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TW200533369A - Applications of treatment using interferon-tau - Google Patents

Applications of treatment using interferon-tau Download PDF

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Publication number
TW200533369A
TW200533369A TW094105744A TW94105744A TW200533369A TW 200533369 A TW200533369 A TW 200533369A TW 094105744 A TW094105744 A TW 094105744A TW 94105744 A TW94105744 A TW 94105744A TW 200533369 A TW200533369 A TW 200533369A
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TW
Taiwan
Prior art keywords
interferon
ifnt
interleukin
tau
blood
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TW094105744A
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Chinese (zh)
Inventor
Lorelie H Villarete
Chih-Ping Liu
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Pepgen Corp
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Priority claimed from US10/825,382 external-priority patent/US20050118137A1/en
Priority claimed from US10/825,068 external-priority patent/US20040247565A1/en
Priority claimed from US10/825,457 external-priority patent/US20050118138A1/en
Priority claimed from US10/824,710 external-priority patent/US7083782B2/en
Priority claimed from US10/884,741 external-priority patent/US20050084478A1/en
Priority claimed from US11/040,706 external-priority patent/US20050226845A1/en
Application filed by Pepgen Corp filed Critical Pepgen Corp
Publication of TW200533369A publication Critical patent/TW200533369A/en

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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

Methods of modulating cytokine levels in human subject by administering interferon-tau(IFNτ)are described. More specifically, a method of up-regulating the interleukin 10 (IL-10) level in patients afflicted with a condition that responds to treatment by having an increased blood IL-10 level, such as an autoimmune condition, a viral infection, or a condition of cellular proliferation by administering IFNτ is described. Also described are methods of modulating blood levels of interleukin-12 (IL-12) and interferon-gamma (IFN-γ) by administering IFNτ. In various embodiments, IFNτ is administered alone or in combination with a second therapeutic agent.

Description

20053323i&Qc 九、發明說明: 【發明所屬之技術領域】20053323i & Qc IX. Description of the invention: [Technical field to which the invention belongs]

本發明是關於包含干擾素tau(IFN〇的藥物組成與其 使用方法。更特別的是,本發明是藉由施予干擾素tau (IFNI )於哺乳類以減輕疾病或對白介素10 ( IL-10)症狀 反應之方法,干擾素tau (IFNt)可以採單獨施予或合倂一 種或多種藥劑施予受試者。本發明更藉由刺激白介素10 (IL-10)的產生且/或影響白介素12(IL-12)的濃度降低, 以便同時或單獨調整白介素l〇(IL-10)與白介素12(IL-12) 的血液中濃度。本發明另預防血液中干擾素-伽侷(IFN-γ) 的濃度上升。本發明另有關於單獨施予干擾素tau (IFNO 或合倂一種或多種藥劑的使用方法。 【先前技術】 最初發現干擾素tan ( IFN:)(此後以”IFNt” 或” interferon-τ”表之)是在反芻動物發育中懷孕體之滋養外 胚層所產生之懷孕辨識荷爾蒙(由Imakawa,K.等人在 Nature, 330:377-379 於 1987 年發表;及 Bazer,F.W.與 Johnson, H. Am. J. Repro. Immunol., 26_: 19-22 方令 1991 年發表)。干擾素tau (IFN〇基因的分佈限制在反芻動物 中,包括牛、綿羊、山羊(由Alexenko,A. P等人在 Interferon and Cytokine Res., 19:1335-1341 於 1999 年發 表),但已經對其他物種包括人類及老鼠等之細胞表現出活 性(由 Pontzer,C· H·等人在 Cwcer ϋ:5304_5307 於 1991 年發表;Alexenko,A. P 等人在 /Wer/erow and 2005332^6® 迎:817-822 於 2000 年發表)。例如 ifNt已經 被證實具抗病毒性(由Pontzer,C· H.等人在 Biophys. Res. Commun·,152:801-807 於 1988 年發表),可抑 制增生現象(由Pontzer,C. H.等人於1991年發表)與具免疫 調節之活性(由 Assal-Meliani,A·,在 Am. J· Repro. Immunol·,33 : 267-275 方令 1 995 年發表)。The present invention relates to a pharmaceutical composition containing interferon tau (IFN0) and a method of using the same. More particularly, the present invention is to alleviate disease or to interleukin 10 (IL-10) by administering interferon tau (IFNI) to mammals. As a method of symptomatic response, interferon tau (IFNt) can be administered to a subject alone or in combination with one or more agents. The present invention further stimulates the production of interleukin 10 (IL-10) and / or affects interleukin The concentration of 12 (IL-12) is reduced in order to adjust the blood concentrations of interleukin 10 (IL-10) and interleukin 12 (IL-12) simultaneously or separately. The present invention also prevents interferon-gamma (IFN- γ) concentration increased. The present invention also relates to the use of interferon tau (IFNO or a combination of one or more agents). [Prior art] Interferon tan (IFN :) (hereinafter referred to as "IFNt" or The "interferon-τ" table) is a pregnancy-identifying hormone produced by the nourishing ectoderm of a pregnant body during ruminant development (published by Imakawa, K. et al., Nature, 330: 377-379 in 1987; and Bazer, FW and Johnson, H. Am. J. Repro. Immunol., 26_: 19-2 Published by Order 2 in 1991. Interferon tau (IFN0 gene distribution is restricted to ruminants, including cattle, sheep, and goats (by Alexenko, A. P, et al. In Interferon and Cytokine Res., 19: 1335-1341 (Published in 1999), but has shown activity on cells of other species including humans and mice (published in 1991 by Pontzer, C.H. et al. In Cwcer 5: 5304_5307; Alexenko, A.P. et al. In / Wer / erow and 2005332 ^ 6® Welcome: 817-822 published in 2000. For example, ifNt has been shown to be antiviral (by Pontzer, C.H. et al. In Biophys. Res. Commun., 152: 801- 807, published in 1988), can inhibit the proliferation phenomenon (published by Pontzer, CH et al. In 1991) and have immunomodulatory activity (by Assal-Meliani, A., Am. J. Repro. Immunol., 33: Order 267-275 was published in 1995).

IFNt展現多種傳統上與第一型干擾素如干擾素-阿爾 法(IFN-α)與干擾素-貝它(IFN-β)相關之活性,但是IFNt 干擾素tau(IFN〇及其他第一型干擾素也有相當不同的地 方。最大的不同是干擾素tau ( IFNt)在懷孕的反芻動物身 上所扮演的角色。其他的干擾素在懷孕辨識上沒有相似的 功能。對於病毒誘導作用也是不同的。所有的第一型干擾 素除了干擾素tan (IFNt)以外,均容易被病毒及dsRNA 誘導(由 Roberts 等人在 1_3_: 432 於 1992 年發表)。誘導所引發干擾素-阿爾法(IFN-α)與干擾素-貝它(IFN-β)之表現是過渡性的,持續約幾個小時。相反 地,一旦被誘導,所引發IFNt的合成卻可持續數日(由 Godkin^A^^· Reprod. Fert.f 65: 141 於 1982 年發表)。 在單一細胞基礎上,相對於其他干擾素的生成,干擾素tau (IFN〇可以產生三百倍以上的量(由Cross J· C.與 Roberts R. Μ.等人在 Proc. Natl, Acad,Sci. USA 8_8_: 38 17-3821 於 1991 年發表)。 其他不同處包括干擾素tau ( IFNt)的胺基酸序列與其 他第一型干擾素的胺基酸序列不同◦干擾素tau ( IFN〇與 200533綱 c 其他干擾素a2b、βΐ、ωΐ、γ與τ之胺基酸序列相似度百分比 整理於下表: rHuIFNa2b rHuIFNP 1 RHuIFNicol rHuIFNy rOvIFNx RhuIFNa2b 33.1 60.8 11.6 48.8 RhuIFNpi 33.1 33.1 12.2 33.8 RhuIFNo) 1 60.8 33.1 10.2 54.9 RhuIFNy 11.6 12.2 10.2 10.2 rovIFNx 48.8 33.8 54.9 10.2 序列組成之比較係參考下列參考文獻:IFNt exhibits a variety of activities traditionally associated with type 1 interferons such as interferon-alpha (IFN-α) and interferon-beta (IFN-β), but IFNt interferon tau (IFN0 and other type 1 interferences) There are also quite different aspects of the hormones. The biggest difference is the role of interferon tau (IFNt) in pregnant ruminants. Other interferons do not have similar functions in pregnancy recognition. They are also different for virus induction. All Except for interferon tan (IFNt), the first type of interferon is easily induced by viruses and dsRNA (published by Roberts et al. At 1_3_: 432 in 1992). The induction of interferon-alpha (IFN-α) and The performance of interferon-beta (IFN-β) is transient and lasts for several hours. On the contrary, once induced, the synthesis of IFNt can continue for several days (by Godkin ^ A ^^ Reprod. Fert.f 65: 141 was published in 1982). On a single cell basis, compared to the production of other interferons, interferon tau (IFN0 can be produced more than 300 times (by Cross J. C. and Roberts R. . M. et al in Proc. Natl, Ac ad, Sci. USA 8_8_: 38 17-3821 published in 1991). Other differences include that the amino acid sequence of interferon tau (IFNt) is different from the amino acid sequence of other type 1 interferons. Interferon tau ( The similarity percentages of amino acid sequences between IFN〇 and 200533 class c other interferons a2b, βΐ, ωΐ, γ and τ are summarized in the following table: rHuIFNa2b rHuIFNP 1 RHuIFNicol rHuIFNy rOvIFNx RhuIFNa2b 33.1 60.8 11.6 48.8 RhuIFNpi 33.1 33.1 12.2 33.8 RhuIFNo) 1 60.8 33.1 10.2 54.9 RhuIFNy 11.6 12.2 10.2 10.2 rovIFNx 48.8 33.8 54.9 10.2 The comparison of sequence composition is based on the following references:

Taniguchi 等人,Gwe, 1£(1): 1 1 (1980) Αάο\ϊ 等人,Biochim. Biophys,acta, 1089(2): 167(1991) Streuli 等人209:13430980)Taniguchi et al., Gwe, 1 £ (1): 1 1 (1980) Αάο \ ϊ et al., Biochim. Biophys, acta, 1089 (2): 167 (1991) Streuli et al. 209: 13430980)

Imakawa 等人,330:377(1987) 基因重組綿羊的干擾素tau(IFNT) (rOvIFNi)具48·8 %同源性於IFNa2b且具38.8%同源性相對於IFNpl。因爲 干擾素tail ( IFN〇與干擾素-阿爾法(IFN-a)及干擾素tau (IFN〇與干擾素-貝它(IFN-β)之間有限的同源性,無 法預期是否口服方式的干擾素tau (IFNt)之反應行爲會與 干擾素-阿爾法(IFN-α)及干擾素-貝它(IFN-β)相同。同 時干擾素tau (IFNt)被報導對人體細胞第一型接受器具較 低的接受器結合親和力(Brod,S·,在J.Imakawa et al., 330: 377 (1987) Interferon tau (IFNT) (rOvIFNi) of recombinant sheep has 48.8% homology to IFNa2b and 38.8% homology to IFNpl. Due to the limited homology between interferon tail (IFN〇 and interferon-alpha (IFN-a)) and interferon tau (IFN〇 and interferon-beta (IFN-β)), it is impossible to predict whether or not to interfere with the oral route. The response behavior of interferon tau (IFNt) will be the same as interferon-alpha (IFN-α) and interferon-beta (IFN-β). At the same time, interferon tau (IFNt) has been reported to be more effective on human cell type 1 receiving devices. Low receptor binding affinity (Brod, S., J.

Cytokine Res·,J_8. : 84 1 於 1999 年發表;及 Alexenko,Α·寺 人在 J. Interferon and Cytokine Res.,J_7_ · 769 於 1997 年發 表)。另外,由於干擾素tau ( IFNt)事實上是一個非內生 性的人類蛋白質,當干擾素tan ( IFNt)引入人體時可導致 20053.23ώ& 全身性的中和抗體形成(Brod,S.,在*/. /wkr/erc^ (2以 cyohk穴以.,11: 841於1999年發表)。干擾素tau( IFN〇 及其他干擾素之間的這些差異,使得干擾素tau ( IFNt)施 用人體產生的正面療效與所能提供的治療效益相對之間難 以預期。Cytokine Res., J_8 .: 84 1 was published in 1999; and Alexenko, A. Temple, J. Interferon and Cytokine Res., J_7_ · 769 issued in 1997). In addition, since interferon tau (IFNt) is actually a non-endogenous human protein, when interferon tan (IFNt) is introduced into the human body, it can lead to the formation of systemic neutralizing antibodies (Brod, S., in * /. / wkr / erc ^ (2 in cyohk acupoints, 11: 841 published in 1999). Interferon tau (These differences between IFN0 and other interferons, which makes interferon tau (IFNt) administered by the human body produce It is difficult to predict the relative positive effects of the treatment and the therapeutic benefits it can provide.

如同一般其他的蛋白質與多胜肽,使用干擾素tan (IFN〇的限制因素,與生物分佈相關,當以注射方式施 與時,會被與血球細胞以及與原生質蛋白之間的交互作用 所影響。以口服路徑施與時就更複雜,還需要考慮胃中的 蛋白質水解效應,分子可能在到達預設的目的地之前就被 酸性環境摧毀了。例如蛋白質與多胜肽的片段產生是因爲 胃與胰臟酵素的作用,被外生性與內生性酵素在腸黏膜刷 緣斷裂而產生雙胜肽或三胜肽。如果能避免胰臟酵素的水 解則多胜肽只會被刷狀邊緣胜肽酵素裂解,多胜肽或蛋白 質可能存活通過胃而在小腸黏膜被代謝且在此有一穿透障 礙以預防直接進入細胞。爲此,許多硏究著重在如何以喉 含錠劑或溶液以在口腔維持一段時間並運用口咽喉部位來 傳遞蛋白質。 細胞色素的角色在各種疾病和細胞色素血中濃度與疾 病發生之間的相互關係與嚴重性是醫界關心的議題。例 如,以白介素10 (IL-10)治療已經顯示或被建議可能有益 於下面將提及之疾病。或其他相關白介素10 ( IL-10)與特 定疾病或生理狀況。如:肝纖維化(Nelson, D.R. et al·, Hepatology, 38(4):859-868 (2003) ; Louis, H.? Acta Gastr. 20053i^3i69As with other proteins and peptides, the limiting factor in the use of interferon tan (IFN0) is related to biodistribution. When administered by injection, it will be affected by interactions with blood cells and protoplasts. It is more complicated when administered by the oral route. It also needs to consider the proteolytic effect in the stomach. The molecule may be destroyed by the acidic environment before reaching the preset destination. For example, the fragments of protein and polypeptide are generated because of the stomach. With the action of pancreatic enzymes, the exo- and endogenous enzymes are broken at the intestinal mucosa brush border to produce double peptides or triple peptides. If the hydrolysis of pancreatic enzymes can be avoided, the polypeptide will only be brushed by the marginal peptide Enzyme cleavage, polypeptide or protein may survive through the stomach and be metabolized in the small intestine mucosa and there is a barrier to penetration to prevent direct access to the cells. For this reason, many studies have focused on how to use lozenges or solutions in the mouth Maintains a period of time and uses the oropharyngeal area to deliver proteins. Cytochrome's role is between various diseases and cytochrome blood levels and disease occurrence Interrelationship and severity are issues of concern to the medical community. For example, treatment with interleukin-10 (IL-10) has been shown or suggested to be beneficial for the diseases mentioned below. Or other related interleukin-10 (IL-10) and specific Disease or physiological condition. For example: liver fibrosis (Nelson, DR et al., Hepatology, 38 (4): 859-868 (2003); Louis, H.? Acta Gastr. 20053i ^ 3i69

&/g·,M(l):7-14 (2003));肺纖維化(Aral,Τ· et al·,dm. J· Physiol. Lung. Cell. Mol. Physiol·, 278:L914-L922 (2000));阿茲海默症(De Luigi,A. et al·,Μα/;· dge· Dev., 16:1985-1995 (2001) ; Remarzue, E.J. et al.? Exp. Gerontol., 36(1):171-176 (2001) ; Town, T. et al.5 J. Neuroimmunol 132(1-2):49-59 (2002));中風(Frenkel,D. et al·,J. Immunol·, 171(12):6549-6555 (2003));抗磷脂質症候群 (Krause, I. et al.? Eur. J. Immunol., 32(12):3414-3424 (2002));動脈粥樣硬化(Ohashi R· et al·,Med. Sc/· Mom’/·, 10(11 ):RA255-60 (2004) ; Zimmerman M.A., et al.5 J. Surg. Res·, 121 (2):206-13 (2004) ; Fichtlscherer S. et al.? J, Am, Coll· Cardiol·, 44( 1):44-9 (2004) ; Potteauz S. et al·, ⑽ckr. 价〇/·,M(8): 1474-8 (2004));器 官移植排斥(Zheng H.X. et al.,/. //μ" Z⑽g ⑽/, 23:541-6 (2004) ; Fischer S. et al.? J. Thora. Cardiovas. Surg., 126:1174-80 (2003) ; Sembeil R. et al.5 TranspL Immunol·,13(1):1-8 (2004));孤獨症(Jyonouchi,HL et al·,J. Neuroimmun·, 120:170-179 (2001));慢性肺部拴塞 (Takanashi, S. et al.5 Eur. Respir. J., 14:309-314 (1999));各 式自體免疫症候群,包括第一型糖尿病(Slavin A.L,et al., Int. Immunol., 13(6):825-33 (20010) ; Zhang Z.L·,et al·, Acta Pharmacol. Sin” 24(8):75 1-6 (2003));關節炎,包括風 濕性關節炎(Tanaka Υ· et al·,Λα·,45(6):283-8 (1996) ; Detanico T. et al.? Clin. Exp. Immunol., 20053iS3i6 9c 135⑵:336-42 (2004) ; Driessler F. et al.? Clin. Exp. Immunol., 13 5(1):64-73 (2004)) ’ 牛皮癖(Asadullah K. et al·,Pharmacol· Rev·, 55(2):241-69 (2003) » Asadullah K. et al., Curr. Drug Targets Inflamm. Allergy., 3(2):185-92 (2004)),多發性硬化症(Soos et al·,J· ⑽/·, 75:43-50 (1997));葡萄膜炎(Kezuka,T. et al·,《/. /mm關(9/., 173(2):1454-1462 (2004), Sun, B. et al.? Exp. Eye Res.,& / g ·, M (l): 7-14 (2003)); pulmonary fibrosis (Aral, T. et al., dm. J. Physiol. Lung. Cell. Mol. Physiol., 278: L914- L922 (2000)); Alzheimer's disease (De Luigi, A. et al ·, Mα /; ······ Dev., 16: 1985-1995 (2001); Remarzue, EJ et al.? Exp. Gerontol. , 36 (1): 171-176 (2001); Town, T. et al. 5 J. Neuroimmunol 132 (1-2): 49-59 (2002)); Stroke (Frenkel, D. et al ·, J Immunol., 171 (12): 6549-6555 (2003)); anti-phospholipid syndrome (Krause, I. et al.? Eur. J. Immunol., 32 (12): 3414-3424 (2002)); Atherosclerosis (Ohashi R. et al., Med. Sc / · Mom '/ ·, 10 (11): RA255-60 (2004); Zimmerman MA, et al. 5 J. Surg. Res., 121 ( 2): 206-13 (2004); Fichtlscherer S. et al.? J, Am, Coll · Cardiol ·, 44 (1): 44-9 (2004); Potteauz S. et al ·, ⑽ckr. Price 〇 / ·, M (8): 1474-8 (2004)); Organ transplant rejection (Zheng HX et al., //. // μ " Z⑽g ⑽ /, 23: 541-6 (2004); Fischer S. et al. J. Thora. Cardiovas. Surg., 126: 1174-80 (2003); Sembeil R. et al. 5 TranspL Immunol., 13 (1): 1-8 (2004)); autism (Jyonouchi, HL et al., J. Neuroimmun., 120: 170-179 (2001)); chronic pulmonary embolism (Takanashi, S. et al. 5 Eur. Respir J., 14: 309-314 (1999)); various autoimmune syndromes, including type 1 diabetes (Slavin AL, et al., Int. Immunol., 13 (6): 825-33 (20010) Zhang ZL ·, et al ·, Acta Pharmacol. Sin "24 (8): 75 1-6 (2003)); arthritis, including rheumatoid arthritis (Tanaka Υ · et al ·, Λα ·, 45 (6 ): 283-8 (1996); Detanico T. et al.? Clin. Exp. Immunol., 20053iS3i6 9c 135⑵: 336-42 (2004); Driessler F. et al.? Clin. Exp. Immunol., 13 5 (1): 64-73 (2004)) '' Cowskin (Asadullah K. et al., Pharmacol. Rev., 55 (2): 241-69 (2003) »Asadullah K. et al., Curr. Drug Targets Inflamm. Allergy., 3 (2): 185-92 (2004)), multiple sclerosis (Soos et al ·, J. ⑽ / ·, 75: 43-50 (1997)); uveitis (Kezuka, T. et al., "/. / Mm 关 (9 /., 173 (2): 1454-1462 (2004), Sun, B. et al.? Exp. Eye Res.,

21:493-502 (2000));過敏症(Zuany-Amorim,C· et al·,/· Clin. Invest., 95:2644-2651 (1995),Borish,L. et al·,/· d//er幻;C/zi /mm㈣〇/.,£2:1288-1296 (1996));發炎性腸道 疾病(Li M.C· et al·,fFor/d J· 10(5):620-5 (2004) , Braat H. et al.? Expert Opin. BioL Ther., 1(5):725-3 1 (2003));視神經炎(Navikas,V· et al·,ScaW. /. 生)^(2):171-178 (1995))等疾病。 據報導白介素-12(interleukin - 12 )的下遊回饋調節 矣寸?口療多發丨生硬化症是有益的(Tuohy,V. w W’/mm麵/.,^^2):55 (2〇〇〇))。干擾素伽侷(ΙρΝ γ) 和多發性硬化症之間的關聯在文獻中也被報導過 (Moldovan, I.R. et ^ j ]^[eur〇immun〇i ^ J_4J_(l-2):55 (2000)) 〇 ~ 儘管許多疾病或者可以被改善或以各種方法和成份治 療。許多份钟㈣,臟解隨要更安全和 更有細方法_細治雜謎病雜況。 這個需求的解決方案。 由 20053i^9c 【發明內容】 白介素10 (Interleukin 10)被已經發現與多種疾病狀 態相關。因此,本發明提供對於哺乳動物因白介素10 (Interleukin 10)治療所引起的反應之改善方法或條件。 本發明的目的在提供一種改善哺乳動物因白介素10 (Interleukin 10)治療所引起的反應之方法或條件,包括 施予干擾素-tan (IFNt)每日劑量大於約5 X 1〇8單位 (Units)到哺乳類。21: 493-502 (2000)); allergies (Zuany-Amorim, C. et al., Clin. Invest., 95: 2644-2651 (1995), Borish, L. et al., // d // er magic; C / zi / mm㈣〇 /., £ 2: 1288-1296 (1996)); inflammatory bowel disease (Li MC · et al ·, fFor / d J · 10 (5): 620- 5 (2004), Braat H. et al.? Expert Opin. BioL Ther., 1 (5): 725-3 1 (2003)); Optic neuritis (Navikas, V. et al., ScaW. /. Health) ^ (2): 171-178 (1995)) and other diseases. Downstream feedback regulation of interleukin-12 (interleukin-12) reportedly Oral treatment of multiple sclerosis is beneficial (Tuohy, V. w W '/ mm noodles /., ^ 2): 55 (2000)). The association between interferon gamma (ΙρΝ γ) and multiple sclerosis has also been reported in the literature (Moldovan, IR et ^ j] ^ [eur〇immun〇i ^ J_4J_ (l-2): 55 (2000 )) 〇 ~ Although many diseases can either be improved or treated with various methods and ingredients. With many copies, the solution should be safer and more detailed. The solution to this need. From 20053i ^ 9c [Abstract] Interleukin 10 has been found to be associated with a variety of disease states. Accordingly, the present invention provides methods or conditions for improving the response of mammals to Interleukin 10 treatment. The object of the present invention is to provide a method or condition for improving the response of mammals due to the treatment of Interleukin 10, including administering a daily dose of interferon-tan (IFNt) greater than about 5 X 108 units. ) To mammals.

本發明的次一目的是提供一種改善受試者自體免疫狀 況之方法,包括調整受試者血清中細胞色素濃度以減輕症 狀、預防症狀惡化,且/或加速解除症狀。 本發明的又一目的是提供一種改善除肝炎感染之病毒 感染之方法。更特別的是除了 C型肝炎病毒以外,調整受 試者血清中細胞色素濃度以減輕症狀、預防症狀惡化,且/ 或加速解除症狀。 本發明的再一目的是提供一種改善受試者細胞增生方 法,包括調整受試者血清中細胞色素濃度以減輕症狀、預 防症狀惡化,且/或加速解除症狀。 相對於未治療前之病人族群模組的基準血清細胞色素 濃度,當病人在罹患或在持續惡化的疾病或狀態反應出上 遊回饋的血液中白介素1 〇 ( IL_10)時,提供足量的干擾素 -tau (IFNt)以選擇性調節血清中細胞色素濃度。 本發明的另一目的是提供一種製備藥劑組成,使用於 改善血液中白介素10 ( IL-10)濃度上升方法。並選擇性降 200533細 低血液中白介素12 (IL-12)濃度,且此藥劑組成包括口服 劑型之干擾素-tau (IFNt)。且藥劑劑量之提供要大於約每曰 5 X 1〇8 單位(Units)。A secondary object of the present invention is to provide a method for improving the autoimmune state of a subject, which comprises adjusting the cytochrome concentration in the subject's serum to reduce the symptoms, prevent the symptoms from worsening, and / or accelerate the relief of the symptoms. It is a further object of the present invention to provide a method for improving viral infection other than hepatitis infection. More specifically, in addition to the hepatitis C virus, the cytochrome concentration in the serum of the subject is adjusted to reduce symptoms, prevent the symptoms from worsening, and / or accelerate the relief of symptoms. It is a further object of the present invention to provide a method for improving cell proliferation in a subject, which includes adjusting the cytochrome concentration in the serum of the subject to reduce symptoms, prevent the symptoms from worsening, and / or accelerate the relief of symptoms. Compared with the baseline serum cytochrome concentration of the patient population module before treatment, when the patient is suffering from or is experiencing a deteriorating disease or condition reflecting the upstream feedback of interleukin 1 0 (IL_10), it provides sufficient interference. -Tau (IFNt) to selectively regulate cytochrome concentration in serum. Another object of the present invention is to provide a method for preparing a pharmaceutical composition for improving the concentration of interleukin 10 (IL-10) in blood. It also selectively lowers the concentration of interleukin 12 (IL-12) in blood in 200533, and the composition of this agent includes oral interferon-tau (IFNt). And the dosage of the medicament should be greater than about 5 X 108 units per day.

本發明的更一目的是提供一種上遊回饋人類受試者血 液中白介素1〇 (IL-10)濃度方法,包括口服施予之千擾素 -tau (IFNt)以每日劑量大於約5 X 108單位(Units),使受 試者產生相對於相對於未接受干擾素-tan (IFNt)之受試者 可被量測之初始白介素10 (IL-10)濃度上升。受試者口服 施予干擾素-tan (IFNt)持續至少一週數次。單獨改變受試者 血液中白介素1〇 (IL-10)濃度直到預期的臨床終點達成。 本發明的新一目的是提供一種讓罹患自體免疫狀況或 病毒感染但非C型肝炎病毒感染之受試者的白介素10 (IL-10) /干擾素-伽僞(IFN-γ )比例增加的方法,包括 口服施予受試者干擾素tan ( IFNt)治療,以每日劑量大於 約5 X 108單位(Units),使受試者產生相對於未接受干擾 素-tau (IFNt)之受試者可被量測之初始白介素10 ( IL-10 ) 濃度上升,狀況分爲⑴受試者血液中干擾素-伽侷(IFN-γ ) 濃度相對於未接受干擾素-tau (IFNt)之受試者,不具實質變 化;或者(Π)受試者血液中干擾素-伽侷(IFN-γ)濃度相對 於未接受干擾素-tau (IFNt)之受試者產生下降,持續一週數 次規律給予干擾素-tau (IFNt)藥劑,單獨改變受試者血液中 白介素10 ( IL-10)濃度直到預期的臨床終點達成。 本發明尙有一目的是提供一種預防病人因干擾素-伽 僞(IFN-γ)上升產生危險的控制受試者之干擾素-伽偶 20053d^3>^9 (IFN-γ)濃度增加的方法,其中干擾素-伽僞(IFN_y)上 升是因爲⑴施予治療藥劑或(ii)疾病況態的發生。方法包括 施予受試者口服干擾素_tau (IFNt),以每日劑量大於約5 X 10單位(Units ) ’相對於未接受干擾素-tau (IFNt)之受試It is a further object of the present invention to provide a method for upstream feedback of interleukin 10 (IL-10) concentration in the blood of a human subject, comprising orally administered interferon-tau (IFNt) at a daily dose greater than about 5 X 108 units, which allows subjects to produce an increase in initial interleukin 10 (IL-10) concentration that can be measured relative to subjects who have not received interferon-tan (IFNt). Subjects administered interferon-tan (IFNt) orally for at least several times a week. Subjects individually altered interleukin 10 (IL-10) concentrations until the desired clinical endpoint was reached. It is a new object of the present invention to provide an increased interleukin 10 (IL-10) / interferon-gamma pseudo (IFN-γ) ratio in subjects suffering from autoimmune conditions or viral infections but not hepatitis C virus infections. A method comprising orally administering interferon tan (IFNt) treatment to a subject at a daily dose of greater than about 5 X 108 Units, which causes the subject to produce a receptor relative to those not receiving interferon-tau (IFNt). The tester's measurable initial interleukin 10 (IL-10) concentration increased, and the status was divided into: The concentration of interferon-gamma (IFN-γ) in the blood of the subject relative to the level of unreceived interferon-tau (IFNt) Subjects without substantial changes; or (Π) Subjects' blood levels of interferon-gamma (IFN-γ) decreased relative to subjects who did not receive interferon-tau (IFNt) for several times a week Interferon-tau (IFNt) agents were given regularly, and the interleukin 10 (IL-10) concentration in the blood of the subject was changed individually until the expected clinical endpoint was reached. An object of the present invention is to provide a method for preventing an increase in the concentration of interferon-gamma 20053d ^ 3 > ^ 9 (IFN-γ) in a patient who is at risk of controlling a subject due to an increase in interferon-gamma pseudo (IFN-γ). Among them, the increase of interferon-gamma pseudo (IFN_y) is due to the administration of therapeutic agents or (ii) the occurrence of disease states. Methods include administering oral interferon-tau (IFNt) to a subject at a daily dose of greater than about 5 X 10 units (Units) 'relative to a test that does not receive interferon-tau (IFNt).

者,用以降低受試者干擾素-伽侷(IFN_Y)之血中濃度◦此 方法用於受試者因自體免疫狀況導致體內干擾素-伽侷 (IFN-γ)濃度上升,在症狀發生期間施予口服干擾素-tau (IFNt) 〇方法亦使用於治療受試者因使用干擾素-阿爾法 (IFN-α)與干擾素-貝它(ΙΡΝ-β)治療所導致的干擾素,侷 (IFN-γ)濃度上升,在症狀發生期間施予口服干擾素-tau (IFNt)。 本發明仍有一目的是提供一種增加自體免疫異常之受 試者白介素10 (IL-10) /白介素12 (IL-12)比例的方法, 包括施予受試者口服干擾素-tau (IFNt),以每日劑量大於約 5 X 108單位(Units),以產生相對於未接受干擾素-tau (IFNt)之受試者可量測之初始白介素10(IL-10)濃度上升, 同時讓白介素12 (IL-12)濃度下降,持續一週數次規律給 予干擾素-tau(IFNi)藥劑,單獨改變受試者血液中白介素10 (IL-10)濃度直到預期的臨床終點達成。 在本發明之實施例中,干擾素-tau (IFNt)是綿羊的干擾 素-tau (IFNt)或牛的干擾素-tau (IFNt)示範性的是綿羊的 干擾素-tau (IFNt)序列被辨識記錄如序列碼SEQ ID NO ·· 2 或序列碼SEQ ID NO : 3。 在本發明之其他實施例中,干擾素-tau (IFNt)是口服施 2005323鱗 予到受試者腸道。It is used to reduce the blood concentration of interferon-gamma (IFN_Y) in the subject. This method is used to increase the concentration of interferon-gamma (IFN-γ) in the body due to the autoimmune status of the subject. Oral administration of interferon-tau (IFNt) during the onset of the disease. The method is also used to treat interferons caused by the treatment of interferon-alpha (IFN-α) and interferon-beta (IPN-β) in subjects. The local (IFN-γ) concentration increased and oral interferon-tau (IFNt) was administered during the onset of symptoms. It is still another object of the present invention to provide a method for increasing the interleukin 10 (IL-10) / interleukin 12 (IL-12) ratio in a subject with autoimmune abnormalities, which comprises administering to the subject oral interferon-tau (IFNt) At a daily dose greater than about 5 X 108 units (Units) to produce a measurable increase in initial interleukin 10 (IL-10) concentration relative to subjects who have not received interferon-tau (IFNt), while allowing interleukin The concentration of 12 (IL-12) decreased, and the interferon-tau (IFNi) agent was regularly administered several times a week, and the interleukin 10 (IL-10) concentration in the blood of the subject was individually changed until the expected clinical endpoint was reached. In an embodiment of the invention, interferon-tau (IFNt) is interferon-tau (IFNt) in sheep or bovine interferon-tau (IFNt). Exemplary sheep interferon-tau (IFNt) sequences are The identification record is, for example, a sequence code SEQ ID NO ·· 2 or a sequence code SEQ ID NO: 3. In other embodiments of the invention, interferon-tau (IFNt) is administered orally to a subject's intestine.

當受試者自體免疫生理狀況異常時,實施例中的實驗 終點是減輕受試者症狀。示範性自體免疫生理狀況包括多 發性硬化症、第一型糖尿病、風濕性關節炎、紅斑性狼瘡、 牛皮癬、重症肌無力症、格雷弗氏病(又名:突眼性甲狀 腺腫 Graves’ disease )、橋本氏甲狀腺炎(Hashimoto’s thyroiditis )、修格蘭氏症候群(Sjogren’s syndrome)、僵直性 脊椎炎(Ankylosing spondylitis)、與發炎性腸道疾病 (inflammatory bowel disease,IBD)。在其他實施例中,干 擾素-tau (IFNt)口服施予受到病毒感染之受試者但不包括 C型肝炎感染。施予干擾素-tan (IFNt)直到達成臨床中點爲 止,例如病毒感染症狀減少或血液病毒滴定値降低。病毒 感染包括是因爲DNA感染或是RNA感染。示範性病毒 感染包括如··伊波病毒(Epstein-BarrVirus)、愛滋病毒感染 (HIV infection)、皰疹病毒感染(EB、CML與單一型皰疹)、 乳頭淋瘤(papilloma )、丘瘆性口炎病毒(poxvirus )、口蹄 疫病毒(picorna virus )、腺病毒(adeno virus )、鼻病毒( rhino virus )、HTLVI、HTLVII 以及人類輪狀病毒(human rotavirus ) 〇 在本發明之其他實施例,干擾素-tau (IFNt)口服施予有 異常細胞增生特徵狀況的受試者。施予干擾素-tan (IFNt) 直到達成臨床終點爲止,例如減少異常症狀。示範性病症 如:人類肺大細胞瘤(human lung large cell carcinoma )、 人類結腸腺癌(human colon adenocarcinoma )、人類惡性黑 2005 色素細胞癌(human malignant melanoma)、人類腎臟腺癌 (human renal adenocarcinoma)、人類急性骨髓性白血病第 三型(human promyelocytic leukemia)、人類 T 細胞淋巴瘤 (human T cell lymphoma)、人類皮膚 Τ 細胞淋巴瘤(human cutaneous T cell lymphoma)、人類乳房腺癌(human breast adenocarcinoma)、與類固醇敏感性腫瘤(steroid sensitive tumors ) °When the subject's autoimmune physiological condition is abnormal, the experimental endpoint in the examples is to alleviate the subject's symptoms. Exemplary autoimmune physiological conditions include multiple sclerosis, type 1 diabetes, rheumatoid arthritis, lupus erythematosus, psoriasis, myasthenia gravis, and Graves' disease ), Hashimoto's thyroiditis, Sjogren's syndrome, Ankylosing spondylitis, and inflammatory bowel disease (IBD). In other embodiments, interferon-tau (IFNt) is administered orally to a subject infected with a virus but does not include a hepatitis C infection. Interferon-tan (IFNt) is administered until a clinical midpoint is reached, such as a decrease in symptoms of viral infection or a decrease in blood virus titration. Viral infections include either a DNA infection or an RNA infection. Exemplary viral infections include, for example, Epstein-Barr Virus, HIV infection, herpes virus infection (EB, CML, and herpes simplex), papilloma, and malignant Stomatitis virus (poxvirus), foot-and-mouth disease virus (picorna virus), adenovirus (adeno virus), rhino virus (hinovirus), HTLVI, HTLVII and human rotavirus (human rotavirus) in other embodiments of the present invention, interfere -Tau (IFNt) is administered orally to a subject with a condition characterized by abnormal cell proliferation. Interferon-tan (IFNt) is administered until a clinical endpoint is reached, such as reducing abnormal symptoms. Exemplary conditions such as: human lung large cell carcinoma, human colon adenocarcinoma, human malignant melanoma, human renal adenocarcinoma , Human acute myeloid leukemia type 3 (human promyelocytic leukemia), human T cell lymphoma, human cutaneous T cell lymphoma, human breast adenocarcinoma , And steroid sensitive tumors (steroid sensitive tumors) °

在其他實施例中,施予干擾素-tan (IFNt)可結合其他第 二治療藥劑以同時或先後服用。示範性第二藥劑包括抗病毒 藥劑、抗癌藥劑與其他適合治療自體免疫之疾病。 另一方面,本發明再又提出一減緩多發性硬化症惡化 的方法,包括口服施予干擾素-tan (IFNt)以每日劑量大於 約5 X 108單位(Units),相對於未接受干擾素-tau (IFNt) 之受試者,產生可量測的血液中白介素10 ( IL-10)濃度上 升變化,持續一週數次規律給予干擾素-tan (IFNt)藥劑,單 獨改變受試者血液中白介素10 (IL-10)濃度。 另外一方面,本發明還有一目的是提供一種降低多發 性硬化症病患復發的方法,包括包括施予受試者口服干擾 素-tau (IFNt) ’以每日劑量大於約5 X 1〇8單位(Units), 以產生相對於未接受干擾素-tan (IFNt)之受試者可量測之 初始白介素10( IL-10)濃度上升,同時讓白介素12( IL-12) 濃度下降,持續一週數次規律給予干擾素-tan (IFNt)藥劑, 單獨改變受試者血液中白介素10 (IL-10)濃度。 再一方面,本發明另一目的是提供一種改善牛皮癬病 20053iS3i69c 患症狀的方法’包括規律施予受試者口服干擾素_tau (IFNt),以產生相對於未接受干擾素_tau (IFNt)之受試者可In other embodiments, the administration of interferon-tan (IFNt) can be taken simultaneously or sequentially with other second therapeutic agents. Exemplary second agents include antiviral agents, anticancer agents, and other diseases suitable for treating autoimmune diseases. On the other hand, the present invention further proposes a method for slowing the progression of multiple sclerosis, which comprises orally administering interferon-tan (IFNt) at a daily dose of greater than about 5 X 108 units (Units), as compared to uninterferon receiving -tau (IFNt) subjects can produce measurable changes in the concentration of interleukin 10 (IL-10) in the blood. Interferon-tan (IFNt) agents are given regularly several times a week, which alone changes the subject's blood Interleukin 10 (IL-10) concentration. In another aspect, the present invention also provides a method for reducing relapse in a patient with multiple sclerosis, which comprises administering to a subject oral interferon-tau (IFNt) at a daily dose greater than about 5 X 108 Units to increase the measurable initial interleukin 10 (IL-10) concentration relative to subjects who did not receive interferon-tan (IFNt), while reducing the interleukin 12 (IL-12) concentration and continuing Interferon-tan (IFNt) agents were regularly administered several times a week, which alone changed the interleukin-10 (IL-10) concentration in the blood of the subjects. In yet another aspect, another object of the present invention is to provide a method for improving the symptoms of psoriasis 20053iS3i69c ', comprising regularly administering orally interferon_tau (IFNt) to a subject to produce a dose relative to unreceived interferon_tau (IFNt). Subject can

量測之白介素10 (IL-10)濃度上升。治療持續直到症狀減 輕至合適評估的臨床終點達成。希望改善程度至少約百分 之5 0%,較佳狀況是至少約70%,更佳狀況是至少約80%。 例如是依據”醫師統計全球檢測評估,,的至少約70%;另外 是量化指數、斑塊指數、紅斑指數減輕至少約百分之50%。 減輕病人因牛皮癬而痛苦的方法之牛皮癬評估指數與減少 牛皮癖突發或加劇以此方向審慎考慮。 更一方面’本發明又一目的是提供改善自體免疫狀況 的方法,包括施予受試者口服干擾素-tan (IFNt),以產生相 對於未接受干擾素-tan (IFNt)之受試者可量測之初始白介 素10 ( IL-10)濃度上升;當停止給予干擾素-tau (IFNt)藥 劑又發現受試者血液中白介素10 (IL-10)濃度相對於未接 受干擾素-tan (IFNt)者出現持續上升時,再繼續給予干擾素 -tau (IFNI)藥劑。 本發明之目的與特色將配合圖例詳細說明如下,然其 並非用以限定本發明,在不脫離本發明之精神和範圍內, 當可作些許之更動與潤飾,因此本發明之保護範圍當視後 附之申請專利範圍所界定者爲準。 【實施方式】 本發明之細節 I.定義 干擾素tau簡稱IFNt或interferon-τ,包括任何有干擾 20053i3zS|69cThe measured interleukin-10 (IL-10) concentration increased. Treatment continues until the symptoms have subsided to the appropriate endpoint for clinical evaluation. The degree of improvement is expected to be at least about 50%, preferably at least about 70%, and more preferably at least about 80%. For example, it is based on the global assessment of physician statistics, which is at least about 70%; and the quantification index, plaque index, and erythema index are reduced by at least about 50%. It is prudent to consider reducing or exacerbating psoriasis in this direction. In a further aspect, another object of the present invention is to provide a method for improving autoimmune conditions, including administering oral interferon-tan (IFNt) to a subject to produce relative The measurable initial interleukin 10 (IL-10) concentration increased in subjects who did not receive interferon-tan (IFNt); when the administration of interferon-tau (IFNt) was stopped, the interleukin 10 ( IL-10) concentration relative to those who do not receive interferon-tan (IFNt) will continue to be administered when the interferon-tau (IFNI) agent is given. The purpose and features of the present invention will be described in detail with the legend below, but it is not To limit the present invention, without departing from the spirit and scope of the present invention, some modifications and retouching can be made. Therefore, the protection scope of the present invention shall be determined by the scope of the attached patent application. [Embodiment] Details of the present invention I. Definition Interferon tau is referred to as IFNt or interferon-τ, including any interference 20053i3zS | 69c

素蛋白質具至少一項下列兩組特性:(i)(a)抗黃體解體性(b) 抗病毒性(c)抗細胞增生性;與(ii)約45-68%氨基酸與干擾 素-阿爾法(IFNa)同源,且大於70%的氨基酸與已知的IFNt 同源(例如:Ott 等人在 J· Interferon Res·,1 1: 357 於 1991 年發表;Helmer 等人在 J.Reprod Fert·,79: 83 於 1987 年發 表;Imakawa 等人在 Mol. Endocrinol,,3: 127 於 1989 年發 表;Whaley 等人在 J. Biol. Chem,,269: 10846 於 1994 年發 表;Bazer等人WO 94/10313於1994年發表)。氨基酸的 同源性可以用比如LALIGN程式與偵錯參數來鑑定。該程 式是在FASTA版本1. 7組序列比對程式(Pearson與Lipman, PNAS,85 : 2444 於 1988 年發表;Pearson 在 Methods in Enzymology,183 : 63於1990年發表;程式能被使用起於 William R. Parson在生物化學系,440號信箱,Jordan廳, Charlottesville,VA。IFNt序列在不同的反舞類已經被解析 出來,包括但不被限制於母牛(Bovine sp” Helmer S.D., 在 J.Reprod. Fert·,79:83 於 1987 年發表;Imakawa,K·,Mol, Endocrinol·,119:532 於 1987 年發表)、羊(Ovine sp·)、 香牛(Ovibos sp·)、長頸鹿(Giraffa.sp,基因銀行登錄號 碼 N〇:U55050 )、馬(Equus caballus )、斑馬(Equus Burchelli,基因銀行登錄號碼N〇:NC005027 )、河馬 (Hippopotamus sp.)、大象(Loxodota sp.)、美洲馬它(Llama glama )、山羊(Capra sp·,基因銀行登錄號碼 Nos:AY357336、AY357335、AY347334、AY357333、 AY3 57332、AY35733 卜 AY357330、AY357329、AY357328、 17 20053S3i6 9〇 AY357327 )、鹿(Cervidae sp·)。許多物種的干擾素tau (IFNt)核苷酸序列在公開的資料庫或文獻均可被比對(例 如,Roberts,R M·等人在 I Interferone and Cytokine Res., 18:805 於 1998 年發表;Leaman D· W.等人在 I Interferone Res·,12:1 於 1993 年發表;Ryan,Α· Μ·等人在 Anim.Genet., 34:9 Res.,12:1於1996年發表)。干擾素tau包括所有反羁 類各種不同動物干擾素tau ( IFNt )蛋白質,例如前述的動 物種類,以及至少前述兩組特性中的其中一個特性。Protein has at least one of the following two sets of properties: (i) (a) anti-lutein disintegration (b) antiviral (c) anti-cell proliferation; and (ii) about 45-68% amino acids and interferon-alpha (IFNa) homology, and more than 70% of the amino acids are homologous to known IFNt (for example: Ott et al., J. Interferon Res., 1 1: 357, 1991; Helmer et al., J. Reprod Fert. , 79: 83 in 1987; Imakawa et al. In Mol. Endocrinol, 3: 127 in 1989; Whaley et al. In J. Biol. Chem, 269: 10846 in 1994; Bazer et al. WO 94 (/ 10313 published in 1994). Amino acid homology can be identified using, for example, the LALIGN program and debugging parameters. The program is in FASTA version 1.7 sequence alignment program (Pearson and Lipman, PNAS, 85: 2444 published in 1988; Pearson in Methods in Enzymology, 183: 63 published in 1990; the program can be used from William R. Parson is in the Department of Biochemistry, Box 440, Jordan Hall, Charlottesville, VA. IFNt sequences have been parsed in different back dances, including but not limited to cows (Bovine sp "Helmer SD, in J. Reprod. Fert ·, 79:83 published in 1987; Imakawa, K ·, Mol, Endocrinol ·, 119: 532 published in 1987), sheep (Ovine sp ·), sweet cattle (Ovibos sp ·), giraffe (Giraffa .sp, Gene Bank Accession No. U55050), Horse (Equus caballus), Zebra (Equus Burchelli, Gene Bank Accession No .: NC005027), Hippo (Hippopotamus sp.), Elephant (Loxodota sp.), Americas Horse (Llama glama), goat (Capra sp., Gene bank registration numbers Nos: AY357336, AY357335, AY347334, AY357333, AY3 57332, AY35733, AY357330, AY357329, AY357328, 17 20053S3i6 9〇AY357327) Deer (Cervidae sp.). Interferon tau (IFNt) nucleotide sequences of many species can be compared in published databases or literature (eg, Roberts, RM ·, et al., I Interferone and Cytokine Res., 18 : 805 published in 1998; Leaman D.W. et al. In I Interferone Res ·, 12: 1 in 1993; Ryan, A · M · et al. In Anim. Genet., 34: 9 Res., 12: 1 published in 1996). Interferon tau includes all anti-invasion species of various animal interferon tau (IFNt) proteins, such as the aforementioned animal species, and at least one of the aforementioned two sets of characteristics.

綿羊的干擾素tau (IFN〇被確認與一含氣基酸序列 SEQ ID NO : 2之蛋白質相關,且蛋白質的氨基酸被取代置 換成中性的氨基酸也不影響其活性,比如干擾素tau( IFN〇 蛋白質被確認是SEQ IDNO: 3。更經常的是一綿羊的干擾 素tau (IFNt)蛋白質有高達百分之80%甚至90%的系統同 源性於已確認的序列SEQ ID NO : 2。 治療病症是以施予有效治療物質以減少病症且/或降 低嚴重性。 以口服藥品而言,施予路徑牽涉從口到胃或小腸的直 接接觸;包括胃部直接施用。 腸道相關消化道的部分從胃的下方開口延伸到肛門; 組成包括小腸(十二指腸、空腸、迴腸)與大腸(升結腸、橫 結腸、降結腸、乙狀結腸、直腸)。 ”可測量的血中白介素10 ( IL-10)濃度’’反映出統計上 有意義的血中(血清且/或血球)白介素10 (IL-10)濃度增 量,相對於治療前相同狀況的量測下,至少有20%的增加, 200533^a 較佳狀況是產生25%的增加。量測白介素10 (IL-10)血 中濃度的方法是使用商用的酵素連結免疫吸附分析法 (ELISA)。決定倍數增加是以個別時間點値除以篩檢値或基 準値。決定百分比的增加是藉以找出個別時間點與篩檢値 或基準値之間的差異値再除以篩檢値或基準値,再乘以 100。Sheep's interferon tau (IFN〇 was confirmed to be related to a protein containing the amino acid sequence SEQ ID NO: 2 and the amino acid of the protein was replaced with a neutral amino acid without affecting its activity, such as interferon tau (IFN The protein was identified as SEQ ID NO: 3. More often, a sheep's interferon tau (IFNt) protein has as much as 80% or even 90% of the systemic homology to the confirmed sequence SEQ ID NO: 2. Treating a condition is by administering an effective therapeutic substance to reduce the condition and / or reduce the severity. For oral drugs, the route of administration involves direct contact from the mouth to the stomach or small intestine; including direct administration of the stomach. Gut-related digestive tract The part extends from the lower opening of the stomach to the anus; the composition includes the small intestine (duodenum, jejunum, ileum) and large intestine (ascending, transverse, descending, sigmoid, rectum). "Measureable blood interleukin 10 (IL-10) `` Concentration '' reflects a statistically significant increase in the concentration of interleukin 10 (IL-10) in blood (serum and / or blood cells) relative to the measurement of the same condition before treatment, an increase of at least 20% 200533 ^ a The best condition is to produce a 25% increase. The method for measuring the blood concentration of interleukin 10 (IL-10) is to use a commercial enzyme-linked immunosorbent assay (ELISA). The fold increase is determined at individual time points. Divide by screening 値 or benchmark 値. The percentage increase is determined to find the difference between the individual time point and screening 値 or benchmark 値, then divide by screening 以 or benchmark 値, and then multiply by 100.

π可測量的血中白介素12 (IL-12)量”反映出統計上有 意義的血中(血清且/或血球)白介素12(IL-10)濃度增量, 相對於治療前相同狀況的量測下,至少有20%的增加,較 佳狀況是產生25%的增加。量測白介素I2 (IL-12)血中 濃度的方法是使用商用的酵素連結免疫吸附分析法 (ELISA)。決定倍數增加是以個別時間點値除以篩檢値或基 準値。決定百分比的增加是藉以找出個別時間點與篩檢値 或基準値之間的差異値再除以篩檢値或基準値,再乘以 100。 ”可測量的血中干擾素-伽侷(IFN-γ)量”或”非具實質 意義下降的血中干擾素-伽僞(IFN-γ)量”反映出不具統計 上有意義的血中干擾素-伽侷(IFN-γ )濃度改變。量额j干擾 素-伽侷(IFN-γ)血中濃度的方法是使用商用的酵素_結免 疫吸附分析法(ELISA)。 π每日劑量大於5 X 1〇8單位(Units) ”反應足毚的干 擾素tau ( IFN〇以提供大於5 X 1〇8抗病毒單位(如…) 的蛋白質,在此干擾素tau ( IFNt)的抗病毒活性量測是使 用標準細胞病變抑制檢驗如後續章節描述的方法。鲛適當 19 20053δ3ί69^ 的蛋白質量(例如毫克)以提供每日劑量大於5 χ ΙΟ8單位 (Units)且依特定蛋白質之抗病毒活性而改變。 II.IFNt組成與治瘠方法 A.千擾素τ 第一個被確認的IFNt是綿羊的IFNt,爲一個18-19kDa 的蛋白質。在胚體(胚胎及其周圍包覆膜)均質物發現其 多種同分異構物(Martal,J·等人在 J. Feri//·,5_6_:The π measurable amount of interleukin 12 (IL-12) reflects a statistically significant increase in the concentration of interleukin 12 (IL-10) in blood (serum and / or blood cells) relative to the measurement of the same condition before treatment At least 20% increase, and a better condition is to produce a 25% increase. The method for measuring the blood concentration of interleukin I2 (IL-12) is to use a commercial enzyme-linked immunosorbent assay (ELISA). Determine the fold increase Is the individual time point 値 divided by the screening 値 or benchmark 値. The increase in the percentage is determined to find the difference between the individual time point and the screening 値 or benchmark 値, and then divided by the screening 値 or benchmark 値, and then multiplied Take 100. "Measureable amount of interferon-gamma (IFN-γ) in blood" or "non-substantial decrease in amount of interferon-gamma (IFN-γ) in blood" reflects no statistically significant The concentration of interferon-gamma (IFN-γ) in blood changes. The method for measuring the concentration of interferon-gamma (IFN-γ) in blood is to use a commercial enzyme-node immunosorbent assay (ELISA). Daily doses greater than 5 X 108 units ”are sufficient to provide sufficient interferon tau (IFN〇 to provide The antiviral activity of protein in 5 X 108 antiviral units (such as ...), where the antiviral activity of interferon tau (IFNt) is measured using a standard cytopathic inhibition test as described in subsequent sections. 鲛 Appropriate 19 20053δ3 69 Protein mass (eg milligrams) to provide daily doses greater than 5 x 10 08 units (Units) and vary depending on the antiviral activity of the specific protein. II. IFNt composition and treatment methods A. Interferon τ First identified IFNt is sheep's IFNt, an 18-19kDa protein. Various isoforms were found in the homogenate of the embryo body (embryo and its surrounding envelope) (Martal, J. et al. In J. Feri // ·· , 5_6_:

63-73於1979年發表)。後續,發現一低分子量蛋白質釋放 至胚體培養基,純化後顯示其不耐熱及對蛋白酶之敏感性 (Godkin,J. D.等人在 J· Fer"·/·,65: 141-150 於 1982年發表)。干擾素-tau (iFNt)起初被稱爲綿羊的滋胚層 蛋白一號(o-TP-1),是羊的母系辨識關鍵時期,羊胚體 的滋胚外層初期主要的分泌蛋白。後續硏究決定干擾素-tau (ΙΡΝτ)是反芻動物例如羊與母牛中,一個建立懷孕生理反應 基礎的懷孕辨識荷爾蒙,(Bazer,F.W·與Johnson. Η.Μ.等 人在i?印rod. /wm㈣〇/·,丛:19-22於1991年發表)。 在羊的胚囊基因庫中找到一干擾素-tau (IFNt)之 cDNA,配合合成的寡核苷酸代表N端之胺基酸序列 (Imakawa等人於1987年發表)具有一預測胺基酸序列, 45_55%同源於人類、小鼠、大鼠與豬的干擾素—阿爾法 (IFN_a)且70%同源於牛的干擾素-阿爾法(IFN- -all),命 名爲IFN-Ω。數個cDNA序列也被報導代表不伺的同分異 構物(Stewart,H. J.等人在Mo/.心如cr/⑽/.,乙65於1989 年發表;Klemann,S. W.等人在 A^c· dc/A· 7?以,J_8: 6724 20 200533¾^¾ 於1990年發表;與Charlier,M.等人在 Mo/· CW/· 五/7而以〜0/.,21:161-171於1989年發表)。所有序列約11^ 大小具有一段585驗基的開啓解讀架構(open reading frame),而該架構編碼形成一個具有23胺基酸的領導序列 與一段具有172個胺基酸的成熟蛋白質。干擾素-tan (ΚΝτ) 之預測結構是一個四股螺旋並排結合氨基端與羧基端的結 構,更支持其被歸類爲第一型干擾素(IFN) (Jarpe,Μ· A·等 人在Pro如>2·⑺·π·,2: 863-867於1994年發表)。 槪述干擾素 方面 第一型 第一型 第一型 第二型 種類 α & ω β τ γ 產生來源 白血球 纖維原細胞 滋胚層 淋巴球 抗病毒 + + + + 抗增生 + + + + 懷孕訊息 — — + —63-73 published in 1979). Subsequently, it was found that a low molecular weight protein was released into the embryo body medium, and after purification, it showed heat resistance and sensitivity to proteases (Godkin, JD et al., J. Fer " ···, 65: 141-150, published in 1982) . Interferon-tau (iFNt) was originally called ovine germ layer protein 1 (o-TP-1), which is the key period of sheep's maternal identification, and the main secreted protein in the outer layer of germ layer of sheep embryo. Subsequent research has determined that interferon-tau (IPNτ) is a pregnancy recognition hormone that establishes the physiological response of pregnancy in ruminants such as sheep and cows. (Bazer, FW, and Johnson. Η.Μ. et al. rod. / wm㈣〇 / ·, Cong: 19-22 published in 1991). An interferon-tau (IFNt) cDNA was found in the sheep's embryo sac gene library. A synthetic oligonucleotide representing an N-terminal amino acid sequence (Imakawa et al., 1987) has a predicted amino acid The sequence, 45-55% homologous to human, mouse, rat and pig interferon-alpha (IFN_a) and 70% homologous to bovine interferon-alpha (IFN--all), was named IFN-Ω. Several cDNA sequences have also been reported to represent non-serving isomers (Stewart, HJ et al., Mo /. Xinru cr / ⑽ /., B 65, 1989; Klemann, SW, et al. A ^ c · Dc / A · 7 ?, J_8: 6724 20 200533¾ ^ ¾ published in 1990; and Charlier, M. et al. In Mo / · CW / · 5/7 and ~ 0 /., 21: 161-171 (Published in 1989). All sequences are approximately 11 ^ in size with an open reading frame of 585 bp, and this frame encodes a leader sequence with 23 amino acids and a mature protein with 172 amino acids. The predicted structure of interferon-tan (ΚΝτ) is a four-stranded helix that combines the amino and carboxyl ends side by side, which further supports its classification as a type 1 interferon (IFN) (Jarpe, M · A · et al. In Pro such as > 2 · ⑺ · π ·, 2: 863-867 published in 1994). Describe interferon type 1 type 1 type 2 type α & ω β τ γ production source leukocyte fibroblasts germ layer lymphocytes antiviral + + + + antiproliferative + + + + pregnancy message — — + —

雖然干擾素-tan (IFNt)會呈現相關於傳統第一型干擾 素(IFNs)之一些活性(詳見上表),但是干擾素-tau (IFNi:) 及其他第一型干擾素也有相當不同的地方。最大的不同是 干擾素-tan (IFNt)在懷孕的反芻動物身上所扮演的角色。其 他的干擾素在懷孕辨識上沒有相似的功能。對於病毒誘導 作用也是不同的。所有的第一型干擾素除了干擾素-tan (IFNt)以外,均容易被病毒及dsRNA誘導(由Roberts等人 在jEWocr/狀及⑼化⑽,432於1992年發表)。誘導所致 干擾素-阿爾法(IFN-α)與干擾素-貝它(ΙΡΝ-β)之表現是過渡 性的,只持續約幾個小時。相反地,一旦被誘導,所致干 擾素-tau (IFNt)的合成可持續數日(由Godkin等人於1982 20053&369c 年發表)。在單一細胞基礎上,相對於其他干擾素的生成, 干擾素-tau (IFNt)可以產生三百倍以上的量(由Cross J. C. 與 Roberts R. Μ.等人在 仍义这: 3817-3821 於 1991 年發表)。Although interferon-tan (IFNt) exhibits some activities related to traditional type 1 interferon (IFNs) (see table above for details), interferon-tau (IFNi :) and other type 1 interferons are also quite different The place. The biggest difference is the role of interferon-tan (IFNt) in pregnant ruminants. Other interferons have no similar function in pregnancy recognition. It is also different for virus induction. All type 1 interferons, except for interferon-tan (IFNt), are easily induced by viruses and dsRNA (published in 1992 by Roberts et al. In jEWocr / Science and Development, 432). The induction of interferon-alpha (IFN-α) and interferon-beta (IPN-β) is transient and lasts only about a few hours. In contrast, once induced, the resulting synthesis of interferon-tau (IFNt) can last for several days (published by Godkin et al., 1982 20053 & 369c). On a single-cell basis, relative to the production of other interferons, interferon-tau (IFNt) can produce more than three hundred times the amount (as defined by Cross JC and Roberts R. M. et al. 3817-3821 in (Published in 1991).

其他差異可能存在干擾素-tau (IFNt)基因的調節部 位。例如牛的IFNt基因轉感染人類的滋養葉細胞細胞株會 產生抗病毒性,但轉感染牛的IFN-Ω基因不會產生抗病毒 性。這暗示干擾素-tau (IFNt)基因表現牽涉獨特的轉換因 子。與此觀察一致的是,干擾素-tau (IFNt)之近端啓動子 (proximal promoter)區域(從位置126到轉錄起始位置)與干 擾素-阿爾法(IFN-α)及干擾素-貝它(IFN-β)的同區域有高度 同質性;而其從第126到450位置之區域與干擾素-阿爾法 (IFN-α)及干擾素-貝它(IFN-β)的同區域並沒有同質性,且 只加強干擾素-tau (IFNt)的表現(Cross,J. C.與 Roberts,R· M·,於 1991 年發表在 #如/. dc以· Sc/· t/U二 M:3817-3821 )。所以,相較於其他第一型IFNs,IFNt的 表現會牽涉到不同的調節因子。 綿羊的IFNt之172個胺基酸序列被提出並申請於美國 專利第5,958,402號,而其同源的牛的IFNt序列被發表在 Helmer 等人在 J. fvm,83-91 於 1987 年與 111^1^\¥&1<:.等人在从〇/.心^(9 6^/7〇/.,1,127於 1989 年的文 獻中。綿羊的干擾素-tau (IFNt)序列與牛的干擾素-tan (IFNt)序列在此一倂倂入用來參考。綿羊的干擾素-tau (IFNt)胺基酸序列以SEQ ID NO : 2表示。 22 200532¾^ 1. 分離干擾素-tau (IFNt) 干擾素-tan (IFNt)可以從懷孕的羊胚體收集再經過試 管中培養於一調整過基礎培養液,如同Godkin,L D.等人 在 叩⑺忒 Fer"/•,拉:141-150 於 1982 年與 Vallet,J. L. 等人在价〇/· 11: 1307於1987年發表的文獻。干Other differences may exist in the regulatory site of the interferon-tau (IFNt) gene. For example, transfection of human trophoblast cell lines with human IFNt gene in cattle will produce antiviral properties, but transfection of cattle with IFN-Ω gene will not produce antiviral properties. This suggests that interferon-tau (IFNt) gene expression involves a unique switching factor. Consistent with this observation, the proximal promoter region of interferon-tau (IFNt) (from position 126 to the start of transcription), interferon-alpha (IFN-α), and interferon-beta (IFN-β) is highly homogeneous in the same region; the region from positions 126 to 450 is not homogeneous with the same regions of interferon-alpha (IFN-α) and interferon-beta (IFN-β) And only enhance the expression of interferon-tau (IFNt) (Cross, JC and Roberts, R.M., published in # 1991 / .dc to · Sc / · t / U 2M: 3817-3821 ). Therefore, compared to other types of IFNs, the expression of IFNt involves different regulators. The 172 amino acid sequences of sheep IFNt were proposed and applied for in US Patent No. 5,958,402, and the homologous bovine IFNt sequence was published in Helmer et al. In J. fvm, 83-91 in 1987 and 111 ^ 1 ^ \ ¥ & 1 <: et al in the literature from 〇 /. 心 ^ (9 6 ^ / 7〇 /., 1,127 in 1989. The interferon-tau (IFNt) sequence of sheep and The bovine interferon-tan (IFNt) sequence is incorporated herein for reference. The sheep interferon-tau (IFNt) amino acid sequence is represented by SEQ ID NO: 2. 22 200532¾ ^ 1. Isolation of interferon- tau (IFNt) interferon-tan (IFNt) can be collected from pregnant sheep embryos and then cultured in test tubes in an adjusted basal medium, as Godkin, L D. et al. in "Fer " / •, pull : 141-150, published in 1982 with Vallet, JL, et al. Valence 0 / · 11: 1307, published in 1987. Stem

擾素-tan (IFNt)可以用離子交換層析與膠體過濾方式把胚 體培養物純化。分離的干擾素-tau (IFNt)均質性可以用十二 硫酸鈉鹽聚丙烯醯胺凝膠電泳評估(Maniatis,T.等人在 MOLECULAR COLONING: a LABORATORY MANUAL,冷 泉港實驗室,於冷泉港紐約市1982年;及Ausubel,F. Μ. 等人在 CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John Wieley & Son 出版社 Media,PA 於 1988 年),且純化的IFNt樣品之蛋白質濃度可以使用 BCA(bicibchoninic Assay)檢驗決定(Pierce 化學公司, Rockford,IL ;及 Smith, Ρ·Κ·等人在 Anal. Biochem· 150:76 於1985年發表)。 2. 基因重組產生干擾素-tau (IFNt). 基因重組的干擾素-tan (IFNt)蛋白質的產生可利用任 何干擾素-tau (IFNt)聚核苷酸片段並使用合適的表現系統 比如是細菌或酵母菌而產生。分離干擾素-tau (IFNt)核苷酸 與多胜肽序列的方法發表在PCT公告號WO/94/10313中, 在此倂入當作參考資料。 要訂做干擾素-tan (IFNt)表現的載體,要將干擾素-tau (IFNt)編碼序歹(J(比如是SEQ ID NOS: 1或4)置入一表現載 20053ι23^9〇 體中,例如一細菌表現載體並依照標準方法表現。合適載 體的例子包括 lambda gtll(Promega,Madison WI)、pGEX (Smith,Ρ·Κ·等人在 150:76 於 1985 發 表)、pGEMEX(Promega)與 pBS ( Strategen,LA Jolla CA) 等載體。其他細菌表現載體包含合適的啓動子 (promoters),比如T7 RNA聚合酶啓動子、tac啓動子也都 可以被使用。本案之材料與方法中敘述選殖干擾素-tau (IFNt)合成聚核苷酸至調整過的piN III omp-A表現載體。Interferon-tan (IFNt) can be used to purify embryo cultures by ion exchange chromatography and colloidal filtration. Homogeneity of isolated interferon-tau (IFNt) can be assessed using sodium lauryl sulfate polyacrylamide gel electrophoresis (Maniatis, T. et al. In MOLECULAR COLONING: a LABORATORY MANUAL, Cold Spring Harbor Laboratory, Cold Spring Harbor, New York 1982; and Ausubel, F. M., et al. In CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, John Wieley & Son Press Media, PA 1988), and the protein concentration of the purified IFNt sample can use BCA (bicibchoninic Assay) Inspection decisions (Pierce Chemical Company, Rockford, IL; and Smith, PK, et al., Published in Anal. Biochem. 150: 76, 1985). 2. Genetic recombination produces interferon-tau (IFNt). Genetic recombination of interferon-tan (IFNt) proteins can be produced using any interferon-tau (IFNt) polynucleotide fragment and using a suitable expression system such as bacteria Or yeast. A method for isolating interferon-tau (IFNt) nucleotides and peptide sequences is published in PCT Publication No. WO / 94/10313, which is incorporated herein by reference. To create a vector for the expression of interferon-tan (IFNt), the interferon-tau (IFNt) coding sequence 比如 (J (for example, SEQ ID NOS: 1 or 4)) is placed in an expression set 20053ι23 ^ 90. For example, a bacterial expression vector is expressed in accordance with standard methods. Examples of suitable vectors include lambda gtll (Promega, Madison WI), pGEX (Smith, P.K. et al. 150: 76 published in 1985), pGEMEX (Promega) and pBS (Strategen, LA Jolla CA) and other vectors. Other bacterial expression vectors include suitable promoters, such as the T7 RNA polymerase promoter and the tac promoter can also be used. The materials and methods described in this case Interferon-tau (IFNt) synthesizes a polynucleotide to an adjusted piN III omp-A expression vector.

如此處所述,呈現在SEQ ID NO:4之IFNt編碼序列被 選殖到一載體中,而適於轉殖(transformation)酵母菌細胞, 包含甲醇-調節醇氧化酶啓動子與一 Phol訊號序列。載體 被使用轉殖酵母菌八宿主細胞與轉殖的細胞根據 製造商指不來表現蛋白質(Invetrogen,San Diego,CA )。 配合本發明之方法之其他適合表現干擾素-tau (IFNt) 的酵母菌載體包括2微米質體載體(Ludwig.L. P.等人在 m:33於1933年發表)、酵素整合質體(Shaw,K.L等 人在D见4, 2:117於1988年發表)、YEP載體(Shen,L.P.等 人在5W. 21:856於1986年發表)、酵母菌有絲粒質體 (YCps)與其他可調節表現的載體(見Hitzeman,R.A.等人 在美國專利第4,775,622號於1988年10月4日核准;Rutter, W· J.等人在美國專利第4,769,238號於1988年9月6曰核 准;Oeda,K等人在美國專利第4,766,068號於1988年8 月23日核准)。較佳載體包括包含一有效的酵母啓動子之 表現匣(expression cassette),酵母啓動子例如爲MFal啓動 24 2005333^6flcAs described herein, the IFNt coding sequence presented in SEQ ID NO: 4 is selected into a vector, and is suitable for transforming yeast cells, including a methanol-regulated alcohol oxidase promoter and a Phol signal sequence. . Vectors Transgenic yeast host cells and transfected cells were used to express proteins according to the manufacturer's instructions (Invetrogen, San Diego, CA). Other yeast vectors suitable for expressing interferon-tau (IFNt) in conjunction with the method of the present invention include 2 micron plastid vectors (published by Ludwig. LP et al. At m: 33 in 1933), enzyme-integrated plastids (Shaw, KL See D, 4, published in 2: 117 in 1988), YEP vectors (Shen, LP et al. 5W. 21: 856 in 1986), yeast mitochondria (YCps), and other regulators Performance vectors (see Hitzeman, RA et al., U.S. Patent No. 4,775,622, approved on October 4, 1988; Rutter, W. J. et al., U.S. Patent No. 4,769,238, approved on September 6, 1988; Oeda, K et al., U.S. Patent No. 4,766,068, issued August 23, 1988). Preferred vectors include an expression cassette containing a potent yeast promoter, such as the MFal promoter 24 2005333 ^ 6flc

子(Bayne·,Μ· L.等人在Gene处..235-2«於/9⑽牟發表)、 甘油醒一 3 —磷酸鹽去氫酶(GADPH)啓動子(Wu,D. A.等人 在DNA,1〇;201於1991年發表)或半乳糖-誘導的GAL 10 啓動子(Ludwig.L· P·等人在Gene,132:33於1993年發表; Feher,Z·等人在 Curr. Genet·,j_6: 461 於 1989 發表;Shen, L.P·等人在5W· 67&,M:856於1986年發表)。該酵母轉殖 物但主是一*傳統的啤酒釀母菌cerevisiae 5 但如上所述,其他適於轉殖的酵母菌亦可以使用(比如裂殖 酵母菌 酵母菌 之類)。 甚至,編碼干擾素-tau (IFNt)多胜肽之一 DNA能被選 殖到任何商業可購載體而在合適的宿主系統上產生多胜肽 表現。這些系統包括上述的細菌與酵母菌表現系統,但亦 包括如下列所述之表現系統:桿狀病毒表現系統(Remy,P. R·等人在 BACULOVIRUS EXPRESSION VECTORS: A LABORATORY MANUAL 於 1992 出版;Beames 等人在 biotechniques, 1 1:378 於 1991 年發表;Clontech,Palo Alto CA)、植物細胞表現系統、轉基因植物表現系統與哺乳類細 胞表現系統(Clontech,Palo Alto CA ; Gibco-BRL, Gaithersburge MD)。基因重組多胜肽可表現爲如核融合蛋 白質或原生(始)蛋白質。可利用基因工程將一些特徵設計至 表現載體上,比如用來促進培養基內表現序列分泌的領導 序列。基因重組所製造的多胜肽多是從水解的細胞或培養 基分離而得。可以習知純化的方法,包括鹽析、離子交換 25 200532祕δ 層析、親合性層析。也可如前所述使用免疫親合性層析, 使用因干擾素-tau (IFNt)多胜狀產生之抗體。 除了基因重組的方法,IFNt蛋白質或多胜肽能被藉著 以親合力相關方法與所選擇的細胞分離,例如使用IFNt多 胜肽所產生適當的抗體。甚至,干擾素-tau (IFNt)多胜肽(比 如是SEQ ID NO: 2或3)可以使用昔知技術而化學合成。 B·施予千擾素tau ( IFNi:)(Bayne ·, M · L. Et al. In Gene .. 235-2 «published in / 9⑽ Mou), glycerol awakening a 3-phosphate dehydrogenase (GADPH) promoter (Wu, DA et al. In DNA , 10; 201 published in 1991) or galactose-induced GAL 10 promoter (Ludwig. L.P. et al., Gene, 132: 33, 1993; Feher, Z., et al., Curr. Genet ·, J_6: 461 published in 1989; Shen, LP · et al. 5W · 67 &, M: 856 published in 1986). The yeast transformant is mainly a traditional beer brewer cerevisiae 5 but as mentioned above, other yeasts suitable for transfection can also be used (such as fission yeast yeast and the like). Furthermore, DNA encoding one of the interferon-tau (IFNt) peptides can be cloned into any commercially available vector to produce a peptide expression on a suitable host system. These systems include the bacterial and yeast expression systems described above, but also include the expression systems described below: Baculovirus Expression System (Remy, P.R. et al., BACULOVIRUS EXPRESSION VECTORS: A LABORATORY MANUAL, 1992; Beames Et al., Published in biotechniques, 1: 378 in 1991; Clontech, Palo Alto CA), plant cell expression system, transgenic plant expression system and mammalian cell expression system (Clontech, Palo Alto CA; Gibco-BRL, Gaithersburge MD). Recombinant peptides can be expressed as nuclear fusion proteins or native (original) proteins. Genetic engineering can be used to design features into expression vectors, such as leader sequences that promote the secretion of expression sequences in the culture medium. Polypeptides produced by genetic recombination are mostly isolated from hydrolyzed cells or culture media. Methods of purification can be known, including salting out, ion exchange 25 200532 secret delta chromatography, affinity chromatography. It is also possible to use immunoaffinity chromatography as described above, and use antibodies produced by interferon-tau (IFNt). In addition to genetic recombination methods, IFNt proteins or peptides can be separated from selected cells by affinity-related methods, such as using IFNt peptides to produce appropriate antibodies. Furthermore, the interferon-tau (IFNt) polypeptide (such as SEQ ID NO: 2 or 3) can be chemically synthesized using conventional techniques. B. administration of interferon tau (IFNi :)

在支持本發明完所執行之硏究,干擾素tan (IFN〇被 施予因接受白介素-10治療產生反應的病人。特別在一硏 究中用干擾素tau (IFNt)治療被診斷爲多發性硬化症病 人。在另一硏究中用干擾素tau( IFNt)治療被診斷有病毒 感染的病人。在治療期間’監控每一病人之血清中白介素 濃度_10 ( IL-10)、干擾素 tan ( IFNt)、與白介素(IL-12) 濃度。這些硏究詳述如下。 1.將1E擾素tau ( IFNt )施予罹患多發件硬化症的病人 罹患多發性硬化症的病人收入以干擾素tau ( IFNt)治 療的臨床實驗。如同範例1所述,十五位病人被隨機收入 三個硏究組,總結於表一。 26 20053iS3t69c 表一 組別I _ (n=5) 組別π (π=5) 組別πι (n=5) 干擾素tau (IFN〇 口 服劑量1 0.2毫克/每日 mg/day(2 x 107 U) 0.6毫克/每日 (mg/day ) (6 x 107 U) 1.8毫克/每日 (mg/day )(1.8 x 108 U) 平均體重 67.2公斤 (kg) 58.9公斤 (kg) 90.0 公斤(kg) 平均年齡 30 34.5 47 4 毫克干擾素 tau ( IFN〇 = 1 x 108 單位(Units)In support of the investigations performed in the present invention, interferon tan (IFN0) was administered to patients who responded to treatment with interleukin-10. Particularly in a study, treatment with interferon tau (IFNt) was diagnosed as multiple Patients with sclerosis. In another study, patients diagnosed with a viral infection were treated with interferon tau (IFNt). During the treatment period, 'monitoring of each patient's serum interleukin-10 (IL-10), interferon tan (IFNt), and interleukin (IL-12) concentrations. These studies are detailed below. 1. Administration of 1E interferon tau (IFNt) to patients with multiple sclerosis. Patients with multiple sclerosis receive income from interferon. Clinical trial of tau (IFNt) treatment. As described in Example 1, fifteen patients were randomized into three study groups and summarized in Table 1. 26 20053iS3t69c Table group I _ (n = 5) group π ( π = 5) group π (n = 5) interferon tau (IFN〇 oral dose 1 0.2 mg / mg / day (2 x 107 U) 0.6 mg / day (mg / day) (6 x 107 U ) 1.8 mg / day (1.8 x 108 U) Average weight 67.2 kg (kg) 58.9 kg (kg) 90.0 kg (kg) Average age 30 34.5 47 4 mg interferon tau (IFN〇 = 1 x 108 Units)

治療前採取每位受試者的血液樣本量測基本血清中細 胞色素(cytokine )濃度。抽血後第一天,每位受試者開 始接受適當劑量的口服干擾素tau(IFN〇治療。治療持續 28天且在硏究的第1、4、8、15、29、與57天採血。採 血樣本分析干擾素-伽僞(IFN-γ )與白介素10(IL-10) 的濃度。 病人組別I、II、與ΙΠ之白介素1〇 ( IL-10)的濃度對 應顯示於圖1A-1C。圖1A顯示血清白介素1〇 ( IL-10)的 濃度以pm/mL爲單位,共有五位病人收錄在組別I。其中 三位病人編號爲103、104、與105,在第四天顯示白介素 10 (IL-10)的濃度上升。然而由病人的白介素1〇 (IL-10) 的濃度發現在第八天下降。另外發現從第四天後,病人1〇3 與104的白介素10 (IL-10)的濃度在第八天與第十五天並 沒有顯著的改變。圖1B與1C顯示病人組別II與組別III 的相對結果。發現血清白介素10 ( IL_10)的濃度在病人施 予干擾素tau ( IFNt)治療後有些微增加’特別是收錄在組 別III的病人。 27 2005333^Before treatment, a blood sample was taken from each subject to measure the cytokine concentration in the basic serum. On the first day after blood drawing, each subject began to receive an appropriate dose of oral interferon tau (IFN0) treatment. The treatment lasted 28 days and blood was collected on the first 1, 4, 8, 15, 29, and 57 days of investigation Blood samples were analyzed for interferon-gamma (IFN-γ) and interleukin 10 (IL-10) concentrations. Patient groups I, II, and interleukin 10 (IL-10) concentrations were shown in Figure 1A. -1C. Figure 1A shows the concentration of serum interleukin 10 (IL-10) in pm / mL. Five patients were included in group I. Three patients were numbered 103, 104, and 105. The concentration of interleukin 10 (IL-10) increased on the day. However, the concentration of interleukin 10 (IL-10) was found to decrease on the eighth day. It was also found that from the fourth day, the interleukins of patients 103 and 104 The concentration of 10 (IL-10) did not change significantly on the eighth and fifteenth days. Figures 1B and 1C show the relative results of patient group II and group III. It was found that the concentration of serum interleukin 10 (IL_10) was between Patients slightly increased after administration of interferon tau (IFNt) ', especially those included in group III. 27 2005333 ^

圖ID顯示白介素10 (IL-10)的血清平均濃度。以 Pg/mL爲單位,呈現組別I、II、與III的結果。在施用干 擾素tau (IFNt)治療期間,第2到28天發現測試組中有 些微上遊回饋的白介素10 ( IL-10)濃度,然而對範例1的 統計分析發現,些微的上遊回饋的白介素10 (IL-10)濃度 並不具統計上的意義。在第28天停止施用干擾素tau( IFNt) 治療後,些微上升的血液中白介素10 (IL-10)濃度持續在 組別I與Π被觀察到。白介素10 ( IL-10)之血清濃度在第 57天也就是停藥後34天,仍維持在超過實驗前與實驗第一 天的基準値之上。本發明預期可治療受試者自體免疫的狀 況,干擾素tau(IFNi)治療足量施與以產生相對於未施與 干擾素tan( IFNO治療時可量測之的初始白介素10( IL-10) 濃度增加。後續當干擾素tau(IFNT)治療停止一段時間後, 相對於未接受沒有接受干擾素tau ( IFNt )治療的受試者而 言,其血液中的白介素10 ( IL-10)濃度仍舊持續增加。所 以確認施與干擾素tau ( IFNt )治療是必要的。 在硏究中血液中干擾素-伽僞(IFN-γ)的濃度也被監 控。干擾素-伽僞(IFN-γ)是一種發炎細胞色素’上升的干 擾素-伽侷(IFN-γ)濃度也反應出病人自體免疫狀況上的不 適,如多發性硬化症與關節炎。以干擾素-貝它(ΙΡΝ_β)治療 多發性硬化症,有硏究顯示在治療期間的頭兩個月干擾素-伽僞(IFN-γ)分泌細胞的增加,且增加的干擾素-伽侷 (IFN-γ)血清濃度可能是因爲病人在干擾素-貝它(IFN-β) 治療期間所經歷明顯的類似感冒狀況。所以治療病人自體 28 20053^ft〇 免疫狀況白介素10( IL-10)濃度上升時如果沒有伴隨干擾 素-伽侷(IFN-γ)上升是對病人較有益處的。Figure ID shows the mean serum concentration of interleukin 10 (IL-10). Results are shown in groups I, II, and III in Pg / mL. During the treatment with interferon tau (IFNt), there was a slight upstream feedback of interleukin 10 (IL-10) concentration in the test group on days 2 to 28. However, a statistical analysis of Example 1 found that a slight upstream feedback Interleukin 10 (IL-10) concentration is not statistically significant. After stopping the administration of interferon tau (IFNt) on day 28, a slight rise in blood interleukin-10 (IL-10) concentrations continued to be observed in groups I and II. The serum concentration of interleukin-10 (IL-10) remained above the baseline level on day 57 or 34 days after discontinuation. The present invention is expected to treat the subject's autoimmune condition. Interferon tau (IFNi) treatment is administered in sufficient amounts to produce an initial interleukin 10 (IL- 10) Increased concentration. After interferon tau (IFNT) treatment is stopped for a period of time, compared to subjects who have not received treatment with interferon tau (IFNt), the blood's interleukin 10 (IL-10) Concentrations continue to increase. So it is necessary to confirm that the administration of interferon tau (IFNt) is necessary. The concentration of interferon-gamma pseudo (IFN-γ) in blood was also monitored during the study. Interferon-gamma pseudo (IFN-γ) γ) is an inflammatory cytochrome's rising interferon-gamma (IFN-γ) concentration also reflects patients' autoimmune conditions such as multiple sclerosis and arthritis. Interferon-beta (IPN_β ) In the treatment of multiple sclerosis, there have been studies showing an increase in interferon-gamma pseudo (IFN-γ) secreting cells during the first two months of the treatment period, and increased serum levels of interferon-gamma (IFN-γ) may be Because the patient experienced during interferon-beta (IFN-β) treatment Obviously similar to a cold condition. So treating patients with autologous conditions 28 20053 ^ ft〇 Immune status When the concentration of interleukin 10 (IL-10) rises, it is more beneficial to patients if there is no accompanying increase in interferon-gamma (IFN-γ).

圖2A-2D顯示干擾素-伽偶(IFN-γ)的濃度,以pg/mL 爲單位,病人族群I、II、與III罹患多發性硬化症且施予 口服干擾素tail ( IFNt )。圖2A顯示以0.2毫克干擾素tau (IFN〇治療的病人族群I之血清濃度。在治療期間,病 人編號101、102、104、105之中每一位病人的干擾素-伽 僞(IFN-γ)的血中濃度均下降。血清濃度的增加在第二十 八天治療停止時中止。病人編號103的血清干擾素-伽侷 (IFN-γ)的濃度並未增加,且基本上維持沒有改變。 圖2B顯示病人族群II之血液中干擾素-伽侷(IFN-γ)的 濃度,以pg/mL爲單位,每日〇·6毫克干擾素tau (IFNO 治療。圖2C顯示病人族群ΠΙ之血液中干擾素-伽僞(IFN-γ) 的濃度,以pg/mL爲單位,以每日1.8毫克干擾素tau ( IFNt) 治療。如前所述,第一劑量的干擾素tau (IFNt)是未服藥 抽血後第一天給予,且最後劑量是在第二十八天給予。所 以第一天的資料點可以視爲基礎値作爲篩選病人之用途。 在接受干擾素-伽侷(IFN_Y)治療期間,組別11和組別111 裡的所有病人均經歷干擾素-伽侷(IFN-γ )血清濃度的降 低或不具意義的千擾素-伽僞(IFN-Y)變化。 圖2D總結血中干擾素·伽侷(IFN_Y)平均濃度以Pg/mL 爲單位,病人族群分爲1、11、與111組。降低的干擾素-伽 侷(IFN-γ)趨勢明顯特別是接受高劑量干擾素-tau (IFNt) 的組別III。 29 200533fcSi69cFigures 2A-2D show the concentration of interferon-gamma (IFN-γ) in pg / mL. Patient groups I, II, and III suffer from multiple sclerosis and are administered oral interferon tail (IFNt). Figure 2A shows the serum concentration of patient group I treated with 0.2 mg of interferon tau (IFN0. Interferon-gamma pseudo- (IFN-γ) of each of patient numbers 101, 102, 104, 105 during treatment. ) Blood levels were all decreased. The increase in serum concentration was discontinued when treatment was stopped on the 28th day. The serum interferon-gamma (IFN-γ) concentration of patient number 103 did not increase and remained essentially unchanged Figure 2B shows the interferon-gamma (IFN-γ) concentration in the blood of patient group II, in pg / mL, 0.6 mg of interferon tau per day (IFNO treatment. Figure 2C shows the patient group II. Interferon-gamma (IFN-γ) concentration in blood, in pg / mL, treated with 1.8 mg of interferon tau (IFNt) per day. As mentioned earlier, the first dose of interferon tau (IFNt) It is given on the first day after the blood is taken without medication, and the final dose is given on the twenty-eighth day. Therefore, the data points on the first day can be regarded as the basis for the screening of patients. After receiving interferon-gamma bureau (IFN_Y ) During treatment, all patients in group 11 and group 111 experienced interferon-gamma IFN-γ) decreased serum concentrations or insignificant changes in interferon-gamma pseudo (IFN-Y). Figure 2D summarizes the average concentration of interferon-gamma (IFN_Y) in blood in units of Pg / mL. Groups 1, 11, and 111. The trend for reduced interferon-gamma (IFN-γ) is particularly pronounced in group III, which receives high doses of interferon-tau (IFNt). 29 200533fcSi69c

圖3A-3E繪示白介素10 ( IL-10)(鑽石圖形)以及干擾 素-tau (IFNt)(方形)之血清濃度,兩者皆以pg/mL爲單 位,病人個體選自族群Ι、Π、與III組中。圖3A繪示治 療族群第I組病人編號101的細胞色素產生之動力學。血 中白介素10 (IL-10)(鑽石圖形)在治療期間並沒有具統計 意義的增加。干擾素-伽侷(IFN-γ)的血中濃度在施予口服 干擾素-tan (IFNt)期間降低◦白介素1〇 ( IL-10)濃度基準 値與干擾素·伽侷(IFN-γ)濃度基準値分別爲15.8 pg/mL 與14·5 Pg/mL,且初始白介素10 (IL-10) /干擾素-伽侷 (IFN-γ)濃度比値爲1.1。在干擾素-tan (IFNt)治療期間, 白介素10 (IL-10) /干擾素-伽侷(IFN-γ)濃度比値增爲 2.2,因爲干擾素-伽侷(IFN-γ)的血中濃度下降。在第57 天,約在終止給藥的一個月後,白介素1〇 (IL-10) /干擾 素-伽侷(IFN-γ)濃度比値回復到爲1.1。在干擾素-tau (IFNt) 治療期間,白介素10 (IL-10) /干擾素-伽僞(IFN-γ)濃度 比値增加約100%。 圖3B繪示治療族群第I組病人編號105之細胞色素 產生動力學。白介素10 (IL-10)濃度基準値與干擾素-伽 僞(IFN-γ)濃度基準値平均分別爲6.6 pg/mL與49.2 pg/mL,且初始白介素10 ( IL-10 ) /干擾素-伽f馬(IFN-γ) 濃度比値爲0.13。在施予口服干擾素-tau (IFNt)期間,白介 素10 (IL-10) /干擾素-伽僞(IFN-γ)濃度比値降低到約 0.2-0.3,因爲干擾素-伽侷(IFN-γ)的血中濃度下降。在第 57天,約在終止給藥的一個月後,白介素10 ( IL-10) /干 30 20053i3z3>i&9)c 擾素-伽侷(IFN-γ)濃度比値回復到爲〇·12。所以,干擾素 -tau (IFNt)治療對調整白介素10 (IL-10) /干擾素-伽侷 (IFN-γ)濃度比値是有效的,增加大於50%,更佳狀況是 大於80%的變化。Figures 3A-3E show the serum concentrations of interleukin 10 (IL-10) (diamond graphics) and interferon-tau (IFNt) (square), both in pg / mL, and the individual patient is selected from the group I, Π , And III. Fig. 3A shows the kinetics of cytochrome production by group I of patient number 101 in the treatment group. There was no statistically significant increase in interleukin 10 (IL-10) (diamond pattern) in blood during treatment. Interferon-gamma (IFN-γ) blood levels decreased during oral interferon-tan (IFNt) administration. ◦ Interleukin 10 (IL-10) concentration benchmark 値 and interferon-gamma (IFN-γ) The concentration benchmarks were 15.8 pg / mL and 14.5 Pg / mL, respectively, and the initial interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio was 1.1. During interferon-tan (IFNt) treatment, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio increased to 2.2 because of interferon-gamma (IFN-γ) blood The concentration decreases. On day 57, approximately one month after the termination of administration, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio) returned to 1.1. During interferon-tau (IFNt) treatment, the interleukin 10 (IL-10) / interferon-gamma pseudo (IFN-γ) concentration increased by about 100% over radon. FIG. 3B shows the cytochrome production kinetics of group I patient No. 105 in the treatment group. Interleukin 10 (IL-10) concentration reference and interferon-gamma (IFN-γ) concentration reference average 6.6 pg / mL and 49.2 pg / mL, respectively, and the initial interleukin 10 (IL-10) / interferon- The gamma (IFN-γ) concentration ratio 値 was 0.13. During oral interferon-tau (IFNt) administration, the interleukin 10 (IL-10) / interferon-gamma pseudo (IFN-γ) concentration ratio was reduced to about 0.2-0.3, because interferon-gamma (IFN- γ) The blood concentration decreases. On the 57th day, approximately one month after discontinuation of the administration, the interleukin 10 (IL-10) / dry 30 20053i3z3 > i & 9) c interferon-gamma (IFN-γ) concentration ratio returned to 0. 12. Therefore, interferon-tau (IFNt) treatment is effective for adjusting the concentration of interleukin 10 (IL-10) / interferon-gamma (IFN-γ), and the increase is more than 50%, and the better condition is more than 80%. Variety.

圖3C繪示治療族群第III組病人編號302之細胞色素 產生動力學。白介素1〇 (IL-10)濃度基準値與干擾素-伽 僞(IFN-γ)濃度基準値(數據在篩檢日及第一日取得並平均) 分別爲5.8pg/mL與4.0pg/mL,且初始白介素10(IL-10) /干擾素-伽侷(IFN-γ)濃度比値爲1.45。在干擾素-tan (IFNt) 治療期間,平均白介素10 ( IL-10)血中濃度(平均白介素 10 ( IL-10)血中濃度在第4、8、15天取得)爲7·7 pg/mL, 相較於白介素10 (IL-10)血中濃度基準値(數據在篩檢日 及第一日取得並平均)並無統計上差異。干擾素-伽侷 (IFN-γ)濃度在治療期間維持不變。 圖3D繪示治療族群第III組病人編號303之細胞色素 產生動力學。白介素10 (IL-10)濃度基準値與干擾素-伽 侷(IFN-γ)濃度基準値(數據在篩檢日及第一日取得並平 均)分別爲4.4 pg/mL與3.6pg/mL,且初始白介素l〇(IL-10) /干擾素-伽侷(IFN-γ)濃度比値爲1.2。在施予口服干擾素 -tan (IFNt)期間,白介素10 ( IL-10) /干擾素-伽侷(IFN-γ) 濃度比値在第八天降低到約11,因爲干擾素-伽侷(IFN-γ) 的血中濃度下降;直到第29天才回復到基準値。 圖3E繪示治療族群第I組病人編號305之細胞色素產 生動力學。白介素1〇 (IL-10)濃度基準値與干擾素-伽侷 20053 3569)c (IFN-γ)濃度基準値平均(數據在篩檢日及第一日取得並平 均)分別爲4.3 pg/mL與34.8 pg/mL,且初始白介素10 (IL-10) /干擾素-伽侷(IFN-y)濃度比値爲〇1。在施予 口服干擾素-tan (IFNt)期間,白介素1〇 ( tljo)血中濃度 基本上維持不變。因干擾素-伽僞(IFN_y)血中濃度些微降 低,導致白介素10 (IL-10) /干擾素-伽僞(IFN-Y)濃度比 値在第八天上升了 14%,達到0.14。FIG. 3C shows the cytochrome production kinetics of group III patient number 302 in the treatment group. Interleukin 10 (IL-10) concentration reference and interferon-gamma (IFN-γ) concentration reference (data obtained on screen day and the first day and averaged) were 5.8 pg / mL and 4.0 pg / mL, respectively The initial interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio 値 is 1.45. During interferon-tan (IFNt) treatment, the mean interleukin 10 (IL-10) blood concentration (mean interleukin 10 (IL-10) blood concentration was obtained on days 4, 8, and 15) was 7.7 pg / mL, compared with the baseline blood concentration of interleukin 10 (IL-10) (data obtained and averaged on the screening day and the first day), there is no statistical difference. Interferon-gamma (IFN-γ) concentrations remained constant during treatment. Figure 3D shows the cytochrome production kinetics of group III patient No. 303 in the treatment group. Interleukin 10 (IL-10) concentration baseline and interferon-gamma (IFN-γ) concentration baseline (data obtained on average and averaged on the day of screening) are 4.4 pg / mL and 3.6 pg / mL, respectively. And the initial interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio 値 was 1.2. During oral interferon-tan (IFNt) administration, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio decreased to approximately 11 on day eight because interferon-gamma ( The blood concentration of IFN-γ) decreased; it did not return to baseline 値 until day 29. Figure 3E shows the cytochrome production kinetics of group I patient number 305 in the treatment group. Interleukin 10 (IL-10) concentration benchmark, and interferon-gamma bureau 20053 3569) c (IFN-γ) concentration benchmark, average (data obtained on screen day and first day and averaged) were 4.3 pg / mL And 34.8 pg / mL, and the initial interleukin 10 (IL-10) / interferon-gamma (IFN-y) concentration ratio was 11. During the administration of oral interferon-tan (IFNt), the interleukin 10 (tljo) blood concentration remained substantially unchanged. Due to a slight decrease in the blood concentration of interferon-gamma pseudo (IFN_y), the interleukin 10 (IL-10) / interferon-gamma pseudo (IFN-Y) concentration ratio 値 increased by 14% on the eighth day to 0.14.

所以’從某方面而言,在自體免疫異常或罹患病毒感 染的受試者要增加白介素10( IL-10)/干擾素-伽偶(IFN-γ) 濃度比的方法,包括施予有效劑量的口服干擾素-tau (IFNt) 以產生相對於未施予口服干擾素-tan (IFNt)之受試者的初 始可量測之白介素10 ( IL-10)血中濃度,會有⑴相對於未 施予口服干擾素-tan (IFNt)之受試者的不顯著千擾素-伽侷 (IFN-γ)血中濃度改變。或(ϋ)相對於未施予口服干擾素 -tan (IFNt)之受試者,施予干擾素-tau (IFNt)之受試者產生 干擾素-伽侷(IFN-γ)血中濃度下降。白介素10 ( IL-10) / 干擾素-伽侷(IFN-γ)濃度比値增加至少約10%,較適狀況 是約25%,更佳狀況是約40%,直到最佳狀況約50%。在 一實施例中,干擾素-tau (IFNt)是綿羊或牛的干擾素-tau (IFNt)。在其他實施例中,干擾素-tau (IFNt)以大於約5 X 1〇8抗病毒單位(U)劑量施予,較佳是以劑量〇·5 X 1〇9 U或 更多直到更佳劑量1 X 109 U或更多。 2.施予受病毒感染之人類受試者 20053^9〇So 'in a way, the method of increasing the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio in subjects with autoimmune disorders or viral infections, including administering effective A dose of oral interferon-tau (IFNt) to produce an initially measurable blood concentration of interleukin 10 (IL-10) relative to a subject who has not been administered oral interferon-tan (IFNt). There were no significant changes in interferon-gamma (IFN- [gamma]) blood concentrations in subjects who were not administered oral interferon-tan (IFNt). Or (ii) a decrease in interferon-gamma (IFN-γ) blood levels in subjects administered interferon-tau (IFNt) relative to subjects not administered oral interferon-tan (IFNt) . Interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration increased by at least about 10% compared to 値, more suitable condition is about 25%, and better condition is about 40%, until the best condition is about 50% . In one embodiment, the interferon-tau (IFNt) is sheep or bovine interferon-tau (IFNt). In other embodiments, the interferon-tau (IFNt) is administered at a dose greater than about 5 X 108 antiviral unit (U), preferably at a dose of 0.5 X 109 U or more until better Dose 1 X 109 U or more. 2. Administration to human subjects infected with the virus 20053 ^ 9〇

另外的硏究是篩選感染c型肝炎病毒的病人。病人分 成四組以口服干擾素-tau (IFNt)(序列碼SEq id Ν0··3)治 療。如範例2所述,實驗組中的受試者以每日三次服用定 量的1 mg/mL干擾素-tau (IFNt)溶液作自我治療。實驗組 別I、II、與III分別以總劑量1毫克(mg)干擾素-tau (IFNt)、3 毫克(mg)干擾素-tan (IFNt)、或 9 毫克(mg) 干擾素-tan (IFNt)劑量服用,(1毫克(mg)干擾素_tau (iFNT) 約是1 χ 108抗病毒單位)。治療期間長達84天,病人定 期回診檢查並提供血液檢查分析白介素10 ( IL-10)與干擾 素-伽侷(IFN-γ)濃度。監控持續到169天,也就是干擾 素-tau(IFNx)給藥停止後85天。 圖4A-4C繪示白介素10( IL-10)之血清濃度,以pg/mL 爲單位,六位病人爲一組共分爲三個硏究組別ρ Π、與ΙΠ。 圖4Α繪示組別I中六位病人之白介素1〇 ( IL_10)之血清 濃度,以干擾素-tau(IFNi) —日三次0.33毫克(mg),總劑 量1毫克(mg) (1 X 108 U)。所有病人的資料顯示但非統 計上具顯著意義的白介素10 (IL-10)濃度增加趨勢。 圖4B繪示硏究組別Π之六位病人,每日三次1毫克 (mg)干擾素-tau (IFNt) (3 X 108 U/day)持續給予到第 84 天。治療期間,病人資料顯示出更明確但非統計上有意義 之白介素10 ( IL-10)之濃度增加趨勢(Days 1-84)。停止干 擾素-tau (IFNt)投予後,持續監控白介素10 ( IL-10)之血 清濃度,從第85-169天,慢慢回復到基準値。 圖4C繪示組別III中六位病人之白介素10 ( IL-10) 33 200533396S〇c 之血清濃度,每日三次3毫克(mg)干擾素-tan (IFNt) (9 x 108 U/day)持續給予到第84天。治療期間,所有病人資料 顯示統計上有意義之白介素10 ( IL-10)之濃度因爲施予干 擾素-tau (IFNt)增加。停止干擾素-tan (IFNt)投予後,白介 素10 ( IL-10)之血清濃度,仍維持在上升的狀態持續約三 個月。Another study was to screen patients infected with hepatitis C virus. Patients were divided into four groups and treated with oral interferon-tau (IFNt) (sequence code SEq id NO ·· 3). As described in Example 2, the subjects in the experimental group self-treated with a fixed amount of a 1 mg / mL interferon-tau (IFNt) solution three times daily. Experimental groups I, II, and III were administered at a total dose of 1 milligram (mg) of interferon-tau (IFNt), 3 milligrams (mg) of interferon-tan (IFNt), or 9 milligrams (mg) of interferon-tan ( IFNt), (1 milligram (mg) interferon tau (iFNT) is approximately 1 x 108 antiviral units). The treatment period was up to 84 days. Patients returned to the clinic periodically and provided a blood test to analyze interleukin 10 (IL-10) and interferon-gamma (IFN-γ) concentrations. Monitoring continued for 169 days, that is, 85 days after the administration of interferon-tau (IFNx) was stopped. Figures 4A-4C show the serum concentrations of interleukin 10 (IL-10) in pg / mL. Six patients were divided into three study groups ρ Π, and ΙΠ. Figure 4A shows the serum concentrations of interleukin 10 (IL_10) in six patients in group I. Interferon-tau (IFNi)-0.33 milligrams (mg) three times a day. U). Data from all patients showed, but were not statistically significant, an increase in interleukin-10 (IL-10) concentrations. FIG. 4B shows six patients in the study group II who were administered 1 mg of interferon-tau (IFNt) (3 X 108 U / day) three times daily until day 84. During the treatment period, patient data showed a clearer but not statistically significant increase in the concentration of interleukin 10 (IL-10) (Days 1-84). After stopping the administration of interferon-tau (IFNt), the serum concentration of interleukin 10 (IL-10) was continuously monitored, and from day 85-169, it gradually returned to the baseline level. Figure 4C shows the serum concentrations of interleukin 10 (IL-10) 33 200533396Soc in six patients in group III, 3 milligrams (mg) of interferon-tan (IFNt) three times daily (9 x 108 U / day) Continue to give until the 84th day. During treatment, all patient data showed statistically significant concentrations of interleukin 10 (IL-10) due to the increase in the administration of interferon-tau (IFNt). After stopping the administration of interferon-tan (IFNt), the serum concentration of interleukin 10 (IL-10) remained at an elevated state for about three months.

圖4D結論圖比較白介素1 〇 ( IL-10 )之血清濃度在實 驗組別I、Π、與III於圖4A-4C之結果。圖4D繪示實驗 組別I白介素1〇 ( IL-10)之血清濃度以時間做圖之增加百 分比(鑽石圖形,每日三次0.33毫克(mg)),組別II (方 形,每日三次1毫克(mg)),與組別III (三角形,每曰 三次3毫克(mg))。以白介素10 ( IL-10)之血清濃度增 加百分比相對於劑量做圖,最高劑量9毫克(mg)(每日$ 次0.33毫克(mg) ; (9 X 108單位(U) /天)引發白介素 (IL-10)在I5天內產生大於100%的上遊回饋。每日劑羹 3毫克(mg)(硏究組別II,方形)刺激白介素1〇 ( IL-l〇) 在15天內產生大於150%的上遊回饋。在84天的硏究期 間,每日劑量3毫克(mg)足以維持超過150%的增加。 圖4D也繪示停藥後,在85-169天之相對於治療前之棊 準値之狀況,呈現持續上升的白介素1〇 (IL-10)濃度。在 第169天,實驗組別III (每日劑量3毫克(mg)的干擾素^抑 (IFNt)),白介素1〇 ( IL-10)濃度並沒有降回到基準値。所 以,治療自動免疫異常的生理狀況,特別是多發性硬化症' 牛皮癖、風溼性關節炎和過敏的方法。 34 20053^¾ 相對於未施予干擾素-tau (IFNt)之受試者,透過施予受 試者足量的干擾素-tau (ΙΡΝτ)以產生初始可量測的白介素 10 (IL-10)血中濃度增加;停止施予干擾素-tan (IFNt) —Fig. 4D conclusion chart compares the results of serum concentrations of interleukin 10 (IL-10) in experimental groups I, II, and III in Figs. 4A-4C. Figure 4D shows the percentage increase in serum concentration of interleukin 10 (IL-10) over time in the experimental group I (diamond pattern, 0.33 milligrams (mg) three times a day), and group II (square, three times a day 1) Milligrams (mg)), and group III (triangle, 3 milligrams (mg) three times a day). Plot the percentage increase in serum concentration of interleukin 10 (IL-10) against dose. The highest dose is 9 milligrams (mg) (0.33 milligrams (mg) per day; (9 X 108 units (U) / day) triggers interleukin. (IL-10) produces greater than 100% upstream feedback within I5 days. Daily doses of 3 milligrams (mg) (Research Group II, square) stimulate Interleukin 10 (IL-10) within 15 days Generated greater than 150% upstream feedback. During the 84-day study period, a daily dose of 3 milligrams (mg) was sufficient to maintain an increase of more than 150%. Figure 4D also shows the relative to the 85-169 days after discontinuation The pre-treatment condition showed a continuously rising concentration of interleukin 10 (IL-10). On day 169, experimental group III (interferon IFN (IFNt) at a daily dose of 3 milligrams (mg)) Interleukin 10 (IL-10) concentration did not fall back to baseline. Therefore, the treatment of physiological conditions of autoimmune abnormalities, especially multiple sclerosis, psoriasis, rheumatoid arthritis and allergies. 34 20053 ^ ¾ Relative to subjects not administered with interferon-tau (IFNt), a sufficient amount of interferon-tau (ΙΡΝτ) is administered to produce an initially measurable amount Increased blood levels of interleukin 10 (IL-10); discontinue administration of interferon-tan (IFNt) —

段時間後相對於未施予干擾素-tau (IFNt)之受試者,白介素 10 (IL-10)血中濃度仍維持在上升狀態;需要時仍可回復 治療,例如在症狀惡化時做考量。足量的干擾素-tau (IFNt) 以產生初始可量測的白介素1〇( IL-10)血中濃度增加指大 於約5 X 108單位(U) /每天,較佳是0.5 X 1〇9單位(U) /每天或更多,最佳是1 X 1〇9單位(U) /每天或更多。停止 干擾素-tan (IFNt)給藥的其間可依疾病狀況改變,但實際上 是依硏究中受試者疾病狀況所得,藉著監控接受干擾素-tau (IFNt)治療期間與停止干擾素-tau (IFNt)給藥期間白介素 10 (IL-10)血中濃度之結果。硏究的結果可以應用到一般 病人以提供劑量推薦模式。另外停止干擾素-tau (IFNt)治療 期間可以藉著定期監控白介素10 (IL-10)血中濃度來追蹤 個別病狀況,例如在非治療期間每週或一週兩次,或者根 據病人主觀意識對症狀的認知,決定何時治療需再開始。 治療回復在當某特定病人白介素10 ( IL-10)血中濃度接近 治療前濃度、或某類型病人、或某被治療的特定病人症狀 惡化。 圖5A-5C繪示參與硏究之病人其干擾素-伽侷(IFN-γ) 濃度’以pg/mL爲單位。圖5 A繪示六位在實驗組別I接 受千擾素-tau (IFNt)—日三次0.33毫克(mg)之病人的干 擾素-伽僞(IFN-γ)濃度。干擾素-伽侷(IFN-γ)濃度總趨 35 20053ιΧ3ι6δ 勢維持在基準値且干擾素-伽僞(IFN-γ)濃度傾向些微降低 是相當明顯的。 圖5B繪示六位在實驗組別II接受干擾素-tan (IFNt) 一曰三次1毫克(mg)之病人的干擾素·伽侷(IFN-γ)血 清濃度。干擾素-伽侷(IFN-γ)濃度的降低在早期治療意即 約在第3到15天是明顯的。濃度回復到基準値且在後續治 療期間被維持在未給藥前的濃度。After a period of time, relative to subjects who have not been administered interferon-tau (IFNt), the blood concentration of interleukin 10 (IL-10) remains elevated; treatment can be resumed when needed, such as when symptoms worsen . A sufficient amount of interferon-tau (IFNt) to produce an initially measurable increase in the concentration of interleukin 10 (IL-10) means greater than about 5 X 108 units (U) per day, preferably 0.5 X 109 Units (U) / day or more, preferably 1 X 109 units (U) / day or more. Stopping the administration of interferon-tan (IFNt) may change during the course of the disease, but it is actually based on the disease status of the subject in the study. By monitoring the period of treatment with interferon-tau (IFNt) and stopping the interferon -Results of interleukin 10 (IL-10) blood concentration during tau (IFNt) administration. The results of the study can be applied to the general patient to provide a dose recommendation model. In addition, during the treatment of interferon-tau (IFNt), individual disease conditions can be tracked by regularly monitoring the concentration of interleukin 10 (IL-10) during the treatment period, such as weekly or twice a week during non-treatment period, or according to the subjective awareness of patients The recognition of symptoms determines when treatment needs to be resumed. Treatment response is when the blood level of interleukin 10 (IL-10) in a particular patient approaches the pre-treatment concentration, or the symptoms of a certain type of patient, or a particular patient being treated, worsen. Figures 5A-5C show the interferon-gamma (IFN-γ) concentration ' in the patients participating in the study in pg / mL. Figure 5A shows the interferon-gamma (IFN-γ) concentration of six patients receiving Interferon-tau (IFNt)-0.33 milligrams (mg) three times a day in experimental group I. The interferon-gamma (IFN-γ) concentration tended to remain at the baseline level, and the tendency for the interferon-gamma pseudo (IFN-γ) concentration to decrease slightly was quite obvious. FIG. 5B shows the interferon-gamma (IFN-γ) serum concentrations of six patients receiving Interferon-tan (IFNt) 1 mg three times a day in experimental group II. The decrease in interferon-gamma (IFN-γ) concentration is apparent in early treatment, i.e., about 3 to 15 days. Concentration returned to baseline and was maintained at the pre-dose concentration during subsequent treatments.

圖5C繪示六位在實驗組別III接受干擾素-tau (IFNt) 一曰三次3毫克(mg)之病人的干擾素-伽侷(IFN-γ)血 清濃度。有些病人體驗到明確的干擾素-伽侷(IFN-γ)濃度 下降,整體治療族群在實驗期間呈現一些改變。從第85到 169天中,干擾素-伽侷(IFN-γ)濃度增加在停藥後被觀察 到。顯示干擾素-tau (IFNt)在某種程度上影響了濃度的下 降。 圖5D爲結論圖比較干擾素-伽侷(IFN-γ)之血清濃度 在實驗組別I、II、與III於圖5A-5C之結果,以時間做圖 繪示實驗組別I之干擾素-伽侷(IFN-γ)血清濃度平均値(鑽 石圖形,每日三次0.33毫克(mg)),組別II (圓形,每曰 三次1毫克(mg)),與組別ΠΙ (三角形,每日三次3毫克 (mg))。 很明確的是施予干擾素-tau (IFNt)會(1)產生不顯著干 擾素-伽偶(IFN-γ)血中濃度改變,維持在篩選時之基準値 或施藥前之濃度’或(2)造成干擾素-伽僞(IFN-γ)血中濃 度從基準値或施檠前之濃度開始下降。 36 20053S3系aFIG. 5C shows interferon-gamma (IFN-γ) serum concentrations of six patients who received interferon-tau (IFNt) 3 mg / mg three times in experimental group III. Some patients experienced a definite decrease in interferon-gamma (IFN-γ) concentrations, and the overall treatment population showed some changes during the experiment. From day 85 to 169, an increase in interferon-gamma (IFN-γ) concentration was observed after discontinuation. It has been shown that interferon-tau (IFNt) affects the decrease in concentration to some extent. Fig. 5D is a conclusion chart comparing the results of interferon-gamma (IFN-γ) serum concentrations in experimental groups I, II, and III in Figs. 5A-5C. The interferon in experimental group I is plotted over time. -Gamma Bureau (IFN-γ) serum concentration average 値 (diamond pattern, 0.33 milligrams (mg) three times a day), group II (round, 1 milligram (mg) three times a day), and group III (triangle, 3 milligrams (mg) three times daily). It is clear that the administration of interferon-tau (IFNt) (1) produces insignificant changes in blood concentration of interferon-gamma (IFN-γ), which is maintained at the baseline level at the time of screening or the concentration before administration 'or (2) Cause the blood concentration of interferon-gamma pseudo (IFN-γ) to decrease from the standard radon or pre-dose concentration. 36 20053S3 seriesa

所以,從其他觀點,降低受試者血中干擾素-伽僞 (IFN-γ)濃度的方法包括:相對於未施予口服干擾素-tau (IFNt)之受試者,施予有效劑量之干擾素-伽侷(IFN-γ)給 受試者以降低干擾素-伽僞(IFN_Y)濃度。此方法對病人因 干擾素伽侷(IFN-γ)上升或有會使干擾素-伽侷(IFN-γ) 上升的疾病,特別有用。所以’思索一個預防有干擾素-伽 偶(IFN-γ)上升危險的病人如何防止其血液中干擾素-伽侷 (IFN-γ)提升的方法是⑴施予治療藥劑或(Π)有疾病狀況, 但相對於未施予干擾素-tau (IFNt)的受試者,施予受試者一 有效劑量之干擾素-tau (IFNt)以降低干擾素-伽僞(IFN-y) 血中濃度。如先前所注意的,用干擾素-貝它(IFN-β)治療 多發性硬化症,會造成病人干擾素-伽侷(IFN-γ)濃度上升。 共同施予(同時或先後施予)干擾素-tau (IFNt)有助於維持 干擾素-伽侷(IFN-γ)在治療前之濃度。傳統上,足量干擾 素-tan (IFNx)能導致受試者干擾素-伽僞(IFN-γ)血、液彳農产 下降的量是大於約5 X 108單位(U)/每天,較佳是〇.5 χ 單位(U) /每天或更多,更加是1 x 109單位(U) /每天戌 更多。 圖6A_6F顯示的白介素10 ( IL-10)(鑽石型)與干擾 素-伽僞(IFN-γ)(方形)血清濃度,以pg/mL爲單位,病 人選自治療組別I、II、與III對應圖4-5做討論。 圖6A繪示在治療組別I的病人101之白介素i〇( (鑽石圖形)以及干擾素-tau (IFNt)(方形)之血清濃度,接 受干擾素-tau (IFNt)—日三次0.3 3毫克(mg )每日劑量^ 37 200533ά6τ9> 毫克(mg)。白介素10 (IL-10)濃度基準値與干擾素-伽侷 (IFN-γ)濃度基準値(數據在篩檢日及第一日取得並平均) 分別爲5.2 pg/mL與3.9 pg/mL,且初始白介素10 ( IL-10) /干擾素-伽侷(IFN-γ)濃度比値爲1.3。在干擾素-tau (IFNt) 治療期間,白介素10 ( IL-10) /干擾素-伽侷(IFN-γ)濃度 比値在第22天增加爲1.6,後來又回到基準値直到第84天 停止給藥爲止。Therefore, from another point of view, methods for reducing the concentration of interferon-gamma (IFN-γ) in the blood of a subject include: administering an effective dose of IFN-γ to a subject not receiving oral interferon-tau (IFNt). Interferon-gamma (IFN-γ) is administered to the subject to reduce the concentration of interferon-gamma pseudo (IFN_Y). This method is particularly useful for patients who have an increase in interferon-gamma (IFN-γ) or have diseases that can increase the level of interferon-gamma (IFN-γ). So 'think about how to prevent a patient at risk of rising interferon-gamma (IFN-γ) from interfering with the interferon-gamma (IFN-γ) in his blood by administering a therapeutic agent or (Π) having a disease Condition, but the subject is administered an effective dose of interferon-tau (IFNt) to reduce the amount of interferon-gamma (IFN-y) in the blood relative to the subject without interferon-tau (IFNt) concentration. As previously noted, the treatment of multiple sclerosis with interferon-beta (IFN-β) can cause patients to have increased interferon-gamma (IFN-γ) concentrations. Co-administration (simultaneous or sequential) of interferon-tau (IFNt) helps to maintain the concentration of interferon-gamma (IFN-γ) before treatment. Traditionally, a sufficient amount of interferon-tan (IFNx) can cause the subject's interferon-gamma pseudo (IFN-γ) blood and liquid production to decline by more than about 5 X 108 units (U) per day, compared with It is preferably 0.5 χ units (U) per day or more, and even more preferably 1 x 109 units (U) per day or more. Figures 6A-6F show the serum concentrations of interleukin 10 (IL-10) (diamond type) and interferon-gamma pseudo (IFN-γ) (square) in pg / mL. The patient is selected from treatment groups I, II, and III corresponds to Figure 4-5 for discussion. FIG. 6A shows the serum concentrations of interleukin i 0 (diamond pattern) and interferon-tau (IFNt) (square) in patient 101 of treatment group I, receiving interferon-tau (IFNt) —0.3 3 mg three times a day (Mg) Daily dose ^ 37 200533ά6τ9 > Milligram (mg). Interleukin 10 (IL-10) concentration benchmark and interferon-gamma (IFN-γ) concentration benchmark (data obtained on screening day and the first day And averaged) were 5.2 pg / mL and 3.9 pg / mL, respectively, and the initial interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio was 1.3. Interferon-tau (IFNt) treatment During this period, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio increased to 1.6 on the 22nd day, and then returned to the baseline value until the 84th day when the drug was stopped.

圖6B在治療組別II的病人205之白介素10 ( IL-10) (鑽石圖形)以及干擾素-tau (IFNt)(方形)之血清濃度,接 受干擾素-tau (IFNt) —日三次1.0毫克(mg)每日劑量3 毫克(mg)。白介素10 (IL-10)濃度基準値與干擾素-伽侷 (IFN-γ)濃度基準値(數據在篩檢日及第一日取得並平均) 分別爲3.8 pg/mL與5.2 pg/mL,且初始白介素10 ( IL-10) /干擾素-伽侷(IFN-γ)濃度比値爲0.73。在干擾素-tau (IFNt) 治療期間,白介素1 〇 ( IL-10 ) /干擾素-伽侷(IFN-γ )濃度 比値在第15天增加爲1,後來又回到基準値直到第84天 停止給藥爲止。所以使用干擾素-tan (IFNt)治療造成白介素 10( IL-10)/干擾素-伽侷(IFN-γ)濃度比値調整增加約25%。 圖6C繪示在治療組別III的病人301之白介素10 (IL-10)(鑽石圖形)以及干擾素-tan (IFNt)(方形)之血 清濃度,接受干擾素-tau (IFNt) —日三次3毫克(mg)每 曰劑量9毫克(mg)。白介素10 ( IL-10)濃度基準値與干 擾素-伽侷(IFN-γ)濃度基準値(數據在篩檢日及第一曰取 得並平均)分別爲4.4 pg/mL與3.9 pg/mL,且初始白介素10 38 200531¾½¾ (IL-10) /干擾素-伽侷(IFN-γ)濃度比値爲1.0。在干擾 素-tan (IFNt)治療期間,白介素10 (IL-10)濃度增加4到Figure 6B. Serum concentrations of interleukin 10 (IL-10) (diamond pattern) and interferon-tau (IFNt) (square) in patient 205 of treatment group II, receiving interferon-tau (IFNt)-1.0 mg three times a day (Mg) Daily dose is 3 milligrams (mg). Interleukin 10 (IL-10) concentration reference and interferon-gamma (IFN-γ) concentration reference (data obtained on the first day of screening and averaged) are 3.8 pg / mL and 5.2 pg / mL, respectively. The initial interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio was 0.73. During interferon-tau (IFNt) treatment, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio increased to 1 on day 15 and then returned to baseline until 84 Days until the drug is stopped. Therefore, the treatment with interferon-tan (IFNt) resulted in an increase in the concentration of interleukin 10 (IL-10) / interferon-gamma (IFN-γ) by about 25% compared to the 値 adjustment. FIG. 6C shows the serum concentrations of interleukin 10 (IL-10) (diamond pattern) and interferon-tan (IFNt) (square) of patients 301 in treatment group III, receiving interferon-tau (IFNt) —three times a day 3 milligrams (mg) 9 milligrams (mg) per day. Interleukin 10 (IL-10) concentration benchmark and interferon-gamma (IFN-γ) concentration benchmark (data obtained and averaged on the screening day and the first day) are 4.4 pg / mL and 3.9 pg / mL, respectively. The initial interleukin 10 38 200531¾½¾ (IL-10) / interferon-gamma (IFN-γ) concentration ratio 値 was 1.0. During interferon-tan (IFNt) treatment, interleukin 10 (IL-10) concentration increased by 4 to

5倍,持續增加,干擾素-伽侷(IFN-γ)濃度則維持在初始 濃度4-5 pg/mL。所以,白介素1〇 ( IL-10) /干擾素-伽侷 (IFN-γ)濃度比値從1.0升達爲4.0,足足有四倍的增加。 圖6D-6F繪示在治療組別III的病人303、304、305之白介 素10 (IL-10)(鑽石圖形)以及干擾素-伽僞(IFN-γ)(方 形)之血清濃度,接受干擾素-tan (IFNt)—日三次3.0毫克 (mg)每曰劑量9毫克(mg)。分析白介素10 ( IL-10) / 干擾素-伽侷(IFN-γ)濃度比値與圖6C討論之病人301類 似。特別的是,圖6D繪示的是病人303之資料。此位病人 之白介素10 (IL-10)血中濃度在第43天約有基準値四倍 的增加,到第71天約有基準値六倍的增加。干擾素-伽僞 (IFN-γ)之血中濃度則維持恆定。所以,所以白介素1〇 (IL-10) /干擾素-伽侷(IFN-γ)濃度比値從0.6升達大於 3,約有基準値五倍的增加。 圖6E繪示在治療組別III的304病人。病人之白介素 10 (IL-10)血中濃度約有4到5倍基準値的增加。干擾素 -伽侷(IFN-γ)之血中濃度基本上維持不變。所以到第71 天時,白介素10 ( IL-10 )/干擾素-伽侷(IFN-γ )濃度比値 從0.6升達2.6,約有基準値四倍的增加。 圖6F繪示在治療組別III的305病人。證據顯示治療 期間病人之白介素10 (IL-10)血中濃度持續增加,從0.7 開始在第43天升達大於9。干擾素-伽侷(IFN-γ)之血中 39 20053i^3i6.9c 濃度基本上維持不變。白介素10 (ILe 10) /干擾素-伽僞 (IFN-γ)濃度比値從有大於10倍的增加。5 times, increasing continuously, while the concentration of interferon-gamma (IFN-γ) was maintained at the initial concentration of 4-5 pg / mL. Therefore, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio was increased from 1.0 to 4.0, a four-fold increase. Figure 6D-6F shows the serum concentrations of interleukin 10 (IL-10) (diamond pattern) and interferon-gamma (IFN-γ) (square) in patients in treatment group III, receiving interference -Tan (IFNt)-3.0 milligrams (mg) three times a day at a dose of 9 milligrams (mg). The analysis of the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio was similar to that of patient 301 discussed in Figure 6C. In particular, FIG. 6D shows the data of the patient 303. In this patient, the concentration of interleukin-10 (IL-10) increased approximately four-fold from the baseline on day 43 and approximately six-fold from the baseline by day 71. The blood levels of IFN-γ remained constant. Therefore, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio 値 is increased from 0.6 liters to more than 3, which is about a five-fold increase from the baseline 値. FIG. 6E shows 304 patients in treatment group III. The patient's blood levels of interleukin 10 (IL-10) increased by about four to five times the baseline. The blood levels of interferon-gamma (IFN-γ) remained essentially unchanged. So by the 71st day, the interleukin 10 (IL-10) / interferon-gamma (IFN-γ) concentration ratio was increased from 0.6 to 2.6, which was about four times the baseline. Figure 6F shows 305 patients in treatment group III. Evidence shows that the patient's interleukin-10 (IL-10) blood concentration continued to increase during treatment, rising from 0.7 to greater than 9 on day 43. The concentration of interferon-gamma (IFN-γ) in blood 39 20053i ^ 3i6.9c remained essentially unchanged. The interleukin 10 (ILe 10) / interferon-gamma pseudo (IFN-γ) concentration ratio increased by more than 10 times.

總之,資料顯示組別111的病人使用干擾素etau (IFNt) 可有效增加白介素l〇 ( K-10) /干擾素-伽侷(IFN丫)濃度 比値。尤其是白介素1〇 (IL-10)之血中濃度因口服干擾素 -tau (IFNt)而上升可被具統計意義的白介素丨〇 ( IL-10)之 血中濃度上升所證實。白介素10 ( IL_10)之血中濃度上升 大於百分之25%,且在這組病人族群中白介素10 (IL-10) 之血中濃度上升相對較大。 在另一個硏究,五個患有病毒感染,C型肝炎的病人 收錄硏究干擾素-tau (IFNt)之接受。硏究中,描述在範例3 的病人接受干擾素-tau (IFNt) 7.5 mg —天兩次的治療,每 日總劑量15 mg的干擾素-tau (IFNt) (1.5 X 109抗病毒單位 (antiviral units)。第一劑量在早晨早餐前服用,第二劑量 在晚上晚餐後三小時服用。血液取樣在測試的113天中定 期取樣。干擾素-tau (IFNt)給藥在第84天停止。樣品分析 白介素10(IL-10)、白介素i2(il-12)、干擾素-伽僞(IFN_y) 之血清濃度以商用方法檢測。 圖7A與7B繪示白介素10( jl-10)之血清濃度(圖7A) 且干擾素-伽侷(IFN-γ)之血清濃度(圖7B)以爲單位,五 位病人的資料以時間爲橫座標做圖,以日爲單位。如圖7A 所示,三位病人有白介素1〇 (IL-10)(病人以三角型、鑽 石以及數字(x’s)表示,在接受干擾素_tau (IFNt)治療期 間,即第一天到第84天顯示白介素丨〇 ( IL_丨〇 )濃度上升。 20053¾^ 在治療期間,圖7B顯示五位病人均有干擾素-伽僞(IFN-γ) 血中濃度的下降。停止劑量之後,干擾素-伽侷(IFN-γ)濃 度上升,如圖所示於第85天到第113天。In summary, data show that the use of interferon etau (IFNt) in patients in group 111 can effectively increase the concentration of interleukin 10 (K-10) / interferon-gamma (IFNγ). In particular, the increase in the blood concentration of interleukin 10 (IL-10) due to oral interferon-tau (IFNt) can be confirmed by the statistically significant increase in the blood concentration of interleukin 丨 0 (IL-10). The blood concentration of interleukin 10 (IL_10) increased by more than 25%, and the blood concentration of interleukin 10 (IL-10) increased relatively more in this group of patients. In another study, five patients with viral infection, hepatitis C were enrolled in study Interferon-tau (IFNt). In the study, the patient described in Example 3 received interferon-tau (IFNt) 7.5 mg twice a day, a total daily dose of 15 mg of interferon-tau (IFNt) (1.5 X 109 antiviral unit (antiviral units). The first dose was taken before breakfast in the morning and the second dose was taken three hours after dinner in the evening. Blood samples were taken regularly during 113 days of testing. Interferon-tau (IFNt) administration was discontinued on day 84. Samples The serum concentrations of interleukin 10 (IL-10), interleukin i2 (il-12), and interferon-gamma pseudo (IFN_y) were analyzed using commercial methods. Figures 7A and 7B show the serum concentrations of interleukin 10 (jl-10) ( Fig. 7A) The serum concentration of interferon-gamma (IFN-γ) (Fig. 7B) is taken as the unit, and the data of five patients are plotted on the horizontal axis of time and the unit of day. As shown in Fig. 7A, three Patients have interleukin 10 (IL-10) (Patients are represented by triangles, diamonds, and numbers (x's). During the period of treatment with interferon tau (IFNt), that is, the first day to the 84th day shows interleukin 丨 〇 (IL _ 丨 〇) concentration increased. 20053¾ ^ During treatment, Figure 7B shows that all five patients had interferon-gamma pseudo- (IFN- γ) The concentration of blood decreased. After stopping the dose, the concentration of interferon-gamma (IFN-γ) increased, as shown on the 85th day to the 113th day.

血液樣本從本硏究中之病人身上採樣分析白介素12 (IL-12)濃度。白介素12 (IL-12)是發炎細胞色素且對 多發性硬化症之發病病理相關。文獻記載(1)增加白介素12 (IL-12)是主要的多發性硬化症發病反應機轉(Filson W α/., Clin. Immunol·, 106(2):127 (2003) ; (2)多發性硬化症(MS ) 的病人之標準病徵有白介素1〇 (IL-10)下降且有白介素 12 (IL-12)上升,且這些細胞色素濃度與病情階段是相關 的(van Boxel_Dezaire a/., TV^wro/·,45:695 (1999))。 至於病毒感染,高濃度的白介素12 (IL-12)也被顯示足以 惡化百日咳桿菌(5. 細菌繁殖(Carter e/ a/·,C//”·Blood samples were taken from the patients in this study and analyzed for interleukin-12 (IL-12) concentrations. Interleukin 12 (IL-12) is an inflammatory cytochrome and is pathologically related to multiple sclerosis. Documents (1) Increase of interleukin 12 (IL-12) is the main mechanism of the pathogenesis of multiple sclerosis (Filson W α /., Clin. Immunol ·, 106 (2): 127 (2003); (2) Multiple The standard symptoms of patients with sexual sclerosis (MS) are a decrease in interleukin 10 (IL-10) and an increase in interleukin 12 (IL-12), and these cytochrome concentrations are related to the disease stage (van Boxel_Dezaire a /., TV ^ wro / ·, 45: 695 (1999)). As for virus infection, high concentrations of interleukin 12 (IL-12) have also been shown to be sufficient to worsen pertussis (5. Bacterial reproduction (Carter e / a / ·, C / / "·

Exp· Immunol·, 135(2):233 (2〇〇4))。所以,監測受祿硏究中 之病人的白介素12 (IL-12)是需要的。 圖8A-8D繪示範例3中六位病人的白介素10 ( IL-10) (鑽石圖形)和干擾素-伽侷(IFN-γ)(方形)以及白介素12 (IL-12)(三角形)之血清濃度,以pg/mL爲單位◦真正的 白介素12 ( IL-12)濃度是十倍於圖8A到8D所示(真正 的値被除以1〇以便於把所有的資料顯示於一單一圖形 內。) 〇 圖8A繪示病人401的資料。如圖所示,白介素10 (IL-10)之濃度在接受干擾素-tan (IFNt)治療期間有增加, 干擾素-伽侷OFN-γ)濃度維持不變或些許降低’且白介素 41 2〇〇5mm 10 (IL-10)之濃度變動直到第29天開始產生下遊回饋。 初始白介素10 ( IL-10)濃度是53.1 pg/mL,且初始白介素 12 ( IL-12)基準値是 696 pg/mL,白介素 10 ( IL-10)與 白介素12 ( IL-12)之濃度比是0.08。在治療期間,比例變 動從〇·12上升至0.18,具有570到ΠΟΟ%的增加。此位 病人之白介素10 (IL-10)濃度增加從基準値53.1 pg/mL 上升到大於140 pg/mL,產生大於160%的增加(2.6倍)。Exp. Immunol., 135 (2): 233 (2004)). Therefore, monitoring of interleukin 12 (IL-12) in patients under investigation is needed. Figures 8A-8D show the interleukin 10 (IL-10) (diamond pattern) and interferon-gamma (IFN-γ) (square) and interleukin 12 (IL-12) (triangle) of six patients in Example 3. Serum concentration in pg / mL ◦ The true interleukin 12 (IL-12) concentration is ten times higher than that shown in Figures 8A to 8D (the real radon is divided by 10 to allow all data to be displayed in a single graph (Inside.) Figure 8A shows the data of patient 401. As shown in the figure, the concentration of interleukin 10 (IL-10) increased during the treatment with interferon-tan (IFNt), and the concentration of interferon-gamma OFN-γ remained unchanged or slightly decreased 'and interleukin 41 2〇 The concentration of 〇5mm 10 (IL-10) fluctuated until the 29th day when downstream feedback was generated. The initial interleukin 10 (IL-10) concentration was 53.1 pg / mL, and the initial interleukin 12 (IL-12) baseline was 696 pg / mL. The concentration ratio of interleukin 10 (IL-10) to interleukin 12 (IL-12) It is 0.08. During the treatment period, the proportion change rose from 0.12 to 0.18, with an increase of 570 to 100%. This patient's increase in interleukin 10 (IL-10) concentration increased from a baseline of 53.1 pg / mL to greater than 140 pg / mL, resulting in a greater than 160% increase (2.6 times).

圖8B繪示病人402的資料,且圖8C繪示病人403的 資料。病人402的初始白介素10 (IL-10)基準値是42.7 pg/mL (數據在篩檢日及第一日取得並平均)。白介素10 (IL-10)濃度在第43到達最大値,此時之濃度爲67 pg/mL 有56%的增加。干擾素-tau(IFNT)血中濃度在基準値附近 變動。白介素12 ( IL-12)基準値是934 pg/mL,白介素 10 (IL-10)與白介素12 (IL-12)之濃度比是0·(Μ6。在第 43天,白介素10 ( IL-10)與白介素I2 ( IL-12)之濃度比 達到0.088,相對於基準値有90%的增加。 在圖8C病人初始白介素1〇( IL-10 )與白介素1¾ IL-12 ) 之濃度比爲 0.10 (IL-10 = 118.5 pg/mL; IL-12 = 1227 pg/mL)。比例在治療期間增加,在第43天之比値爲0.22, 白介素10 (IL-10)與白介素12 (IL-12)之濃度比有2.2 倍的增加。病人的白介素10 (IL-10)血中濃度在第43天 之比値達到最大値有63%高於基準値。 圖8D繪示病人404之資料。病人之初始白介素10 (IL-10 )濃度爲69·6 pg/mL且初始白介素12 ( IL-12 )濃 42 2005332¾^ 度爲1552 pg/mL,因此初始白介素10 ( IL-10 )與白介素 12 ( IL-12)之濃度比是0.045。在接受每日1·5 X 109單位 (U)的干擾素-tau (IFNt)劑量治療期間,白介素l〇(lL-l〇) 濃度在第43天上升了約60%。白介素12 ( IL-12)濃度在 第43天下降到900 pg/mL,所以白介素10 ( IL-10 )與白介 素12 ( IL-12)之濃度比在第43天是0.12。FIG. 8B shows the data of the patient 402, and FIG. 8C shows the data of the patient 403. The initial interleukin 10 (IL-10) baseline for patient 402 was 42.7 pg / mL (data were obtained and averaged on screening day and first day). Interleukin 10 (IL-10) reached its maximum concentration at the 43rd level, at which time the concentration was 67 pg / mL with a 56% increase. Interferon-tau (IFNT) blood levels fluctuate around the baseline. The baseline of interleukin 12 (IL-12) is 934 pg / mL, and the concentration ratio of interleukin 10 (IL-10) to interleukin 12 (IL-12) is 0 · (M6. On day 43, interleukin 10 (IL-10) ) And interleukin I2 (IL-12) concentration ratio reached 0.088, a 90% increase from the baseline 値. In Figure 8C, the initial concentration ratio of interleukin 10 (IL-10) and interleukin 1¾ IL-12) was 0.10. (IL-10 = 118.5 pg / mL; IL-12 = 1227 pg / mL). The ratio increased during the treatment period, with a ratio of 0.22 on day 43 and a 2.2-fold increase in the concentration ratio of interleukin 10 (IL-10) to interleukin 12 (IL-12). The patient's interleukin 10 (IL-10) blood concentration reached a maximum at day 43 (63% above baseline). FIG. 8D shows the data of the patient 404. The patient's initial interleukin 10 (IL-10) concentration was 69 · 6 pg / mL and the initial interleukin 12 (IL-12) concentration was 42 2005332 ¾ ^ 1552 pg / mL, so the initial interleukin 10 (IL-10) and interleukin 12 The concentration ratio of (IL-12) was 0.045. During treatment with a daily dose of 1.5 x 109 units (U) of interferon-tau (IFNt), the concentration of interleukin 10 (lL-10) increased by about 60% on day 43. Interleukin 12 (IL-12) concentration decreased to 900 pg / mL on the 43rd day, so the concentration ratio of interleukin 10 (IL-10) to interleukin 12 (IL-12) was 0.12 on the 43rd day.

病人405在本硏究之初始白介素10 ( IL-10)血中濃度 是34.9 pg/mL且初始白介素12 (IL-丨2)血中濃度是976 pg/mL白介素10 (IL-10)與白介素Π (IL-12)之濃度比 是0.036)(資料未顯示)。在施予干擾素-tan (IFNt)每日劑量 1·5 X 109單位(U)治療期間可有效增加白介素10( IL-10) 與白介素12 (IL-12)之濃度比,在治療的第71天達到比 値0.058,具備60%的增加。白介素10 (IL-10)血中濃度 從治療前到第71天增加了 20%。 因此對罹患自體免疫疾病的受試者施予有效劑量之干 擾素-tau (IFNt)來增加白介素10 (IL-10)與白介素I2 (IL-12)之濃度比,並得到相對於未接受干擾素-tan (IFNt) 治療之受試者,本硏究之受試者可量測之初始白介素 (IL-10)濃度增加的方法,且相對於未接受干擾素-tau (IFNt)治療之受試者降低受試者白介素12( IL-12)之濃度。 同時考慮施予有效劑量之干擾素-tau (IFNt)抑制自體免疫 疾病病患惡化之方法,相對於未接受干擾素-tau (IFNt)治療 之受試者,本硏究接受干擾素-tau (IFNt)治療之受試者產生 可量測之初始白介素1〇 ( IL-10)血中濃度增加,與相對於 20053S3^9〇c 未接受干擾素-tan (IFNt)治療之受試者降低受試者白介素 12(IL-12)之濃度。特別是,病人以大於約5 X 108單位(U) 的干擾素-tau (IFNi:)治療可增加白介素10 ( IL-10)血中濃 度大於25%且有許多案例是大於50%。在同樣的病人中, 干擾素-伽僞(IFN-γ)之血中濃度基本上未改變甚或是降低 的,白介素12 (IL-12)之濃度一般是降低的。 總之,本發明針對需要治療的病人施予口服的干擾素 -tau (IFNt)。 初始干擾素-tau (IFNt)劑量的選擇以達成特定病人之 白介素10 (IL-10)血中濃度增量,同時/或降低或未改變 干擾素-伽僞(IFN-γ)之濃度,同時/或降低白介素12( IL-12) 之濃度。干擾素-tau (IFNt)適合施予的形式是經過腸道而 非口腔。劑量選擇可以藉由例如監測白介素10 ( IL-10)之 濃度’比如治療前與第一次治療後。另外有效劑量可依不 同疾病狀態下的病人模組之反應來決定,例如是特定年齡 範圍特定病情的病人,比如病毒感染或自體免疫異常可以 ^ 監測白介素10 ( IL-10)之濃度回應不同初始干擾素-tau (IFNt)劑量,以決定合適病人之年齢/疾病的劑量,且劑量 規範可由治療醫師提供。一方面本發明包括一干擾素-tau (IFNt)治療組以口服型式將目標蛋白質送抵腸道例如以腸 衣膜包覆之干擾素-tau (IFNt)形式,且以產品文獻報告或仿 單說明書提供之有效劑量規範依不同的病人狀況給藥,也 就是提供一可產生可量測之白介素10 ( IL-10)濃度上升。 較佳的狀況是仿單說明書提供劑量範圍且預測白介素1〇 44 20053S3^8l〇c (IL-10)濃度上升改變量。Patient 405 had an initial interleukin 10 (IL-10) blood concentration of 34.9 pg / mL and an initial interleukin 12 (IL- 丨 2) blood concentration of 976 pg / mL interleukin 10 (IL-10) and interleukin in this study. The concentration ratio of Π (IL-12) is 0.036) (data not shown). During the administration of interferon-tan (IFNt) at a daily dose of 1.5 X 109 units (U), the concentration ratio of interleukin 10 (IL-10) to interleukin 12 (IL-12) can be effectively increased. In 71 days, the ratio reached 0.058, with a 60% increase. Interleukin 10 (IL-10) blood levels increased by 20% from pre-treatment to day 71. Therefore, an effective dose of interferon-tau (IFNt) is administered to a subject suffering from an autoimmune disease to increase the concentration ratio of interleukin 10 (IL-10) to interleukin I2 (IL-12), and to obtain For subjects treated with interferon-tan (IFNt), the measurable subject's measurable method for increasing the initial interleukin (IL-10) concentration is relative to that of patients not receiving interferon-tau (IFNt) treatment. The subject reduced the subject's interleukin-12 (IL-12) concentration. At the same time, consider the method of administering an effective dose of interferon-tau (IFNt) to suppress the deterioration of patients with autoimmune diseases. Compared with subjects who have not been treated with interferon-tau (IFNt), we have received interferon-tau in this study. (IFNt) -treated subjects produced measurable increases in initial interleukin 10 (IL-10) blood levels, compared to 20053S3 ^ 90 ° c subjects who did not receive interferon-tan (IFNt) treatment. The concentration of interleukin 12 (IL-12) in the subject. In particular, patients treated with interferon-tau (IFNi :) greater than about 5 X 108 units (U) can increase interleukin 10 (IL-10) blood concentrations by more than 25% and in many cases by more than 50%. In the same patients, the blood levels of interferon-gamma pseudo- (IFN-γ) remained essentially unchanged or decreased, and the concentration of interleukin-12 (IL-12) was generally reduced. In summary, the present invention administers oral interferon-tau (IFNt) to patients in need of treatment. The initial dose of interferon-tau (IFNt) is selected to achieve an increase in the concentration of interleukin 10 (IL-10) in the blood of a specific patient, and / or to reduce or not change the concentration of interferon-gamma pseudo (IFN-γ), and And / or reduce the concentration of interleukin-12 (IL-12). A suitable form of administration of interferon-tau (IFNt) is through the intestine rather than the oral cavity. The dose can be selected, for example, by monitoring the concentration of interleukin 10 (IL-10) ' such as before and after the first treatment. In addition, the effective dose can be determined according to the response of the patient module under different disease states. For example, patients with specific conditions in a specific age range, such as viral infection or autoimmune abnormalities, can monitor the concentration of interleukin 10 (IL-10) to respond differently. The initial interferon-tau (IFNt) dose is used to determine the appropriate patient's annual radon / disease dose, and dosage specifications can be provided by the treating physician. In one aspect, the present invention includes an interferon-tau (IFNt) treatment group that delivers the target protein to the intestine in an oral form, such as an interferon-tau (IFNt) in the form of an enteric coating, and is reported in the product literature or as a single copy The effective dosage specifications provided are administered according to different patient conditions, that is, to provide a measurable increase in interleukin 10 (IL-10) concentration. A better situation is to provide a dose range and to predict an increase in the concentration of interleukin 10 44 20053S3 ^ 810c (IL-10).

追蹤初始施予劑量,或劑量達到足以使白介素10 (IL-IO)血中濃度上升改變可量測之量(有效劑量),有效 劑量干擾素tau ( IFNt )的施予持續,建議每天或一週數次 的方式,持續一段較長的時間。有效劑量施予一段時間能 有效提供一初始可量測之白介素1〇 ( IL-10)濃度上升,真 正白介素10 ( IL-10)濃度在較長治療期間的獨立行爲,不 論是否持續相同或不同的有效劑量。所以在治療期間,血 液中白介素1〇 (IL-10)濃度可能一直維持在上升的狀態, 持續增加或者是減少(例如,回應降低病毒感染的濃度),甚 至透過病人持續接受干擾素tau(IFN〇以有效產生初始可 量測的血中白介素10 (IL-10)濃度可能一直維持在上升。 有效劑量基本上大於約每日5 X 108單位,甚至可高達每日 約1012單位;更特別的是,劑量基本上大於約每日5 X 1〇8 單位較佳是約每日〇·5 X 1〇9單位或更多,甚至更佳的是每 曰約1 X 109單位或更多。劑量可被調整以獲得想要的初始 白介素10 ( IL-10)濃度,例如大於爲接受治療的正常値介 於1.5到4倍。 在一些病人和一些條件下施予干擾素tau ( IFNt )結合 其他藥劑也被運用。細節描述如下,例如結合干擾素tau (IFN〇與一抗病毒藥劑對某些病人事有益的。同樣的, 結合干擾素tau ( IFNt )與治療自體免疫的藥劑在某些狀況 夜市有益的。結合干擾素tan ( IFNt)與治療細胞異常增生 的藥劑在某些狀況夜市有益的。更一般性的運用干擾素tau 45 20053^2¾^¾ (IFNO結合任何已知的藥劑以完成治療並示範藥劑組合 於後續範例。在此所指的干擾素tau ( IFNt)的藥劑組合, 可以是先後服用或同時服用兩個藥劑,先後服用可以立刻 或非立即連續服用。 III.使用方法Track the initial administered dose, or the dose reaches a measurable amount (effective dose) sufficient to increase the concentration of interleukin 10 (IL-IO) in the blood, and the effective dose of interferon tau (IFNt) is continued. It is recommended that it be administered daily or for a week. Several times, for a long time. Effective dose administration for a period of time is effective to provide an initially measurable increase in interleukin 10 (IL-10) concentration, independent behavior of true interleukin 10 (IL-10) concentration over a longer treatment period, whether or not the same or different persists Effective dose. Therefore, during treatment, the concentration of interleukin 10 (IL-10) in the blood may be maintained in an increasing state, continuously increasing or decreasing (for example, in response to reducing the concentration of viral infection), and even receiving interferon tau (IFN 〇In order to effectively produce the initial measurable concentration of interleukin-10 (IL-10) in the blood, the effective dose may be maintained at an increase. The effective dose is substantially greater than about 5 X 108 units per day, and may even be as high as about 1012 units per day. Yes, the dosage is substantially greater than about 5 X 108 units per day, preferably about 0.5 X 109 units per day or more, and even more preferably about 1 X 109 units or more per day. It can be adjusted to obtain the desired initial interleukin 10 (IL-10) concentration, for example between 1.5 and 4 times greater than the normal radon for treatment. Interferon tau (IFNt) is administered in some patients and under some conditions in combination with others Agents are also used. Details are described below, for example, the combination of interferon tau (IFN0 and an antiviral agent may be beneficial for some patients. Similarly, the combination of interferon tau (IFNt) with agents for treating autoimmunity in some cases situation Beneficial to the city. Combining interferon tan (IFNt) with agents for the treatment of abnormal cell proliferation is beneficial in certain conditions at night markets. More general use of interferon tau 45 20053 ^ 2¾ ^ ¾ (IFNO combines with any known agent to complete Treatment and demonstration of the combination of agents in the subsequent examples. The combination of agents of the interferon tau (IFNt) referred to here can be taken sequentially or simultaneously, and can be taken immediately or non-immediately. III. Method of use

如同上述資料所描述,施予干擾素-tan (IFNt)提供治療 病人罹患引起白介素10 ( IL-10)濃度上遊回饋之疾病或症 狀。疾病或狀況π反應白介素1〇 ( IL-10)治療”指的是疾 病存在、惡化、或症狀因施予白介素10 (IL-10)或藥劑而 改變產生了白介素10 ( IL-10)濃度上升。上述資料描述施 予干擾素-tan (IFNt)可以治療對干擾素治療的反應。反應干 擾素-tau (IFNt)治療’’指的是疾病存在、惡化、或症狀因施 予干擾素藥劑而改變,特別是第一型干擾素,更特別的是 干擾素-tau (IFNt)。症狀會對干擾素-阿爾法(IFNa)或干擾 素-貝它(IFNP)回應的也會對干擾素tau(IFN〇治療有反 應。方法包括提供干擾素-tau (IFNt),適宜以口服施予劑型 將有效劑量送達胃或腸道做爲治療。如證據所示,例如, 特定病人或與硏究相同狀況的病人以之治療白介素10 (匕-10)濃度上升。足量的干擾素tau ( IFN〇用以增加 白介素10(IL-10)血中濃度也可有效降低白介素12(Π-Π) 血中濃度,同時降低或不改變干擾素-伽僞(IFN^)。 標準可治療的疾病或症狀是對細胞色素有反應的治 療。對白介素10 ( IL-10)有反應的疾病或症狀很廣泛’所 46 2005333ρ6(9〇As described in the above information, the administration of interferon-tan (IFNt) provides treatment for patients suffering from diseases or conditions that cause upstream feedback of interleukin 10 (IL-10) concentrations. Disease or condition π response to interleukin 10 (IL-10) treatment "refers to the presence, exacerbation, or change in symptoms due to the administration of interleukin 10 (IL-10) or a medicament resulting in an increase in interleukin 10 (IL-10) concentration The above information describes that the administration of interferon-tan (IFNt) can treat the response to interferon treatment. Responding to interferon-tau (IFNt) treatment refers to the presence, deterioration, or symptoms of the disease due to the administration of interferon agents Changes, especially type 1 interferon, and more specifically interferon-tau (IFNt). Symptoms that respond to interferon-alpha (IFNa) or interferon-beta (IFNP) also affect interferon tau ( Response to IFN0 treatment. Methods include the provision of interferon-tau (IFNt), which is suitable for delivery to the stomach or intestine as an oral administration form. As evidence shows, for example, specific patients or the same conditions as those investigated Of patients treated with increased interleukin 10 (D-10) concentration. A sufficient amount of interferon tau (IFN〇 to increase the concentration of interleukin 10 (IL-10) in the blood can also effectively reduce the level of interleukin 12 (Π-Π) in the blood Concentration, while reducing or not changing the interferon-gamma pseudo (IFN ^). Quasi-treatable disease or condition is responsive to cytochrome treatment. Interleukin 10 (IL-10) responsive to the disease or symptoms of a very wide range 'of 46 2005333ρ6 (9〇

以可以使用干擾素-tau (IFNt)治療,單一或合倂其他治療藥 劑。例如本發明的方法,可以有效治療神經病變,包括愛 滋海默症(Alzheimer’s disease)孤獨症(autism);纖維化 疾病(fibrotic diseases),包括肺纖維化許肝臟纖維化,自 體免疫異常疾病,包括抗磷脂化症後群(anti-phospholipid syndrome)、關節炎(arthritis)、過敏症(allergies)、糖尿 病(diabetes ),例如第一型糖尿病(type I diabetes mellitus );發炎性腸道疾病(inflammatory bowel disease ), 包括克隆氏症 (Crohn’s disease)與潰瘍性大腸炎 (ulcerative colitis ),牛皮癬(psoriasis );多發性硬化症 (multiple sclerosis,葡萄膜炎(uveitis ); 慢性阻塞型肺 部疾病(chronic obstructive pulmonary disease),包括慢性 支氣管炎(chronic bronchitis )與肺氣腫(emphysema); 疾病或症狀的特徵是細胞、組織、或器官的受傷或死亡, 因爲降低血流或氧氣的量到細胞、組織、或器官,包括中 風;與動脈粥樣硬化症以及器官移植產生的排斥。 A.治療免疫系統異常 本發明方法具有治療相關免疫系統過敏性的優點。四 種免疫系統過敏(Clayman,C_B.編著的American Medical Ass_ociation Encyclopedia of Medicine 由 Random House 方令 1991年出版紐約)如下。 第一種或稱做立即/過敏性,因爲肥胖細胞因應過敏源 (比如是花粉),包括氣喘、花粉熱、奪麻疹、過敏性休克與 其他過敏性疾病而產生去球狀化導致的免疫反應。 47 20053^1 第二種:自體免疫過敏性,因爲抗體在自己細胞內直 接對抗察覺到的抗原所產生的免疫反應。 第三種:過敏性形成抗原/抗體免一複合體停留在不同 的組織且啓動更多的免疫反應,同時與血清疾病、肺部過 敏和有時因疫苗接種後的大塊腫脹相關的免疫反應。 第四種:過敏性因爲從敏感化的τ-細胞釋放淋巴循流 而產生發炎現象。比如包括接觸性皮膚炎、痲疹引起之疹 子以及因藥品引起之過敏的免疫反應。Interferon-tau (IFNt) treatment can be used alone or in combination with other therapeutic agents. For example, the method of the present invention can effectively treat neuropathy, including Alzheimer's disease, autism, and fibrotic diseases, including pulmonary fibrosis, liver fibrosis, and autoimmune disorders. , Including anti-phospholipid syndrome (anti-phospholipid syndrome), arthritis, allergies, diabetes (diabetes), such as type 1 diabetes (type I diabetes mellitus); inflammatory bowel disease ( inflammatory bowel disease), including Crohn's disease and ulcerative colitis, psoriasis; multiple sclerosis (uveitis); chronic obstructive pulmonary disease (uveitis) chronic obstructive pulmonary disease), including chronic bronchitis and emphysema; the disease or symptom is characterized by injury or death of cells, tissues, or organs, because the amount of blood or oxygen is reduced to the cells, Tissues or organs, including stroke; with atherosclerosis and organs Rejection by plant. A. Treatment of immune system abnormalities The method of the present invention has the advantage of treating related immune system allergies. Four types of immune system allergies (Clayman, C_B. American Medical Ass_ociation Encyclopedia of Medicine edited by Random House, 1991) New York) is as follows. The first or immediate / allergic, because obese cells respond to allergens (such as pollen), including asthma, hay fever, measles, anaphylactic shock and other allergic diseases. The resulting immune response. 47 20053 ^ 1 The second type: autoimmune allergy, because the antibody directly fights the immune response produced by the detected antigen in its own cell. The third type: allergy forms an antigen / antibody immune complex The body stays in different tissues and initiates more immune responses, as well as immune responses related to serum disease, lung allergies, and sometimes due to large swellings after vaccination. Fourth: Allergies because from the sensitized τ -Cells release lymphatic circulation and cause inflammation, such as contact dermatitis, measles-induced rash And because the drug caused the allergic immune response.

一些狀況的機轉造成個體過敏的原因尙爲完全了解, 但可能牽涉到基因性與外生性的因素。例如,細菌、病毒 或藥品都可能扮演這樣一個腳色以引起自體免疫反應在已 經帶有預先儲存自體免疫異常基因的個體身上。硏究建議 某些過敏型之發生率也彼此相關。例如帶有常見過敏原的 個體較容易發生自體免疫異常。 自體免疫異常可被大致歸類爲主要限制特定器官或組 織且影響全身。範例如特定器官異常(亦即器官被影響)包括 多發性硬化症(髓磷脂包覆在神經流程)、第一型糖尿病(胰 臟)、Hashinotos甲狀腺炎(甲狀腺)、惡性貧血(胃)、艾迪森 氏病【Addison’s disease】(腎上腺)、重症肌無力症(在 神經肌肉會合之乙醯膽鹼接受器)、風濕性關節炎(關節內 部)、葡萄膜炎(眼睛)、牛皮癬(皮膚)、格巴二氏症候群【又 名:急性感染性多神經炎】(神經細胞)、格雷弗氏病【又名: 突眼性甲狀腺腫】(甲狀腺)。全身性自體免疫疾病包括紅斑 性狼瘡與皮肌炎° 48 20053涊維 其他過敏性異常包括如氣喘、濕疹、區域性皮膚炎、 接觸性皮膚炎、脂溢性皮膚炎、鼻炎、扁平苔蘚、 Pemplugixs、大水皰性天孢瘡樣病、表皮分解性水皰症、奪 麻疹、血管神經性水腫、血管炎、紅斑、皮膚性嗜伊紅血 球增多、斑禿、動脈硬化、原發性膽道性肝硬化、腎病徵 候群。相關疾病包括小腸發炎、例如:乳糜瀉、直腸炎、 嗜伊紅性白血球增高之腸胃炎、著色性奪麻疹、發炎性腸 道疾病、克隆氏症及潰瘍性結腸炎以及食物相關之過敏。The causes of allergies in some individuals are not fully understood, but genetic and exogenous factors may be involved. For example, bacteria, viruses, or drugs may play such a role to cause an autoimmune response in individuals who already have pre-stored autoimmune abnormality genes. Research recommendations The incidence of certain allergic types is also related to each other. For example, individuals with common allergens are more likely to develop autoimmune abnormalities. Autoimmune disorders can be broadly classified as primarily limiting specific organs or tissues and affecting the entire body. Examples of specific organ abnormalities (i.e. organs affected) include multiple sclerosis (myelin encapsulates nerve processes), type 1 diabetes (pancreas), Hashinotos thyroiditis (thyroid), malignant anemia (stomach), moxa Addison's disease (adrenal), myasthenia gravis (acetylcholine receptor in neuromuscular junction), rheumatoid arthritis (inside the joints), uveitis (eyes), psoriasis (skin) Grubba syndrome [aka: acute infectious polyneuritis] (neurocytes), Graves' disease [aka: exophthalmic goiter] (thyroid). Systemic autoimmune diseases include lupus erythematosus and dermatomyositis ° 48 20053 Other allergic disorders include asthma, eczema, regional dermatitis, contact dermatitis, seborrheic dermatitis, rhinitis, lichen planus , Pemplugixs, bullous pemphigoidosis, epidermolytic vesicular disease, measles, angioedema, vasculitis, erythema, cutaneous eosinophilia, alopecia areata, arteriosclerosis, primary biliary liver Sclerosis, nephropathy syndrome. Related diseases include inflammation of the small intestine, such as celiac disease, proctitis, gastroenteritis with eosinophilia, measles pigmented, inflammatory bowel disease, Crohn's disease and ulcerative colitis, and food-related allergies.

自體免疫疾病包括多發性硬化症、第一型糖尿病紅斑 性狼瘡、肌萎縮性脊髓側索硬化症、克隆氏症、風濕性關 節炎、口角炎、氣喘、葡萄膜炎過敏以及牛皮癬若使用本 發明之治療方式,效果是特別經得起驗證的。 本發明之治療方式用來處理並減緩自體免疫異常,如 前所述。治療自體免疫異常以治療自體免疫腦脊髓炎 (EAE)爲範例,用動物的多發性硬化症模組。當治療自 體免疫異常時,干擾素-tan (IFNi:)以充足劑量施用以獲得在 初使用干擾素-tau (IFNt)階段能夠測量之低腺苷酸合成酶 (OAS)增量。一旦達到有效劑量,則病人依此干擾素-tan (IFNt)有效劑量繼續維持一段治療時間,獨立觀察後續低腺 苷酸合成酶(OAS)的變化。至少病人在有症狀期間都接受治 療,一直到相關自體免疫症狀停止,干擾素-tau (ΙΤΝτ)劑量 會被調降或停止給藥。病人在給予干擾素-tau (IFNx)的同時 也接受其他治療性試劑如已知的抗發炎藥或免疫抑制劑。 B.治療病毒感染 49 20053鎌a 本發明之治療方式也用來處理與病毒感染之相關狀 況。干擾素-tan (IFNt)之抗病毒活性具廣泛的治療應用卻不 會有經常伴隨IFNs治療所發生的毒性效果,且干擾素-tau (IFNt)釋放治療效果並無對細胞的副作用。無細胞毒性使得 干擾素-tau (IFNt)在體內實驗極具價値並因此與其他干擾 素和抗病毒藥物有所區隔。Autoimmune diseases include multiple sclerosis, type 1 diabetic lupus erythematosus, amyotrophic lateral sclerosis, Crohn's disease, rheumatoid arthritis, angular cheilitis, asthma, uveitis allergy, and psoriasis. The therapeutic method of the invention has a particularly proven effect. The treatment method of the present invention is used to treat and slow down autoimmune abnormalities, as described above. The treatment of autoimmune disorders is based on the treatment of autoimmune encephalomyelitis (EAE), using the animal's multiple sclerosis module. When treating autoimmune disorders, interferon-tan (IFNi :) is administered in sufficient doses to obtain a low adenylate synthetase (OAS) increase that can be measured during the initial use of interferon-tau (IFNt). Once the effective dose is reached, the patient will continue to maintain the effective dose of interferon-tan (IFNt) for a period of treatment, and independently observe the subsequent changes in low adenylate synthetase (OAS). At least the patient is treated during the symptomatic period until the relevant autoimmune symptoms cease, and the dose of interferon-tau (ITNτ) will be reduced or discontinued. Patients are given interferon-tau (IFNx) while receiving other therapeutic agents such as known anti-inflammatory drugs or immunosuppressants. B. Treatment of Viral Infections 49 20053 Sicklea The therapeutic method of the present invention is also used to treat conditions related to viral infections. The antiviral activity of interferon-tan (IFNt) has a wide range of therapeutic applications but does not have the toxic effects often associated with IFNs treatment, and the therapeutic effect of interferon-tau (IFNt) release has no side effects on cells. The absence of cytotoxicity makes interferon-tau (IFNt) extremely valuable for in vivo experiments and therefore distinguishes it from other interferon and antiviral drugs.

配方包括干擾素-tan (IFNt)以口服方式抑制病毒複 製。用來治療病毒感染時,蛋白質足量施用以期從病人血 液中獲得可量測之低腺苷酸合成酶(OAS)增量。之後以有效 劑量持續治療,獨立觀察低腺苷酸合成酶(OAS)在血液中的 變化,例如低腺苷酸合成酶(0AS)量下降表示病毒也減少。 干擾素-tau (IFNt)持續給予直到病毒感染狀況下降且所量 測得病毒滴定値與相關症狀都減輕。能被干擾素-tau (IFNt) 口服治療的特別病毒疾病,範例包括但不限制於A型肝 炎、B型肝炎、C型肝炎、非A非B非C型肝炎、伊波病 毒感染、愛滋病毒感染、皰瘓病毒感染(EB、CML與單一 型皰疹)、乳頭淋瘤、丘疹性口炎病毒、口蹄疫病毒、腺病 毒、鼻病毒、HTLVI、HTLVII以及人類輪狀病毒。病人可 合併弟一 1几病毒s式劑一起治療,如類核苷、反義試劑 (antisense agent)或其他相似物。 C.細胞增生狀況的治瘠方法 在其他實施例,本發明之方式亦應用以治療過渡增生 的特徵化狀況。干擾素-tau (IFNt)存在有效的抗細胞增生活 性。因此依抑制細胞生長方式,以口服途徑施用IFNT來抑 50 200533ά6ί9> 制、預防或減緩未經控制的細胞生長。 以口服途徑施用IFNt來抑制特定細胞異常增生的範例 如髮狀細胞性白血病、波西氏肉瘤、慢性骨髓性白血病、 多發性骨髓瘤、表淺性膀胱癌、皮膚癌(基底細胞癌與惡性 黑色素瘤)、腎臟細胞的癌症、卵巢癌症、低程度的淋巴球 與侵犯皮膚的淋巴流或神經膠質瘤等病症。Formulations include interferon-tan (IFNt) to inhibit viral replication orally. When used to treat viral infections, the protein is administered in sufficient quantities to obtain a measurable increase in low adenylate synthase (OAS) from the patient's blood. Thereafter, the treatment was continued at an effective dose, and changes in blood of low adenylate synthetase (OAS) were independently observed. For example, a decrease in the amount of low adenylate synthase (0AS) indicates that the virus is also reduced. Interferon-tau (IFNt) was administered continuously until the viral infection status decreased and the measured viral titers and related symptoms were alleviated. Specific viral diseases that can be orally treated with interferon-tau (IFNt). Examples include, but are not limited to, Hepatitis A, Hepatitis B, Hepatitis C, Non-A, Non-B, Non-C Hepatitis, Ebovirus Infection, AIDS Virus Infections, herpesvirus infections (EB, CML and herpes simplex), papillary gonorrhoea, papular stomatitis virus, foot-and-mouth disease virus, adenovirus, rhinovirus, HTLVI, HTLVII, and human rotavirus. Patients can be treated with a combination of virions, such as nucleosides, antisense agents, or other analogs. C. Methods for the treatment of cell proliferation conditions In other embodiments, the method of the present invention is also applied to treat the characteristic conditions of transitional proliferation. Interferon-tau (IFNt) is effective against cell proliferation. Therefore, IFNT is administered orally to inhibit cell growth in a manner that inhibits cell growth. 50 200533ά6ί9 > Controls, prevents or slows uncontrolled cell growth. Oral route of administration of IFNt to inhibit specific cell abnormal proliferation such as hairy cell leukemia, Poisi's sarcoma, chronic myelogenous leukemia, multiple myeloma, superficial bladder cancer, skin cancer (basal cell carcinoma and malignant melanin Tumors), cancers of the kidney cells, ovarian cancers, low levels of lymphocytes and lymphatic or gliomas that invade the skin.

使用於測試細胞增生的條件,是將干擾素-tan (IFNt) 以足量施用於受試者以獲得受試者血液中可量測之低腺苷 酸合成酶(OAS)値。之後,以有效劑量治療持續的治療,以 觀察相關的血液中低腺苷酸合成酶(OAS)變化値,舉例說明 如果血中低腺苷酸合成酶(OAS)下降是因爲身體中癌症細 胞數下降。以有效劑量的持續施用直到觀察到預期的癌症 退化程度,可量測的方式:範例如癌症大小或癌細胞在特 定組織的範圍。病人同時以治療癌症的第二抗癌藥劑治 療’比如是順一雙氨雙氯鉛(cis-platin),多沙布莘 (doxorubicin),或紅豆杉醇(taxol)等口服藥劑。 D.合倂治療法 合倂干擾素-tan (IFNt)與一個或一個以上其他藥劑也 被考慮,不同的組合治療已經被嘗試,包括施予⑴一第二 治療藥劑(ii)一藥劑以有效穩定或保護干擾素-tan (IFNt), 防止口服後活性的喪失;以及(iii)一第二治療藥劑與一穩定 齊Ί °不同的治療方法將討淪於後。 在一個實施例中,口服的干擾素-tan (IFNt)與第二個治 療藥劑合並施予。在這個實施例中,干擾素-tau (IFNt)以每 20053¾¾^ 日大於約5 x 108單位(U)與一第二藥劑經主治醫師處 方,通常劑量依據藥劑的建議療程。第二試劑的選擇是依 據特定疾病或狀況,使用合適施予途徑,先於、同時、或 後續服用干擾素-tan (IFNt)。The condition used to test cell proliferation is to administer interferon-tan (IFNt) in a sufficient amount to a subject to obtain a measurable low adenylate synthase (OAS) 値 in the subject's blood. After that, continue to treat with effective doses to observe the related changes of low adenylate synthetase (OAS) in the blood. For example, if the decrease of low adenylate synthase (OAS) in blood is due to the number of cancer cells in the body decline. Continued administration at an effective dose until the expected degree of cancer regression is observed, in a measurable manner: for example, the size of a cancer or the range of cancer cells in a specific tissue. Patients are also treated with a second anti-cancer agent for treating cancer, such as cis-platin, doxorubicin, or taxol. D. Combination Therapy Combination of interferon-tan (IFNt) with one or more other agents is also considered, and different combination therapies have been tried, including the administration of a second therapeutic agent (ii) a drug to be effective Stabilize or protect interferon-tan (IFNt) to prevent loss of activity after oral administration; and (iii) a second therapeutic agent and a stable treatment. Different treatment methods will be followed. In one embodiment, oral interferon-tan (IFNt) is administered in combination with a second therapeutic agent. In this embodiment, the interferon-tau (IFNt) is greater than about 5 x 108 units (U) and a second medicament is prescribed by the attending physician every 2005 ¾¾ ^^ days, usually the dosage is based on the recommended course of treatment of the medicament. The choice of the second agent is based on the particular disease or condition, using an appropriate route of administration, prior to, simultaneously with, or subsequent to interferon-tan (IFNt).

自體免疫狀況的處理之合適治療方法,以一式範性的 組合療法,包括口服干擾素-tau (IFNt)結合施予抗體對抗體 免疫反應。例如包括问時服用髓銷基本蛋白質(myelin basic protein)與干擾素tau ( IFNt)來治療多發性硬化症;膠原 蛋白與干擾素tau ( IFNt)治療風濕性關節炎,與乙_膽鹼 接收器多胜肽與干擾素tau ( IFNt )治療重症肌無力 (Myasthenia Gravis) 〇 此外,口服干擾素tan ( IFNt )可與免疫抑制劑共同施 予,例如類固醇,以治療自體免疫疾病如多發性硬化症。 免疫抑制劑與干擾素tau ( IFNt)有加乘效果,可產生比單 一干擾素tan (IFN〇或單一免疫抑制劑更有效的治療效 果。更通常的是,干擾素tau ( IFN〇可與藥品結合使用, 例如治療藥劑,以治療自體免疫疾病,代表性藥品包括但 不限制於硫哩嘌玲(azathioprine )、環磷琉月安 (cyclophosphamide)、類固醇藥(corticosteroids)【腎上腺 皮脂酮(prednisone)、強的松龍(prednisol〇ne)、與其他】、 頭孢子素(cyclosporine)、霉酚酸酯(商品名,,山喜多”, mycophenolate mofetil)、抗胸腺細胞球蛋白(antithym〇cyte globulin )、姆諾娜-CD3 單株抗體(mur〇m〇nab-CD3 monoclonal antibody)、6-锍嘌呤(Mercapurene)、$荒嘿口令 52 2005333i69c (mercaptopurine)、雙羥蒽醒(mitoxantrone)、醋酸葛拉 提落【醋酸葛拉提落(glatiramer acetate ),商品名爲 Copaxone】、干擾素-貝它(IFN-β)(商品名爲Avonex™、 Betaseron™、 RibifTM)、達利珠單抗(daclizumab )、甲氨 喋昤(methotrexate)、西羅莫斯(sirolimus)、塔闊林碼司 (tacrolimus )、以及其他。A suitable treatment method for the treatment of autoimmune conditions is a combination therapy in a general manner, which includes oral administration of interferon-tau (IFNt) in combination with antibody-to-antibody immune response. Examples include taking myelin basic protein and interferon tau (IFNt) to treat multiple sclerosis when asked; collagen and interferon tau (IFNt) to treat rheumatoid arthritis, and acetylcholine receptors. Polypeptide and interferon tau (IFNt) for myasthenia gravis 〇 In addition, oral interferon tan (IFNt) can be co-administered with immunosuppressants such as steroids to treat autoimmune diseases such as multiple sclerosis disease. Immunosuppressive agents have a synergistic effect with interferon tau (IFNt), which can produce more effective therapeutic effects than single interferon tan (IFN0 or a single immunosuppressant. More commonly, interferon tau (IFN0) can be used with drugs Combined use, such as therapeutic agents to treat autoimmune diseases, representative drugs include but are not limited to azathioprine, cyclophosphamide, corticosteroids [prednisone ), Prednisolone (prednisolone), and others], cephalosporin (cyclosporine), mycophenolate ester (trade name, Sancoto, mycophenolate mofetil), antithymocyte globulin (antithymcycy globulin) ), Muromonab-CD3 monoclonal antibody, 6-mercapine (Mercapurene), $ 50,000 hey password 52 2005333i69c (mercaptopurine), bisoxanrone (mitoxantrone), acetate acetate Latiol [glatiramer acetate, trade name Copaxone], interferon-beta (IFN-β) (trade names Avonex ™, Betaseron ™, RibifTM), Lee daclizumab (daclizumab), methotrexate Ling (methotrexate), sirolimus (sirolimus), tower wide forest yards Division (tacrolimus), and others.

在一實施例中,干擾素-tau (IFNt)與一選擇性附著分子 抑制劑,特別是整合素诘抗劑(integrin antagonist),合倂 施予作爲治療,例如,自體免疫性疾病如克隆氏症(Crohn’s disease)或多發性硬化症(multiple sclerosis)。整合素是一 群細胞表面附著分子做爲細胞與細胞間及細胞與細胞外基 質溝通作用之媒介。是由穿透細胞膜的α與β次組合單位所 組成的不同單位雙合體以形成功能分子組合。目前有18 α 與八個β次組合單位被確認有超過24種不同整合素接受 器。(Sandborn,W. J. et al., Am. J· Gastroenterol., ϋ(11):2372 (2003))。阿爾法-4 整合素(a4 integrin)表現在 淋巴球(lymphocytes )、單核球(monocytes )、嗜酸性球 (eosinophils)、與嗜鹼性球(basophils)與低濃度的中性 球(neutrophils)。阿爾法-4 整合素(a4 integrin can )可 與任一貝它單位(β subunits) βΐ與β7配對。阿爾法-4貝 它-1整合素(α4β1 integrin )也相關於後期的抗體4 (VLA-4) 並結合到血管細胞附著分子-1 (VCAM-1)呈現在血腦障壁 內皮(blood-brain barrier endothelium)或連結部位-1 (CS-1) 包覆纖維粘連蛋白(fibronectin)。阿爾法-4貝它-1整合素 53 2005333雖 (α4β1 integfin)是重要的細胞附著與內皮穿透移動媒介, 同時也是在發炎組織內免疫細胞活化的調節者。阿爾法-4 貝它-7整合素(α4β7),已知是與固有層相關分子-1( lamina propria-associated molecule-1,LPAM-1)結合到血管黏膜附 著分子-1 ( mucosal vascular addressin cell adhesion molecule-1)表現在腸相關(gut-associated)的淋巴組織。In one embodiment, interferon-tau (IFNt) and a selective adhesion molecule inhibitor, particularly an integrin antagonist, are administered as a combination, for example, an autoimmune disease such as a clone Crohn's disease or multiple sclerosis. Integrins are a group of cell surface attachment molecules that act as a medium for communication between cells and between cells and extracellular matrix. It is a double unit of different units composed of alpha and beta subunits that penetrate the cell membrane to form a functional molecular combination. There are currently 18 alpha and eight beta combined units identified with more than 24 different integrin receptors. (Sandborn, W. J. et al., Am. J. Gastroenterol., Ϋ (11): 2372 (2003)). Alpha-4 integrin is expressed in lymphocytes, monocytes, eosinophils, basophils, and low concentrations of neutrophils. Alpha-4 integrin can be paired with any β subunits βΐ and β7. Alpha-4 beta-1 integrin (α4β1 integrin) is also related to late antibody 4 (VLA-4) and binds to vascular cell adhesion molecule-1 (VCAM-1) presenting on the blood-brain barrier endothelium) or junction site-1 (CS-1) is coated with fibronectin. Alpha-4 beta-1 integrin 53 2005333 (α4β1 integfin) is an important mediator of cell adhesion and endothelial penetration, and it is also a regulator of immune cell activation in inflamed tissues. Alpha-4 beta-7 integrin (α4β7), known to bind to lamina propria-associated molecule-1 (LPAM-1), to mucosal vascular addressin cell adhesion molecule-1 molecule-1) is expressed in gut-associated lymphoid tissue.

那塔桑比(Natalizumab,商品名 Antegren®,Elan 藥 廠與Biogen藥廠硏發生產)是一種有活性的人類單株抗體 阿爾法-4貝它-1整合素拮抗劑(α4β1 integrin) (Elices, M.J., Curr. Opin, Investig. Drugs, 4(11):1354 (2003); WO 95/19790)。抗體連結到細胞表面a4整合素次級單位且抑 制阿爾法_4整合素媒介之黏著(a4-integrin-mediated adhesion)以及白血球的遷移。那塔桑比(Natalizumab)在 臨床實驗上針對病人有發炎性腸道疾病(inflammatory bowel disease)與多發性硬化症已經被評估(Sandborn,W.J. et al·,Am. J· Gastroenterol., 98(11):23 72 (2003); Miller, D. H. et al.} New Engl. J. Med.} 348(1):15 (2003); Elices,M.J·, Cwrr. Opz·”· /wvesiz’g· Drwgs,生(11):1354 (2003))。短期使用 那塔桑比(Natalizumab)在復發型的且二度惡化的多發性 硬化症(multiple sclerosis)可降低進行式傷害之數量,並 以核磁共振影像診斷(Sandborn W a/·,Mpra)。少數發炎性 腦部損與少數的多發性硬化症(multiple sclerosis)復發在 六個月內發生(Miller e/ α/·,μ)。 因此,合併治療療程包括將口服干擾素tau (IFN〇施 54 20053羅9〇c 予自體免疫異常病人,另外再施予那塔桑比(Natalizumab) 也列入考量並示範於範例5。劑量療程依病人的狀況與嚴重 度,以及其他因素改變。範例劑量包括每日口服施予干擾 素tau (IFNt),每日劑量大於約5 X 108單位(U)且每次 療程一個月(每28天)靜脈注射那塔桑比(Natalizumab)劑 量約3毫克(mg ) /公斤(kg )。不同的干擾素tail ( IFNi:) 與那塔桑比(Natalizumab)反應機轉用以治療自體免疫異 常可期待的是治療效果加強。 ^ 在其他實施例,治療牛皮癣的療程也提供於此。除了 干擾素tan ( IFNt)與一治療牛皮癬有用的第二藥劑也被一 倂施予。治療藥劑可以合倂干擾素tan (IFN〇的牛皮癬治 療包括局部或全身。合適的治療藥劑包括免疫抑制劑、包 括對抗腫瘤壞死因子-阿爾法因子(TNF-alPha fact〇r)的單 株抗體,羥甲基戊二酰輔酶A抑製劑(statins)與醋酸葛 拉提落(glatiramer acetate)先則已經敘述過’如膠原蛋白 (collagen )、維他命A衍生物(retinoids ),蔥林 ( anthralin)、卡玻祥三嫌(calpotriene )、煤焦油(coal tar )、 水楊酸(salicylic acid)、可力舒(clobetasol propionate)、 亞菲席(alefacept)、經基尿素(hydroxyurea)、與依那西 普(etanercept) 〇 在其他實施例中,干擾素tau ( IFNt )與羥甲基戊二酰 輔酶A抑制劑(statins)同時施予以治療自體免疫狀況, 例如多發性硬化症(multiPle sclerosis)。經甲基戊二酰輔 酶A抑制劑(statins )是一^群3-經3 -甲基-戊一酰輔酶A抑Natalizumab (Natalizumab, trade name Antegren®, produced by Elan and Biogen) is an active human monoclonal antibody alpha-4 beta-1 integrin antagonist (α4β1 integrin) (Elices, MJ, Curr. Opin, Investig. Drugs, 4 (11): 1354 (2003); WO 95/19790). The antibody binds to the a4 integrin subunit on the cell surface and inhibits a4-integrin-mediated adhesion and migration of white blood cells. Natalizumab has been evaluated in clinical trials for patients with inflammatory bowel disease and multiple sclerosis (Sandborn, WJ et al., Am. J. Gastroenterol., 98 (11 ): 23 72 (2003); Miller, DH et al.} New Engl. J. Med.} 348 (1): 15 (2003); Elices, MJ ·, Cwrr. Opz · ”· / wvesiz'g · Drwgs (Sheng (11): 1354 (2003)). Short-term use of Natalizumab in relapsing and second-degree worsening multiple sclerosis can reduce the number of progressive injuries and use magnetic resonance imaging. Imaging diagnosis (Sandborn Wa ··, Mpra). A small number of inflammatory brain lesions and a few multiple sclerosis recurrences occurred within six months (Miller e / α / ·, μ). Therefore, the combination The course of treatment includes oral interferon tau (IFN 05, 54 20053, Ro 90c) to patients with autoimmune disorders, and then Natalizumab is also considered and demonstrated in Example 5. The dose course depends on the patient Condition and severity, and other factors. Exemplary dosages include daily oral Interferon tau (IFNt) is administered at a daily dose of greater than about 5 X 108 units (U) and an intravenous Natalizumab dose of about 3 milligrams (mg) per kilogram per month for each course (every 28 days) (Kg). Different interferon tail (IFNi :) and Natalizumab response machines are used to treat autoimmune disorders. It is expected that the treatment effect will be enhanced. ^ In other embodiments, the treatment course for psoriasis is also Provided here. In addition to interferon tan (IFNt) and a second agent useful in the treatment of psoriasis are also administered at the same time. The therapeutic agent can be combined with interferon tan (IFN0) psoriasis treatment including local or systemic. Suitable therapeutic agents Including immunosuppressants, including monoclonal antibodies against tumor necrosis factor-alpha factor (TNF-alPha factOr), hydroxymethylglutaryl coenzyme A inhibitors (statins) and glatiramer acetate It has already been described 'such as collagen, vitamin A derivatives (retinoids), green onion (anthralin), calpotriene, coal tar, salicylic acid, salicylic acid, may Clobetasol propionate, alefacept, hydroxyurea, and etanercept. In other embodiments, interferon tau (IFNt) and hydroxymethylglutaryl coenzyme A inhibitors (statins) are administered concurrently to treat autoimmune conditions, such as multiple sclerosis. Methylglutaryl coenzyme A inhibitors (statins) are a group of 3-Methyl 3-glutaryl coenzyme A inhibitors

55 20053¾ 紙55 20053¾ paper

製劑所構成之藥物組成(3-hydroxy-3-methylglutaryl enzyme-CoA reductase inhibitors)【通常也稱做 HMG-CoA 還原抑制劑,簡寫HRIfs,與羥戊酸生物合成抑制劑 (mevalonic acid biosynthesis inhibitors)】。經甲基戊二酰 輔酶A抑制劑(statins )改變血清中脂質【膽固醇 (cholesterol)】濃度是藉著阻斷產生膽固醇的肝臟酵素。動 脈壁發炎在動粥樣硬化的病理上也扮厭演重要角色,而時 羥甲基戊二酰輔酶A抑制劑(statins)扮演降低發炎現象 的角色。 市面上有一些商品化的處方用藥包括洛伐他汀 (lovastatin,商品名 Mevacor®)、莘伐他汀(simvastatin, 商品名 Zocor®; velostatin)、粑伐他汀(pravastatin,商品名 Pravachol®)、巾巴伐他汀(fluvastatin,商品名 Lescol®)、阿 托發司他汀(atorvastatin,商品名Lipitor®)、蘿莎他汀 (rosuvastatin,商品名Crestor®)、以及絲伐他汀 (cerivastatin,商品名Baycol,。藥品基本上是口服給予每 曰劑量約5-40毫克。其他的羥甲基戊二酰輔酶A抑制劑 (statins )還包括依達他汀(itavastatin )、依達他汀 (mevastatin )等。 結合治療試劑療程包括施予干擾素-tau (IFNt)口服給 予發炎病人例如風濕性關節炎與多發性硬化症,另外添加 羥甲基戊二酰輔酶A抑制劑(statins)·也被考慮。劑量改 變療程依病人狀況、嚴重度、與其他因素改變。示範劑量 療程包括口服施與干擾素-tan (IFNx)每天大於或約5 X 108 56 20053^¾¾ 單位(U)的每日劑量,一般並同時給與約5-50毫克(mg) 的羥甲基戊二酰輔酶A抑制劑(statins)。Composition of the drug (3-hydroxy-3-methylglutaryl enzyme-CoA reductase inhibitors) [also commonly referred to as HMG-CoA reduction inhibitors, abbreviated HRIfs, and mevalonic acid biosynthesis inhibitors] . Methylglutaryl coenzyme A inhibitors (statins) change the concentration of cholesterol [cholesterol] in the serum by blocking the liver enzymes that produce cholesterol. Inflammation of the arterial wall also plays an important role in the pathology of arteriosclerosis, while hydroxymethylglutaryl coenzyme A inhibitors (statins) play a role in reducing inflammation. There are some commercially available prescription drugs on the market including lovastatin (trade name Mevacor®), simvastatin (trade name Zocor®; velostatin), pravastatin (trade name Pravachol®), towels Fluvastatin (Lescol®), atorvastatin (Lipitor®), rosuvastatin (Crestor®), and cerivastatin (Baycol). Drugs Basically, it is administered orally at a dose of about 5-40 mg per day. Other hydroxymethylglutaryl coenzyme A inhibitors (statins) also include itavastatin, mevastatin, and the like. Combination therapy agent course Including the administration of interferon-tau (IFNt) orally to inflamed patients such as rheumatoid arthritis and multiple sclerosis, and the addition of hydroxymethylglutaryl coenzyme A inhibitors (statins) are also considered. The dose change course depends on the patient Changes in condition, severity, and other factors. Demonstration dose courses include oral administration of interferon-tan (IFNx) greater than or about 5 X 108 56 2005 3 ^ ¾¾ units per day U) daily doses, and also generally give about 5-50 milligrams (mg) of hydroxymethyl glutaryl coenzyme A inhibitors (statins).

在其他實施例中,干擾素-tau (ΙΡΝτ)與免疫抑制劑霉酚 酸醋(mycophenolate mofetil ’ 由 fii 於德國 Grenzach 的 Hoffman-La Roche AG公司生產)合倂施予以降低或預防器 官排斥的風險。此實施例示範於範例6。霉鼢酸酯 (my cophenol ate mo fetil)是一個肌酸單磷酸鹽脫氫酶抑制劑 (inosine monophosphate dehydrognase inhibitor)且抑制嘌 玲合成,特別是針對T細胞與B細胞(Groetzner J.,W al·,Transplantation, 77(4):568 (2004))。化合物顯示可以延 長動物模組的過敏性移殖之存活率(腎臟、心臟、肝臟、腸 道、截肢、小腸、胰島、骨髓等)。藥品顯示可以回復犬科 動物腎臟與老鼠心臟同種異體移植模組的進行性急性排 斥,同時抑制在老鼠與靈長類心肌異種移植的主動脈與心 肌異體移植之增生型動脈病變。山喜多(Celkept®,成份 名mycophenolate mofetil)以口服施予被吸收並水解成霉酚 酸(mycophenolic acid),活化代謝物。霉酚酸(Mycophenolic acid)是一有效具非選擇性與非競爭性的反轉型一個肌酸單 磷酸鹽脫氫酶(inosine monophosphate dehydrognase)抑制 劑且抑制新生路徑鳥糞嘌呤核苷酸(guanosine nucleotide) 合成無需結合到去氧核糖核酸(DNA)。該物質對T-與B-淋巴球具有效的細胞穩定效果,與嘌呤新生合成的增生相 關。 霉酚酸酯(Mycophenolate mofetil )可以是口服膠囊、 57 2005333^6^ 錠劑或使用於懸浮劑或靜脈注射用之粉末。對腎臟移植的 病人之推薦劑量是1克的口服劑量或每日兩次(每日劑量 兩克)。對心臟移植的病人,1.5克每日兩次的靜脈注射或 口服劑量是推薦劑量。In other embodiments, interferon-tau (IPNτ) and the immunosuppressant mycophenolate mofetil '(produced by fii at Hoffman-La Roche AG, Grenzach, Germany) are combined to reduce or prevent the risk of organ rejection . This embodiment is demonstrated in Example 6. My cophenol ate mo fetil is an inosine monophosphate dehydrognase inhibitor and inhibits purine synthesis, especially for T cells and B cells (Groetzner J., W al ·, Transplantation, 77 (4): 568 (2004)). The compounds have been shown to extend the survival rate of allergic transplantation in animal modules (kidney, heart, liver, intestine, amputation, small intestine, islets, bone marrow, etc.). Drugs have been shown to respond to the progressive acute rejection of canine animal kidney and rat heart allograft modules, while suppressing proliferative arterial lesions in aorta and cardiac muscle allografts in rat and primate myocardial xenografts. Celkept® (mycophenolate mofetil) is orally administered and absorbed and hydrolyzed to mycophenolic acid to activate metabolites. Mycophenolic acid is an effective non-selective and non-competitive inversion type inosine monophosphate dehydrognase inhibitor and inhibits guanosine nucleotides in the nascent pathway (nucleotide) synthesis does not require binding to DNA. This substance has a potent cell-stabilizing effect on T- and B-lymphocytes, and is related to the proliferation of purine neosynthesis. Mycophenolate mofetil can be an oral capsule, 57 2005333 ^ 6 ^ lozenge, or a powder for suspension or intravenous injection. The recommended dose for kidney transplant patients is an oral dose of 1 g or twice daily (two grams per day). For heart transplant patients, an intravenous or oral dose of 1.5 grams twice daily is the recommended dose.

考慮的合倂治療療程是,包含口服干擾素tau ( IFN〇 與霉酚酸酯(Mycophenolate mofetil ) —起施予接受器官移 値的病人,以減少器官排斥的風險或降低器官排斥的機 率。霉酚酸酯(Mycophenolate mofetil )較希望是在自由鹼 基或鹽類的狀況。劑量療程因病人、移植器官種類、以及 其他因素而變。示範劑量療程包括施予每日劑量大於約5 xlO8 單位(U),且將霉酣酸酯(Mycophenolate mofetil) 每曰劑量可高達每日3克(grams)以口服或靜脈注射。 在治療非C型病毒癌症或病毒感染,干擾素tau( IFNt) 可以以有效劑量和一個或多個化學治療藥劑同時施予。示 範性種類如治療細胞增生,包括但不限制於氮芥子氣 (nitrogen mustards )、乙基茵那敏(ethylenimines )、甲基 美那敏(methylmelamines )、院基磺酸鹽(alkyl sulfonates )、 硝基尿素(nitrosoureas )、三亞莘(triazenes )、葉酸類似體 (folic acid anlogs)、喃 D定類似體(pyrimidine analogs)、 嘌哈類似體(purine analogs )、長春花生物鹼類(vinca alkaloids )、伊玻堵菲塔莘(epipodophyllotoxins )、抗生素、 酵素、生物反應調節子【例如:細胞色素(cytokines)】、 鈿配位複合物、蒽二酮(anthracenedione)、取代之尿素、 甲基聯胺(methylhydrazine derivatives)、腎上腺皮質抑制 58 20〇5 3The combined treatment course considered includes oral interferon tau (IFN0 and Mycophenolate mofetil), which is administered to patients undergoing organ transplantation to reduce the risk of organ rejection or reduce the chance of organ rejection. The phenolic ester (Mycophenolate mofetil) is more preferably in a free base or salt condition. The dosage course varies depending on the patient, the type of transplanted organ, and other factors. The exemplary dose course includes the administration of a daily dose greater than about 5 x 10 units U), and the dose of Mycophenolate mofetil can be up to 3 grams per day (orally or intravenously). In the treatment of non-C virus cancer or viral infection, interferon tau (IFNt) can be Effective doses are administered concurrently with one or more chemotherapeutic agents. Exemplary species such as treatment of cell proliferation include, but are not limited to, nitrogen mustards, ethylenimines, methylmelamines ), Alkyl sulfonates, nitrosoureas, triazenes, folic acid anlo gs), pyrimidine analogs, purine analogs, vinca alkaloids, epipodophyllotoxins, antibiotics, enzymes, and biological response regulators [Examples: cytokines], tritium coordination complexes, anthracenedione, substituted urea, methylhydrazine derivatives, adrenal cortex inhibition 58 2050 3

藥(Adrenocortical suppressants)、黃體脂酮類(progestins )、 黃體素(estrogens )、抗動情素(antiestrogens )、雄性素 (androgens )、抗雄性素(antiandrogens )、與促性腺激素 釋方夂荷爾蒙(gonadotropin releasing hormone anlogs)。代表 藥品包括但不限制於美柯撒敏(mechlorethamine)、環磷琉 胺(cyclophosphamide )、孩索麥(ifosfamide )、威克瘤 (melphalan )、氮芥苯丁酸(chlorambucil )、六甲基密胺 (hexamethylmelamine)、塞替派(thiotepa)、白消安(商品 名馬利蘭,busulfan)、卡莫司汀(商品名卡氮芥, carmustine)、洛莫司汀(lomustine )、司莫同汀(semustine )、 司萃祥宰(streptozocin)、達卡巴(dacarbazine)、甲氨蝶 哈(methotrexate )、氟尿嚼卩定(fluorouracil )、氟西徒 (floxuridine )、基羅賽(Cytarabine)、疏基嘌玲 (mercaptopurine )、硫氫基鳥糞嘿卩令(thioguanine)、喷司他 丁( pentostatin )、長春驗(vinblastine )、長春花鹼 (vincristine )、依托泊(etoposide )、替尼泊(teniposide)、 更生霉素(dactinomycin)、柔紅霉素(daunorubicin)、多 孽霉素(doxorubicin)、鹽酸平陽霉素(bleomycin)、皮利 卡霉素(plicamycin )、絲裂霉素(mitomycin )、天門冬醯 胺酵素(asparaginase )、干擾素-阿爾法(IFN-α, interferon-alpha)、川頁鈾(cisplatin )、卡鈾(carboplatin )、 米托(mitoxantrone )、經基尿素(hydroxyurea )、柏巴莘 (procarbazine)、雙氯苯二氯乙院(米托坦mitotane)、胺 糖希麥(aminoglyethimide)、潑尼鬆(prednisone)、經基 59 20053^ft〇Drugs (Adrenocortical suppressants), progestins, estrogens, antiestrogens, androgens, antiandrogens, and gonadotropin releasing hormone anlogs). Representative drugs include, but are not limited to, mechlorethamine, cyclophosphamide, ifosfamide, melphalan, chlorambucil, hexamethyl dense Hexamethylmelamine, thiotepa, busulfan (busulfan), carmustine (carmustine), lomustine, simustine (Semustine), streptozocin, dacarbazine, methotrexate, fluorouracil, floxuridine, Cytarabine, sparse Mercaptopurine, thioguanine, pentostatin, vinblastine, vincristine, etoposide, tenipo teniposide), dactinomycin, daunorubicin, doxorubicin, bleomycin hydrochloride, blemycin, plicamycin, mitomycin , Asparaginase, interferon-alpha, interferon-alpha, cisplatin, carboplatin, mitoxantrone, hydroxyurea, cypress Procarbazine, mitotane, mitotane, aminoglyethimide, prednisone, 5920053 ^ ft.

黃體嗣己酸(hydroxyprogesterone caproate)、甲基乙醯氧 孕前酮乙酸鹽(medroxyprogesterone acetate )、醋酸甲地孕 嗣(去氫甲孕酮,megestrol acetate)、二乙烯二苯乙烯雌酚 (diethylstilbestrol)、乙炔雌激素(ethinyl estradiol)、三 苯氧胺(tamoxifen )、丙酸睪九素(testosterone propionate )、 福莫特若(fluoxymesterone )、福魯塔麥德(flutamide )、柳 普林(leuprolide )、齊多夫定【zidovudine (AZT)】、爾可 福(leucovorin )、威克瘤(melphalan )、環磷琉胺 (cyclophosphamide )、達卡巴(dacarbazine )、待匹力達 (dipyridamole)、與其他藥品。 示範性與口服干擾素tau(IFN〇倂服藥品以治療病毒 感染的包括但不限制於抗皰瘆病毒(antiherpesvirus agents)、抗逆轉錄晦病毒(antiretroviral agents)、與抗病 毒藥劑(antiviral agents )。代表藥品包括阿昔樂維 (acyclovir )、泛昔洛韋(famciclovir )、膦甲酸(foscarnet)、 更昔洛韋(ganciclovir)、碘去氧尿卩定(idoxuridine)、索福 陡(sorivudine )、曲氟尿苷(trifluridine )、瓦賽洛韋 (valacyclovir )、阿糖腺(vidarabine )、地達諾新 (didanosine )、司他夫定(stavudine )、扎西他濱 (zalcitabine )、齊多夫定(zidovudine )、金剛院胺 (amantadine)、干擾素-阿爾法(interferon-alpha)、雷巴 威林(ribavirin )、龜剛胺(rimantadine )、拉米夫定 (lamivudine )、蛋白分解酶抑制劑(protease inhibitors )、 非環核苷膦酸鹽(acyclic nucleoside phosphonates)與其他。 60 20053^6®Luteal hydroxyprogesterone caproate, medroxyprogesterone acetate, megestrol acetate, diethylstilbestrol, diethylstilbestrol, Ethinyl estradiol, tamoxifen, testosterone propionate, fluoxymesterone, flutamide, leuprolide, zidov [Zidovudine (AZT)], leucovorin, melphalan, cyclophosphamide, dacarbazine, dipyridamole, and other medicines. Exemplary and oral interferon tau (IFN) drugs to treat viral infections include, but are not limited to, antiherpesvirus agents, antiretroviral agents, and antiviral agents .Representative medicines include acyclovir, famciclovir, foscarnet, ganciclovir, iodoxuridine, sorivudine, and trifluridine Uridine (trifluridine), valacyclovir, vidarabine, didanosine, stavudine, zalcitabine, zidovudine ( zidovudine), amantadine, interferon-alpha, ribavirin, rimantadine, lamivudine, protease inhibitor inhibitors), acyclic nucleoside phosphonates and others. 60 20053 ^ 6®

愛滋海默症(Alzheimer's disease)施予干擾素tau (IFNt)同時合倂其他如後敘之藥劑是有效的,如澱粉樣 蛋白(amyloid beta )、神經傳導加強藥劑(neurotransmission enhancing drugs )、包括抗乙醯膽鹼抑制劑 (anti-cholinesterase inhibitors )例如特克寧(tacrine )、 多奈呱齊(donepezil)、利伐司替明(rivastigamine)、鎂 胙楓喋(metrifonate )、萌絲地敏(epastigimine )、尼古 丁(nicotine)、跑瑞絲地敏(pyridostigimine )、新絲地 敏(neostigimine)、法絲地敏(physostigimine)、氯化安 賓諾敏(ambenomium chloride )、與銀杏(Gingko biloba); 可增加腦兒茶酣胺(catecholamines)且/或降低對神經元氧 化傷害,包括鹽酸丙炔苯丙胺(selegiline)與維他命(vitamin E);非類固醇藥物具抗發炎效果包括羥甲基戊二酰輔酶A 抑制劑(statins)(羥甲基戊二酰輔酶A抑制劑也有免疫抑 制效果),例如洛伐他汀(lovastatin )、莘伐他汀 (simvastatin )、巾巴伐他汀(pravastatin )、福伐他汀 (fluvastatin)、阿托發司他汀(atorvastatin)、蘿莎他汀 (rosuvastatin)、絲伐他汀(cerivastatin )、氨基芳香族 經基竣酸(aminoarylcarboxylic acid derivatives ),例如孩 芬那酸(enfenamic acid)、孩拓芬那(etofenamate)、戴芬 那酸(flufenamic acid)、異索危莘(isonixin)、美克芬那梅 (meclofenamic acid)與托芬那酸(tolfenamic acid);芳 香族經基醋酸衍生物(arylacetic acid derivatives),例如 醋氯芬酸(aceclofenac )、亞瑟美達欣(acemetacin )、溴 61 200533^6® 芬奈(bromfenac )、氯吡酸(clopirac )、艾特多雷克, (etodolac )、氛替怍(fentiazac )、美洒辛(indomethacin)、 歐沙渓替莘(oxametacine)與萣卩必莘(tropesin);芳香族 經基丁酸衍生物(arylbutyric acid derivatives)、例如補瑪Alzheimer's disease is effective in administering interferon tau (IFNt) in combination with other agents as described below, such as amyloid beta, neurotransmission enhancing drugs, including Anti-cholinesterase inhibitors such as tacrine, donepezil, rivastigamine, metrifonate, and mestigmine (Epastigimine), nicotine (pyridostigimine), neostigimine, physostigimine, ambenomium chloride, and Gingko biloba ); Can increase brain catecholamines and / or reduce oxidative damage to neurons, including selegiline and vitamin E; nonsteroidal drugs have anti-inflammatory effects including hydroxymethylglutar Statins (hydroxymethylglutaryl coenzyme A inhibitors also have immunosuppressive effects), such as lovastatin, simv astatin), pravastatin, fluvastatin, atorvastatin, rosuvastatin, cerivastatin, aminoarylcarboxylic acid acid derivatives), such as enfenamic acid, etofenamate, flufenamic acid, isoxin, meclofenamic acid, and care Fenamic acid; aromatic acetic acid derivatives, such as aceclofenac, acemetacin, bromine 61 200533 ^ 6® bromfenac , Clopirac, etodolac, fentiazac, indomethacin, oxametacine, and tropesin; aromatic Arylbutyric acid derivatives, such as buma

地莘(bumadizon )、補地布芬(butibufen )、芬布芬(fenbufen ) 與聯苯丁酸(xenbucin);芳香族羥基竣酸(arylcarboxylic acid derivatives )、例如環氯節酸(clidanac )、酮咯酸 (ketorolac )、與替諾立定(tinoridine );芳香族羥基丙 酸衍生物(arylpropionic acid derivatives),例如阿明洛芬 (alminoprofen )、卡洛芬(carprofen )、芬諾普拉扮 (fenoprofen)、依普芬(ibuprofen)、引朵普芬(indoprofen), 酮洛芬(ketoprofen )、奈普生(naproxen )、派普芬 (pirpro fen)與紮托布洛芬(zaltoprofen);比卩坐(pyr azoles )、 例如雙芬奈哩(difenamizole)與依匹嗤(epirizole);派 硌唑琳(pyrazolones ),例如阿扎丙宗(apazone)、苯比派 龍(benzpiperylon )、芬派卩坐(feprazone )、氧苯 丁口坐 (oxyphenbutazone)、派比Π坐(pipebuzone)、洛米芬口坐 (ramifenazone)、與塞祥林布塔松(thiazolinobutazone); 水楊酸衍生物(salicylic acid derivatives)、例如乙醯胺莎 醇(acetaminosalol )、阿司匹靈(aspirin )、巴沙塞 (balsalazide )、待福索(diflunisal )、龍膽酸(gentisic acid)、咪卩坐水楊酸鹽(imidazole salicylate)、歐莎拉辛 (olsalazine)、帕沙米特(parsalmide)、水楊酸根硫酸 (salicylsulfuric acid)、水楊酸 | 內(sodium salicylate )、 62 200531¾½¾Bumadizon, butibufen, fenbufen, and xenbucin; arylcarboxylic acid derivatives, such as clidanac, ketones Ketorolac, tinoridine, and arylpropionic acid derivatives, such as alminoprofen, carprofen, and fenoprofen ), Ibuprofen, indoprofen, ketoprofen, naproxen, pirpro fen, and zaltoprofen; compare Sit (pyr azoles), such as difenamizole and epirizole; pyrazolones, such as apazone, benzpiperylon, fenpyridine Feprazone, oxyphenbutazone, pipebuzone, ramifenazone, and thiazolinobutazone; salicylic acid derivatives derivatives), such as acetamidine Acetaminosalol, aspirin, balsalazide, diflunisal, gentisic acid, imidazole salicylate, osa Olsalazine, parsalmide, salicylsulfuric acid, salicylic acid, sodium salicylate, 62 200531¾½¾

與柳酸磺胺紕啶 (sulfasalzine ); 與 (thiazinecarboxyamides )、例J 如安 口比昔康(ampiroxicam )、 卓昔康(droxicam)、艾索昔康(isoxicam)、氯諾昔康 (lornoxicam )、卩比羅昔康(piroxicam ) 與天諾昔康 (tenoxicam);與膽鹼致激劑(cholinergic agonists)、包 括山諾美林(xanomeline)、米拉美林(milameline)、AF 102B或米洛克(memric )。範例7描述愛滋海默症 (Alzheimer’s Disease)之老鼠模型(murine model)與如 何使用單獨干擾素-tau (IFNt)或合倂一種或一種以上的第With sulfasalzine; with thiazine carboxyamides; for example J such as ampiroxicam, droxicam, isoxicam, lornoxicam, Piroxicam and tenoxicam; and cholinergic agonists, including xanomeline, milameline, AF 102B, or milox ( memric). Example 7 describes a murine model of Alzheimer's Disease and how to use interferon-tau (IFNt) alone or a combination of one or more

效果。effect.

治療藥劑可以合倂干擾素-tau (IFNt)以治療肝臟纖維 化,藥劑選擇是基於造成纖維化的原因。例如,肝臟纖維 化是因爲肝炎病毒感染,比如是C型肝炎感染,不同的抗 病毒藥劑都可以被使用,包括單株抗體(monoclonal antibodies ),例如帕利珠(palivizumab )、派蒂米靣 (peptidomimetics),例如安普那韋(amprenavir)、克濾滿 (indinavir )、快利佳(lopinavir )、維拉賽特(nelfinavir )、 利妥那維亞(ritonavir,商品名爲諾億亞)、與服妥美 (saquinavir );多核甘酸(p〇lynucle〇tides ),例如安比基 (ampligen )與福米佛生(fomivirsen );嘌玲(purines )、 喷D定(pyrimidones ),例如濟而剛(abacavir )、阿昔樂維 (acyclovir )、亞德福偉(adefovir)、西多弗沃(cidofovir)、 基羅賽(cytarabine )、地達諾新(didanosine )、地氧達諾新 63 20053¾^Therapeutic agents can be combined with interferon-tau (IFNt) to treat liver fibrosis. The choice of agents is based on the causes of fibrosis. For example, liver fibrosis is caused by a hepatitis virus infection, such as hepatitis C infection. Different antiviral agents can be used, including monoclonal antibodies, such as palivizumab, paitimid ( peptidomimetics), such as amprenavir, indinavir, lopinavir, nelfinavir, ritonavir (trade name Novyya), and Saquinavir; polynucleotides, such as ampligen and fomivirsen; purines, pyrimidones, such as Jiergang ( abacavir), acyclovir, adefovir, cidofovir, cytarabine, didanosine, dioxano 6363

(dideoxyadenosine )、依度尿苷(edoxudine )、引卓西塔賓 (emtricitabine )、泛昔洛韋(famciclovir )、氟瑞錠 (floxuridine )、更昔洛韋(ganciclovir )、碘去氧尿聢 (idoxuridine )、尹諾新(inosine )、跑娜貝斯(pranobex )、 拉美芙錬(Lamivudine)、MADU、噴昔洛韋(penciclovir )、 索芙錠(sorivudine )、司他夫定(stavudine )、替諾福韋 (tenofovir )、曲氟尿苷(trifluridine )、瓦賽洛韋 (valacyclovir )、瓦耕洛韋(valganciclovir )、阿糖腺 (vidarabine )、扎西他濱(zalcitabine )、齊多夫定 (zidovudine);唾液酸類似物(sialic acid analogs),例如 奧斯他偉(oseltamivir)與任娜密威(zanamivir);與干擾 素·阿爾法(interferon-alpha )、干擾素-貝它 (interferon-beta)、與干擾素-伽僞(interferon-gamma)。範 例8描述肝臟纖維化模組並說明如何使用單獨干擾素-tan (IFNi:)或合倂一種或一種以上的第二治療藥劑來治療肝臟 纖維化並評估治療效果。 肝臟纖維病變對癌是次要的,許多抗細胞異常增生的 藥劑都可以被使用,包括氮芥子氣(nitrogen mustards)、 乙烯亞胺 (ethyleneimines )、甲基美那敏 (methylmelamines )、院基磺酸鹽類(alkyl sulfonates )、亞 硝基尿素(nitrosoureas)、三亞莘(triazenes)、葉酸類似物 (folic acid analogs )、喃 D定類似物(pyrimidine analogs )、 嫖玲(purine analogs )、長春花生物鹼類(vinca alkaloids)、 伊玻堵菲塔莘 (ePip〇d〇phyllotoxins )、抗生素 64 20053i^3j6.9c (antibiotics )、酵素(enzymes )、生理反應調節子【biological response modifiers,例如細胞色素cytokines)】、鈾配位錯 合物(platinum coordination complexes )、大黃素 (anthracenedione)、含取代基尿素(substitutedureas)、甲 基聯胺衍生物(methylhydrazine derivatives)、腎上腺皮質 抑制劑(adrenocortical suppressants )、黃體脂酮類 (progestins )、動情素(estr〇gens )、抗動情素(dideoxyadenosine), edoxudine, emtricitabine, famciclovir, floxuridine, ganciclovir, iodoxuridine, Yin Inosine, pranobex, lamivudine, MADU, penciclovir, sorivudine, stavudine, tenofovir tenofovir), trifluridine, valacyclovir, valganciclovir, vidarabine, zalcitabine, zidovudine; Sialic acid analogs, such as oseltamivir and zanamivir; and interferon-alpha, interferon-beta, and Interferon-gamma. Example 8 describes the liver fibrosis module and shows how to use interferon-tan (IFNi :) alone or one or more second therapeutic agents to treat liver fibrosis and evaluate the effect of treatment. Liver fibrosis is secondary to cancer, and many anti-cellular abnormalities can be used, including nitrogen mustards, ethyleneimines, methylmelamines, and sulfonate Salts (alkyl sulfonates), nitrosoureas, triazenes, folic acid analogs, pyrimidine analogs, purine analogs, vinca Vinca alkaloids, ePipodophyllotoxins, antibiotics 64 20053i ^ 3j6.9c (antibiotics), enzymes, physiological response modifiers, such as cytochromes cytokines )], Platinum coordination complexes, anthracenedione, substitutedas, methylhydrazine derivatives, adrenocortical suppressants, Progestins, estrogens, antiestrins

(antieStr〇genS )、男性賀爾蒙(androgens )、抗男性素 (antiandrogens )、與促[生腺激素釋素類似物(g〇nad〇tr〇pin releasing homi_ analogs)。代表性藥品包括但不限制於下 述樂p口如·美柯撒敏(mechl〇rethamine )、環磷琉胺 (cyclophosphamide)、異環磷胺(if〇sfamide)、左旋溶肉 瘤素(melphalan)、氮芥苯丁酸(chi〇rambucil)、六甲蜜胺 (hexamethylmelamine)、塞替派(thi〇tepa)、白消安(二 甲石貝酉文丁酉曰,busulfan)、卡莫司汀(卡氮芥,carmustine)、 洛莫司汀(lomustine)、司莫司汀(甲環亞硝眠,semustine)、 司萃祥莘(streptozocin)、達卡巴(dacarbazine)、甲氨蝶 呤(methotrexate )、氟尿嘧啶(flu〇r〇uracil )、氟西徒 (floxuridine )、基羅賽(Cytarabine)、巯基嘌呤 (merxaptopurine)、硫氫基鳥糞嘌呤(thi〇guanine)、喷司他 丁( Pentostatin )、長舂鹼(vinblastine )、長春花鹼 (vincristine)、依托泊(et〇p〇side)、替尼泊(tenip〇side)、 更生霉素(dactinomycU)、柔紅霉素(dau_ubicin)、多 孽霉素(doxorubicin)、鹽酸平陽霉素(ble〇mycin)、皮利 65 2005332^1^0:(antieStrogens), male hormones (androgens), antiandrogens (antiandrogens), and gonadotropin-releasing hormone analogues (gonadotropin releasing homi analogs). Representative medicines include, but are not limited to, the following medicines such as: mechlolamine, cyclophosphamide, ifosfamide, melphalan , Nitrogen mustard acid (chi〇rambucil), hexamethylmelamine (hexamethylmelamine), thiotepa (thiotepa), busulfan (bumesan), carmustine (carbazepine , Carmustine), lomustine, lomustine, semustine, streptozocin, dacarbazine, methotrexate, fluorouracil ( flu〇r〇uracil), fluoxuridine, Cytarabine, merxaptopurine, thiguanguanine, pentostatin, scopolamine (Vinblastine), vincristine (vincristine), etoposide (teposide), teniposide (dactinomycU), daunorubicin (dau_ubicin), and doxorubicin ( doxorubicin), bleomycin hydrochloride (bleomycin), Piri 65 2 005332 ^ 1 ^ 0:

卡霉素(plicamycin)、絲裂霉素(mitomycin)、天門冬醯 胺酵素(asparaginase )、干擾素-阿爾法(IFN-α, interferon-alpha ) 、j暝銷(cisplatin )、卡鉑(carboplatin )、 米托(mitoxantrone )、經基尿素(hydroxyurea )、柏巴莘 (procarbazine)、雙氯苯二氯乙院(米托坦mitotane)、胺 糖希麥(aminoglyethimide)、潑尼鬆(prednisone)、經基 黃體酮己酸(hydroxyprogesterone caproate)、甲基乙醯氧 孕前嗣乙酸鹽(medroxyprogesterone acetate )、醋酸甲地孕 酮(去氫甲孕酮,megestrol acetate)、二乙稀二苯乙嫌雌酚 (diethylstilbestrol)、乙炔雌激素(ethinyl estradiol)、三 苯氧胺(tamoxifen )、丙酸睾九素(testosterone propionate )、 福莫特若(fluoxymesterone)、福魯塔麥德(flutamide)、柳 普林(leuprolide)、齊多夫定【zidovudine (AZT)】、爾可 福(leucovorin )、威克瘤(melphalan )、環磷琉胺 (cyclophosphamide )、達卡巴(dacarbazine )、待匹力達 (dipyridamole)、與其他藥品。當肝臟纖維化是其他疾病 或症狀的第二病症時,熟知本技藝者可以搭配選擇其他適 合之藥劑。 治療藥劑可以結合干擾素tau(IFN〇治療肺纖維化包 括免疫抑制劑例如,阿來組單抗(alemtuzumab)、硫Π坐嘌 口令(azathioprine )、舒萊(basiliximab )、布利喹啉 (brequinar )、環磷琉胺(cyclophosphamide )、類固醇藥 (corticosteroids )【潑尼鬆(prednisone)、強的松龍 (prednisolone )、去炎松(triamcinolone )、倍他米鬆 66 20053^9〇Plicamycin, mitomycin, asparaginase, interferon-alpha (IFN-α, interferon-alpha), j 暝 pin (cisplatin), carboplatin , Mitoxantrone, hydroxyurea, procarbazine, mitotane, aminoglyethimide, prednisone, Via hydroxyprogesterone caproate, medroxyprogesterone acetate, megestrol acetate, diethyl diphenethyl estrone (diethylstilbestrol), ethinyl estradiol, tamoxifen, testosterone propionate, fluoxymesterone, flutamide, leuprolide , Zidovudine (AZT), leucovorin, melphalan, cyclophosphamide, dacarbazine, to be able Up to (dipyridamole), and other medicines. When liver fibrosis is the second symptom of other diseases or symptoms, those skilled in the art can match and choose other suitable agents. Therapeutic agents can be combined with interferon tau (IFN0 to treat pulmonary fibrosis including immunosuppressants such as alemtuzumab, azathioprine, basiliximab, brequinar ), Cyclophosphamide, corticosteroids [prednisone, prednisolone, triamcinolone, betamethasone 66 20053 ^ 9.

(betamethasone)、地塞米松(dexamethasone)等】,環孢 靈(cyclosporine )、古哌立莫(gusperimus )、6-疏基嘌口令 (6-mercaptopurine)、咪卩坐瑞濱(mizoribine)、P比美莫司 (pimecrolimus )、雷比霉素(rapamycin )、霉酣酸酯 (mycophenolate mofetil )、抗胸腺細胞球蛋白 (antithymocyte globulin )、姆諾娜-CD3 單株抗體 (muromonab-CD3 monoclonal antibody )、疏嘌哈 (mercaptopurine )、雙經蒽醌(mitoxantrone )、醋酸葛拉 提落(glatiramer acetate ) (Copaxone®)、干擾素-伽侷 (IFN-γ)、干擾素-貝它(IFN-β) (AvonexTM、Betaseron™、 RibifTM)、達利珠單抗(daclizumab )、甲氨碟玲 (methotrexate )、西羅莫斯(sirolimus )、塔闊林碼司 (tacrolimus )、以及其他。醋酸葛拉提落(Galtiramer acetate )是由酪胺酸(tyrosine )、鍵氨酸鹽(glutamate)、丙 氨酸(alanine)與離胺酸(Lysine)組成之合成鹼性隨機混和 高分子,且具有抗發炎性質。當施干擾素-tau (IFNt),醋酸 葛拉提落(glatiramer acetate)會引發較高的白介素10 (IL-10 )與 TGF-beta 血中濃度(Soos,J.M. et al·,J /mm㈣〇/·, m:2231(2002)。在一些案子中,潛在疾病造成肺部纖維化 是已知的,例如風濕性關節炎(rheumatoid arthritis)與肺 結核(tuberculosis),已知可治療此類疾病的藥劑均可被使 用。例如,抗生素治療可以用於治療肺結核(tuberculosis), 抗發炎藥品可以用於治療風濕性關節炎(rheumatoid arthritis)例如包括非類固醇性抗發炎藥品,如先前討論的 67 20053^9(betamethasone, dexamethasone, etc.), cyclosporine, gusperimus, 6-mercaptopurine, mizoribine, P Pimecrolimus, rapamycin, mycophenolate mofetil, antithymocyte globulin, muromonab-CD3 monoclonal antibody, Mercaptopurine, mitoxantrone, glatiramer acetate (Copaxone®), interferon-gamma (IFN-γ), interferon-beta (IFN-β) (AvonexTM, Betaseron ™, RibifTM), daclizumab, methotrexate, sirolimus, tacrolimus, and others. Galtiramer acetate is a synthetic basic random mixed polymer composed of tyrosine, glutamate, alanine and lysine, and With anti-inflammatory properties. When interferon-tau (IFNt) was applied, glatiramer acetate caused higher interleukin 10 (IL-10) and TGF-beta blood concentrations (Soos, JM et al., J / mm㈣〇). / ·, M: 2231 (2002). In some cases, pulmonary fibrosis caused by underlying diseases is known, such as rheumatoid arthritis and tuberculosis, which are known to treat such diseases. Agents can be used. For example, antibiotic treatment can be used to treat tuberculosis, anti-inflammatory drugs can be used to treat rheumatoid arthritis, for example including non-steroidal anti-inflammatory drugs, as previously discussed 67 20053 ^ 9

Cox-2抑制劑,包括伐地昔布(valdecoxib)、魯米昔布 (lumiracoxib)與希樂保(celec〇xib);又如先則提及之免 疫抑制劑,包括甲氨喋玲(methotrexate)可以用此優點, 例如免疫抑制劑。範例9敘述肺纖維化模組並說明如何使 用單獨干擾素-tan (IFNt)或合倂一種或一種以上的第二治 療藥劑來治療罹患肺纖維化病患以評估治療效果。Cox-2 inhibitors, including valdecoxib, lumiracoxib, and celecoxib; and the immunosuppressants mentioned above, including methotrexate ) Can take advantage of this, such as immunosuppressive agents. Example 9 describes the pulmonary fibrosis module and shows how to treat patients with pulmonary fibrosis using interferon-tan (IFNt) alone or in combination with one or more second therapeutic agents to evaluate the effect of treatment.

治療藥劑也許可以結合干擾素-tau (IFNt)用於治療抗 磷脂症候群(anti-phospholipid syndrome)包括抗血液凝結 劑例如,未分段的肝素(heparin)、魯帆諾(lovenox)、乙 醯水楊酸(acetylsalicylic acid)、與香豆素(coumadin); 抗瘧疾藥物 (anti-malarials ),包括氯奎寧 (hydroxychloroquine),美爾奎寧(mefloquine)、原奎寧 (primaquine)、羅苦亞呢(proguanil)、與強力黴素脫氧經 四環素(Doxycycline );類固醇包括強的松龍 (prednisolone )、去炎松(triamcinolone )、倍他米鬆 (betamethasone)、與地塞米松(dexamethasone);且免疫 抑制劑包括靜脈注射血液球蛋白。範例描述抗磷脂症候 群(anti-phospholipid syndrome)模組並說明如何使用單獨 干擾素-tau (IFNt)或合倂一種或一種以上的第二治療藥劑 來治療罹患抗磷脂症候群(anti-phospholipid syndrome)病 患並評估治療效果。 治療藥劑可以結合干擾素-tan (IFNI)與中属的治療包 括腦血管擴張劑(cerebral vasodilators ),例如本塞克蘭 (bencyclane )、莘克隆奈(ciclonicate )、辛那伶 20053S3i69cTherapeutic agents may be used in combination with interferon-tau (IFNt) for the treatment of anti-phospholipid syndrome including anti-hemagglutinating agents such as unpared heparin, lovenox, acetamidine Acetylsalicylic acid, and coumadin; anti-malarials, including chlorochloroquine, mefloquine, primaquine, rapa Proguanil, deoxycycline with Doxycycline; steroids include prednisolone, triamcinolone, betamethasone, and dexamethasone; and Immunosuppressants include intravenous hemoglobin. Describes the anti-phospholipid syndrome module and explains how to use interferon-tau (IFNt) alone or one or more second therapeutic agents to treat anti-phospholipid syndrome Affect and evaluate the effect of treatment. Therapeutic agents can combine interferon-tan (IFNI) with the treatment of Chinese genus, including cerebral vasodilators, such as bencyclane, ciclonicate, and sinalin 20053S3i69c

(cinnarizine)、環藍地雷(cyclandelate)、氯醋酸二異丙胺 (diisopropylamine dichloroacetate )、伊比諾每戈 (eburnamonine)、夫索地(fasudil)、非諾地爾(fenoxedil)、 氟桂利嗪(flunarizine)、依布拉特(ibndilast)、菲柏地爾 (ifenprodil )、洛美利(lomerizine )、那福利(nafronyl )、 妮卡面淀(nicametate )、尼麥角林(nicergoline )、尼莫地 平(nimodipine )、罌栗鹼(papaverine )、喷替茶碱 (pentifylline )、長春胺(vincamine )、長春乙酯 (vinpocetine )與偉瓜地(viquidil );冠狀動脈擴張劑 (coronary vasodilators),例如胺參酚(amotriphene )、琥 拍苯呋地爾(benfurodil hemisuccinate )、苯佐達口坐 (benziodarone )、可洛莘(chloracizine )、乙氧香豆素 (chromonar )、可洛氟醇(clobenfurol)、氯硝甘油 (clonitrate )、可麟洛門(cloricromen )、地拉卓(dilazep )、 伊塔芬諾(etafenone )、芬地林(fendiline )、海索苯定 (hexobendine )、甘露醇六硝酸鹽(mannitol hexanitrate )、 硝酸甘油(nitroglycerin)、戊硝醇(pentrinitrol)、哌克昔 林(perhexiline)、硝酸柏帕提(propatyl nitrate)、曲匹地爾 (trapidil )、曲美他臻(trimetazidine )與維納錠 (visnadine );與組織血發蛋白原活化劑(tissue plasminogen activator )。其他合適藥劑包括自體抗原(auto-antigens ), 例如髓鞘寡樹突細胞醣蛋白【myelin oligodendrocyte glycoprotein (MOG)】或胜肽(peptides)相關於,羥甲基 戊二酰輔酶A抑製劑(statins )與醋酸葛拉提落(glatiramer 69 20053¾ 紱(cinnarizine), cyclandelate, diisopropylamine dichloroacetate, eburnamonine, fasudil, fenoxedil, flunarizine ), Ibndilast, ifenprodil, lomerizine, nafronyl, nicametate, nigergoline, nimodipine (Nimodipine), papaverine, pentifylline, vincamine, vinpocetine and viquidil; coronary vasodilators, such as amines Amotriphene, benfurodil hemisuccinate, benziodarone, chloracizine, chromonar, clobenfurol, Clonitrate, cloricromen, dilazep, etafenone, fendiline, hexobendine, mannitol six Nitrate (mannitol hexanitrate), nitroglycerin, pentrinitrol, perhexiline, propatyl nitrate, trapidil, trimetazil ( trimetazidine) and vinadine; and tissue plasminogen activator. Other suitable agents include auto-antigens, such as myelin oligodendrocyte glycoprotein (MOG) or peptides related to hydroxymethylglutaryl coenzyme A inhibitors ( statins) and glatiram acetate (glatiramer 69 20053¾)

acetate)。該髓鞘寡樹突細胞醣蛋白(MOG)較合適的是哺 乳類髓鞘寡樹突細胞醣蛋白(MOG),例如人類的鞘寡樹突 細胞醣蛋白(MOG)。該人類髓鞘寡樹突細胞醣蛋白(MOG) 核苷酸與胺基酸序列(SEQ ID NO:5)在本令譽是已知,例如 在NIH基因銀行資料庫的登錄號是BC035938。合適的該髓 鞘寡樹突細胞醣蛋白(MOG)胜肽包括範圍從約1〇到約 150個胺基酸長度,標準是約30到約100個胺基酸長度且 更可以到約10到50個胺基酸長度且可有效治療中風病 人。例如一範例中,一胜肽長度爲35到55個胺基酸的該 髓鞘寡樹突細胞醣蛋白(MOG)可以被應用。又如其他範 例,一胜肽長度爲37到46個胺基酸的該髓鞘寡樹突細胞 醣蛋白(MOG)也可被應用。可以理解的是該髓鞘寡樹突 細胞醣蛋白(MOG)與相關胜肽來自其他哺乳類,包括例 如綿羊(ovine )、牛(bovine )與豬(porcine ),其功能在 治療中風的方法也可以被應用。所以應用該髓鞘寡樹突細 胞醣蛋白(MOG)包括相似度至少約有70%的胺基酸序列, 甚至至少約80%相似度,甚或至少約90%相似度的人類該 髓鞘寡樹突細胞醣蛋白(MOG)胺基酸序列。相似度百分 比可以被決定,例如藉著使用進階BLAST電腦程式比較序 列資訊,包括2.2.9版本,可利用國家健康硏究院(National Institutes of Health),或使用其他相似電腦系統決定。此 BLAST程式基於下列文獻提供之比對方法:Karlin and Altschul., Proc. Natl. Acad. Sci. USA, 87:2264-2268 (1990); 也同時被討論於 Altschul,et al·,J. A/W. 5ζ·ο/·,215:403-410 20053iS3i69c (1990) ; Karlin and Altschul, Proc. Natl. Acad. Sci.USA, 90:5873-5877 (1993);與 Altschul et al·,iW/c/e/c , U:3389-3402 (1997)等文獻中。因此,施予干擾素tau( IFN〇 合倂一種或一種以上的第二治療藥劑來治療前述治療藥劑 的範圍包括在本發明之範疇。範例11描述中風模組並說明 如何使用單獨干擾素-tau (IFNt)或合倂一種或一種以上的 第二治療藥劑來治療發生中風病患以評估治療效果。acetate). The myelin oligodendritic cell glycoprotein (MOG) is preferably a mammalian myelin oligodendritic cell glycoprotein (MOG), such as human oligosphingomyelin cell glycoprotein (MOG). The human myelin oligodendritic cell glycoprotein (MOG) nucleotide and amino acid sequence (SEQ ID NO: 5) are known in this decree. For example, the accession number in the NIH Gene Bank database is BC035938. Suitable such myelin oligodendritic cell glycoprotein (MOG) peptides include a length ranging from about 10 to about 150 amino acids, the standard being about 30 to about 100 amino acids in length and more preferably about 10 to about 50 amino acids long and effective in treating stroke patients. In one example, the myelin oligodendritic cell glycoprotein (MOG) having a peptide length of 35 to 55 amino acids can be used. As another example, the myelin oligodendritic cell glycoprotein (MOG) having a peptide length of 37 to 46 amino acids can also be used. It can be understood that the myelin oligodendritic cell glycoprotein (MOG) and related peptides are from other mammals, including, for example, ovine, bovine, and porcine, and their functions can also be used in the treatment of stroke. be utilized. Therefore, the application of the myelin oligodendritic cell glycoprotein (MOG) includes amino acid sequences that have at least about 70% similarity, even at least about 80% similarity, or even at least about 90% similarity to the human myelin oligodendron. Synaptic glycoprotein (MOG) amino acid sequence. The similarity percentage can be determined, for example, by comparing sequence information using an advanced BLAST computer program, including version 2.2.9, using the National Institutes of Health, or using other similar computer systems. This BLAST program is based on the comparison methods provided by: Karlin and Altschul., Proc. Natl. Acad. Sci. USA, 87: 2264-2268 (1990); also discussed in Altschul, et al., J. A / W. 5ζ · ο / ·, 215: 403-410 20053iS3i69c (1990); Karlin and Altschul, Proc. Natl. Acad. Sci. USA, 90: 5873-5877 (1993); and Altschul et al ·, iW / c / e / c, U: 3389-3402 (1997). Therefore, the scope of administering interferon tau (IFN0 combined with one or more second therapeutic agents to treat the aforementioned therapeutic agents is included in the scope of the present invention. Example 11 describes a stroke module and illustrates how to use interferon-tau alone (IFNt) or a combination of one or more second therapeutic agents to treat patients with stroke to evaluate the effect of treatment.

治療藥劑可以合倂干擾素-tau (IFNt)治療視神經炎 (optic neuritis )包括羥甲基戊二酰輔酶A抑製劑 (statins),與先前提及之免疫抑制劑包括羥甲基戊二酰輔 酶A抑製劑(statins),類固醇(corticosteroids)與醋酸葛 拉提落(glatiramer acetate )。範例12描述視神經炎(optic neuritis)模組並說明如何使用單獨干擾素-tan (IFNt)或合 倂一種或一種以上的第二治療藥劑來治療罹患視神經炎 (optic neuritis)病患並評估治療效果。 治療藥劑可以結合干擾素-tau (IFNt)治療慢性阻塞型 肺部疾病包括氣管擴張劑與類固醇。合適的氣管擴張劑包 括麻黃素(ephedrine)衍生物,例如舒喘寧(albuterol)、 班布特若(bambuterol)、比托特羅(又名雙甲苯喘定, bitolterol)、卡布特羅(carbuterol)、克倫特羅(clenbuterol)、 雙氧喜卓(dioxethedrine )、麻黃素(ephedrine )、芬成醇 (fenoterol )、異沙林(isoetharine )、馬布特羅(mabuterol)、 皮布特醇(pirbuterol )、普羅托醇(protokylol )、林姆特醇 (rimiterol )、沙美特羅(salmeterol )、索特羅(soterenol )、 20053纖。cTherapeutic agents can be combined with interferon-tau (IFNt) to treat optic neuritis including hydroxymethylglutaryl coenzyme A inhibitors (statins), and previously mentioned immunosuppressants include hydroxymethylglutaryl coenzyme A inhibitors (statins), steroids (corticosteroids) and glatiramer acetate (glatiramer acetate). Example 12 describes the optic neuritis module and shows how to use interferon-tan (IFNt) alone or one or more second therapeutic agents to treat patients with optic neuritis and evaluate the effect of treatment . Therapeutic agents can be combined with interferon-tau (IFNt) to treat chronic obstructive pulmonary diseases including tracheodilators and steroids. Suitable tracheal dilators include ephedrine derivatives such as albuterol, bambuterol, bitoterol (also known as bitolterol), capbutrol (Carbuterol), clenbuterol, dioxethedrine, ephedrine, fenoterol, isoetharine, mabuterol, skin Pirbuterol, protokylol, rimiterol, salmeterol, soterenol, 20053 fiber. c

與特布特羅(tulobuterol);四級銨鹽化合物等,例如氟托 溴铵(flutropium bromide)、溴化異丙托品(ipratropium bromide )、氧托溴錶(又名溴乙東直菪鹼,oxitropium bromide)和溴泰特品(titropium bromide);與黃嘌U令衍生 物(xanthine derivatives),例如亞西非林(acefylline)、安 布茶碱(ambuphylline)、氨基非林(aminophylline)、非林 (bamifylline )、多西非林(doxofylline )、乙托非林 etofy 11 ine )、胍西非林(guathylline )、可可鹼(theobromine ) 與茶鹼(Theophylline)。其他合適藥劑包括羥甲基戊二酰輔 酶A抑製劑(statins)、醋酸葛拉提落(glatiramer acetate) 先前提及之類固醇。範例13描述慢性阻塞型肺部疾病模 組並說明如何以治療罹患慢性阻塞型肺部疾病之病人使用 單獨干擾素-tau (IFNt)或合倂一種或一種以上的第二治療 藥劑來治療罹患慢性阻塞型肺部疾病之病患並評估治療效 果。 治療藥劑可以結合獨干擾素-tan (IFNt)治療孤獨症 (autism)包括血清素(serotonin)吸收抑制劑包括費蒙斯 丁( femoxetine )、氟西汀(fluoxetine )、氟伏沙明 (fluvoxamine )、茵達坪(indalpine )、鹽酸茵達洛莘 (indeloxazine hydrochloride)、米拉西胼(milnacipran )、 克憂果(paroxetine )、舍曲林(sertraline )與、莘美錠 (zimeldine);抗精神病藥物(anti-psychotic drugs),包括 苯祥麥(benzamides ),例如氨擴必利(amisulpride )、奈莫 必利(nemonapride )、瑞莫必利(remoxipride )、舒必朗 :s 72 2005333i69cAnd terbututerol (tulobuterol); quaternary ammonium compounds, such as flutropium bromide, ipratropium bromide, oxtropromide (also known as bromoethorbutine Oxitropium bromide) and titropium bromide; and xanthine derivatives, such as acefylline, ambuphylline, aminophylline, non Forest (bamifylline), doxofylline, etofy 11 ine, guathylline, theobromine and theophylline. Other suitable agents include hydroxymethylglutaryl coenzyme A inhibitors (statins), glatiramer acetate (steroids) previously mentioned. Example 13 describes the chronic obstructive pulmonary disease module and shows how to treat patients with chronic obstructive pulmonary disease using interferon-tau (IFNt) alone or in combination with one or more second therapeutic agents Patients with obstructive pulmonary disease and evaluate the effect of treatment. Therapeutic agents can be combined with interferon-tan (IFNt) to treat autism including serotonin absorption inhibitors including femoxetine, fluoxetine, and fluvoxamine , Indalpine, indeloxazine hydrochloride, milnacipran, paroxetine, sertraline, and zmeldine; antipsychotic Anti-psychotic drugs, including benzamides, such as amifulpride, nemonapride, remoxipride, sulpiram: s 72 2005333i69c

(sulpiride )、與舒托必利(sultopride );苯異氧祥 (benzisoxazoles ),例如伊皮通(iloperidone )與維思通 (risperidone); 丁酸酣嗣類(butyrophenones),例如苯多 巴胺拮抗劑(benperidol)、溴多巴胺拮抗劑(bromperidol)、 卓多巴胺拮抗劑(droperidol )、氟阮異酮(fluanisone )、氟 哌丁苯(haloperidol )、美哌隆(melperone )、摩哌隆 (moperone )、皮哌隆(pipamperon )、斯脈隆(spiperone )、 替米嘁隆(timiperone )、與三氟多巴胺拮抗劑 (trifluperidol)、硫二苯胺(phenothiazines),例如醋奮乃 靜(acetophenazine )、丁比陪拉辛(butaperazine )、卡奮乃 靜(carphenazine )、氯普魯邁靜(chlorpromazine )、克斯拉 莘(clospirazine)、氰美馬靜(cyamemazine)、雙喜那靜 (dixyrazine )、集非那靜(fluphenazine )、美博靜 (mepazine ),與美索達靜(mesoridazine );與硫黃嘌口令 (thioxanthenes) ’ 例如氯哌噻莘(chlorprothixine)、氯哌 噻吨(clopenthixol)、氟哌噻吨(flupentioxl)與修析杉 (thiothixen);與具抗發炎性質之藥品包括羥甲基戊二酰輔 酶A抑製劑(statins)、醋酸葛拉提落(glatiramer acetate) 與先前提及之類固醇。範例14描述孤獨症(autism)模組 並說明如何以治療罹患孤獨症之病人使用單獨干擾素-tan (IFNt)或合倂一種或一種以上的第二治療藥劑來治療罹患 孤獨症(autism)之病患並評估治療效果。 治療藥劑可以合倂干擾素-tau (IFNt)治療糖尿病,包括 胰島素、貝它細胞相關自體抗原以及熱休克蛋白(heat 73 20053S3f6Qc shock proteins ),包括例如熱休克蛋白(heat shock proteins ) 10'22、27'60'65、70 與 90。熱休克蛋白(he at shock proteins ) 較佳的是哺乳類熱休克蛋白(mammalian heat shock proteins)例如人類熱休克蛋白(heat shock proteins),和 其他可以購買的商用蛋白質或其他熟知此技藝人士可以獲 得之蛋白質。(sulpiride), and sultopride; benzisoxazoles, such as iloperidone and risperidone; butyrophenones, such as bentopamine antagonists (Benperidol), bromperidol antagonist (droperidol), fluanisone (fluanisone), haloperidol (meloperone), meperone (moperone), Pipamperon, spiperone, timiperone, trifluperidol, trifluperidol, phenothiazines, such as acetophenazine, butyl ratio Accompany with butaperazine, carphenazine, chlorpromazine, clospirazine, cyamemazine, dixyrazine, diphenazine (Fluphenazine), mepazine, and mesoridazine; and thioxanthenes '' such as chlorprothixine, cloopenthion (clopen thixol), flupentioxl and thiothixen; and anti-inflammatory drugs including hydroxymethylglutaryl coenzyme A inhibitors (statins), glatiramer acetate and Previously mentioned steroids. Example 14 describes the autism module and shows how to treat patients with autism using interferon-tan (IFNt) alone or a combination of one or more second therapeutic agents to treat patients with autism. Patients and evaluate the effect of treatment. Therapeutic agents can be combined with interferon-tau (IFNt) to treat diabetes, including insulin, beta cell-associated autoantigens, and heat shock proteins (heat 73 20053S3f6Qc shock proteins), including, for example, heat shock proteins 10'22 , 27'60'65, 70 and 90. He at shock proteins are preferably mammalian heat shock proteins such as human heat shock proteins, and other commercially available proteins or other people skilled in the art can obtain them. protein.

治療藥劑可以合倂干擾素-tan (IFNt:)治療粥樣動脈硬 化包括免疫抑制劑先前提及的熱休克蛋白(heat shock proteins)包括例如熱休克蛋白(heat shock proteins) 10, 22, 27,60, 65,70 與 90。熱休克蛋白(heat shock proteins ) 較佳的是人類熱休克蛋白(human heat shock proteins )。其 他合適治療藥劑包括例如抗血小板凝結劑,如阿斯匹靈、 克羅匹多(clopidogrel )、潘生丁( dypridamole )、氯匹定 (ticlopidine)、與亞擴酸柏亞怍酮(sulfinpoyrazone);膽 酸螫合齊!i ( bile acid sequestrants ),包括鹽酸克勒地柏 (colestipol hydrochloride ),與克勒地敏膠(cholestryamine resin );纖維酸衍生物【fibrinates (fibric acid derivatives)】,包括吉非貝齊(gemfibrozil ),非諾貝特 (fenofibrate),與克洛非柏(clofibrate) ; 3-經基-3-甲基戊 二酸基醯基輔酶 A (HMG-CoA)還原酶抑制劑 (3-hydroxy-3-methylglutary 1 coenzyme A (HMG-CoA) reductase inhibitors),例如洛伐他汀(lovastatin,商品名 Mevacor®)、莘伐他汀(simvastatin,商品名 Zocor®; velostatin)、巾巴伐他汀(pravastatin,商品名 Pravachol⑧)、 20053^ScTherapeutic agents can be combined with interferon-tan (IFNt :) to treat atherosclerosis including immunosuppressants. The previously mentioned heat shock proteins include, for example, heat shock proteins 10, 22, 27, 60, 65, 70 and 90. The heat shock proteins are preferably human heat shock proteins. Other suitable therapeutic agents include, for example, anti-platelet coagulants, such as aspirin, clopidogrel, dypridamole, ticlopidine, and sulfinpoyrazone; bile Acids are combined! I (bile acid sequestrants), including colestipol hydrochloride, and cholestyamine resin; fibrinates (fibric acid derivatives), including gefi Gemfibrozil, fenofibrate, and clofibrate; 3-Hydroxy-3-methylglutaryl hydrazone coenzyme A (HMG-CoA) reductase inhibitor ( 3-hydroxy-3-methylglutary 1 coenzyme A (HMG-CoA) reductase inhibitors), such as lovastatin (trade name Mevacor®), simvastatin (trade name Zocor®; velostatin), lovastatin (Pravastatin, trade name Pravachol⑧), 20053 ^ Sc

福伐他汀(fluvastatin,商品名Lescol®)、阿托發司他汀 (atorvastatin,商品名 Lipitor®)、蘿莎他汀(rosuvastatin, 商品名Crestor®)、與絲伐他汀(cerivastatin,商品名 Baycol®)、倂用抗高血壓用藥於有高血壓的病人,包括利尿 劑,例如有機末劑(organomercurials ),包括氯摩卓 (chlormerodrin )、懞路德(meralluride )、硫醇孟霖鈉 (mercaptomerin sodium )、與永撒利(mersalyl );嘌口令 (purines )包括帕馬溴(pamabrom )、丙咖啡鹼 (protheobromine)與可可鹼(theobromine );類固醇、例如 烯睪丙內酯(canrenone )、歐夾竹桃素(oleandrin )、與安 體舒通(spironolactone)、苯擴醯胺衍生物(sulfonamide derivatives )、例如乙 Π坐胺(acetazolamide )、安布赛特 (ambuside )、阿佐塞米(azosemide )、布美他尼 (bumetanide )、布他 坐胺(butazolamide )、氯非那胺 (clofenamide )、氯帕胺(clopamide )、二擴法胺 (disulfamide )、呋塞米(furosemide )、與陀塞米 (torsemide);與噻嗪(thiazides ),例如阿爾噻 _ (althiazide )、苯噻嗪(benzthiazide )、氯噻曉 (chlorothiazide)、環戊噻嗪(cyclopenthiazide)、乙噻嗪 (ethiazide)、氫氯苯噻嗪(hydrochlorothiazide)、D引達帕 胺(indapamide )、美托拉宗(metolazone )、與四氯噻曉 '(teclothiazide );乙醯反轉酶抑制劑,例如阿拉普利 (alacepril )、貝那普利(benazepril )、卡特普利(captopril)、 塞龍普利(ceronapril )、西拉普利(cilazapril )、地拉普利 75 20053¾^Fluvastatin (Lescol®), atorvastatin (Lipitor®), rosuvastatin (Crestor®), and cerivastatin (Baycol®) Use antihypertensive medications in patients with hypertension, including diuretics, such as organic powders (organomercurials), including chlormerodrin, meralluride, mercaptomerin sodium And mersalyl; purines include pamabrom, protheobromine, and theobromine; steroids, such as canrenone, and oleandherin ( oleandrin), with spironolactone, sulfonamide derivatives, such as acetazolamide, ambuside, azosemide, butamet (Bumetanide), butazolamide, clofenenamide, clopamide, disulfamide, furosemide emide), and torsemide; and thiazides, such as althiazide, benzthiazide, chlorothiazide, cyclopenthiazide, ethithine Ethiazide, hydrochlorothiazide, indapamide, metolazone, and teclothiazide; acetamidine reverse enzyme inhibitors, such as Alapril, benazepril, captopril, ceronapril, cilazapril, tilapril 75 20053¾ ^

(delapril )、依那普利(又名苯丁酯脯酸,enalapril )、賴 諾普利(lisinopfil )、莫維普利(moveltipril )、喹那普利 (quinapril )、雷米普利(ramipril )與恬諾卡普利 (temocarpril);阿爾法腎上腺素致激劑(alpha-adrenergic agonists ),例如阿祚啡啉(adrafinil )、阿祚諾啉 (adrenalone )、阿米帝酚(amidephrine )、阿可爾定 (apraclonidine )、布卓拉卩坐(burdralazine )、可樂定 (clonidine )、環五胺(cyclopentamine )、麻黃素 (ephedrine )、酣氧 Π坐啉(fenoxaz〇line )、馬它米諾 (mataraminol)、甲基化經基第三胺(methoxamine ),邁妥 林(midodrine)、莫達非尼(modafinil)、奧托君(又名異 辛胺,octodrine)、氧對D坐啉(oxymetazline)、甲經苯丙胺 (pholedrine )、雷美尼定(rilmenidine )與甲硫氨酸 (tyramine );貝它腎上腺阻斷劑(beta-adrenergic blockers),例如艾思布妥(acebutolol )、 烯丙洛爾 (alprenolol )、氨磺洛爾(amosulalol )、阿订洛爾 (arotinolol)、阿替洛爾(atenolol)、班氛洛爾(befunolol)、 倍他洛爾(betaxolol)、貝凡洛爾(bevantolol)、布尼哗洛 爾(bimitrolol)、鹽酸布替卓(butidrine hydrochl〇ride)、 卡拉唑洛爾(caraz〇l〇l)、卡替洛爾(carteolol)、地利凡洛 爾(dilevealol )、伊甸諾洛爾(indeno101 )、梅品第洛爾 (mepindolol )、莫普洛爾(moPr〇l〇l )、那帝歐洛爾 (nadoxolol )、噴布洛爾(Penbut〇l〇l )、卩ΐ 夫洛爾 (pindolol )、普荼洛爾(Pr〇Pran〇l〇l )、磺苄心定 76 2005333i69c(delapril), enalapril (also known as phenylbutyric acid proline, enalapril), lisinopfil, moviltipril, quinapril, ramipril And tenocarpril; alpha-adrenergic agonists, such as adrafinil, adrenalone, amidephrine, acole (Apraclonidine), burdralazine, clonidine, cyclopentamine, ephedrine, fenoxaz〇line, Matamino (mataraminol), methylated tertiary amine (methoxamine), midodrine, modafinil, ottojun (also known as octodrine), oxygen to D sitting morpholine ( oxymetazline, pholedrine, rilmenidine, and tyramine; beta-adrenergic blockers, such as acebutolol, allyl Alprenolol, amosulalol Atrotinolol, atenolol, befunolol, betaxolol, bevantolol, bimitrolol, hydrochloric acid Butidrine hydrochlride, carazolol, carteolol, dilevealol, indeno101, mepindi (Mepindolol), MoProll (lol), Nadoxolol (Penbutol (lol)), Pindolol (Puldol), Puta Lore (PrOPranOl01), Sulbenicol 76 2005333i69c

(sulfinalol )、特塔洛爾(tertatolol )與新布洛爾 (xibenolol);錦離子阻斷劑(calcium channel blockers), 包括芳香院基胺(arylalkylamines ),例如普地爾(bepridil)、 可提津(clentiazem )、地爾硫卓(diltiazem )、芬地林 (fendiline )、戈洛帕米(gallopamil )、米本閥地 (mibefradil )、普烈拉明(prenylamine )、司莫地爾 (semotiadil )、特羅地林(terodiline )、與維拉帕米 (verapamil );二氫嚼 H定衍生物(dihydropyridine derivatives ),例如氨氯地平(amlodipine )、阿雷地平 (aranidipine )、巴尼地平(barnidipin )、班地平 (benidipin )、曼尼地平(manidipiine )、尼伐地平 (nilvadipine)與尼川地平(nitrendipine);和匹配拉淨衍 生物(piperazine derivatives ),例如桂利嗪(cinnarizine )、 多塔利曉(dotarizine )、西比靈(flunarizine )、利多氟拉嗪 (lidoflazine)、與洛美利(lomerizine);免疫抑制劑如前 所樹以及有抗發炎效果的藥劑,包括羥甲基戊二酰輔酶A 抑製劑(statins),醋酸葛拉提落(glatiramer acetate)與先 前提及之類固醇。範例15描述動脈粥樣硬化模組並說明 如何以治療罹患動脈粥樣硬化病人使用單獨干擾素-tau (IFNt)或合倂一種或一種以上的第二治療藥劑來治療動脈 粥樣硬化(atherosclerosis)之病患並評估治療效果。治療 藥劑可以合倂干擾素-tau (IFNt)治療過敏包括過敏引導藥 劑,包括花粉、卵蛋白素,食物成分,例如牛奶、麥、動 物肉、包括牛、豬、或棉養等肉類;蔬菜,包括邏蔔,與 77 2〇〇5mm,(sulfinalol), tertatolol, and xibenolol; calcium channel blockers, including arylalkylamines, such as bepridil, and extractables Clinazem, diltiazem, fendiline, gallopamil, mibefradil, prenylamine, semotiadil, special Terodiline, verapamil, and dihydropyridine derivatives, such as amlodipine, aranidipine, barnidipin, Bendipin, manidipiine, nilvadipine, and nitrendipine; and piperazine derivatives such as cinnarizine, dotalizine (Dotarizine), flunarizine, lidoflazine, and lomerizine; immunosuppressive agents such as those previously mentioned and agents with anti-inflammatory effects, including Hydroxymethylglutaryl coenzyme A inhibitors (statins), glatiramer acetate and the aforementioned steroids. Example 15 describes the atherosclerosis module and shows how to treat atherosclerosis in patients with atherosclerosis using interferon-tau (IFNt) alone or a combination of one or more second therapeutic agents Patients and evaluate treatment effects. Therapeutic agents can be combined with interferon-tau (IFNt) to treat allergies including allergy-guided agents, including pollen, ovalbumin, food ingredients, such as milk, wheat, animal meat, including meat such as cattle, pig, or cotton; vegetables, Including logic, with 77 2005mm,

十字花科蔬菜,例如花椰菜、甘藍菜、白色花椰菜球芽甘 藍(brussels sprouts)、與蕪菁(turnips);核果,包括花生 米、開心果(pistachios )、腰果(cashews );與敏特( mites ); 內貝網降解劑(endoplasmic reticulum degrading agents ), 包括Deri (從’例如,酵母菌(Saccharomyces cerevisiae ) 曾被養殖的序列在文獻中Knop,M.,et al.,J.,15(4) 753-763 (1996);醋酸葛拉提落(giatiramer acetate)與經 甲基戊二酰輔酶A抑製劑(statins)與先前提及之類固醇。 另外’昔知領域其他物種已知的Deri蛋白可以被運用,相 同方法也可以運用Deri類似蛋白。 治療藥劑可以合倂干擾素-tan (IFNt)治療發炎性腸道 疾病(inflammatory bowel disease )包括茵菲西碼 (infliximab )對抗癌症新生·α因子(tumor necrosis,a factor, TNF-alpha factor)的單株抗體、先前描述的羥甲基戊二酰 輔酶A抑製劑(statins ),醋酸葛拉提落(glatiramer acetate)、抗腹瀉劑(anti-diarrheal agents),例如乙醯單寧 酸(acetyltannic acid)、阿克方酮(alkofanone)、次柳酸鉍 (bismuth subsalicylate)、兒茶酸(catechin)、狄芬諾新 (difenoxin )、狄芬諾西萊(diphenoxylate )、利達 (lidamidine )、蘿柏米(loperamide )、羅卡多促 (racecadotril )、二黎(trillium )、優季黎(uzarin )與咋達 黎(zaldaride)、與抗抽筋藥劑,包括貝拉多那(belladonna)、 莨菪碱(hyoscyamine)、克利溴铵(clidinium bromide)、 格隆溴銨(glycoPyrr〇late)、鹽酸雙環維林(dicycl〇mine 2005^um〇 hydrochloride )、美柏林(mebeverine )、溴化歐提林 (otilonium bromide)、與西托漠鞍(cimetropium)。Cruciferous vegetables, such as cauliflower, cabbage, white cauliflower Brussels sprouts, and turnips; stone fruits, including peanuts, pistachios, cashews, and mites Endoplasmic reticulum degrading agents, including Deri (from 'for example, Saccharomyces cerevisiae') have been cultured in the literature Knop, M., et al., J., 15 (4) 753-763 (1996); giatiramer acetate and via glutaryl coenzyme A inhibitors (statins) and previously mentioned steroids. In addition, the Deri protein known to other species in the past can be The same method can also be used for Deri-like proteins. Therapeutic agents can be combined with interferon-tan (IFNt) to treat inflammatory bowel disease (including infliximab) against cancer neonatal factor α ( tumor necrosis (a factor, TNF-alpha factor) monoclonal antibody, previously described hydroxymethylglutaryl coenzyme A inhibitor (statins), glatiramer acetate tate), anti-diarrheal agents, such as acetyltannic acid, alkofanone, bismuth subsalicylate, catechin, difen Difenoxin, diphenoxylate, lidamidine, loperamide, racecadotril, trillium, uzarin, and dalida ( zaldaride), and anti-cramp agents, including belladonna, hyoscyamine, clinium bromide, glycopyrrolate, dicyclomine hydrochloride (dicyclomine 2005) ^ umhydrochloride), mebeverine, otilonium bromide, and cimetropium.

治療藥劑可以合倂干擾素-tan (IFNt)治療關節炎,包括 抗原,例如葡萄球菌細胞壁(streptococcal cell wall);熱 休克蛋白(heat shock proteins ),包括先前所述包括先前提 及的熱休克蛋白60 ( heat shock protein 60 );膠原蛋白包括 第二型膠原蛋白;先前提及的非類固醇抗發炎藥劑對抗癌 症新生-α因子(TNF-alpha factor)的單株抗體;先前提及 的羥甲基戊二酰輔酶A抑製劑(statins),醋酸葛拉提落 (glatiramer acetate),甲氨_玲(methotrexate)與先前提 及的COX-2特殊抑制劑。範例16描述關節炎模組並說 明如何使用單獨干擾素-tau (IFNt)或合倂一種或一種以上 的第二治療藥劑來治療罹患關節炎病患並評估治療效果。 治療藥劑可以結合干擾素-tan (IFNt)治療多發性硬化 症包括髓鞘基本蛋白質(myelin basic protein )與胜肽,髓 鞘寡樹突細胞醣蛋白(myelin oligodendrocyte glycoprotein) 與先前提及之胜肽,以及先前提及之對抗癌症新生-α因子 (TNF-alpha factor)的單株抗體;醋酸葛拉提落(glatiramer acetate),與先前提及之類固醇及羥甲基戊二酰輔酶A抑製 劑(statins )。髓鞘基本蛋白質(myelin basic protein )較佳 的是哺乳類髓鞘基本蛋白質,例如人類髓鞘基本蛋白質。 人類髓鞘基本蛋白質的核苷酸與安基酸序列(SEQ ID NO:6) 是可被找到的比對的,例如在國家基因銀行資料庫(NIH Genbank database)之登錄號爲NM_002385。合適的蛋白 79 2005333i69cTherapeutic agents can be combined with interferon-tan (IFNt) to treat arthritis, including antigens, such as streptococcal cell wall; heat shock proteins, including previously mentioned including the previously mentioned heat shock proteins 60 (heat shock protein 60); collagen includes type II collagen; previously mentioned non-steroidal anti-inflammatory agents, monoclonal antibodies against cancer neo-alpha factor (TNF-alpha factor); previously mentioned methylol Glutaryl coenzyme A inhibitors (statins), glatiramer acetate, methotrexate and previously mentioned special COX-2 inhibitors. Example 16 describes the arthritis module and shows how to use interferon-tau (IFNt) alone or a combination of one or more second therapeutic agents to treat arthritic patients and evaluate the effect of treatment. Therapeutic agents can be combined with interferon-tan (IFNt) to treat multiple sclerosis including myelin basic protein and peptides, myelin oligodendrocyte glycoprotein and previously mentioned peptides , And the previously mentioned monoclonal antibodies against TNF-alpha factor; glatiramer acetate, and the steroids and hydroxymethylglutaryl coenzyme A inhibitors mentioned earlier (Statins). Myelin basic protein is preferably a mammalian myelin basic protein, such as a human myelin basic protein. The nucleotide and amino acid sequence (SEQ ID NO: 6) of the basic protein of human myelin sheath can be found, for example, the accession number in the National Gene Bank database (NIH Genbank database) is NM_002385. Protein 79 2005333i69c

質、合適的髓鞘基本蛋白質類胜肽包括從約5到30個胺基 酸長度。合適的胜肽包括胺基酸1到胺基酸11片段,包括 調整5’端例如是一個乙醯官能基。可以了解的是哺乳類 物種之髓鞘基本蛋白質(myelin basic protein)與胜肽,包 括,例如羊、牛、豬之髓鞘基本蛋白質(myelin bask protein) 與胜肽,用以治療多發性硬化症可以使用的方法。所以可 應用的髓鞘基本蛋白質(myelin basic protein)包括至少約 70%的胺基酸序列相似度較佳狀況是至少約80%的胺基酸 序列相似度,更佳狀況是是至少約90%的人類髓鞘基本蛋 白質(myelin basic protein)胺基酸序列相似度。 治療藥劑可以結合干擾素-tan (IFNt)治療葡萄膜炎 (uveitis )包括羥甲基戊二酰輔酶A抑製劑(statins ),醋 酸葛拉提落(glatiramer acetate)與其他先前提及之免疫抑 制劑,包括類固醇類,以全身性施予或眼藥劑滴入;葡萄 膜炎(uveitis )藥劑包括視網膜S抗原【人類視網膜S抗 原(human retinal S antigen)可以用例如下述的文獻方法獲 得 Beneski,D.A·,et al·,m 5W· 25:686-690 (1984),且間質性視網膜結合蛋白(interstitial retinal binding protein ,IRBP);人類序列可以在下列文獻找到 Liou9 G.I.? et al.5 J. Biol. Chem. 264 (14):8200-8206 (1989)】;同時人類白血球抗原(human leukocyte antigen, HLA)-結合胜肽,包括從已知的HLA-A、HLA-B、HLA-C、 HLA-E與HLA-G轉換是昔知技術寫在下列文獻中已被討 論,例如 PCT國際申請號 PCT/US02/243 1 1與 80 2005332¾¾¾ PCT/GB98/03686 ; Braud,和文獻 V. Μ., et al.? Nature 391:795-799 (1998) 〇Qualitative, suitable myelin basic protein peptides include from about 5 to 30 amino acids in length. Suitable peptides include amino acid 1 to amino acid 11 fragments, including adjustments to the 5 ' end such as an acetamidine functional group. It can be understood that myelin basic protein and peptides of mammals, including, for example, myelin bask protein and peptides of sheep, cattle, and pigs, can be used to treat multiple sclerosis usage instructions. Therefore, the applicable myelin basic protein includes at least about 70% amino acid sequence similarity. A better condition is at least about 80% amino acid sequence similarity, and a more preferable condition is at least about 90%. Sequence similarity of human myelin basic protein. Therapeutic agents can be combined with interferon-tan (IFNt) to treat uveitis including hydroxymethylglutaryl coenzyme A inhibitors (statins), glatiramer acetate and other previously mentioned immunosuppressants Agents, including steroids, are administered systemically or by eye drops; uveitis agents include retinal S antigen [human retinal S antigen can be obtained by, for example, the following literature methods: Beneski, DA ·, Et al ·, m 5W · 25: 686-690 (1984), and interstitial retinal binding protein (IRBP); human sequences can be found in Liou9 GI? Et al. 5 J. Biol. Chem. 264 (14): 8200-8206 (1989)]; at the same time, human leukocyte antigen (HLA) -binding peptides, including from known HLA-A, HLA-B, HLA-C, The conversion of HLA-E and HLA-G is a well-known technique and has been discussed in the following documents, such as PCT International Application No. PCT / US02 / 243 1 1 and 80 2005332¾¾¾ PCT / GB98 / 03686; Braud, and Document V.M. , et al.? Nature 391: 795-799 (1998).

治療藥劑可以結合干擾素-tau (IFNt)治療器官移植排 斥包括先前提及之免疫抑制劑,例如,羥甲基戊二酰輔酶 A 抑製劑(statins)、醋酸葛拉提落(glatiramer acetate)、 硫唑嘌呤(azathioprine)、類固醇、或類固醇、環磷琉胺 (cyclophosphamide)。範例17描述器官移植排斥模組並 說明如何使用單獨干擾素-tan (IFNt)或合倂一種或一種以 上的第二治療藥劑來治療病患並評估治療效果。 合倂治療療程中,第二治療藥劑可以在施予干擾素-tau (IFNt)之前、同時、或之後使用。針對選擇合適的第二藥劑 與施予時間,對熟知此技藝人士是容易的。第二藥劑的施 予途徑選擇由主治醫師決定。 其他與干擾素-tau (IFNt)相關之合倂治療藥劑須具備 有效且/或足以穩定口服之後的干擾素-tau (IFNt),特別是 在通過胃與/或腸道穩定劑具保護干擾素-tan (IFNt)不失去 藥效活性的效果,也就是不會在胃與/或腸道失去活性。示 範性範例如緩衝劑、胃酸分泌之拮抗劑,氨基酸,例如甘 胺酸(glycine )與離胺酸(lysine )、碳水化合物 (carbohydrates )例如葡萄糖(dextrose )、甘露糖 (mannose)、半乳糖(galactose)、果糖(fructose)、乳糖 (lactose)、蔗糖(sucrose)、麥芽糖(maltose)、山梨醇 (sorbitol)、甘露醇(mannitol)等,蛋白質水解酵素抑制 劑(proteolytic enzyme inhibitors)、與類似物。 20053^9〇cTherapeutic agents can be combined with interferon-tau (IFNt) to treat organ transplant rejection including the previously mentioned immunosuppressants, such as hydroxymethylglutaryl coenzyme A inhibitors (statins), glatiramer acetate, Azathioprine, steroids, or steroids, cyclophosphamide. Example 17 describes an organ transplant rejection module and shows how to use interferon-tan (IFNt) alone or a combination of one or more secondary therapeutic agents to treat patients and evaluate the effect of treatment. During the combination therapy, the second therapeutic agent may be used before, at the same time, or after the administration of interferon-tau (IFNt). It is easy for a person skilled in the art to select a suitable second agent and administration time. The choice of the route of administration of the second agent is determined by the attending physician. Other interferon-tau (IFNt) -associated therapeutic agents must be effective and / or sufficient to stabilize interferon-tau (IFNt) after oral administration, especially to protect interferon through gastric and / or intestinal stabilizers -tan (IFNt) does not lose the effect of pharmacological activity, that is, it does not lose activity in the stomach and / or intestines. Exemplary examples include buffers, antagonists of gastric acid secretion, amino acids such as glycine and lysine, carbohydrates such as dextrose, mannose, galactose ( galactose, fructose, lactose, sucrose, maltose, sorbitol, mannitol, etc., proteolytic enzyme inhibitors, and the like . 20053 ^ 9〇c

較佳實施例中,穩定劑可以是制酸劑,例如有機酸羧 酸鹽,例如檸檬酸(citric acid),例如檸檬酸鈉(sodium citrate)或檸檬酸鉀(potassium citrate),或無機鹽。示範性 的無機鹽包括但不限制在氫氧化鋁(Al(OH)3)或磷酸鹽 (phosphate),氫氧化鎂(Mg(OH)2)、碳酸鈣(CaC03),碳 酸氫鈉,氧化鎂、三桂酸鎂(magnesium trisilicate)、碳酸 鎂、氫氧化銘凝膠(aluminum hydroxide gel)、與前述合倂 物質。商用的制酸劑Mylanta™包含氫氧化鋁與氫氧化鎂 以及合適的口服制酸劑。制酸劑經常是不溶於水且是以懸 浮液形式存在。 治療療程結合制酸劑與干擾素-tan (IFNt)較佳施予方 式是制酸劑先於或同時給予干擾素-tau (IFNt)。例如,服用 干擾素-tan (IFNt)之前5-30分鐘讓病人服用制酸劑。制酸 劑保護干擾素-tan (IFNt)以免在胃中失去活性或降解,在腸 道中也一樣得到保護效果,所以可以減少干擾素-tan (IFNx) 劑量達到同效果。如先前所討論的,干擾素_tau (IFNt)劑量 大於5 X 108單位是需要的,目的是要引導出可量測的病人 血中白介素10 ( IL-10)濃度。再此相同白介素10 ( IL-10) 濃度增加因爲有制酸劑的參予,因此可以用較少的干擾素 -tau (IFNt)劑量來達成。 化合物種類如質子幫浦抑制劑也可以被施予之後作爲 保護或且/或穩定干擾素-tau (IFNt)。質子幫浦抑制劑預防 胃腸道酸液釋出並經常被用來治療潰瘍、胃酸逆流、或過 量胃酸。一般質子幫浦抑制劑以苯并咪哩(benzimidazoles ) 82 20053i3fe3i69 取代,包括雷貝拉唑(rabeprazole,商品名Aciphex®)、蘭 索拉卩坐(lansoprazole,商品名Prevacid®)、奧美拉唑 (omeprazole,商品名 Prilosec®)、與泮托拉口坐 (pantoprazole,商品名 Protonix®)。不論干擾素-tau (IFNt)In a preferred embodiment, the stabilizer may be an antacid, such as an organic acid carboxylate, such as citric acid, such as sodium citrate or potassium citrate, or an inorganic salt. Exemplary inorganic salts include, but are not limited to, aluminum hydroxide (Al (OH) 3) or phosphate, magnesium hydroxide (Mg (OH) 2), calcium carbonate (CaC03), sodium bicarbonate, magnesium oxide , Magnesium trisilicate, magnesium carbonate, aluminum hydroxide gel, and the aforementioned compound. Commercial antacid Mylanta ™ contains aluminum hydroxide and magnesium hydroxide and a suitable oral antacid. Antacids are often insoluble in water and are in the form of a suspension. The treatment regimen combining antacid with interferon-tan (IFNt) is preferably administered prior to or simultaneously with interferon-tau (IFNt). For example, let patients take antacids 5-30 minutes before taking interferon-tan (IFNt). Antacids protect interferon-tan (IFNt) from inactivation or degradation in the stomach, and the same protective effect is obtained in the intestine, so the dose of interferon-tan (IFNx) can be reduced to achieve the same effect. As previously discussed, interferon-tau (IFNt) doses greater than 5 X 108 units are needed to guide measurable patient blood interleukin-10 (IL-10) concentrations. Again, the same increase in interleukin 10 (IL-10) concentration can be achieved with a lower dose of interferon-tau (IFNt) because of the participation of antacids. Compound types such as proton pump inhibitors can also be administered as protective or / and stable interferon-tau (IFNt). Proton pump inhibitors prevent gastrointestinal acid release and are often used to treat ulcers, gastric acid reflux, or excessive gastric acid. General proton pump inhibitors are replaced with benzimidazoles 82 20053i3fe3i69, including rabeprazole (trade name Aciphex®), lansoprazole (trade name Prevacid®), omeprazole (omeprazole, trade name Prilosec®), and pantoprazole (trade name Protonix®). Regardless of Interferon-tau (IFNt)

施予方式是制酸劑先於或同時給予干擾素-tan (IFNt),對於 保護干擾素-tau (IFNt)之有效性並預防干擾素-tau (IFNt) 在胃中、更重要的是在腸道中失去活性或降解都有效,且 允許以較低劑量達到相同的效果。如先前所討論的,如果 沒有質子幫浦抑制劑的參予,則干擾素-tan (IFNt)劑量需要 大於5 X 108單位是需要的,目的是要引導出可量測的病人 血中白介素1〇 (IL-10)濃度。相同白介素10 (IL-10)濃 度增加因爲有質子幫浦抑制劑的參予,因此可以用較少的 干擾素-tau (IFN1:)劑量來達成。 同時亦考慮在施予干擾素-tau (IFNt)時同時施予制酸 劑與依第二治療藥劑如先前所討論的,在本實施例中,干 擾素-tau (IFNt)發現獲得臨床終點所需要的干擾素-tau (IFNt)劑量少於在沒有制酸劑參予治療的量,在制酸劑存在 下視有無對干擾素-tau (IFNt)加乘效果,調整對第二治療藥 劑的量之需求。 治療罹患病毒感染、自體免疫狀況、或細胞增生症狀 的病人之治療組合搭配干擾素-tau (IFNt)的方法,有效劑量 的干擾素-tau (IFNt)與第二治療藥劑具置勞效果或至少減 低部分症狀,將藥劑以同一包裝或分開包裝都可以被考慮。 在一實施例中,治療組包括⑴一或多單位劑量的干擾 83 20053纖 素-tau (IFNt),累積之每日總劑量須大於5 x 108單位,(ii) 一或多單位劑量的第二治療藥劑以治療多發性硬化症,且 (iii)使用說明。第二治療藥劑較佳是那塔桑比 (natalizumab),羥甲基戊二酰輔酶A抑製劑(statins)或環 孢靈素(mycophenolate mofetil ) °The method of administration is prior to or simultaneously with interferon-tan (IFNt), which protects the effectiveness of interferon-tau (IFNt) and prevents interferon-tau (IFNt) in the stomach, and more importantly in the stomach. Inactivation or degradation in the gut is effective and allows the same effect to be achieved at lower doses. As previously discussed, interferon-tan (IFNt) doses greater than 5 X 108 units are needed without the participation of proton pump inhibitors in order to guide measurable patient blood interleukin-1 (IL-10) concentration. The same increase in interleukin 10 (IL-10) concentration can be achieved with a smaller dose of interferon-tau (IFN1 :) due to the participation of proton pump inhibitors. It is also considered that the simultaneous administration of antacid and the second therapeutic agent during the administration of interferon-tau (IFNt). As previously discussed, in this example, interferon-tau (IFNt) was found to achieve a clinical endpoint. The required dose of interferon-tau (IFNt) is less than that in the absence of antacids, and the presence or absence of antacids in the presence of antacids is considered to multiply the effect of interferon-tau (IFNt) and adjust the effect on the second therapeutic agent. Quantity demand. The treatment combination of patients with viral infections, autoimmune conditions, or cell proliferation symptoms is combined with interferon-tau (IFNt). An effective dose of interferon-tau (IFNt) and a second therapeutic agent have a labor-inducing effect or At least some of the symptoms can be reduced, and the medicaments can be considered in the same package or in separate packages. In one embodiment, the treatment group includes one or more unit doses of interference 83 20053 cellulose-tau (IFNt), the cumulative total daily dose must be greater than 5 x 108 units, (ii) one or more unit doses of the first Two therapeutic agents are used to treat multiple sclerosis, and (iii) instructions for use. The second therapeutic agent is preferably natalizumab, hydroxymethylglutaryl coenzyme A inhibitor (statins) or cyclosporine (mycophenolate mofetil) °

在其他貫施例中’治療組包括(i)單位劑量的干擾素-tan (IFNt),該單位劑量採三分之一到二分之一大於每日5 X 1〇8單位的推荐劑量,且單位劑量是以口服型式施予(Π)第 二治療藥劑治療多發性硬化症的單位劑量,採三分之一到 二分之一的醫師處方劑量,且(iii)使用說明。如果治療藥劑 組合之劑量是每日劑量的一半時,主治醫師處方病人施予 治療組一天兩次。亦或,如果治療藥劑組合之劑量是每日 劑量的一半時,一天三次,第二治療藥劑在較佳實施例中, 那塔桑比(natalizumab )、羥甲基戊二酰輔酶A抑製劑 (statins )或環孢靈素(mycophenolate mofetil ) 〇 在其他實施例中,治療組包括⑴干擾素-tan (IFNt)以口 服型式施予(Π)第二治療藥劑,且(iii)使用說明。制酸劑可 以使用任一前述之制酸劑,且第二治療藥劑在較佳實施例 中,那塔桑比(natalizumab)、經甲基戊二酰輔酶A抑製劑 (statins )或環孢靈素(mycophenolate mofetil ) 〇 一特殊示範性組合包括使用治療劑量的羥甲基戊二酰 輔酶A抑製劑(statins ),一較少於治療劑量的干擾素-tau (IFNt)與制酸劑被用以治療,多發性硬化症的病人依使用說 明用藥。在其他實施例中,藥劑組包括一治療劑量的那塔 84 20053^6^ 桑比(natalizumab)、與一治療劑量的干擾素-tau (IFNt)以 治療多發性硬化症的病人,並依使用說明用藥。在另一實 施例中,藥劑組包括一治療劑量的那塔桑比 (natalizumab )、與一少於治療劑量的干擾素-tau (IFNt), 與一制酸劑用以治療多發性硬化症的病人,並依使用說明 用藥,病人被交代在服用干擾素-tau (IFNt)前5-30分鐘要 先服用制酸劑熟知此技藝之人士可以體認不同的組合只是 示範性的說明如何運用劑量與療程。In other embodiments, the 'treatment group includes (i) a unit dose of interferon-tan (IFNt), which is one-third to one-half greater than the recommended dose of 5 x 108 units per day, And the unit dose is a unit dose of (II) a second therapeutic agent for treating multiple sclerosis, which is administered orally, taking one-third to one-half of the doctor's prescribed dose, and (iii) instructions for use. If the dose of the therapeutic agent combination is half of the daily dose, the treating physician prescribes the patient to administer the treatment group twice a day. Or, if the dose of the therapeutic agent combination is half of the daily dose, three times a day, in a preferred embodiment, the second therapeutic agent is natalizumab, hydroxymethylglutaryl coenzyme A inhibitor ( statins) or cyclosporine (mycophenolate mofetil). In other embodiments, the treatment group includes the interferon-tan (IFNt) administered (II) orally as a second therapeutic agent, and (iii) instructions for use. The antacid may use any of the foregoing antacids, and in a preferred embodiment, the second therapeutic agent is natalizumab, statins or cyclosporine Mycophenolate mofetil 〇 A special exemplary combination includes the use of therapeutic doses of hydroxymethylglutaryl coenzyme A inhibitors (statins), a less than therapeutic dose of interferon-tau (IFNt) and antacids are used For treatment, patients with multiple sclerosis follow the instructions for use. In other embodiments, the medicament group includes a therapeutic dose of Natta 84 20053 ^ 6 ^ natalizumab, and a therapeutic dose of interferon-tau (IFNt) to treat patients with multiple sclerosis, and according to the use Instructions for medication. In another embodiment, the medicament group includes a therapeutic dose of natalizumab, and a therapeutic dose of less than interferon-tau (IFNt), and an antacid for treating multiple sclerosis Patient and medication according to the instructions for use. The patient was instructed to take an antacid 5-30 minutes before taking interferon-tau (IFNt). Those who are familiar with this technique can recognize the different combinations, but it is only an exemplary illustration of how to use the dosage. With medication.

E.配方與劑量 口服製備要包含IFNt的劑型是以已知製備藥物組成的 方法。一般,IFNt治療組成的配方是以有效的IFNt劑量添 加合適的添加物,攜帶子、且/或賦形劑以加強口服劑型組 成的有效度。例如包含IFNt的錠劑與膠囊可以使用IFNt (凍乾的IFNt蛋白)結合添加劑如藥學上可接受的攜帶子(例 如乳糖、玉米澱粉、微結晶葉綠素、蔗糖)、黏結劑【例如: 阿法型澱粉(alpha-form starch)、甲基葉綠素、羧基甲基葉 綠素、氫氧基丙基葉綠素、氫氧基丙基甲基葉綠素、聚乙 烯化吡咯烷酮】、崩散劑(例如羧基甲基葉綠素鈣鹽、澱 粉、低取代氫氧基丙基葉綠素)、表面活性劑(例如Tween 80、聚乙烯-聚丙烯-共聚合物)、抗氧化劑(例如:L-半胱氨 酸、亞硫酸鈉、維生素C化鈉)、潤滑劑(例如:硬脂酸鎂、 滑石)或其他相似物。 進一步而言,本發明之IFNi:蛋白質能與固體、粉體或 85 20053¾^ 其他攜帶子混合,例如乳糖、多醣萃取物、山梨醇、甘露 醇、澱粉,例如馬鈴薯澱粉、玉米澱粉、米諾果膠 (millopectine)、葉綠素衍生物、明膠,也可包括潤滑劑, 例如鎂或硬脂酸鈣、或聚乙二醇鱲壓縮以形成錠劑。藉著 使用數層攜帶子或稀釋劑,緩釋型錠劑也可以依此模式製 備。E. Formulations and Dosage Oral preparation of dosage forms to contain IFNt is a known method of preparing a pharmaceutical composition. Generally, IFNt treatments are formulated with effective IFNt doses with appropriate additives, carriers, and / or excipients to enhance the effectiveness of the oral dosage form composition. For example, tablets and capsules containing IFNt can use IFNt (lyophilized IFNt protein) in combination with additives such as pharmaceutically acceptable carriers (eg, lactose, corn starch, microcrystalline chlorophyll, sucrose), binders [eg: Alpha type Alpha-form starch, methyl chlorophyll, carboxymethyl chlorophyll, hydroxypropyl chlorophyll, hydroxypropyl methyl chlorophyll, polyvinylpyrrolidone], disintegrating agents (such as carboxymethyl chlorophyll calcium salt, Starch, low-substituted hydroxypropyl chlorophyll), surfactants (such as Tween 80, polyethylene-polypropylene-copolymer), antioxidants (such as: L-cysteine, sodium sulfite, vitamin C sodium) , Lubricant (for example: magnesium stearate, talc) or other similar. Further, the IFNi: protein of the present invention can be mixed with solid, powder or 85 20053¾ ^ other carriers, such as lactose, polysaccharide extract, sorbitol, mannitol, starch, such as potato starch, corn starch, mino fruit Millopectine, chlorophyll derivatives, gelatin, may also include lubricants, such as magnesium or calcium stearate, or polyethylene glycols, compressed to form lozenges. By using several layers of carriers or diluents, sustained release lozenges can also be prepared in this mode.

□服途徑的液體製備也可運用常備藥、糖漿或懸浮 液,例如溶液包括0.1%到30%重量百分比的IFNt,糖與乙 醇、水、甘油、丙烯、乙二醇、和其他可能之傳統天然添 加物混合壓縮而成。 其他合適的配方是保護劑量形式,希望讓蛋白質通過 胃與小腸直到被小腸黏膜吸收。保護劑量形式是以習知技 藝,包含腸道薄膜外層、且/或黏膜吸附高分子包覆。示範 型黏膜吸附高分子劑型包括使用乙烯葉綠素、氫氧基丙基 甲基葉綠素、優卓玦(Eudragit®)、羧基乙烯聚合物、卡 波姆(carbomer)與相似物。劑型設計要經過胃與消化同 時傳導有效劑型的IFNt進入腸道,特別是小腸道均被仔細 考量。另外IFNt也可以同時與蛋白酶抑制劑一起施用,以 穩定高分子物質或膠囊化包覆一層脂質或高分子粒子以提 供在胃及/或腸道的保護。 口服有效ΙΡΝτ之藥物組成的施用是基於受試個體需要 之有效治療劑量。劑量可能因異常之嚴重度與其他因素來 考量,例如病人的年齡、體重、或病人正在服用的藥物等 類似因素。劑量基本上由主治醫師的決定。劑量範圍從 20053纖 1*104到1*101()單位/每天,較合適的劑量爲4*1〇8單位/ 每天,希望最好大於1*109單位/每天。The liquid preparation of the serving route can also use standing medicines, syrups or suspensions. For example, the solution includes 0.1% to 30% by weight of IFNt, sugar and ethanol, water, glycerol, propylene, glycol, and other possible traditional natural Additives are mixed and compressed. Other suitable formulations are in the form of protective dosages, hoping to pass protein through the stomach and small intestine until it is absorbed by the small intestinal mucosa. The protective dosage form is a conventional technique that includes an outer layer of the intestinal membrane and / or a mucosal adsorption polymer coating. Exemplary mucosal adsorption polymer dosage forms include the use of ethylene chlorophyll, hydroxypropyl methyl chlorophyll, Eudragit®, carboxyvinyl polymers, carbomers, and the like. The dosage form is designed to conduct an effective dosage form of IFNt into the intestine through the stomach and digestion, especially the small intestine. In addition, IFNt can also be administered with protease inhibitors at the same time to stabilize polymer materials or encapsulate a layer of lipid or polymer particles to provide protection in the stomach and / or intestines. The administration of an orally effective IPNτ pharmaceutical composition is based on the effective therapeutic dose required by the subject. The dose may be considered based on the severity of the abnormality and other factors, such as the patient's age, weight, or similar factors that the patient is taking. The dosage is basically determined by the attending physician. The dosage range is from 20053 fiber 1 * 104 to 1 * 101 () units / day, and a more suitable dose is 4 * 108 units / day, preferably greater than 1 * 109 units / day.

有些異常狀況的控制需要穩定提升血漿中的ΙΡΝτ,有 效施用間隔爲每兩到四個小時;其他例子如多發性硬化 症,可以有效治療的間隔就較不如前述頻繁,例如一天或 每48小時一次。劑量的使用頻率調整也是由主治醫師決 定,當病情減輕時劑量可以降低。如前述施用口服斤化的 方法,仔細考慮在需要治療的病人的第一劑量並同時監視 生理標的値以決疋個別病人對第一劑量的反應。病人的監 控可以透過血液中生理標的値之圖形來分析,例如白介素 10 (IL-10)血液中運用比如以ELISA或放射性免疫分析 檢驗組。因此,本發明之另一考量,將藥劑組合使用來治 療病人因干擾素反應或考慮白介素10( IL-10 )治療的病人。 藥劑組合包括第一部份,組成裝置在一容器含有一或多個 劑量形式單位適用口服施予干擾素tau ( IFN〇與一第二部 分包括的組成有需要監控的一干擾素tau (IFNt)生物標 誌,例如該成份需要分析白介素10 ( IL-10 )之血中濃度。 施予干擾素tau ( IFN〇 —般持續幾予直到臨床終點達 成。臨床終點隨治療狀況改變,病情嚴重度,與病人的個 別的狀況特徵(年齢、體重、健康狀況)。 臨床終點很溶液由主治醫師或護士由暫時或永久症狀 的停止範圍判斷以解決狀況。 例如,病人罹患自體免疫異常狀況,例如牛皮癬以干 擾素tau ( IFNt )治療持續到牛皮癖完全治癒或改善到預期 87 20053環 c 症狀減輕的評估標準。 在多發性硬化症的病人合適的臨床終點,是減少病症 的嚴重度。 罹患病毒感染的的病人之合適的臨床終點,是降低病 毒滴定指數或減少相關病毒感染症狀(發燒、起疼、身體不 適等)。The control of some abnormal conditions requires the steady increase of IPNτ in the plasma, and the effective administration interval is every two to four hours; other examples, such as multiple sclerosis, can be treated less frequently than the foregoing, for example, once a day or every 48 hours . The frequency of dose adjustment is also determined by the attending physician, and the dose can be reduced when the condition decreases. As described in the previous method of oral administration, carefully consider the first dose in the patient in need of treatment and simultaneously monitor the physiological target to determine the individual patient's response to the first dose. Patient monitoring can be analysed through a pattern of physiological targets in the blood, such as interleukin 10 (IL-10) in the blood using, for example, ELISA or radioimmunoassay test groups. Therefore, another consideration of the present invention is to use a combination of medicaments to treat patients with interferon response or consider patients treated with interleukin-10 (IL-10). The medicament combination includes a first part, which comprises a device containing one or more dosage form units suitable for oral administration of interferon tau (IFN〇 and a second part comprising an interferon tau (IFNt) which requires monitoring Biomarkers, such as this component, need to analyze the blood concentration of interleukin 10 (IL-10). Interferon tau (IFN0) administration is usually continued for several times until the clinical endpoint is reached. The clinical endpoint changes with the treatment status, the severity of the disease, and Individual patient characteristics (young age, weight, health status). Clinical endpoints are determined by the attending physician or nurse from the stopping range of temporary or permanent symptoms to resolve the condition. For example, patients suffering from autoimmune disorders such as psoriasis and Interferon tau (IFNt) treatment continues until the psoriasis is completely cured or improved to the expected assessment criteria of 87 20053 loop c symptom relief. A suitable clinical endpoint in patients with multiple sclerosis is to reduce the severity of the disease. People with viral infections The appropriate clinical end point for patients is to reduce the virus titer index or reduce the symptoms of related viral infections (onset Fever, pain, discomfort, etc.).

當病人有細胞增生特徵出現時’合適的臨床終點以終 止干擾素tau ( IFNt )給予會是細胞增生速率惡化的狀況被 停止,又如量測腫瘤的大小、或延緩細胞增生如同量測腫 瘤生長速率的降低。 例如’當病人惟患阿滋海默症時,降低內生性的類殺 粉斑(amyloid plaques )與/或腦內神經纖維叢 (neurofibrillary tangles),在某些病人身上可以觀察到。 減少記憶力減退,語言能力惡化,困惑、不安與情緒化; 並改善行爲能力與扭曲所見事實的心智狀況,以上可以用 標準的方法觀察評估。 對於罹患肺部纖維化的個體,合適的臨床終點包括改 善呼吸的能力,減少疾病惡化,證據如減少肺部組織纖維 化的量化評量,且/或肺部發炎。干擾素tau ( IFN〇改罢 肺功能下降的效果’包括比較病人治療前與治療後的呼吸 功能,量測方法對熟知該項技藝者是已知的,可以包括量 測一秒內的強迫呼氣容積(FEVI)如下列文獻所述,例如^When the patient has the characteristics of cell proliferation, the appropriate clinical endpoint to stop the administration of interferon tau (IFNt) would be to stop the deterioration of the cell proliferation rate, and to measure the size of the tumor, or to delay the proliferation of the cell is like measuring tumor growth Reduced rate. For example, ‘when patients are suffering from Alzheimer ’s disease only, endogenous amyloid plaques and / or neurofibrillary tangles may be observed in some patients. Reduce memory loss, worse language ability, confusion, restlessness, and emotionalization; and improve mental capacity of behavioral ability and distortion of the facts seen, the above can be observed and evaluated using standard methods. For individuals with pulmonary fibrosis, suitable clinical endpoints include improved breathing ability, reduced disease progression, evidence such as a quantitative assessment of reduced lung tissue fibrosis, and / or lung inflammation. Interferon tau (IFN〇 Change the effect of reducing lung function 'includes comparing patients' respiratory function before and after treatment. Measurement methods are known to those skilled in the art and can include measuring forced exhalation within one second. Air volume (FEVI) is described in the following documents, for example ^

Pellegrino,R. W α/·,五"厂.J” JJ;543-54Q μ n。,、 r/々 y \iyyl) ° |)^ 低肺部纖維化結痂組織的方法是對熟知該項技難者是已知 88 20053ι碰9 的,可以包括量測肺部組織羥脯胺酸(hydroxyproline)含 量,或其他熟知該項技藝者已知的相似程序,如同範例9 所描述的降低發炎現象的觀察方法也是熟知該項技藝者已 知的,包括在範例9所討論的。Pellegrino, R. W α / ·, Wu " Factory. J ”JJ; 543-54Q μ n. ,, r / 々y \ iyyl) ° |) ^ The method of low lung fibrotic scab tissue is well known Those skilled in the art are known to be 88 2005339, and may include measuring the hydroxyproline content in lung tissue, or other similar procedures known to those skilled in the art, as described in Example 9. Observation methods for inflammation are also known to those skilled in the art, including those discussed in Example 9.

對罹患肝臟纖維化的個體而言,合適的臨床終點包括 降低肝臟纖維化結痂組織的量測,熟知該項技藝者已知的 方法包括肝臟組織病理檢驗,評估指數的文獻範例如 Desmet,V.J. et al,,HepatologyJ_9: 15 13-1520 (1994)或 Chevallier, M. et al., Hepatology, 2_0:349-355 (1994)。降低 血清中的血清透明質酸濃度與羥脯胺酸(hydr〇xypi*〇liiie丨 含量,量測方法如範例8所描述的觀察方法。另外降低血 清中不同的肝臟酵素之濃度,包括天門冬酸轉胺酶(AST) 與、丙胺酸轉胺酶(alt),量測方法也是熟知該項技藝者 已知的,均可用來監控評估。 有過中風病史的個體,合適的臨床終點包括被影響的 血管之血流量運用電腦斷層方法評估,如文獻中所描述的 方法,例如在 Nabavi,D.G. W α/·,心山·〇/%少, (1999)。進一步的臨床終點包括降低麻捧的狀況如在臉部、 手臂、或腿部;甚或降低因中風引起的頭痛嚴重度其他合 適的臨床終點包括降低細胞或組織因爲中風所造成的死 亡。例如降低血球或組織的傷害也可以御用腦部影像技術 來執行,包括電腦輔助斷層掃瞄(CAT),核磁共振影像方 法,或類似的該技藝的人士所昔知的方法。 在罹患視神經炎的個體中,合適的臨床終點包括改善For individuals suffering from liver fibrosis, suitable clinical endpoints include measurement of reduced liver fibrosis and crust tissue. Methods known to those skilled in the art include liver histopathology, and literature such as Desmet, VJ et al, Hepatology J_9: 15 13-1520 (1994) or Chevallier, M. et al., Hepatology, 2_0: 349-355 (1994). Reduce serum hyaluronic acid concentration and hydroxyproline (hydroxixypi * 〇liiie 丨) content, and the measurement method is the observation method described in Example 8. In addition, reduce the concentration of different liver enzymes in the serum, including asparagus Acid transaminase (AST) and alanine transaminase (alt), measurement methods are also known to those skilled in the art, and can be used for monitoring and evaluation. For individuals with a history of stroke, suitable clinical endpoints include Affected vascular blood flow is assessed using computer tomography methods, such as those described in the literature, such as in Nabavi, DG W α / ·, Xinshan · 0 /%, (1999). Further clinical endpoints include a reduction in hemp Conditions such as on the face, arms, or legs; or even reduce the severity of a headache caused by a stroke. Other suitable clinical endpoints include reducing the death of cells or tissues from a stroke. For example, reducing blood or tissue damage can also protect the brain. Using imaging techniques, including computer-assisted tomography (CAT), magnetic resonance imaging methods, or similar methods known to those skilled in the art. Individual neuritis, a suitable clinical endpoint improvement comprising

S 89 200533獅 視力,穩定視力(例如,不再有進一步的視力惡化)或視力減 退的更加惡化。熟知該技藝的人士應知道如何決定臨床終 點。 在罹患阻塞性肺部疾病的的個體中,合適的臨床終點 包括改善肺部功能或其他降低阻塞的程度。臨床終點的決 定可以藉著例如肺功能測試,在一種肺功能測試中,要求 病人吸入氣體到肺量計,一種機械式裝置可記錄病人肺部 吸入與呼出氣體量隨時間改變。S 89 200533 Lion vision, stable vision (eg, no further deterioration of vision) or worsening vision loss. Those skilled in the art should know how to determine the clinical endpoint. In individuals with obstructive pulmonary disease, suitable clinical endpoints include improved lung function or other reductions in the degree of obstruction. The determination of clinical endpoints can be achieved by, for example, a pulmonary function test, in which a patient is required to inhale gas into a spirometer, and a mechanical device records the amount of inhaled and exhaled gas in a patient's lungs over time.

在罹患孤獨症的個體中,臨床終點仰賴病人的孤獨症 特殊症狀。症狀包括社會行爲異常、言語、溝通重複性的 行爲與日常行爲異常例如,孤獨症病人經常呈現的是,不 說話、非言語式發聲、不自覺之模仿他人言語、對代名詞 困惑如”我”與”你”,缺乏眼睛接觸,缺乏對人的反應, 以及以腳尖走路。前述異常可以用昔知的方法評估。 罹患不同自體免疫病症的個體,包括糖尿病、過敏、 腸道發炎、牛皮癬、關節炎、多發性硬化症、葡萄膜炎與 抗磷脂症候群(anti-phospholipid syndrome),臨床終點端 賴特殊的疾病與狀況而定。例如罹患抗磷脂質候群 (anti-phospholipid syndrome),合適的臨床終點包括降低 抗體的量直接對抗細胞膜陰離子【例如抗心肌抗體 (anti-cardiolipin)、抗磷脂抗體(anti_phosphatidylserine)】 或其他相關的血漿蛋白質【例如β-2_醣蛋白 (β-2-glycoprotein)】。抗體的定量滴定或細胞質蛋白可以 用昔知常規方法檢測,包括運用酵素免疫分析法(ELISA), 2005333^Sc 方法敘述,又如在文獻 Pierangeli,S.S· et al·,77^m6. Haemost., 74:1361-1367 (1995) o 然針對罹患抗磷脂症候群(anti-phospholipid syndrome)個體之其他合適的臨床終點,包括降低血管拴 塞(vascular thrombosis),廣泛性發生在組織且/或器官。 降低血管挂塞(vascular thrombosis)的觀察可以用電腦斷 層掃描的方法觀察被影響的組織或器官之血流來決定,例 如,描述在下列文中的方法,Nabavi,D.G. et al·,In individuals with autism, the clinical endpoint depends on the patient's specific symptoms of autism. Symptoms include abnormal social behavior, speech, repetitive behaviors and abnormal daily behaviors. For example, people with autism often show no speech, non-verbal vocalizations, unconscious imitation of other people's speech, and confusion about pronouns such as "I" and "You", lack of eye contact, lack of reaction to people, and walking on tiptoes. The aforementioned abnormalities can be evaluated by conventional methods. Individuals suffering from different autoimmune disorders, including diabetes, allergies, intestinal inflammation, psoriasis, arthritis, multiple sclerosis, uveitis, and anti-phospholipid syndrome. Clinical endpoints depend on specific diseases and Depending on the situation. For example, when suffering from anti-phospholipid syndrome, suitable clinical endpoints include reducing the amount of antibodies directly against cell membrane anions [such as anti-cardiolipin, anti_phosphatidylserine], or other related plasma Protein [for example, β-2-glycoprotein (β-2-glycoprotein)]. Quantitative titration of antibodies or cytoplasmic proteins can be detected by conventional methods, including the use of enzyme immunoassay (ELISA), 2005333 ^ Sc method, as described in the literature Pierangeli, SS · et al ·, 77 ^ m6. Haemost., 74: 1361-1367 (1995) o Other suitable clinical endpoints for individuals suffering from anti-phospholipid syndrome, including reduction of vascular thrombosis, occur extensively in tissues and / or organs. Observation of reducing vascular thrombosis can be determined by observing the blood flow of affected tissues or organs by computer tomography. For example, the method described in the following, Nabavi, D.G. et al.,

213:141-149 (1999)。降低血管拴塞(vascular thrombosis ) 也可以病理方式偵測。皮膚或其他牽涉在內的組織都可以 被分析。例如,從被影響的腎臟病理切片可以顯示降低腎 絲球或小動脈的微拴塞。例外,血栓的大小,血栓與消失 速都可以使用光纖裝置觀察,藉著透照靜脈與一個三度空 間立體鏡(trilocular stereoscopic operating)運用顯微裝置 在一密閉回路錄影系統作監測與記錄,更詳細描述在 Pierangeli,S.S. et al·,C/rcw/α".⑽,£1:1746-1751 (1996)以 及範例10所描述的。 針對糖尿病的合適臨床終點,包括控制血糖的濃度以 及有/無胰島素量的下降。 針對不同過敏現象的合適臨床終點,包括降低氣喘性 咳(wheezing )、打噴嚏(sneezing )、流眼淚(watery eyes )、 喔心(nausea)、喔吐(vomiting)或腹瀉(diarrhea)等與過 敏相關的症狀’量測方法可依昔知方法量測。 針對胃腸道發炎的合適臨床終點,包括克隆氏症 200533¾¾ (Crohn,s disease)與結腸潰瘍(ulcerativecolitis),包括降低 不同的疾病症狀,例如腹瀉的程度、腹痛、且/或痙攣抽筋、 降低血便的量、促進食慾、降低與疾病相關的發燒現象。 針對牛皮癖的合適臨床終點,包括病症特徵的量化降 低乾燥、皮膚上覆蓋如銀色魚鱗屑的紅班塊,或降低受影 響關節的腫脹與僵硬。213: 141-149 (1999). Reducing vascular thrombosis can also be detected pathologically. Skin or other involved tissues can be analyzed. For example, pathological sections from the affected kidney may show reduced microembolism of the glomerulus or arterioles. The exception is that the size of the thrombus, the thrombus and the rate of disappearance can all be observed using a fiber optic device. Through the transillumination of the vein and a trilocular stereoscopic operating microscope, a microscopic device is used for monitoring and recording in a closed loop video recording system. Detailed descriptions are described in Pierangeli, SS et al., C / rcw / α "., £ 1: 1746-1751 (1996) and Example 10. Appropriate clinical endpoints for diabetes include controlling blood glucose levels and decreasing the amount of insulin. Appropriate clinical endpoints for different allergies include reducing asthma, sneezing, watery eyes, nausea, vomiting, or diarrhea, etc. and allergies Relevant symptoms' measurement methods can be measured by conventional methods. Suitable clinical endpoints for inflammation of the gastrointestinal tract include Crohn's disease (2005), and Crohn (s disease) and ulcerative colitis (ulcerative colitis), including reducing the symptoms of different diseases, such as the degree of diarrhea, abdominal pain, and / or cramps, cramps, and blood loss Quantity, promote appetite, reduce fever associated with disease. Appropriate clinical endpoints for psoriasis include quantified reductions in the characteristics of the disease, dryness, red shifts of skin covered with silvery fish scales, or reduction of swelling and stiffness in affected joints.

針對關節炎的合適臨床終點,例如風濕性關節炎能觀 察到的改善如降低疼痛與關節腫脹、增加病人動作的範 圍。增強連結到關節的肌肉強度。合適多發性硬化症的臨 床終點包括降低病症發作次數,與減少腦部損傷部位的數 量。 對葡萄膜炎(uveitis)的合適臨床終點包括前段葡萄 月旲炎(anterior uveitis )、中段葡萄膜炎(intermediate uveitis)、後段葡萄膜炎(posterior uveitis)與擴散性葡萄 膜炎(diffuse uveitis),包括改善視力,包括沒有進一步的 視力惡化’降低飛蚊症的嚴重性。降低疼痛紅眼症,與懼 光症在罹患前段葡萄膜炎(anterior uveitis)時會被觀察到。 對過敏病人的合適臨床終點包括降低過敏反應,例如 黏膜組織腫脹,降低感染組織與整體IgE濃度。 合適的臨床終點在器官移植的病人包括例如增加成功 率。 動脈粥樣硬化合適的臨床終點端賴病人呈現的一些特 別症狀表現。例如病人的在依或多條血管的血流速下降。 因此’合適的臨床終點包括在選擇的血管增加血流血流速 92 2005333k6ft 度的量測方法是熟知技藝者已知的,包括雷射杜卜勒微流 儀【Laser Doppler Flowmetry (LDF)】、核磁共振【Magnetic Resonance Imaging (MRI)】、正子造影【Positron Emission Tomography (PET)】、與電腦斷層掃瞄影像【Computed Tomography (CT) Imaging】,包括單光子發射電腦斷層掃瞄 【 Single Photon Emission Computed Tomography (SPECT)】(Leenders,K.L. et al. 1 13:27-47 (1990);Appropriate clinical endpoints for arthritis, such as rheumatoid arthritis, can observe improvements such as reduced pain and joint swelling, and increased range of patient motion. Enhances the strength of the muscles attached to the joints. Suitable clinical endpoints for multiple sclerosis include reducing the number of episodes of the disorder and reducing the number of brain injury sites. Suitable clinical endpoints for uveitis include anterior uveitis, intermediate uveitis, posterior uveitis, and diffuse uveitis. Including improved vision, including no further visual deterioration, 'reduces the severity of mosquito disease. Reduces painful red eye, and photophobia are observed in patients with anterior uveitis. Suitable clinical endpoints for allergic patients include reduction of allergic reactions, such as swelling of mucosal tissue, reduction of infected tissue and overall IgE concentration. Patients with suitable clinical endpoints in organ transplantation include, for example, increased success rates. Appropriate clinical endpoints of atherosclerosis depend on some specific symptoms of the patient. For example, the blood flow of a patient's blood vessel or vessels has decreased. Therefore, 'appropriate clinical endpoints include increased blood flow in selected vessels. 92 2005333k6ft degrees of measurement are known to those skilled in the art, including Laser Doppler Flowmetry (LDF), NMR Resonance [Magnetic Resonance Imaging (MRI)], Positron Emission Tomography (PET), and computed tomography (Computed Tomography (CT) Imaging], including single photon emission computed tomography [Single Photon Emission Computed Tomography (SPECT)] (Leenders, KL et al. 1 13: 27-47 (1990);

Sakai, F. et al.? J. Cereb. Blood Flow Metab., ^:207-213 (1988); Rempp, K.A. et al5 Radiology, 193:637-641 (1994); Baird, A. E. et al.5 J. Cereb. Blood Flow Metab., 18:583-609 (1998); Danus, G. et al.? Radiology, 213:141-149 (1999); Calamante, F. et al·, J. Cereb. Blood Flow Metab ·, 19:701-735 (1999); Ginsberg, M.D. et al.5 J, Cereb Blood Flow Metab., 2(1):89-98 (1982); Fukuda, 0.? Neurosurgery, 36(2):358-364 (1995); Perez-Pinzon et al.? J. Neurolog. Sci·,153 (1):25-3 1 (1997); Borlongan et al.5 Brain Res. im(l-2):108-116 (2004))。如果病人的狀況轉變是從動脈 粥樣硬化到心絞痛,則降低相關疼痛狀況是可以被觀察到 的。如果病人的狀況轉變是從動脈粥樣硬化到周邊血管疾 病,降低間歇性跛行與性功能障礙的狀況是可以被觀察到 的。其他合適的臨床終點是熟知技藝者已知的。 一旦預期的臨床終點達到,每日的干擾素-tan (IFNt) 治療可以停止。如果需要的話,維持性的劑量可以繼續提 供後續劑量或施予頻率,但是不論劑量或頻率均可以降 93 200533^^9)c 低,當作是症狀評估的參數,直到臨床終點維持或3文#0勺 症狀持續存在。 IV、範例 下列範例進一步描述本發明的精髓但並不因此限制本 發明的範圍。 方法 A.IFNT的牛產Sakai, F. et al.? J. Cereb. Blood Flow Metab., ^: 207-213 (1988); Rempp, KA et al5 Radiology, 193: 637-641 (1994); Baird, AE et al. 5 J Cereb. Blood Flow Metab., 18: 583-609 (1998); Danus, G. et al.? Radiology, 213: 141-149 (1999); Calamante, F. et al., J. Cereb. Blood Flow Metab., 19: 701-735 (1999); Ginsberg, MD et al. 5 J, Cereb Blood Flow Metab., 2 (1): 89-98 (1982); Fukuda, 0.? Neurosurgery, 36 (2) : 358-364 (1995); Perez-Pinzon et al.? J. Neurolog. Sci., 153 (1): 25-3 1 (1997); Borlongan et al. 5 Brain Res. Im (l-2): 108-116 (2004)). If the patient's condition changes from atherosclerosis to angina, a reduction in the associated pain condition can be observed. If the patient's condition changes from atherosclerosis to peripheral vascular disease, conditions that reduce intermittent claudication and sexual dysfunction can be observed. Other suitable clinical endpoints are known to the skilled artisan. Once the expected clinical endpoint is reached, daily interferon-tan (IFNt) treatment can be stopped. If necessary, the maintenance dose can continue to provide subsequent doses or frequency of administration, but can be reduced regardless of the dose or frequency. # 0 Spoon symptoms persist. IV. Examples The following examples further describe the essence of the present invention without thereby limiting the scope of the present invention. Method A. Bovine production of IFNT

在本實施例,合成的IFNT基因產生是使用標準分子法 (Ausubel等人在1988提出),藉著連結寡聚核苷酸包含持 續部分的DNA序列編碼IFNt胺基酸序列。DNA序列使用 SEQ ID NO: 1或4或Imakawa等人在1987年發表的序列。 造成IFNt序列聚合苷酸識別序列跨越位置16到531 : — 個編碼序列爲172個胺基酸。 在本實施例中,完整長度的合成基因Stul/SStl片段 (54〇bp)可被選殖入調整過的pIN III omp-A表現載體並轉 換成有能力的SB221種的大腸桿菌。爲了表現IFNt蛋白 質,細胞攜帶表現載體從包含安比西林的L-broth生長到一 0.1-1.0的〇D(550nm),引發(異丙基-1硫代-β-D-半乳糖)達 3小時且以離心收取成品。可溶性基因重組之IFNt用超音 波振動或滲透分離法從細胞中釋放。 以酵母菌表現時,IFNt基因可以用聚合酶鏈反應 (PCR)放大倍數(PCR;Mums,K.B.美國專利第 4,683,202 號,於1987年七月28日核准;Mullis,K.B.美國專利第 4,683,195號,於1987年七月28日核准)以聚合酶鏈反應 94 200533^)6(9〇 引子(PCR Primers )包含Still與Sacl限制端,依序分別在 5’與3’端。放大片段部分以Still與Sad消化並連結到SacII 與 Smal 端的 pBLUESCRIPT+(KS),產生 pBSY-IFNi。質體 pBSY-IFNi被SacII與EcoRV消化且片段包括合成IFNt基In this example, the synthetic IFNT gene is generated using standard molecular methods (proposed by Ausubel et al., 1988), and the IFNt amino acid sequence is encoded by a DNA sequence comprising a contiguous portion of the oligonucleotide. For the DNA sequence, SEQ ID NO: 1 or 4 or a sequence published by Imakawa et al. In 1987 was used. Causes the IFNt sequence to polymerize the glycine recognition sequence across positions 16 to 531:-each coding sequence is 172 amino acids. In this example, a full-length synthetic gene Stul / SStl fragment (540 bp) can be selected into an adjusted pIN III omp-A expression vector and transformed into a competent SB221 E. coli. To express the IFNt protein, the cells carried the expression vector from L-broth containing ampicillin to a 0.1-1.0 OD (550 nm), which was triggered (isopropyl-1thio-β-D-galactose) for 3 hours And the finished product is collected by centrifugation. Soluble recombinant IFNt is released from the cells by ultrasonic vibration or osmotic separation. When expressed in yeast, the IFNt gene can be amplified by polymerase chain reaction (PCR) (PCR; Mums, KB US Patent No. 4,683,202, approved on July 28, 1987; Mullis, KB US Patent No. 4,683,195 , Approved on July 28, 1987) Polymerase chain reaction 94 200533 ^) 6 (90 primers (PCR Primers) contains Still and Sacl restriction ends, in order at the 5 'and 3' ends, respectively. Still and Sad digest and link to pBLUESCRIPT + (KS) on the SacII and Smal ends to produce pBSY-IFNi. The plastid pBSY-IFNi is digested by SacII and EcoRV and the fragment includes a synthetic IFNt group

因被分離出來。酵母菌表現載體pBS24Ub(Ecker,DJ.等人在 J. Biol Chem.264: 77 1 5-7719 於 1989 年發表)被 Sail 消化。 鈍端是使用T4 DNA聚合酶產生。DNA載體以石碳酸及乙 醇萃取沉澱析出(Sambrook,J.,等人在Molclar Cloning : A Laboratory Manual,第二版,冷泉港實驗室,冷泉港,紐約 出版)。復原的質體被SacII消化,以洋菜膠電泳純化,並 連結從pBSY-INFi分離而得的Sadl-EcoRV片段。產生的 基因重組質體被定義爲pBS24Ub-IFNT。 基因重組質體pBS24Ub-IFNi被轉殖到大腸桿菌。基因 重組選殖複製包含插入的IFNt被分離並以限制酶分析鑑 定。IFNt編碼序列包含從PBS24Ub-IFNT分離且選殖到酵母 菌載體包含乙醇氧化酶(AOX1)啓動子(Invitrogen在San Diego發表)。載體被使用來轉換酵母菌GS115。其宿主細 胞與蛋白質之表現是依廠商的使用說明。蛋白質被分泌到 培養基後續以DEAE-葉綠素與氫氧基磷灰石色層分析到同 質電泳,再以SDS-PAGE與銀染色決定。 B.抗病毒檢驗以決定抗病毒活性 抗病毒活性以標準的細胞病變效應檢驗執行 (Familletti,P.C.等人在 Enzymology, 78:387-394 於 1981 發表;Rubinstein, S.等人在 J.K/ro/,U55-7584 200533^^^ 於1981發表)。簡略敘述,稀釋的IFNt在37°C培養箱與 Madin-Darby牛的腎臟(MDBK)細胞維持16-18小時。後續 培養抑制病毒複製是用細胞病變效應檢驗以水疱性口炎病 毒(VSV)來作挑戰。一個病毒單位可產生50%降低效果的單 層破壞。對大多數的硏究而言,IFNt有約4.9*108病毒單位 /mg蛋白質的特定抗病毒活性。 範例1 將干擾素-tan (IFNd施予多發件硬化症的病人Because it was separated. The yeast expression vector pBS24Ub (Ecker, DJ. Et al., J. Biol Chem. 264: 77 1 5-7719, 1989) was digested by Sail. Blunt ends are produced using T4 DNA polymerase. DNA carriers were extracted and precipitated with phenol and ethanol (Sambrook, J., et al., Molclar Cloning: A Laboratory Manual, Second Edition, Cold Spring Harbor Laboratory, Cold Spring Harbor, New York). The recovered plastids were digested with SacII, purified by agar gel electrophoresis, and ligated with the Sadl-EcoRV fragment isolated from pBSY-INFi. The resulting recombinant plastid was defined as pBS24Ub-IFNT. The recombinant plastid pBS24Ub-IFNi was transfected into E. coli. Recombinant genetically selected clones containing inserted IFNt were isolated and identified by restriction enzyme analysis. The IFNt coding sequence contains an isolate from PBS24Ub-IFNT and is cloned into a yeast vector containing an alcohol oxidase (AOX1) promoter (Invitrogen, San Diego). The vector was used to transform yeast GS115. The performance of host cells and proteins is according to the manufacturer's instructions. The protein was secreted into the culture medium and subsequently analyzed by DEAE-chlorophyll and hydroxylapatite chromatography to homogeneous electrophoresis, and then determined by SDS-PAGE and silver staining. B. Antiviral testing to determine antiviral activity Antiviral activity is performed using a standard cytopathic effect test (Familletti, PC et al. Published in Enzymology, 78: 387-394 in 1981; Rubinstein, S. et al. In JK / ro / , U55-7584 200533 ^^^ published in 1981). Briefly, the diluted IFNt was maintained in a 37 ° C incubator with Madin-Darby bovine kidney (MDBK) cells for 16-18 hours. Subsequent culture inhibition of viral replication is challenged with vesicular stomatitis virus (VSV) using a cytopathic effect test. A virus unit can produce a single-layer destruction with a 50% reduction. For most studies, IFNt has a specific antiviral activity of about 4.9 * 108 virus units / mg protein. Example 1 Administration of interferon-tan (IFNd to patients with multiple sclerosis)

罹患多發性硬化症的病人篩選進入臨床硏究接受干擾 素-tau (IFNt)治療十五位病人隨機編入三組。組別I給與口 服干擾素-tan (IFNt)每日劑量0.2毫克(mg)【意即2 X 107 單位/每日(U/day)】;組別II給與口服干擾素-tau (IFNt) 每曰劑量0·8毫克(mg )【意即8 x 107單位/每日 (U/day)】;同時組別III給與口服干擾素-tau (IFNt)每日劑 量1 ·8毫克(mg )【意即1·8χ108單位/每日(U/day )】。 在接受干擾素-tau (IFNt)治療前,在篩選日與硏究的第 一天,每一位受試者採取血液樣本以決定血清中細胞色素 的濃度基準値。治療起始是在抽血後第一天開始施予口服 的干擾素-tau (IFNt)給每一位病人。施予前,裝載干擾素 -tail【ΕΝτ (SEQ ID NO:3)】的針筒保持在冰箱中維持在2 到8 °C。在自我治療之前,病人在用藥之前,從冰箱取出 一小瓶與針筒。從針筒頂部移除蓋子且將針筒至於瓶中取 出適當量的藥劑到針筒內如第一天指示交付的說明。針筒 的頂端置至於口部,藉著推擠活塞清空內容物到口部。病Fifteen patients with multiple sclerosis were screened for clinical investigation and treated with interferon-tau (IFNt). Three patients were randomized into three groups. Group I was given oral interferon-tan (IFNt) at a daily dose of 0.2 milligrams (mg) [meaning 2 X 107 units / day (U / day)]; group II was given oral interferon-tau (IFNt) ) A daily dose of 0.8 milligrams (mg) [meaning 8 x 107 units / day (U / day)]; at the same time, Group III was given an oral interferon-tau (IFNt) daily dose of 1.8 mg ( mg) [meaning 1 · 8 × 108 units / day (U / day)]. Before receiving interferon-tau (IFNt) treatment, each subject took a blood sample to determine the baseline cytochrome concentration in serum on the screening day and the first day of investigation. Treatment started with oral interferon-tau (IFNt) administered to each patient on the first day after blood drawing. Prior to administration, the syringe loaded with interferon-tail [ENT (SEQ ID NO: 3)] was kept in the refrigerator at 2 to 8 ° C. Before self-treatment, the patient takes a vial and syringe from the refrigerator before taking the medication. Remove the cap from the top of the syringe and remove the appropriate amount of medication from the syringe into the bottle into the syringe as indicated on the first day of delivery. The tip of the syringe is placed on the mouth, and the contents are emptied to the mouth by pushing the piston. disease

96 200533雜 人然後吞嚥藥劑,如果需要,亦可伴隨飲用一杯水。病人 在他/她的日誌卡上記錄服用劑量。 血液樣品採集自每一病人於硏究期間的第1、4、8、15、 29與57。樣本分析白介素10 ( IL-10)濃度與IFN-γ濃度 使用商用的 ELISA 檢驗組(Genzyme,Cambridge,Mass)。 結果顯示於圖1A-1D (IL-10)與圖2A-2D (IFN-γ),相同於圖 3A-3E (IL-10 與 IFN-γ)。 A.結果統計分析 €11 十五個復發多發性化症的病人依三種不同劑量以口服 的干擾素-tau (IFN1:) (0.2 mg、0.6 mg 與 1.8mg)每日給予 持續四周。血清樣本的取得是在篩選日與硏究的第卜4、8、 15、29與57並且量測白介素10 ( IL-10)濃度與干擾素_ 伽僞(IFN-γ)的量(pg/ml)。二組結果全程執行重複分析並 做統計上的變異數分析量測。所有90個資料點(Day 1 _ Day 57),有九個數値是使用先前的數値。 白介素10 (IL-10):分析發現不同劑量的三組結果沒 _ 有顯著差異。(Ρ=2·92, Ρ=〇·〇927),從時間上分析也沒有顯 著影響(F=0.70, P=0.6285) ’組別與時間上的交互作用也沒 有顯著差異(F=0.74, Ρ=0·6803)。結果顯示三組實驗組在 28天的干擾素-tan (IFNt)施予與追蹤下,白介素ι〇( ΙΣ^1〇) 濃度未變。平均改變從第一天到第29天的劑量從低到高劑 量組依序是7%、3%與-25%。到桌57天的平均改變三個劑 量組分別是10°/。、-10%與。在所有的案例中,資料在 三組的便異性很高。 97 干擾素-伽侷(IFN-γ):分析三組中顯示沒有顯著差異 性(F=1.06, Ρ>0·3769),時間的影響沒有顯著效果(F=1.86, Ρ=0·1140),組別與時間的交互影響也沒有顯著差異 (F=1.45, Ρ=0·1820)。顯示三組在24天的施予劑量及28天96 200533 Miscellaneous people then swallow the medicament, which can be accompanied by a glass of water if needed. The patient records the dose taken on his / her diary card. Blood samples were taken from each patient at 1, 4, 8, 15, 29, and 57 during the study period. Sample analysis Interleukin 10 (IL-10) and IFN-γ concentrations were measured using a commercially available ELISA test set (Genzyme, Cambridge, Mass). The results are shown in Figures 1A-1D (IL-10) and Figures 2A-2D (IFN-γ), which are the same as Figures 3A-3E (IL-10 and IFN-γ). A. Statistical analysis of results € 11 Fifteen patients with relapsed polydose were given oral interferon-tau (IFN1 :) (0.2 mg, 0.6 mg, and 1.8 mg) at three different doses daily for four weeks. Serum samples were obtained on screening days and intensive investigations 4, 8, 15, 29, and 57 and the interleukin 10 (IL-10) concentration and the amount of interferon _ gamma (IFN-γ) were measured (pg / ml). The two sets of results were repeatedly analyzed throughout the process and statistical variance analysis measurements were performed. For all 90 data points (Day 1 _ Day 57), nine numbers are using the previous number. Interleukin 10 (IL-10): Analysis found no significant differences in the results of the three groups at different doses. (P = 2 · 92, P = 〇 · 〇927), there was no significant effect from the time analysis (F = 0.70, P = 0.6285). There was also no significant difference in the interaction between the group and time (F = 0.74, P = 0.6803). The results showed that the concentrations of interleukin ι〇 (ΙΣ ^ 1〇) remained unchanged in the three experimental groups after 28 days of interferon-tan (IFNt) administration and tracking. The average change in dose from day 1 to day 29 from low to high dose group was 7%, 3%, and -25% in order. The average change to the 57 days of the three dose groups was 10 ° /. , -10% and. In all cases, the data were highly heterogeneous in the three groups. 97 Interferon-gamma (IFN-γ): Analysis showed no significant difference among the three groups (F = 1.06, P > 0 · 3769), and the effect of time had no significant effect (F = 1.86, P = 0.1140) There was also no significant difference in the interaction between groups and time (F = 1.45, P = 0.1820). Shows three groups of administered doses at 24 days and 28 days

的追蹤期中,干擾素-伽偏(IFN-γ )量未有顯著變化。平均 改變從第1到第29天的劑量從最低到最高依序是,-63%, -14%與35%。第57天的平均改變在三個劑量組分別是-27%, 46%與22%。相似於白介素10 ( IL-10)的分析,資料在三 組的變異性很高。 範例2 施予干擾素-tan (IFNd —日三次給感染C _病毒的病 Λ Α.干擾素-tail (IFNt)的製備 在第一天,一瓶干擾素-tan (IFNt) (SEQ ID NO : 3)從 冰箱取出且病人自我給藥服用適當量的測試物質根據表 2。干擾素-tau (IFNt) (SEQ ID NO : 2)也同樣被製備並以相During the tracking period, there was no significant change in the amount of interferon-gamma (IFN-γ). The average change in dose from day 1 to day 29 from lowest to highest was -63%, -14%, and 35%. The average change on day 57 was -27%, 46%, and 22% in the three dose groups. Similar to the analysis of interleukin 10 (IL-10), the data has high variability in the three groups. Example 2 Administration of interferon-tan (IFNd—three times a day to a disease infected with C_A. Preparation of interferon-tail (IFNt) On the first day, a bottle of interferon-tan (IFNt) (SEQ ID NO : 3) Take out from the refrigerator and self-administer the appropriate amount of test substance according to Table 2. Interferon-tau (IFNt) (SEQ ID NO: 2) is also prepared and phased.

同方式施予。Give in the same way.

Table 2 基 因重組綿羊干擾素-tau (IFNO劑量施予病人 劑量 組別 病人數 干擾素 tau (IFNx) (mg/mL) 體積(mL) 每劑(TID) 每日總 劑量 (mg) 每日總 劑量 (U) I 6 1.0 0.33 1.0 1 X 108 II 6 1.0 1.0 3.0 3 X 108 III 6 1.0 3.0 9.0 9 X 108 98 20053狐 Β·病人劑量指示 所有裝有測g式物質的小瓶與針筒保持在冰箱中維持在 2到8。病人在自我治療給藥之前,病人從冰箱取出一 小瓶與針筒。在第一天,從針筒頂部移除蓋子且將針筒置 於瓶中取出適當量的藥劑到針筒內。 針筒的頂端置至於口部,藉著推擠活塞清空內容物到 口部。病人然後吞嚥藥劑,如果需要,亦可伴隨飲用一杯 水。病人在他/她的日誌卡上記錄服用劑量。 βι 前述步驟重複一日三次約在八小時的間隔:一次在早 上,一次在中午,一次在傍晚。 c ·糸吉果Table 2 Genetically Recombinant Sheep Interferon-tau (IFNO Dosage to Patients in Dose Group Patients Interferon tau (IFNx) (mg / mL) Volume (mL) Per Dose (TID) Total Daily Dose (mg) Daily Total Dose (U) I 6 1.0 0.33 1.0 1 X 108 II 6 1.0 1.0 3.0 3 X 108 III 6 1.0 3.0 9.0 9 X 108 98 20053 The refrigerator is maintained at 2 to 8. The patient removes a vial and syringe from the refrigerator before self-administration. On the first day, remove the cap from the top of the syringe and place the syringe in the bottle to remove the appropriate amount. The medicine is put into the syringe. The top of the syringe is placed on the mouth, and the contents are emptied to the mouth by pushing the piston. The patient then swallows the medicine, and if necessary, can also drink a glass of water. The patient is on his / her diary card Take the dose on the record. Βι The previous steps are repeated three times a day at approximately eight-hour intervals: once in the morning, once at noon, and once in the evening. C.

血液樣品採集在整個硏究期間169天採固定的間隔執 行。血液樣品分析血清中白介素10 ( IL-10)濃度與iFN-γ 濃度使’運用 ELISA 檢驗組(Genzyme,Cambridge,Mass)遵 照廠商指示執行。病毒滴定C型病毒可使用反轉錄酶聚合 鏈連鎖反應(reverse-transcriptase polymerase chain reaction,RT-PCR),血中濃度2’,5’低腺苷酸合成酶(〇AS) 2’,5’低腺苷酸合成酶(〇八8)與血清丙胺酸轉胺酶(八1^)濃度 之決定並未被紀錄。 每一受試者的結果顯示在圖4A-4D【白介素1〇 (iL-10) 濃度】與圖5A-5D (IFN-γ )以及在圖6A-6F (IL-10與 IFN-γ)。 99 2005¾㈤級 D.統計分析結果 三組結果三組結果全程執行重複分析並做統計上的變 異數分析量測。第Π組的一個病人資料沒有被使用,因爲 缺乏血清樣品之基準値。所有204資料點(第1天到第204 天),兩次量測有七個遺漏値使用先前的數値補齊。Blood samples were collected at regular intervals throughout the 169-day study period. Blood samples were analyzed for interleukin-10 (IL-10) and iFN-γ concentrations in serum using the ELISA test group (Genzyme, Cambridge, Mass) in accordance with the manufacturer's instructions. Virus titration of type C virus can use reverse-transcriptase polymerase chain reaction (RT-PCR), blood concentration 2 ', 5' low adenylate synthetase (〇AS) 2 ', 5' The determination of low adenylate synthase (0.88) and serum alanine transaminase (0.81 ^) concentrations has not been recorded. The results for each subject are shown in Figures 4A-4D [Interleukin 10 (iL-10) concentration] and Figures 5A-5D (IFN-γ) and Figures 6A-6F (IL-10 and IFN-γ). 99 2005¾㈤ Grade D. Statistical analysis results Three sets of results Three sets of results Perform repeated analysis throughout the entire process and make statistical analysis of variance. A patient profile from group Π was not used because of a lack of baseline for serum samples. For all 204 data points (days 1 to 204), seven omissions were made in the two measurements, and the previous data were used to complete them.

白介素l〇(IL-10):分析發現有三組中統計上的顯著 差異(F=l2.08,Ρ=0·0009),從時間上分析有顯著影響 (F=11.20, Ρ=0·0001)且,組別與時間上的交互作用也沒有顯 著差異(F = 7.88,Ρ=0·001) ◦後期發現明顯看到白介素1〇 (IL-10)反應在三組之間隨硏究期間變化的差異。叫低劑 量組別【組別I ; 〇·33毫克(mg) —日三次(TID)】從第1 天到第43天產生了 22%的白介素10 (IL-10)濃度上升, 組別II【1毫克(mg) —日三次(TID)】在第29天產生 了颠峰反應114%。相反的,在組別III【(3毫克(mg) — 曰三次(TID)】在第43天增加了 387%,且在第71天產生 了顛峰反應產生了顛峰反應484%。 顯著的交互作用也支持劑量組別在白介素1〇 (IL-10) 濃度下降的趨勢,劑量在第84天停止:組別I的下降是從 在第85天的增加11%到第169天4%,且組別II的下降是 在相同時段從95%到0.5%。所以兩個最低的組別在藥劑停 止後六個月回到基準値。最高劑量組【組別111; 3毫克(mg) 一日三次(TID)】,然而,下降從453%到194%發生在第169 天,所以仍舊顯示實質上的增加即使在藥劑停止六個月後。 干擾素-伽僞(IFN-γ):分析發現不同劑量的三組結果 100 2005333^60) 沒有顯著差異(F=1.13,Ρ>0·3499),分析發現不同劑量的三 組結果沒有顯著差異(F=1.55, Ρ=0·1187),且組別與時間上 的交互作用也沒有顯著差異(F=1.39, Ρ=0·1275)。顯示干擾 素-伽侷(IFN-γ)濃度在施予干擾素tan ( IFNt)的84天與 終止給藥的後續84天,三組實驗組也沒有顯著改變。平均 改變從第1天到第85天的劑量從最低到最高分別是-6%、 8%與7%。有趣的是,平均改變到第169天三組劑量依序爲 4%、21%與31%,顯示終止給藥後有劑量反應。 範例3 施予干擾素-tau (IFNi:) —日二次給感染C型病毒的病Interleukin 10 (IL-10): The analysis found that there were statistically significant differences among the three groups (F = 12.08, P = 0.0009), and the time analysis had a significant impact (F = 11.20, P = 0.0001 ) Moreover, there was no significant difference in the interaction between the groups and time (F = 7.88, P = 0.001) ◦ It was later found that the interleukin 10 (IL-10) response was clearly seen between the three groups during the study period The difference of change. Called the low-dose group [Group I; 0.33 milligrams (mg) —three times a day (TID)] produced a 22% increase in interleukin 10 (IL-10) concentration from day 1 to 43, and group II [1 milligram (mg)-three times a day (TID)] On the 29th day, a peak response was 114%. In contrast, in group III [(3 milligrams (mg) — three times (TID)] increased by 387% on day 43 and a peak response occurred on day 71 and a peak response of 484%. Significant The interaction also supports the trend of a decrease in the concentration of interleukin 10 (IL-10) in the dose group, and the dose stopped on the 84th day: the decrease of the group I was increased from 11% on the 85th day to 4% on the 169th day, And the decrease of group II was from 95% to 0.5% during the same period. So the two lowest groups returned to the baseline six months after the cessation of the drug. The highest dose group [group 111; 3 milligrams (mg) a Three times a day (TID)], however, the decline from 453% to 194% occurred on day 169, so it still showed a substantial increase even after the drug was stopped for six months. Interferon-gamma pseudo (IFN-γ): Analysis It was found that the results of the three groups at different doses (100 2005333 ^ 60) were not significantly different (F = 1.13, P > 0 · 3499), and the analysis found that the results of the three groups at different doses were not significantly different (F = 1.55, P = 0.187) And there was no significant difference in the interaction between groups and time (F = 1.39, P = 0.1275). Interferon-gamma (IFN-γ) concentrations showed no significant changes in the three experimental groups on the 84th day after interferon tan (IFNt) administration and the 84 days following the termination of administration. The average changes from day 1 to day 85 were -6%, 8%, and 7% from lowest to highest, respectively. Interestingly, the three groups on average changed to doses of 4%, 21%, and 31% in order on day 169, showing a dose response after discontinuation. Example 3 Administration of Interferon-tau (IFNi :)-twice a day to a disease infected with type C virus

AA

五個感染感染C型病毒病人收錄到本硏究。病人依據 範例2方法以干擾素_tau (ΙΡΝτ),每位病人給與依曰兩次的 干擾素-tau (IFNt)7.5毫克(mg),每日總劑量是15毫克(mg) 【1·5 X 1〇9單位(U)】。第一劑量在早上早餐前服用。第二 劑量在晚餐後三小時服用。 血液樣本採集自每一病人於硏究期間113天的定期取 樣。樣本分析白介素10 ( IL-10)、白介素12 ( IL-12)濃度 與干擾素-伽侷(IFN-γ)濃度,使用商用的ELISA檢驗組 (Genzyme,Cambridge,Mass)。結果顯示於圖7A【白介素 10 ( IL-10)】,圖7B (IFN-γ)與圖8A-8D四位病人的【白介 素l〇(IL-10)、白介素12(IL-12)、與干擾素-伽僞(IFN-γ)】。 200533¾^ 範例4 施予干擾素-tan (IFNt)治療牛皮癬Five patients infected with type C virus were included in this study. Patients were treated with Interferon-tau (IPNτ) according to Example 2. Each patient was given Interferon-tau (IFNt) 7.5 milligrams (mg) twice a day, and the total daily dose was 15 milligrams (mg) 5 X 109 units (U)]. The first dose is taken before breakfast in the morning. The second dose was taken three hours after dinner. Blood samples were taken from each patient on a regular basis for 113 days during the study period. Samples were analyzed for interleukin 10 (IL-10), interleukin 12 (IL-12) concentrations, and interferon-gamma (IFN-γ) concentrations, using a commercially available ELISA test group (Genzyme, Cambridge, Mass). The results are shown in FIG. 7A [Interleukin 10 (IL-10)], FIG. 7B (IFN-γ) and FIGS. 8A-8D. The four patients [IL-10 (IL-10), IL-12 (IL-12), and Interferon-gamma pseudo (IFN-γ)]. 200533¾ ^ Example 4 Administration of Interferon-tan (IFNt) for Psoriasis

臨床上45位被診斷有慢性斑塊型牛皮癖的病人 (vulgaris psoriasis),體表有至少10%患處,尙不包括皮膚 剝落處,被隨機分配到三個治療組。組別I以1毫克(mg) 口服干擾素-tan (IFNt)—日三次,每日總劑量3毫克的干擾 素-tau (IFNt)。組別II以3毫克(mg)口服干擾素-tail (IFNt) 一日三次每日總劑量3毫克的干擾素-tau (IFNt) ◦組別III 的治療是安慰劑。干擾素-tan (IFNi:)的抗病毒活性約是5 x 1〇8抗病毒單位/毫克(Units/mg)的蛋白質;所以3毫克 (mg)劑量等於是1.5 X 109單位/每日(Units/day),且9毫 克(mg)劑量等於是4·5 X 109單位/每日(Units/day)。干 擾素-tan (IFNt)以藥物可接受的載體運用液體形式,可以讓 每位病人吞U燕後立即被消化代謝。劑量持續84天。 開始治療前的14天與治療的第一天,每位病人每曰使 用醫師統計全球評估(PSGA)做評量。至於PSGA評分表的 0、1、2、3、4、或5被評比給每一位病人,依據下列的 條件: 0 =復原,除了後遺症如變色; 1 =大部分的傷口有個別的評比,如硬結、紅 斑,平均評比是1 ; 2 =大部分的傷口有個別的評比,如硬結、紅 斑、鱗片般碎屑,平均評比是2 ; 3二大部分的傷口有個別的評比,如硬結、紅 102 20053(¾ 祕 斑、鱗片般碎屑,平均評比是3 ; 4 =大部分的傷口有個別的評比,如硬結、紅 斑、鱗片般碎屑,平均評比是4 ; 5 =大部分的傷口有個別的評比,如硬結、紅 斑、鱗片般碎屑,平均評比是5。 針對硬結評比的指定値有〇、1、2、3、4、或5依 據下列條件·’ 〇 =沒有班塊突起;Forty-five patients clinically diagnosed with chronic plaque-type psoriasis (vulgaris psoriasis) had at least 10% of the affected area, excluding skin exfoliation, and were randomly assigned to three treatment groups. Group I took 1 milligram (mg) of oral interferon-tan (IFNt) —three times a day for a total daily dose of 3 milligrams of interferon-tau (IFNt). Group II took 3 milligrams (mg) of oral interferon-tail (IFNt) three times daily for a total daily dose of 3 milligrams of interferon-tau (IFNt). ◦ Group III was treated with placebo. The antiviral activity of interferon-tan (IFNi :) is about 5 x 108 antiviral units per milligram (Units / mg) of protein; so a 3 milligram (mg) dose is equivalent to 1.5 X 109 units per day (Units / day), and a dose of 9 milligrams (mg) is equal to 4.5 x 109 Units / day. Interferon-tan (IFNt) is used as a pharmaceutically acceptable carrier in liquid form, allowing each patient to be digested and metabolized immediately after swallowing U-yan. The dose lasted for 84 days. Fourteen days before the start of treatment and the first day of treatment, each patient was evaluated using a physician statistical global assessment (PSGA). As for 0, 1, 2, 3, 4, or 5 of the PSGA score table, each patient is evaluated according to the following conditions: 0 = recovery, except for sequelae such as discoloration; 1 = most wounds have individual evaluations, Such as induration, erythema, the average rating is 1; 2 = most wounds have individual ratings, such as induration, erythema, scale-like debris, the average rating is 2; 3 most of the wounds have individual ratings, such as induration, Red 102 20053 (¾ Secret spot, scale-like debris, average rating is 3; 4 = Most wounds have individual ratings, such as induration, erythema, scale-like debris, average rating is 4; 5 = Most wounds There are individual evaluations, such as induration, erythema, and scale-like debris, and the average evaluation is 5. For the evaluation of induration, there are 0, 1, 2, 3, 4, or 5 based on the following conditions: '〇 = no block protrusion ;

1 =最小班塊突起,〜0.5 mm ; 2 =輕微的班塊突起,〜1 mm ; 3 =中度的班塊突起,〜1.5 mm ; 4 =明顯的班塊突起,〜2 mm ; 5 =嚴重的班塊突起,〜2.5 mm或更多; 對於皮膚有鱗片般碎屑的評比,其指定値有〇、1、2、 3、4、或5依據下歹〇條件: 〇 =沒有鱗片般碎屑; 1 =最輕微;偶爾有小鱗片般碎屑少於傷口的 5% ; 2 =輕微;小鱗片般碎屑爲主; 3 =中度;粗糙的鱗片般碎屑爲主; 4二明顯;厚的,非-頑強的鱗片般碎屑爲主; 5 =嚴重的;非常厚的頑強的鱗片般碎屑爲主; 針對紅班評比的指定値有〇、1、2、3、4、或5根據 下列條件: 20053 〇 =沒有紅班,可能有色素沈著; 1 =微弱的紅班; 2 =輕度的紅色; 3 =中度的紅色; 4二亮紅色; 5 =暗淡的深紅色;1 = smallest segment protrusion, ~ 0.5 mm; 2 = slight segment protrusion, ~ 1 mm; 3 = moderate segment protrusion, ~ 1.5 mm; 4 = obvious segment protrusion, ~ 2 mm; 5 = Severe lumps, ~ 2.5 mm or more; For the evaluation of scale-like debris on the skin, specify 値, 1, 2, 3, 4, or 5 according to the following conditions: 〇 = no scale-like Debris; 1 = slightest; occasionally small scale-like debris is less than 5% of the wound; 2 = slight; small scale-like debris is dominant; 3 = moderate; rough scale-like debris is dominant; 4 2 Obvious; thick, non-tenacious scale-like debris is predominant; 5 = severe; very thick, tenacious scale-like debris is predominant; there are 0, 1, 2, 3, 4 designated for the red shift assessment , Or 5 according to the following conditions: 20053 〇 = no red shift, there may be pigmentation; 1 = weak red shift; 2 = mild red; 3 = moderate red; 4 bright red; 5 = dim deep red;

每位病人在治療前也提供一牛皮癣區域與嚴重度指數 (Psoriasis Area and Severity Index,PASI)評估(Fredrikkson, Ύ. et al·,Dermatologica, 157:238 (1978))。至於牛皮癬區域 與嚴重度指數(PASI score)是評估病人頭部、軀幹、上肢 與下肢之傷口的程度與嚴重性如在Fredrikkson W a/. (Id.) 文獻所描述的。 在第84天的劑量給與其間,每一位病人在第1、8、 15 、29、43 、57、71 、和 85 都做了 PASI 評比與 PSGA 評 比。硏究終止後後,在第113天與第169天也再做一次評 估。 病人獲得PSGA的0、1、或2以及/或達到PASI評 比75%的改善。 範例5 施予干擾素-tan (IFNt)合倂一第二治療藥劑 罹患多發性硬化症的病人施予口服干擾素-tan (IFNt) 治療,一日兩次總劑量5.5 x 108單位(ϋ)。每28天,病 人以natalizumab劑量3毫克/公斤(mg/kg),透過靜脈注 104 2005333i69c 射。病人依療程治療六個月,然後使用未加強質子密度T2 加權核磁共振影像檢測腦部損傷釓加強τι加權核磁共振 影像掃瞄。治療期間取血液樣本分析細胞色素【白介素10 (IL-10)、白介素12 ( IL-12)、與干擾素-伽侷(lFN-γ)】。 範例6Each patient also was provided with a Psoriasis Area and Severity Index (PASI) assessment before treatment (Fredrikkson, Ύ. Et al., Dermatologica, 157: 238 (1978)). As for the psoriasis area and severity index (PASI score), the extent and severity of wounds on the patient's head, trunk, upper limbs, and lower limbs were evaluated as described in the Fredrikkson W a. During the dose on day 84, each patient had a PASI rating and a PSGA rating on days 1, 8, 15, 29, 43, 57, 71, and 85. After the study was terminated, evaluations were performed again on the 113th and 169th days. Patients achieved 0, 1, or 2 PSGA and / or achieved a 75% improvement in PASI. Example 5 Administration of interferon-tan (IFNt) combined with a second therapeutic agent Patients with multiple sclerosis are administered oral interferon-tan (IFNt) at a total dose of 5.5 x 108 units (ϋ) twice a day . Every 28 days, the patient was injected with a dose of 3 mg / kg (mg / kg) of natalizumab by intravenous injection 104 2005333i69c. The patient was treated for six months according to the course of treatment, and then brain damage was detected using unenhanced proton density T2-weighted magnetic resonance imaging, and enhanced τι weighted magnetic resonance image scanning. During the treatment, blood samples were taken for analysis of cytochromes [interleukin 10 (IL-10), interleukin 12 (IL-12), and interferon-gamma (lFN-γ)]. Example 6

施予干擾素-tau (IFNt)合倂一第二治療藥劑 以口服干擾素-tau (IFNt)治療心臟移植病人,一日兩次 總劑量5·5 X 108單位(U)。合倂口服霉酚酸酯(商品名爲 山喜多,mycophenolate mofetil)以劑量500毫克/每日(mg /day)。治療期間取血液樣本分析細胞色素【白介素10 (IL-10)、白介素12 ( IL-12)、與干擾素·伽侷(IFN-γ)】。 病人生命存續其間持續治療。 範例7 施予千擾素-tan (IFNt)治療愛滋海默症 此範例顯示干擾素-tan (IFNt)對治療愛滋海默症是有 優勢的。以轉殖基因罹患愛滋海默症的老鼠模組來做此硏 究。一組老鼠模組接受干擾素-tan (IFNt)對治療而控制組則 不予治療。期望轉殖基的老鼠模組可以證實降低腦部瘢 塊、類澱粉蛋白的量。降低腦神經膠質細胞(microglial) 與星狀細胞(astrocyte )活性。 90天大的混種PDAPP附帶APPV717F變性的轉基雄 鼠(例如取代苯丙胺酸(Phe)成爲頡胺酸(Val)在穿過生 105 2005333f69。 物膜的類澱粉前驅蛋白質【amyloid precursor protein (APP)】如同在下例文獻所討論Murrell,J· et al·,Sc/Mce, 254(5028):97-99 (1991)可以從 Taconic 農場(Taconic Farms) (Germantown,NY)購得並保持在依據國家健康組 織指南(NIH Guide)標準的照顧與使用實驗用動物的實驗 室條件。老鼠養殖在12小時亮與12小時暗的環境。老鼠 可以自由進食取用動物飼料與飲水。Administration of interferon-tau (IFNt) combined with a second therapeutic agent. Oral interferon-tau (IFNt) was used to treat heart transplant patients at a total dose of 5.5 x 108 units (U) twice a day. Oral mycophenolate mofetil (trade name Mycophenolate Mofetil) was dosed at 500 mg / day. Blood samples were taken during the treatment to analyze cytochromes [Interleukin 10 (IL-10), Interleukin 12 (IL-12), and Interferon Gamma Bureau (IFN-γ)]. The patient's life continued while treatment continued. Example 7 Administration of Interferon-tan (IFNt) to treat AIDS This example shows that interferon-tan (IFNt) is advantageous for the treatment of AIDS. This study was performed using a transgenic mouse module with AIDS and AIDS. One group of mouse modules received interferon-tan (IFNt) treatment while the control group received no treatment. It is expected that the transgenic mouse module could confirm the reduction of brain scar and amyloid. Decreased brain microglial and astrocyte activity. 90-day-old hybrid PDAPP with APPV717F denatured transgenic male mice (for example, substituted phenylalanine (Phe) to glutamic acid (Val) and passed through Health 105 2005333f69. Amyloid precursor protein (APP) ] Murrell, J. et al., Sc / Mce, 254 (5028): 97-99 (1991) can be purchased from Taconic Farms (Germantown, NY) as discussed in the following example literature and maintained in the country of reference. The NIH Guide has standard laboratory conditions for the care and use of experimental animals. Rats are raised in a 12-hour light and 12-hour dark environment. Mice can eat and drink animal feed and water freely.

老鼠大腦之免疫組織化學染色法 (immunohistochemical staining)與病理染色用以決定瘢塊定 量如下列文獻範例所述,Weiner,Η丄.et al.,X⑽.A^ro/., ϋ:567-579 (2000)。大致上,福美林(Formalin),固定的大 腦組織可以用二階段緩衝生理實驗水(Tris-buffered saline ) 水洗,脫水乾燥,且結合石蠘處理。大腦組織之弧矢狀切 片(例如10微米的切片)可用空氣乾燥並在5VC烤一小時 切片可以用清潔劑如 Histoclear (National Diagnostics, Atlanta,GA)做去石蠟處理,同時經乙醇到水浸潤。 老鼠可以施予不同的干擾素-tau (IFNt)【例如約1 X 1〇5 單位/每曰(U /day)到約5 X 1012單位/每曰(U /day)】以 口服(胃內)施予。 範例8 干擾素-tau (IFNt)治療肝臟纖維化的效果 此範例顯示干擾素-tau (IFNt)對治療肝臟纖維化是有 優勢的。肝臟纖維化在實驗動物中可以用四氯化碳引發。 106 200533a6a〇 一組以四氯化碳處理過的實驗動物接受干擾素-tail (IFNt) 治療。而控制組則僅給與以載體。期望以四氯化碳處理過 的實驗動物能證明干擾素-tail (IFNt)治療延緩疾病惡化。 重量200到250克的Sprague-Dawley老鼠可以從 Taconic農場(Taconic Farms,位於德國鎭,紐約州)購得 並養殖如範例7所述。Immunohistochemical staining and pathological staining of mouse brain to determine scar quantification are described in the following literature examples, Weiner, Η 丄. Et al., X⑽.A ^ ro /., Ϋ: 567-579 (2000). In general, formalin, fixed brain tissue can be washed with Tris-buffered saline, dehydrated and dried, and combined with stone processing. Sagittal sagittal sections of brain tissue (for example, 10-micron sections) can be air-dried and baked at 5VC for one hour. Sections can be deparaffinized with a cleanser such as Histoclear (National Diagnostics, Atlanta, GA), and wet with ethanol to water. Mice can be administered different interferon-tau (IFNt) [eg about 1 X 105 units / day (U / day) to about 5 X 1012 units / day (U / day)] orally (in the stomach ) Give. Example 8 Effect of Interferon-tau (IFNt) in Treating Liver Fibrosis This example shows that interferon-tau (IFNt) is advantageous in treating liver fibrosis. Liver fibrosis can be initiated with carbon tetrachloride in experimental animals. 106 200533a6a〇 A group of experimental animals treated with carbon tetrachloride was treated with interferon-tail (IFNt). The control group only gives the carrier. It is expected that experimental animals treated with carbon tetrachloride will demonstrate that interferon-tail (IFNt) treatment delays disease progression. Sprague-Dawley mice weighing 200 to 250 grams can be purchased from Taconic Farms (Taconic Farms, Germany, New York) and raised as described in Example 7.

肝臟纖維化可用腹膜注射四氯化碳達成如在下列文獻 所述 Zhang,L.J· et al·,J· GaWroeWero/·,10⑴:77-81 (2004)。原則上老鼠接受腹膜注射50%四氯化碳的生理食鹽 水溶液以劑量2毫升/公斤(ml/kg ) —週兩次。 肝臟纖維化組織可以被固定以制式石鱲處理。(Zhang, L.J. et al.5 World J. Gastroenterol^ 1_0(1):77-81 (2004)) ° 切片可以用嗜蘇木精(hemotoxylin)與伊紅【eosin(HE)】 染色且以光學顯微鏡檢驗。纖維化階段可以依據所設定的 條件評估如下列文獻所述Desmet,VJ· et al·,//epak/og;;, I2_:1513-1520 (1994)或 Chevallier,M. et al·,T/epaio/ogy, 处:349-355 (1994)。 爲了決定肝臟的氫基脯胺酸(hydroxyproline)含量, 肝臟的收先均勻粉末化且以6M鹽酸水解(Weng,H. L. et al·,RKor/dJ· 化ro/·,2(1):42-48 (2001))。氫基脯胺酸 (hydroxyproline )含量的量測是以下列文獻中方法執行 Kivirikko, K.L. et al.5 Anal, Biochem, 19:249-255 (1967)。 老鼠可在被四氯化碳處理之前、處理期間、或處理之 後施予干擾素-tan (IFNt)治療。老鼠可施予不同劑量的干擾 107 20053S3r69c 素-tau (IFNt)治療。(例如約1 χ 105單位/每日(u/day)到 約5 X 1012單位/每日(U/day))以口服(胃內)施予。控制 組僅接受載體。 範例 9 干擾素-1au_ (IFNt)治療肺纖維化的效里Liver fibrosis can be achieved by peritoneal injection of carbon tetrachloride as described in the following literature Zhang, L.J. et al., J. GaWroeWero /, 10: 77-81 (2004). In principle, rats received an intraperitoneal injection of a 50% solution of carbon tetrachloride in physiological saline at a dose of 2 ml / kg (ml / kg)-twice a week. Liver fibrotic tissue can be fixed for standard stone processing. (Zhang, LJ et al. 5 World J. Gastroenterol ^ 1_0 (1): 77-81 (2004)) ° Sections can be stained with hematoxylin and eosin (HE) and light microscopy test. The fibrosis stage can be evaluated according to the set conditions as described in Desmet, VJ · et al ·, // epak / og ;;, I2_: 1513-1520 (1994) or Chevallier, M. et al ·, T / epaio / ogy, Division: 349-355 (1994). In order to determine the hydroxyproline content of the liver, the liver's harvest was first uniformly powdered and hydrolyzed with 6M hydrochloric acid (Weng, HL et al ·, RKor / dJ · Huaro / ·, 2 (1): 42- 48 (2001)). The measurement of the hydroxyproline content was performed by the method described in Kivirikko, K.L. et al. 5 Anal, Biochem, 19: 249-255 (1967). Mice can be treated with interferon-tan (IFNt) before, during, or after treatment with carbon tetrachloride. Mice can be administered with different doses of interference 107 20053S3r69c Tau (IFNt). (Eg, about 1 x 105 units / day (u / day) to about 5 x 1012 units / day (U / day)) are administered orally (intragastrically). The control group only accepts vectors. Example 9 Effect of Interferon-1au_ (IFNt) in Treating Pulmonary Fibrosis

此範例顯示干擾素-tau (IFNt)對治療肺纖維化是有優 勢的。肺纖維化在實驗動物中可以用博菜黴素(bleomycin ) 引發。一組以博菜黴素(bleomycin)處理過的實驗動物接 受干擾素-ta u (IFNt)治療。而控制組則僅給與以載體。 發炎指標,例如支氣管肺泡灌洗液之髓過氧化物酶 (myeloperoxidase )活性與血清腫瘤壞死因子-阿爾法 (TNF-alpha )可用於監測。組織氫基脯胺酸 (hydroxyproline )含量之量測可以用來監控纖維化的程 度。期望以博菜黴素(bleomycin)處理過的實驗動物能證 明干擾素-tan (IFNt)治療延緩纖維化的惡化,並以氫基脯胺 酸(hydroxyproline)含量判定。同時期望在比較實驗組與 對照組的老鼠,干擾素-tan (IFNt)治療能降低發炎標記【髓 過氧化物酶(myeloperoxidase )活性與血清腫瘤壞死因子 -阿爾法(TNF-alpha)以血清腫瘤壞死因子-阿爾法訊息核 糖核酸(TNF-alpha mRNA)】的量。八週大的C57BL/6雄 鼠可以從Harlan (Indianapolis,IN)購得’養殖方法如範例 7所述。 爲引發肺纖維化,老鼠接受氣管內施予博菜黴素單一 108 20053ά3ι69〇 劑量(0.8 mg/kg) (Arai,Τ· et al·,Am· J. Physiol· Lung Cell.This example shows that interferon-tau (IFNt) is advantageous for treating pulmonary fibrosis. Pulmonary fibrosis can be initiated with bleomycin in experimental animals. A group of experimental animals treated with bleomycin were treated with interferon-ta u (IFNt). The control group only gives the carrier. Indicators of inflammation, such as myeloperoxidase activity and serum tumor necrosis factor-alpha (TNF-alpha) in bronchoalveolar lavage fluid can be used for monitoring. Tissue hydroxyproline measurement can be used to monitor the degree of fibrosis. It is expected that experimental animals treated with bleomycin can demonstrate that interferon-tan (IFNt) treatment delays the deterioration of fibrosis and is judged by the content of hydroxyproline. At the same time, it is expected that in the experimental group and the control group, interferon-tan (IFNt) treatment can reduce the inflammation marker [myeloperoxidase] activity and serum tumor necrosis factor-alpha (TNF-alpha) and serum tumor necrosis Factor-alpha message ribonucleic acid (TNF-alpha mRNA)]. Eight-week-old C57BL / 6 males are commercially available from Harlan (Indianapolis, IN). The culture method is described in Example 7. In order to induce pulmonary fibrosis, rats received a single intra-tracheal administration of Bleomycin 108 20053ά3ι69〇 (0.8 mg / kg) (Arai, T. et al., Am. J. Physiol. Lung Cell.

Mol. Physiol·,21i:L914-L922 (2000))。而控制組則僅給與 以載體。老鼠在第七天後(以檢查發炎指數)或第21天後(以 檢查纖維化指數)以吸入七氟烷安樂死。藉著肺部活動血液 從右心室流入。與支氣管肺泡灌洗液(br〇nCh〇alve〇lar lavage)以氣管內插管徐徐滴入1毫升(ml)的等張生理 食鹽水。Mol. Physiol., 21i: L914-L922 (2000)). The control group only gives the carrier. Mice were euthanized by inhalation of sevoflurane after the seventh day (to check the inflammation index) or after the 21st day (to check the fibrosis index). Blood from the right ventricle flows through the lungs. With bronchial alveolar lavage fluid (bronchoalveal lavage), 1 ml (ml) of isotonic physiological saline was slowly dripped into an endotracheal tube.

支氣管肺泡灌洗液(bronchoalveolar lavage)的髓過氧 化物酶(myeloperoxidase )活性決定方式是昔知技藝(Arai, T. et al·,Am J. Physiol. Lung Cell. Mol. Physiol·, m:L914-L922 (2000))。大致上,支氣管肺泡灌洗液 (bronchoalveolar lavage) 400克離心5分鐘。細胞顆粒狀 物以0·1 M K2HP04緩衝液懸浮並超音波震盪90秒。浮在 表層的的混合物12,〇〇〇克,離心10分鐘,含0.3 ml的Hanks’ BSS包含0·25%牛血清球蛋白,0.25ml的0.1MK2HP04 (pH 7.0),0.05 ml 的 1.25 mg/ml o-dianisidine (Sigma,St. Louis,MO)與 0.05 ml 的 0.05% H202,且在 25QC 下培養 10 分鐘。反應藉加入〇·5 ml的1% NaN3,並可以460 nm吸 收光譜量測。 博菜黴素(bleomycin)處理過的老鼠,可以在博菜黴 素(bleomycin)處理前,處理其間、處理之後,同時以干 擾素-tan (IFNi:)治療。老鼠可以用不同劑量的干擾素_tau (IFNt)治療(例如約1 X 105單位/每日(U/day)到約5 X 1012單位/每日(U/day ))以口服(胃內)施予。博菜黴素 109 20053323i&9)c (bleomycin)處理過的控芾[J組僅接受載體。 範例 10 干擾素-tau (IFNd治療抗磷脂化症後群 (anti-phospholipid syndrome,APS )的效果The myeloperoxidase activity of bronchoalveolar lavage is determined by the technique known in the past (Arai, T. et al ·, Am J. Physiol. Lung Cell. Mol. Physiol ·, m: L914 -L922 (2000)). Roughly, bronchoalveolar lavage was centrifuged at 400 g for 5 minutes. Cell pellets were suspended in 0.1 M K2HP04 buffer and sonicated for 90 seconds. 12,000 g of the mixture floating on the surface layer, centrifuged for 10 minutes, containing 0.3 ml of Hanks' BSS containing 0.25% bovine serum globulin, 0.25 ml of 0.1MK2HP04 (pH 7.0), and 0.05 ml of 1.25 mg / ml o-dianisidine (Sigma, St. Louis, MO) and 0.05 ml of 0.05% H202, and incubated at 25QC for 10 minutes. The reaction was measured by the addition of 0.5 ml of 1% NaN3 and its absorption spectrum at 460 nm. Mice treated with bleomycin can be treated with interferon-tan (IFNi :) before, during, and after bleomycin treatment. Mice can be treated with different doses of interferon-tau (IFNt) (eg about 1 X 105 units / day (U / day) to about 5 X 1012 units / day (U / day)) orally (intragastric) Give. Pleomycin 109 20053323i & 9) c (bleomycin) -treated control [group J only received vehicle. Example 10 Effect of Interferon-tau (IFNd in the treatment of anti-phospholipid syndrome (APS)

範例顯示以干擾素-tan (IFNt)治療抗磷脂化症後群 (anti-phospholipid syndrome,APS)的優勢。實驗重力物的 抗磷脂化症後群(APS)以注入人類免疫球蛋白G(IgG)心 磷脂抗體(anti-cardiolipin antibodies )。接受抗磷脂化症後 群(APS)的組別以干擾素-tau(IFNi)治療且控制組僅接受 載體。將一股靜脈挫傷以引發血栓,且形成的血栓同時也 有血栓的消失的控制將被視爲以干擾素-tan (IFNt)治療的 有效度。期待被抗體處理過的老鼠使用干擾素-tau (IFNt) 治療會增加血栓形成時間並降低血拴消失時間。 正常雄性 CD-1® 裸鼠(Crl:CD-l®-m^BR; outbred),轉 換裸基因到CD_1老鼠透過一系列的相交與回交,老鼠是 T-細胞缺陷,可以從Charles River實驗室(Wilmington,MA) 購買且養殖方法於範例7中描述。Examples show the advantages of using interferon-tan (IFNt) to treat anti-phospholipid syndrome (APS). Gravimetric objects were tested for anti-phospholipidation (APS) to inject human immunoglobulin G (IgG) anti-cardiolipin antibodies. The group receiving the anti-phospholipidation group (APS) was treated with interferon-tau (IFNi) and the control group received the vehicle only. The control of contusion of a vein to cause a thrombus, and the formation of a thrombus with the disappearance of the thrombus will be regarded as the effectiveness of treatment with interferon-tan (IFNt). It is expected that treatment with antibodies in mice treated with interferon-tau (IFNt) will increase thrombus formation time and reduce thrombus disappearance time. Normal male CD-1® nude mice (Crl: CD-l®-m ^ BR; outbred), convert naked genes to CD_1 mice through a series of intersections and backcrosses. The mice are T-cell deficient and can be tested from Charles River (Wilmington, MA) was purchased and cultured as described in Example 7.

IgG可被從罹患抗磷脂化症後群(APS)的病人中,藉 著蛋白質 G sepharose 層析法分離。(Pierangeli,S.S·,et al·, Circulation 94:1746-1751 (1996))決定 IgG 的純度可以藉著 觀察十二基硫酸鈉一聚丙醯氨凝膠電泳【sodium dodecyl sulfate-poly acrylamide gel electrophoresis (SDS-PAGE)】 的單一鍵150 kD決定。蛋白質濃度決定可以藉著Lowry 110 20053S3^9 方法。在蛋白質濃度經消毒過的生理食鹽水調整後,溶液 再度被過濾消毒以便後續注入實驗動物中。IgG can be isolated from patients with anti-phospholipidation (APS) by protein G sepharose chromatography. (Pierangeli, SS ·, et al ·, Circulation 94: 1746-1751 (1996)) The purity of IgG can be determined by observing sodium dodecyl sulfate-poly acrylamide gel electrophoresis ( SDS-PAGE)] is determined by a single bond of 150 kD. The protein concentration can be determined by the Lowry 110 20053S3 ^ 9 method. After the protein concentration was adjusted with sterilized physiological saline, the solution was filtered and sterilized again for subsequent injection into experimental animals.

老鼠在第卜7、14與21天被使用150叩的4〇-八?8 執行輔助性免疫注射處理(Adju-Prime,Pierce Chemical Co.) (Pierangeli,S.S·,et al·,Circulation 94:1746-1751 (1996))。血液樣品以每週取樣測試老鼠的心磷脂抗體 (anti-cardiolipin antibodies)存在狀況。老鼠的心磷脂抗 體(anti-cardiolipin antibodies )(如 IgG 與 IgM)藉著酵 素免疫連結吸收分析法(ELISA)定量,爲熟知技藝者已知 的方法,文獻紀錄例如在Pierangeli, S.S.,et al.,Thromb. Haemost· 74:1361-1367 (1995)。鹼性磷酸酵素抗鼠 IgG (Alkaline phosphatase anti-mouse IgG)與抗鼠 IgM 用以當 二及抗體於ELISA的試驗架構。當正向控制時,顏色反應 可以被終止。例如約100 G磷脂質單位(units)到達1.0 0D 單位(通常約需20或30分鐘)。 在老鼠產生相當局濃度的心磷脂抗體(anti-cardiolipin antibodies)(例如約0.8 OD單位;通常在免疫處理後的兩 星期發生),血拴的引發可以藉著小夾傷如文獻Pierangeli, S.S·,et al·,Circulation 94:1746-1751 (1996)所述。大致上, 動物以麻醉處理【戊基巴比特魯鈉(sodium pentobarbital), 60 nmg/kg腹膜導入】之前,製造一縱向切口於老鼠的右 鼠蹊,延伸到膝關節。右股靜脈未切開且標準化血栓形成 作用傷口,可用鑷子於靜脈附近直到環狀相反面(約直徑 0.1 mm)產生小夾傷。 20053i32^i^.Qc 光纖鮮裝置用以照透靜脈並用三度空間立體顯微鏡 (ERNST,Leitz GMBH,Wetzlar)裝置在密閉回路的錄影系 統(NEC-NC-A/CCD Camera,NEC,USA,Inc·),一國際牌 12 吋彩色營幕(Panasonic 12丨丨 color monitor)與 U-Matic V-5800紀錄器(Sony Corp.)用以現影觀察並量測血拴大小 以即出現及消失的速率,文獻紀錄在Pierangeli,S.S.,et al., Circulation 94:1746-1751 (1996)。Mice were used at 150, 40-80 on days 14, 14 and 21? 8 Perform an adjuvant immune injection treatment (Adju-Prime, Pierce Chemical Co.) (Pierangeli, S.S., et al., Circulation 94: 1746-1751 (1996)). Blood samples were taken weekly to test the presence of anti-cardiolipin antibodies in mice. Mouse anti-cardiolipin antibodies (such as IgG and IgM) are quantified by enzyme-linked immunosorbent assay (ELISA), which is a method known to those skilled in the art. Literature records are for example in Pierangeli, SS, et al. Thromb. Haemost 74: 1361-1367 (1995). Alkaline phosphatase anti-mouse IgG and anti-mouse IgM are used as secondary and antibody ELISA test structures. When controlled in the forward direction, the color response can be terminated. For example, about 100 G phospholipid units reach 1.0 0D units (usually about 20 or 30 minutes). Anti-cardiolipin antibodies (e.g., about 0.8 OD units; usually occurring two weeks after the immune treatment) are produced in mice at considerable local concentrations, and thrombus initiation can be caused by small pinches such as the literature Pierangeli, SS · , Et al., Circulation 94: 1746-1751 (1996). In general, before the animals were anesthetized [sodium pentobarbital, 60 nmg / kg peritoneal introduction], a longitudinal incision was made in the right groin of the mouse and extended to the knee joint. The right femoral vein was not cut and the wound was standardized for thrombosis. Small pincers can be created with forceps near the vein until the opposite side of the ring (about 0.1 mm in diameter). 20053i32 ^ i ^ .Qc Optical fiber fresh device is used to illuminate veins and a three-dimensional spatial stereo microscope (ERNST, Leitz GMBH, Wetzlar) is installed in a closed loop video recording system (NEC-NC-A / CCD Camera, NEC, USA, Inc. ·), An international 12-inch color monitor (Panasonic 12 丨 丨 color monitor) and U-Matic V-5800 recorder (Sony Corp.) are used to observe and measure the size of blood clots to appear and disappear. Rate, documented in Pierangeli, SS, et al., Circulation 94: 1746-1751 (1996).

老鼠用從抗磷脂化症後群(APS)病人得到的抗體注射 處理。處理過的老鼠再以不同劑量的干擾素-tau (IFNt)治療 (例如約1 X 105單位/每日(U/day)到約5 X 1012單位/每 曰(U/day))以口服(胃內)施予。控制組僅接受載體。 範例11 王擾素-tau (IFNt)治療中風的效果 此範例顯示干擾素-tan (IFNt)治療中風的優勢。實驗動 物的中風引發可以藉著管腔縫合以阻塞中間腦血管脈。引 _ 發中風的組別以干擾素-tau (IFNt)治療而控制阻止接受載 體。干擾素-tau (IFNt)治療的保護效果可被執行藉著評估阻 塞大小,量測腦內凋亡細胞之細胞核,量測方式的執行是 熟知該項技藝者熟知的。期待相對於控制組,受試老鼠可 以證實以干擾素-tau (IFNt)治療中風能降低阻塞部位大 小,減少腦內凋亡細胞之細胞核數量,並改善神經功能。 雄性新生的Sprague Dawley老鼠(9到11天大)可以 從Taconic Farms (Germantown, NY)購得。老鼠的養殖方法 112 20053iS3i69 如範例7所描述。Mice were treated with injections of antibodies obtained from patients with post-phospholipidation (APS). Treated mice are then treated with different doses of interferon-tau (IFNt) (eg, about 1 X 105 units / day (U / day) to about 5 X 1012 units / day (U / day)) orally ( Intragastric). The control group only accepts vectors. Example 11 Effect of King Interferon-tau (IFNt) in the Treatment of Stroke This example shows the advantages of interferon-tan (IFNt) in the treatment of stroke. The stroke caused by the experimental animal can be sutured through the lumen to block the middle cerebral blood vessels. _ _ The stroke-prone group was treated with interferon-tau (IFNt) and controlled to prevent receiving carriers. The protective effect of interferon-tau (IFNt) treatment can be performed by assessing the size of the block and measuring the nucleus of apoptotic cells in the brain. The implementation of the measurement method is well known to those skilled in the art. It is expected that compared with the control group, the test mice can confirm that treating stroke with interferon-tau (IFNt) can reduce the size of the obstructed site, reduce the number of nuclei of apoptotic cells in the brain, and improve neural function. Male newborn Sprague Dawley mice (9-11 days old) can be purchased from Taconic Farms (Germantown, NY). Rat breeding methods 112 20053iS3i69 As described in Example 7.

Sprague Dawley老鼠的腦部局部缺血可以使用縫合腔 內的阻塞方式如文獻 Maier,C.M. et al·,J. Neurosurg., 94:90-96 (2001) and Bright,R. et al·,J· Neurosci·,Cerebral ischemia in Sprague Dawley mice can be blocked in the suture cavity as described in the literature Maier, CM et al ·, J. Neurosurg., 94: 90-96 (2001) and Bright, R. et al ·, J · Neurosci ·,

M(3 1):6880-6888 (2004)所述。大致上,動物以異氟烷麻醉 後,未包覆的一 30mm長的3-0尼龍縫線頂部以火燒成圓 型。縫線置入到外頸動脈根部進一步到內頸動脈約19到約 20 mm從分岔處阻塞中腦部位的小動脈◦局部缺血2小時 後,移除縫合以便讓動物復原。 行爲評估在24小時以後,使用文獻Bright, R. W α/., Μ(3 1):6880-6888 (2004)描述的方法分四級爲 1-4等做再灌流評估:等級1,正常位置,可自發性往任何 方向移動;等級2,當從尾巴提起時,單腳爪可以延伸;等 級3,當自發性走動時,兩腳爪可以延伸且繞圈;等級4, 不正常位置,腳爪可以延伸與繞圈,但不能自發性走路凋 亡細胞之細胞核可以用末端核苷酸轉移酶導的biotinylated UTP nicke 末端標記【terminal deoxynucleotidyl transferase-mediated biotinylated UTP nicke end labeling (TUNEL)】量測,如文獻 Bright,R. et al_,JL Neurosci·, M(31):6880-6888 (2004)所記載。大致上,受試動物在2小 時中部腦之動脈阻塞後,以使用正常生理實驗水再用4%的 仲甲醛經72小時的再慣流與與穿心慣流後,動物會被安樂 死。腦部可以被分離固定保存在4%的仲甲醛,浸潤在30% 蔗糖維持2到約3天且急速冷卻在OCT cyroprotectant 113 20053iS36Qc (Tissue-Tek,Miles,Eklkart,IN)。 冠狀切片(16 μπι)可以從每一相等的中腦部位取樣, 每一切片分開至少48 μπι。切片可以染色且每一切片採取 同一側皮質的四個定位影像。M (3 1): 6880-6888 (2004). Roughly, after the animals were anesthetized with isoflurane, the top of an uncoated 3-0 nylon suture with a length of 30 mm was fired into a round shape. The suture was placed at the root of the external carotid artery and further to the internal carotid artery approximately 19 to 20 mm from the bifurcation to block the small arteries in the midbrain area. 2 hours after ischemia, the suture was removed to allow the animal to recover. Behavior evaluation After 24 hours, reperfusion assessment was performed in four levels of 1-4 using the method described in Bright, R. W α /., M (3 1): 6880-6888 (2004): Level 1, Normal Position, can move spontaneously in any direction; level 2, when lifting from the tail, single claw can extend; level 3, when spontaneously walking, both claws can extend and circle; level 4, abnormal position, claw can The nucleus of apoptotic cells that extend and circle but cannot spontaneously walk can be measured with terminal deoxynucleotidyl transferase-mediated biotinylated UTP nicke end labeling (TUNEL). Bright, R. et al., JL Neurosci., M (31): 6880-6888 (2004). In general, the animals were euthanized after 2 hours of obstruction of the arteries in the middle brain using normal physiological experimental water and 4% paraformaldehyde for 72 hours. The brain can be isolated and fixed in 4% paraformaldehyde, infiltrated in 30% sucrose for 2 to about 3 days and rapidly cooled in OCT cyroprotectant 113 20053iS36Qc (Tissue-Tek, Miles, Eklkart, IN). Coronal sections (16 μm) can be sampled from each equal midbrain site, with each section separated by at least 48 μm. The sections can be stained and each section takes four localized images of the cortex.

局部缺血(ischemia)處理的老鼠,可以在局部缺血 (ischemia)處理前,處理其間、處理之後,同時以干擾素 -tan (IFNt)治療。(例如約1 X 1〇5單位/每日(U/day)到約5 xlO12單位/每日(U/day))以口服(胃內)施予。(例如約1 X 105單位/每日(U/day)到約5 X 1012單位/每日(U/day)) 以口服(胃內)施予。控制組僅接受載體。 範例12 干擾素-tan (IFNt)治療是神經炎的效果 此範例顯示干擾素-tan (IFNt)治療視神經炎的優勢。 實驗性過敏性腦炎(EAE),視神經炎的動物模組會在測試 動物被引發。引發實驗性過敏性腦炎組的動物會被施予干 擾素-tan (IFNt)治療而控制組僅接受載體。干擾素-tan (IFNt)治療的保護效果可以軸突去髓鞘化的程度決定。期待 與對照組的老鼠相比,引發實驗性過敏性腦炎(EAE)的老 鼠能呈現降低軸突去髓鞘化的效果。 SJL/J 老鼠可從 Jackson 實驗室(Bar Harbor,Maine) 購得,並依範例7方法養殖。 實驗老鼠的實驗性過敏性腦炎(EAE)引發可以藉著同 源脊椎神經乳狀液(spinal cord emulsion)於佛氏完全佐劑 (complete Freund’s adjuvant )注射入頸背的皮下範圍如 114 200533569 下列文獻所述 Guy,J·,et al.,Proc. Natl. Acad· Sci. U.S.A. 95:13847-13852 (1998)。 去髓鞘化的程度可以藉著量測每一視神經髓鞘護套從 軸突轉換的電子顯微照相被量化,如文獻中所記載Guy,J·, et al., Proc. Natl. Acad. Sci. U.S.A. 95:13 847-13 852 (1998)〇Ischemic mice can be treated with interferon-tan (IFNt) before, during, and after ischemia treatment. (Eg, about 1 x 105 units / day (U / day) to about 5 x 1012 units / day (U / day)) are administered orally (intragastric). (Eg about 1 X 105 units / day (U / day) to about 5 X 1012 units / day (U / day)) are administered orally (intragastric). The control group only accepts vectors. Example 12 Interferon-tan (IFNt) treatment is an effect of neuritis This example shows the advantages of interferon-tan (IFNt) in the treatment of optic neuritis. In experimental allergic encephalitis (EAE), the animal model of optic neuritis is triggered in test animals. Animals in the experimental allergic encephalitis group will be treated with interferon-tan (IFNt) while the control group will receive the vehicle only. The protective effect of interferon-tan (IFNt) treatment can be determined by the degree of axon demyelination. It is expected that the rats with experimental allergic encephalitis (EAE) will exhibit the effect of reducing axon demyelination compared with the mice in the control group. SJL / J mice were purchased from Jackson Laboratories (Bar Harbor, Maine) and reared according to Example 7. Experimental rats with experimental allergic encephalitis (EAE) can be injected into the frond of the neck with a complete Freund's adjuvant by means of a spinal cord emulsion of homologous spine. As described in the literature, Guy, J., et al., Proc. Natl. Acad. Sci. USA 95: 13847-13852 (1998). The degree of demyelination can be quantified by measuring the electron micrograph of the transition of each optic nerve myelin sheath from axon, as described in the literature. Guy, J., et al., Proc. Natl. Sci. USA 95:13 847-13 852 (1998).

大致上,老鼠被安樂死,且在心臟穿孔傾注固定劑包 含4%仲甲醛於0.1 M PBS緩衝液(pH 7.4)。罹患是神經炎 的眼睛被取下作切片,組織樣本被後置於5%的丙烯醛 (acrolein ),0· 1 Μ 二甲砷酸鈉緩衝液(sodium cacodyl ate ) 鹽酸緩衝液(pH 7.4)與7%蔗糖固定並去水,以醇類系 及以LR White包埋並在50°C下過夜以進行高分子化。超 薄切片(例如約90 mm)置於鎳極板網柵以執行免疫細胞化 學技術。非特定結合抗體可以被阻斷,藉著懸浮在極板網 柵上包含2%硬骨魚膠與2%無脂乾奶於0.01 M TBS (pH 7·2)以及Tween 20維持30分鐘。極板網柵與兔仔的抗球 蛋白抗體反應、水洗、再與二級山羊的抗兔子的igG抗體 結合到10 nm金粒上於室溫下維持一小時。極板網柵接著 被浸泡在去離子水。免疫標記的樣品不經染色以電子轉換 顯微鏡照相紀錄。 老鼠可以在以脊椎神經乳狀液處理前、處理中、或處 理後,或在視神經炎被引發後,施予干擾素-tau (IFNt)治 療。老鼠可以用不同劑量的干擾素-tan (IFNt)治療(例如, 約1 X 105單位(U) /每天到約5 X 1012單位(U) /每天)以 口服(胃外)施予◦控制對照組的老鼠只接受載體。 115 範例13 平擾素-tau (IFNt)治療慢件阻寒型肺部疾病的效果 此範例顯示以干擾素-tau (IFNt)治療治療慢性阻塞型 肺部疾病的優勢。診斷有慢性阻塞型肺部疾病的病人’包 括慢性支氣管炎與肺氣腫,以干擾素-tan (ΚΝτ)治療。干擾 素-tau (IFNt)的治療呈現的保護效果可以藉著改善肺部功 能做評估。期待接受干擾素-tan (IFNt)治療證實有改善肺部 功能的效果。Approximately, the mice were euthanized and a fixative containing 4% paraformaldehyde in 0.1 M PBS buffer (pH 7.4) was poured into the heart perforation. Eyes with neuritis were removed for sectioning, and tissue samples were placed in 5% acrolein, 0.1 M sodium cacodyl ate, hydrochloric acid buffer (pH 7.4). It was fixed with 7% sucrose and dehydrated, polymerized with alcohol and LR White, and polymerized at 50 ° C overnight. Ultra-thin sections (for example, about 90 mm) are placed on a nickel grid to perform immunocytochemical techniques. Non-specific binding antibodies can be blocked by suspending on the grid of the plate containing 2% bony fish gelatin and 2% fat-free dry milk at 0.01 M TBS (pH 7.2) and Tween 20 for 30 minutes. The plate grid was reacted with rabbit anti-globulin antibodies, washed with water, and then combined with secondary goat anti-rabbit igG antibodies onto 10 nm gold particles and maintained at room temperature for one hour. The grid is then immersed in deionized water. Immunolabeled samples were recorded by electron microscopy without staining. Mice can be treated with interferon-tau (IFNt) before, during, or after treatment with spinal neuroemulsion, or after optic neuritis is initiated. Mice can be treated with different doses of interferon-tan (IFNt) (eg, about 1 X 105 units (U) / day to about 5 X 1012 units (U) / day) by oral (parenteral) administration control controls The mice in the group received the vehicle only. 115 Example 13 The effect of interferon-tau (IFNt) in the treatment of chronic obstructive pulmonary disease This example shows the advantages of interferon-tau (IFNt) in the treatment of chronic obstructive pulmonary disease. Patients diagnosed with chronic obstructive pulmonary disease ' include chronic bronchitis and emphysema and are treated with interferon-tan (ΚΝτ). The protective effects of interferon-tau (IFNt) treatment can be evaluated by improving lung function. It is expected that treatment with interferon-tan (IFNt) will prove effective in improving lung function.

被診斷有慢性阻塞型肺部疾病的病人施予每θ 0.5 X 109抗病毒單位的干擾素-tau (IFNu)治療。改變評估 以肺活(量)計方式評估,是熟之技藝者已知的常識。 範例14 干擾素-tan (IFNd治瘠孤獨症的效果Patients diagnosed with chronic obstructive pulmonary disease are given interferon-tau (IFNu) treatment at 0.5 X 109 antiviral units per θ. Assessment of change Assessment by lung (volume) method is common knowledge known to those skilled in the art. Example 14 Effect of Interferon-tan (IFNd in Treating Barren Autism)

此範例顯示干擾素-tan (IFNt)治療孤獨症的優勢。診斷 爲孤獨症(autism)的病人以干擾素-tau (IFNt)治療。干擾 素-tau (IFNt)治療的優勢藉著改變病人先前存在的變異行 爲來評估。期待病人因爲干擾素-tan (IFNt)治療而有正向的 行爲改變。 被診斷有孤獨症的病人施予大於0.5 X 109抗病毒單 位的干擾素-tan (IFNt)治療。改變行爲包括改善社會行爲、 言語、溝通且/或重複性行爲與日常行爲的評估方式是熟之 技藝者已知的常識。 116 200533雛 範例15This example shows the advantages of interferon-tan (IFNt) in treating autism. Patients diagnosed with autism are treated with interferon-tau (IFNt). The advantages of interferon-tau (IFNt) therapy are assessed by altering the patient's pre-existing mutational behavior. Patients are expected to have positive behavioral changes due to interferon-tan (IFNt) treatment. Patients diagnosed with autism are treated with interferon-tan (IFNt) greater than 0.5 X 109 antiviral units. Behavior change includes improved social behavior, speech, communication, and / or repetitive behaviors and daily behaviors are assessed in a way that is common knowledge to skilled artisans. 116 200533 Young Example 15

干擾素-tau (IFNt)治療動脈粥樣硬化的效果 範例顯示干擾素-tau (IFNt)治療動脈粥樣硬化的優 勢。藉著餵食高膽固醇飲食,動脈粥樣硬化可被發低密度 之蛋白(LDL)受器有缺陷的老鼠。一組老鼠接受干擾素-tan (IFNt)而控制組老鼠接受載體。干擾素-tau (IFNt)的治療呈 現保護效果可以用老鼠模組動脈粥樣硬化瘢塊發展的程度 來。期待與控制組的老鼠相比較,接受干擾素-tau (IFNt) 治療的老鼠有降低脈粥樣硬化瘢塊的效果。 低密度之蛋白(LDL)受器缺陷的老鼠可以從Jackson Laboratories購買且養殖方法敘述於範例7。 動脈粥樣硬化在老鼠被餵養以高脂肪飲食時被引發, 膽固醇相關敘述記錄於下列文獻Lichtman,Α·Η.,et al., Arterioscler. Thromb. Vase. Biol· 19:1938-1934 (1999) ο 被動脈粥樣硬化損傷的主動脈表面可以量化en face oil red Ο染色,方法敘述於下列之文獻中Lichtman,A.H., et al.,Arterioscler. Thromb. Vase. Biol. 19:1938-1934 (1999)。大致上老鼠在爲以特殊飲食後12週以乙醚吸入宰 殺。在左心室與動脈系以憐酸緩衝液(phosphate buffer saline ; PBS)引流,整個連結到心臟的動脈可以被切開置 放於甲醛過夜。主動脈可以用oil red Ο染色,動脈外膜脂 肪(adventitial fat)可以被移除且主動脈可被縱向打開, 釘en face在黑色砂橡膠盤且當被磷酸緩衝液(phosphate buffer saline ; PBS)浸潤時照相紀錄。切片掃瞄到電腦中 20053iS3i69c 被oil red O-染色的傷口可以用影像分析軟體鑑定(NIH Image) 〇 當老鼠給與高膽固醇飲食也可以給與干擾素-tan (IFNt)的治療用。老鼠可以給與不同劑量的干擾素-tan (ΚΝτ)(約lxlO5單位(U)/每天到約5\1012單位(1;) /每天)以口服(胃外)施予。控制對照組的老鼠只接受載Effect of interferon-tau (IFNt) in treating atherosclerosis The example shows the advantages of interferon-tau (IFNt) in treating atherosclerosis. By feeding a high-cholesterol diet, atherosclerosis can be caused by mice with defective low-density protein (LDL) receptors. One group of mice received interferon-tan (IFNt) and the control group of mice received the vehicle. The protective effect of interferon-tau (IFNt) treatment can be determined by the degree of atherosclerotic scar development in the rat model. It is expected that mice treated with interferon-tau (IFNt) will have an effect on reducing atherosclerotic scar compared to mice in the control group. Low density protein (LDL) receptor defective mice can be purchased from Jackson Laboratories and the breeding method is described in Example 7. Atherosclerosis is triggered when mice are fed a high-fat diet. Cholesterol-related narratives are documented in Lichtman, A.man, et al., Arterioscler. Thromb. Vase. Biol. 19: 1938-1934 (1999) ο Aortic surface damaged by atherosclerosis can be quantified by en face oil red 〇 staining, the method is described in the following literature Lichtman, AH, et al., Arterioscler. Thromb. Vase. Biol. 19: 1938-1934 (1999 ). Roughly, rats were killed by inhalation with ether 12 weeks after the special diet. The left ventricle and arteries are drained with phosphate buffer saline (PBS), and the entire artery connected to the heart can be cut open and placed in formaldehyde overnight. The aorta can be stained with oil red 〇, the adventitial fat of the arteries can be removed and the aorta can be opened longitudinally, nailed on the black sand rubber disc and treated with phosphate buffer saline (PBS) Photographs during infiltration. Sections were scanned into the computer. 20053iS3i69c Oil red O-stained wounds can be identified with image analysis software (NIH Image). ○ When mice are given a high cholesterol diet, interferon-tan (IFNt) treatment can also be given. Mice can be administered orally (parenterally) with different doses of interferon-tan (KNτ) (about 1 x 105 units (U) / day to about 5 \ 1012 units (1;) / day). Control mice received only

範例16 干擾素-tau (IFNt)與自體免疫異常的治療效果 本範例顯示干擾素-tau (IFNt)的治療的優勢且/或預防 老鼠之膠原蛋白引發之關節炎【collagen-induced arthritis (CIA)】。因膠原蛋白引起之關節炎(CIA)以第二型膠原 蛋白在Balb C老鼠體內被引發。引發前,老鼠接受干擾 素-tau (IFNt)的治療。干擾素-tau (IFNt)治療的優勢評估是 用以決定老鼠的因膠原蛋白引起之關節炎(CIA)發展程度 預期老鼠以干擾素-tan (IFNt)治療後會降低疾病發生率。 在Balb C老鼠的因膠原蛋白引起之關節炎(CIA)之 發展與抑制執行是藉著排斥服用單一劑量干擾素-tau (IFNt)的Balb C老鼠在免疫注射當日用第二型雞膠原蛋 白以引發因膠原蛋白引起之關節炎(CIA)。膠原蛋白可以 被乳化於佛氏完全佐劑(complete Freund’s adjuvant )以 及H37Ra,並且注入老鼠尾部的兩側。免疫注射日後48 小時,再注入百日咳毒素。Example 16 Therapeutic effects of interferon-tau (IFNt) and autoimmune disorders This example shows the advantages of interferon-tau (IFNt) treatment and / or prevents collagen-induced arthritis in mice [collagen-induced arthritis (CIA )]. Collagen-induced arthritis (CIA) is triggered by type II collagen in Balb C mice. Prior to priming, mice were treated with interferon-tau (IFNt). The advantage assessment of interferon-tau (IFNt) treatment is used to determine the degree of collagen-induced arthritis (CIA) in mice. It is expected that treatment with interferon-tan (IFNt) will reduce the incidence of disease in mice. The development and suppression of collagen-induced arthritis (CIA) in Balb C mice was performed by rejecting Balb C mice taking a single dose of interferon-tau (IFNt) on the day of immunization with type 2 chicken collagen. Causes collagen-induced arthritis (CIA). Collagen can be emulsified in complete Freund's adjuvant and H37Ra and injected into both sides of the mouse tail. Pertussis toxin was injected 48 hours after the date of immunization.

V 118 200533^6fi〇 基因合成棉羊((^116)的干擾素七11(1?]^)可以表現在 酵母菌(Pichia pastoris)運用合成基因建構。蛋白質可以 分泌到培養基並被純化,用連續性DEAE-纖維素與氫氧基 磷灰石層析(hydroxyapatite chromatography)到等相電泳 以SDS-PAGE決定,再以銀染色。V 118 200533 ^ 6fi〇 gene synthetic cotton sheep ((^ 116) interferon seven 11 (1?) ^) Can be expressed in yeast (Pichia pastoris) using synthetic genes to construct. Protein can be secreted into the culture medium and purified. Continuous DEAE-cellulose and hydroxylapatite chromatography to isophase electrophoresis were determined by SDS-PAGE and then stained with silver.

老鼠每日檢查CIA訊號◦疾病的嚴重度以關節炎指數 分級如下:1,一個腳指呈現紅色;2,一個腳指呈現紅色 且腫脹;3,一個腳指呈現變形;4,每增加一個腳指,指 數可以累進。 在接受腎臟移植後的老鼠可以干擾素-tau (IFNt)治 療。老鼠可以用不同劑量的干擾素-tau (IFNt)治療(例如, 約1 X 105單位(U) /每天到約5 X 1012單位(U) /每天)以 口服(胃外)施予。控制對照組的老鼠只接受載體。 範例17 干擾素-tan (IFNd對於器官移植棑斥的治療效果 範例顯示干擾素-tau (IFNt)對於預防或改善器官移植 排斥是有助益的。腎臟移植以老鼠的模組執行。一組老鼠 以干擾素-tan (IFNT)治療,而控制組則只給與載子。干擾素 -tau (IFNt)在同種異體移植手術排斥的治療效果,以腎臟同 種異體移植手術存活率來評量,而存在的選擇性免疫系統 細胞也會被檢驗。以干擾素-tan (IFNt)治療期望提升腎臟同 種異體移植手術存活率與降低選擇性免疫系統細胞移植。 近親交配的Fisher 3料(F344)與Lewis老鼠可以從 119 :1 200533^(^0:Rats check the CIA signal daily. The severity of the disease is graded by the arthritis index as follows: 1. One foot is red and swollen. 3. One foot is red and swollen. 4. One foot is deformed. 4. Each additional foot Means that the index can be progressive. Mice receiving kidney transplants can be treated with interferon-tau (IFNt). Mice can be treated with different doses of interferon-tau (IFNt) (eg, about 1 X 105 units (U) / day to about 5 X 1012 units (U) / day) to be administered orally (parenterally). Control mice received only vehicle. Example 17 Effect of Interferon-tan (IFNd on Organ Transplant Rejection) The example shows that interferon-tau (IFNt) is helpful in preventing or improving organ transplant rejection. Kidney transplantation is performed in a mouse module. A group of mice Treatment with interferon-tan (IFNT), while the control group only gave carriers. The therapeutic effect of interferon-tau (IFNt) in allograft rejection was evaluated by the survival rate of renal allograft surgery, and Existing selective immune system cells will also be tested. Treatment with interferon-tan (IFNt) is expected to improve the survival rate of renal allograft surgery and reduce selective immune system cell transplantation. Inbreeding Fisher 3 (F344) and Lewis Rats can be from 119: 1 200533 ^ (^ 0:

Charles River Italia 購得(Calco, Italy)。Lewis 老鼠可以接 受者而Fisher可以是捐贈者。動物的飼養與維護描述於範 例7。 腎臟移植的相關事項說明在下列文獻Noris,M. W α/., /jm· 5W· #卬心〇/·,11:193 7-1946 (2001)。大致上左側捐贈Commercialized by Charles River Italia (Calco, Italy). Lewis mice can be recipients and Fisher can be donors. Animal rearing and maintenance is described in Example 7. Matters related to kidney transplantation are described in the following literature Noris, M.W α /., / Jm · 5W · # 卬 心 〇 / ·, 11: 193 7-1946 (2001). Donate roughly left

的腎臟會被移除且重置於接受者的正確的局部位置,接受 者的腎臟血管會被,獨立出來夾住且原來左邊腎臟會被移 除。點對點接合腎動脈,靜脈與輸尿管的部分則以10-0 Proleri縫線縫合。右邊原始的腎臟在手術後第11天縫合。 完成的同種異體移植手術失敗的定義是動物死亡,因爲接 受移植手術的動物必須依賴移植的腎臟功能。 免疫化學分析以選擇免疫系統細胞的執行如下列文獻 所述於 Noris,M.以 a/.,/. dm· 1^:1937-1946 (2001)。大致上,老鼠的單株抗體可以用以偵測下列抗原: 1)ED1抗體;2)老鼠的MHC第二級II抗原單型態決定子; 3)CD4細胞表面醣蛋白;4)老鼠的CD8細胞表面醣蛋白; 5)老鼠的dendritic細胞限制抗原。所有的抗原可以用非直 接免疫螢光技術分析。 在移植手術後,老鼠可以採干擾素tau ( IFNt )治療。 老鼠採數種劑量的干擾素tau (IFN〇 (例如約1 X 1〇5單 位(U) /每天到約5 X 1〇12單位(U) /每天)以口服(胃外) 施予。控制對照組的老鼠只接受載體。· 本發明以數個特別實施例詳細說明,然其並非用以限 定本發明,在不脫離本發明之精神和範圍內,當可作些許 120 20053ό^3^9 之更動與潤飾。 【圖式簡單說明】The kidney will be removed and reset to the correct local position of the recipient. The kidney blood vessels of the recipient will be isolated and clamped, and the original left kidney will be removed. The renal artery was joined point-to-point, and the vein and ureter were sutured with 10-0 Proleri suture. The original kidney on the right was sutured on day 11 after surgery. The failure of a completed allograft operation is defined as the death of the animal, as the animal undergoing the transplant operation must rely on the function of the transplanted kidney. Immunochemical analysis to select immune system cells was performed as described in Noris, M. a /., /. Dm · 1 ^: 1937-1946 (2001). In general, mouse monoclonal antibodies can be used to detect the following antigens: 1) ED1 antibodies; 2) MHC second-class II antigenic monomorphic determinants in mice; 3) CD4 cell surface glycoproteins; 4) CD8 in mice Cell surface glycoprotein; 5) Dendritic cell-restricted antigen in mice. All antigens can be analyzed using non-direct immunofluorescence techniques. After transplantation, mice can be treated with interferon tau (IFNt). Mice received several doses of interferon tau (IFN0 (e.g., about 1 X 105 units (U) per day to about 5 X 1012 units (U) per day)) administered orally (parenterally). Control The mice in the control group only received the carrier. · The present invention is described in detail with several specific examples, but it is not intended to limit the present invention. Without departing from the spirit and scope of the present invention, it can be done a little 120 20053ό ^ 3 ^ 9 Changes and retouching. [Schematic description]

圖1A-1C繪示罹患多發性硬化症病人且施予口服干擾 素-tau (IFNt:)後白介素1〇 ( IL-10 )之血清濃度以pg/mL爲 單位,橫作標依時間以日爲單位,病人族群分爲I、II、與 III組,每天施予〇·2毫克(mg)之干擾素-tan (IFNt)(圖 1A)、0.6 毫克(mg)干擾素-tan (IFNi:)(圖 1B)、以及 1.8 毫克(mg)干擾素-tan (IFNt)(圖1C)追蹤第一到第二十 九天的狀況。Figures 1A-1C show the serum concentration of interleukin 10 (IL-10) in patients with multiple sclerosis after oral interferon-tau (IFNt :) administration in pg / mL, and the horizontal standard for time and day As a unit, the patient population was divided into groups I, II, and III, and 0.2 mg (mg) of interferon-tan (IFNt) (Fig. 1A) and 0.6 mg (mg) of interferon-tan (IFNi: ) (Fig. 1B), and 1.8 milligrams (mg) of interferon-tan (IFNt) (Fig. 1C) track the conditions from day one to twenty-nine.

圖1D繪示白介素1〇( IL-10)之平均血清濃度以pg/mL 爲單位,病人族群分爲1、11、與111組’每天施予〇·2毫 克(mg)之干擾素-tau(IFNi)(鑽石圖形,第I組)、0.6毫 克(mg)之干擾素-tan (IFNt)(方形,第I組)、以及1·8 毫克(mg)之干擾素-tau (IFNt)(三角形’第I組)追蹤第 一到第二十九天的狀況。 圖2A-2C繪示罹患多發性硬化症病人且施予口服干擾 素-tau(IFNT)後干擾素-伽侷(IFN-γ)之血清濃度以pg/mL 爲單位,橫作標依時間以日爲單位’病人族群分爲1、11、 與III組,每天施予〇·2毫克(mg)之干擾素-tan (IFNt)(圖 2A)、0.6 毫克(mg)之干擾素-tau (IFNt)(圖 2B)、以及 1.8 毫克(mg)之干擾素-tau (IFNt)(圖2C)追蹤第一到第二 十九天的狀況。 圖2D繪示干擾素-伽侷(IFN-γ)之平均血清濃度以 pg/mL爲單位,病人族群分爲I、Π、與III組,每天施予0·2 121Figure 1D shows the mean serum concentration of interleukin 10 (IL-10) in pg / mL. The patient population was divided into groups 1, 11, and 111. 'Interferon-tau was administered with 0.2 milligrams (mg) daily. (IFNi) (diamond pattern, group I), 0.6 milligrams (mg) of interferon-tan (IFNt) (square, group I), and 1.8 milligrams (mg) of interferon-tau (IFNt) ( Triangle 'Group I) Track conditions from day one to twenty-ninth. Figures 2A-2C show the serum concentration of interferon-gamma (IFN-γ) in patients with multiple sclerosis after oral administration of interferon-tau (IFNT) is in pg / mL. Patients were divided into groups of 1, 11, and III on a daily basis. Interferon-tan (IFNt) (Fig. 2A) and 0.6 milligrams (mg) of interferon-tau (mg) were administered daily. IFNt) (Fig. 2B), and 1.8 milligrams (mg) of interferon-tau (IFNt) (Fig. 2C) tracked conditions from day one to twenty-ninth. Figure 2D shows the average serum concentration of interferon-gamma (IFN-γ) in pg / mL. The patient population was divided into groups I, Π, and III, which were administered 0.21 daily.

20053^369 毫克(mg)之干擾素-tau (iFNi)(鑽石圖形,第I組)、0·6 毫克(mg)之干擾素-tan (IFNt)(方形,第I組)、以及1.8 毫克(mg)之干擾素-tau (ΙΡΝτ)(三角形,第I組)追蹤第 一到第二十九天的狀況。 圖3Α-3Ε繪示白介素1〇 ( IL-10)(鑽石圖形)以及 干擾素-tau (IFNt)(方形)之血清濃度,兩者皆以Pg/mL爲 單位,對應圖1與圖2,病人個體選自治療族群I、II、與 III組中。 圖4A-4C繪示罹患C型肝炎病人且施予口服干擾素 -tau(IFNT)後白介素1〇 (IL-10)之血清濃度以Pg/mL爲單 位,橫作標依時間以日爲單位,六位病人分在組別I,每天 施予0.33毫克(mg)之干擾素-tau(IFNi)三次(圖4A); 六位病人分在組別Η,每天施予i·0毫克(mg)之干擾素 -tau (IFNt)三次(圖4B);六位病人分在組別III,每天施予3 毫克(mg)之干擾素-tau(IFNi)三次(圖4C)。 圖4D繪示是組別I、Π、與ΙΠ之總結。在圖4A到4C 繪示血清白介素1〇 ( IL_l〇)濃度之增加,以時間做圖’實 驗組別I (鑽石圖形,0·3毫克(mg) —日三次)、組別Η (方 形,1毫克(mg) —日三次),與組別ΙΠ (三角形’ 3毫克 (mg) —日三次)。 圖5A-5C繪示是干擾素-伽侷(IFN-γ)血清濃度以 pg/mL爲單位,以口服干擾素-tau (IFNt)施予罹患C型肝炎 之病患,以時間做圖,以日爲單位,六位病人分在組別1, 每天施予〇·33毫克(mg)之干擾素-tau (IFNt)三次(圖 122 2005333>6r9)c 5A);六位病人分在組別II,每天施予1.0 mg干擾素-tau (IFNt)三次(圖5B);六位病人分在組別III,每天施予毫克 (mg)之干擾素-tau(IFm)三次(圖5C)。 圖5D繪示是組別I、II、與III之總結。在圖4A到4C 繪示干擾素-tan (IFNt)平均濃度,以時間做圖,實驗組別I (鑽石圖形,0.3毫克(mg) —日三次)、組別II (方形,1 毫克(mg) —日三次),與組別III (三角形,3毫克(mg) 一日三次)。20053 ^ 369 milligrams (mg) of interferon-tau (iFNi) (diamond pattern, group I), 0.6 milligrams (mg) of interferon-tan (IFNt) (square, group I), and 1.8 milligrams (Mg) of interferon-tau (IPNτ) (triangle, group I) tracked the status from the first to the twenty-ninth day. Figures 3A-3E show the serum concentrations of interleukin 10 (IL-10) (diamond pattern) and interferon-tau (IFNt) (square), both of which are in units of Pg / mL, corresponding to Figures 1 and 2, Individual patients are selected from the treatment groups I, II, and III. Figures 4A-4C show the serum concentration of interleukin 10 (IL-10) in patients with hepatitis C and oral interferon-tau (IFNT) in units of Pg / mL, and the horizontal standard in units of time and day Six patients were divided into group I and 0.33 milligrams (mg) of interferon-tau (IFNi) were administered three times a day (Fig. 4A); six patients were divided into group Η and i · 0 milligrams (mg) ) Of interferon-tau (IFNt) three times (Figure 4B); six patients were divided into group III and 3 mg (mg) of interferon-tau (IFNi) were administered three times a day (Figure 4C). FIG. 4D shows a summary of the groups I, Π, and ΙΠ. The increase in serum interleukin 10 (IL_lO) concentration is plotted in Figs. 4A to 4C. Time is used to plot 'Experimental Group I (diamond pattern, 0.3 mg (mg)-three times a day), Group Η (square, 1 milligram (mg)-three times a day), with group III (triangle '3 milligrams (mg)-three times a day). Figures 5A-5C show that the interferon-gamma (IFN-γ) serum concentration is given in pg / mL and oral interferon-tau (IFNt) is administered to patients suffering from hepatitis C. The time is plotted. On a daily basis, six patients were divided into group 1 and 0.33 milligrams (mg) of interferon-tau (IFNt) was administered three times a day (Figure 122 2005333 > 6r9) c 5A); six patients were divided into groups In Group II, 1.0 mg of interferon-tau (IFNt) was administered three times a day (Figure 5B); six patients were divided into Group III and interferon-tau (IFm) was administered in milligrams (mg) three times a day (Figure 5C) . FIG. 5D shows a summary of groups I, II, and III. The average concentration of interferon-tan (IFNt) is plotted in Figures 4A to 4C, and plotted as a function of time, experimental group I (diamond pattern, 0.3 mg (mg)-three times a day), group II (square, 1 milligram (mg) ) — Three times a day), with group III (triangle, 3 milligrams (mg) three times a day).

圖6A-6F繪示白介素10 (IL-10)(鑽石圖形)與干擾 素-tau (IFNt)(方形)血清濃度,以pg/mL爲單位,個別病 人選自治療組別I、Π、與III相對於圖4-5之討論。 圖7A-7B繪示白介素10 ( IL-10)血清濃度(圖7A)與 干擾素-tau (IFNt)血清濃度(圖7B),以pg/mL爲單位, 口服施予干擾素-tan (IFNt)給罹患C型肝炎之病患,以時 間做圖,以日爲單位,7.5毫克(mg )劑量的干擾素-tau (IFNt) 一曰兩次空腹服用。 圖8A-8D繪示白介素10 (IL-10)(鑽石圖形),干擾素 -伽僞(IFN-γ )(方形),繪示白介素12 ( IL-12 (三角形)血 清濃度,以pg/mL爲單位,病人如前述之治療想對應於圖 7A-7B。 【序列簡單說明】 序列SEQ ID NO : 1是編碼綿羊干擾素τ ( IFN〇的合 成基因之核苷酸序列。 123 20053· 序列SEQ ID NO : 2是關於成熟綿羊干擾素t(IFNt, oTP-1 ;基因銀行授權碼N〇.Y00287 ; PID gl358)之氨基酸 序列。 序列SEQ ID NO: 3是關於成熟綿羊干擾素t(IFNt)之 氨基酸序列,其氨基酸序列第五與第六殘基位置被調整, 相對於序列SEQ ID NO : 2。Figures 6A-6F show interleukin 10 (IL-10) (diamond graphics) and interferon-tau (IFNt) (square) serum concentrations in pg / mL. Individual patients are selected from treatment groups I, Π, and III relative to the discussion of Figures 4-5. Figures 7A-7B show interleukin 10 (IL-10) serum concentrations (Figure 7A) and interferon-tau (IFNt) serum concentrations (Figure 7B), in pg / mL, orally administered interferon-tan (IFNt ) For patients suffering from Hepatitis C, plot time with daily units at a dose of 7.5 milligrams (mg) of interferon-tau (IFNt) once or twice on an empty stomach. Figures 8A-8D show interleukin 10 (IL-10) (diamond graphics), interferon-gamma (IFN-γ) (square), and interleukin 12 (IL-12 (triangle) serum concentrations, in pg / mL) As a unit, the patient would like to correspond to Figures 7A-7B as described above. [Simplified description of sequence] The sequence SEQ ID NO: 1 is the nucleotide sequence of a synthetic gene encoding sheep interferon τ (IFN〇. 123 20053 · Sequence SEQ ID NO: 2 is the amino acid sequence of mature sheep interferon t (IFNt, oTP-1; gene bank authorization code No. Y00287; PID gl358). The sequence SEQ ID NO: 3 is about mature sheep interferon t (IFNt) The amino acid sequence of which the fifth and sixth residue positions are adjusted relative to the sequence of SEQ ID NO: 2.

序列SEQ ID NO : 4是合成的核苷酸序列編碼SEQ ID NO : 3之蛋白質。 •I 序列SEQ ID NO : 5是關於人類髓鞘oligodendrocyte 蛋白質之氨基酸序列(基因銀行授權碼NO.BC035938)。 序列SEQ ID NO : 6是關於之氨基酸序列是關於人類 髓鞘基本蛋白質之氨基酸序列(基因銀行授權碼No. NM—002385)。The sequence SEQ ID NO: 4 is a synthetic nucleotide sequence encoding the protein of SEQ ID NO: 3. • I sequence SEQ ID NO: 5 is the amino acid sequence of human myelin oligodendrocyte protein (Gene Bank Authorization Code NO.BC035938). The sequence SEQ ID NO: 6 is about the amino acid sequence of the basic protein of human myelin sheath (Gene Bank Authorization Code No. NM-002385).

124 200533369 序列明細 派伯根公司 <110>劉治平 維拉瑞德羅萊禮H. <12〇>干擾素Tau的應用 <130> 55600-8014.TWO0 <140> Not Yet Assigned <141> Filed Herewith <150> US 60/552,279 <151> 2004-03-10 <150〉 US 10/824,710 <151> 2004-04-14 <150> US 10/825,068 <151> 2004-04-14124 200533369 Sequence detailsPypergen Corporation < 110 > Liu Zhiping, Willard R. Loreley H. < 12〇 > Application of Interferon Tau < 130 > 55600-8014.TWO0 < 140 > Not Yet Assigned < 141 > Filed Herewith < 150 > US 60 / 552,279 < 151 > 2004-03-10 < 150〉 US 10 / 824,710 < 151 > 2004-04-14 < 150 > US 10 / 825,068 < 151 > 2004-04-14

<150> US 10/825,382 <151> 2004-04-14 <150> US 10/825,457 <151> 2004-04-14 <150> US 10/884,741 <151> 2004-07-02 <150> US 11/040,706 <151〉 2005-01-21 <160> 6 <170> Patentln version 3.3 <210> 1 <211> 516 <212> DMA <213>綿羊< 150 > US 10 / 825,382 < 151 > 2004-04-14 < 150 > US 10 / 825,457 < 151 > 2004-04-14 < 150 > US 10 / 884,741 < 151 > 2004-07- 02 < 150 &>

<400> 1 60 120 180 240 300 360 420 480 516 tgctacctgt cgcgaaaact gatgctggac gctcgagaaa atttaaaact gctggaccgt atgaatcgat tgtctccgca cagctgcctg caagaccgga aagacttcgg tctgccgcag gaaatggttg aaggtgacca actgcaaaaa gaccaagctt tcccggtact gtatgaaatg ctgcagcagt ctttcaacct gttctacact gaacattctt cggccgcttg ggacactact cttctagaac aactgtgcac tggtctgcaa cagcaactgg accatctgga cacttgccgt ggccaggtta tgggtgaaga agactctgaa ctgggtaaca tggatccgat cgttactgtt aaaaaatatt tccagggtat ctacgactac ctgcaggaaa aaggttactc tgactgcgct tgggaaatcg tacgcgttga aatgatgcgg gccctgactg tgtcgactac tctgcaaaaa cggttaacta aaatgggtgg tgacctgaat tctccg <210> 2 <211> 172 <212> PRT <213> 綿羊 <400> 2 200533369tggatccgat cgttactgtt 1 60 120 180 240 300 360 420 480 516 tgctacctgt cgcgaaaact gatgctggac gctcgagaaa atttaaaact gctggaccgt atgaatcgat tgtctccgca cagctgcctg caagaccgga aagacttcgg tctgccgcag gaaatggttg aaggtgacca actgcaaaaa gaccaagctt tcccggtact gtatgaaatg ctgcagcagt ctttcaacct gttctacact gaacattctt cggccgcttg ggacactact cttctagaac aactgtgcac tggtctgcaa cagcaactgg accatctgga cacttgccgt ggccaggtta tgggtgaaga agactctgaa ctgggtaaca; < 400 & gt aaaaaatatt tccagggtat ctacgactac ctgcaggaaa aaggttactc tgactgcgct tgggaaatcg tacgcgttga aatgatgcggg gccctgactg tgtcgactac tctgcaaaaa &&&;; &RT; 212 < 211 &RT; < 210

Cys Tyr Leu Ser Arg Lys Leu Met Leu Asp Ala Arg Glu Asn Leu Lys 1 5 10 15Cys Tyr Leu Ser Arg Lys Leu Met Leu Asp Ala Arg Glu Asn Leu Lys 1 5 10 15

Leu Leu Asp Arg Met Asn Arg Leu Ser Pro His Ser Cys Leu Gin Asp 20 25 30Leu Leu Asp Arg Met Asn Arg Leu Ser Pro His Ser Cys Leu Gin Asp 20 25 30

Arg Lys Asp Phe Gly Leu Pro Gin Glu Met Val Glu Gly Asp Gin Leu 35 40 45Arg Lys Asp Phe Gly Leu Pro Gin Glu Met Val Glu Gly Asp Gin Leu 35 40 45

Gin Lys Asp Gin Ala Phe Pro Val Leu Tyr Glu Met Leu Gin Gin Ser 50 55 60Gin Lys Asp Gin Ala Phe Pro Val Leu Tyr Glu Met Leu Gin Gin Ser 50 55 60

Phe Asn Leu Phe Tyr Thr Glu His Ser Ser Ala Ala Trp Asp Thr Thr 65 70 75 80Phe Asn Leu Phe Tyr Thr Glu His Ser Ser Ala Ala Trp Asp Thr Thr 65 70 75 80

Leu Leu Glu Gin Leu Cys Thr Gly Leu Gin Gin Gin Leu Asp His Leu 85 90 95Leu Leu Glu Gin Leu Cys Thr Gly Leu Gin Gin Gin Leu Asp His Leu 85 90 95

Asp Thr Cys Arg Gly Gin Val Met Gly Glu Glu Asp Ser Glu Leu Gly 100 105 110Asp Thr Cys Arg Gly Gin Val Met Gly Glu Glu Asp Ser Glu Leu Gly 100 105 110

Asn Met Asp Pro 工le Val Thr Val Lys Lys Tyr Phe Gin Gly lie Tyr 115 120 125Asn Met Asp Pro Le Val Thr Val Lys Lys Tyr Phe Gin Gly lie Tyr 115 120 125

Asp Tyr Leu Gin Glu Lys Gly Tyr Ser Asp Cys Ala Trp Glu lie Val 130 135 140Asp Tyr Leu Gin Glu Lys Gly Tyr Ser Asp Cys Ala Trp Glu lie Val 130 135 140

Arg Val Glu Met Met Arg Ala Leu Thr Val Ser Thr Thr Leu Gin Lys 145 150 155 160Arg Val Glu Met Met Arg Ala Leu Thr Val Ser Thr Thr Leu Gin Lys 145 150 155 160

Arg Leu Thr Lys Met Gly Gly Asp Leu Asn Ser Pro 165 170 <210> 3 <211> 172 <212> PRT <213>人工序列 <220> <223>依據綿羊序列的基因重組之干擾素Tau : <400> 3Arg Leu Thr Lys Met Gly Gly Asp Leu Asn Ser Pro 165 170 < 210 > 3 < 211 > 172 < 212 > PRT < 213 > Artificial sequence < 220 > < 223 > Genetic recombination based on sheep sequence Interferon Tau: < 400 > 3

Cys Tyr Leu Ser Glu Arg Leu Met Leu Asp Ala Arg Glu Asn Leu Lys 15 10 15Cys Tyr Leu Ser Glu Arg Leu Met Leu Asp Ala Arg Glu Asn Leu Lys 15 10 15

Leu Leu Asp Arg Met Asn Arg Leu Ser Pro His Ser Cys Leu Gin Asp 20 25 30Leu Leu Asp Arg Met Asn Arg Leu Ser Pro His Ser Cys Leu Gin Asp 20 25 30

Arg Lys Asp Phe Gly Leu Pro Gin Glu Met Val Glu Gly Asp Gin Leu 35 40 45Arg Lys Asp Phe Gly Leu Pro Gin Glu Met Val Glu Gly Asp Gin Leu 35 40 45

Gin Lys Asp Gin Ala Phe Pro Val Leu Tyr Glu Met Leu Gin Gin Ser 50 55 60Gin Lys Asp Gin Ala Phe Pro Val Leu Tyr Glu Met Leu Gin Gin Ser 50 55 60

Phe Asn Leu Phe Tyr Thr Glu His Ser Ser Ala Ala Trp Asp Thr Thr 65 70 75 80Phe Asn Leu Phe Tyr Thr Glu His Ser Ser Ala Ala Trp Asp Thr Thr 65 70 75 80

Leu Leu Glu Gin Leu Cys Thr Gly Leu Gin Gin Gin Leu Asp His Leu 85 90 95Leu Leu Glu Gin Leu Cys Thr Gly Leu Gin Gin Gin Leu Asp His Leu 85 90 95

Asp Thr Cys Arg Gly Gin Val Met Gly Glu Glu Asp Ser Glu Leu Gly 100 105 110Asp Thr Cys Arg Gly Gin Val Met Gly Glu Glu Asp Ser Glu Leu Gly 100 105 110

Asn Met Asp Pro 工le Val Thr Val Lys Lys Tyr Phe Gin Gly lie Tyr 115 120 125Asn Met Asp Pro Le Val Thr Val Lys Lys Tyr Phe Gin Gly lie Tyr 115 120 125

Asp Tyr Leu Gin Glu Lys Gly Tyr Ser Asp Cys Ala Trp Glu lie Val 130 135 140Asp Tyr Leu Gin Glu Lys Gly Tyr Ser Asp Cys Ala Trp Glu lie Val 130 135 140

Arg Val Glu Met Met Arg Ala Leu Thr Val Ser Thr Thr Leu Gin Lys 145 150 155 160Arg Val Glu Met Met Arg Ala Leu Thr Val Ser Thr Thr Leu Gin Lys 145 150 155 160

Arg Leu Thr Lys Met Gly Gly Asp Leu Asn Ser Pro 165 170 <210> 4 <211> 516 <212> DNA <213>人工序列 /^0 200533369 <220> <223>依據綿羊序列的基因重組之干擾素Tau <400> 4 tgctacctgt cggagcgact gatgctggac gctcgagaaa atttaaaact gctggaccgt atgaatcgat tgtctccgca cagctgcctg caagaccgga aagacttcgg tctgccgcag gaaatggttg aaggtgacca actgcaaaaa gaccaagctt tcccggtact gtatgaaatg ctgcagcagt ctttcaacct gttctacact gaacattctt cggccgcttg ggacactact cttctagaac aactgtgcac tggtctgcaa cagcaactgg accatctgga cacttgccgt ggccaagtta tgggtgaaga agactctgaa ctgggtaaca tggatccgat cgttactgtt aaaaaatatt tccagggtat ctacgactac ctgcaggaaa aaggttactc tgactgcgct tgggaaatcg tacgcgttga aatgatgcgg gccctgactg tgtcgactac tctgcaaaaa cggttaacta aaatgggtgg tgacctgaat tctccg <210> 5 <211> 295 <212> PRT <213>人類Arg Leu Thr Lys Met Gly Gly Asp Leu Asn Ser Pro 165 170 < 210 > 4 < 211 > 516 < 212 > DNA < 213 > artificial sequence / ^ 0 200533369 < 220 > < 223 > according to sheep sequence gene recombination of interferon Tau < 400 > 4 tgctacctgt cggagcgact gatgctggac gctcgagaaa atttaaaact gctggaccgt atgaatcgat tgtctccgca cagctgcctg caagaccgga aagacttcgg tctgccgcag gaaatggttg aaggtgacca actgcaaaaa gaccaagctt tcccggtact gtatgaaatg ctgcagcagt ctttcaacct gttctacact gaacattctt cggccgcttg ggacactact cttctagaac aactgtgcac tggtctgcaa cagcaactgg accatctgga cacttgccgt ggccaagtta tgggtgaaga agactctgaa ctgggtaaca tggatccgat cgttactgtt aaaaaatatt tccagggtat ctacgactac ctgcaggaaa aaggttactc tgactgcgct tgggaaatcg tacgcgttga aatgatgcgg gccctgactg tgtcgactac tctgcaaaaa cggttaacta aaatgggtgg human < 210 > 5 < < 212

60 120 180 240 300 360 420 480 516 <400> 560 120 180 240 300 360 420 480 516 < 400 > 5

Met Ala Ser Leu Ser Arg Pro Ser Leu Pro Ser Cys Leu Cys Ser Phe 15 10 15Met Ala Ser Leu Ser Arg Pro Ser Leu Pro Ser Cys Leu Cys Ser Phe 15 10 15

Leu Leu Leu Leu Leu Leu Gin Val Ser Ser Ser Tyr Ala Gly Gin Phe 20 25 30Leu Leu Leu Leu Leu Leu Gin Val Ser Ser Ser Tyr Ala Gly Gin Phe 20 25 30

Arg Val lie Gly Pro Arg His Pro lie Arg Ala Leu Val Gly Asp Glu 35 40 45Arg Val lie Gly Pro Arg His Pro lie Arg Ala Leu Val Gly Asp Glu 35 40 45

Val Glu Leu Pro Cys Arg 工le Ser Pro Gly Lys Asn Ala Thr Gly Met 50 55 60Val Glu Leu Pro Cys Arg Gong Le Ser Pro Gly Lys Asn Ala Thr Gly Met 50 55 60

Glu Val Gly Trp Tyr Arg Pro Pro Phe Ser Arg Val Val His Leu Tyr 65 70 75 80Glu Val Gly Trp Tyr Arg Pro Pro Phe Ser Arg Val Val His Leu Tyr 65 70 75 80

Arg Asn Gly Lys Asp Gin Asp Gly Asp Gin Ala Pro Glu Tyr Arg Gly 85 90 95Arg Asn Gly Lys Asp Gin Asp Gly Asp Gin Ala Pro Glu Tyr Arg Gly 85 90 95

Arg Thr Glu Leu Leu Lys Asp Ala lie Gly Glu Gly Lys Val Thr Leu 100 105 110Arg Thr Glu Leu Leu Lys Asp Ala lie Gly Glu Gly Lys Val Thr Leu 100 105 110

Arg lie Arg Asn Val Arg Phe Ser Asp Glu Gly Gly Phe Thr Cys Phe 115 120 125Arg lie Arg Asn Val Arg Phe Ser Asp Glu Gly Gly Phe Thr Cys Phe 115 120 125

Phe Arg Asp His Ser Tyr Gin Glu Glu Ala Ala Met Glu Leu Lys Val 130 135 140Phe Arg Asp His Ser Tyr Gin Glu Glu Ala Ala Met Glu Leu Lys Val 130 135 140

Glu Asp Pro Phe Tyr Trp Val Ser Pro Gly Val Leu Val Leu Leu Ala 145 150 155 160Glu Asp Pro Phe Tyr Trp Val Ser Pro Gly Val Leu Val Leu Leu Ala 145 150 155 160

Val Leu Pro Val Leu Leu Leu Gin lie Thr Val Gly Leu Val Phe Leu 165 170 175Val Leu Pro Val Leu Leu Leu Gin lie Thr Val Gly Leu Val Phe Leu 165 170 175

Cys Leu Gin Tyr Arg Leu Arg Gly Lys Leu Arg Ala Glu lie Glu Asn 180 185 190Cys Leu Gin Tyr Arg Leu Arg Gly Lys Leu Arg Ala Glu lie Glu Asn 180 185 190

Leu His Arg Thr Phe Asp Pro His Phe Leu Arg Val Pro Cys Trp Lys 195 200 205Leu His Arg Thr Phe Asp Pro His Phe Leu Arg Val Pro Cys Trp Lys 195 200 205

He Thr Leu Phe Val 工le Val Pro Val Leu Gly Pro Leu Val Ala Leu 210 215 220 lie lie Cys Tyr Asn Trp Leu His Arg Arg Leu Ala Gly Gin Phe Leu 225 230 235 240He Thr Leu Phe Val Le Val Pro Val Leu Gly Pro Leu Val Ala Leu 210 215 220 lie lie Cys Tyr Asn Trp Leu His Arg Arg Leu Ala Gly Gin Phe Leu 225 230 235 240

Glu Glu Leu Arg Lys Phe Ser Ser Leu Cys Tyr Lys Gin Arg 工le Lys 245 250 255Glu Glu Leu Arg Lys Phe Ser Ser Leu Cys Tyr Lys Gin Arg Engineering Lys 245 250 255

Ser Gin Glu Arg Glu Thr Glu Ala Thr Arg Gly Arg Gly Gly Leu Leu 260 265 270Ser Gin Glu Arg Glu Thr Glu Ala Thr Arg Gly Arg Gly Gly Leu Leu 260 265 270

Arg Asp His lie Pro Arg Gly Lys Glu Glu Leu Glu Ser Leu Gly Gly 275 280 285Arg Asp His lie Pro Arg Gly Lys Glu Glu Leu Glu Ser Leu Gly Gly 275 280 285

Gly Lys Thr Pro Pro Gly Arg 290 295 /3/ 200533369Gly Lys Thr Pro Pro Gly Arg 290 295/3/200533369

<210> 6 <211> 186 <212> PRT <213>人類 <400> 6< 210 > 6 < 211 > 186 < 212 > PRT < 213 > human < 400 > 6

Met Ala Ser Gin Lys Arg Pro Ser Gin Arg His Gly Ser Lys Tyr Leu 1 5 10 15Met Ala Ser Gin Lys Arg Pro Ser Gin Arg His Gly Ser Lys Tyr Leu 1 5 10 15

Ala Thr Ala Ser Thr Met Asp His Ala Arg His Gly Phe Leu Pro Arg 20 25 30Ala Thr Ala Ser Thr Met Asp His Ala Arg His Gly Phe Leu Pro Arg 20 25 30

His Arg Asp Thr Gly lie Leu Asp Ser lie Gly Arg Phe Phe Gly Gly 35 40 45His Arg Asp Thr Gly lie Leu Asp Ser lie Gly Arg Phe Phe Gly Gly 35 40 45

Asp Arg Gly Ala Pro Lys Arg Gly Ser Gly Lys Val Pro Trp Leu Lys 50 55 60Asp Arg Gly Ala Pro Lys Arg Gly Ser Gly Lys Val Pro Trp Leu Lys 50 55 60

Pro Gly Arg Ser Pro Leu Pro Ser His Ala Arg Ser Gin Pro Gly Leu 65 70 Ί5 80Pro Gly Arg Ser Pro Leu Pro Ser His Ala Arg Ser Gin Pro Gly Leu 65 70 Ί5 80

Cys Asn Met Tyr Lys Asp Ser His His Pro Ala Arg Thr Ala His Tyr 85 90 95Cys Asn Met Tyr Lys Asp Ser His His Pro Ala Arg Thr Ala His Tyr 85 90 95

Gly Ser Leu Pro Gin Lys Ser His Gly Arg Thr Gin Asp Glu Asn Pro 100 105 110Gly Ser Leu Pro Gin Lys Ser His Gly Arg Thr Gin Asp Glu Asn Pro 100 105 110

Val Val His Phe Phe Lys Asn lie Val Thr Pro Arg Thr Pro Pro Pro 115 120 125Val Val His Phe Phe Lys Asn lie Val Thr Pro Arg Thr Pro Pro Pro 115 120 125

Ser Gin Gly Lys Gly Ala Glu Gly Gin Arg Pro Gly Phe Gly Tyr Gly 130 135 140Ser Gin Gly Lys Gly Ala Glu Gly Gin Arg Pro Gly Phe Gly Tyr Gly 130 135 140

Gly Arg Ala Ser Asp Tyr Lys Ser Ala His Lys Gly Phe Lys Gly Val 145 150 155 160Gly Arg Ala Ser Asp Tyr Lys Ser Ala His Lys Gly Phe Lys Gly Val 145 150 155 160

Asp Ala Gin Gly Thr Leu Ser Lys lie Phe Lys Leu Gly Gly Arg Asp 165 170 175Asp Ala Gin Gly Thr Leu Ser Lys lie Phe Lys Leu Gly Gly Arg Asp 165 170 175

Ser Arg Ser Gly Ser Pro Met Ala Arg Arg 180 185 4Ser Arg Ser Gly Ser Pro Met Ala Arg Arg 180 185 4

Claims (1)

20053i23i6.9c 十、申請專利範圍: 1. 一種製備以改善人類對血液中白介素-l〇(IL-l〇)上 升反應的生理狀況之藥劑組成,前述組成包括干擾素_tau (IFNt),配製成經口服途徑每日大於5 X 108單位給與非 罹患C型肝炎的病人。20053i23i6.9c 10. Scope of patent application: 1. A pharmaceutical composition prepared to improve the physiological condition of humans in response to the rise of interleukin-lO (IL-lO) in the blood. The aforementioned composition includes interferon-tau (IFNt). It is prepared by oral route to more than 5 X 108 units per day for patients not suffering from hepatitis C. 2. 如申請專利範圍第1項所述之製備以改善人類對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組成,其 中該干擾素-tau (IFNt)是綿羊之干擾素-tan (IFNt)與牛之 干擾素-tau。 3. 如申請專利範圍第1項或第2項所述之製備以改善 人類對血液中白介素-l〇(IL-10)上升反應的生理狀況之藥 劑組成,其中該干擾素-tau (IFNt)是綿羊的干擾素-tau (IFNt),具有 SEQ ID NO:2 或 SEQ ID NO:3 之一序歹[J。 4. 如申請專利範圍第3項所述之製備以改善人類對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組成,前 述口服劑型是配製成經口服途徑到達受試者腸道之劑型。 5. 如申請專利範圍第3項所述之製備以改善人類對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組成,前 述反應的生理狀況指的是自體免疫症狀或細胞增生症狀。 6. 如申請專利範圍第5項所述之製備以改善人類對血 液中白介素-10(IL-10)上升反應的生理狀況之藥劑組成,其 中該組成結合一第二治療藥劑。 7. 如申請專利範圍第5項所述之製備以改善人類對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組成,所 20053ι^3>ι6.δ〇 改善症狀是牛皮癬或多發性硬化症。 8·如申請專利範圍第7項所述之製備以改善人_對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑袍成, 其中該藥劑組成可同時合倂一第二治療藥劑。 9·如申請專利範圍第6項所述之製備以改善人|肖對血 液中白介素-IO(IL-IO)上升反應的生理狀況之藥劑組战,其 中該第二治療藥劑選自由抗病毒藥物、抗癌藥物、坑發炎 藥物、以及適合改善自體免疫之藥劑所組成之族群。X2. A pharmaceutical composition prepared as described in item 1 of the scope of patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in blood, wherein the interferon-tau (IFNt) is an interference by sheep -Tan (IFNt) and bovine interferon-tau. 3. A pharmaceutical composition prepared as described in item 1 or 2 of the scope of patent application to improve the physiological condition of humans in response to the rise of interleukin-10 (IL-10) in blood, wherein the interferon-tau (IFNt) Is sheep's interferon-tau (IFNt), which has one of SEQ ID NO: 2 or SEQ ID NO: 3 [J. 4. The pharmaceutical composition prepared as described in item 3 of the scope of patent application to improve the physiological condition of humans' response to the rise of interleukin-10 (IL-10) in blood, the aforementioned oral dosage form is formulated to reach the test via the oral route The intestinal dosage form. 5. A pharmaceutical composition prepared as described in item 3 of the scope of patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in the blood. The physiological condition of the aforementioned reaction refers to autoimmune symptoms or Cell proliferation symptoms. 6. A pharmaceutical composition prepared as described in item 5 of the scope of the patent application to improve the physiological condition of humans' response to the rise of interleukin-10 (IL-10) in blood, wherein the composition is combined with a second therapeutic agent. 7. The pharmaceutical composition prepared as described in item 5 of the scope of the patent application to improve the physiological condition of humans' response to the rise of interleukin-lO (IL-10) in blood, so 20053ι ^ 3 > ι6.δ〇 improvement symptoms are psoriasis Or multiple sclerosis. 8. A pharmaceutical preparation prepared as described in item 7 of the scope of the patent application to improve the physiological condition of human_ response to the rise of interleukin-lO (IL-10) in the blood, wherein the composition of the agent can be simultaneously combined with a second Healing potions. 9. · Pharmaceutical warfare prepared as described in item 6 of the scope of patent application to improve the physiological condition of humans in response to the rise in interleukin-IO (IL-IO) in blood, wherein the second therapeutic agent is selected from antiviral drugs , Anticancer drugs, inflammatory drugs, and agents suitable for improving autoimmunity. X 10.如申請專利範圍第6項所述之製備以改善人_對血 液中白介素-10(IL-10)上升反應的生理狀況之藥劑組成,其 中第二治療藥劑服用順序可以先於、同時、或後於D服施 予的干擾素-tau (IFNt)。 11 ·如申請專利範圍第6項所述之製備以改善人類對血 液中白介素-10(IL-10)上升反應的生理狀況之藥劑組成,其 中施予之第二治療藥劑選自由商品名爲Antegren與 TysabriR (成份名爲natalizumab)的單克隆抗體、史塔丁 (statins)類藥品、霉酚酸酯(成份名 mycophenolate mofetil) 之藥品、與治療復發型多發硬化症藥物商品名可舒鬆 (copaxone)所組成之族群。 12. 如申請專利範圍第6項所述之製備以改善人類對血 液中白介素_l〇(IL_10)上升反應的生理狀況之藥劑組成,其 中爲緩解或預防移植之急性器官排斥所施予之第二治療藥 劑是霉酚酸酯(成份名mycophenolate mofetil)。 13. 如申請專利範圍第6項所述之製備以改善人類對血 126 2005 36¾¾ 液中白介素-10(IL-10)上升反應的生理狀況之藥劑組成,其 中改善受試者發炎狀況所施予的第二治療藥劑是史塔丁 (statins)類藥品(HMG Co-A還原酵素抑制劑,HMG Co-A reductase ) 〇10. The pharmaceutical composition prepared as described in item 6 of the scope of the patent application to improve the physiological condition of human_ response to the rise of interleukin-10 (IL-10) in the blood, wherein the order of taking the second therapeutic agent can be before, at the same time, Interferon-tau (IFNt) administered after D or later. 11 · A pharmaceutical composition prepared as described in item 6 of the scope of patent application to improve the physiological condition of humans' response to the rise of interleukin-10 (IL-10) in the blood, wherein the second therapeutic agent administered is selected from the group consisting of Antegren Monoclonal antibodies with TysabriR (component name natalizumab), statins, mycophenolate mofetil, and drugs for the treatment of relapsing multiple sclerosis Copaxone ). 12. A pharmaceutical composition prepared as described in item 6 of the scope of the patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL_10) in the blood, wherein the first is administered to alleviate or prevent acute organ rejection of transplantation Two therapeutic agents are mycophenolate mofetil (ingredient name mycophenolate mofetil). 13. A pharmaceutical composition prepared as described in item 6 of the scope of the patent application to improve the physiological condition of humans in response to the rise of interleukin-10 (IL-10) in blood 126 2005 36 ¾¾ solution, wherein the subject is administered to improve the inflammatory condition of the subject The second therapeutic agent is statins (HMG Co-A reductase inhibitor, HMG Co-A reductase). 14·如申請專利範圍第8項所述之製備以改善人類對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組成,其 中改善受試者牛皮癖狀況所施予的第二治療藥劑是選自由 膠原蛋白(collagen )、維他命A酸(retinoid)、蔥三酚 (anthralin)、維生素 D 類藥物(Cacilpotriene)、煤焦油(coal tar)、水楊酸(salicylic acid ),及免疫抑制劑。 15. 如申請專利範圍第3項所述之製備以改善人類對血 液中白介素-IO(IL-IO)上升反應的生理狀況之藥劑組成,可 以使用以減緩多性硬化症病患的惡化與或減少多性硬化症 病患復發的危險。 16. 如申請專利範圍第3項所述之製備以改善人類對血 液中白介素-l〇(IL-l〇)上升反應的生理狀況之藥劑組成,可 使用以改善病人牛皮癬的症狀。 17. 如申請專利範圍第3項所述之製備以改善人類對血 液中白介素-l〇(IL-l〇)上升反應的生理狀況之藥劑組成’可 以使用以預防因爲⑴施予製劑或(^)本身疾病狀況所導致 受試者血液中干擾素-伽僞(IFN_Y)上升的危險。 1 8.如申請專利範圍第1 7項所述之製備以改善人類對 血液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組 成,其中所述受試者之血液中干擾素伽僞(IFN-γ)上升是 127 200533纖 因爲施予干擾素阿爾法(IFN-α)或干擾素貝塔(IFN-β) 治療,且前述藥劑施予在病人病症存在時持續使用。 19. 如申請專利範圍第17項所述之製備以改善人類對 血液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組 成,其中罹患多發性硬化症之受試者是施予干擾素貝塔 (IFN-β)治療。14. A pharmaceutical composition prepared as described in item 8 of the scope of the patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in the blood, wherein The two therapeutic agents are selected from the group consisting of collagen, vitamin A acid (retinoid), anthralin, vitamin D drugs (Cacilpotriene), coal tar, salicylic acid, and Immunosuppressant. 15. A pharmaceutical composition prepared as described in item 3 of the scope of the patent application to improve the physiological condition of humans in response to the rise of interleukin-IO (IL-IO) in the blood, which can be used to slow the deterioration of patients with multiple sclerosis and or Reduce the risk of relapse in patients with multiple sclerosis. 16. A pharmaceutical composition prepared as described in item 3 of the scope of patent application to improve the physiological condition of humans in response to the rise of interleukin-lO (IL-10) in blood can be used to improve the symptoms of psoriasis in patients. 17. The pharmaceutical composition prepared as described in item 3 of the scope of the patent application to improve the physiological condition of humans in response to the rise of interleukin-lO (IL-10) in blood can be used to prevent the administration of the preparation or (^ ) The risk of increased interferon-gamma pseudo-protein (IFN_Y) in the blood of the subject due to its own disease condition. 1 8. A pharmaceutical composition prepared as described in item 17 of the scope of the patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in blood, wherein the interferon in the blood of the subject The increase in gamma (IFN-γ) was 127 200533 due to the administration of interferon alpha (IFN-α) or interferon beta (IFN-β), and the aforementioned agents were administered continuously in the presence of the patient's condition. 19. A pharmaceutical composition prepared as described in item 17 of the scope of patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in blood, wherein a subject suffering from multiple sclerosis is administered Interferon beta (IFN-β) treatment. 20. 如申請專利範圍第17項所述之製備以改善人類對 血液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組 成,其中罹患病毒感染之受試者是施予干擾素阿爾法 (IFN-α)治療。 21. 如申請專利範圍第3項所述之製備以改善人類對血 液中白介素-l〇(IL-10)上升反應的生理狀況之藥劑組成,可 使用於血液中白介素-12(IL-12)下降的受試者。20. A pharmaceutical composition prepared as described in item 17 of the scope of the patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in blood, wherein a subject suffering from a viral infection is administered interferon Alpha (IFN-α) treatment. 21. A pharmaceutical composition prepared as described in item 3 of the scope of patent application to improve the physiological condition of humans in response to an increase in interleukin-10 (IL-10) in blood, which can be used for interleukin-12 (IL-12) in blood Falling subjects. 128128
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US55227904P 2004-03-10 2004-03-10
US10/825,382 US20050118137A1 (en) 2000-07-19 2004-04-14 Method of treatment using interferon-tau
US10/825,068 US20040247565A1 (en) 2000-07-19 2004-04-14 Method of treatment using interferon-tau
US10/825,457 US20050118138A1 (en) 2000-07-19 2004-04-14 Method of treatment using interferon-tau
US10/824,710 US7083782B2 (en) 2000-07-19 2004-04-14 Method of treatment using interferon-tau
US10/884,741 US20050084478A1 (en) 2000-10-17 2004-07-02 Combination therapy using interferon-tau
US11/040,706 US20050226845A1 (en) 2004-03-10 2005-01-21 Method of treatment using interferon-tau

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110191710A (en) * 2017-01-19 2019-08-30 安成生物科技股份有限公司 Methods and pharmaceutical compositions for preventing or treating immunoinflammatory skin diseases

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110191710A (en) * 2017-01-19 2019-08-30 安成生物科技股份有限公司 Methods and pharmaceutical compositions for preventing or treating immunoinflammatory skin diseases
CN110191710B (en) * 2017-01-19 2023-04-18 安成生物科技股份有限公司 Method and pharmaceutical composition for preventing or treating immunoinflammatory skin disorders

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