TW201036947A - Composition for treating atopic dermatitis - Google Patents
Composition for treating atopic dermatitis Download PDFInfo
- Publication number
- TW201036947A TW201036947A TW099106733A TW99106733A TW201036947A TW 201036947 A TW201036947 A TW 201036947A TW 099106733 A TW099106733 A TW 099106733A TW 99106733 A TW99106733 A TW 99106733A TW 201036947 A TW201036947 A TW 201036947A
- Authority
- TW
- Taiwan
- Prior art keywords
- composition
- oil
- resveratrol
- montelukast
- atopic dermatitis
- Prior art date
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/045—Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61P17/00—Drugs for dermatological disorders
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- A—HUMAN NECESSITIES
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- A61P17/00—Drugs for dermatological disorders
- A61P17/04—Antipruritics
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- A—HUMAN NECESSITIES
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- A61K2121/00—Preparations for use in therapy
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- General Chemical & Material Sciences (AREA)
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- Organic Chemistry (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Description
201036947 六、發明說明: 【發明所屬之技術領域】 本發明係關於一種用於治療異位性皮膚炎的含孟魯司 特(montelukast)或其鹽及白藜蘆醇(resveratrol)之組成物。 更具體而言,本發明係關於一種用於治療異位性皮膚炎的 含孟魯司特或其鹽及白藜蘆醇之組成物,其在例如異位性 皮膚炎、過敏性疾病之異位性皮膚病上呈現更優異的缓解 及治療效果。 〇 【先前技術】 異位性皮膚炎為代表性的異位性皮膚病,為一種慢性 皮膚炎,會引起嚴重搔癢及因此隨之而來的二次感染。異 位性皮膚炎於西方人常被發現,同時約10%的孩童罹患異 位性皮膚炎,且疾病之影響與日漸增。在韓國,異位性皮 膚炎之影響快速的增強。然而,因具有高度不能治癒性及 Q 難以解釋之病因,多數治療攝生法主要已集中在疾病之對 症治療。最近研究指出,由免疫異常所引發之異位性皮膚 炎已引發試圖產生新的治療途徑。 免疫異常之特徵為過敏表現,其為一種身體對於外來 媒介過大或不適當之免疫反應。第一型過敏之過敏反應經 由抗原特異性IgE抗體引起,但病患暴露於相同抗原時則 因人而異而能或不能激起過敏反應。關於此原因,此反應 被稱為“特異反應(atopy),,,意指特異體質反應(idiosyncratic reaction)。特異反應之實例包括過敏性鼻炎、氣喘、食物過 201036947 敏、異位性皮膚炎等。 辅助T細胞(Th)負責免疫反應,並分化成Thl及Th2 細胞’其顯示相互平衡並分泌相互拮抗之物質。然而,罹 患異位性皮膚炎之病患具有比Thl細胞還多之Th2細胞, 兩者之間失衡。即,在Th2型細胞中增加與過敏反應有關 之嗜伊紅性球分泌及可刺激產生IgE抗體的介白素(IL)_4、 IL-5及IL-10之分泌,而在Thl型細胞中分泌抑制IgE產 生之物貝則被減少。IgE增加之程度導致嗜驗性球及肥胖細 胞之活化。IgE結合至IgE受體(FcsRI),之後交聯過敏原 與FcsRI/IgE結合複合體,引發嗜鹼性球及肥胖細胞之活 化’其因此導致稱為去顆粒化之過程。此時,例如組織胺 之生理活性物質分泌於細胞外,因而產生例如劇癢、紅斑、 水腫、k症專之異位性皮膚炎之症狀(Cellular and Molecular Immunology, Abbas et al., 2nd Edition, Saunders,201036947 VI. Description of the Invention: [Technical Field] The present invention relates to a composition comprising montelukast or a salt thereof and resveratrol for treating atopic dermatitis. More specifically, the present invention relates to a composition comprising montelukast or a salt thereof and resveratrol for treating atopic dermatitis, which is different in, for example, atopic dermatitis and allergic diseases. More excellent relief and treatment effects on the skin disease. 〇 [Prior Art] Atopic dermatitis is a representative atopic skin disease, which is a chronic dermatitis that causes severe itching and consequent secondary infection. Atopic dermatitis is often found in Westerners, and about 10% of children suffer from atopic dermatitis, and the effects of the disease are increasing. In Korea, the effects of atopic dermatitis are rapidly increasing. However, due to the high incurability and the unexplained cause of Q, most treatments have focused on symptomatic treatment of the disease. Recent studies have pointed out that atopic dermatitis caused by immune abnormalities has led to attempts to create new therapeutic avenues. An immune abnormality is characterized by an allergic manifestation, which is an immune response in which the body is too large or inappropriate for foreign media. Allergic reactions to allergic reactions of the first type are caused by antigen-specific IgE antibodies, but when the patient is exposed to the same antigen, it may or may not trigger an allergic reaction depending on the person. For this reason, this reaction is called "atopy", which means an idiosyncratic reaction. Examples of specific reactions include allergic rhinitis, asthma, food over 201036947, atopic dermatitis, etc. Helper T cells (Th) are responsible for the immune response and differentiate into Th1 and Th2 cells, which show a balance of each other and secrete mutually antagonistic substances. However, patients with atopic dermatitis have more Th2 cells than Th1 cells. There is an imbalance between the two. That is, the secretion of eosinophils associated with allergic reactions and the secretion of interleukin (IL)_4, IL-5 and IL-10 which can stimulate IgE antibodies are increased in Th2-type cells. However, the secretion of IgE-secreting substances in Th1 type cells is reduced. The degree of increase in IgE leads to the activation of the eosinophils and obese cells. IgE binds to the IgE receptor (FcsRI), and then cross-links allergens and FcsRI. /IgE binds to the complex, triggering the activation of basophilic spheres and obese cells. This leads to a process called degranulation. At this time, for example, the physiologically active substance of histamine is secreted outside the cell, thus producing, for example, itching. Symptoms of atopic dermatitis with erythema, edema, and k disease (Cellular and Molecular Immunology, Abbas et al., 2nd Edition, Saunders,
Philadelphia , and Journal of Dermatological Science, 36, 1-9, 2004)。 同時’類固醇及抗組織胺藥物現在被廣泛地使用於治 療異位性皮膚炎之過敏性疾病,且其在嚴重案例中投與免 疫抑制藥劑。不幸地,這些藥劑僅僅呈現短暫的治療效果, 並極易產生不利的副作用,例如骨質疏鬆症、缺血性壞死 (avascular necrosis)、動脈硬化症、青光眼、促腫瘤生長等。 因此,急需研發一種欲用於症狀缓解及治療異位性皮膚炎 之新穎治療藥劑,且其可提供強而有力且持久之療效而具 有最少之不利副作用。 201036947 【發明内容】 因此,本發明已被製造用以解決上述問題及其他尚未 解決之技術問題。 本發明之一目的在提供一種用於治療異位性皮膚炎之 含孟魯司特或其鹽及白藜蘆醇的組成物。 本發明另一目的在提供一種含該組成物之食品、化妝 品及藥劑。 〇 【實施方式】 在一方面,本發明針對一種治療異位性皮膚炎之含孟 魯司特或其鹽及白藜蘆醇的組成物。 孟魯司特為一種白三烯素(leukotriene)受體拮抗劑,其 抑制半胱胺酸基白三烯素(CysLTl)受體。白三烯素與支氣 管收縮及炎症與液體蓄積於肺中有關。孟魯司特鹽類之 中,孟魯司特鈉已知為一種治療上有效用於治療例如氣喘 Q 及過敏性鼻炎等呼吸道疾病的藥劑。 本發明組成物如果適當,可使用孟魯司特及孟魯司特 鹽或其之組合。因此,本文中所使用之“孟魯司特或其鹽類” 一詞欲涵蓋所有上述形式。 孟魯司特鹽類之實例可包括孟魯司特鈉、孟魯司特 鉀、孟魯司特銨、孟魯司特鈣及孟魯司特鎂,但不以此為 限。孟魯司特鹽可單獨使用或使用其組合。 孟魯司特鹽類之中,以孟魯司特鈉為特佳,其具有之 化學名稱為[R-(E)]-l-[[[l-3-2-[(7-氯-2-喹啉基)]乙烯基]苯 201036947 基][2(1 *基·1-甲基-乙基)苯奸丙基]續酸 丙基]乙酸一鈉鹽,並以下式表示。Philadelphia, and Journal of Dermatological Science, 36, 1-9, 2004). Meanwhile, 'steroidal and antihistamine drugs are now widely used for the treatment of allergic diseases of atopic dermatitis, and they are administered immunosuppressive agents in severe cases. Unfortunately, these agents exhibit only transient therapeutic effects and are highly susceptible to adverse side effects such as osteoporosis, avascular necrosis, atherosclerosis, glaucoma, tumor growth, and the like. Therefore, there is an urgent need to develop a novel therapeutic agent for symptomatic relief and treatment of atopic dermatitis, which provides a strong and long-lasting therapeutic effect with minimal adverse side effects. 201036947 SUMMARY OF THE INVENTION Accordingly, the present invention has been made to solve the above problems and other unresolved technical problems. SUMMARY OF THE INVENTION One object of the present invention is to provide a composition comprising montelukast or a salt thereof and resveratrol for treating atopic dermatitis. Another object of the present invention is to provide a food, a cosmetic, and a medicament containing the composition. [Embodiment] In one aspect, the present invention is directed to a composition comprising montelukast or a salt thereof and resveratrol for treating atopic dermatitis. Montelukast is a leukotriene receptor antagonist that inhibits the cysteine-based leukotriene (CysLTl) receptor. Leukotrienol and bronchial constriction and inflammation are associated with fluid accumulation in the lungs. Among the montelukast salts, montelukast sodium is known as a therapeutically effective agent for the treatment of respiratory diseases such as asthma Q and allergic rhinitis. The composition of the present invention may, if appropriate, be used with montelukast and montelukast salts or a combination thereof. Therefore, the term "Montelup or its salts" as used herein is intended to cover all of the above forms. Examples of the montelukast salt may include, but are not limited to, montelukast sodium, montelukast potassium, montelukast ammonium, montelukast calcium, and montelukast magnesium. The montelukast salt can be used alone or in combination. Among the montelukast salts, montelukast sodium is particularly preferred, and its chemical name is [R-(E)]-l-[[[l-3-2-[(7-chloro-) 2-quinolinyl]]vinyl]benzene 201036947 】][2(1*yl·1-methyl-ethyl)phenylpropionate] continued acid propyl]acetic acid monosodium salt, and is represented by the following formula.
基甲基]環 白藜蘆醇為一種多紛抗氣化劑,具有3,5,4_三經其 乙稀之結構,肋順式異構物或反式異構物存在 醇廣泛被發現於裸子植物及雙子葉植物。即使其可以^ 及配糖體料存在,㈣蘆醇大乡數魏糖體形式存在, 其中白藜產醇(非糖成分)連接至糖成分。此外, 醇以反式·白藜i醇存在,其中反式異構物在自然界 為安定的形式。天然存在之反式·白藜蘆醇㈣表可抑制: 期致癌作用,且具有抗癌活性(Science,275,218_2汕 1997),對於白藜1醇已積極進行大量研究。白藜|醇已知 具有不同有益的效果,例如抗癌效果、抗氧化效果、抗炎 活性、降膽固醇活性、心血管疾病之預防效果等。 根據本發明,在自然界中發現之反式-白藜蘆醇(反式 -3,5,4’-二羥基一苯乙烯)是在反式異構物中較佳者。關於 白藜蘆醇來源,可使用獲自任何適當植物種別之含白黎蘆 醇萃取物或白藜蘆醇本身。 此植物種別可為裸子植物及雙子葉植物,且其之實例 201036947 包括葡萄、黃藥子(polygonum cuspidatum)、桉樹屬 (eucalyptus)、雲杉屬(Spruce)、歐洲赤松(Scottish pine)、花 生、百合等。反式-白藜蘆醇大量存在於葡萄果實、葡萄皮、 葡萄籽、葡萄莖及葡萄葉,特別是葡萄(vitis vinifera)、圓 葉葡萄(Vitis rotundifolia)及美洲葡萄(Vitis labrusca grapes) ° 關於白藜蘆醇之原料,上述植物種類之萃取物可單獨 使用,或使用其之組合,或者是可使用含少量白藜蘆醇之 〇 萃取物。較佳為使用具有大於90%之高純度純化白藜蘆醇 萃取物。 可見於下列實驗實施例之結果,當與分離使用各成分 相比較,發現合併使用孟魯司特或其鹽及白藜蘆醇發揮不 可預期之治療效果。 更具體而言,可見於下列所說明之實驗實施例,當與 分離使用孟魯司特或其鹽相比較,本發明組成物在藥效上 〇發揮4倍或更多之改善。此外,考慮到單獨使用白黎產醇 劑量並不會發揮所欲藥效的事實,且熟悉技術者通常不能 預期到的改善藥效,證實本發明組成物呈現優異的治療異 位性皮膚炎之藥效。 本發明組成物呈現出媲美或優於那些他克莫司 (t_limUS)之藥效,不管他克莫司在治療慢性皮膚炎及異 位性皮膚炎上較優異的藥效,其為一種用途因副作用㈠列 如致腫瘤性)而受限之免疫抑制劑。 考慮到滅於其他使用作為特異性反應_之免疫抑 7 201036947 制劑或類固醇製劑,存在於本發明組成物之孟魯司特或白 藜蘆醇對於人類為較少毒性及刺激性的事實,本發明組成 物呈現媲美或優於傳統藥劑之效果的事實表示不可預期的 卓越效果。 關於孟魯司特或其鹽及白藜蘆醇之比例,可見於實驗 實施例,雖然白黎廬醇以極少量添加,但其仍與孟魯司特 協同作用,因此發揮本發明所欲之效果。明確而言,關於 含孟魯司特或其鹽與白藜蘆醇之組成物,孟魯司特或其鹽 與白藜蘆醇之比例(v/v)可為1 : 0.001至1 : 3 ’較佳為1 : 0.01 至 1 : 2,更佳為 1 : 0.05 至 1 : 1。 本發明組成物可使用於各類形式,包括醫藥、食品、 及化妝品組成物等。 在一具體實施例中,當本發明組成物使用作為一種醫 藥組成物,治療上有效量之孟魯司特或其鹽及白藜蘆醇存 在於該組成物中。 如本文中所使用,“治療上有效量”一詞表示緩解或降 低一或多種預治療之症狀或疾病或延緩所需預防之疾病臨 床標記或症狀的起始之活性成分數量。因此,“治療上有效 量”一詞意指一化合物(1)延緩疾病進展,(2)抑制隨後疾病 進展,及/或(3)緩解(較佳為移除)一或多種與疾病有關之 症狀的數量。治療上有效量可經由使用所需治療疾病之活 體内及活體外模式系統測試化合物而決定。治療上有效量 之實例可見於下述說明之實施例。 醫藥組成物可調配成各種口服或非經腸胃道製劑之型 201036947 式。口服製劑可調配成固體製劑,例如粉末、顆粒、錠劑、 膠囊等,或調配成液體製劑,例如懸浮液、乳液、糖漿等。 非經腸胃道製劑可被調配成外用製劑,例如乳霜、軟膏、 凝朦、洗劑、貼布等,或吸劑、氣溶膠、检劑等。 醫藥組成物可包含醫藥可接受賦形劑,尤其是可進一 步包含預定之溶劑或油類,以增加白藜蘆醇之溶解度,如 果需要,並可進一步包含分散劑。 可用於本發明之溶劑的實例包括水、乙醇、異丙醇、 〇 1,3-丁二醇、丙二醇、甘油等,但不以此為限。 可用於本發明之油類的實例包括玉米油、芝麻油、棉 花仔油、大豆油、花生油、單-甘油醋、二-甘油S旨及三-甘 油酯、礦物油、角鯊稀(Squalene)、荷荷巴油(jojoba oil)、 橄欖油、月見草油、琉璃苣油(Borage Oil)、葡萄仔油及其 任何之組合,但不以此為限。 溶劑及油類可單獨使用或使用其任何之組合,且基於 q 組成物之量,較佳含有少於10%(w/v)之量。 有益之分散劑實例可包含卵攝脂、有機單甘油酯、山 黎醇脂肪酸酯、聚氧乙烯脂肪酸酯、硬脂酸山梨醇酐酯等, 但不以此為限。這些原料亦可單獨使用或使用其任何之組 合,且基於組成物之量,可含有少於5%(w/v)之量。 若需要,組成物可進一步包含額外原料,例如抗菌劑 或防腐劑。 同時,習知活性成分可與組成物同時使用,只要其在 本發明組成物之醫藥活性上不具有反效果即可。例如,如 201036947 神經賴(ee_ide),膚霜通常作為習知異位性皮膚炎 藥^或液體成刀、例如氫羥腎上腺皮質素之類固醇、維 生素A何生物’例如祿櫚酸維生素人及/或生育紛等可與組 成物一同使用。 *使用醫藥組成物作為外用製劑時,可使用適當外用 皮膚製劑作為基礎原料,使用水性溶液、非水性溶劑、懸 浮液、乳液或凍乾製劑等,其依習知方法消毒。 在實際上被投與或施用之本發明組成物中,劑量可根 據各種因素決定,例如投與路徑、年齡、性別、及病患體 重、與疾病嚴重性及做為活性成分之藥劑型式。 在本發明組成物可為食品或化妝品組成物之情況,可 經由適當添加至少一種食品滋養或美容可接受性載劑而製 備該組成物。 食品組成物可用於或添加於例如健康食品。如本文中 所使用,“健康食品”一詞表示一種與一般食品相較下具有 增進功能之含本發明組成物之食品。健康食品可經由添加 該組成物至一般食品而製備,或藉由膠囊化、粉末化或懸 浮液化製備。 化妝品組成物可以其本身或與其他化妝品成分一同添 加,或可根據其他習知方法適當使用。化妝品包括鬚後水 (aftershaves)、化妝水、乳霜、面膜及彩妝,但不以此為限。 化妝品組成物可調配成各種組成物形式,例如凝膠、 乳霜、軟膏等。凝膠、乳霜及軟膏形式之組成物可根據組 成物之形式使用已知方法,經由添加習知軟化劑、乳化劑 201036947 及增稠劑或其他技術中已知之原料而適當地製備。 4膠形式之組成物例如可經由添加例如三甲基醇丙 烷、聚乙二醇及甘油之軟化劑、例如丙二醇、乙醇及異鯨 蠟醇之溶劑、及純水製備。 乳相形式之組成物之製備例如可經由添加脂肪醇,例 如硬月曰醇、1蔻醇、山蝓醇(behenyl alC〇h〇l)、花生醇、異 十八醇及異鯨蠟醇;乳化劑,例如脂類,例如卵磷脂、磷Resveratrol is a multi-drug anti-gasification agent with 3,5,4_3 via its ethylene structure, and rib cis isomers or trans isomers are widely found in alcohols. For gymnosperms and dicots. Even if it can be present and the glycoside material is present, (iv) ruthenol is present in the form of a sucrose form in which the sputum alcohol (non-sugar component) is attached to the sugar component. In addition, the alcohol is present as a trans-alcoholic alcohol, wherein the trans isomer is in a stable form in nature. The naturally occurring trans-resveratrol (IV) table can inhibit: carcinogenic effects and anticancer activity (Science, 275, 218_2汕 1997), and a lot of research has been actively carried out on the white sterol alcohol. Alum has been found to have various beneficial effects such as an anticancer effect, an antioxidant effect, an anti-inflammatory activity, a cholesterol lowering activity, a preventive effect against cardiovascular diseases, and the like. According to the present invention, trans-resveratrol (trans-3,5,4'-dihydroxymonostyrene) found in nature is preferred in the trans isomer. Regarding the source of resveratrol, a resveratrol-containing extract obtained from any suitable plant species or resveratrol itself can be used. This plant species may be gymnosperms and dicots, and examples thereof 201036947 include grapes, polygonum cuspidatum, eucalyptus, spruce, Scottish pine, peanuts, lilies, etc. . Trans-resveratrol is abundantly present in grape fruit, grape skin, grape seed, grape stem and grape leaf, especially vitis vinifera, Vitis rotundifolia and Vitis labrusca grapes. The raw material of resveratrol, the extract of the above plant species may be used singly or in combination, or a sputum extract containing a small amount of resveratrol may be used. Preferably, a purified resveratrol extract having a high purity of greater than 90% is used. As can be seen from the results of the following experimental examples, it was found that the combined use of montelukast or its salt and resveratrol exerted an unpredictable therapeutic effect when compared with the separate components. More specifically, it can be seen in the experimental examples described below that the composition of the present invention exerts an improvement of 4 times or more in pharmacodynamics when compared with the separation using montelukast or its salt. In addition, it is confirmed that the composition of the present invention exhibits excellent treatment for atopic dermatitis, in view of the fact that the dose of the alcohol produced by Baili alone does not exert the desired effect, and the improvement effect is generally unpredictable by those skilled in the art. Drug effect. The composition of the present invention exhibits efficacy comparable to or superior to those of tacrolimus (t_limUS), regardless of the superior efficacy of tacrolimus in the treatment of chronic dermatitis and atopic dermatitis, which is a use side effect (1) Immunosuppressive agents that are restricted by tumorigenicity. Considering the fact that the montelukast or resveratrol present in the composition of the present invention is less toxic and irritating to humans, in view of the elimination of other uses as a specific reaction, the immunoprecipitate 7 201036947 formulation or steroid preparation, The fact that the composition of the invention exhibits an effect comparable to or superior to that of a conventional medicament represents an unexpectedly superior effect. Regarding the ratio of montelukast or its salt and resveratrol, it can be seen in the experimental examples. Although the leucovorol is added in a very small amount, it still synergizes with montelukast, and thus exerts the desired effect of the present invention. Specifically, the ratio of montelukast or its salt to resveratrol (v/v) may be 1:0.001 to 1:3 for the composition containing montelukast or its salt and resveratrol. 'It is preferably 1: 0.01 to 1: 2, more preferably 1: 0.05 to 1:1. The composition of the present invention can be used in various forms including pharmaceutical, food, and cosmetic compositions. In a specific embodiment, when the composition of the present invention is used as a medical composition, a therapeutically effective amount of montelukast or a salt thereof and resveratrol are present in the composition. As used herein, the term "therapeutically effective amount" means the amount of active ingredient that will alleviate or reduce the symptoms or disease of one or more pre-treatments or delay the onset of clinical signs or symptoms of the desired prevention. Thus, the term "therapeutically effective amount" means a compound (1) that delays disease progression, (2) inhibits subsequent disease progression, and/or (3) relieves (preferably removes) one or more diseases associated with the disease. The number of symptoms. A therapeutically effective amount can be determined by testing the compound in vivo and in vitro mode systems using the desired therapeutic condition. Examples of therapeutically effective amounts can be found in the examples described below. The pharmaceutical composition can be formulated into various oral or parenteral formulations of the type 201036947. The oral preparation can be formulated into a solid preparation such as a powder, granule, lozenge, capsule or the like, or formulated into a liquid preparation such as a suspension, an emulsion, a syrup or the like. The parenteral preparation can be formulated into a topical preparation such as a cream, an ointment, a gel, a lotion, a patch, or the like, or a sorbent, an aerosol, a test, or the like. The pharmaceutical composition may comprise a pharmaceutically acceptable excipient, and in particular may further comprise a predetermined solvent or oil to increase the solubility of resveratrol, if desired, and may further comprise a dispersing agent. Examples of the solvent which can be used in the present invention include, but are not limited to, water, ethanol, isopropanol, 1,3-1,3-butanediol, propylene glycol, glycerin and the like. Examples of the oil which can be used in the present invention include corn oil, sesame oil, cotton abalone oil, soybean oil, peanut oil, mono-glycerin vinegar, di-glycerin S and triglyceride, mineral oil, squalene, Jojoba oil, olive oil, evening primrose oil, Borage Oil, grape oil, and any combination thereof, but not limited to this. The solvent and the oil may be used singly or in any combination thereof, and preferably contain less than 10% (w/v) based on the amount of the q composition. Examples of useful dispersing agents may include, but are not limited to, egg fat, organic monoglyceride, sorbitan fatty acid ester, polyoxyethylene fatty acid ester, sorbitan stearate, and the like. These materials may also be used singly or in any combination thereof, and may contain less than 5% (w/v) based on the amount of the composition. If desired, the composition may further comprise additional materials such as antibacterial agents or preservatives. Meanwhile, the conventional active ingredient can be used together with the composition as long as it has no adverse effect on the pharmaceutical activity of the composition of the present invention. For example, such as 201036947 nerve reliance (ee_ide), skin cream is usually used as a traditional atopic dermatitis drug or liquid scalpel, such as hydroxycortisol steroids, vitamin A and other organisms such as lycopene vitamins and / Or fertility can be used with the composition. * When the pharmaceutical composition is used as an external preparation, an appropriate external skin preparation can be used as a base material, and an aqueous solution, a nonaqueous solvent, a suspension, an emulsion or a lyophilized preparation can be used, which is sterilized by a conventional method. In the compositions of the present invention which are actually administered or administered, the dosage can be determined depending on various factors such as the route of administration, age, sex, and the body weight of the patient, the severity of the disease, and the dosage form as an active ingredient. Where the composition of the invention may be a food or cosmetic composition, the composition may be prepared by the appropriate addition of at least one food nourishing or cosmetically acceptable carrier. The food composition can be used or added to, for example, a health food. As used herein, the term "healthy food" means a food product containing the composition of the present invention having an improved function as compared to a general food. The health food can be prepared by adding the composition to a general food, or by encapsulation, powdering or suspension liquefaction. The cosmetic composition may be added by itself or together with other cosmetic ingredients, or may be suitably used according to other conventional methods. Cosmetics include aftershaves, lotions, creams, masks and make-up, but not limited to them. The cosmetic composition can be formulated into various compositions such as gels, creams, ointments and the like. The composition in the form of a gel, a cream and an ointment can be suitably prepared according to the composition in a known manner by adding a conventional softener, an emulsifier 201036947, and a thickener or other materials known in the art. The composition in the form of a gel can be prepared, for example, by adding a softening agent such as trimethylolpropane, polyethylene glycol, and glycerin, a solvent such as propylene glycol, ethanol, and cetyl alcohol, and pure water. The composition of the milk phase form can be prepared, for example, by the addition of a fatty alcohol such as hard decyl alcohol, 1 sterol, behenyl al C〇h〇l, arachidyl alcohol, isostearyl alcohol and isocetyl alcohol; Emulsifiers such as lipids such as lecithin, phosphorus
脂醯膽驗、伽醯乙醇胺、磷脂絲胺酸、_脂肌醇及其 衍生物 '硬脂酸甘油醋、棕搁酸山梨醇§|、硬脂酸山梨醇 酯[天然脂肪及油類,例如絡梨油、杏仁油、巴巴樹油 琉嶋 神經醯胺、膽固醇、脂肪酸、植 劑’例如丙二醇等;及純水。 ㈣月日等’冷 軟膏形式之組成物之製備可例 化劑及蠟,例如微晶蠟、石蠟 、、、自添加軟化劑、乳 凡士林等。 嘴也織(咐叫、蜜蠘、録蠛、 另一方面 ,本發明提供—種使 病之病程或症狀 療或緩解異位性皮膚炎之藥劑的方去^、、且成物製備用於治 “治療或缓解,,-詞意當病患使用藥㈣如本文中所使用, 、時,指停止或延遲疾 實施例 現在本發明將參照下列實# 例僅提供說明本發明,且應不能蛘細敘述,這些實施 释為限制本發明之範 201036947 圍及精神。 實&例1·製備含各種含量之孟魯司特納的樣本 經由溶解於乙醇與丙二醇(7: 3)之混合溶劑製備樣本。 參知'他*克莫司為一種免疫抑制劑,其呈現優異的消炎 放果’因此使用作為慢性異位性皮膚炎之治療藥劑。然而, 他克莫司之用途因為副作用而被限制,例如免疫抑制劑之 促腫瘤生長已被發表(Cancer, Vol. 80, ρ· 1141 (1997))。在此 實驗中’為了證實本發明實驗組在異位性皮膚炎上之醫藥 效果’使用他克莫司作為正對照組。於此所使用之孟魯司 特鈉獲自Teva, Ltd.,純度99.5%或更高,且於此所使用之 白藜董醇獲自 Xi’an Tianxing Natural Bio-products,純度 99%或更高,如下表1所示。 表1 —- — ---— 成分及含量(w/v%) 正對照組1 他克莫司0.03% 對照組2 他克莫司1% __ί驗組1 孟魯司特鈉0.5% ___^驗組2 孟魯司特納1% __實驗組3 孟魯司特鈉2% 實驗組4 白藜藍醇1% __實驗組5 孟魯司特鈉0.5%+白藜蘆醇1% __f驗組ό 孟魯司特鈉1%+白藜蘆醇1% __f驗組7 孟魯司特鈉1.5%+白藜蘆醇1% _Ϊ驗組8 孟魯司特鈉2% +白藜蘆醇1% 實驗實施例1:小鼠耳水腫抑制試驗 12 201036947 為了證實異位性皮膚炎之缓解及治療效果,使用小鼠 耳水腫模式(一種異位性動物模式)進行試驗。耳水腫模 式為一種證實異位性皮膚炎治療效果之動物模式,其經由 致敏化小鼠耳中之不完全抗原(hapten)(結合至蛋白質而成 為過敏原之低分子量化學物質)以引發特異反應,使耳腫 脹一段時間,並量測小鼠增加之厚度,以測量耳水腫之抑 制效果(Journal of Dermatological Science,36,1-9,2004 ; Ο οLipid test, glucosamine, phosphatidylamine, _lipid inositol and its derivatives 'stearic acid glycerin, palm sorbitol §|, sorbitan stearate [natural fats and oils, For example, pear oil, almond oil, baba tree oil, ceramide, cholesterol, fatty acid, planting agent such as propylene glycol, etc.; and pure water. (4) Preparation of a composition in the form of a cold ointment such as a month or the like, such as microcrystalline wax, paraffin wax, self-added softener, milk Vaseline, and the like. The mouth is also woven (squeaking, candied, recorded sputum, on the other hand, the present invention provides a method for treating the course or symptom of the disease or ameliorating the agent for atopic dermatitis, and the preparation of the preparation is used for Treatment "treatment or relief, - the word is intended to be used by patients (4) as used herein, when, refers to stopping or delaying the embodiment. The present invention will now be described with reference to the following examples, and should not be In the following, these embodiments are intended to limit the scope and spirit of the present invention. Example & Example 1 Preparation of a sample containing various contents of montelukastol via a mixed solvent dissolved in ethanol and propylene glycol (7:3) Prepare the sample. Knowing that 'there is an immunosuppressive agent, which exhibits excellent anti-inflammatory effects,' is therefore used as a therapeutic agent for chronic atopic dermatitis. However, the use of tacrolimus is due to side effects. Limitations, such as immunosuppressive pro-tumor growth have been published (Cancer, Vol. 80, ρ·1141 (1997)). In this experiment, 'in order to confirm the medical effect of the experimental group on atopic dermatitis' Tacros Positive control group. The montelukast sodium used herein was obtained from Teva, Ltd., the purity was 99.5% or higher, and the white saponin used herein was obtained from Xi'an Tianxing Natural Bio-products, purity. 99% or higher, as shown in Table 1. Table 1 —- — ---— Composition and content (w/v%) Positive control group 1 tacrolimus 0.03% Control group 2 tacrolimus 1% __ί Test group 1 montelukast sodium 0.5% ___^ test group 2 Montelukner 1% __ experimental group 3 montelukast sodium 2% experimental group 4 white indigo alcohol 1% __ experimental group 5 Menglu Sinter sodium 0.5% + resveratrol 1% __f test group 孟 montelukast sodium 1% + resveratrol 1% __f test group 7 montelukast sodium 1.5% + resveratrol 1% _ test Group 8 montelukast sodium 2% + resveratrol 1% Experimental Example 1: Mouse ear edema inhibition test 12 201036947 To confirm the relief and therapeutic effect of atopic dermatitis, a mouse ear edema model (a kind) Atopic animal model) was tested. The ear edema model is an animal model that demonstrates the therapeutic effect of atopic dermatitis, which is an allergen via sensitization of incomplete haptens in the ear of mice (binding to proteins) It Molecular weight chemical substances) specifically to initiate the reaction, the ear swelling over time and measuring the amount of increase of the thickness in mice, to measure the effect of suppressing the swelling of the ear (Journal of Dermatological Science, 36,1-9,2004; Ο ο
Journal of Dermatological Science, 37, 159-167, 2005)。 在此實驗中’使用Balb/C小鼠(雄性,8週)及作為 不完全抗原之丁1^06(1-氯-2,3,4-三硝基-苯,84111幻,且痛 一組別測試6隻小鼠。將小鼠腹部以動物剪及一般剃刀德 底剃毛,一週後,將100μ17%ΤΝ(:Β溶液(丙酮及橄欖试 (4 : 1)之混合溶劑)施用於小鼠腹部。5日後,將小鼠以三 氟氯溴乙烷(halothane)麻醉,雙侧外耳之厚度以厚产錯 _Ut〇yo N〇.7309)量測,並將 1〇 μ1 1% 取/(丙=榻 欖油(4 : 1)溶液)施用於雙側外耳之内侧。在施用顶⑶ Γ=將1〇 μ1之樣本施用於小鼠雙侧外耳。24小時 度錶_。經由誘發水腫後之耳 厚度減去誘發水㈣之耳厚度,計料# 水腫抑制《下列公辆算,且簡得之結翔㈣下又表= 抑制(%)= 一對照組所增加之外 X100 表2 13 201036947 -—位置) 抑制(%) 基礎對照組 0 正對照組1 ~莫司 3 43%*** 正對照組2 …-司 100 67%… 實驗組1 孟魯司特鈉50 14%… 實驗組2 孟魯司特鈉100 26%*"* 實驗組3 孟魯司特鈉200 36%*** 實驗組4 … 白藜蘆醇100 -7% 實驗組5 孟魯司特鈉50+白藜蘆醇1〇〇 49%"* 實驗組6 孟魯司特鈉100+白藜蘆薛1〇〇 49%"* 實驗組7 孟魯司特納150+白藜蘆醇1〇〇 52〇/,* 實驗組8 孟魯司特鈉2〇0+白藜蘆醇1〇〇 77%*** : P<0.001,DUnnett,s Multiple Comparison Test,相較於 對照組。 ί. 如上表2中所見,單獨投與孟魯司特之實驗實施例(實 驗組1至3)呈現14至36%之耳水腫抑制,依孟魯司特之 含量而增加。單獨投與白藜蘆醇之實驗組4無呈現耳水腫 抑制。,然而,併用孟魯顿與白藜蘆醇之實驗實施例5至8 呈現4 9至7 7 %之耳水腫抑制,相較於化合物單獨使用的情 況,此代表顯著改善之效果。 如實驗組1及5中所見,單獨使用孟魯⑽(體積50 吨)呈現14%之耳水腫抑制,而㈣孟魯㈣與白藜蘆醇 則呈現49%之耳水腫抑制,此增加4倍或更高。 因此,在異位性皮膚炎動物模式令,相較於各化合物 ㈣❹’由於協同作用’孟#司特及白藜i醇之合併使 用在異位性皮膚炎上發揮顯著改善效果。 14 201036947 劑)电別中所見’相較於他克莫司(免疫抑制 5至8)呈現耳Γ組1至2),本發明實驗實施例(實驗組 J呈現耳水腫抑制。 實施例2 ·製備含各種含量之自藜i醇的樣本 〜為了證實各種含量之白藜蘆醇在異位性皮膚炎上的醫 藥政果’經由溶解於乙醇與丙二醇(7: 3)之混合溶劑製備樣 本,如下表3所示。 , 參照吡美莫司(pimecr〇limus),一種類似於他克莫司之 免疫抑制劑,其呈現優異的消炎效果,因此使用作為慢性 異位性皮膚炎之治療藥劑。然而,吡美莫司之用途因為副 作用而被限制’例如免疫抑制劑之促腫瘤生長已被發表 (Cancer,Vol. 80, p.1141 (1997))。在此實驗中,為了證實本 發明實驗組在異位性皮膚炎上之醫藥效果,使用此吡美莫 司作為正對照組。於此所使用之孟魯司特鈉獲自Teva, Ltd.,純度99.5%或更高,且於此所使用之白藜蘆醇獲自Journal of Dermatological Science, 37, 159-167, 2005). In this experiment, 'Balb/C mice (male, 8 weeks) and as incomplete antigen D1 1 06 (1-chloro-2,3,4-trinitro-benzene, 84111 phantom, and painful one) Group 6 mice were tested. The mouse abdomen was shaved with animal scissors and general razor, and one week later, 100 μ 17% ΤΝ (: Β solution (mixture solvent of acetone and olive test (4: 1)) was applied to Mouse abdomen. After 5 days, the mice were anesthetized with halothane, the thickness of the bilateral external ear was measured by thick error _Ut〇yo N〇.7309), and 1〇μ1 1% Take / (C = tatsan oil (4: 1) solution) to the inside of the bilateral external ear. At the top of the application (3) Γ = a sample of 1 〇 μ1 was applied to the bilateral external ear of the mouse. 24-hour odometer _. Ear thickness after induction of edema minus ear thickness of induced water (4), meter # edema inhibition "The following public car count, and the simple case of Xiang Xiang (four) and the table = inhibition (%) = a control group increased X100 Table 2 13 201036947 - position) Inhibition (%) Basic control group 0 Positive control group 1 ~ Moss 3 43% *** Positive control group 2 ... - Division 100 67%... Experimental group 1 Montelukast sodium 50 14 %... experimental group 2 Montelukast sodium 100 26%*"* experimental group 3 montelukast sodium 200 36%*** experimental group 4 ... resveratrol 100 -7% experimental group 5 montelukast sodium 50 + white peony Resveratrol 1〇〇49%"* Experimental Group 6 Montelukast Sodium 100+ White Gourd Xue 1〇〇49%"* Experimental Group 7 Montelukner 150+ Resveratrol 1〇〇52 〇/,* Experimental group 8 montelukast sodium 2〇0 + resveratrol 1〇〇77%***: P<0.001, DUnnett, s Multiple Comparison Test, compared to the control group. ί. As seen in Table 2 above, the experimental examples (test groups 1 to 3) administered alone with montelukast showed 14 to 36% inhibition of ear edema, which increased with the content of montelukast. The experimental group 4 administered with resveratrol alone showed no inhibition of ear edema. However, Experimental Examples 5 to 8 using both monutuk and resveratrol exhibited an edema inhibition of 4 9 to 7 7 %, which represents a significant improvement effect as compared with the case where the compound was used alone. As seen in the experimental groups 1 and 5, Menglu (10) (50 tons) alone showed 14% ear edema inhibition, while (4) Menglu (4) and resveratrol showed 49% ear edema inhibition, which increased 4 times. Or higher. Therefore, in the animal model of atopic dermatitis, a significant improvement effect on atopic dermatitis is exerted by the combination of each compound (4) ❹' due to the synergistic effect of the combination of 孟 # 司 及 and 藜 醇 醇. 14 201036947 agent] seen in the electricity 'compared to tacrolimus (immunosuppression 5 to 8) presenting deaf group 1 to 2), the experimental example of the present invention (experimental group J exhibits ear edema inhibition. Example 2 Preparation of samples containing various contents of self-purinol - To confirm the various levels of resveratrol in atopic dermatitis, prepare a sample by dissolving in a mixed solvent of ethanol and propylene glycol (7:3) as follows As shown in Table 3, reference is made to pimecr〇limus, an immunosuppressant similar to tacrolimus, which exhibits an excellent anti-inflammatory effect and thus is used as a therapeutic agent for chronic atopic dermatitis. The use of pimecrolimus is limited by side effects'. For example, immunosuppressive growth-promoting tumor growth has been published (Cancer, Vol. 80, p. 1141 (1997)). In this experiment, in order to confirm the experimental group of the present invention In the medical effect on atopic dermatitis, this pimecrolimus was used as a positive control group. The montelukast sodium used herein was obtained from Teva, Ltd., purity 99.5% or higher, and used herein. Resveratrol is obtained from
Xi’an Tianxing Natural Bio-products,純度 99%或更高。 表3 成分及含量(w/v%) 正對照組3 吡美莫司1% 實驗組9 孟魯司特鈉1% 實驗組10 白藜蘆醇1% 實驗組11 孟魯司特鈉1%+白藜蘆醇1% 實驗組12 孟魯司特鈉1%+白藜蘆醇0.1% 實驗組13 孟魯司特鈉1%+白藜蘆醇0.01% 15 201036947 實驗實施例2 :小鼠耳水腫抑制試驗 為了證實異位性皮膚炎之緩解及治療效果,使用小鼠 耳水腫核式(-種用於異位性皮膚炎之動物模式),以實驗 實施例1相同方式進行試驗。除了實施例2所使用之樣本 外,實驗實施例2以實驗實施例丨相同方式進行試驗。重 複试驗以計异耳水腫之抑制,且所獲得之結果顯示於下表 表4 --------- 抑制(%) 基礎對照組 --—--VP57 UL 且/ 一 0 正對照組3 _美莫司100 69%*" 實驗組9 ...孟魯司特鈉100 30%… 實驗組10 ____白藜蘆醇100 -5%"* _實驗組11 _ 孟魯司特鈉100+白藜蘆酵100 67%*** 實驗組12 孟魯司特鈉100+白藜蘆醇10 57%*** 實驗組13 孟魯司特鈉100+白藜蘆醇1 63% .P<0.001,Dunnett’s Multiple Comparison Test,相較於 對照組。 Ο 如上表4中所見’比較實驗組11與實驗組13,雖然添 加少量白藜蘆醇,實驗組13呈現相當於實驗組U之抑制。 此證實儘管添加極少量’白藜蘆醇與孟魯司特仍協同性地 作用’因此相較於各化合物分離使用,在異位性皮膚炎上 發揮顯著之改善效果。 此外’如上表4中所見,相較於吼美莫司(免疫抑制 劑)(正對照組3) ’本發明實驗實施例(實驗組η至13) 16 201036947 呈現耳水腫抑制。 這些結果顯示,孟魯司特與白藜蘆醇之合併使用並未 曾被發表過產生例如免疫抑制劑之促腫瘤生長之副作用, 對於異位性皮膚炎呈現媲美免疫抑制劑更優異之治療效 果。 產業可利用性 如上述說明顯示,本發明提供一種用於治療異位性皮 〇 膚炎之組成物,其包含孟魯司特或其鹽與白藜蘆醇作為活 性成分。該組成物在例如異位性皮膚炎之異位性皮膚疾病 上呈現不可預期的治療效果,因此其可以各種形式用於治 療異位性皮膚疾病。 雖然為了說明之目的而揭示本發明較佳具體實施例, 只要不背離附隨之申請專利範圍所揭示之本發明範圍及精 神,熟悉技術者將可察知可能具有各種修改、增加及替換。 ❹ 【圖式簡單說明】 無0 【主要元件符號說明】 無0 17Xi’an Tianxing Natural Bio-products, purity 99% or higher. Table 3 Composition and content (w/v%) Positive control group 3 Pimecrolimus 1% Experimental group 9 Montelukast sodium 1% Experimental group 10 Resveratrol 1% Experimental group 11 Montelukast sodium 1% + Resveratrol 1% Experimental group 12 Montelukast sodium 1% + resveratrol 0.1% Experimental group montelukast sodium 1% + resveratrol 0.01% 15 201036947 Experimental Example 2: Mice Ear edema inhibition test In order to confirm the relief and therapeutic effect of atopic dermatitis, the test was carried out in the same manner as in Experimental Example 1 using a mouse ear edema nuclear type (an animal model for atopic dermatitis). Experimental Example 2 was tested in the same manner as Experimental Example 除了 except for the sample used in Example 2. The test was repeated to determine the inhibition of edema of the ear, and the results obtained are shown in Table 4 below. --------- Inhibition (%) Basic control group ----- VP57 UL and / a 0 positive Control group 3 _Memos 100 69%*" Experimental group 9 ... Montelukast sodium 100 30%... Experimental group 10 ____ Resveratrol 100 -5% "* _Experiment group 11 _ Meng Russet sodium 100 + white gourd yeast 100 67% *** experimental group 12 montelukast sodium 100 + resveratrol 10 57% *** experimental group 13 montelukast sodium 100 + resveratrol 1 63% . P < 0.001, Dunnett's Multiple Comparison Test, compared to the control group.比较 Comparing the experimental group 11 and the experimental group 13 as seen in the above Table 4, although a small amount of resveratrol was added, the experimental group 13 exhibited inhibition corresponding to the experimental group U. This confirms that although a very small amount of resveratrol is synergistically acted upon with montelukast, it has a significant improvement effect on atopic dermatitis compared to the separation of each compound. Further, as seen in the above Table 4, the experimental examples of the present invention (experimental group η to 13) 16 201036947 exhibited ear edema inhibition as compared with indomethacin (immunosuppressive agent) (positive control group 3). These results show that the combined use of montelukast and resveratrol has not been published to produce side effects such as immunosuppressive growth-promoting tumor growth, and atopic dermatitis exhibits superior therapeutic effects comparable to immunosuppressive agents. Industrial Applicability As described above, the present invention provides a composition for treating atopic dermatitis comprising montelukast or a salt thereof and resveratrol as an active ingredient. The composition exhibits an unpredictable therapeutic effect on an atopic skin disease such as atopic dermatitis, and thus it can be used in various forms for treating atopic skin diseases. Although the preferred embodiment of the invention has been disclosed for purposes of illustration and description, it will be understood that ❹ [Simple description of the diagram] No 0 [Description of main component symbols] No 0 17
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CN116421547A (en) * | 2023-03-09 | 2023-07-14 | 中国医学科学院皮肤病医院(中国医学科学院皮肤病研究所) | Preparation of Montelukast sodium external cream and application of Montelukast sodium external cream in inflammatory dermatosis |
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KR100927579B1 (en) * | 2006-12-13 | 2009-11-23 | 주식회사 엘지생명과학 | Composition Comprising Hyalruronic Acid and/or their Salt for Treatment of Atopic Dermatitis |
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2010
- 2010-02-25 KR KR1020100016939A patent/KR20100102531A/en active IP Right Grant
- 2010-03-04 WO PCT/KR2010/001348 patent/WO2010104281A2/en active Application Filing
- 2010-03-09 TW TW099106733A patent/TW201036947A/en unknown
- 2010-03-10 AR ARP100100726A patent/AR075809A1/en unknown
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Publication number | Publication date |
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WO2010104281A3 (en) | 2010-12-23 |
KR20100102531A (en) | 2010-09-24 |
AR075809A1 (en) | 2011-04-27 |
WO2010104281A2 (en) | 2010-09-16 |
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