WO2013100717A2 - Composition for preventing and treating multiple sclerosis and autoimmune diseases, containing phellinus igniarius extract - Google Patents

Composition for preventing and treating multiple sclerosis and autoimmune diseases, containing phellinus igniarius extract Download PDF

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WO2013100717A2
WO2013100717A2 PCT/KR2012/011776 KR2012011776W WO2013100717A2 WO 2013100717 A2 WO2013100717 A2 WO 2013100717A2 KR 2012011776 W KR2012011776 W KR 2012011776W WO 2013100717 A2 WO2013100717 A2 WO 2013100717A2
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composition
multiple sclerosis
prevention
cells
treatment
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WO2013100717A3 (en
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박형진
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Park Hyoung Jin
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/06Fungi, e.g. yeasts
    • A61K36/07Basidiomycota, e.g. Cryptococcus
    • A61K36/074Ganoderma
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/06Fungi, e.g. yeasts
    • A61K36/07Basidiomycota, e.g. Cryptococcus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system

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  • the present invention provides a composition effective for the prevention and treatment of multiple sclerosis and autoimmune diseases comprising the extract of Phellinus igniarius .
  • the present invention also provides a method for extracting the extract.
  • Multiple sclerosis is a representative disease of autoimmune inflammatory neurodegenerative disease, which is rare in Asians and Africans, but most frequently in Europeans, especially Caucasian women in their 30s. In Caucasian whites, the frequency affects 200 people per 100,000.
  • Multiple sclerosis involves visual impairment, dysfunction of the limbs and resulting gait disturbances, skin sensation impairment with pain or numbness, defecation and urination disorders, speech and hearing disorders, cognitive impairment, etc. Often it gets worse.
  • This neurological disorder is due to damage to myelin sheaths surrounding the axons of nerve cells due to inflammatory responses in the central nervous system.
  • the lesions are scattered in the white matter areas of the brain and spinal cord. In the lesions, inflammatory reactions involving perivenous inflammatory cell infiltration and bullous myelin sheaths of nerve fibers are observed. In addition, loss and appearance of oligodendrocytes Proliferation of glial cells.
  • Autoreactive CD4 + T cells which respond to self myelin, migrate from the blood to the parenchymal tissues of the central nervous system for various causes, such as encephalitis, and are known as' major histocompatibility complexes, including myelin provided by antigen-supplying cells present there. class II molecules'.
  • Reactivated CD4 + T cells multiply themselves and differentiate into several subsets to induce cellular immunity.
  • These CD4 + T cells secrete substances that attract other immune cells, such as macrophages and B cells, into the central nervous system, while also secreting proinflammatory substances.
  • autoreactive CD8 + T cells When autoreactive CD8 + T cells enter the central nervous system in the blood, they are reactivated by 'major histocompatibility complex class II molecules' containing myelin, which replicate and proliferate themselves and destroy cytotoxic agents by cytotoxicly attacking them.
  • Macrophages in cooperation with microglia in the central nervous system, attract and activate CD4 + T and CD8 + T cells into the central nervous system, while activating B cells by releasing B cell activating factor belonging to the TNF family (BAFF). .
  • BAFF B cell activating factor belonging to the TNF family
  • macrophages secrete proinflammatory cytokine, destroying myelin, and feeding and removing myelin labeled with antibodies and complement.
  • Antigen-specific B cells infiltrating the central nervous system act as antigen supplying cells to T cells.
  • B cells and T cells proliferate simultaneously.
  • B cells differentiate into plasma cells to secrete antibodies and complement to myelin.
  • cell adhesion molecules in order for immune cells to pass through cerebrovascular vessels, cell adhesion molecules must be expressed in cerebrovascular endothelial cells and immune cells.
  • expression of vascular cell adhesion molecule-1 in cerebrovascular vessels and integrin- ⁇ 4 expression in immune cells are increased, respectively.
  • Multiple sclerosis is an immunological disease involving both cellular and humoral immune systems, as mentioned earlier, and various immunotherapies have been attempted: 1) desensitization of autoreactive T cells using immuno-tolerant antigens, and 2) T cells. Immunization using monoclonal antibodies or interferon- ⁇ against directional cytokine, B cell surface molecules or cell adhesion molecules, 3) plasma separation and the like have been attempted. These therapies have positive results, but their use is limited due to undesirable side effects (Steinman & Zamvil, Ann. Neurol. 60: 12-21, 2006). Therefore, the development of a safe drug without side effects and toxicity for patients with multiple sclerosis is urgently needed.
  • Mushrooms of genus Phellinus have traditionally been used in the treatment of chronic diseases in Asia, and their medical efficacy has recently been revealed (Dai et al, Appl. Microbiol. Biotech. 87: 1587-1593, 2010 ).
  • ⁇ -glucan a polysaccharide extracted from Phellinus linteus , has potent immunomodulatory effects and is effective in treating cancer and immune diseases.
  • dung mud mushrooms have been used as medicinal mushrooms in Asia and also have immunomodulatory effects.
  • the present invention mud mud mushroom
  • An object of the present invention is to provide a novel composition which is effective in the prevention and treatment of multiple sclerosis comprising an extract, and which has low side effects and low toxicity.
  • the present invention is another species belonging to the genus Mud mushrooms wood mud mushrooms and Baumi mud mushrooms ( Phellinus baumii )
  • the present invention also seeks to provide a new composition having the same effect in the prevention and treatment of multiple sclerosis.
  • the present invention is one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms It provides a composition for preventing and treating multiple sclerosis comprising the extract.
  • the extract is selected from the group consisting of:
  • Experimental autoimmune encephalomyelitis is used as a representative experimental animal model to study multiple sclerosis because its clinical symptoms and pathological findings are very similar to multiple sclerosis (Steinman & Zamvil, Ann. Neurol. 60: 12- 21, 2006). Therefore, the present invention demonstrates that the composition is effective for multiple sclerosis using experimental autoimmune meningitis.
  • the composition greatly alleviates the clinical symptom index and incidence of experimental autoimmune meningitis.
  • the composition inhibits infiltration of CD4 + T cells, CD8 + T cells, macrophages and B cells in the central nervous system of experimental animals induced experimental autoimmune meningitis, while inhibiting myelin dropping.
  • the composition reduces the expression of vascular cell adhesion molecule (VCAM) -1, which is a type of cell adhesion molecule, in the central nervous system of experimental animals induced with experimental autoimmune meningitis.
  • VCAM vascular cell adhesion molecule
  • the composition reduces the number of lymphocytes that are strongly expressed integrin- ⁇ 4 in the local lymph nodes of experimental animals induced by experimental autoimmune meningitis.
  • the present invention also provides a preparation for preventing or treating multiple sclerosis comprising a composition comprising an extract of at least one mushroom selected from the group consisting of dung mud, wood mud and Baumi mud mushroom and a pharmaceutically acceptable carrier. to provide.
  • the present invention provides a health supplement or functional food for preventing and improving multiple sclerosis comprising a composition and a carrier comprising an extract of one or more mushrooms selected from the group consisting of dung mud, wood mud and Baumi mud to provide.
  • the present invention is a type 1 diabetes mellitus, Hashimoto thyroiditis, comprising a composition comprising an extract of one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms and a pharmaceutically acceptable carrier,
  • a composition comprising an extract of one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms and a pharmaceutically acceptable carrier
  • various immune diseases such as celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome.
  • the present invention is a type 1 diabetes mellitus, Hashimoto thyroiditis, celiac disease, giant cells comprising a composition and a carrier comprising an extract of at least one mushroom selected from the group consisting of dung mud, wood mud and Baumi mud It provides a dietary supplement or functional food for the prevention and improvement of various immune diseases, such as sexual arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome.
  • various immune diseases such as sexual arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome.
  • composition comprising the extract of the dung mud mushroom, woody mud mushroom or Baumi mud mushroom of the present invention blocks the influx of immune cells into the central nervous system by inhibiting the expression of cell adhesion factors in vascular endothelial cells and immune cells, respectively. As a result, the inflammatory response and myelin drop of the central nervous system are suppressed to improve the onset and symptoms of multiple sclerosis. Therefore, the composition of the present invention can be used for the prevention and treatment of multiple sclerosis.
  • composition of the present invention can be used for the treatment of immune diseases such as type 1 diabetes, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome caused by immune cells infiltrating into tissues. It can be used for prevention and treatment.
  • immune diseases such as type 1 diabetes, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome caused by immune cells infiltrating into tissues. It can be used for prevention and treatment.
  • Figure 1 shows the ethanol sedimentation of water extracts of horseradish fungi (D) against daily clinical symptom index (A) and incidence (B) of experimental animals with experimental autoimmune meningitis using myelin oligodendrocyte glycoprotein (MOG) 35-55. Piwep) ”is shown.
  • MOG + Vehicle MOG-only group
  • MOG + Piwep Combined administration of MOG and Piwep.
  • FIG. 2 shows the inhibitory effect of Piwep on perivascular inflammatory cell infiltration in the cerebral (Cbr) and cerebellum (Cbl) of experimental animals induced with experimental autoimmune meningitis using MOG.
  • MOG + Vehicle (X400) enlarges the display area of MOG + Vehicle (X100) by 4 times.
  • MOG + Vehicle MOG-only group
  • MOG + Piwep Combined administration of MOG and Piwep.
  • FIG. 3 shows the inhibitory effect of Piwep (H & E) on perivascular inflammatory cell invasion in the spinal cord of experimental animals induced experimental autoimmune meningitis using MOG and the inhibitory effect of Piwep on plant dropout (LFB & PAS). It is shown.
  • MOG + Vehicle (X400) enlarges the display area of MOG + Vehicle (X100) by 4 times.
  • MOG + Vehicle MOG-only group
  • MOG + Piwep Combined administration of MOG and Piwep.
  • Figure 4 shows Piwep for the immunoreactivity of CD4, CD8, F4 / 80 and CD20, which are cell surface molecules for cluster differentiation (CD) in the spinal cord of experimental animals with experimental autoimmune meningitis using MOG. It shows an inhibitory effect.
  • N normal group
  • V MOG + Vehicle group
  • P MOG + Piwep group.
  • Figure 5 shows the inhibitory effect of Piwep on the expression of mRNA specific to the myocytes of CD4, CD8, CD11b and CD20 in the spinal cord of experimental animals induced experimental autoimmune meningitis using MOG.
  • N normal group
  • V MOG + Vehicle
  • P MOG + Pipep.
  • Fig. 6 shows Piwep expression of mRNA specific for vascular cell adhesion molecules (VCAM) -1 and integrin- ⁇ 4, which are cell adhesion molecules, in the spinal cord of experimental animals with experimental autoimmune meningitis using MOG. Inhibitory effect is shown.
  • N normal group
  • V MOG + Vehicle
  • P MOG + Pipep.
  • Figure 7 shows the inhibitory effect of Piwep on cell adhesion factor integrin- ⁇ 4 immune response in cervical lymph nodes of experimental animals induced with experimental autoimmune meningitis using MOG.
  • Normal Normal group
  • MOG + Vehicle MOG alone group
  • MOG + Piwep Combined administration of MOG and Piwep.
  • Fig. 8 shows ethanol precipitates (Plwep, A) and ethanol precipitates of water extracts of Baumi mud mushrooms for the clinical symptom index of experimental animals induced experimental autoimmune meningitis using MOG. (Pbwep, B) ".
  • MOG + Vehicle MOG alone group
  • MOG + Plwep MOG and Plwep group
  • MOG + Pbwep MOG and Pbwep group.
  • the present invention provides a composition that effectively acts in the prevention and treatment of multiple sclerosis by preventing the infiltration of various immune cells into the central nervous system and inhibiting inflammation and myelin dropout of the central nervous system.
  • the present invention also provides a method for the preparation and administration of the composition.
  • composition of the present invention includes an extract extracted from the mud mushrooms.
  • compositions of the present invention also include extracts prepared from woody or mushrooms.
  • Horse mud mushroom extract in the present invention is i) hot water extracting the mushroom; ii) mixing the hot water extract with cold ethanol to obtain a precipitate and iii) dissolving the precipitate in distilled water followed by freeze drying.
  • fruiting body powder of dung mud mushroom is used. This is for obtaining the mushroom extract more efficiently because when the fruiting body powder is used to increase the extraction surface area, more active ingredients can be extracted during the extraction process.
  • the fruiting body powder is put in distilled water and boiled. At this time, by boiling over 3 hours at a temperature of 100 °C ⁇ 104 °C to ensure that the active ingredient is sufficiently extracted.
  • the extract thus obtained is concentrated under reduced pressure to increase the content of the active ingredient. Then, the extract concentrated under reduced pressure is mixed with cold ethanol. The ethanol mixture is allowed to settle overnight at temperature below 4 ° C.
  • the mixture is centrifuged to take a precipitate. Finally, the precipitate is again dissolved in distilled water and then lyophilized.
  • Experimental autoimmune meningitis is very similar to multiple sclerosis in clinical symptoms and pathological findings, the present invention demonstrates that the composition containing the mud mushroom extract using experimental autoimmune meningitis is effective for multiple sclerosis.
  • the composition greatly reduces the incidence and clinical symptoms index of experimental autoimmune meningitis.
  • the composition blocks the infiltration of inflammatory cells around blood vessels in the spinal cord of experimental animals induced experimental autoimmune meningitis and inhibits myelin dropout.
  • the compositions dramatically alleviate the clinical symptoms and signs and pathological changes of experimental autoimmune meningitis.
  • the composition infiltrates various immune cells in the central nervous system induced experimental autoimmune meningitis. Observe the effect on.
  • the composition reduces the immunoreactivity of CD4, CD8, F4 / 80, and CD20, which are surface differentiation molecules, in the spinal cord of experimental animals with experimental autoimmune meningitis and also reduces the CD4, CD8, CD11 and CD20 specific mRNAs. Significantly inhibit expression.
  • cell adhesion molecules In order to move immune cells from blood vessels to parenchymal tissues in the central nervous system, cell adhesion molecules must be strongly expressed on the surface of immune cells as well as vascular endothelial cells of the central nervous system.
  • VCAM vascular cell adhesion molecule
  • the composition inhibits the expression of (VCAM) -1 specific mRNA in the spinal cord of experimental animals with experimental autoimmune meningitis and also the number of lymphocytes showing strong immunoreactivity against integrin- ⁇ 4 in local lymph nodes. Decrease.
  • composition of the present invention inhibits the expression of cell adhesion molecules in immune cells as well as vascular endothelial cells of the central nervous system in experimental autoimmune meningitis-induced animals, thereby blocking the infiltration of immune cells into the central nervous system. Prove it.
  • composition of the present invention inhibits the expression of mRNA specific for integrin- ⁇ 4 in the spinal cord of experimental animals induced experimental autoimmune meningitis.
  • composition containing the extract extracted from the woody mud or Baumi mud mushroom is also confirmed to lower the clinical symptoms index of experimental autoimmune meningitis.
  • the composition comprising the extract is not limited to the treatment or prevention of multiple sclerosis, but may be used for the prevention and treatment of other autoimmune diseases having an immunological mechanism similar to that of multiple sclerosis.
  • diseases include various immune diseases such as type 1 diabetes, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome. Therefore, the scope of the present invention is a horse mud mushroom, woody mud mushroom or Baumi mud mushroom It is to be understood that the composition comprising the extract also extends to the use of the prophylaxis and treatment of the various autoimmune diseases.
  • the composition containing the extract may be used as an agent for preventing and treating multiple sclerosis or as a dietary supplement or a functional food.
  • the agent may be administered orally or parenterally.
  • the compositions are formulated in pill, capsule or liquid form.
  • parenteral use the compositions are known to those skilled in the art, including various excipients, carriers, diluents, etc., and formulated with those that are readily selectable.
  • the fruiting body powder of the dung mud mushrooms was put in distilled water 10 times by weight, boiled for 3 hours, filtered to remove solid components, and the extract was concentrated under reduced pressure.
  • the concentrated extract was mixed with twice the capacity of cold ethanol (-20 ° C.) and left overnight at 4 ° C. or less.
  • the ethanol mixture was centrifuged to take a precipitate, which was dissolved in distilled water again, and then lyophilized, which was named "ethanol precipitate (Piwep) of water extract of dung mushroom".
  • Pertussis toxin was dissolved in PBS at a concentration of 400 ng / 200 ⁇ l and 200 ⁇ l of the lysate was injected intraperitoneally once every 0 and 2 days after the first MOG injection. Seven days after MOG injection, 200 ⁇ l of a mixture of MOG and complete Freund's adjuvant was further inoculated. The ethanol precipitate (Piwep) of the water extract of Dung mud mushrooms was dissolved in physiological saline, sterilized using a filter, and then injected into the abdominal cavity by 100 mg / kg once daily at 0 days after the first injection of MOG. It was.
  • the animals were observed daily after the first injection of MOG, and the clinical symptoms of experimental autoimmune meningitis were evaluated and indexed according to the following criteria.
  • Grade 3 sagging tail, partial paralysis of hind legs, gait disturbance
  • Table 1 confirms the effect of Piwep on the maximum clinical symptoms index and the maximum incidence of experimental autoimmune meningitis.
  • the maximum clinical symptom index was 3.15 ⁇ 0.39 and the incidence was 90% (18 out of 20).
  • the maximum clinical symptom index was 0.20 ⁇ 0.09 and the incidence was 20% (4 out of 20 animals), which was significantly lower than the MOG + Vehicle group.
  • H & E Hematoxylin-Eosin
  • LLB Luxol Fast Blue
  • PAS Periodic Acid Schiff
  • Figure 2 shows the effect of Piwep on peritoneal inflammatory cell infiltration in the cerebral (Cbr) and cerebellum (Cbl) of experimental animals with experimental autoimmune meningitis. Inflammatory cells infiltrated around the blood vessels were observed in the MOG + Vehicle group administered only MOG, but not in the MOG + Piwep group administered Piwep. These results suggest that Piwep significantly inhibits inflammatory cell infiltration in the central nervous system associated with experimental autoimmune meningitis.
  • Figure 3 shows the effect of Piwep on inflammatory cell infiltration and myelin detachment in the spinal cord of experimental animals with experimental autoimmune meningitis.
  • MOG + Vehicle group treated with MOG alone, there was very severe inflammatory cell infiltration around the blood vessels, but no such infiltration was observed in the MOG + Piwep group treated with Piwep.
  • very severe myelin dropping was observed in the MOG + Vehicle group, but no dropping was observed in the MOG + Piwep group.
  • mRNA levels of cell surface molecules for cluster differentiation specifically expressed on the surface of each immune cell were analyzed by reverse transcription-polymerase chain reaction, RT-PCR) was measured as follows.
  • the first cDNA strain was synthesized from 1 ⁇ g RNA using the cDNA synthesis kit.
  • Oligonucleotide primers are as follows: CD4 forward 5′-TGT GCC GAG CCA TCT CTC TTA GG-3 ′, reverse 5′-GCA CTG AGA GTG TCA TGC CGA AC-3 ′; CD8 forward 5′-ATG CAG CCA TGG CTC TGG C-3 ′, reverse 5′-GCA TGT CAG GCC CTT CTG GGT-3 ′; CD11b forward 5′-GGG CAC GGT GGC AGG TGA A-3 ′, reverse 5′-GCT GGC TGT GGG AGG CAC TG-3 ′; CD20 forward 5'-AAA ACC TCC AGG AAG AGT TTG GTC-3 ', reverse 5'-CGA TCT CAT TTT CCA CTG GCA AG-3'.
  • Figure 5 shows the results of observing the expression of specific mRNA for CD4, CD8, CD11b and CD20 in the spinal cord of animals induced experimental autoimmune meningitis.
  • the expression of specific mRNAs for CD4, CD8, CD11b and CD20 was significantly increased, and Piwep significantly suppressed the increase of mRNA expression specific for these HFCS factors.
  • VCAM vascular cell adhesion molecule
  • Anesthesia was anesthetized 21 days after the first injection of MOG and blood was removed by perfusion of cold (4 ° C) physiological saline through the heart, followed by spinal cord collection, and vascular cell adhesion molecules (VCAM) among the cell adhesion molecules in the spinal cord tissue).
  • VCAM vascular cell adhesion molecules
  • the first cDNA strain was synthesized from 1 ⁇ g RNA using the cDNA synthesis kit.
  • Oligonucleotide primers are as follows: vascular cell adhesion molecule (VCAM) -1 forward 5′-AGG CAC AGC TGC AGG ATG CC-3 ′, reverse 5′-GGA GGG GGC GGG GCT GTA AT-3 ′; integrin- ⁇ forward 5′-CCA CTA CGA TCG CTC CGC CTG T-3 ', reverse 5′-CCA CTA CGA TCG CTC CGC CTG T-3'.
  • VCAM vascular cell adhesion molecule
  • Figure 6 shows the results of observing the expression of specific mRNA for VCAM-1 and integrin- ⁇ 4 in the spinal cord.
  • Expression of specific mRNAs for VCAM-1 and integrin- ⁇ 4 in the spinal cord of animals with experimental autoimmune meningitis was elevated, and Piwep significantly reduced the expression of specific mRNAs for these cell adhesion molecules.
  • Piwep inhibits the increased expression of vascular cell adhesion molecules in central nervous system vascular endothelial cells, thereby preventing the infiltration of immune cells into the central nervous system.
  • the decrease in the expression of mRNA specific for integrin- ⁇ 4 by Piwep means that the number of immune cells infiltrated into the central nervous system by Piwep was reduced.
  • the cell adhesion molecules In order for the immune cells to pass through blood vessels, the cell adhesion molecules must be expressed on the cell surface and combined with vascular cell adhesion molecules such as VCAM-1. Therefore, the effect of Piwep on the expression of integrin- ⁇ 4, a cell adhesion molecule of immune cells, in the cervical lymph nodes Observation was as follows.
  • cervical lymph nodes were fixed in neutral formaldehyde solution for 2 days. 5 ⁇ m sections were embedded with Paraffin and then stained by immunohistochemistry using anti-integrin- ⁇ 4 monoclonal antibody and anti-mouse IgG antibody as first and second antibodies, respectively. Immune responses were developed in 0.06% 3,3'-diaminobenzidine after incubation in ABC reagent.
  • Plwep wood mud mushrooms
  • Pbwep baumy mud mushrooms

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Abstract

The present invention relates to a composition containing a Phellinus igniarius extract. The composition containing a Phellinus igniarius extract 1) improves clinical symptoms by inhibiting inflammation and demyelinating plaque of the central nervous system, (2) inhibits the infiltration of immunocytes such as T cells, macrophages, B cells and the like into the central nervous system, (3) inhibits the expression of vascular cell adhesion molecule (VCAM)-1 in endothelial cells of the central nervous system, and (4) inhibits the expression of integrin-α4 in lymphocytes, in experimental animals in which experimental autoimmune meningitis is induced. Therefore, the composition of the present invention can be useful for preventing and treating multiple sclerosis and various immune diseases. In addition, the present invention can provide a Phellinus linteus or Phellinus baumii extract in the form of a composition useful for preventing and treating multiple sclerosis and various immune diseases.

Description

말똥진흙버섯 추출물을 포함하는 다발성 경화증 및 자가면역성 질환의 예방 및 치료용 조성물Composition for the prevention and treatment of multiple sclerosis and autoimmune diseases, including horse mud extract
본 발명은 말똥진흙버섯(Phellinus igniarius)의 추출물을 포함하는 다발성 경화증 및 자가면역성 질환의 예방 및 치료에 유효한 조성물을 제공한다. 또한 본 발명은 상기 추출물을 추출하는 방법을 제공한다.The present invention provides a composition effective for the prevention and treatment of multiple sclerosis and autoimmune diseases comprising the extract of Phellinus igniarius . The present invention also provides a method for extracting the extract.
다발성 경화증(multiple sclerosis)은 자가면역성 염증성 퇴행성 신경질환 (autoimmune inflammatory neurodegenerative disease)의 대표적 질환으로 아시아계와 아프리카계 사람에게는 발생빈도가 그리 높지 않은 편이나 유럽계 사람 특히 30대 백인 여성에게서 가장 많이 발생하며, 유럽계 백인에서는 100,000명당 200명의 빈도로 발병한다.Multiple sclerosis is a representative disease of autoimmune inflammatory neurodegenerative disease, which is rare in Asians and Africans, but most frequently in Europeans, especially Caucasian women in their 30s. In Caucasian whites, the frequency affects 200 people per 100,000.
다발성 경화증은 시각 장애, 사지의 근무력증과 이로 인한 보행장애, 통증 또는 무감각을 수반하는 피부감각 장애, 배변 및 배뇨 장애, 언어 및 청각 장애, 인지 장애 등을 수반하며 이들 장애는 완화 및 재발이 반복되면서 점차 심해지는 경우가 많다. 이러한 신경성 장애는 중추신경계 내의 염증성 반응으로 인한 신경세포의 축삭을 둘러싸고 있는 수초(myelin sheath)의 손상에 기인한다. 병변은 뇌와 척수의 백질 부위에 산재성으로 나타나며 병변부에서는 전형적 현상인 정맥주위 염증세포 침윤을 수반하는 염증성 반응과 신경섬유의 수포성 수초탈락이 관찰되며 그 외에도 희소돌기아교세포의 소실, 성상아교세포의 증식 등이 수반된다. Multiple sclerosis involves visual impairment, dysfunction of the limbs and resulting gait disturbances, skin sensation impairment with pain or numbness, defecation and urination disorders, speech and hearing disorders, cognitive impairment, etc. Often it gets worse. This neurological disorder is due to damage to myelin sheaths surrounding the axons of nerve cells due to inflammatory responses in the central nervous system. The lesions are scattered in the white matter areas of the brain and spinal cord. In the lesions, inflammatory reactions involving perivenous inflammatory cell infiltration and bullous myelin sheaths of nerve fibers are observed. In addition, loss and appearance of oligodendrocytes Proliferation of glial cells.
다발성 경화증의 원인 및 병리학적 진행과정이 아직까지 완전히 밝혀지지 않았으나, 세포성 면역계와 체액성 면역계가 모두 관여하는 자가면역 반응인 것으로 알려졌다 (Engelhardt, Clin. Exp. Neuroimmunol. 1: 79-93, 2010). 다발성 경화증의 면역학적 발병과정을 약술하면 다음과 같다. The cause and pathological progress of multiple sclerosis have not yet been fully understood, but it is known to be an autoimmune reaction involving both cellular and humoral immune systems (Engelhardt, Clin. Exp. Neuroimmunol. 1: 79-93, 2010) ). The immunological course of multiple sclerosis is outlined below.
자가(self) myelin에 반응하는 자가반응성 CD4+ T 세포가 뇌염 등 여러 가지 원인에 의해 혈액으로부터 중추신경계의 실질조직으로 이동한 후 그곳에 존재하는 항원공급세포가 제공하는 myelin이 포함된 '주조직적합성복합체 class II 분자'에 의해 재활성화된다. 재활성화된 CD4+ T 세포는 스스로 복제증식하여 몇 개의 subset로 분화하여 세포성 면역을 주도한다. 이들 CD4+ T 세포는 또 다른 면역세포인 대식세포와 B 세포를 중추신경계 속으로 유인하는 물질을 분비하는 한편 염증유발 물질도 분비한다. Autoreactive CD4 + T cells, which respond to self myelin, migrate from the blood to the parenchymal tissues of the central nervous system for various causes, such as encephalitis, and are known as' major histocompatibility complexes, including myelin provided by antigen-supplying cells present there. class II molecules'. Reactivated CD4 + T cells multiply themselves and differentiate into several subsets to induce cellular immunity. These CD4 + T cells secrete substances that attract other immune cells, such as macrophages and B cells, into the central nervous system, while also secreting proinflammatory substances.
자가반응성 CD8+ T 세포도 혈액에서 중추신경계에 들어오면 myelin이 포함된 '주조직적합성복합체 class II 분자'에 의해 재활성화되어 스스로 복제증식하고 항원결정인자함유 세포를 세포독성적으로 공격하여 파괴한다. When autoreactive CD8 + T cells enter the central nervous system in the blood, they are reactivated by 'major histocompatibility complex class II molecules' containing myelin, which replicate and proliferate themselves and destroy cytotoxic agents by cytotoxicly attacking them.
대식세포는 중추신경계에 상존하는 미세아교세포와 협동으로 CD4+ T 세포와 CD8+ T 세포를 중추 신경계로 유인하고 활성화시키는 한편 BAFF(B cell activating factor belonging to the TNF family)를 분비하여 B 세포를 활성화시킨다. 또한 대식세포는 전염증성 cytokine을 분비하여 myelin을 파괴하고 항체와 보체로 표지된 myelin을 포식하여 제거한다. Macrophages, in cooperation with microglia in the central nervous system, attract and activate CD4 + T and CD8 + T cells into the central nervous system, while activating B cells by releasing B cell activating factor belonging to the TNF family (BAFF). . In addition, macrophages secrete proinflammatory cytokine, destroying myelin, and feeding and removing myelin labeled with antibodies and complement.
중추신경계에 침윤한 항원특이적 B 세포는 T 세포에 대해 항원공급세포로서 작용한다. 또한 항원특이적 B 세포와 T 세포가 상호작용하게 되면 B 세포와 T 세포가 동시에 증식한다. 한편 B 세포는 형질세포로 분화하여 myelin에 대한 항체와 보체를 분비한다. Antigen-specific B cells infiltrating the central nervous system act as antigen supplying cells to T cells. In addition, when antigen-specific B cells and T cells interact, B cells and T cells proliferate simultaneously. B cells, on the other hand, differentiate into plasma cells to secrete antibodies and complement to myelin.
한편 면역세포가 뇌혈관을 통과하기 위해서는 뇌혈관내피세포 및 면역세포에서 세포부착분자가 발현되어야 한다. 다발성 경화증의 경우 뇌혈관에서는 혈관세포부착분자(vascular cell adhesion molecule)-1의 발현이 또한 면역세포에서는 integrin-α4의 발현이 각각 증가한다.Meanwhile, in order for immune cells to pass through cerebrovascular vessels, cell adhesion molecules must be expressed in cerebrovascular endothelial cells and immune cells. In the case of multiple sclerosis, expression of vascular cell adhesion molecule-1 in cerebrovascular vessels and integrin-α4 expression in immune cells are increased, respectively.
다발성 경화증은 이미 언급한 바와 같이 세포성 면역계와 체액성 면역계가 모두 관여하는 면역질환이므로 각종 면역치료법이 시도되었다: 1) 면역허용성 항원을 이용한 자가반응성 T 세포의 민감소실법, 2) T 세포 지향성 cytokine, B 세포 표면분자 또는 세포부착분자에 대한 단일클론항체 또는 interferon-γ 등을 이용한 면역요법, 3) 혈장분리반출법 등이 시도되었다. 이러한 치료법은 긍정적인 결과를 가져오지만, 바람직하지 못한 부작용으로 인해 사용이 제한적이다(Steinman & Zamvil, Ann. Neurol. 60:12-21, 2006). 따라서 다발성 경화증 환자를 위해 부작용과 독성이 없는 안전한 약물의 개발이 절실한 실정이다. Multiple sclerosis is an immunological disease involving both cellular and humoral immune systems, as mentioned earlier, and various immunotherapies have been attempted: 1) desensitization of autoreactive T cells using immuno-tolerant antigens, and 2) T cells. Immunization using monoclonal antibodies or interferon-γ against directional cytokine, B cell surface molecules or cell adhesion molecules, 3) plasma separation and the like have been attempted. These therapies have positive results, but their use is limited due to undesirable side effects (Steinman & Zamvil, Ann. Neurol. 60: 12-21, 2006). Therefore, the development of a safe drug without side effects and toxicity for patients with multiple sclerosis is urgently needed.
진흙버섯속(genus Phellinus)의 버섯은 전통적으로 아시아에서 만성질환의 치료에 사용되어 왔으며, 최근 그것의 의학적 효능이 밝혀지고 있다(Dai et al, Appl. Microbiol. Biotech. 87: 1587-1593, 2010). 목질진흙버섯(Phellinus linteus)에서 추출한 다당류인 β-glucan이 강력한 면역조절 효능을 지니고 있어 암 및 면역질환 치료에 유효하다. 또한, 말똥진흙버섯도 아시아 지역에서 약용버섯으로 사용되어 왔으며 역시 면역조절 효능을 가진다. Mushrooms of genus Phellinus have traditionally been used in the treatment of chronic diseases in Asia, and their medical efficacy has recently been revealed (Dai et al, Appl. Microbiol. Biotech. 87: 1587-1593, 2010 ). Β-glucan, a polysaccharide extracted from Phellinus linteus , has potent immunomodulatory effects and is effective in treating cancer and immune diseases. In addition, dung mud mushrooms have been used as medicinal mushrooms in Asia and also have immunomodulatory effects.
본 발명은 말똥진흙버섯 추출물을 포함하는 다발성 경화증의 예방 및 치료에 유효하며, 부작용과 독성이 낮고 안전한 새로운 조성물을 제공하는 것을 목적으로 한다. 아울러 본 발명은 진흙버섯속에 속하는 또 다른 종인 목질진흙버섯 및 바우미진흙버섯(Phellinus baumii) 추출물에서도 다발성 경화증의 예방 및 치료에 동일한 효과가 있는 새로운 조성물을 얻을 수 있음을 발견하여 이를 제공하고자 한다. The present invention mud mud mushroom An object of the present invention is to provide a novel composition which is effective in the prevention and treatment of multiple sclerosis comprising an extract, and which has low side effects and low toxicity. In addition, the present invention is another species belonging to the genus Mud mushrooms wood mud mushrooms and Baumi mud mushrooms (Phellinus baumii) The present invention also seeks to provide a new composition having the same effect in the prevention and treatment of multiple sclerosis.
본 발명은 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯 추출물을 포함하는 다발성 경화증 예방 및 치료용 조성물을 제공한다.The present invention is one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms It provides a composition for preventing and treating multiple sclerosis comprising the extract.
바람직하게, 상기 추출물은 Preferably, the extract
i) 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯을 열수 추출하는 단계;i) hydrothermal extraction of one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms;
ii) 상기 열수 추출물을 냉 에탄올과 혼합하여 침전물을 취하는 단계 및ii) mixing the hot water extract with cold ethanol to obtain a precipitate, and
iii) 상기 침전물을 증류수에 용해시킨 후 동결 건조하는 단계로부터 얻어지는 것이다.iii) obtained by dissolving the precipitate in distilled water and freeze drying.
실험적 자가면역성 뇌수막염(experimental autoimmune encephalomyelitis)은 임상적 증상 및 병리학적 소견이 다발성 경화증과 매우 유사하여 다발성 경화증을 연구하기 위한 대표적 실험동물 모델로 사용된다(Steinman & Zamvil, Ann. Neurol. 60:12-21, 2006). 그러므로 본 발명에서는 실험적 자가면역성 뇌수막염을 이용해 상기 조성물이 다발성 경화증에 유효함을 입증한다.Experimental autoimmune encephalomyelitis is used as a representative experimental animal model to study multiple sclerosis because its clinical symptoms and pathological findings are very similar to multiple sclerosis (Steinman & Zamvil, Ann. Neurol. 60: 12- 21, 2006). Therefore, the present invention demonstrates that the composition is effective for multiple sclerosis using experimental autoimmune meningitis.
바람직하게, 상기 조성물은 실험적 자가면역성 뇌수막염의 임상증상지수 및 발병률을 크게 완화시킨다.Preferably, the composition greatly alleviates the clinical symptom index and incidence of experimental autoimmune meningitis.
바람직하게, 상기 조성물은 실험적 자가면역성 뇌수막염이 유발된 실험동물의 중추신경계에서 CD4+ T 세포, CD8+ T 세포, 대식세포 및 B 세포의 침윤을 억제하는 한편 수초 탈락 현상을 억제한다.Preferably, the composition inhibits infiltration of CD4 + T cells, CD8 + T cells, macrophages and B cells in the central nervous system of experimental animals induced experimental autoimmune meningitis, while inhibiting myelin dropping.
바람직하게, 상기 조성물은 실험적 자가면역성 뇌수막염이 유발된 실험동물의 중추신경계에서 세포부착분자의 일종인 혈관세포부착분자(vascular cell adhesion molecule(VCAM))-1의 발현을 감소시킨다.Preferably, the composition reduces the expression of vascular cell adhesion molecule (VCAM) -1, which is a type of cell adhesion molecule, in the central nervous system of experimental animals induced with experimental autoimmune meningitis.
바람직하게, 상기 조성물은 실험적 자가면역성 뇌수막염이 유발된 실험동물의 국소 림프절에서 integrin-α4가 강하게 발현되는 림프구의 수를 감소시킨다.Preferably, the composition reduces the number of lymphocytes that are strongly expressed integrin-α4 in the local lymph nodes of experimental animals induced by experimental autoimmune meningitis.
또한 본 발명은 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯의 추출물을 포함하는 조성물 및 약제학적으로 허용되는 담체를 포함하는 다발성 경화증 예방 또는 치료용 제재를 제공한다.The present invention also provides a preparation for preventing or treating multiple sclerosis comprising a composition comprising an extract of at least one mushroom selected from the group consisting of dung mud, wood mud and Baumi mud mushroom and a pharmaceutically acceptable carrier. to provide.
또한 본 발명은 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯의 추출물을 포함하는 조성물 및 담체를 포함하는 다발성 경화증 예방 및 개선용 건강보조 식품 또는 기능성 식품을 제공한다.In another aspect, the present invention provides a health supplement or functional food for preventing and improving multiple sclerosis comprising a composition and a carrier comprising an extract of one or more mushrooms selected from the group consisting of dung mud, wood mud and Baumi mud to provide.
또한 본 발명은 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯의 추출물을 포함하는 조성물 및 약제학적으로 허용되는 담체를 포함하는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군 등의 각종 면역질환의 예방 및 치료용 제재를 제공한다.In another aspect, the present invention is a type 1 diabetes mellitus, Hashimoto thyroiditis, comprising a composition comprising an extract of one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms and a pharmaceutically acceptable carrier, Provided are the preparations for the prevention and treatment of various immune diseases such as celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome.
또한 본 발명은 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯의 추출물을 포함하는 조성물 및 담체를 포함하는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군 등의 각종 면역질환의 예방 및 개선용 건강보조 식품 또는 기능성 식품을 제공한다.In another aspect, the present invention is a type 1 diabetes mellitus, Hashimoto thyroiditis, celiac disease, giant cells comprising a composition and a carrier comprising an extract of at least one mushroom selected from the group consisting of dung mud, wood mud and Baumi mud It provides a dietary supplement or functional food for the prevention and improvement of various immune diseases, such as sexual arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome.
본 발명의 말똥진흙버섯, 목질진흙버섯 또는 바우미진흙버섯의 추출물을 포함하는 조성물은 혈관내피세포와 면역세포에서 각각 세포부착인자의 발현을 억제함으로써 면역세포의 중추신경계 내 유입을 차단한다. 그 결과 중추신경계의 염증반응과 수초탈락이 억제되어 다발성 경화증의 발병과 증상이 개선된다. 그러므로 본 발명의 조성물은 다발성 경화증의 예방 및 치료에 사용될 수 있다. 또한 본 발명의 조성물은 조직 내로 침윤한 면역세포에 의해 발병되는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군 등의 면역질환의 예방 및 치료에 활용될 수 있다. The composition comprising the extract of the dung mud mushroom, woody mud mushroom or Baumi mud mushroom of the present invention blocks the influx of immune cells into the central nervous system by inhibiting the expression of cell adhesion factors in vascular endothelial cells and immune cells, respectively. As a result, the inflammatory response and myelin drop of the central nervous system are suppressed to improve the onset and symptoms of multiple sclerosis. Therefore, the composition of the present invention can be used for the prevention and treatment of multiple sclerosis. In addition, the composition of the present invention can be used for the treatment of immune diseases such as type 1 diabetes, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome caused by immune cells infiltrating into tissues. It can be used for prevention and treatment.
도1은 myelin oligodendrocyte glycoprotein(MOG)35-55을 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 일일 임상증상지수(A) 및 발병률(B)에 대한 「말똥진흙버섯의 물 추출물의 에탄올 침전물(Piwep)」의 개선 효과를 나타낸 것이다. MOG+Vehicle: MOG 단독 투여군, MOG+Piwep: MOG와 Piwep의 병합투여군.Figure 1 shows the ethanol sedimentation of water extracts of horseradish fungi (D) against daily clinical symptom index (A) and incidence (B) of experimental animals with experimental autoimmune meningitis using myelin oligodendrocyte glycoprotein (MOG) 35-55. Piwep) ”is shown. MOG + Vehicle: MOG-only group, MOG + Piwep: Combined administration of MOG and Piwep.
도2는 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 대뇌(Cbr) 및 소뇌(Cbl)에서 혈관주변 염증세포 침윤에 대한 Piwep의 억제 효과를 나타낸 것이다. MOG+Vehicle(X400)은 MOG+Vehicle(X100)의 표시 영역을 4배 확대한 것이다. MOG+Vehicle: MOG 단독 투여군, MOG+Piwep: MOG와 Piwep의 병합투여군. Figure 2 shows the inhibitory effect of Piwep on perivascular inflammatory cell infiltration in the cerebral (Cbr) and cerebellum (Cbl) of experimental animals induced with experimental autoimmune meningitis using MOG. MOG + Vehicle (X400) enlarges the display area of MOG + Vehicle (X100) by 4 times. MOG + Vehicle: MOG-only group, MOG + Piwep: Combined administration of MOG and Piwep.
도3은 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 혈관주변 염증세포 침윤에 대한 Piwep의 억제 효과(H & E) 및 수초 탈락에 대한 Piwep의 억제 효과(LFB & PAS)를 나타낸 것이다. MOG+Vehicle(X400)은 MOG+Vehicle(X100)의 표시 영역을 4배 확대한 것이다. MOG+Vehicle: MOG 단독 투여군, MOG+Piwep: MOG와 Piwep의 병합투여군. Figure 3 shows the inhibitory effect of Piwep (H & E) on perivascular inflammatory cell invasion in the spinal cord of experimental animals induced experimental autoimmune meningitis using MOG and the inhibitory effect of Piwep on plant dropout (LFB & PAS). It is shown. MOG + Vehicle (X400) enlarges the display area of MOG + Vehicle (X100) by 4 times. MOG + Vehicle: MOG-only group, MOG + Piwep: Combined administration of MOG and Piwep.
도4는 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 무리분화세포표면분자(cell surface molecule for cluster differentiation, CD)인 CD4, CD8, F4/80 및 CD20의 면역반응성에 대한 Piwep의 억제 효과를 나타낸 것이다. N: 정상군, V: MOG+Vehicle군, P: MOG+Piwep군.Figure 4 shows Piwep for the immunoreactivity of CD4, CD8, F4 / 80 and CD20, which are cell surface molecules for cluster differentiation (CD) in the spinal cord of experimental animals with experimental autoimmune meningitis using MOG. It shows an inhibitory effect. N: normal group, V: MOG + Vehicle group, P: MOG + Piwep group.
도5는 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 무리분화세포표면분자인 CD4, CD8, CD11b 및 CD20에 특이적인 mRNA의 발현에 대한 Piwep의 억제 효과를 나타낸 것이다. N: 정상군, V: MOG+Vehicle, P: MOG+Piwep.Figure 5 shows the inhibitory effect of Piwep on the expression of mRNA specific to the myocytes of CD4, CD8, CD11b and CD20 in the spinal cord of experimental animals induced experimental autoimmune meningitis using MOG. N: normal group, V: MOG + Vehicle, P: MOG + Pipep.
도6은 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 세포부착분자(cell adhesion molecule)인 혈관세포부착분자(VCAM)-1과 integrin-α4에 특이적인 mRNA 발현에 대한 Piwep의 억제 효과를 나타낸 것이다. N: 정상군, V: MOG+Vehicle, P: MOG+Piwep.Fig. 6 shows Piwep expression of mRNA specific for vascular cell adhesion molecules (VCAM) -1 and integrin-α4, which are cell adhesion molecules, in the spinal cord of experimental animals with experimental autoimmune meningitis using MOG. Inhibitory effect is shown. N: normal group, V: MOG + Vehicle, P: MOG + Pipep.
도7은 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 경부 림프절에서 세포부착인자인 integrin-α4 면반응역성에 대한 Piwep의 억제 효과를 나타낸 것이다. Normal: 정상군, MOG+Vehicle: MOG 단독 투여군, MOG+Piwep: MOG와 Piwep의 병합투여군.Figure 7 shows the inhibitory effect of Piwep on cell adhesion factor integrin-α4 immune response in cervical lymph nodes of experimental animals induced with experimental autoimmune meningitis using MOG. Normal: Normal group, MOG + Vehicle: MOG alone group, MOG + Piwep: Combined administration of MOG and Piwep.
도8은 MOG를 사용하여 실험적 자가면역성 뇌수막염이 유발된 실험동물의 임상증상지수에 대한 「목질진흙버섯의 물 추출물의 에탄올 침전물(Plwep, A)」 및 「바우미진흙버섯의 물 추출물의 에탄올 침전물(Pbwep, B)」의 억제 효과를 나타낸 것이다. MOG+Vehicle: MOG 단독 투여군, MOG+Plwep: MOG와 Plwep의 병합투여군, MOG+Pbwep: MOG와 Pbwep의 병합투여군.Fig. 8 shows ethanol precipitates (Plwep, A) and ethanol precipitates of water extracts of Baumi mud mushrooms for the clinical symptom index of experimental animals induced experimental autoimmune meningitis using MOG. (Pbwep, B) ". MOG + Vehicle: MOG alone group, MOG + Plwep: MOG and Plwep group, MOG + Pbwep: MOG and Pbwep group.
본 발명은 중추신경계로의 각종 면역세포의 침윤을 방지하여 중추신경계의 염증과 수초탈락을 억제함으로써 다발성 경화증의 예방 및 치료에 유효하게 작용하는 조성물을 제공한다. 본 발명은 또한 상기 조성물의 제조방법 및 투여방법을 제공한다.The present invention provides a composition that effectively acts in the prevention and treatment of multiple sclerosis by preventing the infiltration of various immune cells into the central nervous system and inhibiting inflammation and myelin dropout of the central nervous system. The present invention also provides a method for the preparation and administration of the composition.
본 발명의 조성물은 말똥진흙버섯으로부터 추출된 추출물을 포함한다. 다른 실시예에서 본 발명의 조성물은 또한 목질진흙버섯 또는 바우미진흙버섯으로부터 제조되는 추출물을 포함한다.The composition of the present invention includes an extract extracted from the mud mushrooms. In another embodiment, the compositions of the present invention also include extracts prepared from woody or mushrooms.
본 발명에서 말똥진흙버섯 추출물은 i) 상기 버섯을 열수 추출하는 단계; ii) 상기 열수 추출물을 냉 에탄올과 혼합하여 침전물을 취하는 단계 및 iii) 상기 침전물을 증류수에 용해시킨 후 동결 건조하는 단계로부터 얻어진다.Horse mud mushroom extract in the present invention is i) hot water extracting the mushroom; ii) mixing the hot water extract with cold ethanol to obtain a precipitate and iii) dissolving the precipitate in distilled water followed by freeze drying.
본 발명에서는 말똥진흙버섯의 자실체 가루를 이용한다. 이는 버섯 추출물을 보다 효율적으로 얻기 위한 것으로 자실체 가루를 이용할 경우 추출 표면적이 넓어지므로, 추출 과정에서 보다 많은 유효 성분들이 추출될 수 있기 때문이다. In the present invention, fruiting body powder of dung mud mushroom is used. This is for obtaining the mushroom extract more efficiently because when the fruiting body powder is used to increase the extraction surface area, more active ingredients can be extracted during the extraction process.
다음으로, 자실체 가루의 추출물을 얻기 위해 자실체 가루를 증류수에 넣고 끓이는 과정을 거친다. 이때 100℃ ~ 104℃의 온도에서 3시간 이상에 걸쳐 끓임으로써 유효 성분이 충분히 추출되도록 한다. Next, in order to obtain an extract of the fruiting body powder, the fruiting body powder is put in distilled water and boiled. At this time, by boiling over 3 hours at a temperature of 100 ℃ ~ 104 ℃ to ensure that the active ingredient is sufficiently extracted.
이렇게 얻은 추출물은 감압 농축하여 유효 성분의 함량을 높인다. 그런 다음, 감압 농축된 추출물을 냉 에탄올과 혼합한다. 상기 에탄올 혼합물을 4℃ 이하의 온도에서 하룻밤 동안 방치하여 침전시킨다. The extract thus obtained is concentrated under reduced pressure to increase the content of the active ingredient. Then, the extract concentrated under reduced pressure is mixed with cold ethanol. The ethanol mixture is allowed to settle overnight at temperature below 4 ° C.
다음으로 혼합물을 원심분리하여 침전물을 취한다. 마지막으로, 상기 침전물을 다시 증류수에 용해한 다음 동결건조시킨다. Next, the mixture is centrifuged to take a precipitate. Finally, the precipitate is again dissolved in distilled water and then lyophilized.
실험적 자가면역성 뇌수막염은 임상적 증상 및 병리학적 소견이 다발성 경화증과 매우 유사하므로 본 발명에서는 실험적 자가면역성 뇌수막염을 이용하여 말똥진흙버섯 추출물을 함유하는 조성물이 다발성 경화증에 유효함을 입증한다. Experimental autoimmune meningitis is very similar to multiple sclerosis in clinical symptoms and pathological findings, the present invention demonstrates that the composition containing the mud mushroom extract using experimental autoimmune meningitis is effective for multiple sclerosis.
본 발명에서 상기 조성물은 실험적 자가면역성 뇌수막염의 발병률 및 임상증상지수를 크게 감소시킨다. 또한 상기 조성물은 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 혈관 주변에 염증성 세포의 침윤을 차단하는 한편 수초탈락을 억제한다. 따라서, 상기 조성물은 실험적 자가면역성 뇌수막염의 임상적 증상과 징후 및 병리학적 변화를 극적으로 완화시킨다.In the present invention, the composition greatly reduces the incidence and clinical symptoms index of experimental autoimmune meningitis. In addition, the composition blocks the infiltration of inflammatory cells around blood vessels in the spinal cord of experimental animals induced experimental autoimmune meningitis and inhibits myelin dropout. Thus, the compositions dramatically alleviate the clinical symptoms and signs and pathological changes of experimental autoimmune meningitis.
실험적 자가면역성 뇌수막염에서 중추신경계에 여러 종류의 면역세포가 침윤하며 이들은 각각 다른 기전으로 염증 및 수초탈락에 관여하므로, 본 발명에서는 상기 조성물이 실험적 자가면역성 뇌수막염이 유발된 중추신경계에서 각종 면역세포의 침윤에 대한 효과를 관찰한다. 상기 조성물은 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 무리분화세포표면분자인 CD4, CD8, F4/80 및 CD20에 대한 면역반응성을 감소시키며 또한 CD4, CD8, CD11 및 CD20에 특이적인 mRNA의 발현을 현저히 억제한다. 이러한 결과는 본 발명의 조성물이 실험적 자가면역성 뇌수막염에서 CD4+ T 세포, CD8+ T 세포, 대식세포 및 B 세포가 중추신경계로 침윤하는 것을 차단함을 입증한다. In experimental autoimmune meningitis, various types of immune cells infiltrate the central nervous system and are involved in inflammation and demyelination by different mechanisms. In the present invention, the composition infiltrates various immune cells in the central nervous system induced experimental autoimmune meningitis. Observe the effect on. The composition reduces the immunoreactivity of CD4, CD8, F4 / 80, and CD20, which are surface differentiation molecules, in the spinal cord of experimental animals with experimental autoimmune meningitis and also reduces the CD4, CD8, CD11 and CD20 specific mRNAs. Significantly inhibit expression. These results demonstrate that the compositions of the present invention block CD4 + T cells, CD8 + T cells, macrophages and B cells from infiltrating the central nervous system in experimental autoimmune meningitis.
중추신경계에서 혈관으로부터 실질조직으로 면역세포가 이동하기 위해서는 중추신경계의 혈관 내피세포뿐만 아니라 면역세포의 표면에 세포부착분자들이 강하게 발현되어야 한다. 본 발명에서는 혈관내피세포에서 발현되는 혈관세포부착분자(VCAM)-1와 면역세포에서 발현되는 integrin-α4의 발현에 대한 말똥진흙버섯 추출물의 효과를 관찰한다. 본 발명에서는 상기 조성물이 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 (VCAM)-1에 특이적인 mRNA의 발현을 억제하며 또한 국소 림프절에서 integrin-α4에 대해 강한 면역반응성을 나타내는 림프구의 수를 감소시킨다. 이러한 결과는 본 발명의 조성물이 실험적 자가면역성 뇌수막염이 유발된 실험동물에서 중추신경계의 혈관 내피세포뿐만 아니라 면역세포에서 세포부착분자의 발현을 억제하며 그로 인하여 중추신경계로의 면역세포의 침윤이 차단됨을 입증한다. 또한 본 발명의 조성물이 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 integrin-α4에 특이적인 mRNA의 발현을 억제한다. 이러한 결과는 상기 조성물로 인하여 실험적 자가면역성 뇌수막염에서 중추신경계 내의 혈관을 통과하여 실질조직에 침윤한 림프구의 수가 감소됨을 의미한다. In order to move immune cells from blood vessels to parenchymal tissues in the central nervous system, cell adhesion molecules must be strongly expressed on the surface of immune cells as well as vascular endothelial cells of the central nervous system. In the present invention, we observe the effect of horseradish mushroom extract on the expression of vascular cell adhesion molecule (VCAM) -1 expressed in vascular endothelial cells and integrin-α4 expressed in immune cells. In the present invention, the composition inhibits the expression of (VCAM) -1 specific mRNA in the spinal cord of experimental animals with experimental autoimmune meningitis and also the number of lymphocytes showing strong immunoreactivity against integrin-α4 in local lymph nodes. Decrease. These results indicate that the composition of the present invention inhibits the expression of cell adhesion molecules in immune cells as well as vascular endothelial cells of the central nervous system in experimental autoimmune meningitis-induced animals, thereby blocking the infiltration of immune cells into the central nervous system. Prove it. In addition, the composition of the present invention inhibits the expression of mRNA specific for integrin-α4 in the spinal cord of experimental animals induced experimental autoimmune meningitis. These results indicate that the composition reduces the number of lymphocytes infiltrated into the parenchyma by passing blood vessels in the central nervous system in experimental autoimmune meningitis.
한편 목질진흙버섯 또는 바우미진흙버섯으로부터 추출된 추출물을 포함하는 조성물도 실험적 자가면역성 뇌수막염의 임상증상지수를 낮추는 것으로 확인된다. On the other hand, the composition containing the extract extracted from the woody mud or Baumi mud mushroom is also confirmed to lower the clinical symptoms index of experimental autoimmune meningitis.
본 발명에 대한 구체적인 설명에서는 단지 말똥진흙버섯 추출물을 포함하는 조성물의 실험적 자가면역성 뇌수막염에 대한 실시예만을 기재한다. 그러나 본 발명의 말똥진흙버섯, 목질진흙버섯 또는 바우미진흙버섯의 추출물을 포함하는 조성물은 다발성 경화증 치료 또는 예방용에 한정되는 것이 아니라 다발성 경화증과 유사한 면역학적 기전을 갖는 다른 자가면역성 질환의 예방 및 치료에도 사용될 수 있다. 이러한 질환에는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군 등의 각종 면역질환이 포함된다. 따라서 본 발명의 권리범위는 말똥진흙버섯, 목질진흙버섯 또는 바우미진흙버섯의 추출물을 포함하는 조성물을 상기 각종 자가면역성 질환의 예방 및 치료의 용도로서 사용하는 것에도 미치는 것으로 이해되어야 한다. In the detailed description of the present invention, only the examples for experimental autoimmune meningitis of the composition comprising the dung mushroom extract are described. However, the mud mud mushroom, wood mud mushroom or Baumi mud mushroom of the present invention The composition comprising the extract is not limited to the treatment or prevention of multiple sclerosis, but may be used for the prevention and treatment of other autoimmune diseases having an immunological mechanism similar to that of multiple sclerosis. These diseases include various immune diseases such as type 1 diabetes, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome. Therefore, the scope of the present invention is a horse mud mushroom, woody mud mushroom or Baumi mud mushroom It is to be understood that the composition comprising the extract also extends to the use of the prophylaxis and treatment of the various autoimmune diseases.
한편, 본 발명의 말똥진흙버섯, 목질진흙버섯 또는 바우미진흙버섯의 추출물을 포함하는 조성물은 다발성 경화증 예방 및 치료용 제제 또는 건강보조 식품 또는 기능성 식품으로 이용될 수 있다. Meanwhile, the mud mud mushroom, wood mud mushroom or Baumi mud mushroom of the present invention The composition containing the extract may be used as an agent for preventing and treating multiple sclerosis or as a dietary supplement or a functional food.
상기 제재는 경구 또는 비경구적으로 투여될 수 있다. 경구용일 경우, 조성물은 알약, 캡슐 또는 액상의 형태로 제형화 된다. 비경구용일 경우, 조성물은 다양한 부형제, 담체, 희석제 등 본 발명이 속하는 기술 분야에서 통상의 지식을 가진 자에게 알려져 있으며, 용이하게 선택 가능한 것과 함께 제형화 된다.The agent may be administered orally or parenterally. For oral use, the compositions are formulated in pill, capsule or liquid form. For parenteral use, the compositions are known to those skilled in the art, including various excipients, carriers, diluents, etc., and formulated with those that are readily selectable.
이하 실시예를 통해 본 발명을 상세히 설명한다. 그러나 이는 발명의 이해를 돕기 위한 것일 뿐, 본 발명이 이에 한정되는 것으로 여겨져서는 안 된다. The present invention will be described in detail through the following examples. However, this is only to aid the understanding of the invention, the present invention should not be considered to be limited thereto.
실시예 1Example 1
[말똥진흙버섯으로부터 물 추출물의 에탄올 침전물 제조] [Preparation of Ethanol Precipitates of Water Extracts from Dung Mushrooms]
말똥진흙버섯의 자실체 가루를 중량 대비 10배의 증류수에 넣고 3시간 끓인 다음 여과하여 고형성분을 제거하고 추출액을 감압 농축하였다. 상기 농축 추출액을 용량대비 2배의 냉 에탄올(-20℃)과 혼합하고 4℃ 이하에서 하룻밤 동안 방치하였다. 에탄올 혼합물을 원심분리하여 침전물을 취하고 그것을 다시 증류수에 용해한 다음 동결건조하였으며, 이를 「말똥진흙버섯의 물 추출물의 에탄올 침전물(Piwep)」이라 명명하였다. The fruiting body powder of the dung mud mushrooms was put in distilled water 10 times by weight, boiled for 3 hours, filtered to remove solid components, and the extract was concentrated under reduced pressure. The concentrated extract was mixed with twice the capacity of cold ethanol (-20 ° C.) and left overnight at 4 ° C. or less. The ethanol mixture was centrifuged to take a precipitate, which was dissolved in distilled water again, and then lyophilized, which was named "ethanol precipitate (Piwep) of water extract of dung mushroom".
[실험적 자가면역성 뇌수막염의 유발 및 Piwep 투여][Induction of Experimental Autoimmune Meningitis and Piwep Administration]
6-7주령의 C57BL/6 mouse 암컷을 실온 및 습도가 조절되는 환경에 적응시켰다. Myelin oligodendrocyte glycoprotein(MOG)35-55을 phosphate buffered saline에 200 ㎍/100 ㎕의 농도로 용해한 후, 동량의 complete Freund's adjuvant(Mycobacterium tuberculosis H37RaA를 400 ㎍ 함유)와 혼합하고 그 혼합물 200 ㎕을 실험동물의 가슴부위 피하에 2 부위로 나누어 주사하였다. 백일해균 독소(pertussis toxin)를 PBS에 400 ng/200 ㎕의 농도로 용해하고 그 용해물 200 ㎕을 MOG 첫 번째 주사 후 0일과 2일에 각각 1회씩 복강 내로 주사하였다. MOG를 주사한 후 7일째에 MOG와 complete Freund's adjuvant의 혼합물 200 ㎕을 추가 접종하였다. 「말똥진흙버섯의 물 추출물의 에탄올 침전물(Piwep)」을 생리식염수에 용해하고 필터를 이용해 멸균한 다음, MOG의 첫 번째 주사 후 0일부터 하루 간격으로 매일 1회 100 ㎎/㎏씩 복강 내로 주사하였다. C-7BL / 6 mouse females, 6-7 weeks old, were adapted to controlled room and humidity conditions. After dissolving Myelin oligodendrocyte glycoprotein (MOG) 35-55 at a concentration of 200 μg / 100 μl in phosphate buffered saline, the mixture was mixed with the same amount of complete Freund's adjuvant (containing 400 μg of Mycobacterium tuberculosis H37RaA) and 200 μl of the mixture was added to the experimental animals. The chest was subcutaneously injected into two sites. Pertussis toxin was dissolved in PBS at a concentration of 400 ng / 200 μl and 200 μl of the lysate was injected intraperitoneally once every 0 and 2 days after the first MOG injection. Seven days after MOG injection, 200 μl of a mixture of MOG and complete Freund's adjuvant was further inoculated. The ethanol precipitate (Piwep) of the water extract of Dung mud mushrooms was dissolved in physiological saline, sterilized using a filter, and then injected into the abdominal cavity by 100 mg / kg once daily at 0 days after the first injection of MOG. It was.
[실험적 자가면역성 뇌수막염이 유발된 동물의 임상증상 평가]Evaluation of Clinical Symptoms in Animals with Experimental Autoimmune Meningitis
MOG 첫 번째 주사 후 매일 실험동물의 행동을 관찰하고 실험적 자가면역성 뇌수막염의 임상증상 정도를 다음과 같은 평가기준에 따라 평가하여 지수화하였다. The animals were observed daily after the first injection of MOG, and the clinical symptoms of experimental autoimmune meningitis were evaluated and indexed according to the following criteria.
Grade 0: 정상Grade 0: Normal
Grade 1: 꼬리의 처짐Grade 1: sagging tail
Grade 2: 꼬리의 처짐, 뒷다리의 쇠약Grade 2: sagging tail, weakness of hind legs
Grade 3: 꼬리의 처짐, 뒷다리의 부분적 마비, 보행장애Grade 3: sagging tail, partial paralysis of hind legs, gait disturbance
Grade 4: 꼬리의 처짐, 양쪽 뒷다리의 완전마비Grade 4: sagging tail, complete paralysis of both hind legs
Grade 5: 빈사상태 또는 사망Grade 5: Death or Death
도1에 실험적 자가면역성 뇌수막염의 임상증상에 대한 Piwep의 효과를 제시한다. MOG를 투여하여 실험적 자가면역성 뇌수막염을 유발하면 임상증상이 MOG를 첫 번째 주사한 후 13일째에 처음으로 발현되기 시작하여 20일째에 임상증상지수가 최고치에 도달하였다. 실험적 자가면역성 뇌수막염의 최대 임상증상지수 및 발병률에 미치는 Piwep의 효과를 하기 표 1에 나타내었다.1 shows the effect of Piwep on the clinical symptoms of experimental autoimmune meningitis. When MOG was administered to induce experimental autoimmune meningitis, the clinical symptoms first appeared on the 13th day after the first injection of MOG, and the clinical symptoms index reached its highest on the 20th day. The effects of Piwep on the maximum clinical symptoms index and incidence of experimental autoimmune meningitis are shown in Table 1 below.
표 1
Figure PCTKR2012011776-appb-T000001
Table 1
Figure PCTKR2012011776-appb-T000001
표1에 의하면 실험적 자가면역성 뇌수막염의 최대 임상증상지수 및 최대발병률에 미치는 Piwep의 효과가 확인된다. 실험적 자가면역성 뇌수막염만을 유발한 MOG+Vehicle 군에서 최대 임상증상지수는 3.15±0.39이었으며 발병률은 90%(20마리 중 18마리에서 발병)이었다. 반면, 실험적 자가면역성 뇌수막염을 유발하면서 Piwep를 투여한 MOG+Piwep 군에서는 최대 임상증상지수가 0.20±0.09 그리고 발병률이 20%(20마리 중 4마리에서 발병)이어서 MOG+Vehicle 군에 비해 각각 현저히 낮아졌다. 이러한 결과는 Piwep가 MOG로 유발한 실험적 자가면역성 뇌수막염의 임상증상과 발병률을 크게 감소시킴을 나타낸다. Table 1 confirms the effect of Piwep on the maximum clinical symptoms index and the maximum incidence of experimental autoimmune meningitis. In the MOG + Vehicle group that only induced experimental autoimmune meningitis, the maximum clinical symptom index was 3.15 ± 0.39 and the incidence was 90% (18 out of 20). On the other hand, in the MOG + Piwep group with Piwep-induced experimental autoimmune meningitis, the maximum clinical symptom index was 0.20 ± 0.09 and the incidence was 20% (4 out of 20 animals), which was significantly lower than the MOG + Vehicle group. . These results indicate that Piwep significantly reduces the clinical symptoms and the incidence of MOG-induced experimental autoimmune meningitis.
[중추신경계의 병리학적 연구] Pathological Study of the Central Nervous System
실험적 자가면역성 뇌수막염이 유발된 실험동물의 중추신경계에서 Piwep가 염증세포 침윤과 수초탈락에 미치는 효과를 다음과 같이 관찰하였다. The effects of Piwep on inflammatory cell infiltration and myelin detachment in the central nervous system of experimental animals with experimental autoimmune meningitis were as follows.
MOG를 첫 번째 주사 후 21일째에 실험동물을 마취하고 심장을 통해 4% paraformaldehyde를 함유하는 PBS 용액을 관류하여 뇌와 척수를 고정하였으며 뇌와 척수를 적출하고 동일한 고정액에서 후고정하였다. 뇌와 척수를 paraffin으로 포매한 다음 5 ㎛ 두께의 연속절편을 제작하였다. 뇌 절편을 통상적 방법에 따라 Hematoxylin-Eosin(H & E)법으로 염색하고 염증세포의 침윤상태를 관찰하였다. 또한 척수 절편을 Hematoxylin-Eosin(H & E)법 또는 Luxol Fast Blue(LFB)-Periodic Acid Schiff(PAS)법으로 염색하여 염증세포의 침윤상태와 수초의 탈락상태를 각각 관찰하였다. On the 21st day after the first injection of MOG, experimental animals were anesthetized, and the brain and spinal cord were fixed by perfusion through the heart with PBS solution containing 4% paraformaldehyde. The brain and spinal cord were extracted and postfixed in the same fixative. Brain and spinal cord were embedded with paraffin, and 5 µm thick serial sections were prepared. Brain sections were stained with Hematoxylin-Eosin (H & E) method according to the conventional method, and the infiltration state of inflammatory cells was observed. Spinal cord sections were stained with Hematoxylin-Eosin (H & E) or Luxol Fast Blue (LFB) -Periodic Acid Schiff (PAS) to observe the invasive state of the inflammatory cells and the dropout state of myelin.
도2는 실험적 자가면역성 뇌수막염이 유발된 실험동물의 대뇌(Cbr) 및 소뇌(Cbl)에서 혈관주변의 염증세포 침윤에 대한 Piwep의 효과를 보여준다. MOG만을 투여한 MOG+Vehicle군에서 혈관주변에 염증세포가 침윤하는 현상이 관찰되나, Piwep를 투여한 MOG+Piwep군에서는 그런 현상이 관찰되지 않았다. 이러한 결과는 Piwep가 실험적 자가면역성 뇌수막염에 수반되는 중추신경계에서의 염증세포 침윤을 크게 억제함을 제시한다.Figure 2 shows the effect of Piwep on peritoneal inflammatory cell infiltration in the cerebral (Cbr) and cerebellum (Cbl) of experimental animals with experimental autoimmune meningitis. Inflammatory cells infiltrated around the blood vessels were observed in the MOG + Vehicle group administered only MOG, but not in the MOG + Piwep group administered Piwep. These results suggest that Piwep significantly inhibits inflammatory cell infiltration in the central nervous system associated with experimental autoimmune meningitis.
도3은 실험적 자가면역성 뇌수막염이 유발된 실험동물의 척수에서 염증세포 침윤 및 수초탈락에 대한 Piwep의 효과를 보여준다. MOG만을 투여한 MOG+Vehicle군에서 혈관주변에 아주 심한 염증세포의 침윤이 나타났으나 Piwep를 투여한 MOG+Piwep군에서는 그러한 염증세포의 침윤이 관찰되지 않았다. 또한 MOG+Vehicle 군에서 아주 심한 수초의 탈락이 관찰되었으나 MOG+Piwep군에서는 그러한 수초의 탈락이 관찰되지 않았다. 이러한 결과는 Piwep가 실험적 자가면역성 뇌수막염에 수반되는 중추신경계에서의 염증성 세포 침윤과 수초 탈락현상을 억제함으로써 실험적 자가면역성 뇌수막염의 발병을 억제함을 나타낸다.Figure 3 shows the effect of Piwep on inflammatory cell infiltration and myelin detachment in the spinal cord of experimental animals with experimental autoimmune meningitis. In the MOG + Vehicle group treated with MOG alone, there was very severe inflammatory cell infiltration around the blood vessels, but no such infiltration was observed in the MOG + Piwep group treated with Piwep. In addition, very severe myelin dropping was observed in the MOG + Vehicle group, but no dropping was observed in the MOG + Piwep group. These results indicate that Piwep inhibits the development of experimental autoimmune meningitis by inhibiting inflammatory cell infiltration and myelin detachment in the central nervous system associated with experimental autoimmune meningitis.
[척수의 면역조직화학적 연구][Immunohistochemical Study of Spinal Cord]
Piwep가 각종 면역세포의 척수 내 침윤에 미치는 효과를 각 면역세포에 특이하게 발현되는 클러스터 분화에 대한 세포표면분자(cell surface molecules for cluster differentiation, CD)에 대한 면역조직화학법을 이용하여 관찰하였다. The effect of Piwep on spinal cord infiltration of various immune cells was examined using immunohistochemistry for cell surface molecules for cluster differentiation (CD).
4% paraformaldehyde를 관류하여 고정한 척수를 동일한 고정액에서 후고정시킨 후 4℃에서 2일간 30% sucrose를 함유하는 phosphate buffered saline으로 세척하였다. 30 ㎛ 두께의 척수 동결절편을 CD4, CD8, F4/80에 대한 monoclonal antibody 또는 CD20에 대한 염소의 polyclonal antibody를 제1항체로 사용하였으며 anti-mouse IgG 항체 또는 anti-goat IgG 항체를 각각 제2항체로 사용하였다. 면역반응은 통상적인 방법에 따라 ABC reagent에서 배양 후 0.06% 3,3'-diaminobenzidine으로 발색하였다. Spinal cord fixed by perfusion of 4% paraformaldehyde was post-fixed in the same fixative and washed with phosphate buffered saline containing 30% sucrose for 2 days at 4 ° C. Spinal cord frozen sections of 30 µm thickness were used as monoclonal antibodies against CD4, CD8, F4 / 80 or polyclonal antibodies against goats against CD20 as the first antibody and anti-mouse IgG or anti-goat IgG antibody as the second antibody, respectively. Used as. Immune response was developed by 0.06% 3,3'-diaminobenzidine after incubation in ABC reagent according to a conventional method.
도4는 면역조직화학법으로 염색된 척수를 보여준다. 실험적 자가면역성 뇌수막염이 유발된 동물의 척수에서 CD4, CD8, F4/80 및 CD20의 면역반응성이 크게 상승하였으며 Piwep가 이러한 무리분화세포표면인자 면역반응성의 상승을 현저히 억제하였다. 이러한 결과는 Piwep가 실험적 자가면역성 뇌수막염 발생 시 중추신경계 조직으로의 CD4+T 세포, CD8+T 세포, 대식세포, B 세포 등의 침윤을 억제함을 의미한다.4 shows spinal cord stained by immunohistochemistry. The immunoreactivity of CD4, CD8, F4 / 80, and CD20 was significantly increased in the spinal cord of experimental autoimmune meningitis-induced animals, and Piwep significantly suppressed the increase of IGF-surface factors. These results indicate that Piwep inhibits infiltration of CD4 + T cells, CD8 + T cells, macrophages, B cells, etc. into central nervous system tissues during experimental autoimmune meningitis.
[척수에서 CD4, CD8, CD11b 및 CD20 특이 mRNA의 발현에 대한 분석][Analysis of the Expression of CD4, CD8, CD11b and CD20 Specific mRNAs in the Spinal Cord]
Piwep가 각종 면역세포의 척수 내 침윤에 미치는 효과를 확인하기 위해 각 면역세포의 표면에 특이하게 발현되는 클러스터 분화에 대한 세포표면분자의 mRNA 양을 역전사중합효소연쇄반응(reverse transcription-polymerase chain reaction, RT-PCR)를 이용하여 다음과 같이 측정하였다.To determine the effect of Piwep on spinal cord infiltration of various immune cells, mRNA levels of cell surface molecules for cluster differentiation specifically expressed on the surface of each immune cell were analyzed by reverse transcription-polymerase chain reaction, RT-PCR) was measured as follows.
MOG의 첫 번째 주사 3주 후에 실험동물을 마취하고 심장을 통하여 PBS를 관류한 다음 척수를 채취하였다. Trizol reagent를 이용하여 척수에서 총 RNA을 추출한 다음 CD4, CD8, CD11b 및 CD20에 대한 특이적 mRNA의 발현을 통상적인 RT-PCR법으로 다음과 같이 측정하였다. cDNA 합성 kit를 사용하여 1 ㎍ RNA으로부터 제1 cDNA strain을 합성하였다. Oligonucleotide primer는 다음과 같다: CD4 forward 5'-TGT GCC GAG CCA TCT CTC TTA GG-3', reverse 5'-GCA CTG AGA GTG TCA TGC CGA AC-3'; CD8 forward 5'-ATG CAG CCA TGG CTC TGG C-3', reverse 5'-GCA TGT CAG GCC CTT CTG GGT-3'; CD11b forward 5'-GGG CAC GGT GGC AGG TGA A-3', reverse 5'-GCT GGC TGT GGG AGG CAC TG-3'; CD20 forward 5'-AAA ACC TCC AGG AAG AGT TTG GTC-3', reverse 5'-CGA TCT CAT TTT CCA CTG GCA AG-3'. β-actin forward 5'-TGG AAT CCT GTG GCA TCC ATG AAA C-3', reverse 5'-TAA AAC GCA GCT CAG TAA CAG TCC G-3'. RT-PCR 반응물을 agarose gel 상에서 분리한 다음 ethidium bromide로 염색하고 Image J를 사용하여 RNA의 양을 측정하였다. Three weeks after the first injection of MOG, the animals were anesthetized, perfused with PBS through the heart, and spinal cords were collected. Total RNA was extracted from the spinal cord using Trizol reagent, and then the expression of specific mRNAs for CD4, CD8, CD11b and CD20 was measured by conventional RT-PCR. The first cDNA strain was synthesized from 1 μg RNA using the cDNA synthesis kit. Oligonucleotide primers are as follows: CD4 forward 5′-TGT GCC GAG CCA TCT CTC TTA GG-3 ′, reverse 5′-GCA CTG AGA GTG TCA TGC CGA AC-3 ′; CD8 forward 5′-ATG CAG CCA TGG CTC TGG C-3 ′, reverse 5′-GCA TGT CAG GCC CTT CTG GGT-3 ′; CD11b forward 5′-GGG CAC GGT GGC AGG TGA A-3 ′, reverse 5′-GCT GGC TGT GGG AGG CAC TG-3 ′; CD20 forward 5'-AAA ACC TCC AGG AAG AGT TTG GTC-3 ', reverse 5'-CGA TCT CAT TTT CCA CTG GCA AG-3'. β-actin forward 5′-TGG AAT CCT GTG GCA TCC ATG AAA C-3 ′, reverse 5′-TAA AAC GCA GCT CAG TAA CAG TCC G-3 '. The RT-PCR reaction was isolated on agarose gel, stained with ethidium bromide and the amount of RNA was measured using Image J.
도5는 실험적 자가면역성 뇌수막염이 유발된 동물의 척수에서 CD4, CD8, CD11b 및 CD20에 대한 특이적 mRNA의 발현을 관찰한 결과이다. 실험적 자가면역성 뇌수막염이 유발된 동물의 척수에서 CD4, CD8, CD11b 및 CD20에 대한 특이적 mRNA의 발현이 크게 상승하였으며 Piwep가 이러한 무리분화세포표면인자에 특이적인 mRNA 발현의 상승을 현저히 억제하였다. 이러한 결과는 Piwep가 실험적 자가면역성 뇌수막염에 수반된 중추신경계 조직으로의 CD4+ T 세포, CD8+ T 세포, 대식세포 및 B 세포의 침윤을 억제함을 의미하며, 앞에서 면역조직화학법으로 관찰한 연구결과와 잘 부합한다.Figure 5 shows the results of observing the expression of specific mRNA for CD4, CD8, CD11b and CD20 in the spinal cord of animals induced experimental autoimmune meningitis. In the spinal cord of experimental autoimmune meningitis-induced animals, the expression of specific mRNAs for CD4, CD8, CD11b and CD20 was significantly increased, and Piwep significantly suppressed the increase of mRNA expression specific for these HFCS factors. These results indicate that Piwep inhibits the infiltration of CD4 + T cells, CD8 + T cells, macrophages and B cells into the central nervous system tissues involved in experimental autoimmune meningitis. It fits well.
[척수에서 세포부착분자의 mRNA의 발현에 대한 분석][Analysis of mRNA Expression of Adhesion Molecules in Spinal Cord]
면역세포가 혈관을 통과하기 위해서는 면역세포의 세포부착분자가 결합할 혈관세포부착분자(VCAM))-1가 혈관 내피세포 표면에서도 발현되어야 하므로 Piwep가 VCAM-1의 발현에 미치는 효과를 척수에서 다음과 같이 관찰하였다. 또한 중추신경계 내로 침윤한 면역세포에는 integrin-α4가 표현되어 있을 것으로 예상되므로 척수 내의 integrin-α4 발현 정도를 측정하여 Piwep가 면역세포의 침윤에 미치는 영향을 다음과 같이 관찰하였다.In order for immune cells to pass through blood vessels, vascular cell adhesion molecule (VCAM) -1, to which the cell adhesion molecules of immune cells bind, must be expressed on the surface of vascular endothelial cells. Observed as follows. Integrin-α4 was also expressed in the immune cells infiltrated into the central nervous system, and the effects of Piwep on the infiltration of immune cells were measured by measuring the expression level of integrin-α4 in the spinal cord.
MOG를 첫 번째 주사 후 21일째에 실험동물을 마취하고 심장을 통해 냉(4 ℃) 생리적 식염수를 관류하여 혈액을 제거한 후 척수를 채취하고 척수조직에서 세포부착분자 중 혈관세포부착분자(VCAM))-1과 integrin-α4에 대한 특이적 mRNA의 발현을 RT-PCR 법으로 측정하였다. Anesthesia was anesthetized 21 days after the first injection of MOG and blood was removed by perfusion of cold (4 ° C) physiological saline through the heart, followed by spinal cord collection, and vascular cell adhesion molecules (VCAM) among the cell adhesion molecules in the spinal cord tissue). The expression of mRNAs specific for -1 and integrin-α4 was measured by RT-PCR method.
cDNA 합성 kit를 사용하여 1 ㎍ RNA으로부터 제1 cDNA strain을 합성하였다. Oligonucleotide primer는 다음과 같다: vascular cell adhesion molecule (VCAM)-1 forward 5'-AGG CAC AGC TGC AGG ATG CC-3', reverse 5'-GGA GGG GGC GGG GCT GTA AT-3'; integrin-α forward 5'-CCA CTA CGA TCG CTC CGC CTG T-3', reverse 5'-CCA CTA CGA TCG CTC CGC CTG T-3'. β-actin forward 5'-TGG AAT CCT GTG GCA TCC ATG AAA C-3', reverse 5'-TAA AAC GCA GCT CAG TAA CAG TCC G-3'. RT-PCR 반응물을 agarose gel 상에서 분리한 다음 ethidium bromide로 염색하고 Image J를 사용하여 RNA의 양을 측정하였다. The first cDNA strain was synthesized from 1 μg RNA using the cDNA synthesis kit. Oligonucleotide primers are as follows: vascular cell adhesion molecule (VCAM) -1 forward 5′-AGG CAC AGC TGC AGG ATG CC-3 ′, reverse 5′-GGA GGG GGC GGG GCT GTA AT-3 ′; integrin-α forward 5′-CCA CTA CGA TCG CTC CGC CTG T-3 ', reverse 5′-CCA CTA CGA TCG CTC CGC CTG T-3'. β-actin forward 5′-TGG AAT CCT GTG GCA TCC ATG AAA C-3 ′, reverse 5′-TAA AAC GCA GCT CAG TAA CAG TCC G-3 '. The RT-PCR reaction was isolated on agarose gel, stained with ethidium bromide and the amount of RNA was measured using Image J.
도6은 척수에서 VCAM-1 및 integrin-α4에 대한 특이적 mRNA의 발현을 관찰한 결과이다. 실험적 자가면역성 뇌수막염이 유발된 동물의 척수에서 VCAM-1 및 integrin-α4에 대한 특이적 mRNA의 발현이 상승하며, Piwep가 이들 세포부착분자에 대한 특이적 mRNA의 발현을 현저히 감소시켰다. 이러한 결과는 Piwep가 중추신경계 혈관내피세포에서 혈관세포부착분자의 발현이 증가하는 것을 억제하여 중추신경계 내로 면역세포가 침윤한 것을 방지함을 입증한다. 특히 Piwep에 의해 integrin-α4 에 대한 특이적 mRNA의 발현이 감소된 것은 Piwep에 의해 중추신경계 내로 침윤된 면역세포의 수가 감소하였음을 의미한다. Figure 6 shows the results of observing the expression of specific mRNA for VCAM-1 and integrin-α4 in the spinal cord. Expression of specific mRNAs for VCAM-1 and integrin-α4 in the spinal cord of animals with experimental autoimmune meningitis was elevated, and Piwep significantly reduced the expression of specific mRNAs for these cell adhesion molecules. These results demonstrate that Piwep inhibits the increased expression of vascular cell adhesion molecules in central nervous system vascular endothelial cells, thereby preventing the infiltration of immune cells into the central nervous system. In particular, the decrease in the expression of mRNA specific for integrin-α4 by Piwep means that the number of immune cells infiltrated into the central nervous system by Piwep was reduced.
[림프절에서 integrin-α4 발현에 대한 면역조직화학법적 관찰]Immunohistochemical Observation on Integrin-α4 Expression in Lymph Nodes
면역세포가 혈관을 통과하기 위해서는 세포부착분자를 세포 표면에 발현하여 VCAM-1과 같은 혈관세포부착분자와 결합해야 하므로 Piwep가 면역세포의 세포부착분자인 integrin-α4 발현에 미치는 효과를 경부 림프절에서 다음과 같이 관찰하였다. In order for the immune cells to pass through blood vessels, the cell adhesion molecules must be expressed on the cell surface and combined with vascular cell adhesion molecules such as VCAM-1. Therefore, the effect of Piwep on the expression of integrin-α4, a cell adhesion molecule of immune cells, in the cervical lymph nodes Observation was as follows.
MOG의 첫 번째 주사 3주 후 경부 림프절을 중성 formaldehyde 용액에서 2일간 고정하였다. Paraffin으로 포매하고 5㎛ 절편을 제작한 다음 anti-integrin-α4 단일클론항체 및 anti-mouse IgG 항체를 각각 제1 및 제2항체로 사용하여 면역조직학법으로 염색하였다. 면역반응은 통상적인 방법에 따라 ABC reagent에서 배양한 후 0.06% 3,3'-diaminobenzidine으로 발색하였다. Three weeks after the first injection of MOG, cervical lymph nodes were fixed in neutral formaldehyde solution for 2 days. 5 μm sections were embedded with Paraffin and then stained by immunohistochemistry using anti-integrin-α4 monoclonal antibody and anti-mouse IgG antibody as first and second antibodies, respectively. Immune responses were developed in 0.06% 3,3'-diaminobenzidine after incubation in ABC reagent.
도7은 경부 림프절에서 integrin-α4에 대한 면역조직화학법적 소견을 보여준다. 실험적 자가면역성 뇌수막염이 유발된 동물의 림프절에서 integrin-α4에 대해 면역반응성을 강하게 나타내는 림프구의 출현이 증가하였으며, Piwep를 투여하면 integrin-α4에 대해 강한 면역반응성을 나타내는 림프구는 관찰되지 않았다. 이러한 결과는 Piwep가 실험적 자가면역성 뇌수막염 발생 시 림프절에서 림프구의 integrin-α4 발현을 억제함을 의미한다.7 shows immunohistochemical findings for integrin-α4 in cervical lymph nodes. In lymphocytes of animals with experimental autoimmune meningitis, the appearance of lymphocytes with strong immunoreactivity against integrin-α4 was increased. Lymphocytes with strong immunoreactivity against integrin-α4 were not observed with Piwep. These results indicate that Piwep inhibits the integrin-α4 expression of lymphocytes in lymph nodes during experimental autoimmune meningitis.
실시예 2Example 2
[목질진흙버섯 또는 바우미진흙버섯의 물 추출물의 에탄올 침전물의 제조] [Preparation of Ethanol Precipitates of Water Extracts from Wood Mud Mushrooms or Baumi Mud Mushrooms]
목질진흙버섯 또는 바우미진흙버섯으로부터 실시예 1에서와 동일한 방법으로 물 추출물의 에탄올 침전물인 Plwep(목질진흙버섯) 또는 Pbwep(바우미진흙버섯)를 각각 획득하였다. Plwep (wood mud mushrooms) or Pbwep (baumy mud mushrooms), which are ethanol precipitates of water extracts, were obtained from wood mud mushrooms or Baumi mud mushrooms in the same manner as in Example 1.
[목질진흙버섯 추출물과 바우미진흙버섯 추출물의 실험적 자가면역성 뇌수막염에 대한 효과][Effect of Wood Mud Mushroom Extract and Baumi Mud Mushroom Extract on Experimental Autoimmune Meningitis]
말똥진흙버섯과 동일 속에 속하는 목질진흙버섯의 추출물(Plwep)과 바우미진흙버섯의 추출물(Pbwep)이 실험적 자가면역성 뇌수막염의 임상지수에 미치는 효과를 관찰하였다.The effect of Plwep and Pbwep extracts from the woody mud mushrooms belonging to the same genus as dung mud mushrooms was examined on the clinical index of experimental autoimmune meningitis.
도8에 실험적 자가면역성 뇌수막염이 유발된 동물의 임상증상에 대한 Plwep 및 Pbwep 효과를 제시한다. Plwep와 Pbwep는 모두 실험적 자가면역성 뇌수막염의 임상지수를 현저히 억제한다. 이러한 결과는 목질진흙버섯 추출물과 바우미진흙버섯 추출물도 말똥진흙버섯 추출물과 마찬가지로 모두 실험적 자가면역성 뇌수막염의 임상증상을 크게 개선함을 의미한다. 8 shows the effects of Plwep and Pbwep on the clinical symptoms of animals induced with experimental autoimmune meningitis. Both Plwep and Pbwep markedly inhibit the clinical index of experimental autoimmune meningitis. These results imply that wood mud extract and Baumi mud mushroom extract significantly improved clinical symptoms of experimental autoimmune meningitis as well as horse mud extract.

Claims (13)

  1. 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯 추출물을 포함하는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.Composition for the prevention and treatment of multiple sclerosis, characterized in that it comprises at least one mushroom extract selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms.
  2. 제1항에서, In claim 1,
    상기 추출물은 The extract is
    i) 말똥진흙버섯, 목질진흙버섯 및 바우미진흙버섯으로 이루어진 그룹에서 선택되는 1종 이상의 버섯을 열수 추출하는 단계;i) hydrothermal extraction of one or more mushrooms selected from the group consisting of dung mud mushrooms, wood mud mushrooms and Baumi mud mushrooms;
    ii) 상기 열수 추출물을 냉 에탄올과 혼합하여 침전물을 취하는 단계 및ii) mixing the hot water extract with cold ethanol to obtain a precipitate, and
    iii) 상기 침전물을 증류수에 용해시킨 후 동결 건조하는 단계로부터 얻어지는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.iii) a composition for the prevention and treatment of multiple sclerosis, characterized in that obtained from the step of dissolving the precipitate in distilled water and freeze drying.
  3. 제1항에서,In claim 1,
    상기 조성물은 중추신경계에서 염증 및 수초 탈락을 억제하는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.The composition is a composition for the prevention and treatment of multiple sclerosis, characterized in that the central nervous system inhibits inflammation and myelin detachment.
  4. 제1항에서,In claim 1,
    상기 조성물은 중추신경계에서 세포표면분자인 CD4, CD8, CD11(또는 F4/80) 및 CD20의 발현을 억제하거나 또는 CD4+ T 세포, CD8+ T 세포, 대식세포 및 B 세포의 중추신경계 내로의 침윤을 억제하는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.The composition inhibits the expression of cell surface molecules CD4, CD8, CD11 (or F4 / 80) and CD20 in the central nervous system or inhibits infiltration of CD4 + T cells, CD8 + T cells, macrophages and B cells into the central nervous system. Composition for the prevention and treatment of multiple sclerosis, characterized in that.
  5. 제1항에서,In claim 1,
    상기 조성물은 중추신경계에서 혈관세포유착분자(VCAM)-1의 발현을 억제하는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.The composition is a composition for the prevention and treatment of multiple sclerosis, characterized in that to inhibit the expression of vascular cell adhesion molecule (VCAM) -1 in the central nervous system.
  6. 제1항에서,In claim 1,
    상기 조성물은 중추신경계에서 integrin-α4의 발현을 억제하는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.The composition is a composition for the prevention and treatment of multiple sclerosis, characterized in that by inhibiting the expression of integrin-α4 in the central nervous system.
  7. 제1항에서,In claim 1,
    상기 조성물은 림프구에서 integrin-α4의 발현을 억제하는 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 조성물.The composition is a composition for preventing and treating multiple sclerosis, characterized in that to inhibit the expression of integrin-α4 in lymphocytes.
  8. 제1항의 조성물 및 약제학적으로 허용되는 담체를 포함하는 다발성 경화증의 예방 및 치료용 제재.An agent for the prevention and treatment of multiple sclerosis comprising the composition of claim 1 and a pharmaceutically acceptable carrier.
  9. 제8항에서,In claim 8,
    상기 제재는 알약, 캡슐 또는 경구용 또는 비경구용의 액상인 것을 특징으로 하는 다발성 경화증의 예방 및 치료용 제재.The agent is a pill, capsule or oral or parenteral preparation for the prevention and treatment of multiple sclerosis, characterized in that the liquid.
  10. 제1항의 조성물 및 담체를 포함하는 다발성 경화증의 예방 및 개선용 건강보조 식품 또는 기능성 식품.A dietary supplement or functional food for preventing and improving multiple sclerosis comprising the composition of claim 1 and a carrier.
  11. 제1항의 조성물 및 약제학적으로 허용되는 담체를 포함하는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군의 면역성 질환의 예방 및 치료용 제재.Prevention and treatment of immune diseases of type 1 diabetes mellitus, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome, comprising the composition of claim 1 and a pharmaceutically acceptable carrier Dragon sanctions.
  12. 제11항에서,In claim 11,
    상기 제재는 알약, 캡슐 또는 경구용 또는 비경구용의 액상인 것을 특징으로 하는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군의 면역성 질환의 예방 및 치료용 제재.The agent is a pill, capsule or liquid for oral or parenteral type 1 diabetes, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome Sanctions for the prevention and treatment of diseases.
  13. 제1항의 조성물 및 담체를 포함하는 제1형 당뇨병, Hashimoto 갑상선염, celiac 병, 거대세포성 동맥염, 백선, 자가면역성 췌장염, 자가면역성 간염 또는 과민성 장 증후군의 면역성 질환의 예방 및 개선용 건강보조 식품 또는 기능성 식품.A dietary supplement for the prevention and improvement of immune diseases of type 1 diabetes mellitus, Hashimoto thyroiditis, celiac disease, giant cell arteritis, ringworm, autoimmune pancreatitis, autoimmune hepatitis or irritable bowel syndrome comprising the composition and carrier of claim 1 or Functional food.
PCT/KR2012/011776 2011-12-30 2012-12-28 Composition for preventing and treating multiple sclerosis and autoimmune diseases, containing phellinus igniarius extract WO2013100717A2 (en)

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