WO2019016988A1 - Composition - Google Patents

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Publication number
WO2019016988A1
WO2019016988A1 PCT/JP2018/005201 JP2018005201W WO2019016988A1 WO 2019016988 A1 WO2019016988 A1 WO 2019016988A1 JP 2018005201 W JP2018005201 W JP 2018005201W WO 2019016988 A1 WO2019016988 A1 WO 2019016988A1
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Prior art keywords
coenzyme
composition
powder
brain
earthworm
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PCT/JP2018/005201
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French (fr)
Japanese (ja)
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徳行 直井
忠司 松岡
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エンチーム株式会社
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Priority to CN201880000676.7A priority Critical patent/CN109562131A/en
Publication of WO2019016988A1 publication Critical patent/WO2019016988A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/075Ethers or acetals
    • A61K31/085Ethers or acetals having an ether linkage to aromatic ring nuclear carbon
    • A61K31/09Ethers or acetals having an ether linkage to aromatic ring nuclear carbon having two or more such linkages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/12Ketones
    • A61K31/122Ketones having the oxygen directly attached to a ring, e.g. quinones, vitamin K1, anthralin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/56Materials from animals other than mammals
    • A61K35/62Leeches; Worms, e.g. cestodes, tapeworms, nematodes, roundworms, earth worms, ascarids, filarias, hookworms, trichinella or taenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

Definitions

  • the present invention relates to a composition for human consumption or a composition for human administration.
  • diseases such as diseases related to the brain such as Alzheimer's disease, dementia, Parkinson's disease, myalgia encephalomyelitis and multiple system atrophy, or diseases on blood vessels such as varicose veins in the lower limbs and deep vein thrombosis Therapeutic agents that exist and that prevent or treat these diseases are being investigated.
  • Patent Document 1 describes an agent for preventing and / or treating amnesia comprising at least one selected from carnozic acid and rosmarinic acid or a physiologically acceptable salt thereof as an active ingredient, and experiments using mice. The results are shown.
  • an agent for preventing and / or treating amnesia comprising at least one selected from carnozic acid and rosmarinic acid or a physiologically acceptable salt thereof as an active ingredient, and experiments using mice. The results are shown.
  • An object of the present invention is to provide a composition that can be used for the prevention and / or treatment of appropriate diseases in view of the above-mentioned problems.
  • the present invention is characterized in that it is a composition for improving atrophy of the hippocampus in the human brain, which comprises coenzyme Q10 and earthworm dry powder as active ingredients.
  • the present invention can provide a composition that can be used for the prevention or / and treatment of a disease.
  • the present inventors diligently studied the utilization of coenzyme Q10. Among them, we examined using it for prevention or treatment of diseases related to brain and diseases related to blood vessels.
  • the cause of onset of Alzheimer's disease is not always clear, attention is paid to the point that the decrease in mitochondrial activity is also considered to be one of the causes.
  • ATP adenosine triphosphate
  • living energy currency Biosynthesis of adenosine triphosphate (ATP), which is called "living energy currency” involves three systems: glycolysis, citric acid cycle, and electron transfer system. Mitochondria are deeply involved in the citric acid cycle and the electron transfer system. Therefore, mitochondrial activity is very important for life maintenance and activity. A factor that reduces mitochondrial activity is the reduction of reduced coenzyme Q10.
  • Mitochondria are constantly exposed to oxidative stress by reactive oxygen species, but are protected from oxidative stress by antioxidants.
  • reduced coenzyme Q10 is a component of the electron transfer system and also an antioxidant. Therefore, when the reduced coenzyme Q10 decreases, it is considered that the antioxidant activity is reduced to cause dysfunction in the mitochondria, and the efficiency of the electron transfer system is reduced to decrease the ATP biosynthetic activity.
  • Patent Document 1 In dogs with dementia, there is a report that coenzyme Q10 in the brain is decreased, and that the related mitochondrial activity is decreased.
  • Patent Document 1 also describes that coenzyme Q10 is effective as an agent for the prophylaxis or treatment of amnesia by experiments using mice. These statements suggest that the activity of the mitochondria is reduced and the coenzyme Q10 in the brain is related to brain diseases such as Alzheimer's disease and the like. We expect therapeutic effects.
  • Patent Document 1 Although the effectiveness in animal experiments has been suggested (see Patent Document 1), there is also a research report that in human clinical research, oxidized coenzyme Q10 did not show a remarkable improvement effect on Parkinson's disease. (Parkinson study group QE3 investigators, 2014), the effect of coenzyme Q10 on brain disease was not always clarified, nor was the efficacy of coenzyme Q10 alone shown. Thus, a composition capable of preventing and treating diseases related to the brain, diseases related to blood vessels and the like has been still in demand.
  • the present inventors have found that inclusion of coenzyme Q10 and earthworm-derived material among various raw materials is useful for amelioration of diseases related to the brain and amelioration of diseases related to blood vessels, in particular, for the recovery of atrophied hippocampus.
  • the present invention has been accomplished by examining the efficacy as a preventive agent or a therapeutic agent for the finding, especially hippocampal atrophy.
  • composition containing coenzyme Q10 (coenzyme Q10) and an earthworm-derived raw material will be described as an embodiment of the present invention.
  • the coenzyme Q10 may be either reduced coenzyme Q10 (ubiquinol) or oxidized coenzyme Q10 (ubiquinone), but is preferably reduced coenzyme Q10. These two coenzymes Q10 change from each other by the redox reaction. Reduced coenzyme Q10 is biosynthesized in vivo and is active. In recent years, reduced coenzyme Q10 has been industrially manufactured and can be taken orally. On the other hand, oxidized coenzyme Q10 is orally ingested in vivo exclusively by food or industrially manufactured supplements and medicines. The ingested oxidized coenzyme Q10 is absorbed in the intestinal tract, then converted to reduced coenzyme Q10 and utilized. Therefore, although coenzyme Q10 contained in the composition according to the present invention is preferably reduced coenzyme Q10, oxidized coenzyme Q10 may also be used.
  • Coenzyme Q10 may be raw powder or processed product.
  • the processed products include, but are not limited to, powder products and liquid products.
  • the coenzyme Q10 used in this embodiment is preferably in powder form.
  • the content of coenzyme Q10 (in particular, reduced coenzyme Q10) contained in the composition of a daily dose needs to be a therapeutically effective amount, and the coenzyme Q10 (in particular, reduced coenzyme Q10) itself
  • the amount (100%) can be 50 mg to 800 mg, preferably 80 mg to 500 mg, and more preferably 100 mg to 300 mg.
  • the content of coenzyme Q10 contained in the composition is preferably 200 mg to 300 mg, it is more preferably 100 mg to 200 mg so that the dose can be easily adjusted, and for patients with severe symptoms It is preferable to set it to 300 mg to 500 mg.
  • the amount of therapeutically effective coenzyme Q10 (especially reduced coenzyme Q10) means the daily dose necessary to suppress or reverse any mitochondrial damage
  • the earthworm-derived material can be a material obtained from earthworms, such as earthworm dry powder, earthworm extract, or earthworm extract.
  • Earthworm dry powder (including earthworm freeze-dried powder) may be raw powder or processed product.
  • the processed products include, but are not limited to, extract powder and extract powder.
  • Earthworm freeze-dried powder is a powder which is freeze-dried using earthworms (especially, red earthworms native to the West) as a raw material.
  • the earthworm freeze-dried powder has an action of converting plasminogen in blood to plasmin to exhibit high fibrinolytic activity, and an action of directly dissolving fibrin involved in blood coagulation. Therefore, earthworm freeze-dried powder is a disease related to blood vessels, treatment of cerebral infarction, ischemic cerebrovascular disorder, diabetes, hypertension, prevention of thrombosis, increase of fibrinogenase and suppression of increase of platelet aggregation rate It is known to be effective.
  • the earthworm freeze-dried powder contains a proteolytic enzyme extracted from edible red earthworms, and has a characteristic that its fibrinolytic activity is strong.
  • This earthworm freeze-dried powder may be of LR end I (LR end 1), LR end II (LR end 2), LR end III (LR end 3) sold by the applicant, or other companies. , LR end III (LR end 3) is preferable.
  • the content of the earthworm-derived material (particularly earthworm freeze-dried powder) contained in the composition needs to be a therapeutically effective amount, and can be 10 mg to 200 mg, preferably 10 mg to 100 mg, 20 mg to 80 mg is more preferable.
  • the content of the earthworm-derived material (in particular, earthworm freeze-dried powder) contained in the composition is preferably 60 mg to 100 mg, it is more preferably 10 mg to 50 mg so that the dose can be easily adjusted.
  • it is 100 mg to 200 mg for patients with severe symptoms.
  • the amount of the therapeutically effective earthworm-derived material (particularly earthworm freeze-dried powder) means the daily dose necessary to partially dissolve the thrombus.
  • the proportion of earthworm-derived material (particularly earthworm freeze-dried powder) contained in the composition can be 0.1 times to 1.5 times, preferably 0.3 times to 1 times (equal amount) It is more preferable to make the ratio 0.4 times to 0.7 times, and approximately 0.5 times is preferable.
  • the ratio of earthworm-derived material (particularly earthworm freeze-dried powder) contained in the composition can be 0.1 to 4 times the amount of coenzyme Q10, 0.2 to 3 times It is preferable that the ratio be 0.4 to 2 times.
  • the form of the composition can be selected from soft capsules, hard capsules, tablets, powders, granules, drinks and the like.
  • the form of a soft capsule, a powder, and a granule is preferable, and the form of a soft capsule is more preferable.
  • the composition may be contained in a tube nutrient, such as by mixing the composition in powder form with the tube nutrient.
  • the composition can be administered to patients who have difficulty taking orally.
  • the composition contains, besides coenzyme Q10 and earthworm-derived materials, materials useful for maintaining and improving health such as vitamins, minerals, carbohydrates, nutrients such as lipids, and / or antioxidants, and / or supplement materials, etc. May be included.
  • composition is not particularly limited in handling, and can be appropriately handled such as food, supplement, or medicine.
  • the composition may be treated as a physician recommended supplement.
  • the composition is effective for the prevention or treatment of a disease relating to the brain (in particular, a disease of hippocampal atrophy), and functions as a pharmaceutical composition, a therapeutic agent, a preventive drug, or a composition for treatment / prevention for such a disease.
  • Diseases relating to the target brain include, but are not limited to, Alzheimer's disease, dementia, Parkinson's disease, myalgia encephalomyelitis, multiple system atrophy and the like.
  • the composition is also effective for the prevention or treatment of diseases associated with blood vessels, and functions as a pharmaceutical composition, a therapeutic agent, a prophylactic agent, or a composition for treatment / prevention for such diseases.
  • Diseases relating to blood vessels of interest include, but are not limited to, varicose veins or deep vein thrombosis.
  • examples of the present invention will be described.
  • Example 1 of the composition of the present invention a hard capsule containing coenzyme Q10 and earthworm freeze-dried powder was prepared as follows. That is, a general powder mixing machine is used for each component material including reduced coenzyme Q10 stabilized powder (manufactured by Kaneka Co., Ltd .: reduced coenzyme Q10 P30) and earthworm freeze dried powder (manufactured by limited company Shiraku: LR end III) The mixture was mixed in a hard capsule to prepare a hard capsule (preparation).
  • the reduced coenzyme Q10 stabilized powder (P30) indicates that the powder contains 30% of reduced coenzyme Q10, for example, if 180 mg of reduced coenzyme Q10 stabilized powder is used.
  • the reduced coenzyme Q10 contained is 60 mg.
  • reduced coenzyme Q10 stabilized powder P30
  • reduced coenzyme Q10 stabilized powder
  • LR powder III earthworm freeze dried powder
  • edible yeast Zinc, copper, selenium yeast
  • vitamin B1 10 mg vitamin B2 5 mg
  • vitamin B6 5 mg vitamin B12 20 mg
  • folic acid 0.1 mg
  • vitamin D3 0.6 mg excipient 89.3 mg.
  • Example 2 of the composition of the present invention a powder containing coenzyme Q10 and earthworm freeze-dried powder was prepared as follows. That is, each component material including reduced coenzyme Q10 stabilized powder (P30) and earthworm freeze-dried powder (LR powder III) was mixed by a general powder mixer, and then it was made into powder (formulation).
  • each component material including reduced coenzyme Q10 stabilized powder (P30) and earthworm freeze-dried powder (LR powder III) was mixed by a general powder mixer, and then it was made into powder (formulation).
  • reduced coenzyme Q10 stabilized powder P30
  • reduced coenzyme Q10 stabilized powder
  • LR powder III earthworm freeze dried powder
  • edible yeast Zinc, copper, selenium yeast
  • vitamin B1 20 mg
  • vitamin B2 10 mg
  • vitamin B6 10 mg
  • vitamin B12 40 mg
  • folic acid 0.2 mg
  • vitamin D 3 1.2 mg
  • Example 3 of the composition of the present invention a soft capsule containing coenzyme Q10 and earthworm freeze-dried powder was prepared as follows. That is, each component material including reduced coenzyme Q10 stabilized powder (P30) and earthworm freeze-dried powder (LR powder III) is mixed by a general soft capsule mixer, and then filled into capsules and soft capsule preparation (formulation) And
  • reduced coenzyme Q10 stabilized powder P30
  • 50 mg of which reduced coenzyme Q10 is about 16.67 mg
  • Michalal versus powder manufactured by Michalalbers
  • vitamin E 10 mg 139.7 mg
  • rapeseed oil 70 mg
  • Poem DO-100V manufactured by Riken Vitamin Co., Ltd.
  • soya lecithin soya lecithin.
  • the Michal Albers powder is a earthworm dry powder manufactured by Michal Albers.
  • compositions hard capsules, powders, soft capsules of Examples 1 to 3
  • improvement of symptoms of patients with brain diseases such as Alzheimer's disease including dementia
  • improvement of symptoms of patients with varicose veins of lower extremities There was an improvement in the symptoms of patients with deep varicose veins.
  • an improvement example to hippocampal atrophy in Alzheimer's disease is shown.
  • the preparation prepared in ⁇ Example 1> was administered 4 capsules a day for 3 months to 2 patients diagnosed with Alzheimer's disease. Confirmation of the clinical effect was performed by analyzing MRI images of the brain taken before and after administration using VBM tutorial (SPM 8) which is brain image analysis software.
  • VBM tutorial SPM 8 which is brain image analysis software.
  • FIG. 1 is a horizontal MRI image of the vicinity of the hippocampus of the brain before administration of patient A (an 82-year-old male diagnosed with severe Alzheimer's disease with moderate hippocampal degradation), one of the patients.
  • FIG. 2 is a horizontal MRI image of the vicinity of the hippocampus of the brain after administration of the patient A. From this MRI image, it can be confirmed that the hippocampus is larger after administration than before administration.
  • Example 1 As a result of analysis using SPM8, it was confirmed that the hippocampal volume of the brains of two patients after administration was 12% to 9% larger than before administration. Thus, it was shown that the preparation (hard capsule preparation) prepared in Example 1 is effective to improve hippocampal atrophy of the brain of Alzheimer's disease patients.
  • the present invention is not limited to the present embodiment, and can be other various embodiments.
  • the present invention can be used in the fields of medicines, supplements, foods and the like.

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Abstract

Provided is a composition for improving atrophy of the hippocampus in the human brain, a composition for increasing the volume of the hippocampus in the human brain, or a composition for increasing the volume of the human brain, in which coenzyme Q10 and earthworm dry powder are employed as active ingredients. A reduction-type coenzyme Q10 is employed as the coenzyme Q10. By doing so, the present invention provides a composition that can be employed in the prevention or/and treatment of brain-related diseases, such as Alzheimer's disease, dementia, Parkinson's disease, myalgic encephalomyelitis, multiple system atrophy, etc. The present invention provides, in particular, a composition that can be employed in the prevention or treatment of atrophy of the hippocampus in the brain.

Description

組成物Composition
 この発明は、人が摂取する組成物、あるいは人に投与する組成物に関する。 The present invention relates to a composition for human consumption or a composition for human administration.
 従来、アルツハイマー病、認知症、パーキンソン病、筋痛性脳脊髄炎、及び多系統萎縮症等の脳に関する疾患、あるいは、下肢静脈瘤および深部静脈血栓症等の血管に関する疾患等、様々な疾患が存在し、これらの疾患を予防あるいは治療する治療薬が研究されている。 Conventionally, various diseases such as diseases related to the brain such as Alzheimer's disease, dementia, Parkinson's disease, myalgia encephalomyelitis and multiple system atrophy, or diseases on blood vessels such as varicose veins in the lower limbs and deep vein thrombosis Therapeutic agents that exist and that prevent or treat these diseases are being investigated.
 例えば、アルツハイマー病等の脳疾患は、高齢化に伴い大きく増加しており、対処すべき世界的な健康問題となっている。このアルツハイマー病に関して、健忘症の予防・治療剤が提案されている(特許文献1参照)。この特許文献1には、カルノジン酸及びロズマリン酸から選択された少なくとも一種又は生理学的に許容可能なその塩を有効成分とする健忘症の予防・治療剤が記載されており、マウスを用いた実験結果が示されている。 
 しかしながら、ヒトにとってより有効性の高い治療薬が求められていた。
For example, brain diseases such as Alzheimer's disease are greatly increasing with the aging of the population, and have become a global health problem to be addressed. With regard to this Alzheimer's disease, agents for preventing and treating amnesia have been proposed (see Patent Document 1). This patent document 1 describes an agent for preventing and / or treating amnesia comprising at least one selected from carnozic acid and rosmarinic acid or a physiologically acceptable salt thereof as an active ingredient, and experiments using mice. The results are shown.
However, there has been a need for more effective therapeutic agents for humans.
特開2006-199666号公報JP, 2006-199666, A
 この発明は、上述の問題点に鑑みて、適宜の疾患の予防又は/及び治療に用いることのできる組成物を提供することを目的とする。 An object of the present invention is to provide a composition that can be used for the prevention and / or treatment of appropriate diseases in view of the above-mentioned problems.
 この発明は、補酵素Q10とミミズ乾燥粉末を有効成分とする人の脳にある海馬の萎縮を改善するための組成物であることを特徴とする。 The present invention is characterized in that it is a composition for improving atrophy of the hippocampus in the human brain, which comprises coenzyme Q10 and earthworm dry powder as active ingredients.
 この発明により、疾患の予防又は/及び治療に用いることのできる組成物を提供できる。 The present invention can provide a composition that can be used for the prevention or / and treatment of a disease.
投与前のアルツハイマー病患者の脳の水平断のMRI画像による説明図。Explanatory drawing by MRI image of horizontal section of Alzheimer's disease patient's brain before administration. 投与後のアルツハイマー病患者の脳の水平断のMRI画像による説明図。The explanatory view by the MRI image of a horizontal section of the brain of a patient with Alzheimer's disease after administration.
 本発明者らは、補酵素Q10の活用について鋭意研究をした。その中で、脳に関する疾患や血管に関する疾患の予防または治療に活用することを検討した。ここで、アルツハイマー病の発症原因が必ずしも明確にはなっていないものの、ミトコンドリアの活性低下も原因の一つと思われる点に着目した。 The present inventors diligently studied the utilization of coenzyme Q10. Among them, we examined using it for prevention or treatment of diseases related to brain and diseases related to blood vessels. Here, although the cause of onset of Alzheimer's disease is not always clear, attention is paid to the point that the decrease in mitochondrial activity is also considered to be one of the causes.
 「生体のエネルギー通貨」と呼ばれるアデノシン三リン酸(ATP)の生合成には、解糖系、クエン酸回路、電子伝達系の3種のシステムが関与している。ミトコンドリアは、クエン酸回路、及び電子伝達系に深く関与している。そのため、生命の維持・活動にとって、ミトコンドリアの活性は非常に重要である。ミトコンドリアの活性を低下させる要因として挙げられているのが、還元型補酵素Q10の減少である。 Biosynthesis of adenosine triphosphate (ATP), which is called "living energy currency", involves three systems: glycolysis, citric acid cycle, and electron transfer system. Mitochondria are deeply involved in the citric acid cycle and the electron transfer system. Therefore, mitochondrial activity is very important for life maintenance and activity. A factor that reduces mitochondrial activity is the reduction of reduced coenzyme Q10.
 ミトコンドリアは、活性酸素種により酸化ストレスに常に曝されているが、抗酸化物質によって酸化ストレスから保護されている。一方、還元型補酵素Q10は、電子伝達系の構成成分であると共に、抗酸化物質でもある。そのため、還元型補酵素Q10が減少すると、抗酸化活性が低下してしまいミトコンドリアに機能障害が起きると共に、電子伝達系の効率が低下してATPの生合成活性が低下すると考えられる。 Mitochondria are constantly exposed to oxidative stress by reactive oxygen species, but are protected from oxidative stress by antioxidants. On the other hand, reduced coenzyme Q10 is a component of the electron transfer system and also an antioxidant. Therefore, when the reduced coenzyme Q10 decreases, it is considered that the antioxidant activity is reduced to cause dysfunction in the mitochondria, and the efficiency of the electron transfer system is reduced to decrease the ATP biosynthetic activity.
 認知症のイヌでは脳内の補酵素Q10が減少しており、それに関連するミトコンドリアの活性が低下しているとの報告がある。また、特許文献1には、マウスを用いた実験により補酵素Q10が健忘症の予防・治療剤として有効であるとの記載もある。これらの記載等は、ミトコンドリアの活性の低下や脳内の補酵素Q10の減少とアルツハイマー病等の脳疾患との関連性を示唆しており、アルツハイマー病等の脳疾患に対する補酵素Q10による予防・治療効果を期待させる。 In dogs with dementia, there is a report that coenzyme Q10 in the brain is decreased, and that the related mitochondrial activity is decreased. In addition, Patent Document 1 also describes that coenzyme Q10 is effective as an agent for the prophylaxis or treatment of amnesia by experiments using mice. These statements suggest that the activity of the mitochondria is reduced and the coenzyme Q10 in the brain is related to brain diseases such as Alzheimer's disease and the like. We expect therapeutic effects.
 しかしながら、動物実験での有効性については示唆されているものの(特許文献1参照)、ヒト臨床研究では酸化型補酵素Q10がパーキンソン病に対して特段の改善効果を示さなかったという研究報告もあり(Parkinson study group QE3 investigators, 2014)、脳疾患に対する補酵素Q10の効果は、必ずしも明確にはされておらず、補酵素Q10単独での有効性が示されているわけでもなかった。 
 このように、脳に関する疾患や血管に関する疾患等の予防・治療が可能な組成物はいまだ求められている状況であった。
However, although the effectiveness in animal experiments has been suggested (see Patent Document 1), there is also a research report that in human clinical research, oxidized coenzyme Q10 did not show a remarkable improvement effect on Parkinson's disease. (Parkinson study group QE3 investigators, 2014), the effect of coenzyme Q10 on brain disease was not always clarified, nor was the efficacy of coenzyme Q10 alone shown.
Thus, a composition capable of preventing and treating diseases related to the brain, diseases related to blood vessels and the like has been still in demand.
 本発明者らは、数ある原料物質の中で、補酵素Q10とミミズ由来原料を含有させることが、脳に関する疾患の改善や、血管に関する疾患の改善、特に萎縮した海馬の回復に役立つことを見出し、特に海馬の萎縮の予防剤または治療剤としての有効性を検証して、本発明を完成させるに至った。 The present inventors have found that inclusion of coenzyme Q10 and earthworm-derived material among various raw materials is useful for amelioration of diseases related to the brain and amelioration of diseases related to blood vessels, in particular, for the recovery of atrophied hippocampus. The present invention has been accomplished by examining the efficacy as a preventive agent or a therapeutic agent for the finding, especially hippocampal atrophy.
 以下、本願発明の一実施形態として、補酵素Q10(コエンザイムQ10)とミミズ由来原料を含有する組成物について説明する。 Hereinafter, a composition containing coenzyme Q10 (coenzyme Q10) and an earthworm-derived raw material will be described as an embodiment of the present invention.
 補酵素Q10は、還元型補酵素Q10(ユビキノール)と酸化型補酵素Q10(ユビキノン)のどちらを用いても良いが、還元型補酵素Q10が望ましい。これら2種類の補酵素Q10は、酸化還元反応により互いに変化する。還元型補酵素Q10は、生体内で生合成されるものであり、しかも活性である。還元型補酵素Q10は、近年、工業的に製造されるようになり、経口摂取が可能になっている。一方、酸化型補酵素Q10は、食物あるいは工業的に製造されたサプリメントや医薬品により、専ら経口的に生体内に摂取される。摂取された酸化型補酵素Q10は、腸管で吸収された後、還元型補酵素Q10に変換されて活用される。そのため、本発明による組成物に含有する補酵素Q10は、還元型補酵素Q10が好ましいが、酸化型補酵素Q10でも構わない。 The coenzyme Q10 may be either reduced coenzyme Q10 (ubiquinol) or oxidized coenzyme Q10 (ubiquinone), but is preferably reduced coenzyme Q10. These two coenzymes Q10 change from each other by the redox reaction. Reduced coenzyme Q10 is biosynthesized in vivo and is active. In recent years, reduced coenzyme Q10 has been industrially manufactured and can be taken orally. On the other hand, oxidized coenzyme Q10 is orally ingested in vivo exclusively by food or industrially manufactured supplements and medicines. The ingested oxidized coenzyme Q10 is absorbed in the intestinal tract, then converted to reduced coenzyme Q10 and utilized. Therefore, although coenzyme Q10 contained in the composition according to the present invention is preferably reduced coenzyme Q10, oxidized coenzyme Q10 may also be used.
 補酵素Q10は、原末でも加工品であってもよい。加工品は、粉末形態や液状の製品があるが、これらに限定されるものではない。この実施形態で用いる補酵素Q10は、粉末形態が好ましい。 Coenzyme Q10 may be raw powder or processed product. The processed products include, but are not limited to, powder products and liquid products. The coenzyme Q10 used in this embodiment is preferably in powder form.
 1日容量の組成物に含まれる補酵素Q10(特に還元型補酵素Q10)の含有量は、治療的に有効な量とする必要があり、補酵素Q10(特に還元型補酵素Q10)そのものの量(100%)として、50mg~800mgとすることができ、80mg~500mgとすることが好ましく、100mg~300mgがより好ましい。さらに言えば、組成物に含まれる補酵素Q10の含有量は、200mg~300mgとすることが好ましいが、服用量を調節しやすいように100mg~200mgとすることがより好ましく、症状の重い患者向けには300mg~500mgとすることが好ましい。治療的に有効な補酵素Q10(特に還元型補酵素Q10)の量とは、ミトコンドリア性障害を少しでも抑制または回復させるために必要な1日用量を意味する The content of coenzyme Q10 (in particular, reduced coenzyme Q10) contained in the composition of a daily dose needs to be a therapeutically effective amount, and the coenzyme Q10 (in particular, reduced coenzyme Q10) itself The amount (100%) can be 50 mg to 800 mg, preferably 80 mg to 500 mg, and more preferably 100 mg to 300 mg. Furthermore, although the content of coenzyme Q10 contained in the composition is preferably 200 mg to 300 mg, it is more preferably 100 mg to 200 mg so that the dose can be easily adjusted, and for patients with severe symptoms It is preferable to set it to 300 mg to 500 mg. The amount of therapeutically effective coenzyme Q10 (especially reduced coenzyme Q10) means the daily dose necessary to suppress or reverse any mitochondrial damage
 ミミズ由来原料は、ミミズ乾燥粉末、ミミズのエキス、またはミミズの抽出物など、ミミズから得られる原料とすることができる。ミミズ乾燥粉末(ミミズ凍結乾燥粉末を含む)は、原末でも加工品であってもよい。加工品は、エキス末や抽出末があるが、これらに限定されるものではない。 The earthworm-derived material can be a material obtained from earthworms, such as earthworm dry powder, earthworm extract, or earthworm extract. Earthworm dry powder (including earthworm freeze-dried powder) may be raw powder or processed product. The processed products include, but are not limited to, extract powder and extract powder.
 ミミズ凍結乾燥粉末は、ミミズ(特に欧米原産の赤ミミズ)を原料として凍結乾燥させた粉末である。ミミズ凍結乾燥粉末は、血液中のプラスミノーゲンをプラスミンに転換して高い線溶活性を現す作用と、血液の凝固に関わるフィブリンを直接溶解する作用を有する。そのため、ミミズ凍結乾燥粉末は、血管に関する疾患である、脳梗塞、虚血性脳血管障害、糖尿病、高血圧症の治療や、血栓症の予防、フィブリノゲナーゼの増加、及び血小板凝集率の増加の抑制に有効であることが知られている。尚、ミミズ凍結乾燥粉末は、食用の赤ミミズから抽出される蛋白質分解酵素が含まれており、フィブリンの溶解活性が強いという特性を有している。 Earthworm freeze-dried powder is a powder which is freeze-dried using earthworms (especially, red earthworms native to the West) as a raw material. The earthworm freeze-dried powder has an action of converting plasminogen in blood to plasmin to exhibit high fibrinolytic activity, and an action of directly dissolving fibrin involved in blood coagulation. Therefore, earthworm freeze-dried powder is a disease related to blood vessels, treatment of cerebral infarction, ischemic cerebrovascular disorder, diabetes, hypertension, prevention of thrombosis, increase of fibrinogenase and suppression of increase of platelet aggregation rate It is known to be effective. The earthworm freeze-dried powder contains a proteolytic enzyme extracted from edible red earthworms, and has a characteristic that its fibrinolytic activity is strong.
 このミミズ凍結乾燥粉末は、出願人が販売するLR末I(LR末1)、LR末II(LR末2)、LR末III(LR末3)、あるいは他社のものを使用することができるが、LR末III(LR末3)が好ましい。 This earthworm freeze-dried powder may be of LR end I (LR end 1), LR end II (LR end 2), LR end III (LR end 3) sold by the applicant, or other companies. , LR end III (LR end 3) is preferable.
 組成物に含まれるミミズ由来原料(特にミミズ凍結乾燥粉末)の含有量は、治療的に有効な量とする必要があり、10mg~200mgとすることができ、10mg~100mgとすることが好ましく、20mg~80mgがより好ましい。さらに言えば、組成物に含まれるミミズ由来原料(特にミミズ凍結乾燥粉末)の含有量は、60mg~100mgとすることが好ましいが、服用量を調節しやすいように10mg~50mgとすることがより好ましく、症状の重い患者向けには100mg~200mgとすることが好ましい。なお、治療的に有効なミミズ由来原料(特にミミズ凍結乾燥粉末)の量は、血栓を一部溶解するために必要な1日用量を意味する The content of the earthworm-derived material (particularly earthworm freeze-dried powder) contained in the composition needs to be a therapeutically effective amount, and can be 10 mg to 200 mg, preferably 10 mg to 100 mg, 20 mg to 80 mg is more preferable. Furthermore, although the content of the earthworm-derived material (in particular, earthworm freeze-dried powder) contained in the composition is preferably 60 mg to 100 mg, it is more preferably 10 mg to 50 mg so that the dose can be easily adjusted. Preferably, it is 100 mg to 200 mg for patients with severe symptoms. In addition, the amount of the therapeutically effective earthworm-derived material (particularly earthworm freeze-dried powder) means the daily dose necessary to partially dissolve the thrombus.
 組成物に含まれるミミズ由来原料(特にミミズ凍結乾燥粉末)の割合は、0.1倍~1.5倍とすることができ、0.3倍~1倍(等量)とすることが好ましく、0.4倍~0.7倍とすることがさらに好ましく、0.5倍程度が好適である。換言すると、組成物に含まれるミミズ由来原料(特にミミズ凍結乾燥粉末)の割合は、補酵素Q10の量に対して0.1倍~4倍とすることができ、0.2倍~3倍とすることが好ましく、0.4倍~2倍とすることがより好ましい。 The proportion of earthworm-derived material (particularly earthworm freeze-dried powder) contained in the composition can be 0.1 times to 1.5 times, preferably 0.3 times to 1 times (equal amount) It is more preferable to make the ratio 0.4 times to 0.7 times, and approximately 0.5 times is preferable. In other words, the ratio of earthworm-derived material (particularly earthworm freeze-dried powder) contained in the composition can be 0.1 to 4 times the amount of coenzyme Q10, 0.2 to 3 times It is preferable that the ratio be 0.4 to 2 times.
 組成物の形態は、ソフトカプセル、ハードカプセル、打錠、粉末、顆粒、ドリンク等から選択することができる。ソフトカプセルや粉末、顆粒の形態が好ましく、ソフトカプセルの形態がより好ましい。例えば、粉末の形態の組成物を経管栄養剤に混合する等して、組成物を経管栄養剤に含有させてもよい。これにより、経口的に摂取が困難な患者に対しても、組成物を投与することができる。 The form of the composition can be selected from soft capsules, hard capsules, tablets, powders, granules, drinks and the like. The form of a soft capsule, a powder, and a granule is preferable, and the form of a soft capsule is more preferable. For example, the composition may be contained in a tube nutrient, such as by mixing the composition in powder form with the tube nutrient. Thus, the composition can be administered to patients who have difficulty taking orally.
 組成物は、補酵素Q10とミミズ由来原料の他に、ビタミン、ミネラル、炭水化物、脂質等の栄養素、及び/または抗酸化物質、及び/またはサプリメント素材等の健康の維持・改善に有用な素材を含んでもよい。 The composition contains, besides coenzyme Q10 and earthworm-derived materials, materials useful for maintaining and improving health such as vitamins, minerals, carbohydrates, nutrients such as lipids, and / or antioxidants, and / or supplement materials, etc. May be included.
 組成物は、特に限定した取扱いがされるものではなく、食品、サプリメント、または医薬品等、適宜の取り扱いとすることができる。例えば、組成物は、医師の勧めによるサプリメントとして取り扱ってもよい。 The composition is not particularly limited in handling, and can be appropriately handled such as food, supplement, or medicine. For example, the composition may be treated as a physician recommended supplement.
 組成物は、脳に関する疾患(特に海馬の萎縮という疾患)の予防または治療に有効であり、このような疾患用の医薬組成物、治療薬、予防薬、または治療・予防用組成物として機能する。対象とする脳に関する疾患には、アルツハイマー病、認知症、パーキンソン病、筋痛性脳脊髄炎、及び多系統萎縮症等が含まれるが、これらに限定されるものではない。また、組成物は、血管に関する疾患の予防または治療にも有効であり、このような疾患用の医薬組成物、治療薬、予防薬、または治療・予防用組成物として機能する。対象とする血管に関する疾患には、下肢静脈瘤または深部静脈血栓症が含まれるが、これらに限定されるものではない。 
 以下、本発明の実施例について説明する。
The composition is effective for the prevention or treatment of a disease relating to the brain (in particular, a disease of hippocampal atrophy), and functions as a pharmaceutical composition, a therapeutic agent, a preventive drug, or a composition for treatment / prevention for such a disease. . Diseases relating to the target brain include, but are not limited to, Alzheimer's disease, dementia, Parkinson's disease, myalgia encephalomyelitis, multiple system atrophy and the like. The composition is also effective for the prevention or treatment of diseases associated with blood vessels, and functions as a pharmaceutical composition, a therapeutic agent, a prophylactic agent, or a composition for treatment / prevention for such diseases. Diseases relating to blood vessels of interest include, but are not limited to, varicose veins or deep vein thrombosis.
Hereinafter, examples of the present invention will be described.
  <ハードカプセル>
 本発明の組成物の実施例1として、補酵素Q10とミミズ凍結乾燥粉末を含有するハードカプセル剤を、次のようにして調製した。すなわち、還元型補酵素Q10安定化粉末(株式会社カネカ製:還元型コエンザイムQ10 P30)とミミズ凍結乾燥粉末(有限会社輝龍製:LR末III)を含む各成分素材を一般的な粉末混合機で混合した後、ハードカプセルに入れてハードカプセル剤(製剤)とした。なお、還元型補酵素Q10安定化粉末(P30)は、還元型補酵素Q10が30%含有されている粉末であることを示しており、例えば還元型補酵素Q10安定化粉末が180mgであれば、含まれている還元型補酵素Q10は60mgとなる。
<Hard capsule>
As Example 1 of the composition of the present invention, a hard capsule containing coenzyme Q10 and earthworm freeze-dried powder was prepared as follows. That is, a general powder mixing machine is used for each component material including reduced coenzyme Q10 stabilized powder (manufactured by Kaneka Co., Ltd .: reduced coenzyme Q10 P30) and earthworm freeze dried powder (manufactured by limited company Shiraku: LR end III) The mixture was mixed in a hard capsule to prepare a hard capsule (preparation). The reduced coenzyme Q10 stabilized powder (P30) indicates that the powder contains 30% of reduced coenzyme Q10, for example, if 180 mg of reduced coenzyme Q10 stabilized powder is used. The reduced coenzyme Q10 contained is 60 mg.
 1カプセル中の各成分素材の成分量は、還元型補酵素Q10安定化粉末(P30) 180mg(うち、還元型補酵素Q10は60mg)、ミミズ凍結乾燥粉末(LR末III) 30mg、食用酵母(亜鉛、銅、セレン酵母) 10mg、ビタミンB1 10mg、ビタミンB2 5mg、ビタミンB6 5mg、ビタミンB12 20mg、葉酸 0.1mg、ビタミンD3 0.6mg、賦形剤 89.3mgである。 Component amount of each component material in 1 capsule: reduced coenzyme Q10 stabilized powder (P30) 180 mg (of which reduced coenzyme Q10 is 60 mg), earthworm freeze dried powder (LR powder III) 30 mg, edible yeast ( Zinc, copper, selenium yeast) 10 mg, vitamin B1 10 mg, vitamin B2 5 mg, vitamin B6 5 mg, vitamin B12 20 mg, folic acid 0.1 mg, vitamin D3 0.6 mg, excipient 89.3 mg.
  <散剤>
 本発明の組成物の実施例2として、補酵素Q10とミミズ凍結乾燥粉末を含有する散剤を、次のようにして調製した。すなわち、還元型補酵素Q10安定化粉末(P30)とミミズ凍結乾燥粉末(LR末III)を含む各成分素材を一般的な粉末混合機で混合した後、散剤(製剤)とした。
<Powder>
As Example 2 of the composition of the present invention, a powder containing coenzyme Q10 and earthworm freeze-dried powder was prepared as follows. That is, each component material including reduced coenzyme Q10 stabilized powder (P30) and earthworm freeze-dried powder (LR powder III) was mixed by a general powder mixer, and then it was made into powder (formulation).
 1袋中の各成分素材の成分量は、還元型補酵素Q10安定化粉末(P30) 360mg(うち、還元型補酵素Q10は120mg)、ミミズ凍結乾燥粉末(LR末III) 60mg、食用酵母(亜鉛、銅、セレン酵母) 20mg、ビタミンB1 20mg、ビタミンB2 10mg、ビタミンB6 10mg、ビタミンB12 40mg、葉酸 0.2mg、ビタミンD3 1.2mg、賦形剤 120.6mgである。 Component amount of each ingredient material in one bag: reduced coenzyme Q10 stabilized powder (P30) 360 mg (of which reduced coenzyme Q10 is 120 mg), earthworm freeze dried powder (LR powder III) 60 mg, edible yeast ( Zinc, copper, selenium yeast) 20 mg, vitamin B1 20 mg, vitamin B2 10 mg, vitamin B6 10 mg, vitamin B12 40 mg, folic acid 0.2 mg, vitamin D 3 1.2 mg, excipient 120.6 mg.
  <ソフトカプセル>
 本発明の組成物の実施例3として、補酵素Q10とミミズ凍結乾燥粉末を含有するソフトカプセル剤を、次のようにして調製した。すなわち、還元型補酵素Q10安定化粉末(P30)とミミズ凍結乾燥粉末(LR末III)を含む各成分素材を一般的なソフトカプセル用混合機で混合した後、カプセル充填してソフトカプセル剤(製剤)とした。
<Soft capsule>
As Example 3 of the composition of the present invention, a soft capsule containing coenzyme Q10 and earthworm freeze-dried powder was prepared as follows. That is, each component material including reduced coenzyme Q10 stabilized powder (P30) and earthworm freeze-dried powder (LR powder III) is mixed by a general soft capsule mixer, and then filled into capsules and soft capsule preparation (formulation) And
 1カプセル中の各成分素材の成分量は、還元型補酵素Q10安定化粉末(P30) 50mg(うち、還元型補酵素Q10は約16.67mg)、ミハラルベルス粉末(ミハラルベルス製) 30mg、ビタミンE 10mg、菜種油 139.7mg、ポエムDO-100V(理研ビタミン社製) 70mg、大豆レシチン 0.3mgである。なお、ミハラルベルス粉末は、ミハラルベルス製のミミズ乾燥粉末である。 Component amount of each component material in 1 capsule: reduced coenzyme Q10 stabilized powder (P30) 50 mg (of which reduced coenzyme Q10 is about 16.67 mg), Michalal versus powder (manufactured by Michalalbers) 30 mg, vitamin E 10 mg, 139.7 mg of rapeseed oil, 70 mg of Poem DO-100V (manufactured by Riken Vitamin Co., Ltd.), and 0.3 mg of soya lecithin. The Michal Albers powder is a earthworm dry powder manufactured by Michal Albers.
   <疾患の改善効果>
 実施例1~3の組成物(ハードカプセル剤、散剤、ソフトカプセル剤)のいずれかを摂取することにより、認知症を含むアルツハイマー病などの脳疾患患者の症状の改善、下肢静脈瘤患者の症状の改善、深部静脈瘤患者の症状の改善が見られた。具体的な改善例として、アルツハイマー病における海馬の萎縮に対する改善例を示す。
<Improvement effect of disease>
By taking any of the compositions (hard capsules, powders, soft capsules) of Examples 1 to 3, improvement of symptoms of patients with brain diseases such as Alzheimer's disease including dementia, improvement of symptoms of patients with varicose veins of lower extremities There was an improvement in the symptoms of patients with deep varicose veins. As a specific improvement example, an improvement example to hippocampal atrophy in Alzheimer's disease is shown.
 アルツハイマー病と診断された患者2名に対して、<実施例1>で調製した製剤を1日4カプセル、3ヶ月間投与した。臨床効果の確認は、投与の前後に撮影した脳のMRI画像を脳画像解析ソフトであるVBMチュートリアル(SPM8)を用いて解析することにより行った。 The preparation prepared in <Example 1> was administered 4 capsules a day for 3 months to 2 patients diagnosed with Alzheimer's disease. Confirmation of the clinical effect was performed by analyzing MRI images of the brain taken before and after administration using VBM tutorial (SPM 8) which is brain image analysis software.
 図1は、患者の一人である患者A(中等度の海馬分解を伴う重度のアルツハイマー病と診断された82歳の男性)の投与前の脳の海馬付近における水平断のMRI画像である。図2は、当該患者Aの投与後の脳の海馬付近における水平断のMRI画像である。このMRI画像から、投与前に比べて投与後は海馬が大きくなっていることを確認できる。 FIG. 1 is a horizontal MRI image of the vicinity of the hippocampus of the brain before administration of patient A (an 82-year-old male diagnosed with severe Alzheimer's disease with moderate hippocampal degradation), one of the patients. FIG. 2 is a horizontal MRI image of the vicinity of the hippocampus of the brain after administration of the patient A. From this MRI image, it can be confirmed that the hippocampus is larger after administration than before administration.
 SPM8を用いた解析の結果、投与後の患者2名の脳の海馬の容積は、投与前と比較して、12%~9%大きくなったことを確認した。これにより、実施例1で調製した製剤(ハードカプセル剤)は、アルツハイマー病患者の脳の海馬の萎縮を改善するのに有効であることが示された。 As a result of analysis using SPM8, it was confirmed that the hippocampal volume of the brains of two patients after administration was 12% to 9% larger than before administration. Thus, it was shown that the preparation (hard capsule preparation) prepared in Example 1 is effective to improve hippocampal atrophy of the brain of Alzheimer's disease patients.
 尚、本願発明は本実施形態に限られず他の様々な実施形態とすることができる。 The present invention is not limited to the present embodiment, and can be other various embodiments.
 本願発明は、医薬品、サプリメント、または食品等の分野に利用することができる。 The present invention can be used in the fields of medicines, supplements, foods and the like.

Claims (5)

  1.  補酵素Q10とミミズ乾燥粉末を有効成分とする
    人の脳にある海馬の萎縮を改善するための
    組成物。
    A composition for improving hippocampal atrophy in human brain comprising coenzyme Q10 and earthworm dry powder as active ingredients.
  2.  補酵素Q10とミミズ乾燥粉末を有効成分とする
    人の脳にある海馬の容積を大きくするための
    組成物。
    A composition for increasing the volume of the hippocampus in the human brain comprising coenzyme Q10 and earthworm dry powder as active ingredients.
  3.  補酵素Q10とミミズ乾燥粉末を有効成分とする
    人の脳の容積を大きくするための
    組成物。
    The composition for enlarging the volume of the human brain which uses coenzyme Q10 and earthworm dry powder as an active ingredient.
  4.  補酵素Q10とミミズ乾燥粉末を含有し、
    前記補酵素Q10は還元型補酵素Q10であり、
    脳の海馬の萎縮を改善するための
    組成物。
    Contains coenzyme Q10 and earthworm dry powder,
    The coenzyme Q10 is a reduced coenzyme Q10,
    A composition for improving hippocampal atrophy of the brain.
  5.  補酵素Q10とミミズ乾燥粉末を含有し、
    前記補酵素Q10は還元型補酵素Q10であり、
    脳の海馬の容積を大きくするための
    組成物。
    Contains coenzyme Q10 and earthworm dry powder,
    The coenzyme Q10 is a reduced coenzyme Q10,
    Composition for increasing the hippocampal volume of the brain.
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