CYCLIC PEPTIDE AND A MEDICAMENT, EXTERNAL PREPARATION AND COSMETIC COMPRISING SAID CYCLIC PEPTIDE

Abstract
The present invention is aimed for providing a novel peptide with a high drug efficacy and strong effect, a medicament or external preparation comprising it, specifically a prophylactic or therapeutic for dermatitis, rhinitis or alopecia, or a hair growth stimulant, a hair growing agent, an antipruritic or a skin-care product. The present invention achieved said aim by providing a cyclic peptide having an amino acid sequence expressed by the Formula I or a derivative thereof or a pharmaceutically acceptable salt thereof, wherein the amino acid sequence does not have a peptide bond that is not between the amino acids constituting the amino acid sequence.
Description
REFERENCE TO A SEQUENCE LISTING SUBMITTED AS A TEXT FILE VIA EFS-WEB

The instant application contains a Sequence Listing which has been submitted in ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII copy, created on May 22, 2020, is named I054170002US01-SUBSEQ-JRV and is 31 kilobytes in size.


TECHNICAL FIELD

The present invention relates to a cyclic peptide and a medicament, external preparation and cosmetic comprising said cyclic peptide.


BACKGROUND ARTS

BNP (brain natriuretic peptide) is a hormone which is synthesized and secreted in heart (predominantly in ventricles). BNP was isolated from and identified in pig brain in 1988, and it has been known since that BNP is secreted from ventricular myocardium of human, etc. An increase in cardiac stress or development of myocardial hypertrophy induces BNP secretion and increased in blood concentration. In general, BNP has activities such as diuretic activity, vasodilation, renin-aldosterone secretion suppressing action, sympatholytic activity, hypertrophy suppressing action. BNP is considered to a hormone which acts to protect the myocardium against damages caused by cardiac stress.


Amino acids constituting BNP differ slightly from species to species who produce BNP. Nevertheless it been revealed that its structure possesses a cyclic part and a tail part as a common structure (Non-Patent Literatures 1-2). For instance, wild-type human BNP has been known to consist 32 amino acid residues, and its fragments and derivatives are further proposed (Patent Literatures 1-6).


In Japan, BNP is currently not used as a therapeutic, but widely used in clinical practice as a biochemical marker for cardiac failure. In United States, however, it is used as a drug for alleviating symptoms of cardiac failure (trade name: Natrecor®). Recently, it has been proposed to utilize an external preparation comprising BNP for treating dermatitis, rhinitis, alopecia, etc., and also as a skin-improving agent (Patent Literature7-9).


PRIOR ART REFERENCES
Patent Literature



  • [Patent Literature1] JP A 2007-525213

  • [Patent Literature2] JP A 2008-509746

  • [Patent Literature3] WO 2008/032450

  • [Patent Literature4] U.S. Pat. No. 6,028,055

  • [Patent Literature5] U.S. Pat. No. 5,114,923

  • [Patent Literature6] U.S. Pat. No. 6,818,619

  • [Patent Literature7] WO 2011/010732

  • [Patent Literature8] WO 2011/024973

  • [Patent Literature9] WO 2012/099258



Non-Patent Literature



  • [Non-Patent Literature] N. Akizukia, K. Kangawaa, N. Minaminob, H. Matsou, FEBS Letters 1991 280 (2)357-362.

  • [Non-Patent Literature2] Takei Y, Fukuzawa A, Itahara Y, Watanabe T X, Yoshizawa Kumagaye K, Nakajima K, Yasuda A, Smith M P, Duff D W, Olson K R. FEBS Lett. 1997 Sep. 8; 414 (2)377-80.



SUMMARY OF THE INVENTION
Problems to be Solved by the Invention

As described above, BNP is considered to be a useful substance for the therapy of various diseases. However, in order to obtain a better therapeutic effect there is a need for developing a substance with a higher drug efficacy and stronger effect and a faster- and longer-acting substance.


An improvement in the duration and fast-acting properties of the drug efficacy and effect is quite meaningful in light of reducing required number/frequency of treatment, relieving the sufferings by the patient/user, and improving the quality of life (QOL) and the mental, physical, social or intellectual satisfaction in dairy living of the user. For example, dermatitis is often accompanied by symptoms such as an itch, infiltration or hot flush in the affected site; the sufferings by the patient will be reduced if these symptoms can quickly be alleviated. When an alopecia therapeutic, hair growing agent or hair growth stimulant is employed, the QOL of the user can be improved if the therapeutic effect, hair growth-stimulating or hair growing effect can be achieved immediately.


The inventors focused on these points and tried to search for a novel substance by reference to the structure of BNP.


Accordingly, the object of the present invention is to provide a novel peptide having a strong drug efficacy and effect, and a medicament or an external preparation comprising such peptide, specifically a prophylactic or therapeutic for dermatitis, rhinitis and alopecia, and a hair growth stimulant, a hair growing agent, an antipruritic, a cosmetic and a skin-care product, etc.


Means to Solve the Problems

It was previously considered that the tail part of the wild-type BNP peptide structure (which is composed of a cyclic part and tail part) plays at least certain important role in the binding and selectivity of BNP to its receptor. However, the inventors focused on the cyclic part of said structure, deleted the tail part, and made an intensive research on the resulting cyclic peptide. Accordingly we have obtained totally new findings including the effects of such cyclic peptide, its high drug efficacy, faster-acting and longer-lasting effect, and further continued the study and finally completed the invention.


Accordingly, the present invention relates to the followings:


[1] A cyclic peptide having an amino acid sequence expressed by Formula I:




embedded image


wherein,


X1 denotes Gly, Val, Ala, Ser or Thr,


X2 denotes Arg, Gln or His,


X3 denotes Lys or Arg,


X4 denotes Met, Leu or Ile,


X5 denotes Ile or Val,


X6 denotes Ser or Gly,


X7 denotes Ser or Ala,


X8 denotes Ser, Gln, Val, Ala, Thr, Leu, Ile or Met,


X9 denotes Ser, Val, Ala or Thr,


X10 denotes Gly or Arg,


X11 denotes Leu, Met, Ile, Val or Ala,


X12 denotes Gly, Ser or Ala, and


the line connecting two Cys denotes a disulfide bond,


and wherein the amino acid sequence does not have a peptide bond that is not between the amino acids constituting the amino acid sequence,


or a derivative thereof or a pharmaceutically acceptable salt thereof.


[2] The cyclic peptide according to [1], wherein


X2 denotes Arg,


X4 denotes Met,


X6 denotes Ser,


X7 denotes Ser, and


X10 denotes Gly,


or a derivative thereof or a pharmaceutically acceptable salt thereof.


[3] The cyclic peptide according to [1], wherein the amino acid sequence is selected from the amino acid sequences expressed by Formula (I-a)-Formula (I-e):




embedded image


wherein, the line connecting two Cys denotes a disulfide bond,


or a derivative thereof or a pharmaceutically acceptable salt thereof.


[4] The cyclic peptide according to any one of [1]-[3] or a derivative thereof or a pharmaceutically acceptable salt thereof, wherein the derivative is substituted by a substituent which is capable of replacing a hydrogen atom, hydroxyl group, carboxy group, amino group or imino group in the cyclic peptide.


[5] The cyclic peptide or a derivative thereof or a pharmaceutically acceptable salt thereof, which is formed by deleting 1 to 4 amino acids in the cyclic peptide expressed by any one of the Formulae (I-a)-(I-e) according to [3], or by replacing them with or adding them other amino acids, and which has an equal function with the cyclic peptide expressed by each of said formulae.


[6] An external preparation comprising one or more cyclic peptides according to any one of [1]-[5] and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof.


[7] The external preparation according to [6], wherein the external preparation is an ingredient for a dermatitis therapeutic, dermatitis prophylactic, antipruritic, antiphlogistic, epidermis regeneration accelerating agent, wound epithelialization-accelerating agent or skin-care product.


[8] The external preparation according to [7], wherein the skin-care product is for moisturizing, and/or for preventing or improving rough skin, and/or for sebum/acne care, and/or for irritation alleviation/anti-inflammation, and/or for skin-lightening, and/or for anti-aging, and/or for preventing/alleviating ultraviolet lesion, and/or for slimming, and/or for skin-cleansing.


[9] The external preparation according to [6], wherein the external preparation is a bath agent, a body-cleansing agent or a hair-cleansing agent.


[10] The external preparation according to [6], wherein the external preparation is an alopecia therapeutic, an alopecia prophylactic, a hair growing agent and/or a hair growth stimulant.


[11] The external preparation according to [6], wherein the external preparation is a rhinitis therapeutic and/or a rhinitis prophylactic.


[12] The external preparation according to [6], wherein the external preparation is a cosmetic.


[13] The external preparation according to any one of [6]4121, wherein the formulation is a solid, semi-solid, powder, liquid, spray, ointment, cream, emulsion, gel or patch formulation.


[14] The external preparation according to any one of [6]4131, wherein the external preparation is used as a pharmaceutical product, a quasi-drug or a cosmetic product.


[15] A use of the cyclic peptide according to any one of [1]-[4] and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof for preparing the external preparation.


[16] A method of using the external preparation comprising applying the external preparation according to any one of [6]-[14] to the skin and/or mucosa of a subject.


[17] The method of using the external preparation according to [16], wherein the mucosa is labial, oral, nasal, ocular or vaginal mucosa.


[18] The method of using the external preparation according to [16], wherein the method is a method of treating and/or preventing dermatitis, a method of alleviating or resolving itch, a method of treating eczematous or other erosion or ulcer, or a method for skin-care.


[19] The method of using the external preparation according to [16], wherein the method is a method of treating and/or preventing alopecia, and/or a method of stimulating hair growth, and/or a method of growing hair.


[20] The method of using the external preparation according to [16], wherein the method is a method of treating and/or preventing rhinitis.


[21] A medicament comprising one or more cyclic peptides according to any one of [1]-[5] or a derivative thereof or a pharmaceutically acceptable salt thereof.


[22] The medicament according to [21], wherein the medicament is a therapeutic for hypertension, unstable angina, acute myocardial infarction, edematous diseases, renal failure, cardiac failure, immune diseases, obesity or metabolic syndrome.


The cyclic peptide described herein (hereinafter also referred to as “BNP cyclic peptide”, “B ring” or “B ring-compound”) is, as described above, derived from wild-type BNP. The wild-type BNP encompasses BNP from human, as well as BNPs from monkeys, pigs, birds and rats. Therefore, the B ring-compound also encompasses the B ring-compound from human, as well as those from monkeys, pigs, birds and rats.


Effect by the Invention

According to the present invention, novel cyclic peptides and compositions comprising the same can be provided. Such compositions are applied to an external preparation for preventing or treating dermatitis, rhinitis or alopecia, and further applied to a hair growth stimulant, a hair growing agent or an antipruritic, each of which are provided as a medicament, a quasi-drug, a skin-care product, or a cosmetic product. When an “external preparation” is referred alone in the present invention, it means an agent that is applied to skin or mucosa, whose utility is not limited to a medicament, quasi-drug, skin-care product and cosmetic product.


In general, the external preparation of the present invention has a significantly higher efficacy against dermatitis as compared to a conventional steroid external preparation, as well as an excellent immediate effect such that the symptoms start to be improved within three minutes in general. Its effect is great and long-lasting, and the amelioration period is long.


Furthermore, the external preparation of the present invention can, upon being applied onto the subject's skin or mucosa suffering a dermatitis, quickly relieve or eliminate perceptible symptoms that are or can be caused by dermatitis such as pruritus, soreness (pain), hot sensation, tautness, infiltration and erythema, improving the symptoms of the dermatitis.


Furthermore, the external preparation of the present invention exerts a moisturizing effect on the applied site, while exerting an effect to improve skin texture where the corneum layer is present at the applied site. It can thus exerts effects to improve skin texture, improves dry or rough skin, softens and moisturizes skin, reduce and diminish wrinkles, and improve roughened lip.


The external preparation of the present invention also has an effect of stimulating hair growth or promoting hair growth and at the same time preventing hair loss at the applied site when being applied to a decalvant site or a site where hair growth is stimulated. In this case, stimulated hairs tend to become terminal hairs and not white hairs. These effects are exhibited relatively quick as compared to other active agents that have previously been used in the therapeutics for alopecia, e.g., BNP, and the obtained effects are more significant.


Yet the external preparation of the present invention has an immediate, large and long-lasting effect effect on rhinitis with a long amelioration period.


Besides, since the cyclic peptide of the invention is a peptide sharing a part of its structure with BNP which is a hormone inherent in body, it causes little concern about side effects. It is also considered to have a small influence on homodynamics as long as used in an appropriate amount or used externally onto skin, etc. It therefore can be administered for prolonged period to a patient in need thereof, e.g., a patient with chronic dermatitis. Moreover, the external preparation of the invention causes no irritation when being taken externally and can be applied safely to a patient with sensitive skin, as well as to a child or woman, on face or neck, etc.


The reason why the cyclic peptide of the invention has a superior drug efficacy and effect as compared with wild-type BNP is not yet clear. However, according to our in silico analysis, it is suggested that the cyclic peptide of the invention is more easily and strongly bound to NPR-A receptor (GC-A) as compared with wild-type BNP. It is thus predicted that the cyclic peptide would have an excellent drug efficacy and effect, an excellent immediate effect in particular. As described above, B ring-compound is derived not only from human, but there also are B rings from animals of other species such as monkeys, pigs, birds and rat, and it has been confirmed that they have similar structures. From the results of the structural analysis described hereinbelow, it is strongly speculated that all these B rings exert similar effects as those of the B ring-compound from human.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1


A diagram showing the result of applying BNP cyclic peptide (A) or a gel formulation (B) on either left or right side of the face of a subject having large wrinkles on the face.



FIG. 2


A diagram showing the effect before and after the application of either B ring gel formulation or BNP gel formulation to a patient with female pattern alopecia and alopecia pityroides.





MODE FOR CARRYING OUT THE INVENTION

Hereinafter, the present invention is explained in detail based on its suitable embodiments.


1. The cyclic peptide, a derivative thereof and a pharmaceutically acceptable salt thereof Firstly, the cyclic peptide of the invention, a derivative thereof and a pharmaceutically acceptable salt thereof are explained.


The cyclic peptide of the present invention has an amino acid sequence expressed by Formula I:




embedded image


wherein,


X1 denotes Gly, Val, Ala, Ser or Thr,


X2 denotes Arg, Gln or His,


X3 denotes Lys or Arg,


X4 denotes Met, Leu or Ile,


X5 denotes Ile or Val,


X6 denotes Ser or Gly,


X7 denotes Ser or Ala,


X8 denotes Ser, Gln, Val, Ala, Thr, Leu, Ile or Met,


X9 denotes Ser, Val, Ala or Thr,


X10 denotes Gly or Arg,


X11 denotes Leu, Met, Ile, Val or Ala,


X12 denotes Gly, Ser or Ala,


the line connecting two Cys denotes a disulfide bond,


and wherein the amino acid sequence does not have a peptide bond that is not between the amino acids constituting the amino acid sequence.


Such cyclic peptide is, similar to previously known BNPs, considered to bind to a receptor NPR-A (also known as GC-A) having a guanylate cyclase domain and promote the production of cyclic guanosine monophosphate (cGMP), and has activities such as, for example, diuretic action, vasodilation, renin-aldosterone secretion suppressing action, sympatholytic activity and hypertrophy suppressing action. It has a superior drug efficacy and effect, particularly an excellent immediate effect, as compared to BNP.


In addition, as described hereinbelow, the above cyclic peptide can be used as an ingredient of an external preparation for a dermatitis therapeutic/prophylactic, a rhinitis therapeutic/prophylactic, an alopecia therapeutic/prophylactic, a hair growing agent, a hair growth stimulant, an antipruritic, etc., or as an ingredient of a skin-care product, a quasi-drug or a cosmetic product. The above cyclic peptide can also be used as an alternative for BNP in an medicament utilizing the activity of BNP as above, e.g., in an medicament for hypertension, unstable angina, acute myocardial infarction, edematous diseases, renal failure, cardiac failure, immune diseases, obesity or metabolic syndrome.


In another embodiment of the present invention, in the cyclic peptide of the invention, X1-X12 in the Formula (I) may be defined as one or more selected from the group consisting of following (1)-(12):


(1) X1 denotes Gly, Val, Ala, Ser or Thr,


(2) X2 denotes Arg, Gln or His,


(3) X3 denotes Lys or Arg,


(4) X4 denotes Met, Leu or Ile,


(5) X5 denotes Ile or Val,


(6) X6 denotes Ser or Gly,


(7) X7 denotes Ser or Ala,


(8) X8 denotes Ser, Gln, Val, Ala, Thr, Leu, Ile or Met,


(9) X9 denotes Ser, Val, Ala or Thr,


(10) X10 denotes Gly or Arg,


(11) X11 denotes Leu, Met, Ile, Val or Ala, and


(12) X12 denotes Gly, Ser or Ala.


A preferred cyclic peptide of the present invention is a cyclic peptide of Formula (I), wherein X2 denotes Arg, X4 denotes Met, X6 denotes Ser, X7 denotes Ser, and/or X10 denotes Gly (SEQ ID NO: 2).


Furthermore, in another embodiment of the invention, in the cyclic peptide of the invention, the amino acid sequence expressed by Formula (I) may be selected from SEQ ID NOs: 3-8 and SEQ ID NOs: 16-75.


Furthermore, in the cyclic peptide of the invention, the amino acid sequence expressed by Formula (I) is preferably selected from the amino acid sequences expressed by the Formula (I-a)-Formula (I-e):




embedded image


wherein, the line connecting two Cys denotes a disulfide bond.


Each of the amino acid sequences expressed by these Formulae (I-a)-(I-e) is the cyclic part of human BNP (Formula (I-a)), swine BNP (Formula (I-b)), rat BNP (Formula (I-c)), rabbit BNP (Formula (I-d)) and murine BNP (Formula (I-e)), respectively. Therefore, the cyclic peptide having such an amino acid sequence will exhibit the aforementioned effects with more certainty. Because swine BNP cyclic peptide is consistent with those of avian (SEQ ID NO: 8, Cys-Phe-Gly-Arg-Arg-Ile-Asp-Arg-Ile-Gly-Ser-Leu-Ser-Gly-Met-Gly-Cys, wherein, 1st Cys and 17th Cys form a disulfide bond), bovine (SEQ ID NO: 9, Cys-Phe-Gly-Arg-Arg-Leu-Asp-Arg-Ile-Gly-Ser-Leu-Ser-Gly-Leu-Gly-Cys, wherein, 1st Cys and 17th Cys form a disulfide bond), feline (SEQ ID NO: 10, Cys-Phe-Gly-Arg-Arg-Leu-Asp-Arg-Ile-Gly-Ser-Leu-Ser-Gly-Leu-Gly-Cys, wherein, 1st Cys and 17th Cys form a disulfide bond), canine (SEQ ID NO: 11, Cys-Phe-Gly-Arg-Arg-Leu-Asp-Arg-Ile-Gly-Ser-Leu-Ser-Gly-Leu-Gly-Cys, wherein, 1st Cys and 17th Cys form a disulfide bond), and ovine (SEQ ID NO: 12, Cys-Phe-Gly-Arg-Arg-Leu-Asp-Arg-Ile-Gly-Ser-Leu-Ser-Gly-Leu-Gly-Cys, wherein, 1st Cys and 17th Cys form a disulfide bond), BNP cyclic peptides derived from these organisms also have similar effects as the cyclic peptide of the present invention. Among those mentioned above, it is particularly preferred that the amino acid sequence expressed by Formula (I) is the amino acid sequence expressed by Formula (I-a). In another embodiment of the invention, the cyclic peptide may be expressed by SEQ ID NOs: 16-75.


The cyclic peptide of the present invention encompasses a derivatized form of said cyclic peptide. Such a derivative can be used as such, as an active substance, or also used as a prodrug.


A derivative of the present invention can be obtained by adding (modifying) a known substituent to certain group of an amino acid in the cyclic peptide such as, for example, a hydrogen atom, hydroxyl group, carboxy group, amino group or imino group, or replacing it with a known replaceable substituent. Modification include, but not limited to, chemical modifications such as, for example, glycosylation, acetylation, phosphorylation and lipidation, to an amino acid within the cyclic peptide.


The addition (modification) or replacement of an amino acid within the cyclic peptide can occur in one group, or can occur in more than one group at the same time. Any known substituents can be used as long as being capable of replacing above groups and it goes without saying that such substituents naturally include, for example, protecting groups such as BOC.


The cyclic peptide of the invention further includes a mutated form of said cyclic peptide. Namely, a mutant of the present invention can be obtained by deleting an amino acid in the cyclic peptide, replacing it with or adding it another amino acid. The number of amino acid to be deleted, replaced with other amino acids or added is 4 or less, more preferably 3 or less, even more preferably 2 or less, and particularly preferable 1 or less. It also goes without saying that the deletion, replacement or addition of amino acids in the cyclic peptide may occur concurrently and independently to each other.


An amino acid that is capable of being replaced with another amino acid can be, in the case of human BNP (Formula (I-a)), exemplified as follows, without being limited thereto. The third amino acid from left, Gly, may be replaced with either Val, Ala, Ser or Thr. The forth amino acid from left, Arg, may be replaced with either Gln or His. The fifth amino acid from left, Lys, may be replaced with Arg. The sixth amino acid from left, amino acid, Met, may be replaced with either Leu or Ile. The ninth amino acid from left, Ile, may be replaced with Val. The twelfth amino acid from left, Ser, may be replaced with either Gln, Val, Ala, Thr, Leu, Ile or Met. The thirteenth amino acid from left, Ser, may be replaced with either Val, Ala or Thr. The fourteenth amino acid from left, Gly, may be replaced with Arg. The fifteenth amino acid from left, Leu, may be replaced with either Met, Ile, Val or Ala. The sixteenth amino acid from left, Gly, may be replaced with either Ser or Ala. Table 32 summarizes examples of replaceable amino acids in the cyclic peptide of the invention, though the invention will not be limited thereto.


Cyclic peptides in which one amino acid has been replaced include such as, for example, SEQ ID NOs: 16-44, though the invention will not be limited thereto. Cyclic peptides in which two amino acids have been replaced include such as, for example, SEQ ID NO: 45-58, though the invention will not be limited thereto. Yet cyclic peptides in which three amino acids have been replaced include such as, for example, SEQ ID NOs: 59-70, though the invention will not be limited thereto. Furthermore, cyclic peptides in which four amino acids have been replaced include such as, for example, SEQ ID NOs: 71-75, though the invention will not be limited thereto. It also goes without saying that five or more amino acids can be replaced by appropriately combining the aforementioned amino acid.


Deletion of one to several amino acids can take place in similar manner to the replacement of the aforementioned amino acids with other amino acids.


The number of amino acid which are to be deleted or replaced with other amino acids or added may be determined such that the cyclic peptide will have 80% homology, preferably 90% homology to the cyclic peptide of the invention.


In addition, the present invention may be a mutant as described above, and a derivative thereof. As long as it retains the effect of the invention, any mutant or a derivative thereof is encompassed in the cyclic peptide according to the invention. In another embodiment, it has at least a BNP activity. For purpose of improving the activity of the cyclic peptide of the invention, prolonging the effect of the invention, and/or increasing storage stability of the cyclic peptide of the invention, the cyclic peptide of the invention or the amino acids constituting said peptide may be altered in an appropriate manner. For example, an amino acid in the cyclic peptide of the invention may be chemically modified, some amino acids constituting the cyclic peptide may be deleted or replaced with other amino acids, and/or new amino acids may be added.


For example, the C-terminal group —COOH of one Cys of the cyclic peptide may be replaced with —COOR1, —CONHR1 or —CONR12, and/or the N-terminal group NH2 of the other Cys of the cyclic peptide may be replaced with —NHC(O)R1 or —N(C(O)R1)2. Here, each appearance of R1 is independently a branched or straight hydrocarbon group or an alkylene glycol chain or sugar chain having 1 to 20 carbon atoms. The number of carbon atoms in R1 is preferably 1 to 10, more preferably 1 to 5, yet more preferably 1 to 2.


Pharmaceutically acceptable salts include, without being particularly limited, as the cyclic peptide of the invention or a derivative, such as for example, a salt with an inorganic base, a salt formed with an organic base, a salt formed with an inorganic acid, a salt formed with an organic acid, a salt formed with a basic or acidic amino acid. Examples of suitable salt formed with inorganic base include such as, for example, an alkaline metal salt such as a sodium salt and potassium salt; an alkaline earth meal salt such as a calcium salt and magnesium salt; and an aluminum salt and ammonium salt. Examples of suitable salt formed with organic base include such as, for example, a salt with an alkyl amine such as trimethyl amine or triethyl amine; a salt formed with a heterocyclic amine such as pyridine and picoline; a salt formed with an alkanol amine such as ethanol amine, diethanol amine and triethanol amine; a salt formed with a cycloalkyl amine such as cyclohexyl amine and dicyclohexyl amine; a salt formed with an alkylene diamine derivative such as N,N′-dibenzylethylenediamine. Examples of suitable salt formed with inorganic acid include such as, for example, a salt formed with hydrochloric acid, hydrobromic acid, nitric acid, sulfuric acid or phosphoric acid. Examples of suitable salt formed with organic acid include such as, for example, a salt formed with a monocarboxylic acid such as formic acid, acetic acid, trifluoroacetic acid and propionic acid; a salt formed with a polyvalent carboxylic acid such as fumaric acid, oxalic acid and maleic acid; a salt formed with a oxycarboxylic acid such as tartaric acid, citric acid, succinic acid and malic acid; a salt formed with a sulfonic acid such as methane sulfonic acid, benzene sulfonic acid and p-toluene sulfonic acid; and a salt formed with benzoic acid. Examples of suitable salt formed with a neutral amino acid include such as, for example, a salt formed with glycine, valine or leucine; examples of suitable salt formed with a basic amino acid include such as, for example, a salt formed with arginine, lysine or ornithine; and examples of suitable salt formed with an acidic amino acid include such as, for example, a salt formed with aspartic acid acid or glutamic acid.


Among those mentioned above, a cyclic peptide composed of the amino acid sequence expressed by Formula (I) or a pharmaceutically acceptable salt is preferred. Namely, it is preferred that the amino acid sequence expressed by Formula (I) is not replaced.


A method for producing the cyclic peptide of the present invention, a derivative and pharmaceutically acceptable salt thereof may employ, without being particularly limited, for example, any known chemical synthetic or genetic engineering methods.


When the amino acid sequence as above is chemically synthesized, it may be synthesized by any chemical synthetic method, or any known method for peptide synthesis, for example, or solid-phase or liquid-phase synthetic method. Moreover, any commercial synthesizer (e.g., SHIMADZU Corporation: PSSM-8) may be used for synthesis.


A disulfide bond can be formed in the amino acid sequence, for example, by DMSO oxidation method or iodine oxidation method without being particularly limited. In this case, an intramolecular disulfide bond can be formed by treating a free sulfhydryl group or a sulfhydryl group protected by a protecting group with either DMSO or iodine (I2) to result in said cyclic peptide.


A protecting group includes such as, for example, 4-methylbenzyl group (Bzl (4Me)), trityl group (Trt), tert-butyl group, N-(acetyl) aminomethyl group (Acm). Deprotection can be carried out through appropriate treatment corresponding to these protecting group, for example, for 4-methylbenzyl group by treating with a strong acid, and for N-(acetyl) aminomethyl group by treating with iodine.


Next, if necessary, the cyclic peptide is derivatized to result in a derivative. Derivatization can be carried out by known method. Alternatively, a derivative of the cyclic peptide can be produced at the time of peptide synthesis by introducing in advance a substituent into the amino acid constituting the cyclic peptide.


Then, if necessary, a pharmaceutically acceptable salt is produced by ion exchange of the cyclic peptide or derivative thereof. Ion exchange can be carried out, for example, by bringing into the contact the cyclic peptide or derivative thereof with a desired acid or base.


On the other hand, when the peptide is synthesized by genetic engineering, it can be synthesized by any known method such as, for example, methods described in Sambrook J. et al., Molecular Cloning, A Laboratory Manual (4th edition) (Cold Spring Harbor Laboratory Press (2012)). For instance, a DNA fragment coding for the amino acid sequence expressed by Formula (I) is prepared at first. Preparation of the DNA fragment can be performed, for example, if it is a case in which the DNA fragment codes for the amino acid sequence expressed by Formula (I-a), by amplifying the DNA fragment by PCR using a vector comprising a full-length human BNP gene as template and primers designed to synthesize a defined DNA region. Alternatively, a DNA fragment can be chemically synthesized.


Then, the amplified DNA fragment is ligated into an appropriate vector to obtain a recombinant vector for protein expression. Next, the vector for protein expression is allowed to be taken up by target cells and the transformed cells are selected. Finally, the protein produced by the cells (i.e., the protein composed of the amino acid sequence expressed by Formula (I)) is collected.


Formation of disulfide bond, derivatization and salt formation in the collected protein can be carried out as described above.


The identification of the compound of interest such as a cyclic peptide can be confirmed by known procedures such as, for example, reverse-phase HPLC or mass spectroscopy.


The presence or absence of BNP activity in the obtained compound can readily be confirmed by known means. For instance, it can be confirmed by examining cGMP producing activity in NPR-A receptor-expressing cells.


2. External Preparation

Secondly, the external preparation of the present invention is explained.


The external preparation of the present invention comprises one or more cyclic peptide and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof as described above. If two or more cyclic peptides are used, the number of different cyclic peptide to be mixed is not limited, though 2 to 3 are preferred in terms of preparation cost and convenience. It includes SEQ ID NO: 19, 29, 33, 36, 39 and 43, for example, but the invention is not limited to these and these cyclic peptide can appropriately be combined as long as it does not interfere the effect of the invention.


2.1 Application

The external preparation of the present invention can be used for following uses, for example, without being particularly limited, and in each case exerts remarkable effect which had not previously been achieved. The external preparation of the present invention is not limited to any particular use, and can be used as a pharmaceutical product, a quasi-drug and/or a cosmetic product depending on its drug efficacy and effect.


Hereinbelow, the invention will be described in detail for each of its use.


(1) Therapeutic/Prophylactic for Dermatitis

The external preparation of the present invention can be a a therapeutic and/or prophylactic for dermatitis.


The external preparation of the present invention can, upon being applied onto the subject's skin or mucosa suffering dermatitis, quickly relieve or eliminate various perceptible symptoms and conditions that are or can be caused by dermatitis such as pruritus, soreness (pain), hot sensation, tautness, erythema, infiltration, papule, lichenification, crust, exudation or skin desiccation, improving the symptoms of dermatitis. In addition, the external preparation of the present invention does not cause any irritation at the site of application.


Furthermore, such action of the external preparation comprising the cyclic peptide of the invention is effected more quickly and for prolonged time period as compared to that of an external preparation comprising BNP having the tail part. Although reasons for these advantageous effects of the cyclic peptide over such BNP are not clear, the cyclic peptide of the invention is considered to have an advantageous structure for binding to its receptor (NPR-A receptor) over BNP, thereby enabling faster binding to the NPR-A receptor in the vicinity of the affected site and at the same time prolonging its binding time. Moreover, it is considered that its relatively quick binding to the NPR-A receptor near the affected site can prevents the cyclic peptide from diffusing out of the affected site via bloodstream, etc., enabling it to stay around the affected site for relatively long time.


The external preparation of the present invention does not only suppress or prevent inflammation in dermatitis but also acts to restore and/or retain the barrier function of skin. Here, skin's barrier function works for protecting skin against entry of stimuli and saprophytes from external environment or for retaining moisture. The external preparation restores the barrier function, and thus able to prevent the progress or exacerbation of inflammation. The barrier function of skin is greatly affected by the alignment state of corneocytes in the corneum, i.e., state of skin texture and moisturization. The external preparation of the present invention acts to improve skin texture and to moisturize skin. Therefore, its effects of restoring and maintaining skin barrier function are also obvious.


The external preparation of the present invention is also effective on skin symptoms commonly called acne, i.e., such as comedones, red papule, pustula, cysts/tuberosity.


Moreover, a quick relief or elimination of perceptible symptoms or conditions will reduce the burden of the subject (patient) and improve the QOL of the patient, while preventing the patient from being bothered by itch or soreness and from acting to damage the affected site, for example, touching or scratching. This effect of the external preparation of the present invention to relieve or eliminate perceptible symptoms or conditions is, in general, exhibited within 10 minutes, preferably within 5 minutes, more preferably within 3 minutes after application.


In addition, the external preparation of the present invention can treat dermatitis in which steroid dermatosis has been developed, or dermatitis that is intractable by other common drugs for dermatitis therapy such as steroid and tacrolimus, for example dermatitis for which a sufficient therapeutic effect cannot be achieved by these formulations, or dermatitis which is resistant to these formulations, or dermatitis for which the use of these formulations is not suitable or desirable. Conventional widely-used steroid external preparations have significant problems upon terminating application that the severity returns to the pre-application level and that a rebound phenomenon may occur and exacerbate the condition. The external preparation of the present invention has no such problems as a rebound phenomenon.


Dermatitis is in general a disease which causes inflammation in skin or mucosa. Dermatitis is normally accompanied with one or more symptoms selected from acute eczema symptoms such as erythema, infiltrative erythema, papule, vesicle, pustula, infiltration, incrustation and desquamation; chronic eczema symptoms such as lichenification and pigmentation; and scales, crust (scab) attachment, scratching, scratch scar, prurigo nodularis, erosion, edema, oozing and squamatization.


Dermatitis herein is not particularly limited as long as it is a disease which is accompanied with inflammation in skin or mucosa and includes such as, for example, eczema and atopic dermatitis such as chronic eczema, dyshidrotic eczema, infantile xerotic eczema; contact dermatitis such as allergic contact dermatitis and primary irritant contact dermatitis; seborrheic dermatitis; asteatotic dermatitis; autosensitization dermatitis; stasis dermatitis; urticaria such as allergic urticaria (e.g., alimentary urticaria and drug-induced urticaria) and nonallergic urticaria (e.g., physical urticaria, solar urticaria and cholinergic urticaria); insect bite; drug eruption; psoriasis such as plaque psoriasis, guttate psoriasis, erythrodermic psoriasis, pustular psoriasis and psoriasis arthropathica; prurigo such as chronic prurigo, acute prurigo, gestational prurigo and nodular prurigo; rosacea; rosacea-like dermatitis; cutaneous vasculitis such as cutaneous allergic vasculitis; cutaneous pruritus such as systemic cutaneous pruritus, localized cutaneous pruritus, senile cutaneous pruritus and gestational pruritus; solar dermatitis; erythrosis; nummular dermatitis; localized scratching dermatitis; perioral dermatitis; pompholyx; keratosis pilaris; lichen planus, dyshidrotic eczema, dyshidrosis, miliaria and acne vulgarisacne vulgaris. The external preparation of the present invention can be applied to the therapy and prophylaxis of any of these diseases.


The external preparation of the present invention exerts an excellent effect especially on eczema, atopic dermatitis, contact dermatitis, seborrheic dermatitis, insect bite, allergic or nonallergic urticaria and psoriasis, preferably on eczema, atopic dermatitis, contact dermatitis and insect bite, more preferably on eczema and atopic dermatitis. Therefore, the external preparation of the present invention can be used for the purpose of the therapy and prophylaxis of at least one or more dermatitis selected from above-mentioned group.


(2) Ingredients of Cosmetic or Skin-Care Product

The external preparation of the present invention may be an ingredient for a cosmetic or skin-care product.


The external preparation of the present invention will, upon being applied to skin and/or mucosa, provide moisture to the applied site and exert moisturizing effect, preventing skin from dryness and roughness. In cases where corneum is present at the site of application, it exerts an effect of improving skin texture there. It also provides and retains moderate elasticity and flexibility of skin and mucosa, softens skin, gives skin and mucosa resilience and firmness. Moreover, it improves wrinkles (including fine and large wrinkles) and flabbiness at the applied site, and further diminishes the appearance of dullness and spots. By diminishing dullness and spots away, it consequently provides a skin-lightening effect.


As a result, the external preparation of the present invention can be used for the purpose of maintaining or improving skin and/or mucosal condition, without being particularly limited, for example, for obtaining at least one effects selected from a group consisting of preventing or improving dry skin, skin roughness, sensitive skin, roughened lips and appearance of large and fine wrinkles, maintaining skin or mucosal condition, anti-aging, and skin-lightening, or obtaining for at least one effects selected from the above effects. Skin roughness herein includes miliaria, chilblain, cracked skin, chapped skin, acne, diaper rashes, festering, chafed inner thighs and razor burns.


Specific utilities of the external preparation of the present invention as an ingredient for the cosmetic or skin-care product includes, without being particularly limited, for example, cosmetics for make-up such as face lotion, emulsion, serum, cream, cold cream, gel, mask, pack, powder, hand soap, perfume, deodorant, as well as foundation, face powder, eye shadow, eyeliner, mascara, eyebrow, blush, makeup base, lip stick, lip cream and nail polish, and furthermore cosmetics for hair such as shampoo, rinse, conditioner, hair color, hair tonic, styling agent and perm chemical, body cleansers such as face wash, cleansing and body soap, skin-care products such as body powder, after-shave lotion and pre-shave lotion, and bath agents.


The above effects of the external preparation of the present invention are quickly exhibited, within 10 minutes in general, preferably within 5 minutes, more preferably within 3 minutes after application depending on the type of the effect.


The above effects of the external preparation of the present invention last for relatively long time. In general, the effect lasts for 4 hours or more, preferably, 8 hours or more, more preferably 24 hours or more after it started to effect depending on the type of the effect.


(3) Antipruritic

The external preparation of the present invention can be an antipruritic.


As mentioned above, the external preparation of the present invention is suitable for using as antipruritic because it quickly exerts an excellent antipruritic effect at the applied site when being applied to skin or mucosa.


The antipruritic effect of the external preparation of the present invention as mentioned above is exhibited within 10 minutes in general, preferably within 5 minutes, more preferably within 3 minutes after application.


(4) Alopecia Therapeutic, Alopecia Prophylactic, Hair Growing Agent and Hair Growth Stimulant

The external preparation of the present invention can also be an alopecia therapeutic, alopecia prophylactic, hair growing agent and/or hair growth stimulant.


When the external preparation of the present invention is applied to a site of hair loss or a site where hair growth is to be stimulated, it acts to prevent hair loss and promote hair growth stimulation and hair growing at the applied site. It has effects such as nourishing hair, promoting hair growth, and improving or preventing hair thinning at the applied site. In this case, hairs to be stimulated to grow tend to become terminal hairs or hairs which are not white hairs. These effects are exhibited in relatively early stage as compared to other active ingredients previously used in alopecia therapeutics e.g., BNP, and the effects obtained are significant.


The external preparation of the present invention also has an improving or preventing effect on dermatitis as mentioned above. Therefore, it can improve or prevent skin inflammation associated with alopecia. Such effects are particularly advantageous when alopecia has been exacerbated due to skin condition of the site of application (such as scalp).


Moreover, the external preparation of the present invention exerts moisturizing and skin texture-improving effects at the applied site when being applied to skin as mentioned above. It can remove and suppress dandruff and itching, while giving moisture to hair and scalp, improving and preventing dryness and keeping hair and scalp healthy. It also can improve seborrhea.


The external preparation of the present invention also acts to alleviate or eliminate the perceptible symptoms or conditions as mentioned above, thereby reducing the burden of the subject (patient) and improving QOL of the patient. Moreover, it can prevent the patient from being bothered by itch or soreness and acting to damage the affected site, for example, touching or scratching, thereby preventing exacerbation of skin condition which may induce alopecia.


When the external preparation of the present invention is used as alopecia therapeutic or prophylactic, applicable alopecia includes such as, for example, alopecia as listed below, without being particularly limited. The external preparation can be used for the purpose of treating or preventing one ore more of these alopecia.


(Acquired Alopecia)

(i) Alopecia without accompanying scarring or skin lesion (alopecia areata, male pattern alopecia, seborrheic alopecia, alopecia pityroides, female pattern alopecia, gestational alopecia, malignant alopecia, senile alopecia, alopecia totalis, alopecia areata multilocularis, ophiasis, drug-induced alopecia, cancer chemotherapy-induced alopecia and radiation exposure-induced alopecia, traumatic/mechanical alopecia, malnutrition/metabolic disorder associated alopecia, endocrine dysfunction associated alopecia and telogen effluvium (post partum alopecia, alopecia after high fever)).


(ii) Alopecia observed on skin lesion or pathologic skin (infection-induced alopecia, tumor-induced alopecia, inflammation-induced alopecia)


(iii) Scarring alopecia (skin infection-induced alopecia, alopecia induced by infiltration of inflammatory cells)


(Congenital Alopecia)

Diffuse alopecia, congenital atrichia, alopecia in hereditary syndromes, localized alopecia, phakomatosis, aplasia cutis, congenital alopecia triangularis.


Among those mentioned above, the external preparation of the present invention exerts an excellent effect particularly on acquired alopecia, preferably on alopecia without accompanying scarring or skin lesion, more preferably on alopecia areata, male pattern alopecia, seborrheic alopecia, alopecia pityroides, female pattern alopecia, gestational alopecia, malignant alopecia, senile alopecia, alopecia totalis, alopecia areata multilocularis, ophiasis, drug-induced alopecia, cancer chemotherapy-induced alopecia and radiation exposure-induced alopecia, traumatic/mechanical alopecia, malnutrition/metabolic disorder associated alopecia, endocrine dysfunction associated alopecia and telogen effluvium. Therefore, the external preparation of the present invention can be used for the purpose of treating or preventing at least one or more alopecia selected from the above-mentioned group.


(5) Rhinitis Therapeutic and/or Prophylactic


The external preparation of the present invention can also be a rhinitis therapeutic and/or prophylactic.


Rhinitis is a disease caused by mucosal inflammation in nasal cavity and/or paranasal cavity and induces main symptoms such as nasal obstruction, rhinorrhea, sudden recurrent sneezing, as well as symptoms such as pruritus. In the present invention, “rhinitis” does not only includes rhinitis in a narrow definition which are accompanied with mucosal inflammation in nasal cavity, but also includes sinusitis accompanied with mucosal inflammation in paranasal cavity.


The external preparation of the present invention can improve or prevent various symptoms associated with rhinitis such as nasal obstruction, rhinorrhea, sneezing and pruritus, when being applied to nasal cavity mucosa and/or paranasal cavity mucosa. Especially these effects are exhibited quickly and last for a prolonged time as compared to a rhinitis therapeutic comprising BNP having the tail part.


Such effects of the external preparation of the present invention on rhinitis are exhibited within 8 minutes in general, preferably within 5 minutes, more preferably within 3 minutes after its application.


Also the effect of the external preparation of the present invention on rhinitis as described above lasts for 4 hours or more in general, preferably for 8 hours or more, more preferably for 24 hours or more after it started to effect.


When the external preparation of the present invention is used as a rhinitis therapeutic and/or prophylactic, applicable rhinitis includes such as, without being particularly limited, for example, infectious rhinitis including acute rhinitis and chronic rhinitis; hypersensitive non-infectious rhinitis including combined (flower hypersensitivity) rhinitis, rhinitis with rhinorrhea, congestive rhinitis, edematous rhinitis and dry-nose type rhinitis; irritant-induced rhinitis including physical rhinitis, chemical rhinitis and radiation rhinitis; and atrophic rhinitis and idiopathic granulomatous rhinitis; and sinusitis such as acute sinusitis, chronic sinusitis (maxillary empyema), eosinophilic sinusitis and paranasal cavity mycosis, The external preparation can be used for the purpose of treating or preventing one ore more of the above.


Combined rhinitis includes, for example, allergic rhinitis including perennial allergic rhinitis and seasonal allergic rhinitis, and nonallergic rhinitis including vasomotor (essential) rhinitis and eosinophilic rhinitis.


Rhinitis with rhinorrhea includes, for example, gustatory rhinitis, cold air-induced rhinitis and senile rhinitis.


Congestive rhinitis includes, for example, drug-induced rhinitis, psychogenic rhinitis, gestational rhinitis, endocrine rhinitis and cold rhinitis.


Edematous rhinitis includes, for example, aspirin-hypersensitive rhinitis.


Among those mentioned above, the external preparation of the present invention exerts an excellent effect particularly on hypersensitive non-infectious rhinitis, irritant-induced rhinitis and sinusitis, preferably on hypersensitive non-infectious rhinitis and chronic sinusitis, more preferably on combined (flower hypersensitivity) rhinitis, rhinitis with rhinorrhea, congestive rhinitis, edematous rhinitis and dry-nose type rhinitis, chronic sinusitis. Therefore, the external preparation of the present invention can be used for the purpose of treating or preventing at least one or more rhinitis selected from the above-mentioned group.


In terms of symptoms, since the external preparation of the present invention acts as described above, it can be used for any of rhinitis with sneezing/rhinorrhea, rhinitis with nasal obstruction and rhinitis with both symptoms.


In addition, the external preparation of the present invention exhibits an effect of improving rhinitis which cannot be cured by a rhinitis therapeutic that has conventionally been used such as steroid drug.


(6) Other External Preparations

The external preparation of the present invention can also be used for an application other than those described above for the effect of the cyclic peptide as described above. In this case, the external preparation of the present invention can set an objective that is not the effects of the cyclic peptide as described above. In this case, the cyclic peptide of the invention, a derivative and/or a pharmaceutically acceptable salt thereof is used for the purpose of assisting the main effect of the external preparation or adding another effect to the main effect.


Such application include such as, without being particularly limited, for example, body powder, deodorant, depilation agent, soap, body shampoo, bath agent, hand soap, perfume, sunscreen, and antiinflammatory agent and antifungal agent.


2.2 Formulation

The external preparation of the present invention can exert the effect of its active ingredient, i.e., the cyclic peptide or a derivative and/or pharmaceutically acceptable salt thereof, certainly and quickly in the vicinity of the applied site by being locally applied to the site of the interest (e.g., affected site) on skin or mucosa.


Such external preparation can be, without being particularly limited, for example, an agent for integument, eye drop, ear drop, nasal drop, buccal agent or suppository. Among these, when the external preparation of the present invention is a dermatitis therapeutic, a dermatitis prophylactic, an antipruritic, a skin-care product, an alopecia therapeutic, an alopecia prophylactic, a hair growing agent or a hair growth stimulant, it is preferably an agent for integument. On the other hand, when the external preparation of the present invention is a rhinitis therapeutic and/or prophylactic, it is preferably a nasal drop. Furthermore, when it is a therapeutic/prophylactic of a corneal disease, it is preferably an eye drop.


When the external preparation of the present invention is an agent for integument, it can be, without being particularly limited, for example, an external solid formulation, an external liquid formulation, a spray formulation, an ointment, an emulsion, a cream, a gel formulation or a patch.


An external solid formulation is a solid formulation for applying or spraying onto such as skin. Such an external solid formulation includes, for example, a powder form external formulation.


An external liquid formulation is a liquid formulation for applying onto such as skin. Such an external liquid formulation includes, for example, a lotion and liniment.


A spray formulation is a formulation for spraying an active ingredient in a mist, powder, foam or paste form onto skin. Such spray formulation includes, for example, an external aerosol and a pump spray formulation.


An ointment is a semi-solid formulation which is applied to skin and comprises an active ingredient dissolved or dispersed in a base. The ointment can also be a lip cream for locally applying to lips, etc.


A cream is a semi-solid formulation which is applied to skin and emulsified as either oil-in-water or water-in-oil type.


A gel formulation is a gelled formulation which is applied to skin. The gel formulation includes, for example, aqueous gel formulation and oil-based gel formulation.


A patch is a formulation which is attached to skin. The patch includes, for example, a tape or plaster.


A nasal drop is a formulation which is administered to nasal cavity or nasal mucosa. The nasal drop includes, for example, nasal powder formulation and a nasal drop. Among these, nasal drop is preferred.


In any formulation described above, the external preparation of the present invention comprises the cyclic peptide of the present invention and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof as described above.


When the formulation is an external liquid formulation, an ointment, a cream or a gel formulation, the external preparation of the present invention comprises the cyclic peptide and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof at a concentration of, for example, 0.0001 to 1000000 μg/g, preferably 0.001 to 10000 μg/g, more preferably 0.01 to 1000 μg/g, yet more preferably 0.1 to 100 μg/g. In another embodiment, it may comprises the cyclic peptide at a concentration of 1 to 800 μg/g or 3 to 500 μg/g.


When the formulation is a spray formulation, the external preparation of the present invention comprises in the stock solution of the spray formulation the cyclic peptide and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof at a concentration of, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, 0.01 to 1000 μg/mL, more preferably 0.1 to 100 μg/mL, yet more preferably 1 to 100 μg/mL. In another embodiment, it may comprises the cyclic peptide at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


When the formulation is a patch, the external preparation of the present invention comprises the cyclic peptide and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof at a concentration of, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, it may comprises the cyclic peptide at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


When the formulation is a nasal drop, especially a liquid nasal drop, the external preparation of the present invention comprises in the nasal drop solution (nasal drop) the cyclic peptide and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof at a concentration of, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, it may comprises the cyclic peptide at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


The external preparation of the present invention can be formulated, for any formulation as described above, by using methods and constituent materials known to those skilled in the art.


Available constituent materials include such as, without being particularly limited, for example, a gelator, oily ingredient, higher alcohol, fatty acid, ultraviolet absorbing agent, ultraviolet scattering agent, powder, pigment, surfactant, polyhydric alcohol/sugar, polymer, bioactive ingredient, solvent, antioxidant, flavor and antiseptic agent.


Various organic or inorganic gelator compounds can be used.


An inorganic gelator compound includes such as, for example, hydrous or water-absorbable silicate, for example, aluminum silicate (e.g., bentonite), magnesium-aluminum silicate and colloidal silica.


As an organic gelator compound, a natural, semisynthetic or synthetic polymer can be used. natural and semisynthetic polymers include such as, for example, polysaccharides such as cellulose, starch, tragacanth, gum arabic, xanthane gum, agar, gelatin, alginic acid and a salt thereof (e.g., sodium alginate and a derivative thereof), lower alkylcellulose (e.g., methylcellulose or ethylcellulose), carboxy- or hydroxy-lower alkylcellulose (e.g., carboxymethylcellulose or hydroxypropylcellulose). A synthetic polymer includes such as, for example, carboxylvinyl polymer, sodium polyacrylate, (vinylmethyl ether/ethyl maleate) copolymer, polymethacrylate, polyvinyl alcohol, polyvinylpyrrolidone, polyacrylate or polymethacrylate. Alternatively, as a gel formulation, commercially available gelators such as, for example, Lubrajel® NP, Lubrajel® CG, Lubrajel® DV, Lubrajel® MS, Lubrajel® OIL, Lubrajel® TW, Lubrajel® DS (Ashland Inc.) can also be used.


As an oily ingredient, for example, various ester, ether, hydrocarbon, silicone and fluorine oil phase ingredient, as well as animal and plant oils and a hardened oil thereof, and waxes of natural origin.


The ester oil phase ingredients include such as, for example, glyceryl tri(2-ethyl hexanoate), cetyl 2-ethylhexanoate, isopropyl myristate, butyl myristate, isopropyl palmitate, ethyl stearate, octyl palmitate, isocetyl isostearate, butyl stearate, butyl myristate, ethyl linoleate, isopropyl linoleate, ethyl oleate, isocetyl myristate, isostearyl myristate, isostearyl palmitate, octyldocecyl myristate, isocetyl isostearate, diethyl sebacate, diisopropyl adipate, isoalkyl neopentanoate, glyceryl tri(capryl-caprinate), trimethylol propane tri(2-ethylhexanoate), trimethylol propane triisostearate, pentaerythritol tetra(2-ethylhexaonate), cetyl caprylate, decyl laurate, hexyl laurate, decyl myristate, myristyl myristate, cetyl myristate, stearyl stearate, decyl oleate, cetyl ricinoleate, isocetyl myristate, isostearyl myristate, isocetyl palmitate, isostearyl palmitate, octyl stearate, isocetyl stearate, isodecyl oleate, octyldodecyl oleate, octyldodecyl linoleate, isopropyl isostearate, cetostearyl 2-ethylhexanoate, stearyl 2-ethylhexanoate, hexyl isostearate, ethylene glycol dioctanoate, ethylene glycol dioleate, propylene glycol dicaprinate, propylene glycol di(capryl-caprinate), propylene glycol dicaprylate, neopentyl glycol dicaprinate, neopentyl glycol dioctanoate, glyceryl tricaprylate, glyceryl triundecanoate, glyceryl triisopalmitate, glyceryl triisostearate, octyldodecyl neopentanoate, isostearyl octanoate, octyl isononanoate, hexyldecyl neodecanoate, octyldodecyl neodecanoate, isocetyl isostearate, isostearyl isostearate, octyldecyl isostearate, polyglycerol oleic acid ester, polyglycerol isostearic acid ester, dipropyl carbonate, dialkyl (C12-18) carbonate, triisocetyl citrate, triisoalkyl citrate, triisooctyl citrate, lauryl lactate, myristyl lactate, cetyl lactate, octyldecyl lactate, triethyl citrate, acetyltriethyl citrate, acetyltributyl citrate, trioctyl citrate, diisostearyl malate, 2-ethylhexyl hydroxystearate, di(2-ethylhexyl) succinate, diisobutyl adipate, diisopropyl sebacate, dioctyl sebacate, cholesteryl stearate, cholesteryl isostearate, cholesteryl hydroxystearate, cholesteryl oleate, dihydrocholesteryl oleate, phytosteryl isostearate, phytosteryl oleate, isocetyl 12-stearoylhydroxystearate, stearyl 12-stearoylhydroxystearate and isostearyl 12-stearoylhydroxystearate.


Hydrocarbon oil phase ingredients include such as, for example, squalane, liquid paraffin, α-olefin oligomer, isoparaffin, ceresin, paraffin, liquid isoparaffin, solid paraffin, polybutene, microcrystalline wax and vaseline.


Silicone oil phase ingredients include such as, for example, dimethylpolysiloxane, methylphenylpolysiloxane, methylcyclopolysiloxane, octamethylpolysiloxane, dacamethylpolysiloxane, dodecamethylcyclosiloxane, methyl hydrogen polysiloxane, polyether-denatured organo(polysiloxane), dimethylsiloxane-methylcetyloxysiloxane copolymer, dimethylsiloxane/methylstearoxysiloxane copolymer, alkyl-denatured organo(polysiloxane), terminal-denatured organo(polysiloxane), amino-denatured silicone oil, amino-denatured organo(polysiloxane), dimethiconol, silicone gel, acryl silicone, trimethyl siloxysilicate, silicone RTV gum.


Fluorine oil phase ingredients include such as, for example, perfluoropolyether, fluorine-denatured organo(polysiloxane), pitch fluoride, fluorocarbon, fluoroalcohol and fluoroalkyl-polyoxyalkylene co-denatured organo(polysiloxane).


Animal and plant oils and a hardened oil thereof, and waxes of natural origin include such as, for example, animal and plant oils and the hardened oil thereof such as beef tallow, hardened beef tallow, lard, hardened lard, horse oil, mink oil, orange roughy oil, fish oil, hardened fish oil, egg yolk, jojoba oil; plant oils and a hardened oil thereof such as avocado oil, almond oil, olive oil, cacao butter, apricot kernel oil, kukui nut oil, sesame oil, wheat germ oil, rice germ oil, rice bran oil, safflower oil, shea butter, soybean oil, evening primrose oil, camellia oil, corn oil, rapeseed oil, hardened rapeseed oil, palm kernel oil, hardened palm kernel oil, palm oil, hardened palm oil, peanut oil, hardened peanut oil, castor oil, hardened castor oil, sunflower oil, grape seed oil, jojoba oil, hardened jojoba oil, macadamia nut oil, meadowfoam oil, cottonseed oil, hardened cottonseed oil, palm oil, hardened palm oil, rose hip oil; waxes such as beeswax, beeswax having high acid value, lanolin, reduced lanolin, hardened lanolin, liquid lanolin, carnauba wax and montan wax.


Higher alcohols include such as, for example, lauryl alcohol, myristyl alcohol, cetyl alcohol, stearyl alcohol, isostearyl alcohol, oleyl alcohol, behenyl alcohol, 2-ethyl hexanol, hexadecyl alcohol, octyl dodecanol.


Fatty acids include such as, for example, caprylic acid, capric acid, undecylenic acid, lauric acid, myristic acid, palmitic acid, palmitoleic acid, stearic acid, isostearic acid, oleic acid, linoleic acid, linolenic acid, arachic acid, arachidonic acid, behenic acid, erucic acid, 2-ethyl hexanoic acid.


Ultraviolet absorbing agents include such as, for example, paraminobenzoate, amyl paraminobenzoate, ethyl dihydroxypropyl paraminobenzoate, glyceryl paraminobenzoate, ethyl paraminobenzoate, octyl paraminobenzoate, octyl dimethyl paraminobenzoate, ethylene glycol salicylate, octyl salicylate, triethanol aminesalicylate, phenyl salicylate, butyl phenyl salicylate, benzyl salicylate, menthyl salicylate, benzyl cinnamate, octyl paramethoxy cinnamate, 2-ethylhexyl paramethoxy cinnamate, glyceryl diparamethoxy cinnamate mono(2-ethylhexanoate), isopropyl paramethoxy cinnamate, paramethoxyhydrocinnamate diethanol amine salt, diisopropyl-disopropyl cinnamate ester mixture, urocanate, urocanate ethyl, hydroxymethoxy benzophenone, hydroxymethoxy benzophenone sulfonate and a salt thereof, dihydroxymethoxybenzophenone, sodium dihydroxymethoxybenzophenone sulfonate, dihydroxybenzophenone, dihydroxy dimethoxybenzophenone, hydroxyoctoxybenzophenone, tetrahydroxybenzophenone, butyl methoxy-dibenzoyl methan, 2,4,6-trianilino-p-(carbo-2-ethylhexyl-1-oxy)-1,3,5-triazine, 2-(2-hydroxy-5-methylphenyl) benzotriazole, methyl-O-aminobenzoate, 2-ethylhexyl-2-cyano-3,3-diphenyl acrylate, phenylbenzimidazole sulfate, 3-(4-methyl benzylidene) camphor, isopropyl dibenzoylmethan, 4-(3,4-dimethoxyphenylmethylene)-2,5-dioxo-1-imidazolidine propionate 2-ethylhexyl, and polymer derivatives or silane derivative thereof, titanium oxide and zinc oxide and dispersion thereof. The zinc oxide and titanium oxide may be surface-treated.


Dermal absorption auxiliary agents include such as, for example, acetic acid, sodium acetate, limonene, menthol, salicylic acid, hyaluronic acid, oleic acid, N,N-diethyl-m-toluamide (N,N-diethyl-3-methyl benzamide), n-butyl stearate, benzyl alcohol, isopropyl myristate, isopropyl palmitate, polypropylene glycol, crotamiton, diethyl sebacate, N-methylpyrrolidone, N-ethylpyrrolidone and lauryl alcohol.


Powders and pigments include such as, for example, pigments such as Pigment Red 104, Pigment Red 201, Pigment Yellow 4, Pigment Blue 1, Pigment Black 401, basic dyes, HC colors, disperse dyes, direct colors, lake pigments such as Pigment Yellow 4 AL lake, Pigment Yellow 203 BA lake; polymers such as nylon powder, silk powder, urethane powder, silicone powder, methyl polymethacrylate powder, cellulose powder, starch, silicone elastomer spherical powder and polyethylene powder; colored pigments such as yellow iron oxide, red iron oxide, black iron oxide, chromic oxide, carbon black, ultramarine, iron blue; white pigments such zinc oxide, titanium oxide, cerium oxide; extender pigment such as tare, mica, sericite, kaolin and tabular barium sulfate; pearl pigment such as titanium mica; metal salt such as barium sulfate, calcium carbonate, magnesium carbonate, aluminum silicate and magnesium silicate; inorganic powder such as silica, alumina; metal soap such as aluminum stearate, magnesium stearate, zinc palmitate, zinc myristate, magnesium myristate, zinc laurate, zinc undecylenate; bentonite, smectite, boron nitride, etc. The shape (spherical, rod-like, needle-like, tabular, amorphous, scaly, spindle-shaped) and particle diameter of these powders are not particularly limited.


These powders and pigments may be pre-treated by known conventional surface processing such as, for example, fluorine compound processing, silicone processing, silicone resin processing, pendant processing, processing with silane coupling agent, processing with titanium coupling agent, oil solution processing, N-acylated lysine processing, polyacrylic acid processing, metal soap processing, amino acid processing, lecithin processing, inorganic compound processing, plasma processing and mechanochemical processing.


As the surfactant, any of an anionic surfactant, a cationic surfactant, ampholytic surfactant and non-ionic surfactant can be used as appropriate.


Anionic surfactants include such as, for example, fatty acid soap, α-acylsulfonate, alkylsulfonate, alkylallylsulfonate, alkylnaphthalenesulfonate, alkylsulfate, POE alkylethersulfate, alkylamidesulfate, alkylphosphate, POE alkylphosphate, alkylamidephosphate, alkyloylalkyl taurine salt, N-acylamino acid salt, POE alkylether carboxylate, alkylsulfosuccinate, sodium alkylsulfoacetate, acylisethionate, acylated hydrolyzed collagen peptide salt and perfluoroalkyl phosphate ester.


Cationic surfactants include such as, for example, alkyltrimethylammonium chloride, stearyltrimethylammonium chloride, stearyltrimethylammonium bromide, cetostearyltrimethylammonium chloride, distearyldimethylammonium chloride, stearyldimethylbenzylammonium chloride, behenyltrimethylammonium bromide, benzalkonium chloride, propyldimethylhydroxypropylammonium behenic amide chloride, diethylaminoethyl-stearamide, dimethylaminopropyl-stearamide and lanolin derivative quaternary ammonium salt. Cationic surfactants also include tertiary amines such as fatty acid amide dialkyl amine and salts thereof.


Ampholytic surfactants include various ampholytic surfactants, for example, those of carboxybetain type, amidebetain type, sulfobetain type, hydroxysulfobetain type, amidesulfobetain type, phoshobetain type, aminocarboxylate type, imidazoline derivative type and amideamine type.


Non-ionic surfactants include such as, for example, propylene glycol fatty acid ester, glycerin fatty acid ester, polyglycerin fatty acid ester, sorbitan fatty acid ester, POE sorbitan fatty acid ester, POE sorbitol fatty acid ester, POE glycerin fatty acid ester, POE alkyl ether, POE fatty acid ester, POE hardened castor oil, POE castor oil, POE-POP copolymer, POE-POP alkyl ether, polyether-denatured silicone alkanolamide laurate, alkylamine oxide, hydrogenated soybean phospholipid, hydrogenized soybean phospholipid, polymer surfactant and biosurfactant.


Natural surfactants may also be used, including such as, for example, lecithin, saponin and saccharide surfactant.


Polyhydric alcohols and sugars include such as, for example, ethylene glycol, diethylene glycol, polyethylene glycol, propylene glycol, dipropylene glycol, polypropylene glycol, glycerin, diglycerin, polyglycerin, 3-methyl-1,3-butanediol, 1,3-butylene glycol, sorbitol, mannitol, raffinose, erythritol, glucose, sucrose, fructose, xylitol, lactose, maltose, maltitol, trehalose, alkylated trehalose, mixed isomerized sugar, sulfated trehalose and pullulan. Chemically modificated forms of these can also be used.


Polymers include such as, for example, anionic polymer compounds such as acrylate ester/methacrylate ester copolymer, vinyl acetate/crotonate copolymer, vinyl acetate/crotonate/vinyl neodecanoate copolymer, methylvinyl ether maleate half ester, t-butyl acrylate/ethyl acrylate/methacrylate copolymer, vinylpyrrolidone/vinyl acetate/vinyl propionate copolymer, vinyl acetate/crotonatecopolymer (RUBISET CA: BASF), vinyl acetate/crotonate/vinylpyrrolidone copolymer, vinylpyrrolidone/acrylate copolymer, acrylate/acrylamide copolymer, vinyl acetate/butyl maleate/isoisobornyl acrylate copolymer, carboxyvinyl polymer, acrylate/methacrylate alkyl copolymer, and ampholytic acetate of dialkyl aminoethyl methacrylate polymer, ampholytic polymer compound such as octyl acrylamide acrylate/hydroxypropyl acrylate/butyl methacrylateaminoethyl copolymer, quaternized compound of vinylpyrrolidone/dimethylaminoethyl methacrylate, cationic polymer compounds such as methylvinyl imidazolium chloride/vinylpyrrolidone copolymer, non-ionic polymer compounds suchs as polyvinylpyrrolidone, vinylpyrrolidone/vinyl acetate copolymer, vinylpyrrolidone/dimethylaminoethyl methacrylate copolymer, vinylcaprolactam/vinylpyrrolidone/dimethylaminoethyl methacrylate copolymer. Polymer compounds of natural origin such as cellulose or derivatives thereof, keratin and collagen or derivatives thereof, calcium alginate, pullulan, agar, gelatin, tamarind seed polysaccharides, xanthan gum, carrageenan, high-methoxyl pectin, low methoxyl pectin, guar gum, gum arabic, crystalline cellulose, arabino galactan, can be karaya, gum tragacanth, alginates, albumin, casein, curdlan, gellan gum and dextran, and glucooligosaccharide, fucose containing polysaccharide, rhamnose containing polysaccharide can also suitably be combined.


Bioactive ingredients include substances which provide skin with some bioactivity when being applied to skin. Bioactive ingredients include those with such as, for example, skin-lightening, anti-inflammatory, anti-aging, ultraviolet protection, slimming, firming, antioxidation, hair growth stimulating/hair growing, suppressing hair growth, moisturizing, promoting circulation, antimicrobial/sterilization, cool/warm feeling, promoting wound cure, alleviating irritation, analgesic and cell-activating effects. Bioactive ingredients include such as plant extracts, seaweed extracts, vitamins and derivatives thereof, amino acids, various peptides other than the cyclic peptide, biopolymers such as sodium hyaluronate and mucopolysaccharide, intercellular lipid constituents such as ceramide, phytosphingosine, cholesterol and phytosterol, and analogues thereof, and enzymatic ingredients.


Examples of suitable combining ingredient include such as, for example, Angelica keiskei extract, avocado extract, sweet Hydrangea leaf extract, althea extract, arnica extract, aloe extract, apricot extract, apricot kernel extract, isoflavones, ginkgo extract, fennel extract, turmeric extract, oolong tea extract, Rose Fruit extract, echinacea extract, Baikal skullcup extract, Amur Corktree extract, Coptis japonica extract, barley extract, Hypericum erectum extract, Lamium album extract, cress extract, orange extract, cacao extract, desiccated sea water, seaweed extract, hydrolyzed elastin, hydrolyzed wheat powder, hydrolyzed silk, pumpkin seed extract, chamomile extract, carrot extract, Artemisia capillaris extract, licorice extract, hibiscus extract, Pyracantha fortuneana extract, kiwi extract, cinchona extract, cucumber extract, guanosine, gardenia extract, Sasa veitchii extract, Sophora flavescens extract, cranberry extract, walnut extract, grapefruit extract, clematis extract, chlorella extract, mulberry extract, gentian extract, tea extract, yeast extract, burdock extract, rice bran fermentation extract, rice germ oil, comfrey extract, collagen, cowberry extract, Asarum sieboldii Miq. extract, bupleurum extract, umbilical cord extract, salvia extract, soapwort extract, bamboo grass extract, crataegus extract, zanthoxylum extract, shiitake mushroom extract, Rehmannia root extract, Lithospermum root extract, Perilla frutescens extract, Tilia japonica (Miq.) extract, Filipendula multijuga extract, Paeonia lactillora extract, calamus extract, white birch extract, Equisetum arvense extract, Hedera helix extract, Crataegus oxyacantha extract, European elder extract, yarrow extract, peppermint extract, sage extract, tree mallow extract, cnidium extract, extract of Swertia japonica (Schult.) Makino, soybean extract, jujube extract, soybean fermentation extract, thyme extract, tea extract, clove extract, cogon extract, orange peel extract, Oenothera tetraptera extract, Centella asiatica extract, Terminalia sericea extract, dong quai extract, common marigold extract, peach kernel extract, bitter orange peel extract, extract of Houttuynia cordata Thunb., tomato extract, natto extract, ginseng extract, garlic extract, wild rose extract, hibiscus extract, Ophiopogon japonicus extract, parsley extract, honey, banana flower extract, hamamelis extract, parietaria extract, Isodon japonicus (Burm.) Hara extract, bisabolol, loquat extract, coltsfoot extract, butterbur flower extract, Poria Sclerotium extract, butcher's-broom extract, grape extract, propolis, luffa extract, safflower extract, peppermint extract, linden extract, tree peonyextract, hop extract, pine extract, horse chestnut extract, Lysichiton camtschatcense (L.) Schott extract, Sapindus mukurossi Gaertn. extract, Melissa extract, peach extract, bluebottle extract, eucalyptus extract, Saxifraga stolonifera extract, Citrus junos extract, coix seed extract, mugwort extract, lavender extract, apple extract, lytchee (Litchi) extract, lettuce extract, lemon extract, Chinese milk vetch extract, rose extract, rosemary extract, Roman chamomile extract and royal jelly extract.


Examples also include such as biopolymers such as deoxyribonucleic acid, mucopolysaccharides, sodium hyaluronate, sodium chondroitin sulfate, collagen, elastin, chitin, chitosan and hydrolyzed eggshell membrane; moisturizing ingredients such as amino acids, hydrolyzed peptides, sodium lactate, urea, sodium carbonate pyrrolidone, betain, whey, trimethyl glycine, polypeptides such as lysine/arginine condensate etc.; intercellular lipid constituents such as sphingolipid, ceramide, phytosphingosine, cholesterol, cholesterol derivative, phytosterol derivative, phospholipid and analogues thereof; anti-inflammatory agents such as ε-aminoaminocaproic acid, glycyrrhizic acid, β-glycyrrhetinic acid, lysozyme chloride, guaiazulen, hydrocortisone, tea tree oil, vitamins such as vitamin A and derivatives thereof, vitamin B2 and derivatives thereof, vitamin B6 and derivatives thereof, vitamin C and derivatives thereof, vitamin D and derivatives thereof, vitamin E and derivatives thereof, calcium pantothenate, biotin and nicotinic acid; active agents such as allantoin, diisopropylamine dichloroacetate, 4-aminomethylcyclohexane carbonate; antioxidants such as tocopherol, carotenoids, flavonoids, tannin, lignan and saponin; cell activating agents such as α-hydroxy acid and β-hydroxy acid; circulation accelerating agents such as γ-oryzanol and vitamin E derivative; wound curing agents such as retinol and retinol derivative; skin-lightening agents such as arbutin, kojic acid, placenta extract, sulfur, ellagic acid, linolenic acid, tranexamic acid, glutathione; hair growing agents such as cepharanthine, glycyrrhiza extract, capsicum tincture, hinokitiol, garlic extract iodide, pyridoxine hydrochloride, DL-α-tocopherol, DL-α-tocopherol acetate, nicotinic ac id, nicotinic acid derivative, calcium pantothenate, D-pantothenyl alcohol, acetyl pantothenyl ethyl ether, biotin, allantoin, isopropylmethylphenol, estradiol, ethinylestradiol, carpronium chloride, Benzalkonium chloride, diphenhydramine hydrochloride, Takanal, camphor, salicylic acid, vanillyl nonylate amide, vanillyl nonanoate amide, piroctone olamine, glyceryl pentadecanoate, L-menthol, mononitroguaiacol, resorcin, γ-aminobutyric acid, benzethonium chloride, mexiletine hydrochloride, auxin, female hormones, cantharides tincture, Cyclosporine, zinc pyrithione, hydrocortisone, minoxidil, polyoxyethylene sorbitan monostearate, peppermint oil, Sasanishiki extract.


Antioxidants include such as, for example, sodium bisulfite, sodium sulfite, erythorbic acid, sodium erythorbate, dilauryl thiodipropionate, tocopherol, tolyl biguanide, nordihydroguaiaretinoic acid, parahydroxyanisole, butyl hydroxyanisole, dibutyl hydroxytoluene, ascorbyl stearate, ascorbyl palmitate, octyl gallate, propyl gallate, carotenoids, flavonoids, tannin, lignans, saponins and plant extracts in which the antioxidative effect is recognized such as apple extract or clove extract.


Solvents include such as physiological saline, purified water, ethanol, lower alcohols, ethers, LPG, fluorocarbons, N-methylpyrrolidone, fluoroalcohols, volatile straight chain silicones and next-generation chlorofluorocarbons.


The cyclic peptide of the invention and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof can be used for preparation of the external preparation as described above, and therefore the present invention also relates to a use of the cyclic peptide of the invention and/or a derivative thereof and/or a pharmaceutically acceptable salt thereof for preparing the external preparation.


3. Method of Using the External Preparation

Next, methods of using the external preparation of the invention is explained.


A method of using the external preparation of the invention comprises applying the external preparation of the present invention as described above to the skin and/or mucosa of a subject.


Subjects include human and vertebrates such as, without being particularly limited, for example, birds and mammals. Animals specifically include, for example, experimental animals including rodents such as mice, rats, gerbils, hamsters and guinea pigs, domestic animals such as pigs, goats, horses, sheep and minks, pet animals such as dogs and cats, primates such as human, monkeys, cynomolgus monkeys, rhesus monkeys, marmosets, orangutans and chimpanzees. On the other hand, human may be excluded from the subjects.


Skin and/or mucosa of a subject to which the external preparation is to be applied may be skin or mucosa at any site of the subject, and the external preparation is applicable, for example, to skin or mucosa of head (scalp), face, neck, arms, torso, arms, hands or feet, etc.


Specific method for using the external preparation of the present invention is as follows.


(1) Method of Treating and Preventing Dermatitis

When the external preparation of the present invention is used as a therapeutic/prophylactic of dermatitis, the external preparation can be applied directly to the aimed site of skin and/or mucosa (e.g., the affected site where dermatitis has been developed).


The application frequency is, without being particularly limited, for example, 1 to 10 times a day, preferably 1 to 5 times a day, yet more preferably 1 to 3 times a day. Because the external preparation of the present invention has a long lasting time, it exerts a sufficient effect even if it is applied at relatively low frequency, for example, once a day.


In terms of dosage, the total amount of the cyclic peptide of the invention and a derivative thereof and a pharmaceutically acceptable salt thereof for one application can be, without being particularly limited, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, each dose may comprise the cyclic peptide of the invention at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


(2) Method of Alleviating or Resolving Itch

When the external preparation of the present invention is used as an antipruritic, the external preparation can be applied directly to the aimed site of skin and/or mucosa.


The application frequency is, without being particularly limited, for example, 1 to 10 times a day, preferably 1 to 5 times a day, yet more preferably 1 to 3 times a day.


In terms of dosage, the total amount of the cyclic peptide of the invention and a derivative thereof and a pharmaceutically acceptable salt thereof for one application can be, without being particularly limited, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, each dose may comprise the cyclic peptide of the invention at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


(3) Method of Using as a Cosmetic

When the external preparation of the present invention is used as a cosmetic, the external preparation can be applied directly to the aimed site of skin and/or mucosa.


The application frequency is, without being particularly limited, for example, 1 to 10 times a day, preferably 1 to 5 times a day, yet more preferably 1 to 3 times a day.


In terms of dosage, the total amount of the cyclic peptide of the invention and a derivative thereof and a pharmaceutically acceptable salt thereof for one application can be, without being particularly limited, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, each dose may comprise the cyclic peptide of the invention at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


(4) Method of Treating and Preventing Alopecia, and Method of Stimulating Hair Growth and Method of Growing Hair

When the external preparation of the present invention is used as a therapeutic/prophylactic of alopecia, a hair growth stimulant or a hair growing agent, the external preparation can be applied directly to the aimed site (e.g., decalvant site of scalp or skin)


The application frequency is, without being particularly limited, for example, 1 to 10 times a day, preferably 1 to 5 times a day, yet more preferably 1 to 3 times a day.


In terms of dosage, the total amount of the cyclic peptide of the invention and a derivative thereof and a pharmaceutically acceptable salt thereof for one application can be, without being particularly limited, for example, 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, each dose may comprise the cyclic peptide of the invention at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


(5) Method of Treating and Preventing Rhinitis

When the external preparation of the present invention is used as a therapeutic/prophylactic of rhinitis, the external preparation can be applied directly to the aimed site (e.g., nasal cavity mucosa).


The application frequency is, without being particularly limited, for example, 1 to 10 times a day, preferably 1 to 5 times a day, yet more preferably 1 to 3 times a day.


In terms of dosage, without being particularly limited, for example, for one application to each nasal cavity, the total amount of the cyclic peptide of the invention and a derivative thereof and a pharmaceutically acceptable salt thereof can be 0.0001 to 1000000 μg/mL, preferably 0.001 to 10000 μg/mL, more preferably 0.01 to 1000 μg/mL, yet more preferably 0.1 to 100 μg/mL, particularly preferably 1 to 100 μg/mL. In another embodiment, each dose may comprise the cyclic peptide of the invention at a concentration of 1 to 800 μg/mL or 3 to 500 μg/mL.


4. Medicament

Next, the medicament of the present invention is explained.


The medicament of the present invention comprises one or more cyclic peptides of the invention or derivatives thereof or pharmaceutically acceptable salts thereof.


As mentioned above, similarly to BNP, the cyclic peptide of the present invention or a derivative thereof or a pharmaceutically acceptable salt thereof binds to the receptor NPR-A (also known as GC-A), which has a guanylate cyclase domain, and promotes the production of cyclic guanosine monophosphate (cGMP). It is considered to have effects such as, for example, diuretic action, vasodilation, renin-aldosterone secretion suppressing action, sympatholytic activity and hypertrophy suppressing action. Also, the compounds of the invention is considered to have a superior efficacy and effect, particularly a superior immediate effect, as compared with BNP.


Therefore, the medicament of the present invention can be used for a similar object as a conventional medicament comprising BNP as an active agent.


Diseases for which the medicament of the present invention is applicable include such as, without being particularly limited, for example, the aforementioned various diseases as well as hypertension, unstable angina, acute myocardial infarction, edematous diseases, renal failure, cardiac failure, immune diseases, obesity and metabolic syndrome.


A formulation of the medicament of the present invention can be, without being particularly limited, addingly to the external preparations as mentioned above, for example, formulations for oral administration such as tablets, capsules, granules, powders, oral solution, syrup and oral jelly, formulations for oral application such as buccal tablets, buccal spray formulation, buccal semi-solid formulation and mouthwash, formulations for administration via injection such as an injection and infusion, dialysis formulation such as dialysis solution, as well as an inhalant, eye drop, ocular ointment, ear drop, vaginal tablet and vaginal suppository.


Working Examples

Hereinbelow, the present invention is further specifically illustrated by working examples. It should be noted that the present invention is not limited by these working examples.


1. Preparation of the Cyclic Peptide

Firstly, a cyclic peptide composed of the amino acid sequence expressed by Formula I-a is synthesized.


Specifically, a linear peptide consisting of 17 amino acids was formed by sequentially binding amino acids by solid-phase peptide synthesis using a peptide synthesizer. Subsequently, protecting groups at Cys1 and Cys17 were detached before treating with iodine (I2) to form a cysteine binding between oxidatively same amino acid residues, thereby forming a cyclic peptide.


A composition comprising the obtained cyclic peptide was purified by reverse-phase high performance liquid chromatography (reverse-phase HPLC) and then lyophilized to yield a purified cyclic peptide as white powder.


Mass spectroscopy was performed on the obtained cyclic peptide.


Conditions for HPLC are shown below:


Apparatus: Agilent 1100

Flow rate: 1.0 ml/min


Eluent A: 0.1% trifluoroacetic acid/water


Eluent B: 0.1% trifluoroacetic acid/acetonitrile


Gradient: 80% Eluent B, isocratic


Conditions for Mass spectroscopy (MS) are shown below:


Apparatus: Thermo Finnigan LCQ Advantage

Ionization method: electrospray ionization


Analytical method: ion trapping


The observed results, m/z=901.83 ([M+2H]2+), m/z=1801.84 ([M+H]+), confirmed that above peptide is in agreement with the theoretical values of the molecular weight (1802.07) and the mass number (1800.8069) calculated from the composition formula of the cyclic peptide of interest (C72H120N24O24S3).


Furthermore, the purity of the above peptide was measured by HPLC using following conditions:


Column: Discovery C18, 4.6 mm×250 mm, particle diameter 5 micron


Column temperature: room temperature


Eluent A: 0.1% trifluoroacetic acid/water


Eluent B: 0.1% trifluoroacetic acid/acetonitrile


Gradient: 10 to 30% Eluent B/20 minutes


Flow rate: 1.2 ml/min


Temperature: room temperature


Injected volume: 20 μl


Detector: UV detector (detection wavelength: 215 nm)


The result of measurement confirmed that the purity of the obtained protein was 99.2%.


2. Preparation of Formulation
2.1 Preparation of Gel Formulation

Preparation of a gel-based formulation comprising a cyclic peptide composed of the amino acid sequence expressed by Formula I-a (in the working examples below, “B ring” is referred to mean a cyclic peptide expressed by such Formula I-a) (B ring gel formulation, Working Examples) and a gel-based formulation comprising human BNP (BNP gel formulation, Comparative Examples) were carried out as follows.


0.1 g of methyl-p-hydroxybenzoate (trade name: Mekkins-M, Ueno Fine Chemicals Industry, Ltd.), 0.2 g of phenoxyethanol and 3.0 g of 1,2-pentanediol were weighed into one same vessel, heated to 60 to 70° C. to make a homogenous solution, and this solution was poured into a mixer.


Next, added into the mixer 6.0 g of concentrated glycerin, and then the mixture of 0.44 g of carboxyvinyl polymer (trade name: Carbopol® 940, Lubrizol Advanced Materials Corporation) and 0.08 g of xanthane gum (trade name: KELTROL® T, CP Kelco, Inc.), and the mixuter was stirred with a paddle until they dispersed sufficiently.


Then 83.95 g of purified water was gradually added with stirring with a paddle. The mixer was heated to 70 to 80° C. while stirring with a paddle or disper until the dispersed contents were dissolved to give a solution. Subsequently, the disper was stopped and the solution was cooled immediately after confirming that the contents in the solution were dissolved. When the temperature of the mixer reached approximately 40° C., 6.0 g of Lubrajel® NP from Ashland Inc. (glycerin 2.7 g, carboxyvinyl polymer 0.06 g, sodium polyacrylate 0.018 g, water 3.222 g) was added to the solution, mixed uniformly with a paddle. Subsequently, 0.230 g of potassium hydroxide was further added to neutralize the solution, then the rotation of the paddle was stopped when the temperature of the mixer reached 25° C. to prepare a gel base.


Next, 20.1 mg of the the cyclic peptide (B ring) composed of the amino acid sequence expressed by Formula I-a was dissolved in 144 mL of physiological saline to obtain B ring solution. 0.131 mL of this solution was admixed with 10 g of the gel base obtained as described above, and the mixture was stirred uniformly to prepare a gel based formulation (B ring gel formulation) containing B ring at a concentration of about 1 μM (about 1.8 μg/g). Similarly, gel based formulations containing B ring at concentrations of about 0.3 μM (about 0.54 μg/g), about 0.5 μM (about 0.9 μg/g) and about 2.0 μM (about 3.6 μg/g) were prepared. In the working examples below, as long as it is specifically described otherwise, “B ring gel formulation” used contained B ring at a concentration of about 1 μM.


Next, 20.5 mg of human BNP-32 (American Peptide Company) was dissolved in 118 mL of physiological saline to obtain BNP solution. 0.2 mL of this solution was admixed with 10 g of the gel base obtained as described above, and the mixture was stirred uniformly to prepare a gel based formulation (BNP gel formulation) containing BNP-32 at a concentration of about 1 μM. Similarly, gel based formulations containing BNP-32 at concentrations of about 0.5 μM and 2.0 μM were prepared. In the working examples below, as long as being specifically described otherwise, “BNP gel formulation” used contained BNP at a concentration of about 1 μM.


2.2 Preparation of Nasal Drop

A nasal drop comprising the cyclic peptide (B ring) composed of the amino acid sequence expressed by Formula I-a (B ring nasal drop, Working Examples) and a nasal drop comprising human BNP (BNP nasal drop, Comparative Examples) were prepared as follows.


Firstly, the cyclic peptide (B ring) composed of the amino acid sequence expressed by Formula I-a was dissolved in physiological saline, the concentration was adjusted to prepare B ring nasal drop containing B ring at a concentration of about 1 μmol/1 (about 1.8 μg/g).


Next, B ring nasal drop was filled in a quantitative nasal spray container (AS ONE Corporation) and the amount to be sprayed for each administration was adjusted to 100 μl (0.1 ml), resulting B ring nasal drop.


Similarly, a BNP nasal drop comprising human BNP (American Peptide Company) at a concentration of 1 μmol/1 was obtained, filled in a quantitative nasal spray container (AS ONE Corporation), and the amount to be sprayed for each administration was adjusted to 100 μl (0.1 ml), resulting BNP nasal drop.


3. Confirming Therapeutic Effect on Dermatitis
3.1 Confirming the Effect of B Ring Gel Formulation

For subjects suffering various dermatitis, B ring gel formulation as described was applied onto the affected site, and changes in symptoms before and after the application were observed. When possible, as a comparative example, BNP gel formulation as described was applied onto another affected site on the same subject where B ring gel formulation had not been applied, and changes in symptoms before and after the application were observed. For pruritus, VAS (Visual Analogue Scale) was used for evaluating each affected site on 10 stages.


The examination results are shown in Tables 1 to 7 along with age, sexuality, symptoms of the subject, and formulation given to the subject.















TABLE 1










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes




















D1
2 μM
atopic
Face: presented with
Face: aches removed 2 min after 1
face 8→0


Age: 30's
B ring gel
dermatitis
erythema, scales and skin
application. Desiccation, scales and
right arm 7→0


Sex: male
formulation

desiccation (moderate
erythema text missing or illegible when filed  After 3 days of



1 application

disease).
application, erythema, scales, text missing or illegible when filed





Limbs: presented with
and desiccation remarkably remitted





erythema, lichenification,
(insignificant).





skin desiccation and
Right forearm: itches stopped to some





scratch scar (severe).
extent after 1.5 min on B ring-applied






site. No itching or tingling after 2 min.







text missing or illegible when filed  remitteed after 4







min. Desiccation improved. Skin






moisturized and soft, with natural






appearance. No subjective discomfort






(moderate).



2 μM


Face: text missing or illegible when filed  realized after 4 min.
face 8→4



BNP gel


erythema and scales more distinguished
left arm 7→4



formulation


than B ring side.



1 application


Left forearm: after 4 min, skin was still






dry. No improvement in lichenification.






Rough and stiff skin (severe).


D2
1 μM
atopic
Flushing, infiltrating erythema,
Right back: itches stopped after 3 min.
8→0


Age: 20's
B ring gel
dermatitis
scales, many scratch scars
Flushing erythema, infiltration and


Sex: male
formulation
erythroderma
(severe) accompanied by
scales remitted. Skin became soft



1 application

strong itches causing sleep
(moderate).



1 μM

disruption and desire to
Left back: still iching after 3 min.
8→4



BNP gel

scratch.
no remission of flushing erythema,



formulation


infiltration and scales (severe).



1 application


D3
0.5 μM
atopic
Presented with infiltrating
Right back: no tingling itches 30 sec
6→0


Age 10's
B ring gel
dermatitis
erythema, scales, papules,
after application. Skin felt normal.


Sex: male
formulation

(moderate) accompanied by
Erythema, infiltration and scales



1 application

tingling itches.
remitted after 4 min. (mild).



0.5 μM


Left back: still itching after 4 min,
6→6



BNP gel


with no remission of erythema,



formulation


infiltration and scales (moderate).



1 application






text missing or illegible when filed indicates data missing or illegible when filed




















TABLE 2










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes




















D4
2 μM
atopic
Presented with infiltrating
Right back: itches relieved just after
10→0


Age: 20's
B ring gel
dermatitis
erythema, scales, many
application. No itches after 2 min with


Sex: male
formulation

scratch scars with exudation
remission of erythema and infiltration



1 application

(severe) accompanied by
(moderate).





strong itches that cause sleep
Forehead: itches reduced after 1.5 min.





disruption on the back,
After 5 min skin was soft with no





lichenification, erythema,
lichenification. Erythema and scales





scales and scratch scars on
remitted. Wound quickly healed. Scratch





forehead (severe).
scars epithelized.



2 μM

Back: presented with many
Left back: still itching after 4 min with no
10→3



BNP gel

scratch scars with exudation,
remission of erythema and infiltration



formulation

infiltration, erythema,
(severe)



1 application

crusts (severe).
Forehead: no improvement in






lichenification, desiccation and scales,






with remaining itches (severe)


D5
1 μM
atopic
Presented with infiltrating
Right face: itches, edema and infiltration
9→0


Age: 20's
B ring gel
dermatitis
erythema, edema and crusts
remitted/relieved just after application.


Sex: male
formulation

(severe) accompanied by
Skin felt no itch and moisturized after 1



1 application

strong tingling ithces.
min (moderate).





Back: presented with many
No itches at all after 2 min. Edema and





scratch scars with exudation,
erythema remitted. Right eye became





infiltration, erythema, crusts
easy to open.



1 μM

and papules (severe).
Left face: still itching after 3 min with no
9→4



BNP gel


remission of erythema, infiltration and



formulation


edema. Being difficult to open left eye



1 application


(severe).


D6
1 μM
atopic
Presented with lichenification,
Right back: itches improved/relieved
6→0


Age: 10's
B ring gel
dermatitis

text missing or illegible when filed , erythema,

after 3 min. Lichenification, text missing or illegible when filed


Sex: male
formulation

text missing or illegible when filed

scales, papules and many
erythema, scales, scratch



1 application

scratch scars (severe)
scars all improved as compared to left.





accompanied by strong itches.
Skin was soft and moisturized





Back: presented with many
(moderate)



1 μM

scratch scars with exudation,
Left back: still itching after 4 min with no
6→3



BNP gel

infiltration, erythema, crusts
remission of erythema and infiltration



formulation

and papules (severe).
(severe)



1 application


Forehead: lichenification, desiccation






and scales not improved, with itches left






(severe).






text missing or illegible when filed indicates data missing or illegible when filed




















TABLE 3










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes







D7
0.3 μM
atopic
Presented with infiltrating
No itches after 1 min. Erythema
10→0
Intractable


Age: 20's
B ring gel
dermatitis
erythema, papules, exudation
remitted and exudation stopped

stroid-


Sex: male
formulation

and many scratch scars with
after 10 min. 1 application/day

resistance



1 application

crust (severe) accompanied
for 3 days cleared of infiltrating





by strong itches that cause
erythema, papules, exudation and





sleep disruption.
scratch scars. Remarkably improved






crusts, partly left mild erythema






(mild).


D8
0.5 μM
atopic
Presented with erythema,
5 days after application, erythema,
8→1
Intractable


Sex: male
B ring gel
dermatitis
infiltration, scales,
infiltration, scales, crusts and

steroid-



formulation

crusts, scratch scars and
wound quickly cured with little

resistance



1 application,

skin desiccation (severe).
scratch scars left (mild).



5 days


Desiccation remarkably remitted






Skin moisturized and soft.


D9
B ring gel
atopic
Left forearm presented with
Itches removed in 2 min (VAS 0).
10→0


Age: 30's
formulation
dermatitis
many scratch scars with
Erythema and exudation improved.


Sex: male
2 applications/

exudation, infiltration,
Severity of rash improved to



day 1 day

erythema, papules,
moderate disease level after





accompanied with tingling
5 min. After 1 more application





strong itches (VAS10)
given on the same night,





(severe)
there was no itches for 3 days






thereafter. Scratch scars






epithelized.


D10
1 μM
atopic
Presented with infiltrating
Right forearm: itches topped after
8→0


Age: 50's
B ring gel
dermatitis
erythema, scales, papules and
3 min. Erythema and infiltration


Sex: female
formulation

many scratch scars (severe)
improved (moderate).



1 application

accompanied by intermediate



1 μM

strong itches
Left forearm: still itching after
8→4



BNP gel


4 min with no remission of erythema



formulation


and infiltration (severe)



1 application


D11
1 μM
atopic
Presented with infiltrating
Right face: immediately after
10→0


Age: 40's
B ring gel
dermatitis
erythema, scales and many
application, itches and skin tautness


Sex: female
formulation

scratch scars (severe)
relieved, with erythema getting better.



1 application

accompanied by drastic
No itching after 1 min. Erythema,





itches and tautness.
infiltration and desiccation





Back: presented with many
remitted (moderate).



1 μM

scratch scars with exudation,
Left face: still itching after 3 min,
10→4



BNP gel

infiltration, erythema,
having erythema, infiltration and edema



formulation

crusts and papules (severe).
with swollen feeling (severe).



1 application






















TABLE 4










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes







D12
1 μm
atopic
Strong tingling itches,
Right face: itches remitted after 3 min.
10 → 1



Age: 40's
B ring gel
dermititis
disrupted sleep, infiltrating
Edema, erythema and infiltration started


Sex:
formulation

erythema, scales, exudation,
to be remitted. After 30 min, anti-


female
1 application

cracks, crusts, scratch scars;
inflammatory effect observed, exudation





eyes cannot be opened due to
stopped, wound epithelization promoted,





exudate sealing eyelids
cracks almost epithelized. Edema,





(severe).
erythema and infiltration remitted to






some extent. Eyelids became openable






steadily.



1 μm


Left face: still having tingling itches after
10 → 6



BNP gel


3 min with no remission of erythema and



formulation


infiltration. Itches till left after 30 min.



1 application


D13
1 μm
atopic
Obvious infiltration, erythema
Right face: erythema started to be
8 → 0


Age: 20's
B ring gel
dermititis
and papules all over the face,
remitted and itches removed just after
(immediate


Sex:
formulation

accompanied with strong
application. Erythema and infiltration
after


female
1 application

itches and hot flash (severe).
remitted after 4 min (moderate).
application)



1 μm


Left face: itching with hot flush and
8 → 0



BNP gel


redness just after application. Itches
(after 4



formulation


removed after 4 min.
minutes)



1 application


D14
1 μm
atopic
Hand eczema of which main
Right hand: itches removed after 3 min
9 → 0
Steroid-


Age: 20's
B ring gel
dermititis
symptom is contact dermititis
(VAS0). Lichenification improved, skin

resistance;


Sex:
formulation

due to detergent and
got soft, erythema and infiltration

intractable


female
1 application

disinfectant. Presented with
remitted (moderate).

lichenification



1 μm

lichenification, erythema,
Left hand: no improvement in
9 → 4
which cannot



BNP gel

scales and scratch scars
lichenification and erythema after 10 min

be remitted



formulation

(severe). Sleep disruption by
(severe).

within this



1 application

strong itches (VAS9).


short time (3








min) by








conventional








therapy.






















TABLE 5










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes




















D15
1 μm
atopic
Presented with erythema,
Erythema, infiltration, scales and crusts
9 → 1


Age: 20's
B ring gel
dermititis
infiltration, scales, crusts,
wound epithelization improved 3 days


Sex:
formulation

scratch scars (severe), with
after application. Scratch scars


female
1 application/

strong itches.
significantly improved. Only mild



day


erythema and scales observed (mild).



3 days


Desiccation relieved, improved and






moisturzed skin texture. Itches and






scratch scars significantly improved.


D16
1 μm
contact
Contact dermititis due to hair
Right side: tingling itches removed after
8 → 0


Age: 60's
B ring gel
dermititis
dye with erythena, edema
1 min. Itches eliminated after 3 min


Sex:
formulation

and infiltration along hairline
(VAS0), felt better than left. Erythema


female
1 application

(moderate disease)
and infiltration remitted.





accompanied by strong
Anti-inflammatory effect observed.





tingling itches (VAS8)
Edema improved (mild).



1 μm


Left side: symptoms less improved than
8 → 4



BNP gel


right (moderate).



formulation



1 application


D17
1 μm
chronic
Presented with infiltrating
Right face: itches stopped just after
10 → 0


Age: 40's
B ring gel
eczema
erythema, scales,
application. Erythema remitted. No


Sex:
formulation

lichenification, crusts, papules
scales and desiccation after 2 min. Skin


female
1 application

and skin desiccation (severe)
was moisturized (moderate).





accompanied by drastic itches
Forehead: itches controlled after 1.5 min.





and tautness.
No lichenification after 5 min. Skin got






soft. Erythema and scales remitted, scratch






scars epithelized and wound quickly healed.



1 μm


Left face: still itching and taut after 4 min
10 → 5



BNP gel


with no remission of desiccation, scales,



formulation


erythema and infiltration (severe).



1 application


D18
1 μm
eczema
Presented with erythema,
After 15 min, erythema, edema,
8 → 0


Age:
B ring gel

edema, infiltration, scales and
infiltration and scales significantly


Sex:
formulation

papules (severe).
remitted and skin texture improved


female
1 application


(mild).



1 μm


After 15 min, still many scales,
8 → 4



BNP gel


erythema, edema and infiltration left.



formulation


Skin texture is rough and still itching.



1 application






















TABLE 6










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes




















D20
1 μm
wheal,
Presented with multiple
Right lower limb: itches removed just
10 → 0


Age: 20's
B ring gel
insect bites
wheals, erythema and very
after application. Erythema started to be


Sex:
formulation

strong itches on both lower
remitted after 1.5 min. Wheals


female
1 application

limbs.
disappeared in about 1 hour.


D31
1 μm
wheal,
Presented with multiple
Left lower limb: itches removed 1 min
10 → 0


Age: 30's
B ring gel
insect bites
wheals and very strong itches
after application, wheals remitted after 2


Sex:
formulation

on right lower limb.
min.


female
1 application


D21
1 μm
childhood
Presented with desiccation,
Right back: itches stopped after 30 sec.
8 → 0


Age: 10's
B ring gel
xerotic
many milary large papules,
Desiccation, scales and erythema


Sex:
formulation
eczema
desquamation, strong pruritus,
improved in a few minutes, Skin got


female
2 applications/

and many scratch scars on
moisturized. After 3 days, wounds



day

trunk; incrustation, erythema
quickly epithelized leaving one scratch



3 days

and lichenification due to
scar. Skin is smooth and moisterized





scratching (severe).
with no desiccation (insignificant).



1 μm


Left back: desiccation, scales and
8 → 3



BNP gel


erythema left after few minutes.



formulation



1 application


D32
1 μm
parapsoriasis
Presented with multiple
Scales, erythema and infiltration remitted
N/A


Age: 40's
B ring gel
guttata
erythrokeratoderma with
after 4 min.


Sex:
formulation

sticking small scales on back.


female
1 application


D33
0.5 μm
psoriasis
Both lower limbs presented
Scales and erythema started to be
N/A


Age: 60's
B ring gel
vulgaris
with many red plaques with
remitted 10 min after 1st application.


Sex: male
formulation

attached small scales having
After 1 week, no scales left.



2 applications/

clear margin.



day



1 week


D34
2 μm
psoriasis
Many red plaques with
Back psoriasis: thick scales started to be
N/A


Age: 30's
B ring gel
vulgaris
attached thick scales having
remitted in 3 min after application,


Sex: male
formulation

clear margin presented on
almost disappeared after 30 min.



1 application

back and neck.
Neck psoriasis: erythema and scales






remitted in 3 min after application.






















TABLE 7










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes







D23
2 μm
cyshidrotic
Fingers presented with many
Erythema and bullae remitted in 2 min
N/A
Intractable


Age: 30's
B ring gel
eczema
intractable bullae, being
after application. After 1 day, erythema

with


Sex: male
formulation
dyshidrosis
eczematous with erythema
and scales remitted and bullae

steroid



2 applications/

and cracks.
disappeared.

ointment.



day



1 day


D24
2 μm
miliaria
Red small papules and flare
Pruritus, erythema and red small
N/A


Age: 50's
B ring gel
hyper-
with itches.
papules remitted after 3 min.


Sex: male
formulation
hidrosis



1 application


D25
1 μm
chronic
Many wheals with drastic
Pruritus removed just after application.
10 → 0


Age: 50's
B ring gel
urticaria
itches.
Wheals started to be gradually remitted


Sex: male
formulation


just after application and disappeared



1 application


after 7 min.


D26
1 μm
rosacea
Suffering from rosacea for 2
Tautness and tingling itches removed
N/A
Intractable


Age: 30's
B ring gel

years. 2 months of facial
just after application. Diffuse flare,

after 2 yrs of


Sex:
formulation

application of a steroid
follicular papule and pustule remitted

conventional


female
1 application

ointment exacerbated the
after 1 min. After 1 week of 2

therapy





symptoms, developing
application/day, anti-inflammatory effect

without





telangiectasia, diffuse flare,
was observed. Diffuse flare, follicular

satisfactory





follicular papule and pustule
papule and pustule remarkably

therapeutic





on cheeks. Subjective
improved. Itches and hot flush removed.

effect.





symptoms include tingling





itches and tautness.


D35
4 μm
perioral
2 years of facial application of
Diffuse flare and follicular papule
N/A


Age: 60's
B ring gel
dermititis
a steroid ointment resulted in
remarkably remitted 2 min after


Sex:
formulation

circumoral telangiectasia,
application. After 2 application/day for 2


female
1 application

diffuse flare and follicular
days flare improved and scales





papule. Subjective symptoms
removed.





include heat sensation.






















TABLE 8










Pruritus








before







and after





Pre-application symptoms
Post-application symptoms
application


Case
Treatment
Disease
(severity)
(severity)
(VAS)
Notes







D36
2 μm
rosacea
Presented with circumoral
Diffuse flare and follicular papule




Age: 50's
B ring gel

telangiectasia, diffuse flare
remarkably remitted 2 min after


Sex: male
formulation

and follicular papule.
application



1 application


D37
1 μm
acne
Oily skin accompanied by
Seborrhea remitted 2 min after
N/A
Faster and


Age: 20's
B ring gel
vulgaris
suppurative inflammation with
application. Anti-inflammatory effect

stronger


Sex: female
formulation

many pustules and comedos
remitted suppurative inflammation and

anti-



1 application/

on lower jaw.
pustules on lower jaw. Pustules reduced

inflammatory



day


and dried 3 days after application, and

effect than



3 days


domedos disappeared.

applying/








administrating








conventional








antibiotics.


D38
Right cheek:
acne
Multiple follicular papules and
Anti-inflammatory effect observed 3 min
N/A


Age: 40's
1 μm
vulgaris
pustules on both cheek. Oily
after application, pustules and papules


Sex: female
B ring gel

skin.
started to be reduced and flattened, and



formulation


flare started to be removed. After 1



1 application/


week pustules and papules substantially



day


remitted and flare further remitted. After



2 weeks


2 weeks pustules, papules and flare






almost disappeared.



Left cheek:


No change in symptoms 3 min after



BNP gel


application. After switching to B ring



single


formulation, similar effects as right



application,


cheek were obtained.



then 1 μm



B ring gel



formulation



1 application/



day



2 weeks


D39
Right cheek:
acne
Oily skin accompanied by
Anti-inflammatory effect by B ring


Age: 10's
2 μm
vulgaris
sppurative inflammation with
application was observed on right cheek


Sex: male
B ring gel

multiple red papules and
in 3 min. Suppurative inflammation



formulation

pustules on both cheeks.
remitted.



1 application



Left cheek:


No anti-inflammatory effect on



gel formulation


gel-applied left side.



1 application


D40
4 μm
acne
Seborrheic skin with multiple
Comedos faded in 5 min after


Age: 10's
B ring gel
vulgaris
comedos and follicular
application. Oily skin improved to better


Sex: female
formulation

papules/pustules on forehead.
texture. Red papules and pustules



1 application


reduced.









As shown in Tables 1 to 8, in all subjects, or in all dermatitis of any symptoms, emission or elimination of various symptoms of dermatitis was observed at the site where B ring gel formulation was applied.


Specifically, when B ring gel formulation was applied, remission or elimination of pruritus was observed immediately after the application. Generally in dermatitis, patients tend to scratch where pruritus was felt, potentially causing severer dermatitis. Such a remarkable remission or elimination of pruritus in this manner can consequently prevent aggravation of dermatitis.


In all cases, the effects of B ring gel formulation were superior to those with BNP gel formulation. Specifically, B ring gel formulation had faster-acting and longer-lasting effects as well as more potent antipruritic effect as compared with BNP gel formulation. It was confirmed that these effect cannot be obtained by the gel base.


3.2 Comparing B Ring Gel Formulation to Gel Base by Two-Sided Application

For subjects suffering various dermatitis, either B ring gel formulation or the gel base was applied to the affected site, and changes in symptoms before and after the application were observed (Table below).














TABLE 9





Case
Applied site
Treatment
Disease
Pre-application symptoms
Post-application symptoms







E1
Right
B ring
atopic
Face presented with infiltrating
Flare and pigmentation removed 2.5 min after


Age: 20's


dermatitis
erythema, scales and
application. Skin elasticity and desiccation


Sex: female



pigmentation, with intractable
improved. Itches eliminated.



Left
gel base

itches
No remission of pigmentation, infiltrating







erythema, scales and desiccation, with







itches left.


E2
Right
B ring
chronic
Stiffness and hard lichenification
Flare remitted soon after application. After


Age: 30's


eczema
on both forearms, with infiltrating
3 min skin softened and moisturized. Itches


Sex: male



erythema and desiccation.
eliminated.



Left
gel base


No improvement in lichenification, itching







and flare after 3 min.


E3
Right
B ring
atopic
Presented with hot flush and
Flare started to fade soon after application,


Age: 10's


dermatitis
puffiness.
and was remarkably remitted after 3 min.


Sex: female



Left
gel base


No improvement in flushing after 3 min.


E4
Right
B ring
chronic
Stiffness and hard lichenification
Flare remitted soon after application,


Age: 40's


eczema
on both forearms, with infiltrating
remarkably remitted after 3 min with improved


Sex: male



erythema, scales and hot
infiltration and hot sensation, and softened






sensation.
skin.



Left
gel base


Infiltration felt 3 min after application.







Skin was hard with unimproved flare and hot







sensation.









4. Confirming Cosmetic Effect

Effects of a cosmetic comprising B ring were evaluated from the results obtained using a gel formulations, a bath agent and a hair cosmetic product (shampoo or rinse) or body soap comprising the B ring to confirm their effects.


4.1.1 Confirming Skin-Improving Effect (Comparing B Ring Gel Formulation to BNP Gel Formulation)

The B ring gel formulation or BNP gel formulation was applied to subjects. The B ring gel formulation was applied on the right cheek or eye of each subject, the BNP gel formulation on the left cheek or eye, and changes in skin conditions were observed and compared (Table below). The changes in skin conditions were determined based on physical sensory evaluation by the subject and our objective observation as physicians.












TABLE 10





Case
Applied site: method
Pre-application symptoms
Post-application symptoms







F1
Right: B ring
Presented with wrinkles, cheek
2 min after application, wrinkles on eye corner and forehead were


Age: 69
gel formulation
flabbiness, pigmentation on eye
shallowed, skin was full. After 3 min, cheek flabbiness and skin


Sex: female
0.5 μmol,
corner.
texture were improved, and pigmentation on eye corner was less



1 application

prominent. After application for 3 days, large wrinkle on cheek





was shallowed, flabbiness was improved, skin was firm, resilient,





full and moisturized.



Left: applied

No improvement in wrinkles after 3 min.



gel base


F2
Right: B ring
Presented with wrinkles, cheek
2 min after application, wrinkles at eye corner due to desiccation


Age: 45
gel formulation
flabbiness and desiccation.
was less prominent, skin texture was improved, moisturized and


Sex: female
0.5 μmol,

softened.



1 application



Left: applied

No improvement in wrinkles and desiccation after 2 min.



gel base


F3
Right: B ring
Presented with desiccation, light
30 sec after application, skin desiccation was improved, skin was


Age: 21
gel formulation
erythema, tautness and itch.
moisturized and flexible with no tautness. After 1 min, flare was


Sex: female
2 μmol,

remitted and itches were removed. After 4 min, further softness was



1 application

given and desiccation was remarkably improved.



Left: applied

No improvement observed in desiccation, itching and flare after



gel base

4 min.


F4
Right; B ring
Presented with desiccation and
3 min after application, skin desiccation was improved, skin was


Age: 24
gel formulation
light erythema.
moisturized and firm, with improved texture. Skin was flexible,


Sex: female
2 μmol,

soft and moisturized.



1 application



Left: applied

No improvement observed in desiccation and flare after 3 min.



gel base


F5
Right: B ring
Presented with wrinkles on both
2 min after application, wrinkles on both corners of eyes were less


Age: 28
gel formulation
corners of eye, and desiccation.
prominent, cheek dryness was improved, skin was moisturized and


Sex: female
2 μmol,

flexible. Perioral desiccation was remitted and skin became full



1 application

and flexible.



Left: applied

No improvement observed in desiccation and wrinkles after 2 min



gel base

at gel-applied site on the left.


F6
Right: B ring
Presented with skin desiccation,
1 min after application, itches were remarkably remitted. After


Age: 30
gel formulation
oily skin and red papules around
3 min, skin desiccation and flare were improved, and skin was


Sex: female
2 μmol,
nose, and light erythema and
moisturized and flexible with improved texture. Red papules



1 application
rough skin texture.
around nose almost disappeared, combination state of desiccation





and oily skin was improved, and skin is kept healthy.



Left: applied

3 min after application, desiccation, flare and itches are left,



gel base

and seborrhea and papules around nose were not remitted.









Table below summarizes examples in which B ring gel formulation was applied without applying two-sided. The changes in skin conditions were determined by similar method as described above.












TABLE 11





Case
Method of application
Pre-application symptoms
Post-application symptoms







G1
B ring gel formulation
Presented with cheek flare, open
After B ring application, flare was repressed, skin


Age: 50
1 μmol
pores, rough and hard skin texture.
texture was improved, skin was moisturized and softened.


Sex: female
1 application


G2
B ring gel formulation
Presented with wrinkles and
3 min after application at B ring-applied site, wrinkles


Age: 49
2 μmol
desiccation on forehead and eye
on forehead and eye corner were shallowed and less prominent,


Sex: female
1 application
corner.
skin desiccation was improved, and skin was moisturized





and flexible.


G3
B ring get formulation
Presented with male skin
1 day after application at ring-applied site, skin desiccation


Age: 40's
1 μmol
desiccation and roughness.
and roughness were improved, and razor burn was prevented.


Sex: male
1 application


G4
B ring gel formulation
Presented with miliaria and
3 min after application at B ring-applied site, miliaria was


Age: 50's
2 μmol
pruritus accompanied with flare.
prevented, flare and itches were remitted.


Sex: male
1 application









Accordingly, it was shown that B ring of the present invention has a skin moisturizing effect and is capable of improving skin texture, and that it is also effective in improving skin, for instance in lightening (spots, dullness) and anti-aging (flabbiness, resilience, large wrinkles) as well as in improving mucosal condition such as roughened lips.


In all subjects, a remarkable improving effect in skin and its persistence was observed at the site where B ring gel formulation had been applied as compared to where BNP gel formulation had been applied. Specifically, effects as follows were observed at the site where B ring gel formulation had been applied as compared to where BNP gel formulation had been applied with significance: effects of improving skin, moisturizing skin, improving skin texture, providing skin with resilience and firmness, softening skin, suppressing skin desiccation, fading fine wrinkles, supplying and keeping skin with water and oil, shallowing and diminishing crow's feet, eliminating skin rawness, eliminating and suppressing itches, relieving skin roughness and maintaining skin condition healthy.


Particularly, in subjects in their 20's or 30's, remarkable effects such as improving or eliminating wrinkles, improving cheek flabbiness, and supplying and keeping skin with moisture, water and oil, and the effects such as giving skin firmness and tightness, lifting up cheeks, eliminating skin rawness and relieving skin roughness were observed at the site where B ring gel formulation had been applied as compared to the site where BNP gel formulation had been applied, and these effects were greater as compared to those at BNP gel-applied site.


Moreover, in subjects in their 40's and 50's, remarkable effects such as improving flabbiness, large wrinkles and desiccation, giving skin firmness, fading dullness and spots were exhibited immediately after the application of B ring gel formulation, and these effects were greater as compared to those upon applying BNP gel formulation.


The effects exhibited significantly faster in B ring gel formulation as compared to BNP gel formulation. Specifically, effects were confirmed in most cases such that wrinkles were vanished or started to vanish and faded and skin was made full and resilient. These effects lasted for at least several hours thereafter. No irritating symptoms were observed with application of B ring gel formulation.



FIG. 1 shows a photograph of the right-side face of a subject in her 60's after the application of B ring gel formulation. In this subject, effects were observed at 20 minutes after the application of B ring gel formulation such that the skin were moist, provided with moisture, complexion and softness, given firmness, improved texture, provided with resilience, and large wrinkles faded. This result was compared to BNP gel formulation as a comparative example, indicating that the cyclic peptide of the invention is not only effective on fine wrinkles but also is effective on wrinkles and flabbiness, and that it is also effective in fading spots and dullness.


4.1.2 Confirming Skin-Improving Effect (Comparing B Ring Gel Formulation to Gel Base)

In order to examine the presence or absence of the contribution by the gel base to the effects of B ring gel formulation and BNP gel formulation, three subjects were administered B ring gel formulation on their right face and the gel base on the left, and changes in skin conditions on the subject's faces were observed (Table below).












TABLE 12





Case
Applied site: method
Pre-application symptoms
Post-application symptoms







H1
Right: B ring gel
Rough, stiff and dry skin texture.
After 2 min skin was left soft.


Age: 48
formulation


Sex: female
Left: applied gel base

Skin was tingling. Open pores and rough skin texture





were not improved.


H2
Right: B ring
Sensitive dry skin with roughness
1 min after application, skin tingling sensation


Age: 26

and tingling
stopped. After 2 min, B ring-applied side was felt


Sex: female


more moisturized.



Left: applied gel base

1 min after application, skin was still tingling. After





2 min, the subject left that moisturizing effect is weak.


H3
Right:
Sensitive skin with tingling.


Age: 30
Left: applied gel base

Skin was tingling and temporarily red. Skin desiccation


Sex: female


was not improved. White scales were observed.









As a result, all subjects felt tingling sensation at the site where the gel base was applied, and dry feeling of skin was not improved. Also, in all subjects, no effect (e.g., improved skin texture or closed pores) was observed at the site where the gel base was applied. On the other hand, in all subjects, the skin area on which B ring gel formulation was applied has been moisturized and softened.


4.2 Observation on Mucosal Condition Upon Application of B Ring Gel Formulation.

The B ring gel formulation was applied to normal subjects who had symptoms of roughened lips, and changes in mucosal condition were observed (Table below). The changes in mucosal conditions were determined based on physical sensory evaluation by the subject and our objective observation as physicians.












TABLE 13





Case
Applied site: method
Pre-application symptoms
Pos-application symptoms







I1
B ring 1 μmol
Cracks on mouth corner with pain.
Skin became moisturized soon after application. After 2 min,


Age: 20's
1 application
Desiccation and wrinkles of lips.
cracks on mouth corner were remitted. After 5 min, lips were


Sex: female


soft and no longer felt dry or tingling.


I2
B ring 0.5 μmol
Annoying lip desiccation.
3 min after application, lips became moisturized.


Age: 30's
1 application


Sex: female


I4
B ring 2 μmol
Annoying lip desiccation.
After 2 min, lips were full and soft, and wrinkles were less


Age: 30's
1 application

prominent. Moisturized.


Sex: female


I3
B ring 2 μmol
Lips were dry and tingling,
After 2 min, lips were full, soft and moisturized, and wrinkles


Age: 30's
1 application
with wrinkles and scales
were less prominent. Tingling sensation stopped.


Sex: female


I4
Right: B ring
Cracks on mouth corner with pain.
2 min after application, cracks on mouth corner were remitted


Age: 20's
1 μmol
Dry and roughened lips
with no more pain, and moisturized.


Sex: male
1 application



Left: gel base

2 min after application, cracks on mouth corner and pain were



1 application

not improved









Accordingly, it was confirmed that the cyclic peptide of the invention has an activity of improving mucosal condition and it also has an immediate effect in such activity.


4.3 Observation on Scalp/Hair Condition Upon Application of B Ring Gel Formulation.

The B ring gel formulation was applied to normal subjects who had symptoms of scalp/hair, and changes in conditions of scalp and hair were observed (Table below). The changes in scalp/hair were determined based on physical sensory evaluation by the subject and our objective observation as physicians.












TABLE 14






Applied site:




Case
method
Pre-application symptoms
Post-application symptoms







J1
B ring 0.5 μmol
Presented with desiccation and
After 2 min. itches were removed, scalp was relieved from


Age: 40's
1 application
itches of head.
roughness and desiccation and moisturized. After that scalp


Sex: male


was prevented from desiccation and kept moisturized.


J2
B ring 1 μmol
Presented with erythema and itch
Hair growth was stimulated, and an increase in hair volume


Age: 50's
1 application/day,
of head, and thinning and falling of
was observed, and thinning of hair was improved. Hair was


Sex: female
3 weeks
hair.
provided with moisture, flexibility and radiance.


J3
B ring 1 μmol
Presented with thinning and falling
A decrease in falling hair was observed, showing an effect


Age: 40's
1 application/day,
of hair.
of preventing alopecia. Hair growth was stimulated, and an


Sex: female
5 days

increase in hair volume was observed, and thinning of hair





started to be improved. Hair was provided with moisture,





flexibility and radiance.


J4
B ring 2 μmol
Presented with seborrheic dandruff
After 2 min, itches were removed, scalp seborrhea and


Age: 40's
1 application
and itches.
dandruff started to be improved. After that scalp became


Sex: female


and was kept clean.


J5
B ring 2 μmol
Presented with desiccation, mild
After 1 min. itches were removed. After 2 min, scalp


Age: 20's
1 application
erythema and itches.
seborrhea and dandruff started to be improved. After 4 min,


Sex: male


erythema and skin roughness of scalp was improved. After





that skin roughness was prevented.


J6
B ring 2 μmol
Presented with scalp seborrhea,
After 2 min, itches were removed, scalp seborrhea was improved.


Age: 60's
1 application
dandruff and itches.
After that dandruff was removed, scalp became healthy and clean.


Sex: male


J7
B ring 1 μmol
From the beginning of 5th month of
Upon being applied to alopecia 5 month post partum, an effect


Age: 30's
To decalvant site
3rd pregnancy, significant hair loss
was exhibited on hair loss in eyebrows and head where hair


Sex: female
on head and brows
in eyebrows, lashes and scalp
growth was stimulated, improving thinning of hair.



of subject: 1
occurred, loosing almost all hair.



application/day



post partum,



continued









Accordingly, BNP cyclic peptide of the present invention can provide and keep scalp and hair with moisture, give them moderate water and oil, improve and prevent desiccation, and clean scalp and hair. It is further effective for suppressing itch and dandruff of scalp and also effective for preventing thinning or loosing hair, for growing hair and promoting or stimulating hair growth, and forcing hair growth, and furthermore effective for an improvement in alopecia after illness or postnatal alopecia.


4.4 Observation on Skin Condition Upon Using Bath Agent Comprising B Ring

Subjects were given bath in 37 to 41° C. hot water comprising B ring dissolved at 0.01 μM (100 ml of 20 μM B ring solution dissolved in 200 L hot water) once a day for 14 days, and skin condition of the subjects was compared to the case of hot water alone (Table 14). The changes in skin conditions were determined based on physical sensory evaluation by the subject and our objective observation as physicians.













TABLE 15







Pre-application






symptoms (text missing or illegible when filed ,




cracks, chaps


Case
Treatment
and eczema)
Post-application symptoms
Changes in subjective symptoms







K1
B ring
Eczema
Gradual remission of
itches after bath was remitted.


Age: 30's
addition

erythema and skin
Skin was moisturized.


Sex: female


desiccation.


K2
Hot water
Eczema
Flare and desiccation
Enhanced itches and desiccation


Age: 30's


exacerbated.
after bath.


Sex: female


K3
BNP
Eczema
No remission of skin
No subjective remssion of skin


Age: 30's
addition

desiccation or erythema.
desiccation at this concentration.


Sex: female


K4
B ring
Chaps, rough skin
Remission of desiccation.
Remission of itch and pain. Skin


Age: 60's
addition
of hands, itches

became smooth


Sex: female

with tingling


K5
Hot water
Chaps and rough
Exacerbation of desiccation.
Exacerbation of itches and


Age: 60's

skin of hands

tingling after some time after


Sex: female



bath.


K6
B ring

text missing or illegible when filed  and itches

Remission of text missing or illegible when filed
Remission of itches and improvement


Age: 20's
addition


in skin texture.


Sex: male


K7
Hot water

text missing or illegible when filed  and itches

No improvement in text missing or illegible when filed
No remission of itches.


Age: 20's


Sex: male


K8
B ring
Cracks and pain
Cracks gradually became
Relief of pain. Skin was moisturized.


Age: 40's
addition
on sore
shallower and improved


Sex: female


upon application


K9
Hot water
Cracks and pain
No improvement in cracks.
No remission of pain.


Age: 40's

on sore


Sex: female






text missing or illegible when filed indicates data missing or illegible when filed







Accordingly, it was confirmed that the bath agent comprising B ring of the present invention has an ameliorating effect on miliaria, cracked or chapped skin, and also an improving effect on eczema. Furthermore, it was shown to improve desiccation, pain and itch of the skin, indicating that it is effective for improvement of skin condition.


4.5 Observation on Conditions of Scalp and Hair or Skin Upon Using Hair Cosmetics (Shampoo, Rinse) or Body Soap Comprising B Ring
4.5.1 A Shampoo Comprising B Ring was Mixed and Prepared in Composition as Follows.












TABLE 16







Name of ingredient (tradename)
Content (%)


















A
Sodium cocoylmethyltaurine solution
10.0



(NIKKOL CMT-30)



Sodium laureth lactate (NIKKOL SBL-2N-27)
20.0



Lauryl betaine solution (NIKKOL AM-301)
10.0



Cocamide DEA
4.0



Antiseptic
q.l.


B
Citric acid
0.1



Propylene glycol
2.0



Guar hydroxypropyl trimonium chloride
0.5



Water to fill up
100.0


C
Water, B ring (B ring concentration 1 μM)
1 mL









A and B were dissolved with heat at 70° C. To A, B was added, stirred and mixed. C was added at 40 to 35° C. while being further stirred, and allowed to cool to room temperature as kept being stirred.


4.5.2 A Conditioner Comprising B Ring was Mixed and Prepared in Composition as Follows.












TABLE 17







Name of ingredient (tradename)
Content (%)


















A
Pentylene glycol
1.50



BG
3.50



Glycerin
1.00



Methyl paraben
0.20



Carbomer
0.20



EDTA-2Na
0.10



Water to fill up
100.0


B
Composite emulsifier (NIKKOL Nikkomulese LC)
4.00



Methyl heptyl laurate
3.50



Squalane
0.50



Cetearyl alcohol
1.50



Macadamia nut oil
0.50



Avocado oil
0.50



Shea oil
0.50



Propyl paraben
0.10


C
Water, B ring (B ring concentration 1 μM)
1 mL









A and B were dissolved with heat at 80° C. Then A was stirred by a homomixer while B was gradually added thereto, and the mixture was emulsified. C was further added to the mixture, and the mixture was allowed to cool to 35° C. as kept being stirred.


4.5.3 A Body Soap Comprising B Ring was Mixed and Prepared in Composition as Follows.












TABLE 18







Name of ingredient (tradename)
Content (%)


















A
Cocoyl glutamic acid TEA solution
30.0



Sodium trideceth-4 carboxylate
5.0



(KIKKOL ECTD-3 NEX)



Sodium cocoamphoacetate solution
10.0



(KIKKOL AM-101)



PEG-50 hydrogenated castor oil (KIKKOL HCO-50)
0.5



1,3-butylene glycol
5.0



Antiseptic
q.l.


B
EDTA-2Na
q.l.



Water to fill up
100.0


C
Water, B ring (B ring concentration 1 μM)
1 mL









A and B were dissolved with heat at 80° C. Then B was added to A while being stirred. C was further added to the mixture at 40 to 35° C. while kept being stirred, and the mixture was allowed to cool to room temperature as kept being stirred.


Subjects used shampoo, rinse or body soap prepared as above once a day for 14 days, and resulted conditions of scalp and hair or skin of the subjects were assessed (Table below). Changes in skin condition was assessed by dandruff of scalp. Changes in erythema was assessed by visual observation by the subject. Itches, moisturized feeling, combing, glow, resilience and elasticity of hair were assessed by subject's physical sensory evaluation.













TABLE 19





Case
Treatment
Pre-application symptoms
Post-application symptoms
Subjective changes







L1
shampoo/
Presented with erythema and
Remission of scalp
Improvement in itches. Hair was


Age: 60's
treatment
itches on scalp, and thinning
erythema and a decrease
moisturized and provided with


Sex: male

and falling hair.
in hair falling.
resilience, radiance and elasticity.


L2
shampoo
Presented with desiccation
Improvement in dandruff
Improvement in itches. Hair was


Age: 20's

and dandruff on scalp
and desiccation of scalp.
moisturized and provided with


Sex: female

accompanied with itches

resilience, radiance and elasticity.






Improved. With better combing.


L3
body soap
Dry and sensitive skin.
Improvement in dry skin,
improvement in itches after bath.


Age: 60's


relief of itching after bath.


Sex: female


L4
body soap
Dry and sensitive skin.
Improvement in dry skin,
Improvement in itches after bath.


Age: 60's


relief of itching after bath.


Sex: female


L5
body soap
Dry skin.
Improvement in dry skin.
Skin was moisturized after bath.


Age: 20's


Sex: male









Accordingly, the use of the hair agent comprising B ring of the present invention had an fast-acting improving effect on itch, erythema and desiccation of scalp. Moreover, it was shown to be effective in improving symptoms of thinning and falling hair when it was used continuously for at least 2 weeks. Furthermore, it was shown that the use of the body soap comprising B ring of the present invention has an improving effect on dry or sensitive skin.


5. Confirming Therapeutic Effect on Alopecia

Either B ring gel formulation or BNP gel formulation was applied, and their effects on symptoms associated to various alopecia were observed (Table below). The changes in symptoms were determined based on physical sensory evaluation by the subject and our objective observation as physicians.












TABLE 20





Case
Treatment
Disease
Post-application symptoms







A21
Right: B ring 1 μmol
Male alopecia
7 weeks after application, hair became elastic and thick,


Sex: male
1 application/

a drastic decrease in hair-falling Consequently, hair became


Age: 50's
day, continued.

dense and thinning less prominent B ring-containing gel



Left: BNP gel

formulation exhibited more remarkable hair growing affect



formulation



1 application/



day, continued.


A5
B ring gel
Male alopecia and
2 weeks after starting applying B gel formulation, the


Sex: male
formulation
alopecia text missing or illegible when filed
existing soft hair in parietal area became thicker and


Age: 50's
1 application/
accompanied with
longer and turned black.. Hair got resilient and alestic.



day onto head
dandruff. Previous
Newly grown terminal hairs remarkably decreased thinning



decalvent site,
use of text missing or illegible when filed -containing
area. Dandruff was suppressed overall, particularly in



continued.
drug caused strong
parietal area. text missing or illegible when filed  was eliminated.




irritation, itches




and erythema to the




subject and its use




was terminated


A22
B ring gel
Seborrhoic alopecia
2 weeks after application, thinning or hair was improved.


Sex: female
formulation
accompanied with
exhibiting no more showing-through of scalp confirming


Age: 40's
2 application/
dandruff.
hair-growing stimulation. Dandruff stopped, scalp seborrhea



day onto

was improved and pruritus was removed. Furthermore, scalp



parietal

and skin became clean.



decalvant site.






text missing or illegible when filed indicates data missing or illegible when filed

















TABLE 21







A10
B ring gel formulation
Alopecia universalis.
2 weeks after starting application, on both sides of head,


Sex: male
0.5 μmol
Alopecia on whole head.
regeneration of pores and growth of terminal hair were


Age: 20's
BNP gel formulation
Previous therapy with
confirmed, which were more remarkable and hair growth area



0.5 μmol
carpronium chloride
was wider on the B ring gel formulation-applied right side.




and steroid pulse first
Hair growth area kept increasing to the whole head. The




exerted hair growth-
density, elongation rate and thickness of hair were greater




stimulating effect, but
on the B ring gel formulation-applied right side. Upon




caused complete hair
increasing the concentration of application to 1 μmol,




loss after 1 month.
rate of growth and elongation were increased.


A11
Right side of head decalvant
Ophiasis and multiple
Right forehead ophiasis site: 7 days after starting applying


Sex: female
site: B ring gel formulation
alopecia.
B ring gel formulation, a hair growth stimulation effect was


Age: 40's
1 application/day for 1 week.

observed and hair became thicker terminal hair, hair-growing



1 or 2 applications/week for 1

area kept increasing.



year thereafter.

Left BNP gel formulation-applied site: few soft hair observed,



Left side of head decalvant

whose growth was slow and in obviously smaller area.



site: BNP gel formulation

After continuing 1 or 2 applications/week for 1 year:



1 application/day for 1 week.

Right forehead B ring gel formulation-applied site: hair-



1 or 2 applications/week for 1

growing area kept increasing and hair elongation rate was



year thereafter.

fast (FIG. 2).





Left BNP gel formulation-applied site: hair growth was observed





though its area was smaller as compared to the right side,





and majority of hairs was thin and soft (FIG. 2).



















TABLE 22







A12
Head decalvant site:
Alopecia areata
1 week after application, remarkable stimulation and growth


Sex: female
B ring gel formulation

of terminal hair was observed.


Age: 20's
1 application/day, continued.


A12
Subject's head decalvant
Alopecia areata
1 week after application, remarkable stimulation, growth


Sex: female
site: B ring gel formulation

and elongation of terminal hair was observed.


Age: 30's
1 application/day, continued.


A24
Right half of head decalvant
Drug-induced
Pre-application: 1 month after termination of anticancer


Sex: female
site: B ring gel formulation
alopecia
agent therapy. Bilateral severe diffuse alopecia on whole


Age: 50's
(1 μmol), 2 applications/

head. Thinning of hair on whole head. Hair was short and



day for 2 weeks

thin, mostly white.



Left half of head decalvant

1 day after application at B ring-applied site, subjective



site: BNP gel formulation

hair elongation and growth stimulation were observed, and



(1 μmol), 2 applications/

grown hairs were predominantly black (non-white). After 2



day for 2 weeks

weeks, hair growth was observed at both sides. Hair were





elongated with less falling hairs. Hair elongation rate is





faster on B ring-applied site. Hairs are also thicker and





denser, and contain more non-white hairs as compared to





BNP-applied site. 3 weeks after application, remarkable





growth of terminal hairs was observed.









5.2 Case Summary

In the cases of the subjects having female pattern alopecia, male pattern alopecia, alopecia universalis, ophiasis or alopecia areata multilocularis as described above, a significant decrease in falling hair was observed, and the area of terminal hair growth was expanded, and the growth of the terminal hair was also faster, when B ring gel formulation of the working example was applied compared with BNP gel formulation as a comparative control (See, FIG. 2). Addingly, the existing hairs obtained resilience and their elasticity was increased. In all cases, symptoms were significantly improved as compared to the cases when BNP gel formulation of the comparative example was applied. Accordingly, B ring gel formulation had superior effects on the symptoms described above as compared to BNP gel formulation.


In addition, the B ring gel formulation could improve seborrhea, clean scalp and suppress dandruff. It also prevents hairs from turning white, grows black hairs, and improves thinning of hair. Moreover, it exhibits an antipruritic effect within 10 minutes, demonstrating an excellent immediate effect. It could suppress ithes within 3 minutes after application in some cases.


6. Confirming Therapeutic Effect on Rhinitis
6.1 Cases

Either ring nasal drop, BNP gel nasal drop was sprayed, and their effects on rhinitis in the subject was observed (Table 17). The changes in symptoms were determined based on physical sensory evaluation by the subject and our objective observation as physicians.












TABLE 23





Case
Treatment
Disease
Post-application symptoms (severity)







R1
Right nasal cavity:
Perennial chronic
Right nasal cavity (B ring nasal drop-treated side): Subject felt breath goes through right


Sex: female
B ring nasal
rhinitis and
nasal cavity soon after application. After 30 sec, air goes through nasal cavity. After 2


Age: 20's
formulation 0.1 ml,
rhinorrhea. 20 or
min. nose was clear and the subject could breathe comfortably. After 3 min, felt fresh



1 spray
more blow/day
and retained nasal discharge was removed. No discharge by blowing. A day after



Left nasal cavity:

application, no discharge from right nasal cavity.



BNP nasal

Left nasal cavity (BNP nasal drop-treated side): 3 min after application, the discharge



formulation 0.1 ml,

still retained in nasal cavity and drained by blowing. A day after application, mild nasal



1 spray

obstruction and rhinorrhea symptoms in left nasal cavity with small amount of retained





discharge.


R2
Right nasal cavity:
Rhinitis with severe
Right nasal cavity (B ring nasal drop-treated side): Subject felt breath goes through right


Sex: female
B ring nasal
nasal obstruction
nasal cavity soon after application. After 30 sec, obstruction was improved, subject's


Age: 30's
formulation 0.1 ml,
and feeling heavy.
suffering in breathing was reduced in right nasal cavity. After 1.5 min, suffering in



1 spray
Right nasal cavity
breathing was removed in right nasal cavity and breath went though. A day after



Left nasal cavity:
has severer
application, still no obstruction or rhinorrhea. Ths subject felt no irritation upon treatment



BNP nasal
obstruction symptom.
in right nasal cavity



formulation 0.1 ml,
The subject feels dry
Left nasal cavity (BNP nasal drop-treated side): 30 sec after application, obstruction of



1 spray
and tingling by
left nasal cavity was slightly improved, though the subject did not feel breath goes




steroid nasal drops.
through as in the right cavity. A day after application, obstruction or rhinorrhea in left





nasal cavity were removed. The subject felt mild dryness in left nasal cavity.


R3
Right nasal cavity:
Perennial allergic
Right nasal cavity: Subject felt breath goes through nasal cavity 1 min after application.


Sex: female
B ring nasal
rhinitis with
After 3 min nasal obstruction was improved, the subject could breathe through nose.


Age: 20's
formulation 0.1 ml,
rhinorrhea and nasal
After 5 min the subject could breathe comfortably through nose, with no nasal discharge



1 spray
obstruction.
by blowing.




Right nasal cavity




has severer




obstruction with




retention of nasal




discharge.



















TABLE 24







R4
Right nasal cavity:
Chronic rhinitis with
Right nasal cavity (B ring nasal drop-treated side): 1 min after treatment, nasal


Sex: female
B ring nasal
severe rhinorrhea and
obstruction was improved to some extent. After 2 min, obstruction was improved, the


Age: 30's
formulation 0.1 ml,
nasal obstruction.
subject could breathe through nose as usual, and rhinorrhea stopped. After 3 min, no



1 spray
Application of steroid
nasal discharge from the right nasal cavity by blowing.



Left nasal cavity:
nasal drops could not
Left nasal cavity (BNP nasal drop-treated side): 1 min after treatment, nasal discharge



BNP nasal
improve symptoms when
was retained in the left nasal cavity with no improvement in obstruction After 2 min,



formulation 0.1 ml,
they were severe.
obstruction was improved to some extent, though discharge was retained, showing



1 spray

rhinorrhea symptom. After 3 min, nasal discharge was not drained by blowing from left





nasal cavity due to obstruction. After 8 min, nasal discharge was drained by blowing.


R5
Right nasal cavity:
Allergic rhinitis with
Right nasal cavity (B ring nasal drop-treated side): 30 sec after treatment, obstruction


Sex: female
B ring nasal
rhinorrhea as main
was improved and the subject could breathe through nose. After 2 min, the subject


Age: 20's
formulation 0.1 ml,
symptom and mild
could easily breathe through nose. After 8 min, no nasal discharge was drained by



1 spray
obstruction.
blowing from the right nasal cavity. A day after treatment (after 26 hours), nasal



Left nasal cavity:

discharge was controlled, and breathing was easier through the right nasal cavity as



BNP nasal

compared to the left.



formulation 0.1 ml,

Left nasal cavity (BNP nasal drop-treated side): 2 min after treatment, obstruction was



1 spray

still observed. After 8 min, small amount of discharge was drained by blowing. A day





after treatment (after 26 hours), nasal discharge was controlled.


R6
Right nasal cavity:
Allergic rhinitis
Right nasal cavity (B ring nasal drop-treated side): nasal obstruction was slightly


Sex: female
B ring nasal
with both rhinorrhea
improved soon after treatment. After 1 min, the subject could easily breathe though


Age: 20's
formulation 0.1 ml,
and nasal obstruction
nose. After 4 min, no nasal discharge was drained by blowing from the right nasal cavity.



1 spray
having constant
Nasal obstruction was resolved. After 10 min, pruritus was removed. A day after



Left nasal cavity:
obstruction and
treatment (after 28 hours), no obstruction or rhinorrhea was observed.



BNP nasal
severe rhinorrhea.
Left nasal cavity (BNP nasal drop-treated side): 1 min after treatment, nasal obstruction



formulation 0.1 ml,
10-20 blow/day.
was not improved. After 3 min, obstruction was still not improved and rhinorrhea was



1 spray
Regular dose of oral
observed. After 3 min, small amount of discharge was drained by blowing. After 10 min,




anti-allergic drug
obstruction was slightly improved but not resolved. After 2 hours, obstruction was




did not sufficiently
resolved and the subject could breathe though nose. A day after treatment (after 28




improve nasal
hours), no obstruction or rhinorrhea was observed.




obstruction and




rhinorrhea. Steroid




nasal spray causes




mucosa pain.



















TABLE 25







R21
Right nasal cavity:
Rhinitis with continuous rhinorrhea
Right nasal cavity (B ring nasal drop-treated side):


Sex: female
B ring nasal
and sneeze. Nasal discharge was
30 sec after treatment, the subject could easily breathe


Age: 20's
formulation 0.1 ml,
drained by facing down.
through nose. After 1 min rhinorrhea stopped. No nasal



1 spray

discharge by facing down.


R8
Right nasal cavity:
Chronic allergic rhinitis (with both
Right nasal cavity (B ring nasal drop-treated side):


Sex: female
B ring nasal
rhinorrhea and obstruction). The
1 min after treatment, obstruction was improved and the


Age: 20's
formulation 0.1 ml,
subject regularly feels nasal
subject could easily breathe through nose. The subject



1 spray + 1 spray
obstruction. Application of steroid
felt no irritation by treatment. The effect lasts for 1



20 min later
nasal formulation causes the
week thereafter, and rhinorrhea arid obstruction were



Left nasal cavity:
subject strong irritation.
controlled. No nasal discharge by blowing.



BNP nasal
Accompanied with rhinorrhea and
Commercial steroid nasal formulation caused a sharp



formulation 0.1 ml,
eye pruritus.
irritation and recurrence of symptoms within 2 hours.



1 spray + 1 spray

Left nasal cavity (BNP nasal drop-treated side):



20 min later


R9
Right nasal cavity:
Allergic rhinitis (with rhinorrhea).
Right nasal cavity (B ring nasal drop-treated side):


Sex: female
B ring nasal
The subject has rhinorrhea all day
2 min after treatment, the subject could breathe through


Age: 30's
formulation (1 μmol)
and usually blows 20 or more times
nose, with no irritation in the right nasal cavity.



0.1 ml, 1 spray
a day. Application of steroid nasal
After 4 min the subject could breathe through nose, with



Left nasal cavity:
formulation causes the subject
no nasal discharge drained.



BNP nasal
strong dry feeling on mucosae of
Left nasal cavity (BNP nasal drop-treated side):



formulation (1 μmol)
nasal cavity and pharynx. The
2 min after treatment, obstruction was improved and the



0.1 ml, 1 spray
effect of the steroid nasal
subject could breathe through nose. After 4 min, in the




formulation lasts only 3-4 hours,
left nasal cavity, the subject drained small amount of




and after the effect ended,
nasal discharge by blowing. In the right nasal cavity,




sneezing and nasal discharge last
the effect of the nasal treatment lasted for 4 hours.




for several hours and need
Blowing caused obstruction in the left nasal cavity but not




frequent blowing.
in the right.





The subject felt that B ring nasal formulation is much





better to the steroid nasal formulation regarding the





effect on the symptoms, long-lasting and fast-acting





effect, lower frequency of use required, and absence of





irritating symptom upon use.



















TABLE 26







R10
Right nasal cavity:
Allergic rhinitis with rhinorrhea
Right nasal cavity (B ring nasal drop-treated side):


Sex: male
B ring nasal
and obstruction complicated with
2 min after nasal treatment, obstruction was improved


Age: 30's
formulation (1 μmol)
rhinosinusitis. Obstruction in the
and the subject could breathe through nose. The subject



0.1 ml, 1 spray
right nasal cavity due to
could breathe more comfortably in the right nasal cavity



Left nasal cavity:
rhinosinusitis is severer than the
as compared to the left. The subject felt no irritation



BNP nasal
left and could not be improved by
in the right nasal cavity. After 4 min, the subject could



formulation (1 μmol)
steroid nasal formulation, making
very easily breathe, with no nasal discharge drained by



0.1 ml, 1 spray
the subject incapable of breathing
blowing.




through nose. If left untreated,
Left nasal cavity (BNP nasal drop-treated side):




nasal discharge is drained from
4 min after nasal treatment, nasal obstruction was not




nostrils spontaneously.
resolved. Nasal discharge was decreased as compared to





pre-treatment, though draining was still observed.


R11
Right nasal cavity:
Perennial rhinitis with rhinorrhea
Right nasal cavity (B ring nasal drop-treated side):


Sex: male
B ring nasal
and obstruction complicated with
2 min after nasal treatment, the subject could breathe


Age: 20's
formulation 0.1 ml,
rhinosinusitis, having severe
through nose. After 5 min, nasal discharge stopped,



1 spray
obstruction. Very high frequency
enabling the subject to breathe though nose. The subject



Left nasal cavity:
of blowing. These symptoms were
felt no obstruction and was able to breathe through nose



BNP nasal
not improved by any previously
throughout 1 week after nasal treatment.



formulation 0.1 ml,
used nasal formulation.
Left nasal cavity (BNP nasal drop-treated side):



1 spray

5 min after nasal treatment, obstruction was not resolved,





with nasal discharge present in the left nasal cavity. After





10 min. obstruction was not resolved, making the subject





incapable of breathing through nose.









6.2 Case Summary

In all cases described above, both rhinorrhea and nasal obstruction were quickly improved or eliminated when B ring nasal drop of the working example had been applied as compared to the case when BNP nasal drop of comparative example had been applied. Accordingly, B ring nasal drop had faster effect than BNP nasal drop. Addingly, the effect of B ring nasal drop was more than equal to that of BNP nasal drop, and because the effect lasted for longer time period, it can suppressing recurrence of symptoms.


The following table summarizes information from the cases described above, within the range recognizable at the time when symptoms of nasal obstruction and rhinorrhea were improved.














TABLE 27










No






resolution



within
within
within
within



3 min
5 min
10 min
10 min


















Resolution of rhinorrhea











B ring nasal formulation
3
4
1
0


BNP nasal formulation
0
0
0
7









Resolution of nasal obstruction











B ring nasal formulation
6
5
0
0


BNP nasal formulation
0
0
0
8









7. Analysis of Binding State of Human BNP and Type A Receptor

The superior pharmacological effects of the B ring-compound of the invention on various diseases relative to conventional BNP has been explained so far with reference to data based on respective clinical cases. Such pharmacological effects is also supported by the result of the conformation analysis of the compound performed by the inventors, which is explained by following experimental report for reference.


In order to investigate binding state of human BNP (BNP-32) and its receptor Type A receptor (NPR-A), an in silico analysis was performed by homology modeling using conformation. Swiss-Pdb viewer and SWISS-MODEL were used for modeling.


7.1 Template Structure

Firstly, prior to the above analysis, a template structure for investigation on binding state of human BNP and Type A receptor was selected. As this template structure, the conformation of the complex of rat NPR-A and rat ANP peptide (PDB ID: 1T34) were used. Rat NPR-A is a homodimer composed of A and B strands. The conformation of such rat NPR-A has been determined by X-ray crystalline structural analysis such that 21 residues from Cys7 to Arg 27 of rat ANP were bound. The conformation of rat NPR-A was obtained from the database of protein conformation, Protein Data Bank. Amino acid homology between human NPR-A and rat NPR-A is 85%.


7.2 BNP Peptide Model

In the present study, as BNP peptide model, a region from Cys10 to Arg30 in human BNP (BNP-32, SEQ ID NO: 13, Ser-Pro-Lys-Met-Val-Gln-Gly-Ser-Gly-Cys-Phe-Gly-Arg-Lys-Met-Asp-Arg-Ile-Ser-Ser-Ser-Ser-Gly-Le u-Gly-Cys-Lys-Val-Leu-Arg-Arg-His), i.e., an amino acid sequence (SEQ ID NO: 14, Cys-Phe-Gly-Arg-Lys-Met-Asp-Arg-Ile-Ser-Ser-Ser-Ser-Gly-Leu-Gly-Cys-Lys-Val-Leu-Arg) was used. In the peptide model above, the amino acid sequence of B ring of the invention corresponds to a region from Cys10 to Cys26 of human BNP above, i.e., Cys-Phe-Gly-Arg-Lys-Met-Asp-Arg-Ile-Ser-Ser-Ser-Ser-Gly-Leu-Gly-Cys (SEQ ID NO: 15).


7.3 Homology Modeling

In order to speculate the amino acid residues that are involved in binding of human NPR-A and human BNP, a complex model in which BNP peptide is bound to human NPR-A was constructed by homology modeling. Specifically, human BNP peptide model was constructed based on the template structure of rat ANP peptide, and human NPR-A model structure based on the template structure of rat NPR-A.


Next, residues that are involved in the interaction was speculated from the amino acid residues detected between human BNP peptide model and human NPR-A.


The results showed that BNP peptide model is bound to human NPR-A dimer being sandwiched between the A strand and B strand. Amino acids in the amino acid sequence, e.g., the amino acid sequence used as the model (SEQ ID NO: 14, Cys-Phe-Gly-Arg-Lys-Met-Asp-Arg-Ile-Ser-Ser-Ser-Ser-Gly-Leu-Gly-Cys-Lys-Val-Leu-Arg) are expressed as “amino acid (number)”. Namely, the number in parentheses denotes the relative position counted from the N-terminal of the amino acid sequence, for example, Phe2 indicates an amino acid that is the second Phe counted from the N-terminal of the peptide model.


In the constructed complex model, the presence of a hydrophobic bond by Phe2 side chain, a hydrogen bond by Phe2 main chain, and hydrogen bonds by side chains of Arg4, Met6, Arg8, Ser10 and Ser11 were speculated between BNP peptide model and the A strand of NPR-A. Phe2, Arg4, Met6, Arg8, Ser10 and Ser11 in BNP peptide model correspond to Phe11, Arg13, Met15, Arg17, Ser19 and Ser20 in human BNP respectively. Namely, this result suggests that these amino acid residues in human BNP is likely to be the residues that contribute to NPR-A activation.


7.4 Discussion

Thus, by in silico conformation analysis, it was speculated that, in human BNP, the amino acid residues that are present in its cyclic part are likely to contribute to NPR-A activation, whereas the amino acid residues present in the tail part are not. It was also suggested that BNP cyclic structure is a smaller molecule than BNP-32 and therefore capable of binding easily and quickly. In fact, a clinical application of a peptide having BNP cyclic structure confirmed that BNP cyclic structure provides faster therapeutic effect than BNP-32. This clinical result is consistent with that of the in silico analysis that BNP cyclic structure contributes to NPR-A activation and can bind to it more easily and quickly than BNP-32. Thus, BNP cyclic structure has a superior therapeutic effect than a general BNP peptide, and therefore is a different substance.


On the other hand, an NMR analysis revealed that ANP does not take any particular conformation in a solution where its conformation greatly wobbles; this is considered to be similar for BNP. Namely, in human BNP, assuming that the amino acid residues in the cyclic part contribute to its binding to human NPR-A, it is speculated that the amino acid residues in the tail part rather prevent human BNP from entering into the narrow BNP binding site sandwiched between A and B strands of human NPR-A due to its large wobbling. Therefore, it is considered that the cyclic part of human BNP is a relatively smaller molecule than conventionally known human BNP, enabling itself to enter into BNP binding site of NPR-A more easily and quickly. Moreover, it is speculated that the the cyclic part of human BNP has a higher affinity to human NPR-A than BNP-32. This supports the clinical outcomes described herein that the peptide having only the cyclic part of BNP exhibits therapeutic effect faster than BNP-32.


In order to speculate the effect of BNP cyclic structure (B ring) from non-human species on human Type A receptor, complex models of human NPR-A and BNP rings from pig, bird or rat were generated to surmise interaction. The results suggested that a sufficient effect of the invention can be expected by using BNP ring from non-human animal species (e.g., pigs, birds or rats), as long as it shows an affinity to human NPR-A.


8. Speculating Replaceable Amino Acid Residues in BNP Cyclic Moiety

Using the constructed model structure of the complex, replaceablity of amino acid residues other than those considered to be involved in the interaction was investigated.


Specifically, in order to investigate whether the peptide in which amino acid residue that is not assumed to be involved in the interaction has been replaced with another amino acid is capable of binding to NPR-A, a mutant model of BNP was generated to analyze the interaction. Swiss-Pdb viewer was used for modeling.


Specifically, amino acid residues Gly12, Lys14, Asp16, Ile18, Ser21, Ser22, Gly23, Leu24 and Gly25 in human BNP were targeted for the investigation on their replaceability with other amino acids in terms of following points:

    • No steric hindrance caused by binding to NPR-A. No interatomic collision observed in the model structure of NPR-A and BNP.
    • No influence on electrostatic potential on surface.
    • No large increase in intramolecular energy value (no unnatural angle or twist caused in intermolecular binding).
    • No non-naturally occurring hydrogen bond formed between the strands of NPR-A and BNP and within BNP strand.
    • No cavity (cavity, niche) formation.


Among those described above, intramolecular energy was calculated by ComputeEnergy command of Swiss-Pdb viewer. Intramolecular energy was calculated from the sum of the length of binding, bond angle, twist and binding energy, etc. in the unit kilojoule/mol (Kj/mol).


The results of analysis indicated the presence of replaceable amino acid residues in Gly12, Lys14, Ile18, Ser21, Ser22, Leu24 and Gly25 among the amino acid residues of human BNP (Table below).












TABLE 28







human BNP
Replaceable amino acid









Gly12
Ala, Val, Ser, Thr



Lys14
Arg



Asp16
none



Ile18
Val



Ser21
Thr, Ala, Val, Gln, Leu, Ile, Met



Ser22
Thr, Ala, Val



Gly23
none



Leu24
Ala, Val, Ile, Met



Gly25
Ala, Ser










Accordingly, even when the replacement of the amino acid corresponding to those described in the table above took place in the cyclic part of human BNP, i.e., the peptide expressed by the Formula I-a, it was suggested that the peptide replaced in such a way exerts a similar effect as the peptide composed of the amino acid sequence expressed by Formula I-a.


9. Confirming Therapeutic Effect of the Cyclic Peptide with Amino Acid Replacement


Next, cyclic peptides with some replaced amino acid were subjected to following examination in order to confirm their effect. The methods for preparing the above cyclic peptide and confirming amino acid sequence of the prepared peptide were same as the method for preparing the cyclic peptide as described above and Mass spectroscopy method.


9.1 Confirming Effects on Scalp or Hair

The obtained cyclic peptide was prepared in purified water at 3, 15, 30, 100 or 500 μg/ml and applied to the affected site. Each of formulations A to E in the table indicates the concentration of cyclic peptide at 3, 15, 30, 100 or 500 μg/ml, respectively. The absence of the effect upon the application of purified water confirmed the effect was not a placebo effect.
















TABLE 29





SEQ ID NO









(amino acid




For-




sequence) of




mu-




the cyclic




la-

Diagnostic impression of hair


peptide used
ID
Sex
Age
Cases
tion
Treatment
and scalp after application







SEQ ID NO 16:
  S1
male
50's
multiple alopecia
C
once a day
After 1 day, fluffy hairs


(CFVRKMDRISS



areata


started to grow. After 3 days,


SSGLGC)






obviously Hair started to grow,









restoration and elongation were









observed. Hair gained elasticity









and resilience, thickened. Hair









root regeneration confirmed.



  S2
fe-
40's
seborrheic derma-
C
once a day
Iches were remitted immediately




male

titis male AGA


after applicaation. After 3









minutes, seborrhea and erythema









remitted. After 1 day, dandruff,









redness and seborrhea of scalp









improved, falling hairs reduced.









After 7 days, hairs stimulated









to grow, restored hair and hair









growth confirmed.



  S3
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume.



  S4
fe-
50's
hair thinning
C
once a day
After 5 days, hair stimulation




male

after anticancer


and growth confirmed. Hair became






agent therapy


dense and thick.



  S5
fe-
20's
multiple alopecia
C
once a day
Iches were improved immediately




male

areata


after application. After 1 day,









fluffy hairs started to grow.









After 3 days, obviously Hair









growth stimulated and restored









elongation of hair observed, hair









gained elasticity and resilience,









thickened. Hair root regeneration









observed.



  S6
fe-
60's
healthy skin 
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 17:
  S7
male
40's
multiple alopecia
B
once a day
After 3 days, remarkable terminal


(CFGQKMDRISSS



areata


hair growth was observed.


SGLGC)
  S8
fe-
20's
multiple alopecia
B
once a day
After 5 days, newly born hair




male

areata


roots and grown hairs were









observed.



  S9
male
30's
male AGA
B
once a day
After 2 or 3 days, hair gained









elasticity and resilience. After









7 days, hair gained volume,









restoration was confirmed.



 S10
fe-
30's
female alopecia
C
once a day
Hair gained elasticity and resi-




male




lience, hair volume was increased









on the night of first applica-









tion. After 5 days, appearance of









scalp through hair were improved.









The effect lasted for 1 week









after stopping application.





SEQ ID NO 18:
 S11
male
60's
male alopecia
B
once a day
After 1 week, hair gained thick-


(CFGHKMDRISSS






ness and elasticity, hair density


SGLGC)






was increased.



 S12
male
70's
healthy skin 
C
once a day
After 1 day, hair became fuller






(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.



 S13
fe-
40's
alopecia areata
B
once a day
After 5 days, hair started to




male




grow, elongation and growth of









hair were observed.



 S14
fe-
60's
alopecia areata
B
once a day
After 5 days, hair started to




male




grow, hair density was increased.





SEQ ID NO 19:
 S15
fe-
20's
multiple alopecia
B
once a day
After 5 days, hair started to


(CFGRRMDRISSS

male

areata


grow, elongation and restoration


SGLGC)






of hair were observed.



 S16
fe-
50's
hair thinning
C
once a day
After 2 days, hair gained elasti-




male

after anticancer


city and resilience volume of






agent therapy


hair increased



 S17
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-









city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed



 S18
fe-
40's
female alopecia
D
once a day
After 3 days, scalp shown through




male




hair due to thinning got ob-









secure. Reduced falling hairs.



 S19
fe-
40's
scalp seborrheic
C
once a day
After 3 days, seborrhea and




male

dermatitis


erythema were improved, so was









dandruff.





SEQ ID NO 20:
 S20
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKLDRISSS






city, resilience and increased


SGLGC)






volume.



 S21
male 
40's
multiple alopecia
C
once a day
After 3 days, hair density was






areata


increased. Hair started to grow









and grew.





SEQ ID NO 21:
 S22
male
40's
multiple alopecia
C
once a day
After 3 days, hair started to


(CFGRKIDRISSS



areata


grow at the site of alopecia


SGLGC)






areata and grew.



 S23
male
40's
male alopecia
C
1 applica-
After 3 days, hair started to








tion/day on
gain resilience, felt thick. 








parietal
After 7 days, parietal thinning








male thin-
were improved and hair volume








ning area
started to increase.



 S24
fe-
40's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S25
fe-
30's
multiple alopecia
C
once a day
After 1 day, hair started to 




male

areata


grow. After 2 weeks, obvious lots









of hairs started to grow, restor-









ation, elongation and growth were









observed.



 S26
fe-
10's
multiple ophiasis
C
once a day
After 2 days, stimulated hair




male




growth was confirmed. After 7









days, obvious stimulated hair









growth was observed, elongated









and grown hair was also observed.





SEQ ID NO 22:
 S27
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFGRKMDRVSSS





tion/day on
elasticity and resilience. After


SGLGC)





forehead
7 days, hair gained volume,








thinning
restoration was confirmed.








area




 S28
male
20's
multiple alopecia
C
once a day
After 3 days, hair started grow






areata


and grew.



 S29
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume.



 S30
fe-
70's
female alopecia
C
once a day
After 7 days, increased hair




male




volume. Appearance of scalp shown









through hair got obsecure.



 S31
fe-
20's
ophiasis
B
once a day
After 5 days, stimulated hair




male




confirmed along intractable hair-









line, and elongation of hair









observed.



 S32
fe-
30's
multiple alopecia
C
once a day
After 1 day, hair started to 




male

areata


grow. After 6 weeks, obvious stim-









ulated hair growth, elongation









and growth of hair were observed





SEQ ID NO 23:
 S33
male
30's
alopecia areata
C
once a day
After 3 days, stimulated and


(CFGRKMDRIGSS



universalis


elongated hairs were observed


SGLGC)
 S34
fe-
60's
hair thinning
C
once a day
After 1 day, hair gained elasti-




male

after anticancer


city and resilience.






agent therapy






 S35
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S36
fe-
40's
female alopecia
B
1 applica-
After 5 days, hair gained elasti-




male



tion/day on
city, resilience and increased








parietal
volume. Appearance of scalp








and fore-
shown through hair got obsecure.








head thin-









ning area




 S37
male  
60's
multiple alopecia
C
once a day
After 1 day, stimulated hair was






areata


observed. After 3 days, applica-









tion was stoped, but stimulation









and elongation of hair contined.









White hairs turned black again,









black hairs started to grow.



 S38
fe-
40's
female alopecia
B
once a day
After 7 days, hair gained volume,




male

seborrheic derma-


appearance of scalp shown through






titis


hair got obsecure. Seborrhea of









scalp was improved.



 S39
fe-
10's
ophiasis
B
once a day
After 4 days, regardless of high-




male




ly intractable ophiasis, stimu-









lated soft hairs were observed.






















SEQ ID NO 24:
 S40
fe-
10's
alopecia areata
A
once a day
After 7 days, stimulated and 


(CFGRKMDRISAS

male




grown soft hairs were observed.


SGLGC)










 S41
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume.



 S42
male
30's
multiple alopecia
B
once a day
After 4 days, stimulation and






areata


elongation of hair observed.



 S43
fe-
30's
multiple alopecia
C
once a day
After 1 day, hair started to 




male

areata


grow. A number of stimulated,









elongated and grown hairs were









observed in 3 weeks.





SEQ ID NO 25:
 S44
male
60's
multiple alopecia
B
once a day
After 5 days, hairs started to


(CFGRKMDRISSQ



areata


grow and grew.


SGLGC)










 S45
fe-
50's
male AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S46
fe-
60's
multiple alopecia
B
once a day
After 5 days, hair root regenera-




male

areata


tion and hair growth stimulation









were observed. Application con-









tinued and a remarkable restora-









tion, elongation and growth of









hair were observed. Hair elonga-









tion rate was fast.



 S47
fe-
40's
female alopecia
C
once a day
After 1 day, hair gained elasti-




male




city and resilience. Application









continued for 3 days and stopped,









but hair kept elasticity and









resilience. The effect lasted for









1 week.





SEQ ID NO 26:
 S48
fe-
30's
female alopecia
C
once a day
After 3 days, appearance of scalp


(CFGRKMDRISSV

male




shown through hair got obsecure,


SGLGC)






hair gained elasticity, resili-









ence and increased volume. Hairs









were restored.



 S49
male
30's
male alopecia
B
once a day
After 5 days, volume of hair









increased. Hair gained elasticity









and resilience.



 S50
fe-
20's
female AGA
C
once a day
Volume of hair increased and




male




scalp does not show through after









3 days. The effect went on



 S51
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S52
male
20's
multiple alopecia
C
once a day
After 3 days, stimulated hair was






areata


observed









After 7 days, further stimulation









and growth of hair were con-









firmed.



 S53
fe-
30's
multiple alopecia
C
once a day
After 1 day, hair started to




male

areata


grow. Terminal hairs started to









grow, and restoration, elongation









and growth of hair were observed









in 2 weeks.





SEQ ID NO 27:
 S54
fe-
50's
hair thinning
B
once a day
After 5 days, hair got thick and


(CFGRKMDRISSL

male

after anticancer


dense.


SGLGC)



agent therapy






 S55
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-









city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S56
male
20's
multiple alopecia
E
once a day
After 3 days, hair started to






areata


grow









After 7 days, stimulation and









growth of hair were confirmed.





SEQ ID NO 28:
 S57
fe-
40's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISSI

male




city, resilience and increased


SGLGC)






volume.



 S58
male
20's
multiple alopecia
C
once a day
After 1 day, hair falling was re-






areata


duced and hair started to grow.









After 7 days, remarkable stimula-









tion, elongation and growth of









hair were confirmed.



 S59
male
20's
multiple alopecia
C
once a day
After 1 day, hair started to grow






areata


and falling hairs reduced. After









4 days, application was stoped,









but stimulation, elongation and









restoration of hair persisted.



 S60
fe-
50's
healthy skin 
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.



 S61
fe-
40's
multiple alopecia
C
once a day
After 3 days, hairs started to




male

areata


grow and grew.



 S62
fe-
40's
alopecia areata
B
once a day
After 5 days, stimulated hair




male




growth was confirmed. After 2









weeks, further growth of terminal









hair, elongation and growth of









hair were confirmed all over









alopecia site.





SEQ ID NO 29:
 S63
fe-
40's
female alopecia
C
once a day
After 4 days, hair gained elasti-


(CFGRKMDRISSM

male




city, resilience and increased


SGLGC)






volume.



 S64
male
40's
healthy skin 
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.



 S65
male
40's
male AGA
C
once a day
Hair gained resilience and volume









after 3 days. Application con-









tinued for 1 week, and the effect









persisted for 1.5 months there-









after.



 S66
male
30's
male alopecia
C
2 applica-
After 3 days, hair gained elasti-








tion/day
city, resilience and increased








for 3 days
volume at thinning area on fore-









head. After a few days, hair









growth stimulation and hair









growth were confirmed.



 S67
fe-
70's
female alopecia
C
once a day
After 2 days, hair gained elasti-




male




city and resilience. After 5









days, volume of hair increased.









It was confirmed that the stimu-









lated hairs are predominantly









black over white hair.





SEQ ID NO 30:
 S68
fe-
20's
alopecia areata
B
once a day
After 7 days, stimulated hair


(CFGRKMDRISSS

male

ophiasis


growth was confirmed. Even 2


VGLGC)






weeks after stopping application,









hair growth stimulation and re-









storation persisted, and there









were little falling hairs.



 S69
male
40's
male AGA
B
once a day
After 2-3 days, hair gained









elasticity and resilience. After









7 days, hair gained volume, re-









storation was confirmed.



 S70
male
30's
alopecia univer-
B
once a day
After 3 days, hairs started to






salis


grow and grew.



 S71
fe-
30's
multiple alopecia
C
once a day
After 1 day, stimulated hair




male

areata


growth was confirmed.





SEQ ID NO 31:
 S72
fe-
20's
alopecia areata
C
once a day
After 7 days, stimulated hair


(CFGRKMDRISSS

male

ophiasis


growth was confirmed. Even 2


SRLGC)






weeks after stopping application,









hair growth stimulation and re-









storation persisted, and falling









hairs significantly decreased



 S73
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.



 S74
male
30's
alopecia areata
C
2 applica-
After 3 days, stimulation and






universalis

tion/day
elongation of hair were con-








for 3 days
firmed.



 S75
fe-
60's
multiple alopecia
B
once a day
After 5 days, hairs stimulated to




male




grow, restored hair and hair









growth were confirmed. It was









confirmed that hair elongation









rate is fast.





SEQ ID NO 32:
 S76
male
30's
male alopecia
B
once a day
After 7 days, hair gained elasti-


(CFGRKMDRISSS






city. Hair started to grow, and


SGMGC)






volume of hair on parietal fore-









head was increased.



 S77
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S78
male
40's
alopecia univer-
C
once a day
After 3 days, hair stimulation 






salis


and growth were confirmed



 S79
fe-
50's
hair thinning
C
once a day
After 2 days, hair gained elasti-




male

after anticancer


city, resilience and increased






agent therapy


volume. Appearance of scalp shown









through hair got obsecure. Hair









increase was confirmed.





SEQ ID NO 33:
 S80
fe-
50's
multiple alopecia
B
once a day
After 7 days, stimulated hair


(CFGRKMDRISSS

male

areata


growth was confirmed.


SGIGC)
 S81
male
60's
healthy skin
C
once a day
After 1 day, hair became fuller






(scalp


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.



 S82
fe-
40's
multiple alopecia
B
once a day
After 5 days, hair root regenera-




male

areata


tion and hair growth stimulation









were confirmed. 



 S83
male
60's
alopecia areata
C
once a day
After 1 day, apparent hair growth









stimulation and restoration were









confirmed. After 4 days, hair









elongation were confirmed.





SEQ ID NO 34:
 S84
fe-
50's
hair thinning
B
once a day
After 5 days, thin, fuzzy hairs


(CFGRKMDRISSS

male

after anticancer


along hairline got thicker and


SGVGC)



agent therapy


denser.



 S85
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-









city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S86
male
40's
male AGA
C
once a day
Hair gained resilience and volume









after 3 days. Application con-









tinued for 1 week, and the effect









persisted for 1.5 months there-









after.



 S87
male
30's
male alopecia
C
once a day
After 3 days, hair gained resili-









ence and volume of hair increased









in parietal thinning area



 S88
male
20's
multiple alopecia
C
once a day
After 1 day, hairs started to






areata


grow and grew.





SEQ ID NO 35:
 S89
fe-
40's
hair thinning
B
once a day
After 5 days, hair gained elasti-


(CFGRKMDRISSS

male

after anticancer


city, resilience, thickness, and


SGAGC)



agent therapy


increased volume.



 S90
male
20's
multiple alopecia
C
once a day
After 3 days, stimulated hair 






areata


growth was confirmed.



 S91
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.



 S92
fe-
60's
multiple alopecia
B
once a day
After 5 days, hair root regenera-




male

areata


tion and hair growth stimulation









were observed. Then, remarkable









restoration, elongation and 









growth of hair were observed.



 S93
fe-
30's
multiple alopecia
C
once a day
After 1 day, stimulated hair was




male

areata


observed. After 2 weeks, there is









remarkable elongation of hair









marginal area around large de-









calvant spot, and new hair start-









ed to grow in center part.





SEQ ID NO 36:
 S94
male
30's
alopecia univer-
C
once a day
After 4 days, hair stimulation


(CFGRKMDRISSS



salis


and growth were confirmed.


SGLSC)
 S95
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.



 S96
male
50's
seborrheic derma-
C
once a day
After 3 days, seborrhea and 






titis


erythema were improved.



 S97
male
50's
male alopecia
B
once a day
After 5 days, hair gained elasti-









city, resilience and increased









volume.





SEQ ID NO 37:
 S98
fe-
40's
hair thinning
B
once a day
After 5 days, hair gained elasti-


(CFGRKMDRISSS

male

after anticancer


city, resilience, thickness and


SGLAC)



agent therapy


increased volume.



 S99
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained








tion/day on
elasticity and resilience. After








forehead
7 days, hair gained volume, re-








thinning 
storation was confirmed.








area




S100
male
20's
multiple alopecia
C
once a day
After 5 days, stimulated hair






areata


growth was confirmed.



S101
fe-
20's
alopecia areata
A
once a day
After 10 days, hair growth stimu-




male




lation elongation were confirmed.





SEQ ID NO 38:
S102
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFARKMDRISSS

male




city, resilience and increased


SGLGC)






volume. Hair started to grow,









restoration and elongation were









observed.



S103
fe-
50's
dandruff, itches
C
once a day
Iches stopped in 3 minutes, 




male




dandruff was reduced, redness in









scalp was significantly improved.



S104
fe-
10's
eclopic multple
C
once a day
After 3 days, stimulated hair




male

alopecia


growth was confirmed in eyebrows.





SEQ ID NO 39:
S105
male
10's
alopecia univer-
C
once a day
After 3 days, stimulated hair


(CFSRKMDRISSS



salis


growth was confirmed.


SGLGC)










S106
fe-
50's
dandruff, itches
C
once a day
Iches stopped in 1 minute, dan-




male




druff was reduced, redness in









scalp was significantly improved.



S107
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.



S108
fe-
60's
multiple alopecia
C
once a day
After 3 days, stimulated hair




male

areata


growth was confirmed. More black









hairs started to grow than white









hairs, and hair elongation rate









was fast.





SEQ ID NO 40:
S109
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFTRKMDRISSS






city, resilience and increased


SGLGC)






volume. Hair started to grow,









restoration and elongation were









observed.



S110
male
20's
multiple alopecia
C
once a day
After 4 days, stimulated hair






areata


growth was confirmed







C
once a day






SEQ ID NO 41:
S111
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISST

male




city, resilience and increased


SGLGC)






volume. Hair started to grow,









retoration and elongation were









observed.



S112
male
20's
multiple alopecia
C
once a day
After 4 days, stimulated hair






areata


growth was confirmed.





SEQ ID NO 42:
S113
male
30's
multiple alopecia
C
once a day
After 3 days, stimulated hair


(CFGRKMDRISSA



areata


growth was confirmed.


SGLGC)
S114
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.



S115
fe-
60's
multiple alopecia
C
once a day
After 3 days, stimulated hair




male

areata


growth was confirmed. Black hairs









started to grow and hair elonga-









tion was fast





SEQ ID NO 43:
S116
male
40's
male AGA
B
1 applica-
After 2-3 days, hair gained


(CFGRKMDRISSS





tion/day on
elasticity and resilience. After


TGLGC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed








area




S117
male
20's
multiple alopecia
D
once a day
After 3 days, stimulated hair






areata


growth was confirmed.





SEQ ID NO 44:
S118
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISSS

male




city, resilience and increased


AGLGC)






volume. Hair started to grow,









restoration and elongation were









observed



S119
fe-
20's
multiple alopecia
C
once a day
After 3 days, stimulated hair




male

areata


growth was confirmed.





SEQ ID NO 45:
S120
male
40's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISSS






city, resilience and increased


SGLGC)






volume. Hair started to grow,









restoration and elongation were









observed.



S121
fe-
40's
healthy skin
C
once a day
After 1 day, hair volume was in-




male

(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 46:
S122
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRKMDRISST

male




city, resilience and increased


SGLGC)






volume. Hair started to grow,









restoration and elongation were









observed.



S123
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 47:
S124
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-


(CFSRKMDRISSS



(scalp)


creased. Hair gained elasticity


TGLGC)






and resilience.



S125
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow, re-









storation and elongation were









observed.





SEQ ID NO 48:
S126
fe-
40's
multiple alopecia
B
once a day
After 5 days, hair root regenera-


(CFSRKMDRISSS

male

areata


tion and hair growth stimulation


SGIGC)






were confirmed



S127
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black



S128
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow,









restoration and elongation were









observed.





SEQ ID NO 49:
S129
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elast-


(CFSRKMDRISSS

male




city, resilience and increased


SGLAC)






volume.



S130
fe-
60's
alopecia areata
B
once a day
After 5 days, hair started to




male




grow and hair density was in-









creased



S131
fe-
40's
healthy skin
C
once a day
After 1 day, hair volume was in-




male

(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 50:
S132
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRRMDRISST






city, resilience and increased


SGLGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S133
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 51:
S134
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFGRRMDRISSS





tion/day on
elasticity and resilience. After


TGLGC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S135
male
50's
healthy skin
C
once a day
After 1 day, hair became fuller






(scalp)


with increased volume. Hair









gained elasticity and resilience.





SEQ ID NO 52:
S136
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRRMDRISSS






city, resilience and increased


SGIGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S137
fe-
40's
multiple alopecia
B
once a day
After 5 days, hair root regenera-




male

areata


tion and hair growth stimulation









were confirmed.



S138
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 53:
S139
fe-
40's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRRMDRISSS

male




city, resilience and increased


SGLAC)






volume.



S140
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 54:
S141
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFGRKMDRISST





tion/day on
elasticity and resilience. After


SGIGC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S142
fe-
50's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 55:
S143
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISST






city, resilience and increased


SGLAC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S144
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair 









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 56:
S145
male
40's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISSS






city, resilience and increased


TGIGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S146
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 57:
S147
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISSS






city, resilience and increased


TGLAC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S148
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience





SEQ ID NO 58:
S149
fe-
40's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRKMDRISSS

male




city, resilience and increased


SGIAC)






volume.



S150
fe-
40's
healthy skin
C
once a day
After 1 day, hair volume was in-




male

(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 59:
S151
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISST






city resilience and increased


SGLGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S152
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 60:
S153
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISSS






city, resilience and increased


TGLGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S154
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 61:
S155
fe-
60's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISSS

male




city, resilience and increased


SGIGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S156
male
60's
healthy skin
C
once a day
After 1 day, hair became fuller






(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 62:
S157
male
50's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISSS






city, resilience and increased


SGLAC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S158
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 63:
S159
male
60's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFSRKMDRISST





tion/day 
elasticity and resilience. After


SGIGC)





on forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S160
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 64:
S161
male
60's
healthy skin
C
once a day
After 1 day, hair became fuller


(CFSRKMDRISSS



(scalp)


with increased volume. Hair


TGIGC)






gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.



S162
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-




male




city, resilience and increased









volume. Hair started to grow, re-









storation and elongation were









observed





SEQ ID NO 65:
S163
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFSRKMDRISSS





tion/day on
elasticity and resilience. After


TGLAC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S164
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 66:
S165 
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRKMDRISSS






city, resilience and increased


SGIAC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S166
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 67:
S167
male
40's
male AGA
B
1 applica-
After 2-3 days, hair gained 


(CFGRRMDRISST





tion/day on
elasticity and resilience. After


SGIGC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S168
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 68:
S169
fe-
40's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRRMDRISST

male




city, resilience and increased


SGLAC)






volume.



S170
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 69:
S171
male
60's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFGRRMDRISSS





tion/day on
elasticity and resilience. After


TGIGC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S172
male
30's
multiple alopecia
C
once a day
After 1 day, hairs started to






areata


grow and grew.



S173
male
60's
healthy skin
C
once a day
After 1 day, hair became fuller






(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 70:
S174
fe-
50's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFGRRMDRISSS

male




city, resilience and increased


TGLAC)






volume.



S175
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 71:
S176
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISST






city, resilience and increased


SGIGC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S177
male
20's
multiple alopecia
C
once a day
After 1 day, hairs started to






areata


grow and grew.



S178
male
60's
healthy skin
C
once a day
After 1 day, hair became fuller






(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 72:
S179
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFSRRMDRISST





tion/day on
elasticity and resilience. After


SGLAC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S180
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 73:
S181
fe-
40's
female AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISSS

male




city, resilience and increased


TGIGC)






volume.



S182
fe-
40's
alopecia areata
B
once a day
After 5 days, hair started to




male




grow and hair density was in-









creased.



S183
fe-
60's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





SEQ ID NO 74:
S184
male
60's
male AGA
C
once a day
After 1 day, hair gained elasti-


(CFSRRMDRISSS






city, resilience and increased


TGLAC)






volume. Hair started to grow, re-









storation and elongation were









observed.



S185
male
40's
healthy skin
C
once a day
After 1 day, hair volume was in-






(scalp)


creased. Hair gained elasticity









and resilience.





SEQ ID NO 75:
S186
male
40's
male AGA
B
1 applica-
After 2 or 3 days, hair gained


(CFSRRMDRISSS





tion/day on
elasticity and resilience. After


SGIAC)





forehead
7 days, hair gained volume, re-








thinning
storation was confirmed.








area




S187
fe-
40's
multiple alopecia
B
once a day
After 5 days, hair root regenera-




male

areata


tion and hair growth stimulation









were confirmed.



S188
fe-
50's
healthy skin
C
once a day
After 1 day, hair became fuller




male

(scalp)


with increased volume. Hair









gained elasticity and resilience.









After 7 days, grown hairs were









predominantly black over white









hairs. White hairs turned black.





In SEQ ID NOS 16-75. 1st Cys and 17th Cys from left form a disulfide bond.






The result described above demonstrated that the cyclic peptide of the invention exhibits a similar effect as the cyclic peptide expressed by Formula I-a even if some amino acids of the cyclic peptide have been replaced.


Specifically, it has effects of preventing hair loss at the applied site, stimulating hair growth or promoting hair growth, giving hair resilience and elasticity, increasing volume of hair and dramatically decreasing falling hairs when it was applied to the site of alopecia or hair growth stimulation, etc. It also has effects of nourishing hair, promoting hair growth stimulation, improving/preventing thinning of hair at the applied site. In this case, the stimulated hair tends to become a terminal (non-white) hair. Moreover, these effect exhibit significantly faster as compared to other active agents conventionally used in alopecia therapeutics such as BNP such that stimulated hair growth can be confirmed one day after only one application even in the case of an intractable alopecia areata multilocularis or ophiasis. In addition, resulting effects persists remarkably even after terminating application and the stimulated hair keep growing. In the case of AGA or healthy subject it exert immediate effect of providing hair with resilience and elasticity on the following day, increasing the volume, and dramatically decreasing falling hairs, which effects last even after terminating application. It also has an improving and preventing effect on dermatitis. Therefore, it can improve or prevent skin inflammation associated with alopecia. Such effect is advantageous in cases where alopecia has been exacerbated due to skin condition of the applied site (e.g., scalp). Moreover, the external preparation of the present invention exerts a moisturizing and skin texture-improving effects at the applied site when being applied to skin as described above. It can remove and suppress dandruff and itching, while giving moisture to hair and scalp, improving and preventing dryness and keeping hair and scalp healthy. It also can improve seborrhea. On the other hand, when it is used as an alopecia therapeutic/prophylactic, it can be used for the purpose of treating or preventing one or more of applicable alopecia including, for example, those described below, without being particularly limited thereto.


(Acquired Alopecia)

(i) Alopecia without accompanying scarring or skin lesion (alopecia areata, male pattern alopecia, seborrheic alopecia, alopecia pityroides, female pattern alopecia, gestational alopecia, malignant alopecia, senile alopecia, alopecia totalis, alopecia areata multilocularis, ophiasis, drug-induced alopecia, cancer chemotherapy-induced alopecia and radiation exposure-induced alopecia, traumatic/mechanical alopecia, malnutrition/metabolic disorder associated alopecia, endocrine dysfunction associated alopecia and telogen effluvium (post partum alopecia, alopecia after high fever)).


(ii) Alopecia observed in skin lesion or pathologic skin (infection-induced alopecia, tumor-induced alopecia, inflammation-induced alopecia).


(iii) Scarring alopecia (skin infection-induced alopecia, alopecia induced by infiltration of inflammatory cells).


(Congenital Alopecia)

Diffuse alopecia, congenital atrichia, alopecia in hereditary syndromes, localized alopecia, phakomatosis, aplasia cutis, congenital alopecia triangularis.


It exerts an excellent effect especially on acquired alopecia, preferably on alopecia without accompanying scarring or skin lesion, more preferably on alopecia areata, male pattern alopecia, seborrheic alopecia, alopecia pityroides, female pattern alopecia, gestational alopecia, malignant alopecia, senile alopecia, alopecia totalis, alopecia areata multilocularis, ophiasis, drug-induced alopecia, cancer chemotherapy-induced alopecia and radiation exposure-induced alopecia, traumatic/mechanical alopecia, malnutrition/metabolic disorder associated alopecia, endocrine dysfunction associated alopecia and telogen effluvium. Therefore, the external preparation of the present invention can be used for the purpose of treating or preventing at least one or more alopecia selected from the above-mentioned group.


One simple application onto aforementioned affected site at 3 μg/ml to 500 μg/ml improved or eliminated itch, dandruff, scalp redness and inflammation immediately thereafter (immediate effect). A single application stimulated hair growth, grew hair, provided hair with resilience, elasticity and increased volume, and dramatically decreased falling hairs, and these effects started on the day after the application and persisted for one week or more (long-lasting effect). If application was carried on for about one week, these effects are further improved, and even after terminating application, the effects lasted from 1 to 2 weeks such that stimulation of hair growth and restoration of hair continued and there were little or no falling hairs.


9.2 Confirming Effects on Skin

The obtained cyclic peptide was prepared in purified water at 3, 15, 30, 100 or 500 μg/ml and applied to affected site. Each of formulations A to E in the table indicates the concentration of the cyclic peptide at 3, 15, 30, 100 or 500 μg/ml, respectively. The absence of the effect upon the application of purified water without the peptide confirmed the effect was not a placebo effect.

















TABLE 30





Amino acid sequence










of cyclic peptide 



Diagnostic


Diagnostic impression on skin 
Itches after 


mutant used
ID
Sex
Age
impression
Formulation
Treatment
after application
application















1















SEQ ID NO 16:
Q1 
female
30′s
eczema
B
once a day
After 3 minutes, red papule was reduced 
Itches were remitted 


(CFVRKMDRISSSSGLGC)






and remitted.
immediately after 










application.



Q2 
male
20′s
atopic 
B
once a day
After 2 minutes, erythema, edema and 
Itches were eliminated






dermatitis


infiltration was remitted.
immediately after 










application.



Q3 
male
80′s
plaque 
C
once a day, 2
After 3 minutes, crusts, scales, erythema







psoriasis

days
and infiltration were remitted.




Q4 
male
40′s
plaque 
C
once a day,
After 10 minutes, scales, erythema and 







psoriasis


infiltration were remitted.




Q5 
female
30′s
eczema
C
once a day
After 3 minutes, erythema was remitted.




Q6 
male
20′s
atopic 
B
once a day. 7
Erythema, infiltration and papule were 
Itches were remitted 






dermatitis

days
remitted.
immediately after 










application.



Q7 
female
60′s
eczema
C
once a day
After 2 minutes, erythema, infiltration 










and papule were remitted.










After 20 minutes, they were amaliorated.




Q8 
female
20′s
atopic 
C
once a day
After 2 minutes, erythema and 
Itches were eliminated






dermatitis


infiltration were remitted.
in 1 minute



Q9 
male
10′s
atopic 
C
once a day
Redness vanished immediately after 
Itches were extincted 






dermatitis


application.
in 1 minute.





SEQ ID NO 17:
Q10
male
40′s
atopic 
C
once a day
After 3 minutes, erythema and 
After 3 minutes, 


(CFGQKMDRISSSSGLGC)



dermatitis


infiltration were remitted.
itches were remitted.



Q11
male
10′s
nummular
C
once a day
After 3 minutes, infiltration, erythema 







eczema


exudate and scales were remitted.




Q12
male
20′s
eczema
B
once a day
After 2 minutes, scales and erythema 
Iches were elimintaed









were remitted. With only 1 application,
immediately after 









no recurrence for 7 days thereafter.
application.










2















SEQ ID NO 18:
Q13
male
60′s
milleria
C
once a day
After 2 minutes, redness was remitted.



(CFGQKMDRISSSSGLGC)
Q14
female
40′s
roughened
A
once a day
After 2 minutes, zits, dryness and 







skin


rawness on skin were reduced, skin was 










moisturized and it texture improved. 










After 7 days, large wrinkles and 










nasolabial fold became less deep.






SEQ ID NO 19:
Q15
male
20′s
eczema, atopic
C
once a day
After 2 minutes, erythema and scales were 



(CFGRRMDRISSSSGLGC)



dermatitis


remitted. After 20 minutes, skin got 










moisturized. After only 1 application, 










erythema vanishes and kept in a good 










condition for 1 week.




Q16
male
20′s
atopic 
C
once a day
After 5 minutes, wound was apithelized, 







dermatitis


erythema and papule were improved.




Q17
female
40′s
roughened
B
once a day
After 2 minutes, redness was remitted. 







skin


Roughness and skin texture were also 










improved.




Q18
female
30′s
roughened
B
once a day
After 2 minutes, was remitted. Roughness 







skin


and skin texture were also improved. 










Rawness got better, iches vanished 










immediately after application, skin 










were moisturized and smooth.




Q19
male
40′s
plaque 
C
once a day
After 3 minutes, erythema, crusts scales 







psoriasis


and infiltration were remitted.




Q20
male
40′s
eczema
C
once a day
Erythema was remitted immediately after 
Itches were extincted









application.
immediately after 










application





SEQ ID NO 20:
Q21
female
60′s
eczema
C
once a day
After 1 minute, red papule was reduced 
After 3 minutes, 


(CFGRKLDRISSSSGLGC)






and extincted.
iches were remitted



Q22
male
20′s
atopic 
B
once a day
After 2 minutes, erythema and scales 
Itches vanished 






dermatitis


were remitted.
completely immediately










after application.



Q23
female
40′s
eczema
C
once a day
After 2 minutes, erythema, scales and 
Rawness vanished 









papule were remitted.
immediately after 



Q24
female
30′s
roughened
B
once a day
After 3 minutes, zits, ruggedness, dry 
Iches application were






skin, acne


skin and redness were remitted, skin got 
eliminated immediately









full and its texture improved. Acnes 
after application.









were reduced and redness was remitted.




Q25
female
60′s
wrinkles, 
B
once a day
After 2 minutes, wrinkles became less 







dry skin


deep, dry skin was remitted.




Q26
female
60′s
eczema
C
once a day
After 3 minutes, erythema and scales 










were remitted.






SEQ ID NO 21:
Q27
male
20′s
eczema, atopic
C
once a day
After 3 days, erythema, scales and 
Iches were eliminated


(CFGQKIDRISSSSGLGC)



dermatitis


papule were improved. Cracks were 
immediately after 









epithelized, skin got moisturized and 
application.









improved.




Q28
female
40′s
eczema
B
once a day
After 2 minutes, infiltration, erythema, 
After 1 minute, iches









papule and scratch wound were remitted.
were eliminated.



Q29
male
40′s
atopic 
B
once a day
Immediately after application, erythema
After 3 minutes, 






dermatitis


and scales and remitted.
iches were eliminated.










3















SEQ ID NO 22:
Q30
female
30′s
atopic 
C
once a day
After 3 minutes, 1 application, erythema 
After 30 seconds, 


(CFGQKMDRISSSSGLGC)



dermatitis


and infiltration were remarkably remitted,
Iches were eliminated.









dry skin, scales and cracks were also 










improved.




Q31
female
70′s
eczema
C
once a day
immediately after application, erythema 
Facial rawness 









and papule remitted.
vanished immediately 



Q32
female
30′s
atopic 
B
once a day,
A remarkable improvement after 2 days, 
after application.






dermatitis

7 days
and erythema was eliminated.




Q33
female
40′s
atopic 
C
once a day,
After 1 minute, erythema was remitted.
Iches were eliminated






dermatitis

2 days
After 2 minutes, scratch wound was 
immediately after 









epithelized.
application









After 3 minutes, skin texture was improved.
Iches were eliminated









With only 1-day applicatioin, erythema 
immediately after 









was eliminated, skin texture was 
application









improved with no dryness.




Q34
male
20′s
atopic 
C
once a day
After 2 minutes, erythema and scales were
Iches were remitted 






dermatitis


remitted. No recurrence for 7 days 
immediately









thereafter.
after application



Q35
female
50′s
chronic eczema
C
once a day
After 2 applications, lichenification 
Iches were eliminated









erythema was remitted. No recurrence 
immediately after 









for 3 weeks thereafter.
application



Q36
female
50′s
roughened
C
once a day
Skin roughness was cured immediately 







skin


after application. After 2 minutes, skin 










got moisturized. Its redness faded. Skin 










texture was finely improved. After 7 










days, skin tone became brighter,spots 










faded and flabiness was improved.




Q37
female
30′s
roughened
B
once a day
After 2 minutes, zits, redness was 
Rawness vanished 






skin


remitted. After 1 day, skin became 
immediately after 









normal tone and its texture was improved.
application.





SEQ ID NO 23:
Q38
female
40′s
atopic 
C
once a day
After 2 minutes, scratch wound was 
After 1 minute, acnes


(CFGQKMDRISSSSGLGC)



dermatitis


epithelized and cured. Erythema was 
were eliminated.









improved.




Q39
male
20′s
eczema
C
once a day
After 2 minutes, erythema, dry skin and 
Itches were abeled 









scales were improved and skin got 
immediately after 









moisturized.
application



Q40
male
20′s
atopic 
C
once a day
After 2 minutes, erythema, scales and 
Itches were extincted 






dermatitis


infiltration were remitted. With 1 
immediately after 









application, no recurrence for 7 days.
application.



Q41
male
40′s
plaque 
C
once a day
After 3 minutes, crustsscaleserythema 







psoriasis


and infiltration were remitted.




Q42
female
30′s
roughened
B
once a day
After 2 minutes, roughness, zits and 
After 2 minutes, 






skin


redness were reduced, skin got moisturized
itches were 









and its texture was improved.
extincted.



Q43
female
50′s
rosacea, acne
C
once a day
After 1 minute, erythema, telangiectasia 










and acne were remitted. After 2 minutes, 










papule, infiltration, acne, dry skin and 










redness was remitted.











4















SEQ ID NO 24:
Q44
male
10′s
atopic 
C
once a day
After 3 minutes, erythema, scales and 



(CFGQKMDRISASSGLGC)



dermatitis


infiltration were remitted.










Further improvement after 40 minutes. 










Scratch wound was epithelized.




q45
male
20′s
atopic 
C
once a day
After 3 minutes, erythema and 
After 3 minutes, 






dermatitis


infiltration were remitted.
Iches were 



Q46
male
20′s

C
once a day
After 3 days, cracks were epithelized. 
eliminated.









Erythema, scales and infiltration were 










remitted.




Q47
male
20′s
atopic 
C
once a day
After 2 minutes, wound was epithelized. 
Iches were eliminated 






dermatitis


Erythema, scales and licherification 
immediately after 









remitted. After 5 minutes, skin got 
application.









softened, erythema and infiltration were 










improved.






SEQ ID NO 25:
Q48
male
20′s

C
once a day
After 2 minutes, erythema,scales and 
Iches were remitted 


(CFGQKMDRISSQSGLGC)






infiltration were remitted. Skin got 
immediately after 









moisturized.
application.



Q49
female
40′s
roughened
B
once a day
After 3 minutes, deep wrinkles were less 
Rawness was eliminated 






skin


deep, dry skin and redness were improved,
immediately after 









skin got moisturized and full. By using 
application.









for 1 week, large wrinkles and nasolabial










fold became less deep. Skin became 










brighter. Spots faded.Flabiness was 










improved.






SEQ ID NO 26:
Q50
male
60′s
plaque 
C
once a day
After 2 minutes, scales and infiltration 



(CFGQKMDRISSSSGLGC)



psoriasis


remitted.




Q51
male
30′s
millaria
C
once a day
After 2 minutes, remitted.




Q52
male
20′s
acne vulgaris
C
once a day
After 6 minutes, acne became dry and was 










reduced in size.




Q53
female
60′s
eczema
C
once a day
After 3 minutes, erythema and infiltration










were remitted.










After 4 minutes, amelicrated.




Q54
female
10′s
atopic 
C
once a day
After 2 minutes, strong itches almost 







dermatitis


vanished. Erythema and lichenification 










were improved. Skin got softened.




Q55
female
40′s
roughened
C
once a day
After 2 minutes, zits, redness and 
Rawness vanished 






skin


roughness were improved. Skin got 
immediately after 









moisturized and its texture was 
application.









improved. Skin was improved.






SEQ ID NO 27:
Q56
female
50′s
roughened
C
once a day
After 3 minutes, dry skin was improved, 



(CFGQKMDRISSSSGLGC)



skin, acne


skin got moisturized and its texture was 










finely improved. Redness vanished. 










Inframmation in acne was remitted, 










redness faded and dried. By using for 1 










week, skin became brighter.




Q57
male
20′s
atopic 
C
once a day
After 3 minutes, erythema, infiltration
Iches were eliminated






dermatitis


and lichenification was improved.
immediately after 










application.










5















SEQ ID NO 28:
Q58
female
30′s
eczema
C
once a day
After 1 minute, erythema and infiltration 
After 1 minute, 


(CFGQKMDRISSISGLGC)






were remitted.
Iches were 



Q59
female
20′s
roughened
A
once a day
After 7-day continuous application, skin 
eliminated.






skin


roughness vanished, wrinkles were less 










deep, and skin became brighter.




Q60
female
20′s
roughened
C
once a day
After 2 minutes, scales were improved. 







skin


With 1 application/day, roughness was 










improved and skin could be kept 










moisturized.






SEQ ID NO 29:
Q61
female
30′s
eczema
C
once a day
After 1 minute, erythema and 
Iches were eliminated


(CFGQKMDRISSMSGLGC)






infiltration were remitted.
immediately after 










application.





SEQ ID NO 30:
Q62
male
20′s
atopic 
B
once a day,
After 3 days, erythema and infiltration



(CFGQKMDRISSSVGLGC)



dermatitis

7 days
were remitted.




Q63
female
60′s
eczema
C
once a day
After 1 minute, erythema and papule were 
Iches were eliminated









remitted. After 3 days, there were 
immediately after 









almost cured.
application.



Q64
male
50′s
dry skin
C
once a day
Immediately after application, skin got 










promptly moisturized and its texture was 










improved, zits, erythema and roughned 










skin were improved.




Q65
male
20′s
atopic 
C
once a day
After 10 minutes, lichenification was 
Iches were eliminated






dermatitis


improved. Skin got softened, erythema 
immediately after 









and scales were improved.
application.



Q66
female
40′s
roughened
A
once a day
After 1 day with 1 application, skin 







skin


conditions of roughness, zits and itches 










were improved and skin texture was finely 










improved. The effect lasted for 7 days 










thereafter.






SEQ ID NO 31:
Q67
male
20′s
atopic 
C
once a day
After 2 minutes, erythema and papule 



(CFGQKMDRISSSSRLGC)



dermatitis


was remitted.






SEQ ID NO 32:
Q68
male
30′s
millaria
C
once a day
After 2 minutes, red papule was reduced 



(CFGQKMDRISSSSGMGC)






in size, skin dryness was remitted.




Q69
male
10′s
atopic 
C
once a day
After 3 minutes, exudate stopped, 







dermatitis,


erythema and infiltration were improved.







numeuler














6















SEQ ID NO 33:
Q70
female
30′s
contact
C
2 applicatioin
After 3 minuts, erythema, infiltration 
After 1 minute, iches


(CFGQKMDRISSSSGIGC)



dermatits


and eczema were remitted.
were eliminated.



Q71
female
30′s
atopic 
E
once a day
Immediately after application, erythema 
Iches were eliminated






dermatitis


and scales were improved.
immediately after 



Q72
female
70′s
plaque 
C
2 application
After 5 minutes. erythema, scales 
application.






psoriasis


and infiltration were remitted.




Q73
female
40′s
roughened
B
once a day
In 2 minutes after application, skin 







skin


was improved. Skin texture was finely 










improved. Skin got softened.






SEQ ID NO 34:
Q74
female
30′s
eczema
C
2 applicatioin
After 3 minutes, erythema, infiltration 
After 1 minute, Iches


(CFGQKMDRISSSSGVGC)






and edema remitted.
were eliminated.



Q75
male
20′s
eczema, acne
C
2 applicatioin
After 5 minutes, acne was dried and 







vulgaris


reduced in size. Erythema and scales 










were remitted.




Q76
female
70′s
plaque 
C
2 applicatioin
After 5 minutes, erythema, scales and 







psoriasis


infiltration were remitted.




Q77
female
40′s
roughened
C
once a day
After 2 minutes, skin texture was 







skin


improved, skin got hull, and redness 










and dryness were improved.




Q78
male
50′s
roughened
B
once a day
After 3 minutes, skin got moisturized 







skin


and its texture was improved.




Q79
female
20′s
atopic 
C
once a day
After 3 minutes, erythema and scales 
Itches were improved 






dermatitis


were improved.
immediately after 










applilcation.



Q80
female
50′s
roughened
B
once a day
After 3 minutes, skin roughness was 
Iches wee elminated 






skin


improved, skin got moisturized and its 
immediately after 









texture was fimely improved. Skin gained 
application.









resilence .After 7 days, large wrinkles 










and nasolabial fold because less deep. 










By continuing 4 weeks, spots faded and 










skin tone became brighter. Skin resilence










was improved. Large wrinkles became less 










deep.




Q81
male
30′s
roughened
B
once a day
After 3 minutes, skin roughness and 







skin


redness were improved. Skin texture 










was finely improved. By continuing for 










7 days, skin resilence was improved.






SEQ ID NO 35:
Q82
female
40′s
roughened
B
once a day
After 3 minutes, roughness skin and dry 



(CFGQKMDRISSSSGAGC)



skin


skin were promptly improved, skin 










texture was improved.




Q83
male
60′s
plaque 
C
twice a day
After 30 minutes, erythema, scales and 







psoriasis


infiltration were improved.




Q84
male
40′s
plaque 
C
twice a day
After 20 minutes, erythema and scales 







psoriasis


were improved.




Q85
female
70′s
plaque 
C
twice a day
After5 minutes, erythema and scales 







psoriasis


were remitted.











7















SEQ ID NO 36:
Q86
female
10′s
atopic 
C
once a day
After 2 minutes, linchenification was 
After 2 minutes, 


(CFGQKMDRISSSSGLSC)



dermatitis


remarkably remitted, erythema, scales 
strong iches were 









inflimation, cracks, scratch wound, 
eliminated.









etc. all remitted. After 5 minutes, 










improved with only mild infiltration 










left.




Q87
female
20′s
atopic 
B
once a day
After 1 minute, erythema, infiltration 
After 2 minutes, 






dermatitis


and papule remitted. After 4 minutes, 
iches were 









infiltration was remitted with only 
eliminated.









mild erythema left.




Q88
male
10′s
atopic 
C
once a day
After 3 minutes, erythema, scales, 
After 3 minutes, 






dermatitis


infiltration and scratch wound were 
iches were 









remitted.
eliminated.



Q89
female
40′s
roughened
B
once a day
Immediately after application, itches 







skin


and redness were improved. After 3 










minutes, skin got full and resilent, 










and skin was improved.




Q90
male
50′s
seborrhea
C
once a day,
Immediately after application,seborrhea 
Itches were remitted






dermatits

3 days
was remitted. After 3 days, erythema 
immediately after 









and seborrhea was remiited.
application.





SEQ ID NO 37:
Q91
male
60′s
plaque 
C
once a day
After 2 minutes, erythema and scales 



(CFGQKMDRISSSSGLAC)



psoriasis


were remitted.




Q92
male
20′s
atopic 
C
once a day
After 2 minutes, erythema and 
Iches were eliminated 






dermatitis


infiltration were remitted. Applied 
immediately after 






prurigo


twice. After 15 minutes, pringe nodularis 
application.






nodularis,


on hip was remitted




Q93
female
40′s
roughened
B
once a day
After 3 minutes, roughened skin and dry 







skin


skin were improved promptly and skin 










texture was improved.




Q94
male
40′s
plaque 
C
once a day
After 20 minutes, erythema and scales 







psoriasis


were remitted.




Q95
male
30′s
atopic 
C
once a day
After 2 minutes, scratch wound 







dermatitis


epithelized erythema was remitted.






SEQ ID NO 38:
Q96
male
20′s
atopic 
C
once a day
After 3 minutes, cracks was reduced in 
immediately after 


(CFGQKMDRISSSSGLGC)



dermatitis


size. Erythema, scales and 
application, itches









lichenification were remitted.
and rawness were 










removed.



Q97
female
40′s
roughened
B
once a day
After 1 minute, dry skin was improved, 
immediately after 






skin


skin got moiturized and full, and 
application, itches 









skin texture was improved.
were removed.



Q98
female
200′s
chronic
C
once a day
immediately after application, erythema 







eczema


and scales were remitted.




Q99
male
20′s
atopic 
C
once a day
After 2 minutes, redness was improved. 
After 1 minute, iches






dermatitis


After 3 minutes, erythema, infiltration 
were eliminated. 









and papule were remitted. After 1 
After 1 application,









application, the effect lasted for 6 
no itches for 6 days 









days with no recurrence.
thereafter.



Q100
female
50′s
prurigo
C
once a day
After 3 minutes, nodes wereflatened, 
Iches were eliminated 






nodularis,


scratch wound became dry and epithelized 
immediately after 






eczema


with no more exudate.
application.










8















SEQ ID NO 39:
Q101
female
50′s
prurigo
C
once a day
After 3 minutes, nodes were flattened.



(CFSRKMDRISSSSGLGC)



nodularis,










eczema







Q102
female
10′s
chronic eczema
C
once a day
After 2 minutes, an intractable eczema 










that cannot be remitted by applying strong










steriod ointments was remitted, and 










erythema, scales and papule were reduced.




Q103
female
50′s
eczema
C
once a day
After 2 minutes, erythema, scales and 










pigmentation were remitted. Skin got full 










and soft, with fresh color.




Q104
female
20′s
atopic 
D
once a day
Scratch wound was epithelized Exudate was 
Iches were eliminated






dermatitis


dried ad lichenification was remitted. 
immediately after 









erythema and infiltration were remitted.
application.



Q105
male
20′s
atopic 
B
once a day
After 3 minutes, erythema and infiltration
After 2 minutes, 






dermatitis


were remitted. With 1 application, the 
itches and tingling 









effect persisted for 1 week with no 
pain were removed.  









recurrence.
The effect persisted










for 7 days with no 










itches.





SEQ ID NO 40:
Q106
male
40′s
atopic 
C
once a day
After 2 minutes, erythema, infiltration 
Iches were eliminated


(CFTRKMDRISSSSGLGC)



dermatitis


and lichenification remitted.
immediately after 










application.



Q107
female
20′s
roughened
C
1 application
After 1 minute, dry skin was improved, 







lips


cracks were less deep and apithelized. 




Q108
female
40′s
roughened
B
once a day
After 3 minutes, redness and roughness 







skin


were improved.




Q109
female
30′s
healthy skin
C
once a day
After 3 minutes, dark-reddish skin tone 










was improved to turn fresh color. 










Dryness, tautnessm rawness and hot flash 










of skin were removed. With 1 application










the effect persisted for 1 week.











9















SEQ ID NO 41:
Q110
male
10′s
atopic 
C
once a day
immediately after application, erythema 
Iches were eliminated 


(CFGRKMDRISSTSGLGC)



dermatitis/


and infiltration of eczema were remitted. 
immediately after 










application.






acne


The effects were exhibited remarkably 










fast. After 3 minutes, erythema was 










further remitted. Acne was dried and 










reduced in size.




Q111
male
20′s
atopic 
C
once a day
Immediately after application, erythema 
Iches were eliminated 






dermatitis


and infiltration were remitted. After 
immediately after 









20 minutes, deep scratch wound was 
application.









epithelized.




Q112
female
40′s
roughened
B
1 application
After 1 minute, skintautness and rawness 







lips


were improved and skin got moisturized.




Q113
female
50′s
atopic 
B
once a day
Iches stopped in 30 seconds. Redness 







dermatitis


and edema were remitted in 1 minute.




Q114
female
10′s
roughened
B
once a day
After 1 minute, redness was remitted.
After 3 minutes, skin






skin/acne


After 3 minutes, skin roughness, zits, 
tautness was removed.









rough and soft skin texture were improved, 










skin got full end its texture was finely










improved. Acne became dry and reduced in 










size.




Q115
female
40′s
roughened
B
once a day
Rawness vanished in 1 minute. Skin was 







skin


moisturized. After 2 minutes, redness, 










roughness and stiffness were remarkably 










improved. By using for 1 weel, skin 










became brighter, flabbiness was improved.






SEQ ID NO 42:
Q116
female
40′s
acne
C
once a day
After 1 minute, redness was remitted.



(CFGRKMDRISSASGLGC)
Q117
male
10′s
atopic 
B
once a day
After 3 minutes, erythema and 
Iches were eliminated






dermatitis


infiltration were remitted.
immediately after 










application.



Q118
female
50′s
eczema
C
once a day
After 3 minutes, erythema and dry skin 










remitted.






SEQ ID NO 43:
Q119
male
40′s
atopic 
C
once a day
After 2 minutes, no discomfort, felt 
After 3 minutes, 


(CFGRKMDRISSSTGLGC)



dermatitis


fresh. Erythema, infiltration and 
roughness and 









lichenification were remitted.
stiffness were 










removed, and itches 










vanished.



Q120
female
30′s
roughened
C
once a day
1 minute after application, dry skin 







lips


was improved cracks became less deep 










and epithelized.




Q121
female
40′s
roughened
B
once a day
After 3 minutes, redness and dry skin 







skin


were improved. Skin got moisturized 










promptly, and skin texture was improved. 










Skin rawness, stiffness and irritation 










were eliminated. Pores became less 










distinguised.




Q122
female
40′s
rosacae/acne
C
once a day
After 7 minutes, acne was reduce and 










became dry.




Q123
female
30′s
eczema
C
once a day
After 1 minute, redness and infiltration 
Iches were eliminated 









were remitted.
immediately after 










application.










10















SEQ ID NO 44:
Q124
female
60′s
healthy skin
B
once a day
Skin got moisturized promptly, wrinkles 



(CFGRKMDRISSSAGLGC)






became less deep, skin texture was improved.










By using for 4 weeks, large wrinkles and 










nasolabial fold became less deep. Skin 










resilence and flabiness were improved. 










Spots faded. Skin tone became brighter.




Q125
female
80′s
eczema
C
once a day
After 1 minute, erythema and infiltration 
Iches were remitted 









were remitted.
immediately after 










application.


SEQ ID NO 45:
Q126
female
40′s
roughened
B
once a day
After 2 minutes, dryness, tautness and 



(CFSRRMDRISSSSGLGC)



skin


rawness of skin were eliminated, skin got 










full, and wrinkles became less deep. Skin 










mained elasticity. By using for 5 days, 










flabbiness was improved. Skin became 










brighter, nasolabial fold became less 










deep. By using for 4 weeks, nasolabial 










fold became less deep. Skin resilence 










and flabbiness were improved. Spots faded 










and skin tone became brighter.






SEQ ID NO 46:
Q127
female
40′s
eczema
C
once a day
After 2 minutes, erythema, scales and 



(CFGRKMDRISSTSGLGC)






infiltration were remitted. Skin got 










softened.






SEQ ID NO 47:
Q128
female
30′s
chronic eczema
C
once a day
Immediately after application, erythema 



(CFGRKMDRISSSTGLGC)






and scales were remitted.






SEQ ID NO 48:
Q129
male
50′s
eczema
C
once a day
After 2 minutes, erythema, scales and 



(CFGRKMDRISSSSGIGC)






infiltration were remitted. Skin got 










moisturized.






SEQ ID NO 49:
Q130
male
30′s
chronic eczema
C
once a day
Immediately after application, erythema 



(CFGRKMDRISSSSGLAC)






and scales were remitted.






SEQ ID NO 50:
Q131
male
50′s
eczema
C
once a day
After 2 minutes, erythema, scales and 



(CFGRRMDRISSSTGLGC)






infiltration were remitted.






SEQ ID NO 51:
Q132
female
60′s
eczema
B
once a day
After 3 minutes, erythema and 



(CFGRRMDRISSSTGLGC)






infiltration were remitted.






SEQ ID NO 52:
Q133
female
50′s
eczema
C
once a day
After 2 minutes, erythema, scales and 



(CFGRRMDRISSSSGIGC)






infiltration were remitted. Skin got 










moisturized.






SEQ ID NO 53:
Q134
female
20′s
eczema
C
once a day
After 1 minute, erythema and infiltration 



(CFGRRMDRISSSSGLAC)






were remitted.






SEQ ID NO 54:
Q135
female
30′s
roughened
B
once a day
After 2 minutes, dryness, tautness and 



(CFSRKMDRISSTSGIGC)



skin


rawness of skin were eliminated, skin 










got full and wrinkles became less deep. 










Skin gained elasticity.






SEQ ID NO 54:
Q136
female
50′s
eczema
C
once a day
After 2 minutes, erythema, scale and 



(CFSRKMDRISSTSGIGC)






infiltration were remitted.











11















SEQ ID NO 56:
Q137
male
20′s
roughened
B
once a day
After 2 minutes, dryness, tautness and 



(CFGRKMDRISSSTGIGC)



skin


rawness of skin were elimnated, skin got 










full, and wrinkles became less deep. 










Skin gained elasticity.






SEQ ID NO 57:
Q138
female
40′s
eczema
C
once a day
After 2 minutes, erythema, scales and 



(CFGRKMDRISSSTGLAC)






infiltration were remitted, scratch 










wound was epithelized and dried.






SEQ ID NO 58:
Q139
female
30′s
eczema
C
once a day
After 2 minutes, erythema, scales, 



(CFGRKMDRISSSSGIAC)






papule and infiltration were remitted.






SEQ ID NO 59:
Q140
male
60′s
roughened
B
once a day
After 2 minutes, dryness, tautness and 



(CFGRKMDRISSTSGLGC)



skin


rawness of skin were eliminated. Skin 










gained elasticity, wrinkles became less 










deep.






SEQ ID NO 60:
Q141
female
50′s
chronic
C
once a day
Immediately after application, erythema 



(CFGRRMDRISSSTGLGC)



eczema


and scales were remitted.






SEQ ID NO 61:
Q142
female
30′s
chronic
C
once a day
Immediately after application, erythema 



(CFSRRMDRISSSSGIGC)






and scales were remitted.






SEQ ID NO 62:
Q143
female
40′s
roughened
B
once a day
After 2 minutes, dryness, tautness and 



(CFSRRMDRISSSSGLAC)



skin


rawness of skin were eliminated, skin 










got full, and wrinkles became less deep. 










Skin gained elasticity.






SEQ ID NO 63:
Q144
male
50′s
eczema
B
once a day
After 3 minutes, erythema and scales 



(CFSRKMDRISSTSGIGC)






infiltration were remitted, and skin got 










softened.






SEQ ID NO 64:
Q145
male
40′s
chronic
C
once a day
Immediately after application, erythema 



(CFSRKMDRISSTSGIGC)



eczema


and scales were remitted.






SEQ ID NO 65:
Q146
female
40′s
roughened
C
once a day
After 1 minute, skin got moisturized and 



(CFGRKMDRISSSTGLAC)



skin


resilent, skin texture was improved.






SEQ ID NO 66:
Q147
male
50′s
eczema
C
once a day
After 2 minutes, erythema, scales and 



(CFGRKMDRISSSSGIAC)






infiltration were remitted.






SEQ ID NO 67:
Q148
female
70′s
roughened
B
once a day
After 2 minutes, dryness, tautness and 



(CFSRRMDRISSTSGIGC)



skin


rawness of skin were eliminated, skin 










got full, and wrinkles became less deep. 










Skin gained elasticity.






SEQ ID NO 68:
Q149
female
30′s
chronic
C
once a day
Immediately after application, erythema 



(CFGRRMDRISSTSGLAC)



eczema


and scales were remitted.






SEQ ID NO 69:
Q150
female
20′s
eczema
C
once a day
After 2 minutes, erythema, scales, 



(CFSRRMDRISSTSGIGC)






infiltration were improved.











12















SEQ ID NO 70:
151
female
60′s
chronic
C
once a day
immediately after application, erythema 



(CFGRRMDRISSSTGLAC)



eczema


and scales were remitted.




152
female
30′s
roughened
C
once a day
Redness vanished in 30 seconds. After 1 







skin


minute, skin texture improved finely. 






SEQ ID NO 71:






Pores became less distinguished.



(CFSRRMDRISSTSGIGC)
153
male
50′s
roughened
A
once a day
After 2 minutes, dryness, tautness and 







skin


rawness of skin were eliminated, skin 










got full and wrinkles became less deep. 










Skin gained elasticity.






SEQ ID NO 72:
154
male
50′s
chronic
C
once a day
Immediately after application, erythema, 



(CFSRRMDRISSTSGLAC)



eczema


scales and papule were remitted.






SEQ ID NO 73:
155
male
20′s
chronic
C
once a day
Immdediately after application, erythema 



(CFSRRMDRISSSTGIGC)



eczema


and scales were remitted.






SEQ ID NO 74:
156
female
30′s
roughened
C
once a day
After 1 minute, rawness and hot flash 



(CFGRRMDRISSSTGLAC)



skin


were eliminated, skin got moisturized 










and its texture improved, wrinkles faded 










and skin gained elasticity.




157
male
60′s
chronic
D
once a day
Iches were eliminated immediately after 







eczema


application. Redness was remitted.






SEQ ID NO 75:
158
female
60′s
eczema
C
once a day
After 2 minutes, erythema, scalesm 



(CFGRRMDRISSSSGIAC)






papule, infiltration were remitted.






SEQ ID NO 43:
258
male
40′s
atopic 
C
once a day
After 2 minutes, cracks were epithelized 



(CFGRKMDRISSSTGLGC)



dermatitis


with no more pains and itches. Erythema 



and






and scales were also remitted.



SEQ ID NO 19:










(CFGRRMDRISSSSLGC)













SEQ ID NO 43:
358
male
40′s
eczema

once a day
After 2 minutes, wound was epithelized 



(CFGRKMDRISSSTGLGC)






quickly, and erythema, scales and 



and






infiltration were remarkably remitted.



SEQ ID NO 99:





In SEQ ID NOS 16-75, 1st Cys and 17th Cys from left form a disulfide bond.






The result described above demonstrated that the cyclic peptide of the invention exhibits a similar effect as the cyclic peptide expressed by Formula I-a even if some amino acids of the cyclic peptide have been replaced. Moreover, a similar effect could be obtained by applying the replaced cyclic peptide in a mixture as long as an effective amount of the cyclic peptide is applied.


Specifically, in subjects having atopic dermatitis or eczema, effects were observed immediately after applying 3 μg/ml to 500 μg/ml to affected site, including elimination of itches, epithelialization at infiltrated site, papule or scratch, termination of exudation, epithelialization of a crack. Moreover, a single application induced a persistent effect for a week or more.


When it was applied to healthy or roughened skin, it exerted a moisturizing effect immediately or within a few minutes after application, improving dryness, providing and keeping skin and mucosa with moderate elasticity and flexibility, softening skin, giving skin or mucosa resilience and firmness. Also, fine wrinkles and flabbiness are improved at the applied site, and dullness and spots are further faded. A single application induced a persistent effect for a week or more.


9.3 Confirming Nasal Effect

The obtained cyclic peptide was prepared in physiological saline at 3, 15, 30, 100 or 500 μg/ml, and 0.1 ml each was applied to nasal cavity. Each of formulations A to E in the table indicates the concentration of the cyclic peptide at 3, 15, 30, 100 or 500 μg/ml, respectively. The absence of the effect upon the application of physiological saline without the peptide confirmed the effect was not a placebo effect.

















TABLE 13-1





SEQ ID NO










(amino acid










sequence) of 



Diagnostic
Formu-

Diagnostic impression on
Itches


cyclic peptides
ID
Sex
Age
impression
lation
Treatment
skin after application
after application







SEQ ID NO 16:
P1
female
10's
allergic
C
once a day, 0.1 ml
From immediately after nasal
Itches were remitted


(CFVRKMDRISSS



rhinitis

applied to each
application, and nose got
immediately after nasal


SGLGC)





nasal cavity
cleared, rhinorrhea stopped.
application, and eliminated









There was no irritationg
after 1 minute.









symptoms, and the effect










persisted for all day by 1










nasal application.






SEQ ID NO 17:
P2
male
30's
allergic
D
once a day, 0.1 ml
From immediately after nasal
Itches were remitted


(CFGQKMDRISSS



rhinitis

applied to each
application, and nose got
immediately after nasal


SGLGC)





nasal cavity
cleared, rhinorrhea stopped.
application, and eliminated









There was no irritationg
after 1 minute.









symptoms, and the effect










persisted for all day by 1










nasal application.






SEQ ID NO 18:
P3
male
50's
allergic
C
once a day, 0.1 ml
After 3 minutes, and nose



(CFGHKMDRISSS



rhinitis

applied to each
got cleared, rhinorrhea



SGLGC)





nasal cavity
stopped. There was no










irritationg symptoms, and










the effect persisted for all










day by 1 nasal application.






SEQ ID NO 19:
P4
female
40's
chronic
B
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRRMDRISSS



rhinitis,

applied to each
cleared, nasal discharge



SGLGC)



perennial

nasal cavity
stopped. There was no







rhinitis


irritating symptoms.




P5
female
70's
allergic
B
once a day, 0.1 ml
After 2 minutes, and nose
Itches were remitted






rhinitis

applied to each
got cleared, and no nasal
immediately after nasal








nasal cavity
discharge came out by
application.









blowing nose.






SEQ ID NO 20:
P6
female
40's
allergic
B
once a day, 0.1 ml
After 1 minute, nasal



(CFGRKLDRISSS



rhinitis

applied to each
obstruction was improved,



SGLGC)





nasal cavity
and nose got cleared. The










effect persisted for all










day.






SEQ ID NO 21:
P7
female
20's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKIDRISSS



rhinitis

applied to each
cleared. Nasal discharge



SGLGC)





nasal cavity
stopped.






SEQ ID NO 22:
P8
female
50's
allergic
E
once a day, 0.1 ml
Immediately after nasal
Immediately after nasal


(CFGRKMDRVSSS



rhinitis

applied to each
application, and nose got
application, restless itches


SGLGC)





nasal cavity
cleared.
and sneezing stopped.



P9
female
40's
chronic
C
once a day, 0.1 ml
After 20 seconds, and nose







rhinitis,

applied to each
got cleared. No nasal







perennial

nasal cavity
discharge after 1 minute.







rhinitis


There was no irritating










symptoms.






SEQ ID NO 23:
P10
female
30's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRIGSS



rhinitis

applied to each
cleared. Nasal discharge



SGLGC)





nasal cavity
stopped.






SEQ ID NO 24:
P11
female
20's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRISAS



rhinitis

applied to each
cleared. Nasal discharge



SGLGC)





nasal cavity
stopped.






SEQ ID NO 25:
P12
female
20's
allergic
A
once a day, 0.1 ml
After 2.5 minutes, and nose



(CFGRKMDRISSQ



rhinitis

applied to each
got cleared.



SGLGC)





nasal cavity







SEQ ID NO 26:
P13
female
50's
allergic
C
once a day, 0.1 ml
After 1 minute, nose got



(CFGRKMDRISSV



rhinitis

applied to each
cleared and refreshed. After



SGLGC)





nasal cavity
2 minutes, no nasal










discharge by blowing.






SEQ ID NO 27:
P14
male
20's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRISSL



rhinitis

applied to each
cleared.



SGLGC)





nasal







SEQ ID NO 28:
P15
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRISSI



rhinitis

applied to each
cleared. Nasal discharge



SGLGC)





nasal cavity
stopped.






SEQ ID NO 29:
P16
male
50's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRISSM



rhinitis

applied to each
cleared. Nasal discharge



SGLGC)





nasal cavity
stopped.






SEQ ID NO 30:
P17
female
30's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFGRKMDRISSS



rhinitis

applied to each
stopped.



VGLGC)





nasal cavity







SEQ ID NO 31:
P18
female
10's
allergic
D
once a day, 0.1 ml
After 30 seconds, rhinorrhea



(CFGRKMDRISSS



rhinitis

applied to each
stopped. After 1 minute, no



SRLGC)





nasal cavity
nasal discharge by blowing.






SEQ ID NO 32:
P19
male
40's
allergic
C
once a day, 0.1 ml
After 1 minute, nasal



(CFGRKMDRISSS



rhinitis

applied to each
obstruction was improved,



SGMGC)





nasal cavity
and nose got cleared. The










effect persisted for all










day.




P20
female
40's
chronic
C
once a day, 0.1 ml
Immediately after nasal







rhinitis,

applied to each
application nose got







perennial

nasal cavity
cleared. The effect was







rhinitis


remarkable and persisted










for 7 days after 1 nasal










application.






SEQ ID NO 33:
P21
female
40's
allergic
C
once a day, 0.1 ml
After 30 seconds, rhinorrhea
Sneezing and itches in deep


(CFGRKMDRISSS



rhinitis

applied to each
stopped. After 1 minute, no
inside nose stopped.


SGIGC)





nasal cavity
nasal discharge by blowing.






SEQ ID NO 34:
P22
female
40's
allergic
C
once a day, 0.1 ml
After 2.5 minutes, and nose
No irritating symptoms.


(CFGRKMDRISSS



rhinitis

applied to each
got cleared.



SGVGC)





nasal







SEQ ID NO 35:
P23
female
30's
allergic
C
once a day, 0.1 ml
After 1 minute, nasal



(GFGRKMDRISSS



rhinitis

applied to each
obstruction was improved,



SGAGC)





nasal cavity
and nose got cleared. The










effect persisted for all










day.




P24
female
40's
chronic
D
once a day, 0.1 ml
Immediately after nasal







rhinitis,

applied to each
application, nose got







perennial

nasal cavity
refreshed and cleared.







rhinitis









SEQ ID NO 36:
P25
female
40's
allergic
C
once a day, 0.1 ml
Immediately after nasal
Immediately after nasal


(CFGRKMDRISSS



rhinitis

applied to each
application, and nose got
application, itches were


SGLSC)





nasal cavity
cleared.
removed. No irritating










symptoms.





SEQ ID NO 37:
P26
female
40's
allergic
C
once a day, 0.1 ml
After 30 seconds, rhinorrhea
Immediate effect to remove


(CFGRKMDRISSS



rhinitis

applied to each
stopped. Nose got cleared
itches.


SGLAC)





nasal cavity
and felt good. Other nose










drops causes this subject to










sneeze due to some irritant,










but the inventive nose drop










had no irritation. The










effect persisted for 1 week










by 1 nasal application.




P27
female
40's
chronic
C
once a day, 0.1 ml
Nose got cleared and







rhinitis,

applied to each
rhinorrhea stopped in 30







perennial

nasal cavity
seconds.







rhinitis









SEQ ID NO 38:
P28
male
30's
chronic
C
once a day, 0.1 ml
After 2 minutes, rhinorrhea



(CFARKMDRISSS



rhinitis

applied to each
stopped. Nasal obstruction



SGLGC)





nasal cavity
was improved to allow nasal










breathing.






SEQ ID NO 39:
P29
male
40's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRKMDRISSS



rhinitis

applied to each
application, nose got



SGLGC)





nasal cavity
refreshed and cleared. No










nasal discharge after 30










seconds.






SEQ ID NO 40:
P30
female
30's
allergic
C
once a day, 0.1 ml
After 2.5 minutes, and nose



(CFTRKMDRISSS



rhinitis

applied to each
got cleared.



SGLGC)





nasal







SEQ ID NO 41:
P31
female
20's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFGRKMDRISST



rhinitis

applied to each
stopped. There was no



SGLGC)





nasal cavity
irritating symptoms.






SEQ ID NO 42:
P32
female
10's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRKMDRISSA



rhinitis

applied to each
application, and nose got



SGLGC)





nasal cavity
cleared.






SEQ ID NO 43:
P33
male
20's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRKMDRISSS



rhinitis

applied to each
application, and nose got



TGLGC)





nasal cavity
cleared. After 1 minute, no










nasal discharge even by










twisting nose.






SEQ ID NO 44:
P34
male
40's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFGRKMDRISSS



rhinitis

applied to each
stopped. There was no



AGLGC)





nasal cavity
irritating symptoms.






SEQ ID NO 45:
P35
male
60's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFSRRMDRISSS



rhinitis

applied to each
cleared.



SGLGC)





nasal







SEQ ID NO 47:
P36
male
50's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFSRKMDRISSS



rhinitis

applied to each
stopped. There was no



TGLGC)





nasal cavity
irritating symptoms.






SEQ ID NO 48:
P37
female
50's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFSRKMDRISSS



rhinitis

applied to each
cleared. Nasal discharge



SGIGC)





nasal cavity
stopped.






SEQ ID NO 49:
P38
female
40's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRKMDRISSS



rhinitis

applied to each
application, and nose got



SGLAC)





nasal cavity
cleared.






SEQ ID NO 50:
P39
female
10's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRRMDRISST



rhinitis

applied to each
application, and nose got



SGLGC)





nasal cavity
cleared.






SEQ ID NO 51:
P40
male
20's
chronic
C
once a day, 0.1 ml
After 1.5 minutes, nasal



(CFGRRMDRISSS



rhinitis

applied to each
obstruction was improved,



TGLGC)





nasal cavity
and nose got cleared.






SEQ ID NO 52:
P41
male
30's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFGRRMDRISSS



rhinitis

applied to each
stopped. There was no



SGIGC)





nasal cavity
irritating symptoms.






SEQ ID NO 53:
P42
male
40's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRRMDRISSS



rhinitis

applied to each
application, and nose got



SGLAC)





nasal cavity
cleared.






SEQ ID NO 54:
P43
female
30's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRKMDRISST



rhinitis

applied to each
application, and nose got



SGIGC)





nasal cavity
cleared.






SEQ ID NO 55:
P44
male
50's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRISST



rhinitis

applied to each
cleared. Nasal discharge



SGLAC)





nasal cavity
stopped.






SEQ ID NO 56:
P45
male
30's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRKMDRISSS



rhinitis

applied to each
application, and nose got



TGIGC)





nasal cavity
cleared.






SEQ ID NO 57:
P46
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFGRKMDRISSS



rhinitis

applied to each
cleared. Nasal discharge



TGLAC)





nasal cavity
stopped.






SEQ ID NO 58:
P47
female
40's
allergic
C
once a day, 0.1 ml
After 30 seconds, rhinorrhea
Itches were removed in


(CFGRKMDRISSS



rhinitis

applied to each
stopped, with no more
30 seconds.


SGIAC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 59:
P48
female
20's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRRMDRISST



rhinitis

applied to each
application, and nose got



SGLGC)





nasal cavity
cleared.






SEQ ID NO 60:
P49
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFSRRMDRISSS



rhinitis

applied to each
cleared. Nasal discharge



TGLGC)





nasal cavity
stopped.






SEQ ID NO 61:
P50
male
30's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRRMDRISSS



rhinitis

applied to each
application, and nose got



SGIGC)





nasal cavity
cleared.






SEQ ID NO 62:
P51
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFSRRMDRISSS



rhinitis

applied to each
stopped, with no more



SGLAC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 63:
P52
female
30's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRKMDRISST



rhinitis

applied to each
application, and nose got



SGIGC)





nasal cavity
cleared.






SEQ ID NO 64:
P53
male
60's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFSRKMDRISSS



rhinitis

applied to each
stopped, with no more



TGIGC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 65:
P54
female
30's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose got



(CFSRKMDRISSS



rhinitis

applied to each
cleared. Nasal discharge



TGLAC)





nasal cavity
stopped.






SEQ ID NO 66:
P55
female
30's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRKMDRISSS



rhinitis

applied to each
application, and nose got



SGIAC)





nasal cavity
cleared.






SEQ ID NO 67:
P56
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose



(CFGRRMDRISST



rhinitis

applied to each
got cleared. Nasal



SGIGC)





nasal cavity
discharge stopped.






SEQ ID NO 68:
P57
male
60's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFGRRMDRISST



rhinitis

applied to each
stopped, with no more



SGLAC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 69:
P58
male
20's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRRMDRISSS



rhinitis

applied to each
application, and nose got



TGIGC)





nasal cavity
cleared.






SEQ ID NO 70:
P59
female
40's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFGRRMDRISSS



rhinitis

applied to each
application, and nose got



TGLAC)





nasal cavity
cleared.






SEQ ID NO 71:
P60
female
30's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFSRRMDRISST



rhinitis

applied to each
stopped, with no more



SGIGC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 72:
P61
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFSRRMDRISST



rhinitis

applied to each
stopped, with no more



SGLAC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 73:
P62
female
20's
allergic
C
once a day, 0.1 ml
Immediately after nasal



(CFSRRMDRISSS



rhinitis

applied to each
application, and nose got



TGIGC)





nasal cavity
cleared.






SEQ ID NO 74:
P63
female
40's
allergic
C
once a day, 0.1 ml
After 1 minute, rhinorrhea



(CFSRRMDRISSS



rhinitis

applied to each
stopped, with no more



TGLAC)





nasal cavity
sneezing. There was no










irritating symptoms.






SEQ ID NO 75:
P64
male
20's
allergic
C
once a day, 0.1 ml
After 1 minute, and nose



(CFSRRMDRISSS



rhinitis

applied to each
got cleared. Nasal



SGIAC)





nasal cavity
discharge stopped.





In SEQ ID NOS 16-75, 1st Cys and 17th Cys from left form a disulfide bond.






The result described above demonstrated that the cyclic peptide of the invention exhibits a similar effect as the cyclic peptide expressed by Formula I-a even if some amino acids of the cyclic peptide have been replaced.


Specifically, when it was applied to nasal cavity mucosa and/or paranasal cavity mucosa, it can improve or prevent various symptoms associated with rhinitis such as nasal obstruction, rhinorrhea, sneezing and pruritus. Rhinitis also includes, without being particularly limited, for example, infectious rhinitis including acute rhinitis and chronic rhinitis; hypersensitive non-infectious rhinitis including combined (flower hypersensitivity) rhinitis, rhinitis with rhinorrhea, congestive rhinitis, edematous rhinitis and dry-nose type rhinitis; irritant-induced rhinitis including physical rhinitis, chemical rhinitis and radiation rhinitis; and atrophic rhinitis and idiopathic granulomatous rhinitis; sinusitis such as acute sinusitis, chronic sinusitis (maxillary empyema), eosinophilic sinusitis and paranasal cavity mycosis. The external preparation can be used for the purpose of treating or preventing one ore more of the above.


Combined rhinitis includes, for example, allergic rhinitis including perennial allergic rhinitis and seasonal allergic rhinitis, and nonallergic rhinitis including vasomotor (essential) rhinitis and eosinophilic rhinitis. Rhinitis with rhinorrhea includes, for example, gustatory rhinitis, cold air-induced rhinitis and senile rhinitis.


Congestive rhinitis includes, for example, drug-induced rhinitis, psychogenic rhinitis, gestational rhinitis, endocrine rhinitis and cold rhinitis.


Edematous rhinitis includes, for example, aspirin-hypersensitive rhinitis.


Among those mentioned above, it exerts an excellent effect specifically on hypersensitive non-infectious rhinitis, irritant-induced rhinitis and sinusitis, preferably on hypersensitive non-infectious rhinitis and chronic sinusitis, more preferably on combined (flower hypersensitivity) rhinitis, rhinitis with rhinorrhea, congestive rhinitis, edematous rhinitis and dry-nose type rhinitis, and chronic sinusitis. Therefore, the external preparation of the present invention can be used for the purpose of treating or preventing at least one or more rhinitis selected from the above-mentioned group.


In terms of its symptoms, for its effects as described above, it can be used for any of rhinitis with sneezing/rhinorrhea, rhinitis with nasal obstruction and rhinitis with both symptoms.


Immediately after a single application of 0.1 ml of 3 μg/ml to 500 μg/ml preparation was applied to the affected site in each nasal cavity, nasal discharge was stopped, nasal obstruction was improved, itches in nasal cavity mucosa or sneezing were stopped (immediate effect). A single application of a nasal drop induced persistent effects lasting for one day, or for a week or more in some cases (long-lasting effect). In addition, because it causes no local irritation at all, it can be used safely even in a subject who is not desired to use a nasal drop comprising rhinitis therapeutic that has conventionally been used such as steroid drug due to its strong local irritation.


Examples of multiple replaceable amino acids in the cyclic peptide of the invention are summarized below, based on working examples as described above, without not being limited thereto.









TABLE 32







Candidate multiple replacements of B ring

















Number








Example of



of
Resi-

Resi-

Resi-

Resi-

replaced
SEQ


replace-
due
Amino
due
Amino
due
Amino
due
Amino
amino acid
ID


ment
ID
acid
ID
acid
ID
acid
ID
acid
sequence
NO:




















2
3
A, S
5
R




CFSRRMDRISSSSGLGC
45






3
A, S
12
Q, T




CFSRKMDRISSTSGLGC
46






3
A, S
13
T




CFSRKMDRISSSTGLGC
47






3
A, S
15
M, I, 




CFSRKMDRISSSSGIGC
48






V, A












3
A, S
16
A, S




CFSRKMDRISSSSGLAC
49






5
R
12
Q, T




CFGRRMDRISSTSGLGC
50






5
R
13
T




CFGRRMDRISSSTGLGC
51






5
R
15
M, I,




CFGRRMDRISSSSGIGC
52






V, A












5
R
16
A, S




CFCRRMDRISSSSGLAC
53






12
Q, T
15
M, I,




CFGRKMDRISSTSGIGC
54






V, A












12
Q, T
16
A, S




CFGRKMDRISSTSGLAC
55






13
T
15
M, I,




CFGRKMDRISSSTGIGC
56






V, A












13
T
16
A, S




CFGRKMDRISSSTGLAC
57






15
M, I, 
16
A, S




CFGRKMDRISSSSGIAC
58




V, A













3
3
A, S
5
R
12
Q, T


CFSRRMDRISSTSGLGC
59






3
A, S
5
R
13
T


CFSRRMDRISSSTGLGC
60






3
A, S
5
R
15
M, I, V, A


CFSRRMDRISSSSGIGC
61






3
A, S
5
R
16
A, S


CFSRRMDRISSSSGLAC
62






3
A, S
12
Q, T
15
M, I, V, A


CFSRKMDRISSTSG1GC
63






3
A, S
13
T
15
M, I, V, A


CFSRKMDRISSSTGIGC
64






3
A, S
13
T
16
A, S


CFSRKMDRISSSTGLAC
65






3
A, S
15
M, I,
16
A, S


CFSRKMDRISSSSGLAC
66






V, A












5
R
12
Q, T
15
M, I, V, A


CFGRRMDRISSTSGIGC
67






5
R
12
Q, T
16
A, S


CFGRRMDRISSTSGIAC
68






5
R
13
T
15
M, I, V, A


CFGRRMDRISSSTGIGC
69






5
R
13
T
16
A, S


CFGRRMDRISSSTGLAC
70






5
R
15
M, I,
16
A, S


CFGRRMDRISSSSGLAC
71






V, A











4
3
A, S
5
R
12
Q, T
15
M, I, 
CFSRRMDR1SSTSGIGC
72










V, A








3
A, S
5
R
12
Q, T
16
A, S
CFSRRMDRISSTSGLAC
73






3
A, S
5
R
13
T
15
M, I, 
CFSRRMDRISSSTGIGC
74










V, A








3
A, S
5
R
13
T
16
A, S
CFSRRMDRISSSTGLAC
75






3
A, S
5
R
15
M, I, V, A
16
A, S
CFSRRMDRISSSSGIAC
76








Claims
  • 1.-15. (canceled)
  • 16. A method of using an external preparation comprising applying the external preparation to skin and/or mucosa of a subject, wherein the external preparation comprises a cyclic peptide having an amino acid sequence expressed by the Formula I:
  • 17. The method of using the external preparation according to claim 16, wherein the mucosa is labial, oral, nasal, ocular or vaginal mucosa.
  • 18. The method of using the external preparation according to claim 16 for treating and/or preventing dermatitis, for alleviating or resolving itch, for treating eczematous or other erosion or ulcer, or for skin-care.
  • 19. The method of using the external preparation according to claim 16 for treating and/or preventing alopecia, and/or for stimulating hair growth, and/or for growing hair.
  • 20. The method of using the external preparation according to claim 16 for treating and/or preventing rhinitis.
  • 21. (canceled)
  • 22. (canceled)
  • 23. The method according to claim 16, wherein X1-X12 are selected from the group consisting of following (1)-(12): (1) X1 denotes Gly,(2) X2 denotes Arg, Gln or His,(3) X3 denotes Lys or Arg,(4) X4 denotes Met, Leu or Ile,(5) X5 denotes Ile,(6) X6 denotes Ser or Gly,(7) X7 denotes Ser or Ala,(8) X8 denotes Ser, Gln, Val, Ala, Thr, Leu, Ile or Met,(9) X9 denotes Ser, Val, Ala or Thr,(10) X10 denotes Gly or Arg,(11) X11 denotes Leu, and(12) X12 denotes Gly,or a derivative thereof or a pharmaceutically acceptable salt thereof.
  • 24. The method according to claim 16 selected from the cyclic peptides of SEQ ID NOs: 3-8 and SEQ ID NOs: 16-75, or a derivative thereof or a pharmaceutically acceptable salt thereof.
  • 25. The method according to claim 16, wherein the derivative is substituted by a substituent which is capable of replacing a hydrogen atom, hydroxyl group, carboxy group, amino group or imino group in the cyclic peptide.
  • 26. The method according to claim 16, wherein the cyclic peptide is formed by deleting 1 to 4 amino acids in the cyclic peptide expressed by any one of the Formulae (I-a)-(I-e), or by replacing them with or adding them other amino acids, and wherein the cyclic peptide has an equal function with the cyclic peptide expressed by each of said formulae.
  • 27. The method according to claim 16, wherein the external preparation is an ingredient for a dermatitis therapeutic, dermatitis prophylactic, antipruritic, antiphlogistic, wound epithelialization-accelerating agent or skin-care product.
  • 28. The method according to claim 27, wherein the skin-care product is used for moisturizing, and/or for preventing or improving rough skin, and/or for sebum/acne care, and/or for alleviating irritation/anti-inflammation, and/or for skin-lightening, and/or for anti-aging, and/or for preventing/alleviating ultraviolet lesion, and/or for slimming, and/or for skin-cleansing.
  • 29. The method according to claim 16, wherein the external preparation is a bath agent, a body-cleansing agent or a hair-cleansing agent.
  • 30. The method according to claim 16, wherein the external preparation is an alopecia therapeutic, an alopecia prophylactic, a hair growing agent and/or a hair growth stimulant.
  • 31. The method according to claim 16, wherein the external preparation is a rhinitis therapeutic and/or rhinitis prophylactic.
  • 32. The method according to claim 16, wherein the external preparation is a cosmetic.
  • 33. The method according to claim 16, wherein the external preparation is a solid, semi-solid, powder, liquid, spray, ointment, cream, emulsion, gel or patch formulation.
  • 34. The method according to claim 16, wherein the external preparation is used as a pharmaceutical product, a quasi-drug or a cosmetic product.
Priority Claims (1)
Number Date Country Kind
2015-110622 May 2015 JP national
RELATED APPLICATION

This application is a divisional of U.S. patent application Ser. No. 15/122,753, which is a national stage filing under 35 U.S.C. § 371 of International Application No. PCT/JP2016/065839, filed May 27, 2016, the entire contents of each of which are incorporated herein by reference in their entireties.

Divisions (1)
Number Date Country
Parent 15122753 Aug 2016 US
Child 16745520 US