CN1111403C - 继发性白内障抑制剂 - Google Patents

继发性白内障抑制剂 Download PDF

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CN1111403C
CN1111403C CN97198769A CN97198769A CN1111403C CN 1111403 C CN1111403 C CN 1111403C CN 97198769 A CN97198769 A CN 97198769A CN 97198769 A CN97198769 A CN 97198769A CN 1111403 C CN1111403 C CN 1111403C
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tranilast
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伊佐治正幸
宫田广志
味泽幸义
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Abstract

一种继发性白内障的抑制剂,它含有下式表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐作为活性成分:该化合物对白内障手术后发生的后囊层浑浊化有抑制作用,因而可用于预防或治疗继发性白内障。

Description

继发性白内障抑制剂
技术领域
本发明涉及可用作继发性白内障抑制剂的药物组合物。
更具体地,本发明涉及用于白内障手术后继发性白内障的抑制剂,它含有下式表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐作为活性成分:
背景技术
白内障是一种难治的眼科疾病,该病会因多种因素而发病和发展,随后因晶状体浑浊而导致视力下降。绝大多数是与年龄有关的高龄白内障。白内障的发病率在60多岁者中据信为60-70%,在80多岁或更高龄者接近100%。在逐渐迈向由大部分老年人所构成的社会过程中,预防和治疗白内障将会变得更加重要。然而,在目前,还没有对白内障的发展有确实抑制活性的治疗剂。因此,需要开发有效的治疗剂。所以,目前白内障的治疗最终取决于用眼镜、隐性眼镜等来矫正视力,或者用手术治疗,例如在囊外白内障摘除术之后将人工晶体插入到晶状体囊中。
在白内障手术中,已指出手术后的继发性白内障是一大问题。继发性白内障是指在囊外白内障摘除术之后残留的后囊层(posterior capsule)表面的浑浊。继发性白内障的机理基本如下所述。即,在切除了晶状体上皮细胞(前囊层)之后,会因残留晶状体上皮细胞(在摘除晶状体皮质时没有完全被去除)迁移到后囊层并增生而导致后囊层浑浊化,从而导致继发性白内障。此外,继发性白内障可起源于:残留的晶状体上皮细胞在赤道部异常增生,并随后形成Elschnig珠。
在白内障手术中,不可能完全去除晶状体上皮细胞,因此难以完全防止继发性白内障。据称,上述后囊层浑浊化的发生率在无晶状体眼中为40-50%,在人工晶状体眼(pseudophakic eye)中为7-20%。
另一方面,在白内障的药疗法领域,广泛的研究已经积极地进行,以便找到能够抑制继发性白内障的物质。迄今为止,例如已证实代谢拮抗剂如丝裂霉素、柔红霉素、5-氟尿嘧啶和秋水仙素均是有效的。然而,这些药物存在问题,例如严重的副作用[Atarashii Ganka,Vol.12,No.pp451-452(1995);Japanese Journal ofOphthalmic Surgery,Vol.8,No.3,pp439-446(1995)],而且在临床上还不足以应用。此外,已报道,当插入的人工晶体涂有吲哚美辛(indometacin)时,可显著抑制继发性白内障的形成,而且乙二胺四乙酸(EDTA)对继发性白内障也是有效的[Japanese Journal of Ophthalmic Surgery,Vol.8,No.3,pp439-446(1995);IOL&RS,Vol.19 No.2 pp.78-82(1995);日本专利申请出版(公开)No.Hei.8-175984]。然而,还未开发出防止和抑制继发性白内障的在临床上令人满意的药物。
本发明的由上式(I)表示的N-(3,4-二甲氧基肉桂酰)氨茴酸(一般名称:曲尼司特(Tranilast)),已经广泛地被用作药物治疗变态反应病如支气管哮喘、过敏性鼻炎、特异反应性皮炎和变态反应性结膜炎,以及治疗皮肤疾病如疤痕疙瘩和肥大性疤痕(hypertrophic scar)。例如,已知道曲尼司特对下列现象有抑制作用:变态反应造成的化学中介物释放,在皮肤组织中成纤维细胞造成的胶原过度堆积,和在冠状动脉血管中平滑肌细胞的过度增生。
然而,没有公开过曲尼司特对继发性白内障形成有抑制活性,而且也根本不知道曲尼司特可用作继发性白内障的抑制剂。
发明公开内容
本发明涉及一种继发性白内障抑制剂,它含有下式表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐作为活性成分:
Figure C9719876900041
本发明涉及一种预防或治疗继发性白内障的方法,它包括施用上式(I)所表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐。
本发明还涉及上式(I)所表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐的用途,它们被用于制造用于预防或治疗继发性白内障的药物组合物。
此外,本发明涉及上式(I)所表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐作为继发性白内障抑制剂的用途。
本发明人进行了广泛研究,以寻找对继发性白内障形成有抑制作用的化合物。结果,发现本发明由上式(I)表示的N-(3,4-二甲氧基肉桂酰)氨茴酸对晶状体上皮细胞增生有显著的抑制作用,因而可极为有效地作为继发性白内障抑制剂,由此构成了本发明的基础。
相应地,本发明人证实,在用大鼠晶状体上皮细胞进行体外试验中,证实了曲尼司特可明显地抑制晶状体上皮细胞的增生,从而证实了对细胞增生的抑制活性。
结果,曲尼司特对晶状体上皮细胞增生有优异的抑制作用,因而是极为有用的可用作继发性白内障抑制剂的化合物。
因此,可用作继发性白内障抑制剂的药物组合物可这样制备,即,使其含有曲尼司特或其药学上可接受的盐作为活性成分。
用作活性成分的曲尼司特及其盐的各种制备方法是已知的,这些化合物可方便地根据文献中所述的方法制得(日本专利申请出版物(kokoku)No.Sho.56-40710;同上(ibid)No.Sho.57-36905;同上No.Sho.58-17186;同上No.Sho.58-48545;同上No.Sho.58-55138;同上No.Sho.58-55139;同上No.Hei.01-28013;同上No.Hei.01-50219;同上No.Hei.03-37539等)。
作为曲尼司特的药学上可接受的盐的例子,可以例举的有与无机碱形成的盐如钠盐和钾盐,与有机胺(如吗啉、哌嗪和吡咯烷)形成的盐,以及与氨基酸形成的盐。
当本发明的药物组合物被用于实际治疗时,可根据使用情况而采用各种不同剂型的药物组合物。较佳地,可以例举的有眼药水、针剂、眼药膏,或者例如在掺入药丸或微囊后进行植入(plantation),以及在预先涂于人工晶体之后再插入晶体的方法。
这些药物组合物可根据常规方法通过混合、稀释或溶解而进行配制,并且偶尔添加合适的药物添加剂,如赋形剂、崩解剂、粘合剂、润滑剂、稀释剂、缓冲剂、等渗剂(isotonicities)、防腐剂、润湿剂、乳化剂、分散剂、稳定剂和助溶剂,而且该配制过程可根据剂型用惯常方式进行。
例如,眼药水的配制可这样进行:将曲尼司特或其药学上可接受的盐与碱性物质(basic substance)一起通过加热溶解于无菌水(在无菌水中溶解有表面活性剂)中,加入聚乙烯吡咯烷酮,并可任意地加入合适的药物添加剂如防腐剂、稳定剂、缓冲剂和等渗剂、抗氧化剂和增粘剂,然后使其完全溶解。
可通过细针,将针剂直接注射入病理组织如角膜、晶状体和玻璃质中,或它们相邻的组织中。针剂还可被用作眼内灌注液。
本发明的药物组合物可以缓释剂形式给药。例如,曲尼司特或其盐可被掺入以缓释聚合物为载体的药丸或微囊中,然后将该药丸或微囊通过手术植入待治疗的组织。此外,曲尼司特或其盐还可通过插入预先涂有药物的人工晶体而得以应用。作为缓释聚合物的例子,可例举的有乙烯-乙烯基乙酸酯共聚物、聚羟基甲基丙烯酸酯(polyhydrometaacrylate)、聚丙烯酰胺、聚乙烯吡咯烷酮、甲基纤维素、乳酸聚合物、乳酸-乙醇酸共聚物等,较佳地可例举的是可生物降解的聚合物如乳酸聚合物和乳酸-乙醇酸共聚物。
当本发明的药物组合物被用于实际治疗时,作为活性成分的曲尼司特或其药学上可接受的盐的剂量,可根据待治疗的每个病人的体重、年龄、性别、症状程度而合理地加以确定。例如,当滴注入眼内时,这些化合物的给药量约为每个成人10微克-50毫克/天。
取决于待治疗病人的症状程度和治疗效果,曲尼司特或其药学上可接受盐的剂量可以适当地增加或减少。
实施例
接着,通过以下实施例更详细地阐述本发明。
实施例
对晶状体上皮细胞增生的抑制活性
(1)培养大鼠晶状体上皮细胞
采集大鼠晶状体,将其切成细长条。将细长条粘附于培养皿上并在含10%胎牛血清(FBS)的Dulbecco改进的Eagle培养基(DMEM)上,在含5%二氧化碳的空气中,于37℃继代培养4天。在第4天时(在晶状体上皮细胞从晶状体组织中迁移出并增生时),培养基被吸去,用磷酸盐缓冲液(PBS(-))轻柔地洗涤细胞。然后,吸去PBS(-),将一份含0.02%EDTA的0.25%胰蛋白酶溶液加至培养皿,在相差显微镜下观察细胞形态。当细胞变圆时,将等量的含10%FBS的DMEM加至胰蛋白酶溶液中以终止胰蛋白酶的作用。通过用细长的巴氏吸管吸取培养基,将贴壁细胞(attached cell)从培养皿上收集下来。细胞悬浮液被转移至一锥形容器(spit),然后向该锥形容器中加入培养基,通过用巴氏吸管吸取而剧烈地混合细胞悬浮液约20次,然后100-110×g离心1分钟。在弃去上清液之后,向沉淀物加入新鲜的培养基,然后通过用巴氏吸管吸取而制备晶状体上皮细胞的悬浮液。该悬浮液在含10%FBS的DMEM中进一步进行继代培养,以备试验之用。
(2)制备测试药物
将曲尼司特加至1%碳酸氢钠水溶液中,在70℃下加温溶解而制备成1.0%溶液。溶液通过微孔滤器过滤而灭菌,并用含10%FBS的DMEM培养基稀释至最终的规定浓度。
(3)实验方法
将细胞悬浮液(2×104细胞/0.1毫升)以及含有各种浓度曲尼司特和10%FBS的DMEM培养基(1.9毫升)加至培养皿(60毫米)中,在含5%二氧化碳的空气中,于37℃进行培养。4天后,吸去培养基,用PBS(-)洗涤细胞,然后将1毫升含0.02%EDTA的0.25%胰蛋白酶溶液加至培养皿中。在通过巴氏吸管吸取而从培养皿收获细胞之后,用血细胞计数器对活细胞的数目进行计数。
(4)结果评估
计算每组的平均值和标准差数值。用单向方差分析方法进行显著性的统计分析,证实了统计显著性。之后,用Dunnett氏多重测试法对组之间的显著性进行分析。
(5)结果
如图1所示,曲尼司特以依赖于浓度的方式显著地抑制晶状体上皮细胞的增生。
附图简述
图1阐述了曲尼司特对大鼠晶状体上皮细胞增生的抑制活性。纵坐标显示了大鼠晶状体上皮细胞的数目(×104细胞),横坐标显示了加入的曲尼司特浓度(微克/毫升)。在图中,符号***分别表示差异显著性为p<0.05和p<0.01。
工业应用性
含有曲尼司特或其药学上可接受盐作为活性成分的药物组合物,对晶状体上皮细胞增生有显著的抑制活性,因而适合用作继发性白内障的抑制剂。

Claims (1)

1.一种下式所表示的N-(3,4-二甲氧基肉桂酰)氨茴酸或其药学上可接受的盐的用途,其特征在于,被用于制造用于预防或治疗继发性白内障的药物组合物
CN97198769A 1996-10-14 1997-10-09 继发性白内障抑制剂 Expired - Fee Related CN1111403C (zh)

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CN1233172A (zh) 1999-10-27
EP0958815A1 (en) 1999-11-24
NO991627L (no) 1999-06-03
CA2267320A1 (en) 1998-04-23
AU4471897A (en) 1998-05-11
BR9712308A (pt) 1999-08-31
WO1998016214A1 (fr) 1998-04-23
HUP9904617A2 (hu) 2000-05-28
NO991627D0 (no) 1999-04-06
AU745028B2 (en) 2002-03-07
NZ335042A (en) 2001-01-26
EP0958815A4 (en) 2001-02-07
KR20000049136A (ko) 2000-07-25
IL129421A0 (en) 2000-02-17
HUP9904617A3 (en) 2000-07-28
EA199900374A1 (ru) 1999-12-29
CZ127999A3 (cs) 1999-07-14
US6376543B1 (en) 2002-04-23

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