創 4

ᵝᘧ㸵
ㄽ ᩥ ෆ ᐜ せ ᪨
ሗ ࿌
␒ ྕ
எ 創
➨ 4
ྕ
Ꮫ఩ㄽᩥ㢟┠
Ặ ྡ
ኳ㔝 㞝୍㑻
Pharmacological Research of a Farnesoid X Receptor Antagonist
as an Antidyslipidemic Drug
ෆᐜせ᪨
ඛ㐍ᅜ࡟࠾ࡅࡿ୺せṚᅉ࡜ࡋ࡚ෙື⬦⑌ᝈ㸦ᚰ➽᱾ሰࠊ⊃ᚰ⑕࡞࡝㸧ࡀᣲࡆࡽࢀࠊࡑࡢᇶ♏⑌ᝈ࡛࠶
ࡿື⬦◳໬ᛶ⑌ᝈࡀὀ┠ࡉࢀ࡚࠸ࡿࠋື⬦◳໬ࡢཎᅉ࡛࠶ࡿ⬡㉁␗ᖖ⑕ࡣෙື⬦⑌ᝈࡢ⊂❧ࡋࡓ༴㝤ᅉ
Ꮚ࡛࠶ࡾࠊࡑࡢ἞⒪࡜ண㜵ࡀῬᮃࡉࢀ࡚࠸ࡿࠋᮏ◊✲࡛ࡣࠊ᪤Ꮡ⸆࡟↓࠸⾑୰⬡㉁ᨵၿ࣓࢝ࢽࢬ࣒ࢆ᭷
ࡋࠊ࠿ࡘ⌧ᅾࡢ➨୍㑅ᢥ⸆࡛࠶ࡿࢫࢱࢳࣥ⣔⸆๣࡜ࡢే⏝ࡶྍ⬟࡞᪂つ⬡㉁␗ᖖ⑕἞⒪⸆ࡢ๰ฟࢆ┠ⓗ
࡜ࡋࠊࣇ࢓ࣝࢿࢯ࢖ࢻ X ཷᐜయ㸦FXR㸧ᣕᢠ⸆ࡢ⬡㉁␗ᖖ⑕࡟ᑐࡍࡿᨵၿస⏝ࢆ⸆⌮Ꮫⓗ࡟ホ౯ࡋࡓࠋ
୍⯡⸆⌮◊✲࡟㢖⏝ࡉࢀࡿࣛࢵࢺࡸ࣐࢘ࢫ࡟ẚ࡭࡚ࣄࢺ࡟㢮ఝࡋࡓ⬡㉁௦ㅰㄪ⠇⣔ࢆ᭷ࡍࡿ࢝ࢽࢡ
࢖ࢨࣝ࡜ࣔࣝࣔࢵࢺࢆ⏝࠸࡚ࠊFXR ࡟ᑐࡋ࡚ᙉຊ࠿ࡘ㑅ᢥⓗ࡞ᣕᢠస⏝ࢆ᭷ࡍࡿ᪂つ FXR ᣕᢠ⸆ T3
࠾ࡼࡧ T8 ࡢ⸆⌮ࣉࣟࣇ࢓࢖ࣝࢆ⢭ᰝࡋࡓࠋ໬ྜ≀ T3㸦0.3-10 mg/kg㸧ࡣࠊ㧗⬡⫫㣗㈇Ⲵ࢝ࢽࢡ࢖ࢨࣝ
ࣔࢹࣝ࡟ 1 㐌㛫ᢞ୚ࡍࡿ࡜ࠊ⏝㔞౫Ꮡⓗୟࡘ᭷ព࡞⾑୰ LDL ࢥࣞࢫࢸ࣮ࣟࣝపୗస⏝࡜⾑୰ HDL ୖ
᪼స⏝ࢆ♧ࡋࡓࠋࡇࡢ᫬ࠊࢥࣞࢫࢸ࣮ࣟࣝ␗໬ࡢᚊ㏿㓝⣲࡛࠶ࡿࢥࣞࢫࢸ࣮ࣟࣝ 7DỈ㓟໬㓝⣲ࡢάᛶ
ᣦᶆ࡛࠶ࡿ⾑୰ C4 ࡀቑຍࡋࠊ⣅୰ࡢ⫹Ồ㓟㔞ࡀቑຍࡋࡓࡇ࡜࠿ࡽࠊ໬ྜ≀ T3 ࡟ࡼࡿ⾑୰ LDL ࢥࣞࢫ
ࢸ࣮ࣟࣝపୗస⏝ࡣࢥࣞࢫࢸ࣮ࣟࣝࡢ␗໬᤼ἥ࡟㉳ᅉࡍࡿࡇ࡜ࡀ♧၀ࡉࢀࡓࠋ⮫ᗋୖࡢᑐ↷⸆࡜࡞ࡾᚓ
ࡿࢥࣞࢫࢸ࣮ࣟࣝ྾཰㜼ᐖ๣ࠊ⫹Ồ㓟྾╔๣ࠊ࠾ࡼࡧࢥࣞࢫࢸ࢚ࣜࣝࢫࢸࣝ㌿㏦㓝⣲㜼ᐖ๣࡜ẚ㍑ࡋࡓ
ሙྜࠊࡑࢀࡒࢀ HDL ቑຍస⏝ࠊLDL ᭱኱పୗ⋡ࠊLDL పୗస⏝࡛␗࡞ࡿ⸆⌮Ꮫⓗ≉ᛶࢆ♧ࡋࡓࠋ໬
ྜ≀ T3㸦0.3, 3mg/kg㸧ᢞ୚ᚋࡢ㧗⬡⫫㣗㈇Ⲵ࢝ࢽࢡ࢖ࢨࣝ⫢⮚ෆ⬡㉁௦ㅰኚ໬ࢆゎᯒࡋࡓ⤖ᯝࠊ⾑୰
LDL పୗస⏝ࡣࠊࢥࣞࢫࢸ࣮ࣟࣝ 7DỈ㓟໬㓝⣲άᛶ໬࡟ࡼࡿࢥࣞࢫࢸ࣮ࣟࣝ␗໬ࡀᘬࡁ㔠࡜࡞ࡾࠊ⫢
⮚࡬ࡢ⾑୰ LDL ྲྀࡾ㎸ࡳᶵᵓ࡛࠶ࡿ LDL ཷᐜయࡢቑຍ࡟㉳ᅉࡍࡿࡇ࡜ࡀ♧၀ࡉࢀࡓࠋࡲࡓࠊHDL ࡢ
ᵓᡂࢱࣥࣃࢡ࡛࠶ࡿ࢔࣏࣏ࣜࣉࣟࢸ࢖ࣥ A-I ࡢቑຍഴྥࡀㄆࡵࡽࢀࠊ⾑୰ HDL ቑຍࡢ୍ᅉ࡜⪃࠼ࡽࢀ
ࡓࠋ໬ྜ≀ T8㸦30 mg/kg㸧ࢆࣔࣝࣔࢵࢺ࡟ 2 㐌㛫ᢞ୚ࡍࡿ࡜ࠊ᭷ព࡞⾑୰ non-HDL ࢥࣞࢫࢸ࣮ࣟࣝ
ࡢపୗࡀㄆࡵࡽࢀࡿ࡜࡜ࡶ࡟ࠊࢫࢱࢳࣥ⣔⸆๣࡛࠶ࡿ࢔ࢺࣝࣂࢫࢱࢳࣥ㸦30 mg/kg㸧࡜ྠ⛬ᗘࡢ⾑୰
LDL ࢡࣜ࢔ࣛࣥࢫቑຍస⏝ࡀほᐹࡉࢀࡓࠋ໬ྜ≀ T8㸦10 mg/kg㸧࡜࢔ࢺࣝࣂࢫࢱࢳࣥ㸦10 mg/kg㸧ࢆ
1 㐌㛫ే⏝ᢞ୚ࡋࡓ࡜ࡇࢁࠊࡑࢀࡒࢀࡢ༢๣࡜ẚ㍑ࡋࠊ┦ຍⓗ࡞⾑୰ non-HDL ࢥࣞࢫࢸ࣮ࣟࣝపୗస
⏝ࡀ☜ㄆࡉࢀࡓࠋ
௨ୖࡢᡂ⦼࠿ࡽࠊFXR ᣕᢠ⸆ࡣࠊࢥࣞࢫࢸ࣮ࣟࣝ␗໬ಁ㐍ࢆ㉳ᅉ࡜ࡍࡿ᪂つ࡞࣓࢝ࢽࢬ࣒ࢆ᭷ࡍࡿ⸆
๣࡛࠶ࡾࠊ➨୍㑅ᢥ⸆࡛࠶ࡿࢫࢱࢳࣥ⣔⸆๣࡜ࡢే⏝ࡶྍ⬟࡞⸆๣࡛࠶ࡿࡇ࡜ࠊࡲࡓࢥࣞࢫࢸ࣮ࣟࣝ྾
཰㜼ᐖ๣ࠊ⫹Ồ㓟྾╔๣ࠊ࠾ࡼࡧࢥࣞࢫࢸ࢚ࣜࣝࢫࢸࣝ㌿㏦㓝⣲㜼ᐖ๣࡜ࡣ␗࡞ࡿ⸆⌮Ꮫⓗ≉ᛶࢆ᭷ࡍ
ࡿ⸆๣࡛࠶ࡿࡇ࡜♧၀ࡉࢀࠊFXR ᣕᢠ⸆ࡀ᪂つ⬡㉁␗ᖖ⑕἞⒪⸆࡜ᡂࡾᚓࡿࡇ࡜ࡀ♧၀ࡉࢀࡓࠋ