CN113171360A - Application of dithiodipyrone and analog thereof in preparation of medicine for preventing and treating heart tissue damage diseases caused by antitumor doxorubicin chemotherapy - Google Patents
Application of dithiodipyrone and analog thereof in preparation of medicine for preventing and treating heart tissue damage diseases caused by antitumor doxorubicin chemotherapy Download PDFInfo
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- CN113171360A CN113171360A CN202110282901.4A CN202110282901A CN113171360A CN 113171360 A CN113171360 A CN 113171360A CN 202110282901 A CN202110282901 A CN 202110282901A CN 113171360 A CN113171360 A CN 113171360A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/06—Antiarrhythmics
Abstract
The invention provides a dithiobis-butylphenol compound and an analogue thereofThe application in preparing the medicine for preventing and/or treating the heart tissue damage disease caused by antineoplastic adriamycin chemotherapy. Specifically, the compounds of the present invention include the following preferred structures:
Description
Technical Field
The invention relates to the field of medicines, in particular to application of dithiodipyr and analogues thereof in preparation of medicines for preventing and/or treating heart tissue damage diseases caused by antitumor doxorubicin chemotherapy.
Background
The incidence of Chinese tumors has been increasing continuously for many years, and has become a public health problem and a social problem which must be paid high attention. To date, antineoplastic therapy remains one of the important means for treating tumors. Part of the antitumor drugs have toxic and side effects on the heart, which can cause the blood pressure change and the arrhythmia of patients, and can cause the myocardial lesion of patients, thereby not only limiting the increase of the drug dosage in the treatment process and influencing the curative effect, but also possibly leading the death of the patients.
In order to prevent and reduce the toxic and side effects of the antitumor drug on the heart, the monitoring is needed in clinic, for example, the evaluation is carried out before the treatment to eliminate the existence of contraindications; evaluating during treatment to decide to terminate treatment if necessary; follow-up was performed after treatment to detect late-onset cardiac lesions as early as possible. Such as cardiac enzyme assays, atrial natriuretic peptide assays, brain natriuretic peptide assays, troponin assays, electrocardiography, echocardiography, endocardial myocardial biopsies, and the like. In addition, cardiac damage can be prevented by limiting cumulative dosing, altering administration methods, pharmaceutical intervention, and the like. The medicine intervention can effectively reduce the toxic and side effects of the antitumor drug on the heart. Drugs capable of protecting the heart in antitumor therapy such as iron ion chelators, lipid-lowering drugs, hematopoietic cytokines, and the like. Several cardioprotective agents have been developed, but the therapeutic effect is not ideal. The development of a protective agent with a new action target and an action mechanism and capable of comprehensively protecting heart tissue from damage is urgently needed.
Scientific research shows that free radicals can cause damage to human organs including myocardial damage, but the damage to human health is not separated from the oxygen-containing substances with stronger activity, and the damage to human bodies caused by active oxygen radicals is actually an oxidation process. Therefore, to reduce the damage of free radicals, the oxidation resistance is required. Numerous studies have demonstrated that the body itself has the capacity to scavenge unwanted free radicals, mainly by means of an endogenous free radical scavenging system comprising enzymes such as superoxide dismutase (SOD), catalase, glutathione peroxidase, and antioxidants such as vitamin C, vitamin E, reduced glutathione, carotene, and selenium. Enzymes can change the active oxygen radicals in the body into less active substances, thereby weakening their offensive power to the body. While the defense action of enzymes is limited to intracellular, antioxidants act on cell membranes, some act extracellularly. These substances are deeply stored in our bodies, and as long as the quantity and the vitality of the substances are kept, the substances can play the role of eliminating redundant free radicals, so that the free radicals in our bodies are kept in balance. Therefore, to reduce the damage of free radicals, the oxidation resistance is required. When active oxygen is excessively generated, macromolecules can be induced to generate oxidation reaction, functional groups on Ser and Cys residues of the oxidized protein are oxidized, and configuration and signal change is caused; can make Cys residue in catalytic structure domain of nuclear factor NF-kB and protein kinase C form disulfide bond, up-regulate NF-kB and protein kinase C activity and catalytically produce H2O2When active oxygen is excessively generated, Cys residues in hypoxia inducible factor HIF-1 can be directly oxidized and activated to promote inflammation and apoptosis; can oxidize [4Fe2+ -4S in certain enzymes]Center, result in Fe2+Release of (1), Fe2+Can be processed by Fenton reactionA large amount of active oxygen should be generated; fe2+Can also cause inactivation of certain metalloproteins. When the active oxygen is excessively generated, it may oxidize signal molecules, cytokines, proteins, nucleic acids, saccharides, lipids, etc., to damage them.
In addition, Superoxide Dismutase (SOD), also known as heparin, is an important antioxidant enzyme in organisms, widely distributed in various organisms such as animals, plants, microorganisms and the like, is an active substance derived from organisms, can eliminate harmful substances generated by organisms in the metabolic process, resists and blocks damage to cells caused by oxygen radicals, repairs damaged cells in time, and restores damage to cells caused by the free radicals. Therefore, the activity of antioxidant enzymes of cells needs to be mobilized, ROS and lipid peroxidation products are eliminated quickly, and exogenous toxicity and relevant oxidative stress injury brought to organs are reduced.
Disulfide bonds (disulfide bonds) are chemical bonds linking the sulfhydryl groups of two different cysteine residues in different peptide chains or in the same peptide chain. Disulfide bonds are relatively stable covalent bonds and serve to stabilize the spatial structure of peptide chains in protein molecules. Disulfide bonds are involved in the biological activity of higher structures of proteins and in the renaturation of proteins. Disulfide bonds are important for the proper folding of proteins and the formation and maintenance of higher order structures. The formation of disulfide bonds forces amino acid residues in different regions of the same or different peptide chains to come together, whereby the peptide chains fold rapidly and form a stable spatial topology, the number of amino acid residues in this region being highly dense; meanwhile, hydrophobic amino acid residues surround the disulfide bonds, so that a local hydrophobic center can be formed, water molecules are rejected to enter the inside of the peptide to destroy hydrogen bonds, and a stable high-level structural region is formed.
Since an important target of free radicals acting on tissues is biological membranes, free radicals which are not cleared by defense mechanisms can induce lipid peroxidation of the membranes, with the result that the function of the membranes is lost, enzymes are inactivated, and the fluidity of the membranes is changed, resulting in cell damage. The function of some preparations to scavenge free radicals may be related to the hydroxyl groups on the phenol ring in their structures, which contain highly reactive hydroxyl groups that can inactivate free radicals, thereby mitigating damage to DNA and biological membranes by free radicals.
Phenolic compounds are commonly used for the research of antioxidant and anti-free radical protective structures.
The tertiary butyl substituent is a very sterically hindered group that is often used in conjunction with other bulky sterically hindered groups for kinetic stabilization in chemical synthesis, such as the related trimethylsilyl group. The effect that tert-butyl exerts on the progress of a chemical reaction is called: "tert-butyl effect". This effect is deduced by the diels-alder reaction as follows:
the reaction rate of the tertiary butyl substituent is increased by 240 times compared with that of a hydrogen atom as the substituent.
In summary, for chemotherapy injury caused by antitumor drug adriamycin, a novel preparation capable of regulating the dynamic balance of the activity of biological enzymes in human bodies and the active oxygen such as oxidative free radicals and the like is needed to be researched and screened based on further development of structures with potential antioxidant anti-free radical physiological activity values for phenols, tert-butyl, disulfide bonds and the like, so that the heart is protected, and the chemotherapy safety is improved.
Disclosure of Invention
The invention provides a compound and a pharmaceutically acceptable salt thereof, and application of a prodrug in preparing a medicament for preventing and/or treating heart tissue damage diseases caused by antitumor doxorubicin chemotherapy, wherein the compound is selected from the following structures:
(1) contains a sulfur-tert-butylphenol structure, which is specifically shown as the following formula I:
wherein, R is1,R2May be the same or different and are each independently selected from H, C1-C6Alkyl radical, C2-C6Alkenyl radical, C1-C6Alkoxy radical, C2-C6An alkenyloxy group; the R is3、R4Selected from H, OH, or-O-C1-C6Alkyl, -O (C ═ O) C1-C6Alkyl, -O-C2-C6Alkenyl, -O (C ═ O) C2-C6An alkenyl group.
(2) containing-S-S-, -S-CH3-a compound of-S-;
(3) containing a tert-butylphenol ring.
According to an embodiment of the present invention, in the structure of formula I, preferably, R1,R2Can be the same or different and are respectively and independently selected from H, methyl, ethyl, propyl, butyl, pentyl and hexyl; more preferably, R1,R2Is tert-butyl, said R3、R4Selected from OH, or methoxy, ethoxy, propoxy, butoxy, pentyloxy, hexyloxy, -O (C ═ O) CH3、-O(C=O) CH2CH3、-O(C=O)CH2-CH2CH3(ii) a Preferably, R3And R4At least one of them is OH; according to an embodiment of the present invention, the structure of formula I is preferably a structure of formula II as follows:
in the structure of the formula II, R1,R2As defined above for formula I.
According to an embodiment of the invention, the structure of formula II is preferably a specific compound as follows: 4, 4' - (methylenebisthio) bis (2, 6-di-tert-butylphenol) with the molecular formula C29H44O2S2The structural formula is as follows:
according to an embodiment of the present invention, there is further provided the following specific compounds shown in compounds (1) to (3):
according to an embodiment of the present invention, the heart injury diseases caused by doxorubicin include arrhythmia, cardiomyopathy, pericardial disease, heart failure, and the like.
According to an embodiment of the present invention, the medicament can treat or alleviate the imbalance of superoxide dismutase-oxidative free radical homeostasis caused by doxorubicin chemotherapy.
According to an embodiment of the present invention, the medicament may act as a modulator of the activity of a superoxide dismutase biological enzyme.
According to an embodiment of the present invention, preferably, the compound is used as the only active ingredient for preparing a medicament for preventing and/or treating heart tissue damage diseases caused by antitumor adriamycin chemotherapy.
The present invention also provides a pharmaceutical composition, which in some embodiments comprises the compound as the sole active ingredient, together with other pharmaceutically acceptable carriers, and in other embodiments further comprises other chemoprotectants, such as cardioprotective agents.
The invention provides application of the pharmaceutical composition in preparing a preparation for preventing and/or treating heart tissue damage diseases caused by antitumor adriamycin chemotherapy.
Advantageous effects
(1) The compound, especially the compound containing the disulfide-tert-butylphenol structure, can continuously induce the concentration of superoxide dismutase to increase in vivo at fixed points for multiple times while having an antioxidation effect, so that each system in vivo keeps dynamic balance, and the heart is effectively protected.
(2) The specific functional group of the compound, such as tert-butyl phenol, disulfide bond or a combined structure thereof is closely related to an antioxidant, and the compound is proved to be beneficial to inhibiting the activity of oxidative free radicals, inhibiting the risk of damage of peroxidized tissues and protecting the safety and activity of human organ systems, particularly hearts, and has more unexpected effects of playing a role in specifically catalyzing and inducing the activity of biological enzymes and regulating and controlling the dynamic balance of the induced superoxide dismutase (SOD) biological enzyme activity, oxidative free radicals and other activated oxygen.
Drawings
FIG. 1 illustrates the activity test of the compounds of the present invention against doxorubicin-induced cell damage in vivo.
Detailed Description
The technical solution of the present invention will be further described in detail with reference to specific embodiments. It is to be understood that the following examples are only illustrative and explanatory of the present invention and should not be construed as limiting the scope of the present invention. All the technologies realized based on the above-mentioned contents of the present invention are covered in the protection scope of the present invention.
Unless otherwise indicated, the raw materials and reagents used in the following examples are all commercially available products or can be prepared by known methods.
Example 1 Activity test of Compounds of the invention against SOD
Establishing an experimental principle and a model:
doxorubicin can induce the overproduction of Reactive Oxygen Species (ROS), and is closely related to the increase of cellular oxidative stress, and tests on the compound of the present invention show that the compound of the present invention can reduce the inhibitory effect of doxorubicin on intracellular GSH-Px (glutathione peroxidase _) and SOD activity, and simultaneously reduce doxorubicin-induced ROS and lipid peroxidation product MDA, and these results suggest that the compound of the present invention, especially 4, 4' - (methylene bis) bis (2, 6-di-tert-butylphenol), shows an active effect on the superoxide dismutase biological enzyme activity induction target, and is presumed to have higher specificity on the superoxide dismutase biological enzyme activity induction target and human endogenous peptide chain and protein recombination arrangement aggregation.
Example 2 in vivo pharmacokinetic testing of Compounds of the invention
The experimental result shows that the compound has good pharmacokinetic property and is suitable for being used as a patent drug.
Example 3 Activity test of Compounds of the invention for in vivo cell injury
Cell damage model: the chemotherapy drug adriamycin causes cell damage in animal body so as to establish a pathological model.
Experimental results the experimental results shown in table 1 below show that the compounds of the present invention are effective in protecting cells from damage, wherein the compounds are selected from the group consisting of 4, 4' - (methylenebis) bis (2, 6-di-tert-butylphenol).
TABLE 1
TABLE 1 continuation a
TABLE 1 continuation b
Example 4 evaluation of the in vivo protective Effect of the Compound of the present invention in mice.
(1) Establishing a leukemia mouse model: and (3) after the P388 tumor-bearing mouse is killed, taking tumor knots, preparing a tumor cell suspension, transferring and injecting the tumor cell suspension into a normal mouse, and obtaining the mouse successfully realizing tumor transplantation after 4-7 days.
(2) Animal grouping and dosing: tumor mice were divided into four groups, which were a control group, an doxorubicin-treated group alone, a compound-treated group of the present invention (the specific compound was 4, 4' - (methylenebisthio) bis (2, 6-di-tert-butylphenol)), and an doxorubicin + compound-treated group, and were subjected to an intraperitoneal injection administration experiment, respectively.
(3) Evaluation of the effects: experiments prove that the compound can increase the GSH-Px activity and the superoxide dismutase activity of mouse cardiac muscle, correspondingly reduce lipid peroxidase and effectively prevent heart damage caused by adriamycin.
The embodiments of the present invention have been described above. However, the present invention is not limited to the above embodiment. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (9)
1. The application of a compound and a pharmaceutically acceptable salt and a prodrug thereof in preparing a medicament for preventing and/or treating heart tissue damage diseases caused by antineoplastic adriamycin chemotherapy, wherein the compound is selected from the following structures:
(1) contains a sulfur-tert-butylphenol structure, which is specifically shown as the following formula I:
wherein, R is1,R2And may be the same or different,each independently selected from H, C1-C6Alkyl radical, C2-C6Alkenyl radical, C1-C6Alkoxy radical, C2-C6An alkenyloxy group; the R is3、R4Selected from H, OH, or-O-C1-C6Alkyl, -O (C ═ O) C1-C6Alkyl, -O-C2-C6Alkenyl, -O (C ═ O) C2-C6An alkenyl group.
(2) containing-S-S-, -S-CH3-a compound of-S-;
(3) containing a tert-butylphenol ring.
2. Use according to claim 1, characterized in that in the structure of formula I, preferably, R1,R2Can be the same or different and are respectively and independently selected from H, methyl, ethyl, propyl, butyl, pentyl and hexyl; more preferably, R1,R2Is tert-butyl, said R3、R4Selected from OH, or methoxy, ethoxy, propoxy, butoxy, pentyloxy, hexyloxy, -O (C ═ O) CH3、-O(C=O)CH2CH3、-O(C=O)CH2-CH2CH3(ii) a Preferably, R3And R4At least one of which is OH.
6. the use according to any one of claims 1 to 5, wherein the medicament is for the treatment or alleviation of the imbalance in superoxide dismutase-oxidizing free radical homeostasis caused by doxorubicin chemotherapy.
7. The use according to any one of claims 1 to 6, wherein the medicament is useful as a modulator of the activity of superoxide dismutase enzymes.
8. The use according to any one of claims 1 to 7, wherein the compound is used as the sole active ingredient in the preparation of a medicament for the prevention and/or treatment of cardiac tissue damage caused by antineoplastic doxorubicin chemotherapy.
9. The use according to any one of claims 1 to 8, wherein said adriamycin-induced heart injury disease comprises arrhythmia, cardiomyopathy, pericardial disease, heart failure, and the like.
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N. SIVESKI-LLISKOVIC 等: "Probucol Protects Against Adriamycin Cardiomyopathy Without Interfering With Its Antitumor Effect", 《AMERICAN HEART ASSOCIATION》 * |
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