JP5010913B2 - Tissue regeneration preparation containing atrial diuretic hormone family molecule as active substance, tissue regeneration method using the preparation, hair growth, hair growth, hair restorer and skin tissue repair improving agent containing atrial diuretic hormone family molecule as active substance Hair growth, hair thickening, hair growth promoting method and skin tissue repair improving method using the preparation - Google Patents
Tissue regeneration preparation containing atrial diuretic hormone family molecule as active substance, tissue regeneration method using the preparation, hair growth, hair growth, hair restorer and skin tissue repair improving agent containing atrial diuretic hormone family molecule as active substance Hair growth, hair thickening, hair growth promoting method and skin tissue repair improving method using the preparation Download PDFInfo
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生物生体組織の復元や細胞増殖を促進させる組織再生技術、さらには発毛育毛増毛や皮膚傷害の回復用製剤と改善方法にかかわる。The present invention relates to a tissue regeneration technique that promotes the restoration of biological tissues and cell proliferation, and further, a preparation for improving hair growth and restoration of skin damage and a method for improving the same.
近年、人体組織や臓器の一部また特定の細胞を再生し、重い疾患にかかったり、あるいは壊滅的な損傷を蒙って機能回復が困難とされた臓器を補完代替する医療技術が試みられている。In recent years, medical techniques have been attempted to regenerate parts of human tissues and organs or specific cells to complement and substitute for organs that have suffered severe illness or have suffered devastating damage, making functional recovery difficult. .
再生医療のほとんどは動物実験の段階にあり、人体における組織の再生のなかで実用化に至っているものは未だ培養皮膚程度に過ぎない。Most of the regenerative medicine is at the stage of animal experiments, and the tissue regeneration in the human body that has been put to practical use is still only about cultured skin.
現在試みられている組織・臓器の再生方法では、ES細胞、胚葉性幹細胞、あるいは類似の組織等の再生すべき対象を様々な刺激因子の投与下で、またフィーダー細胞とともに、処理培養する手技が採用される。The tissue and organ regeneration methods currently being attempted include a technique for treating and culturing an object to be regenerated, such as ES cells, germinal stem cells, or similar tissues, under the administration of various stimulating factors and with feeder cells. Adopted.
しかしながら、従来技術における問題点は、分化した細胞ほど再生されにくい点にある。すなわち、生体内、特に中枢神経や心臓、腎臓のような分化の進んだ細胞/組織の場合、一度、何らかの傷害を被ったときには、従来の治療では再生が不可能に近い。
一方、様々な工夫のなかで、細胞周期の中のS期に作用して、DNA合成を促進する成長因子が生体組織から単離精製されている。代表的なものに、上皮増殖因子(EGF:epidermal growth factor)や肝細胞増殖因子(HGF:hepatocyte growth factor)がDNA合成促進作用を発揮することが既知である。他に成長因子として、例えばIGF−1(insulin−like growth factor−1),IGF−2(insulin−like growth factor−2),TGF−α(transforming growth factor−α)等が知られており何れも細胞増殖の促進の過程で重要な生化学的作用を担っている。However, the problem with the prior art is that differentiated cells are less likely to be regenerated. In other words, in the case of cells / tissues with advanced differentiation, such as the central nervous system, heart, and kidney, in the living body, once suffering some kind of injury, it is almost impossible to regenerate by conventional treatment.
On the other hand, among various devices, a growth factor that acts on the S phase in the cell cycle and promotes DNA synthesis has been isolated and purified from living tissue. Representatively, it is known that epidermal growth factor (EGF) and hepatocyte growth factor (HGF) exert a DNA synthesis promoting action. Other known growth factors include, for example, IGF-1 (insulin-like growth factor-1), IGF-2 (insulin-like growth factor-2), TGF-α (transforming growth factor-α), etc. Also plays an important biochemical role in the process of promoting cell proliferation.
EGFやHGFの様な細胞分裂促進剤は、特異的レセプターに結合しプロテインキナーゼのカスケードを開始させる、即ち、MAP(mitogen−activated protein)キナーゼのリン酸化及び活性化によりMEK(MAPキナーゼキナーゼ=MAPK−ERK kinase)に作用して、MEKが他のMAPキナーゼ:p44(ERK−1:extracellular signal−regulatedkinase 1)とp42をリン酸化し、活性化する。そしてp42(ERK−2)は、細胞質、核へと増殖・分化の信号を送る。例えば、このMAPキナーゼカスケード反応は肝細胞の細胞周期の制御におけるキーシグナリングパスウェイである。成長因子によるERKsの活性化は、初代ラット肝細胞培養のDNA合成を導くことで知られている。フォスファチジルイノシトール3−キナーゼ(P13K)と下流領域のシグナルキナーゼであるプロテインキナーゼB(PKB,Akt)は、成長因子に反応する細胞生存の主要な制御因子である。最近、PKBセリンースレオニンキナーゼの活性化は、BADやcaspase−9の様なプロアポトーシスプロテインのリン酸化や不活性化をすると言われている。この様に、成長因子は細胞増殖と生存の制御に重要な役割をしている。以上のように、成長因子が、細胞の特異的なレセプターに結合し、MAPキナーゼに始まりプロテインキナーゼのカスケード反応が進み、その結果として、細胞のDNA合成、細胞周期の制御や細胞再生、代償性肥大等細胞増殖能力の活性化へと誘導することが知られている。A mitogenic agent such as EGF or HGF binds to a specific receptor and initiates a cascade of protein kinases, that is, MEK (MAP kinase kinase = MAPK by phosphorylation and activation of MAP (mitogen-activated protein) kinase). -It acts on -ERK kinase, MEK phosphorylates and activates other MAP kinases: p44 (ERK-1: extracellular signal-regulated kinase 1) and p42. And p42 (ERK-2) sends the signal of proliferation and differentiation to cytoplasm and a nucleus. For example, this MAP kinase cascade reaction is a key signaling pathway in the control of the cell cycle of hepatocytes. Activation of ERKs by growth factors is known to lead to DNA synthesis in primary rat hepatocyte cultures. Phosphatidylinositol 3-kinase (P13K) and protein kinase B (PKB, Akt), a downstream signal kinase, are major regulators of cell survival in response to growth factors. Recently, activation of PKB serine threonine kinase is said to phosphorylate and inactivate pro-apoptotic proteins such as BAD and caspase-9. Thus, growth factors play an important role in the control of cell proliferation and survival. As described above, the growth factor binds to a specific receptor of the cell, and the cascade reaction of protein kinase proceeds, starting with MAP kinase. As a result, cell DNA synthesis, cell cycle control and cell regeneration, compensation It is known to induce cell proliferation ability such as hypertrophy.
いっぽう、ANPは、主に心房から分泌され強力なナトリウム利尿作用、血管拡張および血圧降下作用を呈するペプチド性ホルモンであり、分子量の違いによりα型、β、Y型の3つのタイプに分類される。α型は、28個のアミノ酸から構成される1本鎖のポリペプチド鎖で、分子内に1個のジスルフィド結合[Cys(7)−Cys(23)]を有している(Biochem.Biophys.Res.Commun.,118,131−139,1984)。β型は、α型の逆並行2量体であり、Y型は、C末端領域[99−126]にα型の配列を含む126個のアミノ酸で構成される高分子タンパク質で生合成上の前駆体であることが示唆されている(Nature,313,397−400,1985)。On the other hand, ANP is a peptide hormone that is secreted mainly from the atria and exhibits strong natriuretic action, vasodilatation and blood pressure lowering action, and is classified into three types, α-type, β-type, and Y- type, depending on the difference in molecular weight. . The α-form is a single-chain polypeptide chain composed of 28 amino acids and has one disulfide bond [Cys (7) -Cys (23)] in the molecule (Biochem. Biophys. Res. Commun., 118 , 131-139, 1984). β-type is anti-parallel dimer of α-type, and Y- type is a high molecular protein composed of 126 amino acids containing α-type sequence in C-terminal region [99-126]. It has been suggested to be a precursor (Nature, 313 , 397-400, 1985).
多臓器に対する多彩なANPの生理活性を受容体結合反応に関しANPと競合することにより修飾または抑制させる薬剤の報告には、ラット・ANPのN端、C端及び環状構造の一部を欠如させた合成リガンドC-ANF(Science, 238, 675-678, 1987)やヒト・ANP[7-28]の逆並行2量体の1組のジスルフィド結合をL-α-aminosuberic acidで置換したアナログ(Analog) III(FEBS Lett., 248, 28-34, 1989)などがある。他方、発明者らによって、ANPがその生物学的活性として鶏胚心筋細胞増殖促進作用等を有することが見いだされているが、ANPファミリー分子群の細胞や組織器官の再生修復あるいは皮膚毛髪ならびに骨や軟骨形成に対する作用は未だ知られていない。 Reports of drugs that modify or suppress the bioactivity of various ANPs against multiple organs by competing with ANP for receptor binding reactions have lacked the N-terminal, C-terminal, and part of the cyclic structure of rat ANP Synthetic ligand C-ANF (Science, 238 , 675-678, 1987) and an analog (Analog) in which one pair of disulfide bonds of anti-parallel dimer of human ANP [7-28] is replaced with L-α-aminosuberic acid ) III (FEBS Lett., 248 , 28-34, 1989). On the other hand, the inventors have found that ANP has a chicken embryonic cardiomyocyte proliferation promoting action or the like as its biological activity. However, the ANP family molecule cell and tissue organ regeneration or skin hair and bone And its effect on cartilage formation is not yet known.
従来の細胞組織修復技術における問題点は、分化した細胞ほど再生されにくい点にある。すなわち、中枢神経や心筋のような特に分化の進んだ細胞/組織の場合、一度、生体内で何らかの傷害を被ったときには、従来の治療では再生が不可能に近い。また、禿げは毛髪の減少した状態を代表し、脱毛、少毛、毛髪の太さや色調、弾性や剛直性などの様々な変化によって特徴づけられる一方、皮膚および皮下組織傷害は、外傷、やけど、化学刺激、アレルギー、炎症、感染症、循環不全、生理的な老化などが原因となる皮膚や皮下組織の脱落、荒れなどであり、表皮や真皮、支持組織の破損がみられる。禿げの改善治療法としてはミノキシジル、アデノシン、FGF7を投与する方法が知られているが、現実には未だ著効を示す場合は多くない。じょく創、皮膚組織の傷害の場合は、各種軟膏、血流改善剤、FGF、創処置手術、化粧品類など多様な対処法が講じられるが、回復や改善速度には全身の栄養や局所の清潔と修復能力が基本的に影響し、従来法での効果は充分とは言えない。すなわち、従来法による毛髪の成長や皮膚組織の改善には限界があり、新たな有効な製剤や治療法の開発が待たれる。次に健康な骨では限界を超える強い外力や反復した外力が加わることにより骨が破壊されて骨折が生じる。一方、病的な骨は骨自体がもろくなり軽微な外力でも骨折が起こる。骨折は形態と程度により完全骨折、不完全骨折、単純骨折、複雑骨折があるが、治療の基本は整復後一定期間固定し安静を保つことである。骨折の治療期間を短縮できることは患者にとって日常生活、社会活動に早期に復帰できることになり多大な恩恵がある。しかしながら今までに骨折の治療期間短縮のために使用されている薬剤は知られていない。変形性関節炎やリューマチ等は軟骨損傷を伴うことで知られていて多くの薬剤が開発されてきた。しかしながら軟骨組織を増殖させる薬剤はまだ市販されていない。虫歯や歯肉の病気、あるいは怪我などにより失しなった歯を補うための治療方法としてインプラントが知られている。インプラントではハイドロキシアパタイトのような人工骨移植材が用いられているが、手術の成功率を上げるために骨増殖能を有する蛋白製剤の使用が望まれている。骨組織再生に米国で臨床使用されている増殖因子にBMP-2があるが、日本ではまだ承認されていない状況である。安全性、有効性が臨床で確認された製剤が求められている。 A problem with conventional cell tissue repair techniques is that differentiated cells are less likely to be regenerated. That is, in the case of cells / tissues with particularly advanced differentiation, such as the central nervous system and myocardium, once they are injured in vivo, it is almost impossible to regenerate by conventional treatment. In addition, baldness represents a reduced state of hair and is characterized by various changes such as hair loss, hair loss, hair thickness and color, elasticity and stiffness, while skin and subcutaneous tissue injury is trauma, burns, Skin or subcutaneous tissue loss or roughening caused by chemical irritation, allergy, inflammation, infection, circulatory failure, or physiological aging, and damage to the epidermis, dermis, or supporting tissue. Minoxidil, adenosine, and FGF7 are known as treatment methods for improving baldness, but in reality, there are not many cases that still show remarkable effects. For wounds and skin tissue injuries, various countermeasures such as various ointments, blood flow improvers, FGF, wound treatment surgery, cosmetics, etc. are taken. The cleanliness and repairing ability of this product are basically affected, and the effect of the conventional method is not sufficient. That is, there is a limit to the improvement of hair growth and skin tissue by conventional methods, and the development of new effective formulations and treatment methods is awaited. Next, in healthy bones, a strong external force exceeding the limit or repeated external force is applied, and the bone is destroyed and a fracture occurs. On the other hand, pathological bones are fragile and cause fractures even with a slight external force. Fractures include complete fractures, incomplete fractures, simple fractures, and complex fractures depending on the form and degree, but the basic treatment is to fix and stay at rest for a certain period after reduction. The shortening of the treatment period for fractures has great benefits for patients because they can return to daily life and social activities at an early stage. However, there are no known drugs that have been used to shorten the fracture treatment period. Osteoarthritis and rheumatism are known to involve cartilage damage, and many drugs have been developed. However, drugs for growing cartilage tissue are not yet commercially available. Implants are known as a treatment method for making up for teeth lost due to cavities, gingival diseases, or injuries. For implants, artificial bone graft materials such as hydroxyapatite are used, but in order to increase the success rate of surgery, it is desired to use a protein preparation having bone growth ability. BMP-2 is a growth factor clinically used in the United States for bone tissue regeneration, but it has not yet been approved in Japan. There is a need for formulations that have been clinically confirmed to be safe and effective.
発明者はペプチドホルモンであるANP、BNP、CNP、ウロジラチンおよびこれらの組み合わせを、さらにはこれらと共通の様式にて機能する製剤を、心筋を含む生体組織の修復再生用製剤として、さらには発毛育毛増毛用製剤および/またはじょく創,肌荒れ、火傷、壊死、乾癬等皮膚粘膜と皮下・骨・軟骨組織傷害の改善修復用に使用することを発案した。そして、更に、前記修復再生用製剤の場合には、NPファミリー分子群以外の細胞増殖因子または組織修復因子及び/又は細胞組織成長促進剤を含むものも発明した。また、ニュートラルエンドペプチダーゼ阻害剤、抗心房利尿ホルモンファミリー分子抗体、または心房利尿ホルモン作用修飾剤を更に含む生体組織修復再生用製剤を発明した。そして、また、本発明者は、心房利尿ホルモン(ANP)、脳ナトリウム利尿ペプチド(BNP)、Cタイプ利尿ホルモン(CNP)、リン酸化ウロジラチン(P−Uro)およびこれらの前駆体と派生物質のいずれかを発現するヌクレオチド配列を含む遺伝子およびベクター、またはこれらの組み合わせを活性成分として含有し、薬剤学上通常用いられる希釈液、賦形剤、充填剤または助剤を含有していてもよい組成物からなる組織器官の修復再生製剤、発毛育毛増毛用製剤および/またはじょく創、肌荒れ、火傷等皮膚粘膜と皮下・骨・軟骨組織傷害の改善修復用製剤を発明した。また、前記発毛育毛増毛用製剤やじょく創、肌荒れ、火傷等皮膚粘膜と皮下組織傷害の改善修復用製剤の場合には、前記活性成分以外に、他の増殖因子及び/又は毛髪成長促進剤を更に含んでいてもよい。また、ニュートラルエンドペプチダーゼ阻害剤、抗心房利尿ホルモンファミリー分子抗体、または心房利尿ホルモン作用修飾剤を更に含んでいてもよい。 The inventor uses peptide hormones ANP, BNP, CNP, urodilatin, and combinations thereof, as well as preparations that function in a common manner with them as preparations for repair and regeneration of biological tissues including the myocardium , and hair growth. It was conceived to be used for the preparation of hair growth and / or for the improvement and repair of cutaneous mucosa and subcutaneous / bone / cartilage tissue injury such as wounds, rough skin, burns, necrosis, psoriasis. In addition, in the case of the preparation for repair and regeneration, the inventors also invented a preparation containing a cell growth factor or tissue repair factor other than the NP family molecule group and / or a cell tissue growth promoter. In addition, the inventors have invented a preparation for regenerating and regenerating a living tissue, further comprising a neutral endopeptidase inhibitor, an anti-atrial diuretic hormone family molecular antibody, or an atrial diuretic hormone action modifier. In addition, the present inventor has also identified any of atrial diuretic hormone (ANP), brain natriuretic peptide (BNP), C-type diuretic hormone (CNP), phosphorylated urodilatin (P-Uro), and precursors and derivatives thereof. A composition containing a gene and a vector containing a nucleotide sequence that expresses or a combination thereof as an active ingredient, and may contain a diluent, an excipient, a filler or an auxiliary agent usually used in pharmacology We have invented a preparation for repair and regeneration of tissue organs, a preparation for hair growth and / or hair growth, and / or a preparation for improving repair of injuries to skin mucosa and subcutaneous / bone / cartilage tissues such as wounds, rough skin, and burns. In addition, in the case of the above-mentioned preparations for improving hair growth and hair growth, preparations for improving and repairing skin mucosa and subcutaneous tissue injury such as wounds, rough skin, and burns, in addition to the above active ingredients, other growth factors and / or hair growth promotion An agent may further be included. Further, it may further contain a neutral endopeptidase inhibitor, an anti-atrial diuretic hormone family molecular antibody, or an atrial diuretic hormone action modifier.
我々は、心筋細胞において、初めて、ANPの細胞増殖作用、細胞種特異的発育誘導作用(Koide et al.Circulation 88,4,I−129,1993,Koide et al.Differentiation,61,1−11,1996)を見出し、近年になり、他のリニエージの細胞(肝細胞や神経細胞)において、ANPのアポトーシス阻害作用と保護効果があることが知られてきている。しかしながら、未だ生体や器官へのANPファミリー分子の利用は利尿作用と血管拡張作用を機序とするもののみが行われるに過ぎず、生体組織や器官の修復や再生におけるANPファミリー分子の役割が不明であるのみならず、ANPファミリー分子が生体組織や器官の修復や再生のためにもちいられたこともない。In cardiomyocytes, for the first time, ANP's cell proliferation action, cell type-specific growth induction action (Koide et al. Circulation 88, 4, I-129, 1993, Koide et al. Differentiation, 61, 1-11, In recent years, it has been known that other lineage cells (hepatocytes and nerve cells) have an ANP apoptosis inhibitory effect and protective effect. However, the use of ANP family molecules in living organisms and organs is still only performed based on the mechanism of diuretic action and vasodilatory action, and the role of ANP family molecules in the repair and regeneration of living tissues and organs is unknown. In addition, ANP family molecules have never been used for the repair and regeneration of living tissues and organs.
本発明では、生体および各種培養細胞をもちいて、まず組織器官の再生や修復に及ぼすANPファミリー分子の作用を確認した。次に、拡張型心筋症の患者においてANPの継続的反復投与によるひ薄化心筋への再生活性化効果を確認した。更に外胚葉系細胞や組織の障害、特に禿げ脱毛および/または皮膚傷害の改善と手術後組織回復と再生のプロセスにおいてANPファミリー分子の向毛髪発育作用および向皮膚再生改善作用と組織回復効果を検討し、新規製剤および新規製剤による処置方法を試験した。 In the present invention, the action of ANP family molecules on tissue organ regeneration and repair was first confirmed using living organisms and various cultured cells. Next, we confirmed the regenerative activation effect on the thinned myocardium by continuous repeated administration of ANP in patients with dilated cardiomyopathy. In addition, we examined the effects of ANP family molecules on hair growth, skin regeneration, and skin recovery in the process of ectodermal cell and tissue damage, especially bald hair loss and / or skin injury, and postoperative tissue recovery and regeneration. The new formulation and the treatment method with the new formulation were tested.
本発明の製剤のひ薄心筋に対する活性作用は、数週間で効果が発現し始め、およそ3ヶ月で心筋の厚さが増し始め、収縮性が増加してくるものであり、カテコラミンやレニンーアンギオテンシン系に作用する薬剤、ジギタリス剤などの既知の製剤よりも明らかに有効であるとともに、作用様式が異なる。The active action on the thin myocardium of the preparation of the present invention starts to show an effect in several weeks, increases in the thickness of the myocardium in about 3 months, and increases the contractility. Catecholamine and renin-angiotensin It is clearly more effective than known preparations such as drugs acting on the system and digitalis, and the mode of action is different.
また、本発明の製剤の手術後創部に対する作用は、対照の自然治癒部位と比べて、より早期の創部の盛り上がりと閉鎖治癒およびより少ない瘢痕化にて代表される。ことに潰瘍部位の早期閉鎖は閉塞性動脈硬化症による壊疽や長期臥床によるじょく創の処置に有用である。この作用は培養細胞による成績で示されたことからも、血流依存性とは異なるものであり、直接の標的細胞への修復と増殖効果は各種組織器官の再生修復に有用である。 Also, the effects of the formulations of the present invention on post-operative wounds are represented by earlier wound bulge and closure healing and less scarring compared to the control natural healing site. In particular, early closure of the ulcer site is useful for the treatment of gangrene due to obstructive arteriosclerosis or long-term bedrock. This effect is different from the blood flow dependency as shown by the results of cultured cells, and the direct repair to target cells and the proliferation effect are useful for the regeneration and repair of various tissue organs.
本発明の製剤の毛髪に対する生理活性は、数週間で効果が発現し始め、1ヶ月で頭髪が増加することから、ミノキシジルやアデノシンなどの既知の製剤よりも明らかに高い。また、毛髪のしなやかさ、弾力性、太さなども増強してくることから、既存の育毛剤に比べて有用性が高い。皮膚における効果は、水仕事をおこなっても、あかぎれやガサガサ肌が出来にくい、または短期間で治癒するという優れたものであり、皮膚外用剤または化粧品類としての該活性成分の有用性が示された。The physiological activity on the hair of the preparation of the present invention is clearly higher than that of known preparations such as minoxidil and adenosine since the effect starts to appear in several weeks and the hair increases in one month. In addition, it enhances the suppleness, elasticity, thickness, etc. of hair, so it is more useful than existing hair restorers. The effect on the skin is excellent in that it is difficult to make red and rough skin even after water work, or it is cured in a short period of time, and the usefulness of the active ingredient as a skin external preparation or cosmetics is shown. It was.
培養細胞を用いた試験では、細胞傷害を加えた細胞群において対照と比べてANP投与のときに明らかに修復能力が高かったこと、および細胞コロニーと細胞配列ネットワークの形成がANP投与でのみ可能であったことは、NPファミリー分子の組織修復と再生誘導能を実証した。培養細胞へのANPの添加によりBMP-2の産生が経時的に増大した。BMP−2が骨・軟骨形成カスケードにおいて重要な役割を果たしている増殖因子であることからANPは骨・軟骨の形成・再生にトリガーを引く重要な役割を有していることが判明した。さらにANPがBMP2など成長因子の発現を修飾したことは既知の成長因子群作用の調節者としてのANPファミリーの役割を示した。このことは外来性投与では機能を果たせない成長因子群が関わる再生や修復であっても、ANPファミリー分子が、これら成長因子の内因性産生や機能発現を調整して再生や修復を誘導できることをしめした。また、ANPファミリーが細胞周期関連因子(サイクリンD1)や細胞種特異的蛋白(KRT15)およびエピモルフィンの発現レベルをも高めたことは組織修復および再生を細胞や組織の有すべき本来の姿に加速して誘導できることを示した。実際に、臨床上、ANPを局所投与したときの皮膚のひび割れや切創手術創の修復が未使用時と比べて迅速であり、皮膚のつや、張り、しっとりさが良好であったことは細胞試験の結果と合致するものであった。 In tests using cultured cells, the cytotoxicity of the cell group with cytotoxicity was clearly higher when ANP was administered compared to the control, and formation of cell colonies and cell sequence networks was possible only with ANP. It has demonstrated the ability of NP family molecules to induce tissue repair and regeneration. The addition of ANP to the cultured cells increased BMP-2 production over time. Since BMP-2 is a growth factor that plays an important role in the bone / cartilage formation cascade, it was found that ANP has an important role that triggers the formation / regeneration of bone / cartilage. Furthermore, the fact that ANP modified the expression of growth factors such as BMP2 indicated the role of the ANP family as a regulator of known growth factor group actions. This means that even when regeneration and repair involve growth factor groups that cannot function by exogenous administration, ANP family molecules can regulate the endogenous production and functional expression of these growth factors to induce regeneration and repair. Squeezed. The ANP family also increased the expression levels of cell cycle-related factor (cyclin D1), cell type-specific protein (KRT15), and epimorphin, making tissue repair and regeneration ideal for cells and tissues. It was shown that it can be accelerated and guided. In fact, when the ANP was administered topically, the cracking of the skin and the repair of the surgical wound were quicker than when they were not used, and the fact that the skin was smooth, firm and moist was better It was consistent with the test results.
このNPファミリー組成物は、静脈内注入または静脈内ボーラス投与等で全身に投与される。拡張型心筋症を含む慢性心不全の場合、100μgから1000μgのANPの点滴静脈内投与を週1回から7回を2ヶ月以上継続投与するのが望ましい。比較的軽症の場合は、2週間に1回の投与を3ヶ月以上継続してもよい。また、本発明の製剤は、発毛育毛増毛あるいはじょく創、肌荒れ、傷口、壊疽、手術創、または骨折、軟骨損傷、火傷等皮膚粘膜と皮下組織傷害の改善修復用製剤の場合には、単独又は保護薬剤とともに、経皮投与、皮下投与、筋肉内投与、インハレーションあるいは病変部への塗布や注入、噴霧等による局所投与が可能である。局所投与では、ローションやミスト、またはクリームやゲル貼付剤として局部周辺に投与することもできる。禿や肌荒れの場合では、ローションやミスト、またはクリームやODT貼付剤によって経頭皮投与するのが好ましい。投与量は、1回あたりANPでは10ngから100μgであるのが好ましく、10ngから1μgであるのが特に好ましい。 This NP family composition is administered systemically, such as by intravenous infusion or intravenous bolus administration. In the case of chronic heart failure including dilated cardiomyopathy, it is desirable to continuously administer 100 μg to 1000 μg of ANP intravenously from 1 to 7 times a week for 2 months or longer. In relatively mild cases, administration once every two weeks may be continued for 3 months or more. In addition, the preparation of the present invention is a preparation for improving and repairing skin mucosa and subcutaneous tissue injury such as hair growth, hair growth, debris, rough skin, wound, gangrene, surgical wound, fracture, cartilage damage, burn, etc. , Alone or in combination with a protective agent, can be administered transdermally, subcutaneously, intramuscularly, inhalation or applied locally to the affected area by injection, spraying, or the like. For topical administration , it can be administered as a lotion or mist, or as a cream or gel patch around the area. In the case of wrinkles and rough skin, it is preferable to transdermally administer by lotion, mist, cream or ODT patch. The dose is preferably 10 ng to 100 μg per ANP, particularly preferably 10 ng to 1 μg.
再生医療等の細胞培養の場合、培養液に添加したり、培養液除去時にNPファミリーに曝露してから培養液を加えることが好ましい。In the case of cell culture such as regenerative medicine, it is preferable to add to the culture solution or add the culture solution after exposure to the NP family when removing the culture solution.
投与に際しては、有効成分を液体の医薬用無毒性担体と混合して、慣用の医薬製剤の形態で投与することができる。このような製剤としては、例えば、錠剤、顆粒剤、散剤、カプセル剤などの固形剤、溶液剤、懸濁剤、乳剤などの液剤、凍結乾燥製剤などが挙げられ、これらの製剤は製剤上の常套手段により使用時に調製することができる。医薬用無毒性担体としては、例えば、グルコース、乳糖、ショ糖、澱粉、マンニトール、デキストリン、脂肪酸グリセリド、ポリエチレングルコール、ヒドロキシエチルデンプン、エチレングリコール、ポリオキシエチレンソルビタン脂肪酸エステル、アミノ酸、ゼラチン、アルブミン、水、生理食塩水などが挙げられる。また、必要に応じて、安定化剤、湿潤剤、乳化剤、結合剤、等張化剤などの慣用の添加剤を適宜添加することもできる。In administration, the active ingredient can be mixed with a liquid non-toxic pharmaceutical carrier and administered in the form of a conventional pharmaceutical preparation. Examples of such preparations include solid preparations such as tablets, granules, powders and capsules, solutions such as solutions, suspensions and emulsions, freeze-dried preparations, and the like. It can be prepared at the time of use by conventional means. Non-toxic pharmaceutical carriers include, for example, glucose, lactose, sucrose, starch, mannitol, dextrin, fatty acid glyceride, polyethylene glycol, hydroxyethyl starch, ethylene glycol, polyoxyethylene sorbitan fatty acid ester, amino acid, gelatin, albumin, Water, physiological saline, etc. are mentioned. Further, if necessary, conventional additives such as a stabilizer, a wetting agent, an emulsifier, a binder, and an isotonic agent can be appropriately added.
NPファミリーのリガンド分子群は、Atype、Btype、Ctype、の3種類の異なるレセプターによって認識され細胞機能に影響するが、上記のリガンド・レセプターは大なり小なり交差してシグナルを送受信するので、いずれかのリガンド/レセプターが反応すれば他の組み合わせでも大なり小なり活性を発揮することを勘案して用法用量を設定することが好ましい。NP family ligand molecules are recognized by three different receptors, Atype, Btype, and Ctype, and affect cell function. It is preferable to set the dosage in consideration of the fact that if such a ligand / receptor reacts, other combinations will exhibit more or less activity.
本発明のNP群は、既知の製剤の代わりに使用することもできるし、既知の製剤と組み合わせて使用することもできる。例えば、拡張型心筋症においては利尿剤、βブロッカー剤、ACE阻害剤などの薬剤と併用投与できる。また、増毛育毛においてはミノキシジル、フィナステリド、塩化カルプロニウム、アデノシン、天然物抽出産物、アミノ酸類、馬鬣油、など各種増育毛成分との配合が可能である。そして、骨や軟骨の修復再生においてはBMP-2のような他の骨増殖因子と一緒に用いることもできる。 The NP group of the present invention can be used in place of a known preparation, or can be used in combination with a known preparation. For example, in dilated cardiomyopathy, it can be administered in combination with drugs such as diuretics, β-blockers, and ACE inhibitors. For hair growth, it can be blended with various hair growth ingredients such as minoxidil, finasteride, carpronium chloride, adenosine, natural product extract, amino acids, horse mackerel oil and the like. It can also be used with other bone growth factors such as BMP-2 in bone and cartilage repair and regeneration.
本発明の、ANP、BNP、CNP、ウロジラチンおよびこれらの前駆体もしくは派生産物またはこれらの組み合わせは活性成分として配合され、薬剤学上通常用いられる希釈液、賦形剤、充填剤または助剤を含有していてもよい、さらにはこれらの活性を制御できる薬剤(中性内在蛋白分解酵素阻害薬、各種抗NPファミリー分子抗体やHS232などNPレセプター結合物質)、既存の増育毛用組成物を配合してもよい。本発明のNPファミリー配合量は、対象者の年齢、体重、症状、病変の部位、大きさの程度、投与経路、投与スケジュール、製剤形態などにより、適宜決定することができる。ANP, BNP, CNP, urodilatin and their precursors or derivatives or combinations thereof according to the present invention are formulated as active ingredients and contain diluents, excipients, fillers or auxiliaries commonly used in pharmacology In addition, a drug capable of controlling these activities (neutral endogenous proteolytic enzyme inhibitor, various anti-NP family molecule antibodies and NP receptor binding substances such as HS232) and an existing hair growth composition are formulated. May be. The NP family compounding amount of the present invention can be appropriately determined depending on the age, weight, symptom, lesion site, size of the subject, administration route, administration schedule, formulation form, etc. of the subject.
また、本発明のNPファミリー分子を配合した化粧料素材、化粧料の形態を製造することができる。化粧料には、植物油のような油脂類、高級脂肪酸、高級アルコール、シリコーン、アニオン界面活性剤、カチオン界面活性剤、両性界面活性剤、非イオン界面活性剤、防腐剤、糖類、金属イオン封鎖剤、水溶性高分子のような高分子、増粘剤、粉体成分、紫外線吸収剤、紫外線遮断剤、ヒアルロン酸のような保湿剤、香料、pH調整剤等を含有させることができる。ビタミン類、EGFのような細胞増殖因子、皮膚賦活剤、血行促進剤、常在菌コントロール剤、活性酸素消去剤、抗炎症剤、美白剤、殺菌剤等の他の薬効成分、生理活性成分を含有させることもできる。
Moreover, the cosmetic material which mix | blended the NP family molecule | numerator of this invention, and the form of cosmetics can be manufactured. For cosmetics, fats and oils such as vegetable oils, higher fatty acids, higher alcohols, silicones, anionic surfactants, cationic surfactants, amphoteric surfactants, nonionic surfactants, preservatives, sugars, sequestering agents Further, a polymer such as a water-soluble polymer, a thickener, a powder component, an ultraviolet absorber, an ultraviolet blocker, a moisturizing agent such as hyaluronic acid, a fragrance, a pH adjuster and the like can be contained. Other medicinal and physiologically active ingredients such as vitamins, cell growth factors such as EGF, skin activators, blood circulation promoters, resident bacteria control agents, active oxygen scavengers, anti-inflammatory agents, whitening agents, bactericides It can also be contained.
化粧料としては、化粧水、乳液、クリーム、パック等の皮膚化粧料、ヘア頭皮クリーム、ヘア、ボディーローション等の身体用化粧料等、入浴剤、口腔化粧料、毛髪化粧料とすることができる。本発明の方法で得られる、活性成分を有する組成物を含有せしめた化粧料としては、機能面からは、例えば乳液、化粧液、フェイスクリーム、ハンドクリーム、ローション、エッセンスなどが好ましい。As cosmetics, skin cosmetics such as lotion, milky lotion, cream and pack, body cosmetics such as hair scalp cream, hair and body lotion, bathing agents, oral cosmetics and hair cosmetics can be used. . As the cosmetics containing the composition having an active ingredient obtained by the method of the present invention, for example, milky lotion, cosmetic liquid, face cream, hand cream, lotion, essence and the like are preferable from the functional aspect.
また、生体内で物質活性を維持したり、外用にて組織移行を高めるためにはリポゾームによる乳化手段を用いることも好ましい。本発明で用いることのできるリポゾームは、例えば、リン脂質、糖脂質又はコレステロールなどの脂質分子から調製されるリポゾームであり、一枚膜リポゾーム又は多重膜リポゾームのいずれも有効である。リポゾームを調製することのできるリン脂質としては、一般的に、例えば、グリセロリン脂質(ホスファチジルコリン、ホスファチジルエタノールアミン、ホスファチジルセリン、ホスファチジン酸、ホスファチジルグリセロール、ホスファチジルイノシトール、又はカルジオピン)、あるいはスフィンゴリン脂質(スフィンゴミエリン、セラミドホスホリルエタノールアミン、又はセラミドホスホリルグリセロール)を挙げることができる。また、リポゾームを調製することのできる糖脂質としては、例えば、グリセロ糖脂質(ジガラクトシルジグリセリド、又はセミノリピド)、あるいはスフィンゴ糖脂質(ガラクトシルセラミド、又はラクトシルセラミド)を挙げることができる。It is also preferable to use an emulsifying means with liposomes in order to maintain the substance activity in the living body or enhance tissue migration in the external application. Liposomes that can be used in the present invention are, for example, liposomes prepared from lipid molecules such as phospholipids, glycolipids, or cholesterol, and both single-layer and multilamellar liposomes are effective. Phospholipids from which liposomes can be prepared generally include, for example, glycerophospholipids (phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, phosphatidic acid, phosphatidylglycerol, phosphatidylinositol, or cardiopine), or sphingophospholipids (sphingomyelin). , Ceramide phosphorylethanolamine, or ceramide phosphorylglycerol). Examples of glycolipids that can be used to prepare liposomes include glyceroglycolipid (digalactosyl diglyceride or seminolipid), or sphingoglycolipid (galactosylceramide or lactosylceramide).
リポゾームは極性部の電荷の状態により、中性リポゾーム、カチオン性リポゾーム、アニオン性リポゾーム、pH感受性リポゾームなどを挙げることができる。例えば、カチオン性リポゾームは、カチオン性をもつ頭部(ヘッド)の脂質と、ヘルパー脂質との人工混合物であり、例えば、(1)(a)モノカチオン性ヘッド、例えば、DOTMA{すなわち、N−[1−(2,3−ジオレイルオキシ)プロピル]−N,N,N−トリエチルアンモニウム}、DMRIE{すなわち、N−[1−(2,3−ジミリスチルオキシ)プロピル]−N,N−ジメチル−N−(2−ヒドロキシエチル)アンモニウムブロマイド}、DOTAP{すなわち、1,2−ジオレイルオキシ−3−(トリメチルアンモニオ)プロパン}、DDAB{すなわち、ジメチルジオクタデシルアンモニウムブロマイド}、PC−コレステロール{すなわち、3β−[N−(N’,N’−ジメチルアミノエタン)−カルバモイル]コレステロール}、若しくはDOTIM{すなわち、1−[2−9(Z)−オクタデセノイルオキシ)−エチル−2−(8(Z)−ヘプタデセニル)−3−(2−ヒドロキシエチル)−イミダゾリニウムクロライド}、又は(b)ポリカチオン性ヘッド、例えば、DOGS{すなわち、ジオクタデシルアミドグリシルスペルミン}若しくはDOSPA{すなわち、2,3−ジオレイルオキシ−N−[2−(スペミンカルボキサミド)エチル]−N,N−ジメチル−1−プロパンアンモニウムトリフルオロアセテート}と、(2)ヘルパー脂質、例えば、DOPE{すなわち、ジオレオイル−ホスファチジルエタノールアミン}若しくはDOPC{すなわち、ジオレイルホスファチジルクロライン}とからなるカチオン性リポゾームを用いることができる。Examples of the liposome include neutral liposomes, cationic liposomes, anionic liposomes, and pH-sensitive liposomes depending on the charge state of the polar part. For example, cationic liposomes are artificial mixtures of cationic head lipids and helper lipids, for example: (1) (a) monocationic heads such as DOTMA {i.e. N- [1- (2,3-dioleyloxy) propyl] -N, N, N-triethylammonium}, DMRIE {ie, N- [1- (2,3-dimyristyloxy) propyl] -N, N- Dimethyl-N- (2-hydroxyethyl) ammonium bromide}, DOTAP {ie, 1,2-dioleoyloxy-3- (trimethylammonio) propane}, DDAB {ie, dimethyldioctadecylammonium bromide}, PC-cholesterol {Ie, 3β- [N- (N ′, N′-dimethylaminoethane) -carbamoyl] co Sterol} or DOTIM {ie, 1- [2-9 (Z) -octadecenoyloxy) -ethyl-2- (8 (Z) -heptadecenyl) -3- (2-hydroxyethyl) -imidazolinium Chloride}, or (b) a polycationic head such as DOGS {ie dioctadecylamidoglycylspermine} or DOSPA {ie 2,3-dioleyloxy-N- [2- (sperminecarboxamido) ethyl] -N, N-dimethyl-1-propaneammonium trifluoroacetate} and a cation consisting of (2) a helper lipid such as DOPE {ie dioleoyl-phosphatidylethanolamine} or DOPC {ie dioleoylphosphatidylchlorine}. To use sex liposomes it can.
本発明による組織修復また増育毛剤においては、前記の活性成分とリポゾームとが同時に複合体(complex)の形で含有されていれば、それらの存在形態は特に限定されるものではない。前記の複合体としては、例えば、前記の活性成分とリポゾームとの混合物、リポゾームによるNPファミリー分子の包埋体若しくはカプセル化物等の形態を挙げることができ、包埋体が好ましい。In the tissue repair or hair growth agent according to the present invention, the existence form thereof is not particularly limited as long as the active ingredient and the liposome are contained in the form of a complex at the same time. Examples of the complex include a mixture of the active ingredient and liposome, an NP family molecule embedded body or an encapsulated body of the liposome, and the embedded body is preferable.
前記の包埋体は、例えば、NPファミリー分子をリポゾーム内に封入した形とする方法で調製することができる。すなわち、ホスファチジルセリン等の脂質類を用いて、ボルテックスミキサー等で多重層のリポゾームを調製し、次に超音波処理して一枚膜のリポゾームを調製する。得られた一枚膜リポゾームに活性成分を加え、軽くボルテックスミキサー等にかけた後、凍結乾燥して再水和することによって調製することができる。前記のカプセル化物も公知の方法によって調製することができる。The embedded body can be prepared by, for example, a method in which an NP family molecule is encapsulated in a liposome. That is, using a lipid such as phosphatidylserine, a multilayer liposome is prepared with a vortex mixer or the like, and then sonicated to prepare a single membrane liposome. The active ingredient can be added to the obtained single membrane liposome, lightly applied to a vortex mixer or the like, then freeze-dried and rehydrated. The encapsulated product can also be prepared by a known method.
本発明の組織修復また増育毛剤は、前記活性成分と前記リポゾームとの複合体を有効成分として含有し、所望により、製剤学的若しくは獣医学的に許容することのできる通常の担体を含有することができる。リポゾームの投与剤型としては、特に限定がなく、例えば、散剤、細粒剤、顆粒剤、錠剤、カプセル剤、懸濁液、エマルジョン剤、シロップ剤、エキス剤、若しくは丸剤等の経口剤、又は注射剤、外用液剤、軟膏剤、坐剤、局所投与のクリーム、若しくは点眼薬などの非経口剤を挙げることができ、特に、作用局所に投与する薬剤(例えば、注射剤又は徐放性ペレットなど)が好ましい。The tissue repair or hair growth agent of the present invention contains a complex of the active ingredient and the liposome as an active ingredient, and optionally contains a normal carrier that is pharmaceutically or veterinarily acceptable. be able to. The dosage form of the liposome is not particularly limited, and for example, oral agents such as powders, fine granules, granules, tablets, capsules, suspensions, emulsions, syrups, extracts, or pills, Or, parenteral preparations such as injections, liquids for external use, ointments, suppositories, creams for topical administration, and eye drops may be mentioned, and in particular, drugs (for example, injections or sustained-release pellets) administered locally. Etc.) is preferable.
また、本発明の組織修復また増育毛剤は、徐放性ポリマー、シクロデキストリンなどを用いた徐放性製剤の手法を用いて投与することができる。例えば、本発明のANPファミリー分子をエチレンビニル酢酸ポリマーのペレットに取り込ませて、このペレットを治療すべき組織中に外科的に移植することができる。Moreover, the tissue repair or hair growth-promoting agent of the present invention can be administered using a sustained-release preparation technique using a sustained-release polymer, cyclodextrin and the like. For example, an ANP family molecule of the present invention can be incorporated into a pellet of ethylene vinyl acetate polymer and the pellet can be surgically implanted into the tissue to be treated.
シクロデキストリンを含んでいてもよいANPファミリー、またはANPファミリーシクロデキストリン包接化合物を含んでなる製剤であって、凍結乾燥品、さらにマルトースまたトレハロースを含む凍結乾燥品、1重量部の活性成分に対して、マルトースまたはトレハロースが約10〜約10000重量部である凍結乾燥品が好ましい。An ANP family that may contain cyclodextrin, or a preparation comprising an ANP family cyclodextrin inclusion compound, which is freeze-dried, further freeze-dried containing maltose or trehalose, and 1 part by weight of active ingredient A lyophilized product containing about 10 to about 10,000 parts by weight of maltose or trehalose is preferable.
脂肪乳剤に使用する油脂成分としては、植物油脂、動物油脂、鉱物油脂等の油脂基剤であれば、特に限定の必要はないが、植物性油脂が好ましい。植物性油脂の例としては、オリーブ油、大豆油、ゴマ油、ヒマシ油、トウモロコシ油、紅花油、菜種油、ユーカリ油等があげられ、また、動物油の例としては、肝油、アザラシ油、イワシ油、ドコサヘキサエン酸、エイコサペンタエン酸、ドコサペンタエン酸等が、鉱物油の例としては、流動パラフィン等が挙げられる。とくに、オリブ油、大豆油、ゴマ油が好ましい。The oil / fat component used in the fat emulsion is not particularly limited as long as it is an oil / fat base such as vegetable oil / fat, animal oil / fat, or mineral oil / fat, but vegetable oil / fat is preferable. Examples of vegetable oils include olive oil, soybean oil, sesame oil, castor oil, corn oil, safflower oil, rapeseed oil, eucalyptus oil, and examples of animal oils include liver oil, seal oil, sardine oil, docosahexaene. Examples of mineral oils include acid, eicosapentaenoic acid, docosapentaenoic acid, and liquid paraffin. In particular, olive oil, soybean oil, and sesame oil are preferable.
更に、リン脂質としては天然由来のリン脂質をそのままあるいは更に精製したものを用いることができる。具体的には、卵黄レシチン、大豆レシチン等を用いることができる。なお、天然由来のリン脂質は、ホスファチジルコリン、ホスファチジルエタノールアミン、フォスファチジルイノシトール、フォスファチジルセエリン、スフィンゴエミリン等を含有するものである。Furthermore, as the phospholipid, a naturally derived phospholipid can be used as it is or after further purification. Specifically, egg yolk lecithin, soybean lecithin, or the like can be used. Naturally derived phospholipids include phosphatidylcholine, phosphatidylethanolamine, phosphatidylinositol, phosphatidylserine, sphingoemilin, and the like.
該脂肪乳剤には、上記各成分と水のほか、脂肪酸を配合することができる。この脂肪酸は乳化補助剤としての働きをするもので、本発明のNPファミリー含有乳剤に優れた乳化安定性を与えるものである。この脂肪酸としては、天然、合成のいずれでもよく、飽和酸、不飽和酸のいずれでもよいが、不飽和中鎖脂肪酸が好ましく、オレイン酸、パルミチン酸、ステアリン酸、リノール酸、リノレン酸等が上げられる。オレイン酸を脂肪酸として使用する場合は、その純度が99%以上であることが好ましい。In addition to the above components and water, fatty acids can be added to the fat emulsion. This fatty acid functions as an emulsification aid and gives excellent emulsion stability to the NP family-containing emulsion of the present invention. The fatty acid may be natural or synthetic, and may be either a saturated acid or an unsaturated acid, but is preferably an unsaturated medium chain fatty acid, such as oleic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, etc. It is done. When oleic acid is used as the fatty acid, the purity is preferably 99% or more.
該脂肪乳剤は、5〜50質量%、好ましくは10〜20質量%の油脂、0.05〜10質量%、好ましくは0.5〜5質量%のリン脂質、0〜1質量%、好ましくは0.2〜0.5質量%の脂肪酸と残部の水を用い、常法により乳化することによって製造することができる。The fat emulsion is 5 to 50% by weight, preferably 10 to 20% by weight of fats and oils, 0.05 to 10% by weight, preferably 0.5 to 5% by weight of phospholipid, 0 to 1% by weight, preferably It can manufacture by emulsifying by a conventional method using 0.2-0.5 mass% fatty acid and the balance water.
本発明のNPファミリー含有乳剤は、直接生体に注入投与または局所投与する場合もあるため、乳化は得られる脂肪粒の最大粒子径が1μm以上とならないように行うことが好ましく、最大粒子径が0.7μmを超えないように行うことがより好ましい。最大粒径が、例えば1μmである場合は、末梢血管閉鎖等の問題が生じる恐れがある。例えば、ポリエチレングリコール結合リン脂質およびレシチンを乳化剤として、ANPをO/W型脂肪乳剤に配合すること、などが好ましい。Since the NP family-containing emulsion of the present invention may be directly injected or administered locally to a living body, emulsification is preferably performed so that the maximum particle size of the resulting fat granules does not exceed 1 μm, and the maximum particle size is 0. It is more preferable to carry out so as not to exceed 7 μm. When the maximum particle size is 1 μm, for example, there is a possibility that problems such as peripheral blood vessel closure occur. For example, it is preferable to blend ANP into an O / W type fat emulsion using polyethylene glycol-linked phospholipid and lecithin as an emulsifier.
本発明のNPファミリー含有乳剤で乳化剤の1種として用いるポリエチレングリコール結合リン脂質は、リン脂質にポリエチレングリコール(PEG)鎖が結合したものであり、PEG鎖のPEGの分子量が1000〜10000のものが好ましく、1000〜5000のものが特に好ましい。PEGの分子量が1000未満であると乳剤が生成しにくくなり、10000を越えると脂肪乳剤の粘度が高くなることから注射剤として投与しにくくなるからである。ポリエチレングリコール結合リン脂質のPEG鎖の、リン脂質と結合していない側の末端は水酸基、アルコキシ基、カルボキシル基など、いずれのものも使用できる。The polyethylene glycol-linked phospholipid used as an emulsifier in the NP family-containing emulsion of the present invention is a phospholipid having a polyethylene glycol (PEG) chain bound thereto, and having a PEG molecular weight of 1000 to 10,000. 1000 to 5000 are particularly preferred. This is because when the molecular weight of PEG is less than 1000, it is difficult to produce an emulsion, and when it exceeds 10,000, the viscosity of the fat emulsion increases, making it difficult to administer as an injection. Any terminal such as a hydroxyl group, an alkoxy group, or a carboxyl group can be used for the terminal of the PEG chain of the polyethylene glycol-linked phospholipid that is not bonded to the phospholipid.
また、ポリエチレングリコール結合リン脂質におけるPEG鎖が結合するリン脂質としてはレシチン、ホスファチジルコリン、水素添加ホスファチジルコリン、ホスファチジルエタノールアミン、ホスファチジルセリンおよびそれらの誘導体などがあげられるが、特にジステアロイルホスファチジルエタノールアミンが好ましい。Examples of the phospholipid to which the PEG chain binds in the polyethylene glycol-linked phospholipid include lecithin, phosphatidylcholine, hydrogenated phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine, and derivatives thereof. Distearoylphosphatidylethanolamine is particularly preferable.
本発明のNPファミリー含有乳剤で乳化剤の他の1種として用いるレシチンは卵黄レシチンおよび大豆レシチンを用いることができるが卵黄レシチンが特に好ましい。卵黄レシチンは、注射剤にすることからホスファチジルコリンが70%程度以上の含有量になるまで精製したものが好ましい。ここで、脂肪乳剤の安定性の点からはレシチンを他のグリセロリン脂質に代えることも可能と考えられるが、注射剤とする場合では現在のところ代替できるものはない。Egg yolk lecithin and soybean lecithin can be used as the lecithin used as another type of emulsifier in the NP family-containing emulsion of the present invention, with egg yolk lecithin being particularly preferred. Egg yolk lecithin is preferably purified until it has a content of about 70% or more of phosphatidylcholine because it is an injection. Here, from the viewpoint of the stability of the fat emulsion, it is considered possible to replace lecithin with other glycerophospholipids, but there is currently no substitute for the injection.
該脂肪乳剤に用いる乳化剤はポリエチレングリコール結合リン脂質およびレシチンを必須成分とするが、注射剤に使用可能な他のグリセロリン脂質を混合して用いることもできる。それら乳化剤の配合量は、製剤全体の1〜30W/V%となる量が好ましい。The emulsifier used in the fat emulsion contains polyethylene glycol-linked phospholipid and lecithin as essential components, but other glycerophospholipids that can be used for injections can also be mixed and used. The amount of these emulsifiers is preferably 1-30 W / V% of the whole preparation.
該脂肪乳剤に用いる脂肪油は、一般的に注射剤に用いることができるものが使用でき、具体的には大豆油、ゴマ油、紅花油、オリーブ油などをあげることができる。脂肪油の配合量は製剤全体の1〜30W/V%となる量が好ましい。As the fatty oil used in the fat emulsion, those generally used for injections can be used. Specific examples include soybean oil, sesame oil, safflower oil, olive oil and the like. The amount of the fatty oil is preferably 1 to 30 W / V% of the whole preparation.
本発明は以下の実施例により、さらに具体的に説明されるが、これらは本発明の範囲を限定するものではなく、機能的に均等な方法及び成分は本発明の範囲に含まれる。
実施例1The present invention is further illustrated by the following examples, which are not intended to limit the scope of the invention, and functionally equivalent methods and ingredients are included within the scope of the invention.
Example 1
拡張型心筋症と診断された慢性心不全症例44才男性において、経静脈にて週1回1mg/4時間の少量間歇ANP投与をおこなった。ANP投与開始前に19%であった左室収縮率は6ヶ月後に40%まで改善し、治療前にはNYHAIVであった体動能力はNYHAIIにまで改善した。超音波上で誹薄繊維化がみられた心筋は厚みが増して正常心筋内部における顆粒状の瘢痕と判定されるようになった。週1回の投与継続により、2年後にはNYHAIとなり、既存療法による場合で半年と推定された予後は10年以上通常の家庭生活を過ごせるまでになった。この経過中、心筋壁厚と収縮能とも良好である。
実施例2A 44-year-old male with chronic heart failure who was diagnosed with dilated cardiomyopathy was administered a small amount of ANP once a week for 1 mg / 4 hours via intravenous vein. The left ventricular contraction rate, which was 19% before the start of ANP administration, improved to 40% after 6 months, and the body movement ability, which was NYHAIV before the treatment, improved to NYHAII. The myocardium in which thin fibers were observed on the ultrasound increased in thickness and was judged to be a granular scar inside the normal myocardium. With continued administration once a week, NYHAI became 2 years later, and the prognosis estimated to be half a year in the case of existing therapies was that they could spend a normal family life for more than 10 years. During this process, both myocardial wall thickness and contractility are good.
Example 2
顔面全域の黒子多数をレーザー法にて切除した49才女性において、左顔面の処置創と周辺にANP0.1から5μg(等張水溶液0.01mlから0.5ml)を一日2回洗面後に局所投与し、右顔面処置創を対照とした。この結果、右側創よりも左側創では明らかに早期に皮下組織が再形成され、投与1週間後ではANP投与により左側創は大部分塞がったのに対し、右側創は未だクレーターが残存して赤みがかった皮下組織が直視された(図1)。くわえてANP投与では痕跡がより盛り上がりにくく目立ちにくく治癒した。さらには、右に比べ左顔面全体に皮膚に張りが出て、しっとりと滑々してきた。
実施例3In a 49-year-old woman who had ablated a large number of moles of the entire face by laser, ANP 0.1 to 5 μg (isotonic aqueous solution 0.01 ml to 0.5 ml) was applied to the left facial treatment wound and the surrounding area after washing twice a day The right facial treatment wound was used as a control. As a result, the subcutaneous tissue was remodeled clearly earlier in the left wound than in the right wound, and one week after administration, the left wound was mostly blocked by ANP administration, whereas the right wound was still red with craters remaining. The subcutaneous tissue was directly viewed (FIG. 1). In addition, administration of ANP healed traces that were less prominent and less noticeable. In addition, the skin on the left face became more moist and smoother than the right.
Example 3
54歳と89歳の頭髪の薄い男性を用いて、1日2回洗髪後に頭皮にANPを0.5から5μg(等張水溶液0.5ml)を塗布投与した。投与前と投与後において、頭皮と毛嚢、毛髪、毛髪全体像を観察した。また、投与前と40日と60日後に頭髪評価をおこなった。両者とも、hANP投与1週間にて、前頭部に産毛様の発毛を認め、抜け毛のあとに黒い毛乳頭が見える部位が出始めた。2−3週間後には頭髪総体として弾力性と剛直性の増強が見られた。1ヵ月後では、使用前に透けて見えていた頭皮が明らかにみづらくなった。後退していた頭髪の最前列は前進し、出始めた新しい毛髪は5−7mmに達した。さらに長い1本毛の脇から2本目の短い発毛が発見された。40日後には、全体像からみて、毛髪全体に腰が強くなり、太さも増した。また、毛嚢部皮下には渦巻状の黒々した毛髪が透けて見えるようになった。この毛髪が体外に突出してくるときには当初は渦巻いたままであるので直立した時点ではすでに3−4mmの長さを示した。60日後には頭皮全体に見えにくくなり、殆どの毛嚢で毛根が見られるとともに、投与前に最も薄かったつむじ周辺およびその前部でも発毛が増加してきた。
実施例4Using 54-year-old and 89-year-old men with thin hair, ANP was applied to the scalp by applying 0.5 to 5 μg (0.5 ml of isotonic aqueous solution) after washing the hair twice a day. Before and after administration, the scalp, hair follicle, hair, and whole hair were observed. Moreover, hair evaluation was performed before administration and 40 days and 60 days later. In both cases, hair growth-like hair growth was observed in the frontal region at 1 week after hANP administration, and a site where a black hair papilla was visible after hair loss began to appear. After 2-3 weeks, the elasticity of hair and the rigidity were enhanced as the whole hair. After one month, the scalp that had been seen through before use was clearly difficult to see. The front row of the hair that was receding moved forward, and the new hair that began to emerge reached 5-7 mm. In addition, a second short hair was found from the side of the long single hair. After 40 days, as seen from the whole picture, the whole hair became firm and thick. In addition, the spirally dark hair can be seen through under the hair follicle. When this hair protrudes from the body, it was initially swirled, so when it was upright, it already showed a length of 3-4 mm. After 60 days, it became difficult to see the entire scalp, hair follicles were seen in most hair follicles, and hair growth increased around and around the thinnest toothpicks before administration.
Example 4
毎日水泥仕事に携わる陶芸家の両手平と手背に1日2回0.5から5μgのANPを塗布した。この結果、以前から毎冬には必ずヒビ割れや皮膚の荒れが顕著であったがANPを塗布した後ではヒビ割れと皮膚の荒れの両者とも改善した。
実施例5Every day 0.5 to 5 μg of ANP was applied to both palms and palms of potters engaged in water mud work. As a result, cracks and rough skin were always noticeable every winter since before, but both cracks and rough skin improved after application of ANP.
Example 5
ヒト正常角化細胞株HaCaTを5x102cells/well(A−)及び104cells/well(B−)、2x104cells/well(C−)となるようにファルコン平底96wellディッシュ(#3072)に蒔き、3日後及び1日後からHANP(カルペリチド/第一製薬)を1μM(PBS希釈)となるように毎日添加し、4日後(A)および3日後(B,C)、細胞増殖測定試薬WST−1(Roche)を加え、37℃、2時間後、マイクロプレートリーダーMTP−120(コロナ電機)によりOD450を測定し、生細胞数を比較した。HANPは、対照としたラット平滑筋細胞株A10において細胞増殖を抑制したのに対して、HaCaTにおいて3−10%の細胞増殖作用が示した(図2)。
実施例6Falcon flat bottom 96 well dish (# 3072) so that human normal keratinocyte cell line HaCaT becomes 5 × 10 2 cells / well (A−) and 10 4 cells / well (B−), 2 × 10 4 cells / well (C−). After 3 days and 1 day, HANP (carperitide / Daiichi Pharmaceutical Co., Ltd.) is added every day to a concentration of 1 μM (diluted with PBS). After 4 days (A) and 3 days (B, C), cell proliferation measurement reagent WST- 1 (Roche) was added, and after 2 hours at 37 ° C., the OD450 was measured with a microplate reader MTP-120 (Corona Denki), and the number of living cells was compared. HANP inhibited cell proliferation in the rat smooth muscle cell line A10 as a control, whereas HaCaT showed 3-10% cell proliferation action (FIG. 2).
Example 6
ヒト正常角化細胞株HaCaTを2x104cells/dishとなるように3.5cmファルコンディッシュ(3001)に蒔き、3日後、HANPを1μMとなるように添加し、0、30分、4時間後の細胞から、RNeasy plus(キアゲン)を用いてRNAを回収した。RNA0.2μgからSuperscript III(Invitrogen)を用いてcDNAを合成し、PCR用テンプレートとした。GAPDHを内部コントロールとして、PCR後、アガロースゲル電気泳動し、Cyber Safe(Invitrogen)で染色後、UVトランスイルミネーター上にて泳動像をデジタルカメラ(Olympus C5080WZ)で撮影し、各バンドの濃さをImage J(デンシトメーター解析)を用いて測定した。角化細胞分化マーカーのKRT15、Invorculin、アポトーシス抑制因子Bcl−2、アポトーシス関連分子HSPCO16、cell cycle関連分子CyclinD1及び増殖分化調節因子BMP−2の発現量の変化を解析したところ、基底層及び毛母幹細胞マーカーであるKRT15はHANP処理30分では20%程の一過性の発現増加が認められた。また、BMP−2はHANP処理4時間後に、無処理に比べて1.5倍程の発現増加が認められた。CyclinD1は30分でコントロールに一過性の発現低下がみられたがその後回復するのに対してHANP処理では発現量が1/3まで低下した(図3)。角化細胞の増殖抑制、分化促進作用をもつBMP−2が増加し、細胞分裂促進に働くCyclinD1が減少することから、角化細胞の分化の促進に働いていることが考えられた。
実施例7A human normal keratinocyte cell line HaCaT was seeded in a 3.5 cm falcon dish (3001) so as to be 2 × 10 4 cells / dish, and 3 days later, HANP was added to 1 μM, and 0, 30 minutes, 4 hours later RNA was recovered from the cells using RNeasy plus (Qiagen). CDNA was synthesized from 0.2 μg of RNA using Superscript III (Invitrogen) and used as a template for PCR. Using GAPDH as an internal control, after PCR, agarose gel electrophoresis was performed, stained with Cyber Safe (Invitrogen), and then electrophoresed on a UV transilluminator with a digital camera (Olympus C5080WZ). Measurement was performed using Image J (densitometer analysis). Analysis of changes in the expression levels of keratinocyte differentiation markers KRT15, Invorculin, apoptosis inhibitor Bcl-2, apoptosis-related molecule HSPCO16, cell cycle-related molecule CyclinD1, and growth differentiation regulator BMP-2 revealed that the basal layer and hair matrix KRT15, a stem cell marker, showed a transient increase in expression of about 20% after 30 minutes of HANP treatment. BMP-2 was found to increase expression about 1.5 times after 4 hours of HANP treatment compared to no treatment. CyclinD1 showed a transient decrease in expression in the control at 30 minutes but recovered thereafter, whereas the expression level decreased to 1/3 in the HANP treatment (FIG. 3). Since BMP-2, which has keratinocyte growth suppression and differentiation promoting effects, increases and Cyclin D1 that acts to promote cell division decreases, it was considered that keratinocyte differentiation was promoted.
Example 7
ヒト正常角化細胞株HaCaTを2x105cells/dishとなるように6wellファルコンディッシュ(3046)に蒔き、3日後、confluent状態の細胞にピペットマンチップの先で直線上の傷を付け、PBSで2回洗浄後、HANPを1μM(in Opti−MEM serum free)となるように添加し、24時間後の細胞挙動を観察した(図4)。HANP処理では、傷端の細胞群でrounding様のものが多く観察された。
実施例8The human normal keratinocyte cell line HaCaT was seeded in a 6-well falcon dish (3046) so as to be 2 × 10 5 cells / dish. After 3 days, confluent cells were linearly scratched with the tip of a pipetteman tip and twice with PBS. After washing, HANP was added to 1 μM (in Opti-MEM serum free), and cell behavior after 24 hours was observed (FIG. 4). In the HANP treatment, many rounding-like cells were observed in the wound cell groups.
Example 8
ヒト正常角化細胞株HaCaTを5x104cells/20μl drop及び2x104cells/10μldropとなるようにファルコンディッシュ上にスポットし、HANP1μM存在下での細胞コロニー形成能を比較した。10μlのdropではコロニーの形成が見られないのに対して、HANP処理では細胞同士が脚を延ばしコロニーを形成しているのが観察された(図5)。
実施例9The human normal keratinocyte cell line HaCaT was spotted on a falcon dish so as to be 5 × 10 4 cells / 20 μl drop and 2 × 10 4 cells / 10 μl drop, and the cell colony forming ability in the presence of HANP 1 μM was compared. In the case of 10 μl drop, no colony formation was observed, but in the HANP treatment, it was observed that the cells extended their legs to form a colony (FIG. 5).
Example 9
HaCaTにおけるNPP−NPRシグナル分子を明らかにするため、レセプターNPR−1,2,3及びリガンドNPPA,B,C遺伝子の発現をRT−PCRにより解析したところ、NPR2のみが検出された(図6)。In order to clarify the NPP-NPR signal molecule in HaCaT, the expression of the receptor NPR-1,2,3 and ligand NPPA, B, C genes was analyzed by RT-PCR, and only NPR2 was detected (FIG. 6). .
本発明は従来は血管に作用すると考えられていた心房利尿ペプチド群が再生医療や禿げ、皮膚傷害を含む様々な組織の回復改善に有用であることを開示した。この利用により、医学生物学の分野で従来は実現されなかった手技、製剤の開発が可能となる。The present invention disclosed that the atrial diuretic peptide group, which was conventionally thought to act on blood vessels, is useful for improving the recovery of various tissues including regenerative medicine, baldness, and skin injury. This use makes it possible to develop procedures and preparations that have not been realized in the field of medical biology.
[要約]
心房利尿ホルモンファミリー分子群は、組織器官の修復再生製剤および組織器官の修復再生方法において有用であり、かつ毛髪減少、脱毛、皮膚および皮下組織傷害に対して、従来の物質/手法では得られない改善効果を発揮する。[wrap up]
Atrial diuretic hormone family molecules are useful in tissue organ repair and regeneration formulations and tissue organ repair and regeneration methods, and are not available with conventional substances / techniques for hair loss, hair loss, skin and subcutaneous tissue injury Demonstrate the improvement effect.
Claims (1)
A preparation for hair growth, hair growth, and hair growth that contains atrial diuretic hormone (ANP) as an active ingredient and may contain a diluent, excipient, filler, or auxiliary agent commonly used in pharmacology.
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| JP2006357531A JP5010913B2 (en) | 2006-12-31 | 2006-12-31 | Tissue regeneration preparation containing atrial diuretic hormone family molecule as active substance, tissue regeneration method using the preparation, hair growth, hair growth, hair restorer and skin tissue repair improving agent containing atrial diuretic hormone family molecule as active substance Hair growth, hair thickening, hair growth promoting method and skin tissue repair improving method using the preparation |
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| JP2006357531A JP5010913B2 (en) | 2006-12-31 | 2006-12-31 | Tissue regeneration preparation containing atrial diuretic hormone family molecule as active substance, tissue regeneration method using the preparation, hair growth, hair growth, hair restorer and skin tissue repair improving agent containing atrial diuretic hormone family molecule as active substance Hair growth, hair thickening, hair growth promoting method and skin tissue repair improving method using the preparation |
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| US20120208756A1 (en) * | 2009-07-23 | 2012-08-16 | Igisu Co., Ltd | Composition for external preparation for skin |
| WO2011024973A1 (en) | 2009-08-27 | 2011-03-03 | 株式会社 イギス | Therapeutic agent for rhinitis |
| MX353295B (en) * | 2011-01-21 | 2018-01-08 | Endo Kyoko | Therapeutic agent for alopecia. |
| CA2986086A1 (en) * | 2015-05-29 | 2016-12-08 | Igisu Co., Ltd. | Cyclyc peptide, and medicine, external preparation and cosmetic each containing said cyclic peptide |
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| JP2004224730A (en) * | 2003-01-23 | 2004-08-12 | Univ Nihon | Drugs containing human atrial natriuretic peptide |
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