CN110946870A - Antibacterial pharmaceutical composition and application thereof - Google Patents

Antibacterial pharmaceutical composition and application thereof Download PDF

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Publication number
CN110946870A
CN110946870A CN201910854851.5A CN201910854851A CN110946870A CN 110946870 A CN110946870 A CN 110946870A CN 201910854851 A CN201910854851 A CN 201910854851A CN 110946870 A CN110946870 A CN 110946870A
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fosfomycin
cryptotanshinone
antibacterial
pharmaceutical composition
drug
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贾旭
崔家旗
邓珊珊
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Chengdu Medical College
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Chengdu Medical College
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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
    • A61K31/66Phosphorus compounds
    • A61K31/665Phosphorus compounds having oxygen as a ring hetero atom, e.g. fosfomycin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/58Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids containing heterocyclic rings, e.g. danazol, stanozolol, pancuronium or digitogenin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Oncology (AREA)
  • Communicable Diseases (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The invention provides an antibacterial pharmaceutical composition and application thereof. The antibacterial pharmaceutical composition consists of fosfomycin and cryptotanshinone. The cryptotanshinone and the fosfomycin are scientifically and reasonably combined, the cryptotanshinone and the fosfomycin are used together, the antibacterial activity of the fosfomycin is enhanced through the function that the cryptotanshinone destroys the cell wall and the cell membrane structure of bacteria, a good inhibition effect is generated for the staphylococcus aureus with fosfomycin resistance, a specific and effective treatment scheme is provided for treating the fosfomycin resistance strain, and a brand-new way is provided for the increasingly serious problem of bacterial drug resistance. Compared with the traditional new drug research and development, the antibacterial drug composition and the combined drug method provided by the invention have the advantages of high efficiency, rapidness, low cost, multiple optional combinations and the like, and show good antibacterial activity in-vitro anti-infection research.

Description

Antibacterial pharmaceutical composition and application thereof
Technical Field
The invention relates to the field of pharmacy, and particularly relates to an antibacterial pharmaceutical composition and application thereof.
Background
Infectious diseases are common frequently-occurring diseases threatening human life and health, and are also one of the important complications and death causes of multi-organ diseases. The use of anti-infective drugs greatly reduces the mortality of infectious diseases. The major mechanisms of antibiotics currently include inhibition of cell wall synthesis, inhibition of certain functions of cell membranes, inhibition of protein synthesis, inhibition of nucleic acid synthesis, inhibition of folic acid synthesis, and the like.
Fosfomycin is an earlier discovered antibiotic produced by pseudomonas of streptomyces, was co-developed by merck and spain CEPA in 1969, and in 2006, Woodyer et al reported the cloning and characterization of the complete fosfomycin biosynthesis gene cluster isolated from streptomyces neomycin and its homolog streptomyces lividans in strain 1, thus opening a new perspective of fosfomycin biosynthesis and the door to the creation of new homologs of fosfomycin by molecular biological pathway engineering. Today, fosfomycin has been artificially synthesized.
The spatial structure of the phosphomycin is similar to that of phosphoenolpyruvate which is an essential substance for the synthesis of bacterial cell walls, and the phosphomycin can be covalently combined with the pyruvyltransferase in the early stage of the synthesis of the cell walls to irreversibly inactivate the pyruvyltransferase so as to inhibit the biosynthesis of the bacterial cell walls, so that the phosphomycin has good antibacterial activity on gram-positive bacteria and gram-negative bacteria, and is mainly used for soft tissue infection and simple urinary tract infection caused by staphylococcus aureus, escherichia coli, klebsiella pneumoniae and the like.
However, with the widespread clinical use of fosfomycin, drug resistance has gradually developed. The treatment of drug resistant strains is extremely tricky, which causes a dramatic increase in the mortality rate of the infection, constituting a serious threat to the health of the whole human being. It is therefore imperative to provide a reasonable treatment regimen against fosfomycin-resistant strains. However, in recent decades, few new antibiotics are available, and the combined administration of fosfomycin and other bioactive molecules as antibacterial adjuvants may provide a new idea for the development of novel antibacterial drugs.
Cryptotanshinone is a fat-soluble effective component extracted from traditional Chinese medicine salvia miltiorrhiza, and reportedly, cryptotanshinone has an obvious inhibiting effect on staphylococcus aureus, methicillin-resistant staphylococcus aureus and β -lactamase positive staphylococcus aureus.
The combined medication can realize the minimum dosage of antibiotics and improve the curative effect as far as possible, is the idea of developing novel drug-resistant bacteria resistant drugs in the future and is also the craving of patients. The combined medication of fosfomycin and cryptotanshinone has not been reported.
Disclosure of Invention
The invention aims to provide an antibacterial pharmaceutical composition and application thereof.
The invention provides an antibacterial pharmaceutical composition, which consists of fosfomycin and cryptotanshinone.
Further, the weight ratio of the cryptotanshinone to the fosfomycin is 1 (16-128).
The invention also provides a preparation method of the antibacterial pharmaceutical composition, and the antibacterial pharmaceutical composition is prepared according to the following steps: taking fosfomycin and cryptotanshinone according to a proportion, preparing the fosfomycin and the cryptotanshinone into a solution, and mixing the solution.
The invention also provides an antibacterial medicinal preparation which is prepared by taking the antibacterial medicinal composition as an active ingredient and adding pharmaceutically acceptable auxiliary materials or auxiliary ingredients.
The invention also provides an antibacterial combined medicament which contains the same or different specifications of fosfomycin and cryptotanshinone which are simultaneously or respectively administered, and a pharmaceutically acceptable carrier.
Further, the weight ratio of the cryptotanshinone to the fosfomycin is 1 (16-128).
The invention also provides application of the combination of the fosfomycin and the cryptotanshinone in preparing antibacterial drugs or antibacterial infectious diseases.
Further, the weight ratio of the cryptotanshinone to the fosfomycin is 1 (16-128).
Further, the antibacterial agent is an agent against gram-positive bacteria; the antibacterial infectious disease is a gram-positive bacterial infectious disease.
Further, the gram-positive bacterium is staphylococcus aureus.
The cryptotanshinone and the fosfomycin are scientifically and reasonably combined, the cryptotanshinone and the fosfomycin are used together, the antibacterial activity of the fosfomycin is enhanced through the function that the cryptotanshinone destroys the cell wall and the cell membrane structure of bacteria, a good inhibition effect is generated for the staphylococcus aureus with fosfomycin resistance, a specific and effective treatment scheme is provided for treating the fosfomycin resistance strain, and a brand-new way is provided for the increasingly serious problem of bacterial drug resistance. Compared with the traditional new drug research and development, the antibacterial drug composition and the combined drug method provided by the invention have the advantages of high efficiency, rapidness, low cost, multiple optional combinations and the like, and show good antibacterial activity in-vitro anti-infection research.
Obviously, many modifications, substitutions, and variations are possible in light of the above teachings of the invention, without departing from the basic technical spirit of the invention, as defined by the following claims.
The present invention will be described in further detail with reference to the following examples. This should not be understood as limiting the scope of the above-described subject matter of the present invention to the following examples. All the technologies realized based on the above contents of the present invention belong to the scope of the present invention.
Detailed Description
Example 1 preparation of drug combination of cryptotanshinone and fosfomycin
Method (A)
1, weighing a plurality of fosfomycin, and carrying out sterile filtration after the volume is fixed by RO water to obtain the fosfomycin with corresponding concentration.
Weighing a plurality of cryptotanshinone, diluting to a constant volume with DMSO, and performing sterile filtration to obtain cryptotanshinone with corresponding concentration.
3, mixing the fosfomycin and the cryptotanshinone according to different proportions to prepare mixed liquid medicine with different concentrations and compatibility.
4, the phosphomycin-resistant Staphylococcus aureus strains numbered 1 to 7 were inoculated in 1mL of MH broth and cultured overnight at 37 ℃.
5, the overnight-cultured broth was adjusted to 0.5 McLeod (about 1.0X 10)8CFU/mL), and then diluted with a 20-fold concentration gradient to give an inoculum concentration of 10. mu.l/well and 5.0X 105CFU/mL。
6, mixing the mixed liquid medicine with different concentrations and MH broth culture medium, adding into a 96-well plate, and finally adding 10 mul of inoculated bacterial liquid for mixing. So that the final concentration range of fosfomycin is 16-2048g/mL and the final concentration range of cryptotanshinone is 0.5-8g/mL, and a chessboard dilution method MIC is implemented.
7, properly wrapping the 96-well culture plate to prevent the liquid from being excessively evaporated, and culturing at 37 ℃ for 16-18 h.
And 8, taking out the 96-well plate, and observing and detecting. The minimum antibiotic Concentration for aseptic growth is the Minimum Inhibitory Concentration (MIC). The Fractional Inhibitory Concentration Index (FICI) is an index for determining the interaction effect of drugs. The total FICI is the sum of the FICI of each medicine, namely the MIC of the A medicine combined with the A medicine and the MIC of the B medicine combined with the B medicine. The total FICI: synergy, < 0.5; partial synergy, 0.5-0.75; adding, 0.76-1.0; independently, > 1.0-4.0; antagonism, > 4.0.
(II) results
As can be seen from Table 1, when 7 fosfomycin-resistant strains are subjected to combined administration of fosfomycin and cryptotanshinone, 5 strains have a synergistic effect, and 2 strains have a partial synergistic effect. Cryptotanshinone can increase the sensitivity of the drug-resistant strain to fosfomycin by about 2-16 times.
Table 1: effect of combined medication of fosfomycin and cryptotanshinone on fosfomycin-resistant staphylococcus aureus
Figure BDA0002198027810000031
Figure BDA0002198027810000041
Total FICI: synergy, < 0.5; partial synergy, 0.5-0.75; adding, 0.76-1.0; independently, > 1.0-4.0; antagonism, > 4.0.
The results show that the fosfomycin and cryptotanshinone combined drug can play a role in synergy, increase the sensitivity of the drug-resistant bacteria and more effectively inhibit the drug-resistant bacteria under the condition of lower drug dosage. The fosfomycin and cryptotanshinone combined medicine has great application value in the aspects of bacteriostasis and infection resistance.
In conclusion, the cryptotanshinone and the fosfomycin are scientifically and reasonably combined, the cryptotanshinone and the fosfomycin are used together, the antibacterial activity of the fosfomycin is enhanced through the function that the cryptotanshinone destroys the cell wall and the cell membrane structure of bacteria, a good inhibition effect is generated for the staphylococcus aureus with fosfomycin resistance, a specific and effective treatment scheme is provided for treating the fosfomycin resistance strain, and a new way is provided for the increasingly serious problem of the bacterial resistance. Compared with the traditional new drug research and development, the antibacterial drug composition and the combined drug method provided by the invention have the advantages of high efficiency, rapidness, low cost, multiple optional combinations and the like, and show good antibacterial activity in-vitro anti-infection research.

Claims (10)

1. An antibacterial pharmaceutical composition, characterized in that: it is composed of fosfomycin and cryptotanshinone.
2. The antibacterial pharmaceutical composition according to claim 1, characterized in that: the weight ratio of the cryptotanshinone to the fosfomycin is 1 (16-128).
3. A process for preparing an antibacterial pharmaceutical composition according to claim 1 or 2, characterized in that: the antibacterial pharmaceutical composition is prepared according to the following steps: taking fosfomycin and cryptotanshinone according to a proportion, preparing the fosfomycin and the cryptotanshinone into a solution, and mixing the solution.
4. An antimicrobial pharmaceutical formulation characterized by: the preparation is prepared by taking the antibacterial medicine composition as an active ingredient according to claim 1 or 2 and adding pharmaceutically acceptable auxiliary materials or auxiliary ingredients.
5. An antibacterial combination, characterized in that: it contains fosfomycin and cryptotanshinone which are in the same or different specifications and are simultaneously or respectively administrated, and a pharmaceutically acceptable carrier.
6. The combination according to claim 5, wherein: the weight ratio of the cryptotanshinone to the fosfomycin is 1 (16-128).
7. The application of the combination of fosfomycin and cryptotanshinone in preparing antibacterial drugs or resisting bacterial infectious diseases.
8. Use according to claim 7, characterized in that: the weight ratio of the cryptotanshinone to the fosfomycin is 1 (16-128).
9. Use according to claim 7, characterized in that: the antibacterial agent is an anti-gram-positive-bacteria agent; the antibacterial infectious disease is a gram-positive bacterial infectious disease.
10. Use according to claim 9, characterized in that: the gram-positive bacterium is staphylococcus aureus.
CN201910854851.5A 2018-09-26 2019-09-10 Antibacterial pharmaceutical composition and application thereof Pending CN110946870A (en)

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CN2018111257811 2018-09-26

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111588749A (en) * 2020-06-05 2020-08-28 首都医科大学附属北京中医医院 New application of traditional Chinese medicine composition
CN112999230A (en) * 2021-02-18 2021-06-22 浙江中医药大学 Application of cryptotanshinone in preparation of bacterial respiratory chain inhibitor

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
JEONG-DAN CHA等: "Synergistic Effect between Cryptotanshinone and Antibiotics against Clinic Methicillin and Vancomycin-Resistant Staphylococcus aureus", 《EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE》 *
ZIJING RUAN: "Synergistic Effects from Combination of Cryptotanshinone and Fosfomycin Against Fosfomycin-Susceptible and Fosfomycin-Resistant Staphylococcus aureus", 《INFECTION AND DRUG RESISTANCE》 *
傅瑞春: "8种植物抗菌成分与抗菌剂联用抗耐药菌作用的研究", 《中国优秀硕士学位论文全文数据库医药卫生科技辑》 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111588749A (en) * 2020-06-05 2020-08-28 首都医科大学附属北京中医医院 New application of traditional Chinese medicine composition
CN112999230A (en) * 2021-02-18 2021-06-22 浙江中医药大学 Application of cryptotanshinone in preparation of bacterial respiratory chain inhibitor

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Application publication date: 20200403