JPH08176013A - 再狭窄症及び動脈硬化症治療薬 - Google Patents
再狭窄症及び動脈硬化症治療薬Info
- Publication number
- JPH08176013A JPH08176013A JP32201194A JP32201194A JPH08176013A JP H08176013 A JPH08176013 A JP H08176013A JP 32201194 A JP32201194 A JP 32201194A JP 32201194 A JP32201194 A JP 32201194A JP H08176013 A JPH08176013 A JP H08176013A
- Authority
- JP
- Japan
- Prior art keywords
- batroxobin
- therapeutic agent
- restenosis
- arteriosclerosis
- heparin
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 206010003210 Arteriosclerosis Diseases 0.000 title claims abstract description 9
- 208000011775 arteriosclerosis disease Diseases 0.000 title claims abstract description 9
- 208000037803 restenosis Diseases 0.000 title claims abstract description 9
- 239000003814 drug Substances 0.000 title claims abstract description 8
- 229940124597 therapeutic agent Drugs 0.000 title claims abstract description 7
- 108010027612 Batroxobin Proteins 0.000 claims abstract description 36
- 229960002210 batroxobin Drugs 0.000 claims abstract description 36
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 claims abstract description 13
- 238000002399 angioplasty Methods 0.000 claims abstract description 13
- 229960002897 heparin Drugs 0.000 claims abstract description 13
- 229920000669 heparin Polymers 0.000 claims abstract description 13
- 230000003449 preventive effect Effects 0.000 claims description 8
- 229940126585 therapeutic drug Drugs 0.000 claims description 6
- 239000004480 active ingredient Substances 0.000 claims description 4
- 230000002792 vascular Effects 0.000 abstract description 10
- 230000000694 effects Effects 0.000 abstract description 6
- 108010049003 Fibrinogen Proteins 0.000 abstract description 5
- 102000008946 Fibrinogen Human genes 0.000 abstract description 5
- 229940012952 fibrinogen Drugs 0.000 abstract description 5
- 241000124008 Mammalia Species 0.000 abstract description 4
- 101000772006 Bombus ignitus Venom serine protease Bi-VSP Proteins 0.000 abstract description 3
- 241000392415 Bothrops moojeni Species 0.000 abstract description 3
- 210000004369 blood Anatomy 0.000 abstract description 3
- 239000008280 blood Substances 0.000 abstract description 3
- 239000003998 snake venom Substances 0.000 abstract description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 abstract 3
- 230000001112 coagulating effect Effects 0.000 abstract 1
- 206010020718 hyperplasia Diseases 0.000 abstract 1
- 210000002381 plasma Anatomy 0.000 abstract 1
- 241000894007 species Species 0.000 abstract 1
- 206010072810 Vascular wall hypertrophy Diseases 0.000 description 15
- 208000031481 Pathologic Constriction Diseases 0.000 description 9
- 208000037804 stenosis Diseases 0.000 description 9
- 230000036262 stenosis Effects 0.000 description 8
- 210000004204 blood vessel Anatomy 0.000 description 7
- HVYWMOMLDIMFJA-DPAQBDIFSA-N cholesterol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 description 6
- 208000007536 Thrombosis Diseases 0.000 description 4
- 206010057469 Vascular stenosis Diseases 0.000 description 4
- 239000002504 physiological saline solution Substances 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 206010002383 Angina Pectoris Diseases 0.000 description 3
- 241000283973 Oryctolagus cuniculus Species 0.000 description 3
- 108090000190 Thrombin Proteins 0.000 description 3
- 238000002583 angiography Methods 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 3
- 235000012000 cholesterol Nutrition 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 238000001647 drug administration Methods 0.000 description 3
- 210000003090 iliac artery Anatomy 0.000 description 3
- 238000001990 intravenous administration Methods 0.000 description 3
- 208000010125 myocardial infarction Diseases 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 229960004072 thrombin Drugs 0.000 description 3
- 108010039209 Blood Coagulation Factors Proteins 0.000 description 2
- 102000015081 Blood Coagulation Factors Human genes 0.000 description 2
- 102000010780 Platelet-Derived Growth Factor Human genes 0.000 description 2
- 108010038512 Platelet-Derived Growth Factor Proteins 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 239000003114 blood coagulation factor Substances 0.000 description 2
- 229940019700 blood coagulation factors Drugs 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- OSASVXMJTNOKOY-UHFFFAOYSA-N chlorobutanol Chemical compound CC(C)(O)C(Cl)(Cl)Cl OSASVXMJTNOKOY-UHFFFAOYSA-N 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 229940019334 heparin group antithrombotic drug Drugs 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000414 obstructive effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000001737 promoting effect Effects 0.000 description 2
- 230000000069 prophylactic effect Effects 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- JWICNZAGYSIBAR-LEEGLKINSA-N (4s)-4-[[2-[[(2s)-2-[[(2s)-2-[[(2s)-2-aminopropanoyl]amino]-3-carboxypropanoyl]amino]-3-hydroxypropanoyl]amino]acetyl]amino]-5-[[2-[[(2s)-3-carboxy-1-[[(2s)-1-[[1-[[(2s)-1-[[(2s)-4-carboxy-1-[[2-[[2-[[2-[[(2s)-1-[[(1s)-1-carboxy-4-(diaminomethylideneamino Chemical compound NC(N)=NCCC[C@@H](C(O)=O)NC(=O)[C@H](C(C)C)NC(=O)CNC(=O)CNC(=O)CNC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C)NC(=O)C(CC(C)C)NC(=O)[C@@H](NC(=O)[C@H](CC(O)=O)NC(=O)CNC(=O)[C@H](CCC(O)=O)NC(=O)CNC(=O)[C@H](CO)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](C)N)CC1=CC=CC=C1 JWICNZAGYSIBAR-LEEGLKINSA-N 0.000 description 1
- KKJUPNGICOCCDW-UHFFFAOYSA-N 7-N,N-Dimethylamino-1,2,3,4,5-pentathiocyclooctane Chemical compound CN(C)C1CSSSSSC1 KKJUPNGICOCCDW-UHFFFAOYSA-N 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 101800000974 Fibrinopeptide A Proteins 0.000 description 1
- 102400000525 Fibrinopeptide A Human genes 0.000 description 1
- 101800003778 Fibrinopeptide B Proteins 0.000 description 1
- 102400001063 Fibrinopeptide B Human genes 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 1
- 241000699670 Mus sp. Species 0.000 description 1
- 241000700159 Rattus Species 0.000 description 1
- 206010038563 Reocclusion Diseases 0.000 description 1
- 108010022999 Serine Proteases Proteins 0.000 description 1
- 102000012479 Serine Proteases Human genes 0.000 description 1
- 208000024248 Vascular System injury Diseases 0.000 description 1
- 208000012339 Vascular injury Diseases 0.000 description 1
- 231100000215 acute (single dose) toxicity testing Toxicity 0.000 description 1
- 238000011047 acute toxicity test Methods 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 238000010171 animal model Methods 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 229960004926 chlorobutanol Drugs 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000003511 endothelial effect Effects 0.000 description 1
- 229940088598 enzyme Drugs 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- MYRIFIVQGRMHRF-OECXYHNASA-N fibrinopeptide b Chemical compound N([C@@H](C(C)C)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)NCC(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CO)C(=O)N[C@@H](C)C(=O)N[C@@H](CCCNC(N)=N)C(O)=O)C(=O)CNC(=O)[C@@H]1CCC(=O)N1 MYRIFIVQGRMHRF-OECXYHNASA-N 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 229940106780 human fibrinogen Drugs 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000003112 inhibitor Substances 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000002075 main ingredient Substances 0.000 description 1
- 239000011259 mixed solution Substances 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
- 229940043274 prophylactic drug Drugs 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000015590 smooth muscle cell migration Effects 0.000 description 1
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000008719 thickening Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/55—Protease inhibitors
- A61K38/57—Protease inhibitors from animals; from humans
- A61K38/58—Protease inhibitors from animals; from humans from leeches, e.g. hirudin, eglin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/43—Enzymes; Proenzymes; Derivatives thereof
- A61K38/46—Hydrolases (3)
- A61K38/48—Hydrolases (3) acting on peptide bonds (3.4)
- A61K38/49—Urokinase; Tissue plasminogen activator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/08—Vasodilators for multiple indications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
- C12N9/00—Enzymes; Proenzymes; Compositions thereof; Processes for preparing, activating, inhibiting, separating or purifying enzymes
- C12N9/14—Hydrolases (3)
- C12N9/48—Hydrolases (3) acting on peptide bonds (3.4)
- C12N9/50—Proteinases, e.g. Endopeptidases (3.4.21-3.4.25)
- C12N9/64—Proteinases, e.g. Endopeptidases (3.4.21-3.4.25) derived from animal tissue
- C12N9/6402—Proteinases, e.g. Endopeptidases (3.4.21-3.4.25) derived from animal tissue from non-mammals
- C12N9/6418—Proteinases, e.g. Endopeptidases (3.4.21-3.4.25) derived from animal tissue from non-mammals from snakes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
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Abstract
硬化症治療薬 【構成】 バトロキソビンを有効成分として含有するこ
とを特徴とする経皮的血管形成術後の再狭窄、動脈硬化
症の予防及び治療薬。
Description
obin)を有効成分として含有することを特徴とする経皮
的血管形成術後の再狭窄、動脈硬化症の予防及び治療薬
に関する。
心症の治療法として普及しつつある経皮的血管形成術後
に生じる血管壁内膜肥厚は、血管の内皮傷害が原因であ
ると考えられ、血管中膜層から平滑筋細胞が遊走し、内
膜層で増殖を重ねることによって内膜肥厚が形成される
と報告されている。然し、この現象は、生理学・薬理学
的にはほとんど解明されておらず、例えば血小板由来増
殖因子(PDGF)が平滑筋細胞の遊走促進作用や増殖
促進作用を有することが知られているのみで、実際にこ
の因子のみが動脈硬化性の血管内膜の肥厚や経皮的血管
形成術後の再肥厚に直接関与しているかどうかを確かめ
た報告はない。
塞・狭心症の治療法として普及しつつある経皮的血管形
成術後に生じる血管壁内膜肥厚に対する有効な手段ある
いは治療薬は未だ見出されていないのが現状である。最
近の調査によれば、日本における経皮的血管形成術、例
えばPTCAは凡そ35,000例あり、術後の血管壁内膜肥
厚に起因する再狭窄の発生率は20〜50%と報告されてお
り、この予防及びその治療薬の開発は、極めて重要な課
題となっている。本発明者は、動物モデルを用いて血管
壁内膜肥厚に対し、その予防及び治療薬の開発につき鋭
意研究を行った結果、バトロキソビンが、血管壁内膜肥
厚を抑制し得ることを見いだし、本発明を完成させた。
内膜肥厚、及び心筋梗塞・狭心症の治療法として普及し
つつある経皮的血管形成術後に生じる血管壁内膜肥厚に
対して有効な予防・治療薬を提供することを目的とす
る。
キソビンを有効成分として含有する経皮的血管形成術後
の再狭窄、動脈硬化症の予防及び治療薬である。本発明
のバトロキソビンは、哺乳動物に対して種特異性を示す
ので、血中のフィブリノーゲン濃度が顕著に低下しない
哺乳動物においては、更に必要に応じて、ヘパリンを併
用することが望ましい。本発明に係るバトロキソビン
は、その本質は「Bothrops atrox moojeni蛇毒由来のト
ロンビン様酵素」であり、その製剤は東菱薬品工業
(株)より製造されているバトロキソビン製剤が挙げら
れる。
内膜肥厚抑制作用を持つことはこれまでに知られていな
い。本発明に用いる単離精製されたバトロキソビンは、
既にアミノ酸の全一次構造が決定されている[N. Itoh e
t al (1987) J. Biol. Chem. 262 (7) 3132-3135]。バ
トロキソビンは、トロンビンと同様に、セリンプロテア
ーゼの一つであり、分子量も近似し、両者共フィブリノ
ーゲンを分解してフィブリノペプタイドAを遊離する
が、トロンビンはフィブリノペプタイドBも同時に遊離
し、又バトロキソビンはフィブリノーゲンを除く血液凝
固因子に作用しないが、トロンビンは各種の血液凝固因
子に作用する等の点で特異的に相違するものである。本
発明に用いるバトロキソビンは、その血管壁内膜肥厚抑
制作用により、血管壁内膜肥厚抑制剤、動脈硬化予防
剤、及び経皮的血管形成術後の再狭窄等の予防・治療薬
として使用される。本発明によるバトロキソビンの投与
量は症状により異なるが、一般に成人1日1回あたり、
バトロキソビンとして1〜20バトロキソビン単位(Ba
troxobin Unit 、略してBU)であり、なお、症状によ
り増減できる。これを適宜希釈し、点滴静脈内投与、静
脈内投与あるいは局所投与することが好ましい。ここで
言うバトロキソビン単位とは、バトロキソビンの酵素活
性量を示す単位で、37℃で、標準ヒトクエン酸加血漿0.
3ml に、バトロキソビン溶液0.1ml を加えるとき、19.0
±0.2 秒で凝固する活性量を2BUとするものである。以
下に本発明を、実施例を以て更に説明する。
毒由来のトロンビン様酵素)製剤1ml中の成分及び分量
は、次の通りである。 バトロキソビン(主成分) 10 BU クロロブタノール(防腐剤) 3 mg ゼラチン加水分解物(安定化剤) 0.1 mg 塩化ナトリウム(等張化剤) 9 mg 注射用蒸留水 全量1ml 〔試験例〕再発性狭窄症のモデルとして、高コレステロ
ール(コレステロール2%含有食餌)1ヵ月負荷の家兎
[ 雄、2.5 〜3kg、ヘパリン群7羽、(バトロキソビン
+ヘパリン)群7羽] の総腸骨動脈を用いた。このモデ
ルはヒト動脈硬化症モデルとして今日まで最も多く用い
られ、多くの知見が得られており、該試験例においても
動脈硬化症の経皮的血管形成術後の狭窄モデルとして使
用された。詳しくは、家兎大腿動脈よりカテーテルシー
スを挿入し、これを介してバルーンカテーテルを総腸骨
動脈に進めて同部を傷害する。バルーン傷害後、バルー
ンカテーテルをさらに大動脈の分岐部まで進め、バルー
ン膨張による近位よりの血流遮断下にシースより2mlの
生理食塩水を局所注入した後、血流を再開させ、これを
対照側とした。他方、同様にバルーン傷害時に2mlの生
理食塩水に溶解したヘパリン(25 U/kg)、あるいは上記
バトロキソビン製剤(1BU/kg)とヘパリン(25 U/kg)の
混合溶液、すなわち、バトロキソビンとヘパリンの重量
比が1対100 で混合された2mlの生理食塩溶液を傷害総
腸骨動脈内に局所注入し、3分間留置後、血流を再開さ
せ、これを薬剤投与側とした。1時間後の血管内視鏡と
血管造影所見では、対照側には閉塞性或いは壁在血栓が
全例に認められ、薬剤投与側には閉塞性血栓は認められ
なかった。術後、さらに高コレステロール1ヵ月負荷を
継続することにより、対照側と薬剤投与側の血管内径狭
窄度(%)を比較した。すなわち、血管傷害1ヵ月後に
再度血管造影を行い、内膜肥厚による血管内径狭窄度
(%)を比較し、バトロキソビン局所投与の狭窄予防効
果を検討した。1ヶ月後の血管造影所見による血管内径
狭窄度(%)1)は、生理食塩水のみを投与した対照側で
コレステロール負荷による明らかな総腸骨動脈狭窄病変
形成が認められた。また、ヘパリンのみを投与した群よ
りもバトロキソビンとヘパリンを併用した投与側で顕著
な軽減作用を示した(P<0.05)。結果を次表に示す。
/〔(+)/2〕 :狭窄部近傍血管内径(近位部) :狭窄部近傍血管内径(遠位部) :狭窄部内血管最小内径 上記結果の様にバトロキソビンとヘパリンの併用で、再
狭窄予防効果を示したが、ここでヘパリンは必ずしも必
要ではない。ウサギの血中フィブリノーゲンに対するバ
トロキソビンの脱フィブリノーゲン作用はヒトフィブリ
ノーゲンにくらべ非常に小さい(「医学と薬学」、大羽
光興等、第14巻第4号、第1061頁〜1071頁、1985年10
月、自然化学社) 。従って、血小板による早期血栓形成
によっておこる再閉塞を予防するため、試験例ではヘパ
リンを併用した。バトロキソビンの急性毒性試験は、マ
ウス、ラット、ウサギ及びイヌに静脈内投与して行っ
た。LD50値(BU/kg) は次の通りであった。
予防し、血管壁内膜肥厚を抑制し、経皮的血管形成術後
の再狭窄、動脈硬化症の予防及び治療薬として有効であ
る。
Claims (2)
- 【請求項1】 バトロキソビンを有効成分として含有す
ることを特徴とする経皮的血管形成術後の再狭窄、動脈
硬化症の予防及び治療薬。 - 【請求項2】 ヘパリンを有効成分として更に含有する
ことを特徴とする請求項1記載の予防及び治療薬。
Priority Applications (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP32201194A JP4140981B2 (ja) | 1994-12-26 | 1994-12-26 | 再狭窄症及び動脈硬化症治療薬 |
| US08/555,451 US5595974A (en) | 1994-12-26 | 1995-11-09 | Medicaments for the treatment of restenosis and arterial sclerosis |
| DE69532066T DE69532066T2 (de) | 1994-12-26 | 1995-11-20 | Arzneimittel zur Behandlung von Restenosis und Gefässsklerosis |
| EP95118229A EP0719791B1 (en) | 1994-12-26 | 1995-11-20 | Medicaments for the treatment of restenosis and arterial sclerosis |
| CN95120396A CN1090028C (zh) | 1994-12-26 | 1995-12-22 | 治疗再狭窄和动脉硬化的药物 |
| CA002165995A CA2165995C (en) | 1994-12-26 | 1995-12-22 | Medicaments for the treatment of restenosis and arterial sclerosis |
| AU40690/95A AU696496B2 (en) | 1994-12-26 | 1995-12-22 | Medicaments for the treatment of restenosis and arterial sclerosis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP32201194A JP4140981B2 (ja) | 1994-12-26 | 1994-12-26 | 再狭窄症及び動脈硬化症治療薬 |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2006027272A Division JP2006160760A (ja) | 2006-02-03 | 2006-02-03 | 血管壁内膜肥厚抑制剤 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH08176013A true JPH08176013A (ja) | 1996-07-09 |
| JP4140981B2 JP4140981B2 (ja) | 2008-08-27 |
Family
ID=18138930
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP32201194A Expired - Lifetime JP4140981B2 (ja) | 1994-12-26 | 1994-12-26 | 再狭窄症及び動脈硬化症治療薬 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US5595974A (ja) |
| EP (1) | EP0719791B1 (ja) |
| JP (1) | JP4140981B2 (ja) |
| CN (1) | CN1090028C (ja) |
| AU (1) | AU696496B2 (ja) |
| CA (1) | CA2165995C (ja) |
| DE (1) | DE69532066T2 (ja) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009509914A (ja) * | 2005-09-30 | 2009-03-12 | 東菱薬品工業株式会社 | 幹細胞及び/又は前駆細胞の賦活剤 |
Families Citing this family (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP3742675B2 (ja) * | 1995-06-28 | 2006-02-08 | 東菱薬品工業株式会社 | 虚血−再灌流障害の予防および治療薬 |
| DE69734060T2 (de) | 1996-05-24 | 2006-06-29 | Angiotech Pharmaceuticals, Inc., Vancouver | Zubereitungen und verfahren zur behandlung oder prävention von krankheiten der körperpassagewege |
| JP3866800B2 (ja) * | 1996-08-29 | 2007-01-10 | 東菱薬品工業株式会社 | アポトーシス関連疾患の予防及び/又は治療薬 |
| FR2754183A1 (fr) * | 1996-10-08 | 1998-04-10 | Lefebvre Jean Marie | Composition visqueuse hemostatique, notamment a l'etat de gel |
| WO2005023868A1 (en) * | 2003-09-05 | 2005-03-17 | Shanghai Chuangeng Bio-Tech. Co., Ltd. | Serine protease and polynucleotides which encode the serine protease |
| WO2006001502A1 (ja) * | 2004-06-24 | 2006-01-05 | Tobishi Pharmaceutical Co., Ltd. | バトロキソビンを含有する悪性腫瘍局所浸潤抑制剤 |
| WO2006045010A2 (en) * | 2004-10-20 | 2006-04-27 | Resverlogix Corp. | Stilbenes and chalcones for the prevention and treatment of cardiovascular diseases |
| US8410109B2 (en) * | 2005-07-29 | 2013-04-02 | Resverlogix Corp. | Pharmaceutical compositions for the prevention and treatment of complex diseases and their delivery by insertable medical devices |
| PT2118074E (pt) * | 2007-02-01 | 2014-03-20 | Resverlogix Corp | Compostos para a prevenção e tratamento de doenças cardiovasculares |
| AU2007350619B2 (en) * | 2007-03-30 | 2013-12-19 | Shanghai Tenry Pharmaceutical Co., Ltd. | A purified recombinant batroxobin with high specific activity |
| SI2346837T1 (sl) | 2008-06-26 | 2015-05-29 | Resverlogix Corporation | Postopki pripravljanja kinazolinonskih derivatov |
| US8952021B2 (en) | 2009-01-08 | 2015-02-10 | Resverlogix Corp. | Compounds for the prevention and treatment of cardiovascular disease |
| KR101913109B1 (ko) | 2009-03-18 | 2018-10-31 | 리스버로직스 코퍼레이션 | 신규한 소염제 |
| US9757368B2 (en) | 2009-04-22 | 2017-09-12 | Resverlogix Corp. | Anti-inflammatory agents |
| CA2851996C (en) | 2011-11-01 | 2020-01-07 | Resverlogix Corp. | Pharmaceutical compositions for substituted quinazolinones |
| US9765039B2 (en) | 2012-11-21 | 2017-09-19 | Zenith Epigenetics Ltd. | Biaryl derivatives as bromodomain inhibitors |
| US9073878B2 (en) | 2012-11-21 | 2015-07-07 | Zenith Epigenetics Corp. | Cyclic amines as bromodomain inhibitors |
| JP2016507496A (ja) | 2012-12-21 | 2016-03-10 | ゼニス・エピジェネティクス・コーポレイションZenith Epigenetics Corp. | ブロモドメイン阻害剤としての新規複素環式化合物 |
| US10111885B2 (en) | 2015-03-13 | 2018-10-30 | Resverlogix Corp. | Compositions and therapeutic methods for the treatment of complement-associated diseases |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2578745B1 (fr) * | 1985-03-18 | 1989-05-12 | Berdal Pascal | Preparations pharmaceutiques fluidifiant le sang |
| US5523292A (en) * | 1992-10-14 | 1996-06-04 | Schwartz; Robert | Method of preventing restenosis following coronary angioplasty |
-
1994
- 1994-12-26 JP JP32201194A patent/JP4140981B2/ja not_active Expired - Lifetime
-
1995
- 1995-11-09 US US08/555,451 patent/US5595974A/en not_active Expired - Lifetime
- 1995-11-20 DE DE69532066T patent/DE69532066T2/de not_active Expired - Lifetime
- 1995-11-20 EP EP95118229A patent/EP0719791B1/en not_active Expired - Lifetime
- 1995-12-22 CN CN95120396A patent/CN1090028C/zh not_active Expired - Lifetime
- 1995-12-22 AU AU40690/95A patent/AU696496B2/en not_active Ceased
- 1995-12-22 CA CA002165995A patent/CA2165995C/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009509914A (ja) * | 2005-09-30 | 2009-03-12 | 東菱薬品工業株式会社 | 幹細胞及び/又は前駆細胞の賦活剤 |
Also Published As
| Publication number | Publication date |
|---|---|
| CA2165995C (en) | 2007-08-21 |
| CN1090028C (zh) | 2002-09-04 |
| EP0719791A2 (en) | 1996-07-03 |
| JP4140981B2 (ja) | 2008-08-27 |
| AU696496B2 (en) | 1998-09-10 |
| CA2165995A1 (en) | 1996-06-27 |
| DE69532066T2 (de) | 2004-08-26 |
| AU4069095A (en) | 1996-07-04 |
| EP0719791A3 (en) | 1996-12-18 |
| US5595974A (en) | 1997-01-21 |
| DE69532066D1 (de) | 2003-12-11 |
| EP0719791B1 (en) | 2003-11-05 |
| CN1135358A (zh) | 1996-11-13 |
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