CN114617914A - 一种防治神经退行性疾病的新型药物 - Google Patents
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Abstract
本发明提供了木姜叶柯在制备预防或治疗神经退行性疾病例如阿尔茨海默病或血管性痴呆药物或保健品中的应用。其中,所述木姜叶柯能够1)抑制皮层和海马中老年斑(Senile Plaques,简称SP)沉积;和2)抑制血清内炎症因子表达。
Description
技术领域
本发明涉及分子生物学领域,具体涉及一种植物提取物在防治老年性痴呆中的用途。
背景技术
阿尔茨海默症(Alzheimer's disease,简称AD)是一种进展性和致命性的神经退行性疾病,主要表现为认知功能下降及日常生活能力逐渐下降,是老年性痴呆最常见的病因,全世界约有4680万患者。迄今虽无中国范围的AD流行病学现况数据;但文献显示2010年中国65至69岁人群的AD现患率为2.6%(0.0–28.2%)、95至99岁人群的现患率为60.5%(39.7-81.3%),2010年中国AD患者数估计为569万人(385-753万),AD的标准化死亡比中位数为1.94:1(四分位间距1.74-2.45)。由于AD的患病率不断升高、持续时间较长、护理治疗费用较高等特性,预期AD在未来数十年内将为一个持续的重大的公共卫生问题。
目前最有影响力的AD致病机制假说是淀粉样蛋白假说,该假说认为Amyloidβ(简称Aβ)肽在脑组织中的蓄积是AD的主要驱动因素:AD的标志性病理学特征是细胞外淀粉样斑块(老年斑)在脑内的沉积,这些淀粉样斑块主要由Aβ肽组成。体内、外证据均提示,Aβ肽的可溶性寡聚体具有神经毒性,被认为是AD的致病因素。Aβ在脑内的蓄积和积聚会激发病理生理学事件的级联效应,包括突触功能障碍、形成神经原纤维缠结、神经元丢失、神经递质缺乏和痴呆等。另外,大量神经病理学、临床流行病学及动物模型等研究证实神经炎症是AD重要的神经生物特征,因此神经炎症也是AD治疗药物研究的重要靶点之一。其次,新的研究认为自噬的缺陷也可能会导致包括阿尔茨海默氏病在内的许多神经退行性疾病。
对于确诊的AD痴呆,已批准药物有:1)抑制脑内的乙酰胆碱酶活性的donepezilgalantamine以及rivastigmine2)抗N甲基D天冬氨酸受体的memantine等。这些药物虽可以暂时缓解或改善患者的认知和精神症状等,但均无法阻止或逆转病情进展,疗效也差强人意。
木姜叶柯(学名:Lithocarpus litseifolius(Hance)Chun),也称为多穗柯或多穗石柯(Lithocarpus polystachyrus Rehd或Lithocarpus polystachyaw(wall.)Rehd),别名溆浦瑶茶、甜茶、甜叶子树、胖稠、甜味茶、大叶稠子、苷茶等,系壳斗科石柯属常绿乔木。以野生状态分布于我国长江以南各省区海拔500米至2500米以上的低山密林中,尤以江西、广西、湖南、安徽等省资源丰富。木姜叶柯的化学成分主要为黄酮类和三萜类,其中二氢查尔酮类是其甜味的主要来源,现代研究初步表表明,木姜叶柯具有较广的生物活性,如降血糖、抗氧化、抗过敏和抗微生物,且安全无毒。
因此,研究与开发防治老年痴呆天然安全的药物或保健食品成为当今重要的研究课题。木姜叶柯的提取物是否可以用于防治老年性痴呆,从病理病因上阻止或逆转病情进展,本发明旨在解决该问题。
发明内容
本发明人的研究发现木姜叶柯能明显改善阿尔茨海默症模型动物全身炎症症状,可以有效改善大脑海马区老年斑的沉积,并高效抑制哺乳动物雷帕霉素靶蛋白复合体(mammalian target of rapamycin complex 1,mTORC1)通路,促进自噬标志分子微管结合蛋白1A/1B轻链3I型(microtubule-associated protein 1A/1B-light chain 3I,LC 3I)到LC 3II转化,从而大大强化细胞清理代谢废物机能,使得细胞获得“再生”,对包括阿尔茨海默症为主的老年性痴呆症均有确切的疗效。
本发明公开了木姜叶柯在制备预防或治疗神经退行性疾病诸如老年性痴呆的药物或保健品中的应用。
在一个实施例中,木姜叶柯为一种木姜叶柯提取物或包含木姜叶柯提取物的组合物。
在一个实施例中,所述木姜叶柯的提取物的制备方法为:
使用乙醇浸泡木姜叶柯的叶子,采用超声波辅助提取,提取后的乙醇溶液用旋转蒸发器减压蒸发乙醇,得到木姜叶柯的提取物;使用树脂纯化木姜叶柯的提取物。所述木姜叶柯的提取物为木姜叶柯黄酮。
在一个具体实施例中,所述木姜叶柯的干燥至恒重的叶经过粉粹,过40-100目筛诸如60目筛后,用50%至95%诸如70%乙醇浸泡12-36小时,诸如24小时,然后采用超声波辅助提取方法提取木姜叶柯黄酮。其中,优选地,粉碎的叶子过40、50、60、70、80、90、或100目筛;浸泡粉碎叶的乙醇浓度优选为50%至95%,例如50%、60%、70%、80%、90%、95%;浸泡的时间优选12、16、20、24、28、32、或36小时。
在一个具体实施例中,浸泡粉碎的叶的乙醇浓度70%、粉碎的叶和乙醇的固液重量比1:20-1:50,例如1:20、1:25、1:30、1:35、1:40、1:45、1:50,优选为1:35;超声波辅助提取的超声功率540W,超声提取10-30分钟,优选为15分钟。
使用旋转蒸发器减压蒸发提取后的乙醇,得到木姜叶柯黄酮。木姜叶柯黄酮用AB-8树脂纯化,工艺条件为:吸附流速为0.2-1.0mL/分钟,优选为0.5mL/分钟;洗脱乙醇浓度为30%至90%诸如90%,洗脱体积为1.0-3.0BV,优选为1.875BV(床体积),洗脱剂流速为0.5-2.0mL/分钟,优选为1mL/分钟。
如前述的神经退行性疾病选自阿尔茨海默病、血管性痴呆、和阿尔茨海默病和血管性痴呆并存的混合性痴呆中的至少一种。
优选地,老年性痴呆为阿尔茨海默病。
如前任意所述药品的剂型包括但不限于以下组中的至少一种:丸剂、散剂、颗粒剂、片剂、煎膏剂、贴膏剂、滴丸剂、胶囊剂、糖浆剂、合剂、酒剂、酊剂、茶剂、搽剂、洗剂、涂膜剂、膏药、气雾剂、喷雾剂、注射剂、露剂等。
其中,所述药品还包括药学上可接受的载体或辅料,所述辅料包括但不限于以下组中的至少一种:淀粉、糊精、乳糖、微晶纤维素、羟丙甲基纤维素、聚乙二醇、硬脂酸镁、微粉硅胶、木糖醇、乳糖醇、葡萄糖、甘氨酸、甘露醇、甘氨酸等。
如前任意所述保健品包括片剂、胶囊剂、口服液、液体饮料、保健茶、和食品添加剂中的至少一种。
在一个具体实施例中,所述木姜叶柯能够具有以下生物学功能的一种以上:
1)抑制皮层和海马中老年斑(Senile Plaques,简称SP)沉积;
2)抑制血清内炎症因子表达;
3)抑制mTORC1的激活;
4)促进细胞自噬;
5)维持免疫细胞的存活和促进DNA损伤修复。
发明有益效果
与现有技术相比,本发明的有益效果在于本发明首次公开木姜叶柯提取物在制备治疗阿尔茨海默症药物及保健品中的用途。采用相关药理学实验进行木姜叶柯提取物防治阿尔茨海默症的药效学评价,分别从改善全身炎症症状、抑制Aβ的沉积、促进细胞自噬,以及帮助细胞损伤修复等多方面,阐明该提取物多途径、多靶点治疗阿尔茨海默病的用途。因此,木姜叶柯提取物在治疗阿尔茨海默症中具有广泛的应用背景,可应用于制备抗阿尔茨海默症药物和保健品。
附图说明
图1示出木姜叶柯提取物对APP/PS1双转基因小鼠皮层和海马中老年斑(SP)的影响。
图2示出木姜叶柯提取物对APP/PS1双转基因小鼠血清内炎症因子的影响。
图3示出木姜叶柯提取物对mTORC1的抑制作用。
图4示出木姜叶柯提取物可以促进细胞自噬。
图5示出穗柯提取物可以维持免疫细胞的存活和促进DNA损伤修复。
具体实施方式
下面将通过具体描述,对本发明作进一步的说明。
除非另有限定,本文中所使用的所有技术和科学术语具有与本发明所属技术领域的普通技术人员通常理解相同的含义。
本申请中,单数形式“一个”、“该”包括复数对象,除非上下文另外清楚规定。
定义
如本文所用的术语“老年性痴呆”、“老年痴呆”可互换,是指一种进行性发展的神经系统退行性疾病。临床上以记忆障碍、失语、失用、失认、视空间技能损害、执行功能障碍以及人格和行为改变等为代表症状,老年性痴呆包括阿尔茨海默病、血管性痴呆(又称老年人血管性痴呆)、阿尔茨海默病和血管性痴呆并存的混合性痴呆等中的一种以上。阿尔茨海默病致病机制假说是淀粉样蛋白假说,该假说认为Amyloidβ(简称Aβ)肽在脑组织中的蓄积是AD的主要驱动因素:AD的标志性病理学特征是细胞外淀粉样斑块(老年斑)在脑内的沉积,这些淀粉样斑块主要由Aβ肽组成。血管性痴呆中,致病机理主要是由于血管的病变阻碍了血流,脑细胞无法得到充足的氧气与营养,由此便会导致脑细胞的死亡与认知功能受损,出现痴呆的症状。研究证明,在血管性痴呆进程中,神经炎症反应的起着很重要的作用。脑细胞缺氧导致了内皮细胞功能障碍,从而增加了血脑屏障渗透性,这导致了包括纤维蛋白原在内的血浆蛋白的外渗进入大脑。纤维蛋白原激活了CD11b和Toll样受体,导致活性氧的产生,促炎细胞因子的产生,和小神经胶质细胞、星形胶质细胞等的活化。炎症反过来又加剧了血脑屏障的瓦解,并诱导内皮细胞粘附分子的表达,导致白细胞和血小板粘附和微血管闭塞,从而加重了血管性痴呆的症状。
如本文所用的术语“木姜叶柯”学名为Lithocarpus litseifolius(Hance)Chun,又称为“溆浦瑶茶”或“多穗石柯”、“多穗柯”(拉丁名为Lithocarpus polystachyus(Wall.)或“Lithocarpus polystachyaw(wall.)Rehd”Rehd.、),是指壳斗科柯属植物,,别名甜茶、甜叶子树、胖稠、甜味茶、大叶稠子、苷茶、多穗柯等,系壳斗科石柯属常绿乔木。
如本文所用的术语“木姜叶柯提取物”是指从木姜叶柯中经过提取获得的活性物质诸如黄酮。其中木姜叶柯提取物可以具有防治神经退行性疾病诸如老年性痴呆的功能。
实施例
通过以下实施例进一步说明本发明。提供实施例仅用于说明目的,并且不应被解释为以任何方式限制本发明的范围或内容。
实施例1:木姜叶柯提取物(ONC008)的提取方法
将干燥至恒重的木姜叶柯叶粉粹过60目铜筛后用70%乙醇浸泡24小时,然后采用超声波辅助提取方法提取木姜叶柯黄酮,具体参数为:乙醇浓度70%、固液比1:35、超声功率540W、超声提取15分钟,最后用旋转蒸发器减压蒸发提取后的乙醇,得到木姜叶柯黄酮。木姜叶柯黄酮用AB-8树脂纯化,工艺条件为:吸附流速为0.5mL/分钟,洗脱乙醇浓度为90%,洗脱体积为1.875BV(床体积),洗脱剂流速为1mL/分钟。
实施例2:在体研究证明ONC008对APP/PS1双转基因痴呆小鼠具有治疗作用
1材料
1.1实验动物
2月龄APP/PS1双转基因小鼠8只,雄性,体重25±2g,SPF级。APP/PS1双转基因小鼠能够很好地模拟AD的病理变化,是目前国际上公认的AD转基因动物模型,因此被广泛地应用于AD相关的研究。
1.2实验药物及试剂
通过实施例1制备得到的木姜叶柯提取物(编号为ONC008)的粉末,用温蒸馏水溶解;肿瘤坏死因子-α(Tumor necrosis factor alpha,简称TNF-α)抗体(#3707,Cellsignaling Technology)、白细胞介素1族(Interleukin 1beta,简称IL-1β)抗体(sc-32294,Santa Cruz Biotechnology)、白细胞介素6族(IL-6)抗体(ab6672,Abcam)和Aβ抗体(6E10,Biolegend)。
1.3主要仪器
Nikon A1R共聚焦显微镜,NIS-Elements计算机彩色图像处理系统,徕卡冰冻组织切片机,Fuji图像分析系统。
2方法
2.1分组与给药
按体重一致原则,随机将APP/PS1双转基因小鼠分为对照组和ONC008给药组,每组4只。模型组给以每日400mg/kg的ONC008,对照组给以等体积蒸馏水。各组小鼠给药8个月,至10月龄时处死提取组织样品。
2.2组织样品处理
提取血液和脑组织。从血液中提取血清并检测其中的细胞因子TNF-α、IL-1β和IL-6。一个脑半球用于提取蛋白样本,对另一半球进行多聚甲醛固定及冰冻切片和免疫组化染色。
2.3统计学处理
所得数据以均数±标准差表示,采用统计软件SigmaPlot12.5进行统计分析,组间数据比较用学生t检验,以P<0.05为差异有显著性意义。
3实验结果
尽管认知能力的减退包括记忆力障碍是阿尔茨海默症的临床表现之一,但这并不意味着能够改善记忆力的药物就能治疗阿尔茨海默症。例如,现有技术中的相反教导,觉醒促进剂莫达非尼(Modafinil)作为一种认知增强剂被广泛使用。但是莫达非尼在临床测试中并不能改善阿尔茨海默症病人的病症(参见Rea R,et al.Apathy in Alzheimer'sdisease:any effective treatment.Scientific World Journal,2014:421385)。然而,本发明是首次揭示了多穗柯甜茶提取物可以阻止或逆转病情进展,具有确切的疗效。
3.1ONC008对APP/PS1双转基因小鼠中老年斑的影响结果显示,与对照组比较,模型组小鼠皮层中老年斑数量和所占面积没有明显变化,模型组小鼠海马中老年斑数量没有明显变化,但所占脑区面积比显著减少,说明ONC008可减少APP/PS1双转基因小鼠海马中老年斑沉积(参见表1和图1)。
表1 ONC008对APP/PS1双转基因小鼠皮层和海马中老年斑(SP)的影响
3.2 ONC008对APP/PS1双转基因小鼠血清内炎症因子的影响结果显示,与对照组比较,TNF-α、IL-1β、IL-6的蛋白表达水平,均显著性降低,证明ONC008具有抗炎症作用(参见图2)。
实施例3:体外研究证明ONC008可激活细胞自噬从而促进细胞代谢废物的排除。
1.实验方法
分别给人上皮细胞系MCF-10A以1mg/mL的ONC008、100nM雷帕霉素(rapamycin)、10nM mTOR激酶抑制剂Torin1、或DMSO作为对照。MCF-10A经过处理5或12小时后,提取细胞总蛋白并利用免疫印迹法分别检测其中pS6(磷酸化位点S235/6)、pS6K1(磷酸化位点T389)和pAKT(磷酸化位点S473),或自噬标志分子LC3,其中以GAPDH为上样对照。
2.实验结果
2.1结果如图3所示雷帕霉素抑制了pS6和pS6K1/2,却激活了Akt,证明雷帕霉素抑制了mTORC1,同时激活了S6K1/2-IRS-PI3K负反馈通路。mTOR激酶抑制剂Torin1抑制了pS6、pS6K1/2和pAKT,证明Torin1同时抑制了mTORC1和mTORC2。而ONC008减少了pS6和pS6K1/2,但是没有改变pAKT,证明ONC008抑制了mTORC1和S6K1/2。
2.2如图4结果显示ONC008可以将LC3I转换为LC3II,表明ONC008可以促进细胞自噬。
实施例4:ONC008可以维持免疫细胞的存活
1.实验方法
通过磁性分拣法用CD34分选磁珠从人类脐带血细胞中提纯造血干细胞/祖细胞并进行培养,并加入4μg/mLONC008或对照纯水分别处理72小时。提取细胞总蛋白并利用免疫印迹法检测其中p-NFκB-65、LC3、裂解的caspase 3、ribonucleotide reductase subunits1和2(RRM1 and RRM2)、p-S6K1、pS6、和γH2AX,其中以GAPDH为上样对照。
2.实验结果
2.1如图5左所示,ONC008可以促进LC3I转换为LC3II,并减少了细胞凋亡标志分子裂解的caspase 3,提示ONC008可以通过维持免疫细胞的存活来增强免疫力。
2.2如图5右所示,ONC008增加了在DNA修复过程中起到重要作用的RRM1和RRM2的表达,提示ONC008可以促进DNA损伤修复,从而提高细胞的存活率。
通过引用并入
本文引用的每个专利文献和科学文献的全部公开内容通过引用并入本文用于所有目的。
等效
本发明可以在不脱离其基本特征的情况下以其他具体形式实施。因此,前述实施例被认为是说明性的,而不是对本文所述的本发明的限制。本发明的范围由所附权利要求书而不是由前述说明书表示,并且意在将落入权利要求书的等同物的含义和范围内的所有改变包括在其中。
Claims (12)
1.木姜叶柯在制备预防或治疗神经退行性疾病的药物或保健品中的应用。
2.如权利要求1所述的应用,其中,木姜叶柯为一种木姜叶柯的提取物或包含木姜叶柯的提取物的组合物。
3.如权利要求2所述的应用,其中,所述木姜叶柯的提取物的制备方法为:
使用乙醇浸泡粉粹的木姜叶柯的叶,采用超声波辅助提取,提取后的乙醇溶液用旋转蒸发器减压蒸发乙醇,得到木姜叶柯的提取物;使用树脂纯化木姜叶柯的提取物。
4.如权利要求3所述的应用,其中,所述木姜叶柯的提取物为木姜叶柯黄酮。
5.如权利要求2所述的应用,其中,所述浸泡木姜叶柯的乙醇浓度为50%至95%,所述纯化步骤中洗脱液乙醇浓度为30%至90%。
6.如权利要求5所述的应用,其中所述浸泡木姜叶柯的乙醇浓度为70%,所述纯化步骤中洗脱液乙醇浓度为90%。
7.如权利要求1所述的应用,其中,神经退行性疾病选自阿尔茨海默病、血管性痴呆、和阿尔茨海默病和血管性痴呆并存的混合性痴呆中的至少一种。
8.如权利要求7所述的应用,其中,神经退行性疾病为阿尔茨海默病。
9.如权利要求1至8任一项所述的应用,其中,所述药品的剂型选自丸剂、散剂、颗粒剂、片剂、煎膏剂、贴膏剂、滴丸剂、胶囊剂、糖浆剂、合剂、酒剂、酊剂、茶剂、搽剂、洗剂、涂膜剂、膏药、气雾剂、喷雾剂、注射剂、和露剂等的至少一种。
10.如权利要求9所述的应用,其中,所述药品还包括药学上可接受的载体或辅料,所述辅料选自淀粉、糊精、乳糖、微晶纤维素、羟丙甲基纤维素、聚乙二醇、硬脂酸镁、微粉硅胶、木糖醇、乳糖醇、葡萄糖、甘氨酸、甘露醇、和甘氨酸等的至少一种。
11.如权利要求1至8任一项所述的应用,其中,所述保健品选自片剂、胶囊剂、口服液、液体饮料、保健茶、和食品添加剂的至少一种。
12.如权利要求1至8任一项所述的应用,其中,所述木姜叶柯能够具有以下生物学功能的至少一种:
1)抑制皮层和海马中老年斑(SP)沉积;
2)抑制血清内炎症因子表达;
3)抑制mTORC1的激活;
4)促进细胞自噬;
5)维持免疫细胞的存活和促进DNA损伤修复。
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