CN108208177A - Composition and its application containing butyric acid compound - Google Patents

Composition and its application containing butyric acid compound Download PDF

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Publication number
CN108208177A
CN108208177A CN201711218599.6A CN201711218599A CN108208177A CN 108208177 A CN108208177 A CN 108208177A CN 201711218599 A CN201711218599 A CN 201711218599A CN 108208177 A CN108208177 A CN 108208177A
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China
Prior art keywords
butyric acid
acid compound
liver
formula
preparation
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CN201711218599.6A
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Chinese (zh)
Inventor
文洁
蔡威
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Shanghai Institute For Pediatric Research
XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Shanghai Institute For Pediatric Research
XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Priority to CN201711218599.6A priority Critical patent/CN108208177A/en
Priority to PCT/CN2018/084676 priority patent/WO2019104936A1/en
Publication of CN108208177A publication Critical patent/CN108208177A/en
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    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23CDAIRY PRODUCTS, e.g. MILK, BUTTER OR CHEESE; MILK OR CHEESE SUBSTITUTES; MAKING THEREOF
    • A23C9/00Milk preparations; Milk powder or milk powder preparations
    • A23C9/16Agglomerating or granulating milk powder; Making instant milk powder; Products obtained thereby
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23CDAIRY PRODUCTS, e.g. MILK, BUTTER OR CHEESE; MILK OR CHEESE SUBSTITUTES; MAKING THEREOF
    • A23C9/00Milk preparations; Milk powder or milk powder preparations
    • A23C9/152Milk preparations; Milk powder or milk powder preparations containing additives
    • A23C9/1528Fatty acids; Mono- or diglycerides; Petroleum jelly; Paraffine; Phospholipids; Derivatives thereof
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/115Fatty acids or derivatives thereof; Fats or oils
    • A23L33/12Fatty acids or derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • 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
    • 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
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

Abstract

The present invention provides a kind of application of butyric acid compound in cholestatic liver fibrosis is prevented, the butyric acid compound can be used for preventing cholestatic liver fibrosis.The composition containing butyric acid compound, including butyric acid compound and nutritional preparation or excipient substance;A concentration of 5~70mM of the butyric acid compound.The present invention solves the technical barrier of cholestatic liver fibrosis prevention, and the prevention for cholestatic liver fibrosis provides a kind of safe, economic and effective method.

Description

Composition and its application containing butyric acid compound
Technical field
The present invention relates to food and medicine technical field, specifically, being related to a kind of composition containing butyric acid compound And its application in cholestatic liver fibrosis is prevented.
Background technology
Liver fibrosis refers to a large amount of depositions of extracellular matrix components in liver, is that various chronic liver diseases develop into hepatic sclerosis Only stage which must be passed by, due to liver fibrosis be liver parenchyma venereal disease become, medical field generally believes more difficult reverse, in the treatment except liver Transplanting is outer, lacks other effective control measures.Liver fibrosis is divided into number of different types, virus hepatitis, alcoholic hepatitis, non-wine The a variety of causes such as essence fatty liver and cholestasis can all lead to liver fibrosis.Different types of liver fibrosis, the cause of disease and hair Interpretation of the cause, onset and process of an illness system is different, and control measure is also entirely different.
Cholestatic liver fibrosis caused by cholestatic disease is clinically a big difficulty, there is no safety at present Effectively preventing measure.With the progress of the state of an illness, cholestatic disease can gradually develop into chronic hepatic fibrosis, hepatic sclerosis and Liver failure finally needs to carry out liver transfer operation.Cholestatic disease can be divided into extrahepatic cholestasis and intrahepatic cholestasis. Extrahepatic cholestasis refers to the cholestasis caused by the obstruction of extrahepatic bile ducts system mechanics;Intrahepatic cholestasis refers to small courage in liver A series of pathology and clinical manifestation caused by the obstruction of pipe diffusivity.Common cholestatic disease includes intestines failure correlation courage Juice siltation, Biliary atresia, primary biliary cirrhosis, primary sclerotic cholangitis etc..
At present, some achievements are had been achieved for for the research for the treatment of liver fibrosis both at home and abroad.Clinically common treatment The drug of liver fibrosis mainly has interferon, colchicin, interleukin-10 etc., but the therapeutic effect of these drugs is limited, secondary Effect is big.However, for cholestatic liver fibrosis, safely and effectively control method there is no at present.
Butyric acid is one of metabolite of natural component and internal intestinal flora in mammal milk.Butyric acid is made For one kind of short chain fatty acids, played an important role in terms of enteron aisle normal physiological function is maintained.At present, grinding about butyric acid Study carefully and focus primarily upon intestines problem.Research confirms that butyric acid has some intestines problems such as ulcerative colitis, inflammatory bowel disease Protective effect, however the effect of butyric acid is really not so in cholestatic disease.
Research finds that in the cholestatic disease animal model caused by bile duct ligation liver is to the metabolic energy of aliphatic acid Power declines, and especially short chain fatty acids such as butyric acid etc. can not be decomposed metabolism, leads to the raising of short-chain fat acid concentration, may aggravate Cholestatic liver disease (Reichen J, ect.Mechanisms of impaired hepatic fatty acid metabolism in rats with long-term bile duct ligation.Hepatology.1994May;19 (5):1272-81)(S,ect.Reversibility of hepatic mitochondrial damage in rats with long-term cholestasis.J Hepatol.1998Jun;28(6):1000-7).On the other hand, Notch signal paths and bile duct cell hyperplasia play an important role in the cholestatic liver fibrosis of progressive.Zhang X Researchs is waited to find that butyric acid is divided into bile duct epithelial cell by promoting Notch signal paths and hepatic progenitor cell, so as to play Promote effect (Zhang X, the et a1.Inhibition of notch signaling of cholestatic liver fibrosis pathway prevents cholestatic liver fibrosis by decreasing the differentiation of hepatic progenitor cells in to cholangiocytes.Lab Invest.2016Mar;96(3): 350-60).Therefore, based on these results of study, short chain fatty acids such as butyric acid is considered as to promote cholestatic liver fibrosis An important factor for.
Invention content
The technical problem to be solved by the present invention is in view of the shortcomings of the prior art, provide a kind of group containing butyric acid compound Close object and its application in cholestatic liver fibrosis is prevented.
Innovative use butyric acid compound of the invention is intervened, very effective to have prevented cholestatic liver fibre Dimensionization solves the problems, such as clinically.
The prevention of cholestatic liver fibrosis is extremely difficult, even if can to alleviate liver inflammation anti-for common anti-inflammatory drug It answers, can not but alleviate the process of liver fibrosis.And it is directed to work of the drug of bile acid biosynthesis in cholestatic liver fibrosis With also very limited.Because of cholestatic disease such as Biliary atresia, Biliary Cirrhosis etc., extrahepatic duct obstruction is held It renews so that the degree of cholestasis is very serious in liver, and the concentration of bile acid is usually above more than ten times of normal value even Tens times or more.Some inhibit the synthesis that the drug of bile acid biosynthesis is enabled reduction bile acid, cholestatic disease liver In bile acid concentration be still higher than normal value decades of times.And research confirms the degree and bile acid of cholestatic liver fibrosis Horizontal and non-correlation, thus inhibit effect of the bile acid biosynthesis in cholestatic liver fibrosis is prevented very limited.
Research finds that in cholestatic disease animal model liver declines the metabolic capability of aliphatic acid, causes short The raising of chain fatty acid concentration may aggravate cholestatic liver disease (Reichen J, ect.Mechanisms of impaired hepatic fatty acid metabolism in rats with long-term bile duct ligation.Hepatology.1994May;19(5):1272-81)(S,ect.Reversibility of hepatic mitochondrial damage in rats with long-term cholestasis.J Hepatol.1998Jun;28(6):1000-7).But we carefully analyze discovery, and positive evidence confirmation is had no in these researchs Effect of the butyric acid in progressive cholestatic liver fibrosis.On the other hand, the researchs such as Zhang X find that sodium butyrate passes through rush Bile duct epithelial cell is divided into Notch signal paths and hepatic progenitor cell so as to play promotion cholestatic liver fibrosis Effect (Zhang X, et a1.Inhibition of notch signaling pathway prevents cholestatic liver fibrosis by decreasing the differentiation of hepatic progenitor cells in to cholangiocytes.Lab Invest.2016Mar;96(3):350-60).However, The research confirms the effect of sodium butyrate only with experiment in vitro, and function and effect in vivo are not necessarily so.
Of the invention innovative intervenes the animal model of cholestatic liver fibrosis using butyric acid compound And treatment, it is very effective to have prevented cholestatic liver fibrosis, prior art prejudice is overcome, solves difficulty clinically Topic.
Research confirms the degree of hepatic fibrosis of cholestatic disease and bile acid levels, inflammatory cell infiltration, ALT, AST Etc. indexs and non-correlation.Present invention firstly discovers that in cholestatic liver fibrosis, liver Th1 types cell proportion and liver Fibrosis is proportionate, and Th1 types cell plays an important role in liver fibrosis process is promoted, and uses butyric acid class chemical combination After object is intervened or treated, Th1 type cell proportions are remarkably decreased.Butyric acid compound inhibits liver Th1 types by specificity The ratio of cell plays an important role in cholestatic liver fibrosis is prevented.
The purpose of the present invention is what is be achieved through the following technical solutions:
The present invention provides a kind of butyric acid compound in the composition for preparing prevention cholestatic liver fibrosis Purposes.
The present invention provides a kind of composition containing butyric acid compound, including butyric acid compound and nutritional preparation or Excipient substance;A concentration of 5~70mM (mmol/L) of the butyric acid compound.
Preferably, a concentration of 15~45mM in the butyric acid compound.
Preferably, the butyric acid compound is 0.5-7mmol/kg/d as the effective dose of drug.
It is highly preferred that the butyric acid compound is 1.5-4.5mmol/kg/d as the effective dose of drug.
Preferably, the butyric acid compound is selected from sodium butyrate, potassium butyrate, calcium butyrate, magnesium butyrate, butyric acid, butyric acid glycerine At least one of ester, isoamyl butyrate.
Preferably, the butyric acid compound is selected from least one of sodium butyrate, glycerol monobutyralte, butyric acid.
Preferably, the nutritional preparation is selected from conventional formulation food, special medicine purposes formula food, parenteral nutrition system At least one of agent, enteral nutrition preparation.
Preferably, the conventional formulation food is included in babies ' formula milk powder, pregnancy period and nursing period formula milk at least It is a kind of;The special medicine purposes formula food includes premature labor/low birth weight baby formula milk, lactose-free formula or low breast Sugared formula milk, milk protein part hydrolyzed formulas milk powder, lactoprotein depth hydrolysis formula or amino acid formula milk, breast milk and baby The hardening agent or nutritional supplement of youngster's formula food, suitable for food intolerance, allergy, hepatopathy special formulation food, At least one of formula food of disease or dysfunction;The parenteral nutrition preparation includes fat emulsion injection, All-In-One At least one of nutrient solution, intravenous fluid;The enteral nutrition preparation includes amino acid pattern enteral nutrition preparation, short peptide type At least one of enteral nutrition preparation, whole protein type enteral nutrition preparation, assembly type enteral nutrition preparation.
The present invention also provides a kind of preparation methods of the composition containing butyric acid compound, which is characterized in that the system Preparation Method includes:Butyric acid compound is proportionally added into the nutritional preparation or excipient substance, is uniformly mixed, you can.
Special medicine purposes formula food (Food for Special Medical Purpose, FSMP) is in order to full Foot feed is limited, the special requirement of Disorder of Digestion and A orption, metabolic disorder or particular disease states crowd to nutrient or diet, specially The formula food that door processing is formulated.Such product must under doctor or clinical nutrition's teacher guidance, it is individually edible or and its His food is matched.Special medicine purposes formula food belongs to food for special foods.When target group can not feed commonly Diet or when can not meet its nutritional need with ordinary meal, special medicine purposes formula food can be used as a kind of nutritional supplementation Approach, maintained to treatment, rehabilitation and body function etc. play important nutritional support and act on.
Preferably, the excipient substance includes pharmaceutically acceptable carrier or excipient, such as lactose hydrous, crystallite Cellulose, mannitol, sodium citrate, calcium phosphate, glycine, starch;Disintegrant such as crospovidone, copolyvidone, hydroxyl Amylcose acetate sodium, croscarmellose sodium and specific composition silicate;Binder such as polyvinylpyrrolidone, hydroxypropyl Ylmethyl cellulose (HPMC), hydroxypropyl cellulose (HPC), sucrose, gelatin and Arabic gum etc..
Preferably, the butyric acid compound be butyric acid when, butyric acid compound by coating or it is coated in the form of add.
It should be noted that the administration form of butyric acid compound is inessential in the present invention, butyric acid compound is added Into formula milk, special medicine purposes formula food, other enterals, parenteral nutrition preparation or excipient substance, as long as applying The effect of prevention cholestatic liver fibrosis can be achieved with effective quantity.
As an alternative solution of formula food application, butyric acid compound of the invention can be used as replenishers to apply Rather than it is integrated into formula food.For example, butyric acid compound can be with pill, tablet, capsule, caplet, powder, liquid or solidifying Glue form is absorbed.For example, butyric acid compound can be absorbed with other nutritional supplements as breast milk replenishers combine.
Compared with prior art, the present invention has following advantageous effect:
1st, research is thought at present, and in cholestatic disease animal model, liver declines the metabolic capability of aliphatic acid, Cause the raising of short-chain fat acid concentration that may aggravate cholestatic liver disease;And sodium butyrate is by promoting Notch signals to lead to Road and hepatic progenitor cell are divided into bile duct epithelial cell, so as to play the effect for promoting cholestatic liver fibrosis.This hair It is bright to overcome prior art prejudice, using butyric acid compound intervention and treatment cholestatic liver fibrosis model, as a result show Representation model group shows as severe liver fibrosis, 3 grades of fibrosis, and intervention group and treatment group have no apparent liver fibrosis.Cause This, the present invention solves the technical barrier of cholestatic liver fibrosis prevention, provides a kind of safe, economical and effectively prevents Control method.
2nd, research confirm cholestatic disease degree of hepatic fibrosis and bile acid levels, inflammatory cell infiltration, ALT, The indexs such as AST and non-correlation.Present invention firstly discovers that in bile duct ligation model liver, Th1 types cell proportion and liver fiber Change degree is proportionate, and Th1 types cell plays an important role in progressive liver fibrosis process.Using butyric acid compound After being intervened or being treated, Th1 type cell proportions are remarkably decreased.Butyric acid compound inhibits liver Th1 types thin by specificity The ratio of born of the same parents plays an important role in cholestatic liver fibrosis is prevented.
3rd, the speed being metabolized in vivo due to butyric acid is very fast, and in order to preferably play the function and effect of butyric acid, we will Butyric acid compound is added to suitable for the nutritional preparation of specific crowd so that butyric acid is as nutritional preparation slowly enters body It digests and assimilates, more efficient plays a role.
Therefore, add the nutritional preparation of butyric acid compound and drug be it is a kind of safely, effectively, feasible prevention bile becomes silted up The method of product property liver fibrosis.
Description of the drawings
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention, Objects and advantages will become more apparent upon:
Fig. 1:Bile duct ligation (BDL) model liver HE and Masson are dyed;Wherein Fig. 1 a are contaminated for BDL model group livers HE Color;Fig. 1 b are dyed for BDL model group livers Masson;Fig. 1 c are dyed for BDL+ sodium butyrates intervention (30mM) liver HE;Fig. 1 d are BDL+ sodium butyrates intervention (30mM) liver Masson is dyed;Fig. 1 e treat (45mM) liver HE dyeing for BDL+ sodium butyrates;Fig. 1 f (45mM) liver Masson dyeing is treated for BDL+ sodium butyrates;Fig. 1 g treat (70mM) liver HE dyeing for BDL+ sodium butyrates;Figure 1h treats (70mM) liver Masson dyeing for BDL+ sodium butyrates.
Fig. 2:Bile duct ligation (BDL) model liver lymphocyte FCM analysis Th1 type cell proportions;Wherein Fig. 2 a are BDL model group liver Th1 types cell proportions (black circle);Fig. 2 b are the intervention of BDL+ sodium butyrates (30mM) liver Th1 types cell ratio Example (black circle);Fig. 2 c treat (45mM) liver Th1 types cell proportion (black circle) for BDL+ sodium butyrates;Fig. 2 d are BDL+ butyric acid Sodium treatment (70mM) liver Th1 types cell proportion (black circle);Fig. 2 e are the liver of BDL model groups and each sodium butyrate intervention group Th1 types cell proportion counts;Fig. 2 f are that BDL model groups and the liver Th1 types cell proportion of each sodium butyrate treatment group count.
Specific embodiment
With reference to specific embodiment, the present invention is described in detail.Following embodiment will be helpful to the technology of this field Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill to this field For personnel, without departing from the inventive concept of the premise, several changes and improvements can also be made.These belong to the present invention Protection domain.
Embodiment 1
Babies ' formula milk powder of a kind of butyric acid containing coating and preparation method thereof is present embodiments provided, the method is:It will Food-grade coating butyric acid add in babies ' formula milk powder in, be uniformly mixed to get.Coating butyric acid in the formula milk of the preparation A concentration of 5mmol/L.
Embodiment 2
A kind of pregnant and lying-in women's formula milk containing sodium butyrate and preparation method thereof is present embodiments provided, the method is:It will Food-grade sodium butyrate add in pregnant and lying-in women's formula milk in, be uniformly mixed to get.Sodium butyrate is dense in the formula milk of the preparation It spends for 15mmol/L.
Embodiment 3
Present embodiments provide a kind of preterm formula milk powder containing glycerol monobutyralte and preparation method thereof, the method For:Will food-grade glycerol monobutyralte add in preterm formula milk powder in, be uniformly mixed to get.In the formula milk of the preparation A concentration of 20mmol/L of glycerol monobutyralte.
Embodiment 4
A kind of fat emulsion injection containing sodium butyrate and preparation method thereof is present embodiments provided, the method is:It will note Grade sodium butyrate is penetrated to add in fat emulsion injection, be uniformly mixed to get.Sodium butyrate is dense in the fat emulsion injection of the preparation It spends for 30mmol/L.
Embodiment 5
A kind of All-In-One nutrient solution containing sodium butyrate and preparation method thereof is present embodiments provided, the method is:It will note Grade sodium butyrate is penetrated to add in All-In-One nutrient solution, be uniformly mixed to get.Sodium butyrate is dense in the All-In-One nutrient solution of the preparation It spends for 45mmol/L.
Embodiment 6
Present embodiments provide a kind of short peptide type enteral nutrition preparation containing glycerol monobutyralte and preparation method thereof, the side Method is:Will food-grade glycerol monobutyralte add in short peptide type enteral nutrition preparation in, be uniformly mixed to get.The small peptide of the preparation A concentration of 55mmol/L of glycerol monobutyralte in type enteral nutrition preparation.
Embodiment 7
A kind of special disease formula food containing sodium butyrate and preparation method thereof is present embodiments provided, the method is: Will food-grade sodium butyrate add in special disease formula food in, be uniformly mixed to get.The special disease formula food of the preparation A concentration of 70mmol/L of middle sodium butyrate.
Embodiment 8
Present embodiments provide a kind of pharmaceutical composition containing butyric acid compound and excipient substance.
The butyric acid compound is selected from sodium butyrate, potassium butyrate, calcium butyrate, magnesium butyrate, butyric acid, glycerol monobutyralte, butyric acid At least one of isopentyl ester.
The effective dose of the butyric acid compound is 0.5~7mmol/kg/d.
The drug further includes other compatible medicine classes and pharmaceutically acceptable load with the butyric acid compound Body and/or auxiliary material.
The drug is pharmaceutically acceptable arbitrary dosage form.
The dosage form is pulvis, parenteral solution, capsule, tablet or oral liquid.
The butyric acid compound be butyric acid when, butyric acid compound by coating or it is coated in the form of be added into drug.
Composition containing butyric acid compound made from above example can effectively prevent cholestatic liver fibrosis.Its The optimum effective dose of prevention is 15-30mmol/L or 1.5~3mmol/kg/d;The optimum effective dose for the treatment of is 30- 45mmol/L or 3~4.5mmol/kg/d;.
Animal experiment compliance test result:
1st, the effect in Biliary atresia liver fibrosis is verified using extrahepatic bile ducts ligation model
1.1 experimental animal
Cleaning grade three week old Sprague-Dawley (SD) rat, male and female are unlimited, weight about 50g, purchased from the western Poole in Shanghai- Bi Kai experimental animals Co., Ltd.In Xinhua Hospital Attached to Medical School, Shanghai Jiaotong Univ.'s animal experimental center raising.
1.2 processing method
Bile duct ligation (BDL) model group:Rat is fed using water and normal diet, rat ductus choledochus is carried out after 7 days double It ligatures and is cut from centre again;Without administration, the 14th day overnight fasting takes blood to survey blood biochemistry.Liver and intestinal tissue are taken, is used In subsequent experimental.It is fixed with neutral formalin and carries out histotomy, do H-E dyeing, Masson and immunohistochemistry detection respectively.
BDL+ sodium butyrate intervention groups:Sodium butyrate is added to the water and feeds rat, butyric acid na concn is respectively 5mM, 15mM, 30mM, 45mM, dosage are respectively 0.5mmol/kg/d, 1.5mmol/kg/d, 3mmol/kg/d, 4.5mmol/kg/d.Feed 7 After it, dual ligation is carried out to rat ductus choledochus and is cut from centre.Postoperative 14th day overnight fasting takes blood to survey blood biochemistry.It takes Liver and intestinal tissue, for subsequent experimental.Fixed with neutral formalin and carry out histotomy, be respectively H-E dyeing, Masson and immunohistochemistry detection.
BDL+ butyric acid intervention groups:Butyric acid is added to the water and feeds rat, butyric acid density is respectively 5mM, 15mM, 30mM, 45mM, dosage are respectively 0.5mmol/kg/d, 1.5mmol/kg/d, 3mmol/kg/d, 4.5mmol/kg/d.After feeding 7 days, Dual ligation is carried out to rat ductus choledochus and is cut from centre.Postoperative 14th day overnight fasting takes blood to survey blood biochemistry.Take liver and Intestinal tissue, for subsequent experimental.It is fixed with neutral formalin and carries out histotomy, be H-E dyeing, Masson respectively and exempted from Epidemic disease groupization detects.
BDL+ glycerol monobutyralte intervention groups:Glycerol monobutyralte is added to the water and feeds rat, glycerol monobutyralte concentration difference For 5mM, 15mM, 30mM, 45mM, dosage is respectively 0.5mmol/kg/d, 1.5mmol/kg/d, 3mmol/kg/d, 4.5mmol/kg/d.After feeding 7 days, dual ligation is carried out to rat ductus choledochus and is cut from centre.Postoperative fasting in 14th day Night takes blood to survey blood biochemistry.Liver and intestinal tissue are taken, for subsequent experimental.It is fixed with neutral formalin and carries out histotomy, H-E dyeing, Masson and immunohistochemistry detection are done respectively.
BDL+ sodium butyrates treatment group:Dual ligation is carried out to rat ductus choledochus and is cut from centre.It opens within the 7th day after modeling Beginning, sodium butyrate is added to the water and feeds rat, for successive administration to the 14th day, butyric acid na concn was respectively 15mM, 30mM, 45mM, 70mM, dosage are respectively 1.5mmol/kg/d, 3mmol/kg/d, 4.5mmol/kg/d, 7mmol/kg/d.Fasting in 14th day Night takes blood to survey blood biochemistry.Liver and intestinal tissue are taken, for subsequent experimental.It is fixed with neutral formalin and carries out histotomy, H-E dyeing, Masson and immunohistochemistry detection are done respectively.
BDL+ clostridium butyricum intervention groups:Clostridium butyricum is added to the water and feeds rat, the viable count of clostridium butyricum for 1 × 107-4×107CFU/mL, dosage are 1 × 109-4×109CFU/kg/d.After feeding 7 days, rat ductus choledochus is carried out dual It ligatures and is cut from centre.Postoperative 14th day overnight fasting takes blood to survey blood biochemistry.Liver and intestinal tissue are taken, for follow-up real It tests.It is fixed with neutral formalin and carries out histotomy, do H-E dyeing, Masson and immunohistochemistry detection respectively.
BDL+ clostridium butyricums treatment group:Dual ligation is carried out to rat ductus choledochus and is cut from centre.The 7th day after modeling Start, clostridium butyricum is added to the water and feeds rat, for successive administration to the 14th day, the viable count of clostridium butyricum was 5 × 107-9× 107CFU/mL, dosage are 5 × 109-9×109CFU/kg/d.14th day overnight fasting takes blood to survey blood biochemistry.Take liver and intestines Road tissue, for subsequent experimental.It is fixed with neutral formalin and carries out histotomy, be H-E dyeing, Masson respectively and be immunized Groupization detects.
1.3 result
Bile duct ligation (BDL) model group:Animal blood serum liver function index ALT, AST, GGT, TBA, TBIL are significantly increased, liver Dirty color is significantly turned to be yellow, rough, and quality is harder;There is severe liver fibrosis in liver organization, and fibrosis reaches 3 grades (Fig. 1 a, Fig. 1 b);The Th1 type cell proportions for promoting progression of fibrosis in BDL model group livers significantly increase, and mean value reaches 21.3% (Fig. 2 a, Fig. 2 e).
BDL+ sodium butyrate intervention groups:
Sodium butyrate intervention group (5mM):Liver function index slightly reduces, and liver color is slightly turned to be yellow, and pathological staining result is shown Liver moderate liver fibrosis, 2 grades of degree of hepatic fibrosis, compared with BDL groups, liver Th1 types cell proportion declines, and mean value is 12.7% (Fig. 2 e);
Sodium butyrate intervention group (15mM):Liver function index is substantially reduced, and liver color and luster is red, any surface finish, soft texture, disease The reason coloration result display slight liver fibrosis of liver, 1 grade of degree of hepatic fibrosis, compared with BDL groups, liver Th1 type cell proportions It is decreased obviously, mean value is 6.9% (Fig. 2 e);
Sodium butyrate intervention group (30mM):Liver function index significantly reduces, and liver color and luster is scarlet, any surface finish, soft texture, Pathological staining result shows that liver has no obvious fibrosis (Fig. 1 c, Fig. 1 d);And FCM analysis is the results show that promote fiber The liver Th1 type cell proportions of change process are remarkably decreased and close to normal values, and mean value is 1.8% (Fig. 2 b, Fig. 2 e);
Sodium butyrate intervention group (45mM):Liver function index significantly reduces, and liver color and luster is scarlet, any surface finish, soft texture, Pathological staining result shows liver mild fibrosis, 1 grade of degree of hepatic fibrosis, and liver Th1 type cell proportions mean value is 2.4% (Fig. 2 e).
The result of coating butyric acid intervention group and glycerol monobutyralte intervention group and the result of sodium butyrate intervention group are basically identical.
BDL+ sodium butyrates treatment group:
Sodium butyrate treatment group (15mM):Every liver function index reduces, and liver color and luster is slightly yellow, 2 grades of hepatic fibrosis-renal tubular ectasia syndrome degree, Compared with BDL groups, liver Th1 types cell proportion declines, and mean value is 15.7% (Fig. 2 f);
Sodium butyrate treatment group (30mM):Every liver function index is substantially reduced, and liver color and luster is redder, and quality is softer, liver Slight liver fibrosis, 1 grade of fibrosis, compared with BDL groups, liver Th1 type cell proportions are decreased obviously, mean value 7.6% (Fig. 2 f);
Sodium butyrate treatment group (45mM):Every liver function index significantly reduces, and liver color and luster is scarlet, and surface is smooth, quality Softness, liver have no obvious fibrosis (Fig. 1 e, Fig. 1 f);Compared with BDL groups, liver Th1 type cell proportions are remarkably decreased, mean value It is down to 4.8% (Fig. 2 c, Fig. 2 f);
Sodium butyrate treatment group (70mM):Every liver function index significantly reduces, and liver color and luster is scarlet, and surface is smooth, quality Softness, liver mild fibrosis, 1 grade of degree of hepatic fibrosis (Fig. 1 g, Fig. 1 h), liver Th1 type cell proportions are down to 5.5% (figure 2d, Fig. 2 f).
BDL+ clostridium butyricum groups:
The result of clostridium butyricum intervention group is shown:Give 1 × 107-4×107After CFU/mL clostridium butyricum active bacterias are intervened Degree of hepatic fibrosis and the reduction of Th1 types cell proportion are not obvious, and fibrosis is 2-3 grades;
The result of clostridium butyricum treatment group is shown:Give 5 × 107-9×107CFU/mL clostridium butyricum active bacterias are treated, Degree of hepatic fibrosis and Th1 type cell proportions have no and are decreased obviously that fibrosis is still 3 grades.
Therefore, give butyric acid compound to be intervened, have for prevention cholestatic liver fibrosis extraordinary Effect;Especially after butyric acid na concn reaches 30mM-45mM, control effect is especially pronounced.BDL modeling groups show as severe hepatic fibre Dimensionization, fibrosis are 3 grades, and BDL intervention groups and treatment group have no apparent liver fibrosis.And the function and effect of clostridium butyricum are simultaneously Unobvious, and hygiene department's regulation only has these three probiotics of lactobacillus, Bifidobacterium and streptococcus that can add safely at present It adds in food, only Bifidobacterium and lactobacillus can be with security applications in baby formula milk powder.Therefore, Clostridium butylicum is made For a kind of active microorganism can generate in vivo what kind of influence it is unclear, may there are security risks.
In conclusion butyric acid compound can effectively prevent cholestatic liver fibrosis.Butyric acid is to exist to move with lactation A kind of short chain fatty acids in object milk, and from the point of view of the result of animal experiment, butyric acid compound is given in the concentration range Medicine does not cause experimental animal any damage and side effect, illustrates that its drug safety is higher.Butyric acid compound is used to prevent Cholestatic liver fibrosis will have very big application prospect.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited in above-mentioned Particular implementation, those skilled in the art can make a variety of changes or change within the scope of the claims, this not shadow Ring the substantive content of the present invention.In the absence of conflict, the feature in embodiments herein and embodiment can arbitrary phase Mutually combination.

Claims (10)

1. a kind of purposes of butyric acid compound in the composition for preparing prevention cholestatic liver fibrosis.
2. a kind of composition containing butyric acid compound, which is characterized in that including butyric acid compound and nutritional preparation or medicine Object auxiliary material;A concentration of 5~70mM of the butyric acid compound.
3. the composition according to claim 2 containing butyric acid compound, which is characterized in that the butyric acid compound A concentration of 15~45mM.
4. the composition according to claim 2 containing butyric acid compound, which is characterized in that the butyric acid compound is made Effective dose for drug is 0.5-7mmol/kg/d.
5. the composition according to claim 4 containing butyric acid compound, which is characterized in that the butyric acid compound is made Effective dose for drug is 1.5-4.5mmol/kg/d.
6. according to composition of the claim 1-5 any one of them containing butyric acid compound, which is characterized in that the butyric acid class Compound is selected from least one of sodium butyrate, potassium butyrate, calcium butyrate, magnesium butyrate, butyric acid, glycerol monobutyralte, isoamyl butyrate.
7. the composition according to claim 6 containing butyric acid compound, which is characterized in that the butyric acid compound choosing From at least one of sodium butyrate, glycerol monobutyralte, butyric acid.
8. the composition according to claim 2 containing butyric acid compound, which is characterized in that the nutritional preparation is selected from normal Advise at least one of formula food, special medicine purposes formula food, parenteral nutrition preparation, enteral nutrition preparation.
9. the composition according to claim 8 containing butyric acid compound, which is characterized in that the conventional formulation food packet Include at least one of babies ' formula milk powder, pregnancy period and nursing period formula milk;The special medicine purposes formula food includes Premature labor/low birth weight baby formula milk, lactose-free formula or Low lactose milk formula milk, milk protein part hydrolyzed formula Powder, lactoprotein depth hydrolysis formula or amino acid formula milk, the hardening agent of breast milk and infant formula or nutritional supplement, Suitable for the formula food of food intolerance, allergy, hepatopathy special formulation food, disease or dysfunction at least It is a kind of;The parenteral nutrition preparation includes at least one of fat emulsion injection, All-In-One nutrient solution, intravenous fluid;Institute It states enteral nutrition preparation and includes amino acid pattern enteral nutrition preparation, short peptide type enteral nutrition preparation, whole protein type enteral nutrition system At least one of agent, assembly type enteral nutrition preparation.
A kind of 10. preparation method of the composition according to claim 2 containing butyric acid compound, which is characterized in that institute Preparation method is stated to include:Butyric acid compound is proportionally added into the nutritional preparation or excipient substance, is uniformly mixed, i.e., It can.
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