Composition comprising a magnesium compound and/or a magnesium salt for improving sexual dysfunction
Technical Field
The present invention relates to the composition for improving sexual
dysfunction comprising one or more ingredients selected from the group consisting of
magnesium compounds and magnesium salts.
Background Art
In connection with improved quality of living, the importance placed on sex,
and the recognition and understanding of sex continue to increase. Meanwhile, sexual
dysfunction is a common problem in both males and females. Sexual dysfunction in
males and females is not a problem limited to individuals. Such a problem may induce
familial problems and further, social problems. The penis and clitoris are important
sensory organs for a physiological sexual function, and embryologically homologous
organs. Particularly, the erection in males or females is an essential process during
sexual behavior, and clitoral and penile erections are caused by relaxation of the clitoral
cavernosum and penile corpus cavernosum. In improvement of sexual functions in
males and females, the erections of the clitoris and penis are an important physical
process together with mental state.
Penile and clitoral erections are the haemodynamic event which is dependent
upon the balance of contraction and relaxation of the corpus cavernosum smooth
muscles and vasculature of the penis and clitoris (Lemer SE, Melman A, Christ GJ. A
review of erectile dysfunction: new insights and more questions. J Urol. 149:1246-55,
1993).
Relaxation of the penile corpus cavernosum smooth muscle leads to increased
blood flow into the trabecular spaces of the corpus cavernosa, causing them to expand
against the surrounding tunica and compress the draining veins. This produces a vast
elevation in blood pressure which results in an erection (Naylor, AM. Endogenous
neurotransmitters mediating penile erection. Br J Urol. 81:424-31, 1998). Similarly,
relaxation of clitoral cavernosum smooth muscle leads to increased blood flow resulting
in clitoral erection (Goldstein I and Berman JR. Vasculogenic female sexual
dysfunction: vaginal engorgement and clitoral erectile insufficiency syndromes. Int J
Impot Res. 10 Suppl 2:S84-90, 1998). The changes that occur during the penile and clitoral erectile process are
complex and require a high degree of coordinated control involving the peripheral and
central nervous systems, and the endocrine system (Naylor, 1998). Corporal smooth
muscle contraction is modulated by sympathetic noradrenergic innervation via
activation of postsynaptic alphaj adrenoceptors. Erectile Dysfunction may be
associated with an increase in the endogenous smooth muscle tone of the corpus
cavernosum. However, the process of smooth muscle relaxation in the penis and
clitoris is mediated partly by non-adrenergic, non-cholinergic (NANC)
neurotransmission. There are a number of other NANC neurotransmitters found in the
penis and clitoris, other than nitric oxide (NO), such as calcitonin gene related peptide
(CGRP) and vasoactive intestinal peptide (VIP). The main relaxing factor responsible
for mediating this relaxation is NO, which is synthesized from L-arginine by nitric
oxide synthase (NOS) (Taub et al 1993; Chuang et al 1998). Reduction of corporal
smooth muscle tone occurs because NO induces relaxation of the corpus cavernosum.
During sexual arousal in males and females, NO is released from neurons and the
endothelium and binds to and activates soluble guanylate cyclase (sGC) located in the
smooth muscle cells and endothelium, leading to an elevation in intracellular cyclic
guanosine 3',5'-monophosphate (cGMP) levels. This elevation in cGMP leads to the
relaxation of the corpus cavernosum due to reduction in the intracellular calcium
concentration ([Ca2+],), via unknown mechanisms thought to involve protein kinase G
activation {possibly due to activation of Ca2+ pumps and Ca2+-activated K+ channels
(Chuang et al., 1998)}.
Sildenafil citrate (also known as Viagra™), was recently been developed as the
first oral drug for male erectile dysfunction (MED) by Pfizer. Sildenafil inhibits the
breakdown of cGMP in the penis and clitoris by selectively inhibiting
phosphodiesterase 5 (PDE5), namely inhibiting the hydrolysis of cGMP to 5'GMP
(Boolel et al, 1996; Jeremy et al., 1997), and thereby increasing the mtracellular
concentrations of cGMP and facilitating corpus cavernosal smooth muscle relaxation..
Currently, all other available erectile dysfunction therapies on the market, such
as treatment with prostaglandin based compounds i.e. alprostadil which can be
administered intra-urethrally (available from Vivus Inc., as Muse™) or via small needle
injection (available from Pharmacia & Upjohn, as Caverject™), are inconvenient.
Other treatments include vacuum constriction devices, vasoactive drug injection or
•penile prostheses implantation (Montague DK, Barada JH, Belker AM, Levine LA,
Nadig PW, Roehrborn CG, Sharlip ID, Bennett AH.. Clinical guidelines panel on
erectile dysfunction: summary report on the treatment of organic erectile dysfunction. J
Urol. 156:2007-11, 1996). Although injectable vasoactive drugs show high efficacy,
side effects such as penile pain, fibrosis and priapism are common, thus limiting
applicability for treatment.
In addition, Korean Patent Application Nos. 1999-0019100, 1999-0019101,
1999-0019102, 1999-0019103, 1999-0019104 and 2002-0071326 disclose
pharmaceutical compositions comprising a mixture of two or more ingredients selected
from the group consisting of L-arginine and lycium extract, eucommia bark extract,
acanthopanax extract, schizandra extract, red ginseng extract and evening primrose oil,
but those compositions are likely to tend to exhibit poor effectiveness.
Disclosure of the Invention The present invention relates to a composition for improving sexual
dysfunction comprising one or more ingredients selected from the group consisting of
magnesium compounds and magnesium salts.
The composition may further comprise L-arginine or ginseng-alcohol extract,
or L-arginine and ginseng-alcohol extract.
The composition in accordance with the present invention may comprise one
or more ingredients selected from the group consisting of magnesium compounds and
magnesium salts, in an amount of preferably 1 to 80% by weight, and more preferably 5
to 60% by weight of the total weight of the composition, based on the magnesium
content. Further, when the composition in accordance with the present invention
further comprises L-arginine or ginseng-alcohol extract, or L-arginine and ginseng-
alcohol extract, in addition to the magnesium ingredients, preferably, the content of L-
arginine is 1 to 80% by weight based on the total weight of the composition, and the
content of the gmseng-alcohol extract is 1 to 80% by weight based on the total weight
of the composition; more preferably, the content of L-arginine is 5 to 50% by weight
based on the total weight of the composition, and the content of the ginseng-alcohol
extract is 2 to 50% by weight based on the total weight of the composition.
The composition in accordance with the present invention may be
administered 1 to 3 times per day, 0.001 to 3 g each time, and preferably 1 to 3 times
per day, 0.01 to 2 g each time, based on the magnesium contents from magnesium
compounds or magnesium salts contained in the composition. Magnesium, one of electrolytes essential for all the cells of body, maintains
functions of muscles and neurons, maintains a constant cardiac rate, is important for
bone growth and also is absolutely necessary for energy metabolism and protein synthesis (Wester PO. Magnesium. Am J Clin Nutr 1987;45:1305-12). Thus magnesium deficiency is known to cause a variety of diseases (Johnson S. The multifaceted and widespread pathology of magnesium deficiency. Med Hypotheses. 2001 56:163-70).
The present inventors have found that magnesium facilitates production and liberation of nitric oxide (NO) in penile corpus cavernosum and clitoral cavernosum, and applied this finding to the present invention. Therefore, the composition in accordance with the present invention has an effect on improving sexual dysfunction by promoting production and liberation of nitric oxide (NO) in penile corpus cavernosum and clitoral cavernosum, resulting in relaxation of smooth muscles thus leading to increased blood flow to the penis and clitoris.
The representative examples of magnesium compounds in according to the
, present invention are magnesium oxide, magnesium hydroxide and the like. In addition, the representative examples of magnesium salts in according to the present invention are magnesium chloride, magnesium sulfate, magnesium gluconate, magnesium citrate, magnesium lactate, magnesium stearate and the like. In particular, magnesium gluconate, magnesium citrate, magnesium lactate and magnesium oxide are more preferable. The compositions in accordance with the present invention comprising not only magnesium compounds and/or magnesium salts, but also a ginseng-alcohol
extract containing L-arginine (used as a substrate of NO) and gmsenosides which are
known as a stimulator and an expression inducer of NOS (Li Z, Niwa Y, Sakamoto S,
Shono M, Chen X, Nakaya Y. Induction of inducible nitric oxide synthase by
gmsenosides in cultured porcine endothelial cells. Life Sci. 2000;67:2983-9; Scott GI,
Colligan PB, Ren BH, Ren J. Ginsenosides Rbl and Re decrease cardiac contraction in
adult rat ventricular myocytes: role of nitric oxide. Br J Pharmacol 2001,134:1159-65),
show an excellent effects on improving sexual dysfunction. In this connection, it is
important that it is the composition of which the amount of each constituent is regulated
to have a synergistic effects without side effects. If each constituent is used in an excessive amount, it may cause side effects
such as decreased preference and loss of impotence-treating effect. In order to
significantly improve such problems, the composition in accordance with the present
invention was prepared such that it was a composite composition of which the amount
of each material necessary for NO synthesis and liberation was reduced, very
efficiently increasing the relaxation of corpus cavernosum by NO. Thus the effect as a
sexual dysfunction-improving agent was enhanced.
One characteristic of the composition in accordance with the present
invention is that it may improve peripheral blood circulation leading to fundamental
improvement of sexual dysfunction and have the preventing and treating effects for
such diseases, since the composition contains a magnesium salt which is known to
prevent cardiovascular diseases including diabetes mellitus and hypertension, and
senescence which are fundamental causes of sexual dysfunction.
The ginseng-alcohol extract in the composition in accordance with the
present invention is obtained by placing dried ginseng in 1 to 10-fold weight of
ethanol or a mixed solvent of ethanol and water, followed by extraction at a
temperature of 20 to 78°C for 1 to 10 hours, and then concentrating and freeze-drying
the resulting filtrate.
The composition for improving sexual dysfunction in accordance with the
present invention may be formulated in various forms that contain pharmaceutically
acceptable carriers, excipients and/or additives. That is, the composition in
accordance with the present invention may be formulated in the form of a
conventional formulation, for example oral formulations such as tablets, capsules and
solutions, and parenteral formulations such as injectable preparations and transdermal
preparations. Examples of transdermal preparations may include creams, gels,
ointments and lotions. The composition in accordance with the present invention may be used in
various food products. For example, the composition of the present invention may
be prepared in the form of food products such as teas and health supplements.
Brief Explanation of Drawings
The above and other objects, features and other advantages of the present
invention will be more clearly understood from the following detailed description
taken in conjunction with the accompanying drawings, in which:
Fig. 1 is a graph showing concentration-dependent effects of L-arginine,
ginseng-alcohol extract and magnesium gluconate on penile corpus cavernosum
relaxation. ; Fig. 2 is a graph showing concentration-dependent effects of L-arginine,
ginseng-alcohol extract and magnesium gluconate on clitoral cavernosum relaxation.;
Fig. 3 is a bar graph showing the comparison of the relaxation effects on penile
corpus cavernosum among the group in which L-arginine alone was administered, the
group in which a combination of L-arginine and ginseng-alcohol extract was
administered, and the group in which a combination of L-arginine, ginseng-alcohol
extract and magnesium gluconate was administered; and
Fig. 4 is a bar graph showing the inhibition effects of L-NAME (10" M, an
inhibitor of nitric oxide synthase) on penile corpus cavernosum relaxation induced by
the combination of L-arginine, ginseng-alcohol extract and magnesium gluconate.
Best Mode for Carrying Out the Invention
Now, the present invention will be described in more detail with reference to
the following Examples and Experimental Examples. These examples are provided
only for illustrating the present invention and should not be construed as limiting the
scope and sprit of the present invention.
EXAMPLES
Example 1 : Preparation of ginseng-alcohol extract
One kg of dried 4-year white ginseng was placed in 3L of 70% ethanol,
followed by heat extraction for 5 hours and filtration. The filtrate obtained was further
concentrated and the resulting concentrate was freeze-dried.
Formulation Example 1 : Tablet
Magnesium gluconate 400.0 g Lactose BP 250.0 mg
Starch BP 30.0 mg
Pre-gelatinized corn starch BP 15.0 mg
Magnesium stearate 1.0 mg
Magnesium gluconate was mixed with lactose, starch and pre-gelatinized corn
starch, adequate volume of purified water was added thereto and granulated. The
granules were dried, mixed with magnesium stearate, and then compressed to prepare a
tablet.
Formulation Example 2 : Tablet
Magnesium oxide 200.0 mg
L-arginine 200.0 mg
Ginseng-alcohol extract 100.0 mg
Lactose BP 250.0 mg
Starch BP 30.0 mg Pre-gelatinized corn starch BP 15.0 mg
Magnesium stearate 1.0 mg
Magnesium oxide, L-arginine and ginseng-alcohol extract were mixed with
lactose, starch and pre-gelatinized com starch. Adequate volume of purified water was
added thereto and granulated. The granules were dried, mixed with magnesium
stearate, and then compressed to prepare a tablet.
Formulation Example 3 : Capsule
Magnesium gluconate 200.0 mg Starch 1500 100.0 mg
Magnesium stearate BP 1.0 mg
Magnesium gluconate was mixed with starch and magnesium stearate, and the
mixture was filled into a gelatin capsule to prepare a capsule.
Formulation Example 4 : Capsule
Magnesium oxide 150.0 mg
L-arginine 150.0 mg
Ginseng-alcohol extract 100.0 mg
Starch 1500 100.0 mg
Magnesium stearate BP 1.0 mg
Magnesium oxide, L-arginine and ginseng-alcohol extract were mixed with
starch and magnesium stearate. The mixture was filled into a gelatin capsule to prepare
a capsule.
Formulation Example 5 : Injectable preparation
Magnesium gluconate 30.0 mg
L-arginine 30.0 mg
Ginseng-alcohol extract 13.0 mg
Dilute sodium hydroxide pH 7.5-8.5
Sodium chloride BP for injection Max. 2 ml
Magnesium gluconate, L-arginine and ginseng-alcohol extract were dissolved
in an appropriate volume of a dilute sodium hydroxide solution to adjust to pH 7.5 to
8.5. Then sodium chloride BP for injection was used to adjust a volume of the solution
and was thoroughly mixed. The resulting solution was filled into a 2 ml ampoule
made of transparent glass. The glass was melted to seal the ampoule under the upper
grid of air and then sterilized in an autoclave to prepare an injectable preparation.
Formulation Example 6 : Cream formulation Composition (wt%)
Magnesium gluconate 30.0
L-arginine 30.0
Ginseng-alcohol extract 13.0
Dimethicone 5 Cyclomethicone 5
Cetylethyl hexanoate 5
Cetanol 2
Stearic acid 2
Glycerol monostearate 2 Polyoxyethylene sorbitan .
Monostearate 5
Ethanol 5
Propylene glycol 5
Citric acid 0.3 Keltrol F 0.2
Methyl paraben 0.2
Floral Musk incense 0.1
Purified water balance
Preparation method
(1) Dimethicone, cyclomethicone, cetylethyl hexanoate, cetanol, stearic acid, glycerol monostearate, polyoxyethylene sorbitan monostearate and methyl paraben were dissolved by increasing the temperature to 75°C.
(2) Magnesium gluconate, L-arginine, ginseng-alcohol extract, propylene glycol, citric acid, Keltrol F and purified water were dissolved by increasing the temperature to 75°C.
(3) The solution of step (1) was poured into the solution of step (2) and
emulsified while mixing under stirring.
(4) Ethanol and Floral Musk incense were added during emulsification.
(5) The mixture was cooled below 30°C to prepare a cream.
Formulation Example 7 : Gel formulation
Composition (wt%
Magnesium gluconate 30.0
L-arginine 30.0
Ginseng-alcohol extract 13.0
Carbopol
Cetylethyl hexanoate 0 Isostearic acid 2 Polyoxyethylene sorbitan Monostearate 5 Ethanol 5 Citric acid 0.3 Sepigel 305 0.5 Propyl paraben 0.2 Floral Musk incense 0.1 Purified water balance
Preparation method
(1) Carbopol was dissolved in purified water.
(2) Magnesium gluconate, L-arginine, ginseng-alcohol extract, cetylethyl hexanoate, isostearic acid, polyoxyethylene sorbitan monostearate, ethanol, citric acid, propylparaben and Floral Musk incense were dissolved in the solution of step (1).
(3) To the solution of step (2) was added Sepigel 305, and then mixed and stirred.
(4) Gel was prepared.
Experimental Example 1: Test of corpus cavernosum relaxation effects
In the present invention, tissues for experiments were prepared from New
Zealand White rabbits, weighing 2.5 to 3.0 kg. Each rabbit was anesthetized by
injection of sodium thiopental (30 mg/kg) into the ear vein and the entire penis or
clitoris was excised from the pelvic bone and then only corpus cavernosum tissue was
separated. During the preparation, care was taken not to apply excessive
manipulation, in order to prevent damage of the endothelium present in tissues. Tissue
strips (1 2 x 7 mm) were obtained from the separated corpus cavernosum smooth
muscle. Each end of the rabbit corpus cavernosum strip was secured using a silk
suture (6-zero) and then one end was connected with a transducer (Grass Research
Polygraph, Model 79H, W. Warwick, RI) for tension measurement and the other end
was connected with one end of an organ bath. During securing the tissues, care was
taken to avoid overstretching, in order to prevent damage to the endothelial tissues.
A strip of male rabbit penile corpus cavernosum tissue and a strip of female
rabbit clitoral cavernosum tissue were vertically placed in 5ml of the organ bath and the
tension produced in the tissues was recorded on physiograph paper. A nutrient
solution used had the following composition in mM: NaCl 118, KCl 4.7, CaCl2 2.5,
MgCl2 2, NaHC03 25, glucose 10 and HEPES 10, and pH thereof was adjusted to 7.4
using IN NaOH. Further, the nutrient solution was saturated with 100% oxygen, and
the temperature of the organ bath was maintained at 37°C.
The above-mentioned tissue was initially adjusted at 1 g of basal tension and
allowed to stabilize for 60 min, prior to initiation of the present experiment. Changes
in tension occurred during the experiment was recorded on physiograph paper. Drug
administration was performed in a cumulative manner, from lower concentration to
higher concentration, and when maximum relaxation was reached, the second order-
concentration of drug was administered. Upon administering a fresh drag, the tissue
was washed with a fresh nutrient solution three times and allowed to stabilize for about
20 min.
Expression of tension was based on a maximum contraction point or a
minimum relaxation point occurred when the drug was administered. After
confirming that there was no damage to the endothelial cells by observing a contraction
response due to phenylephrine (PhE) and a relaxation response due to acetylcholine
(ACh), the organ bath was washed with a fresh nutrient solution. After PhE was
administered again to cause contraction, each of L-arginine (0.1, 0.3, 0.6 and 1 g/L),
ginseng-alcohol extract (0.01, 0.03, 0.1, 0.3 and 1 g/L), and magnesium gluconate
(0.01, 0.03, 0.1, 0.3 and 1 g/L) was administered in a cumulative dose, followed by
observation of a relaxation response. In addition, relaxation effects between the group
in which a combination of L-arginine (1 g/L) and ginseng-alcohol extract (1 g/L) was
administered, and the group in which a combination of L-arginine (1 g/L), ginseng-
alcohol extract (1 g/ L) and magnesium gluconate (1 g/L) was administered were
observed and compared. Further, based on the comparison of relaxation effects on
the corpus cavernosum between the group in which a combination of L-arginine (0.1
g/L), ginseng-alcohol extract (0.1 g/L) and magnesium gluconate (0.1 g/L) was
administered after corpus cavernosum tissue was pre- treated for 30 min with L-NAME
(10" M, an inhibitor of nitric oxide synthase) and contracted with PhE, and the group
in which a combination of the same ingredients and contents administered without
pre-treatment of L-NAME (10"3 M), a relationship between the relaxation effect of the
composite composition and the NO system was elucidated. As a result of test of responses to PhE and ACh, sections of all the cases
(penile corpus cavernosum, n = 22; clitoral cavernosum, n = 25) exhibited a contraction
response to PhE(10"5 M). Among tissues contracted with PhE, the number of tissue
that exhibited a relaxation response to 10"5 M ACh was 22 cases in the penis and 25
cases in the clitoris. In addition, it was confirmed that there was no damage to the
endothelium surrounding the inner space of the corpus cavernosum from the relaxation
response due to ACh.
As shown in Fig. 1, each of L-arginine (0.1, 0.3, 0.6 and 1 g/L), ginseng-
alcohol extract (0.01, 0.03, 0.1, 0.3 and 1 g/L), and magnesium gluconate (0.01, 0.03,
0.1, 0.3 and 1 g/L) exhibited relaxation responses of penile corpus cavernosum in a
dose-dependent manner. In particular, 1 g/L of L-arginine or magnesium gluconate
exhibited the strong relaxation effect that was similar to relaxation effect of penile
corpus cavernosum in response to 10 μM (micromole) ACh. Additionally, also in the
clitoris, each of L-arginine (0.1, 0.3, 0.6 and 1 g/L), ginseng-alcohol extract (0.01, 0.03,
0.1, 0.3 and 1 g/L), and magnesium gluconate (0.01, 0.03, 0.1, 0.3 and 1 g/L) exhibited
the relaxation responses of the clitoral cavernosum in a dose-dependent manner (see
Fig. 2). Interestingly, as shown in Fig. 3, it was observed that the group treated with
the combination of L-arginine (1 g/L) and ginseng-alcohol extract (1 g/L) had a
significantly enhanced relaxation effect in the presence of magnesium gluconate (1
g/L). In addition, when pre-treated with L-NAME (10"3 M) for 30 min, relaxation
effects of a composite composition made up of L-arginine (0.1 g/L), gmseng-alcohol
extract (0.1 g/ L) and magnesium gluconate (0.1 g/L) were significantly inhibited, as
compared to the case (control group) in which a combination of the same ingredients
and contents was administered without pre-treatment of L-NAME (10"3 M) (see Fig.
4). These experimental results strongly suggest that relaxation effects of the
composite composition are brought about through action on the NO system.
Industrial Applicability
As described above, the present invention provides a composition for improving
sexual dysfunction having excellent effects which has no side effects on the human
body, is convenient for use and is capable of fundamentally preventing and treating
sexual dysfunction.