JP2015137249A - Agent for improving depression in winter - Google Patents

Agent for improving depression in winter Download PDF

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JP2015137249A
JP2015137249A JP2014009286A JP2014009286A JP2015137249A JP 2015137249 A JP2015137249 A JP 2015137249A JP 2014009286 A JP2014009286 A JP 2014009286A JP 2014009286 A JP2014009286 A JP 2014009286A JP 2015137249 A JP2015137249 A JP 2015137249A
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winter
serine
depression
agent
winter depression
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いづみ 山崎
Izumi Yamazaki
いづみ 山崎
しのぶ 安尾
Shinobu YASUO
しのぶ 安尾
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Fancl Corp
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Abstract

PROBLEM TO BE SOLVED: To provide an agent for improving depression in winter.SOLUTION: An agent for improving depression in winter comprises L-serine as an active ingredient.

Description

本発明は、冬季うつ病の改善剤に関する。   The present invention relates to an agent for improving winter depression.

冬季うつ病は、1984年に初めて発表された「季節性感情障害」の一種であり、「冬季うつ」とも呼ばれている。いわゆる通常のうつ病は、食欲が減退して体重が減り、眠れなくなる。
これに対して、冬季うつは、一年のうち秋から冬にだけ気分が落ち込む。やたらとご飯や甘いものなどの炭水化物が欲しくなり、眠くてたまらないという状態が続き、さらに通常のうつ病と同じく、気分の落ち込み、集中力や意欲の低下、疲れなどが見られる。特徴的な症状として、過食、睡眠過多、体重増加、炭水化物渇望が認められる。
患者は女性に多く、症状は十月ごろから始まり、三月には自然に快方に向かう。これが二年以上続くと、冬季うつ病の可能性が高いと診断される。冬季うつ病の患者の中には、夏は軽いそう状態を示す患者もおり、買い物をし過ぎたり、普段よりも社交的になったりする。
Winter depression is a type of “seasonal emotional disorder” first announced in 1984 and is also called “winter depression”. So-called normal depression causes a loss of appetite, weight loss, and inability to sleep.
On the other hand, winter depression is depressed only from autumn to winter in the year. They continue to be addicted to carbohydrates such as rice and sweets, and continue to be sleepy and unbearable, and as with normal depression, they feel depressed, reduced concentration and motivation, and fatigue. Characteristic symptoms include overeating, oversleeping, weight gain, and craving for carbohydrates.
Patients are more common in women. Symptoms start around October, and in March, they naturally go to ease. If this continues for more than two years, the possibility of winter depression is diagnosed. Some patients with winter depression are light in summer, so they are overshopping and more social than usual.

冬季うつ病の原因は、日照時間や日の出から日没までの日長時間の短さに関係している。目が感じる光の刺激が減ると、神経伝達物質である脳内セロトニンと、松果体ホルモンであるメラトニンの分泌量が変化する。精神を安定させるセロトニンは減って脳の活動が低下し、うつ状態を引き起こす。一方、セロトニンの生成に必要な糖質を欲するようになり、炭水化物を中心に食欲が強くなる。睡眠を促進するメラトニンは増えて、睡眠時間が長くなる。
冬季うつ病は、緯度が高く、曇りや雨、雪の日が多い地域で起こりやすいといわれている。北欧ではよく知られた疾患として認知されており、日本では北海道や東北、北陸地方の日本海側に多く見られる。
冬季うつ病に対しては、種々の治療方法が提案されている。一般的な冬季うつ病の治療法は、明るい光を浴びる「高照度光療法」が有効とされている。専用の照明器具で二千五百〜一万ルクスの光を出すものが用いられる。光が目の網膜に届かないと効果がないため、正面に器具を置いて照射し、なるべく午前中に三十分から一時間ほど浴びて治療する。
特許文献1には冬季うつ病治療にための照射器具が提案されている。特許文献2には冬季うつ病を適応症とするモノアミン再取込み阻害剤が記載されている。
The causes of winter depression are related to the duration of daylight and the length of daylight from sunrise to sunset. When the light stimulus felt by the eyes decreases, the amount of brain serotonin, a neurotransmitter, and melatonin, a pineal hormone, change. Serotonin, which stabilizes the mind, decreases and brain activity decreases, causing depression. On the other hand, it comes to want the carbohydrates necessary for the production of serotonin, and the appetite becomes strong mainly on carbohydrates. Melatonin that promotes sleep increases and sleep time is lengthened.
Winter depression is said to occur easily in areas with high latitudes and a lot of cloudy, rainy, and snowy days. It is recognized as a well-known disease in Scandinavia, and in Japan it is often found on the Sea of Japan side of Hokkaido, Tohoku and Hokuriku regions.
Various treatment methods have been proposed for winter depression. As a general treatment method for winter depression, “high illumination light therapy” that is exposed to bright light is considered effective. A special lighting fixture that emits light of 25,500 to 10,000 lux is used. If the light does not reach the retina of the eye, there is no effect, so place the instrument in front and irradiate it.
Patent Document 1 proposes an irradiation device for treating winter depression. Patent Document 2 describes a monoamine reuptake inhibitor for the indication of winter depression.

一方、本発明者らは長年にわたってアミノ酸の一種であるセリンの研究を行ってきた。
セリンは1865年にCramerにより絹の表面蛋白質(セリシン)の加水分解によって得られた新しいアミノ酸で、甘味を有することで知られている。1902年、Fischer及びSkitaがセリシンの加水分解物から分離し、更に合成によりその構造を明らかにした。過去に蛋白質の加水分解物から抽出したり、他のアミノ酸より合成したりしていたが、近年では酵素法、発酵法などの工業的手法により生産されている。
On the other hand, the present inventors have studied serine, which is a kind of amino acid, for many years.
Serine is a new amino acid obtained by hydrolysis of a silk surface protein (sericin) by Cramer in 1865 and is known to have sweetness. In 1902, Fischer and Skita separated from sericin hydrolyzate and further elucidated its structure by synthesis. It has been extracted from protein hydrolysates or synthesized from other amino acids in the past, but in recent years, it has been produced by industrial methods such as enzymatic methods and fermentation methods.

セリンは非必須アミノ酸であり、生体内でグリシンと相互変換し、また、細胞内でプリン、クレアチン、ポルフィンなど重要な生体成分の合成にも関与し、蛋白質やその他の様々な生体機能にとって重要な化合物の先駆体であることが知られている。特に近年、セリンは神経栄養因子として注目されている。本発明者らはL−セリンが抗不安剤として有用であることを見出し特許出願している(特許文献3)。   Serine is a non-essential amino acid, interconverts with glycine in vivo, and is also involved in the synthesis of important biological components such as purine, creatine and porphine in the cell, and is important for proteins and various other biological functions. It is known to be a precursor of compounds. In recent years, serine has attracted attention as a neurotrophic factor. The present inventors have found that L-serine is useful as an anxiolytic agent and have applied for a patent (Patent Document 3).

特開2008−245836号公報JP 2008-245836 A 特表2013−530144号公報Special table 2013-530144 gazette 特開2011−231116号公報JP 2011-231116 A

本発明は、冬季うつ病の改善剤を提供することを課題とする。   An object of the present invention is to provide an agent for improving winter depression.

本発明は次の構成である
(1)L−セリンを有効成分とする冬季うつ病の改善剤。
(2)L−セリンを有効成分とする光照射による冬季うつ病の改善増強剤。
The present invention has the following constitution (1) an agent for improving winter depression comprising L-serine as an active ingredient.
(2) An enhancer for improving winter depression caused by light irradiation containing L-serine as an active ingredient.

本発明は、冬季うつ病の改善剤が提供される。また本発明の冬季うつ病改善剤は、光照射による冬季うつ病の改善効果を増強することができる。   The present invention provides an agent for improving winter depression. Moreover, the winter depression improving agent of this invention can enhance the improvement effect of winter depression by light irradiation.

冬季うつ病モデル動物に対するセリン投与による改善効果を示すグラフ。The graph which shows the improvement effect by serine administration with respect to a winter depression model animal.

本発明は、L−セリンを冬季うつ病の改善剤とするものである。
本発明に関わるL−セリンは蛋白質加水分解法、化学合成法、酵素法、発酵法の何れかの方法によって製造することができる。またL−セリンは組織の構成成分であることから、収率は低いものの動物、植物などから抽出・精製して製造することもできる。さらに、動物、植物など由来成分から、例えばホスホセリンやホスビチンなどから化学処理により生成・抽出・精製して製造することもできる。本発明に関わるL−セリンは特に製造方法を限定するものではない。また、L−セリンを50%程度含むものであれば、本発明の冬季うつ病の改善剤とすることができる。
The present invention uses L-serine as an agent for improving winter depression.
L-serine related to the present invention can be produced by any of protein hydrolysis method, chemical synthesis method, enzyme method and fermentation method. Since L-serine is a structural component of tissue, it can be produced by extraction and purification from animals, plants, etc., although the yield is low. Furthermore, it can also be produced from components derived from animals, plants, etc., for example, from phosphoserine or phosvitin by chemical treatment, extraction and purification. The production method of L-serine related to the present invention is not particularly limited. Moreover, if it contains about 50% of L-serine, it can be set as the improvement agent of the winter depression of this invention.

本発明の冬季うつ病改善剤を製造するには、上記の方法で製造したL−セリンを用いることができ、常法に従って公知の医薬用無毒性担体と組み合わせて製剤化すればよい。本発明に関する冬季うつ病改善剤は、種々の剤型での投与が可能であり、例えば、経口投与剤としては錠剤、顆粒剤、散剤、カプセル剤、ソフトカプセル剤等の固形剤、溶液剤、懸濁剤、乳剤等の液剤、凍結乾燥製剤等が挙げられ、非経口投与剤としては注射剤のほか、坐剤、噴霧剤、経皮吸収剤等が挙げられ、これらの製剤は製剤上の常套手段により調製することができる。
医薬用担体としては、例えば、グルコース、乳糖、ショ糖、澱粉、マンニトール、デキストリン、脂肪酸グリセリド、ポリエチレングリコール、ヒドロキシエチルデンプン、エチレングリコール、ポリオキシエチレンソルビタン脂肪酸エステル、アミノ酸、アルブミン、水、生理食塩水等が挙げられる。また、必要に応じて、安定化剤、滑剤、湿潤剤、乳化剤、結合剤等の慣用の添加剤を適宜添加することができる。本発明に関わる冬季うつ病改善剤はL−セリンとしての投与量は、患者の年齢、体重、症状、疾患の程度、投与スケジュール、製剤形態などにより、適宜選択・決定されるが、例えば一日あたり0.1mg/kg〜1000mg/kg体重程度とされ、一日数回に分けて投与してもよい。
In order to produce the winter depression ameliorating agent of the present invention, L-serine produced by the above method can be used, and it may be formulated in combination with a known non-toxic pharmaceutical carrier in accordance with a conventional method. The winter depression ameliorating agent according to the present invention can be administered in various dosage forms. For example, oral administration agents include solid agents such as tablets, granules, powders, capsules, soft capsules, solutions, suspensions, and the like. Examples include suspensions, liquids such as emulsions, freeze-dried preparations, etc. Parenteral preparations include injections, suppositories, sprays, transdermal absorption agents, and the like. It can be prepared by means.
Examples of the pharmaceutical carrier include glucose, lactose, sucrose, starch, mannitol, dextrin, fatty acid glyceride, polyethylene glycol, hydroxyethyl starch, ethylene glycol, polyoxyethylene sorbitan fatty acid ester, amino acid, albumin, water, and physiological saline. Etc. If necessary, conventional additives such as stabilizers, lubricants, wetting agents, emulsifiers, binders and the like can be appropriately added. The winter depression ameliorating agent according to the present invention is appropriately selected and determined according to the patient's age, weight, symptom, degree of disease, administration schedule, formulation form, etc. The dose is about 0.1 mg / kg to 1000 mg / kg body weight per day, and may be administered in several divided doses a day.

また、本発明に関わるL−セリンは、食経験も豊富なことから安全性が高いと考えられ、冬季うつ病改善剤としてあるいは冬季うつ病改善作用を有する機能性食品として摂取することもできる。本発明に関わるL−セリンを含有することを特徴とする機能性食品は、特定保健用食品、栄養機能性食品、又は健康食品として位置づけることができる。機能性食品としては、例えば、L−セリンに適当な助剤を添加した後、慣用の手段を用いて、食用に適した形態、例えば、顆粒状、粒状、錠剤、カプセル剤、ペースト状等に形成したものを用いることができる。この機能性食品は、そのまま食用に供してもよく、また種々の食品(例えばハム、ソーセージ、かまぼこ、ちくわ、パン、バター、粉乳、チョコレートなど)に添加して使用したり、水、酒類、果汁、牛乳、清涼飲料水等の飲物に添加して使用してもよい。かかる食品の形態における本発明のL−セリンの摂取量は、対象の年齢、体重、症状、摂取スケジュール、製剤形態などにより、適宜選択・決定されるが、例えば一日あたり0.1mg/kg〜1000mg/kg体重程度とされる。
以下に実施例、試験例を示し、本発明をさらに説明する。
In addition, L-serine according to the present invention is considered to be highly safe because it has abundant dietary experience, and can also be taken as a winter depression ameliorating agent or a functional food having a winter depression ameliorating action. The functional food characterized by containing L-serine related to the present invention can be positioned as a food for specified health use, a nutritional functional food, or a health food. As a functional food, for example, after adding an appropriate auxiliary agent to L-serine, using conventional means, it is made into an edible form, for example, granular, granular, tablet, capsule, paste, etc. What was formed can be used. This functional food may be used as it is, or added to various foods (eg ham, sausage, kamaboko, chikuwa, bread, butter, milk powder, chocolate, etc.), water, alcoholic beverages, fruit juice It may be used by adding to drinks such as milk and soft drinks. The intake amount of L-serine of the present invention in the form of such food is appropriately selected and determined according to the age, weight, symptoms, intake schedule, formulation form, etc. of the subject, and for example, 0.1 mg / kg per day About 1000 mg / kg body weight.
The following examples and test examples further illustrate the present invention.

<L−セリン投与による冬季うつ病モデルの改善試験>
1.試験動物モデル
実験動物:C57BL/6Jマウス(オス、6週齢、日本エスエルシー株式会社)、36頭
動物選択理由:C57BL/6Jマウスは日長条件でうつ様行動や脳内セロトニン含量が変化し、冬季うつ病モデルとして使用可能である。
<Improvement test of winter depression model by L-serine administration>
1. Test animal model Experimental animals: C57BL / 6J mice (male, 6 weeks old, SLC Japan), 36 animals Reasons for animal selection: C57BL / 6J mice change depression-like behavior and serotonin content in the brain under day length conditions It can be used as a winter depression model.

2.試験方法:
マウスを購入後、群飼条件で3週間馴化させた。実験期間を通して、自由摂食・自由飲水とした。光条件は8時間明期16時間暗期(明期は5ルックス,冬季の日長・日照を再現した条件)とした。
マウスを以下の4群に分けた(各群n=8〜10)。
(1)蒸留水群
(2)L−セリン群
(3)高照度光照射+蒸留水群
(4)高照度光照射+L−セリン群
高照度光照射群には1000ルックスの光を明期開始1時間後から1時間ずつ、毎日照射した。
光照射開始時刻の15分前に、蒸留水あるいはL−セリン(5mmol/kg/10 ml)を皮下投与した。
光照射開始から、20日目に強制水泳試験を実施した。25℃±1℃の水をいれたプラスチック容器(高さ27cm、直径17cm、水の高さ14.5cm)において、マウスを7分間泳がせてビデオ撮影し、最初の2分間を除く5分間における不動時間(泳ぐのをやめて浮かんだ状態を示した時間)を測定した。
2. Test method:
After purchasing the mice, they were acclimated for 3 weeks under group feeding conditions. Throughout the experiment period, the animals were allowed to eat and drink freely. The light conditions were 8 hours light period 16 hours dark period (light period was 5 lux, conditions that reproduced winter day length and sunshine).
The mice were divided into the following 4 groups (each group n = 8-10).
(1) Distilled water group (2) L-serine group (3) High illumination light irradiation + distilled water group (4) High illumination light irradiation + L-serine group The light illumination of 1000 lux starts in the high illumination light irradiation group Irradiation was performed every day for 1 hour after 1 hour.
Distilled water or L-serine (5 mmol / kg / 10 ml) was subcutaneously administered 15 minutes before the light irradiation start time.
On the 20th day from the start of light irradiation, a forced swimming test was performed. In a plastic container (height 27 cm, diameter 17 cm, water height 14.5 cm) filled with water at 25 ° C ± 1 ° C, the mouse was swam for 7 minutes and video-recorded. The time (the time when the person stopped swimming and showed a floating state) was measured.

3.試験結果
強制水泳試験の結果を表1及び図1に示す。結果はすべて平均値±標準誤差で示した。対照群との比較はDunnett’s testを用い、いずれも両側検定で有意水準は5%(*)、1%(**)、0.1%(***)とした。
3. Test results The results of the forced swimming test are shown in Table 1 and FIG. All results are shown as mean ± standard error. Dunnett's test was used for comparison with the control group, and the significance level was 5% (*), 1% (**), and 0.1% (***) in each two-sided test.

光条件を8時間明期16時間暗期(明期は5ルックス,冬季の日長・日照を再現した条件)とすることで、マウスは強制水泳試験において、顕著なうつ病様の行動(長い不動時間)を示し、冬季うつ病の症状となることが分かった。この冬季うつ病の症状を、1000ルックスの光を照射することで改善できた。セリン投与のみではわずかに冬季うつ病の症状を改善できただけだったが、光照射にセリン投与を併用することで顕著にうつ病の症状を改善した。
以上の試験結果からL−セリンは、冬季うつ病症状を改善し、さらに光照射による冬季うつ病症状の改善を増強することが明らかとなった。
By making the light conditions 8 hours light period 16 hours dark period (the light period is 5 lux, conditions that reproduce the winter day length and sunshine), the mice have a remarkable depression-like behavior (long) in the forced swimming test It was found to be a symptom of winter depression. The symptoms of this winter depression could be improved by irradiating 1000 lux of light. Serine administration alone could only slightly improve the symptoms of winter depression, but using serine in combination with light irradiation significantly improved the symptoms of depression.
From the above test results, it became clear that L-serine improves winter depression symptoms and further enhances the improvement of winter depression symptoms by light irradiation.

Claims (2)

L−セリンを有効成分とする冬季うつ病の改善剤。   An agent for improving winter depression comprising L-serine as an active ingredient. L−セリンを有効成分とする光照射による冬季うつ病の改善増強剤。
An agent for improving the improvement of winter depression by light irradiation comprising L-serine as an active ingredient.
JP2014009286A 2014-01-22 2014-01-22 Agent for improving depression in winter Pending JP2015137249A (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006282648A (en) * 2005-03-31 2006-10-19 Sunstar Inc Food composition for cosmetic purpose
JP2008245836A (en) * 2007-03-29 2008-10-16 Yamaguchi Univ Phototherapy device
JP2012531457A (en) * 2009-07-01 2012-12-10 ピエール、ファブレ、デルモ‐コスメティーク L-serine for use as a medicament for preventing and / or treating an inflammatory response of the skin

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006282648A (en) * 2005-03-31 2006-10-19 Sunstar Inc Food composition for cosmetic purpose
JP2008245836A (en) * 2007-03-29 2008-10-16 Yamaguchi Univ Phototherapy device
JP2012531457A (en) * 2009-07-01 2012-12-10 ピエール、ファブレ、デルモ‐コスメティーク L-serine for use as a medicament for preventing and / or treating an inflammatory response of the skin

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
JOURNAL OF BIOLOGICAL RHYTHMS, vol. Vol.25(4), JPN6017021228, 2010, pages 297 - 301, ISSN: 0003779056 *
NIPPON RINSHO, vol. Vol.71(12), JPN6017021226, 2013, pages 2171 - 2178, ISSN: 0003779055 *
時間生物学, vol. Vol.19(2), JPN6017021224, 2013, pages 158 - 064, ISSN: 0003779053 *
時間生物学, vol. Vol.19(2), JPN6017021225, 2013, pages 160 - 069, ISSN: 0003779054 *

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