JP2012116818A - Pharmaceutical composition for treatment of urinary system disease - Google Patents
Pharmaceutical composition for treatment of urinary system disease Download PDFInfo
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- JP2012116818A JP2012116818A JP2010270610A JP2010270610A JP2012116818A JP 2012116818 A JP2012116818 A JP 2012116818A JP 2010270610 A JP2010270610 A JP 2010270610A JP 2010270610 A JP2010270610 A JP 2010270610A JP 2012116818 A JP2012116818 A JP 2012116818A
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- pharmaceutical composition
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- bladder
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Abstract
【課題】 感染および反復発作を効果的に制御し、膀胱表面傷口の癒合を促す泌尿器系統を治療する医薬組成物を提供する。
【解決手段】 直径が2 nm〜2 mmであるカーボン材料が0.1 mg/ml〜100 mg/ml含まれる。カーボン材料は、直径2 nm〜2 mmである銀、プラチナ、パラジウム、金、亜鉛、および、銅のうちの少なくとも一種を含む金属顆粒と結合することができる。金属顆粒と結合したカーボン材料は膀胱及び関連した組織と相互に接触することで、殺菌性能と炎症解消効果があり、感染および反復発作を効果的に制御できる。また、膀胱表面の傷口の癒合を促し、膀胱炎患者の病的症状を緩和する効果がある。さらに定期的の使用により、泌尿系統の無菌状態が保たれ、細菌尿、尿路感染症、膀胱炎、または、腎臓炎の発生を抑制することができる。
【選択図】図1PROBLEM TO BE SOLVED: To provide a pharmaceutical composition for treating a urinary system that effectively controls infection and repeated seizures and promotes healing of a bladder surface wound.
A carbon material having a diameter of 2 nm to 2 mm is contained in an amount of 0.1 mg / ml to 100 mg / ml. The carbon material can be combined with metal granules containing at least one of silver, platinum, palladium, gold, zinc, and copper having a diameter of 2 nm to 2 mm. The carbon material combined with the metal granules is in contact with the bladder and related tissues to provide bactericidal performance and anti-inflammatory effects, and can effectively control infection and repeated seizures. It also has the effect of promoting the healing of wounds on the surface of the bladder and alleviating the pathological symptoms of cystitis patients. Furthermore, the urinary system is kept sterile by regular use, and the occurrence of bacterial urine, urinary tract infection, cystitis or nephritis can be suppressed.
[Selection] Figure 1
Description
本発明は、薬用上使用可能であり、泌尿器系の病気の治療または予防に用いられる医薬組成物に関する。 The present invention relates to a pharmaceutical composition that can be used medicinally and can be used for the treatment or prevention of diseases of the urinary system.
従来、泌尿器の疾病の多くは泌尿器が細菌、化学薬物、放射線、抗癌薬物また外因性感染によって引き起こされた膀胱炎或いは尿路感染症が多い。薬物投与で抵抗力が落ち、そして細菌が侵入して感染を引き起こすケースもある。泌尿器の疾病においては、特に女性及び導尿管使用の患者がかかりやすい。膀胱炎が起きているかどうかについて最も簡単な判断法は、細菌尿(bacteriuria)があるか 、すなわち尿中細菌が105CFU/ml以上あるかどうかである。尿中の細菌量が多すぎれば、膀胱炎或いは腎盂炎である恐れがある。男性の場合、細菌が尿道から2センチ離れた位置に存在する比率は約98 %、5センチの位置での比率は49 %である。女性の場合はさらに比率が高いと考えられる。 Conventionally, many urological diseases are cystitis or urinary tract infections in which the urinary tract is caused by bacteria, chemical drugs, radiation, anticancer drugs or exogenous infection. In some cases, drug administration reduces resistance, and bacteria can enter and cause infection. Urinary diseases are particularly prevalent in women and ureteral patients. The easiest way to determine whether cystitis is occurring is whether there is bacterial urine, that is, whether there are more than 10 5 CFU / ml of urinary bacteria. If the amount of bacteria in the urine is too large, there may be cystitis or pyelonephritis. In the case of men, the ratio of bacteria at a position 2 cm away from the urethra is about 98%, and the ratio at a position 5 cm is 49%. In the case of women, the ratio is considered higher.
2007年台湾集中治療室の統計によると、メディカルセンターまたは区域病院にかかわらず、尿路感染症が院内感染の37.5%で一位を占めている。また、あらゆる年齢層においても、細菌感染により引き起こされた泌尿系統の疾病のうち、尿道感染症が最も多いといわれる。
外因性感染の主要原因は病院でよく行われる導尿管挿入術或いは膀胱鏡検査等の侵入式治療である。侵入式治療により細菌が膀胱に持ち込まれて、上行性感染さらに細菌性膀胱炎を起こす。ひどい場合は急性膀胱炎或いは腎臓炎等を起こすことさえある。
一般的によく見られる細菌性膀胱炎は膀胱粘膜に赤くなったり腫れたりまた血管(Blood vessel、BV)充血等の状況が発生する。一方、間質性膀胱炎は粘膜下層と筋肉層との間に炎症が起きる。膀胱炎にかかると、一般的には膀胱に不快感と疼痛が感じ、頻尿、尿意逼迫等の関連病状が発生する。特に膀胱炎の治療が不適切の場合は、膀胱に厳重な感染が起き、患者が腎臓機能を失って腎臓透析治療が必要になったり、さらに敗血症に非係る恐れがある。
According to statistics from the 2007 Taiwan Intensive Care Unit, urinary tract infections occupy the top position with 37.5% of nosocomial infections, regardless of medical center or district hospital. In all ages, urinary tract infections are said to be the most common urinary tract disease caused by bacterial infections.
The main cause of extrinsic infection is invasive treatment such as ureteroplasty or cystoscopy often performed in hospitals. Invasive treatment brings bacteria into the bladder, causing ascending infection and further bacterial cystitis. In severe cases, acute cystitis or nephritis may occur.
Bacterial cystitis, which is commonly observed, causes a situation such as redness or swelling of the bladder mucosa, and blood vessel (Blood vessel, BV) hyperemia. On the other hand, interstitial cystitis causes inflammation between the submucosa and muscle layers. When cystitis occurs, discomfort and pain are generally felt in the bladder, and related medical conditions such as frequent urination and urgency occur. In particular, when cystitis treatment is inadequate, severe infection of the bladder may occur, causing the patient to lose kidney function, necessitating renal dialysis treatment, and not being associated with sepsis.
現在、膀胱炎に用いられる治療法においては、主に薬物治療法、抗菌膀胱洗浄術(Bladder irrigation)、注入法(Infusion administration)等である。ただし、注入法(Infusion administration)の単一療法でも、また注入法と他の治療法との併用療法、上記三療法を結合する順序療法でも、同じくジメチルサルフォキサイド(dimethyl sulfoxide)、クロルパクチン(clorpactin)、ヘパリン(heparin)、ヒアルロン酸(hyaluronic acid、HA)、アドリアマイシン(adriamycin、ADM)、コンドロイチン硫酸(chondroitin sulfate)、炭酸水素ナトリウム(sodium bicarbonate)、亜硝酸(Silver nitrite)、ペントサンポリサルフェートソディウム(Pentosan Polysulfate Sodium)、クロモリンソディウム(cromolyn sodium)、ペニシリン(Pencillin)、ニトロフラゾン、ゲンタマイシン(gentamicin)或いはマイルドシルバープロテイン(Mild Silver Protein)等の薬物を使用している。上記の薬物の多くは膀胱粘膜(bladder mucosa)及び間質組織層の治療を目的にして、疼痛、尿酸、尿意逼迫等膀胱炎の症状を緩和させる効果がある。
尿道の細菌感染症を予防する技術においては、抗生物質法予防、導尿管表面薬物塗布技術、銀をメッキした導尿管技術等がある。
At present, the therapeutic methods used for cystitis are mainly pharmacotherapy, antibacterial bladder irrigation (Bladder irrigation), infusion (Infusion administration), and the like. However, in the single therapy of the injection method (Infusion administration), the combined therapy of the injection method and other therapies, or the sequential therapy combining the above three therapies, dimethyl sulfoxide, chlorpactin ( chlorpactin, heparin, hyaluronic acid (HA), adriamycin (ADM), chondroitin sulfate, sodium hydrogen carbonate, sulphonite, sodium nitrite (Pentosan Polysulfate Sodium), cromolyn sodium (c omolyn sodium), penicillin (Pencillin), using nitrofurazone, gentamycin (gentamicin) or mild silver protein (Mild Silver Protein) drugs such. Many of the above drugs have the effect of alleviating the symptoms of cystitis, such as pain, uric acid, and urgency, for the treatment of bladder mucosa and interstitial tissue layers.
Technologies for preventing bacterial infections of the urethra include antibiotic method prevention, urinary tract surface drug application technology, urinary tract technology plated with silver, and the like.
しかし、上記の従来の膀胱炎の治療法或いは尿道細菌感染症の予防技術においては、持続的に症状を緩和したり長期的に治療また使用できたりすることが少なく、しかも治療期間の間は多少副作用が発生するのが現状である。 However, in the above conventional cystitis treatment or urethral bacterial infection prevention technique, there are few cases where symptoms can be continuously alleviated or treated and used over a long period of time, and during the treatment period there is little Currently, side effects occur.
膀胱炎の治療については、単なる抗菌薬物のみに頼りの治療では直ちに膀胱粘膜及び間質組織の修復ができないためながなが予期効果が達成できないことが現実である。もし破壊された膀胱粘膜、間質組織に対して効果的な修復を行い、と同時に感染を引き起こす原因を探し出し、即時に必要な処理を行えると、有効的に感染を制御また反復発作が防止でき、膀胱表面の傷口の癒合を促し、患者の病状を緩和することができる。 As for the treatment of cystitis, the treatment that relies solely on the antibacterial drug cannot repair the bladder mucosa and stromal tissue immediately, but the actual effect cannot be achieved. If the damaged bladder mucosa and interstitial tissue are effectively repaired, and at the same time, the cause of the infection is found and the necessary treatment can be performed immediately, the infection can be effectively controlled and repeated seizures prevented. Can promote the healing of wounds on the bladder surface and relieve the patient's medical condition.
本発明は、上記問題を鏡みてなされたものであり、その目的は、破壊された膀胱粘膜(bladder mucosa)及び間質組織を修復し、更なる細菌の進入および繁殖を抑制可能な泌尿器系疾患を治療する医薬組成物を提供することにある。 The present invention has been made in the mirror of the above problems, and its purpose is to repair a broken bladder mucosa and interstitial tissue, and to suppress further bacterial invasion and reproduction, a urological disease It is providing the pharmaceutical composition which treats.
上記課題を解決するため、下記の泌尿器系疾患を治療する医薬組成物を開発した。
請求項1に係る発明の泌尿器系疾患を治療する医薬組成物は、60 質量%以上のカーボンを含むカーボン材料と含水賦形剤とを組合せて形成され、薬用上使用可能である。ここで、カーボン材料の直径は2 nm〜2 mmである。
また、カーボン材料は0.1 mg/ml〜100 mg/ml含まれている。
さらに、カーボン材料は直径が2 nm〜2 mmである銀、プラチナ、パラジウム、金、亜鉛、および、銅の中の少なくとも一種を含む金属顆粒と結合する。金属顆粒と結合したカーボン材料は、膀胱及び関連した組織と相互接触することで、例えば、膀胱炎、急性膀胱炎、慢性膀胱炎、出血性膀胱炎、細菌性膀胱炎、気腫性膀胱炎、間質性膀胱炎、膀胱或いは尿道に傷口、および、尿道感染の治療及び予防することができる。さらに、感染および反復発作を有効的に抑制し、膀胱表面の傷口の癒合を促し、患者の病状を緩和することができる。
In order to solve the above problems, a pharmaceutical composition for treating the following urological diseases has been developed.
The pharmaceutical composition for treating a urological disease of the invention according to claim 1 is formed by combining a carbon material containing 60 mass% or more of carbon and a water-containing excipient, and can be used medicinally. Here, the diameter of the carbon material is 2 nm to 2 mm.
The carbon material is contained in an amount of 0.1 mg / ml to 100 mg / ml.
Further, the carbon material is bonded to metal granules containing at least one of silver, platinum, palladium, gold, zinc, and copper having a diameter of 2 nm to 2 mm. The carbon material combined with the metal granules can interact with the bladder and related tissues, for example, cystitis, acute cystitis, chronic cystitis, hemorrhagic cystitis, bacterial cystitis, emphysematous cystitis, It can treat and prevent interstitial cystitis, wounds on the bladder or urethra, and urinary tract infections. In addition, infection and recurrent seizures can be effectively suppressed, wound healing on the bladder surface can be promoted, and the patient's medical condition can be alleviated.
これにより、本発明の泌尿器系疾患を治療する医薬組成物は、膀胱炎が起きる時、炎症を引き起こす原因である細菌を迅速に吸着して内毒素物質が人体へ及ばす影響を除去する。そして破壊された膀胱粘膜(bladder mucosa)及び間質組織を修復し更なる細菌の進入と繁殖を抑制することができる。よって、膀胱表面の傷口の癒合、感染の制御、さらに反復発作の抑制、膀胱炎の病状の緩和等の効果が期待さできる。
よって、本発明の泌尿器系疾患を治療する医薬組成物は、感染を効果的に制御しながら膀胱炎の反復発作を防止し、膀胱表面傷口の癒合を促すことで膀胱炎患者の病的症状を緩和することができる。
As a result, the pharmaceutical composition for treating a urinary system disease of the present invention, when cystitis occurs, quickly adsorbs bacteria that cause inflammation and eliminates the effect of endotoxin substances on the human body. It can then repair the destroyed bladder mucosa and interstitial tissue to prevent further bacterial entry and propagation. Therefore, effects such as healing of wounds on the surface of the bladder, control of infection, suppression of repeated seizures, and alleviation of cystitis pathology can be expected.
Therefore, the pharmaceutical composition for treating a urinary system disease of the present invention can prevent pathologic attacks of cystitis while effectively controlling infection, and promote the healing of bladder surface wounds, thereby reducing the pathological symptoms of cystitis patients. Can be relaxed.
以下に図面に基づいて本発明の実施例についての詳細に説明する。
(第1実施例)
本発明の第1実施例による泌尿器系疾患を治療する医薬組成物を以下に示す。
本実施例では、泌尿器系疾患を治療する医薬組成物は、60 質量%以上のカーボンを含むカーボン材料と含水賦形剤とを組合せることで形成される薬用上使用できる複合賦形剤である。
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
(First embodiment)
A pharmaceutical composition for treating urological diseases according to the first embodiment of the present invention is shown below.
In this example, the pharmaceutical composition for treating urological diseases is a pharmaceutically usable composite excipient formed by combining a carbon material containing 60% by mass or more of carbon and a water-containing excipient. .
カーボン材料は、粒状であり、カーボンファイバー(carbon fiber)、活性炭ファイバー(active carbon fiber)、活性炭(active carbon)、グラファイト(Graphite)、膨張化グラファイト(expanded graphite)、ナノカーボンチューブ(nano−carbon tube)、カーボンナノカプセル(Carbon Nanocapsules)、コークボール(coke ball)、および、カーボンブラック(carbon black)の内の少なくとも一種を含む。その直径は20 nm〜2 mmであり、比表面積値(specific surface area、BET)は20 m2/g 〜 4000 m2/gである。本実施例では、カーボン材料は、80質量%以上のカーボンを含む活性炭ファイバー(active carbon fiber)粉末、或いは活性炭(active carbon)で構成されるもので、比表面積値(specific surface area、BET)が200 m2/g 〜 3000 m2/gであることが好ましい。 The carbon material is granular, and includes carbon fiber, active carbon fiber, active carbon, graphite, expanded graphite, nano-carbon tube. ), Carbon nanocapsules, coke balls, and carbon black. The diameter is 20 nm to 2 mm, and the specific surface area (BET) is 20 m 2 / g to 4000 m 2 / g. In this embodiment, the carbon material is composed of activated carbon fiber powder containing 80% by mass or more of carbon, or activated carbon, and has a specific surface area (BET) value. It is preferable that it is 200 m < 2 > / g-3000 m < 2 > / g.
それに対し、含水賦形剤は、緩衝液(buffer solution)、抗生物質(antibiotic agents、antibiotic medicament)、および、膀胱炎治療剤(Treatment of interstitial cystitis with drugs)の内の少なくとも一種を含み、カーボン材料の剤量は0.01mg/ml以上である。本実施例では、カーボン材料の剤量は0.1 mg/ml〜500 mg/mlであることが好ましい。 On the other hand, the water-containing excipient contains at least one material of a buffer solution, an antibiotic (antibiotic agent), an antimicrobial agent, and a cystitis treatment drug (Treatment of interstitial cystis with drugs). The dosage is 0.01 mg / ml or more. In the present embodiment, the amount of the carbon material is preferably 0.1 mg / ml to 500 mg / ml.
(第2実施例)
本発明の第2実施例の主要組成と効果は、第1実施例と相同であるため、詳述は行わない。
カーボン材料はさらに直径2 nm〜2 mmの間の銀、プラチナ、パラジウム、金、亜鉛、銅の内の少なくとも一種を含む小顆粒金属顆粒と結合する。金属顆粒は、カーボン材料と金属顆粒との総質量の20 質量%以下であり。第2実施例では、小顆粒金属がカーボン材料と金属顆粒との総質量の5 質量%以下であることが好ましい。
小顆粒金属がカーボン材と結合した後、さらに含水賦形剤と組合せば、泌尿器系疾患の治療ができる医薬組成物が形成される。
(Second embodiment)
The main composition and effect of the second embodiment of the present invention are similar to those of the first embodiment, and therefore will not be described in detail.
The carbon material is further combined with small granular metal granules containing at least one of silver, platinum, palladium, gold, zinc and copper having a diameter of 2 nm to 2 mm. A metal granule is 20 mass% or less of the total mass of a carbon material and a metal granule. In 2nd Example, it is preferable that a small granule metal is 5 mass% or less of the total mass of a carbon material and a metal granule.
After the small granule metal is combined with the carbon material, it is further combined with a water-containing excipient to form a pharmaceutical composition capable of treating urinary diseases.
含水賦形剤に用いられる抗生物質(antibiotic agents 、antibiotic medicament)は、トリメトプリムスルファメトキサゾール(Trimethoprim−sulfame−thoxazole (TMP−SMX)) 、 トリメトプリム(Trimethoprim (TMP))、スルファメトキサゾール(sulfame−thoxazole (SMX))、フルオロキノロン(fluoroquinolones)、シプロフロキサシン(Ciprofloxacin)、オフロキサシン(Ofloxacin)、セファレキシン(Cephalexin)、および、テトラサイクリン(tetracycline)の中の少なくとも一種を含む。
一方、含水賦形剤に用いる膀胱炎治療剤(Treatment of interstitial cystitis with drugs)は、ジメチルサルフォキサイド(dimethyl sulfoxide)、次亜塩素酸(Clorpactin)、ヘパリン(heparin)、ヒアルロン酸(hyaluronic acid、HA)、アドリアマイシン(adriamycin、ADM)、コンドロイチン硫酸(chondroitin sulfate)、炭酸水素ナトリウム(sodium bicarbonate)、亜硝酸(Silver nitrite)、ペントサンポリサルフェートソディウム(Pentosan Polysulfate Sodium)、クロモリンソディウム(cromolyn sodium)、ペニシリン(Pencillin)、ニトロフラゾン、ゲンタマイシン(gentamicin)、および、マイルドシルバープロテイン(Mild Silver Protein)の中の少なくとも一種を含む。
Antibiotics (antibiotic agents, antibiotics) used in water-containing excipients are trimethoprim-sulfame-thoxazole (TMP-SMX), trimethoprim (Trimethoprim MP). (Sulfame-thoxazole (SMX)), fluoroquinolones, ciprofloxacin, ofloxacin, cephalexin, and at least one tetracycline.
On the other hand, treatment agents for cystitis (Treatment of interstitial cystis drugs) used as hydrous excipients are dimethyl sulfoxide, hypochlorite (heparin), hyaluronic acid, hyaluronic acid. , HA), adriamycin (ADM), chondroitin sulfate, sodium bicarbonate, nitrite, pentosan polysulfide sodium, pentosan polysulfide sulfur , Bae It includes at least one of nicillin, nitrofurazone, gentamicin, and mild silver protein.
そのため、医薬組成物のカーボン材料或いは金属顆粒と結合したカーボン材料は、膀胱及びその関連組織と相互に接触することによって、例えば、膀胱炎、急性膀胱炎、慢性膀胱炎、出血性膀胱炎、細菌性膀胱炎、気腫性膀胱炎、間質性膀胱炎、膀胱或いは尿道に傷口、または、尿路感染症の治療と予防に効果がある。また、感染および反復発作有効的に抑制することができ、膀胱表面の傷口の癒合を促し、患者の病状を緩和することができる。 Therefore, the carbon material of the pharmaceutical composition or the carbon material combined with the metal granule is brought into contact with the bladder and its related tissues, for example, cystitis, acute cystitis, chronic cystitis, hemorrhagic cystitis, bacteria Effective in the treatment and prevention of cystitis, emphysematous cystitis, interstitial cystitis, wounds in the bladder or urethra, or urinary tract infections. In addition, infection and repeated seizures can be effectively suppressed, healing of wounds on the surface of the bladder can be promoted, and the medical condition of the patient can be alleviated.
上記実施例の構造特徴、運用技術及び予期効果について、下記のように説明する。
図1〜5に示すように、医薬組成物のカーボン材料は、活性炭ファイバー(active carbon fiber)を50μm〜100μm含み、比表面積値(specific surface area、BET)が200 m2/g〜2000 m2/gの顆粒に研磨されるものである。
The structural features, operational techniques, and anticipatory effects of the above embodiment will be described as follows.
As shown in FIGS. 1 to 5, the carbon material of the pharmaceutical composition includes activated carbon fiber (50 μm to 100 μm) and a specific surface area (BET) of 200 m 2 / g to 2000 m 2. / G of granules.
第1実施例では、無菌水の緩衝液(buffer solution)を含水賦形剤としている。そしてカーボン材料を緩衝液(buffer solution)中に加え、十分に撹拌すると、カーボン材料を含む複合賦形剤ができあがる。複合賦形剤の剤量は0.2 mg/mlである。
実験体に重さ約290gのメスSprague−Dawleyラットを3匹を使用し、3組にわける。
(1)、M1−1(Normal):炎症誘導剤未注射の正常なラット。
(2)、M1−2(LPS):炎症誘導剤を注射し、膀胱炎症を誘導されたラット。
(3)、M1−3(LPS−ACF):炎症を誘導後、複合賦形剤で注射治療を行われたラット。
実験開始前に、先ず各ラットにウレタン(urethane)で麻酔を行う。麻酔が効いたのを確認後、テープでラットを軟板に固定してポリエチレンチューブ(polyethylene tube、PE−50)で尿道挿管を行う。
上記準備完成後、下記の実験を始まる。
In the first embodiment, a sterilized water buffer solution is used as a water-containing excipient. When the carbon material is added to a buffer solution and stirred sufficiently, a composite excipient containing the carbon material is produced. The dosage of the composite excipient is 0.2 mg / ml.
Three experimental Sprague-Dawley rats weighing about 290 g are used for the experimental body and divided into three groups.
(1), M1-1 (Normal): normal rat without injection of inflammation-inducing agent.
(2), M1-2 (LPS): Rats that were injected with an inflammation-inducing agent to induce bladder inflammation.
(3), M1-3 (LPS-ACF): Rats that were treated with injection with a complex vehicle after inducing inflammation.
Before starting the experiment, each rat is first anesthetized with urethane. After confirming that anesthesia is effective, the rat is fixed to a soft plate with a tape, and urethral intubation is performed with a polyethylene tube (PE-50).
After the above preparation is completed, the following experiment begins.
先ず、M1−2(LPS)組及びM1−3(LPS−ACF)組のラットに、それぞれ尿道からプロタミンサルフェート(Protamine sulfate、PS)を膀胱に注入し、その膀胱粘膜(bladder mucosa)を損傷させる。そして炎症誘導剤を注入する。上記実施例で注射する炎症誘導剤は、膀胱炎症を誘導する効果のある、通称内毒素のリポポリサッカリド(Lipopolysaccharides、LPS)である。
プロタミンサルフェート(Protamine sulfate、PS)を注射して45分後、膀胱間質層(Lamina propria、Lp)細胞まで損傷させないように、生理食塩水(normal saline)を注射して膀胱を洗浄し、損傷の範囲をコントロールする。
First, rats of the M1-2 (LPS) group and the M1-3 (LPS-ACF) group are respectively injected with protamine sulfate (PS) from the urethra into the bladder to damage the bladder mucosa. . Then, an inflammation inducer is injected. The inflammation-inducing agent to be injected in the above examples is a so-called endotoxin lipopolysaccharide (LPS) which has an effect of inducing bladder inflammation.
45 minutes after injecting protamine sulfate (PS), the bladder was washed by injecting normal saline to prevent damage to the bladder stromal layer (Lamina prolia, Lp) cells, Control the range of.
膀胱洗浄後、再び炎症誘導剤、すなわち内毒素750 E.U.を 30分毎に計2回を注射し膀胱炎症を誘導する。1時間後、同じく生理食塩水(normal saline)で膀胱を洗浄する。洗浄してからさらに1時間おいた後、3匹のラットの第一次尿を収集する。
次に、M1−3(LPS−ACF)組のラットに対して、剤量4 mg スラッシュ 20 mlの上記実施例の医薬組成物を注射する。一方、M1−2(LPS)組のラットには、生理食塩水(normal saline)だけを注射する。注射は30分毎に1回、計4回注射する。注射が終わってからさらに1時間を経ってから、3匹のラットの第二次尿を収集する。
第二次尿を収集してから24時間後、3匹のラットの膀胱を収集し、質量を量り、3組のラットの膀胱のH&E染色病理切片を製作する。
After bladder washing, an inflammation inducer, namely endotoxin 750 EU, is injected twice every 30 minutes to induce bladder inflammation. After 1 hour, the bladder is also washed with normal saline. After an additional hour after washing, the primary urine of 3 rats is collected.
Next, M1-3 (LPS-ACF) group of rats is injected with the pharmaceutical composition of the above-mentioned example having a dosage of 4 mg slash 20 ml. On the other hand, rats of the M1-2 (LPS) group are injected with only normal saline. The injection is performed once every 30 minutes, for a total of 4 injections. Three hours after the end of the injection, the secondary urine of three rats is collected.
Twenty-four hours after collecting the secondary urine, the bladders of 3 rats are collected, weighed, and H & E stained pathological sections of 3 sets of rat bladders are made.
図1に示すように、第一次收集尿の分析結果は下記の通りである。
M1−1(Normal)組は対照組であるため、採集する必要はない。
M1−2(LPS)組のラットの炎症誘導剤濃度は9.6 EU/mlに達し、M1−3(LPS−ACF)組は36.0 EU/mlに達した。
3時間後の第二次收集尿の分析結果は下記の通りである。
対象組であるM1−1(Normal)組の炎症誘導剤濃度は1.0 EU/mlである。
M1−2(LPS)組の炎症誘導剤濃度は1.8 EU/mlまで低下した。
複合賦形剤の医薬組成物を注射したM1−3(LPS−ACF)組の炎症誘導剤含量は、1.0 EU/mlに低下した。
As shown in FIG. 1, the analysis results of the primary collection urine are as follows.
Since the M1-1 (Normal) group is a control group, it is not necessary to collect them.
Inflammatory agent concentrations in rats of M1-2 (LPS) set reached 9.6 EU / ml, and M1-3 (LPS-ACF) set reached 36.0 EU / ml.
The analysis results of the second collection urine after 3 hours are as follows.
The concentration of inflammation inducer in the target group, M1-1 (Normal) group, is 1.0 EU / ml.
The inflammation-inducing agent concentration of the M1-2 (LPS) group was reduced to 1.8 EU / ml.
The inflammation-inducing agent content of the M1-3 (LPS-ACF) pair injected with the composite excipient pharmaceutical composition was reduced to 1.0 EU / ml.
M1−1 (Normal)組、M1−2 (LPS)組、M1−3 (LPS−ACF)組のラ炎症誘導剤濃度テストの結果を比較したところ、下記の結果が分かった。
M1−2(LPS)組は炎症誘導剤注射後、第一次尿中の炎症誘導剤含量は9.6 EU/mlであるが、新陳代謝によって、3時間後の第二次尿中の炎症誘導剤含量は1.8 EU/mlを残っていることが分かった。
それに対し、M1−3(LPS−ACF)組のラットには、第一次尿中の炎症誘導剤濃度は36.0 EU/mlにも達したが、複合賦形剤の医薬組成物を注射した後、第二次尿中の炎症誘導剤含量は対照組のM1−1(Normal)と相同の1.0 EU/mlにまで低下した。よって、既に炎症を起こっているラットの膀胱に対し、複合賦形剤の医薬組成物は治療効果があることが分かった。
When the results of the la inflammation inducer concentration test of the M1-1 (Normal) group, the M1-2 (LPS) group, and the M1-3 (LPS-ACF) group were compared, the following results were found.
In the M1-2 (LPS) group, the inflammation-inducing agent content in the primary urine is 9.6 EU / ml after injection of the inflammation-inducing agent, but the metabolism induces inflammation in the secondary urine 3 hours later by metabolism. The agent content was found to remain 1.8 EU / ml.
In contrast, in the M1-3 (LPS-ACF) group of rats, the concentration of inflammation-inducing agent in the primary urine reached 36.0 EU / ml, but the pharmaceutical composition of the composite excipient was injected. After that, the content of inflammation-inducing agent in the secondary urine decreased to 1.0 EU / ml, which is homologous to the control group M1-1 (Normal). Therefore, it was found that the pharmaceutical composition of the composite excipient has a therapeutic effect on the rat bladder already inflamed.
また、ラット膀胱の質量からも複合賦形剤の医薬組成物の治療効果が見られる。
M1−2(LPS)組のラット膀胱の質量は177.3 mgである一方、複合賦形剤の医薬組成物を注射したM1−3(LPS−ACF)組のラット膀胱の質量は134.8 mgにまで低下した。これは複合賦形剤の医薬組成物が治療効果が発生し、膀胱炎による水腫が改善されたことを示している。
The therapeutic effect of the pharmaceutical composition of the composite excipient is also seen from the mass of the rat bladder.
The mass of the rat bladder of the M1-2 (LPS) set is 177.3 mg, while the mass of the rat bladder of the M1-3 (LPS-ACF) set injected with the pharmaceutical composition of the composite excipient is 134.8. Reduced to mg. This indicates that the pharmaceutical composition of the composite excipient has a therapeutic effect and has improved edema due to cystitis.
ラット膀胱の内部状況を図2に示す。
図2はM1−1(Normal)組のラットの正常な膀胱のH & E染色で、膀胱表面の膀胱粘膜(bladder mucosa)上皮細胞(Epithelium、Ep)が非常に平滑であることを示す。図には血管(Blood vessel、BV)、粘膜を構成する上皮細胞(Epithelium、Ep)、筋肉組織(Muscle、M)、結合組織(Connective tissue、CT)及び間質層(Lamina propria、Lp)が見える。
図3はM1−2(LPS)組のラットの、炎症誘導剤により炎症誘導後の膀胱のH & E染色図で、炎症により白血球が粘膜下方の膀胱間質層(Lamina propria、Lp)に集合していることを示す。図には炎症が起きている膀胱表面に、白血球 (White blood cells、WBC)が集まり、水腫 (Edema)と出血 (Bleed)現象が見える。
図4では、M1−2(LPS)組のラットの内部組織に非常に深刻な内出血が起こっていることを示す。
The internal situation of the rat bladder is shown in FIG.
FIG. 2 shows H & E staining of normal bladders from the M1-1 (Normal) set of rats, indicating that bladder mucosa epithelial cells (Epithelium, Ep) on the bladder surface are very smooth. The figure shows blood vessels (Blood Vessel, BV), epithelial cells (Epithelium, Ep), mucosal tissue (Muscle, M), connective tissue (Connective tissue, CT), and stromal layer (Lamina propria, Lp). appear.
FIG. 3 is an H & E staining diagram of the bladder after inflammation induction with an inflammation-inducing agent in rats of the M1-2 (LPS) group, and leukocytes gathered in the bladder interstitial layer (Lamina propria, Lp) below the mucosa due to inflammation Indicates that In the figure, white blood cells (WBC) gather on the surface of the inflamed bladder, and edema and bleeding are visible.
FIG. 4 shows that very severe internal bleeding has occurred in the internal tissue of the M1-2 (LPS) group of rats.
図5は複合賦形剤の医薬組成物によって治療されたM1−3(LPS−ACF)組のラット膀胱のH&E染色図である。その膀胱粘膜(bladder mucosa)組織は図2のM1−1(Normal)組の正常なラットの膀胱粘膜(bladder mucosa)組織と比較したところ、両者は非常に類似していることが分かった。
M1−3(LPS−ACF)組のラットには、白血球集合、水腫、内出血等の深刻な炎症現象が現れていない。これは、複合賦形剤の医薬組成物が、既に炎症が起こっているラット膀胱に対して治療効果があることが判明できる。
FIG. 5 is an H & E staining diagram of rat bladder of M1-3 (LPS-ACF) pair treated with a pharmaceutical composition of complex excipients. The bladder mucosa tissue was found to be very similar when compared to the normal rat bladder mucosa tissue of the M1-1 (Normal) set of FIG.
Serious inflammatory phenomena such as leukocyte aggregation, edema, and internal hemorrhage do not appear in rats of the M1-3 (LPS-ACF) group. This indicates that the pharmaceutical composition of the composite excipient has a therapeutic effect on rat bladder already inflamed.
図6〜9に示す実施例の主要な実施方式は、第1実施例と相同であるため、詳述は行わない。
血清中のプロカルシトニン(Procalcitonin、PCT)の濃度測定は全身性炎症反応を示す細菌感染症などの重症細菌感染症を判断するマーカーであるため、本実施方式では、ラット血清中のプロカルシトニン(Procalcitonin、PCT)の濃度測定を行った。
プロカルシトニン(Procalcitonin、PCT)濃度が上昇すると、膀胱炎症現象が細菌性の感染、敗血症ショック或いは他の深刻な全身性細菌感染で引き起こしたことを示す。
The main implementation method of the embodiment shown in FIGS. 6 to 9 is similar to that of the first embodiment, and therefore will not be described in detail.
Since measurement of serum procalcitonin (PCT) concentration is a marker for determining severe bacterial infections such as bacterial infections showing a systemic inflammatory reaction, in this embodiment, procalcitonin (Procalcitonin) , PCT) concentration measurement.
Increasing procalcitonin (PCT) concentration indicates that the bladder inflammation phenomenon was caused by a bacterial infection, septic shock or other serious systemic bacterial infection.
図6によると、M2−1 (Normal)組は対照組の正常ラットで、プロカルシトニン(Procalcitonin、PCT)濃度が0.021 ng/mlである。
M2−2 (LPS) 組は炎症誘導剤により炎症を誘導されたラットで、プロカルシトニン(Procalcitonin、PCT)濃度が0.036 ng/mlまで上がった。
M2−3(LPS−ACF)組は、炎症誘導剤により炎症を誘導し、そして注射治療を行ったラットで、プロカルシトニン(Procalcitonin、PCT)濃度が0.02 ng/mlである。
上記の結果を比較したところ、M2−3(LPS−ACF)組のラットとM2−1(Normal)のラットのプロカルシトニン(Procalcitonin、PCT)濃度が一致する。M2−2(LPS)組のラットの膀胱質量の177.6 mgと比べると、M2−3(LPS−ACF)組のラットの膀胱質量は138.1 mgまで低下した。これは複合賦形剤の医薬組成物が膀胱炎症に対して確実な治療効果があることを示している。
According to FIG. 6, the M2-1 (Normal) group is a normal rat of the control group, and the concentration of procalcitonin (PCT) is 0.021 ng / ml.
The M2-2 (LPS) group was a rat in which inflammation was induced by an inflammation-inducing agent, and the concentration of procalcitonin (PCT) increased to 0.036 ng / ml.
The M2-3 (LPS-ACF) pair induces inflammation with an inflammation-inducing agent, and the rats treated with injection treatment have a procalcitonin (PCT) concentration of 0.02 ng / ml.
When the above results were compared, the concentrations of procalcitonin (PCT) in rats of the M2-3 (LPS-ACF) group and M2-1 (Normal) matched. Compared to 177.6 mg of the bladder mass of the M2-2 (LPS) group of rats, the bladder mass of the M2-3 (LPS-ACF) group of rats decreased to 138.1 mg. This indicates that the pharmaceutical composition of the composite excipient has a certain therapeutic effect on bladder inflammation.
図7〜9は、各組のラット膀胱のH & E染色図である。
図7に示すM2−1(Normal)組のラット膀胱組織切片では、非常に平滑な膀胱粘膜(bladder mucosa)が見える。
図8に示すM2−2(LPS)組のラット膀胱組織切片では、図中左側に深刻な水腫現象が見える。
図9に示すM2−3(LPS−ACF)組のラット膀胱組織切片では、平滑な膀胱粘膜(bladder mucosa)表面が現れ、白血球集合、水腫また内出血等膀胱の炎症現象が現れていない。
よって、複合賦形剤の医薬組成物が既に炎症が起こっているラット膀胱に対して治療効果を有することが分かる。
7-9 are H & E staining diagrams of each set of rat bladder.
In the rat bladder tissue section of the M2-1 (Normal) group shown in FIG. 7, a very smooth bladder mucosa is visible.
In the rat bladder tissue section of the M2-2 (LPS) group shown in FIG. 8, a serious edema phenomenon is seen on the left side in the figure.
In the rat bladder tissue section of the M2-3 (LPS-ACF) group shown in FIG. 9, a smooth bladder mucosa surface appears, and no bladder inflammation phenomenon such as leukocyte aggregation, edema, or internal bleeding appears.
Thus, it can be seen that the pharmaceutical composition of the composite excipient has a therapeutic effect on rat bladder already inflamed.
図10〜12は、各組のラット膀胱のH & E染色病理組織切片である。主な実施方式は第1実施例と相同であるため、詳述は行わない。M3−3 (LPS−ACF)組は本発明の第2実施例である。実施例で用いられた医薬組成物はナノレベルの金属顆粒とカーボン材料とを結合し、そして含水賦形剤と組合せて形成する膀胱炎治療用のものである。
図10には、M3−1(Normal)組の正常ラットの膀胱H & E染色切片で、炎症、水腫、内出血等の病状が現れていない。
10-12 are H & E stained pathological tissue sections of each set of rat bladder. Since the main implementation method is the same as that of the first embodiment, it will not be described in detail. The M3-3 (LPS-ACF) group is a second embodiment of the present invention. The pharmaceutical composition used in the examples is for treating cystitis, which is formed by combining nano-level metal granules and a carbon material and combining with a water-containing excipient.
FIG. 10 shows no pathological conditions such as inflammation, edema, and internal bleeding in bladder H & E stained sections of normal rats of the M3-1 (Normal) group.
図11に示すように、M3−2(LPS)組のラット膀胱は炎症誘導剤により炎症が誘導され、白血球集合、水腫及び内出血等の深刻な炎症現象が現れている。
また、図12に示すようにM4−3(LPS−ACF)組のラットは、炎症誘導剤により炎症誘導後、銀を含む金属顆粒と結合したカーボン材料で治療されたため、白血球集合、水腫、内出血等の炎症現象が現れていない。
よって、カーボン材料と銀を含む金属顆粒と結合して形成する医薬組成物は、殺菌及び膀胱炎の症状を緩和する効果を有することが明らかである。
As shown in FIG. 11, inflammation in the rat bladder of the M3-2 (LPS) group is induced by inflammation-inducing agents, and serious inflammatory phenomena such as leukocyte aggregation, edema, and internal bleeding appear.
In addition, as shown in FIG. 12, the rats of the M4-3 (LPS-ACF) group were treated with a carbon material combined with metal granules containing silver after inducing inflammation with an inflammation-inducing agent, so that leukocyte aggregation, edema, internal bleeding Inflammation such as this does not appear.
Therefore, it is clear that the pharmaceutical composition formed by combining the carbon material and the metal granule containing silver has the effect of sterilizing and alleviating the symptoms of cystitis.
上述の説明により、上記実施例の長所及び予想される効果を下記の通りである。
1、上記実施例は、カーボン材料と含水賦形剤とを組合せて形成された薬用上使用できる複合賦形剤としての泌尿器系疾患を治療する医薬組成物である。そして膀胱粘膜(bladder mucosa)の病症にも対応でき、膀胱炎の病状を緩和しながら長時間の治療効果を有する。
2、上記実施例は、カーボン材料を含水賦形剤と組合せて形成された薬用上使用できる複合賦形剤としての泌尿器系疾患を治療する医薬組成物である。そして膀胱粘膜(bladder mucosa)に対する修復作用を有し、さらなる治療効果を期待できる。
3、上記実施例の泌尿器系統を治療する医薬組成物は、カーボン材料が直径2 nm〜2 mmの銀、プラチナ、パラジウム、金、亜鉛、および、銅の内の少なくとも一種を含むナノレベルの金属顆粒と結合するものであり、殺菌及び膀胱炎の症状を緩和する効果を高めることができる。
4、上記実施例の泌尿器系疾患を治療する医薬組成物は、カーボン材料が比較的に高い比表面積値(specific surface area、BET)及び良好な生体適合性を有するため、自ら細菌を吸着し、膀胱内の細菌量を105 CFU以下まで迅速に低下させる。また、細菌外毒素、内毒素(LPS)等の有害物質を吸着して尿と共に体外に排出させることで、膀胱炎の炎症反応を軽減させ、予防の効果を果すことができる。
From the above description, the advantages and expected effects of the above embodiment are as follows.
1. The above example is a pharmaceutical composition for treating a urological disease as a pharmaceutically usable composite excipient formed by combining a carbon material and a water-containing excipient. And it can cope with disease of bladder mucosa (bladder mucosa) and has a long-term therapeutic effect while alleviating the pathology of cystitis.
2. The above example is a pharmaceutical composition for treating urological diseases as a pharmaceutically usable composite excipient formed by combining a carbon material with a water-containing excipient. And it has a repair action with respect to bladder mucosa (bladder mucosa), and can anticipate the further therapeutic effect.
3. The pharmaceutical composition for treating the urinary system of the above example is a nano-level metal containing at least one of silver, platinum, palladium, gold, zinc, and copper whose carbon material has a diameter of 2 nm to 2 mm. It binds to the granules and can enhance the effect of alleviating the symptoms of sterilization and cystitis.
4. The pharmaceutical composition for treating urological diseases of the above examples, because the carbon material has a relatively high specific surface area (BET) and good biocompatibility, adsorb bacteria themselves, Rapidly reduce the amount of bacteria in the bladder to below 10 5 CFU. In addition, by adsorbing harmful substances such as bacterial exotoxin and endotoxin (LPS) and excreting them together with urine, the inflammation reaction of cystitis can be reduced and the effect of prevention can be achieved.
以上説明した本発明は、上記実施例に限定されるものではなく、その要旨を逸脱しない範囲で種々の実施例に適用可能である。 The present invention described above is not limited to the above-described embodiments, and can be applied to various embodiments without departing from the gist thereof.
本発明は特許の要件である新規性を有しながら従来の同類製品に比べ、十分な進歩性がある。また、実用性も高く、社会のニーズに合致している。さらに、産業上の利用価値は極めて高いと考えられる。 While the present invention has novelty that is a requirement of patents, the present invention has sufficient inventive step as compared with conventional similar products. It is also highly practical and meets social needs. Furthermore, the industrial utility value is considered extremely high.
Claims (20)
含水賦形剤と、を含み、
薬用上受け入れ可能であり、膀胱及びその関連組織と接触することで、膀胱炎の症状を緩和させることを特徴とする泌尿器系疾患を治療する医薬組成物。 A carbon material having a diameter of 2 nm to 2 mm and containing 60% by mass or more of carbon,
A hydrous excipient, and
A pharmaceutical composition for treating a urological disease, which is medicinally acceptable and is characterized by alleviating symptoms of cystitis by contact with the bladder and related tissues.
前記金属顆粒は、前記カーボン材料と前記金属顆粒との総質量の20 質量%以下を占めることを特徴とする請求項1に記載の泌尿器系疾患を治療する医薬組成物。 The carbon material is bonded with metal granules containing at least one of silver, platinum, palladium, gold, zinc, and copper having a diameter of 2 nm to 2 mm,
The pharmaceutical composition for treating a urological disease according to claim 1, wherein the metal granule accounts for 20 mass% or less of the total mass of the carbon material and the metal granule.
含水賦形剤と、を含み、
前記カーボン材料は、直径は2 nm〜2 mmであり、20 質量%以下の金属顆粒と結合し、カーボンファイバー、活性炭ファイバー、活性炭、グラファイト、膨張化グラファイト、ナノカーボンチューブ、カーボンナノカプセル、コークボール、および、カーボンブラックの内の少なくとも一種を含み、
薬用上受け入れ可能であり、膀胱及びその関連組織と相互接触することで、殺菌を行い、膀胱炎の症状を緩和させることを特徴とする泌尿器系疾患を治療する医薬組成物。 A carbon material containing 60 mass% or more of carbon,
A hydrous excipient, and
The carbon material has a diameter of 2 nm to 2 mm and is bonded to a metal granule of 20% by mass or less, and includes carbon fiber, activated carbon fiber, activated carbon, graphite, expanded graphite, nanocarbon tube, carbon nanocapsule, and coke ball. And including at least one of carbon black,
A pharmaceutical composition for treating a urinary disease, which is medicinally acceptable and is characterized by sterilization and relieving symptoms of cystitis by mutual contact with the bladder and related tissues.
前記金属顆粒は、前記カーボン材料と前記金属顆粒との総質量の5 質量%以下占めることを特徴とする請求項14に記載の泌尿器系疾患を治療する医薬組成物。 The carbon material contains 80% by mass or more of carbon, and combines with a small granule metal containing at least one of silver, platinum, palladium, gold, zinc, and copper having a diameter of 5 nm to 2 mm.
The pharmaceutical composition for treating urological diseases according to claim 14, wherein the metal granule occupies 5 mass% or less of the total mass of the carbon material and the metal granule.
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| WO2020216333A1 (en) * | 2019-04-26 | 2020-10-29 | Tcm Biotech International Corp. | Pharmaceutical composition for prevention of recurrent urinary tract infection |
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