JPH02169521A - Remedy for autoimmune disease - Google Patents

Remedy for autoimmune disease

Info

Publication number
JPH02169521A
JPH02169521A JP63324856A JP32485688A JPH02169521A JP H02169521 A JPH02169521 A JP H02169521A JP 63324856 A JP63324856 A JP 63324856A JP 32485688 A JP32485688 A JP 32485688A JP H02169521 A JPH02169521 A JP H02169521A
Authority
JP
Japan
Prior art keywords
fragment
human
diphteria toxin
remedy
protein
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP63324856A
Other languages
Japanese (ja)
Inventor
Shinsuke Taki
滝 伸介
Toshiaki Shimamura
嶌村 俊朗
Yoshiyuki Takahara
義之 高原
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ajinomoto Co Inc
Original Assignee
Ajinomoto Co Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ajinomoto Co Inc filed Critical Ajinomoto Co Inc
Priority to JP63324856A priority Critical patent/JPH02169521A/en
Publication of JPH02169521A publication Critical patent/JPH02169521A/en
Pending legal-status Critical Current

Links

Classifications

    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/52Cytokines; Lymphokines; Interferons
    • C07K14/54Interleukins [IL]
    • C07K14/55IL-2

Landscapes

  • Chemical & Material Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Organic Chemistry (AREA)
  • Biochemistry (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Zoology (AREA)
  • Biophysics (AREA)
  • General Health & Medical Sciences (AREA)
  • Genetics & Genomics (AREA)
  • Medicinal Chemistry (AREA)
  • Molecular Biology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Toxicology (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

PURPOSE:To obtain the title remedy containing a human interleukin 2 (IL-2) bound to a diphteria toxin fragment A as an active ingredient and capable of suppressing autoimmune response and specifically reacting only with immunocompetent cell. CONSTITUTION:A human IL-2 diphteria toxin A fragment composite is prepared by combining DNA complementary to diphteria toxin A fragment with a DNA complementary to human IL-2, inserting the combined DNA into a proper manifestation vector, introducing the treated vector into a bacterium, etc., and culturing the bacterium, etc., or chemically combining a diphteria toxin A fragment protein with a human IL-2 protein, e.g. using bivalent crosslink, etc. The above- mentioned composite is added as an active ingredient to provide the remedy effective to autoimmune disease, especially chromic rheumatism and systemic lupus erythematosus. The above-mentioned composite of 1mug-1mg, especially 70-100mug/1kg human body is dissolved in physiological saline or phosphoric acid buffer and administered into abdominal cavity or vein one or more times per week.

Description

【発明の詳細な説明】 (産業上の利用分野) 本発明は慢性関節リウマチ及び全身性紅斑狼疹(以下S
LEと略する)等の自己免疫疾患治療剤に関する。
DETAILED DESCRIPTION OF THE INVENTION (Industrial Field of Application) The present invention is applicable to chronic rheumatoid arthritis and systemic lupus erythematosus (hereinafter referred to as S
LE) and other autoimmune disease therapeutic agents.

更に詳細にはジフテリア毒素A断片とヒトインターロイ
キン2を結合した複合体を有効成分とする自己免疫疾患
用治療剤に関する。
More specifically, the present invention relates to a therapeutic agent for autoimmune diseases containing a complex of diphtheria toxin A fragment and human interleukin 2 as an active ingredient.

(従来技術) 自己免疫疾患は自己成分に対する免疫応答が引き金とな
って起こる一連の炎症反応である。本疾患に対する治療
法としては抗炎症剤、免疫抑制剤、または免疫調整剤が
投与されている。しかしながら抗炎症剤たとえば副腎皮
質ホルモン製剤などは炎症反応のみを抑制するものであ
り、原因となっている自己免疫反応自体を抑制するもの
ではないために薬物の投与を中止すれば症状が再燃する
場合がある。また免疫抑制剤、たとえばシクロへキシミ
ドなどは免疫系にのみ特異的に働くものではなく、他の
細胞を含む多くの臓器に対しても作用し、この副作用の
ために投与を中止せざるを得ない場合がある。この点に
ついて、現在用いられている抗炎症剤、免疫調整剤例え
ば抗リウマチ薬として知られるCCAや金製剤などもま
た同様である。この原因として免疫抑制剤、免疫調整剤
ともに免疫担当細胞の一部を除去失活せしめるものであ
るが、その作用の特異性が低く、多かれ少なかれ免疫担
当細胞とそれ以外の細胞に共通した性質をそれら薬剤の
選択毒性の標的として利用しているからである。
(Prior Art) Autoimmune diseases are a series of inflammatory reactions triggered by immune responses against self-components. Anti-inflammatory agents, immunosuppressants, or immunomodulators are administered as treatments for this disease. However, anti-inflammatory drugs such as adrenocortical hormone preparations only suppress the inflammatory reaction, and do not suppress the autoimmune reaction itself, which is the cause, so symptoms may recur if drug administration is discontinued. There is. Furthermore, immunosuppressants such as cycloheximide do not act specifically on the immune system, but also on many organs including other cells, and these side effects make it necessary to discontinue administration. There may be no. In this regard, the same applies to currently used anti-inflammatory agents and immunomodulators, such as CCA and gold preparations, which are known as anti-rheumatic drugs. The cause of this is that both immunosuppressants and immunomodulators remove and deactivate a portion of immune-competent cells, but their actions are less specific and have more or less common characteristics between immunocompetent cells and other cells. This is because they are used as targets for the selective toxicity of these drugs.

以上のことより、自己免疫疾患の治療薬として望まれる
性質は、原因となっている自己免疫応答を抑制し、又、
免疫担当細胞にのみ特異的に働(ものであることが望ま
しい。然しなから現在これらの条件を満たす治療薬は存
在しない。
From the above, the desirable properties of a therapeutic drug for autoimmune diseases are to suppress the autoimmune response that is the cause, and
It is desirable that the drug act specifically on immunocompetent cells. However, there are currently no therapeutic agents that meet these conditions.

(本発明が解決しようとする課題) 自己免疫応答を抑制し、又免疫担当細胞にのみ特異的に
作用する治療薬の提供である。
(Problems to be Solved by the Invention) It is an object of the present invention to provide a therapeutic agent that suppresses autoimmune responses and acts specifically only on immunocompetent cells.

(課題を解決する為の手段) 本発明者等は上記課題を解決する為に種々の薬剤を検討
した結果、ヒトインターロイキン2とジフテリア毒素の
A断片を結合した複合体がこの条件にあてはまるもので
あることを見出し、本発明を完成させた。
(Means for Solving the Problems) The present inventors investigated various drugs to solve the above problems, and as a result, a complex of human interleukin 2 and A fragment of diphtheria toxin meets this condition. The present invention was completed based on this discovery.

即ち、1本発明はジフテリア毒素A断片を16合させた
ヒトインターロイキン2を有効成分と−[る目出される
因子であり、そのアミノ酸配列及び遺伝子のDNA配列
は既に決定されている(文献呑口ら、ネイチャー、 1
983年、第302巻、305ページ)。
That is, the present invention is a factor that contains human interleukin 2, which is a combination of 16 diphtheria toxin A fragments, as an active ingredient, and the amino acid sequence and DNA sequence of the gene have already been determined (see the literature). et al., Nature, 1
983, Volume 302, Page 305).

二のf L−2は、抗原によって刺激をうけIL−2受
容体をその細胞表面に発現するようになった免疫担当細
胞、すなわちT細胞やB細胞に対してのみ作用する。自
己免疫疾患、たとえば慢性関節リウマチやSLEにおい
てその関節滑液や血液中に可溶性I L−2受容体が存
在することが報告されている(Symonsら、ジャー
ナル・オブ・イムノロジー、第141巻、 2612ペ
ージ、 1988年など)。
Second f L-2 acts only on immunocompetent cells, ie, T cells and B cells, which have been stimulated by antigens to express IL-2 receptors on their cell surfaces. It has been reported that soluble IL-2 receptors are present in the synovial fluid and blood of autoimmune diseases such as rheumatoid arthritis and SLE (Symons et al., Journal of Immunology, Vol. 141, 2612). Page, 1988, etc.).

可溶性IL−2受容体はI L −2受容体を発現して
いる細胞から放出されていることが知られており(Ru
binら、ジャーナル・オブ・イムノロジー第135巻
、 3172ページ、 1985年)、従って、自己免
疫疾患者にはI L−2受容体を発現しているリンパ球
が存在していると考えられる。
It is known that soluble IL-2 receptor is released from cells expressing IL-2 receptor (Ru
Bin et al., Journal of Immunology Vol. 135, p. 3172, 1985). Therefore, it is thought that lymphocytes expressing IL-2 receptors are present in patients with autoimmune diseases.

さらに我々は、SLEモデルマウスであるNZBXNZ
W  F、マウスにおいて、その肺臓B細胞はI L−
2に対して高い応答性を示すが、それはB細胞が自発的
にIL−2受容体を発現しているためであることを発見
した(長谷用ら1日本免疫学会綜合記録、第18巻、3
96ページ、 1988年)。以上より、我々はIL−
2受容体を発現しているリンパ球が自己免疫疾患の発症
と密接に関係していることを見出した。自己免疫疾患に
おけるI L−2受容体発現細胞の重要性はこれまで看
過されて来たものである(Miyasakaら、クリニ
カル・イムノロジー・アンド・イムツバソロジー第31
巻、109ページ、 1984年など)。
Furthermore, we developed the SLE mouse model NZBXNZ.
WF, in mice whose lung B cells are IL-
They found that this is because B cells spontaneously express the IL-2 receptor (Haseyō et al. 1 Japanese Society of Immunology General Records, Vol. 18, 3
96 pages, 1988). From the above, we have IL-
We found that lymphocytes expressing 2 receptors are closely related to the onset of autoimmune diseases. The importance of IL-2 receptor-expressing cells in autoimmune diseases has been overlooked (Miyasaka et al., Clinical Immunology and Immunotubasology Vol. 31).
Vol., p. 109, 1984, etc.).

このことから我々はI L−2受容体を発現するリンパ
球を効率的に除去することができれば自己免疫疾患の原
因となる自己成分に対する免疫応答を抑制できると考え
、本目的のためにジフテリア毒素A断片とI L−2の
複合体に注目したわけである。
Based on this, we believe that if we can efficiently remove lymphocytes expressing IL-2 receptors, we can suppress the immune response to self-components that cause autoimmune diseases. We focused on the complex between A fragment and IL-2.

ジフテリア毒素は、A、82つの断片に分けられ、後者
は様々な細胞の表面に存在するジフテリア毒素受容体に
結合する部分であり、前者は細胞内に侵入後B断片と切
り離され、毒性を発揮する部分である。従ってジフテリ
ア毒素のA断片のみでは細胞に結合することができず、
従って毒性を発揮できない。この性質を利用して、例え
ばインスリンや上皮細胞増殖因子などにA断片のみを結
合させ、インスリンや上皮細胞成長因子に対する受容体
を発現している細胞のみで特異的に障害すそれぞれの相
補DNAを結合させたものを大腸菌内で発現させ、I 
L−2とジフテリア毒素A断片の融合蛋白を産生させる
方法が開発された(ライ+J 7ムら、プロティン・エ
ンジニアリング、1巻。
Diphtheria toxin is divided into two fragments, A and 8. The latter is the part that binds to the diphtheria toxin receptor present on the surface of various cells, and the former is separated from the B fragment after entering the cell and exerts toxicity. This is the part to do. Therefore, the A fragment of diphtheria toxin alone cannot bind to cells.
Therefore, it cannot exhibit toxicity. Taking advantage of this property, for example, by binding only the A fragment to insulin, epidermal growth factor, etc., each complementary DNA that specifically damages cells that express receptors for insulin and epidermal growth factor can be generated. The conjugated product was expressed in E. coli, and I
A method for producing a fusion protein of L-2 and diphtheria toxin A fragment has been developed (Ly+J7mu et al., Protein Engineering, vol. 1).

493ページ、 1987年)。我々は同様な方法で作
成し、抗I L−2抗体を結合した吸着剤にて精製した
I L−2・ジフテリア毒素A断片複合体をJ、R。
493 pages, 1987). We prepared an IL-2/diphtheria toxin A fragment complex using a similar method and purified it using an adsorbent bound with anti-IL-2 antibody.

Murpby (ボストン大学)より入手し、自己免疫
疾患モデルマウスに投与し、その発症を抑制することが
できた。
It was obtained from Murpby (Boston University) and administered to autoimmune disease model mice, and was able to suppress the onset of the disease.

従ってこの複合体は自己免疫疾患の治療剤として、有用
であると判断される。
Therefore, this complex is considered to be useful as a therapeutic agent for autoimmune diseases.

因みに本複合体はジフテリア毒素A断片の相補DNAと
I L−2相補DNAを結合させ、適当な発現ベクター
に挿入したものを導入した細菌等により製造しても良い
し、又ジフテリア毒素A断片蛋白と、I L−2蛋白を
例えば2価架橋等を用いて化学的に結合させて製造して
もよい。
Incidentally, this complex may be produced using bacteria or the like into which diphtheria toxin A fragment complementary DNA and IL-2 complementary DNA are ligated and inserted into an appropriate expression vector, or diphtheria toxin A fragment protein may be inserted into a suitable expression vector. It may also be produced by chemically bonding IL-2 protein and IL-2 protein using, for example, divalent crosslinking.

本発明に係る薬剤の投与の方法としては、1μg/kg
ないしは1■/kg体重望ましくは70μg〜1100
IJ/kgのI L−2−ジフテリア毒素A断片複合体
を生理的食塩水もしくはリン酸緩衝液中に溶解し、腹腔
中もしくは静脈中に1週間に1回収上程度、投与すれば
よい。また浸透圧ポンプ中にI L−2・ジフテリア毒
素A断片複合体を適当量注入し、患者体内に埋め込むこ
とにより徐放的にこれを投与することも有効である。ま
た、この複合体はヒト血清アルブミン等を安定剤として
含む溶液中に溶解して投与することもできる。
As a method for administering the drug according to the present invention, 1 μg/kg
or 1■/kg body weight, preferably 70 μg to 1100
IJ/kg of IL-2-diphtheria toxin A fragment complex may be dissolved in physiological saline or phosphate buffer and administered intraperitoneally or intravenously once or more per week. It is also effective to inject an appropriate amount of the IL-2/diphtheria toxin A fragment complex into an osmotic pump and implant it into the patient's body to administer it in a sustained manner. Further, this complex can also be administered after being dissolved in a solution containing human serum albumin or the like as a stabilizer.

本発明の薬剤は安全性が確認されている。The safety of the drug of the present invention has been confirmed.

また、本発明の薬剤は自己免疫疾患全般に有効であるが
、とりわけ慢性関節リウマチ、SL;Hに特に有効であ
る。
Furthermore, the drug of the present invention is effective against autoimmune diseases in general, but particularly against rheumatoid arthritis and SL;H.

以上本発明を実施例に従って解説するが、本発明はこの
実施例に限定されるものではない。
Although the present invention will be described above according to examples, the present invention is not limited to these examples.

−群25匹のNZBXNZW雑種第一代マウス(チャー
ルズ・リバー・ジャパン)に対し、IL−2・ジフテリ
ア毒素A断片50μs/kg体重もしくは、ジフテリア
毒素A断片50μg/kg体重を毎週1回、投与した。
- Groups of 25 NZBXNZW hybrid first-generation mice (Charles River Japan) were administered IL-2/diphtheria toxin A fragment 50 μs/kg body weight or diphtheria toxin A fragment 50 μg/kg body weight once a week. .

投与は4ヶ月齢から始めた。毎月、生存しているマウス
の数を数え更に月1回眼底静脈より少量の血液を採取し
、血清を得た。得られた血清の抗DNA抗体価を一般に
用いられる方法によりELISA法を用いて測定した(
例えば、諸井、生体の科学第38巻5号、515ページ
に 参照)。抗体価は標準サンプルであるMVL−Mρ−I
pr/lprマウス血清に含まれる抗DNA抗体価を1
万ユニツトとした時の相対値で示しである。
Administration began at the age of 4 months. The number of surviving mice was counted every month, and a small amount of blood was collected from the fundus vein once a month to obtain serum. The anti-DNA antibody titer of the obtained serum was measured using the ELISA method according to a commonly used method (
For example, see Moroi, Biological Science Vol. 38, No. 5, p. 515). The antibody titer was determined from the standard sample MVL-Mρ-I.
The anti-DNA antibody titer contained in pr/lpr mouse serum was
It is expressed as a relative value when it is expressed as 10,000 units.

第1図および第2図に示すとおり、I L−2・ジフテ
リア毒素A断片複合体を投与したマウスは著明な生存延
長および血清中の抗DNA抗体価の上昇の抑制が見られ
た。尚血清中の抗DNA抗体は自己免疫疾患の指標とな
り値が高い程、自己免疫疾患が進行していると考える。
As shown in FIGS. 1 and 2, mice administered with the IL-2/diphtheria toxin A fragment complex showed marked survival prolongation and suppression of the increase in serum anti-DNA antibody titer. The anti-DNA antibody in serum is an indicator of autoimmune disease, and the higher the value, the more advanced the autoimmune disease is.

(本発明の効果) 本発明のI L−2・ジフテリア毒素A断片複合体は従
来有効な治療法のなかった慢性関節リウマチ、SLE等
の自己免疫疾患の治療剤となり得る。
(Effects of the Present Invention) The IL-2/diphtheria toxin A fragment complex of the present invention can serve as a therapeutic agent for autoimmune diseases such as rheumatoid arthritis and SLE, for which no effective treatment has hitherto been available.

【図面の簡単な説明】[Brief explanation of the drawing]

第一図はIL−2・ジフテリア毒素A断片複合体もしく
はジフテリア毒素A断片投与NZB XNZW雑種第1
代マウスの生存率を時間経過に従って示したものである
。 第二図は各月に採血した血液中の抗DNA抗体価の経時
変化を示すものである。各点はその時点で生存している
マウスの平均値を表わす。 第1ml 投与闘始 月 融
Figure 1 shows NZB XNZW hybrid No. 1 administered with IL-2/diphtheria toxin A fragment complex or diphtheria toxin A fragment.
The survival rate of mice is shown over time. Figure 2 shows the change over time in the anti-DNA antibody titer in blood collected each month. Each point represents the average value of mice alive at that time. 1st ml administration

Claims (1)

【特許請求の範囲】 1)ジフテリア毒素A断片を結合させたヒトインターロ
イキン2を有効成分とする自己免疫疾患治療剤。 2)自己免疫疾患が慢性関節リウマチ又は全身性紅斑狼
瘡である特許請求の範囲第1項記載の治療剤。
[Scope of Claims] 1) A therapeutic agent for autoimmune diseases containing human interleukin 2 bound to diphtheria toxin A fragment as an active ingredient. 2) The therapeutic agent according to claim 1, wherein the autoimmune disease is rheumatoid arthritis or systemic lupus erythematosus.
JP63324856A 1988-12-22 1988-12-22 Remedy for autoimmune disease Pending JPH02169521A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP63324856A JPH02169521A (en) 1988-12-22 1988-12-22 Remedy for autoimmune disease

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP63324856A JPH02169521A (en) 1988-12-22 1988-12-22 Remedy for autoimmune disease

Publications (1)

Publication Number Publication Date
JPH02169521A true JPH02169521A (en) 1990-06-29

Family

ID=18170416

Family Applications (1)

Application Number Title Priority Date Filing Date
JP63324856A Pending JPH02169521A (en) 1988-12-22 1988-12-22 Remedy for autoimmune disease

Country Status (1)

Country Link
JP (1) JPH02169521A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0603194A1 (en) * 1991-07-05 1994-06-29 Seragen, Inc. Epidermal growth factor receptor targeted molecules for treatment of inflammatory arthritis
US8105608B2 (en) 2000-03-31 2012-01-31 Purdue Research Foundation Method of treatment using ligand-immunogen conjugates
WO2012110596A1 (en) * 2011-02-16 2012-08-23 Friedrich-Alexander-Universität Erlangen-Nürnberg Fusion protein for the treatment of immunologic or allergic reactions

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS59500814A (en) * 1982-05-12 1984-05-10 プレジデント アンド フエロウズ オブ ハ−バ−ド カレツジ Fusion genes for hybrid protein production

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS59500814A (en) * 1982-05-12 1984-05-10 プレジデント アンド フエロウズ オブ ハ−バ−ド カレツジ Fusion genes for hybrid protein production

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0603194A1 (en) * 1991-07-05 1994-06-29 Seragen, Inc. Epidermal growth factor receptor targeted molecules for treatment of inflammatory arthritis
EP0603194A4 (en) * 1991-07-05 1994-12-07 Seragen Inc Epidermal growth factor receptor targeted molecules for treatment of inflammatory arthritis.
US8105608B2 (en) 2000-03-31 2012-01-31 Purdue Research Foundation Method of treatment using ligand-immunogen conjugates
WO2012110596A1 (en) * 2011-02-16 2012-08-23 Friedrich-Alexander-Universität Erlangen-Nürnberg Fusion protein for the treatment of immunologic or allergic reactions

Similar Documents

Publication Publication Date Title
TW400233B (en) Pharmaceutical compositions comprising IL-12 antagonists for treating autoimmune diseases
US20220175952A1 (en) Treating myelomas
AU2021200489A1 (en) Treating lymphomas
US8133490B2 (en) Method and system to remove cytokine inhibitors in patients
JPH07504888A (en) CDw52 - Specific antibody for the treatment of multiple sclerosis
JPH03503887A (en) Therapeutic use of anti-T cell immunotoxins for autoimmune diseases
JPH0776179B2 (en) Composition for treating diseases including immunological factors
Takeuchi et al. Phase II dose–response study of abatacept in Japanese patients with active rheumatoid arthritis with an inadequate response to methotrexate
US5189014A (en) Method of treating cellular Fc receptor mediated hypersensitivity immune disorders
JP2006249112A (en) Method and system to remove cytokine inhibitor in patient
Karageorgaki et al. Infliximab in Takayasu arteritis: a safe alternative?
US8784812B2 (en) Methods for treating autoimmune diseases using a TACI-Ig fusion molecule
Esnault et al. Influence of immunoadsorption on the removal of immunoglobulin G autoantibodies in crescentic glomerulonephritis
Brenner et al. Phase I Study of Cytokine-Gene Modified Autologous Neuroblastoma Cells for Treatment of Relapse/Refractory Neuroblastoma
JPH01502593A (en) Compositions that enhance ADCC therapy
JPH02169521A (en) Remedy for autoimmune disease
JP2005515981A (en) Pharmaceutical composition containing sFcγRIIb or sFcγRIII
Matsubara et al. Tolerability and efficacy of abatacept in Japanese patients with rheumatoid arthritis: a phase I study
WO2022126869A1 (en) Use of progestin in treating cytokine release syndrome
EP0875251B1 (en) Therapeutic agent for treatment of fiv infections
Klintmalm et al. The organ transplanted patient-immunological concepts and immunosuppression
JP3535155B2 (en) CDw52-specific antibodies for the treatment of T-cell mediated inflammation of joints
JP3064815B2 (en) Myeloma tumor anticancer agent
CN102614180A (en) Use of itraconazole in preparation of drug for treating multiple myeloma
JPS5821624A (en) Remedy for rheumatoid arthritis