WO2016075960A1 - Medicinal composition for preventing or improving dysuria, antagonist against dysuria-related receptor, and method for preventing or improving dysuria using medicinal composition or antagonist - Google Patents
Medicinal composition for preventing or improving dysuria, antagonist against dysuria-related receptor, and method for preventing or improving dysuria using medicinal composition or antagonist Download PDFInfo
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- WO2016075960A1 WO2016075960A1 PCT/JP2015/069269 JP2015069269W WO2016075960A1 WO 2016075960 A1 WO2016075960 A1 WO 2016075960A1 JP 2015069269 W JP2015069269 W JP 2015069269W WO 2016075960 A1 WO2016075960 A1 WO 2016075960A1
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- dysuria
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/35—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
- A61K31/352—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
- A23L33/105—Plant extracts, their artificial duplicates or their derivatives
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/75—Rutaceae (Rue family)
- A61K36/752—Citrus, e.g. lime, orange or lemon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/08—Drugs for disorders of the urinary system of the prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/10—Drugs for disorders of the urinary system of the bladder
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
- A23V2002/00—Food compositions, function of food ingredients or processes for food or foodstuffs
-
- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
- A23V2200/00—Function of food ingredients
- A23V2200/30—Foods, ingredients or supplements having a functional effect on health
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2121/00—Preparations for use in therapy
Definitions
- the present invention relates to a pharmaceutical composition for preventing or ameliorating dysuria, an antagonist for a dysuria-related receptor, or a method for preventing or improving urinary dysfunction using the pharmaceutical composition or antagonist.
- Healthy people's bladder can store up to 300-500ml of urine.
- a signal about urinary intention is sent to the brain, and a sense of initial urination is felt.
- the brain receives such a signal, the paraswitchive nerve is excited, and as a result, the muscarinic receptor of the bladder is stimulated and the smooth muscle (detrusor muscle) contracts.
- the sympathetic nerve is dominant and the detrusor muscle is in a relaxed state.
- OAB is a disease that causes sudden urinary urgency as a result of excessive reaction of the bladder at the urine storage stage, and it has been reported that the prevalence increases with aging.
- sympathetic nerves and parasympathetic nerves become unbalanced, and detrusor muscles involuntarily contract despite urine accumulation, resulting in urgency and frequent urination.
- OAB has been reported to be associated with benign prostatic hyperplasia.
- the prostate gland exists to surround the urethra just below the bladder. When the prostate enlarges with age, the urethra at the outlet of the bladder is compressed, causing “weakness of urine” and “feeling of residual urine”.
- Non-Patent Document 1 It has been reported that anticholinergic drugs are effective for the treatment of OAB (for example, Non-Patent Document 1).
- the present invention has been made in view of the above circumstances, and an object thereof is to provide a drug based on a naturally occurring compound or a method for preventing and / or improving urination disorder using the drug.
- the inventors of the present application conducted research on the prevention and / or improvement of dysuria using food materials with high safety, and nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetine It has been found that it has an antagonism against dysuria-related receptors and improves dysuria, thereby completing the present invention.
- a pharmaceutical composition containing a compound represented by the following chemical formula (I) for preventing or ameliorating dysuria.
- R 1 is hydrogen or a hydroxyl group
- R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3
- R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3
- a receptor antagonist comprising a compound represented by the following chemical formula (I), wherein the compound exhibits an antagonistic action on a dysuria-related receptor.
- R 1 is hydrogen or a hydroxyl group
- R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3
- R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3
- the compound represented by the chemical formula (I) inhibited the specific binding of [ 3 H] pirenzepine, which is a selective labeled ligand of the muscarinic receptor, to the muscarinic receptor. Therefore, by using this antagonist, the specific binding of the ligand to the dysuria-related receptor can be inhibited.
- a therapeutic agent for dysuria comprising a receptor antagonist comprising the above compound.
- dysuria can be treated by using a therapeutic agent containing an antagonist containing the compound represented by the chemical formula (I). Therefore, it is possible to treat dysuria by applying this therapeutic agent to patients suffering from dysuria.
- a method for preventing or ameliorating dysuria comprising: Including a step of administering a pharmaceutical composition containing a compound represented by the following chemical formula (I) or a receptor antagonist to a subject suffering from the dysuria, the compound having an antagonistic action on a dysuria-related receptor
- a method is provided that indicates (In formula (I), R 1 is hydrogen or a hydroxyl group, R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ; R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
- dysuria was improved by administering a pharmaceutical composition or a receptor antagonist containing the compound represented by the chemical formula (I). Therefore, by applying this method to a patient suffering from urination disorder, it becomes possible to prevent or improve urination disorder.
- FIG. 1 is a graph showing the antagonistic action of a seeker extract (nobiletin-tangeretin mixture) on the specific binding of [ 3 H] pirenzepine in rat brain crude cell membrane.
- FIG. 2a is a graph showing the antagonism of nobiletin and tangeretin on the specific binding of [ 3 H] pirenzepine in rat brain crude cell membrane.
- FIG. 2b shows the chemical formulas of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinensetin.
- FIG. 2c shows the inhibitory effect on muscarinic M1-specific receptor binding activity ([ 3 H] -Pirenzepin binding of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin isolated from Sikhwaser ).
- Fig. 2d shows nonspecific muscarinic receptor binding activity ([ 3 H] -N-methyl scopolamine (NMS) for nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and synencetin isolated from Sikhwaser. ).
- NMS nonspecific muscarinic receptor binding activity
- FIG. 3 is a graph showing the antagonistic action of various extracts and Compound IV (extract: 10 ⁇ g / mL, compound: 10 ⁇ M) on muscarinic receptors.
- FIG. 4 is a graph showing the urination disorder improving action of the seeker extract in acetic acid-induced frequent urination model rats. 4a shows the maximum intravesical pressure in model rats, FIG. 4b shows the basal pressure, FIG. 4c shows the threshold pressure, FIG. 4d shows the urination interval, FIG. 4e shows the number of urinations, and FIG. Yes.
- FIG. 5 shows the effect of nobiletin intravenous administration on the measurement of intravesical pressure in pelvic congestive urinary rats.
- FIG. 4 shows the maximum intravesical pressure in model rats
- FIG. 4b shows the basal pressure
- FIG. 4c shows the threshold pressure
- FIG. 4d shows the urination interval
- FIG. 4e shows the number of urinations
- FIG. 6 shows the effect of nobiletin intravenous administration on the bladder contraction interval in pelvic congestive urinary rats.
- the left bar is the sham group (sham surgery group), and the right bar is the pelvic congestion group.
- FIG. 7 shows the effect of oral administration of nobiletin on measurement of intravesical pressure in pelvic congestive urinary rats.
- FIG. 8 shows the effect of oral administration of nobiletin on bladder contraction intervals in pelvic congestive urinary rats.
- FIG. 9 shows the results of intravenous administration of nobiletin on the bladder contraction interval in cerebral infarction frequent urination rats.
- the left bar is the Siamese group and the right bar is the cerebral infarction group.
- FIG. 10 schematically shows a system for measuring the intravesical pressure and the amount of urination over time.
- FIG. 11 shows the amount of urination, the number of urinations, and the maximum intravesical pressure in cyclophosphamide (CYP) -induced cystitis model rats orally administered with seeker extract (50 mg / kg).
- FIG. 12 shows the effect of seeker extract on calcium antagonist receptors.
- FIG. 13 shows the protocol for transmural electrical stimulation (1 Hz) experiment.
- FIG. 14 shows the effects of atropine and ⁇ , ⁇ methylene ATP on the contraction response of rat isolated bladder by transmural electrical stimulation (1 Hz) in the presence of nobiletin or tangeretin.
- FIG. 15 shows the effects of nobiletin and tangeretin on cholinergic and purinergic contractile components.
- Muscarinic Receptor a kind of acetylcholine receptor, is a receptor that exhibits the same function as acetylcholine by muscarin, and exists as a receptor for organ-side cells in parasympathetic nerve extinction.
- muscarinic receptors When muscarinic receptors are stimulated by parasympathetic nerves and acetylcholine is released from the periphery, the muscarinic receptors are stimulated to excite and suppress the cells of the organs under their control. Whether it is excited or suppressed depends on the organ (ie, it depends on the organ).
- antagonism refers to an agent containing a substance having an action (ie, antagonism) that competitively inhibits specific binding of a ligand to a receptor, for example.
- a substance having an antagonistic action is also called an antagonist.
- Antagonism occurs when the antagonist binds to the receptor and becomes unable to bind to the receptor, or when the antagonist acts on the ligand (for example, binds) and the ligand cannot bind to the receptor. Cases where effects occur are included.
- a pharmaceutical composition containing a compound represented by the following chemical formula (I) for preventing or ameliorating dysuria.
- R 1 is hydrogen or a hydroxyl group
- R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3
- R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3
- At least 1, 2, 3, 4, 5, 6, 7 or 8 or all of R 2 to R 10 in the chemical formula (I) may be —OCH 3 .
- at least 1, 2, 3 or 4 or all of R 2 to R 6 in the chemical formula (I) may be —OCH 3 .
- at least 1, 2 or 3 or all of R 7 to R 10 in the chemical formula (I) may be —OCH 3 .
- —OCH 3 and —OMe can be substituted for each other.
- a pharmaceutical composition for preventing or improving urination disorder wherein the compound represented by the chemical formula (I) is a compound selected from the group of the following chemical formulas (II) to (V): Provided. as well as By using this pharmaceutical composition, dysuria can be prevented or improved.
- R 1 is hydrogen or a hydroxyl group
- R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3
- R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3
- a receptor antagonist wherein the compound represented by the chemical formula (I) is a compound selected from the group of the following chemical formulas (II) to (V). as well as
- At least one urination disorder-related receptor is selected from the group consisting of a muscarinic receptor, a calcium receptor, and a purine receptor.
- the compounds represented by the chemical formulas (II) to (V) are referred to as nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin, respectively.
- the chemical formula (II) and nobiletin can be substituted with each other
- the chemical formula (III) and the tangeretin can be substituted with each other
- the chemical formula (IV) and 3 ′, 4 ′, 5, 7-tetra Methyl quercetin can be substituted for each other
- chemical formula (V) and sinencetine can be substituted for each other.
- the above compound may be a purified compound or a synthesized compound. Moreover, the form contained in the crude extract of a plant may be sufficient as the said compound. Nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and synencetin can be extracted from citrus and extraction methods described below. In addition, nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin can be purified by using the purification method described later. The compound may be a hydrate.
- the crystals may be treated according to a conventional method and mixed with excipients described later.
- Pharmaceutical preparations containing such compounds as active ingredients include injections, suppositories, aerosols, transdermal absorption agents, ointments, plasters, sprays and other parenterals, tablets, powders, granules, powders, capsules Agents, pills, troches, liquids and other oral preparations.
- the tablets include sugar-coated tablets, coated tablets, and buccals
- the capsules include both hard capsules and soft capsules.
- Granules also include coated granules.
- the above liquid preparations include suspensions, emulsions, syrups, elixirs and the like, and syrups include dry syrups.
- Each of the above-mentioned preparations includes not only those that are not sustained-released but also those that are sustained-released. These preparations are in accordance with known pharmacological manufacturing methods, such as bases, carriers, excipients, binders, disintegrants, lubricants, colorants, etc. described in the Japanese Pharmacopoeia that are pharmacologically acceptable when manufacturing the preparations. Can be used.
- Such carriers and excipients include lactose, glucose, sucrose, mannitol, potato starch, corn starch, calcium carbonate, calcium phosphate, calcium sulfate, crystalline cellulose, licorice powder, and gentian powder.
- Examples of the pharmaceutical composition or binder include starch, tragacanth gum, gelatin, syrup, polyvinyl alcohol, polyvinyl ether, polyvinyl pyrrolidone, hydroxypropyl cellulose, methyl cellulose, ethyl cellulose, carboxymethyl cellulose, and the like.
- Examples of the disintegrant include starch, agar, gelatin powder, sodium carboxymethylcellulose, carboxymethylcellulose calcium, crystalline cellulose, calcium carbonate, methylcellulose, ethylcellulose, carboxymethylcellulose, and the like.
- Examples of the lubricant include talc and magnesium stearate.
- the colorant can be used as long as it is allowed to be added to pharmaceuticals, and is not particularly limited. In addition to these, flavoring agents, flavoring agents, and the like can be appropriately used as necessary.
- sucrose, gelatin, purified shellac, glycerin, sorbitol, ethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, polyvinylpyrrolidone, cellulose phthalate acetate, hydroxypropylmethylcellulose phthalate, methyl as necessary Coating may be performed using a methacrylate, a methacrylic acid polymer, or the like, and coating may be performed with a plurality of layers.
- granules and powders can be packed into capsules such as ethyl cellulose and gelatin to form capsules.
- a pH adjuster When preparing an injection using a pharmaceutical composition or antagonist containing the above compound or a pharmaceutical composition or antagonist containing a hydrate of the above compound, a pH adjuster, buffer material, A solubilizer, solubilizer, and the like can also be added.
- the antagonist related to the urination disorder-related receptor of the present embodiment may be used for preventing or improving urination disorder.
- dysuria refers to a condition in which urine output is difficult for some reason.
- the dysuria may be accompanied by subjective symptoms or not, or may be based on a doctor's diagnosis.
- the dysuria may be overactive bladder and / or prostatic hypertrophy.
- Urination disorders lower urinary tract dysfunction
- Overactive bladder is accompanied by a sense of urgency, a symptom of sudden urinary urgency.
- Overactive bladder may also be accompanied by one or more symptoms selected from the group consisting of frequent urination, nocturia and urinary incontinence.
- anticholine is used as the first-line drug.
- Prostatic hypertrophy may be associated with increased urinary flow resistance and / or impaired bladder blood flow due to lower urinary tract obstruction.
- an alpha 1 blocker is used as the first choice translation.
- overactive bladder may not be accompanied by prostatic hypertrophy, and prostatic hypertrophy may be accompanied by overactive bladder.
- the dysuria may be overactive bladder.
- the dysuria may be prostatic hypertrophy.
- the dysuria may be accompanied by one or a plurality of symptoms selected from the group consisting of frequent urination, nocturia, urinary incontinence, residual urine sensation, and urinary dysfunction.
- Frequent urination is a symptom in which the number of urinations from getting up to bedtime increases. Usually, if the number of urinations per day is 8 or more, frequent urination is diagnosed, but this is not a limitation.
- Nocturia is a symptom of temporarily rising for urination from bedtime to waking up, and is usually diagnosed as nocturnal urination if there is at least one urination, but is not limited thereto.
- Urinary incontinence refers to a symptom of involuntary or unconscious urine leakage. Urinary incontinence includes stress urinary incontinence, urge incontinence, overflow urinary incontinence, reflex urinary incontinence, true urinary incontinence. Residual urine sensation is a symptom accompanied by the sensation of urine remaining in the bladder even after urination (residual urine), and this sensation occurs regardless of the presence or absence of residual urine. Urinary weakness is a symptom in which urination momentum decreases and urination time increases.
- Symptoms include urinalysis, prostate-specific antigen (PSA) measurement, urine flow measurement, ultrasonography, computed tomography (CT) examination, magnetic resonance imaging (MRI) examination, urinary bladder angiography, urodynamic examination or these It can be judged by the combination of
- the antagonist for the pharmaceutical composition or dysuria-related receptor of the present specification may contain a citrus extract containing the above chemical formula (I).
- the citrus fruits include Keraji (CitrusCKeraji, Ponkan; C. reticulate), Dancy tangerine (C. tangerine), Jimikan (C. succosa), Shikaikan (Chi). . Suhuiensis), Tachibana (C. tachibana), Kobenimikan (C. erythrosa), Kishumikan (C. kinokuni), Shiikuwasha (C.
- the citrus fruit is a seeker because it contains more nobiletin, tangeretin, 3 ′, 4 ′, 5, -7-tetramethylquercetin and sinencetin. Is derived from one or more citrus fruits.
- the pharmaceutical composition or antagonist includes nobiletin, tangeretin synthesized in addition to nobiletin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or synencetin derived from the extract, It may contain 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or sinencetin.
- the pharmaceutical composition or antagonist includes the above-mentioned extract containing the above-mentioned nobiletin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or synencetin, and synthesized nobiletin, tangeretin 3 ', 4', 5, 7-Tetramethylquercetin and sinencetin are not included.
- the content of nobiletin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or sinencetin in the extract is 10% by weight, 20% by weight, 30% by weight, 40% in terms of dry weight of the extract.
- the citrus part that can be used in the present invention is not particularly limited as long as it contains nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin, for example, in addition to fruits, Fruit peel, squeezed residue (squeezed lees), pruned leaves and twigs, dried products thereof and the like can also be used as raw materials.
- nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin for example, in addition to fruits, Fruit peel, squeezed residue (squeezed lees), pruned leaves and twigs, dried products thereof and the like can also be used as raw materials.
- it is possible to use fruits, pericarp and juice residue, and the content per unit weight of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin It
- pruned leaves, twigs, etc. contain nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin per unit weight, but not as much as pericarp. To do. For this reason, there is a possibility that the load on the environment can be reduced by using these.
- the method of obtaining the citrus juice residue is not particularly limited, for example, the juice residue can be obtained by treating the citrus fruit with a press.
- a press machine is not specifically limited, It is preferable to use a roll press machine, a filter cloth press machine, a centrifugal filtration type
- the method for obtaining a dried product of citrus fruits and pericarp and juice residue is not particularly limited.
- citrus fruits can be dried by heating at 50 to 70 ° C. for 15 to 45 minutes to obtain a dried product of citrus fruits. it can. At this time, if it is dried at less than 50 ° C, it may not be able to be sufficiently dried in a short time of 15 to 45 minutes. If it is dried at a temperature exceeding 70 ° C, the components contained in citrus fruits May denature during drying. Therefore, when the citrus fruits are dried by heating, it is preferable to dry them at about 60 ° C. for about 30 minutes.
- the drying time can be appropriately adjusted according to the region, season, climate, and amount of citrus fruits.
- the drying time may be 3 days, 4 days, 5 days, 10 days, or 20 days, and may be 1 month, 2 months, 3 months, 6 months, or 12 months.
- citrus fruits can be obtained without being dried.
- the drying cost and drying time can be reduced.
- a press for example, a roll press press that rotates by rotating a 10-20 mesh endless net between two compression rolls and squeezes the continuously supplied seeker fruit with these two compression rolls.
- a roll press press that rotates by rotating a 10-20 mesh endless net between two compression rolls and squeezes the continuously supplied seeker fruit with these two compression rolls.
- Examples include a soup machine, a filter cloth press machine that squeezes and squeezes the fruit of a seeker fruit wrapped in a filter cloth, a centrifugal filtration type separation device, and the like.
- the juice residue obtained by pressing the fruit juice is weighed in a predetermined amount, for example, about 300 to about 500 g (wet weight).
- the residue is then dried using a dryer or the like, for example, at about 50 to about 70 ° C.
- After weighing the dried juice residue (dry weight) put the dried juice residue into a suitable container, and add 1 to 2 times the volume of the above-mentioned dry weight of distilled water to the container. Transfer to a hot bath at about 60 to about 80 ° C. and extract for 1-3 hours.
- the beaker After extraction, the beaker is taken out of the warm bath and allowed to cool naturally, and then, for example, a filter paper having a reserved particle diameter of 5 ⁇ m or less is laid on a Buchner funnel, the entire amount of the extract is suction filtered, and the residue is filtered off.
- the obtained residue is again dried at about 50 to about 70 ° C. using a dryer or the like, and weighed. Add 2 to 3 times the dry weight of ethanol and extract at room temperature for 2 to 4 days. Next, as in the above, the whole extract is suction filtered and the residue is filtered off. Concentrate the filtrate at about 30-40 ° C. for about 15 to about 60 minutes.
- the skin obtained from citrus fruits is naturally dried for 3 days in the sun to obtain dried skin.
- This 5-fold volume of solvent is added to a predetermined amount of dried peel and immersion extraction is performed at a predetermined temperature for a predetermined period to obtain an extract.
- the extraction solvent for example, methanol, ethanol, acetone, ethyl acetate, water-methanol mixed solution of various mixing ratios, water-ethanol mixed solution and the like can be mentioned.
- the obtained crude extract is filtered to remove solids, and the entire filtrate is concentrated to obtain a concentrated solution.
- An appropriate amount of an appropriate aqueous / organic phase mixture is added to this concentrated liquid, and liquid-liquid partition extraction is performed.
- the partition extraction is performed a plurality of times by changing the composition of the mixed solution.
- the organic phase obtained by partition extraction is concentrated, applied to an open column, and eluted by a step gradient method in which the solvent concentration is increased stepwise, and the desired fraction is obtained from the pericarp extract (hereinafter referred to as “SPE”).
- SPE pericarp extract
- a part of the 90% methanol phase is concentrated and applied to, for example, an ODS silica gel column (Cosmosil 75C 18 -OPN, 50 mm ⁇ ⁇ 500 mm), and step gradient elution is performed to increase the methanol concentration by 20%. A fraction of% -100% methanol is obtained. These fractions are dried on a large rotary evaporator. Next, for example, among the above fractions, a part of the 80% methanol fraction is concentrated, and methanol is added to adjust the solute concentration to 900 mg / ml, followed by preparative column chromatography.
- a therapeutic agent for dysuria including an antagonist relating to a dysuria-related receptor comprising the above compound.
- an antagonist relating to a dysuria-related receptor comprising the above compound.
- the therapeutic agent is administered in an effective amount to treat dysuria, whether administered alone or in combination with other therapeutic agents.
- the total dose of the compound is determined by the attending physician within the scope of sound medical judgment. Effective doses for patients suffering from dysuria are: severity of dysuria; patient age, weight, general health, sex and diet; administration time; route of administration; excretion rate of the compound; duration of treatment; Depends on the drug being used or co-administered.
- the dose of the compound does not have to be constant for each administration. For example, the dose may be administered at a dose lower than that required to achieve the desired therapeutic effect, and the dose may be gradually increased until the desired effect is obtained.
- the effective daily dose may be divided into multiple doses according to the purpose of administration. Those skilled in the art will be able to easily optimize the effective dose and the combined dosage regimen, depending on good medical practice and individual patient clinical symptoms.
- Daily dose (daily dose) of the above therapeutic agents is 0.01, 0.05, 0.1, 0.5, 1 orally in terms of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethyl quercetin and / or synencetin , 5, 10, 50, 100, 150 and 200 mg / kg body weight may be within a range between two points.
- the therapeutic agent is preferably administered continuously over a certain period of time, ie 3 days or longer, preferably 1 week or longer, more preferably 2 weeks or longer, even more preferably 1 month or longer, for example 6 months or 1 year or longer.
- the therapeutic agent is preferably administered daily, but may not be administered daily as long as it is continuously administered throughout the period.
- the above-mentioned therapeutic agent may be administered once a day, or may be administered in several divided daily doses. Administration of the therapeutic agent may be terminated by a doctor's judgment or may be terminated by the patient's self-judgment.
- the above compound or a hydrate of the above compound for example, bread, cookies and biscuits, cooked wheat and millet, udon, buckwheat, pasta, other noodles, cheese, yogurt and other dairy products, jam, mayonnaise, miso, Made from soy sauce and other soy products, tea, coffee and cocoa, soft drinks, fruit drinks and other non-alcoholic drinks, medicinal liquors, other alcoholic drinks, candy, chocolate and other snacks, chewing gum, rice crackers, sheep's straw and other soybeans It can be added to confectionery and the like to make a functional food. Alternatively, it can be added to animal feed to make a functional mixed feed. In addition, when adding to said yogurt, soy sauce, a drink, etc., in order to prevent the compound of this invention from crystallizing and precipitating in these, a dissolution aid and a stabilizer can also be added suitably. .
- health foods can be obtained by using the above compounds or hydrates of the above compounds alone, or by mixing two or more of them into powders, granules, tablets, and capsules according to conventional methods.
- the extract obtained in the production process is concentrated and dried using a method such as freeze drying, spray drying, vacuum drying, sample mill, blender, mixer
- the dry solid may be pulverized by, for example.
- the above-mentioned binder can be added to the powder obtained as described above as appropriate, and tableting can be performed.
- the above-described coating agents such as sucrose or gelatin may be used to form sugar-coated tablets, or other coating agents may be used to make enteric solvents and the like.
- the powder obtained as described above can be made into granules according to a conventional method to produce granules.
- it can also be set as a capsule by filling the above-mentioned capsule with the above-mentioned powder and granule in an appropriate amount.
- the functional food and health food do not include citrus fruits or other plant fruits that naturally contain the compound.
- the said foodstuff etc. which are manufactured by adding the said compound to the said citrus fruits shall not be excluded from this invention.
- the amount of nobiletin contained in the above functional foods and health foods is selected from the group consisting of 0.01, 0.05, 0.1, 0.5, 1, 5, 10, 50, 100, 150, and 200 mg / kg body weight It can be adjusted to be within the range between two points.
- a method for preventing or ameliorating dysuria comprising: Administering a pharmaceutical composition or a receptor antagonist containing a compound represented by the following chemical formula (I) to a subject suffering from dysuria, Methods are provided wherein the compounds exhibit antagonism against dysuria-related receptors.
- R 1 is hydrogen or a hydroxyl group
- R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3
- R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3
- the dosage and usage described above may be administered once or more times a day, and the number and amount of administration may be appropriately increased or decreased according to the above conditions.
- the daily dose, administration period, and number of administrations of the pharmaceutical composition or antagonist may be the same as those of the therapeutic agent described above. Administration of the pharmaceutical composition or antagonist may be terminated by a doctor's judgment or may be terminated by the patient's self-judgment.
- Example 1 500 g of Shikuwasa squeezed rice cake from Higashimura, Okinawa Prefecture was thoroughly washed, 1800 mL of about 70 ° C distilled water was added, and the mixture was placed in a bath of about 70 ° C and heat-treated for 3 hours.
- the obtained heat-treated product was subjected to suction filtration using a Buchner funnel covered with a filter paper (manufactured by ADVANTEC, No. 131) having a retained particle diameter of 3 ⁇ m to obtain a residue.
- the residue was squeezed through a press.
- the concentrated solution was added with 10 volumes of 1% (w / v) aqueous sodium hydroxide solution and stirred with a stirrer for 1 day at room temperature.
- the insoluble component obtained was washed with 2 volumes of water.
- the remaining insoluble components were eluted with 5-10 volumes of 100% (v / v) ethanol.
- the ethanol-eluted component was filtered off using a Buchner funnel.
- the contents of nobiletin and tangeretin were about 60% and about 35%, respectively.
- HPLC apparatus UV-8011 HPLC (manufactured by TOSOH) Detector: UV Detector Column: Cholester Waters ID 4.6mm x 250mm (made by Waters) Elution solvent: 75% MeOH / water Concentration of solute: 0.1 mg / mL Injection volume: 0.005ml Flow rate: 1.0 mL / min Detection wavelength: UV 215 nm Range: 1000 mV The seeker extract was recovered from a peak occurring between 8 and 12 minutes after injection. Nobiletin was recovered from the peak occurring at about 9 minutes after injection. Tangeretin was recovered from a peak occurring at about 11 minutes after injection. Both nobiletin and tangeretin were more than 95% pure. In addition, 3 ′, 4 ′, 5, 7-tetramethylquercetin and sinencetin were similarly purified using these preparations.
- Example 2 Evaluation of antagonism against muscarinic receptors Using a crude cell membrane preparation prepared from rat brain, it is a selective labeling ligand for muscarinic receptors in the presence of various plant extracts or component compounds at various concentrations [ 3 H The antagonism of muscarinic receptors was evaluated from the decrease rate of specific binding of pirenzepine. Such antagonism was evaluated by radioreceptor assay, and 50% inhibition concentration (IC 50 value), inhibition constant (Ki value), and Hill coefficient (nH) were calculated.
- IC 50 value inhibition concentration
- Ki value inhibition constant
- nH Hill coefficient
- SD rats (8 weeks old, male, purchased from Nippon SLC Co., Ltd.) were laparotomized under ether anesthesia, blood was collected from an abdominal descending aorta with a heparin-treated syringe and sacrificed. After refluxing the physiological saline cooled from the artery, the brain was removed. A 19-fold volume of cooled 50 mM Tris buffer (pH 7.4) was added to the brain from which the cerebellum had been removed, homogenized, and centrifuged at 40,000 ⁇ g for 20 minutes at 4 ° C.
- tissue amount 1 mg of the receptor preparation was added to 50 mM Tris buffer, and each concentration of the test sample and 1 nM [ 3 H] pirenzepine were added to a final volume of 0.5 mL. This reaction solution was incubated at 25 ° C. for 60 minutes.
- the radioactivity was measured using a liquid scintillation counter.
- the displacer 1 ⁇ M atropine was used, and the radioactivity obtained in the absence and presence of the displacer was defined as total binding and nonspecific binding, respectively, and the difference between them was defined as specific binding to the receptor. .
- Sequwer extract inhibited specific binding of [ 3 H] pirenzepine in rat brain crude cell membrane in a concentration-dependent manner (FIG. 1).
- the IC 50 value obtained from the inhibitory action was 13.5 ⁇ 3.4 ⁇ g / mL (Table 1).
- the seeker extract is capable of binding to the muscarinic receptor.
- Example 3 Antagonistic effect of nobiletin and tangeretin on muscarinic receptors
- the same experiment as in Example 2 was carried out for purified nobiletin and tangeretin alone. The results are shown in FIG.
- nobiletin inhibited the specific binding of [ 3 H] pirenzepine in rat brain crude cell membrane in a concentration-dependent manner, whereas tangeretin specifically bound [ 3 H] pirenzepine in rat brain crude cell membrane. No concentration-dependent inhibitory action was observed.
- the Ki value determined from the inhibitory action of nobiletin was 15.7 ⁇ 2.8 ⁇ M (Table 2).
- nobiletin exhibits a binding activity to the muscarinic receptor.
- tangeretin has weak or no antagonism to muscarinic receptors.
- the activity (inhibitory action on [ 3 H] -Pirenzepin binding) and nonspecific muscarinic receptor binding activity (action on [ 3 H] -N-methyl scopolamine (NMS) binding) were compared.
- the muscarinic M1 receptor-specific binding activity was strong in the order of nobiletin> 3 ′, 4 ′, 5, 7-tetramethylquercetin ⁇ sinensetine> tangeretin (FIG. 2c and Table 3).
- Example 4 Antagonism of various plant extracts and compounds against muscarinic receptors The antagonistic action against muscarinic receptors in various plant extracts and compounds was examined. The plant extracts and compounds used are listed in Table 4.
- Example 5 Acetic acid-induced frequent urinary model rat Using acetic acid-induced frequent urinary model rat, which is a frequent urinary model due to cystitis, the effect on dysuria was evaluated.
- 8-week-old female SD rats purchased from Nippon SLC Co., Ltd.
- urethane anesthesia 0.8 g / kg ip, and 0.4 g / kg sc
- 0.1% acetic acid at 3 mL / hr in the bladder
- Inducing frequent urination by continuous infusion maximum intravesical pressure (mmHg), basal pressure (mmHg), threshold pressure (mmHg) and urination interval (min) for 30 minutes from 1 hour after administration of solvent or seeker extract was measured by a cismetry method.
- Intravenous administration experiment of nobiletin In 8 pelvic congestion groups and 8 sham groups, a catheter for measuring intravesical pressure with a diameter of about 1 mm transurethrally was inserted into the urinary bladder under 2% isoflurane inhalation anesthesia. Were used as a physiological saline injection path and an internal pressure measurement path into the bladder. A venous indwelling needle was inserted into the femoral vein on one side to administer nobiletin.
- pelvic congestion control group 8 were the pelvic congestion control group and 8 were the pelvic congestion nobiletin group.
- pelvic congestion nobiletin group nobiletin (30 mg / kg) was dissolved in 1 ml of water once a day and administered into the stomach with a sonde for 2 weeks from the 1st week after the operation.
- Eight pelvic congestion control groups and eight sham groups were administered intragastrically with 1 ml of water once a day for 2 weeks.
- the pelvic congestion nobiletin group (46.3) compared to the pelvic congestion control group (control group) (54.1 ⁇ 3.0 cmH 2 O) ⁇ 2.3 cmH 2 O).
- Example 7 Effects on urination of cerebral infarction model rats Preparation of cerebral infarction model rats Preparation of cerebral infarction model rats Eight SD female rats (around 200g) under midline incision of the neck under 2% isoflurane inhalation anesthesia and reach the basilar artery from the internal carotid artery on one side A 3-0 nylon thread was inserted and the internal carotid artery was ligated to create and close a cerebral infarction. In addition, 8 SD female rats (about 200 g) that were only subjected to the operation of peeling the internal carotid artery on one side from the surrounding tissue were used as a sham group. On the first day after surgery, it was used for the following experiments.
- Nobiletin Intravenous Administration Experiment In 8 cerebral infarction groups and 8 sham groups, a catheter for measuring intravesical pressure with a diameter of about 1 mm transurethrally was inserted into the bladder under 2% isoflurane inhalation anesthesia. Were used as a physiological saline injection path and an internal pressure measurement path into the bladder. A venous indwelling needle was inserted into the femoral vein on one side to administer nobiletin.
- CYP-induced cystitis model rats Preparation of drug-induced cystitis model rats CYP-induced cystitis model rats were prepared according to the method of Chow et al. (Chow YC, Yang S., Huang CJ, Tzen CY, Huang PL, Su YH and Wang PS: Epinephrine promotes hemostasis in rats with cyclophosphamide-induced hemorrhagic cystitis. Urology., 67: 636-641, 2006.). CYP (150 mg / kg) dissolved in physiological saline was administered once intraperitoneally, and after 24 hours, intravesical pressure and urination volume were measured under urethane anesthesia by cystometry.
- Rats were fixed in a prone position on a ball man gauge (acrylic custom-made item: Kengo Kashiyama).
- a dedicated syringe (Terumo syringe 10 mL) filled with physiological saline or 0.1% acetic acid solution was attached to a continuous injector (Model 100 Series: Kd Scientific).
- the amount of urination is set up on a dish top electronic balance (GX-400, A & D Co., Ltd.), and the fluid discharged from the urethral orifice is collected cumulatively, and the change in weight is measured by Power ⁇ Lab 4 Recorded at / 26.
- urination parameters were measured 30 minutes before administration. Thereafter, SE 50 mg / kg was orally administered, and measurement was started again 1 hour after the administration. Thereafter, 30 minutes of data was used as a urination parameter after administration.
- Example 9 Preparation of active receptor preparations that bind to Ca antagonist receptors of sequwer extract.
- SD rats were laparotomized under isoflurane anesthesia, blood was collected from the abdominal descending aorta and sacrificed, and the brain was removed. The cerebellum was removed from the removed brain.
- 19 volumes of 30 mM Tris-HCl buffer (pH 7.2 or 7.5) was added to the isolated brain and homogenized with a Polytron homogenizer. The homogenate was centrifuged (4 ° C, 40,000 ⁇ g, 20 min), then 32.3 times the amount of buffer was added to the sediment and suspended to prepare a receptor membrane preparation.
- [ 3 H] ⁇ -methylene ATP (MeATP) was measured in a 10-fold amount of homogenizing buffer (50 mM Tris, 1 mM EDTA, 2 ⁇ g / mL Soybean trypsin inhibitor, 10 ⁇ g / mL Bacitracin: pH 7.4) in the brain after extraction. In addition, it was homogenized with a Polytron homogenizer. The homogenate was centrifuged (4 ° C, 2,000 xg, 10 min), and the supernatant was collected. The sediment was resuspended in 10 times the amount of homogenizing buffer and centrifuged under the same conditions, and the supernatant was collected.
- homogenizing buffer 50 mM Tris, 1 mM EDTA, 2 ⁇ g / mL Soybean trypsin inhibitor, 10 ⁇ g / mL Bacitracin: pH 7.4
- 1,4-Dihydropyridine (DHP) Ca antagonist receptor binding activity was performed using (+)-[ 3 H] PN200-110 as the labeled ligand. Receptor assay was followed. In other words, the receptor sample was sought with Sequewacer extract (SE), 0.3 nM (+)-[ 3 H] PN200-110 in 50 mM Tris-HCl buffer (pH 7.4) at 25 ° C for 60 minutes under light-shielded conditions Incubated. After the incubation, the reaction solution was rapidly suction filtered onto a glass filter paper fiber, and the filter paper was immediately washed with 50 mM Na + / K + phosphate buffer (pH 7.5).
- SE Sequewacer extract
- 0.3 nM (+)-[ 3 H] PN200-110 in 50 mM Tris-HCl buffer (pH 7.4) at 25 ° C for 60 minutes under light-shielded conditions Incubated. After the incubation, the reaction solution was rapidly suction filtered
- the filter paper was dried, placed in a vial, added with toluene scintillator and allowed to stand at room temperature for about 6 hours, and then its radioactivity was measured to calculate the amount of specific binding. At this time, 1 ⁇ M nifedipine was used as the displacer. All measurements were done in duplicate.
- Example 10 Effects of nobiletin and tangeretin on rat isolated bladder 1.
- Reagents Atropine and Tetrodotoxin were purchased from Sigma-Aldrich Co. (St Louis, MO, USA).
- Pyridoxalphosphate-6-azophenyl-2 ', 4'-disulfonic acid tetrasodium salt (PPADS; a selective P2X antagonist) was purchased from Tocris Bioscience (Minneapolis, MN, USA).
- Nobiletin and Tangeretin were extracted and purified from Sikhwaser.
- Other reagents were purchased from Wako Pure Chemical Industries Ltd. (Osaka, Japan).
- mice 300-350 g were used in the experiment. All experimental animals were kept under conditions of constant temperature (22 ⁇ 2 ° C), constant humidity (55 ⁇ 2%), and regular lighting (7-19 o'clock). Animal experiments were conducted based on the “Mukogawa Women's University Animal Experiment Regulations”, respecting the Animal Protection Act.
- Pentobarbital 60 mg / kg, intraperitoneal administration
- Wistar male rats under deep anesthesia were exsanguinated and the bladder was removed and oxygenated (95% O 2 and 5% CO 2 ) at 37 ° C Krebs- 4 sections (3 ⁇ 5) from the upper bladder in Henseleit solution (in mmol / L: NaCl 113, KCl 4.8, MgSO 4 1.2, KH 2 PO 4 1.2, CaCl 2 ⁇ 2H 2 O 2.5, NaHCO 3 25, glucose 11.5) mm), and this was used as a specimen.
- Transmural electrical stimulation was added to the specimen at 5 minute intervals. 2 minutes after transmural electrical stimulation, nobiletin (final concentration 10 -4 M), tangeretin (final concentration 10 -4 M) or the same amount of solvent (Ethanol) was administered as a control, and 3 minutes later, the second transmural wall Contractile response was measured by applying electrical stimulation. In addition, atropine (final concentration: 10 -6 M), ⁇ , ⁇ -methylene ATP (final concentration: 10 -5 M) and tetrodotoxin (final concentration: 10 -6 M) were treated in order, and the effect on transmural electrical stimulation It was investigated. The flow of transmural electrical stimulation is as shown in FIG.
- Contraction suppressed by atropine is cholinergic contraction, and contraction desensitized by repeated addition of ⁇ , ⁇ -methylene ATP is purinergic contraction, contraction suppressed by tetrodotoxin is non-cholinergic, non-purinergic Contraction was defined as tetrodotoxin-resistant contraction that was not inhibited by tetrodotoxin.
- the contractile response observed in the presence of nobiletin is attenuated to about 70%, to about 32% in the presence of atropine, to about 2% in the presence of ⁇ , ⁇ -methylene ATP. Attenuated. In the same order, it was attenuated to about 81% in the presence of tangeretin, about 42% in the presence of atropine, and about 3% in the presence of ⁇ , ⁇ -methylene ATP (FIG. 14c).
- the contractile responses caused by transmural electrical stimulation only about 1% of tetrodotoxin-resistant contractile responses remained in the presence of tetrodotoxin (10 ⁇ 6 M) (Data not shown).
- Nobiletin and tangeretin showed a significant inhibitory action in a contraction model by transmural electrical stimulation in the isolated bladder. From this, it was suggested that nobiletin and tangeretin have the effect of improving dysuria by suppressing bladder contraction.
- nobiletin, tangeretin, 3 ', ’4', 5, 7-tetramethylquercetin and sinencetin have an antagonistic action on the muscarinic receptor. Furthermore, since nobiletin has the effect of improving frequent urination, it becomes possible to prevent, improve or treat urination disorder by using nobiletin.
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Abstract
Description
本発明は、排尿障害を予防又は改善させる医薬組成物、排尿障害関連受容体に関する拮抗剤又はその医薬組成物又は拮抗剤を用いた排尿障害を予防又は改善させる方法に関する。 The present invention relates to a pharmaceutical composition for preventing or ameliorating dysuria, an antagonist for a dysuria-related receptor, or a method for preventing or improving urinary dysfunction using the pharmaceutical composition or antagonist.
健常人の膀胱は、最大で300~500mlの尿を溜めることができる。成人では、膀胱内に約200mlの尿が溜まると、尿意に関するシグナルが脳に送られ、初発尿意を感じる。かかるシグナルを脳が受け取ると副交換神経が興奮し、その結果、膀胱のムスカリン受容体が刺激され平滑筋(排尿筋)が収縮する。一方、蓄尿段階では、交感神経が優位になり、排尿筋は弛緩した状態にある。 Healthy people's bladder can store up to 300-500ml of urine. In adults, when about 200 ml of urine accumulates in the bladder, a signal about urinary intention is sent to the brain, and a sense of initial urination is felt. When the brain receives such a signal, the paraswitchive nerve is excited, and as a result, the muscarinic receptor of the bladder is stimulated and the smooth muscle (detrusor muscle) contracts. On the other hand, in the urine accumulation stage, the sympathetic nerve is dominant and the detrusor muscle is in a relaxed state.
健常人は、尿意を感じると適切に排尿を行なうことができるが、様々な原因によって、頻尿や尿失禁などの排尿障害が生じると、生活の質(QOL)が著しく低下する。このような排尿障害を放置している人が多いのが現状である。その理由は、病院に行くのが恥ずかしいということ以外に、排尿障害であることを認識できていないことが挙げられる。 Healthy people can urinate properly when they feel urine, but quality of life (QOL) is significantly reduced when urination disorders such as frequent urination and urinary incontinence occur due to various causes. There are many people who have left such urination disorder. The reason for this is that, besides being embarrassed to go to the hospital, he cannot recognize that he has dysuria.
2002年に開催された国際禁制学会(International Continence Society)において、「尿意切迫感」を主な症状として、「頻尿」や「夜間頻尿」を伴う症状を「過活動膀胱」(Overactive Bladder: OAB)という疾患として提唱された。この提唱に基づいて、排尿障害に対する診断、治療及び予防の取り組みが盛んになってきた。 At the International Continence Society held in 2002, `` urinary urgency '' was the main symptom, and symptoms associated with `` frequent urination '' and `` night nocturia '' were called `` overactive bladder '' (Overactive Bladder: OAB) was proposed as a disease. Based on this proposal, efforts to diagnose, treat and prevent dysuria have become active.
OABは、蓄尿段階の膀胱が過剰に反応する結果、突然の強い尿意を感じる疾患であり、加齢とともに有病率が増加することが報告されている。OABの患者では、交感神経と副交感神経との調和が崩れ、蓄尿時にも関わらず排尿筋が不随意に収縮することから尿意切迫感や頻尿が起こる。男性において、OABは、前立腺肥大症を伴うことが報告されている。前立腺は、膀胱の直ぐ下で尿道を取り囲むように存在する。前立腺が加齢に伴って肥大化すると、膀胱出口の尿道が圧迫され、「尿勢減弱」や「残尿感」を引き起こす。女性のOAB患者は、加齢や出産などによって骨盤底筋が緩むことが原因で「腹圧性尿失禁」(くしゃみや咳、運動など一過的に腹部に力が加わる動作の際の尿漏れ)を高頻度で併発することが報告されている。これは、女性の尿道が男性の尿道よりも短いためである。排尿障害は、膀胱から尿道までを含めた範囲において、様々な要因で発症する加齢性疾患であるといえる。従って、排尿障害を予防することは、快適な高齢者生活を送る上で極めて重要である。 OAB is a disease that causes sudden urinary urgency as a result of excessive reaction of the bladder at the urine storage stage, and it has been reported that the prevalence increases with aging. In patients with OAB, sympathetic nerves and parasympathetic nerves become unbalanced, and detrusor muscles involuntarily contract despite urine accumulation, resulting in urgency and frequent urination. In men, OAB has been reported to be associated with benign prostatic hyperplasia. The prostate gland exists to surround the urethra just below the bladder. When the prostate enlarges with age, the urethra at the outlet of the bladder is compressed, causing “weakness of urine” and “feeling of residual urine”. In female OAB patients, `` pressure stress urinary incontinence '' due to loosening of the pelvic floor muscles due to aging, childbirth, etc. (urinary leakage during sneezing, coughing, exercise, etc., which temporarily applies force to the abdomen) Have been reported to occur at a high frequency. This is because the female urethra is shorter than the male urethra. It can be said that dysuria is an age-related disease that develops due to various factors in the range from the bladder to the urethra. Therefore, prevention of urination disorder is extremely important in order to lead a comfortable elderly life.
OABの治療には、抗コリン薬が有効であることが報告されている(例えば、非特許文献1)。 It has been reported that anticholinergic drugs are effective for the treatment of OAB (for example, Non-Patent Document 1).
しかしながら、市販の抗コリン薬の長期服用は、副作用の虞があった。 However, long-term use of commercially available anticholinergic drugs has the potential for side effects.
本発明は以上の事情に鑑みてなされたものであり、天然に存在する化合物に基づく薬剤又はその薬剤を用いた排尿障害の予防及び/若しくは改善方法を提供することを目的とする。 The present invention has been made in view of the above circumstances, and an object thereof is to provide a drug based on a naturally occurring compound or a method for preventing and / or improving urination disorder using the drug.
本願発明者らは、安全性が高い食品素材を用いた排尿障害の予防及び/又は改善に関する研究を行う中で、ノビレチン、タンゲレチン、3', 4', 5, 7-テトラメチルケルセチン及びシネンセチンが排尿障害関連受容体に対する拮抗作用を有し、排尿障害を改善することを発見し、本発明を完成させるに至った。 The inventors of the present application conducted research on the prevention and / or improvement of dysuria using food materials with high safety, and nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetine It has been found that it has an antagonism against dysuria-related receptors and improves dysuria, thereby completing the present invention.
本発明によれば、
下記化学式(I)で示される化合物を含有する、排尿障害を予防又は改善させる医薬組成物が提供される。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である)
According to the present invention,
There is provided a pharmaceutical composition containing a compound represented by the following chemical formula (I) for preventing or ameliorating dysuria.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
本願発明によれば、
下記化学式(I)で示される化合物を含有する、受容体拮抗剤であって、上記化合物は、排尿障害関連受容体に対する拮抗作用を示す、受容体拮抗剤が提供される。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である)
後述する実施例において実証されている通り、上記化学式(I)で示される化合物は、ムスカリン受容体の選択的標識リガンドである[3H]pirenzepineの、ムスカリン受容体に対する特異的結合を阻害した。従って、この拮抗剤を用いることで、排尿障害関連受容体に対するリガンドの特異的結合を阻害することができる。
According to the present invention,
Provided is a receptor antagonist comprising a compound represented by the following chemical formula (I), wherein the compound exhibits an antagonistic action on a dysuria-related receptor.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
As demonstrated in the examples described below, the compound represented by the chemical formula (I) inhibited the specific binding of [ 3 H] pirenzepine, which is a selective labeled ligand of the muscarinic receptor, to the muscarinic receptor. Therefore, by using this antagonist, the specific binding of the ligand to the dysuria-related receptor can be inhibited.
本発明によれば、
上記化合物を含む受容体拮抗剤を含む、排尿障害治療薬が提供される。後述する実施例において実証されている通り、上記化学式(I)で示される化合物を含む拮抗剤を含む治療薬を用いることで、排尿障害を治療することができる。従って、この治療薬を、排尿障害を患っている患者に施すことによって、排尿障害を治療することが可能になる。
According to the present invention,
There is provided a therapeutic agent for dysuria, comprising a receptor antagonist comprising the above compound. As demonstrated in the examples described later, dysuria can be treated by using a therapeutic agent containing an antagonist containing the compound represented by the chemical formula (I). Therefore, it is possible to treat dysuria by applying this therapeutic agent to patients suffering from dysuria.
本願発明によれば、
排尿障害を予防又は改善させるための方法であって、上記方法は、
上記排尿障害を患っている対象者に、下記化学式(I)で示される化合物を含有する医薬組成物又は受容体拮抗剤を投与するステップを含み、上記化合物は、排尿障害関連受容体に対する拮抗作用を示す、方法が提供される。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である)
後述する実施例において実証されている通り、上記化学式(I)で示される化合物を含む医薬組成物又は受容体拮抗剤を投与することによって、排尿障害が改善した。従って、この方法を、排尿障害を患っている患者に施すことによって、排尿障害を予防又は改善させることが可能になる。
According to the present invention,
A method for preventing or ameliorating dysuria, the method comprising:
Including a step of administering a pharmaceutical composition containing a compound represented by the following chemical formula (I) or a receptor antagonist to a subject suffering from the dysuria, the compound having an antagonistic action on a dysuria-related receptor A method is provided that indicates
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
As demonstrated in the examples described later, dysuria was improved by administering a pharmaceutical composition or a receptor antagonist containing the compound represented by the chemical formula (I). Therefore, by applying this method to a patient suffering from urination disorder, it becomes possible to prevent or improve urination disorder.
定義
ムスカリン受容体
アセチルコリン受容体の一種であるムスカリン受容体は、ムスカリンによってもアセチルコリンと同様の働きを示す受容体であり、副交感神経抹消において臓器側細胞の受容体として存在する。ムスカリン受容体は、副交感神経が刺激され、その末梢からアセチルコリンが放出されると、ムスカリン受容体が刺激され、支配下にある臓器の細胞を興奮させたり、抑制させたりするが、臓器の細胞が興奮するか抑制されるかは、その臓器に依存する(即ち、臓器によって異なる)。
Definition Muscarinic Receptor Muscarinic Receptor, a kind of acetylcholine receptor, is a receptor that exhibits the same function as acetylcholine by muscarin, and exists as a receptor for organ-side cells in parasympathetic nerve extinction. When muscarinic receptors are stimulated by parasympathetic nerves and acetylcholine is released from the periphery, the muscarinic receptors are stimulated to excite and suppress the cells of the organs under their control. Whether it is excited or suppressed depends on the organ (ie, it depends on the organ).
拮抗
用語「拮抗剤」とは、例えば、受容体に対するリガンドの特異的結合を競合的に阻害する作用(即ち、拮抗作用)を有する物質を含む薬剤を指す。拮抗作用を有する物質は、アンタゴニストとも呼ばれる。拮抗作用には、アンタゴニストが受容体に結合して受容体に結合できなくなることで拮抗作用が生じるケースとアンタゴニストがリガンドに作用(例えば、結合)してリガンドが受容体に結合できなくなることで拮抗作用が生じるケースが含まれる。
Antagonism The term “antagonist” refers to an agent containing a substance having an action (ie, antagonism) that competitively inhibits specific binding of a ligand to a receptor, for example. A substance having an antagonistic action is also called an antagonist. Antagonism occurs when the antagonist binds to the receptor and becomes unable to bind to the receptor, or when the antagonist acts on the ligand (for example, binds) and the ligand cannot bind to the receptor. Cases where effects occur are included.
概要
以下、本発明の実施の形態について、詳しく説明する。なお、同様な内容については繰り返しの煩雑をさけるために、摘示説明を省略する。
Overview Hereinafter, embodiments of the present invention will be described in detail. In addition, in order to avoid the repetition complexity about the same content, description of omission is abbreviate | omitted.
<実施形態1:医薬組成物>
本発明によれば、下記化学式(I)で示される化合物を含有する、排尿障害を予防又は改善させる医薬組成物が提供される。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である)
この医薬組成物を用いることで、排尿障害を予防又は改善させることができる。
<Embodiment 1: Pharmaceutical composition>
According to the present invention, there is provided a pharmaceutical composition containing a compound represented by the following chemical formula (I) for preventing or ameliorating dysuria.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
By using this pharmaceutical composition, dysuria can be prevented or improved.
本願明細書においては、上記化学式(I)のR2からR10のうちの少なくとも1、2、3、4、5、6、7若しくは8つ又は全てが-OCH3であってもよい。本願明細書においては、上記化学式(I)のR2からR6のうちの少なくとも1、2、3若しくは4つ又は全てが-OCH3であってもよい。本願明細書においては、上記化学式(I)のR7からR10のうちの少なくとも1、2若しくは3つ又は全てが-OCH3であってもよい。本願明細書においては、-OCH3と-OMeは、互いに置換可能である。 In the present specification, at least 1, 2, 3, 4, 5, 6, 7 or 8 or all of R 2 to R 10 in the chemical formula (I) may be —OCH 3 . In the present specification, at least 1, 2, 3 or 4 or all of R 2 to R 6 in the chemical formula (I) may be —OCH 3 . In the present specification, at least 1, 2 or 3 or all of R 7 to R 10 in the chemical formula (I) may be —OCH 3 . As used herein, —OCH 3 and —OMe can be substituted for each other.
本発明によれば、上記化学式(I)に示される化合物は、下記化学式(II)から(V)の群より少なくとも1つ選択される化合物である、排尿障害を予防又は改善させる医薬組成物が提供される。
<実施形態2:排尿障害関連受容体拮抗剤>
本願発明によれば、下記化学式(I)で示される化合物を含有する、受容体拮抗剤であって、上記化合物は、排尿障害関連受容体に対する拮抗作用を示す、受容体拮抗剤が提供される。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である)
この拮抗剤を用いることで、排尿障害関連受容体に対するリガンドの特異的結合を阻害することができる。
<Embodiment 2: Urinary dysfunction-related receptor antagonist>
According to the present invention, there is provided a receptor antagonist containing a compound represented by the following chemical formula (I), wherein the compound exhibits an antagonistic action on a dysuria-related receptor. .
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
By using this antagonist, specific binding of a ligand to a dysuria-related receptor can be inhibited.
本発明によれば、上記化学式(I)に示される化合物は、下記化学式(II)から(V)の群より少なくとも1つ選択される化合物である、受容体拮抗剤が提供される。
本願明細書において、排尿障害関連受容体は、ムスカリン受容体、カルシウム受容体及びプリン受容体からなる群より少なくとも1つ選択される。 In the present specification, at least one urination disorder-related receptor is selected from the group consisting of a muscarinic receptor, a calcium receptor, and a purine receptor.
上記化学式(II)から(V)で示される化合物は、それぞれ、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンと称される。本願明細書においては、化学式(II)とノビレチンは、互いに置換可能であり、化学式(III)とタンゲレチンは、互いに置換可能であり、化学式(IV)と3’, 4’, 5, 7-テトラメチルケルセチンは、互いに置換可能であり、化学式(V)とシネンセチンは、互いに置換可能である。 The compounds represented by the chemical formulas (II) to (V) are referred to as nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin, respectively. In the present specification, the chemical formula (II) and nobiletin can be substituted with each other, the chemical formula (III) and the tangeretin can be substituted with each other, and the chemical formula (IV) and 3 ′, 4 ′, 5, 7-tetra Methyl quercetin can be substituted for each other, and chemical formula (V) and sinencetine can be substituted for each other.
上記化合物は、精製された化合物であってよく、合成された化合物であってもよい。また、上記化合物は、植物の粗抽出物中に含まれた形態であってもよい。ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンは、後述する柑橘類及び抽出方法から抽出することができる。また、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンは、後述する精製方法を用いることで精製することができる。上記化合物は、水和物であってもよい。 The above compound may be a purified compound or a synthesized compound. Moreover, the form contained in the crude extract of a plant may be sufficient as the said compound. Nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and synencetin can be extracted from citrus and extraction methods described below. In addition, nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin can be purified by using the purification method described later. The compound may be a hydrate.
上記化合物又は上記化合物の水和物を医薬組成物又は医薬製剤(拮抗剤)とする場合には、その結晶を常法に従って処理し、後述する賦形剤等と混合すればよい。かかる化合物を有効成分とする医薬製剤としては、注射剤、坐剤、エアゾール剤、経皮吸収剤、軟膏剤、硬膏剤、スプレー剤その他の非経口剤、錠剤、散剤、顆粒剤、粉剤、カプセル剤、丸剤、トローチ剤、液剤その他の経口剤等を挙げることができる。 When the above compound or a hydrate of the above compound is used as a pharmaceutical composition or pharmaceutical preparation (antagonist), the crystals may be treated according to a conventional method and mixed with excipients described later. Pharmaceutical preparations containing such compounds as active ingredients include injections, suppositories, aerosols, transdermal absorption agents, ointments, plasters, sprays and other parenterals, tablets, powders, granules, powders, capsules Agents, pills, troches, liquids and other oral preparations.
ここで、上記の錠剤には、糖衣錠、コーティング錠、バッカル剤が含まれ、カプセル剤には、硬カプセル剤、軟カプセル剤の双方が含まれる。また顆粒剤にはコーティングされた顆粒剤も含まれる。また、上記の液剤には、懸濁剤、乳剤、シロップ剤、エリキシル剤等が含まれ、シロップ剤にはドライシロップも含まれる。なお、上述した各製剤には、徐放化されてないものばかりでなく、徐放化されたものも含まれる。こうした製剤は、公知の製剤学的製法に従い、製剤の製法に際して薬理学的に許容できる日本薬局方に記載の基剤、担体、賦形剤、結合剤、崩壊剤、滑沢剤、着色剤等を用いて製造することができる。こうした担体や賦形剤としては、例えば、乳糖、ブドウ糖、白糖、マンニトール、馬鈴薯デンプン、トウモロコシデンプン、炭酸カルシウム、リン酸カルシウム、硫酸カルシウム、結晶セルロース、カンゾウ末、ゲンチアナ末等を挙げることができる。 Here, the tablets include sugar-coated tablets, coated tablets, and buccals, and the capsules include both hard capsules and soft capsules. Granules also include coated granules. The above liquid preparations include suspensions, emulsions, syrups, elixirs and the like, and syrups include dry syrups. Each of the above-mentioned preparations includes not only those that are not sustained-released but also those that are sustained-released. These preparations are in accordance with known pharmacological manufacturing methods, such as bases, carriers, excipients, binders, disintegrants, lubricants, colorants, etc. described in the Japanese Pharmacopoeia that are pharmacologically acceptable when manufacturing the preparations. Can be used. Examples of such carriers and excipients include lactose, glucose, sucrose, mannitol, potato starch, corn starch, calcium carbonate, calcium phosphate, calcium sulfate, crystalline cellulose, licorice powder, and gentian powder.
上記医薬組成物又は結合剤としては、例えば、デンプン、トラガントゴム、ゼラチン、シロップ、ポリビニルアルコール、ポリビニルエーテル、ポリビニルピロリドン、ヒドロキシプロピルセルロース、メチルセルロース、エチルセルロース、カルボキシルメチルセルロース等を挙げることができる。上記崩壊剤としては、例えば、デンプン、寒天、ゼラチン末、カルボキシメチルセルロースナトリウム、カルボキシメチルセルロースカルシウム、結晶セルロース、炭酸カルシウム、メチルセルロース、エチルセルロース、カルボキシルメチルセルロース等を挙げることができる。上記滑沢剤としては、例えば、タルク、ステアリン酸マグネシウム等を挙げることができる。上記着色剤としては、医薬品に添加することが許容されているものであれば使用することができ、特に限定されない。また、これら以外に、矯味剤、矯臭剤等も、必要に応じて適宜使用することができる。 Examples of the pharmaceutical composition or binder include starch, tragacanth gum, gelatin, syrup, polyvinyl alcohol, polyvinyl ether, polyvinyl pyrrolidone, hydroxypropyl cellulose, methyl cellulose, ethyl cellulose, carboxymethyl cellulose, and the like. Examples of the disintegrant include starch, agar, gelatin powder, sodium carboxymethylcellulose, carboxymethylcellulose calcium, crystalline cellulose, calcium carbonate, methylcellulose, ethylcellulose, carboxymethylcellulose, and the like. Examples of the lubricant include talc and magnesium stearate. The colorant can be used as long as it is allowed to be added to pharmaceuticals, and is not particularly limited. In addition to these, flavoring agents, flavoring agents, and the like can be appropriately used as necessary.
錠剤又は顆粒剤とする場合には、必要に応じて、白糖、ゼラチン、精製セラック、グリセリン、ソルビトール、エチルセルロース、ヒドロキシプロピルセルロース、ヒドロキシプロピルメチルセルロース、ポリビニルピロリドン、フタル酸セルロースアセテート、ヒドロキシプロピルメチルセルロースフタレート、メチルメタクリレート、メタアクリル酸重合体等を用いてコーティングしても良く、複数層でコーティングすることもできる。さらに顆粒剤や粉剤をエチルセルロースやゼラチンのようなカプセルに詰めてカプセル剤とすることもできる。 For tablets or granules, sucrose, gelatin, purified shellac, glycerin, sorbitol, ethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, polyvinylpyrrolidone, cellulose phthalate acetate, hydroxypropylmethylcellulose phthalate, methyl as necessary Coating may be performed using a methacrylate, a methacrylic acid polymer, or the like, and coating may be performed with a plurality of layers. Furthermore, granules and powders can be packed into capsules such as ethyl cellulose and gelatin to form capsules.
上記化合物を含む医薬組成物若しくは拮抗剤又は上記化合物の水和物を含む医薬組成物若しくは拮抗剤を用いて、注射剤を調製する場合は、必要に応じて、pH調整剤、緩衝材、安定化剤、可溶化剤などを添加することもできる。 When preparing an injection using a pharmaceutical composition or antagonist containing the above compound or a pharmaceutical composition or antagonist containing a hydrate of the above compound, a pH adjuster, buffer material, A solubilizer, solubilizer, and the like can also be added.
本実施形態の排尿障害関連受容体に関する拮抗剤は、排尿障害を予防又は改善するために使用されてもよい。本願明細書において、排尿障害は、何らかの原因で尿の排出が困難である状態を指す。上記排尿障害は、自覚症状を伴うものであっても、伴わないものであってもよく、医師の診断に基づくものであってもよい。 The antagonist related to the urination disorder-related receptor of the present embodiment may be used for preventing or improving urination disorder. In the present specification, dysuria refers to a condition in which urine output is difficult for some reason. The dysuria may be accompanied by subjective symptoms or not, or may be based on a doctor's diagnosis.
本願明細書において、上記排尿障害は、過活動膀胱及び/又は前立腺肥大症であってもよい。排尿障害(下部尿路機能障害)は、2つのグループに分けることができる。1つは、過活動膀胱であり、もう1つは前立腺肥大症である。過活動膀胱は、我慢できない尿意が急に生じる症状である尿意切迫感を伴う。また、過活動膀胱は、頻尿、夜間頻尿及び尿失禁からなる群より選択される1又は複数の症状を伴ってもよい。過活動膀胱の治療では、抗コリンが第一選択薬として用いられる。前立腺肥大症は、下部尿路閉塞による、尿流抵抗の増大及び/又は膀胱血流障害を伴っていてもよい。前立腺肥大症では、α1遮断薬が第一選択訳として用いられる。また、過活動膀胱は、前立腺肥大症を伴わなくてもよく、前立腺肥大症は過活動膀胱を伴わくてもよい。本願明細書において、上記排尿障害は、過活動膀胱であってもよい。本願明細書において、上記排尿障害は、前立腺肥大症であってもよい。
In the present specification, the dysuria may be overactive bladder and / or prostatic hypertrophy. Urination disorders (lower urinary tract dysfunction) can be divided into two groups. One is overactive bladder and the other is prostatic hypertrophy. Overactive bladder is accompanied by a sense of urgency, a symptom of sudden urinary urgency. Overactive bladder may also be accompanied by one or more symptoms selected from the group consisting of frequent urination, nocturia and urinary incontinence. In the treatment of overactive bladder, anticholine is used as the first-line drug. Prostatic hypertrophy may be associated with increased urinary flow resistance and / or impaired bladder blood flow due to lower urinary tract obstruction. In benign prostatic hyperplasia, an
本願明細書において、前記排尿障害は、頻尿、夜間頻尿、尿失禁、残尿感及び尿勢減弱からなる群より選択される1又は複数の症状を伴っていてもよい。頻尿は、起床から就寝までの排尿回数が多くなる症状である。通常、1日の排尿回数が8回以上の場合は頻尿と診断されるが、これに限定されない。夜間頻尿は、就寝から起床までに排尿のために一時的に起床する症状であり、通常、1回以上の排尿があれば夜間頻尿と診断されるが、これに限定されない。また、尿失禁は、不随意又は無意識に尿が漏れる症状を指す。尿失禁には、腹圧性尿失禁、切迫性尿失禁、溢流性尿失禁、反射性尿失禁、真性尿失禁が含まれる。残尿感は、排尿後も膀胱に尿が残っている(残尿)感覚が伴う症状であり、かかる感覚は、残尿の有無に関係なく生じる。尿勢減弱は、排尿の勢いが低下し、排尿時間が長くなる症状である。上記症状は、検尿、前立腺特異的抗原(PSA)測定、尿流測定、超音波検査、コンピューター断層撮影(CT)検査、磁気共鳴画像(MRI)検査、排尿時膀胱造影、尿流動態検査又はこれらの組み合わせによって判断することができる。 In the present specification, the dysuria may be accompanied by one or a plurality of symptoms selected from the group consisting of frequent urination, nocturia, urinary incontinence, residual urine sensation, and urinary dysfunction. Frequent urination is a symptom in which the number of urinations from getting up to bedtime increases. Usually, if the number of urinations per day is 8 or more, frequent urination is diagnosed, but this is not a limitation. Nocturia is a symptom of temporarily rising for urination from bedtime to waking up, and is usually diagnosed as nocturnal urination if there is at least one urination, but is not limited thereto. Urinary incontinence refers to a symptom of involuntary or unconscious urine leakage. Urinary incontinence includes stress urinary incontinence, urge incontinence, overflow urinary incontinence, reflex urinary incontinence, true urinary incontinence. Residual urine sensation is a symptom accompanied by the sensation of urine remaining in the bladder even after urination (residual urine), and this sensation occurs regardless of the presence or absence of residual urine. Urinary weakness is a symptom in which urination momentum decreases and urination time increases. Symptoms include urinalysis, prostate-specific antigen (PSA) measurement, urine flow measurement, ultrasonography, computed tomography (CT) examination, magnetic resonance imaging (MRI) examination, urinary bladder angiography, urodynamic examination or these It can be judged by the combination of
本願明細書の医薬組成物又は排尿障害関連受容体に関する拮抗剤は、上記化学式(I)を含有する柑橘類抽出物を含有してもよい。本願明細書において、上記柑橘類は、ケラジ(Keraji;Citrus Keraji、ポンカン(Ponkan;C. reticulate)、ダンシータンジェリン(Dancy tangerine;C. tangerine)、ジミカン(Jimikan;C. succosa)、シカイカン(Shikaikan;C. suhuiensis)、タチバナ(Tachibana;C. tachibana)、コベニミカン(Kobenimikan;C. erythrosa)、キシュウミカン(Kishumikan;C. kinokuni)、シークワーサー(Shiikuwasha;C. depressa)、コウジ(Koji;C. leiocarpa)であってもよい。好ましくは、上記柑橘類は、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンをより多く含むため、シークワーサーである。本願明細書において、上記柑橘類抽出物は、1又は複数の柑橘類由来である。 The antagonist for the pharmaceutical composition or dysuria-related receptor of the present specification may contain a citrus extract containing the above chemical formula (I). In the present specification, the citrus fruits include Keraji (CitrusCKeraji, Ponkan; C. reticulate), Dancy tangerine (C. tangerine), Jimikan (C. succosa), Shikaikan (Chi). . Suhuiensis), Tachibana (C. tachibana), Kobenimikan (C. erythrosa), Kishumikan (C. kinokuni), Shiikuwasha (C. depressa), Koji Preferably, the citrus fruit is a seeker because it contains more nobiletin, tangeretin, 3 ′, 4 ′, 5, -7-tetramethylquercetin and sinencetin. Is derived from one or more citrus fruits.
本願明細書において、上記医薬組成物又は拮抗剤は、上記抽出物由来のノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチン以外に、合成されたノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチンを含んでいてもよい。本願明細書において、上記医薬組成物又は拮抗剤は、上記ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチンを含む上記抽出物を含み、合成されたノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンを含まない。抽出物におけるノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチンの含有率は、抽出物の乾燥重量換算で、10重量%、20重量%、30重量%、40重量%、50重量%、60重量%、70重量%、80重量%、90重量%、95重量%、98重量%及び99重量%からなる群より選択される任意の2点間の数値範囲内であってもよい。
In the specification of the present application, the pharmaceutical composition or antagonist includes nobiletin, tangeretin synthesized in addition to nobiletin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or synencetin derived from the extract, It may contain 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or sinencetin. In the present specification, the pharmaceutical composition or antagonist includes the above-mentioned extract containing the above-mentioned nobiletin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and / or synencetin, and synthesized nobiletin,
本発明において利用できる柑橘類の部位は、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチンを含有する部位であれば特に限定されないが、例えば、果実に加えて、果皮、搾汁残渣(搾り粕)、剪定した葉や小枝、これらの乾燥物等も原料として使用することができる。シークワーサーやポンカンなどの場合は、果実、果皮及び搾汁残渣を使用することが、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチンの単位重量あたりの含有量が多いことから好ましい。一方で、剪定した葉や小枝等は、単位重量当たりのノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチンの含有量は果皮ほど多くはないが、大量に発生する。このため、これらを使用することで、環境への負荷を軽減することができる可能性がある。 The citrus part that can be used in the present invention is not particularly limited as long as it contains nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin, for example, in addition to fruits, Fruit peel, squeezed residue (squeezed lees), pruned leaves and twigs, dried products thereof and the like can also be used as raw materials. In the case of seekers, ponkans, etc., it is possible to use fruits, pericarp and juice residue, and the content per unit weight of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin It is preferable because there are many. On the other hand, pruned leaves, twigs, etc. contain nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and / or sinencetin per unit weight, but not as much as pericarp. To do. For this reason, there is a possibility that the load on the environment can be reduced by using these.
柑橘類の搾汁残渣を得る方法は特に限定されないが、例えば、柑橘類の果実を圧搾機で処理することにより搾汁残渣を得ることができる。圧搾機は特に限定されないが、ロールプレス機やろ布プレス機、遠心ろ過式分離装置等を使用することが、搾汁した果皮を効率よく得られるために好ましい。 Although the method of obtaining the citrus juice residue is not particularly limited, for example, the juice residue can be obtained by treating the citrus fruit with a press. Although a press machine is not specifically limited, It is preferable to use a roll press machine, a filter cloth press machine, a centrifugal filtration type | mold separation apparatus, etc. in order to obtain the squeezed fruit skin efficiently.
柑橘類の果実及び果皮並びに搾汁残渣の乾燥物を得る方法は特に限定されないが、例えば、柑橘類を50~70℃、15~45分の条件で加熱乾燥することにより柑橘類の乾燥物を得ることができる。この際、50℃未満で乾燥させると、15~45分という短い時間のうちに十分に乾燥させることができない可能性があり、70℃を越えた温度で乾燥させると、柑橘類中に含まれる成分が乾燥中に変性する可能性がある。そこで、柑橘類を加熱乾燥する際には、約60℃で約30分間乾燥させることが好ましい。 The method for obtaining a dried product of citrus fruits and pericarp and juice residue is not particularly limited. For example, citrus fruits can be dried by heating at 50 to 70 ° C. for 15 to 45 minutes to obtain a dried product of citrus fruits. it can. At this time, if it is dried at less than 50 ° C, it may not be able to be sufficiently dried in a short time of 15 to 45 minutes. If it is dried at a temperature exceeding 70 ° C, the components contained in citrus fruits May denature during drying. Therefore, when the citrus fruits are dried by heating, it is preferable to dry them at about 60 ° C. for about 30 minutes.
天日乾燥により柑橘類の果実及び果皮並びに搾汁残渣の乾燥物を得ることもできる。天日乾燥は、乾燥機械の電気エネルギーを削減できるため、エネルギーコストの観点から工業スケールでの乾燥作業に好適である。また、天日乾燥での温度は、乾燥機械の温度よりも低いため、上記乾燥物の成分の変性を抑制することができる。天日乾燥により上記乾燥物を得る場合は、地域、季節、気候及び柑橘類の量に応じて乾燥時間を適宜調節することができる。例えば、乾燥時間は、3日、4日、5日、10日又は20日であってもよく、更に1ヶ月、2ヶ月、3ヶ月、半年、12ヶ月であってもよい。乾燥場所は、気象条件又は柑橘類の乾燥の程度に応じて変更してもよい。例えば、夜間は、建物(例えば、倉庫又は工場)に柑橘類を保存してもよい。 It is also possible to obtain dried citrus fruits and pericarp and juice residue by sun drying. Since sun drying can reduce the electrical energy of a drying machine, it is suitable for drying operations on an industrial scale from the viewpoint of energy cost. Moreover, since the temperature in the sun drying is lower than the temperature of the drying machine, denaturation of the components of the dried product can be suppressed. When the dried product is obtained by sun drying, the drying time can be appropriately adjusted according to the region, season, climate, and amount of citrus fruits. For example, the drying time may be 3 days, 4 days, 5 days, 10 days, or 20 days, and may be 1 month, 2 months, 3 months, 6 months, or 12 months. You may change a drying place according to a weather condition or the degree of drying of citrus fruits. For example, at night, citrus fruits may be stored in a building (eg, warehouse or factory).
ある実施形態においては、柑橘類は、乾燥させずに柑橘類抽出物を得ることができる。柑橘類を乾燥させない場合は、乾燥コスト及び乾燥時間を削減することができる。また、柑橘類を乾燥させない場合は、水分含有量が少ない部位(例えば、果皮)を用いて柑橘類抽出物を取得してもよい。 In some embodiments, citrus fruits can be obtained without being dried. When citrus fruits are not dried, the drying cost and drying time can be reduced. Moreover, when not drying citrus, you may acquire a citrus extract using a site | part (for example, peel) with little water content.
以下に、シークワーサーを用いた柑橘類抽出物の例示的製造方法を説明する。 Hereinafter, an exemplary method for producing a citrus extract using a seeker will be described.
まず、シークワーサーを水で洗浄し、その後、シークワーサーの果実をそのまま圧搾できる各種の圧搾機で圧搾処理を行う。こうした圧搾機としては、例えば、2つの圧縮ロールの間に10~20メッシュのエンドレスのネットを挟んで回転させ、連続的に供給されるシークワーサーの果実をこれら2つの圧縮ロールで圧搾するロールプレス搾汁機、シークワーサーの果実をろ布に包んで圧縮し搾汁するろ布プレス機、遠心ろ過式分離装置等を挙げることができる。 First, wash the sequwacer with water, and then perform squeezing with various presses that can squeeze the squeaker fruit as it is. As such a press, for example, a roll press press that rotates by rotating a 10-20 mesh endless net between two compression rolls and squeezes the continuously supplied seeker fruit with these two compression rolls. Examples include a soup machine, a filter cloth press machine that squeezes and squeezes the fruit of a seeker fruit wrapped in a filter cloth, a centrifugal filtration type separation device, and the like.
果汁を圧搾した搾汁残渣を所定の量、例えば、約300~約500g(湿重量)秤量する。次いで、この残渣を、例えば、約50~約70℃にて、ドライヤー等を用いて乾燥させる。乾燥させた搾汁残渣の重量(乾燥重量)を秤量した後、乾燥搾汁残渣を適当な容器に入れ、ここに、上記乾燥重量の1~2倍容の蒸留水を加えて、この容器を約60~約80℃の温浴中に移し、1~3時間抽出する。抽出後、ビーカーを温浴から出して自然冷却させ、その後に、例えば、保留粒子径5μm以下のろ紙をブッフナーロートに敷いて、抽出液の全量を吸引ろ過し、残渣をろ別する。 The juice residue obtained by pressing the fruit juice is weighed in a predetermined amount, for example, about 300 to about 500 g (wet weight). The residue is then dried using a dryer or the like, for example, at about 50 to about 70 ° C. After weighing the dried juice residue (dry weight), put the dried juice residue into a suitable container, and add 1 to 2 times the volume of the above-mentioned dry weight of distilled water to the container. Transfer to a hot bath at about 60 to about 80 ° C. and extract for 1-3 hours. After extraction, the beaker is taken out of the warm bath and allowed to cool naturally, and then, for example, a filter paper having a reserved particle diameter of 5 μm or less is laid on a Buchner funnel, the entire amount of the extract is suction filtered, and the residue is filtered off.
得られた残渣を、再び、上記と同様に、約50~約70℃にて、ドライヤー等を用いて乾燥させ、秤量する。乾燥重量の2~3倍容のエタノールを加えて、室温にて2~4日間抽出を行う。次いで、上記と同様に、抽出液全量を吸引ろ過し、残渣をろ別する。ろ液を約30~40℃で約15~約60分間濃縮する。 The obtained residue is again dried at about 50 to about 70 ° C. using a dryer or the like, and weighed. Add 2 to 3 times the dry weight of ethanol and extract at room temperature for 2 to 4 days. Next, as in the above, the whole extract is suction filtered and the residue is filtered off. Concentrate the filtrate at about 30-40 ° C. for about 15 to about 60 minutes.
得られた濃縮物に、この濃縮物の8~10倍容の1%(w/v)水酸化ナトリウム水溶液を加えて、室温にてよく混合する。室温にて1~2日間、例えば、スターラーを用いてこの混合液を撹拌し続ける。その後、例えば、保留粒子径5μm以下のろ紙をロートにセットして自然ろ過し、可溶性成分と不溶性成分とを分離する。得られた不溶性成分を、1~2倍容の水で洗浄する。残った不溶性成分を5~10倍容のエタノールで溶出させる。その後エタノール可溶部分を室温にて約15~約60分間濃縮する。濃縮後の液量は濃縮前の重量の約1/15~1/20となり、この液量を測定する。
To the obtained concentrate, add 8 to 10
この濃縮液に、液量の8~10倍容の約0.5~2%(w/v)水酸化ナトリウム水溶液を加えてよく混合する。次いで、室温にて4~8日間、例えば、スターラーを用いてこの混合液を撹拌し続ける。その後、例えば、保留粒子径5μm以下のろ紙をロートにセットして自然ろ過し、残渣をろ別する。以上のようにして、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンとを高含有率で含有する画分を得ることができる。 To this concentrated solution, add about 0.5 to 2% (w / v) aqueous sodium hydroxide, 8 to 10 times the volume, and mix well. The mixture is then kept stirred at room temperature for 4-8 days, for example using a stirrer. Thereafter, for example, a filter paper having a retained particle diameter of 5 μm or less is set in a funnel and naturally filtered, and the residue is separated by filtration. As described above, a fraction containing nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin at a high content can be obtained.
また、シークワーサーを用いた柑橘類抽出物の別の例示的製造方法を説明する。 Also, another exemplary method for producing a citrus extract using a seeker will be described.
柑橘類の果実から得た果皮を、天日で3日間自然乾燥させ、乾燥果皮とする。所定量の乾燥果皮に、この5倍容の溶媒を加え、所定の期間、所定の温度で浸漬抽出を行い、抽出液を得る。ここで、抽出溶媒としては、例えば、メタノール、エタノール、アセトン、酢酸エチル、各種の混合比の水-メタノール混合液、水-エタノール混合液等を挙げることができる。
得られた粗抽出液を濾過して固形分を除き、濾液全量を濃縮し、濃縮液を得る。この濃縮液に、適当な水相/有機相の混合液を適当量加えて、液-液分配抽出を行う。分配抽出は、混合液の組成を変えて複数回行う。分配抽出によって得られた有機相を濃縮し、オープンカラムに供して、段階的に溶媒濃度を上げるステップグラジエント法による溶出を行い、所望の画分を果皮抽出物(以下、「SPE」という。)として使用する。
The skin obtained from citrus fruits is naturally dried for 3 days in the sun to obtain dried skin. This 5-fold volume of solvent is added to a predetermined amount of dried peel and immersion extraction is performed at a predetermined temperature for a predetermined period to obtain an extract. Here, as the extraction solvent, for example, methanol, ethanol, acetone, ethyl acetate, water-methanol mixed solution of various mixing ratios, water-ethanol mixed solution and the like can be mentioned.
The obtained crude extract is filtered to remove solids, and the entire filtrate is concentrated to obtain a concentrated solution. An appropriate amount of an appropriate aqueous / organic phase mixture is added to this concentrated liquid, and liquid-liquid partition extraction is performed. The partition extraction is performed a plurality of times by changing the composition of the mixed solution. The organic phase obtained by partition extraction is concentrated, applied to an open column, and eluted by a step gradient method in which the solvent concentration is increased stepwise, and the desired fraction is obtained from the pericarp extract (hereinafter referred to as “SPE”). Use as
次いで、この画分の一部を濃縮し、溶質濃度を調整して、分取カラムクロマトグラフィーを行って粗精製を行う。SPEを、さらにカラムクロマトグラフィーに供し、この抽出物に含まれるノビレチン及び/又はタンゲリチンの量を定量する。
具体的には、シークワーサー等の柑橘類の乾燥果皮6~10kgに、30~50Lのメタノールを加えて、2~6℃で7~21日間抽出し、抽出液を得る。この抽出液を濾過して固形分を除き、フラッシュエバポレータを用いて、濾液全量を濃縮する。次いで、水/酢酸エチル(1/1)を4L加えて分配抽出をおこなう。得られた酢酸エチル相に、90%メタノール/n-ヘキサン(1/1)を4L加えて、再度、液-液分配抽出を行う。
Subsequently, a part of this fraction is concentrated, the solute concentration is adjusted, and crude purification is performed by preparative column chromatography. The SPE is further subjected to column chromatography, and the amount of nobiletin and / or tangelitin contained in the extract is quantified.
Specifically, 30 to 50 L of methanol is added to 6 to 10 kg of dried citrus peel such as sequwercer and extracted at 2 to 6 ° C. for 7 to 21 days to obtain an extract. The extract is filtered to remove solids and the entire filtrate is concentrated using a flash evaporator. Next, 4 L of water / ethyl acetate (1/1) is added to perform partition extraction. 4 L of 90% methanol / n-hexane (1/1) is added to the obtained ethyl acetate phase, and liquid-liquid partition extraction is performed again.
引き続き、90%メタノール相の一部を濃縮し、例えば、ODSシリカゲルカラム(Cosmosil 75C18-OPN、50 mmφ×500 mm)にアプライして、20%ずつメタノール濃度を上げるステップグラジエント溶出を行い、60%~100%メタノールの画分を得る。これらの画分を、大型ロータリーエバポレータにて乾燥させる。
次いで、例えば、上記の画分のうち、80%メタノール画分の一部を濃縮し、メタノールを加えて溶質濃度を900mg/mlに調整し、分取カラムクロマトグラフィーに供する。
Subsequently, a part of the 90% methanol phase is concentrated and applied to, for example, an ODS silica gel column (Cosmosil 75C 18 -OPN, 50 mmφ × 500 mm), and step gradient elution is performed to increase the methanol concentration by 20%. A fraction of% -100% methanol is obtained. These fractions are dried on a large rotary evaporator.
Next, for example, among the above fractions, a part of the 80% methanol fraction is concentrated, and methanol is added to adjust the solute concentration to 900 mg / ml, followed by preparative column chromatography.
上記画分からノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンを精製する場合は、限定するものではないが、HPLCを用いて精製することができる。以下に例示的な精製条件を記載する。
分取条件:カラム5C18-AR-IIカラム(ナカライテスク(株))
溶出溶媒:70%メタノール/水
溶質濃度:900mg/ml
Injection volume:3ml
Fraction volume:10ml
Flow rate:5ml/分
検出波長:UV215nm
レンジ:20mV
ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンの溶出時間は、それぞれ、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンの標準品を用いることで決定することができる。
When purifying nobiletin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and sinencetin from the above fraction, it is not limited, but can be purified using HPLC. Exemplary purification conditions are described below.
Preparative conditions: Column 5C 18 -AR-II column (Nacalai Tesque)
Elution solvent: 70% methanol / water Solute concentration: 900 mg / ml
Injection volume: 3ml
Fraction volume: 10ml
Flow rate: 5ml / min Detection wavelength: UV215nm
Range: 20mV
The elution times for nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin, and sinencetin use the standard products of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin, and sinencetin, respectively. Can be determined.
ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンを含む抽出物の製造方法及び精製方法を例示的に説明したが、工業用スケールでは、柑橘類の量を増やして上記抽出物を製造することも可能である。工業用スケールの場合は、上記抽出物を得ることが可能である限りは、各製造プロセスのパラメーターを適宜変更すること、及び製造プロセスの追加、変更又は繰り返すこと、更には製造プロセスの削除も可能である。 The production method and the purification method of the extract containing nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and sinencetin have been exemplarily described. It is also possible to produce things. In the case of an industrial scale, as long as it is possible to obtain the above extract, it is possible to appropriately change the parameters of each manufacturing process, and to add, change or repeat the manufacturing process, and to delete the manufacturing process. It is.
<実施形態3:治療薬>
本願発明によれば、上記化合物を含む排尿障害関連受容体に関する拮抗剤を含む、排尿障害治療薬が提供される。この治療薬を用いることで排尿障害を治療することが可能になる。ある排尿障害治療薬は、排尿障害の予防及び/又は改善に用いることができる。
<Embodiment 3: Therapeutic>
According to the present invention, there is provided a therapeutic agent for dysuria including an antagonist relating to a dysuria-related receptor comprising the above compound. By using this therapeutic agent, it becomes possible to treat dysuria. Certain dysuria drugs can be used to prevent and / or ameliorate dysuria.
上記治療薬は、単独投与又は他の治療薬との併用投与のいずれであれ、排尿障害が治療される有効量で投与される。しかしながら、上記化合物の総投与量は、担当医によって、健全な医学的判断の範囲内で決定される。排尿障害を患っている患者に対する有効量は、排尿障害の重症度;患者の年齢、体重、総体的健康、性別及び食餌;投与時間;投与経路;上記化合物の排出速度;治療期間;上記治療薬と併用している又は同時使用している薬物に依存する。上記化合物の投与量は、投与毎に一定量でなくてもよい。例えば、所望の治療効果を達成するのに必要な投与量よりも低い投与量で投与し、所望の効果が得られるまで投与量を次第に増大させてもよい。 The therapeutic agent is administered in an effective amount to treat dysuria, whether administered alone or in combination with other therapeutic agents. However, the total dose of the compound is determined by the attending physician within the scope of sound medical judgment. Effective doses for patients suffering from dysuria are: severity of dysuria; patient age, weight, general health, sex and diet; administration time; route of administration; excretion rate of the compound; duration of treatment; Depends on the drug being used or co-administered. The dose of the compound does not have to be constant for each administration. For example, the dose may be administered at a dose lower than that required to achieve the desired therapeutic effect, and the dose may be gradually increased until the desired effect is obtained.
必要に応じて、1日当たりの有効投与量は、投与目的に応じて、複数投与量に分割してもよい。当業者であれば、良好な医療行為及び個々の患者の臨床症状によって、有効投与量及び併用投与処方を容易に最適化することができるだろう。 If necessary, the effective daily dose may be divided into multiple doses according to the purpose of administration. Those skilled in the art will be able to easily optimize the effective dose and the combined dosage regimen, depending on good medical practice and individual patient clinical symptoms.
上記治療薬の1日当たりの投与量(日用量)は、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及び/又はシネンセチン換算で、経口で0.01, 0.05, 0.1, 0.5, 1, 5, 10, 50, 100, 150及び200 mg/kg体重からなる群より選択される2点間の範囲内であってもよい。上記治療薬は、一定期間、すなわち3日以上、好ましくは1週間以上、より好ましくは2週間以上、さらに好ましくは1ヶ月以上、例えば6ヶ月又は1年以上にわたって継続的に投与することが好ましい。上記治療薬の投与は、毎日行うことが好ましいが、期間中継続的に投与する限り、毎日投与しなくてもよい。上記治療薬は、日用量を1日に1回投与してもよいし、1日に日用量を数回に分割して投与してもよい。上記治療薬の投与は、医師による判断により終了してもよいし、患者の自己判断で終了してもよい。
Daily dose (daily dose) of the above therapeutic agents is 0.01, 0.05, 0.1, 0.5, 1 orally in terms of nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethyl quercetin and / or synencetin , 5, 10, 50, 100, 150 and 200 mg / kg body weight may be within a range between two points. The therapeutic agent is preferably administered continuously over a certain period of time,
<実施形態4:機能性食品>
本願発明によれば、上記化学式(I)で示される化合物を含有する又は上記化学式(II)から(V)の群より選択される少なくとも1つの化合物を含有する、排尿障害を予防又は改善するための機能性食品が提供される。上記化合物又は上記化合物の水和物を必要に応じて適宜添加することにより、排尿障害を予防効果又は改善効果を有する機能性食品若しくは健康商品を提供することができる。
<Embodiment 4: Functional food>
According to the present invention, in order to prevent or ameliorate dysuria, containing a compound represented by the above chemical formula (I) or containing at least one compound selected from the group of the above chemical formulas (II) to (V) Functional foods are provided. By appropriately adding the above compound or a hydrate of the above compound as necessary, a functional food or health product having an effect of preventing or improving urination disorder can be provided.
上記化合物又は上記化合物の水和物を、例えば、パン、クッキー及びビスケット、米飯添加用麦及び雑穀、うどん、そば、パスタ、その他の麺類、チーズ、ヨーグルトその他の乳製品、ジャム、マヨネーズ、味噌、醤油その他の大豆製品、茶、コーヒー及びココア、清涼飲料、果実飲料その他の非アルコール性飲料、薬用酒、その他のアルコール性飲料、キャンディー、チョコレートその他のスナック菓子、チューインガム、せんべい、羊羹その他の大豆を原料とする菓子等に添加して機能性食品とすることができる。あるいは動物用餌に添加して機能性配合飼料とすることができる。なお、上記のヨーグルト、醤油、飲料等に添加する場合には、これらの中で本発明の化合物が結晶化して沈殿しないようにするために、溶解助剤や安定化剤を適宜加えることもできる。 The above compound or a hydrate of the above compound, for example, bread, cookies and biscuits, cooked wheat and millet, udon, buckwheat, pasta, other noodles, cheese, yogurt and other dairy products, jam, mayonnaise, miso, Made from soy sauce and other soy products, tea, coffee and cocoa, soft drinks, fruit drinks and other non-alcoholic drinks, medicinal liquors, other alcoholic drinks, candy, chocolate and other snacks, chewing gum, rice crackers, sheep's straw and other soybeans It can be added to confectionery and the like to make a functional food. Alternatively, it can be added to animal feed to make a functional mixed feed. In addition, when adding to said yogurt, soy sauce, a drink, etc., in order to prevent the compound of this invention from crystallizing and precipitating in these, a dissolution aid and a stabilizer can also be added suitably. .
また、上記化合物又は上記化合物の水和物を単独で、又は2種以上を混合し、常法に従って粉剤、顆粒剤、錠剤、カプセル剤とすることにより、健康食品とすることができる。ここで、本発明の化合物を粉末とするためには、生成過程で得られた抽出物を濃縮し、凍結乾燥、スプレードライ、真空乾燥等の方法を用いて乾燥させ、サンプルミル、ブレンダー、ミキサー等によって乾燥固体を粉砕すればよい。また、必要に応じて、コーンスターチ、馬鈴薯デンプン、デキストリン、牡蠣殻粉末などを添加してもよい。 In addition, health foods can be obtained by using the above compounds or hydrates of the above compounds alone, or by mixing two or more of them into powders, granules, tablets, and capsules according to conventional methods. Here, in order to make the compound of the present invention into a powder, the extract obtained in the production process is concentrated and dried using a method such as freeze drying, spray drying, vacuum drying, sample mill, blender, mixer The dry solid may be pulverized by, for example. Moreover, you may add corn starch, potato starch, dextrin, oyster shell powder, etc. as needed.
また、上記のようにして得た粉末に、適宜、上述した結合剤を加えて打錠し、錠剤とすることもできる。錠剤とした後に、上述した白糖又はゼラチン等のコーティング剤を用いて、糖衣錠としてもよく、他のコーティング剤を用いて腸溶剤等にすることもできる。さらに上述したようにして得た粉末を常法に従って顆粒とし、顆粒剤を製造することもできる。また、上記の粉末や顆粒を上述したカプセルに適当量充填することによって、カプセル剤とすることもできる。なお、本発明において上記機能性食品及び健康食品には、それ自体が天然に上記化合物を含有する、柑橘類その他の植物果実等は含まないものとする。ただし、上記柑橘類等に上記化合物を添加することで製造される上記食品等は、本発明から除外しないものとする。 Further, the above-mentioned binder can be added to the powder obtained as described above as appropriate, and tableting can be performed. After making into tablets, the above-described coating agents such as sucrose or gelatin may be used to form sugar-coated tablets, or other coating agents may be used to make enteric solvents and the like. Further, the powder obtained as described above can be made into granules according to a conventional method to produce granules. Moreover, it can also be set as a capsule by filling the above-mentioned capsule with the above-mentioned powder and granule in an appropriate amount. In the present invention, the functional food and health food do not include citrus fruits or other plant fruits that naturally contain the compound. However, the said foodstuff etc. which are manufactured by adding the said compound to the said citrus fruits shall not be excluded from this invention.
1食分の上記機能性食品及び健康食品中に含まれるノビレチン量は、0.01, 0.05, 0.1, 0.5, 1, 5, 10, 50, 100, 150及び200 mg/kg体重からなる群より選択される2点間の範囲内となるように調節することができる。 The amount of nobiletin contained in the above functional foods and health foods is selected from the group consisting of 0.01, 0.05, 0.1, 0.5, 1, 5, 10, 50, 100, 150, and 200 mg / kg body weight It can be adjusted to be within the range between two points.
<実施形態5:排尿障害を予防又は改善させるための方法>
本願発明によれば、
排尿障害を予防又は改善させるための方法であって、上記方法は、
上記排尿障害を患っている対象者に、下記化学式(I)で示される化合物を含有する医薬組成物又は受容体拮抗剤を投与するステップを含み、
上記化合物は、排尿障害関連受容体に対する拮抗作用を示す、方法が提供される。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である)
上記医薬組成物又は受容体拮抗剤を患者に投与する場合には、投与量は、患者の症状の重篤さ、年齢、体重、PSA値、尿流量及び健康状態等の諸条件によって異なる。一般的には、上述した用量及び用法で、1日1回若しくはそれ以上の回数にわたって投与すればよく、以上のような諸条件に応じて、投与の回数及び量を適宜増減すればよい。
<Embodiment 5: Method for preventing or ameliorating dysuria>
According to the present invention,
A method for preventing or ameliorating dysuria, the method comprising:
Administering a pharmaceutical composition or a receptor antagonist containing a compound represented by the following chemical formula (I) to a subject suffering from dysuria,
Methods are provided wherein the compounds exhibit antagonism against dysuria-related receptors.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
When the above pharmaceutical composition or receptor antagonist is administered to a patient, the dosage varies depending on various conditions such as the severity of the patient's symptoms, age, weight, PSA value, urine flow rate, and health status. In general, the dosage and usage described above may be administered once or more times a day, and the number and amount of administration may be appropriately increased or decreased according to the above conditions.
上記医薬組成物又は拮抗剤の1日当たりの投与量、投与期間及び投与回数は、上述した治療薬と同様であってもよい。上記医薬組成物又は拮抗剤の投与は、医師による判断により終了してもよいし、患者の自己判断で終了してもよい。 The daily dose, administration period, and number of administrations of the pharmaceutical composition or antagonist may be the same as those of the therapeutic agent described above. Administration of the pharmaceutical composition or antagonist may be terminated by a doctor's judgment or may be terminated by the patient's self-judgment.
以上、本発明の実施形態について述べたが、これらは本発明の例示であり、上記以外の様々な構成を採用することもできる。 As mentioned above, although embodiment of this invention was described, these are illustrations of this invention and various structures other than the above can also be employ | adopted.
以下、本発明を実施例及び図面によりさらに説明するが、本発明はこれらに限定されるものではない。機器の操作及びキットの使用は、各メーカーの製造元プロトコールに従った。 Hereinafter, the present invention will be further described with reference to examples and drawings, but the present invention is not limited thereto. The instrument operation and kit use were in accordance with the manufacturer's manufacturer's protocol.
<実施例1>
沖縄県東村産のシークワーサーの搾り粕500gをよく洗浄し、1800mLの約70℃の蒸留水を加えて約70℃の湯浴中に入れ、3時間加熱処理した。得られた加熱処理物を、保留粒子径3μmのろ紙(ADVANTEC社製、No.131)を敷いたブッフナーロートを用いて吸引ろ過し、残渣を得た。残渣を圧搾機にかけて搾汁した。
<Example 1>
500 g of Shikuwasa squeezed rice cake from Higashimura, Okinawa Prefecture was thoroughly washed, 1800 mL of about 70 ° C distilled water was added, and the mixture was placed in a bath of about 70 ° C and heat-treated for 3 hours. The obtained heat-treated product was subjected to suction filtration using a Buchner funnel covered with a filter paper (manufactured by ADVANTEC, No. 131) having a retained particle diameter of 3 μm to obtain a residue. The residue was squeezed through a press.
搾汁後の搾汁残渣300g(湿重量)を秤量し、ドライヤー(パナソニック社製、品番 EH5101P ターボドライ)を用いて、約60℃で30分間乾燥させ、乾燥果皮150gを得た。ここに、搾汁残渣の重量の2倍容の30%(v/v)エタノールを加えて、室温で、3日間エタノール抽出を行った。保留粒子径3μmのろ紙(ADVANTEC社製、No.131)を敷いたブッフナーロートを用いて吸引ろ過し、ろ液3200mgを得た。得られたろ液をロータリーエバポレータで濃縮し、濃縮液を得た。 After squeezing, 300 g (wet weight) of the squeezed residue was weighed and dried at about 60 ° C. for 30 minutes using a dryer (manufactured by Panasonic, product number EH5101P turbo dry) to obtain 150 g of dried peel. To this, 30% (v / v) ethanol, which is twice the weight of the juice residue, was added, and ethanol extraction was performed at room temperature for 3 days. Suction filtration was performed using a Buchner funnel on which filter paper (No. 131, manufactured by ADVANTEC) having a reserved particle diameter of 3 μm was spread to obtain 3200 mg of filtrate. The obtained filtrate was concentrated with a rotary evaporator to obtain a concentrated solution.
濃縮液を10倍容の1%(w/v)水酸化ナトリウム水溶液を加えてスターラーで1日間、室温にて撹拌した。得られた不溶性成分を、2倍容の水で洗浄した。残った不溶性成分を5~10倍容の100%(v/v)エタノールで溶出させた。次いでエタノール溶出成分を、ブッフナーロートを用いて沈殿物をろ別した。ノビレチン及びタンゲレチンの含有率は、それぞれ約60%及び約35%であった。 The concentrated solution was added with 10 volumes of 1% (w / v) aqueous sodium hydroxide solution and stirred with a stirrer for 1 day at room temperature. The insoluble component obtained was washed with 2 volumes of water. The remaining insoluble components were eluted with 5-10 volumes of 100% (v / v) ethanol. Next, the ethanol-eluted component was filtered off using a Buchner funnel. The contents of nobiletin and tangeretin were about 60% and about 35%, respectively.
ノビレチン、タンゲレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン、シネンセチンの精製
得られた抽出物(ろ液)を公知の方法でHPLC分析した。HPLCの条件は以下の通りである。
HPLC装置 :UV-8011 HPLC(TOSOH社製)
検出器 :UV Detector
カラム :Cholester Waters 内径4.6mm×250mm(Waters社製)
溶出溶媒 :75% MeOH/水
溶質濃度 :0.1 mg/mL
Injection volume :0.005ml
Flow rate :1.0 mL/分
検出波長 :UV 215 nm
レンジ :1000 mV
シークワーサー抽出物は、インジェクション後8分から12分の間に生じるピークから回収した。ノビレチンは、インジェクション後約9分の位置に生じるピークから回収した。タンゲレチンは、インジェクション後約11分の位置に生じるピークから回収した。ノビレチンもタンゲレチンもそれぞれ、95%以上の純度を有していた。また、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンもそれらの標品を用いて同様に精製した。
Purification of nobiletin, tangeretin, tangeretin, 3 ′, 4 ′, 5, 7-tetramethylquercetin and sinencetin The obtained extract (filtrate) was subjected to HPLC analysis by a known method. The HPLC conditions are as follows.
HPLC apparatus: UV-8011 HPLC (manufactured by TOSOH)
Detector: UV Detector
Column: Cholester Waters ID 4.6mm x 250mm (made by Waters)
Elution solvent: 75% MeOH / water Concentration of solute: 0.1 mg / mL
Injection volume: 0.005ml
Flow rate: 1.0 mL / min Detection wavelength: UV 215 nm
Range: 1000 mV
The seeker extract was recovered from a peak occurring between 8 and 12 minutes after injection. Nobiletin was recovered from the peak occurring at about 9 minutes after injection. Tangeretin was recovered from a peak occurring at about 11 minutes after injection. Both nobiletin and tangeretin were more than 95% pure. In addition, 3 ′, 4 ′, 5, 7-tetramethylquercetin and sinencetin were similarly purified using these preparations.
<実施例2>
ムスカリン受容体に対する拮抗作用の評価
ラット脳から調製した粗細胞膜標品を用いて、種々の濃度の各種植物抽出物又は成分化合物の存在下における、ムスカリン受容体の選択的標識リガンドである[3H]pirenzepineの特異的結合の減少率よりムスカリン受容体に対する拮抗作用を評価した。かかる拮抗作用は、ラジオレセプターアッセイ法により評価し、50%抑制濃度(IC50値)、抑制定数(Ki値)及びHill係数(nH)を算出した。
<Example 2>
Evaluation of antagonism against muscarinic receptors Using a crude cell membrane preparation prepared from rat brain, it is a selective labeling ligand for muscarinic receptors in the presence of various plant extracts or component compounds at various concentrations [ 3 H The antagonism of muscarinic receptors was evaluated from the decrease rate of specific binding of pirenzepine. Such antagonism was evaluated by radioreceptor assay, and 50% inhibition concentration (IC 50 value), inhibition constant (Ki value), and Hill coefficient (nH) were calculated.
SD系ラット(8週齡 オス、日本エスエルシー(株)より購入)を、エーテル麻酔下で開腹し、腹部下行大動脈よりヘパリン処理した注射筒で採血し、屠殺した。動脈から冷却した生理食塩水を還流した後、脳を摘出した。小脳を取り除いた脳に19倍容量の冷却した50mMトリス緩衝液(pH7.4)を加え、ホモジナイズし、4℃下40,000×gで20分間遠心分離した。上清除去後、沈渣に再度19倍容量の冷却した50mMトリス緩衝液(pH7.4)を加え、懸濁後、4℃下40,000×gで20分間遠心分離した。上清除去後、沈渣に29倍容量の冷却した50mMトリス緩衝液(pH7.4)を加え、懸濁し、受容体標品とした。 SD rats (8 weeks old, male, purchased from Nippon SLC Co., Ltd.) were laparotomized under ether anesthesia, blood was collected from an abdominal descending aorta with a heparin-treated syringe and sacrificed. After refluxing the physiological saline cooled from the artery, the brain was removed. A 19-fold volume of cooled 50 mM Tris buffer (pH 7.4) was added to the brain from which the cerebellum had been removed, homogenized, and centrifuged at 40,000 × g for 20 minutes at 4 ° C. After removing the supernatant, 19-fold volume of cooled 50 mM Tris buffer (pH 7.4) was again added to the sediment, suspended, and centrifuged at 40,000 × g for 20 minutes at 4 ° C. After removing the supernatant, 29-fold volume of cooled 50 mM Tris buffer (pH 7.4) was added to the sediment and suspended to prepare a receptor preparation.
組織量として受容体標品1mgを、50mMトリス緩衝液に加え、各濃度の被験サンプル及び1nMの[3H]pirenzepineを添加し、終量0.5mLとした。本反応液を25℃で60分インキュベーションした。 As a tissue amount, 1 mg of the receptor preparation was added to 50 mM Tris buffer, and each concentration of the test sample and 1 nM [ 3 H] pirenzepine were added to a final volume of 0.5 mL. This reaction solution was incubated at 25 ° C. for 60 minutes.
それぞれの反応液は、インキュベーション終了後、Cell Harvester(Brandel社製)を用いてガラス繊維濾紙(Whatman GF/B)上で急速吸引濾過した。直ちに濾紙を冷却した50mMリン酸緩衝液(pH7.4)3mLで洗浄した。濾紙にトルエンシンチレーター(2Lのトルエン、1LのTriton-X、15gの2,5-diphenylloxazole、0.3gの1,4-bis[2-(5-phenyloxazolyl)]benzene)を加えて、室温中に6時間以上放置後、その放射活性について液体シンチレーションカウンターを用いて測定した。ディスプレーサーとして、1μMのatropineを用い、ディスプレーサーの非存在下及び存在下で得られた放射活性をそれぞれ全結合と非特異的結合とし、両者の差を受容体への特異的結合と定義した。 Each reaction solution was subjected to rapid suction filtration on glass fiber filter paper (Whatman GF / B) using Cell Harvester (manufactured by Brandel) after completion of incubation. The filter paper was immediately washed with 3 mL of a cooled 50 mM phosphate buffer (pH 7.4). Toluene scintillator (2 L of toluene, 1 L of Triton-X, 15 g of 2,5-diphenylloxazole, 0.3 g of 1,4-bis [2- (5-phenyloxazolyl)] benzene) was added to the filter paper, and the mixture was stirred at room temperature for 6 minutes. After standing for more than an hour, the radioactivity was measured using a liquid scintillation counter. As the displacer, 1 μM atropine was used, and the radioactivity obtained in the absence and presence of the displacer was defined as total binding and nonspecific binding, respectively, and the difference between them was defined as specific binding to the receptor. .
シークワーサー抽出物(ノビレチン-タンゲレチン混合物)は、ラット脳粗細胞膜における[3H]pirenzepineの特異的結合を濃度依存的に抑制した(図1)。その抑制作用から求めたIC50値は13.5±3.4μg/mLであった(表1)。 Sequwer extract (nobiletin-tangeretin mixture) inhibited specific binding of [ 3 H] pirenzepine in rat brain crude cell membrane in a concentration-dependent manner (FIG. 1). The IC 50 value obtained from the inhibitory action was 13.5 ± 3.4 μg / mL (Table 1).
これにより、シークワーサー抽出物は、ムスカリン受容体への結合活性を示すことが示唆された。 Thus, it was suggested that the seeker extract is capable of binding to the muscarinic receptor.
<実施例3>
ムスカリン受容体に対するノビレチンとタンゲレチンの拮抗作用
精製したノビレチン及びタンゲレチンをそれぞれ単独で実施例2と同様の実験を行なった。結果を図2aに示す。図2aに示す通り、ノビレチンは、ラット脳粗細胞膜における[3H]pirenzepineの特異的結合を濃度依存的に抑制した一方で、タンゲレチンは、ラット脳粗細胞膜における[3H]pirenzepineの特異的結合の濃度依存的な抑制作用はみられなかった。ノビレチンの抑制作用から求めたKi値は15.7±2.8μMであった(表2)。
<Example 3>
Antagonistic effect of nobiletin and tangeretin on muscarinic receptors The same experiment as in Example 2 was carried out for purified nobiletin and tangeretin alone. The results are shown in FIG. As shown in Figure 2a, nobiletin inhibited the specific binding of [ 3 H] pirenzepine in rat brain crude cell membrane in a concentration-dependent manner, whereas tangeretin specifically bound [ 3 H] pirenzepine in rat brain crude cell membrane. No concentration-dependent inhibitory action was observed. The Ki value determined from the inhibitory action of nobiletin was 15.7 ± 2.8 μM (Table 2).
これにより、ノビレチンは、ムスカリン受容体に対する結合活性を示すことが示唆された。一方、タンゲレチンはムスカリン受容体に対する拮抗作用が弱いか無いことが明らかになった。 Thus, it was suggested that nobiletin exhibits a binding activity to the muscarinic receptor. On the other hand, it has been clarified that tangeretin has weak or no antagonism to muscarinic receptors.
シークワーサー由来の4種類の化合物におけるムスカリン受容体結合活性
シークワーサーより単離したノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン、シネンセチン(図2b)について、ムスカリンM1特異的受容体結合活性([3H]-Pirenzepinの結合に対する抑制作用)と、非特異的ムスカリン受容体結合活性([3H]-N-methyl scopolamine (NMS)の結合に対する作用)を比較検討した。
Muscarinic receptor binding activity in four kinds of compounds derived from sequwers: Nobiletin, tangeretin, 3 ', 4', 5, 7-tetramethylquercetin and synencetin (Fig. 2b) isolated from sequwers bind to muscarinic M1-specific receptors. The activity (inhibitory action on [ 3 H] -Pirenzepin binding) and nonspecific muscarinic receptor binding activity (action on [ 3 H] -N-methyl scopolamine (NMS) binding) were compared.
ムスカリンM1受容体特異的結合活性は、ノビレチン>3', 4', 5, 7-テトラメチルケルセチン≒シネンセチン>タンゲレチンの順に強かった(図2c及び表3)。 The muscarinic M1 receptor-specific binding activity was strong in the order of nobiletin> 3 ′, 4 ′, 5, 7-tetramethylquercetin≈sinensetine> tangeretin (FIG. 2c and Table 3).
ムスカリン非特異的受容体結合活性は、ノビレチンとシネンセチンで認められた(図2d)。 Muscarin non-specific receptor binding activity was observed with nobiletin and synencetin (FIG. 2d).
これらの結果から、ノビレチン由来のノビレチン、3', 4', 5, 7-テトラメチルケルセチン、シネンセチン、タンゲレチンはムスカリン受容体、特に、ムスカリンM1受容体結合活性を有することが明らかとなった。また、タンゲレチンは、弱い結合活性を示した(図2c)。このことは、これら4化合物に排尿障害治療作用があることを示している。 These results revealed that nobiletin derived from nobiletin, 3 ', 4', 5, 7-tetramethylquercetin, synencetin, and tangeretin have muscarinic receptor, particularly muscarinic M1 receptor binding activity. Tangeretin also showed weak binding activity (FIG. 2c). This indicates that these four compounds have an effect of treating dysuria.
<実施例4>
ムスカリン受容体に対する各種植物抽出物及び化合物の拮抗作用
各種植物抽出物及び化合物における、ムスカリン受容体に対する拮抗作用について検討した。使用した植物抽出物及び化合物は、表4にリスト化している。
<Example 4>
Antagonism of various plant extracts and compounds against muscarinic receptors The antagonistic action against muscarinic receptors in various plant extracts and compounds was examined. The plant extracts and compounds used are listed in Table 4.
結果を図3に示している。ノビレチン単独ではムスカリン受容体に対する拮抗作用が確認された。しかしながら、他のフラボノイドやポリフェノール類を多く含む各種抽出物や他のフラボノイド及びポリフェノール化合物においては、ムスカリン受容体に対する拮抗作用がほとんど見られなかった。このことから、ムスカリン受容体に対する拮抗作用は、種々のポリフェノール含有植物抽出物やポリフェノール化合物類に一般的に認められる作用ではなく、ノビレチンに特有の作用であることが示唆された。 The result is shown in FIG. Nobiletin alone was confirmed to antagonize muscarinic receptors. However, in various extracts containing a large amount of other flavonoids and polyphenols and other flavonoids and polyphenol compounds, almost no antagonism against muscarinic receptors was observed. This suggests that the antagonistic action on muscarinic receptors is not an action generally observed in various polyphenol-containing plant extracts and polyphenol compounds, but an action specific to nobiletin.
<実施例5>
酢酸誘発頻尿モデルラット
膀胱炎による頻尿モデルである酢酸誘発頻尿モデルラットを用いて、排尿障害に対する作用を評価した。8週齡、雌のSD系ラット(日本エスエルシー(株)より購入)を用いて、ウレタン麻酔下(0.8 g/kg i.p., 及び0.4 g/kg s.c.)、0.1%酢酸を3mL/hrで膀胱内に持続注入することで頻尿を誘発し、溶媒又はシークワーサー抽出物投与1時間後から30分間の最大膀胱内圧(mmHg)、基礎圧(mmHg)、閾値圧(mmHg)及び排尿間隔(min)をシスメトリー法により測定した。
<Example 5>
Acetic acid-induced frequent urinary model rat Using acetic acid-induced frequent urinary model rat, which is a frequent urinary model due to cystitis, the effect on dysuria was evaluated. 8-week-old female SD rats (purchased from Nippon SLC Co., Ltd.) under urethane anesthesia (0.8 g / kg ip, and 0.4 g / kg sc), 0.1% acetic acid at 3 mL / hr in the bladder Inducing frequent urination by continuous infusion, maximum intravesical pressure (mmHg), basal pressure (mmHg), threshold pressure (mmHg) and urination interval (min) for 30 minutes from 1 hour after administration of solvent or seeker extract Was measured by a cismetry method.
酢酸誘発頻尿モデルラットにおけるシークワーサー抽出物投与の作用
酢酸誘発頻尿ラットにおいて、シークワーサー抽出物(50mg/kg)投与により、最大膀胱内圧の有意な上昇が認められた(図4a)。また、排尿間隔が有意に延長し(図4d)、排尿回数も有意に減少した(図4e)。一方、本抽出物は、基礎圧(図4b)、閾値圧(図4c)、1回排尿量(図4f)には有意な影響は見られなかった。これらの結果から、シークワーサー抽出物は、頻尿を改善することが示された。
Effect of administration of seeker extract in acetic acid-induced frequent urination model rats In the acetic acid-induced frequent urination rats, administration of seeker extract (50 mg / kg) significantly increased the maximum intravesical pressure (Fig. 4a). In addition, the urination interval was significantly prolonged (FIG. 4d), and the number of urinations was also significantly decreased (FIG. 4e). On the other hand, this extract had no significant effect on basal pressure (FIG. 4b), threshold pressure (FIG. 4c), and single urine output (FIG. 4f). From these results, it was shown that the seeker extract can improve frequent urination.
<実施例6>
骨盤うっ血排尿障害モデルラットにおける作用
骨盤うっ血排尿障害モデルラットの作製
Sprague-Dawley(SD)系メスラット24頭(200g前後)を2%イソフルレン吸入麻酔下に下腹部正中切開し、両側の総腸骨静脈と子宮静脈を結紮して骨盤うっ血状態とし閉創した。なお、両側総腸骨静脈と子宮静脈を周囲組織から剥離する操作のみを行ったSD系メスラット8頭(200g前後)をシャム群とした。術後3週目に以下の実験に用いた。
<Example 6>
Action in pelvic congestive dysuria model rats Preparation of pelvic congestive dysuria model rats 24 Sprague-Dawley (SD) female rats (around 200 g) were incised in the midline of the lower abdomen under 2% isoflurane inhalation anesthesia. The uterine vein was ligated and the pelvis was congested. In addition, eight SD female rats (around 200 g) that had undergone only the operation of peeling the bilateral common iliac vein and uterine vein from surrounding tissues were used as the sham group. Three weeks after the surgery, it was used for the following experiment.
ノビレチン静脈内投与実験
骨盤うっ血群8頭とそのシャム群8頭において、2%イソフルレン吸入麻酔下に、経尿道的に直径約1mmの膀胱内圧測定用のカテーテルを膀胱内に挿入し、3方活栓を用いて、膀胱内への生理食塩水注入路と内圧測定路とした。一側の大腿静脈に静脈留置針を挿入し、ノビレチン投与用とした。イソフルレン吸入麻酔を止め、ウレタン(0.6mg/kg)浅麻酔拘束下に膀胱内に生理食塩水を注入(3ml/h)しながら連続膀胱内圧測定を行い、膀胱収縮が一定間隔で出現したところで、ノビレチン(0.3、1、3、10、30mg/kg)を15-20分間隔で静脈内投与し、ノビレチン投与前との比較で膀胱活動に及ぼす効果を調べた(図5及び6)。
Intravenous administration experiment of nobiletin In 8 pelvic congestion groups and 8 sham groups, a catheter for measuring intravesical pressure with a diameter of about 1 mm transurethrally was inserted into the urinary bladder under 2% isoflurane inhalation anesthesia. Were used as a physiological saline injection path and an internal pressure measurement path into the bladder. A venous indwelling needle was inserted into the femoral vein on one side to administer nobiletin. Stop isoflurane inhalation anesthesia, urethane (0.6mg / kg) under superficial anesthesia restraint, injecting physiological saline into the bladder (3ml / h), continuous bladder pressure measurement, when bladder contraction appeared at regular intervals, Nobiletin (0.3, 1, 3, 10, 30 mg / kg) was intravenously administered at 15-20 minute intervals, and the effect on bladder activity was examined in comparison with before nobiletin administration (FIGS. 5 and 6).
ノビレチン経口投与実験
骨盤うっ血ラットの残り16頭のうち、8頭を骨盤うっ血コントロール群とし、8頭を骨盤うっ血ノビレチン群とした。骨盤うっ血ノビレチン群にはうっ血術後1週目から2週間、ノビレチン(30mg/kg)を水1mlに溶解して1日1回、ゾンデで胃内へ投与した。骨盤うっ血コントロール群8頭とシャム群8頭には、同じく2週間、水1mlを1日1回ゾンデで胃内へ投与した。胃内投与の2週間後に、ノビレチン静脈内投与の時と同様に、ウレタン(0.6mg/kg)浅麻酔拘束下に連続膀胱内圧測定を行い、3群間の膀胱活動の差を検討した(図7及び8)。
Nobiletin Oral Administration Experiment Of the remaining 16 pelvic congestion rats, 8 were the pelvic congestion control group and 8 were the pelvic congestion nobiletin group. In the pelvic congestion nobiletin group, nobiletin (30 mg / kg) was dissolved in 1 ml of water once a day and administered into the stomach with a sonde for 2 weeks from the 1st week after the operation. Eight pelvic congestion control groups and eight sham groups were administered intragastrically with 1 ml of water once a day for 2 weeks. Two weeks after intragastric administration, as in the case of intravenous administration of nobiletin, continuous intravesical pressure measurement was performed under urethane (0.6 mg / kg) superficial anesthesia restraint, and the difference in bladder activity among the three groups was examined (Fig. 7 and 8).
統計処理
結果は平均±標準誤差で表し、paired t-testまたはnon-paired t-testを用いて、p<0.05を有意とした。
Statistical processing results were expressed as mean ± standard error, and p <0.05 was considered significant using paired t-test or non-paired t-test.
ノビレチン静脈内投与の結果
骨盤うっ血群はそのシャム群より膀胱収縮間隔(排尿間隔)(それぞれ、9.3±1.1分、12.4±0.7分)が有意に短く、頻尿であった(図6、投与前)。骨盤うっ血群ではノビレチン3-30mg/kg静脈内投与で膀胱収縮間隔(30mg/kgで16.9±1.0分)は延長し、シャム群においても10mg/kg静脈内投与で膀胱収縮間隔(14.4±0.9分)は延長した(図5及び6)。膀胱の最大収縮圧や基線圧に変化はなかった。
Results of intravenous administration of nobiletin In the pelvic congestion group, the bladder contraction interval (urination interval) (9.3 ± 1.1 minutes and 12.4 ± 0.7 minutes, respectively) was significantly shorter than that in the sham group, and frequent urination (FIG. 6, before administration) ). In the pelvic congestion group, nobiletin 3-30 mg / kg intravenous administration increased the bladder contraction interval (16.9 ± 1.0 min at 30 mg / kg), and in the
ノビレチン経口投与の結果
膀胱収縮間隔はシャム群(13.2±0.9分)に比べて骨盤うっ血コント群(コントロール群)(8.2±0.7分)と骨盤うっ血ノビレチン群(10.6±0.8分)で短かったが、骨盤うっ血ノビレチン群では骨盤うっ血コント群(コントロール群)より膀胱収縮間隔は延長していた(図7及び8)。膀胱基線圧は3群間に差はなかった。最大膀胱収縮圧はシャム群(48.9±2.0 cmH2O)と差のある群はなかったが、骨盤うっ血コント群(コントロール群)(54.1±3.0 cmH2O)に比べて骨盤うっ血ノビレチン群(46.3±2.3 cmH2O)で低下していた。
Results of oral administration of nobiletin The bladder contraction interval was shorter in the pelvic congestion control group (control group) (8.2 ± 0.7 minutes) and the pelvic congestion nobiletin group (10.6 ± 0.8 minutes) than in the sham group (13.2 ± 0.9 minutes). In the pelvic congestion nobiletin group, the bladder contraction interval was longer than in the pelvic congestion control group (control group) (FIGS. 7 and 8). Bladder baseline pressure was not different between the three groups. Although the maximum bladder contraction pressure was not different from the sham group (48.9 ± 2.0 cmH 2 O), the pelvic congestion nobiletin group (46.3) compared to the pelvic congestion control group (control group) (54.1 ± 3.0 cmH 2 O) ± 2.3 cmH 2 O).
<実施例7>
脳梗塞モデルラットの排尿に対する作用
脳梗塞モデルラットの作製
SD系メスラット8頭(200g前後)を2%イソフルレン吸入麻酔下に頸部を正中切開し、一側の内頸動脈から脳底動脈に達する3-0ナイロン糸を挿入し、その内頸動脈を結紮して脳梗塞を作製し閉創した。なお、一側の内頸動脈を周囲組織から剥離する操作のみを行ったSD系メスラット8頭(200g前後)をシャム群とした。術後1日目に以下の実験に用いた。
<Example 7>
Effects on urination of cerebral infarction model rats Preparation of cerebral infarction model rats Eight SD female rats (around 200g) under midline incision of the neck under 2% isoflurane inhalation anesthesia and reach the basilar artery from the internal carotid artery on one side A 3-0 nylon thread was inserted and the internal carotid artery was ligated to create and close a cerebral infarction. In addition, 8 SD female rats (about 200 g) that were only subjected to the operation of peeling the internal carotid artery on one side from the surrounding tissue were used as a sham group. On the first day after surgery, it was used for the following experiments.
ノビレチン静脈内投与実験
脳梗塞群8頭とそのシャム群8頭において、2%イソフルレン吸入麻酔下に、経尿道的に直径約1mmの膀胱内圧測定用のカテーテルを膀胱内に挿入し、3方活栓を用いて、膀胱内への生理食塩水注入路と内圧測定路とした。一側の大腿静脈に静脈留置針を挿入し、ノビレチン投与用とした。イソフルレン吸入麻酔を止め、無麻酔拘束下に膀胱内に生理食塩水を注入(3ml/h)しながら連続膀胱内圧測定を行い、膀胱収縮が一定間隔で出現したところで、ノビレチン(0.3、1、3、10、30mg/kg)を15-20分間隔で静脈内投与し、ノビレチン投与前との比較で膀胱活動に及ぼす効果を調べた。
Nobiletin Intravenous Administration Experiment In 8 cerebral infarction groups and 8 sham groups, a catheter for measuring intravesical pressure with a diameter of about 1 mm transurethrally was inserted into the bladder under 2% isoflurane inhalation anesthesia. Were used as a physiological saline injection path and an internal pressure measurement path into the bladder. A venous indwelling needle was inserted into the femoral vein on one side to administer nobiletin. Stop anesthesia with inhalation of isoflurane, measure the continuous intravesical pressure while injecting physiological saline into the bladder under restraint without anesthesia (3 ml / h), and when bladder contractions appear at regular intervals, nobiletin (0.3, 1, 3) , 10, 30 mg / kg) were administered intravenously at 15-20 minute intervals, and the effect on bladder activity was examined in comparison with before nobiletin administration.
統計処理
結果は平均±標準誤差で表し、paired t-testまたはnon-paired t-testを用いて、p<0.05を有意とした。
Statistical processing results were expressed as mean ± standard error, and p <0.05 was considered significant using paired t-test or non-paired t-test.
ノビレチン静脈内投与の結果
脳梗塞群においてはそのシャム群より膀胱収縮間隔(それぞれ、9.2±0.6分、13.5±0.9分)が有意に短く、頻尿であった。脳梗塞群ではノビレチン3-10mg/kg静脈内投与で膀胱収縮間隔(3mg/kgで14.4±2.2分)は延長し、シャム群においても3mg/kg投与で膀胱収縮間隔(17.1±1.6分)は延長した(図9)。膀胱の最大収縮圧や基線圧に変化はなかった。
Results of intravenous administration of nobiletin In the cerebral infarction group, bladder contraction intervals (9.2 ± 0.6 minutes and 13.5 ± 0.9 minutes, respectively) were significantly shorter than in the sham group, and frequent urination occurred. In the cerebral infarction group, nobiletin 3-10 mg / kg intravenous administration extended the bladder contraction interval (14.4 ± 2.2 minutes at 3 mg / kg), and also in the
<実施例8>
薬物誘導膀胱炎モデルラット
薬物誘導膀胱炎モデルラットの作製
CYP誘発膀胱炎モデルラットの作製はChowらの方法に従った(Chow Y. C., Yang S., Huang C. J., Tzen C. Y., Huang P. L., Su Y. H. and Wang P. S.: Epinephrine promotes hemostasis in rats with cyclophosphamide-induced hemorrhagic cystitis. Urology., 67: 636‐641, 2006.)。生理食塩水に溶解したCYP (150 mg/kg) を単回腹腔内投与し、24 h後にシストメトリー法によるウレタン麻酔下膀胱内圧および排尿量を測定した。
<Example 8>
Drug-induced cystitis model rats Preparation of drug-induced cystitis model rats CYP-induced cystitis model rats were prepared according to the method of Chow et al. (Chow YC, Yang S., Huang CJ, Tzen CY, Huang PL, Su YH and Wang PS: Epinephrine promotes hemostasis in rats with cyclophosphamide-induced hemorrhagic cystitis. Urology., 67: 636-641, 2006.). CYP (150 mg / kg) dissolved in physiological saline was administered once intraperitoneally, and after 24 hours, intravesical pressure and urination volume were measured under urethane anesthesia by cystometry.
ウレタン麻酔下シストメトリー法による膀胱内圧および排尿量の測定
ウレタン(0.8 g/kg, i.p. 0.4 g/kg, s.c.)麻酔下、恒温パッド (The Deltaphase(登録商標) Isothermal Pad : BRAINTREE SCIENTIFIC, INC.)にてラットを保温し、仰臥位に固定後、下腹部を正中切開した。膀胱頂部に小切開を加え、膀胱内にポリエチレンチューブ (SP-45 : 夏目製作所 (株))を挿入した。切開部を結紮し、膀胱内に挿入したチューブの他端を圧トランスデューサー(MLT0670 Disposable BP Transducer : ADINSTRUMENTS) に接続した。
Measurement of intravesical pressure and urinary output by cystometry method under urethane anesthesia The rat was kept warm and fixed in the supine position, and the lower abdomen was incised midline. A small incision was made at the top of the bladder, and a polyethylene tube (SP-45: Natsume Seisakusho Co., Ltd.) was inserted into the bladder. The incision was ligated, and the other end of the tube inserted into the bladder was connected to a pressure transducer (MLT0670 Disposable BP Transducer: ADINSTRUMENTS).
図10に示す装置を用い、膀胱内圧および排尿量の経時的測定を行った。ラットをボールマンゲージ(アクリル製特注品 : 山下枝研 (有) )に伏臥位に固定した。生理食塩水あるいは0.1%酢酸溶液を満たした専用注射筒(テルモシリンジ 10mL)を持続注入器(Model 100 Series : Kd Scientific)に装着した。37℃に設定した水槽(THEAMO MINDER SJ-10R タイテック(株))を介して、膀胱内に生理食塩水あるいは0.1%酢酸溶液を3 mL/hrで持続注入しながら、圧力アンプ(BP Amp : ADINSTRUMENTS)により膀胱内圧を経時的に測定しデータ記録および解析ソフト(Power Lab 4/26 : ADINSTRUMENTS)でシストメトログラムを記録した。また、排尿量は上皿電子天秤(GX-400, AD株式会社エー・アンド・デイ)にシャーレを設置し、尿道口から排出される液を累積的に採取し、その重量変化をPower Lab 4/26で記録した。排尿が安定した後、30分間を投与前として排尿パラメータを測定した。その後、SE 50 mg/kgを経口投与し、投与1時間後から再び測定を開始し、その後30分のデータを投与後の排尿パラメーターとした。
Using the apparatus shown in FIG. 10, the intravesical pressure and the amount of urination were measured over time. Rats were fixed in a prone position on a ball man gauge (acrylic custom-made item: Kengo Kashiyama). A dedicated syringe (
図11に示す通り、CYP誘導膀胱炎モデルラットにおいて、シークワーサー抽出物(50m/kg)の経口投与は排尿量を有意に増加させ、排尿回数も有意に減少した。また、最大膀胱内圧が減少した。このことから、シークワーサー抽出物は薬物誘導膀胱炎モデルラットにおいても排尿機能を調節し、頻尿を改善することが示された。 As shown in FIG. 11, in CYP-induced cystitis model rats, oral administration of seeker extract (50 m / kg) significantly increased the amount of urination and significantly decreased the number of urinations. In addition, the maximum intravesical pressure decreased. From this, it was shown that sequwer extract extracts regulate urination function and improve frequent urination even in drug-induced cystitis model rats.
<実施例9>
シークワーサー抽出物のCa拮抗薬受容体への結合活性
受容体標品の調製
SDラットをイソフルラン麻酔下で開腹し,腹部下行大動脈より採血し屠殺した後,脳を摘出した.摘出した脳は小脳を取り除いた。 (+)-[3H]PN200-110 の測定には,摘出後の脳に30 mM Tris-HCl buffer (pH 7.2 または 7.5) を 19 倍量加え, ポリトロンホモジナイザーでホモジナイズした.ホモジネートを遠心分離 (4℃, 40,000×g, 20min) した後, 沈渣に32.3倍量の buffer を加え懸濁し, 受容体膜標品とした。
<Example 9>
Preparation of active receptor preparations that bind to Ca antagonist receptors of sequwer extract. SD rats were laparotomized under isoflurane anesthesia, blood was collected from the abdominal descending aorta and sacrificed, and the brain was removed. The cerebellum was removed from the removed brain. For the measurement of (+)-[ 3 H] PN200-110, 19 volumes of 30 mM Tris-HCl buffer (pH 7.2 or 7.5) was added to the isolated brain and homogenized with a Polytron homogenizer. The homogenate was centrifuged (4 ° C, 40,000 × g, 20 min), then 32.3 times the amount of buffer was added to the sediment and suspended to prepare a receptor membrane preparation.
[3H] αβ-methylene ATP(MeATP) の測定にはhomogenizing buffer (50 mM Tris, 1mM EDTA, 2μg/mL Soybean trypsin inhibitor, 10 μg/mL Bacitracin : pH 7.4) を摘出後の脳に 10 倍量加え, ポリトロンホモジナイザーでホモジナイズした.ホモジネートを遠心分離 (4℃, 2,000×g, 10min) し上清を分取後,沈渣を 10 倍量の homogenizing buffer で再懸濁し同様の条件にて遠心分離し,上清を分取した.2 回分の上清を合わせ, 37℃で 20 分間インキュベーション後,遠心分離 (4℃, 40,000×g, 20 min) し,沈渣を 19 倍量の incubation buffer ( 50 mM Tris, 3 mM CaCl2 : pH 7.5) を加え懸濁し, 受容体膜標品とした。 [ 3 H] αβ-methylene ATP (MeATP) was measured in a 10-fold amount of homogenizing buffer (50 mM Tris, 1 mM EDTA, 2 μg / mL Soybean trypsin inhibitor, 10 μg / mL Bacitracin: pH 7.4) in the brain after extraction. In addition, it was homogenized with a Polytron homogenizer. The homogenate was centrifuged (4 ° C, 2,000 xg, 10 min), and the supernatant was collected. The sediment was resuspended in 10 times the amount of homogenizing buffer and centrifuged under the same conditions, and the supernatant was collected. Two supernatants are combined, incubated at 37 ° C for 20 minutes, centrifuged (4 ° C, 40,000 × g, 20 min), and the pellet is incubated with 19 volumes of incubation buffer (50 mM Tris, 3 mM CaCl 2 : pH 7.5) was added and suspended to prepare a receptor membrane preparation.
1,4-Dihydropyridine(DHP) Ca 拮抗薬受容体結合活性の測定
1,4-DHP Ca 拮抗薬受容体結合活性の測定は,標識リガンドとして (+)-[3H]PN200-110 を用いるラジオレセプターアッセイ法に従った。即ち,受容体標品を50 mM Tris-HCl buffer (pH 7.4) 中でシークワーサー抽出物(SE),0.3 nM (+)-[3H]PN200-110 と25℃,60 分間,遮光条件下でインキュベーションした。インキュベーション後,反応液をガラス濾紙繊維上に急速吸引濾過し,直ちに濾紙を 50 mM Na+/K+ phosphate buffer (pH 7.5) で洗浄した。この濾紙を乾燥後,バイアル瓶に取り,トルエンシンチレーターを加えて室温中に約 6 時間放置後,その放射活性を測定し,特異的結合量を算出した。このとき,displacer として1 μM nifedipine を用いた.測定は全て duplicate で行った。
Measurement of 1,4-Dihydropyridine (DHP) Ca antagonist receptor binding activity The measurement of 1,4-DHP Ca antagonist receptor binding activity was performed using (+)-[ 3 H] PN200-110 as the labeled ligand. Receptor assay was followed. In other words, the receptor sample was sought with Sequewacer extract (SE), 0.3 nM (+)-[ 3 H] PN200-110 in 50 mM Tris-HCl buffer (pH 7.4) at 25 ° C for 60 minutes under light-shielded conditions Incubated. After the incubation, the reaction solution was rapidly suction filtered onto a glass filter paper fiber, and the filter paper was immediately washed with 50 mM Na + / K + phosphate buffer (pH 7.5). The filter paper was dried, placed in a vial, added with toluene scintillator and allowed to stand at room temperature for about 6 hours, and then its radioactivity was measured to calculate the amount of specific binding. At this time, 1 μM nifedipine was used as the displacer. All measurements were done in duplicate.
結果
シークワーサー抽出物のカルシウム拮抗薬受容体への結合
1,4-DHP Ca 拮抗薬受容体に対するリガンドである(+)-[3H]PN200-110の受容体に対する結合はシークワーサー抽出物によってわずかに抑制された(図12)。このことから、シークワーサー抽出物はカルシウム受容体拮抗薬結合サイトに結合する活性も有し、カルシウム拮抗作用が期待出来る。カルシウムは膀胱平滑筋収縮を引き起こすことから、シークワーサー抽出物はカルシウム拮抗作用による平滑筋弛緩作用を介しても過活動膀胱における頻尿や尿失禁を改善することが示唆された。
Results Binding of the seeker extract to the calcium antagonist receptor Binding of the (+)-[ 3 H] PN200-110 receptor, which is a ligand for the 1,4-DHP Ca antagonist receptor, was slightly affected by the seeker extract. It was suppressed (FIG. 12). Therefore, the seeker extract also has an activity of binding to the calcium receptor antagonist binding site, and a calcium antagonistic action can be expected. Since calcium causes bladder smooth muscle contraction, it was suggested that sequwercer extract improves frequent urination and urinary incontinence in overactive bladder even through smooth muscle relaxation by calcium antagonism.
<実施例10>
ラット摘出膀胱におけるノビレチンおよびタンゲレチンの作用
1. 試薬類
AtropineおよびTetrodotoxinは、Sigma-Aldrich Co.(St Louis, MO, U.S.A.)から購入した。Pyridoxalphosphate-6-azophenyl-2', 4'-disulfonic acid tetrasodium salt(PPADS; a selective P2X antagonist)は、Tocris Bioscience (Minneapolis, MN, U.S.A.)から購入した。Nobiletin(ノビレチン)およびTangeretin(タンゲレチン)はシークワーサーより抽出精製した物を用いた。その他の試薬は、Wako Pure Chemical Industries Ltd.(Osaka, Japan)から購入した。
<Example 10>
Effects of nobiletin and tangeretin on rat isolated bladder
1. Reagents Atropine and Tetrodotoxin were purchased from Sigma-Aldrich Co. (St Louis, MO, USA). Pyridoxalphosphate-6-azophenyl-2 ', 4'-disulfonic acid tetrasodium salt (PPADS; a selective P2X antagonist) was purchased from Tocris Bioscience (Minneapolis, MN, USA). Nobiletin and Tangeretin were extracted and purified from Sikhwaser. Other reagents were purchased from Wako Pure Chemical Industries Ltd. (Osaka, Japan).
2. 実験標本
Japan SLC, Inc.(Shizuoka, Japan)より購入したWistar系雄性ラット(300-350 g)を実験に使用した。実験動物は全て恒温(22±2℃)、恒湿(55±2%)、定時照明(7~19時)の条件下で飼養した。また、動物実験は動物愛護法を尊守し、「武庫川女子大学動物実験規定」に基づいて実施した。
2. Experimental specimen Wistar male rats (300-350 g) purchased from Japan SLC, Inc. (Shizuoka, Japan) were used in the experiment. All experimental animals were kept under conditions of constant temperature (22 ± 2 ° C), constant humidity (55 ± 2%), and regular lighting (7-19 o'clock). Animal experiments were conducted based on the “Mukogawa Women's University Animal Experiment Regulations”, respecting the Animal Protection Act.
ペントバルビタール(60 mg/kg、腹腔内投与)深麻酔下のWistar系雄性ラットを放血致死後、膀胱を摘出し、酸素(95% O2 and 5% CO2)を通気した37℃のKrebs-Henseleit液(in mmol/L: NaCl 113, KCl 4.8, MgSO4 1.2, KH2PO4 1.2, CaCl2・2H2O 2.5, NaHCO3 25, glucose 11.5)中で膀胱上部より4切片(3×5 mm)を作成し、これを標本とした。
Pentobarbital (60 mg / kg, intraperitoneal administration) Wistar male rats under deep anesthesia were exsanguinated and the bladder was removed and oxygenated (95% O 2 and 5% CO 2 ) at 37 ° C Krebs- 4 sections (3 × 5) from the upper bladder in Henseleit solution (in mmol / L: NaCl 113, KCl 4.8, MgSO 4 1.2, KH 2 PO 4 1.2, CaCl 2 · 2H 2 O 2.5,
3. 経壁電気刺激による収縮測定
標本は酸素を通気したKrebs-Henseleit液(5 mL, 37℃)を満たしたマグヌス管内の白金電極に装着し、静止張力1 gの条件下で懸垂した。30分間の平衡時間をとって標本を安定化させた後、3分ごとに5回Krebs-Henseleit液でwash outし、経壁電気刺激(transmural electrical stimulation, 10 Hz, 0.1 msec duration, 10 V, 10 sec)を加え、生ずる収縮反応を測定した。測定には、トランスデューサー(T7-15-240, A&D Co. Ltd., Tokyo, Japan)を使用し、データの取得と解析にはPowerLab(登録商標) software(ADInstruments Pty Ltd, CO, U.S.A.)を用いた。経壁電気刺激は5分間隔で標本に加えた。経壁電気刺激の2 分後に、ノビレチン(最終濃度10-4 M)またはタンゲレチン(最終濃度10-4 M)もしくは同量の溶媒(Ethanol)を対照として投与し、3分後に2回目の経壁電気刺激を加え収縮反応を測定した。さらに、アトロピン(最終濃度:10-6 M)、α,β-methylene ATP(最終濃度:10-5 M)およびテトロドトキシン(最終濃度:10-6 M)を順に処置し、経壁電気刺激に対する影響を検討した。経壁電気刺激の流れは図13のとおりである。アトロピンで抑制される収縮はコリン作動性の収縮、更にα,β-methylene ATPの反復添加により脱感作される収縮はプリン作動性収縮、テトロドトキシンで抑制される収縮を非コリン、非プリン作動性収縮とし、テトロドトキシンでも抑制されない収縮をテトロドトキシン抵抗性収縮と定義した。
3. Measurement of contraction by transmural electrical stimulation The specimen was attached to a platinum electrode in a Magnus tube filled with oxygen-aerated Krebs-Henseleit solution (5 mL, 37 ° C) and suspended under a static tension of 1 g. After 30 minutes equilibration time to stabilize the specimen, wash out with Krebs-
4. 統計解析法
得られたデータは平均値±標準誤差で示した。有意差検定は、Dunnett's testを使用し、危険率5%未満の場合を有意であると判定した。なお、データの解析には、GraphPad Prism 4.03 software(GraphPad Software, La Jolla, CA, U.S.A.)を用いた。
4. Statistical analysis method The obtained data are shown as mean ± standard error. For the significance test, Dunnett's test was used, and a significance level of less than 5% was determined to be significant. For data analysis, GraphPad Prism 4.03 software (GraphPad Software, La Jolla, CA, USA) was used.
5. 実験結果
経壁電気刺激による収縮に対し、ノビレチン(10-4 M)およびタンゲレチンは(10-4 M)はいずれも抑制作用を示し、その抑制率はそれぞれ約30%もしくは19%であった(図14)。この経壁電気刺激による収縮反応について、関与経路を明らかにするために、各種化合物を用いてさらに検討した。図14に示すように、コントロールでは約100%あった収縮反応がアトロピ(10-6 M)ン存在下で約68%に減弱し、α,β-methylene ATP(10-6 M)を共存させると約5%にまで減弱した(図14a)。図14bに示されているように、ノビレチン存在下で観察される収縮反応は約70%に減弱し、アトロピン存在下で約32%に、α,β-methylene ATP共存下で約2%にまで減弱した。同順にして、タンゲレチン存在下では約81%、アトロピン存在下で約42%、α,β-methylene ATP共存下で約3%にまで減弱した(図14c)。なお、経壁電気刺激による収縮反応のうち、テトロドトキシン(10-6 M)存在下で残るテトロドトキシン抵抗性の収縮反応は約1%前後のみであった(Data not shown)。
5. Experimental results Nobiletin (10 -4 M) and tangeretin (10 -4 M) both showed an inhibitory action against contraction caused by transmural electrical stimulation, and the inhibition rate was about 30% or 19%, respectively. (FIG. 14). In order to elucidate the pathway involved in the contractile response by transmural electrical stimulation, various compounds were further examined. As shown in FIG. 14, the contraction response which was about 100% in the control was attenuated to about 68% in the presence of atropy (10 −6 M), and α, β-methylene ATP (10 −6 M) was allowed to coexist. And decreased to about 5% (FIG. 14a). As shown in FIG. 14b, the contractile response observed in the presence of nobiletin is attenuated to about 70%, to about 32% in the presence of atropine, to about 2% in the presence of α, β-methylene ATP. Attenuated. In the same order, it was attenuated to about 81% in the presence of tangeretin, about 42% in the presence of atropine, and about 3% in the presence of α, β-methylene ATP (FIG. 14c). Of the contractile responses caused by transmural electrical stimulation, only about 1% of tetrodotoxin-resistant contractile responses remained in the presence of tetrodotoxin (10 −6 M) (Data not shown).
ノビレチンおよびタンゲレチンは、摘出膀胱における経壁電気刺激による収縮モデルにおいても、有意な抑制作用を示した。このことから、ノビレチンおよびタンゲレチンは、膀胱の収縮を抑制することで、排尿障害を改善する作用があることが示唆された。 Nobiletin and tangeretin showed a significant inhibitory action in a contraction model by transmural electrical stimulation in the isolated bladder. From this, it was suggested that nobiletin and tangeretin have the effect of improving dysuria by suppressing bladder contraction.
さらに、この経壁電気刺激による収縮反応をアトロピンで抑制されるコリン作動性収縮成分と、α,β-methylene ATP反復処理で減感作されるプリン作動性収縮成分に分けて比較解析した結果、コントロール実験においてはコリン作動性収縮が約32%、プリン作動性収縮が約63%であったことから、経壁電気刺激による収縮反応にはプリン作動性成分が大きく関与していること示唆された(図15)。 Furthermore, as a result of comparative analysis by dividing the contractile response by transmural electrical stimulation into a cholinergic contraction component suppressed by atropine and a purinergic contraction component desensitized by α, β-methylene ATP repeated treatment, In the control experiment, cholinergic contraction was about 32% and purinergic contraction was about 63%, suggesting that purinergic components are greatly involved in contraction response by transmural electrical stimulation. (FIG. 15).
一方、ノビレチン処置した実験では、コリン作動性収縮が約38%、プリン作動性収縮が約30%であり、タンゲレチン処置した実験では、コリン作動性収縮が約39%、プリン作動性収縮が約39%であった(図15)。以上の結果を考え合わせると、摘出膀胱における経壁電気刺激による収縮反応のうち、ノビレチンおよびタンゲレチンで抑制される成分は、主にプリン作動性成分であることが1つの可能性として推察される。以上の結果から、ノビレチンおよびタンゲレチンは、プリン作動性収縮にも影響することで、排尿障害を改善することが示唆された。 On the other hand, in the experiment treated with nobiletin, cholinergic contraction was about 38% and purinergic contraction was about 30%, and in the experiment treated with tangeretin, cholinergic contraction was about 39% and purinergic contraction was about 39%. % (FIG. 15). Considering the above results, it is presumed as one possibility that the components that are suppressed by nobiletin and tangeretin in the contractile response by transmural electrical stimulation in the isolated bladder are mainly purinergic components. These results suggest that nobiletin and tangeretin also improve dysuria by affecting purinergic contraction.
本実施例の結果から、ノビレチン、タンゲレチン、3’, 4’, 5, 7-テトラメチルケルセチン及びシネンセチンは、ムスカリン受容体に対して拮抗作用を有することが明らかとなった。更に、ノビレチンは、頻尿を改善する効果を有することから、ノビレチンを用いることで、排尿障害を予防すること、改善させること又は治療することが可能になる。 From the results of this Example, it was revealed that nobiletin, tangeretin, 3 ', ’4', 5, 7-tetramethylquercetin and sinencetin have an antagonistic action on the muscarinic receptor. Furthermore, since nobiletin has the effect of improving frequent urination, it becomes possible to prevent, improve or treat urination disorder by using nobiletin.
以上、本発明を実施例に基づいて説明した。この実施例はあくまで例示であり、種々の変形例が可能なこと、またそうした変形例も本発明の範囲にあることは当業者に理解されるところである。 In the above, this invention was demonstrated based on the Example. It is to be understood by those skilled in the art that this embodiment is merely an example, and that various modifications are possible and that such modifications are within the scope of the present invention.
謝辞
「This work was carried out with the support of "Cooperative Research Program for Agriculture Science &Technology Development (Project No.PJ009583)" Rural Development Administration, Republic of Korea.」
農生命バイオ食医薬素材開発事業団(韓国 農村振興庁)
Acknowledgment "This work was carried out with the support of" Cooperative Research Program for Agriculture Science & Technology Development (Project No.PJ009583) "Rural Development Administration, Republic of Korea."
Agricultural Life Bio Food and Drug Material Development Corporation (Korea Rural Development Agency)
Claims (13)
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である) A pharmaceutical composition comprising a compound represented by the following chemical formula (I) for preventing or improving urination injury.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
前記化合物は、排尿障害関連受容体に対する拮抗作用を示す、受容体拮抗剤。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である) A receptor antagonist containing a compound represented by the following chemical formula (I):
The said compound is a receptor antagonist which shows the antagonistic action with respect to a dysuria related receptor.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
前記排尿障害を患っている対象者に、下記化学式(I)で示される化合物を含有する医薬組成物又は受容体拮抗剤を投与するステップを含み、
前記化合物は、排尿障害関連受容体に対する拮抗作用を示す、方法。
R1は、水素又は水酸基であり、
R2、R3、R4、R5及びR6は、それぞれ独立して、水素又は-OCH3であり、
R7、R8、R9及びR10は、それぞれ独立して、水素又は-OCH3である) A method for preventing or ameliorating dysuria, said method comprising:
Administering to a subject suffering from dysuria, a pharmaceutical composition or a receptor antagonist containing a compound represented by the following chemical formula (I):
The method wherein the compound exhibits antagonism against a dysuria-related receptor.
R 1 is hydrogen or a hydroxyl group,
R 2 , R 3 , R 4 , R 5 and R 6 are each independently hydrogen or —OCH 3 ;
R 7 , R 8 , R 9 and R 10 are each independently hydrogen or —OCH 3 )
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| KR1020177016090A KR102005273B1 (en) | 2014-11-12 | 2015-07-03 | Medicinal composition for preventing or improving dysuria, antagonist against dysuria-related receptor, and method for preventing or improving dysuria using medicinal composition or antagonist |
| JP2016558898A JPWO2016075960A1 (en) | 2014-11-12 | 2015-07-03 | Pharmaceutical composition for preventing or ameliorating urination disorder, antagonist for urination disorder-related receptor or method for preventing or ameliorating urination disorder using the pharmaceutical composition or antagonist |
| KR1020197019821A KR20190084143A (en) | 2014-11-12 | 2015-07-03 | Medicinal composition for preventing or improving dysuria, antagonist against dysuria-related receptor, and method for preventing or improving dysuria using medicinal composition or antagonist |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2014229404 | 2014-11-12 | ||
| JP2014-229404 | 2014-11-12 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2016075960A1 true WO2016075960A1 (en) | 2016-05-19 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/JP2015/069269 Ceased WO2016075960A1 (en) | 2014-11-12 | 2015-07-03 | Medicinal composition for preventing or improving dysuria, antagonist against dysuria-related receptor, and method for preventing or improving dysuria using medicinal composition or antagonist |
Country Status (3)
| Country | Link |
|---|---|
| JP (2) | JPWO2016075960A1 (en) |
| KR (2) | KR20190084143A (en) |
| WO (1) | WO2016075960A1 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019009354A1 (en) * | 2017-07-05 | 2019-01-10 | 株式会社沖縄リサーチセンター | Composition for amelioration of dysuria |
| JP2020015679A (en) * | 2018-07-25 | 2020-01-30 | 株式会社 沖縄リサーチセンター | Compositions for improving lower urinary tract symptoms |
| KR20210100363A (en) | 2020-02-06 | 2021-08-17 | 주식회사 파마코렉스 | preparing methods of nobiletin |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| BR112022014518A2 (en) | 2020-01-31 | 2022-09-20 | Sumitomo Metal Mining Co | ELECTROMAGNETIC WAVE ABSORBING PARTICLES, ELECTROMAGNETIC WAVE ABSORBING PARTICLE DISPERSION LIQUID AND METHOD FOR MANUFACTURING ELECTROMAGNETIC WAVE ABSORBING PARTICLES |
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| JP4585201B2 (en) * | 2004-01-23 | 2010-11-24 | 丸善製薬株式会社 | Androgen receptor binding inhibitor, hair nourishing agent, sebum secretion inhibitor and prostate hypertrophy inhibitor |
| JP2008156297A (en) * | 2006-12-25 | 2008-07-10 | Hokkaido Univ | Serotonin 2B and / or 2C receptor antagonist |
| WO2010134373A1 (en) * | 2009-05-22 | 2010-11-25 | 株式会社エリナ | Prophylactic and/or therapeutic agent for metabolic syndrome |
| JP6366279B2 (en) * | 2013-01-22 | 2018-08-01 | 花王株式会社 | Preventive or ameliorating agent for overactive bladder |
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2015
- 2015-07-03 KR KR1020197019821A patent/KR20190084143A/en not_active Ceased
- 2015-07-03 KR KR1020177016090A patent/KR102005273B1/en active Active
- 2015-07-03 JP JP2016558898A patent/JPWO2016075960A1/en active Pending
- 2015-07-03 WO PCT/JP2015/069269 patent/WO2016075960A1/en not_active Ceased
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019009354A1 (en) * | 2017-07-05 | 2019-01-10 | 株式会社沖縄リサーチセンター | Composition for amelioration of dysuria |
| JP2020015679A (en) * | 2018-07-25 | 2020-01-30 | 株式会社 沖縄リサーチセンター | Compositions for improving lower urinary tract symptoms |
| JP7219907B2 (en) | 2018-07-25 | 2023-02-09 | 株式会社 沖縄リサーチセンター | Composition for improving lower urinary tract symptoms |
| KR20210100363A (en) | 2020-02-06 | 2021-08-17 | 주식회사 파마코렉스 | preparing methods of nobiletin |
Also Published As
| Publication number | Publication date |
|---|---|
| KR20190084143A (en) | 2019-07-15 |
| JP6850499B2 (en) | 2021-03-31 |
| JPWO2016075960A1 (en) | 2017-08-17 |
| KR102005273B1 (en) | 2019-07-30 |
| JP2020015756A (en) | 2020-01-30 |
| KR20170082626A (en) | 2017-07-14 |
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