type: PRT <213> Organism: Ganoderma microsporum (Ganoderma microsporum) <221> Name/Keyword: Peptide <222> Position: (1)…(111) <400> Sequence: 6 Met Ser Asp Thr Ala Leu Ile Phe Thr Leu Ala Trp Asn Val Lys Gln 1 5 10 15 Leu Ala Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Arg Pro Ser Ser 20 25 30 Phe Ile Asp Thr Val Thr Phe Pro Thr Val Leu Thr Asp Lys Ala Tyr 35 40 45 Thr Tyr Arg Val Val Val Ser Gly Lys Asp Leu Gly Val Arg Pro Ser 50 55 60 Tyr Ala Val Glu Ser Asp Gly Ser Gln Lys Ile Asn Phe Leu Glu Tyr 65 70 75 80 Asn Ser Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Tyr Val 85 90 95 Ile Asp Pro Asp Thr Gly As n Asn Phe Ile Val Ala Gln Trp Asn 100 105 110 <210> Serial identification number: No. 7 <211> Sequence length: 111 <212> Sequence type: PRT <213> Organism: Ganoderma sinense <221 > Name/Keyword: Peptide <222> Position: (1)…(111) <400> Sequence: 7 Met Ser Asp Thr Ala Leu Ile Phe Arg Leu Ala Trp Asp Val Lys Lys 1 5 10 15 Leu Ser Phe Asp Tyr Thr Pro Thr Trp Gly Arg Gly Asn Pro Ser Arg 20 25 30 Phe Val Asp Asn Val Thr Phe Pro Gln Val Leu Ala Asp Lys Ala Tyr 35 40 45 Thr Tyr Arg Val Val Val Ser Gly Arg Asp Leu Gly Val Arg Pro Ser 50 55 60 Tyr Ala Val Gly Ser Asp Gly Ser Gln Lys Val Asn Phe Leu Glu Tyr 65 70 75 80 Asn Gln Gly Tyr Gly Ile Ala Asp Thr Asn Thr Ile Gln Val Phe Val 85 90 95 Ile Asp Pro Asp Thr Gly Ala A sp Phe Ile Ile Ala Gln Trp Asn 100 105 110 <210> Sequence identification number: No. 8 <211> Sequence length: 114 <212> Sequence type: PRT <213> Organism: Nectria haematococca ) <221> Name/Keyword: Peptide <222> Position: (1)…(114) <400> Sequence: 8 Met Ala Thr Thr Asn Asp Ser Ala Val Leu Phe Tyr Ile Val Ala Ser 1 5 10 15 Gln Lys Lys Leu Ser Phe Asp Tyr Thr Pro Asn Trp Gly Arg Gly Ser 20 25 30 Pro Asn Ser Tyr Ile Asp Asn Leu Thr Phe Pro Arg Val Leu Thr Asn 35 40 45 Lys Pro Tyr Lys Tyr Arg Val Val Lys Ala Gly Gly Gln Asp Leu Gly Val 50 55 60 Arg Asp Ser Tyr Ser Val Gln Ser Asp Gly Ser Gln Lys Val Asn Phe 65 70 75 80 Leu Glu Tyr Asn Ala Gly Arg Gly Ile Ala Asp Thr Gln Thr Ile Gln 85 90 95 Val Tyr Val Val Asp Pro Asp Asn Gly Asn Gln Tyr Leu Val Ala Gln 100 105 110 Trp Lys

Claims (7)

一種真菌免疫調節蛋白(FIP)在製造一醫藥品上的用途,所述醫藥品用於在一個罹患牙周病的患者體內治療因牙周病所造成的齒槽骨流失。 The use of a fungal immunomodulatory protein (FIP) in the manufacture of a medicine for the treatment of alveolar bone loss caused by periodontal disease in a patient suffering from periodontal disease. 一種真菌免疫調節蛋白(FIP)在製造一醫藥品上的用途,所述醫藥品用於預防因牙周病所造成的齒槽骨流失發生於一個容易罹患牙周病的患者。 The use of a fungal immunomodulatory protein (FIP) in the manufacture of a medicine for preventing alveolar bone loss caused by periodontal disease in a patient prone to periodontal disease. 如請求項1至2中任一項的用途,其中所述FIP與序列識別號第1號的胺基酸序列具有至少57%的胺基酸相同性。 The use according to any one of claims 1 to 2, wherein the FIP has at least 57% amino acid identity with the amino acid sequence of SEQ ID NO. 1. 如請求項3的用途,其中所述FIP具有一選自於由下列所組成的群組中的胺基酸序列:序列識別號第1號、序列識別號第2號、序列識別號第3號、序列識別號第4號、序列識別號第5號、序列識別號第6號、序列識別號第7號與序列識別號第8號。 The use of claim 3, wherein the FIP has an amino acid sequence selected from the group consisting of: serial identification number 1, serial identification number 2, and serial identification number 3. , Serial ID No. 4, Serial ID No. 5, Serial ID No. 6, Serial ID No. 7 and Serial ID No. 8. 如請求項4的用途,其中所述FIP具有序列識別號第1號的胺基酸序列。 The use according to claim 4, wherein the FIP has an amino acid sequence of sequence identification number 1. 如請求項1至2中任一項的用途,其中所述FIP呈口服給予形式。 The use according to any one of claims 1 to 2, wherein the FIP is in the form of oral administration. 如請求項1至2中任一項的用途,其中所述患者是選自於由人類和非人類脊椎動物所組成的群組。 The use according to any one of claims 1 to 2, wherein the patient is selected from the group consisting of humans and non-human vertebrates.
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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101376020A (en) * 2007-08-29 2009-03-04 益生生技开发股份有限公司 Application of fungal immunomodulatory protein for inhibiting delta 5-desaturated enzyme
TW201200149A (en) * 2010-06-29 2012-01-01 Mycomagic Biotechnology Co Ltd New uses of an immunomodulatory protein (GMI) from Ganoderma microsporum
US20140079737A1 (en) * 2012-09-14 2014-03-20 Taipei Medical University Use of immunomodulatory protein in promotion of wound healing or treatment of tissue injury
CN103990109A (en) * 2014-06-17 2014-08-20 张喜田 Application of recombinant ganoderma lucidum immunomodulatory protein (rLZ-8) in preparing medicament for treating osteoporosis

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101376020A (en) * 2007-08-29 2009-03-04 益生生技开发股份有限公司 Application of fungal immunomodulatory protein for inhibiting delta 5-desaturated enzyme
TW201200149A (en) * 2010-06-29 2012-01-01 Mycomagic Biotechnology Co Ltd New uses of an immunomodulatory protein (GMI) from Ganoderma microsporum
US20140079737A1 (en) * 2012-09-14 2014-03-20 Taipei Medical University Use of immunomodulatory protein in promotion of wound healing or treatment of tissue injury
CN103990109A (en) * 2014-06-17 2014-08-20 张喜田 Application of recombinant ganoderma lucidum immunomodulatory protein (rLZ-8) in preparing medicament for treating osteoporosis

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
UniProtKB-P14945(序列公開日:2007/1/23) *

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