# Patent

## Title
Composition for treating atopic dermatitis comprising extracts of bamboo and Scutellaria

## Abstract

The present invention relates to a composition comprising of plant extract as an active component, specifically, Bamboo extract and Scutellaria extract, for the treatment and prevention of atopic dermatitis. The present invention is a natural ingredient obtained from a plant. The present invention can control immune responses by inhibiting the release of histamine and leukotrien, and thus, has effect in the treatment or prevention of allergic diseases, inflammatory diseases and skin diseases, specifically atopic dermatitis. The present invention has been proven safe and beneficial effecting the treatment of atopic dermatitis through clinical trials, and thus, can be used for the treatment and prevention of atopic dermatitis.

## Background
RELATED APPLICATIONS
This application is a 35 U.S.C. §371 national phase application of PCT/KR2007/005004 (WO 2008/044894), filed Oct. 12, 2007, entitled “Composition for Treating Atopic Dermatitis Comprising Extracts of Bamboo and Scutellaria,” which application claims the benefit of Korean Patent Application Serial No. KR 10-2006-0099182, filed Oct. 12, 2006. Each of these applications is specifically incorporated herein by reference in its entirety.
TECHNICAL FIELD
The present invention is a composition comprising of a plant extract as an active ingredient for treating atopic dermatitis, specifically a mixture composition comprising of Bamboo extracts and Scutellaria extracts.
BACKGROUND ART
Atopic dermatitis is an allergic disease caused by a defect of a stratum corneum which is a protective wall located in the outermost part of the skin which is caused by hereditary, environmental, or immunological factors and is exacerbated in arid climates. Many people are afflicted by the atopic dermatitis, specifically 0.5-1% of the total population. In cases of minors, 5-10% of children are afflicted by the atopic dermatitis. 50% of patients can recover by their second birthday, and 25% can recover by puberty. However, 25% never recover and continue to suffer from atopic dermatitis into adulthood.
The main symptoms of atopic dermatitis are severe pruritus, xeroderma, eruption or oozing of the skin, boils, scale like skin (scaly skin), etc.
The pathogenesis of atopic dermatitis is not completely understood, but genetic factors are attributed to most cases of atopic dermatitis, and the pathogenesis is related to immune response. It has been shown that atopic dermatitis can be caused by a combination of dry skin, skin that is prone to itching more than the average person, infections caused by bacteria virus fungi, etc., and emotional and environmental factors.
Specifically, an antibody (IgE) produced by a mast cell during the body's process of naturally eliminating a material which causes a rash to form when in contact or invading the body causes a hypersensitive reaction when this same material invades the body again producing a histamine which causes the atopic dermatitis. The mast cell is distributed widely throughout organs such as, the skin, respiratory organs, mucosa of the gastrointestinal tract, circum of lymphatic duct, brain, and is known as the cell that causes diverse inflammation and allergic reactions. The histamine released from the mast cell causes inflammation and immediate allergic reaction by inducing vasodilation, smooth muscle-contraction of the gastrointestinal and/or bronchial tract, secretion of glandular cells, exacerbation of the reactions, etc., and serves as an intermediary for diverse biological effects such as secretion of mucus and local protein.
Pharmacotherapies, such as steroids, anti-histamines, antibiotics are usually prescribed for atopic dermatitis. The steroid agent (adrenal cortical hormone agent) can act as an anti-inflammatory and immuno-suppressant and has positive effect in treating the disease, but if used over a long period of time, side effects such as skin-weakening, symptom of systemic hormone, toxicity can result. Currently, uses of immune-suppression agents and novel anti-histamine agents have been studied for treating atopic dermatitis. However, anti-histamine agents cannot completely suppress the allergic reaction since other chemical transmitters in addition to the histamine can induce the allergic reaction. The mast cell releases other chemical transmitters such as leukotriene C4 and leukotriene B4 in addition to the histamine. Leukotriene C4 contracts the smooth muscle of bronchus like the histamine, and leukotriene B4 causes chronic inflammation by inducing neutrophil and eosinophil and injures neighboring cells.
Thus, a novel composition for the effective treatment of atopic dermatitis without the side-effects is required.
Bamboo belongs to the Poaceae family. There are about 280 known species of bamboo all over the world, and about 70 species grow naturally or are cultivated in Korea. There are 11 representative kinds of Bamboo; Phyllostachys nigra, Phyllostachys bambusoides (Cedrela sinesis), Phyllostachys edulis (Phyllostachys pubescen), Phyllostachys nigra for. Punctata, Sasa borealis var. gracilis, Arundinaria simonii, Sasa borealis var. chiisanensis, Sasa borealis, Sasa albo-marginata, Pseudosasajaponica, etc. Among them, Phyllostachys bambusoides (Cedrela sinesis), Phyllostachys nigra and Phyllostachys edulis are cultivated. According to Dongeui-Bogam, Compendium of Materia Medica and the divine Farmer's Materia Medica, Bamboo is effective in treating palsy and hypertension, and was used to treat pneumonia and bronchitis to bring down fever, loosen phlegm and as a coolant. Recently, it has been reported that Bamboo has been used to treat hypertension, atherosclerosis and cardiovascular disease. Bamboo is also known to have anti-oxidant effect which is effective in the prevention of cancer and aging. Also, phytochemicals such as organic acid, dietary fiber, tannin, benzofuran within the plant are expected to contribute to preventing diseases of the circulatory system.
The conventional studies for bioactive compounds focusing on antimicrobial activity have been reported mostly in Korean and Japan. Japanese researchers discovered the 2,6-dimethylbenzoquinone and benzoic acid which are antimicrobial compounds in the leaf of Bamboo, and Korean Patent No. 10-0465113 discloses the effects of bamboo extract in improving blood circulation and preventing inflammation. Japanese Patent Publication H09-278662 discloses fats and oils which have anti-allergic effect contains the Bamboo extract obtained by using the soxhlet method using ether as a solvent, and WO 2002/07745 discloses that Bamboo extract obtained by using water has antipruritic effect which is effective in the treatment of atopic dermatitis.
Scutellaria has bioactive and pharmalogical properties and has been used in oriental medicine for treating fevers and allergies. It acts by dilating blood vessels and brings down blood pressure, and inhibits atherosclerosis. Bicalin contained in scutellaria is a kind of flavonoid which is effective to sedate or stop bleeding by suppressing the permeability of capillaries. Also, bicalin inhibits the release of chemical transmitters by strengthening the mast cell membrane and so can do anti-allergic action. Specifically, it is known that the pharmacological properties of Scutellaria are improving infections caused by allergies, inhibiting increased vascular permeability and alleviating inflammatory discharge of blood and congestion by strong anti-inflammatory effect, and these pharmacological properties are derived from bicalin. Bicalin is hydrolyzed to baicalein and glucuronic acid. Baicalein acts as a diuretic and glucuronic acid acts as deintoxicant. Korean Patent Publication No. 1996-0003725 discloses a therapeutic agent comprising of the flavonoid ingredient of scutellaria. Korean Patent Publication No. 1996-0040370 discloses a composition for the prevention and treatment of alcohol disorder comprising of Scutellaria extract and flavone glycoside. Korean Patent Publication No. 2002-0031608 discloses a Scutellaria extract that has positive antimicrobial effect, and the process for preparing the extract and the pharmaceutical composition of the extract. Korean Patent No. 10-0522579 discloses a mixture extract of Scutellaria and Omija (Schizandra chinensia Baillon) which has anti-stress effect.
The above properties of Bamboo or Scutellaria have been known, but there has not been reported any therapeutic effect for atopic dermatitis using the mixture composition comprising of Bamboo extract and Scutellaria extract.
The inventors of the present invention have studied a novel compound for the treatment of atopic dermatitis. As a result, they discovered and confirmed that the mixture composition comprising Bamboo extract and Scutellaria extract can strongly inhibit the release of histamine and leukotrien without any side-effects and has positive therapeutic effect on atopic dermatitis, to complete the present invention.
DISCLOSURE OF THE INVENTION
The objection of the present invention is to provide a composition comprising of a plant extract as an active ingredient which will have a positive therapeutic effect for the treatment and prevention of atopic dermatitis without any side-effects.
Also, the objection of the present invention is to provide a use of mixture composition of Bamboo extract and Scutellaria extract for the manufacture of a medicament for the treatment and prevention of atopic dermatitis.
Also, the objection of the present invention is to provide a method of the treatment and prevention of atopic dermatitis by administering to the subject a therapeutically effective amount of mixture composition of Bamboo extract and Scutellaria extract.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a graph showing the improvement rate of clinical trial items on antecubital space and popliteal space after administering the present extract.
FIG. 2 is a digital steel photo showing the improvement effect of atopic dermatitis according to administration of the present extract by comparing photos taken before and after using the product.
FIG. 3 is a graph showing measurement result of the moisture loss rate (g/m2·h) which occurred per unit area and per unit time by using Tewameter TM300 (Courage+ Khazaka, Germany) on 10 cm lower part of popliteal fossa and antecubital fossa at the time before the product was used and after the product was used.



DETAILED DESCRIPTION OF THE INVENTION
To achieve the above objectives, the present invention provides a composition for the treatment of atopic dermatitis comprising of Bamboo extract and Scutellaria extract as an active ingredient.
Also, the present invention provides a use of mixture composition of Bamboo extract and Scutellaria extract for the manufacture of a medicament for the treatment and prevention of atopic dermatitis.
Also, the present invention provides a method of the treatment and prevention of atopic dermatitis by administering to the subject a therapeutically effective amount of mixture composition of Bamboo extract and Scutellaria extract.
In the composition of the present invention, Bamboo is selected from Phyllostachys, Sasa or Pseudosasa, and Phyllostachys is preferably selected from the group consisting of Phyllostachys edulis, Phyllostachys nigra var. henonis, P. nigra, P. bambusoides, P. pubescence, P. nigra for. punctata and P. comprossa, and Sasa is preferably selected from the group consisting of Sasa coreana Nakai, S. coreana, S. kurilensis, S. quelpaertensis, S. borealis, S. borealis var. chiisanensis and S. borealis var. gracilis, and Pseudosasa is preferably selected from Pseudosasa japonica and Pseudosasa japonica var. purpurascens. 
In the composition of the present invention, for Bamboo and Scutellaria commercially purchased herbs can be used. The whole herb, branch, shell, leaf, sprout, root, endodermis, etc., can be used, preferably in the form of powder or extract.
The Bamboo extract and Scutellaria extract of the present invention can be used by extracting Bamboo and Scutellaria with water, organic solvent, or mixing solvents thereof. Although all conventional solvents can be used as the above organic solvent, polar solvent such as water, C1-4 alcohol (such as methanol, ethanol etc.), etc., or mixing solvent thereof is preferred. Preferably, water-insoluble fraction of 50-90% of ethanol extract or ethanol-soluble fraction of hot water extract can be used as the above bamboo extract.
The above extraction may be carried out by conventional methods such as hot water extraction, sonication, etc., and a lyophilized product of the extract can be used for the present composition. In addition, the extract can be further purified by conventional fractionation method or chromatography, and such fractionated material or purified material is also within the scope of the present invention.
In the composition of the present invention, Bamboo or Scutellaria can be used alone, but it is preferable to use a combined composition that Bamboo extract is additionally mixed with Scutellaria extract to show synergistic effect.
In the composition of the present invention, the synergistic effect at the time of administering the combination in comparison with administration of the extract alone was measured and confirmed by using the COLBY formula (COLBY S. R., Calculating synergistic and antagonistic response of herbicide combinations, Weeds 15, 20-22, 1967).
As shown above, when the composition is used in combination with Bamboo extract and Scutellaria extract, their weight ratios of Bamboo:Scutellaria could be in 1 ̃10:1 ̃10, but preferably 1 ̃5:1 ̃5, or more preferably 1 ̃3:1 ̃3.
The composition of the present invention can be prepared into conventional pharmaceutical preparations according to conventional methods in the pharmaceutical field, for example, solution such as drinks, syrup, capsule, granule, tablet, powder, pill, ointment, and emulsion, skin external preparation such as gel, etc., by mixing it with a pharmaceutically acceptable carrier, excipient, etc.; and can be administered orally or parenterally.
The composition of the present invention is appropriately administered depending on the extent of absorption of the active ingredients into the body; excretion rate; age, weight, sex, and condition of patient; severity of treated disease, etc. However, generally, the dosage for an adult is in solution 0.0001 ̃100 mg/kg, or preferably 0.001 ̃100 mg/kg, per day. It can be administered once a day or several times a day. The amount should not limit the scope of the present invention in any manner.
Hereinafter, the present invention will be described in more detail with reference to the following examples, but the scope of the present invention should not be construed to be limited thereby in any manner.
EXAMPLES
Example 1
Preparation of Bamboo Extract
Example 1-1
Preparation of Bamboo Ethanol Extract
Dried bamboo (20 kg) was extracted by adding 25% of ethanol (200 l) and heating the mixture at 80° C. for 6 hr. The extract was filtered and concentrated to remove the ethanol until the extract volume reached 5 l. The concentrated extract was then cooled to room temperature. The pellets were collected and dried to obtain the bamboo extract (390 g).
Example 1-2
Preparation of Bamboo Hot Water Extract
Dried bamboo (20 kg) was extracted by adding water in the amount equivalent to 10 times the weight of the dried bamboo and heating the mixture at 100° C. for 4 hr. The extract was filtered and concentrated under reduced pressure. The concentrated extract was added to ethanol (10 l) and stirred at 70° C. for 2 hr, and then cooled to room temperature. The pellets were filtered and concentrated under reduced pressure to obtain the bamboo extract (350 g).
Example 2
Preparation of Scutellaria Extract
Scutellaria (1 Kg) was added to water (8 l) and extracted by refluxing at 80° C. for 2 hr. The extract was cooled, filtered and concentrated, to obtain the Scutellaria extract powder (330 g).
Example 3
Preparation of Mixture Composition
The mixture composition was prepared by mixing Bamboo extract obtained from Example 1 and Scutellaria extract obtained from Example 2. The weight proportion of the Bamboo extract to the Scutellaria extract should be 1:1, 1:2, 1:3 or 2:1, 3:1.
Experiments
Experiment 1. Measurement of Inhibition Activity of Releasing Histamine and Leukotrien from the Mast Cell According to the Examples
The release of histamine and leukotrien from the mast cell is one of the major causes for the allergic reaction. The effect of the mixture composition of the Bamboo extract and the Scutellaria extract in inhibiting the release of histamine and leukotrien from the mast cell was measured.
Experiment 1-1. Isolation of the Mast Cell from Liver
Lung tissue (3 g/1 pig) was isolated from eight female guinea pigs (200 g) and fat tissue, bronchus and blood were removed from the lung tissue. The isolated lung tissue was treated with enzyme (5 mg/ml of collagenase, 1.8 unit/27 μl of elastase) by using Tyrode TGCM buffer containing Ca2+, Mg2+ and 0.1% of gelatin at 3 times for 15, 15, 25 mins. The each enzyme treated lung tissue was filtered by nylon mesh and metal mesh (100 μm), and then centrifuged (called ‘monodispersed mast cell’). The pellets was suspended with TG buffer (16 ml) containing 0.1% of gelatin, but no Ca2+ and Mg2+, and centrifuged by loading to rough Percoll (1.041 mg/ml density) at 1,400 rpm for 25 mins, to obtain the pellets. The pellets were re-suspended with TG buffer (8 ml) and centrifuged by loading to discontinuous Percoll (1.06-1.10 mg/ml density) at 1,400 rpm for 25 mins, to isolate several cell layers. Among the several cell layers, the third and fourth layers were washed twice with TGCM buffer since the mast cell exists in third and fourth layers. The whole cell and mast cell were stained with trypan blue and alcian blue. The purity of the mast cell was measured by calculating the number of cells, to obtain about 80-90% of the mast cell.
Experiment 1-2. Inhibition of Releasing Histamine from the Mast Cell
The mast cell (4105 cells) was treated with guinea pig IgG1 antibody (anti-OVA 1 ml/106 cells) at 37° C. for 45 mins, and washed with TGCM buffer to remove anti-OVA antibodies which are not bound to the membrane of the mast cell. The mast cell was suspended with TGCM buffer (1 ml) and pre-treated with each reagents (30 μg concentration). The mast cell was reacted by sensitizing using ovalbumin (1.0 μg/ml) for 10 mins, cooled in ice, and centrifuged, to measure histamine from the supernant.
The amount of histamine in each sample was measured by modifying the method of Siraganian and using automated continuous-flow extraction and a flourometic analyzer (Astoria analyzer series 300, Astoria-pacific international, Oregon, USA). 1N-hydrochloric acid, 0.73M phosphoric acid, 5N sodium hydroxide, 1N sodium hydroxide, saline diluents and sampler wash, o-phthaladehyde solution was prepared and connected to a tube linked to the analyzer. The storage solution of histamine was diluted to 20 ng, 10 ng, 5 ng, 3 ng and 1 ng, and the concentration-dependent result of standard curve was obtained. Then, each sample was diluted with 2% of perchloric acid and the amount of histamine was measured. The result showed that the Bamboo extract and the Scutellaria extract showed inhibition activity, respectively, and the mixture composition of the Bamboo extract and the Scutellaria extract also showed high inhibition activity. The synergistic effect at the time of administering the combination in comparison with administration of the extract alone was measured and confirmed by using the COLBY formula (COLBY S. R., Calculating synergistic and antagonistic response of herbicide combinations, Weeds 15, 20-22, 1967) (Table 1).







TABLE 1







The inhibition activity of releasing histamine


from the mast cell per each extract.








Sample
Inhibition activity (%)





Control
32.5 ± 0.25


Bamboo extract
22.4 ± 0.09 (31.1%)


Scutellaria extract
26.4 ± 0.11 (18.8%)


Mixture composition (Bamboo:Scutellaria = 1:1)
10.1 ± 0.25 (70.5%)


Mixture composition (Bamboo:Scutellaria = 1:2)
15.4 ± 0.46 (52.6%)


Mixture composition (Bamboo:Scutellaria = 1:3)
19.7 ± 0.52 (39.4%)


Mixture composition (Bamboo:Scutellaria = 2:1)
 9.3 ± 0.32 (71.3%)


Mixture composition (Bamboo:Scutellaria = 3:1)
13.2 ± 0.11 (59.4%)









Experiment 1-3. Inhibition of Releasing Leukotrien from the Mast Cell
The amount of leukotrien in each sample was measured by using the method of Aharoney et al. (Biochem. Biophys. Res. Commun., p 574-579, 1983). The leukotrien abtibody was suspended with 5 mM MES buffer containing 0.1% of gelatin, and to each tube the supernant of the cell (100 μl) which was treated with a reagent (30 μg) was added. The leukotrien antibody and [3H] leukotrien D4 (LTD4) were added to the supernant and was allowed to react at 4° C. for 2 hr. The reaction was stopped by using dextran coated charcoal and the inhibition activity was measured by using liquid scintillation spectrometry. The results showed that the Bamboo extract and the Scutellaria extract showed inhibition activity, respectively, and the mixture composition of the Bamboo extract and the Scutellaria extract also showed high inhibition activity. The synergistic effect at the time of administering the combination in comparison with administration of the extract alone was measured and confirmed by using the COLBY formula (COLBY S. R., Calculating synergistic and antagonistic response of herbicide combinations, Weeds 15, 20-22, 1967) (Table 2).







TABLE 2







The inhibition activity of releasing leukotrien


from the mast cell per each extract.








Sample
Inhibition activity (%)





Control
679.0 ± 54.19


Bamboo extract
449.0 ± 40.47 (33.8%)


Scutellaria extract
569.4 ± 32.89 (16.1%)


Mixture composition (Bamboo:Scutellaria = 1:1)
149.5 ± 8.26 (78.0%)


Mixture composition (Bamboo:Scutellaria = 1:2)
282.1 ± 47.55 (58.5%)


Mixture composition (Bamboo:Scutellaria = 1:3)
350.1 ± 33.1 (48.4%)


Mixture composition (Bamboo:Scutellaria = 2:1)
147.5 ± 11.92 (78.3%)


Mixture composition (Bamboo:Scutellaria = 3:1)
322.9 ± 33.65 (52.4%)









Experiment 2. Clinical Trials
20 patients suffering from severe atopic dermatitis were tested by using the mixture composition of Bamboo extract and Scutellaria extract selected from Experiment 1 for 4 weeks. The present composition was spread onto the popliteal fossa and the antecubital fossa, and the results were investigated.
In the clinical trial, the effects before and after using the product were estimated by using the Local SCORAD index. The results were estimated by rating the degress of 6 intensity items, erythema, edem/population, oozing/crusting, excoriation, lichenification, dryness on a scale of 4 (0=absent, 1=mild, 2=moderate, 3=severe) for the right and left side of popliteal fossa and antecubital fossa which were then used to show improvement rate.
The results showed that there was improvement effect after using the product, specifically there was more than 50% improvement in erythema, oozing/crusting and excoriation (FIG. 1). The result was photographed by using a Digital Still Camera (DSC-S75, Sony) at the time before the product was used and after the product was used (FIG. 2). Also, the moisture loss (g/m2·h) due to evaporation which occurred per unit area and per unit time was estimated by using Tewameter TM300 (Courage+ Khazaka, Germany) on 10 cm lower part of popliteal fossa and antecubital fossa at the time before the product was used and after the product was used. The moisture loss on transdermal was reduced each time, specifically the improvement on the antecubital fossa was better than on the popliteal fossa (FIG. 3).
INDUSTRIAL APPLICABILITY
The present invention is a natural ingredient obtained from a plant, and can control immune responses by inhibiting the release of histamine and leukotrien. It has been confirmed that the present invention is safe and is beneficial to the treatment of atopic dermatitis, and thus, the composition can be used for the treatment and prevention of atopic dermatitis.

## Claims

1. A pharmaceutical composition comprising plant extracts effective to treat atopic dermatitis and a pharmaceutically acceptable carrier, excipient or combinations thereof, wherein the plant extracts effective to treat atopic dermatitis consist essentially of a Bamboo extract and a Scutellaria extract, wherein the weight ratio of Bamboo extract to Scutellaria extract in the pharmaceutical composition ranges from 1:3 to 3:1.

2. The composition according to claim 1, wherein the Bamboo extract is a water-insoluble fraction of a 50-90% ethanol extract.

3. The composition according to claim 1, wherein the Bamboo extract is an ethanol-soluble fraction of a hot water extract.

4. The composition according to claim 2, wherein the Scutellaria extract is obtained by extraction with water, methanol, ethanol or a mixture thereof.

5. The composition according to claim 3, wherein the Scutellaria extract is obtained by extraction with water, methanol, ethanol or a mixture thereof.

6. The composition according to claim 1, wherein the composition inhibits a release of histamine or leukotriene.

7. The composition according to claim 1, wherein the composition improves erythema, edema, papulation, oozing, crust, excoriation, lichenification or dryness.

8. The composition according to claim 1, wherein the composition decreases a transdermal moisture loss.

9. A method for treatment of atopic dermatitis, the composition according to claim 1.

10. The method according to claim 9, wherein the Bamboo extract is a water-insoluble fraction of a 50-90% ethanol extract.

11. The method according to claim 9, wherein the Bamboo extract is an ethanol-soluble fraction of a hot water extract.

12. The method according to claim 10, wherein the Scutellaria extract is obtained by extraction with water, methanol, ethanol or a mixture thereof.

13. The method according to claim 11, wherein the Scutellaria extract is obtained by extraction with water, methanol, ethanol or a mixture thereof.

14. The method according to claim 9, wherein the composition inhibits a release of histamine or leukotriene.

15. The method according to claim 9, wherein the composition treats erythema, edema, papulation, oozing, crust, excoriation, lichenification or dryness.

16. The method according to claim 9, wherein the composition decreases a transdermal moisture loss.