TW201427676A - Neurotrophic agents - Google Patents
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Abstract
Description
本發明涉及一中草藥萃取物及其製備方法,可有效的促進神經細胞生長,以用於治療或預防阿茲海默症(Alzheimer's disease)的用途。特別是當歸、石菖蒲之萃取物。 The invention relates to a Chinese herbal medicine extract and a preparation method thereof, which can effectively promote the growth of nerve cells for the purpose of treating or preventing Alzheimer's disease. Especially the extract of Angelica and Shichangpu.
阿茲海默症(Alzheimer's disease,AD)是一種神經退化性疾病,患者會失去記憶力和多種認知能力,甚至產生人格特質的改變。全世界有超過3,500萬的人罹患阿茲海默症,為老年人最常見的失智症(Dementia)之一。 Alzheimer's disease (AD) is a neurodegenerative disease in which patients lose memory and multiple cognitive abilities, and even produce changes in personality traits. More than 35 million people worldwide suffer from Alzheimer's disease, one of the most common dementias in the elderly.
阿茲海默症最主要的病理變化是類澱粉斑塊和含高度磷酸化tau蛋白的神經纖維纏結。因發現在阿茲海默症患者基底前腦區(basal forebrain)乙醯膽鹼神經有退化之現象,同時也發現乙醯膽鹼合成酵素(choline acetyltransferase)明顯減少,因而提出了膽鹼假說(Cholinergic Hypothesis)。而目前阿茲海默氏症治療藥物有四個主要係依此理論而研發,包括塔克寧(Cognex® tacrine)、愛憶欣(Aricept® donepezil)、憶思能(Exelon® Galantamine)及利憶靈(Reminyl® rivastigmine),這些藥物均屬於乙醯膽鹼分解酵素之抑制劑(acetycholinesterase inhibitor)。另外,基於興奮性神經毒素之理論,另一個治療藥物:滅擾停(memantine)(Ebixa®憶必佳,Witgen®威智,Manotin®滅擾),屬非選擇性天門冬氨酸(N-methyl-D-aspartate,NMDA)接受器抑制劑,可預防麩氨酸(glutamate)導致之興奮性神經損傷,進而改善阿茲海默症病人之症狀。但以上藥物治療均僅能達到中等症狀改善效果,並無法阻止疾病繼續惡化。因此對於神經退化性疾病的治療來 說,設法挽救已受損的神經細胞,並同時刺激該神經細胞的再生,係為較為理想的治療策略。 The most important pathological changes in Alzheimer's disease are amyloid-like plaques and neurofibrillary tangles containing highly phosphorylated tau. The choline hypothesis was proposed because of the degeneration of acetylcholine nerve in the basal forebrain of Alzheimer's disease patients and the significant reduction of choline acetyltransferase. Cholinergic Hypothesis). At present, four main treatments for Alzheimer's disease are developed according to this theory, including Cognex® tacrine, Aricept® donepezil, and Exelon® Galantamine. Reminyl® rivastigmine, these drugs are all acetycholinesterase inhibitors. In addition, based on the theory of excitatory neurotoxins, another therapeutic drug: memantine (Ebixa®, Witgen®, Manotin®) is a non-selective aspartic acid (N- methyl-D-aspartate (NMDA) receptor inhibitors prevent excitatory nerve damage caused by glutamate, thereby improving the symptoms of Alzheimer's patients. However, the above drug treatment can only achieve a moderate symptom improvement effect, and can not prevent the disease from continuing to deteriorate. So for the treatment of neurodegenerative diseases It is an ideal treatment strategy to try to save the damaged nerve cells and stimulate the regeneration of the nerve cells.
親神經物質大都是源自於氨基酸,可以協助神經元的發展與生存,科學家認為將這些物質導入阿茲海默症病人的腦部,可能有助於修護受損的神經元,神經生長因子(nerve growth factor;NGF)即為其中一員。NGF是第一種被發現的神經營養因子(neurotrophin),具有神經元營養和促進突觸生長雙重生物學功能,它對中樞及周邊神經元的發育、分化、生長、再生和功能特性的表達均具有重要的調控作用。 Most of the neurophilic substances are derived from amino acids, which can help the development and survival of neurons. Scientists believe that the introduction of these substances into the brain of Alzheimer's patients may help repair damaged neurons, nerve growth factors. (nerve growth factor; NGF) is one of them. NGF is the first discovered neurotrophin, which has the dual biological functions of neurotrophic nutrition and synaptic growth. It expresses the development, differentiation, growth, regeneration and functional properties of central and peripheral neurons. Has an important regulatory role.
根據先前的研究結果指出,目前已有許多親神經物質已為科學家所發現,其包括有神經膠質衍生性神經營養因子(Glial-derived Neurotrophic Factor,GDNF)、大腦衍生性神經營養因子(Brain derived Neurotrophic Factor,BDNF)、神經生長因子(nerve growth factor,NGF)、神經營養因子3(neurotrophin-3,NT3)、神經營養因子4(NT4),及血小板衍生性生長因子(Platelet-derived growth factor,PDGF)等。這些親神經物質雖已被證實具有促進神經細胞存活的活性,但是其於臨床上卻有許多使用上的限制。此係由於投予這些親神經物質至活體中時,這些親神經物質因具有較大的分子量,並不易穿過血腦障壁(Blood Brain Barrier,BBB)而到達腦部。故直接開發蛋白質藥物用於口服,並不實際,因此可發揮諸如神經生長因子之小分子活性分子做為神經生長因子類似物(mimics),用以促進神經細胞的增生並維持其特性,甚至是促進其分化成具有功能的神經元細胞,這將有助於將做為退化性神經疾病的有效預防或治療。 According to previous research results, many neurophilic substances have been discovered by scientists, including Glial-derived Neurotrophic Factor (GDNF) and Brain-derived Neurotrophic (Brain derived Neurotrophic). Factor, BDNF), nerve growth factor (NGF), neurotrophin-3 (NT3), neurotrophin 4 (NT4), and platelet-derived growth factor (PDGF) )Wait. Although these neurotropic substances have been shown to have an activity of promoting nerve cell survival, they have many clinical limitations. Due to the administration of these neurotropic substances into living organisms, these neurotropic substances have a large molecular weight and do not easily cross the Blood Brain Barrier (BBB) to reach the brain. Therefore, it is not practical to directly develop protein drugs for oral administration, so small molecule active molecules such as nerve growth factors can be used as nerve growth factor analogs (mimics) to promote the proliferation of nerve cells and maintain their characteristics, even Promoting its differentiation into functional neuronal cells will help to prevent or treat it as a degenerative neurological disease.
CN 1742968係關於一種治療血管性癡呆症之藥物,其係由中藥材何首烏、黃芪(astragalus root)、丹參(salvia root)、當歸(ligusticum root)、石菖蒲(acorus root)、益智仁(alphinia fruit)、銀杏葉總黃酮(ginkgo leaf total flavone)、地龍(earthworm)、水蛭(leech)及天麻(gastrodia root)製備。以四七湯(制半夏、朱茯苓、石菖蒲、枳實、鬱金)加味治療老年性痴呆30例,與對照組腦復新相比療效顯著,對老年性痴呆、中風合併痴呆有良好治療作用。以柴胡、鬱金、紫蘇、石菖蒲之複方(稱之為SYJN)具有神經保護作用,且可增加大鼠暴露於長期不可預測之壓力(chronic unpredictable stress;CUS)下之神經營養因子3(neurotrophin-3)與神經生長因子(NGF)之表現。 CN 1742968 relates to a medicine for treating vascular dementia, which is composed of Chinese herbal medicines Polygonum multiflorum, astragalus root, salvia root, ligusticum root, acorus root, and albinia. Fruit), ginkgo leaf total flavone, earthworm, leech and gastrodia root. Treating 30 cases of senile dementia with Siqi Decoction (made in Pinellia, Zhu Xi, Shichangpu, Yushi, Yujin), compared with the control group, it has significant curative effect, and has good treatment for senile dementia, stroke and dementia. effect. The compound of Bupleurum, turmeric, perilla, and Shichangpu (called SYJN) has neuroprotective effects and can increase the exposure of rats to long-term unpredictable stress (chronic unpredictable). Stress; CUS) The expression of neurotrophin-3 and nerve growth factor (NGF).
依上述的結果得知,中草藥複方在預防或治療神經退化性疾病有功效,但複方之表現仍難分開評估。本發明精準的確認了當歸、石菖蒲萃取物促進神經生長作用,顯然更進一步提供預防或治療神經退化性疾病之有效萃取物。 According to the above results, the Chinese herbal compound has an effect in preventing or treating neurodegenerative diseases, but the performance of the compound is still difficult to evaluate separately. The present invention accurately confirms that the extract of Angelica sinensis and Acorus calamus promotes nerve growth, and obviously further provides an effective extract for preventing or treating neurodegenerative diseases.
本發明之一個目的為提供一種促進神經細胞生長之中草藥萃取物,其係指當歸萃取物及石菖蒲萃取物。 It is an object of the present invention to provide an herbal extract which promotes the growth of nerve cells, which is an extract of Angelica sinensis and an extract of Acorus calamus.
本發明之另一目的為提供一種製備促進神經細胞生長之中草藥萃取物之方法。 Another object of the present invention is to provide a method of preparing an herbal extract which promotes the growth of nerve cells.
本發明之另一目的為提供一種本發明之促進神經細胞生長之中草藥萃取物之用途,其係用以預防或治療阿茲海默症。 Another object of the present invention is to provide a use of the herbal extract for promoting nerve cell growth of the present invention for preventing or treating Alzheimer's disease.
在以下部分中詳細描述本發明。本發明之其他特徵、目的及優勢可易於見於本發明之實施方式及申請專利範圍中。 The invention is described in detail in the following sections. Other features, objects, and advantages of the invention are readily apparent from the embodiments of the invention and the appended claims.
第一圖係為當歸水萃取物之高效液相層析圖。 The first figure is a high performance liquid chromatogram of the water extract of Angelica sinensis.
第二圖係為石菖蒲水萃取物之高效液相層析圖。 The second figure is a high performance liquid chromatogram of the aqueous extract of Acorus calamus.
第三圖係為當歸萃取物及石菖蒲萃取物促進PC-12細胞生長的效果。 The third figure shows the effect of Angelica extract and Acorus calamus extract on the growth of PC-12 cells.
第四圖係為石菖蒲萃取物保護PC-12細胞免於因Aβ1-42/apoE4所引起細胞凋亡的效果。 The fourth figure is the effect of the extract of A. glabra L. against PC-12 cells from apoptosis induced by Aβ 1-42 /apoE4.
以下實施例旨在進一步說明本發明之技術內容,而非限制本發明之申請專例範圍。 The following examples are intended to further illustrate the technical scope of the present invention and are not intended to limit the scope of the application.
製造例:製造當歸萃取物,如一般工藝所述,可經由將當歸 生藥材100g壓碎,加入2升水,加熱煮沸迴流1-4小時,將過濾後之萃取液濃縮乾燥,而得到30%的當歸萃取物,其高效液相層析圖如圖一所示。製造石菖蒲萃取物,如一般工藝所述,可經由將熟地黃生藥材100g壓碎,加入2升水,加熱煮沸迴流1-4小時,將過濾後之萃取液濃縮乾燥,而得到30%的石菖蒲萃取物,其高效液相層析圖如圖二所示。高效液相層析儀之管柱為Thermo Hypersil-Keystone RPC 18,4.6×250 mm;高效液相層析儀之流動相為20%乙腈(Acetonitrile,含0.1%甲酸(formic acid)).0分鐘,20%乙腈(Acetonitrile,含0.1%甲酸(formic acid))10分鐘,100%乙腈(Acetonitrile,含0.1%甲酸(formic acid))40分鐘,100%乙腈(Acetonitrile,含0.1%甲酸(formic acid))50分鐘,20%乙腈(Acetonitrile,含0.1%甲酸(formic acid))60分鐘;高效液相層析儀之流速為每分鐘1毫升(1 mL/min);其偵檢儀為DAD,波長設定於230、254、280 nm。 Manufacturing Example: Manufacture of Angelica Extract, as described in the general process, via Angelica 100 g of raw medicinal material was crushed, 2 liters of water was added, and the mixture was heated and boiled and refluxed for 1-4 hours. The filtered extract was concentrated and dried to obtain 30% of Angelica sinensis extract, and its high-performance liquid chromatogram is shown in FIG. The extract of the iris can be made as described in the general process, and 100 g of the rehmannia radix can be crushed, 2 liters of water is added, heated and boiled for 1-4 hours, and the filtered extract is concentrated and dried to obtain 30% of the stone. The HPLC chromatogram of the iris extract is shown in Figure 2. The column of high performance liquid chromatography is Thermo Hypersil-Keystone RPC 18, 4.6×250 mm; the mobile phase of high performance liquid chromatography is 20% acetonitrile (Acetonitrile, containing 0.1% formic acid). 0 minutes 20% acetonitrile (Acetonitrile, containing 0.1% formic acid) for 10 minutes, 100% acetonitrile (Acetonitrile, containing 0.1% formic acid) for 40 minutes, 100% acetonitrile (Acetonitrile, containing 0.1% formic acid (formic acid) )) 50 minutes, 20% acetonitrile (Acetonitrile, containing 0.1% formic acid) for 60 minutes; high-performance liquid chromatography flow rate of 1 ml per minute (1 mL / min); the detector is DAD, The wavelength is set at 230, 254, 280 nm.
測試例一:促進神經細胞增生之中草藥萃取物之離體模式活性測試例。以大鼠腎上腺髓質嗜鉻細胞瘤(pheochrmocytoma)細胞株PC-12細胞為離體篩選模式。PC-12細胞可經由神經生長因子(Nerve Growth Factor,NGF)誘導而長出神經突觸,分化成類似交感神經元的細胞,因此PC-12細胞常做為研究神經細胞分化與神經退化性疾病的模式。目前很多對於阿茲海默症的理論,包括Aβ導致神經細胞氧化壓力提高、氧化壓力失衡導致細胞凋亡等,都曾在PC-12細胞模式上被證實。也有研究利用Aβ誘導PC-12細胞凋亡,建立模擬阿茲海默症的細胞模式,作為篩檢抗阿茲海默症藥物的細胞模式。 Test Example 1: An example of an ex vivo model activity test of a herbal extract which promotes nerve cell proliferation. The rat pyelochamocytoma cell line PC-12 cells were used as an in vitro screening mode. PC-12 cells can be induced by nerve growth factor (NGF) to grow synapses and differentiate into cells resembling sympathetic neurons. Therefore, PC-12 cells are often used to study neuronal differentiation and neurodegenerative diseases. Mode. Many current theories of Alzheimer's disease, including Aβ, which leads to increased oxidative stress in nerve cells, and oxidative stress imbalance leading to apoptosis, have been confirmed in the PC-12 cell model. Studies have also been conducted to induce apoptosis in PC-12 cells using Aβ, and to establish a cell model that mimics Alzheimer's disease as a cell model for screening for anti-Alzheimer's disease drugs.
大鼠腎上腺髓質嗜鉻細胞瘤細胞株PC-12細胞於含有胎牛血清及馬血清之培養基中培養24小時後,加入測試樣品處理PC-12細胞48小時,觀察細胞型態,並以MTT呈色分析法評估細胞的存活率。 Rat adrenal medullary pheochromocytoma cell line PC-12 cells were cultured for 24 hours in medium containing fetal bovine serum and horse serum, and test samples were added to treat PC-12 cells for 48 hours to observe cell type and MTT. Color analysis was used to assess cell viability.
※試驗分析本發明萃取物對PC-12細胞之生長分化作用時,係以顯微鏡觀察細胞型態。 * Test Analysis The effect of the extract of the present invention on the growth and differentiation of PC-12 cells was observed by microscopic observation of cell type.
※試驗分析本發明萃取物對PC-12細胞之生長增生作用時,係以計算96孔微量盤各孔中之細胞存活率,以MTT呈色分析法評估癌細胞的存活率。 * Experimental analysis The growth and proliferation of the extract of the present invention on PC-12 cells was performed by calculating the cell viability in each well of a 96-well microplate, and the survival rate of the cancer cells was evaluated by MTT colorimetric assay.
※MTT呈色分析法:MTT是一種tertrazolium salt,全名為3-〔4,5-Dimenthylthialzol-2-yl〕2,5-diphenyltetrazolium bromide,為黃色染劑,可被活細胞吸收並在粒腺體中被succinate-tetrazolium reductase還原成藍色的formazan,常用於篩檢物質對細胞之生長及增生的影響。 ※MTT color analysis: MTT is a tertrazolium salt, the full name is 3-[4,5-Dimenthylthialzol-2-yl]2,5-diphenyltetrazolium bromide, which is a yellow dye that can be absorbed by living cells and in the granules. The body is reduced to blue formazan by succinate-tetrazolium reductase, which is often used to screen the effects of substances on cell growth and proliferation.
依前述離體模式活性測試例之方法,進行二十幾種中草藥萃取物處理PC-12細胞48小時,發現本發明之當歸萃取物、石菖蒲萃取物可促進PC-12細胞增生,其增生效果分別為278.9%及171.3%,更優於對照組的銀杏萃取物EGb761的增生效果124.8%,其中當歸萃取物促進神經細胞生長之效果(278.9%)與神經生長因子NGF處理(50 ng/mL)組別效果(310.8%)相當(如圖三所示)。 According to the method of the above-mentioned ex vivo model activity test, more than twenty kinds of Chinese herbal medicine extracts were used to treat PC-12 cells for 48 hours, and it was found that the extract of Angelica sinensis and the extract of Acorus calamus L. can promote the proliferation of PC-12 cells, and the proliferation effect thereof. They were 278.9% and 171.3%, respectively, which was better than the control group. The proliferation effect of Ginkgo biloba extract EGb761 was 124.8%, among which Angelica sinensis extract promoted nerve cell growth (278.9%) and nerve growth factor NGF treatment (50 ng/mL). The group effect (310.8%) is equivalent (as shown in Figure 3).
測試例二:保護神經細胞免於凋亡之中草藥萃取物之離體模式活性測試例。將Aβ1-42粉末溶於Tris-HCl緩衝液(100 mM,pH 7.4)與純化並更換緩衝液的apoE4蛋白混合於iDMEM培養液中,將其配製為含有Aβ1-42 5 μM與apoE4 20 μg/mL的培養液,之後置於細胞培養箱中(37℃,5% CO2/95% air)培養48小時,使Aβ1-42與apoE4能夠形成複合物。將含有Aβ1-42/apoE4的培養液與欲測試之中草藥萃取物同時處理已接種於96孔微量盤並刺激分化的PC-12細胞48小時,再以MTT方法測試中草藥保護PC-12細胞免於因Aβ1-42/apoE所引起細胞凋亡之能力。本測試例以銀杏萃取物EGb761為對照組,眾多的研究指出EGb761對於神經細胞具有保護功效,包括直接抑制神經細胞的壞死與凋亡,也有研究指出EGb761對於主司學習與記憶的海馬迴細胞有保護功效,另外EGb761也可提高SD大鼠體內的α-secretase活性,相對降低Aβ的生成。EGb761也可抑制Aβ之聚集,且降低caspase-3活性,因此認定EGb761具有延緩阿滋海默症進展之潛力。 Test Example 2: An example of an ex vivo model activity test for protecting herbal cells from apoptosis. The Aβ 1-42 powder was dissolved in Tris-HCl buffer (100 mM, pH 7.4) and purified and replaced with buffer apoE4 protein mixed in iDMEM culture medium, which was formulated to contain Aβ 1-42 5 μM and apoE4 20 The culture solution of μg/mL was then cultured in a cell culture incubator (37 ° C, 5% CO 2 /95% air) for 48 hours to allow Aβ 1-42 to form a complex with apoE4. The culture medium containing Aβ 1-42 /apoE4 and the herbal extract to be tested were simultaneously treated with PC-12 cells that had been inoculated into a 96-well microplate and stimulated for differentiation for 48 hours, and then the Chinese herbal medicine was used to protect PC-12 cells by MTT method. The ability to cause apoptosis due to Aβ 1-42 /apoE. In this test, Ginkgo biloba extract EGb761 was used as a control group. Numerous studies have indicated that EGb761 has protective effects on nerve cells, including direct inhibition of necrosis and apoptosis of nerve cells. Studies have also indicated that EGb761 has a hippocampal gyrus for learning and memory of the main division. The protective effect, in addition, EGb761 can also increase the α-secretase activity in SD rats, and relatively reduce the production of Aβ. EGb761 also inhibits the aggregation of Aβ and reduces the activity of caspase-3, thus confirming that EGb761 has the potential to delay the progression of Alzheimer's disease.
依前述離體模式活性測試例之方法,處理本發明之石菖蒲萃取物,發現本發明之石菖蒲萃取物可增加PC-12細胞遭受Aβ1-42/apoE4毒性下的存活率(188.5%),其效果比對照組銀杏萃取物EGb761的153.1%還要優越(如圖四所示)。 The extract of the iris of the present invention was treated according to the method of the above-described ex vivo model activity test, and it was found that the extract of the iris of the present invention can increase the survival rate of PC-12 cells under the toxicity of Aβ 1-42 /apoE4 (188.5%). The effect is superior to the control of Ginkgo biloba extract EGb761 of 153.1% (as shown in Figure 4).
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