WO2012146194A1

WO2012146194A1 - Extracts of cynanchum sp. and active ingredients contained therein in use of arthritis treatment

Info

Publication number: WO2012146194A1
Application number: PCT/CN2012/074815
Authority: WO
Inventors: Jennline SHEU; Lain-Tze Lee; Ying-Chu Shih; Cheng-Yu Lee; Yi-Ching Lee; Jir-Mehng Lo; Tien-Soung Tong; Jui-Hung Yen; Kuo-Kuei Huang; Ying-Fei Tsai
Original assignee: Industrial Technology Research Institute ITRI
Current assignee: Industrial Technology Research Institute ITRI
Priority date: 2011-04-29
Filing date: 2012-04-27
Publication date: 2012-11-01
Anticipated expiration: 2013-10-29
Also published as: GB2498677A; US20140134280A1; TWI504394B; JP2014512400A; JP5902803B2; TW201242599A; GB201307973D0; US9549958B2; DE112012000221T5

Abstract

An extract of Cynanchum sp. in use of arthritis treatment is provided. The extract of Cynanchum sp. and an active ingredient contained therein, antofine, are applicable to a method, pharmaceutical composition and dietary supplement for treatment of arthritis. A mass production of antofine from plant extracts is also provided.

Description

EXTRACTS OF CYNANCHUM SP. AND ACTIVE INGREDIENTS CONTAINED THEREIN IN USE OF ARTHRITIS TREATMENT

CROSS REFERENCE TO RELATED APPILCATIONS

[0001] This application claims the benefit of U.S. Provisional Application No. 61/480,550 filed April 29, 2011. The disclosure of the applications is incorporated herein by reference.

TECHNICAL FIELD

[0002] The technical field relates to the treatment of arthritis.

BACKGROUND

[0003] Arthritis is predominantly a disease of the elderly and morbidity has increased with civilization. The treatment of arthritis includes administration of corticosteroids to eliminate inflammatory symptoms and inhibit the immune system, or administration of non-steroid anti-inflammatory drugs (NSAIDs), such as COX-1 inhibitors, COX-2 inhibitors, Celebrex or Ibuprofen, to ameliorate pain and inflammation. However, severe side effects and limited effects of these drugs drive new-generation of drugs to be developed.

[0004] The new-generation of drugs for the treatment of arthritis focus on the role of the cytokine, TNF-a, during the development of arthritis. A series of bioagents to decrease the secretion of TNF-a in arthritis patients has been developed, like the anti- TNF-a antibody, Adalimumab and Infliximab, or TNF-aantagonist, Etanercept. Studies show that a combination of an immunoinhibitory agent, methotrexate, and the TNF-aantagonist, etanercept, may increase the treatment effect of arthritis (Tracey D, et al, Tumor necrosis factor antagonist mechanisms of action: a comprehensive review, Pharmacology & Therapeutics 117 (2008) 244-279.). The agents for inhibition of other cytokines, such as IL- 6 antibodies and IL-i -ra, have also been known for the treatment of arthritis. However, the limited efficacy, side effects and single administration present in these agents has lead to an urgent desire to develop new drugs.

SUMMARY

[0005] In one embodiment of the invention provides a method for treatment of arthritis, comprising administrating an effective amount of an extract of Cynanchum sp. to a subject in need thereof.

[0006] In another embodiment of the invention provides a pharmaceutical composition for the treatment of arthritis, comprising an extract of Cynanchum sp. as an active ingredient or pharmaceutically acceptable carrier.

[0007] In one embodiment of the invention provides a method for treatment of arthritis, comprising administrating an effective amount of antofine to a subject in need thereof.

[0008] In another embodiment of the invention provides a pharmaceutical composition for the treatment of arthritis, comprising antofine as an active ingredient and a pharmaceutically acceptable carrier.

[0009] In one embodiment of the invention provides a method for the production of antofine, comprising the steps of: (i) mixing a plant powder with a first solvent to form a first blend; (ii) heating and filtering the first blend to obtain a first extract; (iii) concentrating the first extract and substantially adding an acid to form a suspension with a sticky material; (iv) filtering the suspension to remove the sticky material and obtain a clear solution; (v) extracting the clear solution with a second solvent to obtain a second extract solution; (vi) concentrating and purifying the second extract solution; wherein the plant is selected from the group consisting of at least one of Albizzia julibrissin, Antitoxicum funebre, Cocculus laurifolius, Cocculus pendulus, Corydalis meifolia, Croton sparsiflours, Cryptocarya oubatchensis, Cryptocarya phyllostemon, Cryptocarya chinensis, Cynanchum hancockianum, Cynanchum inamoenum, Cynanchum komarovi, Cynanchum paniculatum, Cynanchum vincetoxicum, Ficus fistulosa, Ficus septica, Pergularia daemia, Stephania glabra, Tylophora floribunda, Tylophora indica, Tylophora tanakae, Vincetoxicum hirundinaria, Vincetoxicum nigrum, Vincetoxicum officinale, Vincetoxicum pumilu and Vincetoxicum rossicum.

[0010] In one more embodiment of the invention provides a dietary supplement comprising antofine as an active ingredient and a food additive.

[0011] In another embodiment of the invention provides a dietary supplement comprising an extract of Cynanchum sp. as an active ingredient and a food additive. DRAWINGS

[0012] The disclosure can be more fully understood by reading the subsequent detailed description and examples with references made to the accompanying drawings, wherein:

[0013] Figs. 1 and 2 are the MR data of crystals extracted from Cynanchum hancockianum, wherein the crystal from Cynanchum hancockianum was identified as antofine;

[0014] Fig. 3 is the effect of the ethanol extract of Cynanchum hancockianum on TNF- α inhibition and cell viability in a U937 cell line according to one embodiment;

[0015] Fig. 4 is the effect of antofine on TNF-a inhibition and cell viability in a U937 cell line according to one embodiment;

[0016] Fig. 5 is the effect of extracts of Cynanchum sp. on TNF-ainhibition in an LPS- induced model according to one embodiment;

[0017] Fig. 6 is the effect of extracts of Cynanchum sp. on IL-6 inhibition in an LPS- induced model according to one embodiment;

[0018] Fig. 7 is the effect of several extracts of Cynanchum sp. on TNF-ainhibition in an LPS-induced model according to one embodiment;

[0019] Fig. 8 is the effect of several extracts of Cynanchum sp. on IL-6 inhibition in an LPS-induced model according to one embodiment;

[0020] Fig. 9 is the effect of several extracts of Cynanchum sp. on TNF-ainhibition in an LPS-induced model according to one embodiment;

[0021] Fig. 10 is the effect of several extracts of Cynanchum sp. on IL-6 inhibition in an LPS-induced model according to one embodiment;

[0022] Fig. 11 is the effect of extracts of Cynanchum sp. on the hindpaw volume in a carrageenan-induced rat model according to one embodiment;

[0023] Fig. 12 is the effect of extracts of Cynanchum sp. on the arthritis scores in an adjuvant-induced arthritis model according to one embodiment;

[0024] Fig. 13 is the effect of extracts of Cynanchum sp. on the hindpaw volume in an adjuvant-induced arthritis model according to one embodiment;

[0025] Fig. 14 is the effect of antofine regimes on arthritis morbidity in a collagen- induced arthritis model according to one embodiment;

[0026] Fig. 15 is the effect of antofine regimes on weight changes in a collagen- induced arthritis model according to one embodiment;

[0027] Fig. 16 is the effect of antofine regimes on the hindpaw volume in a collagen- induced arthritis model according to one embodiment; and

[0028] Fig. 17 is the effect of antofine regimes on the arthritis scores in a collagen- induced arthritis model according to one embodiment.

DETAILED DESCRIPTION

[0029] In the following detailed description, for purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of the disclosed embodiments. It will be apparent, however, that one or more embodiments may be practiced without these specific details. In other instances, well-known structures and devices are schematically shown in order to simplify the drawing.

[0030] One embodiment of the invention provides a method for treatment of arthritis, comprising administrating an effective amount of an extract of Cynanchum sp. to a subject in need thereof. In another embodiment, the invention provides a pharmaceutical composition of the treatment of arthritis, comprising an extract of Cynanchum sp. as an active ingredient and a pharmaceutically acceptable carrier.

[0031] The Cynanchum sp. herein comprises Cynanchum hancockianum, Cynanchum inamoenum, Cynanchum komarovii, Cynanchum paniculatum, Cynanchum vincetoxicum, Cynanchum atratum or Cynanchum stauntonii, in which Cynanchum hancockianum is preferable.

[0032] The extraction of Cynanchum sp. according to one embodiment of the invention may be suitably adjusted depending on the plant species, the tissues for extraction or the like. In one embodiment of the invention, the extraction of Cynanchum sp. may comprise the steps of:

(i) mixing a plant powder with a first solvent to form a first blend;

(ii) heating and filtering the first blend to obtain a first extract;

(iii) concentrating the first extract and substantially adding an acid to form a suspension with a sticky material;

(iv) filtering the suspension to remove the sticky material and obtain a clear solution;

(v) extracting the clear solution with a second solvent to obtain a second extract solution; and

(vi) concentrating and purifying the second extract solution.

[0033] More specific, the first solvent comprises water, alcohols, esters, ethers, ketones or a combination thereof. The alcohols recited in the first solvent may comprise methanol, ethanol, propanol, isopropanol, butanol, 2-butanol, 2-methylpropanol, 2-methyl-propan-2- ol, 1-pentanol, 2-pentanol, 3-pentanol, 1-hexanol, 2-hexanol, 3-hexanol or a combination thereof. The esters recited in the first solvent may comprise methyl acetate, ethyl acetate, propyl acetate, butyl acetate, pentyl acetate, hexyl acetate or a combination thereof. The ketones recited in the first solvent may comprise acetone, methyl ethyl ketone, 2-pentanone, 3-pentanone or a combination thereof. The ethers recited in the first solvent may comprise ether, propyl ether, isopropyl ether or a combination thereof. [0034] In one example of the invention, the first solvent is a mixture solvent consisting of 80-100% by weight of butyl acetate and 0-20% by weight of ethanol. In another example of the invention, the first solvent is 50-100%) by weight of isopropanol aqueous solution or 90-100 % by weight of isopropanol aqueous solution.

[0035] According to the invention, the acid added into the first extract is not specifically limited, but hydrochloric acid is preferable. In one example of the invention, 0.1-2N hydrochloric acid is used.

[0036] According to one embodiment of the invention, the heating temperature in the step (ii) is from room temperature to boiling temperature of the blend. The heating duration may last 2 hours or more. In one example, the heating temperature is 25~75°Cand 70~75°C is preferable.

[0037] According to one embodiment of the invention, the second solvent may comprise dichloromethane, methanol, ethanol, ether, acetone or a combination thereof, preferably dichloromethane, but it is not limited. The extraction with the second solvent may be preformed at least one time for an increase of the purity. Preferably, the extraction with the second solvent may be performed in one to three times, but not limited thereto.

[0038] According to one embodiment of the invention, the purifying in the step (vi) may comprise column chromatography or recrystallization, but it is not limited. The recrystallization may comprise the steps of mixing the concentrated or dried extract with a polar solvent and, after heating and dissolution, cooling down the solution for crystallization. The polar solvent may comprise dichloromethane, methanol, ethanol, ether, acetone or a combination thereof. In one example, dichloromethane is used.

[0039] The column chromatography herein refers to a method for separating a component in a mixture by an elute driving the mixture through a column fulfilled with absorbable solid fillers. Because the components in the mixture have different affinities to the fillers of the column and have different solubility to the elute, the components pass through the column with varied velocities and, therefore, are separated. The elute may comprise methanol, ethanol, ethyl acetate, butyl acetate, or a combination thereof. One example of the invention use silica column chromatography with elute consisting of ethyl acetate and methanol in a volume ratio of 2:5.

[0040] According to one embodiment of the invention, the filtering in the step (iv) may use celite, clay or the like to remove the sticky material after adding the acid.

[0041] In the extract of Cynanchum sp., the inventors further identify an active ingredient for treatment of arthritis, antofine, in one embodiment of the invention. In other embodiment, the extracts of Cynanchum sp. contain 0.1-0.3% antofine. Thus, the invention further provides a method for treatment of arthritis comprising administrating an effective amount of antofine to a subject in need thereof and a pharmaceutical composition for treatment of arthritis comprising antofine as an active ingredient and a pharmaceutically acceptable carrier in one embodiment.

[0042] The antofine according to one embodiment of the invention refers to the phenanthroindolizidine alkaloid as represented in the following Formula (1), enantiomers or salts thereof.

Formula (1).

[0043] The enantiomer recited herein includes (+)-antofine and (-)-antofine, but (-)- antofine naturally present as represented in the following Formula (2) is preferable.

[0044] The salts of antofine recited herein may comprise salts of sodium, potassium, lithium, magnesium, potassium, ammonium, carbonates, nitrates, bicarbonates, hydrochlorides, sulfates, phosphates or silicates. However, the invention is not limited thereto and comprises the salts which do not influence the activity of antofine for the treatment of arthritis.

[0045] In one embodiment of the invention, antofine can be obtained from the extraction of the plants, Albizzia julibrissin, Antitoxicum funebre, Cocculus laurifolius, Cocculus pendulus, Corydalis meifolia, Croton sparsiflours, Cryptocarya oubatchensis, Cryptocarya phyllostemon, Cryptocarya chinensis, Cynanchum hancockianum, Cynanchum inamoenum, Cynanchum komarovi, Cynanchum paniculatum, Cynanchum vincetoxicum, Ficus fistulosa, Ficus septica, Pergularia daemia, Stephania glabra, Tylophora floribunda, Tylophora indica, Tylophora tanakae, Vincetoxicum hirundinaria, Vincetoxicum nigrum, Vincetoxicum officinale, Vincetoxicum pumilu, Vincetoxicum rossicum or a combination thereof.

[0046] The extraction for obtaining antofine may be suitably adjusted depending on the plant species, the tissues for extraction or the like. In one embodiment of the invention, the extraction for obtaining antofine comprises the steps of:

(i) mixing a plant powder with a first solvent to form a first blend;

(ii) heating and filtering the first blend to obtain a first extract;

(vi) concentrating and purifying the second extract solution.

[0047] More specific, the first solvent comprises water, alcohols, esters, ethers, ketones or a combination thereof. The alcohols recited in the first solvent may comprise methanol, ethanol, propanol, isopropanol, butanol, 2-butanol, 2-methylpropanol, 2-methyl-propan-2- ol, 1-pentanol, 2-pentanol, 3-pentanol, 1-hexanol, 2-hexanol, 3-hexanol or a combination thereof. The esters recited in the first solvent may comprise methyl acetate, ethyl acetate, propyl acetate, butyl acetate, pentyl acetate, hexyl acetate or a combination thereof. The ketones recited in the first solvent may comprise acetone, methyl ethyl ketone, 2-pentanone, 3-pentanone or a combination thereof. The ethers recited in the first solvent may comprise ether, propyl ether, isopropyl ether or a combination thereof.

[0048] In one example of the invention, the first solvent is a mixture solvent consisting of 80- 100% by weight of butyl acetate and 0-20% by weight of ethanol.

[0049] In another example of the invention, the first solvent is 50-100% by weight of isopropanol aqueous solution or 90-100 % by weight of isopropanol aqueous solution.

[0050] According to the invention, the acid added into the first extract is not specifically limited, but hydrochloric acid is preferable. In one example of the invention, 0.1-2N hydrochloric acid is used.

[0051] According to one embodiment of the invention, the heating temperature in the step (ii) is from room temperature to boiling temperature of the blend. The heating duration may last 2 hours or more. In one example, the heating temperature is 25~75°Cand 70~75°C is preferable. [0052] According to one embodiment of the invention, the second solvent may comprise dichloromethane, methanol, ethanol, ether, acetone or a combination thereof, preferably dichloromethane, but it is not limited. The extraction with the second solvent may be preformed at least one time for an increase of the purity. Preferably, the extraction 5 with the second solvent may be performed in one to three times, but not limited thereto.

[0053] According to one embodiment of the invention, the purifying in the step (vi) may comprise column chromatography or recrystallization, but it is not limited. The recrystallization may comprise the steps of mixing the concentrated or dried extract with a polar solvent and, after heating and dissolution, cooling down the solution for

10 crystallization. The polar solvent may comprise dichloromethane, methanol, ethanol, ether, acetone or a combination thereof. In one example, dichloromethane is used.

[0054] The column chromatography herein refers to a method for separating a component in a mixture by an elute driving the mixture through a column fulfilled with absorbable solid fillers. Because the components in the mixture have different affinities to

15 the fillers of the column and have different solubility to the elute, the components pass through the column with varied velocities and, therefore, are separated. The elute may comprise methanol, ethanol, ethyl acetate, butyl acetate, or a combination thereof. One example of the invention use silica column chromatography with elute consisting of ethyl acetate and methanol in a volume ratio of 2:5.

20 [0055] According to one embodiment of the invention, the filtering in the step (iv) may use celite, clay or the like to remove the sticky material after adding the acid.

[0056] Accordingly, one embodiment of the invention provides method for the production of antofine, comprising the steps of:

(i) mixing a plant powder with a first solvent to form a first blend;

25 (ii) heating and filtering the first blend to obtain a first extract;

(v) extracting the clear solution with a second solvent to obtain a second solution; arid)

(vi) concentrating and purifying the second extract solution,

wherein the plant is selected from the group consisting of at least one of Albizzia julibrissin, Antitoxicum funebre, Cocculus laurifolius, Cocculus pendulus, Corydalis meifolia, Croton sparsiflours, Cryptocarya oubatchensis, Cryptocarya phyllostemon, Cryptocarya chinensis, Cynanchum hancockianum, Cynanchum inamoenum, Cynanchum komarovi, Cynanchum paniculatum, Cynanchum vincetoxicum, Ficus fistulosa, Ficus septica, Pergularia daemia, Stephania glabra, Tylophora floribunda, Tylophora indica, Tylophora tanakae, Vincetoxicum hirundinaria, Vincetoxicum nigrum, Vincetoxicum officinale, Vincetoxicum pumilu and Vincetoxicum rossicum.

[0057] More specific, the first solvent comprises water, alcohols, esters, ethers, ketones or a combination thereof. The alcohols recited in the first solvent may comprise methanol, ethanol, propanol, isopropanol, butanol, 2-butanol, 2-methylpropanol, 2-methyl-propan-2- ol, 1-pentanol, 2-pentanol, 3-pentanol, 1-hexanol, 2-hexanol, 3-hexanol or a combination thereof. The esters recited in the first solvent may comprise methyl acetate, ethyl acetate, propyl acetate, butyl acetate, pentyl acetate, hexyl acetate or a combination thereof. The ketones recited in the first solvent may comprise acetone, methyl ethyl ketone, 2-pentanone, 3-pentanone or a combination thereof. The ethers recited in the first solvent may comprise ether, propyl ether, isopropyl ether or a combination thereof.

[0058] In one example of the invention, the first solvent is a mixture solvent consisting of 80-100% by weight of butyl acetate and 0-20% by weight of ethanol.

[0059] In another example of the invention, the first solvent is 50-100% by weight of isopropanol aqueous solution or 90-100 % by weight of isopropanol aqueous solution.

[0060] According to the invention, the acid added into the first extract is not specifically limited, but hydrochloric acid is preferable. In one example of the invention, 0.1-2N hydrochloric acid is used.

[0061] According to one embodiment of the invention, the heating temperature in the step (ii) is from room temperature to boiling temperature of the blend. The heating duration may last 2 hours or more. In one example, the heating temperature is 25~75°Cand 70~75°C is preferable.

[0062] According to one embodiment of the invention, the second solvent may comprise dichloromethane, methanol, ethanol, ether, acetone or a combination thereof, preferably dichloromethane, but it is not limited. The extraction with the second solvent may be preformed at least one time for an increase of the purity. Preferably, the extraction with the second solvent may be performed in one to three times, but not limited thereto.

[0063] According to one embodiment of the invention, the purifying in the step (vi) may comprise column chromatography or recrystallization, but it is not limited. The recrystallization may comprise the steps of mixing the concentrated or dried extract with a polar solvent and, after heating and dissolution, cooling down the solution for crystallization. The polar solvent may comprise dichloromethane, methanol, ethanol, ether, acetone or a combination thereof. In one example, dichloromethane is used.

[0064] The column chromatography herein refers to a method for separating a component in a mixture by an elute driving the mixture through a column fulfilled with absorbable solid fillers. Because the components in the mixture have different affinities to the fillers of the column and have different solubility to the elute, the components pass through the column with varied velocities and, therefore, are separated. The elute may comprise methanol, ethanol, ethyl acetate, butyl acetate, or a combination thereof. One example of the invention use silica column chromatography with elute consisting of ethyl acetate and methanol in a volume ratio of 2 : 5.

[0065] According to one embodiment of the invention, the filtering in the step (iv) may use celite, clay or the like to remove the sticky material after adding the acid.

[0066] In one embodiment, antofine may be obtained from the steps of: mixing powders of Cynanchum hancockianum with 50-95% by weight of an ethanol aqueous solution to form a blend; heating the blend to reflux for 2 hours and then filtering out the residues; concentrating the filters and adding 3-times the volume of 0.1-2 N hydrochloric acid; extracting the acidic solution with dichloromethane to obtain a dichloromethane extract; and concentrating and purifying the extract by column chromatography to isolate antofine. For increasing the extraction efficiency, the step of dichloromethane extraction may be repeated twice or more. In one example, the step of dichloromethane extraction is repeated 2-3 times. The concentrated extract may be further recrystalled if needed.

[0067] In one example, antofine is produced from the extract of Cynanchum hancockianum because containing more amount of antofine and easily available. However, antofine can also be isolated from the plants by the method of extraction as described herein.

[0068] According to the method for the production of antofine in one embodiment of the invention, the solvent extraction is able to greatly isolate antofine and reduce the time of repeating the column chromatography. A more than 90% yield of antofine can therefore obtained. Thus, production of antofine according to the invention shows high extraction efficiency and has high industrial applicability.

[0069] According to the invention, antofine may not only be obtained from plant extraction but also from chemical syntheses. It has been known that antofine can be chemically synthesized via a proline-catalyzed sequential Ct-aminoxylation and Horner-

Wadsworth-Emmons olefination of aldehyde (Mingbo Cui, et al. Asymmetric synthesis of (R)-antofine and (R)-cryptoleurine via praline-catalyzed sequential a-aminoxylation and Horner-Wadsworth-Emmons olefination of aldehyde. J Org. Chem., 2010, 75(20), p.7018- 7021).

[0070] The effect of the extract of Cynanchum sp. and antofine on arthritis can be further determined in animal models. The animal model for arthritis has been established in several studies, such as: the collagen-induced arthritis (CIA) model (Thorbecke G. J., et al, Involvement of endogenous tumor necrosis factor alpha and transforming growth factor beta during induction of collagen type II arthritis in mice. Proc Natl Acad Sci USA 89, (1992) 7375-7379.); the adjuvant-induced arthritis model (Barnes D. A., et al., Polyclonal antibody directed against human RANTES ameliorates disease in the Lewis rat adjuvant- induced arthritis model. J Clin Invest 101, (1998) 2910-2919.); or the carrageenan-induced paw edema model (Mazzon E., et al, Effect of tumour necrosis factor-a receptor 1 genetic deletion on carrageenan-induced acute inflammation: a comparison with etanercept. British Society for Immunology, Clinical and Experimental Immunology, 153(2008): 136-149.). The animal model has been broadly used and accepted for estimating the drug efficiency for the treatment of arthritis. The inventors estimated the efficiency of antofine and the extract of Cynanchum sp. on the animal models established by the prior arts and tested the effect of antofine and the extract of Cynanchum sp. on inhibition of T F-Ct and IL-6 in cells to identify that antofine and the extract of Cynanchum sp. are potent to be the active ingredients for the treatment of arthritis.

[0071] The arthritis according to one embodiment of the invention refers to the disease with joint inflammation and also includes the inflammatory symptoms occurring on tendons, ligaments, bones, cartilages or muscular tissues. The arthritis recited herein may comprise infectious arthritis, rheumatoid arthritis, juvenile idiopathic arthritis, systemic lupus erythematosus, osteoarthritis, fibromyalgia, scleroderma, spondyloarthropathies, gout, polymyalgia rheumatic, polymyositis, psoriatic arthritis, bursitis or tendinitis. The subject herein may comprise mammals, such as mice, rats, cats, dogs, goats, rabbits, cows, monkeys, gorilla, chimpanzees or human beings.

[0072] The pharmaceutically acceptable carrier recited herein refers to pharmaceutically acceptable additives which do not change the activity of the active ingredient, such as excipients, anti-oxidants, emulsifiers, dispersions, septic agents, flavors, pigments, buffers, solvents, pH adjusting agents, surfactants, or the like. The pharmaceutical composition according to one embodiment of the invention may be formulated into a dosage form, such as pellets, capsules, film-coated tablets, blowing agents, granules, powders, suspensions, syrups, or the like, for administration and storage. In addition, the pharmaceutical composition in one embodiment of the invention may be administrated individually or co-administrated with other agents.

[0073] Another embodiment of the invention also provides a dietary supplement comprising antofine or the extract of Cynanchum sp. as active ingredients for dietary supplements. The dietary supplement recited herein may be directly eaten or drunk. Alternatively, the dietary supplement may be added in food, such as beverages, soups or the like, for eating.

[0074] The dietary supplement recited herein may comprise food additives, such as anti-oxidants, preservatives, leavening agents, flavors, edible pigments, thickeners, solidifiers, dispersions, excipients, or the like, if desirable. The dietary supplement recited herein may be formulated into granules, pellets, tablets, capsules or powders, or added into beverages or syrups for eating and storage.

[Example 1] Isolation of Antofine

[0075] 1 kg of powder of Cynanchum hancockianum was added into a 22L-three necked flask. A 95% ethanol aqueous solution 10L was then added. The flask was heated to reflux and maintained at a temperature for 2 hours. The filter was collected for the next steps. The same heating step was repeated for the residue once and the filter was collected and mixed with the filter obtained above. The mixture was concentrated to 1/20 of total volume by a rotary evaporator (EYELA, Type N-1000). Three-times the volume of the 0.5N HC1 aqueous solution was added then to form sticky materials. The sticky material was filtered out by celite® 545 and collected the clear solution. The same volume of

CH₂C1₂ was added and the solution was extracted three times. The CH₂C1₂ fraction was collected and concentrated to become thicker. A minor of Silica Gel 60 (Merck) was then added and mixed uniformly. The mixture was then added into a column filled with Silica Gel 60 (Merck) and eluted by ethyl acetate and methanol (EA:MeOH=2:5). The filter was recrystallized with CH₂C1₂. A pale yellow crystal 400mg was obtained.

[0076] The pale yellow crystal was then analyzed by 1H NMR and ¹³C NMR spectroscopy (Figs. 1 and 2).

1H NMR(500MHz, CDC1₃) 5l .83(m, lH), 5l .96(m, lH), 52.09(m, lH), 52.29(m, lH), 52.50(td, lH), 52.54(m, lH), 52.95(dm, lH), 53.40(m, lH), 53.51(q, lH), 53.75(d, lH), δ 4.06(s, lH), 5 4.10(s, lH), 5 4.15(s, lH), δ 4.74(d, lH), δ 7.25(dd, lH), δ 7.36(s, lH), δ 7.86(d, lH), 57.95(d, lH), 57.96(s, lH).

¹³C NMR(500MHz, CDC1₃) 521.63, 31.33, 33.74, 53.88, 55.09, 55.56, 55.92, 56.06, 60.28, 103.97, 104.09, 104.75, 114.91, 123.59, 124.18, 124.29, 125.60, 126.73, 127.15, 130.22, 148.42, 149.47, 157.53.

MS (EI) (m/z) 363.

([M + H]⁺) 364.1912.

[0077] The crystal was identified as (-)-antofine with a molecular weight of 363.45 and

[Example 2] Effect of Ethanol Extracts of Cynanchum sp. on T F-Ct Inhibition

[0078] Ethanol Extract of Cynanchum hancockianum

0.5g of powder of Cynanchum hancockianum was added into 95% of an ethanol aqueous solution 25 ml. The ethanol mixture was shaken overnight at room temperature. After drying and being concentrated, the ethanol extract was obtained. The ethanol extract was then diluted with 0.4% DMSO to form 19 μ^πιΐ, 56 μ^πιΐ, 167 igj \ and 500 igj \ of ethanol extracts of Cynanchum hancockianum, respectively. The extracts were kept for the next step. The extracts were found to contain 0.15% antofine.

[0079] U937 Cell Line

A human myeloid leukemia cell line U937 (Rockville, MD) was obtained from ATCC. The cell line was cultured in a RPMI 1640 medium with a 10% fetal calf serum (FCS) at 37°C, 5% C0₂. The cell line maintained in exponential growth. For inducing differentiation, the cells with a starting concentration of 4 x 10⁵ cell/ml were cultured in T150 containing 50ng/ml PMA (Sigma) for 24 hours. Subsequently, the cells were moved to a fresh medium without PMA and cultured for 48 hours. The cells were collected with rubber policeman (Bellco Glass, Vineland, NJ) gently scraping the medium bottle for the next step.

[0080] T F-a Inhibition

The activated U937 cells were seeded into a 96-well plate to form a concentration of

1.6 x 10⁵ cell/well. The ethanol extracts of Cynanchum hancockianum in different concentrations were respectively added 10 μΐ to the 96-well plate. The final volume of each well was 190μ1. The plate was cultured at 37°C, 5% C0₂ for 30 min. Then each well was added 2μg/ml of lipopolysaccharide (LPS) in PBS ΙΟμΙ and cultured at 37°C for 4 hours. The supernate was collected by Analyses Kit (R&D System, Minneapolis, MN). The amount of TNF-a was analyzed by an ELISA (T F-α duoset, R&D, Minneapolis, MN).

Cell viability was tested by MTT (3-(4,5-dimethyl-thiazol-2-yl)2,5-diphenyltrazolium, Sigma). The blank test without adding the ethanol extract of Cynanchum hancockianum and LPS was set. The result is shown in Table 1 and Fig. 3. IC₅₀ was 17μg/ml.

[Example 3] Effect of Antofine on TNF-a Inhibition

[0082] The activated U937 cells obtained from Example 2 were seeded into a 96-well plate to form a concentration of 1.6 x 10⁵ cell/well. Antofine isolated from Example 1 was diluted with 0.4% DMSO to become 1.52 ng/ml, 4.57 ng/ml, 13.7 ng/ml and 40.0 ng/ml and 10 μΐ of each was added into the plate. The final volume of each well was 190μ1. The plate was cultured at 37°C, 5% C0₂ for 30 min. Then each well was added 2 μg/ml of lipopolysaccharide (LPS) in PBS ΙΟμΙ and cultured at 37°C for 4 hours. The supernate was collected by Analyses Kit (R&D System, Minneapolis, MN). The amount of TNF-a was analyzed by an ELISA and cell viability was tested by MTT. The result is shown in Fig. 4.

[Example 4] Effect of Extracts of Cynanchum sp. on TNF-a and IL-6 Inhibition in an LPS-Induced Model

[0083] Extracts of Cynanchum sp.

1.2 kg of powder of Cynanchum atratum was added to 6.0 L of a 50% ethanol aqueous solution and shaken at room temperature overnight. After drying and being concentrated, the extract of Cynanchum atratum 137g was obtained.

[0084] LPS-Induced Mice Model

Six male BALB/c mice were grouped and fed the extract of Cynanchum atratum

250mg/kg and a carrier (5% ethanol in 30% Cremophore EL (CrEL) (BASF)). One group of the mice which was fed the carrier without the extract was set as a control group. After 2 hours, the mice were i.p. injected with 1 mg/kg of LPS. The blood was collected 1.5 hours after the injection. The amounts of T F-α and IL-6 in the blood were analyzed with an

ELISA (R&D Systems). The results are shown in Table 2 and Figs. 5 and 6.

[00851 [Table 21

*p<0.05

[Example 5] Effect of Extracts of Cynanchum sp. on TNF-a and IL-6 Inhibition in an

LPS-Induced Model

[0086] Extracts of Cynanchum sp.

1.2 kg of powders of Cynanchum atratum (tailings), Cynanchum stauntoni, Cynanchum paniculatum, and Cynanchum atratum (erects) was respectively added to 6.0 L of a 50% ethanol aqueous solution and shaken at room temperature overnight. After drying and being concentrated, the extracts of each Cynanchum sp. were obtained.

[0087] LPS-Induced Mice Model

Four male BALB/c mice were grouped and fed the extracts of Cynanchum sp. 500mg/kg each and a carrier (5% ethanol in 30% CrEL (BASF)). A group fed with the carrier without the extracts was set as a control group. After 2 hours, the mice were i.p. injected with 1 mg/kg of LPS. The blood was collected 1.5 hours after the injection. The amounts of TNF-a and IL-6 in the blood were analyzed with an ELISA (R&D Systems).

The results are shown in Table 3 and Figs. 7 and 8.

Extract of Cynanchum paniculatum 485* 89.8 2199* 66.6

Extract of Cynanchum atratum (erect) 99* 97.9 137* 97.9

*p<0.05

[Example 6] Effect of Extracts of Cynanchum sp. on T F-α and IL-6 Inhibition in an LPS-Induced Model

[0089] Extracts of Cynanchum sp.

Powders of Cynanchum hancockianum and Cynanchum atratum 50 g each were added to 500ml of a 40% ethanol aqueous solution and heated to reflux for 1 hour. After drying and being concentrated, the extracts were obtained in a concentration of 15 ± 2g, and 25 ± 2% of solid contents, respectively.

[0090] LPS-Induced Mice Model

Five male BALB/c mice were grouped and fed the extracts of Cynanchum sp. 500mg/kg each and a carrier (5% ethanol in 30% CrEL (BASF)). A group fed with the carrier without the extracts was set as a control group. After 2 hours, the mice were i.p. injected with 1 mg/kg of LPS. The blood was collected 1.5 hours after the injection. The amounts of TNF-α and IL-6 in the blood were analyzed with an ELISA (R&D Systems).

The results are shown in Table 4 and Figs. 9 and 10.

[0091] [Table 41

*p<0.05 [Example 7] Effect of 50% Ethanol Extract of Cynanchum Atratum on the Paw

Edema in a Carrageenan-Induced Rat Model

[0092] Five Long-Evan rats were set in a group. The ankle of the left hindpaw of each rat was measured as the basis of the hindpaw volume at the beginning of the test. The experimental groups were fed 250 mg/kg, 500mg/kg and lOOOmg/kg of Cynanchum atratum, respectively. The carrier control group was fed 1% CMC (carboxymethyl cellulose). The positive control group was fed 3 mg/kg indomethacin. After 1 hour, 1% carrageenan- saline 0.1 ml was injected into the left hindpaw of all rats. The volume of the left hindpaw was measured by a plethysmometer (PV-01, DR instrument, Taiwan) at hours 0, 1, 2 and 3 after carrageenan injection.

[0093] The inhibition was calculated by the following formula:

Inhibition (%) = (Nt-Nv)/Nv x 100

Nt: Net change of the left paw volume of the experimental group.

Nv: Net change of the left paw volume of the carrier control.

[0094] As the inhibition was negative, it indicated that the administration had antiinflammatory effects. The results are shown in Fig. 11.

[Example 8] Effect of 50% Ethanol Extracts of Cynanchum atratum in an adjuvant- induced arthritis model

[0095] The ankles of each Lewis rat were measured as the basis of a hindpaw volume at the beginning of the test. 20 mg/ml of Mycobacterium butyricum suspended in squalene 50μ1 was injected subdermally to three points near the basis of the tail. From the day of the injection, the experimental group was fed 100 mg/kg and 200 mg/kg of Cynanchum atratum per day, the carrier control group was fed 5% of ethanol and 0.025%) of Tween 20 in 1%) CMC per day and the positive control group was fed 3 mg/kg indomethacin per day until the study was finished. The symptoms of the arthritis in each group were estimated according to the following scores:

0: The foot was not red and swelling;

1 : The foot was slightly red and swelling or one toe joint was red and swelling; 2: The foot was apparently red and swelling or more than two toe joints were red and swelling;

3 : The hindpaw was incapable of function for walking;

4: The ankle joint was incapable of moving.

[0096] The hindpaw volume was measured by a plethysmometer and shown as a percentage of the average weight of each rat. The accuracy of the weight measurement was more than 0.1 g (METTLER TOLDEO, PB1501). The result is shown in Fig. 12. * represents p<0.05, which shows statistically significant differences.

[Example 9] Effect of Cynanchum atratum Extract on anti-inflammation in an adjuvant-induced arthritis model

[0097] The ankles of each Lewis rats were measured as the basis of a hindpaw volume at the beginning of the test. 20mg/ml of Mycobacterium butyricum suspended in squalene 50μ1 was injected subdermally to three points near the basis of the tail. From the day of the injection, the experimental group was fed 16.7 mg/kg and 50 mg/kg of Cynanchum atratum extracts (50% ethanol extracts obtained from Example 5) and 50 mg/kg and 100 mg/kg of Cynanchum atratum extracts (95% ethanol extracts) per day, and the carrier control group was fed 5% of ethanol and 0.025% of Tween 20 in 1% CMC per day until the study was finished. A negative control was set. The symptoms of the arthritis in each group were estimated according to the scores:

0: The foot was not red and swelling;

1 : The foot was slightly red and swelling or one toe joint was red and swelling;

2: The foot was apparently red and swelling or more than two toe joints were red and swelling;

3 : The hindpaw was incapable of function for walking;

4: The ankle joint was incapable of moving.

[0098] The hindpaw volume was measured by a plethysmometer and shown as a percentage of the average weight of each rat. The accuracy of weight measurement was more than O. lg (METTLER TOLDEO, PB1501). The result is shown in Fig. 13. * represents p<0.05, which shows statistically significant differences.

[Example 10] Effect of antofine administration regime in a collagen-induced arthritis model

[0099] 50μg of a fetus bovine type II collagen (CII, Chondrex) was emulsified in a complete Freund's adjuvant (CFA, Sigma). The ankle volume was measured as the basis of a hindpaw volume. On the eighth day after the primary immune, each rat was injected with 100 μg of the collagen emulsified in IF A (Sigma) to induce arthritis. The carrier control group was i.p. injected with 2 ml/kg of 0.5% CMC rats every two days until day 21. The experimental group was fed antofine isolated from Example 1 according to the following regimes:

Group 1 was i.p. injected with 3 mg/kg of antofine every two days until Day 20 and then i.p. injected with 3 mg/kg of antofine per day on Day 21-23;

Group 2 was i.p. injected with 3 mg/kg of antofine every three days until Day 20 and then i.p. injected with 3 mg/kg of antofine per day on Day 21-23;

Group 3 was i.p. injected with 2 mg/kg of antofine every two days until Day 20 and then i.p. injected with 3 mg/kg of antofine per day on Day 21-23;

Group 4 was i.p. injected with 3 mg/kg of antofine per day for 5 days, and then stop administration on the next nine days, and i.p. injected with 3 mg/kg of antofine per day on Day 21-23.; and the positive control group was fed 3 mg/kg Indomethacin per day.

[00100] All rats were scarified on Day 24.

[00101] Morbidities of each group are shown in Fig. 14. Weight changes are shown in Fig. 15. The results revealed that Group 1 and Group 4 showed decreased morbidities and delayed onsets but weights were not greatly changed under the treatment of various doses of antofine and the regimes.

[00102] The symptoms of the arthritis in each group were estimated according to the scores:

0: The foot was not red and swelling;

3 : The hindpaw was incapable of function for walking;

4: The ankle joint was incapable of moving.

[00103] The change of hindpaw volumes of each rat are shown in Fig. 16. The result of arthritis scores are shown in Fig. 17.

[00104] While the invention has been described by way of example and in terms of the preferred embodiments, it is to be understood that the invention is not limited to the disclosed embodiments. To the contrary, it is intended to cover various modifications and similar arrangements (as would be apparent to those skilled in the art). Therefore, the scope of the appended claims should be accorded the broadest interpretation so as to encompass all such modifications and similar arrangements.

Claims

CLAIMS What is claimed is:

1. A method for treatment of arthritis, comprising administrating an effective amount of an extract of Cynanchum sp. to a subject in need thereof.

2. The method as claimed in claim 1, wherein the extract of Cynanchum sp. comprises antofine.

3. The method as claimed in claim 2, wherein the antofine is a compound as represented in the following formula, an enantiomer or a salt thereof

4. The method as claimed in claim 1, wherein the Cynanchum sp. comprises Cynanchum hancockianum, Cynanchum inamoenum, Cynanchum komarovii, Cynanchum paniculatum, Cynanchum vincetoxicum, Cynanchum atratum or Cynanchum stauntonii

5. The method as claimed in claim 1, wherein the Cynanchum sp. is extracted by the steps:

(i) mixing the plant powder with a first solvent to form a first blend;

(ii) heating and filtering the first blend to obtain a first extract;

(iii) concentrating the first extract and subsequently adding an acid to form a suspension with a sticky material;

(v) extracting the clear solution with a second solvent to obtain a second extract solution;

(vi) concentrating and purifying the second extract solution. .

6. The method as claimed in claim 5, wherein the first solvent comprises water, alcohols, esters, ethers, ketones or a combination thereof.

7. The method as claimed in claim 5, wherein the acid comprises hydrochloric acid.

8. The method as claimed in claim 5, wherein the second solvent comprises dichloromethane, methanol, ethanol, ether, acetone or a combination thereof.

9. The method as claimed in claim 5, wherein the heating temperature in the step (ii) is from room temperature to boiling temperature of the first blend.

10. The method as claimed in claim 5, wherein the heating in the step (ii) lasts 2 hours or more.

11. The method as claimed in claim 5, wherein the filtering in the step (iv) comprises celite or clay.

12. The method as claimed in claim 5, wherein the purifying in the step (vi) comprises column chromatography or recrystallization.

13. The method as claimed in claim 12, wherein the column chromatography is eluted with ethyl acetate and methanol in a volume ratio 2:5.

14. The method as claimed in claim 1, wherein the arthritis comprises infectious arthritis, rheumatoid arthritis, juvenile idiopathic arthritis, systemic lupus erythematosus, osteoarthritis, fibromyalgia, scleroderma, spondyloarthropathies, gout, polymyalgia rheumatic, polymyositis, psoriatic arthritis, bursitis or tendinitis.

15. A method for treatment of arthritis, comprising administrating an effective amount of antofine to a subject in need thereof.

16. The method as claimed in claim 15, wherein the antofine is a compound as represented in the following formula, an enantiomer or a salt thereof

17. The method as claimed in claim 15, wherein the antofine is chemically synthesized or extracted from a plant.

18. The method as claimed in claim 17, wherein the plant comprises Albizzia julibrissin, Antitoxicum funebre, Cocculus laurifolius, Cocculus pendulus, Corydalis meifolia, Croton sparsiflours, Cryptocarya oubatchensis, Cryptocarya phyllostemon, Cryptocarya chinensis, Cynanchum hancockianum, Cynanchum inamoenum, Cynanchum komarovi, Cynanchum paniculatum, Cynanchum vincetoxicum, Ficus fistulosa, Ficus septica, Pergularia daemia, Stephania glabra, Tylophora floribunda, Tylophora indica, Tylophora tanakae, Vincetoxicum hirundinaria, Vincetoxicum nigrum, Vincetoxicum officinale, Vincetoxicum pumilu or Vincetoxicum rossicum.

19. The method as claimed in claim 17, wherein the plant is extracted by the following steps:

(i) mixing the plant powder with a first solvent to form a first blend;

(ii) heating and filtering the first blend to obtain a first extract;

(vi) concentrating and purifying the second extract solution.

20. The method as claimed in claim 19, wherein the first solvent comprises water, alcohols, esters, ethers, ketones or a combination thereof.

21. The method as claimed in claim 19, wherein the acid comprises hydrochloric acid.

22. The method as claimed in claim 19, wherein the second solvent comprises dichloromethane, methanol, ethanol, ether, acetone or a combination thereof.

23. The method as claimed in claim 19, wherein the heating temperature in the step (ii) is from room temperature to boiling temperature of the first blend.

24. The method as claimed in claim 19, wherein the heating in the step (ii) or (vi) lasts 2 hours or more.

25. The method as claimed in claim 19, wherein the filtering in the step (iv) comprises celite or clay.

26. The method as claimed in claim 19, wherein the purifying in the step (vi) comprises column chromatography or recrystallization.

27. The method as claimed in claim 26, wherein the column chromatography is eluted with ethyl acetate and methanol in a volume ratio 2:5.

28. The method as claimed in claim 15, wherein antofine is a compound as represented in the following formula

29. The method as claimed in claim 15, wherein the arthritis comprises infectious arthritis, rheumatoid arthritis, juvenile idiopathic arthritis, systemic lupus erythematosus, osteoarthritis, fibromyalgia, scleroderma, spondyloarthropathies, gout, polymyalgia rheumatic, polymyositis, psoriatic arthritis, bursitis or tendinitis.

30. A method for the production of antofine, comprising the steps of:

(i) mixing a plant powder with a first solvent to form a first blend;

(ii) heating and filtering the first blend to obtain a first extract;

(v) extracting the clear solution with a second solvent to obtain a second solution; and

(vi) concentrating and purifying the second extract solution,

31. The method as claimed in claim 30, wherein the first solvent comprises water, alcohols, esters, ethers, ketones or a combination thereof.

32. The method as claimed in claim 30, wherein the acid comprises hydrochloric acid.

33. The method as claimed in claim 30, wherein the second solvent comprises dichloromethane, methanol, ethanol, ether, acetone or a combination thereof.

34. The method as claimed in claim 30, wherein the heating temperature in the step (ii) is from room temperature to boiling temperature of the first blend.

35. The method as claimed in claim 30, wherein the heating in the step (ii) lasts 2 hours or more.

36. The method as claimed in claim 30, wherein the filtering in the step (iv) comprises celite or clay.

37. The method as claimed in claim 30, wherein the purifying in the step (vi) comprises column chromatography or recrystallization.

38. The method as claimed in claim 37, wherein the column chromatography is eluted with ethyl acetate and methanol in a volume ratio 2:5.

39. The method as claimed in claim 30, wherein antofine is a compound as represented in the following formula