CN104586835B - The medical usage of andrographolide - Google Patents

The medical usage of andrographolide Download PDF

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Publication number
CN104586835B
CN104586835B CN201510052029.9A CN201510052029A CN104586835B CN 104586835 B CN104586835 B CN 104586835B CN 201510052029 A CN201510052029 A CN 201510052029A CN 104586835 B CN104586835 B CN 104586835B
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andrographolide
paracetamol
groups
apap
present
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CN104586835A (en
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季莉莉
白庆云
庞纯
盛雨辰
郑智勇
王峥涛
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Shanghai University of Traditional Chinese Medicine
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Shanghai University of Traditional Chinese Medicine
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Abstract

The present invention relates to medicine, the medical usage and its pharmaceutical composition of more particularly to a kind of andrographolide.The andrographolide of the present invention can be used for preparing the medicine or health products to paracetamol Synergy and attenuation.

Description

The medical usage of andrographolide
Technical field
The present invention relates to Medicines and Health Product field, the medical usage and its drug regimen of more particularly to a kind of Herba Andrographitis Thing.
Background technology
Pain is a kind of common clinical disease, brings considerable distress to patient, or even can influence quality of life.For treating The medicine of pain is a lot, most commonly non-steroid anti-inflammatory drug.But such medicine can cause many adverse reactions, such as alimentary canal Reaction, hepatotoxicity wind agitation, renal toxicity, cardiovascular risk etc..
Paracetamol is one kind in NSAIDs, belongs to phenyl amines.Because its antipyretic effect is strong, often For having a headache, having a toothache, the chronic dull pain and cold, fever etc. such as courbature, cramp, arthralgia.But it is if heavy dose of or long Phase uses, and can cause serious hepatotoxicity wind agitation, especially most common with hepatonecrosis.Because compound preparation of the country containing paracetamol is more Up to twenty or thirty kind, such as SUXIAO GANMAO JIAONANG, Xiaoersuxiaoganmao Granules, sense health, Bufferin, QIANGLI YINQIAO PIAN, 999 cold drugs Deng, and its non-prescribed medicine mass selling, using extensive, therefore the hepatic lesion as caused by paracetamol should cause the weight of height Depending on.Find that hepatic lesion occurs for 30% patient to the analysiss of cases of 150 poisoning by paracetamol, general mortality rate 1%~ 2%.Clinical examination is most commonly that transaminase is raised.Hepatic injury caused by paracetamol is always domestic and foreign scholars research Focus.
Andrographolide is extraction in acanthaceous plant Herba Andrographitis Andrographispaniculata (Burm.f) Nees Obtained diterpene ginkgolide.Modern pharmacological research shows, andrographolide have anti-inflammatory, antibacterial, it is antiviral, antitumor, The effects such as immunological regulation, treatment cardiovascular and cerebrovascular disease, hepatic cholagogic.
The content of the invention
The purpose of the present invention aims to provide the new medical usage and its pharmaceutical composition of a kind of andrographolide.
Specifically, the first aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydration The application of thing or prodrug in the analgesic activity for improving paracetamol, the application is not for the purpose for the treatment of.
The second aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Prepare the application in the medicine or health products for the analgesic activity for improving paracetamol.
The third aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist The application in the hepatotoxicity wind agitation of paracetamol is reduced, the application is not for the purpose for the treatment of.
The fourth aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Prepare the application in the hepatotoxic medicine or health products of reduction paracetamol.
The fifth aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Improve the analgesic activity of paracetamol and reduce the application in its hepatotoxicity wind agitation, the application is not for the purpose for the treatment of.
The sixth aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Prepare the analgesic activity for improving paracetamol and reduce the application in its hepatotoxic medicine or health products.
Present invention also offers a kind of analgesic composition, its andrographolide comprising therapeutically effective amount and to acetyl Amino phenols, the weight ratio of the andrographolide and paracetamol is 13.5:1~13.5:3.
The details of various aspects of the present invention will be able to detailed description in subsequent chapters and sections.By hereafter and claim Description, the features of the present invention, purpose and advantage will become apparent from.
Brief description of the drawings
Fig. 1 acetic acid writhing tests investigate influence of the andrographolide combination paracetamol to mouse writhing number of times,
Note:The * P compared with acetic acid model group<0.05,**P<0.01,***P<0.001;Compared with APAP groups#P<0.05;
Fig. 2 each group animal's livers HE is dyed,
Note:Multiplication factor 200 ×;
Fig. 3 each group animal blood serum ALT, AST levels.
Embodiment
The appearance part of the present invention is had been surprisingly found that based on such a:By classical analgesic experiment method, (acetic acid is turned round Body method and hot plate method) and Cancer pain models experimentally find both andrographolide and paracetamol combination after, punching Lotus lactone can improve the analgesic activity of paracetamol;At the same time, the present inventor is also surprising that:Andrographolide ALT, AST caused by paracetamol can also be reduced to raise.The studies above result is proved:Andrographolide is except that can increase The analgesia effect of strong paracetamol, moreover it is possible to the hepatotoxicity wind agitation of paracetamol is reduced, so as to play its medicine to greatest extent With value.
And then, the first aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or Application of the prodrug in the analgesic activity for improving paracetamol, the application is not for the purpose for the treatment of.
The second aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Prepare the application in the medicine or health products for the analgesic activity for improving paracetamol.
The third aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist The application in the hepatotoxicity wind agitation of paracetamol is reduced, the application is not for the purpose for the treatment of.
The fourth aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Prepare the application in the hepatotoxic medicine or health products of reduction paracetamol.
The fifth aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Improve the analgesic activity of paracetamol and reduce the application in its hepatotoxicity wind agitation, the application is not for the purpose for the treatment of.
The sixth aspect of the present invention there is provided andrographolide or its pharmaceutically acceptable salt, hydrate or prodrug exist Prepare the analgesic activity for improving paracetamol and reduce the application in its hepatotoxic medicine or health products.
Present invention also offers a kind of analgesic composition, its andrographolide comprising therapeutically effective amount and to acetyl Amino phenols, the weight ratio of the andrographolide and paracetamol is 13.5:1~13.5:3.
As it is known to those skilled in the art, the andrographolide (Andrographolide, Andro) of the present invention has Following general structure:
Molecular formula:C20H30O5Molecular weight:350.44
Present invention additionally comprises corresponding all pharmaceutically acceptable salt, hydrate or the prodrug of above-claimed cpd.This A little salt can be by part (for example, amido) positively charged in compound with having the negatively charged (for example, trifluoro of opposite-sign Acetic acid) formed;Or by part (for example, carboxyl) negatively charged in compound and positive charge (for example, sodium, potassium, calcium, magnesium) shape Into.Compound can be containing a nonaromatic double bond, with one or more asymmetric centers.So, these compounds It can be mixed as racemic mixture, single enantiomter, single diastereoisomer, diastereoisomer Thing, cis or trans isomers are present.All these isomers are all expected.Described " prodrug of andrographolide " leads to Often refer to a kind of material, after being applied with appropriate method, can be metabolized or be chemically reacted in subject's body and be transformed into and wear Heart lotus lactone or its salt.
The andrographolide of the present invention can be separated from the herb or leaf of acanthaceous plant Herba Andrographitis to be prepared;Or it is logical Commercial sources purchase acquisition is crossed, its purity meets medicinal standard;Or marketable material is utilized, by traditional in the prior art The synthesis of compound synthesis method is obtained.One of ordinary skill in the art can synthesize the change of the present invention according to existing known technology Compound.The compound of synthesis can be further purified with further by modes such as column chromatography, high performance liquid chromatography or crystallizations.
It is helpful to synthesis application compound to synthesize chemical improvement, protection functional group methodology (protection is deprotected) , and it is well known in the prior art technology, such as R.Larock, Comprehensive Organic Transformations,VCH Publishers(1989);T.W.Greene and P.G.M.Wuts,Protective Groups in Organic Synthesis,3rdEd.,John Wiley and Sons(1999);L.Fieser and M.Fieser,Fieser and Fieser’s Reagents for Organic Synthesis,John Wiley and Sons(1994);and L.Paquette,ed.,Encyclopedia of Reagents for Organic Synthesis, There is disclosure in John Wiley and Sons (1995).
Exemplified by the andrographolide of the present invention is made into medicine.The present invention andrographolide can be used alone or with The form of pharmaceutical composition is used.Pharmaceutical composition includes the andrographolide of the invention and pharmaceutically acceptable load as active component Body.It is preferred that the present invention pharmaceutical composition contain 0.1~99.9% percentage by weight as the of the invention of active component Andrographolide." pharmaceutical acceptable carrier " will not destroy the pharmaceutical active of the andrographolide of the present invention, while its effective dose, i.e., Consumption when can play pharmaceutical carrier effect is nontoxic to human body.
Described pharmaceutical acceptable carrier includes but is not limited to:Soft phosphatide, aluminum stearate, aluminum oxide, ion exchange material, self-emulsifying Drug delivery system, tween or other surfaces activator, haemocyanin, buffer substance for example phosphate, amion acetic acid, sorbic acid, Water, salt, electrolyte such as sulfate protamine, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salt, magnesium silicate, saturated fatty acid Partial glyceride mixtures etc..
Other conventional excipient substance such as adhesives (such as microcrystalline cellulose), filler (such as starch, glucose, anhydrous lactitol Sugar and lactose bead), disintegrant (such as cross-linked pvp, crosslinked carboxymethyl fecula sodium, Ac-Di-Sol, low-substituted hydroxypropyl Base cellulose), lubricant (such as magnesium stearate) and sorbefacient, absorption carrier, flavouring agent, sweetener, excipient, dilution Agent, wetting agent etc..
One of ordinary skill in the art should be known how by the ordinary skill in the art, according to weight disclosed by the invention Than the andrographolide and paracetamol of the present invention being mixed, prepare the present invention has synergic antalgic effect Low hepatotoxic pharmaceutical composition.
The andrographolide and its pharmaceutical composition of the present invention can be prepared by this area conventional method and can pass through intestines Road or non-bowel or topical routes.Oral formulations include capsule, tablet, oral liquid, granule, pill, powder, pellet Agent, paste etc.;Non-intestinal drug delivery agent is including parenteral solution etc.;Local administration preparation includes creme, patch, ointment, spray Deng.Preferably oral formulations.
The andrographolide of the present invention and the method for administration of its pharmaceutical composition can for it is oral, sublingual, through muscle or Subcutaneously, vein, urethra, vagina etc..
With reference to specific embodiment, the present invention is expanded on further.It should be understood that these embodiments are merely to illustrate the present invention Rather than limitation the scope of the present invention.The experimental method of unreceipted actual conditions in the following example, generally according to conventional strip Part or according to the condition proposed by manufacturer.Unless otherwise indicated, otherwise all percentage, ratio, ratio or number is pressed Weight meter.
Unless otherwise defined, all specialties used in text known to scientific words and one skilled in the art with anticipating Justice is identical.In addition, any method similar or impartial to described content and material all can be applied in the inventive method.Wen Zhong Described preferable implementation only presents a demonstration with material to be used.
The features described above that the present invention is mentioned, or the feature that embodiment is mentioned can be in any combination.Patent specification is taken off All features shown can be used in combination with any combinations thing form, and each feature disclosed in specification can provide phase with any The alternative characteristics substitution of same, impartial or similar purpose.Therefore except there is special instruction, disclosed feature is only impartial or similar The general example of feature.
The andrographolide of embodiment one is combined the analgesic activity of paracetamol
The present invention using acetic acid twisting and hot-plate investigate andrographolide, paracetamol and andrographolide and Paracetamol is combined the analgesic activity to mouse.
1 experiment material
1.1 animal subjects
ICR mouse, ♀ (acetic acid writhing test) or ♂ (hot plate method), 18~22g of body weight, purchased from Shanghai Si Laike experimental animals Co., Ltd, animal quality certification number:SCXK (Shanghai 2007-0005).Mouse feeder temperature (22 ± 1) DEG C, relative humidity (65 ± 10) %, the daily 12h of lighting hours.
1.2 test medicines and its preparation
Paracetamol (APAP):Paracetamol powder 108mg accurately is weighed, (65 DEG C) lifes of 18ml heat are dissolved in Manage in salt solution, mix, be made into 6mg/ml solution for mouse stomach.
Andrographolide (Andro):Accurately weigh andrographolide powder 15mg to be dissolved in 0.75mlDMSO, be made into 20mg/ml mother liquor, takes 0.5ml mother liquors plus 4.5ml physiological saline, is made into 2mg/ml solution for 20mg/kg groups.Separately take 0.15ml mother liquors add 2.85ml physiological saline, are made into 1mg/ml solution for 10mg/kg groups.Administering mode:Inject in abdominal cavity.
Aspirin (AS):Aspirin enteric coated tablet (100mg aspirin/piece) 2 is taken, mortar is fully crushed, plus 6.67ml CMC-Na solution is fully suspended, and is made into 30mg/ml suspensions for mouse stomach.
2 experimental methods
2.1 acetic acid writhing tests
2.1.1 animal packet and administration
Mouse is grouped at random by body weight, packet and drug-treated situation such as table 1:
The acetic acid writhing test mice group of table 1 and drug-treated situation
2.1.2 handle
Using the paracetamol dosage 60mg/kg with smaller analgesic activity as andrographolide, combination is to acetyl ammonia The dosage of base phenol analgesic activities research, using 300mg/kg aspirin as positive control, investigates andrographolide combination to acetyl Influence of the amino phenols to mouse writhing number of times.
0min gives relative medicine, and 55min pneumoretroperitoneums inject 0.75% acetic acid, and dosage is 0.1ml/10g, observation The writhing number of times of mouse in 15min.Writhing show as belly indent, abdomen antetheca be close to that cage bottom, buttocks be twisted/raised or trunk after Limb is upheld.
2.2 hot plate methods
2.2.1 it is grouped
Mouse is grouped at random by body weight, situation such as table 2 below is grouped:
The animal packet of table 2 and administrations table
2.2.2 animal pre-sifted
Mouse is singly only successively placed on 55 DEG C of hot-plate instrument, observation from mouse metapedes touch hot plate to occur adding metapedes or Time required for jump is used as its pain threshold.Mouse of the screening pain threshold more than 5s and less than 30s is standby in advance.
2.2.3 handle
The agent of paracetamol analgesic activities research is combined using 135mg/kg paracetamol as andrographolide Amount, using 300mg/kg aspirin as positive control, investigates andrographolide and is combined paracetamol to mouse pain threshold Influence.
The measure of pain threshold before administration:Survey 2 times, surveyed once every 5min.60s still nonresponders, are calculated by 60s.Give phase 30min after medicine, 60min are answered, 120min respectively surveys a pain threshold, and calculate the threshold of pain and improve percentage.Improve percentage in the threshold of pain Pain threshold before=(pain threshold before pain threshold-administration after administration)/administration.It is effective more than or equal to 50% that percentage is improved in the threshold of pain. 2.3 andrographolides are combined influence of the paracetamol to cancer pain
2.3.1 material
ICR Mouse Weights (18 scholar 2) g, female, purchased from Shanghai Slac Experimental Animal Co., Ltd., animal is qualified Card number:SCXK (Shanghai 2007-0005).The strain of mice lung cancer (Lwis) knurl is carried by Chinese Academy of Medical Sciences's Experimental Animal Center breeding field For.
2.3.2 mouse bone cancer pain model is set up in modeling
After Animal Anesthesia (etherization), lie on the back, left rear limb cropping, with skin at 75% alcohol disinfecting femur and shin bone Skin, a skin incision for being about 0.5-1cm is cut at knee joint along rectus femoris tendon direction, carefully, exposure kneecap, first with one The secondary sterile 1mL syringe needles of property are punctured along femur long axis direction in kneecap and punched, and are then changed 10uL syringes and are entered femur Ossis, is slowly injected into 10u murine lung cancer cells containing Lwis (3 × 105L-) to femur.Injection seals pin hole after finishing with bone wax. Aseptic cotton carrier dips in physiological saline cleaning wound, skin suture.The isometric physiological saline of kneecap section injection on the left of naive animals, Remaining operation is with other each groups.
2.3.3 it is grouped and is administered, such as table 3 below:
The experimental animal of table 3 is grouped and administrations table
2.3.4 pain behavior measure
Pain behavior measure is carried out before modeling each group medication in the 10th day and after each group medication in the 14th day respectively, treatment group, mould Type group and blank group are in 5h after last dose, and control group measures pain behavior in 30min after administration with mechanical stimulus method.Use mouse The paw withdrawal that vola is stimulated 2g von Frey fibers reacts percentage to reflect Mechanical allodynia.
Specific method:2g Von Frey fibers stimulate mid-plantar on the left of mouse to continue 5-6s, and observation mouse paw withdrawal is anti- Should.Every animal experiment 5 times, 2min is at least spaced between 2 experiments.The paw withdrawal reaction hundred that animal is stimulated Von Frey fibers Point rate is:(paw withdrawal number of times+5) × l00%.
3 experimental results
3.1 acetic acid writhing test results are as shown in Figure 1
Compared with acetic acid model group, APAP groups, APAP+Andro10mg/kg groups, APAP+Andro 20mg/kg groups, APAP + Andro 30mg/kg groups, Andro10mg/kg groups, Andro20mg/kg groups, Andro 30mg/kg and AS group can significantly subtract Mouse writhing number of times caused by few acetic acid;Compared with APAP groups, the writhing number of times of APAP+Andro10mg/kg group mouse significantly subtracts It is few, and the statistically significant (#P of difference<0.05).This explanation is combined after Paracetamol to andrographolide, can be improved The analgesic activities of paracetamol.
3.2 hot plate method results are as shown in table 4
The hot plate method of table 4 investigates influence of the andrographolide combination paracetamol to mouse pain threshold
Note:Compared with control#P<0.05,##p<0.01。
As shown in table 4,0.5h, APAP groups, APAP+Andro10 groups, APAP+Andro20 groups, APAP+ upon administration Andro30 groups and AS groups have analgesic activity (threshold of pain increase rate>50%).Compared with control groups, APAP groups, APAP+ There were significant differences for Andro10 groups and AS groups.In addition, 30 groups of threshold of pains than APAP groups of APAP+Andro10 groups and APAP+Andro Improve percentage high, but indifference between group;1h, APAP+Andro10 groups, APAP+Andro20, APAP+Andro30 upon administration Group and AS groups have analgesic activity (threshold of pain increase rate>50%), and with control groups compared, there were significant differences.With APAP groups Compare, the threshold of pain increase rate ratio APAP groups of 30 groups of APAP+Andro10 groups, APAP+Andro20 and APAP+Andro are high, but nothing Statistical significance;2h upon administration, in addition to APAP group analgesic activities, remaining 7 groups have analgesic activity.And with control group phases Than in addition to APAP groups are without significant difference, remaining 7 groups there were significant differences.Compared with APAP groups, APAP+Andro10 groups, APAP+ Andro20 groups and tri- groups of APAP+Andro30 threshold of pain increase rate are improved, but no statistical significance.
Andrographolide is combined paracetamol it can be seen from upper table result, has upon administration during 1h and 2h aobvious The analgesic activity of work, and compared with APAP groups, percentage is improved in the threshold of pain certain potential rise.Illustrate that andrographolide may There is certain synergistic effect to the analgesic activities of paracetamol.
The influence of 3.3 pairs of cancer pain mouse pain behaviors
The paw withdrawal that allodynia reaction is stimulated 2gVon Frey fibers with mouse reacts to measure Mechanical hyperalgesia. It the results are shown in Table 5 and table 6.
Paw withdrawal reacts percentage before the modeling of table 5 each group medication in the 10th day
Note:Compared * P with blank group<0.01
Paw withdrawal reacts percentage after the modeling of table 6 each group medication in the 14th day
Note:Compared #P with model group<0.05,*P<0.01, with APAP groups than $ P<0.05.
Table 5 illustrates before modeling each group medication in the 10th day that model group, control group and treatment group's paw withdrawal react percentage compared with blank Group increases (P<0.01), prompting mouse produces Mechanical allodynia behavior.
Modeling the 14th day as can be seen from Table 6, treatment group's paw withdrawal reaction percentage is reduced, less than control group and close to blank Group, with model group comparing difference significantly (P<0.05 or P<0.0l), illustrate that medicine generates analgesic activity.And APAP+Andro Group compares P with APAP groups<0.05, illustrate that andrographolide combination paracetamol can strengthen the analgesia of paracetamol Effect, serves the effect of Synergistic.
The andrographolide of embodiment two mitigates the hepatotoxic research of paracetamol
After it specify that andrographolide can strengthen the analgesic activity of paracetamol, the present invention is further investigated Andrographolide is on the hepatotoxic influence of paracetamol.
2.1 experiment materials
2.1.1 animal C57BL/6 mouse, ♂, 18~22g of body weight are public purchased from Shanghai Si Laike experimental animals Limited Liability Department, animal credit number:SCXK (Shanghai) 2012-0002.Mouse feeder temperature (22 ± 1) DEG C, relative humidity (65 ± 10) % shines Bright time daily 12h.Animal adaptability is fed 4 days, is freely taken food, is drunk water.
2.1.2 medicine andrographolide (SIGMA companies), paracetamol (SIGMA companies).
2.1.3 instrument ELIASA (company:Gene Company Limited, model:SynergyH4)
2.2 experimental methods
Animal is randomly divided into blank control group (CONT), APAP groups, APAP+Andro groups and Andro groups.Animal before experiment Water 12h is can't help in fasting, in addition to CONT groups (giving isometric physiological saline), and remaining each group mouse 0.2ml/10g gavage is to acetyl Amino phenols, 1h pneumoretroperitoneums injection andrographolide 0.1ml/10g gives 6h after paracetamol and puts to death animal, takes blood and liver It is dirty.
2.3 experimental results
2.3.1 hepatic pathology section HE is dyed
As shown in Fig. 2 comparing with CONT groups, APAP groups occur around obvious hepatic injury, liver bleeding, central veins of liver Hepatic tissue water sample becomes, a small number of lymphocytic infiltrations, and liver cell vacuole sample becomes, and karyon disappears.APAP+Andro group hepatic injuries are notable Improve, damaged area is greatly reduced.Andro groups are unchanged.
2.3.2 Serum ALT, AST detections
As shown in figure 3, being compared with APAP groups, APAP+Andro groups ALT, AST are significantly reduced.Show that andrographolide can drop ALT, AST rise caused by low paracetamol.
It these results suggest that:Andrographolide can mitigate hepatic injury caused by paracetamol, improve liver function.From And mitigate the hepatotoxicity wind agitation of paracetamol.
Many aspects involved in the present invention have been explained as above.However, it should be understood that without departing from spirit of the invention Under the premise of, those skilled in the art can carry out equivalent change and modification to it, and the change and modification equally fall into the application Claim coverage.

Claims (3)

1. andrographolide or its pharmaceutically acceptable salt prepare the medicine for the analgesic activity for improving paracetamol or Application in health products.
2. andrographolide or its pharmaceutically acceptable salt are preparing the analgesic activity for improving paracetamol and are reducing it Application in hepatotoxic medicine or health products.
3. a kind of analgesic composition, it is characterised in that it includes the andrographolide and acetparaminosalol of therapeutically effective amount Phenol, the weight ratio of the andrographolide and paracetamol is 13.5:1~13.5:3.
CN201510052029.9A 2015-01-30 2015-01-30 The medical usage of andrographolide Expired - Fee Related CN104586835B (en)

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Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
穿心莲内酯的研究进展;刘国利等;《医药导报》;20060131;第25卷(第1期);48至50 *
穿心莲的药理作用及应用的研究进展;方桂友等;《福建畜牧兽医》;20071231;第29卷(第6期);22至25 *

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