CN101417119A - Pharmaceutical composition and package for rapidly reducing uric acid in blood and application of anserine to rapidly reducing uric acid in blood - Google Patents
Pharmaceutical composition and package for rapidly reducing uric acid in blood and application of anserine to rapidly reducing uric acid in blood Download PDFInfo
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Abstract
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技术领域 technical field
本发明涉及投与大于50mg至约600mg的量的鹅肌肽以便快速降低个体血液中的尿酸含量。The present invention relates to the administration of anserine in an amount of greater than 50 mg to about 600 mg to rapidly reduce the level of uric acid in the blood of an individual.
背景技术 Background technique
尿酸为人体内嘌呤代谢的最终产物。血液中的尿酸含量随嘌呤分解与尿酸排泄速率之间的平衡而变化。数年来,高尿酸血症已与痛风相关联或认为高尿酸血症与痛风相同,但目前已鉴别尿酸作为大量代谢和血液动力学异常的标记。血液中的高尿酸含量诱发痛风,且通常与诸如肌肉痉挛、局部肿胀、炎症、关节疼痛、肌肉疲劳、压迫感和心肌梗塞的症状相关。Uric acid is the final product of purine metabolism in the human body. The level of uric acid in the blood varies with the balance between the breakdown of purines and the rate of uric acid excretion. Hyperuricemia has been associated or considered identical to gout for several years, but uric acid has now been identified as a marker of a number of metabolic and hemodynamic abnormalities. High uric acid levels in the blood induce gout and are often associated with symptoms such as muscle cramps, localized swelling, inflammation, joint pain, muscle fatigue, pressure, and myocardial infarction.
已使用多种商业化药物来治疗痛风,例如苯溴马隆(Benzbromarone,URINORM)、丙磺舒(Probenecid)、别嘌醇(Allopurinol)、布可隆(Bucolome)、辛可芬(Cinchophan)和秋水仙碱(Colchicine)。这些药物通过(例如)抑制尿酸形成,移除过量尿酸,作用于肾以帮助消除尿酸,抑制黄嘌呤氧化酶将黄嘌呤转化为尿酸的活性和加速尿酸排泄而起作用。然而,已知这些药物具有肝脏毒性,且引起多种副作用,诸如尿结石、胃肠阻塞、黄疸和贫血。未报导这些药物能够快速降低个体血液中的尿酸含量。Various commercially available drugs have been used to treat gout, such as Benzbromarone (URINORM), Probenecid, Allopurinol, Bucolome, Cinchophan, and Colchicum Alkali (Colchicine). These drugs work by, for example, inhibiting uric acid formation, removing excess uric acid, acting on the kidneys to aid in the elimination of uric acid, inhibiting the activity of xanthine oxidase to convert xanthine to uric acid, and accelerating uric acid excretion. However, these drugs are known to be hepatotoxic and cause various side effects such as urinary stones, gastrointestinal obstruction, jaundice and anemia. These drugs have not been reported to be able to rapidly lower uric acid levels in an individual's blood.
已知一些二肽适用于降低血液中的尿酸含量。举例来说,ROC(台湾)专利第I280136号(ROC(台湾)专利申请案第092114798号)揭示一种用于降低个体体内尿酸的组合物,其包含有效量的一或多种由组氨酸或其功能等效物和丙氨酸或其功能等效物组成的二肽。ROC专利中提及的例示性二肽包括肌肽(carnosine)、鹅肌肽、脱羧基肌肽(carcinine)和蛇肌肽(ophidine)。其仅教示每天经口投与组合物以提供约8mg至约50mg,优选约10mg至约45mg的量的二肽,但未揭示或提出通过投与二肽可快速降低个体血液中的尿酸含量的任何途径。Some dipeptides are known to be useful in reducing uric acid levels in the blood. For example, ROC (Taiwan) Patent No. I280136 (ROC (Taiwan) Patent Application No. 092114798) discloses a composition for reducing uric acid in an individual, which comprises an effective amount of one or more A dipeptide consisting of or its functional equivalent and alanine or its functional equivalent. Exemplary dipeptides mentioned in the ROC patent include carnosine, anserine, carcinine, and ophidine. It only teaches oral administration of the composition to provide the dipeptide in an amount of about 8 mg to about 50 mg, preferably about 10 mg to about 45 mg per day, but does not disclose or suggest any route by which the dipeptide can be rapidly reduced in the blood of an individual .
鹅肌肽(β-丙氨酰基-1-甲基-L-组氨酸)为高度稳定的二肽,其具有约7.1的pK值,且在低pH值(<3.0)下保持完整。鹅肌肽天然存在于脊椎动物的骨骼肌组织和脑组织中,且由β-丙氨酸与1-甲基-L-组氨酸之间的肽键形成(参见托卡契夫卡雅(Tolkachevskaya),NF.1929.生理学化学杂志(Z Physiol Chem.)185:28-32.)。1938年,报导鹅肌肽为一种理想的生理酸碱缓冲剂。由于其生理酸碱缓冲能力,鹅肌肽可有效消除通过改变生物系统的pH值而促进的脂质过氧化作用。对于罹患痛风的酸血症个体来说,投与充当酸碱缓冲剂的鹅肌肽有助于调整血液的pH值,且有利于降低血液中的尿酸含量。应了解,快缩肌纤维缓冲能力中的40%由处于移动相中的二肽提供,而快缩肌纤维缓冲能力的剩余部分由基本上处于固定相中的肌蛋白提供(参见贝特-史密斯(Bate-Smith),EC.1938,“精确的肌肉缓冲:蛋白质、磷酸盐和肌肽(The buffering ofmuscle in rigour:protein,phosphate and carnosine.),”生理学杂志(J Physiol.)92:336-43.)。此表明在高度结构化的肌细胞中,局部酸碱梯度由移动相的缓冲辅助作用和固定相的缓冲抑制作用而组成。Anserine (β-alanyl-1-methyl-L-histidine) is a highly stable dipeptide with a pK value of about 7.1 and remains intact at low pH (<3.0). Anserine occurs naturally in skeletal muscle and brain tissue of vertebrates and is formed by a peptide bond between β-alanine and 1-methyl-L-histidine (see Tolkachevskaya ), NF.1929. Journal of Physiol Chemistry (Z Physiol Chem.) 185:28-32.). In 1938, it was reported that anserine was an ideal physiological acid-base buffer. Due to its physiological acid-base buffering capacity, anserine effectively eliminates lipid peroxidation promoted by changing the pH value of biological systems. For acidemic individuals suffering from gout, the administration of anserine, which acts as an acid-base buffer, helps to adjust the pH value of the blood and is beneficial to reduce the uric acid content in the blood. It will be appreciated that 40% of the cushioning capacity of fast-twitch muscle fibers is provided by dipeptides in the mobile phase, while the remainder is provided by myosin, which is substantially in the stationary phase (see Bate-Smith). -Smith), EC.1938, "The buffering of muscle in rigour: protein, phosphate and carnosine.," Journal of Physiology (J Physiol.) 92:336-43.) . This suggests that in highly structured myocytes, the local acid-base gradient is composed of buffer assistance by the mobile phase and buffer inhibition by the stationary phase.
此外,鹅肌肽具有各种抗氧化特性且适用作自由基净化剂或金属螯合剂。长期罹患炎症的个体通常具有较高的活体内自由基浓度。投与充当自由基净化剂的鹅肌肽有利于消除自由基。In addition, anserine has various antioxidant properties and is useful as a free radical scavenger or metal chelator. Individuals with chronic inflammation often have higher concentrations of free radicals in vivo. Administration of anserine, which acts as a free radical scavenger, facilitates the elimination of free radicals.
鹅肌肽也可有效抑制由铁、血红蛋白、脂质过氧化酶和单态氧促进的脂质过氧化作用(参见巴比扎也夫MA(Babizhayev MA)等人,1994,“L肌肽(β-丙氨酰基-L-组氨酸)和脱羧基肌肽(β-丙氨酰基组胺)充当具有羟基自由基净化和脂质过氧化酶活性的天然抗氧化剂(L-carnosine(beta-alanyl-L-histidine)and carcinine(beta-alanylhistamine)act as natural antioxidants with hydroxyl-radical-scavenging and lipid-peroxidaseactivities),”生物化学杂志(Biochem J.)304(Pt2):509-516和科恩R.(Kohen R.)等人,1988,“存在于肌肉和大脑中的肌肽、高肌肽和鹅肌肽的抗氧化活性(Antioxidantactivity of carnosine,homocarnosine,and anserine present in muscle and brain),”美国国家科学院院刊(Proc Natl Acad Sci USA.)85(9):3175-3179.)。Anserine is also effective in inhibiting lipid peroxidation promoted by iron, hemoglobin, lipid peroxidase and singlet oxygen (see Babizhayev MA et al., 1994, "L-carnosine (β- Alanyl-L-histidine) and decarboxylated carnosine (β-alanylhistamine) act as natural antioxidants (L-carnosine (beta-alanyl-L -histidine) and carcinine (beta-alanylhistamine) act as natural antioxidants with hydroxyl-radical-scavenging and lipid-peroxidase activities), "Biochem J. 304 (Pt2): 509-516 and Kohen R. .) et al., 1988, "Antioxidant activity of carnosine, homocarnosine, and anserine present in muscle and brain," Proceedings of the National Academy of Sciences (Proc. Natl Acad Sci USA.) 85(9): 3175-3179.).
此外,鹅肌肽可改善由疲劳引起的活体内氧化应力,且增强生物体内的氧自由基吸收能力。鹅肌肽也可充当中枢组胺能神经系统中的递质的前体。经由鹅肌肽中所含的组氨酸的代谢,鹅肌肽可有效调整中枢神经系统中的组织胺浓度,降低血液中的皮质醇浓度且使疲劳缓解(参见阿维W(Aoi W.)等人,2006,“运动和功能性食品(Exercise andfunctional foods.),”营养学杂志(Nutr J.)5:15-22和美国专利第6,680,294号)。In addition, anserine can improve the oxidative stress in the living body caused by fatigue, and enhance the oxygen free radical absorption capacity in the living body. Anserine may also act as a precursor of transmitters in the central histaminergic nervous system. Through the metabolism of histidine contained in anserine, anserine can effectively adjust the concentration of histamine in the central nervous system, reduce the concentration of cortisol in the blood and relieve fatigue (see Aoi W (Aoi W.) et al. , 2006, "Exercise and functional foods.," Nutr J. 5: 15-22 and US Patent No. 6,680,294).
然而,未报导用于治疗痛风的包含鹅肌肽的市售药物具有快速降低个体血液中的尿酸含量的功效。However, no commercially available drug containing anserine for the treatment of gout has been reported to have the efficacy of rapidly reducing the level of uric acid in the blood of an individual.
对研制一种可快速降低个体血液中的尿酸含量,由此治疗痛风且减轻与血液中高尿酸含量相关的症状的新药仍存在需要。There remains a need to develop a new drug that can rapidly reduce the level of uric acid in the blood of an individual, thereby treating gout and alleviating the symptoms associated with high levels of uric acid in the blood.
发明内容 Contents of the invention
本发明者已意外发现,投与每一剂量大于50mg至约600mg的量的鹅肌肽可快速降低个体血液中的尿酸含量。The present inventors have surprisingly found that administration of anserine in an amount of greater than 50 mg to about 600 mg per dose rapidly reduces the level of uric acid in the blood of an individual.
因此,本发明涉及一种用于快速降低个体血液中的尿酸含量的医药组合物,其包含大于50mg至约600mg的量的鹅肌肽。Accordingly, the present invention relates to a pharmaceutical composition for rapidly reducing the level of uric acid in the blood of an individual comprising anserine in an amount greater than 50 mg to about 600 mg.
本发明进一步涉及一种包含本发明的医药组合物和指示将组合物投与个体以提供每一剂量大于50mg至约600mg的量的鹅肌肽的标签和/或包装插页的包装。The invention further relates to a package comprising a pharmaceutical composition of the invention and a label and/or package insert indicating that the composition is to be administered to an individual to provide anserine in an amount of greater than 50 mg to about 600 mg per dose.
此外,木发明涉及一种用于快速降低个体血液中的尿酸含量的方法,其包含将大于50mg至约600mg的量的鹅肌肽投与个体。Furthermore, the invention relates to a method for rapidly reducing the level of uric acid in the blood of an individual comprising administering to the individual anserine in an amount from greater than 50 mg to about 600 mg.
此外,本发明涉及鹅肌肽在制造用以快速降低个体血液中的尿酸含量的药物中的用途,其中所述药物包含大于50mg至约600mg的量的鹅肌肽。Furthermore, the present invention relates to the use of anserine in the manufacture of a medicament for rapidly reducing the level of uric acid in the blood of an individual, wherein said medicament comprises anserine in an amount of greater than 50 mg to about 600 mg.
附图说明 Description of drawings
图1展示经口投与的鹅肌肽对血液中的尿酸含量的影响。Figure 1 shows the effect of orally administered anserine on the uric acid content in blood.
具体实施方式 Detailed ways
在第一方面中,本发明提供一种用于快速降低个体血液中的尿酸含量的医药组合物,其包含大于50mg至约600mg的量的鹅肌肽。本发明的医药组合物可快速降低个体血液中的尿酸含量,由此治疗痛风和/或改善与血液中高尿酸含量相关的症状。In a first aspect, the present invention provides a pharmaceutical composition for rapidly reducing uric acid levels in the blood of an individual comprising anserine in an amount greater than 50 mg to about 600 mg. The pharmaceutical composition of the present invention can quickly reduce the uric acid content in the blood of an individual, thereby treating gout and/or improving symptoms associated with high blood uric acid content.
在第二方面中,本发明提供一种包装,其包含本发明的医药组合物和指示将组合物投与个体以提供每一剂量大于50mg至约600mg的量的鹅肌肽的标签和/或包装插页。本发明的包装适用于快速降低个体血液中的尿酸含量,由此治疗痛风和/或改善与血液中高尿酸含量相关的症状。In a second aspect, the invention provides a package comprising a pharmaceutical composition of the invention and a label and/or package insert indicating that the composition is to be administered to an individual to provide anserine in an amount of greater than 50 mg to about 600 mg per dose . The pack of the present invention is suitable for rapidly reducing the level of uric acid in the blood of an individual, thereby treating gout and/or ameliorating symptoms associated with high levels of uric acid in the blood.
在第三方面中,本发明提供一种用于快速降低个体血液中的尿酸含量的方法,其包含将大于50mg至约600mg的量的鹅肌肽投与个体。本发明的方法可快速降低个体血液中的尿酸含量,由此治疗痛风和/或改善与血液中高尿酸含量相关的症状。In a third aspect, the invention provides a method for rapidly reducing uric acid levels in the blood of an individual comprising administering to the individual anserine in an amount from greater than 50 mg to about 600 mg. The methods of the present invention rapidly reduce the level of uric acid in the blood of an individual, thereby treating gout and/or ameliorating symptoms associated with high levels of uric acid in the blood.
在第四方面中,本发明提供一种鹅肌肽在制造能够快速降低个体血液中的尿酸含量的药物中的用途,其中所述药物包含大于50mg至约600mg的量的鹅肌肽。所述药物可快速降低个体血液中的尿酸含量,由此治疗痛风和/或改善与血液中高尿酸含量相关的症状。In a fourth aspect, the present invention provides a use of anserine in the manufacture of a medicament capable of rapidly reducing uric acid levels in the blood of an individual, wherein the medicament comprises anserine in an amount greater than 50 mg to about 600 mg. The medicament rapidly reduces the level of uric acid in the blood of an individual, thereby treating gout and/or ameliorating symptoms associated with high levels of uric acid in the blood.
鹅肌肽可为天然存在的鹅肌肽或合成鹅肌肽。在本发明中,将鹅肌肽以每一剂量大于50mg至约600mg、优选约100mg至约500mg、更优选约150mg至250mg的量投与个体,以达成快速降低个体血液中的尿酸含量的功效。Anserine may be naturally occurring anserine or synthetic anserine. In the present invention, anserine is administered to individuals in an amount greater than 50 mg to about 600 mg, preferably about 100 mg to about 500 mg, more preferably about 150 mg to 250 mg per dose, so as to achieve the effect of rapidly reducing the uric acid content in the blood of the individual.
在本申请案中,术语“快速降低血液中尿酸含量”意谓在投与鹅肌肽1小时内,个体血液中的尿酸含量的降低量为约0.5至约4mg/dL。术语“个体”是指哺乳动物,优选为人类。此外,术语“与高尿酸含量相关的症状”是指(例如)肌肉痉挛、局部肿胀、炎症、关节疼痛、肌肉疲劳、压迫感、心肌梗塞或其组合。In the present application, the term "rapidly reducing the uric acid content in the blood" means that within 1 hour of administering anserine, the reduction of the uric acid content in the individual's blood is about 0.5 to about 4 mg/dL. The term "individual" refers to a mammal, preferably a human. In addition, the term "symptoms associated with high uric acid content" refers to, for example, muscle spasm, local swelling, inflammation, joint pain, muscle fatigue, feeling of pressure, myocardial infarction, or a combination thereof.
本发明的医药组合物和药物可通过此项技术中已知的任何常规方法来制备。除活性成份鹅肌肽外,本发明的医药组合物和药物还可包含医药学上或生理学上可接受的赋形剂。合适的医药学上可接受的赋形剂包括(但不限于)糊精-麦芽糖、乳糖、蔗糖、甘露糖醇、淀粉、微晶纤维素、羧甲基纤维素、滑石粉和硬脂酸镁。The pharmaceutical compositions and medicaments of the present invention may be prepared by any conventional method known in the art. In addition to the active ingredient anserine, the pharmaceutical composition and medicine of the present invention may also contain pharmaceutically or physiologically acceptable excipients. Suitable pharmaceutically acceptable excipients include, but are not limited to, dextrin-maltose, lactose, sucrose, mannitol, starch, microcrystalline cellulose, carboxymethylcellulose, talc and magnesium stearate .
本发明的医药组合物和药物可调配为适当剂型,诸如药片、散剂、颗粒剂、胶囊、液体和悬浮液,以供用于各种投药途径。本发明的医药组合物和药物可经由任何合适途径、优选经由口腔或非经肠途径来投与。The pharmaceutical compositions and medicaments of the present invention can be formulated into appropriate dosage forms, such as tablets, powders, granules, capsules, liquids and suspensions, for various administration routes. The pharmaceutical compositions and medicaments of the invention may be administered via any suitable route, preferably oral or parenteral.
任何已知的包装和印刷方法均可用于制备本发明的包装。Any known packaging and printing methods may be used to prepare the packaging of the present invention.
实例example
参考以下实例,本发明将变得显而易见,所述实例完全为例示性的且不应用以限制如权利要求书中所述的本发明的范畴。The invention will become apparent with reference to the following examples, which are purely illustrative and should not be used to limit the scope of the invention as described in the claims.
实例1Example 1
将鹅肌肽(GL生物化学有限公司(GL Biochem Ltd.),中国上海)和糊精-麦芽糖填充至明胶胶囊(总重量为400mg)中,且胶囊包含50mg鹅肌肽。罹患痛风且血液中具有高尿酸含量的个体每天两次服用3颗胶囊(鹅肌肽总量为150mg),和在同一天一次服用5颗胶囊(鹅肌肽总量为250mg),因此个体每天服用的鹅肌肽总剂量为550mg。血液中的尿酸含量通过UroSpeed(一种快速血清-尿酸测试条,顶点生物技术有限公司(Apex Biotechnology Co.,Inc.),台湾新竹(Hsinchu,Taiwan),ROC)来监控。结果展示于表1中,且进一步图示于图1中。Anserine (GL Biochem Ltd., Shanghai, China) and dextrin-maltose were filled into gelatin capsules (total weight 400 mg), and the capsules contained 50 mg anserine. Individuals suffering from gout who have high levels of uric acid in the blood take 3 capsules (total anserine 150 mg) twice a day and 5 capsules once on the same day (total anserine 250 mg), so the individual takes daily The total dose of anserine is 550mg. The uric acid content in the blood was monitored by UroSpeed (a rapid serum-uric acid test strip, Apex Biotechnology Co., Inc., Hsinchu, Taiwan, ROC). The results are shown in Table 1 and further graphically shown in Figure 1 .
表1:经口投与鹅肌肽1小时后血液中尿酸含量的降低Table 1: Decrease in blood uric acid level 1 hour after oral administration of anserine
如表1和图1所示,在服用包含鹅肌肽的胶囊1小时后血液中尿酸含量的降低范围为0.9mg/dL至1.5mg/dL。在10:35服用150mg鹅肌肽1小时后,血液中的尿酸含量减少1.5mg/dL。在个体中午食用牛肉面后,个体血液中的尿酸含量增加至11.9mg/dL。在13:15服用150mg鹅肌肽1小时后,个体血液中的尿酸含量减少0.9mg/dL。在17:17服用250mg鹅肌肽1小时后,个体血液中的尿酸含量减少1.3mg/dL。表1中给出的数据证明投与鹅肌肽可在1小时内快速降低个体血液中的尿酸含量。As shown in Table 1 and Figure 1, the decrease in blood uric acid levels ranged from 0.9 mg/dL to 1.5 mg/dL 1 hour after taking the capsules containing anserine. One hour after taking 150 mg of anserine at 10:35, the level of uric acid in the blood was reduced by 1.5 mg/dL. After the subject consumed beef noodles at noon, the uric acid level in the subject's blood increased to 11.9 mg/dL. One hour after taking 150 mg anserine at 13:15, the uric acid content in the blood of the individual decreased by 0.9 mg/dL. One hour after taking 250mg anserine at 17:17, the uric acid content in the individual's blood decreased by 1.3mg/dL. The data presented in Table 1 demonstrate that administration of anserine rapidly reduces the uric acid level in the blood of an individual within 1 hour.
实例2Example 2
在此项经口投药测试中,测试15名患有慢性高尿酸血症的自愿成人个体(28岁至53岁的9名男性和6名女性)。所述个体停止其正常药物治疗至少3天。所述个体血液中的平均尿酸含量大于9.3mg/dL。将所述个体随机分为5组,每一组包含3名个体,分别服用以下剂量的鹅肌肽:50mg、100mg、150mg、200mg和250mg。1小时后,测量个体血液中的尿酸含量。发现其血液中的尿酸含量减少1.1mg/dL至1.3mg/dL。在5组中,服用150mg鹅肌肽的组的血液中尿酸含量的降低最为明显。结果展示于表2中。In this oral administration test, 15 voluntary adult subjects (9 males and 6 females aged 28 to 53) suffering from chronic hyperuricemia were tested. The individual discontinued their normal medication for at least 3 days. The average uric acid level in the blood of the individual is greater than 9.3 mg/dL. The individuals were randomly divided into 5 groups, each group comprising 3 individuals, who took the following doses of anserine respectively: 50 mg, 100 mg, 150 mg, 200 mg and 250 mg. After 1 hour, the level of uric acid in the individual's blood was measured. The uric acid level in his blood was found to decrease by 1.1 mg/dL to 1.3 mg/dL. Among the 5 groups, the group taking 150 mg of anserine had the most significant reduction in blood uric acid levels. The results are shown in Table 2.
表2:经口投与各种剂量的鹅肌肽1小时后对血液中的尿酸含量的影响Table 2: Effects of 1 hour after oral administration of various doses of anserine on the uric acid content in blood
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