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WO1993024140A1 - Drug for depressing serum got and gpt activities and hepatic disease curative composition - Google Patents

Drug for depressing serum got and gpt activities and hepatic disease curative composition Download PDF

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Publication number
WO1993024140A1
WO1993024140A1 PCT/JP1993/000705 JP9300705W WO9324140A1 WO 1993024140 A1 WO1993024140 A1 WO 1993024140A1 JP 9300705 W JP9300705 W JP 9300705W WO 9324140 A1 WO9324140 A1 WO 9324140A1
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Prior art keywords
calcitonin
serum
liver
activity
hepatic
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PCT/JP1993/000705
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French (fr)
Japanese (ja)
Inventor
Toshinori Ishizuya
Shigeto Morimoto
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Asahi Kasei Corp
Asahi Chemical Industry Co Ltd
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Asahi Chemical Industry Co Ltd
Asahi Kasei Kogyo KK
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Publication of WO1993024140A1 publication Critical patent/WO1993024140A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/22Hormones
    • A61K38/23Calcitonins

Definitions

  • the present invention relates to a novel use of calcitonins. More specifically, the present invention relates to serum glutamate oxa oral transaminase (hereinafter often referred to as "GOT”) and glutamin containing calcitonin as an active ingredient. Acid pyruvate transdermal kinase (hereinafter often referred to as "GPT"). Furthermore, the present invention relates to a therapeutic composition for a liver disease containing calcitonin as an active ingredient.
  • GAT serum glutamate oxa oral transaminase
  • GPT Acid pyruvate transdermal kinase
  • the present invention relates to a therapeutic composition for a liver disease containing calcitonin as an active ingredient.
  • amino acid sequences and peptides are represented using abbreviations adopted by the IUPAC-IUB Biochemical Nomenclature Committee (CNB).
  • CNB Biochemical Nomenclature Committee
  • liver is the largest single organ in the living body, and plays a central role in glucose metabolism, protein metabolism, and lipid metabolism.
  • drug metabolism and detoxification are also important functions of the liver, and are therefore essential organs for maintaining homeostasis and maintaining life.
  • liver parenchymal cells Kupffer cells, and sinusoidal endothelial cells that make up the liver. It is understood physiologically as the result of the action or interaction of any of a variety of cells, but among them the role of liver parenchymal cells is so extensive that viruses, drugs, toxicants, alcohols, etc. If liver parenchymal cells are damaged, toxic or infectious hepatitis, liver abscess, cirrhosis, fatty liver, hepatocellular carcinoma, etc. can be extremely serious.
  • hepatic drugs are used for liver disease based on these various causes, but there is still no definitive treatment. This is described in detail in The Journa1ofPracctiCalPharmAccy, Vo1.41, No.11.
  • many amino acid transfusions and vitamins of a specific composition have the meaning of adjuvant therapy to replace essential nutrients, vitamins, etc., which were lacking due to the decrease in hepatic metabolism.
  • antidote such as SH compounds such as glutathione and chopin, is questionable.
  • anti-inflammatory or immunomodulatory agents such as adrenocortical hormone, glycyrrhizin, and azathioprine, protein synthesis promoters represented by malotilate, and interflus having an antiviral effect.
  • Drugs that have a therapeutic effect on liver diseases such as lon have also been known to have serious side effects such as hepatic dysfunction, hypoaldosteronism, agranosis, jaundice, and cardiomyopathy.
  • drugs currently used for the treatment of liver disease have shown sufficient efficacy. This did not fully satisfy clinicians, including concerns about serious side effects.
  • the present inventors first reduced the activity of GOT and GPT, and in some cases, the activity of hepatic escape enzymes such as ⁇ -GTP, which are observed in serum as indicators of liver damage.
  • calcitonins hormones with serum calcium-lowering activity discovered by C0 ⁇ et al. In 1962, are not GOT, GPT or ⁇ -GTP activity inhibitors.
  • serum GOT and GPT which are general indicators of liver disease (when serum ⁇ -GTP activity is increased due to alcoholic hepatitis, etc.) ) was found to be extremely effective in lowering the activity value.
  • calcitonins are serum calcium-lowering hormones discovered by Copp et al. In 1962 [Endocrinology, Vol. 70, 638 (1966). 3)] Then, it has been extracted and purified from various animals including humans, and its amino acid structure has been elucidated as described below. These calcitonins are associated with bone paget disease [Journal of the Japan Society for the Practice of Shape, Vol. 58, 93 (1977)], osteoporosis.
  • calcitonins prevent hepatic cell death due to, for example, carbon tetrachloride, and also serve as an indicator of the injury in the culture supernatant. It shows a marked decrease in liver hepatic enzyme levels, and calcitonin enhances survival in an immune-related acute liver failure model.
  • intravenous infusion of calcitonin into patients with liver diseases, including patients with hepatitis and cirrhosis shows a decrease in serum liver deviating enzyme level, which is an indicator of liver damage.
  • the present invention has been made based on the above findings.
  • one object of the present invention is to provide a novel agent for reducing the elevated activity of liver deviating enzymes such as GOT and GPT observed in serum, which is an indicator of liver disease.
  • Another object of the present invention is to provide a novel therapeutic composition for a liver disease which is effective in treating a liver disease and has very few side effects.
  • the increased activity of glutamate oxa mouth transacetate and glutamate pyruvate transamine is reduced in serum.
  • a reducing agent comprising an effective amount of calcitonin.
  • a therapeutic composition for liver disease comprising an effective amount of anti-hepatic disease in the form of lucitonin and a pharmaceutically acceptable carrier, diluent or excipient.
  • calcitonin refers to natural calcitonins known as peptides having serum calcium-lowering activity and their analogs having serum calcium-lowering activity. It means at least one kind of calcitonin selected from the group consisting of mouth peptides.
  • Natural calcitonins are peptides consisting of 32 amino acids, which have cystine residues at positions 1 and 7 and the two cystine residues are disulfide bonds. To form a ring structure, and the C-terminal is proline amide. That is, natural force nolestonin is represented by the following formula (I):
  • the structure of formula (I) is a structure very specific to calcitonin, and by having this structure, it shows a so-called calcitonin activity called serum calcium-lowering activity only when it has this structure. Or a compound having no structure similar thereto (for example, or a structure of the calvatonin calcitonin of the formula ( ⁇ ) of an analog peptide described later), the calcitonin activity is significantly reduced, and the present invention It is not preferred as an active ingredient for.
  • Examples of natural calcitonin include porcine calcitonin (Japanese Patent Publication No. 48-10848 ⁇ ), ⁇ calcitonin, natural calcitonin, and human calcitonin. 4 8 — 4 3 9 18), rat calcitonin, salmon calcitonin I (He 1 V. Chim. Acta, 1969, ⁇ l, 1789), salmon calcitonin II, salmon calcitonin Nitto, Penagi calcitonin (Japanese Patent Publication No. 53-186), Nitrika calcitonin (Japanese Patent Application Laid-Open No. 61-47498), and the like. it can.
  • the amino acid sequences of these calcitonins are shown in Sequence Listing 1 below.
  • calcitonins are based on the amino acid sequence shown in Sequence Listing 1 above, and have the ability to be obtained by a conventional peptide synthesis method, or using the DNA of the desired calcitonin. After being obtained by a conventional method of gene manipulation, it can be purified and recovered by various types of column chromatography.
  • the calcitonin analog peptide of the present invention is, for example,
  • the carboxyl group at the ⁇ -position condenses with the amino group of the amino acid residue at the 2-position of the formula (I) to form a disulfide bond at the 1- or 7-position of the formula (I).
  • leba-type calcitonin (Hereinafter often referred to as “leba-type calcitonin”) (Also, this leuva-type calcitonin is compared with that of the formula (I) in the first place of the formula (I))
  • the amino acid residue corresponding to the cystine residue has been deleted, but the amino acid number hereafter will for convenience follow that of formula (I));
  • the cysteine residue at the i-position of the amino acid sequence of the corresponding natural calcitonin is deleted, and the cystine residue at the 7-position is removed from the amino acid sequence.
  • the cystine residue at the 7-position is replaced with an amino-suberic acid residue
  • the carboxyl group of an aminosuberic acid residue is replaced with the amino group of an amino acid residue at the 2-position.
  • At least one amino acid residue of the amino acid sequence of the 2nd to 6th and 8th to 31st amino acids in the above-mentioned Luba type calcitonin is replaced by another amino acid residue.
  • a substituted product having the calcitonin activity [the above (C)] can also be synthesized in the same manner as described above.
  • the calcitonin that can be used in the present invention is not limited to the above, as long as the calcitonin has an activity to reduce bone strength calcium.
  • a human having an increased activity of glutamate oxaloacetate transaminase (GOP) and glutamate pyruvate transaminase (GPT) in serum Or animals are provided with natural calcitonins having serum-calcium-lowering activity and their analogs having serum-calcium-lowering activity.
  • GIP glutamate oxaloacetate transaminase
  • GPT glutamate pyruvate transaminase
  • the activity value of the liver deviating enzyme present in the serum of healthy humans is generally as follows in terms of international units (IU), and is the same for animals.
  • GPT about 5 to about 40 IU / ⁇ ⁇ — GTP about 0 to about 50.1 U / ⁇ LD ⁇ about 50 to about 450 IU / ⁇
  • GOT, GPT and y — GTP activity It is known that the value increases due to liver disease and increases from 100 OOI UZ fi or more to 300 I UZ £ or more.
  • the hepatic departure enzyme activity in serum thus increased can be effectively reduced by administering an effective amount of calcitonin according to the present invention.
  • At least one selected from the group consisting of natural calcitonins having serum calcium lowering activity and analogs thereof having serum calcium lowering activity in patients with liver disease Administering an effective amount of one calcitonin can treat liver disease.
  • the karuba type Naginica nolesitin (hereinafter often referred to as "elcatonin") is used.
  • elcatonin the karuba type Naginica nolesitin
  • lmg is set to 600,000 units, and other power
  • the amount of calcitonin activity equivalent to the calcitonin activity of a certain number of units of phenol-tonin is defined as that of elcatonin.
  • the unit used for defining the dose range of calcitonin in the present invention which will be described later, is also a unit corresponding to the calcitonin activity unit of L-potency.
  • calcitonins are extremely low-toxic and highly toxic.
  • L-potency is administered to mice and rats by intravenous, intramuscular, subcutaneous, or oral routes of 135,000 or 7400 units / No fatal toxicity was observed even after administration of kg (body weight). '
  • the form of the agent for decreasing the activity of liver deviating enzyme and the therapeutic agent for treating liver disease include, for example, injections, rectal absorbents, vaginal absorbents, nasal absorbents, transdermal absorbents, pulmonary absorptions Agents, oral absorption agents, oral administration agents, etc., but the administration form of these is not particularly limited.
  • rectal and vaginal absorbents are generally used in the form of suppositories, nasal absorbent and transdermal absorption
  • the drug is used in the form of a formulation to which an appropriate absorption enhancer has been added. It is used in the form of an aerosol composition containing a suitable dispersant or water and a propellant.
  • Oral absorbents are used in the form of, for example, sublingual tablets with the addition of an appropriate absorption enhancer, and oral dosage forms are used in the form of liposomes, microcapsules, etc. You.
  • the hepatic prolapsing enzyme lowering agent and the hepatic remedy composition of the present invention are prepared into dosage forms suitable for each administration form.
  • the carrier, diluent, or excipient used is not particularly limited.
  • calcitonin is dissolved in distilled water for injection in which buffer, isotonicity agent and PH regulator have been dissolved in appropriate amounts, and sterilized through a sterilization filter, and then dispensed into ampoules. And can be prepared by:
  • Rectal absorbers and vaginal absorbers can be used to reduce calcitonin, such as sodium pectate and sodium alginate, which have chelating ability, sodium chloride and glucose. It is prepared as a rectal / vaginal injection suppository or suppository by dissolving or dispersing it in distilled water or an oily vehicle, using a hypertonic agent as appropriate (UK Patent No. 2,920,200). No. 2 and No. 20099594).
  • Nasal absorbent is a liquid formulation containing calcitonin and an absorption enhancer such as water-soluble organic acids such as dalonic acid, succinic acid, and tartaric acid. Alternatively, it is prepared as a powder (JP-A-63-243303, JP-A-63-316737, JP-A-1-230530) Japanese Patent Application Laid-Open No. HEI 2-111, Japanese Patent Application Laid-Open No. H02-10431). Further, a nasal absorbent can be obtained by adding an appropriate emulsion to calcitonin (see JP-A-4-97729).
  • Percutaneous absorption agents can enhance absorption through the skin by adding an absorption enhancer such as azone (Azone) to calcitonin.
  • an absorption enhancer such as azone (Azone)
  • azone Azone
  • iontophoresis Ann.N.Y.A.cad.Sci., Vol.
  • the pulmonary absorbent comprises calcitonin, which is pulverized and ground with a dispersing agent such as Arlacel or Span 80 to obtain a homogeneous paste, and then the paste is cooled to Freon 11 or Freon 11. It can be obtained by dispersing in a propellant such as Leon 12 and filling it in a container equipped with a valve (see Japanese Patent Application Laid-Open No. 60-169224).
  • Oral absorbents include calcitonin, e.g., ascorbic acid, acidic amino acid, citric acid, unsaturated fatty acid, salicylic acid, etc., alone or in combination of two or more. It can be obtained as troches, sublingual tablets, powders, etc. by adding excipients such as menthol and flavoring agents such as menthol. (Showa 56-140 9 24).
  • calcitonin is prepared, for example, by a method using WZ ⁇ W emulsion (see Endocrinol. Japan; Vo 1.23, 4993 (19776)).
  • calcitonin can be prepared by a liposome preparation method (see Hormone Res .; Vo 1.16, 249 (1989)).
  • the agent for reducing liver deviating enzyme activity and the therapeutic agent for liver disease of the present invention is administered in a single dose of 0.5 to 500,000 units of calcitonin, preferably 1 to 400 units. Is a unit.
  • the frequency of administration may be once or twice a day, or daily or once to three times a week.
  • an appropriate amount of calcitonin can be dissolved in an appropriate infusion such as Solita T-3 (manufactured by Shimizu Pharmaceutical Co., Ltd. in Japan), and the solution can be administered by intravenous drip over 1 to several hours, for example.
  • the amount of calcitonin in the drug is determined as appropriate.
  • Calcitonin as an active ingredient of the composition for reducing the activity of liver hepatic enzyme and the therapeutic agent for liver disease according to the present invention is characterized by the increased activity of liver hepatic enzyme observed in serum as shown in the following Examples. It effectively lowers the value and improves and maintains liver function disorders very well.
  • GOT glutamic ox aloac e t i c t r a ns a mi a n a se (gunoletamate oxaloacetate transaminase)
  • Liver parenchymal cells were isolated from a F344 / DuCrj-based rat (body weight: about 200 g) by collagenase perfusion, and the cells were incubated with 10% fetal serum-supplemented Williams E medium ( W illiam 's M edium E; below, "WE medium” and Les, were suspended in U), it was seeded in tissue culture di Tsu shoe at a density of 50,000 cell number / cm 2. After 24 hours, replace with 5 mM or 7 mM carbon tetrachloride-dissolved WE medium (10% fetal serum added) and continue for 24 hours. After culturing, the level of the enzyme that escaped the liver in the supernatant was measured.
  • Williams E medium W illiam 's M edium E; below, "WE medium” and Les, were suspended in U
  • Fig. 3 shows a micrograph (X400) showing the appearance of liver liver cells 24 hours after culture with the addition of 7 mM carbon tetrachloride.
  • FIG. 2 shows a micrograph (400) showing the appearance of liver parenchymal cells cultured for 24 hours without addition of carbon tetrachloride or elcatonin.
  • FIG. 2 shows a micrograph (400) showing the appearance of liver parenchymal cells cultured for 24 hours without addition of carbon tetrachloride or elcatonin.
  • the culture dish in the group with 7 mM carbon tetrachloride (without elcatonin) was compared. The cells were remarkably detached and shed (Fig. 3).
  • Liver parenchymal cells were isolated from the F344 / DuCrj-based rat (body weight: about 200 g) by collagenase perfusion and suspended in WE medium supplemented with 10% fetal calf serum. Then, the cells were seeded on a tissue culture dish at a density of 50,000 cells / cm 2 . 24 hours later, carbon tetrachloride
  • the medium was replaced with a WE medium (containing 10% fetal bovine serum) in which 5 mM was dissolved, and the cells were further cultured for 24 hours, and the liver-leaching enzyme value in the supernatant was measured.
  • WE medium containing 10% fetal bovine serum
  • Example 3 Distilled water for injection containing 0.1 M sodium acetate and 154 mM NaCl (adjusted to pH 5.5 by adding a small amount of hydrochloric acid). 0 0 units / / 111) were dissolved 4 0 mg, then after through the sterilization filter one, 1 ampoule lml not a one filled, El and melt sealed a sample force preparative double down 4 0 units a sample Was obtained. Thereafter, the present injection was used in the following Examples, but the present invention is not limited thereto.
  • An acute liver failure model was created by partially modifying the method of Mizoguchi et al. (Inflammation, Vol. 10, 11 5 (1990)).
  • lmg of Propionibacterium bacterium overheat killed manufactured by Asahi Kasei Kogyo Co., Ltd.
  • physiological saline was intravenously administered to an ICR male mouse (6 to 8 weeks old).
  • 1 ⁇ g of endotoxin derived from a large intestinal bacterium, manufactured by Difco, USA was administered intravenously to the mice, thereby causing acute liver failure involving immunity.
  • the degree of acute liver failure was determined by the mortality at 6 hours and 24 hours after endotoxin administration.
  • Elcatonin is administered once a week to three patients with NT, ET, and SO who have been diagnosed with liver disease and whose liver deviating enzyme level is higher than the normal level. Treatment was given. That is, 40 units of elkatonin was dissolved in Solita Ding-3 (manufactured by Shimizu Pharmaceutical Co., Ltd., Japan), and the solution was intravenously administered over 1 to 2 hours. After 24 hours, 48 hours, 72 hours, and one week as appropriate, serum biochemical values were measured and liver function tests were performed. As a result, Table 2 below shows the effect on patient NT.
  • Table 3 shows the effects of ET on patients.
  • Table 3 Effects of intravenous elcatonin infusion on patients with liver disease
  • Serum biochemistry GOT GPT LDH ⁇ (immediately before administration) 151 304 314 1 207 24 hours after administration 120 297 327 199
  • Figure 1 is a graph showing the inhibitory effect of elcatonin on extracellular enzyme leakage in primary cultured rat hepatocytes damaged by carbon tetrachloride (5 mM).
  • Fig. 2 is a micrograph (X400) showing the appearance of primary culture rat liver parenchymal cells that had been incubated for 24 hours without addition of carbon tetrachloride or elcatonin. is there.
  • FIG. 3 is a micrograph (X400) showing the appearance of primary cultured rat hepatocytes that had been incubated with carbon tetrachloride (7 mM) for 24 hours.
  • Fig. 4 shows that elutin tonine 10 to 7 M was added in advance for 4 hours, and elutonin was continuously added after addition of carbon tetrachloride (7 mM).
  • Fig. 5 is a graph showing the inhibitory effect of salmon calcitonin on extracellular enzyme leakage of primary cultured rat hepatocytes damaged by carbon tetrachloride (5 mM). Industrial applicability
  • a novel use of calcitonin disclosed by the present invention is an agent for decreasing the elevated activity value of hepatic escape enzymes such as GOT and GP in serum, which is an indicator of liver damage in liver disease. Therefore, a pharmaceutical composition containing an effective amount of calcitonin for an anti-liver disease is useful for treating various liver diseases such as drug-induced hepatitis, alcoholic hepatitis, and autoimmune hepatitis.

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Abstract

A drug containing an effective dose of calcitonin for depressing the elevated activities of serum glutamic-oxaloacetic transaminase and glutamic-pyruvic transaminase, both being hepatic leaking enzymes, and a novel hepatic disease curative composition containing calcitonin as the active ingredient and having extremely reduced side effects. The above drug containing calcitonin can effectively depress the elevated activities of the leaking enzymes serving as an index of hepatic injury in hepatic diseases. Therefore, a drug composition containing calcitonin as the active ingredient in a dose effective against hepatic diseases can be utilized for treating various hepatic diseases such as drug-induced hepatitis, alcoholic hepatitis and autoimmune hepatitis.

Description

'明 細 書  'Specification

血清中 G〇 Tおよび G P T活性値低下剤、 な らびに肝疾患治 療薬組成物 Drugs for reducing serum G〇T and GPT activity, and for treating liver diseases

技術分野 Technical field

本発明は、 カルシ トニン類の新規な用途に関する。 更に詳 細には、 本発明は、 カルシ ト ニンを活性成分と して含有する、 血清中グルタ ミ ン酸ォキサ口醋酸 ト ラ ンスア ミ ナーゼ (以下、 屡々 " G O T " と称す) およびグルタ ミ ン酸ピルビン酸 ト ラ ンス ァ ミ ナ一ゼ (以下、 屡々 " G P T " と称す) 活性値の低 下剤に関する。 更に、 本発明は、 カルシ トニンを活性成分と して含有する肝疾患治療薬組成物に関する。  The present invention relates to a novel use of calcitonins. More specifically, the present invention relates to serum glutamate oxa oral transaminase (hereinafter often referred to as "GOT") and glutamin containing calcitonin as an active ingredient. Acid pyruvate transdermal kinase (hereinafter often referred to as "GPT"). Furthermore, the present invention relates to a therapeutic composition for a liver disease containing calcitonin as an active ingredient.

本発明において、 ア ミ ノ 酸配列及びペプチ ドは、 I U P A C 一 I U B生化学命名委員会 ( C N B ) で採用 された略号を 用いて表わされる。 なお、 ア ミ ノ 酸な どに関 し光学異性体が ぁ リ う る場合は、 特に明示 しない限 リ L体を表わ し、 ぺプチ ドのァ ミ ノ酸配列の左端及びお端はそれぞれ N端および C端 である。  In the present invention, amino acid sequences and peptides are represented using abbreviations adopted by the IUPAC-IUB Biochemical Nomenclature Committee (CNB). When amino isomers and other optical isomers are present, they represent the L-isomer unless otherwise specified, and the left and right ends of the amino acid sequence of the peptide are N-end and C-end.

背景技術  Background art

肝臓は生体内単独臓器と しては最大でぁ リ 、 糖代謝、 タ ン パク質代謝、 脂質代謝において中心的な役割を演じている。 また薬物代謝、 解毒作用も肝臓の重要な機能でぁ リ 、 従って 恒常性維持、 生命維持に必須の臓器である。 これらの機能は 肝臓を構成する肝実質細胞、 ク ッパー細胞、 類洞内皮細胞な どの種々細胞の単独作用、 も し く は相互作用の結果と して生 理学的に理解されるが、 中でも肝実質細胞の果たす役割は広 範囲にわたるが故、 ウ ィ ルス、 薬物、 毒物、 アルコ ール、 自 己免疫機序な どにょ リ 肝実質細胞が障害された場合、 中毒性 または感染性肝炎、 肝膿瘍、 肝硬変、 脂肪肝、 肝癌などの極 めて深刻な病状に到 り やすい。 The liver is the largest single organ in the living body, and plays a central role in glucose metabolism, protein metabolism, and lipid metabolism. In addition, drug metabolism and detoxification are also important functions of the liver, and are therefore essential organs for maintaining homeostasis and maintaining life. These functions include liver parenchymal cells, Kupffer cells, and sinusoidal endothelial cells that make up the liver. It is understood physiologically as the result of the action or interaction of any of a variety of cells, but among them the role of liver parenchymal cells is so extensive that viruses, drugs, toxicants, alcohols, etc. If liver parenchymal cells are damaged, toxic or infectious hepatitis, liver abscess, cirrhosis, fatty liver, hepatocellular carcinoma, etc. can be extremely serious.

こ う した多岐の原因に基づく 肝疾患に対 して数多く の肝作 用薬が使用 されているが、 治療の上において未だ決定的なも のがないのが現状である。 このこ と は、 T h e J o u r n a 1 o f P r a c t i c a l P h a r m a c y , V o 1 . 4 1, N o . 1 1 に詳しく 記載されている。 例えば、 特 定組成のア ミ ノ酸輸液、 ビタ ミ ン剤などの多く は、 肝代謝の 低下で不足した必須の栄養素、 ビタ ミ ン類な どを補充する補 助療法的な意義を持つに過ぎず、 またグルタチオン、 チォプ 口ニンなどの S H化合物に代表される解毒剤な どはその有効 性に疑問が持たれている。  Numerous hepatic drugs are used for liver disease based on these various causes, but there is still no definitive treatment. This is described in detail in The Journa1ofPracctiCalPharmAccy, Vo1.41, No.11. For example, many amino acid transfusions and vitamins of a specific composition have the meaning of adjuvant therapy to replace essential nutrients, vitamins, etc., which were lacking due to the decrease in hepatic metabolism. However, the effectiveness of antidote, such as SH compounds such as glutathione and chopin, is questionable.

また、 副腎皮質ホルモ ン剤、 グ リ チル リ チン、 ァザチォプ リ ンなどの抗炎症ない しは免疫調節剤あるいはマロチラ一ト に代表される蛋白質合成促進剤、 抗ウィ ルス作用を もつイ ン ターフ ュ ロ ンな どの肝疾患に対して治療効果を奏する薬物は、 肝機能異常、 低アル ドステ ロ ン症、 無顆粒症、 黄疽、 心筋症 などの重篤な副作用 も知 られている。 このよ う に、 現在、 肝 疾患治療を 目 的 と して使用 している薬剤は、 十分な効果を示 さ なかった リ 、 重篤な副作用が懸念されるな ど、 臨床医を充 分に満足させる ものではなかった。 In addition, anti-inflammatory or immunomodulatory agents such as adrenocortical hormone, glycyrrhizin, and azathioprine, protein synthesis promoters represented by malotilate, and interflus having an antiviral effect. Drugs that have a therapeutic effect on liver diseases such as lon have also been known to have serious side effects such as hepatic dysfunction, hypoaldosteronism, agranosis, jaundice, and cardiomyopathy. Thus, drugs currently used for the treatment of liver disease have shown sufficient efficacy. This did not fully satisfy clinicians, including concerns about serious side effects.

このよ う な状況から、 肝疾患の治療に有効でぁ リ 且つ副作 用の少ぃ薬剤の開発が望まれていた。  Under such circumstances, it has been desired to develop a small drug that is effective for the treatment of liver disease and that has a small amount of side effects.

発明の開示 Disclosure of the invention

本発明者らは、 上記の要望に応えるべく 、 まず肝障害の指 標と なる血清中に観察される G O Tおよび G P T、 また場合 によっては γ — G T Pなどの肝逸脱酵素の活性を低下する こ と のでき る物質を得るべく 鋭意研究を行なった。 その結果、 1 9 6 2年に C 0 ρ ρ らによ り発見された血清カルシウム低 下活性を有するホルモンであるカルシ ト ニン類が、 G O T、 G P Tや γ — G T Pの活性阻害剤ではないにもかかわらず、 意外にも、 肝疾患の一般的指標と なる血清中 G O Tおよび G P T (アルコ ール性肝炎な どによ り 血清中 γ — G T Pの活性 値が増大 した際には γ — G T P も) の活性値を低下させるの に極めて有効である こ と を知見 した。 又、 更に、 急性肝不全 モデルに対して、 カルシ ト ニン類はそれらの生存率を高める こ と を知見した。  In order to meet the above-mentioned demand, the present inventors first reduced the activity of GOT and GPT, and in some cases, the activity of hepatic escape enzymes such as γ-GTP, which are observed in serum as indicators of liver damage. We worked diligently to obtain a material that can be used. As a result, calcitonins, hormones with serum calcium-lowering activity discovered by C0ρρ et al. In 1962, are not GOT, GPT or γ-GTP activity inhibitors. Nevertheless, surprisingly, serum GOT and GPT, which are general indicators of liver disease (when serum γ-GTP activity is increased due to alcoholic hepatitis, etc.) ) Was found to be extremely effective in lowering the activity value. In addition, they found that calcitonins increased their survival rate in acute liver failure models.

カルシ ト ニン類は、 上記した通 り 、 1 9 6 2年 C o p p ら によ リ発見された血清カルシウム低下ホルモ ンであ り [ E n d o c r i n o l o g y , V o l . 7 0, 6 3 8 ( 1 9 6 3 ) ] 、 その後、 ヒ ト を含む種々 の動物よ リ抽出 · 精製され、 後 記する よ う に、 そのア ミ ノ 酸構造も明かに されてきている。 そ して、 それ等のカルシ ト ニン類は骨ページヱ ッ ト病 [ 日整 形学誌, V o l . 5 8, 9 3 7 ( 1 9 7 9 ) ] 、 骨粗鬆症 As described above, calcitonins are serum calcium-lowering hormones discovered by Copp et al. In 1962 [Endocrinology, Vol. 70, 638 (1966). 3)] Then, it has been extracted and purified from various animals including humans, and its amino acid structure has been elucidated as described below. These calcitonins are associated with bone paget disease [Journal of the Japan Society for the Practice of Shape, Vol. 58, 93 (1977)], osteoporosis.

[ (綜合臨床, V o l . 3 9, 3 6 2 3 ( 1 9 9 0 ) ] 、 高 カノレシゥム血症 [ J . B o n e M i n e r a l M e t a b . , V o l . 6, 9 3 ( 1 9 8 8 ) ] な どの治療剤と して 臨床的に使用 されている。 また、 腎臓に対してはナ ト リ ウム、 リ ンな どの電解質排泄促進作用 [ A m . J . P h y s i o l . , V o l . 2 4 6 , 9 2 7 ( 1 9 8 4 ) ] , 胃に対して胃液 分泌抑制作用 [ A c t a E n d o c r i n o l . ( S u p p i ) , V o l . 1 5 5 , 2 1 6 ( 1 9 7 1 ) ] 、 腌臓に対 して外分泌抑制作用 [ G u t , V o l . 1 8 , 6 1 5 ( 1 9 7 7 ) ] などが知られている。  [(Comprehensive Clinic, Vol. 39, 3623 (1990))], hypercanoresidemia [J. Bone Mineral Metab., Vol. 6, 93 (1988) )] It is used clinically as a therapeutic agent, etc. In addition, it promotes the excretion of electrolytes such as sodium and phosphorus on the kidney [Am.J.Physiol., Vol. 2 4 6, 9 2 7 (1984)], a gastric secretion inhibitory effect on the stomach [Acta Endocrinol. (S uppi), Vol. 15 5, 2 16 (197 1) And an exocrine-suppressing effect on the kidney [Gut, Vol. 18, 615 (1977)].

正常肝臓に対してはカルシウ ム濃度あるいは含量増加作用 [ H o r m . M e t a b . R e s . , V o l . 2 0 , 2 2 1 ( 1 9 8 8 ) ; H o r m . e t a b . R e s . , V o l . 1 8, 2 2 ( 1 9 8 6 ) ; E n d o c r i n o l . J p n . , V o l . 2 7, 3 8 1 ( 1 9 8 0 ) ; E n d o c r i n o l . J p n . , V o l . 2 7 , 2 7 3 ( 1 9 8 0 ) ; E n d o c r i n o 1 . J p n . ; V o 1 . 2 6, 6 0 5 ( 1 9 7 9 ) ; C h e m . P h a r m . B u l l . , V o l . 3 5, 4 2 3 5 ( 1 9 8 7 ) ; B i o c h i m . B i o p h y s . A c t a . , V o l . 8 5 2 , 1 6 9 ( 1 9 8 6 ) ; E n d o c r i n o 1 . J P n . , V o l . 2 8 , 7 0 9 ( 1 9 8 1 ) ; E n d o c r i n o l . , V o l . 9 6 , 1 0 0 4 ( 1 9 7 5 ) ] が知られてお り 、 その作用機序と して カ ルシウ ム A T Pァーゼ阻害作用など [ E n d o c r i n o 1 . J p n . , V o l . 2 7, 3 8 1 ( 1 9 8 0 ) ; E n d o c r i n o l . J p n . , V o l . 2 7 , 2 7 3 ( 1 9 8 0 ) ; E n d o c r i n o l . J p n . , V o l . 2 6, 6 0 5 ( 1 9 7 9 ) ; B i o c h e m . J . , 2 6 6 , 8 1 7 ( 1 9 9 0 ) ] が報 告されている。 Calcium concentration or content increasing effect on normal liver [Horm.Metab.Res., Vol.20, 22 (1988)]; Horm.etab.Res., V Jpn., Vol. 27, 38 1 (1980); Endocrinol. Jpn., Vol. 27, ol. Endocrino 1. Jpn .; Vo 1.26, 65 (1977); Chem. Pharma. Bull., Vol. Biophys.Acta., Vol. 852, 169 (198.6); Endocrino 1.Jn., Vol. 28, 709 (19981); 96, 104 (1975)] is known, and its mechanism of action, such as calcium ATPase inhibitory action, is known [Endocrino 1. 27, 381 (1980); Endocrinol. Jpn., Vol. 27, 273 (1980); Endocrinol. Jpn., Vol. 26, 605 (19779); Biochem. J., 266, 817 (1990)].

又、 肝臓カルシウム増加作用に基づく と 考え られる糖新生 · 糖原分解促進作用 [ H o r m . M e t a b . R e s . , V o 1 . 1 6 , 6 5 0 ( 1 9 8 4 ) ; H o r m . M e t a b . R e s . , V o l . 1 5 , 1 7 6 ( 1 9 8 3 ) ; E n d o c r i n o l . J p n . , V o l . 2 9, 5 5 3 ( 1 9 8 2 ) ; E n d o c r i n o l . J p n . , V o 1 . 2 8 6 4 3 ( 1 9 8 1 ) ; E n d o c r i n o l . J p n . , V o l . 2 8 , 5 1 ( 1 9 8 1 ) ] 、 脂肪酸合成促進作用 [ H o r m . M e t a b . R e s . , V o l . 1 8 , 3 7 8 ( 1 9 8 6 ) ; H o r m . M e t a b . R e s ., V o l . 1 8 , 2 2 ( 1 9 8 6 ) ; H o r m . M e t a b . R e s . , V o 】 . 1 7 , 3 4 6 ( 1 9 8 5 ) ] 、 ミ ト コ ン ド リ ア機能活性化作用 [ C h e m . P h a r m . B u l l . , V o l . 3 5 , 4 2 3 5 ( 1 9 8 7 ) ; C h e m . P h a r m . B u l l . , V o l . 3 5, 4 2 1 5 ( 1 9 8 7 ) ; H o r m . M e t a b . R e s . , V o l . 1 9, 1 5 2 ( 1 9 8 7 ) ; H o r m . M e t a b . R e s . , V o l . 1 6, 4 7 8 ( 1 9 8 4 ) ; E n d o c r i n o l . J p n . , V o l . 2 8, 7 0 9 ( 1 9 8 1 ) ] が知られてレ、る。 In addition, gluconeogenesis and glycogenolysis promoting action [Horm.Metab.Res., Vo1.16,650 (1994); Horm. 15, 176 (1983); Endocrinol. J pn., Vol. 29, 55 3 (1982); Endocrinol. J Jpn., Vol. 28, 51 (1 981)], fatty acid synthesis promoting action [Horm. , Vol. 18, 378 (1966); Horm. Metab. Res., Vol. 18, 22 (1996); Horm. 17, 34 6 (1985)], mitochondrial function activation [Chem. Pharm. Bull., Vol. Chem. Pharm. Bull., Vol. 35, 425 (1998); Horm. Metab. Re. , Vol. 19, 15 2 (198 7); Horm. Metab. Res., Vol. 16, 47 8 (198 4); Endocrinol. , Vol. 28, 709 (19981)] is known.

しかしなが ら、 カルシ ト ニン類の肝に対する作用 と しての 上記報告は、 いずれも正常肝臓に対する ものであって、 肝障 害時でのものではない。 一般的に種々の組織に大量のカルシ ゥムが組織内に流入する と 、 細胞壊死がもたら される こ とが 知 られている。 肝細胞において も例外ではな く 、 肝毒性物質 である四塩化炭素、 メ ナジオンな どは肝細胞内カルシウム濃 度を増加させる [ J . B i o l . C h e m . , V o l . 2 3 5, 2 1 3 0 ( 1 9 6 0 ) ; 代謝, V o l . 2 6, 1 1 0 7 ( 1 9 8 9 ) ] 。  However, all of the above reports on the effects of calcitonins on the liver are directed to normal liver, and not to liver failure. In general, it is known that when a large amount of calcium flows into various tissues, cell necrosis is caused. Hepatocytes are no exception, and hepatotoxic substances such as carbon tetrachloride and menadione increase the calcium concentration in hepatocytes [J. Biol. Chem., Vol. 130 (1960); Metabolism, Vol. 26, 1107 (11989)].

また、 カルシウムィ オノ フォ ア によ リ肝細胞内カルシウム 濃度が上昇し、 肝障害が出現する [ S c i e n c e , V o 1 . 2 0 6 , 7 0 0 ( 1 9 7 9 ) ] が、 この肝障害をカルシウム 阻害剤が抑制する [肝臓, V o l . 3 0 , 8 5 0 ( 1 9 8 9 ) ] 。 このよ う な見地からみれば、 肝細胞内カルシウム濃度が 上昇している肝障害時に肝細胞內カルシウムを増加させる と 報告されているカルシ トニン類を適用する こ と は、 肝障害を 更に悪化させる こ と が予想される。  In addition, calcium ionophore increases the intracellular calcium concentration in liver cells, causing liver damage [Science, Vo1.206, 700 (19779)]. Disorders are inhibited by calcium inhibitors [Liver, Vol. 30, 850 (19989)]. From this perspective, the use of calcitonins, which have been reported to increase hepatocyte calcium during liver injury with increased liver cell calcium concentration, further exacerbates liver injury It is expected that.

上記のよ う なカルシ ト ニン類の正常肝細胞に対する好ま し く ない作用効果に関する諸報告から考える と 、 肝疾患の患者 にカルシ トニンを投与する こ と によ リ 、 肝障害の指標と なる、 血清中に観察される肝逸脱酵素である G O T及び G P Tの上 昇した活性値が低下する こ と の知見、 ひいては肝不全モデル に対して治療効果を示すこ と の知見は、 全く 意外な驚く べき こ と である。 Considering the above-mentioned reports on the unfavorable effects of calcitonins on normal hepatocytes as described above, patients with liver disease Administration of calcitonin to the liver decreases the elevated levels of GOT and GPT, which are liver deviating enzymes observed in serum, which are indicators of liver damage. The finding of a therapeutic effect on the model is quite surprising.

更に詳細に述べれば、 培養肝細胞を用いた肝障害モデルに 対してカルシ トニン類は、 例えば四塩化炭素によ る肝細胞死 を防ぐ と と もに、 その障害の指標 と なる培養上清中肝逸脱酵 素値の顕著な低下を示 し、 免疫関与の急性肝不全モデルに対 してカルシ ト ニン類は生存率を高める。 さ らに、 肝炎や肝硬 変患者を含む肝疾患患者にカルシ トニン類を点滴静注したと こ ろ肝障害の指標と なる血清中肝逸脱酵素値の低下が認めら れる。  More specifically, in a liver injury model using cultured hepatocytes, calcitonins prevent hepatic cell death due to, for example, carbon tetrachloride, and also serve as an indicator of the injury in the culture supernatant. It shows a marked decrease in liver hepatic enzyme levels, and calcitonin enhances survival in an immune-related acute liver failure model. In addition, intravenous infusion of calcitonin into patients with liver diseases, including patients with hepatitis and cirrhosis, shows a decrease in serum liver deviating enzyme level, which is an indicator of liver damage.

本物質の肝障害抑制効果は、 成熟 したラ ッ ト よ リ肝細胞を 分離し、 四塩化炭素な どの肝毒性物質と 共に培養する と直ち に細胞は障害されるが、 これにカルシ トニン類を同時に、 あ るいは予め添加 してお く と 臨床知見と 同様、 障害が顕著に抑 制される こ と から も明 らかであ り 、 予防の範囲を含む肝疾患 治療用 と して有効なものである こ と が知見された。  The inhibitory effect of this substance on hepatotoxicity is attributed to the isolation of hepatocytes from mature rats and cultivation with hepatotoxic substances such as carbon tetrachloride. It is also evident from the fact that, as well as the clinical findings, the remarkable suppression of the disorder is apparent from the simultaneous addition or pre-addition, and it is effective for the treatment of liver diseases including the scope of prevention. It was found that

本発明は上記の知見に基づいてなされたものである。  The present invention has been made based on the above findings.

従って、 本発明の 1 つの 目的は、 肝疾患の指標と なる、 血 清中に観察される G O Tおよび G P Tな どの肝逸脱酵素の上 昇した活性値の新規な低下剤を提供する こ と にある。 本発明の他の 目 的は、 肝疾患の治療に有効でぁ リ 且つ副作 用の極めて少ぃ新規な肝疾患治療薬組成物を提供する こ と に める。 Accordingly, one object of the present invention is to provide a novel agent for reducing the elevated activity of liver deviating enzymes such as GOT and GPT observed in serum, which is an indicator of liver disease. . Another object of the present invention is to provide a novel therapeutic composition for a liver disease which is effective in treating a liver disease and has very few side effects.

即ち、 本発明の 1 つの態様によれば、 血清中のグルタ ミ ン 酸ォキサ口醋酸 ト ラ ンスァ ミ ナ一ゼおよびグルタ ミ ン酸ピル ビン酸 ト ラ ンスア ミ ナ一ゼの上昇した活性を低下するための、 カルシ 卜ニ ンの有効量を含有してなる低下剤が提供される。 本発明の他の態様によれば、 抗肝疾患に有効な量の力ルシ トニンおよび製薬的に許容される担体、 希釈剤または賦形剤 を含有してなる肝疾患治療薬組成物が提供される。  That is, according to one embodiment of the present invention, the increased activity of glutamate oxa mouth transacetate and glutamate pyruvate transamine is reduced in serum. And a reducing agent comprising an effective amount of calcitonin. According to another aspect of the present invention, there is provided a therapeutic composition for liver disease, comprising an effective amount of anti-hepatic disease in the form of lucitonin and a pharmaceutically acceptable carrier, diluent or excipient. You.

本発明に用いられる "カルシ ト ニン" なる用語は、 血清力 ルシゥム低下活性を有するぺプチ ドホルモ ン と して知 られて いる天然カルシ ト ニン類および血清カルシ ウ ム低下活性を有 するそれらのアナ口 グぺプチ ド類よ リ なる群から選ばれる少 く と も 1 種のカルシ ト ニ ンを意味する。  As used herein, the term "calcitonin" refers to natural calcitonins known as peptides having serum calcium-lowering activity and their analogs having serum calcium-lowering activity. It means at least one kind of calcitonin selected from the group consisting of mouth peptides.

天然カルシ トニン類は、 3 2個のア ミ ノ 酸からなるぺプチ ドであって、 その 1 , 7位にシスティ ン残基を有 し、 それら 2個のシスティ ン残基はジスルフ ィ ド結合によ リ 結合して環 構造を形成し、 C端はプロ リ ンア ミ ドである。 即ち、 天然力 ノレシ ト ニ ン類は次式 ( I ) によ リ表わされる :  Natural calcitonins are peptides consisting of 32 amino acids, which have cystine residues at positions 1 and 7 and the two cystine residues are disulfide bonds. To form a ring structure, and the C-terminal is proline amide. That is, natural force nolestonin is represented by the following formula (I):

— S— S——:  — S— S——:

C y s X C y s Y P r o N H ( I ) Cys X Cys Y P ro N H (I)

(式中 Xは 5 個のア ミ ノ 酸を示 し、 Yは 2 4 個のア ミ ノ酸を 示す) 。 (Where X represents 5 amino acids and Y represents 24 amino acids. Shown).

式 ( I ) の構造は、 カルシ トニン類に極めて特異的な構造 であって、 この構造を有する こ と によ ってはじめて血清カル シゥム低下活性と い う いわゆるカルシ トニン活性を示し、 こ の構造またはそれに類似の構造 (例えば、 または後記するァ ナロ グペプチ ドの ( π ) 式の力ルバ型カルシ ト ニンの構造) を有さない化合物は、 カルシ トニ ン活性が著し く 低下して本 発明の有効成分と しては好ま しく ない。  The structure of formula (I) is a structure very specific to calcitonin, and by having this structure, it shows a so-called calcitonin activity called serum calcium-lowering activity only when it has this structure. Or a compound having no structure similar thereto (for example, or a structure of the calvatonin calcitonin of the formula (π) of an analog peptide described later), the calcitonin activity is significantly reduced, and the present invention It is not preferred as an active ingredient for.

天然型カルシ トニンの例と しては、 ブタカルシ トニン (特 公昭 4 8 — 1 0 4 8 ◦ 号) 、 ゥ シカルシ ト ニ ン、 ヒ ッ ジカル シ ト ニ ン、 ヒ ト カルシ ト ニ ン (特公昭 4 8 — 4 3 9 1 8号) 、 ラ ッ ト カルシ ト ニン、 サケカルシ ト ニ ン I (He 1 V . Ch im. Ac t a, 1969, ^l, 1789 )、 サケカルシ ト ニン Π、 サケカルシ ト ニ ン ΙΠ、 ゥナギカルシ ト ニ ン (特公昭 5 3 — 1 8 0 6号) 、 ニ ヮ ト リ カルシ ト ニ ン (特開昭 6 1 — 4 7 4 9 8号) 等を挙 げるこ とができ る。 これらのカルシ ト ニンのア ミ ノ 酸配列を、 下記の配列表 1 に示す。 Examples of natural calcitonin include porcine calcitonin (Japanese Patent Publication No. 48-10848 号), ゥ calcitonin, natural calcitonin, and human calcitonin. 4 8 — 4 3 9 18), rat calcitonin, salmon calcitonin I (He 1 V. Chim. Acta, 1969, ^ l, 1789), salmon calcitonin II, salmon calcitonin Nitto, Penagi calcitonin (Japanese Patent Publication No. 53-186), Nitrika calcitonin (Japanese Patent Application Laid-Open No. 61-47498), and the like. it can. The amino acid sequences of these calcitonins are shown in Sequence Listing 1 below.

配列表 (天然カルシ トニン) ブ Cy sSe rAs nLcuSc rTh rCysVa I LcuSc r A I aTy rTr pAr gAsnLcuAsnAsnPhcll i sAr gPhcSc rG I yM Sequence list (Natural calcitonin)

I s S- 1 I s S- 1

') ン Cy sSc rAsnLcuSe rTli rCysVa l LcuSc rA l aTy rTr L sAspLcuAsnAsnTyrl!i sAr gPhcSc rG l M  ') N Cy sSc rAsnLcuSe rTli rCysVa l LcuSc rA l aTy rTr L sAspLcuAsnAsnTyrl! I sAr gPhcSc rG l M

'— ~ -S S '  '— ~ -S S'

"ジ CysSc rAs nLcuSc rTh rCysVa I LcuSe rA ! aT rTr pLysAs pLcuAsnAsnT rll i sAr gTy rSc rG I yM  "Di CysSc rAs nLcuSc rTh rCysVa I LcuSe rA! AT rTr pLysAs pLcuAsnAsnT rll i sAr gTy rSc rG I yM

L -s s- t CysG l yAs nLcuSc rTli rCysMc l LcuG l Th rTy rTh rG l nAs pPhcAsnLysPhcll i sTh r PhcP f oG l nT  L -s s- t CysG l yAs nLcuSc rTli rCysMc l LcuG l Th rTy rTh rG l nAs pPhcAsnLysPhcll i sTh r PhcP f oG l nT

S—— ~ 1 S—— ~ 1

r;y\ CysG l yAs nl.cuSc rTlirCysMe t LcuG l yTh rTy rTh rG l nAs pLcuAsnLys Lcu!Ii sT r hcProGlnT  r; y \ CysG l yAs nl.cuSc rTlirCysMe t LcuG l yTh rTy rTh rGl nAs pLcuAsnLys Lcu! Ii sT r hcProGlnT

I s s 1 I ss 1

f ケ I CysSc rAs nLcuSc rTli rCysVa l Lc uG l yLys LcuSc rG l nG l uLcu!li sLysLcuG l nTh rTy rP r oAr gT f device I CysSc rAs nLcuSc rTli rCysVa l Lc uG l yLys LcuSc rG l nG l uLcu! li sLysLcuG l nTh rTy rP r oAr gT

I s— ~ s 1 I s— ~ s 1

サ ケ D CysSe rAs nLcuSc rTh rCysVa l LeuG l," l,cuSe rG l nAs pLcuin sLysLeuG l nTh rPhePr oA【 gT Salmon D CysSe rAs nLcuSc rTh rCysVa l LeuG l, "l, cuSe rG l nAs pLcuin sLysLeuG l nTh rPheProA [gT

1 S S 1 1 SS 1

') ケ CysSc r As nLc iiSe rTli rCy "lc I LeuG l,y s l,cuSc rG I nAs pLeull i sL" LcuG I nTli r PheP r oAr gT  ') C CysSc r As nLc iiSe rTli rCy "lc I LeuG l, y s l, cuSc rG I nAs pLeull i sL" LcuG I nTli r PheP r oAr gT

1 S S 1 1 SS 1

ウナギ Cy sSc r As nl.cuSc rTh r Cy sVa 1 LeuG I yLys Lc uSc rG 1 nC I uLcu!li sLys LcuG! nTh rTy r Pr oAr gT Eel Cy sSc r As nl.cuSc rTh r Cy sVa 1 LeuG I yLys Lc uSc rG 1 nC I uLcu! Li sLys LcuG! nTh rTy r Pr oAr gT

1 S S 1 1 SS 1

二 リ CysA l aSe r LeuSc rTh【CysVa l LeuG い sl,euSe rG l nG l uLculli sL LcuG l nTh rT"P【 oAr gTh Two CysA l aSe r LeuSc rTh [CysVal l LeuG sl, euSe rG l nG l uLculli sL LcuG l nTh rT "P [oAr gTh

L- S S 1 L- SS 1

これ ら のカルシ ト ニ ンは、 上記の配列表 1 に示 したア ミ ノ 酸配列に基き 、 常法のペプチ ド合成法にょ リ 得る力 、 或いは . 目的とするカルシ トニ ンの D N Aを用いて常法の遺伝子操作 法にて得た後、 各種のカ ラ ムク ロマ ト グラ フ ィ 一にて精製 - 回収でき る。 These calcitonins are based on the amino acid sequence shown in Sequence Listing 1 above, and have the ability to be obtained by a conventional peptide synthesis method, or using the DNA of the desired calcitonin. After being obtained by a conventional method of gene manipulation, it can be purified and recovered by various types of column chromatography.

本発明でい う カルシ ト ニンアナロ グぺプチ ドは、 例えば、 The calcitonin analog peptide of the present invention is, for example,

(A) : 式 ( I ) の Xおよび Yのア ミ ノ酸構造の中の少と も(A): at least some of the amino acid structures of X and Y in formula (I)

1 個のア ミ ノ 酸残基を他のア ミ ノ酸残基で置換したもので血 清カルシウ ム低下活性 (以後、 屡々 "カルシ ト ニ ン活性" と 称す) を有する もの ; One obtained by substituting one amino acid residue with another amino acid residue and having a serum calcium-lowering activity (hereinafter often referred to as "calcitonin activity");

(B) : 式 ( I ) の天然型カルシ トニ ンの 1位のシスティ ン 残基が存在せず、 7位のシスティ ン残基を、 次式で示される a 一 Lーァ ノ ス リ ン  (B): No cystine residue at position 1 of the natural calcitonin of the formula (I) is present, and a cystine residue at position 7 is replaced by a-L-anosulin represented by the following formula:

C H C H C H C H  C H C H C H C H

C H 2 C O O H H 2 N- C H C〇 O H C H 2 C O O H H 2 N- C H C〇 O H

* ω位力ノレボキ シノレ基  * ω position power

で置換したものであって、 この ω位カルボキシル基が式 ( I ) の 2位のア ミ ノ酸残基のァ ミ ノ基と縮合 し、 式 ( I ) の 1 , 7位のジスルフィ ド結合の代わ り にア ミ ノ スベ リ ン酸のペン タ メ チレン結合によって環状構造を形成している、 3 1個の ア ミ ノ 酸からなるぺプチ ドであってカルシ ト ニ ン活性を有す る もの (以下、 屡々 "力ルバ型カルシ ト ニン" と称す) (ま た、 こ の力ルバ型カルシ ト ニンは、 式 ( I ) のものと比較し て、 式 ( I ) の 1位のシスティ ン残基に相当するア ミ ノ酸残 基が欠失しているが、 以下そのア ミ ノ 酸番号は、 便宜上、 式 ( I ) のそれに従が う ) ; 及び Wherein the carboxyl group at the ω-position condenses with the amino group of the amino acid residue at the 2-position of the formula (I) to form a disulfide bond at the 1- or 7-position of the formula (I). Is a peptide consisting of 31 amino acids, which has a cyclic structure formed by the pentamethylene bond of amino amino acid instead of amino acids, and has calcitonin activity. (Hereinafter often referred to as “leba-type calcitonin”) (Also, this leuva-type calcitonin is compared with that of the formula (I) in the first place of the formula (I)) The amino acid residue corresponding to the cystine residue has been deleted, but the amino acid number hereafter will for convenience follow that of formula (I));

( C) : 上記 ( B ) の力ルバ型カルシ トニンの第 2〜 6番の ア ミ ノ 酸残基及び第 8 〜 3 0番のア ミ ノ 酸残基の少く と も 1 個が他のア ミ ノ酸残基で置換したものでぁ リ 、 カルシ ト ニン 活性を有する もの、  (C): at least one of the amino acid residues Nos. 2 to 6 and amino acids Nos. 8 to 30 of the lactate calcitonin of the above (B) is at least one other amino acid residue; Those substituted with an amino acid residue and having calcitonin activity,

を包含する。 Is included.

上記 ( B ) の力ルバ型カルシ ト ニンは次の式 ( Π ) で表わ される  The forceba type calcitonin of the above (B) is represented by the following formula (Π)

.「 ( C H2) つ . "(CH 2) one

C O X N H C O Y P r o N H 2 ( Π ) 式中、 X及び Υは式 ( I ) で定義した通 リ である。 COXNHCOYPro NH 2 (Π) In the formula, X and 通 are as defined in formula (I).

なお、 上記 ( Β ) の力ルバ型カルシ ト ニンは、 〔 A s u 1 · 7 ] の接頭辞を付けて示す (例えば、 [A s u 1' 7 〕 ヒ ト カ ノレシ ト ニンはカルバ型ヒ ト カルシ トニンを意味する) 。 The above (beta) of the force resolver type calcium DOO Nin, [indicate with a prefix of A su 1 · 7] (e.g., [A su 1 '7] human mosquito Noreshi DOO Nin carbamate type human Calcitonin).

力ルバ型カルシ トニンアナ口 グぺプチ ドの例と しては、 (A s u 7 〕 ゥナギカルシ ト ニン (一般名 : エルカ トニン) (英国特許第 1 5 1 6 9 4 7号) 、 [A s u 1' 7 :) サケカノレ シ ト ニ ン 1 (英国特許第 1 5 1 6 9 4 7号) 、 [A s u 1' 7 :) ニ ヮ ト リ カルシ ト ニ ン、 (特開昭 5 1 — 1 2 8 9 9 3号) 、 [ A s u 1 .7 〕 ヒ ト カルシ ト ニ ン (英国特許第 1 5 9 0 6 4 5 号) 、 〔 A s u 1 + 7 〕 ブタカノレシ ト ニ ン、 〔 A s u 1 · 7 〕 ゥ シカルシ ト ニ ン、 〔 A s u 1 · 7 〕 ヒ ッ ジカルシ ト ニ ン、 ί A s u 1 · 7 〕 ラ ッ ト カノレシ ト ニ ン、 [ A s u 1. 7 〕 サケカ ノレシ ト ニン Π 、 〔 A s u 1. 7 〕 サケカルシ ト ニ ン! Eなどを挙 げる こ とができ る。 Is an example of a force resolver type calcium Tonin'ana port Gupepuchi de, (A su 7] Unagikarushi preparative Nin (generic name: erucic phosphatonin) (GB 1 5 1 6 9 4 7 No.), [A su 1 '7 :) Sakekanore collected by two down 1 (GB 1 5 1 6 9 4 7 No.), [A su 1' 7 :) d Wa Application Benefits calcium DOO two emissions, (JP 5 1 - 1 2 8 9 9 3), [A su 1. 7] human calcium preparative two emissions (GB 1 5 9 0 6 4 No. 5), [A su 1 + 7] Butakanoreshi DOO two emissions, [A su 1 · 7] © Shikarushi DOO two down, [A su 1 · 7] hits Jikarushi door two down, ί A su 1 · 7] rats Kanoreshi door two down, [A su 1. 7] Sakeka Noreshi door Nin Π, [A su 1. 7 Salmon calcitonin! E and so on.

これら具体的な力ルバ型カルシ トニンのア ミ ノ 酸構造を、 下記の配列表 2 に示す。 The amino acid structure of these specific Luba-type calcitonins is shown in Sequence Listing 2 below.

酉己歹 表 2 (力ルバ型カルシ 卜ニン) Rooster system Table 2 (Power Luba type calcitonin)

Figure imgf000016_0001
Figure imgf000016_0001

上記の力ルバ型カルシ ト ニ ンは、 それぞれ対応する天然型 カルシ ト ニ ンのア ミ ノ 酸配列の i 位のシスティ ン残基を削除 し 7位のシスティ ン残基をア ミ ノ スベ リ ン酸残基で置換した 配列に基いて、 常法のペプチ ド合成法によ り 合成した後、 例 えば 7位のシスティ ン残基をア ミ ノ スベ リ ン酸残基で置換す る場合は、 英国特許第 1 5 1 6 9 4 7号等に記載の方法によ リ 、 ア ミ ノ スベ リ ン酸残基のカルボキシル基を 2位のア ミ ノ 酸残基のァ ミ ノ 基と縮合させる こ と によ リ 環状構造と し、 得 られる [ A s u 1 ' 7 〕 カルシ ト ニンを各種カ ラ ムク ロマ ト グ ラフィ 一によ り精製 ' 回収する こ と ができ る。 In the above-mentioned calvaton-type calcitonin, the cysteine residue at the i-position of the amino acid sequence of the corresponding natural calcitonin is deleted, and the cystine residue at the 7-position is removed from the amino acid sequence. When a peptide is synthesized by a conventional peptide synthesis method based on a sequence substituted with an acid residue, for example, the cystine residue at the 7-position is replaced with an amino-suberic acid residue According to the method described in, for example, British Patent No. 1,516,947, the carboxyl group of an aminosuberic acid residue is replaced with the amino group of an amino acid residue at the 2-position. and I Li cyclic structure and this condensation, the resulting [a su 1 '7] calcium preparative Nin purified Ri by the various Ca La Solid Loma preparative grayed Rafi one' Ru can and this recovering.

又、 上記力ルバ型カルシ トニ ンの第 2 〜 6番及び第 8 〜 3 1 番のア ミ ノ酸配列の少く と も 1 つのア ミ ノ酸残基を他のァ ミ ノ酸残基で置換し、 カルシ ト ニ ン活性を有する もの [上記 ( C ) のもの ] について も、 上記と 同様の方法で合成する こ とができ る。  In addition, at least one amino acid residue of the amino acid sequence of the 2nd to 6th and 8th to 31st amino acids in the above-mentioned Luba type calcitonin is replaced by another amino acid residue. A substituted product having the calcitonin activity [the above (C)] can also be synthesized in the same manner as described above.

本発明におレヽて用いる こ と のでき るカルシ ト ニンは、 骨力 ルシゥム低下活性を有している限 リ 、 上記したものに限定さ れない。  The calcitonin that can be used in the present invention is not limited to the above, as long as the calcitonin has an activity to reduce bone strength calcium.

本発明によれば、 血清中のグルタ ミ ン酸ォキサロ醋酸 ト ラ ンスア ミ ナーゼ ( G O P ) およびグルタ ミ ン酸ピルビン酸 ト ラ ンスア ミ ナ一ゼ ( G P T ) の上昇した活性値を示すヒ ト ま たは動物に、 血清カ ルシウ ム低下活性を有する天然カルシ ト ニ ン類および血清カ ルシ ウ ム低下活性を有するそれらのアナ 24140 According to the present invention, a human having an increased activity of glutamate oxaloacetate transaminase (GOP) and glutamate pyruvate transaminase (GPT) in serum. Or animals are provided with natural calcitonins having serum-calcium-lowering activity and their analogs having serum-calcium-lowering activity. 24140

1 6  1 6

ロ グペプチ ド類よ リ なる群から選ばれる少く と も 1 種のカル シ トニ ンの有効量を投与する こ と によ り 、 血淸中の上昇した The administration of an effective amount of at least one calcitonin selected from the group consisting of log peptides leads to an increase in blood levels.

G O Pおよび G P T活性値が低下される。 GOP and GPT activity levels are reduced.

健康な ヒ 卜 の血清中に存在する肝逸脱酵素の活性値は、 国 際単位 ( I U) で示すと 、 一般に次のよ う なものであ り 、 動 物においても同様な値である。  The activity value of the liver deviating enzyme present in the serum of healthy humans is generally as follows in terms of international units (IU), and is the same for animals.

G O T 約 8〜約 4 5 I U / β G O T About 8 to about 45 I U / β

G P T 約 5〜約 4 0 I U / β γ — G T P 約 0〜約 5 0 .1 U / β L D Η 約 5 0〜約 4 5 0 I U / β この中で、 G O T、 G P Tおよび y — G T Pの活性値は、 肝 疾患によ って上昇し、 l O O I UZ fi 以上乃至 3 0 0 I UZ £ 以上にまで上昇する こ と が知られている。 このよ う に上昇 した血清中の肝逸脱酵素活性値は、 本発明にょ リ 、 有効量の カルシ トニンを投与する こ と によ って効果的に低下する こ と ができ る ものである。 GPT about 5 to about 40 IU / β γ — GTP about 0 to about 50.1 U / β LD Η about 50 to about 450 IU / β where GOT, GPT and y — GTP activity It is known that the value increases due to liver disease and increases from 100 OOI UZ fi or more to 300 I UZ £ or more. The hepatic departure enzyme activity in serum thus increased can be effectively reduced by administering an effective amount of calcitonin according to the present invention.

また、 本発明によれば、 肝疾患の患者に血清カルシウム低 下活性を有する天然カルシ トニン類および血清カルシウム低 下活性を有するそれらのアナロ グぺプチ ド類よ リ なる群から 選ばれる少く と も 1種のカルシ ト ニ ンの有効量を投与する こ と にょ リ 、 肝疾患を治療する こ と ができ る。  Further, according to the present invention, at least one selected from the group consisting of natural calcitonins having serum calcium lowering activity and analogs thereof having serum calcium lowering activity in patients with liver disease. Administering an effective amount of one calcitonin can treat liver disease.

本発明で用いるカルシ ト ニンにおいて、 力ルバ型ゥナギカ ノレシ ト ニ ン (以下、 屡々 "エルカ ト ニン" と称す) について は、 英国の M e d i c a l R e s e a r c h C o u n c i 1 (M R C ) 及び WH Oで規定されている天然サケカルシ トニンの国際単位に準じ、 l mgを 6 0 0 0単位と し、 他の力 ノレシ ト ニンについては、 エル力 トニ ンの血清カルシウム低下 活性 (カルシ トニ ン活性) を基準と して、 一定の単位数のェ ノレ力 ト ニンのカルシ ト ニン活性と 同等のカルシ トニン活性を 示す量をエルカ トニンと 同 じ単位数と して表わす。 従って、 後記する と こ ろの本発明におけるカルシ トニ ンの投与量範囲 の規定に用いられてレヽ る単位も 、 エル力 ト ニ ンのカルシ ト ニ ン活性単位に相当する単位である。 In the calcitonin used in the present invention, the karuba type Naginica nolesitin (hereinafter often referred to as "elcatonin") is used. According to the International Unit of Natural Salmon Calcitonin specified in the Medical Research Counci 1 (MRC) and WHO in the United Kingdom, lmg is set to 600,000 units, and other power On the basis of the serum calcium lowering activity (calcitonin activity) of el-pottonin, the amount of calcitonin activity equivalent to the calcitonin activity of a certain number of units of phenol-tonin is defined as that of elcatonin. Expressed as the same number of units. Therefore, the unit used for defining the dose range of calcitonin in the present invention, which will be described later, is also a unit corresponding to the calcitonin activity unit of L-potency.

上記したカルシ トニン類は、 極めて低毒性でぁ リ 、 例えば エル力 トニンをマウス及びラ ッ ト に静脈内、 筋肉内、 皮下、 経口の各経路で 1 3 5 0 0 または 7 4 0 0単位/ k g (体重) 投与 しても致死的毒性は全く 観察されなかった。 '  The above-mentioned calcitonins are extremely low-toxic and highly toxic.For example, L-potency is administered to mice and rats by intravenous, intramuscular, subcutaneous, or oral routes of 135,000 or 7400 units / No fatal toxicity was observed even after administration of kg (body weight). '

本発明における肝逸脱酵素活性値低下剤および肝疾患治療 薬組成物の形態と しては、 例えば注射剤、 直腸吸収剤、 膣吸 収剤、 経鼻吸収剤、 経皮吸収剤、 経肺吸収剤、 口腔内吸収剤、 経口投与剤な どを挙げる こ と ができ るが、 これらの投与形態 は特に限定される ものではない。  In the present invention, the form of the agent for decreasing the activity of liver deviating enzyme and the therapeutic agent for treating liver disease include, for example, injections, rectal absorbents, vaginal absorbents, nasal absorbents, transdermal absorbents, pulmonary absorptions Agents, oral absorption agents, oral administration agents, etc., but the administration form of these is not particularly limited.

注射剤と しては好ま しく は筋肉内投与または静脈内投与の ために使用 される もので、 直腸吸収剤 · 膣吸収剤は一般に坐 薬の形態で使用 され、 経鼻吸収剤 · 経皮吸収剤は適当な吸収 促進剤を添加 した製剤の形態で使用 され、 経肺吸収剤は適当 な分散剤も し く は水、 及び噴射剤を含有するエア ゾール組成 物の形態で使用 される。 口腔内吸収剤は適当な吸収促進剤を 添加 して例えば舌下錠な どの形態で使用 され、 また経口投与 剤は リ ポゾーム製剤、 マイ ク ロカプセル製剤な どの経口用 と しての形態で使用 される。 It is preferably used for intramuscular or intravenous administration as an injection, and rectal and vaginal absorbents are generally used in the form of suppositories, nasal absorbent and transdermal absorption The drug is used in the form of a formulation to which an appropriate absorption enhancer has been added. It is used in the form of an aerosol composition containing a suitable dispersant or water and a propellant. Oral absorbents are used in the form of, for example, sublingual tablets with the addition of an appropriate absorption enhancer, and oral dosage forms are used in the form of liposomes, microcapsules, etc. You.

このよ う に、 本発明の肝逸脱酵素低下剤及び肝治療薬組成 物は、 それぞれの投与形態に適した剤型に調製される。 用い られる担体、 希釈剤、 または賦形剤などは特に限定されず、 As described above, the hepatic prolapsing enzyme lowering agent and the hepatic remedy composition of the present invention are prepared into dosage forms suitable for each administration form. The carrier, diluent, or excipient used is not particularly limited.

—般によ く 知 られたものを用いる こ とができ る。 その具体的 な例を次に列挙する。 —Generally known ones can be used. Specific examples are listed below.

注射剤は、 カルシ ト ニンを緩衝剤、 等張化剤、 P H調節剤 を適量溶解した注射用蒸留水に溶解し、 除菌フ ィ ルターを通 して滅菌したものをアンプルに分注する こ と によ って調製さ れ得る。  For injection, calcitonin is dissolved in distilled water for injection in which buffer, isotonicity agent and PH regulator have been dissolved in appropriate amounts, and sterilized through a sterilization filter, and then dispensed into ampoules. And can be prepared by:

直腸吸収剤、 膣吸収剤は、 カルシ トニンをぺクチン酸ナ ト リ ゥムゃアルギン酸ナ ト リ ゥムな どのキ レ一 ト能を有する吸 収促進剤、 塩化ナ ト リ ウムやグルコースな どの高張化剤を適 宜選択使用 して、 蒸留水または油性ビヒ クルに溶解または分 散して直腸 · 膣注入坐剤または坐剤と して調製される (英国 特許第 2 0 9 2 0 0 2 号明細書、 同第 2 0 9 5 9 9 4 号明細 書を参照) 。  Rectal absorbers and vaginal absorbers can be used to reduce calcitonin, such as sodium pectate and sodium alginate, which have chelating ability, sodium chloride and glucose. It is prepared as a rectal / vaginal injection suppository or suppository by dissolving or dispersing it in distilled water or an oily vehicle, using a hypertonic agent as appropriate (UK Patent No. 2,920,200). No. 2 and No. 20099594).

経鼻吸収剤は、 カルシ ト ニンに水溶性有機酸である ダルク ロ ン酸、 コハク酸、 酒石酸などの吸収促進剤を添加 した液剤 あるいは粉末剤と して調製される (特開昭 6 3 — 2 4 3 0 3 3号公報、 特開昭 6 3 — 3 1 6 7 3 7号公報、 特開平 1 — 2 3 0 5 3 0号公報、 特開平 2 — 1 1 1 号公報、 特開平' 2 — 1 0 4 5 3 1 号公報を参照) 。 更にカルシ ト ニンに適宜乳剤を 加えて経鼻吸収剤を得る こ と もでき る (特開平 4 — 9 9 7 2 9号公報参照) 。 Nasal absorbent is a liquid formulation containing calcitonin and an absorption enhancer such as water-soluble organic acids such as dalonic acid, succinic acid, and tartaric acid. Alternatively, it is prepared as a powder (JP-A-63-243303, JP-A-63-316737, JP-A-1-230530) Japanese Patent Application Laid-Open No. HEI 2-111, Japanese Patent Application Laid-Open No. H02-10431). Further, a nasal absorbent can be obtained by adding an appropriate emulsion to calcitonin (see JP-A-4-97729).

経皮吸収剤は、 カルシ トニンに、 エー ゾン ( A z 0 n e ) などの吸収促進剤を添加 して皮膚からの吸収を促進させるこ と ができ る ( 日本薬剤学会第 2年会、 講演要旨集 P 5 7 — 5 8参照) し、 またイオン ト フ ォ レーシス によ る方法 [ A n n . N . Y . A c a d . S c i . , V o l . 5 0 7, 3 2 ( 1 9 8 8 ) ] でカルシ トニ ンの経皮吸収剤を得る こ と もでき る。 経肺吸収剤は、 カルシ トニンを例えばアルラセル、 スパン 8 0 な どの分散剤と と もに粉砕研和 して均質なペース ト と し、 次いで、 こ のペース ト を冷却したフ レオン 1 1 、 フ レオン 1 2などの噴射剤中に分散させた後、 弁を備えた容器に充填し て得る こ とができ る (特開昭 6 0 — 1 6 1 9 2 4号公報を参 照) 。  Percutaneous absorption agents can enhance absorption through the skin by adding an absorption enhancer such as azone (Azone) to calcitonin. (Summary of the 2nd Annual Meeting of the Pharmaceutical Society of Japan, Vol. 507, 32 (1998, 878), and the method using iontophoresis [Ann.N.Y.A.cad.Sci., Vol. )] Can also be used to obtain a transdermal absorbent of calcitonin. The pulmonary absorbent comprises calcitonin, which is pulverized and ground with a dispersing agent such as Arlacel or Span 80 to obtain a homogeneous paste, and then the paste is cooled to Freon 11 or Freon 11. It can be obtained by dispersing in a propellant such as Leon 12 and filling it in a container equipped with a valve (see Japanese Patent Application Laid-Open No. 60-169224).

口腔内吸収剤は、 カルシ トニ ンに例えばァス コルビン酸類、 酸性ア ミ ノ酸類、 ク ェン酸類、 不飽和脂肪酸類、 サ リ チル酸 類な どを単独、 あるいは 2種類以上を組合せ、 グルコースな どの賦形剤、 メ ン トールな どの矯味矯臭剤などを添加 して ト ローチ剤、 舌下錠、 粉末剤などと して得る こ と ができ る (特 開昭 5 6 — 1 4 0 9 2 4 号公報参照) 。 Oral absorbents include calcitonin, e.g., ascorbic acid, acidic amino acid, citric acid, unsaturated fatty acid, salicylic acid, etc., alone or in combination of two or more. It can be obtained as troches, sublingual tablets, powders, etc. by adding excipients such as menthol and flavoring agents such as menthol. (Showa 56-140 9 24).

経口投与剤は、 例えば W Z〇ノ Wェマルジ ョ ンを用いた方 法 ( E n d o c r i n o l . J a p a n ; V o 1 . 2 3 , 4 9 3 ( 1 9 7 6 ) 参照) でカルシ トニンを調剤 しても よい し、 また リ ポゾ一ム製剤の方法 (H o r m o n e R e s . ; V o 1 . 1 6 , 2 4 9 ( 1 9 8 2 ) 参照) でカルシ トニンを調 剤する こ とができ る。  For oral administration, calcitonin is prepared, for example, by a method using WZ〇 W emulsion (see Endocrinol. Japan; Vo 1.23, 4993 (19776)). Alternatively, calcitonin can be prepared by a liposome preparation method (see Hormone Res .; Vo 1.16, 249 (1989)).

本発明の肝逸脱酵素活性値低下剤および肝疾患治療薬は、 カルシ トニンの 1 回投与量と しては 0 . 5 〜 5 0 0 0 単位投 与され、 好ま し く は 1 〜 4 0 0 単位である。 なお、 投与回数 は 1 日 、 1 〜 2 回でもよ く 、 また毎日 または週 1 〜 3 回であ つても よい。 更に、 ソ リ タ T— 3 (日本国、 清水製薬社製) な どの適当な輸液にカルシ トニンを適量溶解して、 例えば 1 〜数時間かけて静脈内に点滴投与する こ と もでき る。 薬剤中 におけるカルシ ト ニ ンの量は適宜決められる。  The agent for reducing liver deviating enzyme activity and the therapeutic agent for liver disease of the present invention is administered in a single dose of 0.5 to 500,000 units of calcitonin, preferably 1 to 400 units. Is a unit. The frequency of administration may be once or twice a day, or daily or once to three times a week. Furthermore, an appropriate amount of calcitonin can be dissolved in an appropriate infusion such as Solita T-3 (manufactured by Shimizu Pharmaceutical Co., Ltd. in Japan), and the solution can be administered by intravenous drip over 1 to several hours, for example. The amount of calcitonin in the drug is determined as appropriate.

本発明の肝逸脱酵素活性値低下剤および肝疾患治療薬組成 物の活性成分と してのカルシ トニンは、 以下の実施例に示す 通 リ 、 血清中に観察される肝逸脱酵素の上昇した活性値を効 果的に低下させ、 しかも肝機能の障害を極めて良好に改善維 持する ものである。  Calcitonin as an active ingredient of the composition for reducing the activity of liver hepatic enzyme and the therapeutic agent for liver disease according to the present invention is characterized by the increased activity of liver hepatic enzyme observed in serum as shown in the following Examples. It effectively lowers the value and improves and maintains liver function disorders very well.

発明を実施するための最良の形態 BEST MODE FOR CARRYING OUT THE INVENTION

以下に、 実施例を挙げて本発明を さ らに詳細に説明する力 本発明はこれらに限定される ものではない。 1 Hereinafter, the present invention will be described in further detail with reference to Examples. The present invention is not limited to these. 1

尚、 表中および添付の図中における略語の意味は次の通 リ である。  The meanings of the abbreviations in the tables and attached figures are as follows.

C C 1 c a b 0 n c h 1 o d e C C 1 c a b 0 n c h 1 o d e

G O T ; g l u t a m i c o x a l o a c e t i c t r a n s a m i n a s e (グノレタ ミ ン酸ォキ サロ酢酸 ト ラ ンスア ミナーゼ) GOT; glutamic ox aloac e t i c t r a ns a mi a n a se (gunoletamate oxaloacetate transaminase)

G P T g 1 u a m Ρ y u v a n s a m i n a s e (グルタ ミ ン酸ピノレ ビン酸 ト ラ ンスア ミ ナーゼ)  G P T g 1 u aam Ρ y u v a n s a m a n a s e (glutamate pinolevate transaminase)

L D H ; l a c t a t e d e h y d r o g e n a s e  L D H; l a c t a t e d e h y d r o g e n a se

(乳酸デヒ ドロゲナーゼ)  (Lactate dehydrogenase)

γ — G T P ; g a mmm a — g 1 u t a m y 1 a n s  γ — G T P; g a mmm a — g 1 u t a m y 1 a n s

P e p d a s e ( γ —グノレタ ミノレ ト ラ ン スぺプチダーゼ) 実施例 1  Pepda ses (γ—Gnoletamine minoletranspeptidase) Example 1

F 3 4 4 / D u C r j 系ラ ッ ト (体重約 2 0 0 g ) から コ ラゲナーゼ灌流法にょ リ 肝実質細胞を分離し、 1 0 %ゥシ胎 児血清添加ウイ リ アムス E培地 (W i l l i a m ' s M e d i u m E ; 以下、 " W E培地" とレ、 う ) に懸濁し、 5 万 細胞個/ c m 2 の密度で組織培養ディ ッ シュに播種した。 2 4 時間後、 四塩化炭素 5 m Mも し く は 7 m Mを溶解させた W E培地 ( 1 0 %ゥ シ胎児血清添加) に交換し、 更に 2 4 時間 培養 して上清中の肝逸脱酵素値を測定した。 Liver parenchymal cells were isolated from a F344 / DuCrj-based rat (body weight: about 200 g) by collagenase perfusion, and the cells were incubated with 10% fetal serum-supplemented Williams E medium ( W illiam 's M edium E; below, "WE medium" and Les, were suspended in U), it was seeded in tissue culture di Tsu shoe at a density of 50,000 cell number / cm 2. After 24 hours, replace with 5 mM or 7 mM carbon tetrachloride-dissolved WE medium (10% fetal serum added) and continue for 24 hours. After culturing, the level of the enzyme that escaped the liver in the supernatant was measured.

この時、 四塩化炭素添加 と 同時に、 あるいは四塩化炭素添 加 4 時間前から四塩化炭素添加後も引き続きエル力 ト ニンを 各種濃度で添加 した実験区を設けた。 エル力 トニ ンの溶解、 希釈には 0 . 2 %ゥ シ血清アルブ ミ ンを添加した リ ン酸緩衝 生理食塩水を使用 した。 その結果は第 1 図に示す通 リ であつ た。 四塩化炭素 5 m M添加培地において、 エル力 トニ ン含有 液を同時に併添加 した区では 1 0— 1 1 モル濃度 ( 0 . 0 0 2 単位 相当) 以上の範囲で肝逸脱酵素値の最大抑制効果 が観察された。 当該濃度以下では漸次、 抑制効果が減弱 した。 At this time, experimental groups were prepared in which L-tonin was added at various concentrations simultaneously with the addition of carbon tetrachloride or continuously 4 hours before the addition of carbon tetrachloride and after the addition of carbon tetrachloride. Phosphate-buffered saline supplemented with 0.2% serum albumin was used for dissolving and diluting L-tonin. The result was as shown in Fig. 1. In carbon tetrachloride 5 m M medium supplemented maximum inhibition of El forces Toni emissions containing solution 1 0 1 1 molar in ward was simultaneously併added (0.0 0 2 units equivalent) liver departing enzyme values in the above range An effect was observed. Below this concentration, the inhibitory effect gradually diminished.

また、 四塩化炭素 7 m M添加培養 2 4 時間後における肝実 質細胞の外観形態を示す顕微鏡写真 ( X 4 0 0 ) を第 3 図  Fig. 3 shows a micrograph (X400) showing the appearance of liver liver cells 24 hours after culture with the addition of 7 mM carbon tetrachloride.

(エル力 トニン無添加) および第 4 図 (エル力 ト ニン併添加) に示 した。 対照と して、 四塩化炭素もエルカ トニンも加えず に 2 4 時間培養 した肝実質細胞の外観形態を示す顕微鏡写真 ( 4 0 0 ) を第 2 図に示す。 四塩化炭素無添加区に見られ る肝実質細胞の均質な単層形態 (第 2 図) に比較して、 四塩 化炭素 7 m M添加区 (エルカ トニン無添加) では培養ディ ッ シュからの顕著な細胞の剥離脱落が見られた (第 3 図) 。 し カ しなが ら、 エル力 トニン 1 0— 7 Mを四塩化炭素添加 4 時間 前から四塩化炭素添加後も引き続き併添加 した区では、 糸田胞 の剥離脱落は著し く 抑制 され、 単層形態が強く 維持されてい た (第 4 図) 。 このこ と は、 エル力 ト ニ ンが直接、 肝実質細胞に作用 して 肝臓毒に対する耐性を獲得させ生存せしめている こ と を意味 ' し、 このこ と がエルカ ト ニンが肝疾患治療剤と して作用 し う る、 少な く と も一つのメ カニズムである こ と を明確に示して いる。 (Without addition of L-tonin) and Fig. 4 (with L-tonin added). As a control, FIG. 2 shows a micrograph (400) showing the appearance of liver parenchymal cells cultured for 24 hours without addition of carbon tetrachloride or elcatonin. Compared to the homogenous monolayer morphology of hepatic parenchymal cells seen in the group without carbon tetrachloride (Fig. 2), the culture dish in the group with 7 mM carbon tetrachloride (without elcatonin) was compared. The cells were remarkably detached and shed (Fig. 3). And mosquitoes article al, in Gu added four after carbon tetrachloride added subsequently and yet the El force phosphatonin 1 0- 7 M before carbon tetrachloride added 4 hours, spalling of Itoda cells is rather suppressed authored, single The layer morphology was strongly maintained (Fig. 4). This means that L-potatonin directly acts on liver parenchymal cells to obtain resistance to hepatotoxicity and survive, and this is why elcatonin is a therapeutic agent for liver diseases. It clearly shows that it is at least a mechanism that acts as

実施例 2 Example 2

F 3 4 4 /D u C r j 系ラ ッ ト (体重約 2 0 0 g ) からコ ラゲナーゼ灌流法によ り 肝実質細胞を分離し、 1 0 %ゥシ胎 児血清添加 W E培地に懸濁 し、 5 万細胞個 c m 2 の密度で 組織培養用ディ ッシュに播種した。 2 4時間後、 四塩化炭素Liver parenchymal cells were isolated from the F344 / DuCrj-based rat (body weight: about 200 g) by collagenase perfusion and suspended in WE medium supplemented with 10% fetal calf serum. Then, the cells were seeded on a tissue culture dish at a density of 50,000 cells / cm 2 . 24 hours later, carbon tetrachloride

5 mMを溶解させた W E培地 ( 1 0 %ゥシ胎児血清添加) に 交換し、 更に 2 4時間培養 して上清中の肝逸脱酵素値を測定 した。 The medium was replaced with a WE medium (containing 10% fetal bovine serum) in which 5 mM was dissolved, and the cells were further cultured for 24 hours, and the liver-leaching enzyme value in the supernatant was measured.

こ の際、 四塩化炭素添加と 同時に天然サケカルシ トニン (ベルギー国、 U C B — B i o p r o d u c t s S . A . 社よ り 入手 ; 6 0 0 0単位 Zm g ) を各種濃度で添加 した実 験区を設けた。 天然サケカルシ ト ニ ンの溶解、 希釈には 0 . 2 %ゥシ血清アルブ ミ ンを添加 した リ ン酸緩衝生理食塩水を 使用 した。 その結果は、 第 5図に示す通 り であった。 サケカ ルシ ト ニ ンが、 1 0— 1 1 モル濃度以上の範囲で肝逸脱酵素値 抑制効果は最大と な リ 、 当該濃度以下では漸次、 抑制効果は 減弱 した。 At this time, an experimental zone was added in which various concentrations of natural salmon calcitonin (obtained from UCB—Bioproducts S.A., Belgium; 600 units Zmg) were added simultaneously with the addition of carbon tetrachloride. . For dissolution and dilution of natural salmon calcitonin, phosphate buffered saline supplemented with 0.2% serum albumin was used. The result was as shown in Fig. 5. The effect of salmon calcitonin on the hepatic protruding enzyme level was maximal in the range of 10 to 11 molar concentrations or more, and the inhibitory effect gradually decreased at concentrations below this concentration.

実施例 3 0 . 1 M酢酸ナ ト リ ウム、 1 5 4 mMN a C l 含有注射用 蒸留水 (さ らに微量の塩酸を加えて P H 5 . 5 に調整 した) 6 β にエルカ ト ニ ン ( 6 0 0 0単位/ / 111 ) 4 0 m g を溶解 し、 次いで除菌フィルタ一を通 じた後、 1 アンプル l m l ず つ充填し、 ア ンプルを熔融密閉 してエル力 ト ニ ン 4 0単位 ア ンプルの注射剤を得た。 以後、 本注射剤を以下の実施例で 用いたが、 本発明はこれによ り 何ら限定される ものではない。 実施例 4 Example 3 Distilled water for injection containing 0.1 M sodium acetate and 154 mM NaCl (adjusted to pH 5.5 by adding a small amount of hydrochloric acid). 0 0 units / / 111) were dissolved 4 0 mg, then after through the sterilization filter one, 1 ampoule lml not a one filled, El and melt sealed a sample force preparative double down 4 0 units a sample Was obtained. Thereafter, the present injection was used in the following Examples, but the present invention is not limited thereto. Example 4

溝口 らの方法 (炎症, V o l . 1 0 , 1 1 5 ( 1 9 9 0 ) ) を一部変更して急性肝不全モデルを作成した。 即ち、 生理食 塩水で溶解したプロ ピオ二パクテ リ ゥム ァクネ ス過熱死菌 ( 日本国、 旭化成工業社製) l m g を I C R系雄性マ ウス ( 6 — 8週齢) に静脈内投与し、 7 日後にエ ン ド ト キシン (大腺菌由来、 米国、 D i f c o社製) 1 μ g を静脈內投与 する こ と によ リ免疫関与の急性肝不全を惹起せ しめた。 急性 肝不全の程度は、 エ ン ド ト キシン投与 6 時間後、 及び 2 4時 間後の死亡率で判定した。  An acute liver failure model was created by partially modifying the method of Mizoguchi et al. (Inflammation, Vol. 10, 11 5 (1990)). In other words, lmg of Propionibacterium bacterium overheat killed (manufactured by Asahi Kasei Kogyo Co., Ltd.) dissolved in physiological saline was intravenously administered to an ICR male mouse (6 to 8 weeks old). One day later, 1 μg of endotoxin (derived from a large intestinal bacterium, manufactured by Difco, USA) was administered intravenously to the mice, thereby causing acute liver failure involving immunity. The degree of acute liver failure was determined by the mortality at 6 hours and 24 hours after endotoxin administration.

この時、 0 . 2 %ゥ シ血清アルブミ ンに溶解 したそれぞれ 所定量のエル力 トニンをェン ド ト キシン投与直後に静脈內投 与した実験群 (エルカ トニン群 i 、 π および m ) と 、 エル力 ト ニ ンの代わ り に 0 . 2 %ゥ シ血清アルブ ミ ン溶液を静脈内 投与した実験群 (対照群) と を設けた。 その結果を第 1 表に 示す。 第 1 表 マ ウス急性肝不全モデルに対する二ルカ トニン 静脈内投与の効果 At this time, an experimental group (Elcatonin group i, π and m) in which a predetermined amount of each elutonin dissolved in 0.2% serum albumin was administered immediately after administration of endotoxin, An experimental group (control group) in which 0.2% ゥ serum albumin solution was intravenously administered instead of L-Kertinin was provided. Table 1 shows the results. Table 1.Effects of intravenous administration of nirukatonin on mouse acute liver failure model

Figure imgf000027_0001
Figure imgf000027_0001

註) * : ヒ ト換算は体重 5 0 k g と して算出した。 Note) *: Human conversion was calculated assuming a body weight of 50 kg.

上記第 1 表に示す通 り 、 人工的に作成したマウス急性肝不 全モデルについて、 エル力 ト ニンを 4 0単位 g投与する と 、 投与 6時間後、 2 4時間後と もに死亡率の軽減効果が見 られた。 8 0単位ノ k g を投与した場合、 投与 6時間後では 対照群の死亡率 5 0 %に対し 0 %、 2 4時間後では対照群の 死亡率 1 0 0 %に対し 4 0 %と いずれの時間においてもエル 力 トニンによ る著しい死亡率の軽減が認められた。 エル力 ト ニンを 1 2 0単位 k g投与した場合、 2 4時間後における 死亡率の軽減効果は 8 0単位/ k g を投与した場合ほど顕著 ではな く 、 8 0単位 k g投与において特に有効性が認めら れ、 1 0 0単位 Z k g (ヒ ト換算で、 5 0 0 0単位に相当) まで有効と判断 し得た。 As shown in Table 1 above, in the artificially produced mouse acute liver failure model, when 40 units g of el-pottonin was administered, the mortality rate decreased 6 hours and 24 hours after administration. A reduction effect was observed. At 80 hours after administration, 80% of the control group's mortality was 0% compared to 50% at 6 hours after administration, and 40% compared to 100% of the control group's mortality at 24 hours after administration. Even in time, a significant reduction in mortality was observed with El Powertonin. When L-unitin was administered at 120 units kg, the mortality reduction effect after 24 hours was not as pronounced as at 80 units / kg, and was particularly effective at 80 units kg. Recognized, 100 units Z kg (equivalent to 500 units in human) Could be determined to be valid.

実施例 5 Example 5

血淸中肝逸脱酵素値が通常の正常値以上を示 し、 肝疾患と 診断された 3名の患者 N T 、 E T及び S Oに対し、 エルカ ト ニ ンによ る 1 週間 1 回投与設定での治療を行った。 即ち、 ェ ルカ ト ニン 4 0 単位を ソ リ タ 丁— 3 ( 日本国清水製薬社製) に溶解し、 これを 1 〜 2時間かけて静脈内に点滴投与した。 以後、 2 4 時間後、 4 8 時間後、 7 2 時間後および適宜 1 週 間後に血清中の各種生化学値を測定し肝機能検査を行った。 その結果、 下記第 2 表に患者 N T での効果を示す。 Elcatonin is administered once a week to three patients with NT, ET, and SO who have been diagnosed with liver disease and whose liver deviating enzyme level is higher than the normal level. Treatment was given. That is, 40 units of elkatonin was dissolved in Solita Ding-3 (manufactured by Shimizu Pharmaceutical Co., Ltd., Japan), and the solution was intravenously administered over 1 to 2 hours. After 24 hours, 48 hours, 72 hours, and one week as appropriate, serum biochemical values were measured and liver function tests were performed. As a result, Table 2 below shows the effect on patient NT.

140 140

2 7 2 7

第 2表 肝疾患患者 N Tに対するエ ルカ ト ニン点滴静注 の効果  Table 2 Effect of intravenous infusion of elkatonin on NT for patients with liver disease

1 1

II T 1 年齡 601 性別  II T 1 year old 601 sex

 !

肝疾息名 肝炎(HBs抗原'抗体陰性/ HBeS^ '抗体!!性/ HCV抗体陰性) * Liver disease name Hepatitis (HBs antigen 'antibody negative / HBeS ^' antibody !! / HCV antibody negative) *

血情中生化学!! GOT GPT LDH -GTP Blood biochemistry! GOT GPT LDH -GTP

龍(投与直前) 106 110 219 22 Ryu (just before administration) 106 110 219 22

投与 24時間後 52 57 192 20 投与 48時間後 43 43 225 19 投与 72時間後 40 34 197 18 投与 1¾間後 34 31 181 17 24 hours after administration 52 57 192 20 48 hours after administration 43 43 225 19 72 hours after administration 40 34 197 18 1 week after administration 34 31 181 17

1  1

(生化学値単位 ; U β ) 註) * : Β型、 C型のいずれのウィルス性肝炎でもない、 不 明の肝炎である。 第 2表に示す通 リ 、 エ ルカ トニン投与前の G O Tおよび G P Tはいずれも 1 0 6 単位/ β 、 1 1 0単位/ ΰ であったが エル力 トニ ン投与 1 週間後では各 々 3 4単位/ £ 、 3 1 単位 / £ と極めて良好に改善した。 140 (Biochemical value unit; Uβ) Note) *: Unknown hepatitis that is neither type I nor type C viral hepatitis. As shown in Table 2, the GOT and GPT before administration of elkatonin were both 106 units / β and 110 units / が, respectively. Unit / £, 31 unit / £ improved very well. 140

2 8  2 8

更に、 下記第 3表に患者 E Tでの効果を示す 第 3表 肝疾患患者 Ε Τに対するエルカ ト ニン点滴静注 の効果  In addition, Table 3 below shows the effects of ET on patients. Table 3 Effects of intravenous elcatonin infusion on patients with liver disease

Figure imgf000030_0001
血精中生化学 GOT GPT LDH 值(投与直前) 151 304 314 1 207 投与 24時間後 120 297 327 199
Figure imgf000030_0001
Serum biochemistry GOT GPT LDH 值 (immediately before administration) 151 304 314 1 207 24 hours after administration 120 297 327 199

投与 48時 102 272 293 197  Administration 48 hours 102 272 293 197

投与 72時間後 22 104 246 164  72 hours after administration 22 104 246 164

投与 1画 24 80 208 145  Administration 1 stroke 24 80 208 145

(生化学値単位 ; U Ζ β ) 註) * : Β型、 C型のいずれのウ ィ ルス性肝炎でもない、 不 明の肝炎である。 上記第 3表に示す通 リ 、 エル力 ト ニン投与前の G〇 Τおよ び G T Pはいずれも 1 5 1 単位/ £ 、 3 0 4単位/ β であつ たが、 エルカ ト ニン投与 1 週間後では各々 2 4 単位 β 、 8 0単位 β と極めて良好に改善した。 (Biochemical value unit; U Ζ β) Note) *: Unknown hepatitis that is neither type I nor type C viral hepatitis. As shown in Table 3 above, G〇 〇 and The values of GTP and GTP were both 151 units / pound and 304 units / β, but after one week of elcatonin administration, they improved to 24 units β and 80 units β, respectively, which were very good.

更に、 下記第 4表に患者 S Οでの効果を示す。  In addition, Table 4 below shows the effect in patient SΟ.

第 4表 肝疾患患者 S Oに対するエル力 トニン点滴静注 の効果 患 者 SO 年齢 721 性別 男 肝疾患名 アルコール性肝硬変 i精中生化学值 GOT GPT LDH r-GTP (投与直 ) 98 133 397 188 投与 24時間後 61 85 335 181  Table 4.Effects of L-tonin intravenous drip infusion on SO in patients with liver disease Patients SO age 721 gender Male liver disease name alcoholic cirrhosis i seminal biochemistry 中 GOT GPT LDH r-GTP (immediate administration) 98 133 397 188 24 hours later 61 85 335 181

投与 48時間後 65 81 356 202  48 hours after administration 65 81 356 202

投与 72時間後 59 64 349 117  72 hours after administration 59 64 349 117

(生化学値単位 ; U/ β ) 上記第 4表に示す通リ 、 エルカ トニン投与前の G O T、 G P Tおよび γ— G T Pはいずれも 9 8単位 Ζ β、 1 3 3単位(Biochemical value unit; U / β) As shown in Table 4 above, GOT, GPT and γ-GTP before administration of elcatonin were all 98 units Ζ β, 133 units

/ £ 、 1 8 8 単位 であったが、 エル力 トニン投与 7 2時 間後では各々 5 9 単位/ £ 、 6 4 単位/ β 、 1 1 7 単位/ β と極めて良好に改善した。 / £, 1 8 8 units, but EL power Tonin administration 7 2:00 After a while, they improved very well to 59 units / £, 64 units / β, and 117 units / β, respectively.

このよ う に、 エルカ ト ニンの適切な投与の後、 全ての症例 で各種肝逸脱酵素である血清中生化学値が顕著に改善されて いた。  Thus, after appropriate administration of elcatonin, serum biochemical values of various liver-departing enzymes were significantly improved in all cases.

図面の簡単な説明 BRIEF DESCRIPTION OF THE FIGURES

第 1 図は四塩化炭素 ( 5 mM) で障害 した初代培養ラ ッ ト 肝実質細胞の細胞外酵素漏出に及ぼすエルカ ト ニンの抑制効 果を示すグラ フである。  Figure 1 is a graph showing the inhibitory effect of elcatonin on extracellular enzyme leakage in primary cultured rat hepatocytes damaged by carbon tetrachloride (5 mM).

第 2 図は四塩化炭素もエルカ ト ニンも添加 していない培養 液で、 2 4 時間イ ンキュベー ト した初代培養ラ ッ ト肝実質細 胞の外観形態を示す顕微鏡写真 ( X 4 0 0 ) である。  Fig. 2 is a micrograph (X400) showing the appearance of primary culture rat liver parenchymal cells that had been incubated for 24 hours without addition of carbon tetrachloride or elcatonin. is there.

第 3 図は四塩化炭素 ( 7 m M ) を添加 し、 2 4 時間イ ンキ ュベー ト した初代培養ラ ッ ト肝実質細胞の外観形態を示す顕 微鏡写真 ( X 4 0 0 ) である。  FIG. 3 is a micrograph (X400) showing the appearance of primary cultured rat hepatocytes that had been incubated with carbon tetrachloride (7 mM) for 24 hours.

第 4 図は予め 4 時間エル力 トニ ン 1 0— 7 Mを添加 しておき 、 四塩化炭素 ( 7 mM) を添加後も引き続きエルカ ト ニン Fig. 4 shows that elutin tonine 10 to 7 M was added in advance for 4 hours, and elutonin was continuously added after addition of carbon tetrachloride (7 mM).

1 0— 7Mを添加 して 2 4 時間イ ンキュベー ト した初代培養ラ ッ ト肝実質細胞の外観形態を示す顕微鏡写真 ( X 4 0 0 ) で ある。 Was added to 1 0- 7 M is 2 4 hours b Nkyube you encountered a primary cultured rat micrograph showing the appearance form of hepatocytes (X 4 0 0).

第 5 図は四塩化炭素 ( 5 m M ) で障害 した初代培養ラッ ト 肝実質細胞の細胞外酵素漏出に及ぼすサケカルシ ト ニ ンの抑 制効果を示すグラ フである。 産業上の利用可能性 Fig. 5 is a graph showing the inhibitory effect of salmon calcitonin on extracellular enzyme leakage of primary cultured rat hepatocytes damaged by carbon tetrachloride (5 mM). Industrial applicability

本発明の開示する、 カルシ トニ ンの新規な用途は、 肝疾患 における肝障害の指標となる血清中の G O T及び G P 丁等の 肝逸脱酵素の上昇した活性値の低下剤である。 従って、 抗肝 疾患に有効な量のカルシ トニンを含有する医薬組成物は、 薬 物性肝炎、 アルコール性肝炎、 自 己免疫性肝炎などの種々の 肝疾患治療に有用である。  A novel use of calcitonin disclosed by the present invention is an agent for decreasing the elevated activity value of hepatic escape enzymes such as GOT and GP in serum, which is an indicator of liver damage in liver disease. Therefore, a pharmaceutical composition containing an effective amount of calcitonin for an anti-liver disease is useful for treating various liver diseases such as drug-induced hepatitis, alcoholic hepatitis, and autoimmune hepatitis.

Claims

請 求 の 範 囲 The scope of the claims 1 . 血淸中のグルタ ミ ン酸ォキサ口醋酸 ト ラ ンスア ミ ナーゼ およびグルタ ミ ン酸ピルビン酸 ト ラ ンスァ ミ ナーゼの上昇し た活性を低下するための、 カルシ トニンの有効量を含有して なる低下剤。 1. Contains an effective amount of calcitonin to reduce the increased activity of glutamate oxa mouth acetic acid transaminase and glutamate pyruvate transaminase in blood. Become a reducing agent. 2 . 該カルシ トニン及び製薬的に許容される担体、 希釈剤ま たは賦形剤を含有してなる組成物である請求項 1 に記載の低 下剤。  2. The laxative according to claim 1, which is a composition comprising said calcitonin and a pharmaceutically acceptable carrier, diluent or excipient. 3 . 該カルシ ト ニンが血清カルシウム低下活性を有する天然 カルシ トニン類および血淸カルシウム低下活性を有するそれ らのアナロ グペプチ ド類よ リ なる群から選ばれる少く と も 1 種のカルシ トニンである請求項 1 または 2 に記載の低下剤。  3. The calcitonin is at least one kind of calcitonin selected from the group consisting of natural calcitonins having serum calcium lowering activity and analogs thereof having blood calcium lowering activity. Item 7. The reducing agent according to Item 1 or 2. 4 . 1 回当た り の投与量が、 カルシ トニンと して 0 . 5〜 5 0 0 0単位である よ う に製剤されてなる請求項 1 〜 3 のいず れかに記載の低下剤。 4. The reducing agent according to any one of claims 1 to 3, which is formulated so that the dose per administration is 0.5 to 5000 units as calcitonin. . 5 . 抗肝疾患に有効な量のカルシ トニンおよび製薬的に許容 される担体、 希釈剤または賦形剤を含有してなる肝疾患治療 薬組成物。  5. A therapeutic composition for liver disease, comprising an effective amount of calcitonin for anti-liver disease and a pharmaceutically acceptable carrier, diluent or excipient. 6 . 該カルシ トニンが血清カルシウム低下活性を有する天然 カルシ トニン類および血清カルシウム低下活性を有するそれ らのアナロ グペプチ ド類よ リ なる群から選ばれる少く と も 1 種のカルシ トニ ンである請求項 5 に記載の組成物。  6. The calcitonin is at least one kind of calcitonin selected from the group consisting of natural calcitonins having serum calcium lowering activity and analogs thereof having serum calcium lowering activity. 6. The composition according to 5. 7 . 1 回当た リ の投与量が、 カルシ トニンと して 0 . 5 〜 5 0 0 0単位であるよ う に製剤されてなる請求項 5 または 6 に 記載の組成物。 >7. The dose per dose is 0.5 to 5 as calcitonin. The composition according to claim 5 or 6, wherein the composition is formulated so as to be 0.000 units. > 8 . 注射剤、 直腸坐剤、 膣坐剤、 経鼻吸収剤、 経皮吸収剤、 経肺吸収剤、 口腔内吸収剤または経口投与剤の形である請求 項 5〜 7のいずれかに記載の組成物。 8. The method according to any one of claims 5 to 7, which is in the form of an injection, a rectal suppository, a vaginal suppository, a nasal absorbent, a transdermal absorbent, a pulmonary absorbent, an intraoral absorbent, or an oral administration preparation. Composition. 9 . 血清中のグルタ ミ ン酸ォキサ口醋酸 ト ラ ンスア ミナ一ゼ およびグルタ ミ ン酸ピルビン酸 トランスア ミナーゼの上昇し た活性を低下する方法にして、 カルシ トニンの有効量を人体 に投与するこ とを包含する方法。  9. Administer an effective amount of calcitonin to the human body in a manner that reduces the elevated activity of serum glutamate oxa mouth transaminase and glutamate pyruvate transaminase. And a method comprising: 1 0 . 抗肝疾患有効量のカルシ トニンを肝疾患患者に投与す るこ と を包含する肝疾患治療法。  10. A method for treating liver disease, comprising administering an effective amount of calcitonin to a patient with liver disease.
PCT/JP1993/000705 1992-05-26 1993-05-26 Drug for depressing serum got and gpt activities and hepatic disease curative composition Ceased WO1993024140A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003038444A3 (en) * 2001-10-31 2004-04-01 Pfizer Prod Inc Biomarkers of liver function

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH02229119A (en) * 1989-02-28 1990-09-11 Toyo Jozo Co Ltd Preventive and remedy for arteriosclerosis
JPH0358940A (en) * 1989-07-27 1991-03-14 Otsuka Pharmaceut Co Ltd Calcium metabolic improver

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH02229119A (en) * 1989-02-28 1990-09-11 Toyo Jozo Co Ltd Preventive and remedy for arteriosclerosis
JPH0358940A (en) * 1989-07-27 1991-03-14 Otsuka Pharmaceut Co Ltd Calcium metabolic improver

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003038444A3 (en) * 2001-10-31 2004-04-01 Pfizer Prod Inc Biomarkers of liver function

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