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TWI869637B - Use of mangosteen fruit shell extract in the preparation of a medicament for treating psoriasis - Google Patents

Use of mangosteen fruit shell extract in the preparation of a medicament for treating psoriasis Download PDF

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TWI869637B
TWI869637B TW110142084A TW110142084A TWI869637B TW I869637 B TWI869637 B TW I869637B TW 110142084 A TW110142084 A TW 110142084A TW 110142084 A TW110142084 A TW 110142084A TW I869637 B TWI869637 B TW I869637B
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extract
shell
mangosteen
tinea
composition
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TW202319063A (en
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陳煥源
陳詩茵
莊苡品
陳谷政
陳衍儒
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山酮新藥開發股份有限公司
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Abstract

A use of a composition in preparation of a medicament for treating psoriasis is provided, wherein the composition comprises an effective amount of mangosteen fruit shell extract.

Description

山竹果殼提取物用於製備治療乾癬的藥物的用途 Use of mangosteen shell extract for preparing medicine for treating tinea versicolor

本發明涉及一種組合物用於製備治療乾癬之藥物的用途。 The present invention relates to the use of a composition for preparing a medicine for treating tinea pedis.

皮膚是人體最大的器官,皮膚疾病也是種類眾多,皮膚疾病可能為急性(持續僅數分鐘至數小時)或慢性的狀況,其可能影響個體數天、數月、數年甚至一生,皮膚疾病可能為真菌性的、細菌性的、或病毒性的病況,或可能為非-感染性的、免疫性的反應,例如帶有或不帶有過敏原之發炎反應,或可能為特發性病。因此,症狀可能為各式各樣且可能從溫和的癢感、發紅與腫脹至嚴重的長膿與開放性疼痛,例如傷害性的潰爛,皮膚疾病可能實質影響個體生活的品質。 The skin is the largest organ in the human body and there are many types of skin diseases. Skin diseases may be acute (lasting only minutes to hours) or chronic conditions that may affect an individual for days, months, years or even a lifetime. Skin diseases may be fungal, bacterial, or viral conditions, or may be non-infectious, immune reactions such as inflammatory reactions with or without allergens, or may be idiopathic. Therefore, symptoms may vary and may range from mild itching, redness and swelling to severe abscesses and open pains such as injurious ulcers. Skin diseases may substantially affect an individual's quality of life.

乾癬是一種常見的慢性發炎性皮膚相關疾病,其影響全球約3%的人口。乾癬的發病可能由多種因素引起,包括遺傳(genetic)、後生(epigenetic)、環境和生活方式因素等,其中涉及先天性和適應性免疫反應。一旦免疫過程被活化,更多的樹突細胞、巨噬細胞和T細胞就會從病變皮膚中募集並分泌更多的發炎性介質,這個過程反過來又會促進表皮過度增殖和角質形成細胞的異常分化,結果造成表皮增厚,並導致乾癬斑塊。 Pityriasis is a common chronic inflammatory skin disease that affects approximately 3% of the world's population. Pityriasis may be caused by a variety of factors, including genetic, epigenetic, environmental and lifestyle factors, involving innate and adaptive immune responses. Once the immune process is activated, more dendritic cells, macrophages and T cells will be recruited from the diseased skin and secrete more inflammatory mediators, which in turn promotes excessive epidermal proliferation and abnormal differentiation of keratinocytes, resulting in epidermal thickening and leading to pityriasis plaques.

乾癬的治療旨在阻止皮膚細胞快速生長並去除鱗屑。目前常 用的有三種療法,局部療法(乳膏和軟膏)、光療法(光療法)和口服或注射藥物。類固醇藥物通常被用於局部治療和口服或注射藥物,特別是治療中度至重度乾癬,然而,長期使用或過度使用強效皮質類固醇可能會導致一些令人不快的副作用。 Treatment of tinea pedis aims to stop the rapid growth of skin cells and remove scales. There are three commonly used treatments, topical treatments (creams and ointments), light therapy (phototherapy) and oral or injectable medications. Steroid medications are often used for topical treatments and oral or injectable medications, especially for the treatment of moderate to severe tinea pedis, however, long-term use or overuse of strong corticosteroids may lead to some unpleasant side effects.

山竹果已被研究應用於乳癌的預防及肌肉相關疾病等領域,亦被開發作為日常生活的營養補充劑及化妝品等,同時也被應用於治療急性肝炎、肝纖維化及預防肝硬化的用途。 Mangosteen has been studied and applied in the prevention of breast cancer and muscle-related diseases. It has also been developed as a nutritional supplement and cosmetic for daily life. It is also used to treat acute hepatitis, liver fibrosis and prevent cirrhosis.

Matsumoto等人亦研究由山竹果殼中純化出α-倒捻子素(mangostin)、β-倒捻子素、γ-倒捻子素、及甲基-β-倒捻子素,並研究該化合物對細胞周期各階段的抑制作用,顯示該化合物具有抗細胞增殖效果及抗腫瘤效應(Bioorg.Med.Chem.2005,13,6064-6069)。 Matsumoto et al. also studied the purification of α-mangostin, β-mangostin, γ-mangostin, and methyl-β-mangostin from mangosteen shells, and studied the inhibitory effects of the compounds on various stages of the cell cycle, showing that the compounds have anti-cell proliferation and anti-tumor effects (Bioorg.Med.Chem.2005,13,6064-6069).

本發明提供一種組合物用於製備治療皮膚疾病之醫藥組合物的用途。 The present invention provides a composition for use in preparing a pharmaceutical composition for treating skin diseases.

具體而言,本發明提供一種組合物用於製備治療乾癬之藥物的用途,其中該組合物包含一有效劑量之山竹果殼提取物。該藥物亦可用於局部治療或精準治療之用途。 Specifically, the present invention provides a composition for preparing a drug for treating tinea pedis, wherein the composition comprises an effective dose of mangosteen shell extract. The drug can also be used for local treatment or precision treatment.

本發明還提供一種治療一個體中乾癬的方法,包括給予包含一有效劑量之山竹果殼提取物的醫藥組合物。 The present invention also provides a method for treating eczema in an individual, comprising administering a pharmaceutical composition comprising an effective dose of mangosteen shell extract.

本發明中所述乾癬包括斑塊型乾癬、指甲乾癬、滴狀乾癬、反轉型乾癬、膿皰性乾癬、紅皮型乾癬和乾癬性關節炎。 The chloasma described in the present invention includes plaque chloasma, nail chloasma, guttate chloasma, inverse chloasma, purulent chloasma, erythrodermic chloasma and chloasma arthritis.

山竹果殼包含較軟的內果殼和較硬的外果殼。 The mangosteen shell consists of a softer inner shell and a harder outer shell.

於一較佳實施方式中,該山竹果殼係利用溶劑進行萃取,該萃取溶劑係選自由甲醇、乙醇、正-丙醇、2-丙醇、正-丁醇、丙酮、乙酸乙酯及水所組成之群組。 In a preferred embodiment, the mangosteen shell is extracted using a solvent, and the extraction solvent is selected from the group consisting of methanol, ethanol, n-propanol, 2-propanol, n-butanol, acetone, ethyl acetate and water.

於另一較佳實施方式中,該山竹果殼提取物為山竹果殼水提取物及/或山竹果殼酒精提取物。 In another preferred embodiment, the mangosteen shell extract is a mangosteen shell water extract and/or a mangosteen shell alcohol extract.

於一較佳實施方式中,該山竹果殼提取物為山竹果殼水提取物。 In a preferred embodiment, the mangosteen shell extract is a mangosteen shell water extract.

於另一較佳實施方式中,該山竹果殼提取物為山竹果殼酒精提取物。 In another preferred embodiment, the mangosteen shell extract is a mangosteen shell alcohol extract.

於一較佳實施方式中,該山竹果殼為山竹果殼的外果殼/內果殼及/或山竹果殼的全果殼。 In a preferred embodiment, the mangosteen shell is the outer shell/inner shell of the mangosteen shell and/or the whole shell of the mangosteen shell.

於另一較佳實施方式中,該山竹果殼是山竹果殼的外果殼。 In another preferred embodiment, the mangosteen shell is the outer shell of the mangosteen shell.

於一較佳實施方式中,本發明之組合物可為口服或非經腸胃道製劑,該非經腸胃道製劑可為外用製劑,該外用製劑可為乳霜、乳膏、軟膏、凝膠、洗劑或貼布。 In a preferred embodiment, the composition of the present invention can be an oral or parenteral preparation, the parenteral preparation can be an external preparation, the external preparation can be a cream, ointment, gel, lotion or patch.

於一較佳實施方式中,本發明之山竹果殼提取物包含α-倒捻子倒捻子素(α-mangostin)及γ-倒捻子倒捻子素(γ-mangostin)。 In a preferred embodiment, the mangosteen shell extract of the present invention contains α-mangostin and γ-mangostin.

於另一較佳實施方式中,本發明之山竹果殼水提取物包含α-倒捻子素(α-mangostin)及γ-倒捻子素(γ-mangostin)。 In another preferred embodiment, the mangosteen shell water extract of the present invention contains α-mangostin and γ-mangostin.

於又一較佳實施方式中,本發明之山竹果殼酒精提取物包含α-倒捻子素(α-mangostin)及γ-倒捻子素(γ-mangostin)。 In another preferred embodiment, the mangosteen shell alcohol extract of the present invention contains α-mangostin and γ-mangostin.

本發明中所稱「有效劑量」係投予至個體時達到有效結果的劑量,或者是,於體內或體外擁有所需活性的劑量。於發炎病症與自體免疫病症的情況中,與未治療比較,有效的臨床結果包括與疾病或病症有關之症候的程度或嚴重性減緩、及/或延長個體壽命、及/或提高個體生活品質。投予至個體的精確化合物量將視疾病或症狀的類型與嚴重性以及個體特性來決定,個體特性例如個體的一般健康狀況、年齡、性別、體重與對藥物的耐受性。亦視發炎病症、自體免疫病症、過敏病症的程度、嚴重性與類型或所求免疫抑制效果來決定。熟悉本領域之技藝者依據該些及其他因素將能夠決定適當的劑量。 The term "effective dose" as used herein refers to a dose that achieves an effective result when administered to an individual, or a dose that has the desired activity in vivo or in vitro. In the case of inflammatory diseases and autoimmune diseases, effective clinical results include a reduction in the degree or severity of symptoms associated with the disease or disease, and/or an extension of the life span of the individual, and/or an improvement in the quality of life of the individual, compared to no treatment. The exact amount of compound administered to an individual will depend on the type and severity of the disease or symptom and individual characteristics, such as the individual's general health, age, sex, weight, and tolerance to drugs. It will also depend on the degree, severity, and type of inflammatory diseases, autoimmune diseases, allergic diseases, or the immunosuppressive effect sought. Those skilled in the art will be able to determine the appropriate dosage based on these and other factors.

於一較佳實施方式中,本發明之山竹果殼提取物的有效劑量為1%(w/w)至10%(w/w);於最佳實施方式中,該山竹果殼提取物的有效劑量為1.25%(w/w)至5%(w/w)。 In a preferred embodiment, the effective dosage of the mangosteen shell extract of the present invention is 1% (w/w) to 10% (w/w); in the best embodiment, the effective dosage of the mangosteen shell extract is 1.25% (w/w) to 5% (w/w).

本發明之醫藥組合物可調配成各種口服或非經腸胃道製劑之型式。口服製劑可調配成固體製劑,例如粉末、顆粒、錠劑、膠囊等,或調配成液體製劑,例如懸浮液、乳液、糖漿等。非經腸胃道製劑可被調配成外用製劑,例如乳霜、軟膏、凝膠、洗劑、貼布等,或吸劑、氣溶膠、栓劑等。 The pharmaceutical composition of the present invention can be formulated into various oral or parenteral preparations. Oral preparations can be formulated into solid preparations, such as powders, granules, tablets, capsules, etc., or formulated into liquid preparations, such as suspensions, emulsions, syrups, etc. Parenteral preparations can be formulated into external preparations, such as creams, ointments, gels, lotions, patches, etc., or inhalers, aerosols, suppositories, etc.

本發明之醫藥組合物可包含醫藥上可接受賦形劑,尤其是可進一步包含預定之溶劑或油類,如果需要,並可進一步包含分散劑。 The pharmaceutical composition of the present invention may contain a pharmaceutically acceptable excipient, in particular, may further contain a predetermined solvent or oil, and may further contain a dispersant if necessary.

本發明所用溶劑的實例包括但不限於水、乙醇、異丙醇、1,3-丁二醇、丙二醇、甘油等。 Examples of solvents used in the present invention include but are not limited to water, ethanol, isopropanol, 1,3-butylene glycol, propylene glycol, glycerol, etc.

可用於本發明之油類的實例係選自由玉米油、芝麻油、亞麻油、棉花籽油、大豆油、花生油、單-甘油酯、二-甘油酯、三-甘油酯、礦 物油、深海魚鮫油角鯊烯(Squalene)、荷荷巴油(jojoba oil)、橄欖油、月見草油、琉璃苣油(Borage Oil)、葡萄籽油、椰子油、葵花籽油、乳油木果脂及其任意組合所組成之群組,但不以此為限。 Examples of oils that can be used in the present invention are selected from the group consisting of corn oil, sesame oil, linseed oil, cottonseed oil, soybean oil, peanut oil, mono-glycerides, di-glycerides, tri-glycerides, mineral oils, deep-sea fish oil, squalene, jojoba oil, olive oil, evening primrose oil, borage oil, grape seed oil, coconut oil, sunflower seed oil, shea butter and any combination thereof, but are not limited thereto.

溶劑及油類可單獨使用或使用其任何之組合。 Solvents and oils may be used alone or in any combination.

有益之分散劑實例可包含卵磷脂、有機單甘油酯、山黎醇脂肪酸酯、聚氧乙烯脂肪酸酯、硬脂酸山梨醇酐酯等,但不以此為限。這些原料亦可單獨使用或使用其任何之組合。 Examples of useful dispersants may include lecithin, organic monoglycerides, behenyl alcohol fatty acid esters, polyoxyethylene fatty acid esters, sorbitan stearate, etc., but are not limited thereto. These raw materials may also be used alone or in any combination.

若需要,組合物可進一步包含額外原料,例如抗微生物劑或防腐劑。 If desired, the composition may further comprise additional materials, such as antimicrobial agents or preservatives.

同時,習知活性成分可與組合物同時使用,只要其在本發明組合物之醫藥活性上不具有反效果即可。例如,如神經醯胺(ceramide)之潤膚霜通常作為習知異位性皮膚炎藥劑,或液體成分、例如氫羥腎上腺皮質素之類固醇、維生素A衍生物,例如棕櫚酸維生素A及/或生育酚等可與組合物一同使用。 At the same time, known active ingredients can be used together with the composition as long as they do not have an adverse effect on the pharmaceutical activity of the composition of the present invention. For example, a skin cream such as ceramide is commonly used as a known atopic dermatitis agent, or a liquid component such as a steroid such as hydrocortisone, a vitamin A derivative such as vitamin A palmitate and/or tocopherol can be used together with the composition.

當該醫藥組合物作為外用製劑時,可使用適當的皮膚外用製劑作為基礎原料,水性溶液、非水性溶劑、懸浮液、乳液或凍乾製劑等均可被使用,並依習知方法消毒。 When the pharmaceutical composition is used as an external preparation, appropriate external preparations for skin use can be used as the basic raw materials. Aqueous solutions, non-aqueous solvents, suspensions, emulsions or freeze-dried preparations can all be used and sterilized according to known methods.

在實際上被投與或施用之本發明組合物中,劑量可根據各種因素決定,例如投與路徑、年齡、性別、及病患體重、與疾病嚴重性及作為活性成分之藥劑型式。 In the composition of the present invention that is actually administered or applied, the dosage can be determined according to various factors, such as the administration route, age, gender, and weight of the patient, the severity of the disease, and the dosage form of the active ingredient.

在本發明組合物可為食品或化妝品組合物之情況,可經由適當添加至少一種食品滋養或美容可接受性載劑而製備該組合物。 In the case where the composition of the present invention can be a food or cosmetic composition, the composition can be prepared by appropriately adding at least one food nourishing or cosmetically acceptable carrier.

食品組合物可用於或添加於例如健康食品。如本文中所使用,「健康食品」一詞表示一種與一般食品相較下具有增進功能之含本發明組合物之食品。健康食品可經由添加該組合物至一般食品而製備,或藉由膠囊化、粉末化或懸浮液化製備。 The food composition can be used or added to, for example, health food. As used herein, the term "health food" means a food containing the composition of the present invention that has enhanced functions compared to general food. The health food can be prepared by adding the composition to general food, or by encapsulation, powderization or suspension.

化妝品組合物可以其本身或與其他化妝品成分一同添加,或可根據其他習知方法適當使用。化妝品包括鬚後水(aftershaves)、化妝水、乳霜、面膜及彩妝,但不以此為限。 The cosmetic composition can be added by itself or together with other cosmetic ingredients, or can be used appropriately according to other known methods. Cosmetics include aftershaves, lotions, creams, facial masks and makeup, but are not limited to them.

化妝品組合物可調配成各種組合物形式,例如凝膠、乳霜、軟膏等。凝膠、乳霜及軟膏形式之組合物可根據組合物之形式使用已知方法,經由添加習知軟化劑、乳化劑及增稠劑或其他技術中已知之原料而適當地製備。 Cosmetic compositions can be formulated into various composition forms, such as gels, creams, ointments, etc. Compositions in the form of gels, creams and ointments can be appropriately prepared using known methods according to the form of the composition by adding known softeners, emulsifiers and thickeners or other raw materials known in the art.

凝膠形式之組合物例如可經由添加例如三甲基醇丙烷、聚乙二醇及甘油之軟化劑、例如丙二醇、乙醇及異鯨蠟醇之溶劑、及純水製備。 The composition in the form of a gel can be prepared, for example, by adding a softener such as trimethylolpropane, polyethylene glycol and glycerin, a solvent such as propylene glycol, ethanol and isocetyl alcohol, and pure water.

乳霜形式之組合物之製備例如可經由添加脂肪醇,例如硬脂醇、荳蔻醇、山崳醇(behenyl alcohol)、花生醇、異十八醇及異鯨蠟醇;乳化劑,例如脂類,例如卵磷脂、磷脂醯膽鹼、磷脂醯乙醇胺、磷脂絲胺酸、磷酸脂肌醇及其衍生物、硬脂酸甘油酯、棕櫚酸山梨醇酯、硬脂酸山梨醇酯等;天然脂肪及油類,例如酪梨油、杏仁油、巴巴樹油(babassu oil)、琉璃苣油、山茶花油等;脂質組合物,例如神經醯胺、膽固醇、脂肪酸、植物鞘胺醇、卵磷脂等;溶劑,例如丙二醇等;及純水。 The preparation of the composition in the form of a cream can be achieved, for example, by adding fatty alcohols, such as stearyl alcohol, myristyl alcohol, behenyl alcohol, arachidyl alcohol, isostearyl alcohol and isocetyl alcohol; emulsifiers, such as lipids, such as lecithin, phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol and its derivatives, stearic acid glyceryl ester, sorbitan palmitate, sorbitan stearate, etc.; natural fats and oils, such as avocado oil, almond oil, babassu oil, borage oil, camellia oil, etc.; lipid compositions, such as ceramide, cholesterol, fatty acids, phytosphingosine, lecithin, etc.; solvents, such as propylene glycol, etc.; and pure water.

軟膏形式之組合物之製備可例如經由添加軟化劑、乳化劑及蠟,例如微晶蠟、石蠟、地蠟(ceresin)、蜜蠟、鯨蠟、凡士林等。 The preparation of the composition in the form of an ointment can be achieved, for example, by adding a softener, an emulsifier and a wax, such as microcrystalline wax, stone wax, ceresin, honey wax, whale wax, vaseline, etc.

另一方面,本發明提供一種使用該組合物製備用於治療或緩解乾癬之藥劑的方法。如本文中所使用,「治療或緩解」一詞意指當病患使用藥劑時,指停止或延遲疾病之病程或症狀。 On the other hand, the present invention provides a method for preparing a medicament for treating or relieving tinea pedis using the composition. As used herein, the term "treating or relieving" means stopping or delaying the course or symptoms of the disease when the patient uses the medicament.

圖1所示為經IL-23注射小鼠右耳給予安慰劑後的耳朵厚度與僅給予PBS注射之小鼠左耳的耳朵厚度的比較。 Figure 1 shows the ear thickness of the right ear of IL-23 injected mice after the placebo was given, compared with the ear thickness of the left ear of mice injected with PBS only.

圖2為三種軟膏樣品對乾癬的療效。圖2A顯示所有軟膏樣品均未造成任何不良影響;圖2B、2C、2D顯示三種軟膏樣品具有治療乾癬的潛力。縮寫:W:全果殼提取物。 Figure 2 shows the efficacy of three ointment samples on xerosis. Figure 2A shows that all ointment samples did not cause any adverse effects; Figures 2B, 2C, and 2D show that the three ointment samples have the potential to treat xerosis. Abbreviation: W: whole fruit shell extract.

圖3顯示所有軟膏樣品都顯著減少了表皮增厚。圖3A顯示H&E染色下PBS/IL-23注射小鼠耳朵組織切片的組織學。比例尺:50μM;圖3B顯示耳朵上(背)層的耳朵厚度的測量結果。結果以平均值±標準誤差(SEM)顯示之,*表示P<0.05,**表示P<0.01,***表示P<0.001;統計方式:學生T檢驗;縮寫:W:全果殼提取物。 Figure 3 shows that all ointment samples significantly reduced epidermal thickening. Figure 3A shows the histology of ear tissue sections of PBS/IL-23 injected mice under H&E staining. Scale bar: 50μM; Figure 3B shows the measurement results of ear thickness in the upper (dorsal) layer of the ear. The results are shown as mean ± standard error (SEM), * indicates P <0.05, ** indicates P <0.01, *** indicates P <0.001; Statistical method: Student's T test; Abbreviation: W: whole fruit shell extract.

圖4所示為5%內果殼提取物和5%外果殼提取物的療效。圖4A顯示5%內果殼提取物和5%外果殼提取物均顯示出治療乾癬的潛力,且5%外果殼提取物的療效優於5%內果殼提取物。圖4B和4C顯示5%的內果殼提取物和5%的外果殼提取物顯著減少表皮增厚。結果以平均值±標準誤差(SEM)顯示之,*表示P<0.05,***表示P<0.001;統計方式:學生T檢驗;縮寫:W:全果殼提取物;I:內果殼提取物;O:外果殼提取物。 Figure 4 shows the efficacy of 5% endocarp extract and 5% exocarp extract. Figure 4A shows that both 5% endocarp extract and 5% exocarp extract showed potential for treating eczema, and 5% exocarp extract was more effective than 5% endocarp extract. Figures 4B and 4C show that 5% endocarp extract and 5% exocarp extract significantly reduced epidermal thickening. The results are presented as mean ± standard error (SEM), * indicates P < 0.05, *** indicates P <0.001; statistical method: Student's T test; abbreviations: W: whole endocarp extract; I: endocarp extract; O: exocarp extract.

以下實施方式是非限制性的,僅代表本發明的各個方面和特 徵。 The following embodiments are non-limiting and merely represent various aspects and features of the present invention.

實驗例Experimental example

醫藥組合物的製備Preparation of pharmaceutical compositions

取山竹果殼,將果殼乾燥至50%~95%,以溶劑(如水或10%~95%之酒精)進行萃取,濃縮取得山竹果殼提取物。 Take the mangosteen shell, dry it to 50%~95%, extract it with a solvent (such as water or 10%~95% alcohol), and concentrate it to obtain the mangosteen shell extract.

將山竹果殼之外果殼及內果殼分離,分別將山竹果殼外果殼及山竹果殼內果殼乾燥至50%~95%,以溶劑(如水或10%~95%之酒精)進行萃取,濃縮取得山竹果殼外果殼提取物及山竹果殼內果殼提取物。 Separate the outer shell and inner shell of the mangosteen shell, dry the outer shell and inner shell of the mangosteen shell to 50%~95% respectively, extract with a solvent (such as water or 10%~95% alcohol), and concentrate to obtain the outer shell extract and inner shell extract of mangosteen shell.

分別將山竹果殼之酒精及水提取物、山竹果殼內、外果殼之酒精及水提取物製成不同濃度的乳膏或軟膏。 The alcohol and water extracts of mangosteen shell, and the alcohol and water extracts of the inner and outer shells of mangosteen shell are made into creams or ointments of different concentrations.

IL-23誘導乾癬小鼠模型的建立Establishment of IL-23-induced eczema mouse model

本發明使用8-11週齡的雄性野生型小鼠(C57BL/6)進行研究。所有的小鼠用含100%氧氣的1%-3%異氟醚麻醉。為了誘導類乾癬模式(psoriasis-like)發病機制,小鼠的右耳注射IL-23,左耳注射對照緩衝液(PBS),如前所述。使用31-G的針頭將無載體的重組小鼠IL-23(1μg於10μL;購自eBioscience,cat.No.34-8231-85)皮內注射到右耳。每隔一天注射一次,持續14天,以誘發類乾癬模式疾病。無菌PBS則注射到小鼠的左耳中作為載體對照。 The present invention was conducted using male wild-type mice (C57BL/6) aged 8-11 weeks. All mice were anesthetized with 1%-3% isoflurane in 100% oxygen. To induce psoriasis-like pathogenesis, mice were injected with IL-23 in the right ear and control buffer (PBS) in the left ear as described above. Vector-free recombinant mouse IL-23 (1 μg in 10 μL; purchased from eBioscience, cat. No. 34-8231-85) was injected intradermally into the right ear using a 31-G needle. Injections were given every other day for 14 days to induce psoriasis-like disease. Sterile PBS was injected into the left ear of the mouse as a vector control.

動物實驗Animal experiments

60隻小鼠用於動物實驗,其中類乾癬模式疾病誘發小鼠48隻,非誘發小鼠12隻。將所有小鼠分成兩次實驗,每次實驗30隻。每個實驗包括5組,第1組(6隻類乾癬模式誘發小鼠+1.25%全果殼提取物治療)、 第2組(6隻類乾癬模式誘發小鼠+2.5%全果殼提取物治療)、第3組(6隻類乾癬模式誘發小鼠+5%全果殼提取物治療)、第4組(6隻類乾癬模式誘發小鼠+安慰劑)和第5組(6隻未誘發小鼠+PBS)。兩次實驗和組別分配如表1所示。 60 mice were used for animal experiments, including 48 mice induced by leprosy-like disease model and 12 non-induced mice. All mice were divided into two experiments, 30 mice in each experiment. Each experiment included 5 groups, Group 1 (6 mice induced by leprosy-like disease model + 1.25% whole fruit shell extract treatment), Group 2 (6 mice induced by leprosy-like disease model + 2.5% whole fruit shell extract treatment), Group 3 (6 mice induced by leprosy-like disease model + 5% whole fruit shell extract treatment), Group 4 (6 mice induced by leprosy-like disease model + placebo) and Group 5 (6 non-induced mice + PBS). The two experiments and group allocation are shown in Table 1.

表1

Figure 110142084-A0202-12-0009-1
Table 1
Figure 110142084-A0202-12-0009-1

將無菌PBS注射到第5組小鼠的左耳中作為載體對照。實驗自第0天到第13天,每天在注射位置(每隻耳朵40.25mg/cm2)塗抹安慰劑(第4組)和三種軟膏樣品(第1組至第3組)。所有小鼠在第14天安樂死。耳朵厚度每隔一天以口袋型厚度計(Mitutoyo Corp.)在耳朵中心測量一次, 並在第0天、第5天、第9天和第14天拍攝耳朵照片(數據未顯示)。 Sterile PBS was injected into the left ear of mice in Group 5 as a vehicle control. Placebo (Group 4) and three ointment samples (Groups 1 to 3) were applied daily at the injection site (40.25 mg/ cm2 per ear) from day 0 to day 13 of the experiment. All mice were euthanized on day 14. Ear thickness was measured every other day at the center of the ear using a pocket thickness gauge (Mitutoyo Corp.), and ear photographs were taken on days 0, 5, 9, and 14 (data not shown).

蘇木精(Hematoxylin)-伊紅(Eosin)染色(H&E染色)和表皮厚度的測量Hematoxylin-eosin staining (H&E staining) and measurement of epidermal thickness

在實驗結束時,將小鼠安樂死並收集經注射的耳朵,一半的耳朵用10%福馬林固定,並以石蠟包埋、切片、進行H&E染色。平均表皮厚度是以Olympus cellSens Standard軟體測量每個H&E染色樣品中隨機選擇五個位置(不包括角質層)的表皮最外表面與真皮-表皮連接處之間的距離來確定的。 At the end of the experiment, mice were euthanized and the injected ears were collected. Half of the ears were fixed with 10% formalin, embedded in paraffin, sectioned, and stained with H&E. The average epidermal thickness was determined by measuring the distance between the outermost surface of the epidermis and the dermal-epidermal junction at five randomly selected locations (excluding the stratum corneum) in each H&E-stained sample using Olympus cellSens Standard software.

結果result

本發明測試了三個軟膏樣品對IL-23誘導乾癬小鼠模型的影響。小鼠的右耳每隔一天注射1μg無載體重組小鼠IL-23,共14天,左耳則注射無菌PBS作為載體對照組。 The present invention tested the effects of three ointment samples on the IL-23-induced eczema mouse model. The right ear of the mice was injected with 1 μg of vector-free recombinant mouse IL-23 every other day for 14 days, and the left ear was injected with sterile PBS as a vector control group.

每天在注射位置塗抹安慰劑和三種軟膏樣品(每隻耳朵40.25mg/cm2),並於第0、5、9和14天拍攝耳朵照片。為了檢查軟膏樣品對耳朵腫脹的影響,本發明從第3天到第13天,每隔一天測量一次耳朵厚度,與注射PBS的左耳的耳朵厚度相比,注射IL-23並給予安慰劑的右耳的耳朵厚度顯示出顯著變化(圖1)。結果顯示,本發明使用IL-23注射液可以成功誘導小鼠耳腫脹,這是乾癬的症狀之一。 Placebo and three ointment samples (40.25 mg/cm 2 per ear) were applied to the injection site every day, and ear photos were taken on days 0, 5, 9, and 14. To examine the effect of the ointment samples on ear swelling, the present invention measured ear thickness every other day from day 3 to day 13, and the ear thickness of the right ear injected with IL-23 and given a placebo showed a significant change compared to the ear thickness of the left ear injected with PBS (Figure 1). The results showed that the present invention can successfully induce ear swelling in mice using IL-23 injection, which is one of the symptoms of tinea pedis.

在第0天第14天(圖2A),所有組別中,注射PBS的左耳的耳朵厚度沒有顯示出顯著變化,這表示所有軟膏樣品都沒有引起任何不良的影響。 On days 0 to 14 (Figure 2A), the ear thickness of the left ear injected with PBS showed no significant changes in all groups, indicating that all ointment samples did not cause any adverse effects.

圖2B-2D顯示注射IL-23並給予三種劑量的軟膏樣品的右耳 的耳朵厚度,所有組別都在第5天顯著減輕了耳朵腫脹。其中,5%的全果殼提取物組別,在第5天到第9天和第13天長時間減少了耳朵腫脹。 Figures 2B-2D show the ear thickness of the right ear injected with IL-23 and given three doses of ointment samples. All groups significantly reduced ear swelling on day 5. Among them, the 5% whole fruit shell extract group reduced ear swelling for a long time from day 5 to day 9 and day 13.

本發明對取自安樂死小鼠的耳朵切片進行組織學分析。H&E染色結果揭示了安慰劑組有類乾癬模式表型的特徵,例如表皮增厚、表皮網狀脊突出進入真皮中以及許多細胞浸潤到發炎部位(圖3A)。而給予軟膏樣品的組別減少了表皮厚度,細胞浸潤也略有減少。 The present invention performed histological analysis on ear sections taken from euthanized mice. The results of H&E staining revealed that the placebo group had characteristics of a chlamydia-like phenotype, such as epidermal thickening, epidermal reticular ridges protruding into the dermis, and many cells infiltrating into the inflamed area (Figure 3A). The group given the ointment sample had reduced epidermal thickness and slightly reduced cell infiltration.

本發明測量了每隻小鼠的表皮厚度(圖3B)。這些結果還指出,與僅使用PBS的組別相比,給予安慰劑組的厚度顯著增加。與安慰劑組的結果相反,所有軟膏樣品,包括1.25%全果殼提取物、2.5%全果殼提取物、5%全果殼提取物,均顯著降低了表皮厚度。而H&E染色結果指出,在類乾癬模式小鼠模型中,軟膏樣品可以顯著降低表皮厚度,並在組織學分析中略微降低類乾癬模式表型。 The present invention measured the epidermal thickness of each mouse (Figure 3B). These results also indicated that the thickness of the placebo group increased significantly compared with the group using only PBS. In contrast to the results of the placebo group, all ointment samples, including 1.25% whole fruit shell extract, 2.5% whole fruit shell extract, and 5% whole fruit shell extract, significantly reduced epidermal thickness. And the results of H&E staining indicated that in the eczema-like mouse model, the ointment samples could significantly reduce epidermal thickness and slightly reduce the eczema-like phenotype in histological analysis.

值得注意的是,所有軟膏樣品施用的組別均在5天內顯示出早期療效,尤其是施用5%的全果殼提取物也顯示出耳朵厚度減少的持續時間更長。 It is noteworthy that all groups applying the ointment samples showed early therapeutic effects within 5 days, especially the group applying 5% whole fruit shell extract also showed a longer duration of ear thickness reduction.

為進一步評估哪個部位對乾癬治療效果顯著,採用5%的山竹殼外果殼和5%的山竹殼內果殼進行同一實驗,並與各組別進行比較。 To further evaluate which part has a significant effect on the treatment of eczema, 5% of the outer shell of mangosteen and 5% of the inner shell of mangosteen were used in the same experiment and compared with each group.

如圖4A所示,內果殼提取物和外果殼提取物均顯示出對乾癬的潛在效果。注射了IL-23並施用5%內果殼提取物和5%外果殼提取物的右耳的耳朵厚度的果也顯示,耳朵腫脹在第5天顯著減少(圖4B和4C)。特別的是,與施用5%的內果殼提取物相比,施用5%的外果殼提取物顯示出耳朵厚度的減少持續更長時間。 As shown in Figure 4A, both the endocarp extract and the exocarp extract showed potential effects on eczema. The results of ear thickness of the right ear injected with IL-23 and administered with 5% endocarp extract and 5% exocarp extract also showed that ear swelling was significantly reduced on the 5th day (Figures 4B and 4C). In particular, administration of 5% exocarp extract showed that the reduction in ear thickness lasted longer than administration of 5% endocarp extract.

所有結果均顯示,這些軟膏樣品的治療能夠減輕乾癬引起的症狀,其中,5%的全果殼提取物,可以減少耳朵的厚度,並持續更長時間。 All results showed that treatment with these ointment samples was able to reduce the symptoms caused by tinea pedis, and among them, the 5% whole fruit shell extract was able to reduce the thickness of the ear and last longer.

儘管本發明已經被足夠詳細的描述和示例,以供所屬技術領域中具通常知識者可以製作和實施,但在不脫離本發明的精神和範圍的情況下,各種替代、修改和改進應該是顯而易見的。 Although the present invention has been described and illustrated in sufficient detail so that a person skilled in the art can make and implement the present invention, various substitutions, modifications and improvements should be obvious without departing from the spirit and scope of the present invention.

所屬技術領域中具通常知識者容易理解,本發明很好地適用於實現所述目的並獲得所提及的目的和優點以及其中固有的那些目的和優點。細胞、動物以及產生它們的過程和方法僅代表最佳實施方式,是例示性的,並不意在限制本發明的範圍。所屬技術領域中具通常知識者能想到其中的修改和其他用途,這些修改包含在本發明的精神內並且由申請專利範圍的範圍所限定。 It is readily understood by those skilled in the art that the present invention is well adapted to achieve the objects and advantages mentioned and those inherent therein. The cells, animals, and processes and methods for producing them represent only the best modes of implementation, are exemplary, and are not intended to limit the scope of the invention. Those skilled in the art will be able to conceive of modifications and other uses thereof, which are included within the spirit of the invention and are limited by the scope of the scope of the patent application.

Claims (7)

一種組合物用於製備治療乾癬之藥物的用途,其中該組合物包括一有效劑量的山竹果殼提取物,其中該組合物是皮膚外用製劑,且其中該有效劑量為1% w/w至8% w/w,並且該組合物持續給予5~7天。 A composition for preparing a drug for treating tinea pedis, wherein the composition comprises an effective dose of mangosteen shell extract, wherein the composition is a topical preparation for skin application, wherein the effective dose is 1% w/w to 8% w/w, and the composition is continuously administered for 5 to 7 days. 如請求項1所述之用途,其中,該山竹果殼提取物係山竹果殼水提取物和/或山竹果殼醇提取物。 The use as described in claim 1, wherein the mangosteen shell extract is a mangosteen shell water extract and/or a mangosteen shell alcohol extract. 如請求項1所述之用途,其中,該山竹果殼係山竹果殼的外果殼和/或山竹果殼的內果殼。 The use as described in claim 1, wherein the mangosteen shell is the outer shell of the mangosteen shell and/or the inner shell of the mangosteen shell. 如請求項1所述之用途,其中,該山竹果殼係山竹果殼的外果殼。 The use as described in claim 1, wherein the mangosteen shell is the outer shell of the mangosteen shell. 如請求項1所述之用途,其中,該山竹果殼提取物包括α-倒捻子素和γ-倒捻子素。 The use as described in claim 1, wherein the mangosteen shell extract includes α-mangostin and γ-mangostin. 如請求項1所述之用途,其中,該有效劑量為1% w/w至5% w/w。 The use as described in claim 1, wherein the effective dose is 1% w/w to 5% w/w. 如請求項1所述之用途,其中,該乾癬包括斑塊型乾癬、指甲乾癬、滴狀乾癬、反轉型乾癬、膿皰性乾癬、紅皮型乾癬和乾癬性關節炎。 The use as described in claim 1, wherein the tinea includes plaque tinea, nail tinea, guttate tinea, inverse tinea, purulent tinea, erythrodermic tinea and tinea arthritis.
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