发明简述
一方面,发明涉及具有下列通式的PTH(1-34)的肽变体:
其中:
A1是Ser,Ala,或Dap;
A3是Ser,Thr,或Aib;
A5是Leu,Me,Ile,Cha,β-Nal,Trp,Pal,Phe或p-X-Phe,其中X是OH,一种卤素,或CH3;
A7是Leu,Nle,Nle,Cha,β-Nal,Trp,Pal,Phe,或p-X-Phe,其中X是OH,一种卤素,或CH3;
A8是Met,Nva,Leu,Val,Ile,Cha,或Nle;
A11是Leu,Nle,Ile,Cha,β-Nal,Trp,Pal,Phe,或p-X-Phe,其中X是OH,一种卤素,或CH3;
A12是Gly或Aib;
A15是Leu,Nle,Ile,Cha,β-Nal,Trp,Pal,Phe,或p-X-Phe,其中X是OH,一种卤素,或CH3;
A16是Ser,Asn,Ala,或Aib ;
A17是Ser,Thr,或Aib;
A18是Met,Nva,Leu,Val,Ile,Nle,Cha,或Aib;
A19是Glu或Aib;
A21是Val,Cha,或Met;
A23是Trp或Cha;
A24是Leu或Cha;
A27是Lys,Aib,Leu,hArg,Gln,或Cha;
A28是Leu或Cha;
A30是Asp或Lys;
A31是Val,Nle,Cha,或缺失;
A32是His或缺失;
A33是Asn或缺失;
A34是Phe,Tyr,Amp,Aib,或缺失;
每一个R1和R2独立地是H,C1-12烷基,C2-C12链烯基,C7-20苯烷基,C11-20萘烷基(napthylalkyl),C1-12羟烷基,C2-12羟链烯基,C7-20羟苯烷基,或C11-20羟萘烷基;或R1和R2中的一个且只有一个是COE1,其中E1是C1-12烷基,C2-12链烯基,C7-20苯烷基,C11-20萘烷基,C1-12羟烷基,C2-12羟链烯基,C7-20羟-苯烷基,或C11-20羟萘烷基;以及
R3是OH,NH2,C1-12烷氧基,或NH-Y-CH2-Z,其中Y是一种C1-12烃部分并且Z是H,OH,CO2H,或CONH2;
条件是(i)A5,A7,A8,A11,A15,A18,A21,A23,A24,A27,A28,和A31中至少一个是Cha,或A3,A12,A16,A17,A18,A19和A34中至少一个是Aib;或(ii)至少A1是Dap,A7是β-Nal,Trp,Pal,Phe,或p-X-Phe,A15是β-Nal,Trp,Pal,Phe,或p-X-Phe,A27是h Arg,或A31是Nle。
由上述通式包括的化合物的一个亚组是那些其中的A5,A7,A11,A15,A18,A21,A23,A24,A27,A28,和A31中至少一个是Cha的化合物,例如,A3是Ser;A5是Ile;A7是Leu或Cha;A8是Met,Nva,Leu,Val,Ile,或Nle;A11是Leu或Cha;A12是Gly;A15是Leu或Cha;A16是Asn或Aib;A17是Ser;A18是Met或Nle;A21是Val;A27是Lys,hArg,或Cha;A32是His;A31是Val,Nle,或Cha;A33是Asn;A34是Phe,Tyr,Amp,或Aib;R1是H;R2是H;以及R3是NH2;条件是A5,A7,A8,A11,A15,A18,A21,A23,A24,A27,A28,和A31中至少一个是Cha,或A3,A12,A16,A17,A18,A19和A34中至少一个是Aib。如果需要,A7和A11中至少一个可以是Cha;或A15,A23,A24,A27,A28,和A31中至少一个是Cha。
在另一个亚组中,A3,A12,A16,A17,A18,A19,和A34中至少一个是Aib。例如,A3是Ser或Aib;A5是Ile;A7是Leu或Cha;A8是Met,Nva,Leu,Val,Ile,或Nle;A11是Leu或Cha;A15是Leu或Cha;A16是Asn或Aib;A18是Met,Aib,或Nle;A21是Val;A27是Lys,Aib,Leu,hArg,或Cha;A31是Val,Nle,或Cha;A32是His;A33是Asn;A34是Phe,Tyr,Amp,或Aib;R1是H;R2是H;以及R3是NH2;条件是A5,A7,A8,A11,A15,A18,A21,A23,A24,A27,A28,和A31中至少有一个是Cha,或A3,A12,A16,A17,A18,A19,和A34中至少一个是Aib。如果需要,A7和A11中至少一个可以是Cha;或A15,A23,A24,A27,A28,和A31中至少一个是Cha。
在另一个亚组中,A5,A7,A8,A11,A15,A18,A21,A23,A24,A27,A28,和A31中至少一个是Cha,或A3,A12,A16,A17,A18,A19,和A34中至少一个是Aib。例如,A3是Ser或Aib;A5是Ile;A7是Leu或Cha;A8是Met,Nva,Leu,Val,Ile,或Nle;A11是Leu或Cha;A15是Leu或Cha;A16是Asn或Aib;A18是Met,Aib,或Nle;A21是Val;A27是Lys,Aib,Leu,hArg,或Cha;A31是Val,Nle,或Cha;A32是His;A33是Asn;A34是Phe,Tye,Amp,或Aib;R1是H;R2是H;以及R3是NH2。如果需要,A7和A11中至少一个是Cha并且A16,A19,和A34中至少一个是Aib;或者A24,A28,和A31中至少一个是Cha并且A16和A17中至少一个是Aib。
在另一个亚组中,至少一个A1是Dap,A7是β-Nal,Trp,Pal,Phe,或p-X-Phe,A13是β-Nal,Trp,Pal,Phe,或p-X-Phe。如果,A1是Ser,Gly,或Dap;A3是Ser或Aib;A8是Met,Nva,Leu,Val,Ile,或Nle;A16是Asn或Aib;A18是Met,Aib,或Nle;A21是Val;A27是Lys,Aib,Leu,hArg,或Cha;A31是Val,Nle,或Cha;A32是His;A33是Asn;A34是Phe,Tyr,Amp,或Aib;R1是H;R2是H;以及R3是NH2。
下面是上面通式包括的本发明肽的例子:[Cha7]hPTH(1-
34)NH2;[Cha11]hPTH(1-3 4)NH2;[Cha15]hPTH(1-34)NH2;[Cha7,
11]hPTH(1-34)NH2;[Cha7,11,Nle8,18,Tyr34]hPTH(1-34)NH2;
[Cha23]hPTH(1-34)NH2;[Cha24]hPTH(1-34)NH2;[Nle8,18,
Cha27]hPTH(1-34)NH2;[Cha28]hPTH(1-34)NH2;[Cha31]hPTH(1-
34)NH2;[Cha27]hPTH(1-34)NH2;[Cha27,29]hPTH(1-34)NH2;
[Cha28]bPTH(1-34)NH2;[Cha28]rPTH(1-34)NH2;[Cha24,28,
31]hPTH(1-34)NH2;[Aib16]hPTH(1-34)NH2;[Aib19]hPTH(1-
34)NH2;[Aib34]hPTH(1-34)NH2;[Aib16,19]hPTH(1-34)NH2;
[Aib16,19,34]bPTH(1-34)NH2;[Aib16,34]hPTH(1-34)NH2;
[Aib19,34]hPTH(1-34)NH2;[Cha7,11,Nle8,18,Aib16,19,
Tyr34]hPTH(1-34)NH2;[Cha7,11,Nle8,18,31,Aib16,19,
Tyr34]hPTH(1-34)NH2;[Cha7,Aib16]hPTH(1-34)NH2;[Cha11,
Aib16]hPTH(1-34)2;[Cha7,Aib34]hPTH(1-34)NH2;[Cha11,
Aib34]hPTH(1-34)NH2;[Cha27,Aib16]hPTH(1-34)NH2;[Cha27,
Aib34]hPTH(1-34)NH2;[Cha28,Aib16]hPTH(1-34)NH2;[Cha28,
Aib34]hPTH(1-34)NH2;[Nle31]hPTH(1-34)NH2;[hArg27]hPTH(1-
34)NH2;[Dap1,Nle8,18,Tyr34]hPTH(1-34)NH2;
[Nle31]bPTH(1-34)NH2;[Nle31]rPTH(1-34)NH2;[hArg27]bPTH(1-
34)NH2;[hArg27]rPTH(1-34 )NH2;[Cha7,11,Aib19,
Lys30]hPTH(1-34)NH2;[Aib12]hPTH(1-34)NH2;[Cha24,28,31,
Lys30]hPTH(1-34)NH2;[Cha28,31]hPTH(1-34)NH2;[Cha7,11,
Nle8,18,Aib34]hPTH(1-34)NH2;[Aib3]hPTH(1-34)NH2;
[Cha8]hPTH(1-34)NH2;[Cha15]hPTH(1-34)NH2;[Cha7,11,
Aib19]hPTH(1-34)NH2;[Cha7,11,Aib16]hPTH(1-34)NH2;
[Aib17]hPTH(1-34)NH2;[Cha5]hPTH(1-34)NH2;[Cha7,11,
15]hPTH(1-34)NH2;[Cha7,11,Nle8,18,Aib19,
Tyr34]hPTH(1-34)NH2;[Cha7,11,Nle8,18,Aib19,Lys30,
Tyr34]hPTH(1-34)NH2;[Cha7,11,15]hPTH(1-34)NH2;
[Aib17]hPTH(1-34)NH2;[Cha7,11,Leu27]hPTH(1-34)NH2;
[Cha7,11,15,Leu27]hPTH(1-34)NH2;[Cha7,11,27]hPTH(1-
34)NH2;[Cha7,11,15,27]hPTH(1-34)NH2;[Trp15]hPTH(1-
34)NH2;[Nal15]hPTH(1-34)NH2;(Trp15,Cha23]hPTH(1-34)NH2;
[Cha15,23]hPTH(1-34)NH2;[Phe7,11]hPTH(1-34)NH2;[Nal7,
11]hPTH(1-34)NH2;[Trp7,11]hPTH(1-34)NH2;[Phe7,11,
15]hPTH(1-34)NH2;[Nal7,11,15]hPTH(1-34)NH2;[Trp7,11,
15]hPTH(1-34)NH2;and[Tyr7,11,15]hPTH(1-34)NH2,。
另一方面,本发明涉及由下式包括的肽或其药学上可接受的盐;
其中:
A1是Ala,Ser或Dap;
A3是Ser,或Aib;
A5是His,Ile,或Cha;
A7是Leu,Cha,Nle,β-Nal,Trp,Pal,Phe,或p-X-Phe,其中X是OH,一种卤素,或CH3;
A8是Leu,Met,或Cha;
A10是Asp或Asn;
A11是Lys,Leu,Cha,Phe,或β-Nal;
A12是Gly或Aib;
A14是Ser或His;
A15是Ile,或Cha;
A16是Gh或Aib;
A17是Asp或Aib;
A18是Leu,Aib,或Cha;
A19是Arg或Aib;
A22是Phe,Glu,Aib,或Cha;
A23是Phe,Leu,Lys,或Cha;
A24是Leu,Lys,或Cha;
A25是His,Aib,或Glu;
A26是His,Aib,或Lys;
A27是Leu,Lys,或Cha;
A28是Ile,Leu,Lys,或Cha;
A29是Ala,Glu,或Aib;
A30是Glu,Cha,Aib,或Lys;
A31是Ile,Leu,Cha,Lys,或缺失;
A32是His或缺失;
A33是Thr或缺失;
A34是Ala或缺失;
每一个R1和R2分别是H,C1-12烷基,C7-C20苯烷基,C11-20萘烷基,C1-12羟烷基,C2-12羟链烯基,C7-20羟苯烷基,或C11-20羟萘烷基;或R1和R2中一个且只有一个是COE1,其中E1是C1-12烷基,C2-12烷基,C2-12链烯基,C7-20苯烷基,C11-20萘烷基,C1-12羟烷基,C2-12羟链烯基,C7-20羟苯烷基,或C11-20羟萘烷基;以及
R3是OH,NH2,C1-12烷氧基,或NH-Y-CH2-Z,其中Y是一个C1-12烃部分并且Z是H,OH,CO2H或CONH2;
条件是(i)A5,A7,A8,A11,A15,A18,A22,A23,A24,A27,A28,A30和A31中至少一个是Cha,或A3,A12,A16,A17,A18,A19,A22,A25,A26,A29,A30,和A34中至少一个是Aib;或(ii)A23,A24,A27,A28,或A31中至少一个是Lys。在一个实施例中,A7和A11中至少一个是Cha。在另一个实施例中,A16或A19中至少一个是Aib。刚叙述的式的肽的特殊例子包括,但不限于,
[Cha7]hPTHrP(1-34)NH2;[Cha11]hPTHrP(1-34)NH2;[Cha7,
11]hPTHrP(1-34)NH2;[Aib16,Tyr34hPTHrP(1-34)NH2;
[Aib19]hPTHrP(1-34)NH2;[Aib16,19]hPTHrP(1-34)NH2;[Cha7,
11,Aib16hPTHrP(1-3 4)NH2;[Cha7,11,Aib19]hPTHrP(1-3 4)NH2;
[Cha22,Leu23,28,31,Glu25,29,Lys26,30]hPTHrP(1-34)NH2;
[Glu22,25,29,Leu23,28,31,Lys26,27,30]hPTHrP(1-34)NH2;
[Cha22,23,G1u25,29,Leu28,31,Lys26,30]hPTHrP(1-34)NH2;
[Glu22,25,Leu23,28,31,Aib29,Lys26,30]hPTHrP(1-34)NH2;
[Glu22,25,29,Lys23,26,30,Leu28,31]hPTHrP(1-34)NH2;
[Glu22,25,29,Leu23,28,31,Lys26,Cha30]hPTHrP(1-34)NH2;
[Glu22,25,29,Leu23,28,31,Lys26,Aib30]hPTHrP(1-34)NH2;
[Glu22,25,29,Leu23,31,Lys26,28,30]hPTHrP(1-34)NH2;
[Cha22,23,24,27,28,31,Glu25,29,Lys26,30]hPTHrP(1-
34)NH2;[Glu22,25,29,Cha23,24,28,31,Lys26,27,
30]hPTHrP(1-34)NH2;[Glu22,25,29,Cha23,24,27,31,Lys26,
28,30]hPTHrP(1-34)NH2;[Glu22,25,29,Lys23,26,30,Cha24,
27,28,31]hPTHrP(1-34)NH2;[Cha22,Leu23,28,31,Glu25,29,
Lys26,27,30]hPTHrP(1-34)NH2;[Cha22,Leu23,31,Glu25,29,
Lys26,28,30]hPTHrP(1-34)NH2;[Cha22,Lys23,26,30,Glu25,
29,Leu28,31]hPTHrP(1-34)NH2;[Cha22,Leu23,28,31,Glu25,
Lys25,30,Aib29]hPTHrP(1-34)NH2;[Cha22,Leu23,28,31,
Glu25,29,Lys26,Aib30]hPTHrP(1-34)NH2;[Glu22,25,Leu23,
28,31,Lys26,27,30,Aib29]hPTHrP(1-34)NH2;[Glu22,25,
Lys23,26,30,Leu 28,31,Aib29]hPTHrP(1-34)NH2;[Glu22,25,
Leu23,31,Lys 26,28,30,Aib29]hPTHrP(1-34)NH2;[Cha7,11,
Glu22,25,29,Leu23,28,31,Lys26,30]hPTHrP(1-34)NH2;
[Cha7,11,22,Leu23,28,31,Glu25,29,Lys26,30]hPTHrP(1-
34)NH2;[Cha7,11,Glu22,25,29,Leu23,28,31,Lys26,27,30]
hPTHrP(1-34)NH2;[Cha7,11,22,23,Glu25,29,Leu28,31,
Lys26,30]hPTHrP(1-34)NH2;[Cha7,11,Glu22,25,29,Lys23,
26,30,Leu28,31]hPTHrP(1-34)NH2;[Cha7,11,Glu22,25,29,
Leu23,31,Lys26,28,30]hPTHrP(1-34)NH2;[Cha7,11,Glu22,
25,Leu23,28,31,Aib29,Lys26,30]hPTHrP(1-34)NH2;[Cha7,
11,Glu22,25,29,Leu23,28,31,Lys26,Aib30]hPTHrP(1-
34)NH2;[Cha15,Glu22,25,29,Leu23,28,31,Lys26,
30]hPTHrP(1-34)NH2;[Cha15,22,Leu23,28,31,Glu25,29,
Lys26,30]hPTHrP(1-34)NH2;[Cha15,Glu22,25,29,Leu23,28,
31,Lys26,27,30]hPTHrP(1-34)NH2;[Cha15,22,23,Glu25,29,
Leu28,31,Lys26,30]hPTHrP(1-34)NH2;[Cha15,Glu22,25,
Leu23,28,31,Aib29,Lys26,30]hPTHrP(1-34)NH2;[Cha15,
Glu22,25,29,Lys23,26,30,Leu28,31]hPTHrP(1-34)NH2;
[Cha15,Glu22,25,29,Leu23,28,31,Lys26,Aib30]hPTHrP(1-
34)NH2;[Cha15,Glu22,28,29,Leu23,31,Lys26,28,
30]hPTHrP(1-34)NH2;[Cha15,30,Glu22,25,29,Leu23,28,31,
Lys26]hPTHrP(1-34)NH2;[Cha7,8,22,Leu23,28,31,Glu25,29,
Lys26,30]hPTHrP(1-34)NH2;[Cha7,8,Glu22,25,29,Leu23,28,
31,Lys26,27,30]hPTHrP(1-34)NH2;[Cha7,8,22,23,Glu25,
29,Leu28,31,Lys26,30]hPTHrP(1-34)NH2;[Cha7,8,Glu22,
25,29,Leu23,28,31,Lys26,30]hPTHrP(1-34)NH2;[Cha7,8,
Glu22,25,Leu23,28,31,Aib29,Lys26,30]hPTHrP(1-34)NH2;
[Cha7,8,Glu22,25,29,Lys23,26,30,Leu28,31]hPTHrP(1-
34)NH2;[Cha7,8,Glu22,25,29,Leu23,28,31,Lys26,Aib30]
hPTHrP(1-34)NH2;[Cha7,8,Glu22,25,29,Leu23,31,Lys26,
28,30]hPTHrP(1-34)NH2;[Cha7,8,30,Glu22,25,29,Leu23,28,
31,Lys26]hPTHrP(1-34)NH2;[Ser1,Ile5,Cha7,11,22,Met8,
Ash10,His14,Leu23,28,31,Glu25,29,Lys26,30]hPTHrP(1-34)
NH2;[Ser1,Ile5,Cha7,11,Met8,Asn10,His14,Glu22,25,
29,Leu23,28,31,Lys26,27,30]hPTHrP(1-34)NH2;[Ser1,
Ile5,Cha7,11,Met8,Asn10,His14,Glu22,25,29,Leu23,31,
Lys26,28,30]hPTHrP(1-34)NH2;Ser1,Ile5,Cha7,11,Met8,
Asn10,His14,Glu22,25,29,Lys23,26,30,Leu28,
31]hPTHrP(1-34)NH2;[Ser1,Ile5,Cha7,11,Met8,Asn10,
His14,Glu22,25,Leu23,28,31,Aib29,Lys26,30]hPTHrP(1-34)
NH2;[Ser1,Ile5,Cha7,11,Met8,Asn10,His14,Glu22,25,
29,Leu23,28,31,Lys26,Aib30]PTHrP(1-34)NH2;[Ser1,
Ile5,Cha7,11,22,23,Met8,Asn10,His14,Glu25,29,Leu28,
31,Lys26,30]hPTHrP(1-34)NH2;[Ser1,Ile5,Cha7,11,15,
Met8,Asn10,His14]hPTHrP(1-34)NH2;[Ser1,Ile5,Met8,
Asn10,Leu11,His14,Aib16]hPTHrP(1-34)NH2;[Ser1,Ile5,
Met8,Asn10,Leu11,28,31,His14,Cha22,23,Glu25,29,
Lys26,30]hPTHrP(1-34)NH2;[Ser1,Ile5,Cha7,11,Met8,
Asn10,His14,Glu22,25,29,Leu23,28,31,Lys26,30]hPTHrP
(1-34)NH2;[Ser1,Ile5,Met8,Asn10,His14,Cha15,Glu22,
25,29,Leu23,28,31,Lys26,30]hPTHrP(1-34)NH2;[Ser1,
Ile5,Cha7,8,Asn10,His14,Glu22,25,29,Leu23,28,31,
Lys26,30]hPTHrP(1-34)NH2;[Glu22,25,29,Leu23,28,31,
Lys24,26,30)hPTHrP(1-34)NH2;[Aib22,Leu23,28,31,Glu25,
29,Lys26,30]hPTHrP(1-34)NH2;[Glu22,29,Leu23,28,31,
Aib25,Lys26,30]hPTHrP(1-34)NH2;[Glu22,25,29,Leu23,28,
31,Aib26,Lys30]hPTHrP(1-34)NH2;[Glu22,25,29,Leu23,28,
Lys26,30,31]hPTHrP(1-34)NH2;[Ser1,Ile5,Met8,Asn10,
Leu11,23,28,31,His14,Cha22,Glu25,29,Lys26,30]
hPTHrP(1-34)NH2;[Ser1,Ile5,Met8,Asn10,Leu11,28,31,
His14,Glu22,25,29,Lys23,26,30]PTHrP(1-34)NH2;[Ser1,
Ile5,Met8,Asn10,Leu11,23,28,31,His14,Glu22,25,29,
Lys26,27,30]hPTHrP(1-34)NH2;[Ser1,Ile5,Met8,Asn10,
Leu11,23,31,His14,Glu22,25,29,Lys26,28,30]hPTHrP(1-
34)NH2 ;[Ser1,Ile5,Met8,Ash10,Leu11,23,28,31,His14,
Glu22,25,Aib29,Lys26,30]hPTHrP(1-34)NH2;[Ser1,Ile5,
Met8,Ash10,Leu11,23,28,31,His14,Glu22,25,29,Lys26,
Aib30]hPTHrP(1-34)NH2;or[Ser1,Ile5,Met8]hPTHrP(1-
34)NH2。
除了N末端氨基酸以外,此公开中所有氨基酸简称(例如Ala或A1)代表-NH-CH(R)-CO-结构,其中,R是氨基酸的侧链(例如,CH3是Ala侧链)。对于N末端氨基酸,简称代表=N-CH(R)-CO-结构,其中R是氨基酸侧链。β-Nal,Nle,Dap,Cha,Nva,Amp,Pal,和Aib分别是下列α-氨基酸的简称:β-(2-萘基)丙氨酸,正亮氨酸,α,β-二氨基丙酸,环已基丙氨酸,正缬氨酸,4-氨基-苯丙氨酸,3-吡啶丙氨酸,和α-氨基异丁酸。在上式中,羟烷基,羟苯烷基,和羟萘烷基可能含有1-4个羟基取代基。又及,COE1代表-C=O·E1。-C=O·E1的例子包括,但不限于,乙酰基和苯丙酰基。
本发明的肽在此处也以另一种形式表示,例如,[Cha7,11]hPTH(1-34)NH2,具有在第二对括号中的天然序列的取代氨基酸(例如,在pHTH中以Cha7取代Leu7,并以Cha11取代Leu11)。简称hPTH代表人pTH,hPTHrP代表人PTHrP,rPTH代表大鼠PHT,以及bPTH代表牛PTH。括号中的数字是指肽中存在的氨基酸数目(例如,hPTH(1-34)是人PTH肽序列的1到34位氨基酸)。hPTH(1-34),hPTHrP(1-34),bPTH(1-34),和rPTH(1-34)的序列列表于Nissenson等,受体(Receptor),3:193(1993)。PTH(1-34)NH2中的名称“NH2”表明肽的C末端是氨化的。与此相反,PTH(1-34)具有游离酸C末端。
本发明的每一种肽都能够刺激受治疗者(换言之,一个哺乳动物例如病人)的骨生长。因而,当单独施用或与抗再吸收治疗例如二磷酸盐和降钙素等共同使用时,在治疗骨质疏松和骨折中是有效的。
本发明的肽可以药学可接受盐的形式提供。此类盐的例子包括,但不限于,那些与有机酸(例如,乙酸,乳酸,马来酸,柠檬酸,苹果酸,抗坏血酸,琥珀酸,苯甲酸,甲磺酸,甲苯磺酸,或pamoic acid),无机酸(例如,盐酸,硫酸,或磷酸),以及聚酸(例如,单宁酸,羧甲基纤维素,聚乳酸,聚乙二醇酸,或聚乳酸-聚乙二醇酸共聚物)形成的盐。
治疗有效量的本发明的肽与一种药学可接受载体物质(例如,碳酸镁,乳糖,或一种磷脂,用其使治疗组合物能形成微团)一起形成一种用于对受治疗者给药(例如,口服,静脉内给药,穿皮给药,经肺给药,阴道给药,皮下给药,鼻内给药,离子电渗给药,或气管内给药)的治疗组合物(例如,丸剂,片剂,胶囊,或液体)。用于口服的丸剂,片剂,或胶囊可用一种物质包被,以保护活性成分在胃部一定时间内不被胃酸或肠内的酶破坏,足以使它在进入小肠时未被消化。治疗组合物也可以生物可降解或生物不可降解缓释制剂的形式用于皮下或肌肉内给药。参看,例如,美国专利3,773,919和4,767,628和PCT申请No.Wo 94/15587。也可使用可移植的或外接泵(例如,INFUSAIDTM pump)进行连续给药。也可进行间歇的例如每天注射一次,或低剂量连续的,例如缓释剂型给药。
用于治疗上述疾病或紊乱的本发明肽的剂量根据给药方式,受治疗者的年龄和体重,以及要治疗的受治疗者的健康状况而变化,并且最终由护理医生或兽医决定。
在本发明范围内还考虑到把由上述通式包括的肽用于治疗与骨生长缺陷等有关的疾病或紊乱,例如骨质疏松或骨折。
本发明其它的特征和优点将通过详细的描述以及权利要求说明。