KR20190009139A - Composition for preventing or treating erectile dysfunction comprising proNGF inhibitor - Google Patents
Composition for preventing or treating erectile dysfunction comprising proNGF inhibitor Download PDFInfo
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- KR20190009139A KR20190009139A KR1020170090989A KR20170090989A KR20190009139A KR 20190009139 A KR20190009139 A KR 20190009139A KR 1020170090989 A KR1020170090989 A KR 1020170090989A KR 20170090989 A KR20170090989 A KR 20170090989A KR 20190009139 A KR20190009139 A KR 20190009139A
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- erectile dysfunction
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Abstract
Description
본 발명은 proNGF (nerve growth factor) 억제제를 포함하는 발기부전 예방 또는 치료용 조성물에 관한 것이다.The present invention relates to a composition for preventing or treating erectile dysfunction comprising a proNGF (nerve growth factor) inhibitor.
발기부전은 남성 성기능 장애의 일종으로서, 남성의 성기가 발기되지 않거나 발기 상태가 지속되지 않아 성행위를 할 수 없는 현상이다. 발기부전의 원인은 크게 심인성 원인과 기질성 원인으로 구별된다. 심인성 발기부전은 심리적, 정신적 영향에 의한 교감신경의 과다한 작용으로 인한 노르아드레날린(noradrenaline)의 과도한 분비, 음경해면체 평활근 긴장도 증가, 신경 전달물질의 분비 억제 등에 기인한다. Erectile dysfunction is a type of male sexual dysfunction that can not be done because male penis is not erect or erect state is not maintained. The causes of erectile dysfunction are largely classified into psychogenic causes and substrate causes. Cardiogenic erectile dysfunction is caused by excessive secretion of noradrenaline due to excessive action of sympathetic nerves due to psychological and psychological influences, increased smooth muscle tension of the penis cavernosum, and suppression of neurotransmitter secretion.
기질성 발기 부전은 그 원인에 따라, 신경인성, 혈관성, 및 내분비성 발기부전으로 분류된다. 상기 혈관성 발기부전은 고지질혈증, 당뇨, 고혈압, 흡연, 전신 심혈관질환 등으로 인해서 음경 해면체와 그 안의 혈관내피세포, 혈관주위세포 및 신경세포 등이 손상되어 이 내피세포에서 일산화질소(nitric oxide: NO) 등의 이완성 물질의 분비가 원활하지 않아 생기는 장애이다.Substantial erectile dysfunction is classified as neurogenic, vascular, and endocrine erectile dysfunction, depending on its cause. The vascular erectile dysfunction is caused by damage to the corpus cavernosum, vascular endothelial cells, pericytes, and nerve cells due to hyperlipidemia, diabetes, hypertension, smoking, systemic cardiovascular disease, NO), which is caused by a lack of secretion of a relaxant substance.
최근 발기부전에 관한 연구는 기질성 원인에 더 비중을 두고 있고, 그의 치료로서 주로 비아그라(viagra, 성분명: 실데나필)를 포함한 경구용 PDE-5(phosphodiesterase-5) 저해제가 전 세계적으로 사용되고 있다. 이러한 경구용 약물은 음경해면체에 특이적으로 분포하는 PDE-5의 저해에 의한 cGMP의 농도를 증가시킴으로써 음경해면체 내 혈류를 증대시켜 발기를 유도하여 발기부전의 치료효과가 있는 것으로 알려졌다. 그러나 비아그라와 같은 PDE-5 저해제 계열의 약물들은 두통, 안면홍조, 소화불량, 및 심장마비 등 여러 가지 부작용을 가지고 있다고 보고되고 있을 뿐만 아니라, 분자적 수준에서 일시적인 단백질 발현 및 관련 인자들을 조절하는 것으로 근본적인 치료라 할 수 없다. 더욱이 당뇨에 의한 발기부전의 경우, 이와 같은 치료 효과가 잘 나타나지 않을 뿐만 아니라, 설령 효과가 있다 해도 그 효능이 장기간 지속되지 못한다는 단점이 있다.Recently, studies on erectile dysfunction have focused more on the underlying causes, and oral PDE-5 (phosphodiesterase-5) inhibitors, including Viagra (sildenafil), have been used worldwide for its treatment. These oral drugs are known to increase the concentration of cGMP due to the inhibition of PDE-5, which is specifically distributed in the corpus cavernosum, thereby enhancing the blood flow in the corpus cavernosum, thereby inducing erection and thus treating erectile dysfunction. However, PDE-5 inhibitors such as Viagra have been reported to have several side effects such as headache, flushing, dyspepsia, and cardiac arrest, as well as to modulate transient protein expression and related factors at the molecular level It is not a fundamental treatment. Furthermore, in the case of erectile dysfunction caused by diabetes, such a therapeutic effect is not shown well, and even if it is effective, its efficacy can not be sustained for a long time.
따라서, 발기부전 음경 내의 비정상화된 해면체 구조를 근본적으로 치료하고, 그 효능도 장시간 지속되는 발기부전 치료제의 필요성이 요구되고 있는 실정이다.Therefore, there is a need for a remedy for erectile dysfunction which fundamentally treats the normalized corpus cavernosum structure in the erectile dysfunction penis, and the efficacy thereof is prolonged for a long time.
한편, NGF (nerve growth factor)는 신경성장인자로서 Trk 수용체와 결합하여 그 하위 신호 전달을 통해 세포의 성장, 유지, 증식 및 생존 조절에 주로 관여한다. 그에 반하여 NGF의 전구체인 proNGF는 세포막의 p75NTR 수용체와 결합하여 하위 신호 전달을 통하여 세포 사멸을 유도 및 조절한다 (Barcelona et al., Neurobiology of Disease 36: 8826, 2016; Siao et al., Journal of Experimental Medicine 209; 2291, 2012). 하지만 현재까지 proNGF-p75NTR 신호전달경로와 발기기전 및 발기부전 치료에 대한 연구는 전무하다.On the other hand, NGF (nerve growth factor) is a nerve growth factor and is mainly involved in the regulation of cell growth, maintenance, proliferation and survival through binding with its Trk receptor. In contrast, proNGF, a precursor of NGF, binds to the p75NTR receptor of the cell membrane and induces and regulates apoptosis through lower signaling (Barcelona et al., Neurobiology of Disease 36: 8826, 2016; Siao et al., Journal of Experimental Medicine 209; 2291, 2012). To date, however, there have been no studies on the proNGF-p75NTR signaling pathway, erectile function, and erectile dysfunction.
이에 본 발명자들은 새로운 발기부전 예방 또는 치료용 조성물을 개발하기 위해 연구를 수행한 결과, proNGF 억제제가 음경 해면체 내피세포의 재생을 유도하여 음경 발기력을 증가시킴으로써, 우수한 발기부전 개선 효과를 보임을 확인하고, 본 발명을 완성하였다. Accordingly, the inventors of the present invention conducted a study to develop a composition for preventing or treating erectile dysfunction. As a result, the present inventors confirmed that proNGF inhibitor improves erectile dysfunction by inducing regeneration of penile corpus cavernosum endothelial cells to increase penile erection power , Thereby completing the present invention.
본 발명의 목적은 proNGF (nerve growth factor) 억제제를 포함하는 발기부전 예방 또는 치료용 조성물을 제공하는 것이다. It is an object of the present invention to provide a composition for preventing or treating erectile dysfunction which comprises proNGF (nerve growth factor) inhibitor.
상기 목적을 달성하기 위하여, 본 발명은 proNGF의 발현 또는 활성 억제제를 포함하는 발기부전 예방 또는 치료용 약학적 조성물을 제공한다. In order to achieve the above object, the present invention provides a pharmaceutical composition for preventing or treating erectile dysfunction which comprises proNGF expression or activity inhibitor.
또한 본 발명은 proNGF의 발현 또는 활성 억제제를 포함하는 발기부전 예방 또는 치료용 의약외품 조성물을 제공한다. The present invention also provides a quasi-drug composition for the prevention or treatment of erectile dysfunction which comprises proNGF expression or activity inhibitor.
또한 본 발명은 proNGF의 발현 또는 활성 억제제를 포함하는 발기부전 예방 또는 개선용 식품 조성물을 제공한다.The present invention also provides a food composition for preventing or ameliorating erectile dysfunction comprising an inhibitor of proNGF expression or activity.
본 발명에 따른 proNGF 억제제는 혈관내피세포, 혈관주위세포 및 신경세포 특이적인 단백질의 활성 수준을 증가시켜 음경 해면체 내피세포의 재생을 유도하고 음경 발기력을 증가시키는 등 우수한 발기부전 개선 효과를 가지고 있는바, 발기부전의 예방 또는 치료에 유용하게 이용될 수 있다.The proNGF inhibitor according to the present invention has an excellent erectile dysfunction improvement effect by increasing the activity level of vascular endothelial cells, pericytes and nerve cell specific proteins, inducing regeneration of the corpus cavernosum endothelial cells and increasing the erectile power of the penis , And to prevent or treat erectile dysfunction.
도 1은 발기부전 마우스 모델에서 항-proNGF 항체 투여에 의한 음경신경 전기자극에 따른 음경해면체 내압(발기력) 측정 결과를 나타낸 도이다.
도 2는 발기부전 마우스 모델의 음경해면체 조직에서 항-proNGF 항체 투여에 의한 혈관내피세포 특이적 단백질인 혈소판-내피세포 부착 분자-1(PECAM-1: Platelet/Endothelial Cell Adhesion Molucule-1) 및 혈관주위세포 특이적 단백질인 NG2(neuron glial antigen 2)의 활성 정도를 공초점 현미경으로 분석한 결과를 나타낸 도이다.
도 3은 발기부전 마우스 모델의 음경해면체 조직에서 항-proNGF 항체 투여에 의한 신경세포 특이적 단백질인 베타 III 튜불린의 활성 정도를 공초점 현미경으로 분석한 결과를 나타낸 도이다.
도 4는 발기부전 마우스 모델의 음경해면체 조직에서 항-proNGF 항체 투여에 의한 혈관내피세포 세포사멸 억제 정도를 공초점 현미경으로 분석한 결과를 나타낸 도이다.FIG. 1 is a graph showing the results of intracoronary cavernosal pressure (erectile force) measurement according to penile nerve electrical stimulation by administration of an anti-proNGF antibody in an erectile dysfunction mouse model.
FIG. 2 shows platelet-endothelial cell adhesion molecule-1 (PECAM-1), which is a vascular endothelial cell-specific protein by administration of anti-proNGF antibody in penile corpus cavernosum tissue of an erectile dysfunction mouse model, Fig. 2 is a graph showing the results of analysis of the activity of NG2 (neuron glial antigen 2), a peripheral cell-specific protein, by a confocal microscope.
FIG. 3 is a graph showing the results of analysis of the activity of beta-III tubulin, a neuron-specific protein by anti-proNGF antibody administration, in a penile corpus callosum tissue of an erectile dysfunction mouse model using a confocal microscope.
FIG. 4 is a graph showing the results of confocal microscopic analysis of the degree of inhibition of vascular endothelial cell death by administration of anti-proNGF antibody in corpus cavernosal tissues of an erectile dysfunction mouse model.
본 발명은 proNGF의 발현 또는 활성 억제제를 포함하는 발기부전 예방 또는 치료용 조성물을 제공한다. The present invention provides a composition for preventing or treating erectile dysfunction comprising an inhibitor of proNGF expression or activity.
상기 조성물은 약학적 조성물, 의약외품 조성물 또는 식품 조성물을 포함한다. The composition comprises a pharmaceutical composition, a quasi-drug composition or a food composition.
본 발명에서 용어, “proNGF”는 신경성장인자인 “NGF (nerve growth factor)”의 전구체로서 세포막의 p75NTR 수용체와 결합하여 하위 신호 전달을 통하여 세포 사멸을 유도 및 조절한다고 알려져 있다. 보다 구체적으로, “proNGF”는 서열번호 1 또는 2로 표시되는 아미노산 서열로 이루어질 수 있으며, 상기 단백질의 기능적 동등물을 포함하나, 이에 제한되지 않는다. The term " proNGF " in the present invention is known to bind to the p75NTR receptor of the cell membrane as a precursor of the nerve growth factor " nerve growth factor " (NGF) and induce and regulate apoptosis through lower signal transduction. More specifically, " proNGF " may consist of the amino acid sequence shown in SEQ ID NO: 1 or 2 and includes, but is not limited to, functional equivalents of the protein.
본 발명에서 용어, "proNGF의 발현 또는 활성억제제"는 “proNGF 억제제”와 동일한 의미로서 proNGF의 mRNA 발현 또는 단백질 활성을 감소시키는 물질을 통칭한다. 보다 구체적으로는 proNGF에 직접적으로 작용하거나 그의 리간드에 간접적으로 작용하는 등의 방식을 통해 proNGF의 발현을 전사 수준에서 감소시키거나 그 활성을 방해함으로써 proNGF의 발현 또는 활성을 감소시키는 모든 물질을 포함할 수 있다. 상기 proNGF 발현을 저해하는 물질은 proNGF를 표적으로 하여 proNGF의 발현 또는 활성을 억제할 수 있는 화합물, 핵산, 펩타이드, 바이러스 또는 상기 핵산을 포함하는 벡터 등 그 형태에 제한없이 사용 가능하다. proNGF 발현을 저해하는 물질의 예로, proNGF의 mRNA에 특이적으로 결합하여 proNGF mRNA의 발현을 저해하는 siRNA, shRNA, miRNA, 안티센스 올리고뉴클레오티드, 리보자임(ribozyme), DNAzyme, PNA(peptide nucleic acids) 등이 포함되며, 이에 제한되지 않는다. 또한, proNGF 활성을 저해하는 물질의 예로, proNGF의 단백질에 특이적으로 결합하여 proNGF단백질의 활성을 억제하는 항체 또는 그의 항원 결합 단편, 앱타머, 화합물 등이 포함되며, 바람직하게는 항체이나 이에 제한되지 않는다. The term " proNGF expression or activity inhibitor " in the present invention refers to a substance that has the same meaning as " proNGF inhibitor ", and reduces the mRNA expression or protein activity of proNGF. More specifically, all substances that reduce the expression or activity of proNGF by reducing the expression of proNGF at the transcription level or by interfering with its activity, such as by acting directly on proNGF or acting indirectly on its ligand . The proNGF expression-inhibiting substance can be used in any form such as a compound, a nucleic acid, a peptide, a virus, or a vector containing the nucleic acid, which can inhibit proNGF expression or activity by targeting proNGF. Examples of the substance that inhibits proNGF expression include siRNA, shRNA, miRNA, antisense oligonucleotide, ribozyme, DNAzyme, PNA (peptide nucleic acids), etc. which specifically bind to proNGF mRNA and inhibit the expression of proNGF mRNA , But is not limited thereto. Examples of the substance that inhibits proNGF activity include an antibody or an antigen-binding fragment thereof, an aptamer, a compound, etc. that specifically binds to the protein of proNGF and inhibits the activity of proNGF protein, It does not.
본 발명에서 용어, “siRNA(small interference RNA)”는 RNA 방해 또는 유전자 사일런싱을 매개할 수 있는 핵산 분자로서, 21 내지 25 뉴클레오티드 크기의 작은 RNA 조각을 의미한다. 본 발명의 siRNA는 센스 가닥(mRNA 서열에 상응하는(corresponding) 서열)과 안티센스 가닥(mRNA 서열에 상보적인 서열)이 서로 반대쪽에 위치하여 이중쇄를 이루는 구조를 가질 수 있으며, 자기-상보성(self-complementary) 센스 및 안티센스 가닥을 가지는 단일쇄 구조를 가질 수 있다. 본 발명의 siRNA는 RNA끼리 짝을 이루는 이중사슬 RNA 부분이 완전히 쌍을 이루는 것에 한정되지 않고 미스매치(대응하는 염기가 상보적이지 않음), 벌지(일방의 사슬에 대응하는 염기가 없음) 등에 의하여 쌍을 이루지 않는 부분이 포함될 수 있다. As used herein, the term " small interference RNA " (siRNA) is a nucleic acid molecule capable of mediating RNA interference or gene silencing and refers to a small RNA fragment of 21-25 nucleotide size. The siRNA of the present invention may have a structure in which a sense strand (a corresponding sequence corresponding to an mRNA sequence) and an antisense strand (a sequence complementary to an mRNA sequence) are located on opposite sides to form a double strand, single-stranded structure with sense and antisense strands. The siRNA of the present invention is not limited to the complete pairing of the double-stranded RNA portions constituting the pair of RNAs, but may be a mismatch (the corresponding base is not complementary), a bulge (no base corresponding to one of the chains) Non-paired portions may be included.
본 발명에서 용어, “shRNA(short hairpin RNA)”는 siRNA의 고가의 생합성 비용, 낮은 세포 형질감염 효율로 인한 RNA 간섭 효과의 단시간 유지 등의 단점을 극복하기 위한 것으로 RNA 중합효소 Ⅲ의 프로모터로부터 아데노바이러스, 렌티 바이러스 및 플라스미드 발현 벡터 시스템을 이용하여 이를 세포 내로 도입하여 발현시키는 방식을 이용한다. 이러한 shRNA는 세포 내에 존재하는 siRNA 프로세싱 효소(Dicer or Rnase Ⅲ)에 의해 정확한 구조를 갖는 siRNA로 전환되어 목적 유전자의 사일런싱을 유도함이 널리 알려져 있다.The term " shRNA (short hairpin RNA) " in the present invention is intended to overcome the disadvantages of high cost biosynthesis cost of siRNA, short term maintenance of RNA interference effect due to low cell transfection efficiency, Viruses, lentiviruses, and plasmid expression vector systems to introduce them into cells and express them. It is well known that such shRNAs are converted into siRNAs with correct structure by the siRNA processing enzyme (Dicer or Rnase Ⅲ) present in the cell to induce silencing of the target gene.
본 발명에서 용어, “miRNA(microRNA)”는 21-25 뉴클레오타이드의 단일 가닥 RNA 분자로써, 타겟 mRNA의 파쇄 또는 해독단계에서의 억제를 통하여 진핵생물의 유전자 발현을 제어하는 조절물질이다. 이러한 miRNA는 두 단계의 프로세싱으로 이루어진다. 최초의 miRNA 전사체(primary miRNA)가 핵 안에서 Drosha라는 RNaseⅢ 타입효소에 의해 70-90 염기 정도의 스템-루프 구조, 즉 pre-miRNA로 만들어지고, 이후 세포질로 이동하여 다이서(Dicer)라는 효소에 의해 절단되어 21-25 염기의 성숙한 miRNA로 만들어진다. 이렇게 생성된 miRNA는 표적 mRNA에 상보적으로 결합하여 전사 후 유전자 억압자(post-transcriptional gene suppressor)로써 작용하며, 번역 억제와 mRNA 불안정화를 유도한다. miRNAs는 다양한 생리학적 현상 및 질환에 관여한다.As used herein, the term " miRNA (microRNA) " is a single strand RNA molecule of 21-25 nucleotides and is a regulatory substance that controls gene expression of eukaryotic organisms through inhibition in the step of disruption or detoxification of target mRNA. These miRNAs are made up of two stages of processing. The first miRNA transcript is made in the nucleus by the RNase III type enzyme called Drosha, which is made into a stem-loop structure of about 70-90 bases, that is, a pre-miRNA, which is then transferred to the cytoplasm and transferred to an enzyme called Dicer To produce a mature miRNA of 21-25 bases. These miRNAs complementarily bind to the target mRNA and act as post-transcriptional gene suppressors, leading to translation inhibition and mRNA destabilization. miRNAs are involved in a variety of physiological phenomena and diseases.
본 발명에서 용어, "안티센스 올리고뉴클레오티드"는 특정 mRNA의 서열에 상보적인 핵산 서열을 함유하고 있는 DNA 또는 RNA 또는 이들의 유도체를 의미하는데, mRNA 내의 상보적인 서열에 결합하여 mRNA의 단백질로의 번역을 저해하는 효과를 나타낸다. The term " antisense oligonucleotide " in the present invention means a DNA or RNA or a derivative thereof containing a nucleic acid sequence complementary to the sequence of a specific mRNA, which binds to a complementary sequence in the mRNA, .
본 발명에서 용어, "항체"는 당해 분야에서 공지된 용어로서 항원성 부위에 대해서 지시되는 특이적인 단백질 분자를 의미한다. 본 발명의 목적상, 항체는 proNGF에 특이적으로 결합하는 항체를 의미하며, 이러한 항체는 각 유전자를 통상적인 방법에 따라 발현벡터에 클로닝하여 상기 유전자에 의해 코딩되는 단백질을 얻고, 얻어진 단백질로부터 통상적인 방법에 의해 제조될 수 있다. 여기에는 상기 단백질에서 만들어질 수 있는 부분 펩티드도 포함되며, 본 발명의 부분 펩티드로는, 최소한 7개 아미노산, 바람직하게는 9개 아미노산, 더욱 바람직하게는 12개 이상의 아미노산을 포함한다. 본 발명의 항체의 형태는 특별히 제한되지 않으며 폴리클로날 항체, 모노클로날 항체 또는 항원 결합성을 갖는 것이면 그것의 일부도 본 발명의 항체에 포함되고 모든 면역글로불린 항체가 포함된다. 나아가, 본 발명의 항체에는 인간화 항체 등의 특수항체도 포함된다. 본 발명에 사용되는 항체는 2개의 전체 길이의 경쇄 및 2개의 전체 길이의 중쇄를 가지는 완전한 형태뿐만 아니라 항체 분자의 기능적인 단편을 포함한다. 항체 분자의 기능적인 단편이란 적어도 항원 결합기능을 보유하고 있는 단편을 뜻하며 Fab, F(ab'), F(ab') 2 및 Fv 등이 있다.As used herein, the term " antibody " refers to a specific protein molecule, as is known in the art, directed against an antigenic site. For purposes of the present invention, an antibody refers to an antibody that specifically binds to proNGF, which is obtained by cloning each gene into an expression vector according to a conventional method to obtain a protein encoded by the gene, ≪ / RTI > Also included are partial peptides that can be made from the protein, and the partial peptides of the invention include at least 7 amino acids, preferably 9 amino acids, more preferably 12 or more amino acids. The form of the antibody of the present invention is not particularly limited, and any polyclonal antibody, monoclonal antibody or antigen-binding antibody thereof may be included in the antibody of the present invention and include all immunoglobulin antibodies. Furthermore, the antibodies of the present invention include special antibodies such as humanized antibodies. Antibodies used in the present invention include functional fragments of antibody molecules as well as complete forms having two full-length light chains and two full-length heavy chains. A functional fragment of an antibody molecule refers to a fragment having at least an antigen-binding function, and includes Fab, F (ab ') 2, F (ab') 2 and Fv.
본 발명에서 용어, "앱타머"는 소정의 표적 분자에 대한 결합 활성을 갖는 핵산 분자를 의미한다. 상기 앱타머는 RNA, DNA, 수식(modified) 핵산 또는 이들의 혼합물일 수 있으며, 직쇄상 또는 환상의 형태일 수 있는데, SELEX(systematic evolution of ligands by exponential enrichment)라 불리는 올리고뉴클레오타이드(oligonucleotide) 라이브러리를 이용한 진화적인 방법에 의해 특정 화학 분자나 생물학적 분자에 높은 친화력과 선별력을 갖고 결합하는 올리고머를 분리하여 수득되는 물질이다. 상기 앱타머는 표적에 특이적으로 결합하고 표적의 활성을 조정할 수 있는데, 예컨대, 결합을 통하여 표적이 기능한 능력을 차단할 수 있다.In the present invention, the term " aptamer " means a nucleic acid molecule having a binding activity to a predetermined target molecule. The aptamer may be RNA, DNA, modified nucleic acid or a mixture thereof, and may be in the form of a linear or cyclic form. The oligonucleotide library called SELEX (systematic evolution of ligands by exponential enrichment) It is a substance obtained by separating oligomers that bind with high affinity and selectivity to specific chemical molecules or biological molecules by an evolutionary method. The aptamer can specifically bind to the target and modulate the activity of the target, for example, by blocking the ability of the target to function through binding.
본 발명에서 용어, "발기부전"은 성생활에 충분한 발기가 되지 않거나 유지되지 않은 상태를 의미하며, 일반적으로 이러한 상태가 3개월 이상 지속되었을 경우 발기부전으로 정의한다. 상기 발기부전은 심리적인 요인에 기인하는 심인성 발기부전과 육체적인 장애에 기인하는 기질성 발기부전으로 크게 나눌 수 있으며, 본 발명의 proNGF 억제제는 궁극적으로 음경의 기능을 개선시켜 심인성 및 기질성 발기부전을 모두 치료할 수 있다. 상기 기질성 발기부전은 당뇨병, 음경조직손상, 관상동맥질환, 신장병증, 신경병증, 고혈압, 동맥경화 또는 고지혈증 등의 질병에 의한 것일 수 있으나, 상기 예시에 한정되는 것이 아니며 발기에 영향을 줄 수 있는 질병이라면 제한 없이 포함된다.The term " erectile dysfunction " in the present invention means a state in which erectile function is not sufficiently maintained or maintained in the sex life, and erectile dysfunction is generally defined as a state in which such state lasts for 3 months or more. The erectile dysfunction can be broadly divided into psychogenic erectile dysfunction caused by psychological factors and organic erectile dysfunction caused by physical disability. The proNGF inhibitor of the present invention ultimately improves the function of the penis, Can be treated. The erectile dysfunction may be due to a disease such as diabetes, penile tissue damage, coronary artery disease, nephropathy, neuropathy, hypertension, arteriosclerosis or hyperlipemia, but is not limited to the above example, Any disease is included without limitation.
본 발명에서 용어, "해면체"는 포유류의 음경이나 음핵의 주체를 이루는 발기조직으로, 주위가 탄성섬유를 함유하는 두껍고 튼튼한 결합조직의 막으로 쌓여 있으며, 이 막이 내부로 들어가 있어 해면상의 작은 방을 이루고 있다. 남성의 음경 내부에는 좌우에 2개의 음경 해면체와 그 아래쪽에 1개의 요도 해면체가 있고, 여성에게는 음경 해면체와 비슷한 구조를 가진 음핵 해면체와 요도 해면체가 있다. 해면체에 정맥혈이 가득 차게 되면 음경이 발기하게 된다. 음경 해면체 평활근과 음경 혈관은 평상시 아드레날린성 교감 신경에 의해 수축 상태에 있으며, 이완에 의한 발기 반응 후, 아드레날린성 교감 신경계의 자극에 의해 다시 수축 상태로 되돌아온다. 이렇듯 발기조직은 평상시 수축 상태를 유지하지만, 성적 각성시 뇌 중추에서 보내는 신호와 신경계의 자극, 체내 및 발기조직 내의 여러 신경 전달 물질 및 호르몬 등에 의해 발기조직이 이완되고, 발기가 시작되며, 발기가 유지된다. 이러한 발기반응이 끝난 후, 다시 발기조직은 수축 상태를 유지하게 된다.In the present invention, the term " corpuscle " is an erectile tissue constituting the main body of the mammalian penis or clitoris. The corpuscle is piled up with a membrane of a thick and durable connective tissue containing elastic fibers. . Within the male penis, there are two penile cavernosomes on the left and right, and one urethral cavernosum on the lower side. There are clitoral cavernosomes and urethral cavernosomes with similar structures to the penis cavernosum in women. When the cavernosum is full of venous blood, the penis becomes erect. The penile cavernosal smooth muscle and penile blood vessels are usually contracted by adrenergic sympathetic nerves, and after erectile response due to relaxation, they return to contracted state by stimulation of the adrenergic sympathetic nervous system. Although erectile tissue maintains normal contraction state, erectile tissue is relaxed by stimulation of the nervous system, various neurotransmitters and hormones in the body and erectile tissues, erection is started, erection is started, maintain. After this erection reaction is completed, the erectile tissue is maintained in a contracted state.
본 발명에서 용어, "예방"은 본 발명의 proNGF 억제제를 포함하는 조성물을 이용하여 발기부전 증상을 차단하거나, 발기부전 증상의 억제 또는 지연시키는 모든 행위를 말한다.The term " prophylactic " in the present invention refers to any action that inhibits erectile dysfunction or inhibits or delays erectile dysfunction using a composition comprising a proNGF inhibitor of the present invention.
본 발명에서 용어, "치료"는 본 발명의 proNGF 억제제를 포함하는 조성물을 이용하여 발기부전 증상이 호전되거나 이롭게 되는 모든 행위를 말한다.The term " treatment " in the present invention refers to any action that improves or benefits erectile dysfunction using a composition comprising a proNGF inhibitor of the present invention.
본 발명에 따른 proNGF 억제제는 혈관내피세포, 혈관주위세포 및 신경세포 특이적인 단백질의 활성 수준을 증가시켜 음경 해면체 내피세포의 재생을 유도하고 음경 발기력을 증가시킴으로써 우수한 발기부전 개선 효과를 가지고 있다. The proNGF inhibitor according to the present invention has an effect of improving erectile dysfunction by increasing the activity level of vascular endothelial cells, pericytes and nerve cell specific proteins, inducing regeneration of the corpus cavernosum endothelial cells and increasing the erectile function of the penis.
상기한 바와 같이, 본 발명에 따른 proNGF 억제제는 발기부전의 예방, 개선 및 치료 효과가 우수하므로, 발기부전의 예방 또는 치료에 유용한 의약품, 의약외품 또는 건강기능식품으로 사용될 수 있다. As described above, the proNGF inhibitor according to the present invention is excellent in prevention, improvement and therapeutic effect of erectile dysfunction, and thus can be used as medicines, quasi-drugs or health functional foods useful for prevention or treatment of erectile dysfunction.
본 발명의 조성물이 발기부전의 예방 또는 치료를 목적으로 약학적 조성물로 제형화 될 경우, 약학적 조성물의 제조에 통상적으로 사용하는 적절한 담체, 부형제 및 희석제를 더 포함할 수 있다. 상기 약학적 조성물에 포함될 수 있는 담체, 부형제 및 희석제로는 락토오스, 덱스트로오스, 수크로오스, 솔비톨, 만니톨, 자일리톨, 에리스리톨, 말티톨, 전분, 아카시아 고무, 알지네이트, 젤라틴, 칼슘 포스페이트, 칼슘 실리케이트, 셀룰로오스, 메틸 셀룰로오스, 미정질 셀룰로오스, 폴리비닐 피롤리돈, 물, 메틸히드록시 벤조에이트, 프로필히드록시 벤조에이트, 탈크, 마그네슘 스테아레이트 및 광물유 등이 있다. 당해 기술 분야에 알려진 적합한 제제는 문헌 (Remington's Pharmaceutical Science, 최근, Mack Publishing Company, Easton PA)에 개시되어 있는 것을 사용하는 것이 바람직하다. When the composition of the present invention is formulated into a pharmaceutical composition for the purpose of preventing or treating erectile dysfunction, it may further comprise suitable carriers, excipients and diluents conventionally used in the preparation of pharmaceutical compositions. Examples of carriers, excipients and diluents that can be included in the pharmaceutical composition include lactose, dextrose, sucrose, sorbitol, mannitol, xylitol, erythritol, maltitol, starch, acacia rubber, alginate, gelatin, calcium phosphate, calcium silicate, Methylcellulose, microcrystalline cellulose, polyvinylpyrrolidone, water, methylhydroxybenzoate, propylhydroxybenzoate, talc, magnesium stearate and mineral oil. Suitable formulations known in the art are preferably those as disclosed in Remington ' s Pharmaceutical Science, recently, Mack Publishing Company, Easton PA.
또한, 본 발명의 약학적 조성물은 통상의 방법에 따라 산제, 과립제, 정제, 캡슐제, 현탁액, 에멀젼, 시럽, 에어로졸 등의 경구형 제형, 외용제, 좌제 및 멸균 주사용액의 형태로 제형화하여 사용될 수 있다. 상기 조성물을 제제화할 경우에는 보통 사용하는 충진제, 증량제, 결합제, 습윤제, 붕해제, 계면활성제 등의 희석제 또는 부형제를 사용하여 조제된다. 경구투여를 위한 고형제제에는 정제, 환제, 산제, 과립제, 캡슐제 등이 포함되며, 이러한 고형제제는 상기 조성물에 적어도 하나 이상의 부형제 예를 들면, 전분, 칼슘카보네이트 (calcium carbonate), 수크로오스, 락토오스, 젤라틴 등을 섞어 조제된다. 또한, 단순한 부형제 이외에 마그네슘 스테아레이트, 탈크 같은 윤활제들도 사용된다. 경구투여를 위한 액상 제제로는 현탁제, 내용액제, 유제, 시럽제 등이 해당되는데 흔히 사용되는 단순 희석제인 물, 리퀴드 파라핀 이외에 여러 가지 부형제, 예를 들면 습윤제, 감미제, 방향제, 보존제 등이 포함될 수 있다. 비경구 투여를 위한 제제에는 멸균된 수용액, 비수성용제, 현탁제, 유제, 동결건조 제제, 좌제가 포함된다. 비수성용제, 현탁제로는 프로필렌글리콜 (propylene glycol), 폴리에틸렌 글리콜, 올리브 오일과 같은 식물성 기름, 에틸올레이트와 같은 주사 가능한 에스테르 등이 사용될 수 있다. 좌제의 기제로는 위텝솔 (witepsol), 마크로골, 트윈 (tween) 61, 카카오지, 라우린지, 글리세로제라틴 등이 사용될 수 있다. In addition, the pharmaceutical composition of the present invention may be formulated in the form of powders, granules, tablets, capsules, suspensions, emulsions, syrups, aerosols and the like, oral preparations, suppositories and sterilized injection solutions according to a conventional method . When the composition is formulated, it is prepared using a diluent such as a filler, an extender, a binder, a wetting agent, a disintegrant, a surfactant, or an excipient usually used. Solid formulations for oral administration include tablets, pills, powders, granules, capsules and the like, which may contain at least one excipient such as starch, calcium carbonate, sucrose, lactose, Gelatin and the like. In addition to simple excipients, lubricants such as magnesium stearate and talc may also be used. Liquid preparations for oral administration include suspensions, solutions, emulsions, syrups and the like. Various excipients such as wetting agents, sweeteners, fragrances, preservatives and the like may be included in addition to water and liquid paraffin, which are simple diluents commonly used. have. Formulations for parenteral administration include sterilized aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories. Examples of the suspending agent include propylene glycol, polyethylene glycol, vegetable oil such as olive oil, injectable ester such as ethyl oleate, and the like. Examples of the suppository base include witepsol, macrogol, tween 61, cacao butter, laurin, glycerogelatin and the like.
본 발명에서 용어, "투여"는 임의의 적절한 방법으로 개체에게 소정의 본 발명의 조성물을 제공하는 것을 의미한다.The term " administering " as used herein means providing the subject invention with a composition of the invention in any suitable manner.
본 발명의 약학적 조성물의 바람직한 투여량은 환자의 상태 및 체중, 질병의 정도, 약물형태, 투여경로 및 기간에 따라 다르지만, 당업자에 의해 적절하게 선택될 수 있다. 상기 조성물의 투여는 하루에 한 번 투여할 수도 있고, 수 회 나누어 투여할 수도 있다. The preferred dosage of the pharmaceutical composition of the present invention varies depending on the condition and the weight of the patient, the degree of disease, the type of drug, the route of administration and the period of time, but can be appropriately selected by those skilled in the art. The composition may be administered once a day or divided into several doses.
본 발명의 약학적 조성물은 개체에게 다양한 경로로 투여될 수 있다. 투여의 모든 방식은 예상될 수 있는데, 예를 들면, 경구, 직장 또는 정맥, 근육, 피하, 음경 내 주사에 의해 투여될 수 있다. 그러나 경구 투여 시, 단백질은 소화가 되기 때문에 경구용 조성물은 활성 약제를 코팅하거나 위에서의 분해로부터 보호되도록 제형화하는 것이 바람직하다. 본 발명의 조성물은 바람직하게는 주사제 형태로 투여될 수 있다.The pharmaceutical composition of the present invention may be administered to a subject in various routes. All modes of administration may be expected, for example, by oral, rectal or intravenous, intramuscular, subcutaneous, intradiscal injection. However, at the time of oral administration, since the protein is digested, it is preferable to formulate the oral composition so as to coat the active agent or protect it from decomposition at the top. The composition of the present invention can preferably be administered in the form of an injection.
본 발명의 조성물은 proNGF 억제제와 함께 발기부전의 예방 또는 치료 효과를 갖는 공지의 유효성분을 1종 이상 더 함유할 수 있다. The composition of the present invention may contain one or more known active ingredients having proinfection or prophylactic effects of erectile dysfunction together with a proNGF inhibitor.
본 발명의 조성물은 발기부전의 예방 및 치료를 위하여 단독으로, 또는 수술, 방사선 치료, 호르몬 치료, 화학 치료 및 생물학적 반응 조절제를 사용하는 방법들과 병용하여 사용할 수 있다.The composition of the present invention can be used alone or in combination with methods using surgery, radiation therapy, hormone therapy, chemotherapy and biological response modifiers for prevention and treatment of erectile dysfunction.
또한, 본 발명의 조성물은 발기부전의 예방 또는 치료를 목적으로 의약외품 조성물에 첨가될 수 있다. In addition, the composition of the present invention may be added to a quasi-drug composition for the purpose of preventing or treating erectile dysfunction.
본 발명의 조성물을 의약외품 조성물로 사용할 경우, 상기 유효성분을 그대로 첨가하거나 다른 의약외품 성분과 함께 사용할 수 있고, 통상적인 방법에 따라 적절하게 사용될 수 있다. 유효 성분의 혼합양은 사용 목적(예방, 건강 또는 치료적 처치)에 따라 적합하게 결정될 수 있다.When the composition of the present invention is used as a quasi-drug composition, the active ingredient may be added as it is or may be used together with other quasi-drug components, and may be suitably used according to a conventional method. The amount of the active ingredient to be mixed can be suitably determined according to the intended use (prevention, health or therapeutic treatment).
또한, 본 발명의 조성물은 발기부전의 예방 또는 개선을 목적으로 건강기능식품에 첨가될 수 있다. In addition, the composition of the present invention may be added to a health functional food for the purpose of preventing or improving erectile dysfunction.
본 발명에서 용어, '건강기능식품'이란 질병의 예방 및 개선, 생체방어, 면역, 병후의 회복, 노화 억제 등 생체조절기능을 가지는 식품을 말하는 것으로, 장기적으로 복용하였을 때 인체에 무해하여야 한다.The term " health functional food " in the present invention refers to a food having a biological control function such as prevention and improvement of disease, bio-defense, immunity, recovery after disease and aging inhibition.
상기 건강기능식품에는 식품학적으로 허용 가능한 식품 보조 첨가제를 포함할 수 있으며, 건강기능식품의 제조에 통상적으로 사용되는 적절한 담체, 부형제 및 희석제를 더욱 포함할 수 있다.The health functional food may include food-acceptable food supplementary additives, and may further include suitable carriers, excipients and diluents conventionally used in the production of health functional foods.
본 발명의 조성물을 식품 첨가물로 사용할 경우, 상기 유효성분을 그대로 첨가하거나 다른 식품 또는 식품 성분과 함께 사용될 수 있고, 통상적인 방법에 따라 적절하게 사용될 수 있다. 유효성분의 혼합양은 사용 목적 (예방, 건강 또는 치료적 처치)에 따라 적합하게 결정될 수 있다. 일반적으로, 식품 또는 음료의 제조 시에 본 발명의 조성물은 원료에 대하여 15중량 % 이하, 바람직하게는 10 중량 % 이하의 양으로 첨가된다. 그러나 건강 및 위생을 목적으로 하거나 또는 건강 조절을 목적으로 하는 장기간의 섭취의 경우에는 상기 범위 이하일 수 있으며, 안전성 면에서 아무런 문제가 없기 때문에 유효성분은 상기 범위 이상의 양으로도 사용될 수 있다.When the composition of the present invention is used as a food additive, the above-mentioned active ingredient can be directly added or used together with other food or food ingredients, and can be suitably used according to a conventional method. The amount of the active ingredient to be mixed can be suitably determined according to the intended use (prevention, health or therapeutic treatment). In general, the composition of the present invention is added in an amount of not more than 15% by weight, preferably not more than 10% by weight based on the raw material, in the production of food or beverage. However, in the case of long-term intake for the purpose of health and hygiene or for the purpose of controlling health, it may be less than the above range, and since there is no problem in terms of safety, the active ingredient may be used in an amount exceeding the above range.
본 발명의 건강음료 조성물은 통상의 음료와 같이 여러 가지 향미제 또는 천연 탄수화물 등을 추가 성분으로서 포함할 수 있다. 상술한 천연 탄수화물은 포도당, 과당과 같은 모노사카라이드, 말토오스, 수크로오스와 같은 디사카라이드, 및 덱스트린, 사이클로덱스트린과 같은 천연 감미제나, 사카린, 아스파르탐과 같은 합성 감미제 등을 사용할 수 있다. 상기 천연 탄수화물의 비율은 본 발명의 조성물 100 ml 당 일반적으로 약 0.01 내지 10 g, 바람직하게는 약 0.01 내지 0.1 g 이다.The health beverage composition of the present invention may contain various flavors or natural carbohydrates as an additional ingredient such as ordinary beverages. The natural carbohydrates may be monosaccharides such as glucose and fructose, disaccharides such as maltose and sucrose, natural sweeteners such as dextrin and cyclodextrin, synthetic sweeteners such as saccharine and aspartame, and the like. The ratio of the natural carbohydrate is generally about 0.01 to 10 g, preferably about 0.01 to 0.1 g per 100 ml of the composition of the present invention.
상기 외에 본 발명의 조성물은 여러 가지 영양제, 비타민, 전해질, 풍미제, 착색제, 펙트산 및 그의 염, 알긴산 및 그의 염, 유기산, 보호성 콜로이드 증점제, pH 조절제, 안정화제, 방부제, 글리세린, 알코올, 탄산음료에 사용되는 탄산화제 등을 포함할 수 있다. 이러한 성분은 독립적으로 또는 조합하여 사용할 수 있다. 이러한 첨가제의 비율은 크게 중요하진 않지만 본 발명의 조성물 100 중량부 당 0.01 내지 0.1 중량부의 범위에서 선택되는 것이 일반적이다.In addition to the above, the composition of the present invention may further contain various nutrients, vitamins, electrolytes, flavors, colorants, pectic acid and salts thereof, alginic acid and salts thereof, organic acids, protective colloid thickeners, pH adjusters, stabilizers, preservatives, glycerin, A carbonating agent used in a carbonated beverage, and the like. These components may be used independently or in combination. Although the ratio of such additives is not critical, it is generally selected in the range of 0.01 to 0.1 parts by weight per 100 parts by weight of the composition of the present invention.
중복되는 내용은 본 명세서의 복잡성을 고려하여 생락하며, 본 명세서에서 달리 정의되지 않은 용어들은 본 발명이 속하는 기술분야에서 통상적으로 사용되는 의미를 갖는 것이다.The redundant contents are taken into consideration in the complexity of the present specification, and terms not otherwise defined herein have the meanings commonly used in the art to which the present invention belongs.
이하 본 발명의 이해를 돕기 위하여 바람직한 실시예를 제시한다. 그러나 하기의 실시예는 본 발명을 보다 쉽게 이해하기 위하여 제공되는 것일 뿐, 실시예에 의해 본 발명의 내용이 한정되는 것은 아니다.Hereinafter, preferred embodiments of the present invention will be described in order to facilitate understanding of the present invention. However, the following examples are provided only for the purpose of easier understanding of the present invention, and the present invention is not limited by the examples.
실시예Example 1. 발기부전 동물모델의 디자인 및 1. Design of erectile dysfunctional animal models proNGFproNGF 억제제의 투여 Administration of inhibitors
생후 2개월 된 수컷 마우스(C57BL/6J)를 이용하여 당뇨병에 의한 발기부전을 유도하였으며, 총 3 개의 군으로 나누어 실험을 진행하였다 (N = 5/군; 1군, 정상 마우스; 2군, 스트렙토조토신을 이용한 당뇨 유도[50 mg/kg 농도로 5일 연속으로 복강 내 투여 후 8주째 된 마우스] + 음경해면체에 PBS(phosphate-buffered solution)[20 μL]를 투여한 마우스; 3군, 스트렙토조토신을 이용한 당뇨 유도[50 mg/kg 농도로 5일 연속으로 복강 내 투여 후 8주째 된 마우스] + 음경해면체에 항-proNGF 항체를 2번 주사[day -3, 0; 20 μL]한 마우스). The mice were divided into three groups (N = 5 / group;
proNGF의 활성을 억제하기 위한 억제제로는 인간 NGF의 프로도메인 단편을 항원으로 하며, 마우스 및 랫트 proNGF에 대한 교차반응을 확인한 항-proNGF 항체를 이용하였다(Biosensis, S-080-100). As an inhibitor for inhibiting the activity of proNGF, an anti-proNGF antibody was used (Biosensis, S-080-100) in which a prodomain fragment of human NGF was used as an antigen and a cross reaction against mouse and rat proNGF was confirmed.
실시예Example 2. 발기부전 동물모델에서 항- 2. In an erectile dysfunctional animal model, anti- proNGFproNGF 항체의 발기부전 치료 효과 검증 Efficacy of erectile dysfunction treatment of antibodies
2-1. 전기 자극에 따른 발기력 측정2-1. Measurement of erectile force by electric stimulation
본 발명에 따른 proNGF 억제제에 의한 발기력 개선 효과를 확인하기 위하여, 음경해면체의 신경을 자극하여 발기력 변화를 확인하였다. 보다 구체적으로, 상기 실시예 1과 같이 음경해면체에 항-proNGF 항체를 투여하고 2주가 경과한 후, 각 마우스의 하복부에서 좌측 표피부분을 개복하고, 전립선의 후외측에 위치한 음경해면체신경(음경신경)이 잘 보이도록 준비하였다. 이후 음경신경 부위에 압력 전달기(바이오스팩 시스템, 미국)가 연결된 카테터를 삽입한 후, 음경신경에 전기자극을 가하기 위하여 백금 전극을 음경신경에 위치고 약 1분 동안 5 V, 12 Hz의 강도로 전기자극을 가하였다. 이에 따라 상기 음경에 삽입되어 있던 카테터를 통하여 발기된 음경해면체 내압(ICP, Intracavernous Pressure)을 측정하였다. 음경해면체 내압에 대한 곡선은 도 1a에 나타내고, 최고 음경해면체 내압(Maximal ICP)은 도 1b에 나타내었으며, 도 1a에 나타낸 음경해면체 내압 곡선의 면적(Total ICP[area under the curve])을 그래프화하여 도 1c에 나타내었다. 상기 ICP는 발기력을 나타내는 지표이며, 도 1a 내 가로축에 1분간의 전기자극 기간을 검정색 막대로 표시하였다.In order to confirm the effect of the proNGF inhibitor according to the present invention on improving the erectile potency, the erectile force was confirmed by stimulating the nerve of the corpus cavernosum. More specifically, as in Example 1, after 2 weeks of administration of the anti-proNGF antibody to the corpus cavernosum, the left epidermis was covered in the lower abdomen of each mouse, and the penile cavernosal nerve located at the posterior lateral side of the prostate ) Were prepared to look good. After the catheter was connected to the penis nerve with a pressure transducer (BioSpec System, USA) connected, a platinum electrode was placed on the penis nerve to give electrical stimulation to the penis nerve. Was added with electrical stimulation. Thus, the intracavital pressure (ICP) measured through the catheter inserted into the penis was measured. The curves for the corpus cavernosal pressure are shown in Fig. 1A, the maximal ICP (maximal ICP) is shown in Fig. 1B, and the area (total ICP [area under the curve] As shown in Fig. 1C. The ICP is an index indicating the erectile power, and the electric stimulation period for 1 minute is indicated by black bars on the horizontal axis in FIG.
도 1에 나타낸 바와 같이, proNGF 억제제인 항-proNGF 항체를 투여한 군(anti-proNGF)은 정상 대조군(Control) 수준으로 발기력이 회복되며, PBS 투여군에 비해 현저한 발기력 개선 효과를 보임을 확인하였다. 특히, 음경발기와 관련한 두 가지 변수, 즉 최고 음경해면체 내압과 음경압력곡선의 면적이 항-proNGF 항체 투여에 의해 현저하게 증가함을 확인하였다. As shown in FIG. 1, the anti-proNGF antibody-treated group (pro-NGF), which is a proNGF inhibitor, showed an erectile potency recovery to a control level and remarkably improved erectile function compared to the PBS-treated group. In particular, we found that two parameters related to erectile function of the penis, namely the maxillary intima pressure and the area of the penile pressure curve, were significantly increased by the administration of anti-proNGF antibody.
2-2. 음경해면체 조직에서 혈관내피세포, 2-2. In vascular endothelial tissue, 혈관주위세포Pericyte 및 신경세포 특이적 단백질의 발현 분석 And neuron-specific protein expression
음경은 음경발기의 기능을 담당하는 해면체 조직과 이에 영양을 공급하는 소혈관들로 이루어져 있다. 그러나 당뇨, 고지질증, 신경손상 등에 의한 병적 조건하에서는 이러한 혈관을 포함한 해면체 조직에 병변이 생기고 조직의 구조가 비정상적으로 되어 발기부전을 초래한다. 상기와 같은 배경 하에서, 본 발명에 따른 proNGF 억제제의 발기부전 치료 효과를 확인하기 위하여, 음경해면체 조직에서 혈관내피세포에 특이적 단백질인 혈소판-내피세포 부착 분자-1(PECAM-1), 혈관주위세포에 특이적 단백질인 NG2, 신경세포에 특이적 단백질인 베타 III 튜불린의 활성 정도를 확인하였다. The penis consists of cavernosal tissues that function as a penis erection and small blood vessels that supply nutrition. However, under pathological conditions such as diabetes, hypertension, nerve damage, etc., lesions are formed in the corpus cavernosum including these blood vessels and the structure of the corpuscle becomes abnormal, resulting in erectile dysfunction. In order to confirm the effect of proNGF inhibitor according to the present invention on the erectile dysfunction treatment under the above background, it is known that the platelet-endothelial cell adhesion molecule-1 (PECAM-1), which is a specific protein for vascular endothelial cells, NG2, a specific protein in cells, and beta III tubulin, a specific protein in neurons.
보다 구체적으로, 상기 실시예 1과 같이 음경해면체에 항-proNGF 항체를 투여하고 2주가 경과한 후, 각 마우스로부터 음경 해면체 조직을 분리하고 이를 4% 파라포름알데히드에서 24시간 동안 고정하였다(4℃). 상기 음경 해면체 조직을 동결용 포매제를 이용하여 고정시킨 후, 동결 절편기에서 7㎛ 두께로 잘라 음경조직 절편을 준비하였다. 다음으로, 준비된 음경조직 절편을 슬라이드 상에 올리고, 4% 파라포름알데히드에서 약 5분간 고정시켰다. 고정된 음경조직 절편을 세척 버퍼(2% FBS + 0.1% Sodium Azide in PBS)로 3회 세척한 후, 비특이적 단백질 차단 버퍼(5% BSA in PBS)로 1시간 동안 블락킹하였다. 그 후, 1차 항체(항-PECAM-1 햄스터 항체 1:50, 항-NG2 랫트 항체 1:50, 항- βIII 튜불린 치킨 항체 1:200)와 함께 4℃에서 16시간 동안 반응시킨 후, 남아 있는 항체를 제거하기 위해서 세척 버퍼로 3회 세척한 다음, 2차 항체(TRITC-표지된 항-햄스터 항체 또는 FITC-표지된 항-랫트 항체 또는 TRITC-표지된 항-치킨 항체 1:1000)와 함께 상온에서 2시간 동안 반응시켰다. 반응이 끝난 후, 남아있는 항체를 제거하기 위해 세척 버퍼로 다시 2회 세척한 후 공초점 현미경을 이용하여 분석하였다. 그 결과를 도 2 및 도 3에 나타내었다. More specifically, the penile corpus cavernosum was separated from each mouse after 2 weeks of administration of the anti-proNGF antibody to the corpus cavernosum as in Example 1, and fixed in 4% paraformaldehyde for 24 hours (at 4 ° C ). The corpus cavernosum tissues were fixed using a freezing foraging agent, and then cut into a thickness of 7 mu m in a frozen section to prepare a penile tissue section. Next, prepared penile tissue sections were placed on slides and fixed in 4% paraformaldehyde for about 5 minutes. Fixed penis tissue sections were washed three times with wash buffer (2% FBS + 0.1% Sodium Azide in PBS) and blocked with non-specific protein blocking buffer (5% BSA in PBS) for 1 hour. Thereafter, the cells were reacted at 4 ° C for 16 hours with a primary antibody (anti-PECAM-1 hamster antibody 1:50, anti-NG2 rat antibody 1:50, anti-βIII tubulin antibody 1: 200) (TRITC-labeled anti-hamster antibody or FITC-labeled anti-rat antibody or TRITC-labeled anti-chicken antibody 1: 1000), followed by washing three times with washing buffer to remove remaining antibodies. Were reacted at room temperature for 2 hours. After the reaction was completed, the cells were washed twice with a washing buffer to remove remaining antibodies, and then analyzed using a confocal microscope. The results are shown in Fig. 2 and Fig.
도 2 및 도 3 에 나타낸 바와 같이, PBS 투여군(DM+PBS)의 음경해면체 조직에서는 정상 대조군 (Control)에 비해 혈관내피세포 특이적 단백질인 혈소판-내피세포 부착 분자-1(PECAM-1: Platelet/Endothelial Cell Adhesion Molucule-1) 및 혈관주위세포 특이적 단백질인 NG2(neuron glial antigen 2), 신경세포 특이적 단백질인 베타 III 튜불린의 활성이 현저하게 감소하였으나, proNGF 억제제인 항-proNGF 항체를 투여한 군(DM + anti-proNGF)은 PECAM-1, NG2, 및 베타-Ⅲ 튜불린의 활성이 모두 증가함을 확인하였다. 이는 당뇨에 의하여 감소된 혈관내피세포, 혈관주위세포 및 신경세포가 항-proNGF 항체에 의하여 재생이 유도되는바, 본 발명의 proNGF 억제제는 단순히 혈류량 증가에 의한 임시적인 발기부전 개선이 아니라 음경해면체 조직 자체의 상태 개선이라는 근본적인 원인 해결을 통한 발기부전 치료 효과를 가짐을 증명하는 결과이다. 2 and 3, platelet-endothelial cell adhesion molecule-1 (PECAM-1: platelet-specific), which is a vascular endothelial cell-specific protein as compared to a normal control group, / Endothelial Cell Adhesion Molucule-1), neuron glial antigen 2 (NG2) specific for pericytes, and beta III tubulin, a neuron-specific protein, but the proNGF inhibitor anti-proNGF antibody (DM + anti-proNGF) increased the activity of PECAM-1, NG2, and beta-III tubulin. This suggests that the proNGF inhibitor of the present invention is not merely a temporary improvement in erectile dysfunction due to an increase in blood flow, but is a result of stimulation of the corpus cavernosum tissue This is the result of proving that the erectile dysfunction treatment effect is obtained by solving the root cause of the improvement of the condition itself.
2-3. 음경해면체 조직에서 혈관내피세포의 세포사멸 억제 효과 분석2-3. Inhibition of vascular endothelial cell apoptosis in corpus cavernosal tissue
본 발명에 따른 proNGF 억제제에 의한 발기부전 치료 효과를 확인하기 위하여, 혈관내피세포의 세포사멸에 미치는 영향을 확인하였다. 보다 구체적으로, 상기 실시예 1과 같이 음경해면체에 항-proNGF 항체를 투여하고 2주가 경과한 후, 각 마우스로부터 음경 해면체 조직을 분리하고 이를 4% 파라포름알데히드에서 4℃, 24 시간 동안 고정하였다. 상기 조직을 동결용 포매제를 이용하여 고정시킨 후, 동결 절편기에서 7㎛ 두께로 잘라 음경조직 절편을 준비하였다. 다음으로, 준비된 음경조직 절편을 슬라이드 상에 올리고, 4% 파라포름알데히드에서 약 5분간 고정시켰다. 고정된 음경조직 절편을 세척 버퍼 (PBS)로 3회 세척한 후, TUNEL Kit (S7111 | ApopTag® Plus In Situ Apoptosis Fluorescein Detection Kit)의 실험 지시 사항을 따라 TUNEL 염색을 수행하였다. TUNEL 염색 후 세척 버퍼 (PBS)로 3회 세척한 후, 비특이적 단백질 차단 버퍼(5% BSA in PBS)로 1시간 동안 블락킹하였다. 그 후, 항-PECAM-1 햄스터 항체 1:50와 함께 4℃에서 16시간 동안 반응시킨 후, 남아 있는 항체를 제거하기 위해서 세척 버퍼로 3회 세척한 다음, 2차 TRITC-표지된 항-햄스터 항체 1:1000)와 함께 상온에서 2시간 동안 반응시켰다. 반응이 끝난 후, 남아있는 항체를 제거하기 위해 세척 버퍼로 다시 2회 세척한 후 공초점 현미경을 이용하여 분석하였다. 그 결과를 도 4에 나타내었다. In order to confirm the effect of erectile dysfunction treatment by the proNGF inhibitor according to the present invention, the effect on the apoptosis of vascular endothelial cells was confirmed. More specifically, the penile corpus cavernosum was separated from each mouse after 2 weeks of administration of the anti-proNGF antibody to the corpus cavernosum as in Example 1, and fixed in 4% paraformaldehyde at 4 ° C for 24 hours . The above tissues were fixed using a frozen foraging agent, and then cut into a thickness of 7 mu m in a frozen section to prepare a penile tissue section. Next, prepared penile tissue sections were placed on slides and fixed in 4% paraformaldehyde for about 5 minutes. Fixed penile tissue sections were washed three times with wash buffer (PBS) and TUNEL staining was performed following the experimental instructions of the TUNEL Kit (S7111 | ApopTag® Plus In Situ Apoptosis Fluorescein Detection Kit). TUNEL staining followed by three washes with wash buffer (PBS) followed by blocking with non-specific protein blocking buffer (5% BSA in PBS) for 1 hour. Thereafter, the cells were reacted with anti-PECAM-1 hamster antibody 1:50 for 16 hours at 4 DEG C, washed three times with washing buffer to remove the remaining antibodies, and then washed with secondary TRITC-labeled anti-hamster Antibody 1: 1000) at room temperature for 2 hours. After the reaction was completed, the cells were washed twice with a washing buffer to remove remaining antibodies, and then analyzed using a confocal microscope. The results are shown in Fig.
도 4 에 나타낸 바와 같이, PBS 투여군(DM+PBS)의 음경해면체 조직에서는 정상 대조군 (Control)에 비해 사멸된 혈관내피세포의 수가 현저하게 증가하였으나, proNGF 억제제인 항-proNGF 항체를 투여한 군(DM + anti-proNGF)의 음경해면체 조직에서는 이러한 혈관내피세포의 사멸 정도가 현저하게 감소함을 확인하였다. 이는 당뇨에 의하여 증가된 혈관내피세포의 세포사멸이 proNGF 억제제에 의하여 억제되고, 그에 따라 발기력이 회복된다는 것을 증명하는 결과이다.As shown in FIG. 4, the number of killed vascular endothelial cells was significantly increased in the penile corpus cavernosum tissues of the PBS-administered group (DM + PBS) compared to the control group (control), but the proNGF inhibitor anti-proNGF antibody DM + anti-proNGF) was significantly reduced in the corpus cavernosum tissues. This is a result of demonstrating that proinflammatory inhibitor inhibits the apoptosis of vascular endothelial cells, which is increased by diabetes, and thereby restores erectile power.
이상의 실험 결과를 통하여, 본 발명에 따른 proNGF 억제제가 혈관내피세포, 혈관주위세포 및 신경세포 특이적인 단백질의 활성 수준을 증가시켜 음경 해면체 내피세포의 재생을 유도하고 음경 발기력을 증가시키는 등 우수한 발기부전 개선 효과를 가지고 있음을 확인하였다. 따라서 본 발명에 따른 proNGF 억제제는 발기부전의 예방 또는 치료에 유용하게 이용될 수 있다. These results suggest that proNGF inhibitor according to the present invention increases the activity level of vascular endothelial cells, pericytes and nerve cell specific proteins to induce regeneration of endothelial cells of the corpus cavernosum and increase erectile dysfunction of the penis, And it was confirmed that it had improvement effect. Therefore, the proNGF inhibitor according to the present invention can be usefully used for prevention or treatment of erectile dysfunction.
이하 본 발명에 따른 약학적 조성물 및 식품 조성물의 제제예를 설명하나, 본 발명을 한정하고자 함이 아닌 단지 구체적으로 설명하고자 함이다. Hereinafter, examples of pharmaceutical compositions and food compositions according to the present invention will be described, but the present invention is not to be construed as limiting the present invention .
제제예Formulation example 1. 약학적 조성물의 제조 1. Preparation of pharmaceutical compositions
1-1. 캡슐제의 제조1-1. Preparation of capsules
proNGF 억제제 10 mgproNGF inhibitor 10 mg
결정성 셀룰로오스 3 mgCrystalline cellulose 3 mg
락토오스 14.8 mgLactose 14.8 mg
마그네슘 스테아레이트 0.2 mgMagnesium stearate 0.2 mg
통상의 캡슐제 제조방법에 따라 상기의 성분을 혼합하고 젤라틴 캡슐에 충전하여 캡슐제를 제조한다.The above components are mixed according to a conventional capsule preparation method and filled in gelatin capsules to prepare capsules.
1-2. 주사제의 제조1-2. Injection preparation
proNGF 억제제 10 mgproNGF inhibitor 10 mg
만니톨 180 mg180 mg mannitol
주사용 멸균 증류수 2974 mgSterile sterilized water for injection 2974 mg
Na2HPO42H2O 26 mgNa 2 HPO 4 2H 2 O 26 mg
통상의 주사제의 제조방법에 따라 1 앰플당 (2 ml) 상기의 성분 함량으로 제조한다.(2 ml) per 1 ampoule in accordance with the usual injection preparation method.
1-3. 1-3. 액제의Liquid 제조 Produce
proNGF 억제제 20 mg
이성화당 10 g10 g per isomer
만니톨 5 g5 g mannitol
정제수 적량Purified water quantity
통상의 액제의 제조방법에 따라 정제수에 각각의 성분을 가하여 용해시키고 레몬향을 적량 가한 다음 상기의 성분을 혼합한 다음 정제수를 가하여 전체를 정제수를 가하여 전체 100 ml로 조절한 후 갈색병에 충진하여 멸균시켜 액제를 제조한다.Each component was added and dissolved in purified water according to the usual liquid preparation method, and the lemon flavor was added in an appropriate amount. Then, the above components were mixed, and purified water was added thereto. The whole was added with purified water to adjust the total volume to 100 ml, And sterilized to prepare a liquid preparation.
제제예Formulation example 2. 식품 조성물의 제조 2. Preparation of food composition
2-1. 건강식품의 제조2-1. Manufacture of health food
proNGF 억제제 100 mg
비타민 혼합물 적량Vitamin mixture quantity
비타민 A 아세테이트 70 μg Vitamin A acetate 70 μg
비타민 E 1.0 mgVitamin E 1.0 mg
비타민 B1 0.13 mgVitamin B1 0.13 mg
비타민 B2 0.15 mg0.15 mg of vitamin B2
비타민 B6 0.5 mgVitamin B6 0.5 mg
비타민 B12 0.2 μg Vitamin B12 0.2 μg
비타민 C 10 mgVitamin C 10 mg
비오틴 10 μg Biotin 10 μg
니코틴산아미드 1.7 mgNicotinic acid amide 1.7 mg
엽산 50 μg
판토텐산 칼슘 0.5 mgCalcium pantothenate 0.5 mg
무기질 혼합물 적량Mineral mixture quantity
황산제1철 1.75 mg1.75 mg of ferrous sulfate
산화아연 0.82 mg0.82 mg of zinc oxide
탄산마그네슘 25.3 mgMagnesium carbonate 25.3 mg
제1인산칼륨 15 mgPotassium monophosphate 15 mg
제2인산칼슘 55 mgSecondary calcium phosphate 55 mg
구연산칼륨 90 mgPotassium citrate 90 mg
탄산칼슘 100 mg
염화마그네슘 24.8 mgMagnesium chloride 24.8 mg
상기의 비타민 및 미네랄 혼합물의 조성비는 비교적 건강식품에 적합한 성분을 바람직한 실시예로 혼합 조성하였지만, 그 배합비를 임의로 변형 실시하여도 무방하며, 통상의 건강식품 제조방법에 따라 상기의 성분을 혼합한 다음, 과립을 제조하고, 통상의 방법에 따라 건강식품 조성물 제조에 사용할 수 있다.Although the composition ratio of the above-mentioned vitamin and mineral mixture is comparatively mixed with a composition suitable for health food as a preferred embodiment, the compounding ratio may be arbitrarily modified, and the above ingredients are mixed according to a conventional method for producing healthy foods , Granules can be prepared and used in the manufacture of health food compositions according to conventional methods.
<110> Inha University Research and Business Foundation <120> Composition for preventing or treating erectile dysfunction comprising proNGF inhibitor <130> 1-246 <160> 2 <170> KoPatentIn 3.0 <210> 1 <211> 241 <212> PRT <213> Homo sapiens <400> 1 Met Ser Met Leu Phe Tyr Thr Leu Ile Thr Ala Phe Leu Ile Gly Ile 1 5 10 15 Gln Ala Glu Pro His Ser Glu Ser Asn Val Pro Ala Gly His Thr Ile 20 25 30 Pro Gln Ala His Trp Thr Lys Leu Gln His Ser Leu Asp Thr Ala Leu 35 40 45 Arg Arg Ala Arg Ser Ala Pro Ala Ala Ala Ile Ala Ala Arg Val Ala 50 55 60 Gly Gln Thr Arg Asn Ile Thr Val Asp Pro Arg Leu Phe Lys Lys Arg 65 70 75 80 Arg Leu Arg Ser Pro Arg Val Leu Phe Ser Thr Gln Pro Pro Arg Glu 85 90 95 Ala Ala Asp Thr Gln Asp Leu Asp Phe Glu Val Gly Gly Ala Ala Pro 100 105 110 Phe Asn Arg Thr His Arg Ser Lys Arg Ser Ser Ser His Pro Ile Phe 115 120 125 His Arg Gly Glu Phe Ser Val Cys Asp Ser Val Ser Val Trp Val Gly 130 135 140 Asp Lys Thr Thr Ala Thr Asp Ile Lys Gly Lys Glu Val Met Val Leu 145 150 155 160 Gly Glu Val Asn Ile Asn Asn Ser Val Phe Lys Gln Tyr Phe Phe Glu 165 170 175 Thr Lys Cys Arg Asp Pro Asn Pro Val Asp Ser Gly Cys Arg Gly Ile 180 185 190 Asp Ser Lys His Trp Asn Ser Tyr Cys Thr Thr Thr His Thr Phe Val 195 200 205 Lys Ala Leu Thr Met Asp Gly Lys Gln Ala Ala Trp Arg Phe Ile Arg 210 215 220 Ile Asp Thr Ala Cys Val Cys Val Leu Ser Arg Lys Ala Val Arg Arg 225 230 235 240 Ala <210> 2 <211> 241 <212> PRT <213> Mus musculus <400> 2 Met Ser Met Leu Phe Tyr Thr Leu Ile Thr Ala Phe Leu Ile Gly Val 1 5 10 15 Gln Ala Glu Pro Tyr Thr Asp Ser Asn Val Pro Glu Gly Asp Ser Val 20 25 30 Pro Glu Ala His Trp Thr Lys Leu Gln His Ser Leu Asp Thr Ala Leu 35 40 45 Arg Arg Ala Arg Ser Ala Pro Thr Ala Pro Ile Ala Ala Arg Val Thr 50 55 60 Gly Gln Thr Arg Asn Ile Thr Val Asp Pro Arg Leu Phe Lys Lys Arg 65 70 75 80 Arg Leu His Ser Pro Arg Val Leu Phe Ser Thr Gln Pro Pro Pro Thr 85 90 95 Ser Ser Asp Thr Leu Asp Leu Asp Phe Gln Ala His Gly Thr Ile Pro 100 105 110 Phe Asn Arg Thr His Arg Ser Lys Arg Ser Ser Thr His Pro Val Phe 115 120 125 His Met Gly Glu Phe Ser Val Cys Asp Ser Val Ser Val Trp Val Gly 130 135 140 Asp Lys Thr Thr Ala Thr Asp Ile Lys Gly Lys Glu Val Thr Val Leu 145 150 155 160 Ala Glu Val Asn Ile Asn Asn Ser Val Phe Arg Gln Tyr Phe Phe Glu 165 170 175 Thr Lys Cys Arg Ala Ser Asn Pro Val Glu Ser Gly Cys Arg Gly Ile 180 185 190 Asp Ser Lys His Trp Asn Ser Tyr Cys Thr Thr Thr His Thr Phe Val 195 200 205 Lys Ala Leu Thr Thr Asp Glu Lys Gln Ala Ala Trp Arg Phe Ile Arg 210 215 220 Ile Asp Thr Ala Cys Val Cys Val Leu Ser Arg Lys Ala Thr Arg Arg 225 230 235 240 Gly <110> Inha University Research and Business Foundation <120> Composition for preventing or treating erectile dysfunction comprising proNGF inhibitor <130> 1-246 <160> 2 <170> KoPatentin 3.0 <210> 1 <211> 241 <212> PRT <213> Homo sapiens <400> 1 Met Ser Met Leu Phe Tyr Thr Leu Ile Thr Ala Phe Leu Ile Gly Ile 1 5 10 15 Gln Ala Glu Pro His Ser Glu Ser Asn Val Pro Ala Gly His Thr Ile 20 25 30 Pro Gln Ala His Trp Thr Lys Leu Gln His Ser Leu Asp Thr Ala Leu 35 40 45 Arg Arg Ala Arg Ser Ala Pro Ala Ala Ala Ile Ala Ala Arg Val Ala 50 55 60 Gly Gln Thr Arg Asn Ile Thr Val Asp Pro Arg Leu Phe Lys Lys Arg 65 70 75 80 Arg Leu Arg Ser Pro Arg Val Leu Phe Ser Thr Gln Pro Pro Arg Glu 85 90 95 Ala Ala Asp Thr Gln Asp Leu Asp Phe Glu Val Gly Gly Ala Ala Pro 100 105 110 Phe Asn Arg Thr His Arg Ser Ser Arg Ser Ser Ser His Pro Ile Phe 115 120 125 His Arg Gly Glu Phe Ser Val Cys Asp Ser Val Ser Val Trp Val Gly 130 135 140 Asp Lys Thr Thr Ala Thr Asp Ile Lys Gly Lys Glu Val Met Val Leu 145 150 155 160 Gly Glu Val Asn Ile Asn Asn Ser Val Phe Lys Gln Tyr Phe Phe Glu 165 170 175 Thr Lys Cys Arg Asp Pro Asn Pro Val Asp Ser Gly Cys Arg Gly Ile 180 185 190 Asp Ser Lys His Trp Asn Ser Tyr Cys Thr Thr Thr His Thr Phe Val 195 200 205 Lys Ala Leu Thr Met Asp Gly Lys Gln Ala Ala Trp Arg Phe Ile Arg 210 215 220 Ile Asp Thr Ala Cys Val Cys Val Leu Ser Arg Lys Ala Val Arg Arg 225 230 235 240 Ala <210> 2 <211> 241 <212> PRT <213> Mus musculus <400> 2 Met Ser Met Leu Phe Tyr Thr Leu Ile Thr Ala Phe Leu Ile Gly Val 1 5 10 15 Gln Ala Glu Pro Tyr Thr Asp Ser Asn Val Pro Glu Gly Asp Ser Val 20 25 30 Pro Glu Ala His Trp Thr Lys Leu Gln His Ser Leu Asp Thr Ala Leu 35 40 45 Arg Arg Ala Arg Ser Ala Pro Thr Ala Pro Ile Ala Ala Arg Val Thr 50 55 60 Gly Gln Thr Arg Asn Ile Thr Val Asp Pro Arg Leu Phe Lys Lys Arg 65 70 75 80 Arg Leu His Ser Pro Arg Val Leu Phe Ser Thr Gln Pro Pro Thr 85 90 95 Ser Ser Asp Thr Leu Asp Leu Asp Phe Gln Ala His Gly Thr Ile Pro 100 105 110 Phe Asn Arg Thr His Arg Ser Ser Arg Ser Ser Thr His Pro Val Phe 115 120 125 His Met Gly Glu Phe Ser Val Cys Asp Ser Val Ser Val Trp Val Gly 130 135 140 Asp Lys Thr Thr Ala Thr Asp Ile Lys Gly Lys Glu Val Thr Val Leu 145 150 155 160 Ala Glu Val Asn Ile Asn Asn Ser Val Phe Arg Gln Tyr Phe Phe Glu 165 170 175 Thr Lys Cys Arg Ala Ser Asn Pro Val Glu Ser Gly Cys Arg Gly Ile 180 185 190 Asp Ser Lys His Trp Asn Ser Tyr Cys Thr Thr Thr His Thr Phe Val 195 200 205 Lys Ala Leu Thr Thr Asp Glu Lys Gln Ala Ala Trp Arg Phe Ile Arg 210 215 220 Ile Asp Thr Ala Cys Val Cys Val Leu Ser Arg Lys Ala Thr Arg Arg 225 230 235 240 Gly
Claims (6)
proNGF (nerve growth factor) expression or activity inhibitor.
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US20130115222A1 (en) * | 2010-06-15 | 2013-05-09 | Cornell University | Methods of limiting microvascular damage following acute myocardial ischemia |
KR20150065968A (en) * | 2013-11-25 | 2015-06-16 | 인하대학교 산학협력단 | Composition for preventing or treating erectile dysfunction comprising HGF protein or gene therefor and use thereof |
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US20130115222A1 (en) * | 2010-06-15 | 2013-05-09 | Cornell University | Methods of limiting microvascular damage following acute myocardial ischemia |
KR20150065968A (en) * | 2013-11-25 | 2015-06-16 | 인하대학교 산학협력단 | Composition for preventing or treating erectile dysfunction comprising HGF protein or gene therefor and use thereof |
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