CN107088190A - Application of the fumarate in treatment liver disease drug is prepared - Google Patents

Application of the fumarate in treatment liver disease drug is prepared Download PDF

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Publication number
CN107088190A
CN107088190A CN201611046597.9A CN201611046597A CN107088190A CN 107088190 A CN107088190 A CN 107088190A CN 201611046597 A CN201611046597 A CN 201611046597A CN 107088190 A CN107088190 A CN 107088190A
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China
Prior art keywords
liver
fumarate
dmf
mmf
application
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Pending
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CN201611046597.9A
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Chinese (zh)
Inventor
陈永恒
刘霆
严璐
陈娅琦
张桂英
陈主初
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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Application filed by Xiangya Hospital of Central South University filed Critical Xiangya Hospital of Central South University
Priority to CN201611046597.9A priority Critical patent/CN107088190A/en
Priority to PCT/CN2017/093253 priority patent/WO2018095056A1/en
Publication of CN107088190A publication Critical patent/CN107088190A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/22Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
    • A61K31/225Polycarboxylic acids

Abstract

The invention discloses application of the fumarate in treatment liver disease drug is prepared, including dimethyl fumarate (dimethyl fumarate,) and application of the monomethyl fumarate (monomethyl fumarate, MMF) in a variety of liver diseases are treated DMF.In the present invention, using nuclear factor E2-related factor 2 (nuclear factor E2 related factor 2 in a variety of human hepatocarcinoma cells of DMF, MMF activation, mouse liver cell,) and the expression of antioxidant genes downstream Nrf2, most important Keap1 Nrf2 ARE paths in active cell Antioxidation Mechanism, moreover, damage of the oxidative stress to liver in mouse hepatopathy model can be also prevented and treated, there is good liver protection effect.With the potential developed into for the related hepatosis treating medicine of oxidativestress damage, there is important development prospect in the treatment of a variety of liver diseases such as fatty liver disease, DILD, cholestatic liver disease, virus hepatitis, hepatic sclerosis, liver cancer.

Description

Application of the fumarate in treatment liver disease drug is prepared
Technical field
The present invention relates to chemical medicine.Specifically related to fumarate is in a variety of liver diseases medicines for the treatment of are prepared Using.
Background technology
Oxidative stress refers to body when by various destructive stimuluses, internal high activity molecule such as active oxygen radical (ROS) produced excessively with active nitrogen free radical (RNS), degree of oxidation exceeds the removing of oxide, and causes tissue damage.Liver As important metabolic organ, often in the allogene and other chemical substances of higher concentration.Although liver possesses one Row resist the mechanism of harmful chemical and its metabolite, but still are vulnerable to oxidative damage caused by intermediate active material.Oxygen Change stress be the common pathogenesis of many liver diseases, and oxidative damage and most hepatopathys are closely related, including:Fatty liver Disease, DILD, cholestatic hepatic injury, virus hepatitis, even hepatic sclerosis, liver cancer, so Antioxidation Treatment pair Preventing and treating liver diseases play the role of important.
Nrf2 is a kind of nuclear factor mediated by oxidative stress newfound in recent years, is believed with Keap1-Nrf2-ARE The transcription of number path mediation II phases detoxication enzyme and antioxidant genes, it is considered to be most important path in cellular anti-oxidant mechanism. Nrf2 and a variety of protective genes downstream activation are expressed, and can induce a series of detoxication enzymes, metabolizing enzymes, allogenic material row The expression of outer transporter, increases the oxidation resistance of body.Research shows that Nrf2 activation is in confrontation liver oxidativestress damage In play an important roll.The research such as Robert H. finds that DMF and MMF can be increased by the Nrf2 signal pathways in active cell The protective effect to cell, makes it preferably be resistant to oxidative stress by force.
DMF, is a kind of NF-Kappa B activation inhibitor, can play immunological regulation and neuroprotection, clinically It is mainly used in treatment multiple sclerosis (multiple sclerosis, MS).Clinical research shows that DMF can be by activating Nrf2 Path plays the effect for mitigating cellular inflammation and response to oxidative stress ability.DMF by oral administration after, can be rapidly by internal esterase hydrolyzed It is safely absorbed for the metabolin of most bioactivity --- MMF, subsequent MMF in small intestine.It is oral 5-6 hours in DMF, MMF blood Starch concentration peaking;DMF half-life period is 12 minutes, and MMF half-life period is 36 hours, and MMF biological effects are sustainable longer Time.
Although DMF, MMF have activation Nrf2, path plays the effect for mitigating cellular inflammation and response to oxidative stress ability, And Nrf2 is significant in confrontation liver oxidative stress, but DMF and MMF is in the treatment liver related to oxidativestress damage Not yet reported with the presence or absence of effect in dirty disease, and at present in the world there is not yet someone is furtherd investigate.
The content of the invention
The present invention is to dimethyl fumarate (dimethyl fumarate, DMF) and monomethyl fumarate (monomethyl Fumarate, MMF) influence in liver cell to Nrf2 signal pathways, and its pair liver disease related to oxidativestress damage The treatment of disease is furtherd investigate.Research shows:Fumarate including DMF, MMF, which can be used for preparing, treats a variety of The medicine of hepatopathy (including fatty liver disease, DILD, cholestatic liver disease, virus hepatitis, hepatic sclerosis, liver cancer etc.) Thing.Researcher confirms that two kinds of medicines can activate a variety of human liver cancer cells and Mouse Liver by substantial amounts of scientific research Intracellular Nrf2 signal pathways, moreover, can also prevent and treat damage of the oxidative stress to liver in mouse hepatopathy model, there is good Good liver protection effect.Wherein, above-mentioned human liver cancer cell is HepG2 cells, Huh7 cells, and mouse liver cell is that AML-12 is thin Born of the same parents.
Preferably, the formulation of the medicine is pulvis.The method of administration of the medicine includes local topical, vein and abdominal cavity Injection etc..
In a word, the present invention is by substantial amounts of experimental studies have found that DMF and MMF can activate a variety of human liver cancer cells and mouse Nrf2 signal pathways in liver cell, can also prevent and treat damage of the oxidative stress to liver in mouse hepatopathy model, there is good shield Liver acts on, and illustrates that DMF and MMF can be used for the medicine for preparing treatment hepatopathy.Therefore, the present invention is for a variety of liver diseases (bag Include fatty liver disease, DILD, cholestatic liver disease, virus hepatitis, hepatic sclerosis, liver cancer etc.) treatment in terms of have There is important development prospect.
Brief description of the drawings
Fig. 1:Influence (10uM DMF processing of the DMF to Nrf2 in human hepatoma HepG2 cell and its anti-oxidant expression of target gene HepG2 cell WB/PCR);
Fig. 2:(DMF processing Huh7 is thin for the influence of DMF Nrf2 intracellular to human liver cancer Huh7 and its anti-oxidant expression of target gene Born of the same parents WB/PCR);
Fig. 3:DMF Nrf2s intracellular to mouse liver cell AML-12 and its anti-oxidant expression of target gene influence (10uM DMF processing AML-12 cell WB/PCR);
Fig. 4:Influence (10uM MMF processing of the MMF to Nrf2 in human hepatoma HepG2 cell and its anti-oxidant expression of target gene HepG2 cell WB/PCR);
Fig. 5:MMF Nrf2s intracellular to human liver cancer Huh7 and its anti-oxidant expression of target gene influence (10uM MMF processing Huh7 cell WB/PCR);
Fig. 6:MMF Nrf2s intracellular to mouse liver cell AML-12 and its anti-oxidant expression of target gene influence (10uM MMF processing AML-12 cell WB/PCR);
Fig. 7:(left figure amplifies 100 times, right figure amplification 200 for performance of the normal liver tissue of blank control group under light microscopic Times);
Fig. 8:Performance of the murine liver tissue for the Alcoholic Liver Disease Model control group that DMF is treated under light microscopic is not given (left 100 times of figure amplification, right figure amplifies 200 times);
Fig. 9:Giving performance of the model mice hepatic tissue of low dose of DMF oral administration gavages administration under light microscopic, (left figure is put Big 100 times, right figure amplifies 200 times);
Figure 10:Giving performance of the model mice hepatic tissue of heavy dose of DMF oral administration gavages administration under light microscopic, (left figure is put Big 100 times, right figure amplifies 200 times).
Embodiment
Embodiment 1
The path experiment of DMF Activation In Vitro cell Nrf2 signals
Selected cell line includes human hepatoma HepG2 cell, human liver cancer Huh7 cells, mouse liver cell AML-12.Take pair Number growth period cell is inoculated in 6 orifice plates, and cell is separately added into DMF cultures 0, after 2,4,6,12,24 hours, takes out culture plate, Total protein of cell and cell total rna are extracted, using Western blot, QPCR technologies, intracellular Nrf2 is detected and its anti-oxidant The expression of target gene (GCLC, HO1).
As a result as Figure 1-3, DMF can strengthen the table of Nrf2 and its anti-oxidant target gene (GCLC, HO1) in liver cell Reach.
Embodiment 2
The path experiment of MMF Activation In Vitro cell Nrf2 signals
Selected cell line includes human hepatoma HepG2 cell, human liver cancer Huh7 cells, mouse liver cell AML-12.Take pair Number growth period cell is inoculated in 6 orifice plates, and cell distinguishes dosing (MMF) culture 0, after 2,4,6,12,24 hours, takes out culture Plate, extracts total protein of cell and cell total rna, using Western blot, QPCR technologies, detects intracellular Nrf2 and its antioxygen Change the expression of target gene (GCLC, HO1).
As a result as Figure 4-Figure 6, MMF can strengthen the table of Nrf2 and its anti-oxidant target gene (GCLC, HO1) in liver cell Reach.
Embodiment 3
Effect studies of the DMF in preventing and treating AML mouse liver oxidativestress damage
Testing the C57BL/6 mouse that selected mouse provides for this Leco Corp. of Shanghai, (male, 8 week old, body weight are 18-21g).4 groups are randomly divided into, raises in common barrier environment, mouse Alcoholic Liver Disease Model is built using NIAAA methods.Mould Type randomly selects the DMF oral administration gavages administration that two groups of mouse give various dose respectively after successfully constructing, one time a day, altogether administration 10 days.4 groups of mouse are euthanized after 10 days, take hepatic tissue to be soaked in formalin, each group hepatic tissue is contaminated using HE Color, and observed under 100 times and 200 light microscopics.
As a result as is seen in figs 7-10, DMF can prevent and treat damage of the oxidative stress to liver in mouse hepatopathy model, there is good Liver protection effect.

Claims (5)

1. application of the fumarate in treatment liver disease drug is prepared.
2. application as claimed in claim 1, it is characterised in that the fumarate includes DMF and MMF.
3. application as claimed in claim 1, it is characterised in that the hepatopathy includes fatty liver disease, DILD, bile Cholestatic hepatic injury, virus hepatitis, hepatic sclerosis and liver cancer.
4. application as claimed in claim 1, it is characterised in that the formulation of the medicine is pulvis.
5. application as claimed in claim 1, it is characterised in that the method for administration of the medicine includes local topical, vein and Intraperitoneal injection.
CN201611046597.9A 2016-11-23 2016-11-23 Application of the fumarate in treatment liver disease drug is prepared Pending CN107088190A (en)

Priority Applications (2)

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CN201611046597.9A CN107088190A (en) 2016-11-23 2016-11-23 Application of the fumarate in treatment liver disease drug is prepared
PCT/CN2017/093253 WO2018095056A1 (en) 2016-11-23 2017-07-18 Applications of fumarates in preparing medicament for treating liver diseases

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Application Number Priority Date Filing Date Title
CN201611046597.9A CN107088190A (en) 2016-11-23 2016-11-23 Application of the fumarate in treatment liver disease drug is prepared

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109364058A (en) * 2018-12-05 2019-02-22 中南大学湘雅医院 The application of fumarate and its officinal salt in the drug of preparation treatment iron death related disease
CN111373032A (en) * 2017-11-24 2020-07-03 渥太华医院研究所 Compositions and methods for enhancing the production, growth, spread, or oncolytic and immunotherapeutic efficacy of interferon-sensitive viruses

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20220073985A (en) * 2020-11-27 2022-06-03 주식회사 큐라클 Pharmaceutical composition for preventing or treating organ fibrosis comprising monomethyl fumarate as an active ingredient

Citations (3)

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Publication number Priority date Publication date Assignee Title
US20040054001A1 (en) * 2001-01-12 2004-03-18 Joshi Rajendra Kumar Fumaric acid derivatives as nf-kappab inhibitors
KR20080094466A (en) * 2007-04-20 2008-10-23 주식회사 머젠스 Pharmaceutical composition for treatment of metabolic syndrome
WO2015128492A1 (en) * 2014-02-28 2015-09-03 Maghazachi Azzam A Monomethyl- and dimethylfumarate for nk cell activation

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040054001A1 (en) * 2001-01-12 2004-03-18 Joshi Rajendra Kumar Fumaric acid derivatives as nf-kappab inhibitors
KR20080094466A (en) * 2007-04-20 2008-10-23 주식회사 머젠스 Pharmaceutical composition for treatment of metabolic syndrome
WO2015128492A1 (en) * 2014-02-28 2015-09-03 Maghazachi Azzam A Monomethyl- and dimethylfumarate for nk cell activation

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111373032A (en) * 2017-11-24 2020-07-03 渥太华医院研究所 Compositions and methods for enhancing the production, growth, spread, or oncolytic and immunotherapeutic efficacy of interferon-sensitive viruses
CN109364058A (en) * 2018-12-05 2019-02-22 中南大学湘雅医院 The application of fumarate and its officinal salt in the drug of preparation treatment iron death related disease

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