JPH1059851A - Guanidino compound reducing agents and water and potassium ion adsorbents - Google Patents
Guanidino compound reducing agents and water and potassium ion adsorbentsInfo
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- JPH1059851A JPH1059851A JP25638796A JP25638796A JPH1059851A JP H1059851 A JPH1059851 A JP H1059851A JP 25638796 A JP25638796 A JP 25638796A JP 25638796 A JP25638796 A JP 25638796A JP H1059851 A JPH1059851 A JP H1059851A
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- Prior art keywords
- water
- polymer
- active ingredient
- hemodialysis
- potassium
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Abstract
Description
【0001】[0001]
【発明の属する技術分野】本発明はグアニジノ化合物低
下剤、より詳しくは、血液透析を受けている急性及び慢
性腎不全患者や、血液透析を受けるまでには至っていな
いが、腎機能低下により水分摂取の制限を受けている患
者に経口投与して、該患者の体内に蓄積されたグアニジ
ノ化合物を低下させ、同体内に蓄積される水分と共に、
血液透析によることなく体外に排出し且つ体内に蓄積さ
れるカリウムイオンも除去可能な新しい作用を有するグ
アニジノ化合物低下剤に関する。TECHNICAL FIELD The present invention relates to a guanidino compound-lowering agent, and more particularly, to patients with acute or chronic renal failure who are undergoing hemodialysis, or who have not yet undergone hemodialysis, but who have lost water due to renal dysfunction. Orally administered to a patient who is restricted, reduces the guanidino compound accumulated in the body of the patient, together with the water accumulated in the body,
The present invention relates to a guanidino compound-lowering agent having a new action capable of removing potassium ions which are excreted from the body without hemodialysis and accumulated in the body.
【0002】[0002]
【従来の技術】ポリアクリル酸ソーダ等のアクリル系吸
水性樹脂は、従来より、生理用品、おむつ、使い捨て雑
巾等の衛生用品を始めとして、食品添加物、農園芸用品
等として用いられてきており、文献的にも消化性潰瘍治
療剤(独国特許第2412090号)、止血及び創傷保
護剤(特開昭62−70318号)、酒酔い防止剤(特
開平1−153643号)等として利用できることが知
られている。2. Description of the Related Art Acrylic water-absorbing resins such as sodium polyacrylate have been used as sanitary products such as sanitary products, diapers, disposable rags, food additives, agricultural and horticultural products, and the like. It can be used as a therapeutic agent for peptic ulcer (German Patent No. 2412090), a hemostatic and wound protective agent (Japanese Patent Application Laid-Open No. 62-70318), an agent for preventing sickness (Japanese Patent Application Laid-Open No. 1-153643), etc. It has been known.
【0003】一方、腎機能が低下し、窒素、代謝老廃
物、水分等の尿中に排泄されるべき物質が生体内に蓄積
される、急性及び慢性の腎不全患者の治療、処置法とし
ては、腎移植やCAPD(携行式腹膜透析)等も知られ
てはいるが、腎移植では腎提供者が少な過ぎ、CAPD
では腹膜炎を併発しやすい欠点があることから、主とし
て、血液透析に頼っているのが現状である。[0003] On the other hand, renal function is reduced, and substances to be excreted in urine such as nitrogen, metabolic waste products and water are accumulated in the living body. Although renal transplantation and CAPD (portable peritoneal dialysis) are also known, there are too few renal donors in renal transplantation and CAPD
At present, he currently mainly relies on hemodialysis because of the drawback that peritonitis tends to occur.
【0004】我国の腎疾患患者数は、50〜60万人と
いわれ、日本透析医学統計調査委員会は、1994年末
現在の我国の慢性透析患者数が、143709人であ
り、前年よりも9411人増加したと報告している。[0004] The number of patients with renal disease in Japan is said to be 500,000 to 600,000, and the Japan Statistical Investigation Committee for Dialysis Therapy reported that the number of chronic dialysis patients in Japan as of the end of 1994 was 143709, which was 9411 compared to the previous year. Reports that it has increased.
【0005】之等の透析患者及び血液透析を受けるまで
には至っていないが、腎機能低下により透析患者と同様
の水分摂取の制限を受けている保存期の患者は、腎機能
低下による水分等の体外排出が不能乃至困難であること
及び透析患者の狭心症は透析中に出現しやすく、透析直
前の体液量が最も増加した時にも発作が誘発されやすい
といわれていること等から、摂取水分量を厳しく制限さ
れている。その1日の許容水分摂取量は、ほぼ1リット
ル以内とされており、透析患者では次の血液透析までの
間に摂取できる許容水分量は、体重の4〜5%程度まで
に抑えられている現状にある。しかして、この許容水分
摂取量は、健常人が通常摂取する水分量の約半分程度に
相当する。この長期間に亘る厳しい水分管理は、透析患
者に多大の精神的及び肉体的苦痛を与えるものであり、
これが血液透析の最も重大な弊害のひとつとして挙げら
れる。[0005] Patients in the preservation period who have not yet undergone such dialysis patients and hemodialysis, but who have the same restriction of water intake as dialysis patients due to renal function deterioration, have a problem of water and the like due to renal function deterioration. Since it is said that extracorporeal discharge is impossible or difficult, and angina in dialysis patients is likely to appear during dialysis, and it is said that seizures are likely to be induced even when the volume of fluid immediately before dialysis is maximized. The amount is severely restricted. The daily allowable water intake is set to be within about 1 liter, and the allowable water intake of the dialysis patient until the next hemodialysis is restricted to about 4 to 5% of the body weight. In the current situation. Thus, this allowable water intake is equivalent to about half of the amount of water normally taken by a healthy person. This prolonged stringent water management can cause dialysis patients significant mental and physical distress,
This is one of the most serious adverse effects of hemodialysis.
【0006】また、上記透析患者の血液透析時間は、例
えば2リットルの水分と代謝老廃物等を除去する場合で
約3時間を要し、それ以上の水分除去には更に長時間を
要する。患者は、かかる血液透析を週に2〜3回程度繰
り返す必要があるため、時間的にも社会復帰が困難な現
状にある。[0006] The hemodialysis time of the above-mentioned dialysis patient is, for example, about 3 hours in the case of removing 2 liters of water and metabolic wastes, and more time is required to remove more water. Since patients need to repeat such hemodialysis about two or three times a week, it is difficult to return to society in terms of time.
【0007】このように、現在、腎不全患者に適用され
ている血液透析は、該患者の生命維持に必須のものでは
あるが、多大の精神的苦痛等を伴うに加えて、長期の処
置時間を要するものであり、それらを軽減できる新しい
技術の開発が待ち望まれている。As described above, hemodialysis currently applied to patients with renal insufficiency is indispensable for maintaining the life of the patient, but involves a great deal of mental distress and the like, and has a long treatment time. Therefore, the development of a new technology capable of reducing such a problem is awaited.
【0008】更に、透析患者等の腎不全患者において
は、尿毒症の原因物質の一つとされている、例えばメチ
ルグアニジン、グアニジノプロピオン酸、グアニジノ酪
酸等のグアニジノ化合物が体内に蓄積されるという重大
な弊害がある。また、メチルグアニジンには細胞毒性が
あり、グアニジノプロピオン酸には溶血作用があり、グ
アニジノ酪酸には中枢神経障害作用があり、之等それぞ
れの体内蓄積によれば、各種疾患の罹病のおそれがあ
る。Further, in renal failure patients such as dialysis patients, guanidino compounds such as methylguanidine, guanidinopropionic acid and guanidinobutyric acid, which are regarded as one of the causative substances of uremia, are accumulated in the body. There are evils. In addition, methylguanidine has cytotoxicity, guanidinopropionic acid has a hemolytic effect, guanidinobutyric acid has a central nervous system dysfunction, and according to their respective accumulation in the body, there is a risk of illness of various diseases. .
【0009】このうち、メチルグアニジンは血液透析に
より血中の濃度低下を図ることが可能であるが、臓器内
濃度は血液透析でも容易に低下しない。また、グアニジ
ノプロピオン酸及びグアニジノ酪酸は血液透析でもその
血中及び臓器内濃度を殆ど低下させることはできない。[0009] Of these, methylguanidine can be reduced in blood concentration by hemodialysis, but the concentration in organs is not easily reduced by hemodialysis. In addition, guanidinopropionic acid and guanidinobutyric acid can hardly reduce the blood and organ concentrations by hemodialysis.
【0010】このように、血液透析は、水分除去以外
に、代謝老廃物、毒性物質等の除去を目的として行なわ
れるものではあるが、体内に蓄積する毒性物質等の種類
によっては之等を充分に除去できるものではなく、これ
に代わるか又はこれを補い得る技術の開発もまた望まれ
ている。As described above, hemodialysis is performed for the purpose of removing metabolic wastes, toxic substances, etc., in addition to removing water. However, depending on the type of toxic substances accumulated in the body, such dialysis is not sufficient. It is also desired to develop a technology that cannot be removed and that can replace or supplement this.
【0011】加えて、一般に血液透析患者にあっては、
発熱、感染、摂食不良等が起こると、細胞質や自己蛋白
の崩壊により、細胞外にカリウムイオンが移行し、経口
によるカリウムの摂取を行なわずとも、容易に高カリウ
ム血症が惹起され、四肢知覚障害、嘔吐、下痢、乏尿、
筋脱力感、弛緩性筋麻痺、代謝性アシドーシス、呼吸筋
麻痺、呼吸困難、不整脈等の症候を出現させる場合のあ
ることが知られている。従って、従来、かかる透析患者
には、カリウム吸着剤の投与がよく行なわれているが、
公知のカリウム吸着剤は副作用として便秘を伴う欠点が
あり、その改善も求められている。In addition, in general, in hemodialysis patients,
When fever, infection, poor eating, etc. occur, potassium ions migrate to the outside of the cell due to the breakdown of cytoplasm and self-protein, and hyperkalemia is easily induced without oral potassium intake, and limbs Paresthesia, vomiting, diarrhea, oliguria,
It is known that symptoms such as muscle weakness, flaccid muscle paralysis, metabolic acidosis, respiratory muscle paralysis, dyspnea, and arrhythmia may occur. Therefore, conventionally, to such dialysis patients, administration of potassium adsorbent is often performed,
Known potassium adsorbents have the disadvantage of constipation as a side effect, and their improvement is also required.
【0012】[0012]
【発明が解決しようとする課題】従って、本発明の目的
は、血液透析患者等が摂取した水分、体内に蓄積される
グアニジノ化合物及びカリウムイオンを、血液透析によ
らずとも、体外に排出できる新しい技術、殊に、かかる
体外排出を可能とする経口投与剤を提供する点にある。SUMMARY OF THE INVENTION Accordingly, an object of the present invention is to provide a new method for excreting water taken in by a hemodialysis patient or the like, guanidino compounds and potassium ions accumulated in the body without using hemodialysis. It is an object of the present invention, in particular, to provide an orally-administered drug which enables such extracorporeal excretion.
【0013】本発明者らは、上記目的より鋭意研究の結
果、従来より、衛生用品等に用いられているある種の吸
水性樹脂が、これを患者に経口摂取させるときには、体
内に蓄積されたグアニジノ化合物を低下させ、且つ水分
と同時にカリウムイオンをも吸着して、体外に排出させ
得る作用を発揮し、上記作用を発揮する投与量での経口
投与は安全性に優れていることを見出し、ここに本発明
を完成するに至った。The present inventors have conducted intensive studies for the above purpose, and as a result, when a certain kind of water-absorbing resin conventionally used in sanitary goods and the like is orally ingested by patients, it has been accumulated in the body. It lowers the guanidino compound, and also adsorbs potassium ions at the same time as water, exhibits an action capable of being excreted outside the body, and found that oral administration at a dose exhibiting the above action is excellent in safety, Here, the present invention has been completed.
【0014】[0014]
【課題を解決するための手段】本発明によれば、アクリ
ル系吸水性樹脂を有効成分として含有することを特徴と
するグアニジノ化合物低下剤、特にグアニジノ化合物低
下剤及び水分吸着剤並びにグアニジノ化合物低下剤、水
分及びカリウムイオン吸着剤が提供される。According to the present invention, there is provided a guanidino compound lowering agent comprising an acrylic water-absorbing resin as an active ingredient, particularly a guanidino compound lowering agent, a water adsorbent and a guanidino compound lowering agent. , Moisture and potassium ion adsorbents are provided.
【0015】[0015]
【発明の実施の形態】本発明低下及び吸着剤において有
効成分とする上記アクリル系吸水性樹脂に含まれる好ま
しい一つの例としては、一般式 CH2=CR1COOR2 〔式中R1は水素原子又はメチル基、R2は水素原子又
は金属原子を示す。〕で表されるアクリル系モノマーを
必須構成単位として含む重合体及び該重合体の架橋体か
ら選ばれるものを例示することができる。BEST MODE FOR CARRYING OUT THE INVENTION One preferable example of the acrylic water-absorbing resin as an active ingredient in the reducing and adsorbent of the present invention is a compound represented by the following general formula: CH 2 = CR 1 COOR 2 [where R 1 is hydrogen An atom or a methyl group, R 2 represents a hydrogen atom or a metal atom. And a crosslinked product of the polymer containing the acrylic monomer represented by the formula (1) as an essential constituent unit.
【0016】ここで金属塩を形成する金属としては、ナ
トリウム、カリウム、リチウム等のアルカリ金属、カル
シウム、マグネシウム等のアルカリ土類金属を例示でき
る。Examples of the metal forming the metal salt include alkali metals such as sodium, potassium and lithium, and alkaline earth metals such as calcium and magnesium.
【0017】上記好ましいアクリル系吸水性樹脂には、
アクリル酸系重合体、アクリル酸金属塩系重合体、メタ
クリル酸系重合体及びメタクリル酸金属塩系重合体が包
含され、之等各重合体は、その架橋型であってもよい。
之等の内では、ポリアクリル酸もしくはポリアクリル酸
アルカリ金属塩の架橋物が好適であり、更に該架橋物の
一部がカルシウム塩の形態を有しているものが最適であ
る。The preferred acrylic water-absorbing resin includes:
An acrylic acid-based polymer, a metal acrylate-based polymer, a methacrylic acid-based polymer and a metal methacrylate-based polymer are included, and each of these polymers may be a crosslinked type thereof.
Among them, a crosslinked product of polyacrylic acid or an alkali metal salt of polyacrylic acid is preferable, and a crosslinked product in which a part of the crosslinked product has a form of a calcium salt is most preferable.
【0018】また、上記架橋物には、何等の架橋剤を用
いることなく得られた自己架橋体及び通常汎用される各
種の架橋剤を用いて常法に従い架橋された架橋体が含ま
れる。The above-mentioned cross-linked products include self-cross-linked products obtained without using any cross-linking agent and cross-linked products obtained by cross-linking with various commonly used cross-linking agents according to a conventional method.
【0019】上記架橋剤としては、多価アリル類、多価
ビニル類、多価エポキシ類、ハロエポキシ類、多価アル
コール類、多価アミン類、ヒドロキシビニル類等の各種
のものを利用することができる。代表的な架橋剤として
は次のものを例示できる。As the crosslinking agent, various ones such as polyhydric allyls, polyhydric vinyls, polyhydric epoxies, haloepoxys, polyhydric alcohols, polyhydric amines and hydroxyvinyls can be used. it can. The following can be exemplified as typical crosslinking agents.
【0020】多価アリル類:N,N−ジアリルアクリル
アミド及びN,N−ジアリルメタクリルアミド(之等を
「N,N−ジアリル(メタ)アクリルアミド」と表記す
る、以下同じ)、ジアリルアミン、ジアリルメタクリル
アミン、ジアリルフタレート、ジアリルマレート等の多
価アリル系化合物。Polyvalent allyls: N, N-diallylacrylamide and N, N-diallylmethacrylamide (these are referred to as "N, N-diallyl (meth) acrylamide", the same applies hereinafter), diallylamine, diallylmethacrylamine And polyvalent allyl compounds such as diallyl phthalate and diallyl malate.
【0021】多価ビニル類:ジビニルベンゼン、N,
N′−メチレンビス(メタ)アクリルアミド、エチレン
グリコールジ(メタ)アクリレート及びポリエチレング
リコールジ(メタ)アクリレート(之等を「(ポリ)エ
チレングリコールジ(メタ)アクリレート」と表記す
る、以下同じ)、(ポリ)プロピレングリコールジ(メ
タ)アクリレート、トリメタロールプロパントリアクリ
レート等の多価ビニル系化合物。Polyvalent vinyls: divinylbenzene, N,
N'-methylenebis (meth) acrylamide, ethylene glycol di (meth) acrylate and polyethylene glycol di (meth) acrylate (these are referred to as "(poly) ethylene glycol di (meth) acrylate", the same applies hereinafter), (poly ) Polyvalent vinyl compounds such as propylene glycol di (meth) acrylate and trimetalol propane triacrylate.
【0022】多価エポキシ類:(ポリ)エチレングリコ
ールジグリシジルエーテル、(ポリ)プロピレングリコ
ールジグリシジルエーテル、グリセリン−1,3−ジグ
リシジルエーテル、トリメチロールプロパントリグリシ
ジルエーテル、(ポリ)グリセリンポリグリシジルエー
テル等のポリエポキシ化合物。Polyhydric epoxies: (poly) ethylene glycol diglycidyl ether, (poly) propylene glycol diglycidyl ether, glycerin-1,3-diglycidyl ether, trimethylolpropane triglycidyl ether, (poly) glycerin polyglycidyl ether And other polyepoxy compounds.
【0023】ハロエポキシ類:エピクロルヒドリン、α
−メチルクロルヒドリン等。Haloepoxys: epichlorohydrin, α
-Methyl chlorohydrin and the like.
【0024】多価アルコール類:(ポリ)グリセリン、
(ポリ)エチレングリコール、トリメチロールプロパ
ン、ペンタエリスリトール等。Polyhydric alcohols: (poly) glycerin,
(Poly) ethylene glycol, trimethylolpropane, pentaerythritol and the like.
【0025】多価アミン類:エチレンジアミン等。Polyvalent amines: ethylenediamine and the like.
【0026】更に、上記アクリル酸系重合体、アクリル
酸金属塩系重合体、メタクリル酸系重合体及びメタクリ
ル酸金属塩系重合体には、アクリル酸及びメタクリル酸
のそれぞれのホモポリマー以外に、之等のコポリマー
や、之等各モノマーとそれらと共重合可能な他のモノマ
ーやグラフト重合可能なポリマーとのコポリマーも包含
され、かかるコポリマーは、ランダム重合体であって
も、ブロック重合体、グラフト重合体であってもよい。The above-mentioned acrylic acid polymer, metal acrylate polymer, methacrylic acid polymer and metal methacrylate polymer include, in addition to the homopolymers of acrylic acid and methacrylic acid, And copolymers of each monomer with other monomers copolymerizable with them and a graft-polymerizable polymer. Such a copolymer may be a random polymer, a block polymer, a graft polymer, or the like. It may be united.
【0027】ここで、(メタ)アクリル酸と共重合可能
な他のモノマーとしては、例えばヒドロキシエチル(メ
タ)アクリレート、(メトキシ)ポリエチレングリコー
ル(メタ)アクリレート、グリセリン(メタ)アクリレ
ート、グリコシルエチル(メタ)アクリレート等のアル
キル(メタ)アクリレート類;N,N−ジメチルアクリ
ルアミド、アクリルアミド等のアクリルアミド系化合
物;マレイン酸及びその金属塩、イタコン酸及びその金
属塩等のカルボン酸系化合物;2−アクリルアミド−2
−メチルプロパンスルホン酸及びその金属塩、ビニルス
ルホン酸及びその金属塩、スチレンスルホン酸及びその
金属塩等のスルホン酸系化合物;その他N−ビニルピロ
リドン等を例示できる。The other monomers copolymerizable with (meth) acrylic acid include, for example, hydroxyethyl (meth) acrylate, (methoxy) polyethylene glycol (meth) acrylate, glycerin (meth) acrylate, and glycosylethyl (meth) acrylate. ) Alkyl (meth) acrylates such as acrylates; acrylamide compounds such as N, N-dimethylacrylamide and acrylamide; carboxylic acid compounds such as maleic acid and its metal salts, itaconic acid and its metal salts; 2-acrylamide-2
Sulfonic acid compounds such as -methylpropanesulfonic acid and its metal salt, vinylsulfonic acid and its metal salt, styrenesulfonic acid and its metal salt; and N-vinylpyrrolidone.
【0028】また、(メタ)アクリル酸とグラフト重合
可能なポリマーとしては、例えば澱粉、カラギーナン、
アガロース、カルボキシメチルセルロース等の親水性多
糖類等を例示できる。Examples of the polymer that can be graft-polymerized with (meth) acrylic acid include starch, carrageenan,
Examples include hydrophilic polysaccharides such as agarose and carboxymethyl cellulose.
【0029】上記各種の吸水性樹脂は、一部市販されて
おり、また通常の方法により製造することができる。一
般的な製造方法としては、例えばモノマー水溶液中でモ
ノマーを重合させる方法(水溶液重合)、非水系有機溶
剤中でモノマー水溶液の懸濁液をつくり、これを重合さ
せる方法(逆相懸濁重合)、ポリマー水溶液を架橋剤を
用いて架橋する方法(ポリマー架橋方法)等が知られて
おり、本発明に利用する吸水性樹脂は、かかるいずれの
方法によるものであってもよい。Some of the above-mentioned various water-absorbing resins are commercially available, and can be produced by a usual method. As a general production method, for example, a method of polymerizing a monomer in an aqueous monomer solution (aqueous solution polymerization), a method of preparing a suspension of an aqueous monomer solution in a non-aqueous organic solvent and polymerizing the suspension (reverse phase suspension polymerization) A method of cross-linking a polymer aqueous solution using a cross-linking agent (polymer cross-linking method) and the like are known, and the water-absorbing resin used in the present invention may be any of these methods.
【0030】特に、本発明有効成分として好適なものの
一つである自己架橋型アクリル酸アルカリ金属塩系重合
体は、水溶性ラジカル重合開始剤を用いて、アクリル酸
アルカリ金属塩の高濃度水溶液を有機溶剤に懸濁、分散
させて重合(逆相懸濁重合)させることにより製造され
る(例えば特公昭54−30710号公報参照)のが好
適である。In particular, a self-crosslinking alkali metal acrylate polymer, which is one of the preferred active ingredients of the present invention, is prepared by using a water-soluble radical polymerization initiator to prepare a highly concentrated aqueous solution of an alkali metal acrylate. It is preferably produced by suspending and dispersing in an organic solvent to carry out polymerization (reverse phase suspension polymerization) (for example, see Japanese Patent Publication No. 54-30710).
【0031】また、本発明有効成分として特に好適なも
のの一つであるアルカリ金属原子の一部をカルシウムに
置換した、自己架橋型アクリル酸金属塩系重合体は、例
えばアクリル酸アルカリ金属塩とアクリル酸カルシウム
塩の高濃度水溶液を有機溶剤に懸濁、分散させて重合さ
せることにより、或いはより好ましくは、前記方法に従
い得られる自己架橋型アクリル酸アルカリ金属塩の水膨
潤ポリマーに塩化カルシウム水溶液を徐々に加えて、対
イオン交換を行なうことにより、製造することができ
る。A self-crosslinkable metal acrylate polymer in which part of an alkali metal atom is substituted with calcium, which is one of the particularly preferable active ingredients of the present invention, is, for example, an alkali metal acrylate and an acrylic acid. A high-concentration aqueous solution of a calcium acid salt is suspended and dispersed in an organic solvent and polymerized, or more preferably, a calcium chloride aqueous solution is gradually added to a water-swelled polymer of a self-crosslinkable alkali metal acrylate obtained according to the above method. In addition to the above, it can be produced by performing counter ion exchange.
【0032】かくして、本発明グアニジノ化合物低下剤
の有効成分として利用できるアクリル系吸水性樹脂を製
造できる。Thus, an acrylic water-absorbing resin which can be used as an active ingredient of the guanidino compound-lowering agent of the present invention can be produced.
【0033】本発明に特に好適な上記アクリル系樹脂と
しては、例えば生理食塩水吸水能(1g当たりの生理食
塩水の吸水量(ml))が、5〜100程度、より好ま
しくは15〜70程度のものを例示できる。As the acrylic resin particularly suitable for the present invention, for example, a physiological saline absorption capacity (absorbed amount of physiological saline per 1 g (ml)) is about 5 to 100, more preferably about 15 to 70. Can be exemplified.
【0034】本発明グアニジノ化合物低下剤は、上記の
如くして得られるアクリル系吸水性樹脂を、入手される
通常の形態、例えば粉末状、パウダー状、微粉末状、ビ
ーズ状、フレーク状、ゲル状等の形態で、グアニジノ化
合物の低下、水分、カリウムイオンの吸着除去を必要と
する患者に経口投与することができ、また通常の経口投
与剤と同様に、汎用される賦形剤等の医薬担体を用い
て、錠剤、顆粒剤、カプセル剤等の適宜の形態に賦形し
て用いることもできる。The guanidino compound-reducing agent of the present invention can be prepared by converting the acrylic water-absorbing resin obtained as described above into a usual form, for example, powder, powder, fine powder, bead, flake, gel, etc. It can be orally administered to patients in need of reducing the guanidino compound, adsorbing and removing water and potassium ions in the form of a drug, etc. It can also be used by shaping it into an appropriate form such as a tablet, granule, capsule or the like using a carrier.
【0035】その投与量は、これを投与される血液透析
患者及び保存期の患者の摂取した水分量に応じて任意に
決定でき、特に制限されるものではない。例えば、70
0mlの水分を摂取した患者に本発明低下剤を適用する
場合には、1日に有効成分量約5〜20g程度の範囲と
するのがよく、この経口投与によって、上記摂取水分の
約半量を吸着保持して体外に排泄でき、同時に体内に蓄
積されるグアニジノ化合物を低下させ且つカリウムイオ
ンをも吸着保持して体外に排出させることができる。The dose can be arbitrarily determined according to the amount of water taken by the hemodialysis patient to whom it is administered and the patient in the preservation period, and is not particularly limited. For example, 70
When the reducing agent of the present invention is applied to a patient who has taken 0 ml of water, the amount of the active ingredient is preferably in the range of about 5 to 20 g per day. The guanidino compound can be excreted out of the body by adsorbing and holding, and at the same time, the guanidino compound accumulated in the body can be reduced and potassium ions can be adsorbed and held and excreted out of the body.
【0036】勿論、上記有効成分は、それ自体従来より
消化性潰瘍治療剤や止血剤等として提案されているよう
に、これを生体に適用しても毒性の実質的にない安全性
を有するものであり、また、本発明に従う経口投与によ
っても、実質的に体内に吸収されることはなく、従って
その適用による安全性は保証されている。Of course, the above-mentioned active ingredient has a safety with substantially no toxicity even when applied to a living body, as conventionally proposed as a therapeutic agent for peptic ulcer or a hemostatic agent. In addition, even by the oral administration according to the present invention, it is not substantially absorbed into the body, and thus the safety by its application is guaranteed.
【0037】かくして、本発明グアニジノ化合物低下剤
の利用によれば、上記血液透析患者等の水分管理を容易
なものとし、また血液透析時間を短縮させることがで
き、之等に伴われる患者の肉体的及び精神的苦痛を非常
に軽減することができる。Thus, according to the use of the guanidino compound-lowering agent of the present invention, the water management of the above-mentioned hemodialysis patients and the like can be facilitated, and the hemodialysis time can be shortened. It can greatly reduce the target and mental distress.
【0038】[0038]
【実施例】以下、本発明を更に詳しく説明するため、本
発明において有効成分として利用する吸水性樹脂の製造
法を製造例として挙げ、次いで本発明グアニジノ化合物
低下剤の処方例及びこれを用いた試験例を挙げる。EXAMPLES Hereinafter, in order to explain the present invention in more detail, a method for producing a water-absorbing resin used as an active ingredient in the present invention will be described as a production example, and then a formulation example of the guanidino compound-lowering agent of the present invention and the use of the same Test examples are given.
【0039】[0039]
【製造例1】 ポリアクリル酸ナトリウム架橋体の製造 撹拌機、還流冷却器、滴下濾斗、窒素ガス導入管を付し
た5000mlの4つ口フラスコに、シクロヘキサン1
600mlとソルビタンモノステアレート16.32g
を仕込み、窒素ガスを吹き込んで溶存酸素を追い出しつ
つ、75℃まで昇温した。[Production Example 1] Production of crosslinked sodium polyacrylate Cyclohexane 1 was placed in a 5000 ml four-necked flask equipped with a stirrer, a reflux condenser, a dropping funnel, and a nitrogen gas inlet tube.
600 ml and sorbitan monostearate 16.32 g
, And the temperature was raised to 75 ° C. while purging dissolved oxygen by blowing nitrogen gas.
【0040】別のフラスコに、80%アクリル酸510
gを外部より冷却しつつ加え、30%NaOH水溶液5
44gを加えて中和し、次いで、過硫酸カリウム1.6
2gを溶解した後、窒素ガスを吹き込んで水溶液に溶存
する酸素を除去した。In another flask, 80% acrylic acid 510
g while cooling from the outside, and adding 30% NaOH aqueous solution 5
44 g was added to neutralize, then potassium persulfate 1.6
After dissolving 2 g, nitrogen gas was blown in to remove oxygen dissolved in the aqueous solution.
【0041】フラスコ内容物を、上記4つ口フラスコに
1時間を要して滴下し、重合反応を行なわせた。シクロ
ヘキサンを減圧下に留去し、残った膨潤ポリマーを80
〜100℃で減圧下に乾燥した。シクロヘキサン300
mlを用いて回収した架橋ポリマーを2回洗浄して、ソ
ルビタンモノステアレートを除去した。The contents of the flask were added dropwise to the above four-necked flask over a period of one hour, and a polymerization reaction was carried out. The cyclohexane was distilled off under reduced pressure, and the remaining swollen polymer was
Dry under reduced pressure at 100100 ° C. Cyclohexane 300
The collected crosslinked polymer was washed twice using ml to remove sorbitan monostearate.
【0042】かくして得られた架橋ポリマー1g当たり
の生理食塩水吸水能は、53(g)であった。以下、こ
のポリマーを「ポリマーA」とする。The water-absorbing capacity of physiological saline with respect to 1 g of the crosslinked polymer thus obtained was 53 (g). Hereinafter, this polymer is referred to as “polymer A”.
【0043】同様にして、架橋ポリマー1g当たりの生
理食塩水吸収能48(g)のポリマー(ポリマーB)及
び同58(g)のポリマー(ポリマーC)を得た。Similarly, a polymer (Polymer B) having a physiological saline absorption capacity of 48 (g) and a polymer (Polymer C) having a capacity of 58 (g) per 1 g of the crosslinked polymer were obtained.
【0044】[0044]
【製造例2】 ポリアクリル酸架橋体の製造 製造例1で得られたポリアクリル酸ナトリウム50g
を、塩酸77.5gの水溶液15リットル中に撹拌しな
がら加えた後、2日間放置して、ナトリウムイオンを水
素イオンに置換させた。得られたポリマーを濾過して回
収し、イオン交換水で洗浄後、3リットルのイオン交換
水に加えてスラリー状とし、このスラリーから水と塩酸
を蒸発留去して、乾燥したポリマーを得た。これを「ポ
リマーD」とする。[Production Example 2] Production of crosslinked polyacrylic acid 50 g of sodium polyacrylate obtained in Production Example 1
Was added to 15 liters of an aqueous solution of 77.5 g of hydrochloric acid while stirring, and then allowed to stand for 2 days to replace sodium ions with hydrogen ions. The obtained polymer was collected by filtration, washed with ion-exchanged water, added to 3 liters of ion-exchanged water to form a slurry, and water and hydrochloric acid were distilled off from the slurry to obtain a dried polymer. . This is designated as “Polymer D”.
【0045】得られたポリマー中のNa含量は、530
ppmであり、ポリマー中のアクリル酸ナトリウムは、
99%以上がアクリル酸に変換された。The Na content in the obtained polymer was 530
ppm, and the sodium acrylate in the polymer is
More than 99% was converted to acrylic acid.
【0046】このものの生理食塩水吸水能は1(g)で
あった。The physiological saline absorption capacity was 1 (g).
【0047】[0047]
【製造例3】 ポリアクリル酸カルシウム架橋体の製造 製造例1で得られたポリアクリル酸ナトリウム100g
を、5リットルのイオン交換水中に投入して吸水させ、
これに撹拌しながら0.2Mの塩化カルシウム水溶液
2.4リットルを滴下して、所望のポリマーを得た。こ
れを「ポリマーE」とする。[Production Example 3] Production of crosslinked calcium polyacrylate 100 g of sodium polyacrylate obtained in Production Example 1
Into 5 liters of ion-exchanged water to absorb water,
2.4 L of a 0.2 M aqueous solution of calcium chloride was added dropwise thereto with stirring to obtain a desired polymer. This is designated as “Polymer E”.
【0048】該ポリマーEは、原料ポリマー中のアクリ
ル酸ナトリウム90%以上がアクリル酸カルシウムに変
換されたものであり、このものの生理食塩水吸水能は1
8.5(g)であった。The polymer E is obtained by converting 90% or more of sodium acrylate in the raw material polymer to calcium acrylate, and has a physiological saline absorption capacity of 1%.
8.5 (g).
【0049】[0049]
【製造例4】 ポリメタクリル酸ナトリウム架橋体の製
造 製造例1において、80%アクリル酸の代わりに70%
メタクリル酸714gを用い、これを冷却しつつ、30
%NaOH544g水溶液中で中和し、次いで、メチレ
ンビスアクリルアミド(架橋剤)0.04gと過硫酸カ
リウム1.63gとを溶解した後、窒素ガスを吹き込
み、水溶液内に溶存する酸素を除去する以外は、同一操
作を行なって、所望のポリマーを得た。これを「ポリマ
ーF」とする。[Production Example 4] Production of crosslinked polysodium methacrylate In Production Example 1, 70% was used instead of 80% acrylic acid.
Using 714 g of methacrylic acid, while cooling this, 30
% NaOH in an aqueous solution of 544 g, then dissolving 0.04 g of methylenebisacrylamide (crosslinking agent) and 1.63 g of potassium persulfate, and then blowing in nitrogen gas to remove oxygen dissolved in the aqueous solution. The same operation was performed to obtain a desired polymer. This is designated as “Polymer F”.
【0050】このものの生理食塩水吸水能は47(g)
であった。The physiological saline absorption capacity of this was 47 (g).
Met.
【0051】[0051]
【製造例5】 ポリメタクリル酸架橋体の製造 製造例2において、ポリアクリル酸ナトリウム架橋体の
代わりに製造例4で得られたポリメタクリル酸ナトリウ
ム架橋体55gを用いる以外は、同様にして、所望のポ
リマーを得た。これを「ポリマーG」とする。[Production Example 5] Production of crosslinked polymethacrylate In the same manner as in Production Example 2, except that 55 g of the crosslinked sodium polymethacrylate obtained in Production Example 4 was used instead of the crosslinked sodium polyacrylate, Was obtained. This is designated as “Polymer G”.
【0052】このものの生理食塩水吸水能は31(g)
であった。The physiological saline absorption capacity of this product was 31 (g).
Met.
【0053】[0053]
【製造例6】 ポリメタクリル酸カルシウム架橋体の製
造 製造例3において、ポリアクリル酸ナトリウム架橋体の
代わりに製造例4で得られたポリメタクリル酸ナトリウ
ム架橋体110gを用いる以外は、同様にして、所望の
ポリマーを得た。これを「ポリマーH」とする。[Production Example 6] Production of crosslinked polycalcium methacrylate In Production Example 3, except that 110 g of the crosslinked polysodium methacrylate obtained in Production Example 4 was used instead of the crosslinked sodium polyacrylate, The desired polymer was obtained. This is designated as “Polymer H”.
【0054】このものの生理食塩水吸水能は20(g)
であった。The water absorption capacity of physiological saline was 20 (g).
Met.
【0055】[0055]
【製造例7】 ポリアクリル酸ナトリウム+カルシウム
架橋体(Na/Ca=3/1)の製造 製造例1において、30%NaOH水溶液544gを用
いて中和する代わりに、30%NaOH水溶液408g
を用いて中和し、またCa(OH)2126gとイオン
交換水150gからなる懸濁液による中和を行なう以外
は、同様にして、所望のポリマーを得た。これを「ポリ
マーI」とする。Production Example 7 Production of Crosslinked Sodium Polyacrylate + Calcium (Na / Ca = 3/1) Instead of neutralizing with 544 g of a 30% aqueous NaOH solution in Production Example 1, 408 g of a 30% aqueous NaOH solution was used.
And a desired polymer was obtained in the same manner except that neutralization was performed with a suspension composed of 126 g of Ca (OH) 2 and 150 g of ion-exchanged water. This is designated as “Polymer I”.
【0056】このもののカルシウム置換度は25%であ
り、生理食塩水吸水能は43(g)であった。The calcium substitution degree was 25%, and the physiological saline absorption capacity was 43 (g).
【0057】[0057]
【処方例1】 カプセル剤の製造 有効成分として製造例1で得たポリアクリル酸ナトリウ
ムの自己架橋体(中和度:72%、吸水能:53、ポリ
マーA)を、所望の寸法を有する経口投与用ゼラチンカ
プセルに充填して、1カプセル当たりその250mg含
有する硬質ゼラチンカプセル1000個を調製した。Formulation Example 1 Production of Capsules A self-crosslinked product of sodium polyacrylate (degree of neutralization: 72%, water absorption capacity: 53, polymer A) obtained in Production Example 1 as an active ingredient is orally having desired dimensions. Gelatin capsules for administration were filled to prepare 1,000 hard gelatin capsules containing 250 mg per capsule.
【0058】[0058]
【処方例2】 カプセル剤の製造 有効成分としてポリマーA及び製造例3で得たポリアク
リル酸カルシウムの自己架橋体(中和度:70%、吸水
能:18.5、ポリマーB)を均一に混合して、所望の
寸法を有する経口投与用ゼラチンカプセルに充填して、
1カプセル当たりポリマーAの150mg及びポリマー
Bの150mgをそれぞれ含有する硬質ゼラチンカプセ
ル1000個を調製した。Formulation Example 2 Production of Capsules Uniformly the polymer A and the self-crosslinked body of calcium polyacrylate obtained in Production Example 3 (neutralization degree: 70%, water absorption capacity: 18.5, polymer B) were used as active ingredients. Mixing and filling into gelatin capsules for oral administration with desired dimensions,
1000 hard gelatin capsules containing 150 mg of polymer A and 150 mg of polymer B per capsule, respectively, were prepared.
【0059】[0059]
【薬理試験例1】7週齢のSD系雄性ラット(日本チャ
ールスリバー社産)を1群6−8匹に分け、1日目の午
前中に全ラットにつき腎臓全摘出手術を行なった。即
ち、ネンブタール麻酔下でラットの両背側面を除毛し、
肋骨端で腹壁を背腹切開した。脂肪組織に包まれた腎臓
を引き出し、腎動脈、腎静脈尿管を結紮した後、腎臓を
切除し、腹壁と皮膚の切開部を縫合した。[Pharmacological Test Example 1] Seven-week-old male SD rats (Charles River Japan) were divided into groups of 6 to 8 rats, and a total kidney excision operation was performed on all rats in the morning of the first day. That is, under Nembutal anesthesia, the hair on both sides of the rat was removed,
A ventral incision was made in the abdominal wall at the rib edge. The kidney wrapped in adipose tissue was pulled out, and the renal artery and the renal vein were ligated. Then, the kidney was excised, and the incision in the abdominal wall and the skin was closed.
【0060】供試薬剤としてのポリマーAを市販のシソ
油に懸濁させ、300mg/mlの投与液を作成した。
一回の投与量は1mlとした。投与は1日目の午後8
時、2日目の午前8時、午後2時、午後8時及び3日目
の午前8時の合計5回、それぞれ水10ml、次いで上
記供試薬剤の懸濁液1mlを胃ゾンテを用いて経口的に
実施した。最終投与後、各ラット屠殺し、採血後、解剖
した(実験群)。Polymer A as a reagent was suspended in commercially available perilla oil to prepare a 300 mg / ml administration solution.
One dose was 1 ml. Dosing 8 pm on day 1
In total, 10 ml of water and then 1 ml of the above-mentioned reagent were suspended at 8:00 am on the second day, 2:00 pm, 8:00 pm on the second day, and 8:00 am on the third day in total, using a gastric tube. Performed orally. After the final administration, each rat was sacrificed, and blood was collected and then dissected (experimental group).
【0061】また水10mlを摂取させ、次いで上記供
試薬剤の懸濁液に代えて供試薬剤を含まないシソ油のみ
1mlを同様にして投与した上記腎臓摘出ラットからな
る対照群を作成した。Further, a control group consisting of the above nephrectomized rats to which 10 ml of water was ingested, and then 1 ml of perilla oil containing no reagent was similarly administered instead of the suspension of the reagent was prepared.
【0062】更に、正常ラット(腎臓摘出手術を行なっ
ていないラット)に水を自由摂取させ、次いで上記供試
薬剤の懸濁液に代えて供試薬剤を含まないシソ油のみ1
mlを同様にして投与した参考群を設けた。Further, normal rats (rats who had not undergone nephrectomy) were allowed to freely ingest water, and then, instead of the suspension of the above-mentioned reagent, only perilla oil containing no reagent was used.
A reference group to which the same amount was administered was provided.
【0063】尚、実験期間中、各群のラットには自由摂
餌させたが、摂水量は上記経口投与による負荷量のみと
した。During the experimental period, rats in each group were allowed to freely feed, but the amount of water consumed was only the amount of the above-mentioned oral administration.
【0064】上記実験において、各群のラットの実験前
(懸濁液投与前)体重及び実験終了後(3日目の午後2
時における最終投与後解剖前)体重をそれぞれ測定し
た。また、体中水分率を以下の方法により測定した。In the above experiment, the body weight of each group of rats before the experiment (before the administration of the suspension) and after the end of the experiment (2 pm on the third day)
At the time of the last administration and before the autopsy), the body weight was measured. The moisture content in the body was measured by the following method.
【0065】即ち、実験終了後、各ラットを屠殺し、採
血後、内臓、脂肪及び消化管を切除し、ラット重量(大
部分は骨と筋肉と皮膚から構成される、以下「乾燥前重
量」という)を測定し、その後1週間70℃で乾燥し、
その重量(以下「乾燥後重量」という)を測定し、上記
乾燥前重量より乾燥後重量を差し引いた値を体内に蓄積
された水分量として、これを乾燥前重量で除した値を体
中水分率として求めた。That is, after completion of the experiment, each rat was sacrificed, and after collecting blood, the visceral organs, fat and digestive tract were excised, and the rat weight (mostly composed of bone, muscle and skin, hereinafter referred to as “weight before drying”) ), Then dried at 70 ° C for one week,
The weight (hereinafter referred to as “weight after drying”) is measured, and the value obtained by subtracting the weight after drying from the above weight before drying is defined as the amount of water accumulated in the body. It was calculated as a rate.
【0066】更に、採血した血液(血清)について、イ
オン電極法により血清ナトリウム、カリウム及びクロー
ルイオン濃度を測定した。Further, serum sodium, potassium and chlor ion concentrations of the collected blood (serum) were measured by an ion electrode method.
【0067】各測定値は、分散分析後、Dunnett-Two Ta
il法により統計処理し、検定した。Each measurement value was analyzed by the Dunnett-Two Ta
Statistical processing was performed by the il method, and the test was performed.
【0068】得られた結果(平均±S.E.)を、下記
図1(体重変動)、図2(体中水分率)及び表1(血清
ナトリウム、カリウム及びクロールイオン濃度)に示
す。The results (mean ± SE) obtained are shown in FIG. 1 (weight change), FIG. 2 (moisture content in the body), and Table 1 (serum sodium, potassium and chlor ion concentrations).
【0069】各図において、(1)は対照群(n=8)
を、(2)は供試薬剤の300mg/回投与実験群(n
=7)を、(3)は参考群(n=6)をそれぞれ示し、
また図中、黒星印は上記統計処理による対照群(1)に
対するp<0.01を示す。In each figure, (1) represents a control group (n = 8).
(2) is the experimental group (n
= 7), (3) shows the reference group (n = 6),
In the figure, black stars indicate p <0.01 with respect to the control group (1) by the statistical processing.
【0070】[0070]
【表1】 [Table 1]
【0071】上記結果より次のことが明らかである。The following is clear from the above results.
【0072】即ち、図1より、対照群(1)では平均約
30gの体重増加が認められたが、本発明の供試薬剤3
00mg/回投与実験群(2)の体重増加は平均約10
gであり、これは参考群(3)と略々同等であることが
判る。That is, from FIG. 1, the average weight gain of about 30 g was observed in the control group (1).
In the experimental group (2) administered at a dose of 00 mg / dose, the weight gain
g, which is almost the same as Reference Group (3).
【0073】図2によれば、対照群(1)の体中水分率
は平均0.709であるのに対して、供試薬剤300m
g/回投与実験群(2)のそれは平均0.691であ
り、これは対照群に比して有意(p<0.01)に体中
水分の蓄積を抑制したことが明らかである。According to FIG. 2, the control group (1) had an average water content of 0.709, whereas the control group (1) had 300 m
The average in the g / dose experimental group (2) was 0.691, which means that it significantly (p <0.01) significantly suppressed the accumulation of water in the body as compared with the control group.
【0074】また、表1によれば、腎臓摘出によって、
血清カリウム濃度は正常ラットに比して有意に高値を示
す一方、血清ナトリウム及びクロール濃度は有意に低値
を示すことが判る(参考群(3)と対照群(1)との対
比)。Further, according to Table 1, by nephrectomy,
It can be seen that the serum potassium concentration is significantly higher than that of normal rats, while the serum sodium and chlor concentrations are significantly lower (comparison between the reference group (3) and the control group (1)).
【0075】しかるに、本発明に係わる供試薬剤300
mg/回投与実験群(2)では、上記対照群(1)に見
られる血清カリウム濃度の著名な上昇及び血清ナトリウ
ム濃度の低下を、顕著に抑制できることが明らかであ
る。The reagent 300 according to the present invention, however,
It is clear that the remarkable increase in serum potassium concentration and decrease in serum sodium concentration observed in the control group (1) can be remarkably suppressed in the mg / dose experimental group (2).
【0076】[0076]
【薬理試験例2】8週齢のウイスター(Wister)系雄性
ラット(日本チャールスリバー社産)を1群8匹(各ラ
ットの体重により群分けした)用い、1日目の午後に全
ラットにつき腎臓全摘出手術を行なった。即ち、ネンブ
タール麻酔下でラットの両背側面を除毛し、肋骨端で腹
壁を背腹切開した。脂肪組織に包まれた腎臓を引き出
し、腎動脈、腎静脈尿管を結紮した後、腎臓を切除し、
腹壁と皮膚の切開部を縫合した。[Pharmacological Test Example 2] Eight-week-old Wistar male rats (produced by Charles River Japan) were used in groups of eight rats (grouped according to the weight of each rat). Total nephrectomy was performed. That is, the hair on both sides of the rat was shaved under Nembutal anesthesia, and the abdominal wall was incised dorsoventrally at the rib edge. Pull out the kidney wrapped in adipose tissue, ligate the renal artery, renal vein ureter, resect the kidney,
The incision in the abdominal wall and skin was sutured.
【0077】供試薬剤として、ポリアクリル酸ナトリウ
ム(食品添加物グレード、ワコー社製、以下「ポリマー
J」とする)、ポリマーB、C、D及びEのそれぞれ
を、市販のシソ油に懸濁させ、250mg/ml及び1
00mg/mlの投与液を作成した。一回の投与量は1
mlとした。投与は1日目の午後9時、2日目の午前9
時及び午後9時の合計3回、それぞれ水15ml、次い
で上記供試薬剤の懸濁液1mlを胃ゾンテを用いて経口
的に実施した。最終投与後、各ラット屠殺し、採血後、
解剖した(実験群)。As reagents, sodium polyacrylate (food additive grade, manufactured by Wako, hereinafter referred to as “polymer J”), and polymers B, C, D and E were each suspended in commercially available perilla oil. 250 mg / ml and 1
A solution of 00 mg / ml was prepared. One dose is 1
ml. Administration is at 9 pm on the first day and 9 am on the second day
A total of three times at 9:00 pm and 9:00 pm, each time, 15 ml of water and then 1 ml of the suspension of the above-mentioned reagent were orally administered using a gastric tube. After the final administration, each rat was sacrificed, and after blood collection,
Dissected (experimental group).
【0078】また上記供試薬剤の懸濁液に代えて供試薬
剤を含まないシソ油のみ1mlと水15mlとを、同様
にして投与した上記腎臓摘出ラットからなる対照群を作
成した。In addition, a control group consisting of the above nephrectomized rats to which 1 ml of perilla oil alone and 15 ml of water which did not contain the reagent was administered in the same manner as the suspension of the reagent was prepared.
【0079】尚、参考群として、上記腎臓摘出手術に代
えて、腹壁を切開後、腎臓摘出を行なうことなく切開部
を縫合したラットについて、上記と同様に吸水制限を行
なった群(参考I群)及び水を自由摂取させた群(参考
II群)を設けた。As a reference group, in place of the above-mentioned nephrectomy, a rat in which the abdominal wall was incised and the incised portion was sutured without nephrectomy to limit water absorption in the same manner as described above (reference I group) ) And a group with free access to water (reference
II group).
【0080】実験期間中、各群のラットには自由摂餌さ
せたが、摂水量は上記経口投与による負荷量のみとし
た。During the experimental period, the rats of each group were allowed to eat freely, but the amount of water consumed was only the amount of the above-mentioned oral administration.
【0081】上記実験において、各群のラットの実験前
(懸濁液投与前)体重及び実験終了後(3日目の午前9
時における解剖前)体重をそれぞれ測定した。また、体
中水分率を以下の方法により測定した。In the above experiment, the body weight of each group of rats before the experiment (before the suspension administration) and after the end of the experiment (9 am on the third day)
Before dissection at the time) body weight was measured respectively. The moisture content in the body was measured by the following method.
【0082】即ち、実験終了後、各ラットを屠殺し、採
血後、内臓、脂肪及び消化管を切除し、ラット重量(大
部分は骨と筋肉と皮膚から構成される、以下「乾燥前重
量」という)を測定し、その後1週間70℃で乾燥し、
その重量(以下「乾燥後重量」という)を測定し、上記
乾燥前重量より乾燥後重量を差し引いた値を体内に蓄積
された水分量として、これを乾燥前重量で除した値を体
中水分率として求めた。That is, after completion of the experiment, each rat was sacrificed, and after collecting blood, the internal organs, fat and digestive tract were excised, and the rat weight (mostly composed of bone, muscle and skin, hereinafter referred to as “weight before drying”) ), Then dried at 70 ° C for one week,
The weight (hereinafter referred to as “weight after drying”) is measured, and the value obtained by subtracting the weight after drying from the above weight before drying is defined as the amount of water accumulated in the body. It was calculated as a rate.
【0083】更に、採血した血液(血清)について、イ
オン電極法により血清ナトリウム、カリウム、クロール
及びマグネシウムイオン濃度を測定した。Further, serum sodium, potassium, chlor and magnesium ion concentrations of the collected blood (serum) were measured by an ion electrode method.
【0084】血漿については、強酸性陽イオン交換樹脂
で分離したグアニジノ化合物をアルカリ性下でニンヒド
リンと反応させ、得られた蛍光強度を測定することによ
り、各グアニジノ化合物を定量した〔Hiraga,Y. et a
l., J. Chematography, 226, 43-51 (1981) : 佐々木
ら、日本臨床、47、1989増刊号、397-401 (198
9)〕。For plasma, the guanidino compound separated with a strongly acidic cation exchange resin was reacted with ninhydrin under alkaline conditions, and the resulting fluorescence intensity was measured to quantify each guanidino compound [Hiraga, Y. et. a
. l, J. Chematography, 22 6 , 43-51 (1981): Sasaki et al., Japan clinical, 47,1989 extra number, 397-401 (198
9)].
【0085】各測定値は、分散分析後、Dunnett-Two Ta
il法により統計処理し、検定した。[0086] Each measured value was analyzed by the Dunnett-Two Ta
Statistical processing was performed by the il method, and the test was performed.
【0086】得られた結果(平均±S.D.)を、図3
(体重変化量)、図4(体中水分率)、表2(血清カリ
ウム及びマグネシウムイオン濃度)及び図5(血中グア
ニジノ化合物濃度)に示す。The obtained results (mean ± SD) are shown in FIG.
(Amount of change in body weight), FIG. 4 (moisture content in the body), Table 2 (concentration of serum potassium and magnesium ions) and FIG. 5 (concentration of guanidino compound in blood).
【0087】各図及び表において、(1)は参考I群
を、(2)は参考II群を、(3)は対照群を、(4)は
ポリマーJ投与実験群を、(5)はポリマーB投与実験
群を、(6)はポリマーC投与実験群を、(7)はポリ
マーE投与実験群を、(8)はポリマーD投与実験群を
それぞれ示す。In each of the figures and tables, (1) indicates the reference group, (2) indicates the reference group, (3) indicates the control group, (4) indicates the polymer J administration experimental group, and (5) indicates the reference group. The experimental group administered with polymer B, (6) represents the experimental group administered with polymer C, (7) represents the experimental group administered with polymer E, and (8) represents the experimental group administered with polymer D.
【0088】また、図3及び図5の各実験群における白
抜き棒グラフは、供試薬剤100mg/ml投与の場合
を、黒塗り棒グラフは、供試薬剤250mg/ml投与
の場合を示し、図4の結果は、供試薬剤250mg/m
l投与の結果である。In each of the experimental groups in FIGS. 3 and 5, open bars indicate the case where the reagent was administered at 100 mg / ml, and solid bars indicate the case where the agent was administered at 250 mg / ml. Is 250 mg / m
1 is the result of administration.
【0089】星印は統計処理による対照群(3)に対す
るp<0.05を示す。The asterisk indicates p <0.05 relative to the control group (3) by statistical processing.
【0090】[0090]
【表2】 [Table 2]
【0091】上記結果より次のことが明らかである。The following is clear from the above results.
【0092】即ち、図3より、対照群(3)では平均約
25gの体重増加が認められたのに対して、本発明供試
薬剤250mg投与の実験群(4)、(5)及び(6)
における体重増加は、10〜15g程度であり、対照群
(3)と比較して統計学的に有意(p<0.05)な差
が認められた。That is, from FIG. 3, the control group (3) showed an average weight gain of about 25 g, whereas the experimental groups (4), (5) and (6) administered 250 mg of the reagent of the present invention. )
The weight increase was about 10 to 15 g, and a statistically significant (p <0.05) difference was observed as compared with the control group (3).
【0093】図4によれば、対照群(3)の体中水分率
は、平均0.710であったのに対して、本発明供試薬
剤250mg投与実験群(4)、(5)、(6)及び
(8)では、対照群(3)に比して有意(p<0.0
5)に体中水分の蓄積を抑制したことが明らかである。
尚、ポリマーE投与の実験群(7)については、統計学
的有意差は認められないものの、体中水分の蓄積は抑制
される傾向のあることが明らかである。According to FIG. 4, the control group (3) had an average water content in the body of 0.710, whereas the control group (3) administered 250 mg of the test agent of the present invention (4), (5), In (6) and (8), significant (p <0.0) as compared to the control group (3).
It is clear that the accumulation of water in the body was suppressed in 5).
In addition, in the experimental group (7) to which the polymer E was administered, although no statistically significant difference was observed, it is clear that the accumulation of water in the body tends to be suppressed.
【0094】表2によれば、腎臓摘出によって、血清カ
リウムイオン濃度は、正常ラット(参考群)に比して高
値を示すことが確認された(対照群参照)。これに対し
て、本発明供試薬剤250mg/ml投与の実験群
(4)、(5)及び(6)では、上記対照群に認められ
るような血清カリウムイオンの著明な上昇は認められ
ず、有意(p<0.05)に低値を示すこと、即ち、カ
リウムイオン濃度の上昇を顕著に抑制できることが判
る。According to Table 2, it was confirmed that the serum potassium ion concentration was higher than that of normal rats (reference group) by nephrectomy (see control group). On the other hand, in the experimental groups (4), (5) and (6) to which the reagent of the present invention was administered at 250 mg / ml, no remarkable increase in serum potassium ion as observed in the control group was observed. , Significantly (p <0.05), that is, an increase in potassium ion concentration can be significantly suppressed.
【0095】更に、図5によれば、参考I群及び参考II
群における血中グアニジノ化合物(グアニジノ酪酸(G
BA)、グアニジノプロピオン酸(GPA)及びメチル
グアニジン(MG))濃度は、いずれも検出限界値以下
であるのに対して、腎臓全摘出によれば、之等のグアニ
ジノ化合物濃度が顕著に上昇し、血中に貯留してくる
(対照群(3)参照)。Further, according to FIG. 5, the reference I group and the reference II
Guanidino compound (guanidinobutyric acid (G
BA), guanidinopropionic acid (GPA) and methylguanidine (MG)) concentrations are all below the detection limit, whereas according to total nephrectomy, the concentrations of these guanidino compounds are significantly increased. And is stored in the blood (see the control group (3)).
【0096】本発明に係わる供試薬剤の250mg投与
実験群(4)、(5)、(6)、(7)及び(8)で
は、上記対照群(3)に見られる血中グアニジノ化合物
濃度の著明な上昇(血中への貯留)を、抑制できること
が明らかとなった。In the experimental groups (4), (5), (6), (7) and (8) administered with 250 mg of the reagent according to the present invention, the blood guanidino compound concentration found in the control group (3) It was found that a marked rise (retention in blood) can be suppressed.
【図面の簡単な説明】[Brief description of the drawings]
【図1】薬理試験例1に従い測定された供試動物の体重
変化量を示すグラフである。FIG. 1 is a graph showing changes in body weight of test animals measured according to Pharmacological Test Example 1.
【図2】薬理試験例1に従い測定された供試動物の体中
水分率を示すグラフである。FIG. 2 is a graph showing the water content in the body of a test animal measured according to Pharmacological Test Example 1.
【図3】薬理試験例2に従い測定された供試動物の体重
変化量を示すグラフである。FIG. 3 is a graph showing changes in body weight of test animals measured according to Pharmacological Test Example 2.
【図4】薬理試験例2に従い測定された供試動物の体中
水分率を示すグラフである。FIG. 4 is a graph showing the water content in the body of a test animal measured according to Pharmacological Test Example 2.
【図5】薬理試験例2に従い測定された供試動物の血中
グアニジノ化合物濃度を示すグラフである。FIG. 5 is a graph showing the blood guanidino compound concentration of a test animal measured according to Pharmacological Test Example 2.
───────────────────────────────────────────────────── フロントページの続き (72)発明者 橋本 謹治 徳島県鳴門市撫養町北浜字宮の東83番地 (72)発明者 坂下 栄治 徳島県板野郡松茂町満穂字満穂開拓42番の 5 (72)発明者 郡 英明 徳島県板野郡北島町北村字壱町四反地85− 23 (72)発明者 近藤 昭裕 和歌山県和歌山市湊1334 花王株式会社研 究所内 (72)発明者 網屋 毅之 和歌山県和歌山市湊1334 花王株式会社研 究所内 ────────────────────────────────────────────────── ─── Continuing on the front page (72) Inventor Kenji Hashimoto 83rd east of Kitahama-Ju, Nadu-cho, Naruto-shi, Tokushima Prefecture (72) Inventor Eiji Sakashita 42-45 72) Inventor Hideaki Kori 85-23, Ichimachi, Kitamura, Kitajima-cho, Itano-gun, Tokushima Pref. (23) Inventor Akihiro Kondo 1334 Minato, Wakayama-shi, Wakayama Pref. 1334 Minato, Wakayama, Japan Kao Research Laboratory
Claims (7)
含有することを特徴とするグアニジノ化合物低下剤。1. A guanidino compound lowering agent comprising an acrylic water-absorbing resin as an active ingredient.
含有することを特徴とするグアニジノ化合物低下剤及び
水分吸着剤。2. A guanidino compound lowering agent and a moisture adsorbent, comprising an acrylic water-absorbing resin as an active ingredient.
を除く)を有効成分として含有することを特徴とするグ
アニジノ化合物低下剤、水分及びカリウムイオン吸着
剤。3. A guanidino compound lowering agent, water and potassium ion adsorbent, comprising an acrylic water-absorbing resin (excluding potassium salt) as an active ingredient.
ル酸アルカリ金属塩系重合体である請求項1〜3のいず
れかに記載の低下又は吸着剤。4. The reducing or adsorbing agent according to claim 1, wherein the active ingredient is an acrylic acid or alkali metal methacrylate polymer.
ル酸アルカリ土類金属塩系重合体である請求項1〜3の
いずれかに記載の低下又は吸着剤。5. The reducing or adsorbing agent according to claim 1, wherein the active ingredient is an acrylic acid or alkaline earth metal methacrylate polymer.
系重合体である請求項1〜3のいずれかに記載の低下又
は吸着剤。6. The reducing or adsorbing agent according to claim 1, wherein the active ingredient is a self-crosslinkable metal acrylate polymer.
である請求項6に記載の低下又は吸着剤。7. The reducing or adsorbent according to claim 6, wherein at least a part of the metal salt is a calcium salt.
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|---|---|---|---|
| JP25638796A JP3885130B2 (en) | 1996-06-11 | 1996-09-27 | Guanidino compound reducing agent and moisture and potassium ion adsorbent |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP14907296 | 1996-06-11 | ||
| JP8-149072 | 1996-06-11 | ||
| JP25638796A JP3885130B2 (en) | 1996-06-11 | 1996-09-27 | Guanidino compound reducing agent and moisture and potassium ion adsorbent |
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| Publication Number | Publication Date |
|---|---|
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| JP3885130B2 JP3885130B2 (en) | 2007-02-21 |
Family
ID=26479081
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|---|---|---|---|
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| US7449605B2 (en) | 2003-11-03 | 2008-11-11 | Ilypsa, Inc. | Crosslinked amine polymers |
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| US7776319B2 (en) | 2004-03-30 | 2010-08-17 | Relypsa, Inc. | Methods and compositions for treatment of ion imbalances |
| US8192758B2 (en) | 2004-03-30 | 2012-06-05 | Relypsa, Inc. | Ion binding compositions |
| US8263112B2 (en) | 2000-11-20 | 2012-09-11 | Sorbent Therapeutics, Inc. | In vivo use of water absorbent polymers |
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