CN113350363B - N-棕榈酰-d-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用 - Google Patents
N-棕榈酰-d-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用 Download PDFInfo
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Abstract
本发明涉及N‑棕榈酰‑D‑鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用,属于药物制备技术领域。本发明提供了N‑棕榈酰‑D‑鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的新的应用。16:0 SM不同于目前常用的阿片类、非阿片类止痛药以及辅助镇痛药,作为内源性脂质的一种,具有更好的安全性,不易成瘾等显著优势。
Description
技术领域
本发明涉及药物制备技术领域,具体涉及N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用。
背景技术
伴随着我国城市化进程的不断加速,人民生活习惯的改变,以及人口老龄化进程的加速,慢性疼痛这一类慢性疾病逐渐受到越来越多人的重视。而我们也同样面临着缺乏有效干预药物的困境。为了有效控制疾病发展,改善患者生活质量的目的,寻找、研发安全、有效的临床干预药物成为目前我国慢性疼痛研究的当务之急。
经历了长时间的探索,人们发现中枢神经系统的损伤是慢性疼痛最可能的原因。“神经性疼痛”目前被学界广泛接受是慢性疼痛的常见来源。神经性疼痛源于神经系统的损伤。而在临床研究中发现,多种不同类型的疾病都可能导致神经性疼痛,例如自身免疫性疾病(如多发性硬化症)、代谢性疾病(如糖尿病神经病变)、感染(如带状疱疹及其后遗症、疱疹后神经痛)、心脑血管疾病(中风)、创伤等。
目前可选择的止痛药品种包括非阿片类止疼药、阿片类止疼药、还有辅助用药三大类。虽然看起来慢性疼痛治疗存在诸多选择,但在实际临床最常用的药物集中在阿片类止疼药和NSAIDs。前者有效但是副作用明显,同时还要承担巨大耐受与依赖的风险;而后者的止疼效果差强人意,同时还有危及生命的副作用。为了满足慢性疼痛治疗越来越大的临床需求,人们亟需开发安全、强效的新型止疼药。根据NIH最新的数据,目前全球范围内以慢性疼痛为适应症的临床试验累计多达2488项(2020年,clinical trial.org)。但遗憾的是2018年美国FDA一共批准59项新药与疗法(这是自1993年以来最多的一年)中没有一项是针对慢性疼痛的。而2005-2009九年间只有极少针对关节炎和纤维肌痛的止痛药品种获得FDA的批准。而这些药物不是对已有药物的改构(普瑞巴林,度洛西汀等),就是已有药物的新剂型(各类缓释阿片类止疼药),目前仍缺乏慢性疼痛治疗的药物。
发明内容
本发明的目的在于提供N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用。本发明提供了N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的新的应用。16:0 SM不同于目前常用的阿片类、非阿片类止痛药以及辅助镇痛药,作为内源性脂质的一种,具有更好的安全性,不易成瘾等显著优势。
本发明提供了N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用。
本发明还提供了N-棕榈酰-D-鞘磷脂在制备预防和/或治疗由神经损伤导致的神经性疼痛的药物中的应用。
本发明提供了N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用。16:0 SM不同于目前常用的阿片类、非阿片类止痛药以及辅助镇痛药,作为内源性脂质的一种,具有更好的安全性,不易成瘾等显著优势。试验结果表明,PSNL模型16:0 SM鞘内给药对于神经性疼痛具有很好的抑制作用。
附图说明
图1为本发明提供的坐骨神经部分结扎模型;
图2为本发明提供的PNSL模型组与对照组脂质组学数据火山图;
图3为本发明提供的16:0 SM鞘内注射对PSNL模型大鼠机械疼痛阈值具有恢复效果。
具体实施方式
本发明提供了N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用。N-棕榈酰-D-鞘磷脂(N-palmitoyl-D-erythro-sphingosylphosphorylcholine,16:0SM (d18:1/16:0)),实施例中简称16:0 SM,CAS:6254-89-3,化学式:C39H79N2O6P,结构式如式I所示:
分子量: 703.03,性状:粉末;具有显著的神经性疼痛抑制作用。16:0 SM不同于目前常用的阿片类、非阿片类止痛药以及辅助镇痛药,作为内源性脂质的一种,具有更好的安全性,不易成瘾等显著优势。16:0 SM不参与目前常见的止痛药的药理通路,是一类全新的药物作用靶点,具有极高的科技与商业价值。本发明对N-棕榈酰-D-鞘磷脂的来源没有特殊限定,采用本领域技术人员熟知的常规N-棕榈酰-D-鞘磷脂市售产品即可,如购自厂商:Avanti Polar Lipids Inc,货号:860584P。
本发明还提供了N-棕榈酰-D-鞘磷脂在制备预防和/或治疗由神经损伤导致的神经性疼痛的药物中的应用。本发明建立PSNL模型,经实施例证明,本申请N-棕榈酰-D-鞘磷脂具有显著的由神经损伤导致的神经性疼痛抑制作用。
下面结合具体实施例对本发明所述的N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用做进一步详细的介绍,本发明的技术方案包括但不限于以下实施例。
实施例1
模型组(坐骨神经部分结扎模型,PSNL模型组),对照组(假手术组)16:0 SM 靶器官附近分布
(1)动物模型构建
模型组造模:采用坐骨神经部分结扎模型(PSNL;详见图1)。具体手术流程:大鼠称重,腹腔注射麻醉10%水合氯醛(3ml/kg),麻醉5~10min后沿着L4-S1脊柱中线做一纵行切口,充分暴露L6横突,L6下关节突关节和S1,暴露L5神经,鉴别L4/L5神经,在L5神经远端用6号线紧扎神经并切断。放回撕起的肌肉,用5号线缝两针把肌肉、皮肤缝上。
对照组造模:大鼠称重,腹腔注射麻醉10%水合氯醛(3ml/kg),麻醉5~10min后沿着L4-S1脊柱中线做一纵行切口,充分暴露L6横突,L6下关节突关节和S1,暴露L5神经。放回撕起的肌肉,用5号线缝两针把肌肉、皮肤缝上。
给与足够的食物与水饲养。14天后处死,采集被根神经节脂质组学分析。
(2)脂质组学分析
A 样本前处理
被根神经节组织称重,置于EP管中,加入10倍生理盐水以及陶瓷珠,置于匀浆机中,10000rpm匀浆3min,制得匀浆液。
100 μl匀浆液+300 μl异丙醇(-20℃ 预冷),涡旋振荡1 min,室温静置10 min后放入冰箱-20℃静置24小时。4℃离心20 min(14000 rpm),取上清用异丙醇:乙腈:水(2:1:1)稀释适当倍数后进样分析。
B HPLC-HRMS分析
采用高效液相色谱-质谱联用方法,以C8填料的反向色谱柱,以乙腈:水(6:4)、异丙醇:乙腈(9:1)作为流动相开展脂质组学分析。
(3)结论
结果发现16:0 SM发生了显著变化。PNSL模型组与对照组脂质组学数据火山图如图2所示,模型组相较对照组16:0 SM降低了近2倍,且这一变化具有显著性(T-检验p值小于0.05)。这预示着16:0 SM是一类特殊的SM分子,在神经性疼痛的过程中发挥着独特的调节作用。
实施例2
PSNL模型16:0 SM鞘内给药对于神经性疼痛的抑制
(1)动物模型构建
模型给药组:如实施例1(1)中所述构建PSNL模型鼠,给与充分饮食培养14天。14天后,向PNSL建模成功的大鼠脊髓中补充16:0 SM(单次给药30μg,1μg/μL),分别在建模前,注射后10min、30min、60min、150min、240min测量大鼠的机械痛阈值。
安慰剂组:如实施例1(1)中所述构建PSNL模型鼠,给与充分饮食培养14天。14天后,向PNSL建模成功的大鼠脊髓中补充生理盐水(单次30μL),分别在建模前,注射后10min、30min、60min、150min、240min测量大鼠的机械痛阈值。
(2)左足机械缩足阈值测定
为了确定大鼠应对机械刺激的缩脚阈值,将大鼠置于具有金属网底的塑料笼中。用一组Von Frey细丝(Semmes-Weinstein Monofilaments)以逐渐增加的压强刺激后脚的足底表面,直到小鼠向上抬脚。每根单丝施用五次。 缩脚阈值被定义为大鼠在五个连续刺激中产生至少三次缩脚反应的阈值。最高截断刺激强度为100N,机械刺激阈值<0.04N,均以0.04N计算。
(3)结论
实验结果表明(图3,16:0 SM鞘内注射对PSNL模型大鼠机械疼痛阈值具有恢复效果,n=3,(Vehicle:安慰剂组;16:0 SM 30μg: 模型给药组)注:MPE最大可能治疗效应),注射16:0 SM的PNSL模型大鼠机械痛阈值自30min后出现明显回复(约为建模前的80%,且两组间p值小于0.05),随后在150min内均有较为显著的效果。这一结果表明,16:0 SM直接参与了神经性疼痛的发生过程,该化合物的异常降低是发生神经性疼痛的原因之一,16:0 SM能够抑制神经性疼痛。
以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。
Claims (2)
1.N-棕榈酰-D-鞘磷脂在制备预防和/或治疗神经性疼痛的药物中的应用。
2.N-棕榈酰-D-鞘磷脂在制备预防和/或治疗由神经损伤导致的神经性疼痛的药物中的应用。
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