CN111544459B - 一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物和保健食品中的应用 - Google Patents
一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物和保健食品中的应用 Download PDFInfo
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Abstract
本申请公开了一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物和保健食品中的应用,所述植物果油为沙棘籽油。本申请发现沙棘籽油对放化疗引起卵巢损伤有很好的治疗作用。沙棘籽油不仅可以治疗放化疗引起的小鼠卵巢损伤、动情周期的紊乱,还可以有效改善卵巢储备功能等。该发明对于直接利用沙棘籽油治疗放化疗引起的卵巢损伤提供了依据。
Description
技术领域
本申请涉及植物果油用途技术领域,特别涉及一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物和保健食品中的应用。
背景技术
化疗和放疗是治疗恶性肿瘤以及防止肿瘤复发的主要方法,但放化疗不仅会带来骨髓造血和免疫功能抑制等严重不良反应,还会对性腺造成损害,导致不孕不育及性激素紊乱。在女性表现为卵巢损伤,卵巢萎缩,间质纤维化,原始卵泡减少,出现卵巢功能的损伤。卵巢损伤是目前导致女性生育力降低的主要原因,由卵巢损伤发展成的卵巢功能减退成为女性不孕的主要疾病。近年来,随着肿瘤发病人群趋于年轻化,放化疗导致卵巢功能损伤的发生率也逐步增加,育龄期妇女的生育力受到严重威胁。
卵巢储备功能是指卵巢内存留的可募集卵泡的数量和质量,反应女性的生育潜能和生殖内分泌功能。卵巢产生的卵母细胞数量减少,卵泡质量下降,导致生育能力下降和性激素的缺乏,称为卵巢储备功能下降。卵母细胞凋亡是放化疗致原始卵泡丢失、卵巢储备功能减退的主要原因。原始卵泡中的卵母细胞长期处于第一次减数分裂前期,对毒性物质所致的遗传性损伤很敏感,特别在DNA损伤修复失败时极易积累损伤,且多数情况下受损卵母细胞修复失败,进而凋亡。因此放化疗是导致卵巢储备功能降低的主要原因之一。目前对于放化疗引起卵巢损伤及卵巢损伤的修复治疗无特异性方法,对于确诊的卵巢损伤患者,也无明确的治疗方法和有效药物,只能对症治疗。因此积极寻找应对卵巢损伤的有效药物,成为临床亟待解决的问题。
中药沙棘在国具有悠久的药用历史,《四部医典》记载了沙棘有止咳、平喘、活血化瘀等作用。沙棘的活性成份有400多种,主要包括:黄酮类、粗纤维、多糖类、氨基酸、维生素、微量元素、胡萝卜素、蛋白质、有机酸、叶绿素等营养及活性成分;可以广泛应用于食品、医药、轻工、航天、农牧渔业等国民经济的许多领域。沙棘籽油是沙棘的主要成分,沙棘籽油营养丰富,据测定其中含有多种维生素、脂肪酸、微量元素、植物甾醇、亚油素、沙棘黄酮、α-生育酚、超氧化物等100多种活性物质和人体所需的各种氨基酸。沙棘籽油具有抗炎生肌、修复溃疡、抑瘤抗癌的功效,尤其对脑动脉硬化、心绞痛、高血脂等有显著疗效。迄今为止,尚没有报道沙棘籽油对放化疗引起卵巢损伤有治疗作用。
发明内容
本申请公开一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物和保健食品中的应用,即沙棘籽油在制备治疗由放化疗引起的卵巢损伤的药物和保健食品中的应用。
根据本申请的实施例,提供一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物中的应用,所述植物果油为沙棘籽油。
根据本申请的实施例,本申请提供一种植物果油在制备治疗由放化疗引起的卵巢损伤的保健食品中的应用,所述植物果油为沙棘籽油。
进一步地,所述药物的剂型包括汤剂、软胶囊、滴丸、乳剂、片剂、洗剂、搽剂、软膏剂或栓剂。
进一步地,所述保健食品的剂型包括汤剂、软胶囊、滴丸、乳剂、片剂、洗剂、搽剂、软膏剂或栓剂。
本申请首次证实沙棘籽油具有完全不同于以上所述的新功能:沙棘籽油对放化疗引起卵巢损伤有很好的治疗作用。沙棘籽油不仅可以治疗放化疗引起的小鼠卵巢损伤、动情周期的紊乱,还可以有效改善卵巢储备功能等。该发明对于直接利用沙棘籽油治疗放化疗引起的卵巢损伤提供了依据。
附图说明
为了更清楚地说明本申请实施例或现有技术中的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。
图1为本申请的实验设计图;
图2为本申请的技术路线图;
图3为各组小鼠卵巢组织石蜡切片H&E染色结果;
图4为各组小鼠阴道分泌物观察结果;
图5为各组小鼠雌激素E2水平的变化;
图6为各组小鼠卵巢组织免疫组化AMH表达结果;
图7为各组小鼠血清AMH含量的变化。
具体实施方式
本申请提供一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物中的应用,所述植物果油为沙棘籽油。
本申请提供一种植物果油在制备治疗由放化疗引起的卵巢损伤的保健食品中的应用,所述植物果油为沙棘籽油。
进一步地,所述药物的剂型包括汤剂、软胶囊、滴丸、乳剂、片剂、洗剂、搽剂、软膏剂或栓剂。
进一步地,所述保健食品的剂型包括汤剂、软胶囊、滴丸、乳剂、片剂、洗剂、搽剂、软膏剂或栓剂。
本申请证实沙棘籽油具有完全不同于以上所述的新功能:沙棘籽油对放化疗引起卵巢损伤有很好的治疗作用。沙棘籽油不仅可以治疗放化疗引起的小鼠卵巢损伤、动情周期的紊乱,还可以有效改善卵巢生殖内分泌激素水平以及卵巢储备功能等。该发明对于直接利用沙棘籽油治疗放化疗引起卵巢损伤提供了依据。
本申请旨在探讨沙棘籽油的治疗性应用对放化疗引起的卵巢组织损伤的治疗作用,为临床肿瘤治疗中应用大剂量的放化疗药物时所导致的卵巢损伤,提供有效的治疗方法和科学依据。
为了证实沙棘籽油具有上述新功能,做了如下实验。
1.技术方案
(1)建立放化疗药引起卵巢损伤的动物模型:
实验设计图如图1所示。
环磷酰胺(CY)和白消安(BUS)为临床常用抗癌药物,也是代表性的卵巢毒性药物。本申请通过成年雌性小鼠一次性腹腔注射120mg/kg环磷酰胺和10mg/kg白消安建立卵巢损伤小鼠模型。
(2)对化疗药引起卵巢损伤动物模型给予干预:
本实验采用12周龄雌性ICR小鼠,分为正常对照组、模型组、沙棘籽油治疗组、阳性对照组(GnRha组),每组8只。
正常组给予生理盐水对照;
模型组给予一次性腹腔注射120mg/kg环磷酰胺和10mg/kg白消安建立卵巢损伤小鼠模型,后用生理盐水0.2ml持续灌胃天(每天灌胃是为了与模型组和沙棘籽油治疗组一致,规避灌胃操作带来的差异)。
沙棘籽油治疗组,从造模第1天起,每天沙棘籽油2.5ml/kg连续灌胃给药,第60天取材;
阳性对照组(GnRha组),于造模第1天一次性皮下注射给予促性腺激素释放激素类似物(GnRha)38mg/kg,后生理盐水0.2ml每天持续灌胃至第60天取材。
所有组小鼠,在灌胃60天取材,观察卵巢的组织形态学改变,计数卵巢组织中各级卵泡数量,检测血清雌激素E2和抗苗勒氏管激素(AMH)水平,用免疫组化检测AMH蛋白的表达水平。
(3)实验结果监测及数据收集
所有小鼠,从12周龄开始,每4天检测并记录各组小鼠体重、摄食及动情周期变化,直至取材。取材后通过石蜡包埋剂切片染色技术,观察卵巢形态学改变。通过免疫组化技术检测AMH改变。
2.技术路线图
技术路线图如图2所示。
3.主要技术
1)建立化疗药引起卵巢损伤的动物模型
环磷酰胺(CY)和白消安(BUS)为临床常用抗癌药物,也是代表性的卵巢毒性药物。本研究通过成年雌性小鼠一次性腹腔注射120mg/kg环磷酰胺和10mg/kg白消安建立卵巢损伤小鼠模型
2)阴道脱落细胞冲洗液涂片法检测动情周期
用滴管吸取适量生理盐水,每隔4天,在同一时间点冲洗、吸取阴道分泌物于载玻片上,迅速于显微镜下观察细胞形态,判断动情周期。
4.实验结果
4.1沙棘籽油可以治疗放化疗引起小鼠卵巢组织病变。
放化疗对卵巢有短期和长期作用。短期作用发生在治疗过程中,是由于破坏了生长过程中的卵泡导致的短暂性的闭经,而长期的作用是破坏了原始卵泡所导致。多数的化疗药物优先作用于增殖快的细胞,从而抑制细胞的增生,而处于静止状态的原始卵泡并不是化疗药物的自然靶细胞,而烷化剂为细胞周期非特异性药物,及时细胞处于休眠状态也会受到影响,从而使原始卵泡的数量减少。
研究发现,化疗药会造成卵巢明显萎缩,组织严重纤维化,皮质增厚、结构混乱。如图3所示,正常组小鼠的卵巢在HE染色下可见多个不同发育阶段的卵泡及黄体,颗粒细胞形态完整且排列整齐紧密,形态完整;模型组小鼠的卵巢皮质增厚,结构混乱,间质纤维化,颗粒细胞掉落,皮质区原始卵泡数量明显减少;阳性对照组的卵巢虽然也出现部分损伤,如皮质纤维化、颗粒细胞减少等,但相对于模型组有很大改善;沙棘籽油治疗组小鼠卵巢组织形态良好,皮质区内原始卵泡数、初级卵泡数、成熟卵泡数以及卵泡总数均有明显增高,且形态接近正常对照组。
4.2沙棘籽油可以治疗放化疗引起的小鼠动情周期紊乱。
动情周期主要是指哺乳动物性成熟后,性功能衰退前,在性行为和生殖系统结构与功能上出现的周期性变化。雌性小鼠性成熟后,生殖器官发生增生、退化的周期性变化称为动情周期,具体指的是雌性哺乳动物从上一次发情开始至下一次发情开始,或指上一次排卵至下一次排卵之间的时间间隔。通常根据动物的精神状态、雌性动物对雄性动物产生的性欲表现、卵巢内卵泡的生长发育、排卵和黄体形成的情况及雌性生殖道(子宫、阴道等)的生理变化等几个主要方面,将发情周期划分为动情前期(前情期)、动情期、动情后期(后情期)及间情期(间期),拥有规律的动情周期是哺乳动物性成熟的标志,意味着卵巢开始发挥功能。在临床中,接受放化疗的女性患者会出现月经失调的临床表现,表现为月经稀发、月经量少甚至闭经。表现在小鼠上,则为动情周期紊乱,即持续的间期。
如图4所示,动情前期(阳性对照组)可见成群或单独出现的梭形上皮细胞,白细胞较少。动情期(正常对照组)见大量鳞状上皮细胞,形状大而不规则,无核,白细胞消失;动情后期(沙棘籽油治疗组)可见多种细胞类型,白细胞,无核的上皮细胞及梭形上皮细胞;动情间期(模型组)可见大量白细胞,极少量梭形上皮细胞。经过造模后每天的连续动情周期观察发现:模型组小鼠在造模后的几天就出现动情周期紊乱,表现为持续的间期,提示卵巢功能严重损害;沙棘籽油治疗组小鼠在造模后也出现动情周期紊乱的现象,但随着持续的沙棘籽油的治疗,小鼠逐渐恢复了规律的动情周期;因此可证明,沙棘籽油对维持正常的动情周期有很好的作用。
4.3沙棘籽油可以治疗放化疗引起小鼠雌激素E2水平减退。
雌激素主导女性第二性征的发育和维持,并调控女性体内环境的稳定,控制女性的生命周期,同时周期性的月经、生育能力、丰满体态等均离不开雌激素的作用。雌激素与卵巢、输卵管、子宫以及阴道粘膜上靶细胞受体结合,引起细胞DNA、RNA和蛋白质合成增加,促进细胞分裂与生长,从而使上述这些靶器官生长发育,并维持其正常功能。E2是雌性激素中活性最强的一种,主要产自卵巢的卵泡和胎盘,少量产自肾上腺和睾丸。血清E2测定对评价各种月经异常是非常有用的指标:如女孩青春期提前或延迟、原发性或继发性闭经、卵巢损伤和功能减退等。
如图5所示,模型组小鼠血清雌激素E2水平明显降低,这表明放化疗可严重影响卵巢雌激素的分泌,进而影响其他激素使内分泌紊乱;而沙棘籽油组和GnRHa对照组小鼠血清雌激素E2水平与正常组接近。这说明沙棘籽油可治疗放化疗引起卵巢雌激素分泌减退。
4.4沙棘籽油可以逆转由放化疗引起小鼠卵巢储备功能的损伤。
卵巢储备功能反映卵巢皮质区卵泡生长发育形成优质卵母细胞的能力,指的是卵巢内存留卵泡的数量和质量,反映了女性的生育潜能。卵巢储备功能下降是指卵巢产生优质卵母细胞的能力减弱,导致生育能力下降,同时伴随性激素的异常。卵巢储备功能下降约占不孕症的10%,且呈现不断上升趋势,严重影响着广大妇女的生殖健康和生活质量。抗缪勒管激素(AMH)是由卵巢窦前卵泡和小窦卵泡的颗粒细胞分泌的蛋白,能够反映整个生命周期的卵巢储备功能。由于AMH参与小卵泡变成大卵泡,到卵泡成熟以及排卵、受孕的过程,因此AMH与卵巢储备功能息息相关。近年来,AMH在卵巢储备功能评估、女性辅助生殖诊疗中的重要价值日益凸显。
本申请用免疫组织化学法检测卵巢组织中AMH的表达情况。如图6所示,正常组小鼠卵巢颗粒细胞间有均匀的黄染部分,证明AMH在这些部位有表达;模型组小鼠的卵巢不但结构出现改变,而且颗粒细胞间黄染部分明显降低;阳性对照GnRHa组和沙棘籽油治疗组小鼠卵巢颗粒细胞间出现均匀的强度很高的黄染区,且沙棘籽油治疗组黄染比GnRHa组还要高,这说明沙棘籽油不但能增强受损卵巢的储备功能,而且作用强于促性腺激素释放激素类受体激动药,是用于治疗卵巢储备功能减退很好的药物。
4.5沙棘籽油可以治疗放化疗引起小鼠AMH激素含量降低。
AMH是一种卵巢颗粒细胞分泌的细胞因子,其对募集始基卵泡及生长发育与卵母细胞成熟等方面有重要的作用。AMH不会受到月经周期的控制,正常月经周期的患者其AMH水平基本保持稳定,且AMH能够反映卵巢窦卵泡的数量的大小,进而可预测卵巢储备及超排卵卵巢反应的相关指标。研究表明,AMH浓度水平与卵泡数呈正相关,说明AMH可作为放化疗所致卵巢损伤患者卵巢反应重要预测指标。
本申请应用酶联免疫吸附方法(ELISA)测定血清AMH水平。如图7所示,与模型组相比,沙棘籽油组和GnRHa对照组小鼠血清中,AMH含量与正常组接近,均高于模型组,这表明沙棘籽油明显能提高放化疗所致小鼠损伤卵巢中AMH的表达,更进一步证明,沙棘籽油对放化疗药引起的卵巢储备功能减低有很好的治疗作用。
由以上实验结果可知,
(1)沙棘籽油可以治疗放化疗引起小鼠卵巢组织改变,改善卵巢组织形态
(2)沙棘籽油可以治疗放化疗引起小鼠的动情周期紊乱,维持小鼠的正常生理周期
(3)沙棘籽油可以治疗放化疗引起小鼠雌激素水平减退
(4)沙棘籽油可以治疗放化疗引起小鼠卵巢储备功能的损伤
(5)沙棘籽油可以治疗放化疗引起小鼠AMH激素含量降低
(6)放疗和化疗对小鼠卵巢损伤的相似性,沙棘籽油对放化疗引起的卵巢功能异常的治疗均有保护作用。
本领域技术人员在考虑说明书及实践这里公开的申请后,将容易想到本申请的其它实施方案。本申请旨在涵盖本申请的任何变型、用途或者适应性变化,这些变型、用途或者适应性变化遵循本申请的一般性原理并包括本申请未公开的本技术领域中的公知常识或惯用技术手段。说明书和实施例仅被视为示例性的,本申请的真正范围和精神由下面的权利要求指出。
应当理解的是,本申请并不局限于上面已经描述的内容,并且可以在不脱离其范围进行各种修改和改变。本申请的范围仅由所附的权利要求来限制。
Claims (4)
1.一种植物果油在制备治疗由放化疗引起的卵巢损伤的药物中的应用,所述植物果油为沙棘籽油。
2.一种植物果油在制备改善由放化疗引起的卵巢损伤的保健食品中的应用,所述植物果油为沙棘籽油。
3.根据权利要求1所述的应用,其特征在于,所述药物的剂型包括汤剂、软胶囊、滴丸、乳剂、片剂、洗剂、搽剂、软膏剂或栓剂。
4.根据权利要求2所述的应用,其特征在于,所述保健食品的剂型包括汤剂、软胶囊、滴丸、乳剂、片剂、洗剂、搽剂、软膏剂或栓剂。
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US17/344,008 US11911426B2 (en) | 2020-06-10 | 2021-06-10 | Use of a plant in preparation of medicines and health products for preventing and treating ovarian injury |
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