CN100418522C - High-dose hydroxy safflower yellow A or its medically-acceptable salt application for preparing medicine for cerebral apoplexy induced from being ischemic - Google Patents

High-dose hydroxy safflower yellow A or its medically-acceptable salt application for preparing medicine for cerebral apoplexy induced from being ischemic Download PDF

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CN100418522C
CN100418522C CNB200410023508XA CN200410023508A CN100418522C CN 100418522 C CN100418522 C CN 100418522C CN B200410023508X A CNB200410023508X A CN B200410023508XA CN 200410023508 A CN200410023508 A CN 200410023508A CN 100418522 C CN100418522 C CN 100418522C
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administration
dosage
dose
hydroxysafflor yellow
ischemic
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CN1640392A (en
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傅风华
刘珂
李桂生
刘志峰
曲桂武
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Reyoung Pharmaceutical Co Ltd
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SHANDONG RUIYANG PHARMACEUTICAL CO Ltd
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Abstract

The present invention provides high-dose hydroxy safflower yellow A or the application of the medical salt thereof in medicines for curing brain ischemic diseases, particularly hydroxy safflower yellow A or the application of the medical salt thereof in preparing medicines for acute cerebral apoplexy induced from being ischemic. The dosage of the present invention is 80 to 1600 mg every day, and the path of administration is intravenous drip administration.

Description

The heavy dose of S-A Hydroxysafflor yellow A or the pharmacy of its officinal salt are used
Technical field
The present invention relates to a kind of S-A Hydroxysafflor yellow A or the application of its officinal salt in the medicine of treatment cerebral ischemia diseases of heavy dose, specially refer to S-A Hydroxysafflor yellow A or the application of its officinal salt in the medicine of the acute cerebral stroke that ischemia causes, its dosage is 80-1600mg/ day, and the approach of administration is the intravenous drip administration.
Background technology
Along with the acceleration of aged tendency of population process and the change of life style, cerebrovascular, particularly ischemia apoplexy have become one of principal disease of harm humans health.The exploitation of medicine that prevents and treats cerebrovascular disease more safely and effectively is very urgent.
Flos Carthami Carthamus tinctorius L. records in " 2 years versions of Pharmacopoeia of People's Republic of China " (one one), is traditional blood-activating and stasis-removing.The single preparation of Flos Carthami now has " Flos Carthami injection " (national drug standards WS clinically 3-B-3825-98), be used for the treatment of obliterated cerebral vascular disease, coronary heart disease, vasculitis etc.Clinical practice for many years proves that its curative effect certainly.But this kind is traditional Chinese medicine, and material base is indeterminate, and mechanism of action is unclear, and complicated component, less than the method that its quality is control effectively, thereby causes the clinical effectiveness instability, the rate of side effects height.
S-A Hydroxysafflor yellow A is the effective ingredient that extracts from the dried floral of feverfew Flos Carthami Carthamus tinctorius L..
Figure C20041002350800031
The S-A Hydroxysafflor yellow A structure
Document [Zang Baoxia, gold ring, compass in ancient China etc., S-A Hydroxysafflor yellow A is to the antagonism [J] of platelet activating factor. Acta Pharmaceutica Sinica, 2002,37 (9): 696] show that S-A Hydroxysafflor yellow A suppresses hematoblastic gathering by the effect of antagonism platelet activating factor.Chinese patent [the open CN1422616 of application, denomination of invention: the medicinal usage of S-A Hydroxysafflor yellow A aspect preparation treatment, prevention cardiovascular and cerebrovascular disease] in describe in detail at rat dosage be 6,3, under the 1.5mg/kg situation, the S-A Hydroxysafflor yellow A dose dependent improves the behavior disorder of rats with cerebral ischemia due to the middle cerebral artery thromboembolism, reduce cerebral ischemia district area, the formation and the inductive rats with cerebral ischemia platelet aggregation of ADP that suppress the rat thrombus in vivo reduce whole blood viscosity, plasma viscosity and the packed cell volume of rat; Be 12,6 at dosage, during 3mg/kg, it has prolonged clotting time of mice.Above-mentioned open source literature is clear and definite, and S-A Hydroxysafflor yellow A has prevention and therapeutical effect to ischemia apoplexy.Make a general survey of the experimental technique in the document, can determine that early stage (in the 30 minutes) administration of S-A Hydroxysafflor yellow A prevention administration or morbidity (modeling) back has reliable effect.The chance that obtains medical treatment in back 30 minutes is seldom but clinical practice midbrain stroke patient is fallen ill, and most patient is to be found behind 3-6 hour of morbidity and to obtain medical treatment.The inventor is by a large amount of discovering, S-A Hydroxysafflor yellow A is in the dosage range described in the open CN1422616 of Chinese patent application, to downright bad the no therapeutical effect of morbidity (modeling) cerebral ischemia after 3 hours, and proof only under more heavy dose of could morbidity after 3 hours during administration performance treat effect.
Technology contents
The invention provides the application in the medicine of the acute cerebral stroke that preparation treatment ischemia causes of a kind of heavy dose of S-A Hydroxysafflor yellow A or its officinal salt, its using dosage is 80-1600mg/ day, and the preferred dose scope is preferably 80-500mg/ day.
The route of administration of S-A Hydroxysafflor yellow A provided by the invention or its officinal salt is an intravenously administrable, is preferably intravenous drip.
The invention provides the S-A Hydroxysafflor yellow A of a kind of 80mg-1600mg of containing or the pharmaceutical composition of its officinal salt.
Pharmaceutical composition provided by the invention exists with injection, transfusion or freeze-dried powder form, is preferably freeze-dried powder, and it all can be prepared from conventional method pharmaceutically.
S-A Hydroxysafflor yellow A salt provided by the invention is pharmaceutically acceptable salt.
Below by preparation embodiment and test example this is illustrated, but be not limited only to this.
The specific embodiment
Embodiment 1: the preparation of S-A Hydroxysafflor yellow A
Get dry Flos Carthami, 80 ℃ of following water extraction 3 times, each 1 hour, add 20 times of water for the first time, add 15 times of water for the second time, add 15 times of water for the third time, merge extractive liquid; Filter, it is 1.05 (80 ℃) that filtrate decompression is concentrated into density, and adding ethanol to determining alcohol is 80%, precipitates 24 hours down in 4 ℃, filters; Filtrate is not distinguished the flavor of to there being alcohol in 60 ℃ of decompression recycling ethanols, add to the DM-130 macroporous adsorbent resin of handling well on 10 times of water dilution backs, applied sample amount (being equivalent to the crude drug amount) is 1: 1 (w/v) with the ratio of resin demand, with 4 column volumes of 5% ethanol elution, collects eluent.Eluent is splined on the polyamide column of handling well, and the ratio that applied sample amount is equivalent to crude drug amount and resin demand is 3: 1 (w/v), earlier with 3 column volumes of 5% ethanol elution, discards; Continue with 8 column volumes of 95% alcoholic solution eluting, the collection eluent is in 60 ℃ of decompression recycling ethanols and be concentrated into debita spissitudo; Lyophilization obtains S-A Hydroxysafflor yellow A.
Embodiment 2: the preparation of S-A Hydroxysafflor yellow A lyophilized injectable powder
Take by weighing 40g mannitol, place in the appropriate containers, add 200ml water for injection, add pin, be heated to 80 ℃, stir 30min, 0.22 μ m filtering with microporous membrane, filtrate for later use with charcoal 0.2g (0.1%w/v).
Take by weighing the 80g S-A Hydroxysafflor yellow A, add the injection water to 1000ml, stirring is dissolved S-A Hydroxysafflor yellow A fully.Mix S-A Hydroxysafflor yellow A solution and mannitol solution, add water for injection to 2000ml, with 0.22 μ m filtering with microporous membrane, packing, loading amount is every hydroxyl carthamin yellow A-containing 80mg, lyophilization.Lid is rolled in the vacuum tamponade, labeling, and packing is promptly.
Embodiment 3: the preparation of S-A Hydroxysafflor yellow A sodium chloride injection
The preparation of sodium chloride-disodium ethylene diamine tetra-acetic acid aqueous solution: in 1000ml water for injection, add the 30mg disodiumedetate, stir and make it dissolving, add 9g sodium chloride again, stirring makes it to dissolve fully, gets sodium chloride-disodium ethylene diamine tetra-acetic acid aqueous solution; Take by weighing the 800mg S-A Hydroxysafflor yellow A, join in above-mentioned sodium chloride-disodium ethylene diamine tetra-acetic acid aqueous solution, stirring makes it to dissolve fully, gets pale yellow solution; Regulate pH value to 5.0~6.0 of above-mentioned solution with dilute NaOH solution and rare HCl solution; Adding activated carbon 0.5g in the solution of above-mentioned modulated good pH value (0.05%, w/v),, get coarse filtration liquid in 20 minutes after-filtration of 80 ℃ of stirrings; Check intermediate content, determine that S-A Hydroxysafflor yellow A content is 80mg/100ml in the filtrate; With 0.22 μ m filtering with microporous membrane, get fine straining liquid.Embedding, gland; In 105 ℃ of heating sterilization in 30 minutes; Labeling detects qualified back packing, gets finished product.
Embodiment 4: the preparation of S-A Hydroxysafflor yellow A injection
Take by weighing the 0.5g disodiumedetate, join in the 1000ml water for injection, stirring makes it to dissolve fully, gets solution 1; Take by weighing the 20.0g S-A Hydroxysafflor yellow A, join in the solution 1, stirring makes it to dissolve fully, gets solution 2; The pH value to 5.0 of regulator solution 2~6.0; Add 1g activated carbon (0.1%) in the above-mentioned solution that regulates pH, in 80 ℃ of heating 15 minutes, filter to get filtrate 1: intermediate content is surveyed in sampling, determines that the every ml of filtrate contains the 20mg S-A Hydroxysafflor yellow A; With 0.22 μ m filtering with microporous membrane, get filtrate 2; Embedding, every ampoule embedding 1.0ml medicinal liquid, sealing by fusing; 100 ℃ of flowing steam sterilizations 20 minutes; Get finished product through after the assay was approved.
Experimental example 1
S-A Hydroxysafflor yellow A administration time and dosage are to the influence of ischemic necrosis due to the intraluminal middle cerebral artery occlusion in rats thromboembolism
Animal is divided into sham operated rats (i.v excipient) at random, model control group (i.v excipient), the nimodipine group (i.v Nim, 1mg/kg), each dosage of S-A Hydroxysafflor yellow A (HSYA) and time point group (table 1), 10 every group.After the fasting 12 hours, and chloral hydrate (350mg/kg, i.p.) anesthesia separates right carotid, and folder closes in the neck, common carotid artery, external carotid artery proximal part and distal end ligation, cut off the centre.The external carotid artery free-end is pulled to internal carotid artery in alignment, bolt line (selecting diameter 0.24mm nylon wire for use, length 5.0cm) is inserted into intracranial by external carotid artery, stop when meeting slight resistance, insertion depth is about 2cm.Ligation external carotid artery opening, and open the common carotid artery bulldog clamp, the disinfection and stitching wound causes right side middle cerebral artery ischemia model; Sham operated rats is only carried out the separation (above experiment is all carried out at 23 ℃~25 ℃) of right carotid, internal carotid artery, external carotid artery.Each treated animal postoperative different time points tail vein injection relative medicine.Modeling is pressed the described method of document and is put to death rat after 24 hours, get brain, remove olfactory bulb, cerebellum and low brain stem, crownly be cut into 5, the brain sheet takes on a red color after normal structure is dyed with red tetrazolium (TTC) dyeing, and blocking tissue is white in color, taking a picture in dyeing back, asks the infarct size ratio with Chinese Aero-Space university pathological image analysis software.Data are represented with X ± s, carry out statistical procedures with t check between group.
The result shows (table 2), and ischemia is after 24 hours, and tangible kitchen range shape ischemic necrosis district appears in rat cerebral tissue, reaches about 25% of full brain; Give the HSYA of various dose, except that the 1mg/kg administration, modeling 0.5h administration all can make rat cerebral ischemia district necrosis area obviously dwindle.3h administration after the modeling has only dosage to reach that 8mg/kg is above could to reduce the ischemic necrosis area.When dosage reached 32mg/kg, variant time administration group (comprise 0.5,1,3,6,10h) all can make the ischemic necrosis area reduce.Show administration behind the rat cerebral ischemia 3h, the dosage of S-A Hydroxysafflor yellow A must reach more than the 8mg/kg just can have more definite curative effect, be (the many clinical treatments that more than 3-6h after the morbidity, just enter of patient) ischemia apoplexy morbidity acute stage patient in the clinical practice, with the S-A Hydroxysafflor yellow A treatment, effective dosage can not be less than 80mg/ day.
Table 1 S-A Hydroxysafflor yellow A administration time and dosage are to the influence of ischemic necrosis due to the intraluminal middle cerebral artery occlusion in rats thromboembolism
Figure C20041002350800071
Ischemic areas: sham operated rats 0; Model control group 24.0 ± 4.1; Nim group 18.6 ± 3.0.Compare with model control group.Compare with model control group, *, P<0.05; *, P<0.01.
Test example 2
The S-A Hydroxysafflor yellow A route of administration is to the influence of ischemic necrosis due to the intraluminal middle cerebral artery occlusion in rats thromboembolism
Animal is divided into sham operated rats (i.v excipient) at random, model control group (i.v excipient), the nimodipine group (i.v Nim, 1mg/kg), HSYA different way of administration and time point group (table 2), 10 every group.After the fasting 12 hours, and chloral hydrate (350mg/kg, i.p.) anesthesia separates right carotid, and folder closes in the neck, common carotid artery, external carotid artery proximal part and distal end ligation, cut off the centre.The external carotid artery free-end is pulled to internal carotid artery in alignment, bolt line (selecting diameter 0.24mm nylon wire for use, length 5.0cm) is inserted into intracranial by external carotid artery, stop when meeting slight resistance, insertion depth is about 2cm.Ligation external carotid artery opening, and open the common carotid artery bulldog clamp, the disinfection and stitching wound causes right side middle cerebral artery ischemia model; Sham operated rats is only carried out the separation (above experiment is all carried out at 23 ℃~25 ℃) of right carotid, internal carotid artery, external carotid artery.Each treated animal postoperative different time points tail vein injection or gavage relative medicine.The behavior disorder of rat is observed and write down in modeling by literature method after 24 hours: (1) is carried the Mus tail and is observed forelimb flexing situation, stretch to ground as two forelimb symmetries, count 0 fen, as the offside forelimb of performing the operation the wrist flexing occurs and counts 1 fen, the elbow flexing is counted 2 fens, and the shoulder inward turning is counted 3 fens, existing wrist flexing and/or elbow flexing, shoulder inward turning person is arranged again, count 4 fens.(2) animal is placed on the plane earth, push away both shoulders respectively, check resistance to side shifting.As bilateral resistance equity and strong, count 0 fen, as resistance descender when the operation offside promotes, according to decline degree difference be divided into gently, in, weigh three degree, count 1,2 and 3 fen respectively.(3) the two forelimbs of animal are put on the wire netting, observed the muscular tension of two forelimbs.Two muscle of anterior limb tension force equities and strong person count 0 fen.Count 1,2 and 3 fen according to operation offside muscular tension decline degree difference equally.(4) animal has ceaselessly to a side person of turn-taking, and counts 1 fen.According to the standard scoring, full marks are 11 minutes, and mark is high more, and expression animal behavior obstacle is serious more.Put to death rat behind the behavior scoring, get brain, remove olfactory bulb, cerebellum and low brain stem, crownly be cut into 5, the brain sheet takes on a red color after normal structure is dyed with red tetrazolium (TTC) dyeing, and blocking tissue is white in color, taking a picture in dyeing back, asks the infarct size ratio with Chinese Aero-Space university pathological image analysis software.Data are represented with X ± s, carry out statistical procedures with t check between group.
The result shows (table 2), and ischemia is after 24 hours, and tangible kitchen range shape ischemic necrosis district appears in model group rat cerebral tissue, reaches nearly 25% of full brain; The tail vein gives the HSYA of various dose, and the necrosis of rat cerebral ischemia district has obviously to be dwindled; And it is not obvious to gavage the administration effect.Show that intravenously administrable is effective route of administration of HSYA treatment acute period of disease ischemia apoplexy.
Table 2 S-A Hydroxysafflor yellow A route of administration is to the influence of ischemic necrosis due to the intraluminal middle cerebral artery occlusion in rats thromboembolism
Behavior disorder Ischemic areas (%)
Sham operated rats 0 0
Model control group 9.2±1.1 24.4±4.5
The Nim group 5.4±2.5 ** 18.8±3.4 **
HSYA 8mg/kg 3h tail intravenously administrable 6.7±1.3 ** 18.1±3.8 **
HSYA 8mg/kg 3h gavages administration 8.7±1.4 * 22.8±3.7 *
HSYA 32mg/kg 10h tail intravenously administrable 6.0±1.2 ** 17.6±3.5 **
HSYA 32mg/kg 10h gavages administration 8.6±1.7 * 23.4±3.0 *
Compare with model control group.Compare with model control group, *, P>0.05; *, P<0.05.
Test example 3
Dog untoward reaction due to the intravenous injection S-A Hydroxysafflor yellow A
With the beagle dog is experimental animal.The heavy dose of group of design HSYA medicine is 45mg/kg, middle dosage group 15mg/kg, small dose group 5mg/kg.Other establishes the solvent matched group.The administration volume is 2ml/kg, slow intravenous injection, and about per minute is injected 3ml.Per two weeks of experimental session claim a body weight, adjust dosage according to body weight.Observation index comprises ordinary circumstance and coagulation indexes.Clotting time is 24h after administration, measures before the administration on the same day.
The result shows the continuous intravenous injection administration of (table 3): injection HSYA 42 days, and its main toxicity performance is: (1) big or middle dosage group dog clotting time and the apparent in view prolongation of solvent matched group.Drug withdrawal after 15 days clotting time recover normal.(2) dog astasia occurs and falls down after (45mg/kg) administration of heavy dose of group, crosses property like patient's and faints, may to expand the effect of peripheral vessels relevant with HSYA, and the lethargy that the back of fainting occurs is depressed.Clotting time (test tube method): administration 21 days and 42 days big or middle dosage group dog clotting times and the apparent in view prolongation of solvent matched group (P<0.01), small dose group and solvent matched group be the clotting time no significant difference relatively.Drug withdrawal after 15 days clotting time recover normal, with solvent matched group Non Apparent Abnormality (P>0.05) relatively.
Above result shows, can keep 24h to the influence of clotting time after dosage in the S-A Hydroxysafflor yellow A (15mg/kg) administration, and intravenous injection administration meeting causes tangible untoward reaction (falling in a swoon) when its dosage reaches 45mg/kg.The dosage of calculating the people in view of the above acts on for having preferably " blood circulation promoting and blood stasis dispelling " 558mg/ day, and reaches 1674mg/ can cause untoward reaction during day generation (in view of the above, the dosage of S-A Hydroxysafflor yellow A must not reach 1674mg/ day).
Table 3. S-A Hydroxysafflor yellow A various dose (is divided X ± SD) to the influence of dog clotting time
Figure C20041002350800091
* compares P<0.01 with matched group.
Test example 4
Intravenous drip is to the influence of general situation of dog and coagulation indexes
Animal grouping and administration: dog is divided into 4 groups at random, is respectively normal saline matched group, S-A Hydroxysafflor yellow A high dose group (180mg/kg), middle dosage group (60mg/kg) and low dose group (20mg/kg).The administration volume is 250ml/.The dosage of every dog is added to 250ml normal saline iv drip with medicine by every day, and drip velocity is about 250ml/1h.Be administered once every day, and successive administration 45 days is adjusted dosage according to body weight weekly.Observation index comprises ordinary circumstance and coagulation indexes.Clotting time about 24h after the administration day before yesterday measures.
The result shows (table 4), in the administration process, general situation such as each administration group dog feed, activity can, the phenomenon of falling in a swoon when intravenous injection not occurring.Clotting time (test tube method): administration 21 days and 42 days each dosage group dog clotting times and the apparent in view prolongation of solvent matched group (P<0.01).Drug withdrawal after 15 days clotting time recover normal, relatively do not have obviously different (P>0.05) with the solvent matched group.
Above result shows, more heavy dose of (reckoning by rat dosage 180mg/kg, people's dosage is 6696mg/ day) S-A Hydroxysafflor yellow A intravenous drip administration can not cause bad generations such as " falling in a swoon ", i.e. intravenous drip administration has better safety than intravenous injection (injecting).Because of clinical application (intravenous drip) because of the people because of the time cause the injection speed difference and (calculate by the amount that gives S-A Hydroxysafflor yellow A, might reach the injection speed that test example 3 medium-sized veins are injected during high concentration intravenous drip administration), for guaranteeing medication patient's safety, dosage must be controlled at the test example 3 in the proof 558mg/ day with interior (serve as the manufacturing and the clinical application convenience of calculation, with every day dosage control be advisable at 500mg).
Table 4. various dose S-A Hydroxysafflor yellow A (divides X ± SD) to the influence of dog clotting time
Figure C20041002350800101
* compares P<0.01 with matched group.
The result of compbined test example 1-4, S-A Hydroxysafflor yellow A is clinical when being used for brain during acute ischemia patient's treatment, must adopt intravenously administrable, and the dosage of administration must reach 80mg/ more than day.For guaranteeing safety of clinical administration, should take the mode of intravenous drip administration.The dosage of administration should be controlled at 500mg/ in day.

Claims (5)

1. Da Jiliang S-A Hydroxysafflor yellow A or its officinal salt application in the disease medicine after preparation treatment ischemia apoplexy morbidity 3 hours, its, application dose was 80-1600mg every day.
2. application according to claim 1, its dosage are 80-500mg/ day.
3. application according to claim 2, its dosage are 80-160mg/ day.
4. according to the described application of the arbitrary claim of claim 1-3, it is characterized in that medicine is the intravenously administrable medicine.
5. application according to claim 4 is characterized in that medicine is the intravenous drip medicine.
CNB200410023508XA 2004-01-08 2004-01-08 High-dose hydroxy safflower yellow A or its medically-acceptable salt application for preparing medicine for cerebral apoplexy induced from being ischemic Expired - Fee Related CN100418522C (en)

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CN101195647B (en) * 2006-12-06 2010-08-18 山西华辉凯德制药有限公司 Hydroxyl carthamus tinctorius yellow colour A, preparation method and application thereof
CN102614166B (en) * 2011-12-07 2014-04-09 中国人民解放军第四军医大学 Injection solution prepared from Safflomin A and Sodium danshensu and preparation method thereof
CN103980239B (en) * 2013-02-07 2016-04-13 浙江永宁药业股份有限公司 Hydroxyl radical carthamin yellow carthamus A sodium and production method thereof and purposes
CN104230864A (en) * 2013-06-08 2014-12-24 浙江永宁药业股份有限公司 Novel hydroxysafflor yellow A divalent medicinal salts, and preparing method and uses thereof
CN103127197B (en) * 2013-03-21 2015-02-18 悦康药业集团有限公司 Preparation method of freeze-drying preparation for safflower yellow injection
CN113350357B (en) * 2020-03-05 2022-11-01 上海市普陀区中心医院 Application of composition of hydroxysafflor yellow A and polygala tenuifolia sapogenin in preparation of medicine for treating ischemic stroke
CN112142806B (en) * 2020-09-22 2023-03-03 山西德元堂药业有限公司 Compound and salt, pharmaceutical composition and application thereof
CN113350358B (en) * 2021-07-08 2022-11-04 上海市普陀区中心医院 Application of tenuigenin single or combined with hydroxysafflor yellow A in preparation of medicine for improving cognitive impairment after ischemic stroke
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