Summary of the invention
One of the object of the invention is the pharmaceutical composition providing a kind of prevention or treatment diabetic complication, and wherein active component is made up of the crude drug of following percentage by weight: the Radix Astragali 32 ~ 40%, Radix Pseudostellariae 10 ~ 15%, Fructus Ligustri Lucidi 16 ~ 20%, Fructus Lycii 12 ~ 18%, Hirudo 11 ~ 13%, Radix Et Rhizoma Rhei 5 ~ 8%; Be preferably the Radix Astragali 36.14%, Radix Pseudostellariae 12.05%, Fructus Ligustri Lucidi 18.07%, Fructus Lycii 14.46%, Hirudo 12.05%, Radix Et Rhizoma Rhei 7.23%.
Diabetic complication described above is preferably diabetic nephropathy or diabetic renal papillary necrosis; Described diabetic renal papillary necrosis is more preferably early diabetic retinopathy.
Aforementioned pharmaceutical compositions can make powder, tablet, capsule, pill, oral liquid, granule.
Present invention also offers the preparation method of aforementioned pharmaceutical compositions, concrete steps are as follows:
1. Radix Astragali removing impurity, size separately, is cleaned, is run through, be cut into 2-4mm sheet, 60-80 DEG C of dry for standby;
2. Radix Pseudostellariae removing impurity, wash quickly is clean, is cut into 2-4mm sheet, 60-80 DEG C of dry for standby;
3. Fructus Ligustri Lucidi removing impurity and stalk leaf, clean, 60-80 DEG C of drying, the used time smashs to pieces;
4. Fructus Lycii removing impurity, picks carpopodium, for subsequent use after clean and tidy;
5. Hirudo, cleans, cutting, 60-70 DEG C of dry for standby;
6. Radix Et Rhizoma Rhei, removing impurity, clean, run through, cut straight sheet, thickness is 2-4mm, 60-80 DEG C of oven dry, and sieve goes chip for subsequent use;
Radix Et Rhizoma Rhei after being concocted by said method is pulverized, and cross 100 mesh sieves, get fine powder and carry out radiation sterilization, 2KGY/ hour, exposure time is for subsequent use after 3 hours; The Fructus Ligustri Lucidi that said method of learning from else's experience was concocted adds 6 times and measures 75% ethanol, reflux, extract, 2-4 time, each 1 hour, ethanol is reclaimed in alcohol extraction; The medicinal residues of Fructus Ligustri Lucidi and the Radix Astragali concocted through said method, Radix Pseudostellariae, Fructus Lycii, Hirudo add water the water of 6 times amount, decoct 2-4 time, each 2 hours, filter, merge Aqueous extracts, go to abandon medicinal residues, the concentrated solution after fried liquid and Fructus Ligustri Lucidi reclaim ethanol merges, under-0.015-0.030MPa, concentrating under reduced pressure, temperature is 80 DEG C, when to be concentrated into extractum relative density be 1.05-1.15, at 70 DEG C, spraying dry is dried cream powder, then mixes with aforementioned Radix Et Rhizoma Rhei for subsequent use and get final product.
Compared with prior art, its advantage is pharmaceutical composition of the present invention:
The complication that pharmaceutical composition of the present invention can effectively be treated or diabetes-alleviating causes, particularly have obvious curative effect to diabetic nephropathy and diabetic renal papillary necrosis, determined curative effect, onset time is short.
Detailed description of the invention
Embodiment 1
Radix Astragali 540g, Radix Pseudostellariae 180g, Fructus Ligustri Lucidi 270g,
Fructus Lycii 216g, Hirudo 180g, Radix Et Rhizoma Rhei 108g
First said medicine carries out the process of preparing Chinese medicine of Chinese crude drug:
1) Radix Astragali removing impurity, size separately, is cleaned, is run through, be cut into 2-4mm sheet, 60-80 DEG C of dry for standby;
2) Radix Pseudostellariae removing impurity, wash quickly is clean, is cut into 2-4mm sheet, 60-80 DEG C of dry for standby;
3) Fructus Ligustri Lucidi removing impurity and stalk leaf, clean, 60-80 DEG C of drying, the used time smashs to pieces;
4) Fructus Lycii removing impurity, picks carpopodium, for subsequent use after clean and tidy;
5) Hirudo, cleans, cutting, 60-70 DEG C of dry for standby;
6) Radix Et Rhizoma Rhei, removing impurity, clean, run through, cut straight sheet, thickness is 2-4mm, 60-80 DEG C of oven dry, and sieve goes chip for subsequent use;
Radix Et Rhizoma Rhei after being concocted by said method is pulverized, and cross 100 mesh sieves, get fine powder and carry out radiation sterilization, 2KGY/ hour, exposure time is for subsequent use after 3 hours; The Fructus Ligustri Lucidi that said method of learning from else's experience was concocted adds 6 times and measures 75% ethanol, reflux, extract, 2-4 time, each 1 hour, ethanol is reclaimed in alcohol extraction; The medicinal residues of Fructus Ligustri Lucidi and the Radix Astragali concocted through said method, Radix Pseudostellariae, Fructus Lycii, Hirudo add water the water of 6 times amount, decoct 2-4 time, each 2 hours, filter, merge Aqueous extracts, go to abandon medicinal residues, the concentrated solution after fried liquid and Fructus Ligustri Lucidi reclaim ethanol merges, under-0.015-0.030MPa, concentrating under reduced pressure, temperature is 80 DEG C, when to be concentrated into extractum relative density be 1.05-1.15, at 70 DEG C, spraying dry is dried cream powder, then mixes to obtain pharmaceutical composition with aforementioned Radix Et Rhizoma Rhei for subsequent use.
Embodiment 2
Get the crude drug of following weight percentage:
The Radix Astragali 32%, Radix Pseudostellariae 15%, Fructus Ligustri Lucidi 20%,
Fructus Lycii 12%, Hirudo 13%, Radix Et Rhizoma Rhei 8%
It concocts basic identical with embodiment 1 with preparation method.
Embodiment 3
Get the crude drug of following weight percentage:
The Radix Astragali 40%, Radix Pseudostellariae 10%, Fructus Ligustri Lucidi 16%,
Fructus Lycii 18%, Hirudo 11%, Radix Et Rhizoma Rhei 5%
It concocts basic identical with embodiment 1 with preparation method.
Embodiment 4: the preparation of powder
Example 1 obtains pharmaceutical composition, and cross 100 mesh sieves, bag seal, 2g/ bag is powder finished product.
Embodiment 5: the preparation of capsule
Example 1 obtains pharmaceutical composition, makes granule, dry, adds pregelatinized Starch, Pulvis Talci is appropriate, be mixed, incapsulate, make 1000.
Embodiment 6: the preparation of pill
Example 2 obtains pharmaceutical composition, and at 60 DEG C, drying 1 hour, pulverizes, and crosses 60 mesh sieves, uses pure water pill, and every 20 the heavy 1g of the watered pill, coating, polishing, 60 DEG C of dryings are pill finished product.
Embodiment 7: the preparation of tablet
Example 3 obtains pharmaceutical composition, adds supplementary product starch 10%, and mixing, makes granule, and drying 1 hour at 60 DEG C, tabletting, sheet weight: 0.5g/ sheet, film coating is tablet finished product.
Embodiment 8 medicine of the present invention is on the impact of the HBZY-1 cell PKC-beta kinase phosphorylation of high sugar induction
1. experimental technique:
To be in exponential phase HBZY-1 cell is inoculated in T75 culture bottle, inoculum density about 80%, after cultivating 16-20h, serum starvation 24h, after giving rat by medicine of the present invention (preparing by embodiment method 1) gavage respectively, be separated Contained Serum and adopt SPE method and water soluble method to prepare Contained Serum extract (final concentration is respectively 1%, 2% and 4%), positive controls (2 μm of ol/LGF109203X (inhibitors of protein kinase C)), hatching 2h for 37 DEG C; After washing, add high concentration glucose again, final concentration is 30mmol/L, collecting cell after cultivation 4h, adds RIAP lysate (50mmol/LTris-HCl (pH7.4), 150mmol/LNaCl, 1%NP-40,1mmol/LEDTA, 0.25%sodiumdeoxycholate, 1mmol/LNa
3vO
4, 1mmol/LNaF, 1mmol/LPMSF and 2 μ g/mLLeupeptin) ice bath 30min, frozen-thawed four times, centrifugal, obtain cell lysate, adopt the method for westernblot to measure the expression of HBZY-1 cell PKC-β I, PKC-β II protein kinase.Method is as follows: BCA method measures total protein of cell amount, and adjustment each sample is to same concentrations, and SDS-PAGE is separated and is transferred on pvdf membrane, after the closed 2h of 5% defatted milk powder 37 DEG C, adds primary antibodie (1: 200) respectively, hatches 2h for 37 DEG C; Add corresponding two anti-igg-HRP (1: 3000) 37 DEG C again and hatch 1h.ECL luminescence reagent box, application gel imaging system chemiluminescence detection also carries out gray analysis by Imagelab system, with β-actin for internal reference.
2, result:
Concrete outcome is shown in Fig. 1 and 2, and result shows, high concentration glucose stimulates can cause Rat Mesangial PKC-β I and the increase of PKC-β II tyrosine phosphorylation; And after medicine Contained Serum extract of the present invention pretreatment, PKC-β I and PKC-β II protein kinase level obviously reduce, and there is obvious concentration dependence.
Embodiment 9 medicine of the present invention Contained Serum extract is on the impact of height sugared induced rat mesangial cell secretion of VEGF, TGF-β 1
1, experimental technique
Well-grown HBZY-1 cell is adopted to test.Be divided into following 8 groups: concentration group (final concentration 2%), Contained Serum high concentration group (4%) in Normal group (5.6mmol/LD-glucose), high sugared group (30mmol/LD-glucose), positive controls (2 μm of ol/LGF109203X (inhibitors of protein kinase C)), medicine of the present invention (preparing by embodiment method 1) Contained Serum low concentration group (final concentration 1%), Contained Serum, often organize duplicate hole.Respectively at administration process 24h, 48h collecting cell culture supernatant, utilize ELISA kit to detect VEGF, TGF-β 1 content in cells and supernatant, detection method is see test kit description.
2, experimental result:
1, ELISA testing result (Fig. 3) display: compared with normal control, after high concentration glucose (30mmol/L) stimulates different time, in culture supernatant, VEGF content obviously increases; And after the medicine Contained Serum of the present invention pretreatment of variable concentrations, in the HBZY-1 cells and supernatant that high sugar stimulates, VEGF content has and reduces in various degree.And positive control GF109203X also can obviously suppress high sugar to stimulate HBZY-1 emiocytosis VEGF to increase.Result shows that medicine of the present invention can effectively suppress the Rat Mesangial secretion of VEGF of high sugar induction to increase.
2, ELISA testing result (Fig. 4) display: compared with normal control, after high concentration glucose (30mmol/L) stimulates different time, in culture supernatant, TGF-β 1 content obviously increases; After the medicine Contained Serum extract of the present invention pretreatment of variable concentrations, in the HBZY-1 cells and supernatant that high sugar stimulates, TGF-β 1 content has and reduces in various degree.And positive control GF109203X also can obviously suppress high sugar to stimulate HBZY-1 emiocytosis TGF-β 1.Result shows that medicine of the present invention can obviously suppress the Rat Mesangial secretion TGF-β 1 of high sugar induction to increase.
Embodiment 10 pharmaceutical composition of the present invention is to the rat pharmacodynamic evaluation of diabetic nephropathy model
1. experimental technique
(institute of lab animals of Sichuan Academy of Medical Sciences provides to choose healthy male SD rat, the quality certification number: SCXK (river) 2008-24), SPF level, body weight 180 ~ 220g, each group of rat presses the single dose tail vein injection STZ (2% sodium citrate solution of PH4.2) of 55mg/kg, and rats in normal control group then gives equivalent 2% sodium citrate solution tail vein injection.After 48h tail vein blood survey blood glucose value, fasting glucose for three days on end >=16.7mmol/L, urine volume >=crude urine amount is defined as diabetic model rats.After 4 weeks treatment group respectively gavage give captopril (21mg/kgd) and medicine A (preparing by comparative example 1) (2.0g/kgd), medicine B (preparing by comparative example 2) (2.0g/kgd), medicine C (preparing by comparative example 3) (2.0g/kgd), medicine D (preparing by embodiment 2) (2.0g/kgd), medicine E (preparing by embodiment 1) (2.0g/kgd), medicine F (preparing by embodiment 3) (2.0g/kgd), blank group, model control group then every day gavage equal-volume distilled water, continuous 8 weeks of each group of administration.After drug treatment, the 2nd, 4,8 week metabolic cage collects record 24h urine volume, microtrabeculae measurement in chromatography glycolated hemoglobin, and fasting glucose content, detects 24h urine protein content with Coomassie Brilliant Blue; In last administration in the 8th week after 1 hour, femoral artery puncture gets blood, separation of serum, measure serum triglycerides (TG), T-CHOL (TC) content, serum creatinine (Scr), blood urea nitrogen (BUN), creatinine clearance rate (Ccr), take each group of rat kidney and body weight simultaneously, calculate kidney heavy (KWT) and kidney/body weight (KWT/BWT).
2. result
2.1 impacts on diabetic nephropathy model rat blood sugar, glycolated hemoglobin
Table 1 is on the impact of rat model fasting glucose, glycolated hemoglobin
Compare with blank group, ###P < 0.001; Compare with model control group,
*p < 0.05,
*p < 0.01,
* *p < 0.001
As seen from the results in Table 1, the each medicine group of the present invention all obviously can reduce the content of rat model blood glucose, glycolated hemoglobin, administration just obviously can reduce the content of blood glucose, glycolated hemoglobin for 2 weeks, 4 weeks, 8 weeks, and medicine E of the present invention significantly can reduce the content of blood glucose and glycolated hemoglobin.
2.2 impacts on diabetic nephropathy model rat 24h urine volume, urine albumen amount
Table 2 is on the impact of rat model 24h urine volume, urine albumen amount
Compare with blank group, ###P < 0.001; Compare with model control group,
*p < 0.05,
*p < 0.01,
* *p < 0.001;
As seen from the results in Table 2, the each medicine group of the present invention all can reduce the content of rat model 24h urine volume and urine protein in various degree, wherein medicine E of the present invention effect is comparatively obvious, and administration all has obvious effect (P < 0.05 ~ 0.001) for 2 weeks, 4 weeks, 8 weeks.
2.3 impacts on diabetic nephropathy model rat blood serum BUN, Scr, Ccr
Table 3 is on the impact of rat model serum BUN, Scr, Ccr
Compare with blank group, ###P < 0.001; Compare with model control group,
*p < 0.05,
*p < 0.01,
* *p < 0.001;
As shown in Table 3; the each medicine group of the present invention all can reduce rat model BUN, Scr content in various degree; reduce Ccr and then alleviate glomerule ultra filtration load, protection renal function, wherein medicine E of the present invention effect comparatively obviously (P < 0.01 ~ 0.001).
2.4 impacts on diabetic nephropathy model rat KWT, KWT/BWT
Table 4 is on the impact of rat model KWT, KWT/BWT
Compare with blank group, ###P < 0.001; Compare with model control group,
*p < 0.05,
*p < 0.01;
* *p < 0.001
As shown in Table 4; the each medicine group of the present invention all can reduce rat model KWT, KWT/BWT in various degree; have significant protective effect to the early stage kidney injury of rat model, wherein medicine E of the present invention effect comparatively obviously (P < 0.001).
2.5 impacts on diabetic nephropathy model rat TG, TC
Table 5 is on the impact of rat model serum TG, TC content
Compare with blank group, ###P < 0.001; Compare with model control group,
*p < 0.05,
*p < 0.01
As shown in Table 5, the each medicine group of the present invention all can reduce rat model serum TG, TC content in various degree, raise rat model blood fat and have obvious reducing effect effect, wherein medicine E of the present invention effect comparatively obviously (P < 0.01).
Embodiment 9, pharmaceutical composition of the present invention are to the hemodynamic pharmacodynamic evaluation of rat retina central artery
1, test method
Get normal male Wistar rat 300, with 50mg/kg dosage through the disposable injection streptozotocin of tail vein (sodium citrate buffer of 0.1mmol/L, pH4.4 is made into 1%STZ).Inject docking after 72 hours and get blood, measure fasting glucose, all fasting glucose >=16.7mmol/L persons are diabetes rat model, continue normal feedstuff and feed 3 months, measure rat retina hemodynamic parameter, if there is the exception of hemodynamic parameter, animal pattern can be defined as according to " guideline of clinical investigations that new Chinese medicine treatment of diabetic retinopathy becomes " and enter the sick Patients with Subclinical of sugar net.
Get in preventive experiment injection after STZ72 hour blood glucose rise to the diabetes rat model 70 of 16.7mmol/L, 5 groups are divided at random: model control group (equal-volume normal saline) with fasting glucose, positive controls (0.5g calcium dobesilate/kg body weight), medicine D (preparing by embodiment 2) (0.5g medicated powder/kg body weight), medicine E (preparing by embodiment 1) (0.5g medicated powder/kg body weight), medicine F (preparing by embodiment 3) (0.5g medicated powder/kg body weight), often organize 14, separately getting with batch normal rat 10 is Normal group (equal-volume normal saline).Each group of successive administration 24 weeks, Normal group and model control group give isopyknic normal saline.30mg/kg pentobarbital sodium ip anesthetized rat is adopted after last administration, measure the hemodynamics of every Rat Right eyes retina central artery (CRA) with Sequoia512 type color Doppler ultrasound, comprise peak systolic velocity (Max), End diastolic velocity (Min), mean blood flow velocity (TAMx).
Subclinical sugar futures net disease model rat 70 is got in curative test, 5 groups are divided at random: model control group (equal-volume normal saline), positive controls (0.5g calcium dobesilate/kg body weight), pharmaceutical composition of the present invention 2 groups (0.5g medicated powder/kg body weight), pharmaceutical composition of the present invention 5 groups (0.5g medicated powder/kg body weight), pharmaceutical composition of the present invention 6 groups (0.5g medicated powder/kg body weight) with hemodynamic index, often organize 14, separately getting with batch normal rat 10 is Normal group (equal-volume normal saline).Each group of successive administration 12 weeks, Normal group and model control group give isopyknic normal saline.30mg/kg pentobarbital sodium ip anesthetized rat is adopted after last administration, measure the hemodynamics of every Rat Right eyes retina central artery (CRA) with Sequoia512 type color Doppler ultrasound, comprise peak systolic velocity (Max), End diastolic velocity (Min), mean blood flow velocity (TAMx).
2, result of the test
Table 6 pharmaceutical composition is on the hemodynamic impact of diabetic retinopathy rat CRA (prevention group)
Note: model group compares with Normal group
△ △ △p < 0.001, administration group compares with model group
*p < 0.01
* *p < 0.001
Table 6 result shows, model group rats CRA blood flow velocity obviously reduces, the equal highly significant of Max, Min, TAMx is lower than the Normal group same period, reflection retinal blood infusate flow and blood supply wretched insufficiency, compare with model group, pharmaceutical composition of the present invention each dosage group rat CRA blood flow velocity obviously increases, and each dosage group is very significant.Result shows, pharmaceutical composition of the present invention can significantly improve diabetic retinal tissue in rat central artery blood perfusion and blood supply insufficiency, has significant preventive effect to diabetic retinopathy, and wherein pharmaceutical composition E is the most remarkable.
Table 7 pharmaceutical composition is on the diabetic sugar net hemodynamic impact of sick rat CRA (treatment group)
Note: model group compares with Normal group
△ △ △p < 0.001, administration group compares with model group
*p < 0.05
* *p < 0.001
Table 7 result shows, model group rats CRA blood flow velocity obviously reduces, the equal highly significant of Max, Min, TAMx is lower than the Normal group same period, reflection retinal blood infusate flow and blood supply wretched insufficiency, compare with model group, pharmaceutical composition of the present invention each dosage group rat CRA blood flow velocity obviously increases, and each dosage group is very significant.Result shows, and pharmaceutical composition of the present invention can significantly improve diabetic retinal tissue in rat central artery blood perfusion and blood supply insufficiency, has significant therapeutic effect to diabetic retinopathy, and wherein pharmaceutical composition E is the most remarkable.