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WO1992004368A1 - Pharmacologically active substance bpc, the process for its preparation and its use in the therapy - Google Patents

Pharmacologically active substance bpc, the process for its preparation and its use in the therapy Download PDF

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Publication number
WO1992004368A1
WO1992004368A1 PCT/EP1990/001896 EP9001896W WO9204368A1 WO 1992004368 A1 WO1992004368 A1 WO 1992004368A1 EP 9001896 W EP9001896 W EP 9001896W WO 9204368 A1 WO9204368 A1 WO 9204368A1
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Prior art keywords
bpc
disorders
animals
substance
diseases
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PCT/EP1990/001896
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French (fr)
Inventor
Predrag SIKIRIC^´
Marijan Petek
Ivo ROTKVIC^´
Stjepan Mise
Simun Krizanac
Ivan UDOVICIC^´
Ernest Suchanek
Marko Duvnjak
Jerka JUKIC^´
Original Assignee
Sikiric Predrag
Marijan Petek
Rotkvic Ivo
Stjepan Mise
Simun Krizanac
Udovicic Ivan
Ernest Suchanek
Marko Duvnjak
Jukic Jerka
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Priority claimed from EP90119376A external-priority patent/EP0432400B1/en
Application filed by Sikiric Predrag, Marijan Petek, Rotkvic Ivo, Stjepan Mise, Simun Krizanac, Udovicic Ivan, Ernest Suchanek, Marko Duvnjak, Jukic Jerka filed Critical Sikiric Predrag
Priority to RO92-200639A priority Critical patent/RO112728B1/en
Priority to SU5052246A priority patent/RU2104704C1/en
Publication of WO1992004368A1 publication Critical patent/WO1992004368A1/en
Priority to BG96324A priority patent/BG61191B1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/46Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • C07K14/47Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/08Antiallergic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides

Definitions

  • the present invention relates to new substance BPC, the process for its preparation from human or animal gastric juice and its use in the therapy.
  • Gastric juice considered as a secretion of the parietal as well as other cells, contains a number of electrolyte components, hydrochloric acid, a number of enzymes, namely, pepsin, other proteinases, rennin, lipase, urease and lysozyme.
  • enzymes namely, pepsin, other proteinases, rennin, lipase, urease and lysozyme.
  • There are present many peptides and peptide fragments e. g. peptide hormons gastrins, a highly potent gastric secretion stimulants, first discovered by J.S.Edkins, Proc.Roy.Soc.L. , 76B, 376 (1905) .
  • glycoproteins In normal gastric juice are present glycoproteins (mucins) , desribed by F.Hanrowitz, Chem. and Biology of Proteins, 1950, p.199., and Intrinsic Factor (IF) , which is a thermolabile mucoprotein with .W. about 60.000. This factor promotes vitamin B 12 absorption, Castle et al, Am.J.Med Sci. 178, 748 (1929).
  • agent BPC was prepared from human or animal gastric juice. This juice was first homogenized, centrifuged, the supernatant was purified by dialysis, ion-exchange chromatography, again by dialysis and lyophilisation and finally the agent BPC was obtained using gel-chromatography, dialysis and lyophilisation.
  • agent BPC was investigated in vitro and in vivo (rat, mouse, rabbit and guinea-pig) and following pharmacological properties were found:
  • mice (18-25 gb.w.) (sacrifice after 30 days of experimental period) of both sexes, BPC was administered i.p., i.v. and i.g..
  • the lethal dose could't be obtained even with high dose such as 100 mg/kg b.w., which is at least 10 3 -10 5 fold higher than minimal effective doses.
  • B. C was injected i.p., i.v., i.g. (30 mg/kg) once a day subsequently over 30 days. No pathological signs (morphological or physiological) were registered.
  • the mean effective doses are from 0.01 to 50 ug/kg by i.p. administration and TI at least 1000.
  • mice Male rats (180-240 g) of istar strain were used. Animals were put in cold water (26°C) for 3 hours or restrainted for 48 hours. After the end of experimental periods the stomach was investigated for the presence of a lesions ("stress ulcers") .
  • the BPC was injected i.p. and intragastrically (0.1 to 10 ug/kg) one hour or 24 hours before of injury induction. A strong protective action of BPC was demonstrated on gastric lesions.
  • the ligation-experi ents were carried out on male rats (160-250g) of Wistar strain. The ligation of the bile duct and the hepatic artery was performed. This procedure induced besides severe ischemic necrotic lesions of liver tissues, also ulcers of the stomach and duodenum in the intervals from 6-24 hours.
  • cysteamine 400 mg/kg s.c. was applied for duodenal ulcer induction in female rats in 24 hours period.
  • BPC was administered i.p. in doses from 0.1-10 ug/kg.
  • the large ulcers induced by described ligation in stomach and duodenum were strongly prevented in BPC treated animals.
  • the cystea ' mine-induced ulcers were also abolished by BPC pretreatment.
  • Isoprenaline (30 mg/kg i.p.) was applied at zero time and 24 hours later.
  • BPC 50 ⁇ g/kg, i.p. was applied one hour before isoprenaline application.
  • the animals were sacrified 24 hours after second isoprenaline administration and investigated.
  • mice Male rats (180-220 g) anaesthetized by urethane were used. The artery carotis was canulated and the blood pressure was recorded on a dynograph. BPC was administered i.v. into v. jugularis in doses of 10 ⁇ g to 5mg/kg. The results showed no changes of arterial tension in animals in a group of rats prepared by above mentioned procedure. A short lasting changes of arterial tension were produced by i.v. administration of noradrenaline, adrenaline, 5-HT, acetylcholine or isoprenaline. The animals pretreated with BPC in doses of 10 ug to 5 mg/kg i.v. did no modified the change of arterial tension induced by used vasoactive substances.
  • BPC was administered i.p. in doses from 0.1 to 10 ⁇ g/kg. It strongly prevented (e.g. given 1 hour before ligation) or completely removed the injury (e.g. injected soon after ligation) .
  • the liver protective action of BPC administered i.p. in doses of 10 ug/kg of body weight one hour before intoxication of rats with carbon tetrachloride given in doses from 0.1-10 ml/kg i.g. or i.p. was demonstrated.
  • BPC (0.01-10 ug/kg i.p./i.g.) prevented also the fatty liver changes induced by 48 hours restraint stress.
  • Antipyretic activity of BPC was investigated in male rats (180-220g) of Wistar strain, using injection of the brewer's yeast.
  • the pretreatment with BP" applied in single doses (5-20 ⁇ g/kg i.p.) one hour before injection of yeast significantly reduced the temperature increase calculated at 30 minute intervals for 3 hours at least.
  • mice Male mice (18-24 g) of both sexes by injections of carrageenin in the hind paws.
  • the BPC was effective in doses of 10 ⁇ g/kg i.p. when injected one hour before of experimental procedure reducing of the volume of edemas induced by mentioned agent.
  • BPC in the same doses was inactive in the (53.5°C) hot plate test in mice unlike opioid agonists.
  • Wistar rats of both sexes were exposed to vapour of 10% formaldehyde one hour daily during 15 days.
  • BPC was administered in doses of 10 ⁇ g/kg i.p. on each day one hour before exposition.
  • the animals were sacrified after 13-15 days of treatment.
  • edemas of the nouse mucosa were significantly smaller and epithelium was preserved in comparison with control group. Secretion was catarrhal and not purulent.
  • mice (20-25 g) .
  • control group treated with saline
  • a purulent secretion was not observed and increased healing rate was consistently noted in all BPC pretreated (10 ⁇ g/kg, i.p., one hour before experimental procedure) animals.
  • the experimental procedure was carried out on rats (170-210 g) of Wistar strain.
  • the skin wounds were produced by a large incision of skin.
  • BPC was administered i.p. in single dosis of 10 ⁇ g/kg before incision.
  • lack of suppuration and edema, poor granulation formation and increased healing rate were consistently found in treated groups.
  • mice (18-22 g) of both sexes BPC was instilled in left eye.
  • the pupil size was measured by means of monocular lens.
  • one group of animals was treated with BPC administered i.p.
  • the results showed that BPC instilled topically did produce miosis.
  • BPC injected i.p. provoked a pupil constriction of about 20%. This effect lasted at least 30 minutes.
  • mice The contact hypersensitivity in mice was induced with application of DNFB (2,4- dinitrofluorobenzene) .
  • Mice was given two sensitizing doses of 25 ⁇ l of 0.5% DNFB (in 4:1 acetone: olive oil) on the previously shaved skin of the abdominal wall in two subsequent days.
  • 72 hours after the last sensitizing dose mice were given challenge of 20 ul of 0.2% DNFB, transrectally in aether anaesthesia. Animals were sacrified 24 hours later and the colon has been examined. Pathological changes in colon were characterized with severe hae orrhagies and ulcerations. These lesion occupied in some animals all parts of colon wall so that perforations can also occur.
  • SUBSTITUTESHEET 20 Effects on the tumor cells a) Two cell lines L-924 and melanoma B-16 were cultivated in vitro under standard conditions. BPC was tested in vitro on its activity on growing of mentioned cell cultures. Two days following the initiation of cell cultures BPC was added in 3% and 0.3% concentration (0.1 ml). Three days later the numbers of cells per culture were determined by cell counter. The results showed that BPC has an inhibition effect on both cell lines e.g. L-924 and melanoma B-16. b) Ehrlich's ascites tumor (EAT) is the tumor which can grow in all strains of mice. It can grow in ascitic or in solid form which depends upon a way of administration of tumor cells. We have tried to determine whether the incubation of EAT cells in BPC solution would change the survival time of mice after s.c. or i.p. injection of such treated EAT cells.
  • EAT Ehrlich's ascites tumor
  • mice received the same dose of tumor cells in the same volume, but these tumor cells were previously incubated in BPC solution (2 ⁇ g/1 ml) . Only 2/15 mice died during the observed period (45 days) , the others survived more than 45 days. Difference between the control and the experimental group was significantly different (p ⁇ 0.01).
  • mice (64) of both sexes, NMR-Y strain (22-28) g) .
  • mice pretreated with saline (0.2 ml) was irradiated with supralethal doses of 9 Gy (Co-60) .
  • Both experimental group (16+16) were irradiated with the same supralethal doses 9 Gy.
  • One hour after irradiation to the first group BPC was administered in doses of 20 ⁇ g/kg b.w.
  • the second group was treated with the same dosis of BPC one hour before irradiation.
  • BPC administered before irradiation increases survival rate after 12 days for 68,75% compared with other test group.
  • mice On albino mice were applied cytostatics (Endoxan, Vincristin, Adriablastin, Cytosin-arabinosid) in LD 50 dosis i.p.
  • BPC was apllied 1 hour before cytostatics in dosis 10 ug/kg, in control group only saline was injected.
  • the group of animals were sacrified on 3, 5, 7 and 11th day of experiment. Investigated were: blood (E,Hb,Htc,L,Tb, abs. number of neutrophiles) , bone marrow, citology and hystology of liver and spleen.
  • L,E,Tb and neutrophile values On the 3 st day of experiment there is no difference between experimental group regarding L,E,Tb and neutrophile values in comparison to control group. But in bone marrow of BPC treated animals were haemopoetic cells still intact, in control animals
  • SUBSTITUTESHEET aplasia is still present. In the 5th day of experiment significantly increases the number of neutrophiles and L until normalisation on 7th day of experiment. In control group the normalisation occurs newer before 11th.
  • the research was performed on ten men, in age from 30 to 40 ears with diagnosis oligoasthenospermis. From these patients there was taken ejaculate after 3 to 4 days of abstinence. After liquefaction (30 min.) to the 0.5 ml of ejaculate is added layer of 0.5 ml of medium.
  • the control medium consisted of HAM-
  • Experimental medium contained additionally 2 ⁇ g/ml or 4 ⁇ g/ml of BPC.
  • Experimental medium contained additionally 2 ⁇ g/ml or 4 ⁇ g/ml of BPC.
  • After traveling time for 90 minutes at 37"C in atmosphere containing 5% of C0 2 in the Horwell Fertility Chamber was determined the number of progressive movable, movable on place and immovable spermatozoa in 1 ml of ejaculate. Preliminary results show no effect on motility of spermatozoa in lower concentration of BPC. In concentration of 4 ⁇ g BPC/ml was found significantly higher % of motility in comparison with control group.
  • BPC The effect of BPC on reproduction was investigated in mice with previous history of three pregnancies. 20 days after cessation of the last lactation, the animals were subjected to copulation. BPC was applied in a dose 10 ⁇ g/kg i.p. once daily each day during all period of pregnancy (19-21 days) and lactation (next three weeks) . Control group received simultaneously an equivolume of saline, the number of offsprings per female and the weight of offspring were daily recorded.
  • SUBSTITUTESHEET A careful statistical analysis revealed consistently a significantly increased number of offsprings per female, as well as surprisingly no difference between their body weight at each studied time interval.
  • the aim of this research was to investigate the effect of BPC on the root resorption of the periodontal soft tissues induced by mechanical injury of the first molar of the albino rats.
  • Experimental group was treated after mechanical injury with solution of BPC (0.02 ml/200 g) .
  • the rats divided in 12 groups were sacrified at interval of 1,3,5,6,14 or 21 days after the final treatment.
  • the right maxillae of all control and experimental rats were removed, fixed in 10% neutral buffered formaline, demineralized with formic acid, embedded in paraffin and sectoned serially at 6 ⁇ in a mesiodistal plane.
  • the sections were stained with haematoxylin and eosin and examined with the light microscope.
  • Histologic findings in the first molar of the rats from the control groups were: the presence of high number inflammatory cells was registered. A small resorption lacuna was observed between 1-3 days in part of the root surface at the alveolar crest level. At 5th day, the resorption lacuna extended in a coronal direction. The lacuna contained many odontoclasts. At 7th day, the resorption lacuna with many odontoclasts extended further coronally. At 14th and 21st day, the resorption lacuna still extended coronally, approaching part of the lacuna close to the cementoenamel junction.
  • Dementia of the Alzheimer type is characterized by an acquired global impairment of higher cortical functions which affect memory and cognition.
  • Postmortem studies in patients with DAT have demonstrated that the nucleus basalis (NB) neurons undergo a profound and selective degeneration. These neurons are the major source of extrinsic cholinergic innervation to the cerebral cortex.
  • the purpose of the present study was to investigate the influence of BPC on the passive avoidance behaviour in the rat with bilateral electrolytic lesions of the NB. Namely, rats with lesions of the NB may represent an experimental model of DAT.
  • the NB lesioned animals received saline solution (control group) or BPC solution 10 ⁇ g/kg i.p. (test group) .
  • Tested substances were injected: a) only once, immediately after the NB lesions were made, or b) once a day in the course of four consecutive days after the NB lesions were made.
  • BPC was also administered once per day in the course of four training days, one hour before the passive avoidance experiment started.
  • Statistical significance was calculated according to the analysis of variance combined with Duncan's test for multiple comparisons (p ⁇ 0.05). The resuls of investigation showed that:
  • Animals were receiving saline in control group and BPC in doses of 10 ⁇ g/kg i.v. once per day during nine postsurgery days.
  • BPC can be a promising drug in the treatment of damaged neuron function (brain or spinal cord trauma) and that BPC should be given as early as possible after neurons damage.
  • BPC 1419 healthy pigs (from total 4306 pigs) received BPC (10 ⁇ g/kg b.w., i.m.) immediately after birth, other 1440 at 13 th day of life, 1 day before castration, whereas remaining 1477 received only conventional Fe-therapy. Contusion, culling, mortality, body weight and food consumption were assessed after 4 weeks. BPC, applied only once significantly decreases culling rate (in the group treated with BPC immediately after birth) and contusion rate (in both groups treated with BPC) . Same body weight was obtained in BPC treated animals with markedly lower consumption of food.
  • Antiviral activity was investigated in vitro and in vivo (mice).
  • BPC was used in dose of 10 ⁇ g/kg b.w., i.p. or T.e.v.
  • Remarkable activity was found against entero-viruses (Echo type: 6, 9, 11 and 16; Coxsackie type: A9, B3 and B4) , CNS viruses (Ixode encephalities, LCM choriomeningitis) and ARBO viruses (Tahyna, Bhanja, and Calovo) .
  • Prolonged survival 72 hours to absolute survival was noted in infected mice.
  • liver cirrhosis liver cirrhosis
  • SUBSTITUTESHEET 8. therapy before as well as after surgery also in other surgical liver operations (e.g. con ⁇ genital malformations, benigne and malignant bile duct stenosis) ;
  • shock (regardless ethiol ⁇ gy) ;
  • osteoarthrosis 33 .
  • glaukoma decrease of the intraocular pressure - dopamin and pilokarpin like activity
  • diabetes mellitus 45. diabetes mellitus; XV
  • Substance BPC was called according to the abrevitation of the statement: "Body Protecting Compound”.
  • a tibial fracture was induced by digital pressure using hipomochlion.
  • the animals were sacrificed at days 5, 8, 9, 12 and 30 after fracture induction.
  • the nasal mucosa was burned bilaterally by glowing thermocauter during 5 seconds. The animals were sacrificed at day 5, 9, 30 after lesions induction.
  • Carageenin (1%) was applied (0.05 ml s.c.) in the paw, as inflammatory agent; volume of the paw was measured 3 hours latter using the standard procedure.
  • the siccoferment was used (2,5 g/kg, i.p.). The temperature was thereafter measured rectally during 3 hours.
  • the animals were immobilized during 24 hours. Indomethacin was applied at the start of immobilization (0 hour) , and 12 hours latter. After the end of 24 hours period, the animals were sacrificed.
  • the investigated solution was applied: locally or intraperitoneally.
  • the pupille diameter was measured in the suitable time intervals (5, 10, 15, 30, 60, 90 and 120 minutes) according to standard procedures.
  • SUBSTITUTESHEET significantly decreased the myocardial damages, and lowered the values of CPK.
  • Pathohistological examination confirmed the macroscopically observed differences and changes.
  • the effects of the supstance on the CNS were investigated by observing the behaviour of animals (mice) .
  • BPC shows no effect on gutt smoot muscle in vitro (guinea pig) .
  • BPC like other egzogenous proteins
  • the action of BPC is a sequella of one of the following mechanism: direct interaction of the protein,or its fragments, with cell receptors; stimulation or inhibition of release of biologically active (stimulatory or inhibitory) proteins or non-proteins, through receptor or non-
  • liver cirrhosis liver cirrhosis
  • extraarticular rheumatic diseiase bursitis, tendinitis, sinovitis, humeroscapular periarthritis
  • diabetes mellitus XV diabetes mellitus XV
  • the application of the substance will be per os or parenterally, in the form of pills, capsules, dragees, lingualets, suppositories, vaginalets, injection sollutions, nasal spray, unguents, creams, gels, spray, eye drops, ear drops, nasal drops.
  • technique :
  • the material was stored at 2°-8°C.
  • the material is homogenised. Than it is centrifugated (12000 G ⁇ /30 min.). After that the supernatant is colected. 200 ml of supernatant is dialysed in water (+4°C), 1:125, meaning until a conductibility of lOO ⁇ S is achiewed. After that the dyalisate is lyophilised.
  • the dry rest is dissolved in 10ml of redestilled water and applied onta chromatographic column with a modiffied DEAE ion-exchange gel (40-80 um) . The column is 25x250 mm.
  • a buffer Na acetate 0,01 M, pH 5,2 was used for dilution. Fraction detection was by an UV detector in the range of 2800 nm. The f. actions of 40 - 120 ml were collected. The eluate was first concentrated by AQUACIDE - 3 (Calbiochem, USA) and than lyophilized.
  • the dry substance is dissolwed in 10 ml 0,2 M phosphate buffer, ph 7,4 and than put on 2 chromatograph collumn with SEPHACRYL-S-200, (2,5x450mm) with a flow of l,2ml/min. The fractions of 80 - 200 ml were collected.
  • the BPC substance is characterized by IR an UV spectrum (Fig. 1 and 2) .
  • the substance BPC can be used in the treatment of several diseasesand disorders particularly when normal formation of this agent in organism is insufficient or even absent.
  • Traumatism pre- and post-traumatic treatment
  • grafting wounds, burns, fracture, post-surgery complications.
  • Substance BPC will be used as a drug for enteral, local, rectal and parenteral administration.
  • the pharmaceutical compositions are formulated by adding inorganic and organic adjuvants. For tablets and dragees there are added e.g. talc, lactose, starch, stearates etc. for solutions and suspensions there are added e.g. water, alcohols, glycerine etc. For suppositories there are added e.g. natural oils, hardened oils, waxes or polyethylene glycols.
  • the formulations can generally contain suitable preservatives, buffers, stabilizers, surfactants, dissolving intermediaries sweetening agents and dye stuffs.
  • a suitable daily doses for the substance BPC are from 5 to 50 ⁇ g/kg of body weight and can be administered in single dosis or divided in parts.
  • the raw material used for the preparation of the substance BPC was obtained reproducible from stomach juice of 542 patients.
  • the collected material must be stored between +2 and 8°C. It was homogenized before use.
  • Flow was 1.2 ml/ in. Collected were fractions from the 80 th to 200 th ml, dialysed against distilled water, concentrated using Aquacid-3 and then lyophilized. It was obtained 2 mg of white substance.
  • the prepared substance - BPC - is very soluble in water. It decomposes between 180 and 200"C. Molecular weight, determined by gel chromatography is estimated as 40.000 + 5.000 Daltons.
  • the ultraviolet spectrum in water shows absorption in regions as indicated in Fig. 1.
  • the infrared spectrum (in KBr) shows absorption bands in regions as indicated in Fig. 2.
  • Composition mg/supposit.
  • Composition mg/vaginal mg/vaginal
  • substance BPC 0.3 polyethylene glycol 300 150.0 polyethylene glycol 1500 1290.0 polyethylene glycol 6000 700.0 propylen glycol 200.0 tween -40 59.7 lactose 100.0

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Abstract

A new substance BPC; the process for its preparation from human and animal gastric juice comprising purification steps: centrifugation, dialysis, ion-exchange chromatography, gel chromatography and lyophilisation; a drug for human and veterinary use and a process for the treatment of stress-induced diseases and disorders, inflammation and edemas, diseases and disorders of dopaminergic etiology, for treatment of diabetes mellitus, diseases and disorders of gastrointestinal tract, heart, kidney, pancreas, liver, testis, hematopoetic, skeletal and nervous system, dementias, wound, burns, fracture, viral diseases, malignancy; in surgery; some disorders of fertility and immune system; protection against ionizing radiation; for veterinary use in commercial breeding.

Description

PHARMACOLOGICALLY ACTIVE SUBSTANCE BPC. THE PROCESS FOR ITS PREPARATION AND ITS USE IN THE THERAPY
Background of the Invention
1. Field of the Invention
The present invention relates to new substance BPC, the process for its preparation from human or animal gastric juice and its use in the therapy.
2. Description of the Prior Art
Gastric juice, considered as a secretion of the parietal as well as other cells, contains a number of electrolyte components, hydrochloric acid, a number of enzymes, namely, pepsin, other proteinases, rennin, lipase, urease and lysozyme. There are present many peptides and peptide fragments, e. g. peptide hormons gastrins, a highly potent gastric secretion stimulants, first discovered by J.S.Edkins, Proc.Roy.Soc.L. , 76B, 376 (1905) .
In normal gastric juice are present glycoproteins (mucins) , desribed by F.Hanrowitz, Chem. and Biology of Proteins, 1950, p.199., and Intrinsic Factor (IF) , which is a thermolabile mucoprotein with .W. about 60.000. This factor promotes vitamin B12 absorption, Castle et al, Am.J.Med Sci. 178, 748 (1929).
SUBSTITUTE SHEET Till now, a substance having very strong antistress actions and other body-protection activities was not found in gastric juice.
Description of the Invention
Until now the gastrointestinal tract, especially stomach, was considered only as target organ of the stress. There was never discussed the possibility that gastrointestinal tract, preferable the stomach, may be the organ which can initiate the defensive response of the whole organism. This response, actually directed against a stress, must be realized in the formation and release of a new endogenous agent. Our attemption was directed to isolate this agent from stomach juice. Finally we isolated the expected substance from the stomach juice of 542 patients. This substance was nominated with abbreviation BPC which means: Body Protection Compound.
The structure of this substance is very complex and after our investigation until now can be characterized as folded protein with partial sequence from N-terminus:
H2N-Gly-Glu-Pro-Pro-Pro-Gly-Lys-Pro-Ala-Asp-Asp- Ala-Gly-Leu-Val- -COOH
It has a molecular weight ob about 40.000 + 5.000 Daltons, determined by gel filtration.
In the sense of the present patent application the agent BPC was prepared from human or animal gastric juice. This juice was first homogenized, centrifuged, the supernatant was purified by dialysis, ion-exchange chromatography, again by dialysis and lyophilisation and finally the agent BPC was obtained using gel-chromatography, dialysis and lyophilisation.
SUBSTITUTESHEET Until now this compound was not described or published anywhere. Moreover, it was never used as a medicament.
The investigation of the biological actions of the BPC using many methods in vivo and in vitro shows:
SURPRISINGLY BROAD SPECTRUM OF ACTIVITIES.
But, it is known that many diseases and pathological states can awake by stress or on the other hand the trauma or disease can induce the stress by itself. These results also suggest that BPC is produced by stress independent of its provenance.
The agent BPC according to the invention was investigated in vitro and in vivo (rat, mouse, rabbit and guinea-pig) and following pharmacological properties were found:
1. Acute toxicology
Acute toxicology was determined in mice (18-25 gb.w.) (sacrifice after 30 days of experimental period) of both sexes, BPC was administered i.p., i.v. and i.g.. The lethal dose couldn't be obtained even with high dose such as 100 mg/kg b.w., which is at least 103-105 fold higher than minimal effective doses. In prolonged procedure B. C was injected i.p., i.v., i.g. (30 mg/kg) once a day subsequently over 30 days. No pathological signs (morphological or physiological) were registered. In addition, the mean effective doses are from 0.01 to 50 ug/kg by i.p. administration and TI at least 1000.
2. Ulcer induced by water immersion or restraint stress
Male rats (180-240 g) of istar strain were used. Animals were put in cold water (26°C) for 3 hours or restrainted for 48 hours. After the end of experimental periods the stomach was investigated for the presence of a lesions ("stress ulcers") . The BPC was injected i.p. and intragastrically (0.1 to 10 ug/kg) one hour or 24 hours before of injury induction. A strong protective action of BPC was demonstrated on gastric lesions.
3. Ulcer induced by liαation of bile duct and hepatic artery or cysteamine administration
The ligation-experi ents were carried out on male rats (160-250g) of Wistar strain. The ligation of the bile duct and the hepatic artery was performed. This procedure induced besides severe ischemic necrotic lesions of liver tissues, also ulcers of the stomach and duodenum in the intervals from 6-24 hours.
Likewise, cysteamine (400 mg/kg s.c.) was applied for duodenal ulcer induction in female rats in 24 hours period.
BPC was administered i.p. in doses from 0.1-10 ug/kg. The large ulcers induced by described ligation in stomach and duodenum were strongly prevented in BPC treated animals. Likewise, the cystea'mine-induced ulcers were also abolished by BPC pretreatment.
4. Effect on infarct induced on myocardium
Male rats (180-230 g) of Wistar strain were immobilizated for 24 hours. The animals were then treated with indomethacin (25 mg/kg s.c.) at zero time of immobilization and 12 hours thereafter. BPC (50 μg/kg) was applied one hour before procedure and at 6 hours and 18 hours of restraint.
In the second group the animal were restraint for 48 hours. After these procedures the animals were sacrified and enzyme values were determined. The obtained protective actions of BPC were registered.
The protective effects were very i presive. In contrast, there was no protective effect against isoprenaline-induced heart lesions. Isoprenaline (30 mg/kg i.p.) was applied at zero time and 24 hours later. BPC (50 μg/kg, i.p.) was applied one hour before isoprenaline application. The animals were sacrified 24 hours after second isoprenaline administration and investigated.
5. Effect on arterial tension
Male rats (180-220 g) anaesthetized by urethane were used. The artery carotis was canulated and the blood pressure was recorded on a dynograph. BPC was administered i.v. into v. jugularis in doses of 10 μg to 5mg/kg. The results showed no changes of arterial tension in animals in a group of rats prepared by above mentioned procedure. A short lasting changes of arterial tension were produced by i.v. administration of noradrenaline, adrenaline, 5-HT, acetylcholine or isoprenaline. The animals pretreated with BPC in doses of 10 ug to 5 mg/kg i.v. did no modified the change of arterial tension induced by used vasoactive substances.
6. Effect on damaged liver
The experiments were carried out on male rats (180- 250 g) of Wistar strain. The ligation of sole bile duct and of the hepatic artery was performed. This intervention induced severe ischemic necrotic lesions of liver's tissues in the intervals from 6 to 24 hours. BPC was administered i.p. in doses from 0.1 to 10 μg/kg. It strongly prevented (e.g. given 1 hour before ligation) or completely removed the injury (e.g. injected soon after ligation) . In addition the liver protective action of BPC administered i.p. in doses of 10 ug/kg of body weight one hour before intoxication of rats with carbon tetrachloride given in doses from 0.1-10 ml/kg i.g. or i.p. was demonstrated. BPC (0.01-10 ug/kg i.p./i.g.) prevented also the fatty liver changes induced by 48 hours restraint stress.
7. Effect on damaged pancreas
Male rats (170-240 g) of Wistar strain were used. The injury of pancreas was induced by ligation of the bile duct at its point of entry into duodenum. This procedure induce a marked pancreas necrosis 24 hours later and about 50% of rats died within this experimental period. BPC administered in doses from 0.1 to 10 μg/kg i.p. produced a strong and dose dependent protective action. A significant beneficial effect on survival (ca. 82%) was demonstrated.
8. Effect on damaged kidney a. Unilateral nephrectomy
Experiments were carried out on Wistar albino rats (190-250 gb.w.) of both sexes. Unilateral nephrectomy was performed. The increase of the remaining kidney weight was assessed in control and BPC group (10.0 ug/kg b.w. i.p. 1 hour before procedure) 24 hours after surgery. It was demonstrated that BPC strongly decrease the raise in the organ weight of the remaining kidney.
Biochemical parameters were comparable in both groups. Therefore, it seems that BPC does improve the functions of the remaining renal tissue. b. Administration of gentamicin
Experiments were carried out on the male Wistar rats. Damage of the tubules was produced by administration of gentamicin in dose 40 mg/kg i.p. (once a day) during 30 days. All the animals were
SUBSTITUTESHEET sacrified 5 days after last treatment. In the control group of animals treated with gentamicin and saline damage of tubuli was found. In the BPC treated group the pathohistological manifestations were significantly smaller.
9. Effect on experimental diabetes mellitus
In male rats (175-230 g) of Wistar strain streptozocin or aloxan induced diabetes mellitus was provoked. The BPC in doses of 10 to 100 μg/kg i.p. tended to delay the streptozocin induced diabetes. Moreover, BPC prolonged the animals survive time significantly.
10. Effect on the fever
Antipyretic activity of BPC was investigated in male rats (180-220g) of Wistar strain, using injection of the brewer's yeast. The pretreatment with BP", applied in single doses (5-20 μg/kg i.p.) one hour before injection of yeast significantly reduced the temperature increase calculated at 30 minute intervals for 3 hours at least.
11. Effect on carrageenin induced edemas
The experimental edemas were induced in male mice (18-24 g) of both sexes by injections of carrageenin in the hind paws. The BPC was effective in doses of 10 μg/kg i.p. when injected one hour before of experimental procedure reducing of the volume of edemas induced by mentioned agent. In addition, BPC in the same doses was inactive in the (53.5°C) hot plate test in mice unlike opioid agonists.
SUBSTITUTE SHEET 12. Effect on experimental rhinitis
Wistar rats of both sexes were exposed to vapour of 10% formaldehyde one hour daily during 15 days. In the test group BPC was administered in doses of 10 μg/kg i.p. on each day one hour before exposition. The animals were sacrified after 13-15 days of treatment. In the BPC treated animals edemas of the nouse mucosa were significantly smaller and epithelium was preserved in comparison with control group. Secretion was catarrhal and not purulent.
13. Effect on experimental fracture
The influence of BPC (10 μg/kg, i.p.) on experimental fracture has been investigated on tibial fracture healing process in rats. With respect to controls histologic examination showed a significantly increased healing rate in all rats treated subsequently with BPC. In addition, in these animals a markedly lower local haematoma was also registered than in control.
14. Effect on experimental burns
The experimental procedure, burns of skin or of nasal mucosa, was carried out in mice (20-25 g) . In comparison with control group (treated with saline) a purulent secretion was not observed and increased healing rate was consistently noted in all BPC pretreated (10 μg/kg, i.p., one hour before experimental procedure) animals.
In addition, in animals with nasal injury there was also only very modest posttraumatic swelling of the snout. Subsequently the normal nasal respiration was only slight impared and survival undisturbed. These results are obviously in contrast with the data obtained in the control group.
SUBSTITUTESHEET 15. The effect on skin wounds
The experimental procedure was carried out on rats (170-210 g) of Wistar strain. The skin wounds were produced by a large incision of skin. BPC was administered i.p. in single dosis of 10 μg/kg before incision. Unlike control group, lack of suppuration and edema, poor granulation formation and increased healing rate were consistently found in treated groups.
16. Neuropharmacological activity a) Neuropharmacological investigation according to Irwing demonstrated that BPC, even applied in dosage thousandfold higher than those proven to be of therapeutic effectiveness in many different models (20.0 and 40.0 μg/kg b.w. , i.p. or p.o.) did not induce any significant change in behavior in comparison with in control mice. b) In the isolated heart of rat and rabbit, BPC applied in dose 30 μ/ml of Ringer-Locke solution did not induce any change in the intensity and frequency of contraction (preparation according to Langendorf) . c) In the isolated ileum model (rat, guinea pig or rabbit) (preparation according to Magnus) , BPC applied in the same dosage did not demonstrate any influence on the intestinal tonus, as well on contraction induced by acetylcholine, hista ine and serotonine.
17. The effects of BPC on the delayed type hypersensitivitv reaction CDTH) to DNFB
It was used the model of DTH reaction to DNFB on ears or paws on mice of NMRI strain. Animals which were pretreated with two sensitizing doses of DNFB have significantly thicker ears/paws compared to controled animals. Mice pretreated with BPC i.p. in
SUBSTITUTESHEET dose of 0.1 μg/10 g of body weight, one hour prior to the application of test dose of DNFB, had significantly smaller differences between treated and nontreated ear/paw.
18. Influence on pupil size
In experiment with mice (18-22 g) of both sexes BPC was instilled in left eye. The pupil size was measured by means of monocular lens. In addition, one group of animals was treated with BPC administered i.p. The results showed that BPC instilled topically did produce miosis. Also BPC injected i.p. provoked a pupil constriction of about 20%. This effect lasted at least 30 minutes.
19. The effect of BPC on the lesions of the colon
The contact hypersensitivity in mice was induced with application of DNFB (2,4- dinitrofluorobenzene) . Mice was given two sensitizing doses of 25 μl of 0.5% DNFB (in 4:1 acetone: olive oil) on the previously shaved skin of the abdominal wall in two subsequent days. 72 hours after the last sensitizing dose mice were given challenge of 20 ul of 0.2% DNFB, transrectally in aether anaesthesia. Animals were sacrified 24 hours later and the colon has been examined. Pathological changes in colon were characterized with severe hae orrhagies and ulcerations. These lesion occupied in some animals all parts of colon wall so that perforations can also occur.
Application of BPC (0.1 μg/10 g) one hour after the DNFB challenge significantly decreases the incidence of lesions in colon. The most common lesion was petechial haemorrhagi .
SUBSTITUTESHEET 20. Effects on the tumor cells a) Two cell lines L-924 and melanoma B-16 were cultivated in vitro under standard conditions. BPC was tested in vitro on its activity on growing of mentioned cell cultures. Two days following the initiation of cell cultures BPC was added in 3% and 0.3% concentration (0.1 ml). Three days later the numbers of cells per culture were determined by cell counter. The results showed that BPC has an inhibition effect on both cell lines e.g. L-924 and melanoma B-16. b) Ehrlich's ascites tumor (EAT) is the tumor which can grow in all strains of mice. It can grow in ascitic or in solid form which depends upon a way of administration of tumor cells. We have tried to determine whether the incubation of EAT cells in BPC solution would change the survival time of mice after s.c. or i.p. injection of such treated EAT cells.
We have observed the animals during the period of 45 days. Control of 15 NMRI male mice has been injected with 0.4 x 10 Eat cells. Prior to the injection tumor cells have been incubated for one hour at 4°C in saline. Volume of injection was 0.2 ml. Median survival time in this groι_τ> of animals was 36 days, and only 3/15 animals survived 45 days.
Experimental group of 15 NMRI male mice received the same dose of tumor cells in the same volume, but these tumor cells were previously incubated in BPC solution (2 μg/1 ml) . Only 2/15 mice died during the observed period (45 days) , the others survived more than 45 days. Difference between the control and the experimental group was significantly different (p<0.01).
If the same procedure has been carried out and EAT cells were injected i.p. (instead s.c.) no difference between the groups was observed.
SUBSTITUTESHEET It can be concluded that BPC prolonged survival of animals with tumors and that it possesses antitu or effect.
21. Influence on radiation induced injuries
Experiments were carried out on mice (64) of both sexes, NMR-Y strain (22-28) g) .
First control group (16 mice) was not treated and not irradiated..
The second control group (16 mice) pretreated with saline (0.2 ml) was irradiated with supralethal doses of 9 Gy (Co-60) .
Both experimental group (16+16) were irradiated with the same supralethal doses 9 Gy. One hour after irradiation to the first group BPC was administered in doses of 20 μg/kg b.w. However, the second group was treated with the same dosis of BPC one hour before irradiation.
BPC administered after irradiation has no influence on the survival of mice.
BPC administered before irradiation increases survival rate after 12 days for 68,75% compared with other test group.
22. Influence on haematopoetic system
On albino mice were applied cytostatics (Endoxan, Vincristin, Adriablastin, Cytosin-arabinosid) in LD50 dosis i.p. In test group BPC was apllied 1 hour before cytostatics in dosis 10 ug/kg, in control group only saline was injected. The group of animals were sacrified on 3, 5, 7 and 11th day of experiment. Investigated were: blood (E,Hb,Htc,L,Tb, abs. number of neutrophiles) , bone marrow, citology and hystology of liver and spleen. On the 3st day of experiment there is no difference between experimental group regarding L,E,Tb and neutrophile values in comparison to control group. But in bone marrow of BPC treated animals were haemopoetic cells still intact, in control animals
SUBSTITUTESHEET aplasia is still present. In the 5th day of experiment significantly increases the number of neutrophiles and L until normalisation on 7th day of experiment. In control group the normalisation occurs newer before 11th.
23. BPC and fertility - influence on oligoasthenospermis
The research was performed on ten men, in age from 30 to 40 ears with diagnosis oligoasthenospermis. From these patients there was taken ejaculate after 3 to 4 days of abstinence. After liquefaction (30 min.) to the 0.5 ml of ejaculate is added layer of 0.5 ml of medium. The control medium consisted of HAM-
F 10 with 10% of desactivated chordal serum. Experimental medium contained additionally 2 μg/ml or 4 μg/ml of BPC. After traveling time for 90 minutes at 37"C in atmosphere containing 5% of C02, in the Horwell Fertility Chamber was determined the number of progressive movable, movable on place and immovable spermatozoa in 1 ml of ejaculate. Preliminary results show no effect on motility of spermatozoa in lower concentration of BPC. In concentration of 4 μg BPC/ml was found significantly higher % of motility in comparison with control group.
24. Effect of BPC on reproduction processes
The effect of BPC on reproduction was investigated in mice with previous history of three pregnancies. 20 days after cessation of the last lactation, the animals were subjected to copulation. BPC was applied in a dose 10 μg/kg i.p. once daily each day during all period of pregnancy (19-21 days) and lactation (next three weeks) . Control group received simultaneously an equivolume of saline, the number of offsprings per female and the weight of offspring were daily recorded.
SUBSTITUTESHEET A careful statistical analysis revealed consistently a significantly increased number of offsprings per female, as well as surprisingly no difference between their body weight at each studied time interval.
All the female animals were allowed to recover for next 25 days after cessation of the lactation. Then, they were again subjected to copulation for investigating the effect on fifth pregnancy.
With regard to control group, an increased fertility rate with increased capability to lactation was registered in all BPC treated animals.
It should be noted that no pathological changes as well as no changes in fertility rate were noted in BPC offsprings (regardless the number of mathernal pregnancies) .
Therefore, it seems likely that BPC can improve the fertility rate even in quite old mice. For concluding, it is obvious that the obtained results are consistent with overal protective effect of BPC, as well as with the in vitro data obtained using human sperm.
25. The protective action BPDC on the periodontal tissues injury
The aim of this research was to investigate the effect of BPC on the root resorption of the periodontal soft tissues induced by mechanical injury of the first molar of the albino rats.
Thirty rats, 4 weeks old, were divided into a control group treated with saline and an experimental group treated with BPC. In all animals we received the following treatments: to practice mechanical injury we use needle like instrument (0.6 mm width and 1.9 mm in length) inserted to 1 mm in depth for 1 sec from the mesial gingival
SUBSTITUTESHEET margin in an al ot parallel direction to the mesial surface of the first maxillary right molar crown.
Experimental group was treated after mechanical injury with solution of BPC (0.02 ml/200 g) . The rats divided in 12 groups were sacrified at interval of 1,3,5,6,14 or 21 days after the final treatment.
The right maxillae of all control and experimental rats were removed, fixed in 10% neutral buffered formaline, demineralized with formic acid, embedded in paraffin and sectoned serially at 6 μ in a mesiodistal plane. The sections were stained with haematoxylin and eosin and examined with the light microscope.
Histologic findings in the first molar of the rats from the control groups were: the presence of high number inflammatory cells was registered. A small resorption lacuna was observed between 1-3 days in part of the root surface at the alveolar crest level. At 5th day, the resorption lacuna extended in a coronal direction. The lacuna contained many odontoclasts. At 7th day, the resorption lacuna with many odontoclasts extended further coronally. At 14th and 21st day, the resorption lacuna still extended coronally, approaching part of the lacuna close to the cementoenamel junction.
Experimental rats had all change similar between 1- 5 days to the control animals, but there was not progress of root resorption between 14-21 day. In conclusion, it can be said that BPC elicited protective action against mechanical injury of periodontal tissues of molar of rats.
26. The influence of BPC on nucleus basalis and spinal cord lesion
Dementia of the Alzheimer type (DAT) is characterized by an acquired global impairment of higher cortical functions which affect memory and cognition. Postmortem studies in patients with DAT have demonstrated that the nucleus basalis (NB) neurons undergo a profound and selective degeneration. These neurons are the major source of extrinsic cholinergic innervation to the cerebral cortex. The purpose of the present study was to investigate the influence of BPC on the passive avoidance behaviour in the rat with bilateral electrolytic lesions of the NB. Namely, rats with lesions of the NB may represent an experimental model of DAT.
The study was carried outon albino rats. All groups of rats (with or without lesions of NB) were subjected to the passive avoidance test per the procedure of Ashford and Jones. The NB lesioned animals received saline solution (control group) or BPC solution 10 μg/kg i.p. (test group) . Tested substances were injected: a) only once, immediately after the NB lesions were made, or b) once a day in the course of four consecutive days after the NB lesions were made. BPC was also administered once per day in the course of four training days, one hour before the passive avoidance experiment started. Each animal was subjected to the described behaviour test after a 20 days lasting postoperative recovery period passed. Statistical significance was calculated according to the analysis of variance combined with Duncan's test for multiple comparisons (p<0.05). The resuls of investigation showed that:
- bilateral electrolytic lesions impair the passive avoidance in rats;
- BPC in used dosage doesn't influence the passive avoidance behaviour in intact, nonlesioned animals;
- BPC can improve the passive avoidance behaviour in the NB lesioned rats significantly.
SUBSTITUTESHEET 27. The influence of BPC on the motor activity of rabbits with contusioned spinal cords
The aim of this research was to investigate if BPC can modify the consequences of contusioned spinal cord. In present study adult rabits of both sexes were uses. A medial, dorsal L^-Lg laminecto y was performed under pentobarbital anaesthesia. By using the Technik of Albin et al a measurable spinal cord compact injury was applied. The motor activity in the hind limbs was controlled in accordance with Tarlov's system once daily during nine days. Basically the ratings were as follows: 1) complete paraplegia, 2) minimal voluntary movements, 3) animal able to stand up, but unable to run, 4) animal able to run with some spasticity and incoordination, and 5) normal motor activity.
Animals were receiving saline in control group and BPC in doses of 10 μg/kg i.v. once per day during nine postsurgery days.
Spinal cord trauma caused almost complete paraplegy. The average of complete (during nine posttraumatic days) tested motor activity in the animals receiving saline was 1.3 Tarlov's units (N=4) . In animals receiving BPC it was 2.5 Tarlov's units (N=7) .
It is also evident that BPC improved motor activity of rabbits with spinal cord injury.
From presented results it can be presumed that BPC can be a promising drug in the treatment of damaged neuron function (brain or spinal cord trauma) and that BPC should be given as early as possible after neurons damage.
28. Influence of BPC on intestine motility, basal temperature and diuresis
Application of BPC doesn't have any influence on diuresis, decreasing of basal temperature in vivo
SUBSTITUTE SHEET and on the contractibility of intestine smooth muscle of guinea pig in vitro.
29. Activity against Trichinella spiralis
Application of BPC concentrate to experimental mice (Dl) in doses of 10 μg/(kg b.w., i.p., previously infected with peroral dosis of larvae Trichinella spiralis has the significant influence on survival of animals.
30. Commercial breeding
1419 healthy pigs (from total 4306 pigs) received BPC (10 μg/kg b.w., i.m.) immediately after birth, other 1440 at 13th day of life, 1 day before castration, whereas remaining 1477 received only conventional Fe-therapy. Contusion, culling, mortality, body weight and food consumption were assessed after 4 weeks. BPC, applied only once significantly decreases culling rate (in the group treated with BPC immediately after birth) and contusion rate (in both groups treated with BPC) . Same body weight was obtained in BPC treated animals with markedly lower consumption of food.
Influence on infection: 40 weaned pigs affected with E.coli enterocolitis, 28 days old, were investigated. BPC was applied in 20 animals (10 μg/kg b.w. i.m.). One month later a significantly lowering of mortality rate was noted in BPC treated animals.
In an other experiment mortality rate after the first week of life was investigated in a total number of 1200 healthy pigs. 400 animals received BPC immediately after the birth, in addition to conventional Fe-therapy. A significantly lower mortality was noted in BPC (10 μg/kg b.w.,im.) treated animals.
SUBSTITUTESHEET 31 Antiviral activity
Antiviral activity was investigated in vitro and in vivo (mice). BPC was used in dose of 10 μg/kg b.w., i.p. or T.e.v. Remarkable activity was found against entero-viruses (Echo type: 6, 9, 11 and 16; Coxsackie type: A9, B3 and B4) , CNS viruses (Ixode encephalities, LCM choriomeningitis) and ARBO viruses (Tahyna, Bhanja, and Calovo) .Prolonged survival (72 hours to absolute survival) was noted in infected mice.
In the following text some aspects of the invention will be described in other words:
The technical problem
The technical problem is whether is possible or not to influence by pharmacotherapy simultaneously:
1. acute hepatitis (viral, drugs-induced, toxical, fulminant, regardless ehtiology) ;
2. chronical hepatitis;
3. liver cirrhosis;
4. cholestasis;
5. cholelelythiasis;
6. cholangitis;
7. liver transplatation - therapy before and after transplatation;
SUBSTITUTESHEET 8. therapy before as well as after surgery also in other surgical liver operations (e.g. con¬ genital malformations, benigne and malignant bile duct stenosis) ;
II
9. prevention of pancreas inflammation;
10. improvement of pancreas inflammation course;
11. lowering of the frequency of postsurgical pancreatitis;
12. prevention of the complications and mortality from acute pancreatitis;
13. lowering the frequency of the chronical pancreatitis
III
14. acute haemorrhage in the uper gastrointestinal tract;
15. erosive gastritis;
16. acute ulcer, both gastric and duodenal ("stress ulcer") ;
17. chronical peptic ulcer;
18. non-peptic ulcer of the gastrointenstinal tract;
IV
19. shock (regardless ethiolσgy) ;
SUBSTITUTESHEET V
20. protection of the renal parenchyma from the development of the acute and chronical ischaemic and hae orrhagic necrosis;
21. acute and chronical renal failure, as well as all causes able to provoke them;
e 2:
VI
22. skeletal trauma (fractures);
23. therapical operation on skeleton (osteotomy),
24. skeletal grafts (calems) ;
25. pseudoarthrosis;
26. arthrodesis;
27. wounds (increased healing rate, healing "per primam")
28. burns (skin and mucosal , increased healing rate)
VII
29. anti-tumour activity;
VIII
30. antiinflammatory, antiedematous, antirheumatic activity;
SUBSTITUTESHEET 31. antipyrrhetic activity;
32. rheumatic arthritis ;
33 . osteoarthrosis ;
34. ankilosans spondilitis ;
35. urical arthritis;
36. extra-articular rheumatism (bursitis, tendin¬ itis, synovitis; humeroscapular periarthritis)
37. inflammation and edema after surgical and non- surgical treatment, fracture and dislocation;
IX
38. acute myocardial infarct;
39. myocarditis;
40. delay of the ischaemic changes in the tissues;
41. lower food consumption;
XI
42. hyperprolactinemias;
XII
43. M. Parkinsoni, parkinsonism;
SUBSTITUTESHEET XIII
44. glaukoma (decrease of the intraocular pressure - dopamin and pilokarpin like activity) ;
XIV
45. diabetes mellitus; XV
46. barbiturate intoxication; XVI
47. stress and all noxious events developing as the consequence of the stress
The state of the technigue
There is still no a such total and specific pharmacotherapy, and the treatment of the complications is outside pharmacotherapy.
The description of the solution of the technical problem
Digestive tract and particularly stomach have been presently regarded only as stress-target organ. The possibility suggesting that gastrointestinal tract, and specifically just stomach could be also the organ from which defensive body response may be initiated has not been so far considered. Substance initiating, mediating and controling the coping body response, latter called by us BPC, has been isolated by us from the gastric juice of 542 patients, as well as also from animals sources, by means of dialysis, ion-exchange
SUBSTITUTESHEET filtration and gel-chromatography. Therefore, the substance BPC (although its structure is not completely clear) in different models of human diseases, both in vivo and in vitro. On basis of the obtained results, a successful application of extremely wide range could be expected in pharmacotherapy.
The substance, isolated and called by us BPC, is so far unknown and thereby not applied in pharmacotherapy before.
We have studied the obtained substance BPC on many different experimental species (e.g. rats, mice, guinea pigs) in vivo as well as in human cells in vitro.
Substance BPC was called according to the abrevitation of the statement: "Body Protecting Compound".
The induction of the damages of the liver, pancreas, stomach and duodenum
In the light aether anaestesea a median laparatomy has been done. Thereafter, bile duct has been ligated distally from duodenum, at the site where hepatic artery (by the same surgical manoeuvre simultaneously ligated together with bile duct) is arriving to it from the left side, a little below portal vene which remains undamaged above the ligature. Thereafter, the wound has been taied, and the animals undisturbed since death or sacrifition.
SUBSTITUTE SHEET In the light aether anaesthesia, a median lapratomy has been done, and bile duct ligated just before its entry into the duodenum. The wound has been thereafter taied, and the animals undisturbed since death or sacrifice.
The animals have been immersed in the water, temperature 26°C, 20 cm of the deep, during 3 hours. Immediately thereafter, they were sacrificed. 24 hours before water immersion, the animals were without food, with free access to water.
In the light aether anaestesia, a median laparatomy has been done and pylorus was ligated. The wound was taied, and the animals undisturbed since sacrifice only 15 minutes after pylorus ligation.
The animals were immobilized for 24 hours. Indo ethacin was applied simultaneously with immobilization and 12 hours latter. After 24 hours, the animals were sacrificed.
The induction of the fracture, wounds, skin and mucosal burns
In the light aether anaesthesia a tibial fracture was induced by digital pressure using hipomochlion. The animals were sacrificed at days 5, 8, 9, 12 and 30 after fracture induction.
In the light aether anaesthesia a large skin wound has been done. The animals were sacrificed each day during first five days,
SUBSTITUTESHEET and thereafter a-fter three days periods since 15th day, as well as after the end of the five days periods since one month after wound induction.
In the light aether anaesthesia, a burn has been done on the back of the animal (15x30 mm) by glowing thermocauter during 15 seconds. The animals were sacrificed at day 5, 9 and 30 after lesions induction.
In the light aether anaesthesia, the nasal mucosa was burned bilaterally by glowing thermocauter during 5 seconds. The animals were sacrificed at day 5, 9, 30 after lesions induction.
The induction of kidney damage
In the light aether anaesthesia a ligature of renal pedicle has been done. The animals were sacrificed 24 hours latter. The wound was taied, and animals undisturbed since death or sacrifice.
The induction of antiinflammatorv, antiedemaous and antikpyrrhetic effect
Carageenin (1%) was applied (0.05 ml s.c.) in the paw, as inflammatory agent; volume of the paw was measured 3 hours latter using the standard procedure.
For elevation of the body temperature the siccoferment was used (2,5 g/kg, i.p.). The temperature was thereafter measured rectally during 3 hours.
SUBSTITUTESHEET The induction of the heart damage
The animals were immobilized during 24 hours. Indomethacin was applied at the start of immobilization (0 hour) , and 12 hours latter. After the end of 24 hours period, the animals were sacrificed.
Isoprenaline (30.0 mg/kg i.p.) was applied at 0 and 24 hours, and after the end of 48 hours- period, the animals were sacrificed.
The induction of CNS effects
- the investigation of the effects on spon¬ taneous behavior of the animals (mice)
To establishe the presence of dopamine neurons in the activity of the substance BPC in the CNS, a conventional dopamine agonist apomorphine (20 mg/kg s.c.) as well as serotonine (5 mg/kg i.p.) (comparative controls), or saline (0.9% NaCl) (control). The behavior of the animals after applications was investigated. The stereotypic behavior was assessed according to the method of Malick (1983) .
- the investigation of the effects on the iris muscle
The investigated solution was applied: locally or intraperitoneally. The pupille diameter was measured in the suitable time intervals (5, 10, 15, 30, 60, 90 and 120 minutes) according to standard procedures.
SUBSTITUTESHEET - the investigation of the effect on barbiturate depressive activity
With Na-pentobarbital application (50 mg/kg i.v.) a narcosis was induced. The duration of barbiturate sleeping was assessed by the lack or presence of so called "righting reflex".
The induction of the effects on diabetes mellitus
Diabetes mellitus was induced by the application of aloxan (100 mg/kg i.p.) as well as streptozotocin (100 mg/kg i.p.). The glucose content in both urine and blood was measured according to standard procedures. The animals were undisturbed since death.
The assessing of the effects
Distribution
The studies with 1-125 marked BPC demonstrate the accumulation of BPC which is also dose and time depending, just in the stomach mostly, with distribution in the whole organism either after oral or parenteral application.
Clinical observation
In the studies dealing with damages of the liver, pancreas, stomach and duodenum, kidney, heart, fracture, wound, burns (skin, mucosal) , diabetes mellitus, the general conditions of the BPC treated animals were significantly better than in control groups. Unlike control groups, in the treated groups, either no death
SUB or lower mortality rate were consistently observed.
Macroscopical and pathological observations
In the control animals with ligation of the bile duct and hepatic artery a large yellow- green liver necrosis developed, sometimes involving also whole hepatic lobules, as well as pancreas necrosis and haemorrhagic lesions in the stomach and duodenum. The application of BPC successfully and dose-dependently prevented the above described lesions. In the control animals these lesions appeared as soon as 6 hours after ligation, whereas in the treated animals they were not visible even after 48 hours of ligation. Pathohistological examination supported the macroscopically observed changes and differences.
In the control animals with ligation of the bile duct at the site of its entry into duodenum, severe necrosis appeared in the pancreas as well as haemorrhagic lesions in stomach and duodenum. The administration of BPC dose-dependently prevented the development of the above described lesions. Pathohistological examination supported macroscopically observed changes an differences.
In the control animals subjected to water immersion stress, restraint stress plus indomethacin application, as well as short- time (15 min) pylorus ligation, we demonstrated the significant gastric lesions. The administration of BPC markedly decreased (or even completely abolished) the development of the gastric lesions following the above described noxious procedures.
In the control animals with ligature of renal pedicle we found severe lesions of the kidney. In the BPC treated rats the noted lesions were significantly lower. Pathohistological examination strongly supported the macroscopically observed changes and differences.
In comparison with the control animals with tibial fracture, in the BPC treated animals the development of the posttraumatic haematoma was significantly less pronounced, with earlier functional use of the damaged leg. Qualitative pathohistological examination using conventional methods demonstrated increased and exaggerated rate of healing callus in the treated rats in the all observed periods.
In the control animals with wound a large development of the seropurulent granulation was noted during the first days after injury induction. In the BPC treated rats, unlike control group, was dry without exudation, with no visible granulations (per primam) . Pathohistological examination supported the macroscopically observed changes and differences in all investigated periods.
In the control animals treated with restraint stress plus indomethacin marked myocardial lesions were noted, with increased values of CPK in the serum, the administration of BPC
SUBSTITUTESHEET significantly decreased the myocardial damages, and lowered the values of CPK. Pathohistological examination confirmed the macroscopically observed differences and changes.
In the animals with experimentally induced diabetes mellitus BPC abolished transitory glikosuria in the aloxan treated groups. In the animals treated with streptozotocin the administration of BPC almost threefold increased the survival. In the all animals treated with BPC polydipsis and polyfagia were less pronounced.
Antiinflammatory, antiedematous, antipyrrhetic effect
In the animals treated with BPC a marked decrease of the carageenin-induced edema was noted relative to the control in all investigated periods.
In the animals treated with siccoferment, the administration of BPC substance significantly decrease the raise of the body temeprature in comparison with the results noted in the control group.
effects In vitro data
Two days after starting of cultivation of the human fibroblast L-929 and melanoma B-16 cells, the substance BPC was added. Three days thereafter the number of cells was assessed by cell counter. Substance BPC demonstrated a
TITUTESHEET dose-dependent toxical effect on melanoma cells. No effect was demonstrated on fibroblasts.
In comparison with control animals with skin burn, in the treated animals a significantly increased development of the crust was noted. In the control animals with mucosal burns (e.g. nasal mucosa) during first two days a severe edema of the injuried tissue was noted, followed with seropurulent secretion, and partial functional obstruction of the nasal respiration. In BPC the treated animals no development of the above described changes was noted. Pathohistological examination strongly confirmed the macroscopically observed differences and changes.
Effects on the CNS
The effects of the supstance on the CNS were investigated by observing the behaviour of animals (mice) .
5 minutes after aplication a rise in locomotion was observed. The restlesness of the animals rised from minute to minute yielding its peak after 30 min. At that time the animals stood on the hind legs, upright like a candle, and were sniffing. Straubs phenomenon was evident, the animals were running around the cage and a pyloerection was also obvious. After apomorphine application the change apeared after 45 min, and was accompanied by a partial standing on the hind legs. After serotonin application only a short period of sterotypical behawiour was noted (intensified locomotion, sniffing,cleaning with less intensity) .
Local aplication on the eye resulted (or i.p.) led to myosis (aproximately 20%) .
The application of BPC shortened the durance of barbiturate-induced sleep, which was established by shortenin of the time without righting reflex (at least 60%) .
The effects on blood pressure, gut motility, basal temperature, diuresis
The application of BPC has no effect on the changes of blood pressure induced by adrenaline, noradrenaline, izoprenaline, acetilcholine, and serotonine, nor on basal blood pressure walues.
The application of BPC shows no effect on gutt smoot muscle in vitro (guinea pig) .
The application of BPC did not lower the basal temperature.
The application of BPC did not lead to increased diuresis.
Mechanism of action
It can be supposed that the action of BPC, like other egzogenous proteins, is a sequella of one of the following mechanism: direct interaction of the protein,or its fragments, with cell receptors; stimulation or inhibition of release of biologically active (stimulatory or inhibitory) proteins or non-proteins, through receptor or non-
SUBSTITUTESHEET receptor linked mechanisms; interactions with enzymes wich degrade endogenous biologically active peptides.
Numerous protective effects on othervise unrelated nosological entities could be explained if they are brouth to a common term - the stress (noxis) wich they cose in the organism. So it seems likely that the substance BPC represents the prmary cooping respons (starting from the stomach) on any stressfull event endangering the organism. Therefore the mechnis of BPC action represents the primary defens mechanis against different stressfull atacs (noxes) .
From the above it is concluded that it is possible to act, pharmacollogically, benefically on the course of the following disorders, by the application of BPC:
I
1. acute hepatitis (virus induced, medicamentous, toxic, fulminant regardless the etiology) ;
2. chronic hepatitis
3. liver cirrhosis;
4. cholestasis
5. choledocholithiasis
6. cholangitis
7. liver transplantation-therapy before and after transplantation
8. preoperative and postoperative therapy in other liver surgery (e.g. congenital malformations, benign and malign stenosis of the choledochus)
II
9. prevention of pancreatitis
10. amelioration of the course of pancreatitis 11. lowering of the rate of postsurgery pancreatitis
12. prevention of complications and mortality of acute pancreatitis
13. lowering of the incidence of chronic pancreatitis
III
14. acute uper G tract bleeding
15. erosive gastritis
16. acute ulcers, gastric and duodenal (stress ulcers)
17. chronic peptic ulcers
18. non-peptic ulcers of the GI tract IV
19. shock (all etiology) V
20. protection of the renal parenchym against ishemic and haemorrhagic necrosis (acute and chronic)
21. acute and chronic renal failure as well as all coses of it
VI
22. sceletal trauma (fractures)
23. therapeutic procedures on the sceletal sxstem (osteotomia)
24. sceletal grafting
25. pseudoarthroses
26. arthrodeses
27. wounds (faster healing, healing per primam)
28. burns (skind, mucosa, faster healing) VII
29. antito our effect VIII
30. antiinflamatory, antiedematous, antirheumatic effect
31. antipirrhetic effect 32. rheumatic arthritis
33. arthroses
34. ankilosing spondilitis 35. gout
36. extraarticular rheumatic diseiase (bursitis, tendinitis, sinovitis, humeroscapular periarthritis)
37. inflamation and oedema after surgical and neurosurgical procedures, accompaning fracture and dislocations
XI
38. acute myocardial infarction 39. myocarditys
40. postponing of ischaemic tissue changes X
41. lowering of food intake (anoreksitive effect) XI
42. hyperprolactinaemia
43. Parkinsons disease XIII
44. glaukoma (lowering of intraocular pressure - dopamine and pilocarpine effect)
XIV
45. diabetes mellitus XV
46. barbiturate intoxication XVI
47. stress and all stress induced dammages of the organism
The application of the substance will be per os or parenterally, in the form of pills, capsules, dragees, lingualets, suppositories, vaginalets, injection sollutions, nasal spray, unguents, creams, gels, spray, eye drops, ear drops, nasal drops. Examples of technique:
Example l: process of isolation of the BPC substance
The material from wich the substance was isolated was obtained from the gastric juice of 542 patients repeatedly and reproducibly, and from animal sources.
The material was stored at 2°-8°C. The material is homogenised. Than it is centrifugated (12000 G^/30 min.). After that the supernatant is colected. 200 ml of supernatant is dialysed in water (+4°C), 1:125, meaning until a conductibility of lOOμS is achiewed. After that the dyalisate is lyophilised. The dry rest is dissolved in 10ml of redestilled water and applied onta chromatographic column with a modiffied DEAE ion-exchange gel (40-80 um) . The column is 25x250 mm. A buffer (Na acetate 0,01 M, pH 5,2) was used for dilution. Fraction detection was by an UV detector in the range of 2800 nm. The f. actions of 40 - 120 ml were collected. The eluate was first concentrated by AQUACIDE - 3 (Calbiochem, USA) and than lyophilized.
The dry substance is dissolwed in 10 ml 0,2 M phosphate buffer, ph 7,4 and than put on 2 chromatograph collumn with SEPHACRYL-S-200, (2,5x450mm) with a flow of l,2ml/min. The fractions of 80 - 200 ml were collected.
The sollution is dialysed against destilled water, concentrated with AQUACID-3 and lyophilized. Approximatelly 200 mg of a dry, white substance is obtained. Caracterization
The BPC substance is caracterized by IR an UV spectrum (Fig. 1 and 2) .
On the basis of the described pharmacological properties the substance BPC can be used in the treatment of several diseasesand disorders particularly when normal formation of this agent in organism is insufficient or even absent.
It can also be used for the treatment of:
a) All stress induced diseases and disorders.
b) Circulatory disorders:
Ulcer (different origins) , schock (different ethiology) , Ischemia and infarcts (in different organs) .
c) Inflammation and edemas:
Inflammation and edemas of all ethiology, hepatitis (acute and chronic) , liver cyrrhosis, cholangitis, pancreatitis (different etiology) , gastroduodenitis, nephritis and nephropathias, myocarditis, pericarditis, endocarditis, arthrosis and arthritis, (different etiology) , rhinitis, rheumatical disorders-disorders of joint of different ethiology,fever, lesions induced by free radicals.
d) Traumas and surgery:
Traumatism (pre- and post-traumatic treatment) , grafting, wounds, burns, fracture, post-surgery complications.
e) Malignancy: some type of tumours;
SUBSTITUTESHEET ) Diabetes mellitus;
g) Disorders of dopaminergic or similar ethiology: Obesity, M. Parkinsoni, hyperprolactinemias, glaucomas and barbiturate induced sleep-time (poisoning with barbiturates) ;
h) Diseases and disorders of nerve system: Alzheimer's desease, ischemic and traumatic injuries of the nervous system and delay of senile degenerative changes;
i) Stomatology:
Diseases and disorders of oral mucosa, surgical treatment of peridontal pockets, inhibiton of roots resorption:
j) Haematorpoetic system:
Neutropenia, aplastic anemia, myelodisplastic syndroma transplantation of bone narrow;
k) Injuries caused by radiation:
Acute radiation syndroma and protection against radiation injuries;
1) Immunology: Hypersensitive reactions, allergy and transplantations.
m) Fertility:
Increasing of fertility, therapy of oligoastenospermia and promotion of lactation;
n) Veterinary use:
In commercial breecing, decrease of mortality, stunting, contusion, improved .inversion of food, increase of body weight; o) Virusology: Antiviral therapy;
p) Miscelaneous:
Fatty change of liver, cholechtasis, cholelithiasis, acute and chronic disfunctions of kidney, toxic damage of kidney and liver
Substance BPC will be used as a drug for enteral, local, rectal and parenteral administration. The pharmaceutical compositions are formulated by adding inorganic and organic adjuvants. For tablets and dragees there are added e.g. talc, lactose, starch, stearates etc. for solutions and suspensions there are added e.g. water, alcohols, glycerine etc. For suppositories there are added e.g. natural oils, hardened oils, waxes or polyethylene glycols. The formulations can generally contain suitable preservatives, buffers, stabilizers, surfactants, dissolving intermediaries sweetening agents and dye stuffs.
A suitable daily doses for the substance BPC are from 5 to 50μg/kg of body weight and can be administered in single dosis or divided in parts.
Example 1) Preparation of the BPC from human gastric juice
The raw material used for the preparation of the substance BPC was obtained reproducible from stomach juice of 542 patients. The collected material must be stored between +2 and 8°C. It was homogenized before use.
An aliquote part (200 ml) of this material was first separated by centrifugalization (12000 G for
SUBSTITUTESHEET 30 minutes) into crude parts and supernatant liquid. This liquid was dialysed against demineralized water (1:125) at +4°C until the conduction of 100 μS was attained. Then the solution was lyophilized. The dry residue was dissolved in 10 ml of distilled water and applied onto chromatographic column (25 x 250 mm) filled with DEAE-modified ion-exchange gel (e.g. Trisacryl M-DEAE, RIBF) . For elution was used sodium acetate buffer (0.01M, pH=5.2). Fractions were controlled with ultraviolett detector at 280nm. The fractions from the 40th to 120th ml of eluate were collected, concentrated using Aquacid-3R(Calbiochem) , then dialysed and lyophilized.
The dry substance was dissolved in 10 ml of 0.2 M phosphate buffer (pH=7.4) and purified again on the chromatographic column (2.5 x 450 mm) filled with gel Sephacryl-S-200 R (Pharmacia Fine Chemicals) . Flow was 1.2 ml/ in. Collected were fractions from the 80th to 200th ml, dialysed against distilled water, concentrated using Aquacid-3 and then lyophilized. It was obtained 2 mg of white substance. The prepared substance - BPC - is very soluble in water. It decomposes between 180 and 200"C. Molecular weight, determined by gel chromatography is estimated as 40.000 + 5.000 Daltons. The ultraviolet spectrum (in water) shows absorption in regions as indicated in Fig. 1.
The infrared spectrum (in KBr) shows absorption bands in regions as indicated in Fig. 2.
The substance BPC has folded protein structure with partial amino acid sequence from N-terminus:
SUBSTITUTESHEET H2N-Gly-Glu-Pro-Pro-Pro-Gly-Lys-Pro-Ala-Asp-Asp- Ala-Gly-Leu-Val- -COOH
Example 2. Preparation of the BPC from human gastric juice
Homogenized human gastric juice of the same provenance as in example 1, was centrifugalized, dialysed and lyophilised according to the procedure in example 1.
The dry residue (80.4 mg) was dissolved in 0.1 M acetate buffer (3 ml, pH=5.22) and applied onto chromatographic column (10 x 50 mm) with ion- exchange resin Fractogel-TSKΛ (Merck) previously equilibrated with acetate buffer (pH=5.2) . Flow was 0.7 ml/ in. Fractions were controlled with UV spectromonitor at 280 nm. First fraction with strong UV adsorbance was collected.
This fraction was dyalized against distilled water and then lyophilised (47 mg) .
This dry residue was dissolved again in acetate buffer (1 ml) and applied onto chromatographic column (16 x 560 mm) filled with gel Sephadex-G- 100 R Pharmacia Fine Chemicals) previously equilibrated with acetate buffer. Flow was 0.3 ml/min. Collected were fractions from 66th to 108th ml, dialyzed against distilled water and lyophilised. it was obtained a white powder which complies with product described in the previous example.
SUBSTITUTESHEET Example 3. Preparation of the substance BPC from porcine gastric juice
Homogenized porcine gastric juice (85 ml) was centrifugalized, dialyzed and lyophilised according to the procedure described in previous example to obtain 440 mg of the dry residue. Then 110 mg of the dry residue. Then 110 mg of this residue was dissolved in 0.1 M acetate buffer (6 ml, pH=5.22) and applied onto chromatographic column (10 x 50 mm) filled with ion-exchange resin Fractogel-TSK and processed as described in previous example. It was obtained 44 mg of yellowish concentrate.
A part of this concentrate (24 mg) was dissolved in 1 ml of the same acetate buffer and applied onto chromatographic column (16 x 565 mm) filled with gel SephadexR-50/80, equilibrated with acetate buffer. Flow was 1.35 ml/min. Eluat between 65th and 108m^ was collected, dialyzed against distilled water and lyophilised. The obtained white powder (10 mg) has (within the range of accuracy and reproducibility of analytical methods used) the same molecular weight and other properties as the product described in previous examples.
Example 4. Tablets
Composition mg/tablet
substance BPC 0.3 lactose 37.7 starch 6.0 talcum 3.0 tragacanth 2.5 magnesium stearate 0.5
50 g
SUBSTITUTESHEET Example 5. Capsules
Commposition mg/capsule
substance BPC 0.3 lactose 99.0 magnesium stearate 0.7 100 mg
Exam le 6. Lingualettes
Figure imgf000046_0001
110 mg
Example 7. Suppositories
Composition mg/supposit.
substance BPC polyethylene glycol 300 polyethylene glycollSOO polyethylene glycol 6000 emulsifier
Figure imgf000046_0002
Exam le 8. Cream
Figure imgf000047_0001
250 gr
Example 9. Injection solution
Composition mg/ml
substance BPC 0.3 sodium carboxymethylcellulose 1.5 polyvinyl pyrrolidone 5.8 lecithin 2.7 benzuylalcohol 0.01 buffer q.s. bidistillated water ad 1 ml
Example 10. Solution
Composition
substance BPC glycerol benzylalcohol buffer bidistillated water ad
Figure imgf000047_0002
Example 11. Dry injection
Composition weight fmg)
substance BPC 0.3 mannitol 10.0
10.3 mg
Example 12. Nasal spray
Composition mg/each dosis
substance BPC benzylalcohol uliglyol R-812 freon 12/114
Figure imgf000048_0001
Example 13. Drops for eves, ears and nose
Composition mg/5ml
substance BPC 45 stabilisator 5 sodium hydrogenphosphate 116 sodium dihydrogenphosphate 33 benzalconium chloride 0.5 bidistillated water ad 5 ml
Example 14. Vaginalettes
Composition mg/vaginal.
substance BPC 0.3 polyethylene glycol 300 150.0 polyethylene glycol 1500 1290.0 polyethylene glycol 6000 700.0 propylen glycol 200.0 tween -40 59.7 lactose 100.0
2500 mg
Example 15. Ophtalmic ointment
composition mg/ 3.5 gr
substance BPC 45 parrafine oil 1000 emulsifier 100 vaseline white 2355
3500 mg
SUBSTITUTESHEET

Claims

Claims
1.) A process for preparation of the substance BPC from human or animal gastric juice characterized with following production steps in which:
(a) the collected and homogenized animal or human gastric juice is separated in crude parts and supernatant liquid by centri- fugalization;
(b) the supernatant liquid is dialysed and lyophilized;
(c) the dry residue is purified on the chro¬ matographic column filled with weakly basic modified ion-exchange gel or resin;
(d) the concentrate is again dialysed and lyophilized;
(e) the dry residue is purified with gel chromatography and
(f) the substance BPC is finally obtained from the concentrate using dialysis and lyophilisation.
2.) The process of claim 1 wherein in the step (c) is used with DEAE, DMAE, QAE or with other basic group modified anion-exchange gel or resin.
3. ) The process of claim 1 or 2, wherein in the step (e) is used an inorganic or organic gel with dextrane, polystyrene, polyacrylamide,
SUBSTITUTESHEET agarose, polyvinyl or other matrix but having the fractionation capability in range of mole¬ cular weights between 20000 and 100.000 Daltons.
4. ) The substance BPC characterized with the pro¬ cess of its preparation according to the claims 1, 2 and or 3, having a molecular weight 40000 + 5000 Dal.,determined by gel chromatography, ultraviolet and infrared spectra as indicated in Fig.l and 2, and partial N-terminal amino acid sequence: H2N-Gly-Glu-Pro-Pro-Pro-Gly-Lys-Pro-Ala- Asp-Asp-Ala-Gly-Leu-Val-....- COOH.
5. ) The use of the substance BPC in medicine for the treatment of the following 'iseases and disorders:
a) All stress induced diseases and disorders.
b) Circulatory disorders:
Ulcer (different origins) , schock (different ethiology) , Ischemia and infarcts (in different organs) .
c) Inflammation and edemas:
Inflammation and edemasoofalll ethiology, hepatitis (acute and chronic) , liver cyrrhosis, cholongitis, pancreatitis (different etiology) , gastroduodenitis, nephritis and nephropathias, myocarditis, pericarditis, endocarditis, arthrosis and arthritis, (different etiology) , rhinitis, rheumatical disorders-disorders of joint of different ethio-logy,fever, lesions induced by free radicals.
SUBSTITUTESHEET d) Traumas and surgery:
Traumatism (pre- and post-traumatic treatment) , grafting, wounds, burns, fracture, post-surgery complications.
e) alignancv: some type of tumours;
f) Diabetes mellitus;
g) Disorders of dopaminergic or similar ethiology: Obesity, M. Parkinsoni, hyperprolactinemias, glaucomas and bar barbiturate induced sleep-time (poisoning with barbiturates) ;
h) Diseases and disorders of nerve system: Alzheimer's desease, ischemic and traumatic injuries of the nervous system and delay of senile degenerative changes;
i) Stomatology:
Diseases and disorders of oral mucosa, surgical treatment of peridontal pockets, inhibiton of roots resorption;
j) Haematopoetic system:
Neutropenia, aplastic anemia, myelodisplastic syndroma transplantation of bone narrow;
k) Injuries caused by radiation:
Acute radiation syndroma and protection against radiation injuries;
1) Immunology:
Hypersensitive reactions, allergy and transplantations. m) Fertility:
Increasing of fertility, therapy of oligoastenospermia and promotion of lactation;
n) Veterinary use:
In commercial breecing, decrease of mortality, stunting, contusion, improved food conversion, increase of body weight;
o) Virusology: Antiviral therapy;
p) Miscelaneous:
Fatty change of liver, choleshtasis, cholelithiasis, acute and chronic disfunctions of kidney, toxic damage of kidney and liver.
6.) A drug for the treatment of diseases and disorders according to the claim 5 comprising an active amount of the substance BPC in pharmaceutical form for enteral, peroral, parenteral, rectal and local administration.
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Publication number Priority date Publication date Assignee Title
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU731317B2 (en) * 1997-05-23 2001-03-29 Marko Duvnjak New BPC peptide salts with organo-protective activity, the process for their preparation and their use in therapy
KR20030067435A (en) * 2002-02-06 2003-08-14 유지고하라 Energy Converting Polar Plate and Method of Manufacturing
KR20030076007A (en) * 2002-03-22 2003-09-26 유지고하라 Change device of heat energy
WO2018037020A1 (en) * 2016-08-23 2018-03-01 Pharmacotherapia d.o.o. Compositions and methods for treating symptoms associated with multiple sclerosis
US10350293B2 (en) 2016-08-23 2019-07-16 Pharmacotherapia d.o.o. Compositions and methods for treating symptoms associated with multiple sclerosis
AU2017315091B2 (en) * 2016-08-23 2020-01-23 Pharmacotherapia d.o.o. Compositions and methods for treating symptoms associated with multiple sclerosis
CN114632092A (en) * 2022-05-17 2022-06-17 北京第一生物化学药业有限公司 Application of testis tablet in preparing medicine with hypoglycemic activity

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HU9201941D0 (en) 1992-09-28
RU2104704C1 (en) 1998-02-20
BG96324A (en) 1993-12-24
JP2591875B2 (en) 1997-03-19
BG61191B1 (en) 1997-02-28
HU217541B (en) 2000-02-28
JPH05503089A (en) 1993-05-27
AU6901191A (en) 1992-03-30

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