CN104922097A - 替普瑞酮在制备预防和/或治疗阿片类毒品复吸药物中的应用 - Google Patents
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Abstract
本发明公开了替普瑞酮的新用途,即在制备预防和/或治疗阿片类毒品复吸药物中的应用,涉及医药技术领域;实验结果显示:口服替普瑞酮7天后,对吗啡成瘾消退后复吸点燃小鼠进行条件性位置偏爱测试;发现预先口服GGA,能够显著抑制吗啡复吸引起的小鼠条件性位置偏爱,且在分子水平上GGA显著抑制了吗啡复吸点燃诱导的NAc区NR2B的表达升高,替普瑞酮可用于制备预防和/或治疗阿片类毒品复吸的药物。
Description
技术领域
本发明涉及医药技术领域,涉及一种替普瑞酮的医药用途,具体为替普瑞酮在制备预防和/或治疗阿片类毒品复吸药物中的应用。
背景技术
药物复吸是国际性公害,是长期的世界性问题,它已经成为21世纪人类的主要敌人之一,且引起了各国研究人员的广泛重视。复吸是指药物依赖者在戒药一段时间后,由于某些因素的激发,重现觅药和用药的行为,是药物成瘾的重要特征。药物复吸的影响涉及社会文化、政治、行为等多个领域,可引起一系列的社会和公共卫生问题,如人类免疫缺陷病毒(Human Immunodeficiency Virus,HIV)、乙型肝炎病毒的感染的主要原因之一。成瘾药物滥用者一旦成瘾,脱毒戒毒十分困难,戒毒后的复吸率仍高达95%。阿片类毒品是成瘾药物中的一种,常见的阿片类毒品包括吗啡、海洛因和鸦片等。现代医学可用于阿片类复吸的药物,有阿片受体拮抗剂和阿片受体激动剂和部分激动剂,但多存在着副作用大、疗效不肯定、成本高等局限性,但到目前为止,现有的防复吸药物仍不能满足预防或治疗需要。
替普瑞酮(geranylgeranylacetone, GGA),即6,10,14,18-四甲基-5,9,13,17-十九烷四烯-2-酮的单顺式和全反式异构体的混合物,现已被广泛应用于消化道溃疡的治疗中。近年研究发现,GGA可以通过诱导热休克蛋白70和硫氧还蛋白减轻化学物质引起的细胞毒害(Bai J, Nakamura H, Hattori I, Tanito M, Yodoi J. Thioredoxin suppresses 1-methyl-4-phenylpyridinium-induced neurotoxicity in rat PC12 cells, Neurosci Lett 2002; 321, 81-4; Takumida M, Anniko M. Heat shock protein 70 delays gentamicin-induced vestibular hair cell death. Acta Otolaryngol.2005;125:23-8)。同时,GGA对光损伤、缺血性肾衰竭、癫痫和脑梗塞等具有保护作用(Tanito M, Kwon Y.W, Kondo N, Bai J, Masutani H, Nakamura H, Fujii J, Ohira A, Yodoi J. Cytoprotective effects of geranylgeranylacetone against retinal photooxidative damage, J Neurosci 2005; 25, 2396-404; Suzuki S, Maruyama S, Sato W, Morita Y, Sato F, Miki Y, Kato S, Katsuno M, Sobue G, Yuzawa Y, Matsuo S. geranylgeranylacetone ameliorates ischemic acute renal failure via induction of Hsp70. Kidney Int 2005;67:2210-20; Fujiki M, Kobayashi H, Inoue R, Tatsuya R, Ishii K. Single oral dose of geranylgeranylacetone for protection against delayed neuronal death induced by transient ischemia. Brain Res 2004;1020:210-213; Yasuda H, Shichinohe H, Kuroda S, Ishikawa T, Iwasaki Y. Neuroprotective effect of a heat shock protein inducer, geranylgeranylacetone in permanent focal cerebral ischemia. Brain Res 2005;1032:176-182)。替普瑞酮是否可以用于阿片类毒品复吸的预防或治疗尚未见报道。大鼠海洛因复吸时可以观察到PFC投射到NAc区有长时程增强样突触增强,在海洛因药物寻求恢复前阻断NR2B表达,可以阻断长时程增强样变化且抑制了复吸(Shen H, Moussawi K, Zhou W, Toda S, Kalivas PW. Heroin relapse requires long-term potentiation-like plasticity mediated by NMDA2b-containing receptors[J]. Proc Natl Acad Sci U S A, 2011, 108(48): 19407-19412)。
发明内容
本发明的目的是提供替普瑞酮(geranylgeranylacetone,GGA)的新用途,即在制备预防和/或治疗阿片类毒品复吸药物中的应用。
本发明所述的应用是以GGA为活性成分在制备预防和/或治疗阿片类毒品复吸药物中的应用。
本发明所述应用中还可以加入一种或多种药物上可接受的辅料,所述辅料包括药学领域常规的填充剂、稀释剂、粘合剂、赋形剂、吸收促进剂、填充剂、表面活性剂和稳定剂等,必要时还可加入香味剂、色素和甜味剂等。
本发明所述应用除制成胶囊外,还可以制成丸剂、粉剂、片剂、粒剂、口服液和注射液等多种形式。
本发明公开了GGA的一种新用途,即在制备预防和/或治疗阿片类毒品复吸药物中的应用。动物实验结果:口服替普瑞酮7天后,对吗啡成瘾消退后复吸点燃小鼠进行条件性位置偏爱测试。发现预先口服GGA,能够显著抑制吗啡复吸引起的小鼠条件性位置偏爱,且在分子水平上GGA显著抑制了吗啡复吸点燃诱导的NAc区NR2B的表达升高。因此,替普瑞酮可用于制备预防和/或治疗阿片类毒品复吸的药物。
由于替普瑞酮在制备预防和/或治疗阿片类毒品复吸药物中的应用是发明人的首次发现,因此,无论是GGA单独使用为活性成分制成的药剂,还是利用GGA预防和/或治疗阿片类毒品复吸的作用与其他活性成分配合使用制成的药剂,均在本申请的保护范围之内。与目前临床上常用的预防药物成瘾及复吸的药物相比,本发明的药物具有以下优点:(1)疗效显著;(2)安全性高,无成瘾性;(3)价格低廉,可以减轻病人的经济负担。
附图说明
图1是替普瑞酮抑制吗啡成瘾戒断后复吸点燃小鼠的条件性位置偏爱结果。
图2是替普瑞酮抑制吗啡复吸引起的NAc区NR2B表达升高的实验分析结果。
具体实施方式
下面通过附图和实施例对本发明作进一步详细说明,但本发明的保护范围不局限于所述内容,所用方法如无特别说明均为常规方法。
1、实验动物:SPF级C57BL/6小鼠:雄性,体重19-22g,由重庆医科大学实验动物中心提供。小鼠饲喂专用饲料,自由饮食和饮水。
2、药品:替普瑞酮(日本卫材公司生产,分子量330.55);盐酸吗啡注射液(东北制药集团公司沈阳第一制药厂)。
实施例1:替普瑞酮拮抗吗啡诱发的条件性位置偏爱实验
采用小动物自主活动检测装置测定,小鼠分成4组,每组10只小鼠。对照组(C)连续7天灌胃给予生理盐水;吗啡组(Mor)连续7天生理盐水灌胃;GGA和吗啡GGA组(GGA+Mor)连续7天灌胃给予GGA (800 mg/kg)。第8天测条件性位置偏爱实验初始时间15 min。之后分别在第9、11、13、15天,C组,腹腔注射生理盐水,GGA和GGA+Mor组灌胃给予GGA (800 mg/kg),Mor组和GGA+Mor组腹腔注射吗啡20 mg/kg,在第10、12、14、16天各组分别灌胃及腹腔注射生理盐水。在第17天进行条件性位置偏爱实验15 min,记录伴药箱时间。在第18至25天对小鼠停止给药,之后第26天,进行条件性位置偏爱实验15 min,记录伴药箱时间,检测位置偏爱是否消退。在第27天复吸点燃,C组和GGA组腹腔注射生理盐水,Mor组和GGA+Mor组腹腔注射吗啡(10 mg/kg),2 h后进行条件性位置偏爱实验15 min,记录伴药箱时间。图1结果显示,Mor组小鼠经吗啡成瘾消退后给予低剂量的吗啡,小鼠偏爱于伴药箱(p<0.05,与C组小鼠对比);而GGA+Mor组小鼠经GGA预先灌胃后,可以拮抗吗啡成瘾消退后给予低剂量的吗啡点燃诱发的伴药箱偏爱(p<0.05,与Mor组小鼠对比)。
实施例2:替普瑞酮抑制吗啡复吸诱导的NAc区NR2B的表达升高
组织取材及保存:将小鼠颈椎脱臼处死后,开胸,将右心房的静脉血管端剪开,用1×PBS缓冲液经左心室灌流,流速为20转/分,待各脏器失血变白后停止。然后取NAc区组织,分装放入液氮中速冻,做好标记,保存于-80 ℃冰箱中。
脑组织中蛋白质的提取:取出冻存于-80 ℃冰箱的NAc区组织,分别用镊子取出相同部位、相同大小的组织,放入玻璃研磨器中充分研磨成分散的细胞,加入适量的细胞裂解液,再将混合液吸出放入1.5 ml eppendorf离心管,再每隔10min冰浴进行裂解50 min后,15000 rpm、4 ℃离心15分钟,取上清液放于另外标记好的1.5 ml eppendorf离心管中并保存于-80℃冰箱中,以用于Western bloting检测
蛋白免疫印迹:总蛋白加样量为20 μg,与补足反应体系的1XPBS、起聚沉及前沿指示作用的2X loading buffer混合后,95℃热变性5min,用15%的SDS-PAGE胶电泳分离后,将蛋白条带用电转移到PVDF膜上,用10%脱脂牛奶4℃封闭过夜;取出PVDF膜,用含0.1% Tween-20的TPBS冲洗后,加入2000倍稀释的一抗室温孵育60 min;用含0.1% Tween-20的TPBS冲洗,加入5000倍稀释的二抗室温孵育60 min;用含0.1% Tween-20 的TPBS冲洗,将PVDF膜浸入发光底物溶液中反应1 min,X射线胶片曝光。
数据分析:蛋白条带灰度分析:使用扫描仪将曝光获得的蛋白条带扫描采集并保存至计算机,使用ImageJ、SPSS等软件对蛋白条带灰度值进行显著性差异分析。
图2结果显示:吗啡复吸点燃小鼠NAc区的NR2B表达升高,经过GGA预处理后显著抑制了吗啡成瘾消退后给予低剂量的吗啡点燃诱发的NR2B的表达水平。
Claims (1)
1.替普瑞酮在制备预防和/或治疗阿片类毒品复吸药物中的应用。
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