CN108126201A - Enterobacteriaceae antibiotic is preparing the application in preventing Chemotherapy Complications drug - Google Patents

Enterobacteriaceae antibiotic is preparing the application in preventing Chemotherapy Complications drug Download PDF

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Publication number
CN108126201A
CN108126201A CN201810082878.2A CN201810082878A CN108126201A CN 108126201 A CN108126201 A CN 108126201A CN 201810082878 A CN201810082878 A CN 201810082878A CN 108126201 A CN108126201 A CN 108126201A
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antibiotic
enterobacteriaceae
chemotherapeutics
drug
damage
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CN108126201B (en
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董磊
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Nanjing University
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Nanjing University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • A61K31/53751,4-Oxazines, e.g. morpholine
    • A61K31/53831,4-Oxazines, e.g. morpholine ortho- or peri-condensed with heterocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7034Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
    • A61K31/7036Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin having at least one amino group directly attached to the carbocyclic ring, e.g. streptomycin, gentamycin, amikacin, validamycin, fortimicins

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

The present invention discloses enterobacteriaceae antibiotic and is preparing the application in preventing Chemotherapy Complications drug, enteron aisle Gram-negative bacteria antibiotic can remove the flora of main gram negative bacilli in enteron aisle, after chemotherapeutics causes intestinal mucosa to damage, it is grown because no enterobacteriaceae enters blood circulation, proliferation, so as to reduce the release of a large amount of toxin and inflammatory factor, the nonspecific inflammatory reaction of antagonism, inhibit and block virulence factor to the damage in loop organization cell, eliminate local inflammation reaction, so as to the side effect of reduce inflammation reaction and chemotherapeutics, this has unexpected prevention effect to slowing down damage.The present invention inhibits microbial bacteria to discharge endotoxin and inflammatory factor in the intestinal tissue of damage, activates systemic tissue damage by giving the preparation containing antibiotic;Meanwhile antibiotic used in the present invention is small-molecule drug, is easily obtained, cheap, property is stablized, convenient for storage and transport.

Description

Enterobacteriaceae antibiotic is preparing the application in preventing Chemotherapy Complications drug
Technical field
The present invention relates to a kind of enterobacteriaceae antibiotic to prepare the application in preventing Chemotherapy Complications drug, specifically A kind of enteron aisle Gram-negative bacteria antibiotic is prepared in the Systemic inflammatory syndrome drug that prevention chemotherapeutics causes Using belonging to biomedicine technical field.
Background technology
Malignant tumour is one of common disease of serious threat human health.At present, about the research of tumour obtained compared with Big progress, with the continuous application released with various combined chemotherapies of antitumor drug, the life cycle of malignant tumor patient obtains To extend, but there are limitations for various drugs and therapy, are extremely difficult to ideal effect, and drug resistance and secondary work easily occur With.Wherein most commonly seen with bone marrow suppression and gastrointestinal reaction, it is early stage impaired tissue that this, which is primarily due to alimentary canal mucous membrane, One of, therefore Function of intestinal mucosa, structural integrity is maintained also to become the research hotspot for preventing side effects of chemotherapy.
One important and common complication of antineoplaston, almost all of chemotherapeutic have the potential that cause is spat, and change It treats drug and easily causes stomatitis, canker sore, esophagitis.The drug for most often causing mucositis is methopterin, antibiotics And fluorouracil, it treats based on suiting the medicine to the illness, as canker sore pain can be relieved the pain with part.Chemotherapeutics also often causes diarrhea, Apparent diarrhea can give the intestinal mucosas protective agent such as imodium, dioctahedral smectite;Temporary fasting when necessary and application antibiotic prevent intestines Road infects, so that intestinal mucosa restores normal.
Most of enterobacteriaceaes belong to Gram-negative bacteria, they can generate endotoxin, cause a disease by endotoxin.Common leather is blue Family name's negative bacterium have shigella dysenteriae, typhoid bacillus, Escherichia coli, proteus, Pseudomonas aeruginosa, Bordetella pertussis, comma bacillus and Diplococcus meningitidis etc..The antibiotic of main anti-Gram-negative bacteria includes aminoglycoside, rifomycins and polymyxin Deng mechanism of action also differs, for example, aminoglycoside antibiotics can be combined with the ribosomes of bacterium, so as to interfere bacterium egg White matter building-up process has powerful antibacterial activity to gram negative bacilli.
Current clinically common enteron aisle Gram-negative bacteria antibiosis is known as streptomysin, gentamicin, kanamycins, butylamine Kanamycins, tobramycin etc..Systemic inflammatory syndrome (SIRS) is mainly passed through by bacterium infection in blood circulation Endotoxin is discharged, activates systemic inflammatory reaction caused by inflammatory factor.
Invention content
In view of the above existing problems in the prior art, the present invention provides a kind of enterobacteriaceae antibiotic to prepare prevention chemotherapy simultaneously The application in disease drug is sent out, can effectively prevent Systemic inflammatory syndrome caused by chemotherapy.
To achieve these goals, the enterobacteriaceae antibiotic that the present invention uses is in prevention Chemotherapy Complications drug is prepared Using.
As an improvement, the enterobacteriaceae antibiotic is specially enteron aisle Gram-negative bacteria antibiotic.
As an improvement, the enteron aisle Gram-negative bacteria antibiotic using gentamicin, lavo-ofloxacin, ampicillin, Any one of Amikacin or several mixing.
As an improvement, the Chemotherapy Complications are specially the Systemic inflammatory syndrome that chemotherapeutics causes.
As an improvement, the chemotherapeutics is cis-platinum, 5-Fluorouracil, camptothecine, taxol, Trastuzumab, sieve in distress replace Any one of Buddhist nun, IL-12, CART, PD-1 or several mixing.
As an improvement, the prevention Chemotherapy Complications drug is using enterobacteriaceae antibiotic as active constituent, in addition water-soluble The medicament that property organic carrier is prepared.
As an improvement, the water-soluble organic carrier is using any one of dextrin, corn oil or dimethyl sulfoxide (DMSO).
As an improvement, the medicament is oral preparation or ejection preparation.
As an improvement, the dosage of the enterobacteriaceae antibiotic is 0.05g/kg-10g/kg, it is administered daily.
As a further improvement, the dosage of the enterobacteriaceae antibiotic is 0.5g/kg-10g/kg, is administered daily.
The principle of the present invention is:Enteron aisle Gram-negative bacteria antibiotic can remove main gram negative bacilli in enteron aisle Flora, when chemotherapeutics cause intestinal mucosa damage after, grown, be proliferated because no enterobacteriaceae enters blood circulation, from And reduce the release of a large amount of toxin and inflammatory factor, the nonspecific inflammatory reaction of antagonism, inhibit and block virulence factor to Local inflammation reaction is eliminated in the damage of loop organization cell, and so as to the side effect of reduce inflammation reaction and chemotherapeutics, this is right Slowing down damage has unexpected prevention effect.
Compared with prior art, the present invention inhibits microbial bacteria in the intestines of damage by giving the preparation containing antibiotic Endotoxin and inflammatory factor are discharged in tissue, activates systemic tissue damage;Meanwhile antibiotic used in the present invention is small point Sub- drug, is easily obtained, cheap, and property is stablized, and convenient for storage and transport, is preventing and treating group caused by chemotherapeutics Knitting has very important clinical value in damage.
Description of the drawings
The content that Fig. 1 is TNF-a in chemotherapy animal blood serum in the embodiment of the present invention;
Fig. 2 is chemotherapy animal intestinal tract mucosa injury schematic diagram in the embodiment of the present invention.
Specific embodiment
Understand to make the object, technical solutions and advantages of the present invention clearer, it is right below by attached drawing and embodiment The present invention is further elaborated.However, it should be understood that specific embodiment described herein is only used to explain this hair Range that is bright, being not intended to restrict the invention.
Unless otherwise defined, all technical terms and scientific terms used herein are led with belonging to the technology of the present invention The normally understood meaning of technical staff in domain is identical, and used term is intended merely to retouch in the description of the invention herein State the purpose of specific embodiment, it is not intended that in the limitation present invention.
Enterobacteriaceae antibiotic provided by the invention is preparing the application in preventing Chemotherapy Complications drug.
As an improvement, the enterobacteriaceae antibiotic is specially enteron aisle Gram-negative bacteria antibiotic.
As a further improvement, the enteron aisle Gram-negative bacteria antibiotic is using gentamicin, lavo-ofloxacin, ammonia Any one of benzyl XiLin, Amikacin or several mixing.It is micro- by the way that after the pretreatments such as gentamicin enteron aisle can be removed Biology, slow down as the release of endotoxin and inflammatory mediator that chemotherapeutics causes and caused by extensive tissue damage, therefore, can be with This kind of antibiotic is prepared into tolerance dose, the systemic inflammatory damage caused applied to prevention chemotherapeutics.
As an improvement, the Chemotherapy Complications are specially the Systemic inflammatory syndrome that chemotherapeutics causes.
As an improvement, the chemotherapeutics is cis-platinum (25mg/kg), and 5-Fluorouracil (10mg/kg), camptothecine (10mg/ Kg), taxol (20mg/kg), Trastuzumab (15mg/kg), Erlotinib (150mg/kg), IL-12 (100 μ l, 0.5 μ g/ of injection Ml), (it is 6 × 10 that left dorsal subcutaneous is inoculated with 100 μ l sums to CART6CART cells), PD-1 (15mg/kg).Chemotherapeutics draws The malignant tumour for playing damage includes liver cancer, oophoroma, cancer of the esophagus, lymph cancer, malignant mela noma, cancer of pancreas and breast cancer etc..
As an improvement, the prevention Chemotherapy Complications drug is using enterobacteriaceae antibiotic as active constituent, in addition water-soluble The medicament that property organic carrier is prepared.
As an improvement, the water-soluble organic carrier is using any one of dextrin, corn oil or dimethyl sulfoxide (DMSO).
As an improvement, the medicament is oral preparation or ejection preparation.Antibiotic medicine in the present invention can pass through mouth The mode of chamber, vein, abdominal cavity or other any active materials that can convey effective dose is administered.
As an improvement, the enterobacteriaceae antibiotic is administered daily dosage as 0.05g/kg-10g/kg.As further It improves, the enterobacteriaceae antibiotic is administered daily dosage as 0.5g/kg-10g/kg.Suitable dosage refers to obtain required The dosage for the final quantity wanted.And different dosage may also be needed by treating different diseases.The effective quantity of antibiotic in the present invention It is the amount that can make chemotherapeutics that the degree of damage be caused to be substantially reduced.Researcher with routine techniques will determine this item The most effective dosage of drug in invention and time consider administering mode, and drug metabolism and some other medicine generation are dynamic Mechanics parameter such as drug distribution, clearance rate etc..
The present invention is by observing enterobacteriaceae antibiotic to toxicity such as function of organization's damages caused by large dosage of antitumor drug The antagonism of reaction carries out illustration.Antitumor drug is divided into three classes by mechanism of action employed in the present invention:(i) Cytotoxic drugs Object:Cis-platinum, 5-Fluorouracil, camptothecine, taxol;(ii) molecular targeted agents:Trastuzumab, Erlotinib;(iii) it is immunized and controls Treat drug:IL-12, CART, PD-1.
ICR experiment mices of the present invention, for simulating main disease of the mankind to the confrontation research of chemotherapeutics toxicity Reason process.Animal herein includes but not limited to mouse, rat, and performing animal includes but not limited to cat, dog and some other Animal is such as, but not limited to ox, sheep, pig, horse, and primate is such as, but not limited to monkey and people.
Following example is not to be construed as the function model to this invention to explain the detail of this invention The restriction enclosed.
Embodiment 1
Enterobacteriaceae antibiotic of the present invention is preparing the application in preventing Chemotherapy Complications drug, specific preparation process It is as follows:
1) water soluble antibiotics are formulated as certain density storing solution with PBS, -20 DEG C preserve, wherein, in the present embodiment The water soluble antibiotics of use are respectively gentamicin, lavo-ofloxacin;
2) storing solution is diluted in drinking water, by the antibiotic drinking water that 1.25g/kg compound concentrations are 5g/L.
Embodiment 2
Application of the oral intestinal canal bacterium antibiotic in the Systemic inflammatory syndrome for preparing prevention chemotherapeutics initiation.
1. experimental animal
Male ICR mouse, weight 18-22g are purchased from Beijing Vital River Experimental Animals Technology Co., Ltd.'s (SPF grades), Nanjing University's Experimental Animal Center raising.
2. grouping and processing
2.1 experiment packet
Mouse is randomly divided into normal group, chemotherapeutics group, gentamicin group, lavo-ofloxacin group and gentamicin+ Chemotherapeutics group, lavo-ofloxacin+chemotherapeutics group, totally six groups.
2.2 experiment process
A) gentamicin group, lavo-ofloxacin group and gentamicin+chemotherapeutics group, lavo-ofloxacin+chemotherapeutics Group gives the drinking water containing antibiotic respectively, and normal group gives the drinking water of corresponding amount with chemotherapeutics group;
B) after two weeks, chemotherapeutics group and gentamicin+chemotherapeutics group, lavo-ofloxacin+chemotherapeutics group respectively into Row intraperitoneal injection contains chemotherapeutic drugs Cisplatin (25mg/kg), 5-Fluorouracil (10mg/kg), camptothecine (10mg/kg), Japanese yew Alcohol (20mg/kg), Trastuzumab (15mg/kg), Erlotinib (150mg/kg), IL-12 (100 μ l, 0.5 μ g/ml of injection), CART (it is 6 × 10 that left dorsal subcutaneous, which is inoculated with 100 μ l sums,6CART cells), the normal saline solution of PD-1 (15mg/kg), daily It is administered once, successive administration 3 days;
C) sample is received within the 2nd day after being discontinued, fasting plucks eyeball and takes blood after 12 hours, detect containing for endotoxin and TNF-α in serum Amount;The state of animal observation liver,spleen,kidney, each histoorgan of colon is put to death, colonic tissue is fixed, is embedded, carries out HE dyeing.
Specific processing see the table below 1.
The processing procedure of 1 each experimental group of table
2.3 enterobacteriaceae antibiotic influence the performance of Systemic inflammatory syndrome
A) the influence of gentamicin, lavo-ofloxacin to chemotherapy the weight of animals
Gentamicin, lavo-ofloxacin are classified as in table 2 on influencing to become through chemotherapeutics treated each group mouse weight Change.
The influence (g) that 2 enterobacteriaceae antibiotic of table changes chemotherapeutics mouse weight
Data are shown that significant difference is determined by ANOVA inspections in the form of average value.* represent P≤ 0.05。
As can be seen that two groups of (C, E) weight gain trend of advance antibiotic treatment keep one with normal group (A) in table 2 It causes;Giving the mouse weight of the chemotherapeutics group (B) of chemotherapeutics significantly reduces;With individually giving chemotherapeutics group (B) ratio, celebrating Big mycin+chemotherapeutics group (D), the weight of test mice of lavo-ofloxacin+chemotherapeutics group (F) increased, mouse Weight loss amplitude is small, and there are significant differences.It is found that gentamicin, lavo-ofloxacin are to chemotherapy mouse table from aforementioned result Reveal certain chemotherapeutic protection effect.
B) the influence of gentamicin, lavo-ofloxacin to chemotherapy animal overall survival
Further whether investigation gentamicin, lavo-ofloxacin can influence the overall survival after animal chemotherapy, to change It is node that it is all dead, which to treat drug taxol group mouse,.It the results are shown in Table 3.
Influence of the 3 enterobacteriaceae antibiotic of table to chemotherapeutics mouse overall survival
Data are shown that significant difference is subject to really by ANOVA inspections in the form of mean+SD It is fixed.* P≤0.05 is represented.
As can be known from Table 3, gentamicin, levofloxacin on treating group (D, F) can extend the Average Survival of chemotherapy mouse Number of days, survival rate are significantly higher than chemotherapeutics group (B).Prompting, the totality that enterobacteriaceae antibiotic is remarkably improved chemotherapy animal are raw Deposit rate.
C) gentamicin, lavo-ofloxacin are on endotoxic influence in chemotherapy animal blood serum
The main component endotoxin for forming gram-negative bacteria outer membrane has extremely strong inducing systemic inflammatory response syndrome The ability of generation.Each group mouse took eyeball blood at the 2nd, 4 day, after isolating serum, measures serum endotoxin with ELISA method and contains Amount.As a result 4 be see the table below.
Influence (EU/ml) of the 4 enterobacteriaceae antibiotic of table to chemotherapeutics Mouse endotoxin content
Data are shown that significant difference is subject to really by ANOVA inspections in the form of mean+SD It is fixed.* P≤0.05. is represented
The level of endotoxin for testing the 2nd day chemotherapeutics group and antibiotic treatment group is significantly raised, and more normal group has statistics Learn difference;The level of endotoxin for testing the 4th day enterobacteriaceae treatment group declines compared with chemotherapeutics group, has significant difference, explanation Gentamicin, lavo-ofloxacin can mitigate the damage of intestinal mucosa
D) the influence of gentamicin, lavo-ofloxacin to TNF-α in DOX chemotherapy animal blood serums
Each group mouse drug-treated takes eyeball blood on the 4th day, after isolating serum, measures serum endotoxin with ELISA method and contains Amount.As shown in Figure 1, result shows inflammatory factor TNF-α in the mice serum that enterobacteriaceae treatment group causes chemotherapeutics to handle Content is decreased obviously, and has significant difference, illustrates that gentamicin, lavo-ofloxacin can mitigate systemic inflammatory reaction synthesis Sign.
E) the influence of gentamicin, lavo-ofloxacin to chemotherapy animal intestinal tract mucous membrane
It takes out colon within the 4th day after each group mouse drug-treated, visually observes the degree of impairment of rear H&E pathological examinations colon. As a result as Fig. 2 shows that compared with Normal group, chemotherapeutics group shows more serious faulted condition, and inflammatory cell is big Amount infiltration, and the mucosa injury state of enterobacteriaceae treatment group and inflammatory reaction significantly slow down, and prompt gentamicin, lavo-ofloxacin There is mitigation systemic inflammatory response syndrome, protective tissue is from the function of damage.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention Any modification, equivalent replacement or improvement made within refreshing and principle etc., should all be included in the protection scope of the present invention.

Claims (10)

1. enterobacteriaceae antibiotic is preparing the application in preventing Chemotherapy Complications drug.
2. application according to claim 1, which is characterized in that the enterobacteriaceae antibiotic is specially enteron aisle gram-negative Property bacterium antibiotic.
3. application according to claim 2, which is characterized in that the enteron aisle Gram-negative bacteria antibiotic is big mould using celebrating Any one of element, lavo-ofloxacin, ampicillin, Amikacin or several mixing.
4. application according to claim 1, which is characterized in that the Chemotherapy Complications are specially what chemotherapeutics caused Systemic inflammatory syndrome.
5. application according to claim 4, which is characterized in that the chemotherapeutics is cis-platinum, 5-Fluorouracil, camplotheca acuminata Any one of alkali, taxol, Trastuzumab, Erlotinib, IL-12, CART, PD-1 or several mixing.
6. application according to claim 1, which is characterized in that the prevention Chemotherapy Complications drug is resisted with enterobacteriaceae Raw element is active constituent, in addition the medicament that water-soluble organic carrier is prepared.
7. application according to claim 6, which is characterized in that the water-soluble organic carrier is using dextrin, corn oil Or any one of dimethyl sulfoxide (DMSO).
8. the application described according to claim 6 or 7, which is characterized in that the medicament is oral preparation or ejection preparation.
9. application according to claim 1, which is characterized in that the dosage of the enterobacteriaceae antibiotic is 0.05g/ Kg-10g/kg is administered daily.
10. application according to claim 9, which is characterized in that the dosage of the enterobacteriaceae antibiotic is 0.5g/ Kg-10g/kg is administered daily.
CN201810082878.2A 2018-01-29 2018-01-29 Application of intestinal bacteria antibiotic in preparing medicine for preventing and treating chemotherapy complications Active CN108126201B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114028573A (en) * 2021-12-09 2022-02-11 北京大学第一医院 Application of bacteroid intestinal bacteria and metabolism related substances thereof in preparation of drugs for reversing drug resistance of fluorouracil drugs

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CN1843508A (en) * 2005-04-07 2006-10-11 安成制药科技股份有限公司 A composition for treating gastrointestinal distress

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CN1843508A (en) * 2005-04-07 2006-10-11 安成制药科技股份有限公司 A composition for treating gastrointestinal distress

Non-Patent Citations (1)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114028573A (en) * 2021-12-09 2022-02-11 北京大学第一医院 Application of bacteroid intestinal bacteria and metabolism related substances thereof in preparation of drugs for reversing drug resistance of fluorouracil drugs
CN114028573B (en) * 2021-12-09 2023-02-24 北京大学第一医院 Application of bacteroid intestinal bacteria and metabolism related substances thereof in preparation of drugs for reversing drug resistance of fluorouracil drugs

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