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WO2000037091A1 - Pharmaceutical composition inducing cancer cell differentiation and the use for treatment and prevention of cancer thereof - Google Patents

Pharmaceutical composition inducing cancer cell differentiation and the use for treatment and prevention of cancer thereof Download PDF

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Publication number
WO2000037091A1
WO2000037091A1 PCT/CN1998/000309 CN9800309W WO0037091A1 WO 2000037091 A1 WO2000037091 A1 WO 2000037091A1 CN 9800309 W CN9800309 W CN 9800309W WO 0037091 A1 WO0037091 A1 WO 0037091A1
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cancer
differentiation
pharmaceutical composition
cell differentiation
vitamin
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French (fr)
Chinese (zh)
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Ming-Cheng Liau
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Priority to PCT/CN1998/000309 priority Critical patent/WO2000037091A1/en
Priority to AU15537/99A priority patent/AU1553799A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/22Urine; Urinary tract, e.g. kidney or bladder; Intraglomerular mesangial cells; Renal mesenchymal cells; Adrenal gland

Definitions

  • the invention relates to a medicine for treating and preventing cancer and a preparation method thereof, namely, a cell differentiation agent CDA-II (Cell differentiation agent) extracted and purified from fresh human urine.
  • the preparation has good effects on the treatment and prevention of cancer.
  • CD A-II can release the abnormal state of cancer cell methylation complex enzymes, effectively promote the terminal differentiation of cancer cells, and achieve medical effects. This is a novel anti-cancer method aimed at eliminating the cause of the disease. It has been confirmed through experiments that the medical effect is quite significant.
  • C D A- ⁇ is a protein specific to cancer cells that binds to methyltransferase and eliminates its effect, so it has specific selectivity in treatment and has no adverse side effects.
  • the active ingredients of C D A-II include differentiation inducers, differentiation aids, and anti- cachexia agents. These active ingredients work together to achieve the most effective medical effect.
  • CDA-II anticancer drugs
  • other anticancer drugs such as thymidine
  • CDA-II anticancer drugs
  • thymidine has better anticancer effects, and the synergistic anticancer effect is very obvious.
  • CDA-II is used in combination with Vitamin C and Vitamin B 17 and has a very good anti-cancer effect.
  • Cancer is a fairly complex series of diseases, but cancer has one thing in common, that is, all cancer cells have the ability to divide continuously and fail to undergo terminal differentiation.
  • the inventors found that the abnormal methyl transfer complex is the most important cause that constitutes a common feature of cancer.
  • the present invention aims at this cause to seek medical treatment and prevention of cancer.
  • a purified cell differentiation agent can be extracted from the urine of normal people.
  • the preparation can restore abnormal methyl transfer complex alcohols of cancer cells to normal.
  • cancer cells are induced to undergo terminal differentiation and no longer continue to divide or even die. To achieve the medical and preventive effects of cancer.
  • the active ingredients of the cell differentiation agent are a differentiation inducer and a differentiation assistant. Differentiation inducer can eliminate abnormal protein factors unique to cancer cells that bind to methyltransferase
  • the differentiation aid is an inhibitor of each member enzyme of the complex enzyme, and has the function of enhancing the differentiation inducer.
  • Cell differentiation agent in the present invention wherein the differentiation inducing agent is PP- 0 and OA- 0. 7 9, comprising at least differentiation aids acid, hippuric acid, indole acetic acid, red urine and vitamin B 2.
  • cell differentiation agents contain anti-excessive ingredients such as phenylacetylglutamine. Since most cancer patients have symptoms of excessive excretion, this ingredient is also quite helpful for the treatment of cancer. All in all, the cell differentiation agent has a variety of effective ingredients to assist each other to produce excellent medical effects.
  • cell differentiation agents in combination with other cytotoxic drugs such as thymidine will produce better anti-cancer effects. It has also been found that the combination of cell differentiation agents with vitamin C and vitamin B 17 can effectively promote anti-cancer effects.
  • Oncogenes are part of the genes of human cells, so humans have cancer. There is still no good way to overcome this disease. The reason why cancer is difficult to treat is that the composition of the cancer cells themselves is complicated. However, it is more important to find appropriate prevention and treatment measures. Cancer cells continue to divide, invade normal organs and tissues, and eventually cause serious illness and death. The traditional medical community always regards the continuous division of cancer cells as the most fundamental crux of cancer, and then seeks cytotoxicity to stop D N A synthesis to prevent cell division, which is why cytotoxic therapy. The guidelines for treating cancer for the past four decades have focused on the development of cytotoxic therapies. The cancer medical market is also monopolized by this drug. Yet humans are constantly seeking other breakthrough new therapies.
  • the well-known vitamin A acid (retinoic acid) is used as an anticancer agent. Although the effect is very good (Huang et al., 1988; Warrell et al., 1991 references 8 and 28), the cancer cells relapse soon (Muindi et al. al, 1992 Adamson et al., 1993 References 1 and 25). Relapse is not completely related to the differentiation induced by the differentiation inducer alone, because the differentiation inducer alone can cause damage and prevent cells from completing the differentiation procedure.
  • the references cited and referred to in the present invention are as follows:
  • Clark PMS, Kricka LJ, Whitehead TP Use iso-Dalt technology to study the pattern of urinary proteins and peptides with rheumatioid arthritis investigated with the iso-Dalt technique. Clin Chem.), 26: 201, 1980.
  • Muind Clinical pharmacology of JRF, Frankd, SR "Huselton, D., Degrazia, F., Garland, WA, young GW, and Warrell, RP in patients with acute promyelocytic leukemia. Clinical pharmacology of oral all-trans retinoic acid in patients with acute promyelocytic leukemia.) Cancer Res., 52: 2138-2142, 1992. 26. MuIdoon TG, Copland JA, Hendry LB, Antineoplaston A10 activity on carcinogene-induced rat mammary tumorsm induced by carcinogens, Intl. J. Tiss. React .) 12 (Supplement): 51-56, 1990.
  • TonioaI D "Weiss, HK, and Basilio, CA temperature sensitive mutation affecting 28S ribosomal RNA production in mammalian cells (Pric. Natl. Acad. Sci. USA), 70: 1273- 1277. 1973.
  • the object of the present invention is to provide a medicament for inducing differentiation of cancer cells and its use in the treatment and prevention of cancer.
  • cancer is a series of rather complicated diseases, but cancer has one feature in common, that is, all cancers. Cells have a constant division Ability, and terminal differentiation.
  • the present invention unexpectedly found that abnormal methyltransferase is the most important cause of the common feature of cancer. Therefore, the present invention seeks the medical treatment and prevention of cancer based on this cause.
  • the inventors have accumulated more than thirty years of intensive research and found that the abnormal methyltransferase is the most fundamental crux of cancer, because the abnormality of this enzyme leads to the continuous division of cancer cells.
  • Methyltransfer complexes play an important leading role in cell division and differentiation. When these enzymes have high activity, they divide. When the activity changes from high to low, the cells synthesize methyl-deficient nucleic acids, and as a result, the cells are induced. Differentiate into terminally differentiated cells that no longer divide. All cancer cells have abnormal methyltransferase enzymes. These enzymes are immobilized in a highly active and stable state, so the cells continue to divide. Therefore, abnormal methyltransferase enzymes are the cause of cancer and continuous cell division.
  • cancer cells are caused by abnormal methyl transfer complexes, if effective drugs can be found to inhibit this abnormal enzyme, it will have a therapeutic effect on the existing disease and a preventive effect on the non-existing disease.
  • these anticancer substances are reduced enough to inhibit abnormal methyltransferases, cancer cells begin to take root and multiply, and finally symptoms appear. Normal people also excrete a small amount of anti-cancer substances from the urine.
  • the present invention is implemented in this way. Since humans have adopted relatively inadequate measures to treat cancer for many years, the effect is not significant.
  • the goal of treatment should be on the radical therapy of "methyl transfer complex alcohol". Cancer cells are caused by abnormal methyltransferases. Inhibiting such abnormal enzymes with drugs has a therapeutic effect on the existing disease and a preventive effect on the non-symptomatic disease. This therapy is an excellent treatment for both Western and Chinese medicine. Due to the excretion of a small amount of chemicals that can induce cancer cells to undergo terminal differentiation in normal human urine, the present invention extracts and refines the abnormal methyl transfer complex enzymes of cancer cells to normal, Cell differentiation agent and preparation capable of inducing cancer cells to undergo terminal differentiation without continuing to divide, so as to achieve medical and preventive purposes.
  • the preparation of the present invention can selectively inhibit abnormal methyl transfer complex enzymes.
  • cancer cells are induced to differentiate like normal cells.
  • normal methyl transfer complex enzymes do not have abnormal factors, the growth and function of normal cells are not stable. Will be affected by these anti-cancer substances.
  • anti-cancer chemotherapies this is the only one with specific selectivity. It is a natural cure for the disease. Healthy people also rely on these chemicals to fight cancer. In other words, this is an inherent anti-cancer method in humans. Anticancer drugs are hard to find.
  • the active ingredients of the cell differentiation agent are a differentiation inducer and a differentiation assistant.
  • Differentiation inducers can eliminate abnormal protein factors that are unique to cancer cells and bind to methyltransfer complex enzymes.
  • Differentiation assistants are inhibitors of the enzymes of each member of the complex enzyme, and have the function of promoting differentiation inducers.
  • An essential component of differentiation therapy although it may not be as important as a differentiation inducer.
  • Cell differentiation agent in the present invention wherein the differentiation inducing agent is PP- 0 and OA- 0. 7 9, comprising at least differentiation aids acid, hippuric acid, indole acetic acid, red urine and vitamin B 2.
  • the cell differentiation agent of the present invention is also quite helpful for cancer treatment, that is, an anti-cachexia agent.
  • an anti-cachexia agent is also quite helpful for cancer treatment.
  • the inventors of the present case found that wrong glutamine can combat the excessive excretion caused by cachexia symptoms of cancer patients (Liau et al., 1987; Muldoon et al., 1990 references 10 and 26), which is the main part of Figure 4 in Part 4 ingredient. Because most cancer patients have symptoms of excessive excretion, this ingredient is also quite helpful in the treatment of cancer. All in all, the cell differentiation agent has a variety of effective ingredients to assist each other to produce excellent medical effects.
  • the present invention has also found that the use of the cell differentiation agent CA D-II in combination with other cytotoxic agents such as thymidine will produce a better anti-cancer effect.
  • cell differentiation agent CAD-II of the present invention in combination with vitamin C and vitamin B 2 will produce a better anti-cancer effect.
  • the cell differentiation agent of the present invention is prepared by first collecting normal human urine with a certain creatinine concentration, and then preparing the preparation through adsorption with an adsorbent and extraction, recovery, and purification with an organic solvent.
  • the preparation of the present invention is an injection. Can be made into capsules or other pharmaceutical dosage forms.
  • the present invention has the advantage that the present invention uses the body's own anti-cancer substance to manufacture drugs for treating and preventing cancer, which fundamentally differentiates cancer cells without continuing to divide to achieve the purpose of treatment. Therefore, the present invention It is an effective method to cure the root cause, and the medicine of the present invention does not have any adverse side effects.
  • Figure 1 Production of the cell differentiation agent of the present invention flow chart.
  • Figure 2 Gel filtration analysis diagram of the cell differentiation agent of the present invention.
  • CDA-II injection is freeze-dried and concentrated, and then subjected to column chromatography, which is a chromatography column using B i 0 -G e 1 P 2 ( 4 ⁇ 1 cm X 4 4 cm).
  • the collected fractions were measured for the absorbance of A 225 (0-0), the determination of inhibition of MAT LT activity (0... 0), weight percentage, and HL- 6 0.
  • Differentiation activity of cancer cells represented by% NBT +).
  • Figure 4 A graph showing the relationship between the inhibitory activity of urin (0-0) and vitamin B 2 (0... 0) on t RNA methyltransferase concentration and its concentration;
  • Figure 5 Promoting effect of urogranin and vitamin B 2 on differentiation inducers, the horizontal axis represents the concentration of vitamin A acid ( ⁇ M), and the vertical axis represents NBT (nitroblue tetrazolium) + cells Percentage.
  • a 0 represents the experimental group with 4 ⁇ M urocalcin added.
  • Figure 6 A synergistic anti-cancer effect of the combined use of CD ⁇ -II and thymidine according to the present invention.
  • the horizontal axis represents the dose (mg / ml), and the vertical axis represents the relative activity (%) of cancer cell group formation.
  • 0—0 means the group using thymidine alone; 0... 0 means the group using CD A—II alone; 0—.
  • A. — 0 means the group using thymidine in combination with CD A— ⁇ (1: 1).
  • the activity of cancer cell colony formation was measured according to Example 4 using H B L-100 breast cancer cells, which is expressed as the relative percentage of cancer cell group formation in the control group without the addition of drugs.
  • C D A-II and thymidine were used alone and 1: 1 in combination.
  • three experimental groups are used, and their anti-cancer effects are shown in Fig. 6, respectively, which proves that the combined treatment has stronger anti-cancer effect than CD A-II or thymidine alone, and its synergistic enhancement effect is very significant.
  • Figure 7 The anti-cancer effect of CD A-II and antioxidants Vitamin C and Vitamin B 17 , the activity of cancer cell colony formation was measured according to Example 4 using HBL-100 breast cancer cells. After 5 ml of each culture flask medium containing 3000 th HBL-1 0 0 cells, and various doses of CD A- II, vitamin C or vitamin B 17, cultured in 375 days, the cell population stained Giomsa Under the dissection microscope, count the population of more than 8 cells.
  • AdoHcy is S-adenosylhomocysteine and SAHH is S-adenosylhomocysteine (S- adenosylhomocystei ne hydrolase) the best embodiment of the present invention
  • Example 1 Preparation of a cell differentiation agent
  • the present invention includes collection, filtration, adsorption, solvent extraction and drying of urine, and dissolving with pyrogen-free water as the raw material of CDA-II.
  • a sufficient amount of 1 N hydrochloric acid is placed in the collection bucket, which is about 20 liters of urine for one liter of hydrochloric acid. This promotes the activity of the differentiation agent and can be maintained for at least one month without being damaged.
  • urine is first coarsely filtered with nylon cloth, and then finely filtered to remove substances having a molecular weight greater than 10,000 Daltons (Amicon filter fibers or other conventional methods can be used).
  • the adsorbent XAD—16 (Sigma factory) is packed in a cloth bag and placed in a stainless steel filter bucket. Before use, it must be washed with twice the volume / weight (V / W) of ethanol, and then twice (V / W). Rinse off the ethanol with deionized water, and repeat this twice.
  • XAD— 16 can be reused about 200 times or more.
  • the solid concentration in urine is approximately proportional to creatinine, so the quantification of chemical substances in urine is always more reliable based on creatinine.
  • the urine collected as a raw material has a creatinine concentration between 1.2 and 3.7 g / L, with an average of 2.4 ⁇ 0.6 g / L.
  • the yield of CD A-II was about 0.5 1 ⁇ 0.1 7 g / g of creatine S in the first hundred passes of the adsorbent.
  • the solid content of urine is about 4 6.7 g / g of creatine gf, so the yield of the prepared CD A drug substance is about 1.1% of the solid content.
  • Example 2 Preparation of cell differentiation agent injection
  • the final concentration of C DA-II injection is about 50 ⁇ 2 g / ml, and the concentration of the drug substance is generally above 250 mg / ml, so the concentration of the diluted drug substance should be 1 3 About 0%.
  • Part of C D A-II can be used to make capsule preparations.
  • the above APIs are successively filtered through microfiltration membranes with slow filter paper, 1 ⁇ m and 0.4 5 ⁇ m filter holes.
  • the filtrate was dried to a solid by freeze-drying. After the dried solids were ground into powder, the capsules were filled with 500 g of capsules using an automatic capsule machine, filled with aluminum foil, sealed, and finally sterilized by radiation.
  • Example 4 Analysis of anticancer activity of cell differentiation agents
  • the anti-cancer effect of the cell differentiation agent is based on the active ingredient's inhibition of cancer cell abnormal methyl transfer complex enzymes, so the cancer cells are induced to undergo terminal differentiation to stop cell division, that is, the activity of the cell differentiation agent has the inhibition of the cancer abnormal enzyme MAT
  • LT methionine adenosyltransferase
  • the effects of LT can induce the differentiation of HL-60 cancer cells and inhibit the formation of human breast cancer cell populations, and these methods of measuring activity have been published in the literature (Liau et al. People, 1977a; 1988; 1990a References 13; 18 and 20).
  • the present invention takes three batches of CD A-II preparations to analyze its anticancer activity, and details its operation. Proceed as follows.
  • the CD A-II injection formulation was used at a dose of 1 mg / ml.
  • MA T LT is made from HL-60 cancer cells. The precipitated cells are first suspended in 0.0 5 MT ris, p H 7, 0.5 mM MgCl 2 , and then the cell membrane is broken with a Dounce homogenizer. ⁇ The extract was separated by high-speed centrifugation (2 26, 0 0 0 X g, 0.5 hours). The extract liquid DEAE- cellulose chromatography in a gradient of solution of KC 1 MAT LT dissolved out and be purified (Liau et al., 1977a Reference 13).
  • MAT LT activity was measured according to the previous method (Liau et al., 1977a reference 13), 0.0 5 ml reaction solution including 0.0 5 MT ris, p H 8.2, 15 MKC 1, 15 mM M g Cl 2 , 5 mM DTT (dithiothreitol), 2 mM AT P and 1 ⁇ M [3 ⁇ — CH 3 ] methionine, 3 reacted for 30 minutes.
  • the reaction solution was acidified, and then all were transferred to 1 square inch of phosphate fiber paper. These papers were washed with 5 mM phosphate buffer, p H 7 in the beaker several times, and the unreacted [ 3 H—CH 3 ] was washed away. Methionine, and finally measured the absorbed [ 3 H—CH 3 ] Adomet (S-adenosyl methionine) radiation to determine the activity of MAT LT (see Table 1 for results) .
  • the terminal differentiation of HL-60 cancer cells is based on the N B T + assay (Liau et al., 1988 reference 18).
  • HL-60 cells were diluted and cultured. Each culture bottle was filled with 10 liters of starting cells at a concentration of 1.5 X 10 cells / ml.
  • the control and the culture bottle containing CDA-II were all passed through 9 6 After an hour of culture, remove a small portion and pellet the cells with a centrifuge. After these cells are treated with NBT reagent at 37 * C for half an hour, remove a small drop and place it in a cell counter and count the total number of cells and stain under a microscope. Number of cells that turned black (NBT +). N B T + the percentage is C
  • CD ⁇ — ⁇ Another indicator of anticancer activity is the inhibition of HBL-1 0 0 breast cancer cell populations. The experiment started by washing the breast cancer cells with an increase in the proportional order once with physiological saline, and then adding about 2 ml of 0. 0 5% trypsin-0.5 3 mM ED
  • TA culture solution was incubated at 37 for 10 minutes. Measure cell concentration first, then take a portion of the dilute Release 3 x 103 cells / ml. Take 0.5 ml of the dilution and add 4.5 ml of the culture bottle containing the control or CDA-II to culture at 37 V. After five days, the culture solution was decanted, washed with physiological saline once, and then fixed with methanol for 15 minutes, and the fixed cell population was soaked with Giemsa staining solution diluted 20 times for 30 minutes. Pour out the staining solution, wash and dry it, and count the number of cell populations under a dissecting microscope to determine the anti-cancer activity of CDA-II (see Table 1 for results).
  • Example 5 Analysis of effective components of cell differentiation agents
  • the CDA-II cell differentiation agent injection prepared in Example 2 was freeze-dried and concentrated to 200 mg / ml. 5 ml of the concentrated solution was added to a chromatographic column ( 4.1 cm X 4 4 cm) of Bio-Ge 1 P 2 and then eluted with distilled water. One tube was collected automatically every 7 minutes. 0 ml. After the separation was completed, 25 microliters were taken from each tube, diluted with water to 1 liter, and the absorbance at A 225 nm was measured. In addition, 25 microliters were taken from each tube for the measurement of MA T LT activity inhibition. The measurement of MA T LT activity was performed according to the method described in Example 4. Then, the collection tube was divided into 8 parts as shown in FIG.
  • PP-0 is the first part of the divided as shown in FIG. 2, ⁇ ⁇ -0 ⁇ 7 9 at portions 5 and 6.
  • the performance of the differentiation activity of the cell differentiation agent is not caused by the separate action of the differentiation inducer, but often due to the synergistic effect with the differentiation assistant. Come out of activity.
  • the differentiation aid is the main chemical component of the cell differentiation agent.
  • the content of the differentiation inducer is very small, and the chemical structure is still unknown, because it has not been purified to a certain degree.
  • the differentiation-inducing activity and the MAT LT inhibitory activity are in good agreement, but in some parts, as shown in Figures 2 and 3, although there is obvious MAT LT inhibitory activity, it does not induce cancer cell differentiation Of activity. This part may only have a differentiation aid and no differentiation inducer, so it does not have the activity to induce cancer cell differentiation.
  • Differentiation auxiliaries are inhibitors of individual member enzymes of methyl transfer complex enzymes (Liau et al., 1992a reference 23), which can assist differentiation inducers to restore abnormal methyl transfer complex enzymes to normal enzymes, thus promoting differentiation inducers Differentiation function.
  • MAT inhibitors are phenylacetic acid, indoleacetic acid, and hippuric acid.
  • Phenylacetic acid is likely to be a hydrolyzate of phenylacetylglutamine during drying. It is distributed in parts 6 and 7 of Figure 2. It can be determined by C 1 8 HPLC (high performance liquid chromatography). Indole Acetic acid is also in this part. Hipporic acid is the main component of Part 5.
  • the concentrations of these MAT inhibitors to achieve a 0.5 reduction index ie, halving the effective dose of the differentiation inducer
  • Inhibitors of methyltransferases which are differentiation aids, are much more effective than inhibitors of MAT. The former can often achieve the same effect as long as the latter is one thousandth or less.
  • Vitamin B 2 is distributed in the second half of Part 8 of Figure 2. As mentioned above (Liau et al., 1990C), this yellow component can be purified by C 1 8 HPLC to obtain a very pure vitamin B 2 with a content of about 0.0 4 About 6%, urocalcin is shown in parts 6 and 7 of Fig. 2. The fraction containing urocalcin can be purified by Sephadex SH column chromatography and thin-layer silica gel chromatography. The content is about 0.5% of the CD A-II preparation.
  • Example 6 Determination of the activity of differentiation aid of urogranin and vitamin B 2
  • the activity of the differentiation aid was determined according to the method designed by the inventor of the present invention, Mr. Liao Mingzheng and others (Liau et al., 1992a Reference 23).
  • Mr. Liao Mingzheng and others Liau et al., 1992a Reference 23.
  • the cultured HL-60 white blood cancer cells were used to determine the degree of differentiation of cancer cells by the quantitative method of NBT.
  • HL- 6 0 cells were diluted culture flasks each containing 1 0 ml solution starting cells, a concentration of 1.5 x 1 0 5 cells / ml of a set of four control flasks as its only Vitamin A acid differentiation inducer was added, the dose was adjusted to induce NBT + cells between 15% and 60%, and a control bottle containing only solvent was added.
  • Vitamin A acid is soluble in methanol, but the total amount of methanol added must not exceed 2%, so it will not affect the differentiation of cancer cells.
  • Each of the other groups also has four culture flasks, but with a relatively low dose of vitamin A acid, and a control bottle with only a solvent, each group is added with a different dose of differentiation aid.
  • Example 7 Inhibition of t RNA methyltransferase by urocalcin and vitamin B 2
  • t RN A methyltransferase is prepared from HL-60 cancer cells and is a high-speed cell extract according to Example 4.
  • the cell extract was adjusted to pH 5 first, and the precipitated protein was separated by a centrifuge, and then dissolved in 0.0 5 MT ris, p H 7.8, A mixture of 0.5 mM Mg Cl 2 and 5 mM HS CH 2 CH 2 OH.
  • This enzyme solution was further purified by DEAD-cellulose chromatography, elution of t RN A methyl transfer with KC 1 gradient eluent (Liau et al., 1977b reference
  • t RN A methyltransferase activity was measured in 0.2 5 ml reaction solution, which included: 0.0 5 MT ris, p H 7.8, 0.1 M NH 4 C 1, 0.0
  • the effective dose to inhibit methyl transfer activity is much higher than the effective dose of differentiation aids, which may be related to the physical and chemical conditions for measuring these different activities. Different physical and chemical conditions (such as salt concentration) will affect the chemical substances and enzymes. Effective contact. Although the sensitivities are quite different, the activity of different methyltransferase inhibitors and differentiation aids maintains a certain proportional relationship. The more effective the methyltransferase inhibitor, the more effective the differentiation aid. We have also found other inhibitors of methyltransferases, such as ethidium bromide and hycanthone (Liau et al., 1977b reference 1 4), which are similar to urin and vitamin B 2 Good differentiation aid activity.
  • ethidium bromide and hycanthone Liau et al., 1977b reference 1 4
  • Differentiation assistants can not only reduce the effective dose of differentiation inducers, but also promote complete differentiation.
  • HL- 6 0 culturing cancer cells, cultured initial concentration of 1. 5 x 1 0 5 cells / ml of.
  • the culture flasks were divided into three groups of 4 to 5 bottles, one of which served as an additive-free control.
  • One group added vitamin A acid from 0. 2 5 to 0.1
  • the degree of differentiation-inducing agent alone differentiation can only reach about 85%, if the urine red help biotin or vitamin B 2, degree of differentiation is up 100%. Promoting the degree of differentiation entirely medically may be more important than reducing the effective dose of a differentiation inducer.
  • Example 9 Assistance of anti-cancer effects of cell differentiation agents and other anti-cancer chemotherapeutic cells Cancer cells have very active methyl transfer complex enzymes. If only chemical drugs are used to inhibit DNA synthesis, it will cause excessive methyl transfer, which is a gene Reason for repeated synthesis. Repeated gene synthesis leads to the formation of drug-resistant cells (Liau et al., 1992b Reference 24), which is an important factor in the failure of chemotherapy.
  • cell differentiation agents to inhibit abnormal methyl transfer complex enzymes can reduce the formation of drug-resistant cells and contribute to the treatment of cancer. Facts have also proved that cell differentiation agents do indeed help the treatment of certain anticancer drugs.
  • the present invention utilizes CDA-II and thymidine were used in combination (see Figure 6).
  • Example 10 Combined anticancer effect of cell differentiation agent and antioxidant
  • hypoxia can promote the differentiation and death of cancer cells.
  • the use of vitamin C and vitamin B 17 to achieve hypoxia is particularly suitable for anti-cancer purposes, because cancer cells have 10 times the capacity to absorb vitamin C than normal cells (References 2 9), while vitamin B 17 is selectively ⁇ -Glucosidese ( ⁇ -Glucosidese), which is highly active in cancer cells, is broken down into toxic oxidase-inhibiting cyanide (Reference 30), which has a relatively low activity in normal cells.
  • CDA-II, vitamin C, and vitamin B 17 can inhibit the formation of HBL-10 human breast cancer cell populations, 1 ( 5 () are 0.69, 0.53, and 0.1, respectively. 3 mg / ml.
  • the CDA-II preparation is an injection preparation, and the dosage concentration used is 1 g / ml.
  • MAT LT was prepared from HL-60 cancer cells by DEAE-cellulose purification as described above, and the activity was measured according to the previous method (Liau et al., 1977a).
  • the terminal differentiation of HL-60 cancer cells is determined according to the NBT + assay (Liau et al., 1988 reference 18).
  • As for the inhibition of cancer cell colony formation a human HBL-100 breast cancer cell culture method was adopted (Liau etal, m 1990a reference 20).
  • CDA- II 0.8 65 77 80
  • HBL 100 cells were treated with different doses of CDA-II, vitamin C, and vitamin B 17 alone, and CDA-II was used in combination with vitamin C and vitamin B 17 .
  • the present invention has the advantage that the present invention uses the body's own anti-cancer substance to manufacture drugs for treating and preventing cancer, which fundamentally differentiates cancer cells without continuing to divide to achieve the purpose of treatment. Therefore, the present invention It is an effective method to cure the root cause, and the medicine of the present invention does not have any adverse side effects.

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Abstract

The present invention relates to a pharmaceutical composition for treatment and prevention of cancer and preparation method thereof, especially to a cell differentiation agent which is named CDA-II prepared by extracting and purifying fresh human urine. The pharmaceutical composition is superior in effective for treatment and prevention of cancer. These effective components contain a differentiation inducer, a differentiation adjuvant and an anticachexia agent in CDA-II, and cooperate each other to achieve the best medical effect.

Description

诱导癌细胞分化的药物  Drugs that induce cancer cell differentiation

及其在癌症的治疗与预防上的用途 技术领域  And its use in the treatment and prevention of cancer

本发明是关于一种治疗和预防癌症的药物及其制备方法, 亦即 由新鲜人尿提取纯化的细胞分化剂 CDA - II ( Cell differentiation agent )。 该制剂对癌症的治疗与预防效果良好。  The invention relates to a medicine for treating and preventing cancer and a preparation method thereof, namely, a cell differentiation agent CDA-II (Cell differentiation agent) extracted and purified from fresh human urine. The preparation has good effects on the treatment and prevention of cancer.

本发明揭示 C D A— II 可以解除癌细胞甲基转移复合酶 (ternary methylation enzymes)的异常状态, 有效促进癌细胞的终末 分化而达到医疗效果。 这是一种抗癌的新颖方法, 旨在解除病因, 经 实验确认医疗效果相当显著。 C D A - Π是针对癌细胞特有的与甲 基转移复合酶结合的蛋白质消除其作用, 所以在治疗上有特异选择 性, 且没有不良副作用。 C D A— II的有效成分包括分化诱导剂、 分化助剂、和抗恶病质剂, 这些有效成分相互协同可达到最有效的医 疗效果。  The invention discloses that CD A-II can release the abnormal state of cancer cell methylation complex enzymes, effectively promote the terminal differentiation of cancer cells, and achieve medical effects. This is a novel anti-cancer method aimed at eliminating the cause of the disease. It has been confirmed through experiments that the medical effect is quite significant. C D A-Π is a protein specific to cancer cells that binds to methyltransferase and eliminates its effect, so it has specific selectivity in treatment and has no adverse side effects. The active ingredients of C D A-II include differentiation inducers, differentiation aids, and anti- cachexia agents. These active ingredients work together to achieve the most effective medical effect.

C D A - II和其他抗癌药物例如胸苷联合使用抗癌效果更佳, 相互协同的抗癌效果非常明显。  The combination of CDA-II and other anticancer drugs such as thymidine has better anticancer effects, and the synergistic anticancer effect is very obvious.

C D A - II与维生素 C及维生素 B17合并使用, 抗癌效果也非 常良好。 CDA-II is used in combination with Vitamin C and Vitamin B 17 and has a very good anti-cancer effect.

癌症是一系列相当复杂的疾病, 不过癌症有一共同特征, 那就 是所有的癌细胞都具有持续不断的分裂能力, 并且无法进行终末分 化。发明人发现异常甲基转移复合晦是构成癌症这一共同特征的最主 要病因, 本发明是针对该病因来寻求癌症的医疗与预防。从正常人的 尿可以提取精制细胞分化剂,该制剂可以将癌细胞的异常甲基转移复 合醇恢复正常, 结果癌细胞就被诱导进行终末分化而不再继续分裂, 甚至死亡, 如此则可以达到癌症的医疗和预防效果。这是一种有选择 性的疗法, 所以疗法安全; 并且由于健康人也依赖这些化学物质来对 抗癌症的发生, 这种疗法可以说是天然的抗癌方法, 无不良副作用。 细胞分化剂的有效成分为分化诱导剂和分化助剂。 分化诱导剂 可以消除癌细胞特有的结合在甲基转移复合酶上的异常蛋白质因子Cancer is a fairly complex series of diseases, but cancer has one thing in common, that is, all cancer cells have the ability to divide continuously and fail to undergo terminal differentiation. The inventors found that the abnormal methyl transfer complex is the most important cause that constitutes a common feature of cancer. The present invention aims at this cause to seek medical treatment and prevention of cancer. A purified cell differentiation agent can be extracted from the urine of normal people. The preparation can restore abnormal methyl transfer complex alcohols of cancer cells to normal. As a result, cancer cells are induced to undergo terminal differentiation and no longer continue to divide or even die. To achieve the medical and preventive effects of cancer. This is a selective therapy, so the therapy is safe; and because healthy people also rely on these chemicals to fight cancer, this therapy can be said to be a natural anti-cancer method without adverse side effects. The active ingredients of the cell differentiation agent are a differentiation inducer and a differentiation assistant. Differentiation inducer can eliminate abnormal protein factors unique to cancer cells that bind to methyltransferase

(即异常肿瘤特异性蛋白因子(abnormal tumor specific protein factor) ) , 分化助剂则是复合酶的各成员酶的抑制剂, 具有增强分化 诱导剂的功能。在本发明细胞分化剂中, 其中的分化诱导剂为 P P— 0和 O A— 0 . 7 9 , 分化助剂至少包括苯乙酸、马尿酸、吲哚乙酸、 尿赤素和维生素 B2。 另外, 细胞分化剂含有抗过度排泄的成分如苯 乙酰谷氨酰胺, 因为大部分癌症病人有过度排泄的症状, 所以这种成 分对癌症的医疗也相当有帮助。 总而言之, 细胞分化剂有多种有效成 分互相协助而产生优良的医疗效果。发明人又发现细胞分化剂和其他 细胞毒药如胸苷联合使用, 会产生更好的抗癌作用。 另也发现细胞分 化剂与维生素 C及维生素 B17合并使用, 可有效促进抗癌作用。 (Ie, abnormal tumor specific protein factor), the differentiation aid is an inhibitor of each member enzyme of the complex enzyme, and has the function of enhancing the differentiation inducer. Cell differentiation agent in the present invention, wherein the differentiation inducing agent is PP- 0 and OA- 0. 7 9, comprising at least differentiation aids acid, hippuric acid, indole acetic acid, red urine and vitamin B 2. In addition, cell differentiation agents contain anti-excessive ingredients such as phenylacetylglutamine. Since most cancer patients have symptoms of excessive excretion, this ingredient is also quite helpful for the treatment of cancer. All in all, the cell differentiation agent has a variety of effective ingredients to assist each other to produce excellent medical effects. The inventors have also found that the use of cell differentiation agents in combination with other cytotoxic drugs such as thymidine will produce better anti-cancer effects. It has also been found that the combination of cell differentiation agents with vitamin C and vitamin B 17 can effectively promote anti-cancer effects.

背景技术 Background technique

致癌基因是人类细胞基因的一部分, 因此有人类即有癌症。 这 种疾病到目前为止还是没有艮好的克服办法, 癌症之所以难以治疗, 癌细胞本身的组成复杂就是一个原因,不过尚未找到妥善的防治对策 则是更重要的因素。 癌细胞会持续不断地分裂, 侵入正常器官及組 织, 最后造成重病而致死。传统医学界向来把癌细胞持续分裂当作癌 症的最根本症结, 进而寻求细胞毒来中止 D N A合成以防止细胞分 裂, 细胞毒疗法原由于此。近四十年来治疗癌症的方针都着重在发展 细胞毒疗法。 癌症医疗市场也被这种药物所垄断。 然而人类也不断地 寻求其他突破性的新疗法。  Oncogenes are part of the genes of human cells, so humans have cancer. There is still no good way to overcome this disease. The reason why cancer is difficult to treat is that the composition of the cancer cells themselves is complicated. However, it is more important to find appropriate prevention and treatment measures. Cancer cells continue to divide, invade normal organs and tissues, and eventually cause serious illness and death. The traditional medical community always regards the continuous division of cancer cells as the most fundamental crux of cancer, and then seeks cytotoxicity to stop D N A synthesis to prevent cell division, which is why cytotoxic therapy. The guidelines for treating cancer for the past four decades have focused on the development of cytotoxic therapies. The cancer medical market is also monopolized by this drug. Yet humans are constantly seeking other breakthrough new therapies.

熟知的维生素 A酸(即视黄酸 retinoic acid )作为抗癌剂, 虽 然疗效极佳 (Huang 等人, 1988; Warrell等人, 1991参考文献 8及 2 8 )可是不久癌细胞又复发 (Muindi 等人, 1992 Adamson 等人, 1993 参考文献 1及 2 5 )。复发与单用分化诱导剂诱导的分化不完全 有关, 原因是单用分化诱导剂会造成伤害, 使细胞不能完成分化程 序。 本发明中引用及涉及的参考文献如下: The well-known vitamin A acid (retinoic acid) is used as an anticancer agent. Although the effect is very good (Huang et al., 1988; Warrell et al., 1991 references 8 and 28), the cancer cells relapse soon (Muindi et al. al, 1992 Adamson et al., 1993 References 1 and 25). Relapse is not completely related to the differentiation induced by the differentiation inducer alone, because the differentiation inducer alone can cause damage and prevent cells from completing the differentiation procedure. The references cited and referred to in the present invention are as follows:

1. Adamson PC, Boylan JF, Balis FM, Murfy RF Godwin KA, gudas LT, Poplack DG诱导全反视黄酸代谢的时间过程及细胞视黄 酸蛋白的正向调节 ( Time course of induction of metabolism of all-trans retinoic acid and the up-regulation of cellular retinoic acid binding protein. )癌症研究 ( Cancer Res. ) , 53:472-476, 1993.  1. Adamson PC, Boylan JF, Balis FM, Murfy RF Godwin KA, gudas LT, Poplack DG induces the time course of total trans-retinoic acid metabolism and the positive regulation of cellular retinoic acid (Time course of induction of metabolism of all -trans retinoic acid and the up-regulation of cellular retinoic acid binding protein.) Cancer Res., 53: 472-476, 1993.

2. Bar-Or D, Greisman SL, Kastendieck JG通过测定尿赤素检 测 阑尾炎 ( Detection of appendicitis by measurement of uroer thrin. ) 美国专利 5, 053, 389, 1991.  2. Bar-Or D, Greisman SL, Kastendieck JG Detection of appendicitis by measurement of uroer thrin. U.S. Patent 5, 053, 389, 1991.

3. Borek E. 等人, 获得性免疫缺陷症或易于患此症的病人中修 饰的核苷与 β -氨基异丁酸的更替排泄( Altered excretion of modified nucleosides and β -aminoisobutyric acid in subjects with acquired immunodeficiency syndrome or at risk for acquired immunodeficiency syndrome. )癌症研究( Cancer Res. ) 46: 2557, 1986.  3. Borek E. et al. Altered excretion of modified nucleosides and β-aminoisobutyric acid in subjects with acquired immunodeficiency syndrome or at risk for acquired immunodeficiency syndrome.) Cancer Res. 46: 2557, 1986.

4. Burzynski, S.R. 用抗肿瘤剂治疗恶性脑肿瘤( Treatment of Malignant Brain tumors with Antineoplastons. ) 临床化学治疗实验 进展 ( Adv. Exp. Clin. Chemother. ) 6/88:45-46, 1998.  4. Burzynski, S.R. Treatment of Malignant Brain tumors with Antineoplastons. Adv. Exp. Clin. Chemother. 6/88: 45-46, 1998.

5. Clark P.M.S., Kricka L.J., Whitehead T.P. 用 iso-Dalt技术 研究类风湿性关节炎的尿蛋白和肽模式 ( Pattern of urinary proteins and peptides with rheumatioid arthritis investigated with the iso-Dalt technique. ) 临床化学( Clin. Chem. ) , 26:201, 1980.  5. Clark PMS, Kricka LJ, Whitehead TP Use iso-Dalt technology to study the pattern of urinary proteins and peptides with rheumatioid arthritis investigated with the iso-Dalt technique. Clin Chem.), 26: 201, 1980.

6. Doerfler, W. DNA 甲基化和基因活化 ( DNA methylation and gene activity )生物化学年报( Annu. Rev. Biochem. ), 52:93-124, 1983.  6. Doerfler, W. DNA methylation and gene activity (Annnu. Rev. Biochem.), 52: 93-124, 1983.

7. Epifanova, O.I., Abuladze, M.K., 和 Zoniovska, A.I. 在快速 增殖和受刺激的细胞培养物中低浓度放线菌素 D对引发 DNA合成的 作用 ( Effect of low concentrations of actinomycin D on the initiation of DNA synthesis in rapidly proliferating and stimulated cell cultures. ) 细胞研究快迅 ( Exp. Cell Res. ), 92:25-30, 1975. 7. Epifanova, OI, Abuladze, MK, and Zoniovska, AI Effect of low concentrations of actinomycin D on the rapid proliferation and stimulated cell culture initiation of DNA synthesis in rapidly proliferating and stimulated cell cultures.) Exp. Cell Res., 92: 25-30, 1975.

8. Huang, M.E., Ye, Y. C., Chen, S.R., Chai, J.R., Lu, J.X., Zhoa, L., Gu, L.J.,和 Wang, Z.Y., 在急性早幼粒细胞白血病的治疗 中全反视黄酸的作用 ( Use of all-trans retinoic acid in the treatment of acute promyelocytic leukemia Blood ) 72: 567-572, 1988.  8. Huang, ME, Ye, YC, Chen, SR, Chai, JR, Lu, JX, Zhoa, L., Gu, LJ, and Wang, ZY, all-reflective yellow in the treatment of acute promyelocytic leukemia Use of all-trans retinoic acid in the treatment of acute promyelocytic leukemia Blood 72: 567-572, 1988.

9. Jones P.A. 用 5 -氮胞苷改变基因表达( Altering gene expression With 5-azacytidine. ) 细胞( Cell ), 40: 484-486, 1985.  9. Jones P.A. Altering gene expression With 5-azacytidine. Cell (Cell), 40: 484-486, 1985.

10. Kampalath, B.N., Liau, M. C, Burzynski, Β·, 和 Burzynski, S.R. 用抗肿瘤剂 A10 化疗预防苯并 ( a ) 芘诱导的肺癌 10. Kampalath, B.N., Liau, M.C, Burzynski, Beta, and Burzynski, S.R. Prevention of benzo (a) pyrene-induced lung cancer with antitumor agent A10 chemotherapy

( Chemoprevention by Antineoplaston A10 of Benzo (a) pyrene- induced Pulmonary Neoplasia. )药物开发的临床研究( Drugs Exptl. Clin. Res. ), 13 (增刊):51-56, 1987. (Chemoprevention by Antineoplaston A10 of Benzo (a) pyrene-induced Pulmonary Neoplasia.) Clinical Research on Drug Development (Drugs Exptl. Clin. Res.), 13 (Suppl.): 51-56, 1987.

11. Liau, M.c, Smith. D.W., 和 Huriibert, R.B., lhomoptyribo 核苷对核糖体视黄酸的甲基化和核糖体的产生的破坏的优先抑制 11. Liau, M.c, Smith. D.W., and Huriibert, R.B., lhomoptyribo Preferred inhibition of riboside methylation and destruction of ribosome production by riboside

( Preferential in inhibition by lhomopty ribonucleotides of the methylation of ribosomal ribonucleic acid and disruption of the production of ribosomes in a rat tumor. )癌症研究 ( Cancer Res. ) 35: 2340-2349 1975b. (Preferential in inhibition by lhomopty ribonucleotides of the methylation of ribosomal ribonucleic acid and disruption of the production of ribosomes in a rat tumor.) Cancer Res. 35: 2340-2349 1975b.

12丄 iau, M.c, Huno. M.E.,和 Huriibert, R.B.核糖体 RNA甲基 酶对哺乳动物细胞的核糖体生成的调节作用 ( Role of ribosomal RNA methylases in the regulation of ribosome production in mammalian cells. ) 生物化学( Biochem. ) , 15 :3158-3164, 1976.  12 丄 iau, Mc, Huno. ME, and Huriibert, Role of ribosomal RNA methylases in the regulation of ribosome production in mammalian cells. Biochemistry (Biochem.), 15: 3158-3164, 1976.

13.Liau, M.c. Lin. G.W., 和 Huriibert, R.B., 肿瘤和肝 S -腺 苷甲硫氨酸合成醇的部分纯化和特征化 ( Partial purification and characterzation of tumor and liver S-adenosyimethionine synthetases. )癌症研究( Cancer Res. ) , 37: 427-435, 1977a. 14.Liau, M.c, Lin G.W., Kmight, C.A.,和 Huriibert, R.B.,嵌 入剂对 RNA 甲基化的抑制 ( Inhibition of RNA Methylation by Intercalating Agents. )癌症研究( Cancer Res. ), 37·, 4202-4210. 1977b. 13. Liau, Mc Lin. GW, and Huriibert, RB, Partial purification and characterzation of tumor and liver S-adenosyimethionine synthetases. Cancer Res., 37: 427-435, 1977a. 14. Liau, Mc, Lin GW, Kmight, CA, and Huriibert, RB, Inhibitor of RNA Methylation by Intercalating Agents. Cancer Res., 37 ·, 4202- 4210. 1977b.

15丄 iau, M.C., Chang, C.F. 和 Becker, F.F. 在化学致肝癌和 引起肿瘤的过程中 S -腺苷甲硫氨酸合成醇的变化( Alteration of S-adenosylmethionine synthetase during chemical hepatocarcinogenesis and in resulting carcinomas. ) 研究( Res. ) , 39: 2113-2119, 1979.  15 丄 iau, MC, Chang, CF and Becker, FF Alteration of S-adenosylmethionine synthetase during chemical hepatocarcinogenesis and in resulting carcinomas. ) Research (Res.), 39: 2113-2119, 1979.

16丄 iau M.C., 和 Burzynsk^ S.R. 用变化的甲基转移复合同工 酶作为选择性药把进行癌症化疗 ( Altered methylation complex isozymes as selective targets for cancer chemotherapy. ) 药物开发临 床研究 ( Drugs Exptl. Clin. Res. ), 12(增刊) :77-86, 1986.  16 丄 iau MC, and Burzynsk ^ SR Altered methylation complex isozymes as selective targets for cancer chemotherapy. Alters methylation complex isozymes as selective targets for cancer chemotherapy. Drugs Exptl. Clin. Res ), 12 (Supplement): 77-86, 1986.

17.Liau., M.C, Szopa, M., Burzynski, B.,和 Burzynski, S.R. 化学监视: 一种对抗癌症的天然 防预机制 的新概念 ( Chemosurveillance: a novel concept of the natural defense mechanism against cancer. ) 药物开发临床研究 ( Drugs Exptl. Clin. Res. ), 12(增刊) 71-76, 1987b.  17. Liau., MC, Szopa, M., Burzynski, B., and Burzynski, SR Chemical surveillance: a new concept of the natural defense mechanism against cancer. ) Drugs Exptl. Clin. Res., 12 (Supplement) 71-76, 1987b.

18丄 iau, M.C, Lee, S.S., 和 Burzynski, S.R. 抗肿瘤剂 A5的分 化 诱 导 成 分 ( Differentiation inducing components of antineoplaston A5. ) 临床化学治疗实验进展 ( Adv. Exptl. Clin. Chemother. ), 6/88:9-25, 1988.  18 丄 iau, MC, Lee, SS, and Burzynski, SR Differentiation inducing components of antineoplaston A5. Advances in clinical chemotherapeutic experiments (Adv. Exptl. Clin. Chemother.), 6/88 : 9-25, 1988.

19丄 iau, M.C. Lee, S.S., 和 Burzynski, S.R. 核酸的甲基化不 足: 谤导终末分化的关键 ( Hypomethylation of nucleic acids: a key to the induction of terminal differentiation. )国际临床化学治疗实验 杂志 ( Intl. J. Exptl. Clin. Chemother. ), 2:187-199, 1989.  19 丄 iau, MC Lee, SS, and Burzynski, SR Insufficient methylation of nucleic acids: Hypomethylation of nucleic acids: a key to the induction of terminal differentiation. International Journal of Clinical Chemotherapy Experiments ( Intl. J. Exptl. Clin. Chemother.), 2: 187-199, 1989.

20丄 iau, M.C. 和 Burzynski, S.R.抗肿瘤剂 A2、 A3和 A5的活 性抗癌成分的分离 ( Separation of active anticancer components of antineoplaston A2, A3 and A5. ) 国际组织学反应杂志( Intl. J. Tiss. React. ), 12(增刊) :1-18 1990a. 20 丄 Iau, MC and Burzynski, Separation of active anticancer components of antitumor agents A 2 , A 3 and A 5 (Separation of active anticancer components of antineoplaston A2, A3 and A5.) International Journal of Histological Response (Intl. J. Tiss. React.), 12 (Supplement): 1-18 1990a.

21. Liau, M.C. Lee, S.S., 和 Burzynski, S.R. 在诱导抗肿瘤剂 AB介导的终末分化中作为决定因素的甲基转移复合同工酶的调节 作用 ( Modulation of cancer methylation complex isozynski, S.R. Modulation of cancer methylation complex isozymes as a decisive factor in the induction of terminal differentiation mediated by antineoplaston AB. ) 国际组织学反应杂志( In«. J. Tiss. React. ) 12(增刊): 27-36, 1990b.  21. Modulation of cancer methylation complex isozynski, SR Modulation of Liau, MC Lee, SS, and Burzynski, SR as determinants in the induction of antitumor agent AB-mediated terminal differentiation cancer methylation complex isozymes as a decisive factor in the induction of terminal differentiation mediated by antineoplaston AB.) International Journal of Histological Response (In «. J. Tiss. React.) 12 (Supplement): 27-36, 1990b.

22. Liau, M.C., Asohraf A., Lee, S.S., Hendry, L.B. 和 Burzynski, S.R. 抗肿瘤剂 A2和 A5的低活性抗瘤成分核黄素22. Liau, MC, Asohraf A., Lee, SS, Hendry, LB and Burzynski, SR riboflavin, a low activity antitumor component of antitumor agents A 2 and A 5

( Riboflavin as a minor active anticancer component of Antineoplaston A2 and A5. ) 国际组织学反应杂志 ( Intl. J. Tiss. React. ) 12(增刊) :18-26, 1990c. (Riboflavin as a minor active anticancer component of Antineoplaston A2 and A5.) Intl. J. Tiss. React. 12 (Suppl.): 18-26, 1990c.

23丄 iau, M.C., Liau, CD., Burzynski, S.R. 苯乙酸及相关化学 物质诱导的终末分化 ( Potanilation of induced terminal differenation by phenylacetic acid and related chemicals ) , 国际化 学治疗实验杂志 ( Intl. J. Exptl. Clin. Chemother. ) 8:9-17, 1992a.  23 丄 iau, MC, Liau, CD., Burzynski, SR Potanilation of induced terminal differenation by phenylacetic acid and related chemicals, Intl. J. Exptl Clin. Chemother.) 8: 9-17, 1992a.

24. Liau, M.C., Luang, Y" Liaum CP.,和 Burzynski, S.R. 用抗 肿瘤成分预防药物诱导的 DNA 过甲基化( Prevention of drug- induced DNA hypermethylation by antineoplastin components. ) 国 际组织学反应杂志( Intl. J. Exptl. Clin. Themother. ) ,5,19- 23,1992b.  24. Liau, MC, Luang, Y "Liaum CP., And Burzynski, SR Prevention of drug-induced DNA hypermethylation by antineoplastin components. Intl. J. Exptl. Clin. Themother.), 5, 19-23, 1992b.

25. Muind:, J.R.F., Frankd, S.R" Huselton, D., Degrazia, F., Garland, W.A.,young G.W., 和 Warrell, R.P. 口服全反视黄酸对急 性早幼粒细胞白血病患者的临床药理( Clinical pharmacology of oral all-trans retinoic acid in patients with acute promyelocytic leukemia. )癌症研究 ( Cancer Res. ) , 52:2138-2142, 1992. 26. MuIdoon T.G., Copland J.A., Hendry L.B., 抗肿瘤剂 A10 对致癌剂诱导的鼠乳癌的作用 ( Antineoplaston A10 activity on carcinogene-induced rat mammary tumorsm ), 国际组织学反应杂 志 ( Intl. J. Tiss. React. ) 12(增刊) :51-56, 1990. 25. Muind: Clinical pharmacology of JRF, Frankd, SR "Huselton, D., Degrazia, F., Garland, WA, young GW, and Warrell, RP in patients with acute promyelocytic leukemia. Clinical pharmacology of oral all-trans retinoic acid in patients with acute promyelocytic leukemia.) Cancer Res., 52: 2138-2142, 1992. 26. MuIdoon TG, Copland JA, Hendry LB, Antineoplaston A10 activity on carcinogene-induced rat mammary tumorsm induced by carcinogens, Intl. J. Tiss. React .) 12 (Supplement): 51-56, 1990.

27. TonioaI, D" Weiss, H.K.,和 Basilio, C.A. 在哺乳动物细胞中 影响 28S核糖体 RNA产生的温度敏感突变( temperature sensitive mutation affecting 28S ribosomal RNA production in mammalian cells. ) 全国科技论文汇编 ( Pric. Natl. Acad. Sci. USA ), 70:1273- 1277. 1973.  27. TonioaI, D "Weiss, HK, and Basilio, CA temperature sensitive mutation affecting 28S ribosomal RNA production in mammalian cells (Pric. Natl. Acad. Sci. USA), 70: 1273- 1277. 1973.

28. WarreIl, R.P. Jr., Frankel, S.R., Miller, W.H. Jr. Sheinberg, D.A., Itri, L.M., Hettelman, W.N., Vyas, R" Andreeff M., Tafuri, A., Jakubowski, A, Gabrilove., J., Gordon, Ms" 和 Dmitrovsky, E. 用 全反视黄酸分化治疗急性早幼粒细胞白血病 ( Differentiation therapy of acute promyelocytic leukemia with tretinoin(alI- trans- retinoic acid). ) 新英格兰医学杂志 ( N. Engl. J. Med. ), 324: 1385-1393,1991.  28. WarreIl, RP Jr., Frankel, SR, Miller, WH Jr. Sheinberg, DA, Itri, LM, Hettelman, WN, Vyas, R "Andreeff M., Tafuri, A., Jakubowski, A, Gabrilove., J ., Gordon, Ms "and Dmitrovsky, E. Differentiation therapy of acute promyelocytic leukemia with tretinoin (alI-trans-retinoic acid).) New England Journal of Medicine (N Engl. J. Med.), 324: 1385-1393, 1991.

29.Spielhoiz. C., Golde. D. W., Houghton, A. N., Nualart, F., 和 Vera J.C. 在人黑素瘤中不改变钠-依赖性抗坏血酸的转运而增 加脱氢抗坏血酸的转运 ( lncicased Facilityted Transport of Dehydroaseorbic Acid without Changes in Sodium-dependent Ascorbate Transport in Humen Melanoma Cells. ) 癌症研究 ( Cancer Res. ) 57:2529-2537, 1997.  29. Spielhoiz. C., Golde. DW, Houghton, AN, Nualart, F., and Vera JC do not alter sodium-dependent ascorbic acid transport and increase dehydroascorbic acid transport in human melanoma (lncicased Facilityted Transport of Dehydroaseorbic Acid without Changes in Sodium-dependent Ascorbate Transport in Humen Melanoma Cells.) Cancer Res. 57: 2529-2537, 1997.

30.佐野镰太郎, "消灭癌症" , 世茂出版社, 台北, 台湾 1997.ΡΡ202,203  30. Kamanoro Sano, "Eliminating Cancer", Shimao Publishing House, Taipei, Taiwan 1997.PP202,203

发明内容  Summary of the Invention

本发明的目的在于提供一种诱导癌细胞分化的药物及其在癌症 的治疗与预防上的用途, 如上所述, 癌症是一系列相当复杂的疾病, 不过癌症有一共同特征,那就是所有的癌细胞都具有持续不断的分裂 能力, 并且无法进行终末分化。本发明意外地发现异常甲基转移复合 酶是构成癌症这一共同特征的最主要病因,因此本发明是针对该病因 来寻求癌症的医疗与预防。 The object of the present invention is to provide a medicament for inducing differentiation of cancer cells and its use in the treatment and prevention of cancer. As mentioned above, cancer is a series of rather complicated diseases, but cancer has one feature in common, that is, all cancers. Cells have a constant division Ability, and terminal differentiation. The present invention unexpectedly found that abnormal methyltransferase is the most important cause of the common feature of cancer. Therefore, the present invention seeks the medical treatment and prevention of cancer based on this cause.

本发明人累积三十多年潜心精僻的研究, 发现异常的甲基转移 复合酶才是癌症最根本的症结,因为该复合酶异常才导致癌细胞的持 续分裂。甲基转移复合醇在细胞的分裂以及分化中扮演着很重要的主 导角色, 这些酶活性高时细胞就进行分裂, 活性由高转低时, 细胞会 合成缺甲基核酸,结果细胞就被诱导进行分化而变成不再分裂的终末 分化细胞。 所有的癌细胞都有异常的甲基转移复合酶,把这些酶固定 在活性很高又稳定的状态, 因而细胞不断地分裂, 所以异常的甲基转 移复合酶是癌症的病因, 持续的细胞分裂是癌症的症状。 因为癌细胞 是异常的甲基转移复合鲦促成的,如果能够发现有效的药物来抑制这 种异常酶, 则对已发病症有治疗功效, 对未发病症有预防功效。 其实 正常人体内已有足够的化学物质来抑制这些异常甲基转移复合酶的 形成, 因此, 生成癌的过程要经过漫长的一段促成时间, 在该期间病 人加速排泄具有抗癌作用的化学物质,等到这些抗癌物质减低到不足 以抑制异常的甲基转移复合酶时, 癌细胞才开始生根繁殖起来, 终于 出现症状。 正常人也会从尿中排泄少量的抗癌物质, 这些物质经过提 取精制后可以很有选择地抑制异常的甲基转移复合酶,结果癌细胞就 和正常细胞一样被诱导进行分化。因为正常的甲基转移复合酶没有异 常因子, 所以正常细胞的生长和功能不会受到这些抗癌物质的影响。 在抗癌化学药物中, 这是唯一有特异选择性的化学药物, 因此病人不 会遭受不良的副作用。 这种疗法即分化疗法, 可以说是一种有选择 性、 顺乎自然的治本疗法, 也就是人类固有的抗癌方法。 在抗癌化学 药物中恐怕很难找出可以驾手其上的药物。  The inventors have accumulated more than thirty years of intensive research and found that the abnormal methyltransferase is the most fundamental crux of cancer, because the abnormality of this enzyme leads to the continuous division of cancer cells. Methyltransfer complexes play an important leading role in cell division and differentiation. When these enzymes have high activity, they divide. When the activity changes from high to low, the cells synthesize methyl-deficient nucleic acids, and as a result, the cells are induced. Differentiate into terminally differentiated cells that no longer divide. All cancer cells have abnormal methyltransferase enzymes. These enzymes are immobilized in a highly active and stable state, so the cells continue to divide. Therefore, abnormal methyltransferase enzymes are the cause of cancer and continuous cell division. It is a symptom of cancer. Because cancer cells are caused by abnormal methyl transfer complexes, if effective drugs can be found to inhibit this abnormal enzyme, it will have a therapeutic effect on the existing disease and a preventive effect on the non-existing disease. In fact, there are enough chemicals in the normal human body to inhibit the formation of these abnormal methyltransferases. Therefore, the process of carcinogenesis takes a long time to promote, during which the patient accelerates the excretion of chemicals with anticancer effects. When these anticancer substances are reduced enough to inhibit abnormal methyltransferases, cancer cells begin to take root and multiply, and finally symptoms appear. Normal people also excrete a small amount of anti-cancer substances from the urine. After extraction and purification, these substances can selectively inhibit abnormal methyltransferases. As a result, cancer cells are induced to differentiate like normal cells. Because normal methyltransferases do not have anomalous factors, normal cell growth and function are not affected by these anticancer substances. Among anticancer drugs, this is the only chemical that is specifically selective, so patients do not suffer from adverse side effects. This kind of therapy, differentiation therapy, can be said to be a selective and natural cure, which is the inherent anti-cancer method of human beings. I am afraid it is difficult to find drugs that can be used among anticancer chemicals.

一般来说, 正常健康人虽然将一部分这类可以导致癌细胞分化 的化学物质由尿排出体外, 但是能够维持得失平衡, 所以体内总是有 足够的分化诱导化学物质来抑制癌细胞的形成。相反, 癌症病人由于 排泄过多而失去控制癌细胞繁衍的能力。从这观点来衡量, 分化疗法 不仅是治本疗法, 而且可以说是天然的抗癌良方。 既然尿中有化学物 质可以诱导癌细胞进行终末分化,于是本发明从正常人的尿提取精制 了细胞分化剂, 该制剂可以使癌细胞的异常甲基转移复合酶恢复正 常, 结果癌细胞就被诱导进行终末分化而不再继续分裂, 甚至死亡, 达到癌症的医疗和预防效果。 In general, although normal healthy people excrete some of these chemicals that can cause cancer cell differentiation from the urine, they can maintain a balance between gains and losses, so there are always enough differentiation-inducing chemicals in the body to inhibit the formation of cancer cells. Instead, cancer patients Excessive excretion loses the ability to control the proliferation of cancer cells. Measured from this perspective, differentiation therapy is not only a cure for the root cause, but also a natural anti-cancer recipe. Since there are chemicals in urine that can induce cancer cells to undergo terminal differentiation, the present invention extracts and refines cell differentiation agents from normal human urine. The preparation can restore abnormal methyl transfer complex enzymes of cancer cells to normal. It is induced to undergo terminal differentiation without continuing to divide and even die, achieving the medical and preventive effects of cancer.

本发明是这样实现的, 由于人类多年采取相对下策的办法治疗 癌症而效果不显著, 应该把治疗的目标放在 "甲基转移复合醇"这个 治本的疗法上。 因为癌细胞是异常的甲基转移复合酶促成的, 用药物 抑制这种异常酶, 则对已发病症有治疗功效, 对未发病症有预防功 效, 此疗法兼具西医和中医的优良疗法。 由于正常人尿中具有排泄的 少量可诱导癌细胞进行终末分化的化学物质,本发明则是用正常人的 尿进行提取并精制成可使癌细胞的异常甲基转移复合酶恢复正常、能 诱导癌细胞进行终末分化而不再继续分裂的细胞分化剂及其制剂,以 达到医疗和预防的目的。本发明的制剂可以有选择地抑制异常的甲基 转移复合酶, 结果癌细胞就和正常细胞一样被诱导进行分化, 因为正 常的甲基转移复合酶没有异常因子,所以正常细胞的生长和功能不会 受到这些抗癌物质的影响, 在抗癌化学药物中, 这是唯一有特异选择 性的,是一种顺乎自然的治本疗法, 而且健康人本来也是依赖这些化 学物质来对抗癌症的发生。也就是说这是人类固有的抗癌方法。抗癌 化学药物中很难找出驾乎其上的药物。  The present invention is implemented in this way. Since humans have adopted relatively inadequate measures to treat cancer for many years, the effect is not significant. The goal of treatment should be on the radical therapy of "methyl transfer complex alcohol". Cancer cells are caused by abnormal methyltransferases. Inhibiting such abnormal enzymes with drugs has a therapeutic effect on the existing disease and a preventive effect on the non-symptomatic disease. This therapy is an excellent treatment for both Western and Chinese medicine. Due to the excretion of a small amount of chemicals that can induce cancer cells to undergo terminal differentiation in normal human urine, the present invention extracts and refines the abnormal methyl transfer complex enzymes of cancer cells to normal, Cell differentiation agent and preparation capable of inducing cancer cells to undergo terminal differentiation without continuing to divide, so as to achieve medical and preventive purposes. The preparation of the present invention can selectively inhibit abnormal methyl transfer complex enzymes. As a result, cancer cells are induced to differentiate like normal cells. Because normal methyl transfer complex enzymes do not have abnormal factors, the growth and function of normal cells are not stable. Will be affected by these anti-cancer substances. Among the anti-cancer chemotherapies, this is the only one with specific selectivity. It is a natural cure for the disease. Healthy people also rely on these chemicals to fight cancer. In other words, this is an inherent anti-cancer method in humans. Anticancer drugs are hard to find.

细胞分化剂的有效成分为分化诱导剂和分化助剂。 分化诱导剂 可以消除癌细胞特有的结合在甲基转移复合酶上的异常蛋白质因 子, 分化助剂则是复合酶的各成员酶的抑制剂, 具有增进分化诱导剂 的功能, 所以分化助剂是分化疗法不可或缺的成分, 虽然其重要性或 许比不上分化诱导剂。在本发明的细胞分化剂中, 其中的分化诱导剂 为 P P— 0和 O A— 0 . 7 9 , 分化助剂至少包括苯乙酸、 马尿酸、 吲哚乙酸、 尿赤素和维生素 B2。 另外本发明的细胞分化剂含有的另一种成分对癌症治疗也相当 有帮助, 即抗恶病质剂。本案发明人发现笨乙酰谷氨酰胺可以对抗癌 症病人恶病质症状引起的过度排泄 (Liau 等人, 1987; Muldoon 等人, 1990参考文献 1 0及 2 6 ), 其为图 2中第 4部分的主要成分。 因为 大部分癌症病人有过度排泄的症状,所以这种成分对癌症的治疗也相 当有帮助。 总而言之, 细胞分化剂有多种有效成分互相协助而产生优 良的医疗效果。 The active ingredients of the cell differentiation agent are a differentiation inducer and a differentiation assistant. Differentiation inducers can eliminate abnormal protein factors that are unique to cancer cells and bind to methyltransfer complex enzymes. Differentiation assistants are inhibitors of the enzymes of each member of the complex enzyme, and have the function of promoting differentiation inducers. An essential component of differentiation therapy, although it may not be as important as a differentiation inducer. Cell differentiation agent in the present invention, wherein the differentiation inducing agent is PP- 0 and OA- 0. 7 9, comprising at least differentiation aids acid, hippuric acid, indole acetic acid, red urine and vitamin B 2. In addition, another component contained in the cell differentiation agent of the present invention is also quite helpful for cancer treatment, that is, an anti-cachexia agent. The inventors of the present case found that stupid glutamine can combat the excessive excretion caused by cachexia symptoms of cancer patients (Liau et al., 1987; Muldoon et al., 1990 references 10 and 26), which is the main part of Figure 4 in Part 4 ingredient. Because most cancer patients have symptoms of excessive excretion, this ingredient is also quite helpful in the treatment of cancer. All in all, the cell differentiation agent has a variety of effective ingredients to assist each other to produce excellent medical effects.

本发明又发现细胞分化剂 C A D— II和其他细胞毒药例如胸苷 联合使用, 会产生更好的抗癌作用。  The present invention has also found that the use of the cell differentiation agent CA D-II in combination with other cytotoxic agents such as thymidine will produce a better anti-cancer effect.

另外,本发明的细胞分化剂 C A D— Π与维生素 C及维生素 B2 联合使用, 会产生更好的抗癌作用。 In addition, the use of the cell differentiation agent CAD-II of the present invention in combination with vitamin C and vitamin B 2 will produce a better anti-cancer effect.

本发明的细胞分化剂的制备是首先收集具有一定肌酸酐浓度的 正常人尿, 经过吸附剂吸附和用有机溶剂进行萃取、 回收、 纯化而制 成制剂,本发明的制剂是一种针剂, 亦可制成胶嚢或其他药物剂型。  The cell differentiation agent of the present invention is prepared by first collecting normal human urine with a certain creatinine concentration, and then preparing the preparation through adsorption with an adsorbent and extraction, recovery, and purification with an organic solvent. The preparation of the present invention is an injection. Can be made into capsules or other pharmaceutical dosage forms.

本发明与先有技术相比, 其优点在于本发明利用人体本身的抗 癌物质制造治疗和预防癌症的药物,从根本上使癌细胞分化而不再继 续分裂以达到治疗的目的, 故本发明是一种治本的有效方法, 而且本 发明的药物没有任何不良的副作用。  Compared with the prior art, the present invention has the advantage that the present invention uses the body's own anti-cancer substance to manufacture drugs for treating and preventing cancer, which fundamentally differentiates cancer cells without continuing to divide to achieve the purpose of treatment. Therefore, the present invention It is an effective method to cure the root cause, and the medicine of the present invention does not have any adverse side effects.

附图概述 Overview of the drawings

参阅以下有关本发明较佳实施例的详细说明及其附图, 将可进 一步了解本发明的技术内容及其目的功效; 有关实施例的附图为: 图 1: 本发明的细胞分化剂的生产流程图。  Please refer to the following detailed description of the preferred embodiments of the present invention and the accompanying drawings to further understand the technical content of the present invention and its purpose and efficacy. The drawings of the related embodiments are: Figure 1: Production of the cell differentiation agent of the present invention flow chart.

图 2 : 本发明的细胞分化剂的凝胶过滤分析图; C D A— II注 射剂冷冻干燥浓缩后,进行管柱层析分离, 其系使用 B i 0— G e 1 P 2的层析管柱(4 · 1 cm X 4 4 cm). 所收集的级分, 分别测定 A 225瞧 的吸收度(0— 0 ), M A T LT 活性抑制的测定(0… 0 ), 重量 百分比, 及 H L—6 0癌细胞的分化活性 (由%N B T +表示)。 Figure 2: Gel filtration analysis diagram of the cell differentiation agent of the present invention; CDA-II injection is freeze-dried and concentrated, and then subjected to column chromatography, which is a chromatography column using B i 0 -G e 1 P 2 ( 4 · 1 cm X 4 4 cm). The collected fractions were measured for the absorbance of A 225 (0-0), the determination of inhibition of MAT LT activity (0… 0), weight percentage, and HL- 6 0. Differentiation activity of cancer cells (represented by% NBT +).

图 3 : 为尿赤素(0— 0 )和维生素 B2 ( 0… 0 )作为分化助剂其 浓度与减低指数的关系图。 Figure 3: Urine globulin (0-0) and vitamin B 2 (0… 0) as differentiation aids Graph of concentration versus reduction index.

图 4: 为尿赤素(0— 0)与维生素 B2(0… 0)对 t RNA甲基 转移晦的抑制活性与其浓度的关系图; Figure 4: A graph showing the relationship between the inhibitory activity of urin (0-0) and vitamin B 2 (0… 0) on t RNA methyltransferase concentration and its concentration;

图 5: 为尿赤素和维生素 B2对分化诱导剂的促进作用图,横轴 表示维生素 A 酸的浓度(μ M), 纵轴表示 N B T (硝基蓝四唑 (nitroblue tetrazolium) ) +细胞所占的百分比。 0— 0表示添加不同 浓度维生素 A酸的对照组; 0… 0表示添加 4 μ M维生素 Β2的实验 组; Figure 5: Promoting effect of urogranin and vitamin B 2 on differentiation inducers, the horizontal axis represents the concentration of vitamin A acid (μM), and the vertical axis represents NBT (nitroblue tetrazolium) + cells Percentage. 0—0 means the control group with different concentrations of vitamin A acid; 0… 0 means the experimental group with 4 μM vitamin B 2 ;

0— . 一. 一 0表示添加 4 μ Μ尿赤素的实验组。  0—. 1. A 0 represents the experimental group with 4 μM urocalcin added.

图 6 : 为本发明 CD Α— II与胸苷联合使用协同抗癌作用图, 横轴表示剂量(毫克 /毫升), 纵轴表示癌细胞群形成的相对活性 (%)。 0— 0表示单独使用胸苷的组; 0… 0表示单独使用 CD A— II 的组; 0—. 一. 一 0表示合并使用胸苷与 C D A— Π(1 : 1 ) 的组。  Figure 6: A synergistic anti-cancer effect of the combined use of CD Α-II and thymidine according to the present invention. The horizontal axis represents the dose (mg / ml), and the vertical axis represents the relative activity (%) of cancer cell group formation. 0—0 means the group using thymidine alone; 0… 0 means the group using CD A—II alone; 0—. A. — 0 means the group using thymidine in combination with CD A—Π (1: 1).

癌细胞群落形成的活性是根据实施例 4用 H B L— 1 0 0乳癌 细胞来测定,它是以不添加药物的对照组的癌细胞群形成相对百分比 表示。 测定了 C D A— Π和胸苷单独用药者及 1: 1联合用药者。 其中采用三组实验组, 其抗癌效果分别如图 6所示,证明联合用药疗 效比 CD A— Π或胸苷单独用药的抗癌效果更强, 其协同增强作用 十分显著。  The activity of cancer cell colony formation was measured according to Example 4 using H B L-100 breast cancer cells, which is expressed as the relative percentage of cancer cell group formation in the control group without the addition of drugs. C D A-II and thymidine were used alone and 1: 1 in combination. Among them, three experimental groups are used, and their anti-cancer effects are shown in Fig. 6, respectively, which proves that the combined treatment has stronger anti-cancer effect than CD A-II or thymidine alone, and its synergistic enhancement effect is very significant.

图 7: CD A— II和抗氧化剂维生素 C和维生素 B17的抗癌效 果图,癌细胞群落形成的活性是根据实施例 4用 H B L— 1 0 0乳癌 细胞来测定。 每一培养瓶 5 ml培养液含 3 0 0 0个 H B L—1 0 0 细胞, 及不同剂量的 CD A— II、 维生素 C或维生素 B17, 在 3 7 培养 5天, 细胞群以 Giomsa染色后, 在解剖镜下数出超出 8个细 胞的群落数。 Figure 7: The anti-cancer effect of CD A-II and antioxidants Vitamin C and Vitamin B 17 , the activity of cancer cell colony formation was measured according to Example 4 using HBL-100 breast cancer cells. After 5 ml of each culture flask medium containing 3000 th HBL-1 0 0 cells, and various doses of CD A- II, vitamin C or vitamin B 17, cultured in 375 days, the cell population stained Giomsa Under the dissection microscope, count the population of more than 8 cells.

在 本 文 中 AdoHcy 为 S - 腺 苷 高 胱 氨 酸 (S- adenosylhomocysteine), SAHH为 S -腺苷高胱氨酸水解酶( S- adenosylhomocystei ne hydrolase ) 本发明的最佳实施方式 AdoHcy is S-adenosylhomocysteine and SAHH is S-adenosylhomocysteine (S- adenosylhomocystei ne hydrolase) the best embodiment of the present invention

本发明的细胞分化剂的生产流程示于图 1。 下列具体实施例是 用于进一步说明本发明, 不应据此限定本发明的范围。 实施例 1 : 细胞分化剂的制备  The production flow of the cell differentiation agent of the present invention is shown in Fig. 1. The following specific examples are used to further illustrate the present invention, and the scope of the present invention should not be limited accordingly. Example 1: Preparation of a cell differentiation agent

本发明包括尿的收集, 过滤, 吸附, 溶剂萃取和干燥, 用无热 原水溶解作为 C D A— Π的原料药。  The present invention includes collection, filtration, adsorption, solvent extraction and drying of urine, and dissolving with pyrogen-free water as the raw material of CDA-II.

收集尿时, 收集桶内放着足够的 1 N盐酸, 大概为 2 0升尿用 一升盐酸, 如此促进分化剂的活性, 至少可以保持一个月不受破坏。  When collecting urine, a sufficient amount of 1 N hydrochloric acid is placed in the collection bucket, which is about 20 liters of urine for one liter of hydrochloric acid. This promotes the activity of the differentiation agent and can be maintained for at least one month without being damaged.

P H调节至 2后, 尿液先用尼龙布粗滤, 再经过细滤将分子量大于 1 0,0 0 0道尔顿的物质除去 (可用 Amicon 过滤纤维或其他习知方 法)。吸附剂 X A D— 1 6 (Sigma厂)装在布袋内并放置于不锈钢滤斗 内,使用前必须先用 2倍体积 /重量( V /W)的乙醇沖洗,再用 2倍(V /W)的去离子水沖洗掉乙醇, 如此重复两次。 每次通过吸附剂 X A D— 1 6的尿液, 用 4倍容量(V /W)的去离子水冲洗后, 再用 2倍 容量(V /W)的乙醇溶解出来。 中和乙醇提取液后, 用干燥器把乙醇 蒸发干净, 干燥桶内温度保持在 5 以下。 干燥物质则用无热原水 溶解出来作为 C D Α— II的原料药。  After PH is adjusted to 2, urine is first coarsely filtered with nylon cloth, and then finely filtered to remove substances having a molecular weight greater than 10,000 Daltons (Amicon filter fibers or other conventional methods can be used). The adsorbent XAD—16 (Sigma factory) is packed in a cloth bag and placed in a stainless steel filter bucket. Before use, it must be washed with twice the volume / weight (V / W) of ethanol, and then twice (V / W). Rinse off the ethanol with deionized water, and repeat this twice. Each time the urine passed through the adsorbent X A D-16 was washed with 4 times the capacity (V / W) of deionized water, and then dissolved with 2 times the capacity (V / W) of ethanol. After neutralizing the ethanol extract, evaporate the ethanol with a desiccator, and keep the temperature in the drying bucket below 5 ° C. The dried material is dissolved in pyrogen-free water as the drug substance for CD A-II.

乙醇提取后的吸附剂用 2倍容量(V /W)的去离子水冲洗后, 可重复使用, 一直到吸附能力减低至新吸附剂的 70 %左右再更换新 吸附剂, 一般来说 XAD— 1 6可以重复使用约 2 0 0次以上。  After the ethanol-extracted adsorbent is washed with 2 times the capacity (V / W) of deionized water, it can be reused until the adsorption capacity is reduced to about 70% of the new adsorbent, and then the new adsorbent is replaced. Generally, XAD— 16 can be reused about 200 times or more.

由于人体每天排泄的肌酸酐 (creatinine)有一定量, 尿中的固体 浓度大约与肌酸酐成正比, 因此,尿中化学物质的定量总是以肌酸酑 做基础较为可靠。 上述作为原料所收集的尿液, 其肌酸酐浓度介于 1. 2至 3.7克 /升之间, 平均为 2.4 ± 0.6克 /升。 CD A— II 的 产率在通过吸附剂的前一百次约为 0.5 1 ± 0.1 7克 /克肌酸 S , 而尿的固体成分约为 4 6.7克 /克肌酸 gf, 所以所制得的 CD A原 料药的产率是固体成分的 1.1 %左右。 实施例 2: 细胞分化剂注射液的制备 Since the human body excretes a certain amount of creatinine every day, the solid concentration in urine is approximately proportional to creatinine, so the quantification of chemical substances in urine is always more reliable based on creatinine. The urine collected as a raw material has a creatinine concentration between 1.2 and 3.7 g / L, with an average of 2.4 ± 0.6 g / L. The yield of CD A-II was about 0.5 1 ± 0.1 7 g / g of creatine S in the first hundred passes of the adsorbent. The solid content of urine is about 4 6.7 g / g of creatine gf, so the yield of the prepared CD A drug substance is about 1.1% of the solid content. Example 2: Preparation of cell differentiation agent injection

C DA— II注射液的最后浓度约为 5 0 ± 2亳克 /亳升, 而原 料药的浓度一般在 2 5 0毫克 /毫升以上,故稀配原料药浓度要在最 后制剂浓度的 1 3 0 %左右。 首先将原料药用去热原水稀释后, 经过 一系列的过滤, 先用慢速滤纸过滤, 再依次经 1 111和0.4 5 μ m 滤孔的微孔滤膜过滤-, 最后用特殊滤膜除热原, 除热原后的滤液, 用 去热原水调到适当浓度后, 在 8小时内经过 0.2 2 μ m滤孔的滤 器, 在无菌操作室(1 00级净化间)内完成过滤除菌。 除菌后马上灌 装制成 1 0 0毫升或 2 5 0亳升的分化剂注射液制剂。 实施例 3 : 细胞分化剂胶嚢的制备 The final concentration of C DA-II injection is about 50 ± 2 g / ml, and the concentration of the drug substance is generally above 250 mg / ml, so the concentration of the diluted drug substance should be 1 3 About 0%. After the first hot raw water was diluted to a pharmaceutically acceptable material, through a series of filters, first with slow filter paper, and then followed by 1111 was filtered off 0. 4 5 μ m filter membrane pores -, and finally with a special filter Membrane depyrogenation, the filtrate after depyrogenation, adjusted to the appropriate concentration with depyrogenized water, passed through a 0.2 2 μm filter in 8 hours, and completed in a sterile operation room (class 100 clean room) Filter sterilize. Immediately after sterilization, 100 ml or 250 liters of differentiation agent injection solution was prepared. Example 3: Preparation of cell differentiation agent capsule

部分 C D A— II可以用来制成胶嚢制剂, 将上述原料药相继经 过慢速滤纸, 1 μ πι和 0.4 5 μπι滤孔的微孔滤膜过滤。 过滤液再 用冷冻干燥方法干燥成固体。 干燥固体研成粉末后, 用自动胶嚢机装 成每粒胶嚢为 5 0 0亳克的胶嚢制剂, 并且装入铝箔密封, 最后用放 射线灭菌。 实施例 4: 细胞分化剂的抗癌活性分析  Part of C D A-II can be used to make capsule preparations. The above APIs are successively filtered through microfiltration membranes with slow filter paper, 1 μm and 0.4 5 μm filter holes. The filtrate was dried to a solid by freeze-drying. After the dried solids were ground into powder, the capsules were filled with 500 g of capsules using an automatic capsule machine, filled with aluminum foil, sealed, and finally sterilized by radiation. Example 4: Analysis of anticancer activity of cell differentiation agents

细胞分化剂的抗癌效力, 是根据有效成分对癌细胞异常甲基转 移复合酶的抑制, 因而诱导癌细胞进行终末分化以至于停止细胞分 裂, 即细胞分化剂的活性具有抑制癌异常酶 MATLT (甲硫氨酸腺苷 转移 S (methionine adenosyltransferase) ) 的作用, 可诱导 H L一 6 0癌细胞的分化, 以及抑制人类乳癌细胞群的形成, 这些活性的测定 方法已发表于文献 (Liau 等人, 1977a; 1988; 1990a 参考文献 13;18 及 20)。 本发明取三批 CD A— Π制剂分析其抗癌活性, 详述其操作 步骤如下。 The anti-cancer effect of the cell differentiation agent is based on the active ingredient's inhibition of cancer cell abnormal methyl transfer complex enzymes, so the cancer cells are induced to undergo terminal differentiation to stop cell division, that is, the activity of the cell differentiation agent has the inhibition of the cancer abnormal enzyme MAT The effects of LT (methionine adenosyltransferase) can induce the differentiation of HL-60 cancer cells and inhibit the formation of human breast cancer cell populations, and these methods of measuring activity have been published in the literature (Liau et al. People, 1977a; 1988; 1990a References 13; 18 and 20). The present invention takes three batches of CD A-II preparations to analyze its anticancer activity, and details its operation. Proceed as follows.

使用 CD A— II注射液制剂, 所用剂量为 1毫克 /亳升。 MA T LT是由 HL— 6 0癌细胞制取, 首先将沉淀的细胞悬浮于 0.0 5 M T r i s , p H 7, 0.5 mM MgCl2 , 然后用 Dounce匀浆器 将细胞膜打碎。 踌提取液用高速离心法(2 2 6 , 0 0 0 X g, 0.5 小时)分离出来。 该提取液经过 D E A E—纤维素层析法以 K C 1梯 度溶液将 MAT LT溶解出来并予以精制 (Liau 等人, 1977a 参考文 献 1 3 )。 MAT LT 活性的测定依前法 (Liau 等人, 1977a 参考文献 1 3), 0.0 5毫升反应液包括 0.0 5 M T r i s, p H 8.2 , 1 5 M K C 1 , 1 5 mM M g Cl2 , 5 mM D T T (二硫苏糖醇 ( dithiothreitol )), 2 mM AT P及 1 μΜ [ 3Η— CH 3 ]甲硫 氨酸, 3 反应 3 0分钟。 将反应液酸化, 然后全部移至 1平方英 寸的磷酸纤维纸上, 这些纸一起在烧杯内多次用 5 mM磷酸緩冲液, p H 7 , 冲洗掉未反应的 [ 3H— C H 3 ]甲硫氨酸, 最后测定被吸 附的 [ 3H— CH 3 ] Adomet ( S -腺香甲硫氨酸( S-adenosyl methionine ) ) 的放射线, 藉此决定 MAT LT的活性 (结果见表 1 )。 The CD A-II injection formulation was used at a dose of 1 mg / ml. MA T LT is made from HL-60 cancer cells. The precipitated cells are first suspended in 0.0 5 MT ris, p H 7, 0.5 mM MgCl 2 , and then the cell membrane is broken with a Dounce homogenizer.踌 The extract was separated by high-speed centrifugation (2 26, 0 0 0 X g, 0.5 hours). The extract liquid DEAE- cellulose chromatography in a gradient of solution of KC 1 MAT LT dissolved out and be purified (Liau et al., 1977a Reference 13). MAT LT activity was measured according to the previous method (Liau et al., 1977a reference 13), 0.0 5 ml reaction solution including 0.0 5 MT ris, p H 8.2, 15 MKC 1, 15 mM M g Cl 2 , 5 mM DTT (dithiothreitol), 2 mM AT P and 1 μM [3 Η — CH 3 ] methionine, 3 reacted for 30 minutes. The reaction solution was acidified, and then all were transferred to 1 square inch of phosphate fiber paper. These papers were washed with 5 mM phosphate buffer, p H 7 in the beaker several times, and the unreacted [ 3 H—CH 3 ] was washed away. Methionine, and finally measured the absorbed [ 3 H—CH 3 ] Adomet (S-adenosyl methionine) radiation to determine the activity of MAT LT (see Table 1 for results) .

H L— 6 0癌细胞的终末分化乃依 N B T +测定方法 (Liau 等 人, 1988 参考文献 1 8)。 实验的开始, 将 H L—6 0细胞稀释培养, 每一培养瓶置入 1 0亳升起始细胞, 浓度为 1.5 X 1 0 细胞 /毫 升, 对照及含 C D A— II的培养瓶皆经过 9 6小时培养后, 取出一 小部分将细胞用离心机沉淀下来,这些细胞用 N B T试剂在 3 7 *C作 用半小时后,取出一小滴放置于在细胞计数器并在显微镜下计数全部 细胞数及染成黑色 (N B T +)的细胞数。 N B T +所占的百分比即 C The terminal differentiation of HL-60 cancer cells is based on the N B T + assay (Liau et al., 1988 reference 18). At the beginning of the experiment, HL-60 cells were diluted and cultured. Each culture bottle was filled with 10 liters of starting cells at a concentration of 1.5 X 10 cells / ml. The control and the culture bottle containing CDA-II were all passed through 9 6 After an hour of culture, remove a small portion and pellet the cells with a centrifuge. After these cells are treated with NBT reagent at 37 * C for half an hour, remove a small drop and place it in a cell counter and count the total number of cells and stain under a microscope. Number of cells that turned black (NBT +). N B T + the percentage is C

D A— II引导分化的活性 (结果见表 1 )。 DA-II activity to guide differentiation (see Table 1 for results).

C D Α— Π抗癌活性的另一指标是对 H B L— 1 0 0乳癌细胞 群的抑制, 实验开始将等比级数增加的乳癌细胞用生理盐水冲洗一 次, 然后加入约 2毫升的 0. 0 5 %胰蛋白躁一 0.5 3 mM ED CD Α— Π Another indicator of anticancer activity is the inhibition of HBL-1 0 0 breast cancer cell populations. The experiment started by washing the breast cancer cells with an increase in the proportional order once with physiological saline, and then adding about 2 ml of 0. 0 5% trypsin-0.5 3 mM ED

TA培养液, 在 3 7 培养 1 0分钟。 先测定细胞浓度, 再取部分稀 释成 3 x 1 0 3细胞 /毫升, 取 0.5毫升稀释液加入 4.5毫升含有 对照或 C D A— II的培养瓶在 3 7 V培养。 五天后, 将培养液倒出, 用生理盐水冲洗一次, 然后用甲醇固定 1 5分钟, 固定后的细胞群则 用 2 0倍稀释的 Giemsa染色液浸泡 3 0分钟。 倒出染色液, 经水洗 烘干后, 在解剖镜下计数细胞群数目, 藉此决定 C D A— Π的抗癌 活性 (结果见表 1 )。 实施例 5: 细胞分化剂的有效成分分析 TA culture solution was incubated at 37 for 10 minutes. Measure cell concentration first, then take a portion of the dilute Release 3 x 103 cells / ml. Take 0.5 ml of the dilution and add 4.5 ml of the culture bottle containing the control or CDA-II to culture at 37 V. After five days, the culture solution was decanted, washed with physiological saline once, and then fixed with methanol for 15 minutes, and the fixed cell population was soaked with Giemsa staining solution diluted 20 times for 30 minutes. Pour out the staining solution, wash and dry it, and count the number of cell populations under a dissecting microscope to determine the anti-cancer activity of CDA-II (see Table 1 for results). Example 5 : Analysis of effective components of cell differentiation agents

将实施例 2制得的 C D A— II细胞分化剂注射液冷冻干燥, 浓 缩成 2 0 0毫克 /毫升。取 5毫升浓缩液加入 B i o— G e 1 P 2 的层析管柱(4.1 cm X 4 4 cm), 然后用蒸镏水洗脱分离, 每 7分 钟自动收集一管, 每管 1 0毫升。 完成分离后, 从每支管取出 2 5微 升, 加水稀释至 1亳升, 测定 A 225nm的吸光度。 另外也从每支管取 出 2 5微升作 MA T LT 活性抑制的测定, MA T LT 活性的测定乃 依据实施例 4所述的方法。 然后根据 A ^^的吸光值把收集管分割 成如图 2所示的 8个部分, 将每一部份用冷冻干燥把水分完全蒸干, 测定干燥量以决定重量百分比分布。 干燥固体则重新溶解于蒸餾水, 用以测定 H L— 6 0癌细胞的分化活性, 这活性用%N B T +来表 示, 分化活性的测定是依据实施例 4所述方法进行, 结果如图 2 所 示。 The CDA-II cell differentiation agent injection prepared in Example 2 was freeze-dried and concentrated to 200 mg / ml. 5 ml of the concentrated solution was added to a chromatographic column ( 4.1 cm X 4 4 cm) of Bio-Ge 1 P 2 and then eluted with distilled water. One tube was collected automatically every 7 minutes. 0 ml. After the separation was completed, 25 microliters were taken from each tube, diluted with water to 1 liter, and the absorbance at A 225 nm was measured. In addition, 25 microliters were taken from each tube for the measurement of MA T LT activity inhibition. The measurement of MA T LT activity was performed according to the method described in Example 4. Then, the collection tube was divided into 8 parts as shown in FIG. 2 according to the absorbance of A ^^, and each part was completely evaporated to dryness by freeze-drying, and the drying amount was determined to determine the weight percentage distribution. The dried solid was re-dissolved in distilled water to determine the differentiation activity of HL-60 cancer cells. This activity was expressed as% NBT +. The differentiation activity was measured according to the method described in Example 4. The results are shown in Figure 2 .

细胞分化剂抗癌的有效成分中, 最重要的当然是可以诱导癌细 胞分化的诱导剂。关于分化诱导剂的分离纯化及作用机制已发表于文 献 (Liau 等人, 1988; 1989; 1990a; 1990b 参考文献 1 8、 1 9、 2 0及 2 1)。 分化诱导剂有两种主要的化学成分; 一为与色素结合的 酸性肽类, 筒称 P P— 0, 一为有机酸类, 简称 O A— 0.7 9。 P P— 0是在如图 2所示分割的第一部份, Ο Α—0·7 9则在第 5和 第 6部分。 这里要特别说明的是, 细胞分化剂的分化活性的表现并不 是分化诱导剂单独作用所致,往往是由于和分化助剂协同作用所表现 出来的活性。分化助剂反而是细胞分化剂的主要化学成分, 分化诱导 剂的含量极少, 化学构造仍然未知, 因为还没有精纯到可以确定的程 度。 就如图 2所示分化诱导的活性和 MAT LT抑制的活性非常吻 合, 不过有些部分, 如图 2的第 2和第 3部分, 虽然有明显的 MAT LT抑制活性, 但是并没有诱导癌细胞分化的活性。 这部分可能只有 分化助剂而没有分化诱导剂, 所以不具有诱导癌细胞分化的活性。 Of the active ingredients of cell differentiation agents against cancer, the most important is of course an inducer that can induce cancer cell differentiation. The isolation, purification and mechanism of action of differentiation inducers have been published in the literature (Liau et al., 1988; 1989; 1990a; 1990b References 18, 19, 20 and 21). Differentiation inducers have two main chemical components; one is an acidic peptide that binds to pigments, which is called PP-0, and the other is an organic acid, referred to as OA-0.79. PP- 0 is the first part of the divided as shown in FIG. 2, Ο Α-0 · 7 9 at portions 5 and 6. It should be particularly noted here that the performance of the differentiation activity of the cell differentiation agent is not caused by the separate action of the differentiation inducer, but often due to the synergistic effect with the differentiation assistant. Come out of activity. Instead, the differentiation aid is the main chemical component of the cell differentiation agent. The content of the differentiation inducer is very small, and the chemical structure is still unknown, because it has not been purified to a certain degree. As shown in Figure 2, the differentiation-inducing activity and the MAT LT inhibitory activity are in good agreement, but in some parts, as shown in Figures 2 and 3, although there is obvious MAT LT inhibitory activity, it does not induce cancer cell differentiation Of activity. This part may only have a differentiation aid and no differentiation inducer, so it does not have the activity to induce cancer cell differentiation.

分化助剂是甲基转移复合酶的单独成员酶的抑制剂 (Liau 等人, 1992a 参考文献 2 3 ),可以协助分化诱导剂将异常甲基转移复合酶 恢复为正常酶, 因而促进分化诱导剂的分化功能。  Differentiation auxiliaries are inhibitors of individual member enzymes of methyl transfer complex enzymes (Liau et al., 1992a reference 23), which can assist differentiation inducers to restore abnormal methyl transfer complex enzymes to normal enzymes, thus promoting differentiation inducers Differentiation function.

C D A制剂中已知为 MAT抑制剂的有苯乙酸, 吲哚乙酸和马 尿酸。苯乙酸很可能是苯乙酰谷氨跣胺在干燥过程中的水解产物,是 分布在图 2 的第 6和第 7部分, 用 C 1 8 H P L C (高效液相色 谙)可以测定出来, 吲哚乙酸也在这部分。 马尿酸则是第 5部分的主 要成分。 这些 M A T抑制剂要达到 0.5减低指数 (即分化诱导剂有效 剂量减半)的浓度各为 4 mM苯乙酸, 8 mM马尿酸和 0.9 5 mM吲 哚乙酸。作为分化助剂甲基转移鲦的抑制剂比 M A T的抑制剂有效得 多, 前者往往只要有后者千分之一或更少的量即可达到同样的效果。 Among the CDA formulations known as MAT inhibitors are phenylacetic acid, indoleacetic acid, and hippuric acid. Phenylacetic acid is likely to be a hydrolyzate of phenylacetylglutamine during drying. It is distributed in parts 6 and 7 of Figure 2. It can be determined by C 1 8 HPLC (high performance liquid chromatography). Indole Acetic acid is also in this part. Hipporic acid is the main component of Part 5. The concentrations of these MAT inhibitors to achieve a 0.5 reduction index (ie, halving the effective dose of the differentiation inducer) were 4 mM phenylacetic acid, 8 mM uric acid, and 0.9 5 mM indoleacetic acid. Inhibitors of methyltransferases, which are differentiation aids, are much more effective than inhibitors of MAT. The former can often achieve the same effect as long as the latter is one thousandth or less.

C D A制剂中已知有两种甲基转移酶的抑制剂,都具有很好的分化助 剂活性。 这两个成分是维生素 B2和尿赤素。 维生素 B2分布在图 2第 8部分的后半部, 如前述 (Liau 等人, 1990C), 这黄色成分再经 C 1 8 H P L C, 可得很精纯的维生素 Β2 , 含量约为 0.0 4 %左右, 尿赤素是在图 2 的第 6和第 7部分, 含有尿赤素的级分再经 Sephadex SH 管柱层析法和硅胶薄层层析法可以获得 4艮精纯的尿赤 素, 含量为 CD A— Π制剂的 0.5 %左右。 由于纯化的过程难免有 损失, 而 C D A— II制剂有明显的赤色,故尿赤素含量可能不只 0. 5 %。 实施例 6: 尿赤素与维生素 B2的分化助剂活性的测定 分化助剂活性的测定乃依据本案发明人廖明徵先生等人所设计 的方法 (Liau 等人, 1992a 参考文献 2 3)。 实验是用培养的 HL— 6 0白血癌细胞, 以 NB T的定量方法来测定癌细胞的分化程度。 实 验的开始先将 H L— 6 0细胞稀释培养,每一培养瓶含有 1 0毫升起 始细胞液, 其浓度为 1.5 x 1 0 5细胞 /亳升, 一组四个培养瓶作为 对照, 其只添加维生素 A酸分化诱导剂, 剂量调节到可诱导 1 5 % 至 6 0 %之间的 N B T +细胞, 另加一个只加溶剂的对照瓶。 维生素 A酸是溶于甲醇, 但甲醇的总加入量不得超过 2 %, 这样对癌细胞的 分化不会有影响。 其他各组每一組同样有四个培养瓶, 但用比较低剂 量的维生素 A酸, 另加一个只有溶剂的对照瓶, 每一组再加不同剂 量的分化助剂。 经过 9 6小时培养后, 测定每一瓶的细胞数目, 并依 实施例 4所述方法, 进行 N B T测定。 一般来说, H L— 6 0细胞的 自然分化, 即没有任何添加剂, 总是低于 4 %。 在只有分化助剂的实 验组的剂量范围内, 细胞分化多半不会超过 1 0 %。每一瓶的 NB T +数值都需要减除这些对照值的基数。 There are two known methyltransferase inhibitors in the CDA preparation, both of which have good differentiation aid activity. These two ingredients are vitamin B 2 and urocalcin. Vitamin B 2 is distributed in the second half of Part 8 of Figure 2. As mentioned above (Liau et al., 1990C), this yellow component can be purified by C 1 8 HPLC to obtain a very pure vitamin B 2 with a content of about 0.0 4 About 6%, urocalcin is shown in parts 6 and 7 of Fig. 2. The fraction containing urocalcin can be purified by Sephadex SH column chromatography and thin-layer silica gel chromatography. The content is about 0.5% of the CD A-II preparation. 5%。 Due to the inevitable loss of the purification process, and the CDA-II preparation has obvious red, so the urine erythrodin content may be more than 0.5%. Example 6: Determination of the activity of differentiation aid of urogranin and vitamin B 2 The activity of the differentiation aid was determined according to the method designed by the inventor of the present invention, Mr. Liao Mingzheng and others (Liau et al., 1992a Reference 23). In the experiment, the cultured HL-60 white blood cancer cells were used to determine the degree of differentiation of cancer cells by the quantitative method of NBT. First start of the experiment HL- 6 0 cells were diluted culture flasks each containing 1 0 ml solution starting cells, a concentration of 1.5 x 1 0 5 cells / ml of a set of four control flasks as its only Vitamin A acid differentiation inducer was added, the dose was adjusted to induce NBT + cells between 15% and 60%, and a control bottle containing only solvent was added. Vitamin A acid is soluble in methanol, but the total amount of methanol added must not exceed 2%, so it will not affect the differentiation of cancer cells. Each of the other groups also has four culture flasks, but with a relatively low dose of vitamin A acid, and a control bottle with only a solvent, each group is added with a different dose of differentiation aid. After 96 hours of incubation, the number of cells in each bottle was measured, and the NBT measurement was performed according to the method described in Example 4. Generally speaking, the natural differentiation of HL-60 cells, that is, without any additives, is always less than 4%. In the dose range of the experimental group with only differentiation adjuvants, cell differentiation will probably not exceed 10%. The NB T + value of each bottle needs to be subtracted from the base of these control values.

将剂量与 N B T +的相对关系划出曲线, 藉此可获得 ED50 值, 即 N B T + 5 0 %所需的分化诱导剂剂量, 从这些 ED5o值便可 以计算出分化助剂的减低指数, 减低指数=有分化助剂时的 ED50 / 单独诱导剂 ED 5() 。 减低指数越低, 分化助剂的功能越高。 Draw the curve of the relative relationship between dose and NBT + to obtain the ED 50 value, which is the dose of differentiation inducer required by NBT + 50%. From these ED 5 o values, the reduction index of differentiation aid can be calculated. Reduction index = ED 50 with differentiation aid / ED 5 () alone. The lower the reduction index, the higher the function of the differentiation aid.

结果如图 3所示, 维生素 B2和尿赤素要达到 0.5减低指数的 浓度分别为 3.0 μΜ和 1.8 μ Μ, 比起上述的 M A Τ抑制剂活性高 出许多。 实施例 7:尿赤素与维生素 B2对 t R N A甲基转移酶的抑制活 性 The results are shown in Fig. 3. The concentration of vitamin B 2 and urothalin to reach 0.5 reduction index is 3.0 μM and 1.8 μM, respectively, which is much higher than the above-mentioned MA T inhibitor activity. Example 7: Inhibition of t RNA methyltransferase by urocalcin and vitamin B 2

t RN A甲基转移酶乃由 H L— 6 0癌细胞制备,是根据实施 例 4所示的高速细胞提取液。先将细胞提取液调到 P H 5 , 沉淀的蛋 白质则用离心机分离出来, 再溶于 0.0 5 M T r i s , p H 7.8, 0.5 mM Mg C l 2与 5 mM H S CH 2 CH 2 OH组成的混 合液。 这酶溶液再经过 D E A D—纤维素层析法, 以 K C 1梯度洗脱 液将 t RN A甲基转移醉洗脱出来精制 (Liau 等人, 1977b参考文献t RN A methyltransferase is prepared from HL-60 cancer cells and is a high-speed cell extract according to Example 4. The cell extract was adjusted to pH 5 first, and the precipitated protein was separated by a centrifuge, and then dissolved in 0.0 5 MT ris, p H 7.8, A mixture of 0.5 mM Mg Cl 2 and 5 mM HS CH 2 CH 2 OH. This enzyme solution was further purified by DEAD-cellulose chromatography, elution of t RN A methyl transfer with KC 1 gradient eluent (Liau et al., 1977b reference

1 4)。 t RN A甲基转移酶活性的测定在 0.2 5毫升反应液中, 其 包括: 0.0 5 M T r i s , p H 7.8, 0.1 M NH 4 C 1 , 0. 01 4). t RN A methyltransferase activity was measured in 0.2 5 ml reaction solution, which included: 0.0 5 MT ris, p H 7.8, 0.1 M NH 4 C 1, 0.0

4 M N H 4 F, 0. 5 mM M g C 1 2 , 5 mM D T T, 2 0 微克大肠杆菌 Β t R Ν A, 0. 2 5 C i [ 3H — C H 3 ] AdoMet ( 5 -腺苷甲硫氨酸) , 以及 2 5微克酶。 反应在 3 7 进 行 3 0分钟。 t RNA用冷的 5 % T C A (三氯乙酸)沉淀, 然后用 过滤方法收集在 Millipore (膜孔 0. 4 5微米)薄膜上, 薄膜烘干后测 定放射线量以决定 t R N A甲基转移酶的活性。 结果如图 4所示。 4 MNH 4 F, 0.5 mM M g C 1 2 , 5 mM DTT, 20 μg E.coli Beta t R Ν A, 0.2 5 C i [ 3 H — CH 3 ] AdoMet (5 -adenosine A Thionine), and 25 micrograms of enzyme. The reaction was performed at 37 for 30 minutes. t RNA was precipitated with cold 5% TCA (trichloroacetic acid), and then collected by filtration on a Millipore (membrane pore 0.45 micron) film. After the film was dried, the amount of radiation was measured to determine the t RNA methyltransferase. active. The results are shown in Figure 4.

不过抑制甲基转移活性的有效剂量要比分化助剂的有效剂量高 出很多, 这可能和测定这些不同活性的理化条件有关, 不同的理化条 件 (比如盐的浓度)会影响化学物质和酶的有效接触。 尽管敏感度有相 当的差异,不同的甲基转移酶的抑制剂和分化助剂的活性却维持一定 的比例关系, 越是有效的甲基转移酶的抑制剂也是越有效的分化助 剂。 我们也发现其他甲基转移酶的抑制剂, 例如溴化乙锭和海恩酮 ( hycanthone ) (Liau 等人, 1977b 参考文献 1 4), 其和尿赤素及 维生素 B2—样有 4艮好的分化助剂活性。 这两种甲基转移酶的抑制剂 要达到 0. 5减低指数的浓度各为 0. 9 5 μ M溴化乙锭和 2 μ Μ海 恩酮。 所以甲基转移酶的抑制剂当作有效的分化助剂应该不容置疑。 实施例 8: 分化助剂促进分化作用的分析 However, the effective dose to inhibit methyl transfer activity is much higher than the effective dose of differentiation aids, which may be related to the physical and chemical conditions for measuring these different activities. Different physical and chemical conditions (such as salt concentration) will affect the chemical substances and enzymes. Effective contact. Although the sensitivities are quite different, the activity of different methyltransferase inhibitors and differentiation aids maintains a certain proportional relationship. The more effective the methyltransferase inhibitor, the more effective the differentiation aid. We have also found other inhibitors of methyltransferases, such as ethidium bromide and hycanthone (Liau et al., 1977b reference 1 4), which are similar to urin and vitamin B 2 Good differentiation aid activity. The concentration of these two methyltransferase inhibitors to reach 0.5 reduction index is 0.95 μM ethidium bromide and 2 μM Heinone. So methyltransferase inhibitors should not be questioned as effective differentiation aids. Example 8: Analysis of Differentiation Aids Promoting Differentiation

分化助剂不但可以降低分化诱导剂的有效剂量, 同时又可以促 进分化程度的完全。 培养 H L— 6 0癌细胞, 其培养的起始浓度为 1. 5 x 1 0 5细胞 /亳升。 培养瓶分成三组, 每组 4至 5瓶, 其中 一瓶作为无添加剂的对照。 一组加入维生素 Α酸 0. 0 2 5到 0. 1Differentiation assistants can not only reduce the effective dose of differentiation inducers, but also promote complete differentiation. HL- 6 0 culturing cancer cells, cultured initial concentration of 1. 5 x 1 0 5 cells / ml of. The culture flasks were divided into three groups of 4 to 5 bottles, one of which served as an additive-free control. One group added vitamin A acid from 0. 2 5 to 0.1

5 μ Μ, 作为对照组; 另外两组加入 4 μΜ的尿赤素和维生素 Β2。 培养 9 6小时后, 如实施例 4所述作 N B T测验。每个测验值均需减 除无添加剂的对照基数。 5 μM was used as a control group; the other two groups were added with 4 μM urocalcin and vitamin B 2 . After 96 hours of incubation, an NBT test was performed as described in Example 4. Each test value must be subtracted from the control base without additives.

结果如第 5图所示,单用分化诱导剂分化程度最高只能达到 8 5 %左右, 如果有尿赤素或维生素 B2帮助, 则分化程度可达 1 0 0 %。促进分化程度的完全在医疗上可能比降低分化诱导剂的有效剂量 更为重要。 实施例 9 : 细胞分化剂与其他抗癌化学治疗剂的协助抗癌作用 癌细胞有非常活跃的甲基转移复合酶,如果单用化学药物抑制 D N A合成会引起过度甲基转移, 这是促成基因重复合成的原因。基 因重复合成会导致抗药物细胞的形成 (Liau 等人, 1992b 参考文献 2 4 ), 这是化学疗法失败的一个很重要因素。 用细胞分化剂抑制异 常甲基转移复合酶可以减低抗药细胞的形成, 有助于癌症的治疗, 事 实亦证明细胞分化剂对某些抗癌药物确实有协助的治疗效果, 例如, 本发明利用 C D A— Π和胸苷的組合用药 (参考图 6)。 实施例 1 0 : 细胞分化剂与抗氧化剂的联合抗癌作用 The results are shown in FIG. 5, the degree of differentiation-inducing agent alone differentiation can only reach about 85%, if the urine red help biotin or vitamin B 2, degree of differentiation is up 100%. Promoting the degree of differentiation entirely medically may be more important than reducing the effective dose of a differentiation inducer. Example 9: Assistance of anti-cancer effects of cell differentiation agents and other anti-cancer chemotherapeutic cells Cancer cells have very active methyl transfer complex enzymes. If only chemical drugs are used to inhibit DNA synthesis, it will cause excessive methyl transfer, which is a gene Reason for repeated synthesis. Repeated gene synthesis leads to the formation of drug-resistant cells (Liau et al., 1992b Reference 24), which is an important factor in the failure of chemotherapy. The use of cell differentiation agents to inhibit abnormal methyl transfer complex enzymes can reduce the formation of drug-resistant cells and contribute to the treatment of cancer. Facts have also proved that cell differentiation agents do indeed help the treatment of certain anticancer drugs. For example, the present invention utilizes CDA-II and thymidine were used in combination (see Figure 6). Example 10: Combined anticancer effect of cell differentiation agent and antioxidant

缺氧可以促进癌细胞的分化与死亡。 应用维生素 C和维生素 B17来达到缺氧状态, 尤其适合于抗癌目的, 因为癌细胞比正常细胞 多 1 0倍吸收维生素 C的能力 (参考文献 2 9 ), 而维生素 B17则有选 择地被癌细胞活性很高的 β -葡糖苷酶( β-Glucosidese )分解成有毒 的抑制氧化酶的氰化物 (参考文献 3 0 ), 这种酵在正常细胞中活性相 对 4艮低。 如图 7所示, C D A—II、 维生素 C和维生素 B17可以抑 制 H B L— 1 0 0人乳癌细胞群落的形成, 1 ( 5()分别为0 . 6 9 , 0 . 5 3和0 . 1 3 mg/ml . C D A— II和维生素 C或维生素 B17 联合用药的结果表示于表二, 结果很清楚地显示 C D A— II和维生 素 C或维生素 B17联合用药有协同的抗癌作用。 表一 细胞分化剂(C D A— II)的抗癌作用 Hypoxia can promote the differentiation and death of cancer cells. The use of vitamin C and vitamin B 17 to achieve hypoxia is particularly suitable for anti-cancer purposes, because cancer cells have 10 times the capacity to absorb vitamin C than normal cells (References 2 9), while vitamin B 17 is selectively Β-Glucosidese (β-Glucosidese), which is highly active in cancer cells, is broken down into toxic oxidase-inhibiting cyanide (Reference 30), which has a relatively low activity in normal cells. As shown in Figure 7, CDA-II, vitamin C, and vitamin B 17 can inhibit the formation of HBL-10 human breast cancer cell populations, 1 ( 5 () are 0.69, 0.53, and 0.1, respectively. 3 mg / ml. The results of the combination of CDA-II and vitamin C or vitamin B 17 are shown in Table 2. The results clearly show that the combination of CDA-II and vitamin C or vitamin B 17 has a synergistic anti-cancer effect. Table 1. Anti-cancer effects of cell differentiation agents (CDA-II)

制剂批号 %MAT抑制 %NBT+ %乳癌细胞群抑制  Preparation lot number% MAT inhibition% NBT +% breast cancer cell population inhibition

01 49 58 100  01 49 58 100

02 55 53 100  02 55 53 100

03 50 54 100 注: CDA— Π制剂为注射液制剂, 所用剂量浓度为 1 亳克 /毫升。 MAT LT由 H L— 6 0癌细胞如前述方法经 D E A E—纤 维素纯化制备, 活性测定也依前法 (Liau 等人, 1977a)。 H L— 6 0 癌细胞的终末分化是根据 N B T +测定方法测定 (Liau 等人, 1988 参考文献 1 8)。 至于癌细胞群落形成的抑制作用则采用人类 H B L 一1 0 0乳癌细胞的培养方法 (Liau etal,m 1990a 参考文献 2 0)。 03 50 54 100 Note: The CDA-II preparation is an injection preparation, and the dosage concentration used is 1 g / ml. MAT LT was prepared from HL-60 cancer cells by DEAE-cellulose purification as described above, and the activity was measured according to the previous method (Liau et al., 1977a). The terminal differentiation of HL-60 cancer cells is determined according to the NBT + assay (Liau et al., 1988 reference 18). As for the inhibition of cancer cell colony formation, a human HBL-100 breast cancer cell culture method was adopted (Liau etal, m 1990a reference 20).

表二 CDA - II与维生素 C或维生素 B17联合用药的协同效果 Table 2 Synergistic effect of CDA-II combined with vitamin C or vitamin B 17

H B L— 1 0 0细胞群落形成; 抑制% 联合用药协同效果 药物及剂量, mg/ml 单独 预测值 实测值H B L— 1 0 0 Cell colony formation; Inhibition% Synergistic effect of combined medication Drug and dose, mg / ml Individual predicted value Measured value

CD A— II, 0.4 16 28 39CD A— II, 0.4 16 28 39

C, 0.2 12 C, 0.2 12

CD A— II, 0.6 38 50 58CD A— II, 0.6 38 50 58

C, 0.2 12 C, 0.2 12

CDA— II, 0.8 65 77 80CDA- II, 0.8 65 77 80

C, 0.2 12 C, 0.2 12

CD A— II, 0.4 16 36 39 B17 0.05 20 CD A— II, 0.4 16 36 39 B 17 0.05 20

C D A— II, 0.6 38 58 58C D A— II, 0.6 38 58 58

B17 0.05 20 B 17 0.05 20

C D A— II, 0.8 65 85 83C D A— II, 0.8 65 85 83

B17 0.05 20 B 17 0.05 20

实验按照图 7进行, H B L— 1 0 0细胞与不同剂量的 C D A 一 II、 维生素 C及维生素 B17单独, C D A— II与维生素 C以及维 生素 B17两种联合用药。 The experiment was performed according to FIG. 7. HBL— 100 cells were treated with different doses of CDA-II, vitamin C, and vitamin B 17 alone, and CDA-II was used in combination with vitamin C and vitamin B 17 .

工业应用性  Industrial applicability

本发明与先有技术相比, 其优点在于本发明利用人体本身的抗 癌物质制造治疗和预防癌症的药物,从根本上使癌细胞分化而不再继 续分裂以达到治疗的目的, 故本发明是一种治本的有效方法, 而且本 发明的药物没有任何不良的副作用。  Compared with the prior art, the present invention has the advantage that the present invention uses the body's own anti-cancer substance to manufacture drugs for treating and preventing cancer, which fundamentally differentiates cancer cells without continuing to divide to achieve the purpose of treatment. Therefore, the present invention It is an effective method to cure the root cause, and the medicine of the present invention does not have any adverse side effects.

Claims

权 利 要 求 Rights request 1. 一种用于治疗与预防癌症, 诱导癌细胞分化的药物组合物, 包 括: 以癌细胞中的异常甲基转移复合酶为药靶的细胞分化剂及其载 剂, 该细胞分化剂及其载剂是从人类的尿液提取与精制而成。 1. A pharmaceutical composition for treating and preventing cancer and inducing differentiation of cancer cells, comprising: a cell differentiation agent and a carrier thereof using an abnormal methyl transfer complex enzyme in a cancer cell as a drug target, the cell differentiation agent and Its carrier is extracted and refined from human urine. 2. 根据权利要求 1的药物组合物, 是制成针剂, 胶嚢等剂型。  2. The pharmaceutical composition according to claim 1, which is prepared into a dosage form such as an injection, a capsule. 3. 根据权利要求 1的药物组合物, 与胸苷联合使用, 可促进抗 癌作用。  3. The pharmaceutical composition according to claim 1, which is used in combination with thymidine to promote anti-cancer effects. 4. 根据权利要求 1的药物组合物, 其中含有分化诱导剂, 为 P P— 0和 O A— 0 . 7 9 ; 及分化助剂, 至少包括苯乙酸、 马尿酸、 吲哚乙酸、 尿赤素及维生素 B24. The pharmaceutical composition according to claim 1, which contains a differentiation inducing agent, PP-0 and OA-0.79; and a differentiation assistant, at least comprising phenylacetic acid, maleic acid, indoleacetic acid, uridine and Vitamin B 2 . 5. 根据权利要求 1的细胞分化药物组合物, 其中包含有可防止 癌症病人过度排泄的成分, 例如苯乙酰谷氨酰胺。  5. The cell differentiation pharmaceutical composition according to claim 1, comprising a component for preventing excessive excretion by a cancer patient, such as phenylacetylglutamine. 6. 根据权利要求 1的细胞分化药物组合物, 与维生素 C及维生 素 B17合并使用, 产生缺氧状态, 促进抗癌作用。 6. The cell differentiation pharmaceutical composition according to claim 1, which is used in combination with vitamin C and vitamin B 17 to produce a hypoxic state and promote anti-cancer effects. 7. 权利要求 1的诱导癌细胞分化的药物组合物的制备方法, 至 少包括:  7. The method for preparing a pharmaceutical composition for inducing cancer cell differentiation according to claim 1, comprising at least: (1)收集人类的尿液,其中肌酸肝浓度介于 1 . 2克 /升到 3 . 7 克 /升之间;  (1) Collect human urine, in which the creatine liver concentration is between 1.2 g / liter and 3.7 g / liter; (2) 通过吸附剂 X A D— 1 6或具类似功能的吸附剂;  (2) Adsorbent X A D—16 or an adsorbent with similar function; (3) 经乙醇或具类似功能的有机溶剂萃取; 及  (3) extraction with ethanol or similar organic solvents; and (4) 回收和纯化细胞分化剂制剂。  (4) Recovering and purifying the cell differentiation agent preparation.
PCT/CN1998/000309 1998-12-18 1998-12-18 Pharmaceutical composition inducing cancer cell differentiation and the use for treatment and prevention of cancer thereof Ceased WO2000037091A1 (en)

Priority Applications (2)

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PCT/CN1998/000309 WO2000037091A1 (en) 1998-12-18 1998-12-18 Pharmaceutical composition inducing cancer cell differentiation and the use for treatment and prevention of cancer thereof
AU15537/99A AU1553799A (en) 1998-12-18 1998-12-18 Pharmaceutical composition inducing cancer cell differentiation and the use for treatment and prevention of cancer thereof

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PCT/CN1998/000309 WO2000037091A1 (en) 1998-12-18 1998-12-18 Pharmaceutical composition inducing cancer cell differentiation and the use for treatment and prevention of cancer thereof

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WO2000037091A1 true WO2000037091A1 (en) 2000-06-29

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1419779A1 (en) * 2002-11-14 2004-05-19 Bio Grand Co., Ltd. Pharmaceutical composition inducing cancer cell differentiation and their use for treatment and prevention of cancer

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2629886A1 (en) * 1975-07-04 1977-01-13 Asahi Chemical Ind METHOD OF OBTAINING UROKINASE FROM HUMAN URINE
EP0069232A2 (en) * 1981-07-02 1983-01-12 BURZYNSKI, Stanislaw R. Pharmaceutical composition comprising phenyl acetyl glutamine,a combination of this compound with phenylacetic acid or 3-(phenylacetylamino)piperidine-2,6-dione,a process for isolating the latter from urine and a process for the synthesis of 3-(phenylacetylamino)piperidine-2,6-dione
JPS5920301A (en) * 1982-07-27 1984-02-02 Green Cross Corp:The Production of urokinase/dextran derivative
GB2171303A (en) * 1985-02-06 1986-08-28 Chugai Pharmaceutical Co Ltd Anemia treatment compositions containing erythropoietin
JPH03127800A (en) * 1989-10-13 1991-05-30 Teijin Ltd Tumor necrosis factor activity inhibitor

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2629886A1 (en) * 1975-07-04 1977-01-13 Asahi Chemical Ind METHOD OF OBTAINING UROKINASE FROM HUMAN URINE
EP0069232A2 (en) * 1981-07-02 1983-01-12 BURZYNSKI, Stanislaw R. Pharmaceutical composition comprising phenyl acetyl glutamine,a combination of this compound with phenylacetic acid or 3-(phenylacetylamino)piperidine-2,6-dione,a process for isolating the latter from urine and a process for the synthesis of 3-(phenylacetylamino)piperidine-2,6-dione
JPS5920301A (en) * 1982-07-27 1984-02-02 Green Cross Corp:The Production of urokinase/dextran derivative
GB2171303A (en) * 1985-02-06 1986-08-28 Chugai Pharmaceutical Co Ltd Anemia treatment compositions containing erythropoietin
JPH03127800A (en) * 1989-10-13 1991-05-30 Teijin Ltd Tumor necrosis factor activity inhibitor

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1419779A1 (en) * 2002-11-14 2004-05-19 Bio Grand Co., Ltd. Pharmaceutical composition inducing cancer cell differentiation and their use for treatment and prevention of cancer

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