CN115969840A - 马兜铃酸IVa在制备治疗自身免疫性疾病的药物中的应用 - Google Patents
马兜铃酸IVa在制备治疗自身免疫性疾病的药物中的应用 Download PDFInfo
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Abstract
Description
技术领域
本发明属于医药制备领域,特别涉及马兜铃酸IVa在制备治疗自身免疫性疾病的药物中的应用,特别是马兜铃酸IVa通过靶向结合磷脂酶A2抑制TNFα用于治疗炎症性肠病和类风湿关节炎。
背景技术
磷脂酶A2(PLA2)是一类催化磷脂sn-2位酰基水解的酶超家族,是内源性花生四烯酸、溶血卵磷脂等炎性介质形成的限速酶,广泛参与急、慢性炎症过程。PLA2主要可分为分泌型、胞质型、和非钙离子依赖型等,PLA2抑制剂具有抗炎、抗过敏作用。
自身免疫性疾病是一类由于免疫系统失调引起的慢性疾病,其发病机制尚不明确,主要包括炎症性肠病和类风湿性关节炎等,其主要治疗策略为缓解患者症状,延长缓解期。患者病理上多表现为靶器官(如肠道或关节)炎性细胞大量浸润和炎性细胞因子相关表达增高。肿瘤坏死因子α(TNFα)是一类重要的促炎细胞因子,在临床疾病,尤其是自身免疫性疾病中发挥重要作用,临床上多采用抑制患者体内TNFα表达来缓解患者自身免疫性疾病症状的重要手段。
PLA2抑制剂在治疗动脉粥样硬化、炎性疾病和肾脏疾病中展示出巨大潜力,多项临床试验正在进行中。抗TNFα生物制剂(如英夫利息单抗、高利单抗)是目前自身免疫性疾病的临床一线用药,可通过靶向抑制TNFα达到缓解患者症状的目的。抗TNFα生物制剂价格昂贵,一般通过肌注摄入患者体内。临床研究显示,约有30%-40%患者对抗TNFα生物制剂不敏感,而且抗TNFα生物制剂可能会提高患者感染与结核发病风险。
马兜铃植物具有抗炎镇痛的效果,用药方式有外敷和口服等治疗方式,但其发挥药效的具体机制未知。马兜铃酸IVa(AAIVa)是马兜铃植物中的天然成分,研究表明AAIVa无明显毒性,具有较好的安全性,目前尚未有AAIVa用于治疗自身免疫性疾病如结肠炎或关节炎的相关报道。
发明内容
本发明的目的是提供马兜铃酸IVa在制备治疗自身免疫性疾病的药物中的应用,特别是马兜铃酸IVa通过靶向结合磷脂酶A2抑制TNFα用于治疗炎症性肠病和类风湿关节炎。
为实现上述目的,本发明采用如下技术方案:
作为优选,所述药物以马兜铃酸IVa作为活性成分,应用剂量为0.1–100uM,更优选为50–100uM。
作为优选,所述药物还包括药学可接受的载体或稀释剂,“药学上可接受的载体”指药物中的非活性成分,包括但不限于碳酸钙、磷酸钙、各种糖例如乳糖、甘露醇等、淀粉、环糊精、硬脂酸镁、纤维素、碳酸镁、丙烯酸聚合物或甲基丙烯酸聚合物、凝胶、水、聚乙二醇、丙二醇、乙二醇、蓖麻油或氢化蓖麻油或多乙氧基氢化蓖麻油、芝麻油、玉米油、花生油。
“药学上可接受的稀释剂”包括但不限于淀粉(如玉米淀粉、小麦淀粉、马铃薯淀粉等)、乳糖、糊精、蔗糖、预胶化淀粉、微晶纤维素、无机盐类(如磷酸氢钙、硫酸钙、残酸钙等)和甘露醇。
作为优选,所述药物选自片剂、胶囊剂、颗粒剂、滴丸剂、混悬剂、糖浆剂、敷剂、肠溶制剂、乳剂悬浮液和注射剂中的至少一种制剂形式。
本发明的第二方面提供马兜铃酸IVa在制备PLA2抑制剂中的应用,应用剂量为0.1–100uM,更优选为50–100uM。
作为优选,PLA2为PLA2R1亚型。
本发明的第三方面提供马兜铃酸IVa在制备TNFα抑制剂中的应用,马兜铃酸IVa通过靶向结合磷脂酶A2抑制TNFα,应用剂量为0.1–100uM,更优选为50–100uM。
与现有技术相比,本发明具有以下有益效果:
(1)本发明通过体外细胞实验和动物实验发现,马兜铃酸IVa可以通过靶向PLA2抑制TNFα,且具有明显的抑制作用,可作为先导化合物用于制备治疗自身免疫性疾病如关节炎和炎性肠病的药物,也可以用于制备PLA2抑制剂或TNFα抑制剂。
(2)本发明中AAIVa是一种天然、无遗传毒性、无致癌性的化合物,本发明显示其可不仅具有开发成为新一代自身免疫性疾病如类风湿性关节炎、炎性肠病的治疗药物的潜力,同时在PLA2或TNFα的靶向抑制剂方面具有潜在的应用价值。
附图说明
图1为实施例中AAs与蛇源PLA2结合能的计算结果。
图2为实施例中AlphaFold 2预测与AAIVa结合的PLA2亚型前三个的结合位点。
图3为实施例中AAIVa靶向结合PLA2R1的实验验证结果。
图4为实施例中AAIVa对LPS刺激后RAW 264.7细胞上清中炎症因子含量的影响。
图5为实施例中AAIVa在TNF-IRES-Luc小鼠体内降低LPS诱导的全身炎症的实验验证结果。
图6为实施例中AAIVa减轻DSS诱导小鼠溃疡性结肠炎的实验验证结果。
具体实施方式
为使本发明实施例的目的、技术方案和优点更加清楚,下面结合本发明实施例的附图,对本发明实施例的技术方案进行清楚、完整地描述。显然,所描述的实施例是本发明的一部分实施例,而不是全部的实施例。基于所描述的本发明的实施例,本领域普通技术人员在无需创造性劳动的前提下所获得的所有其它实施例,都属于本发明保护的范围。
实施例1计算机预测AAIVa抑制蛇源PLA2的能力强于AAI
实验方法:AAI、9-OH AAI、AAIVa与蛇源PLA2(PDB ID:1FV0)结合的能力用GROMACS(CHARMM27 force field)计算,Swiss server(http://www.swissparam.ch)用以制备拓扑兼容。
实验结果:文献报道AAs可以抑制蛇毒PLA2活性,并计算9-OH AAI与蛇源PLA2的结合能与结合位点,如图1所示,蛇源PLA2属于分泌型PLA2,对该蛋白进行类似的计算和预测发现,R1位的羟基(图1黄色箭头)有利于增大结合能,显示AAⅣa比AAI和9-OH AAI具有更高的结合能,提示其抑制PLA2能力更强。
实施例2基于AlphaFold 2预测与AAIVa结合的PLA2亚型鉴定
实验方法:将AlphaFold2预测的蛋白结构数据库中所有的人源PLA2共28种亚型:PLA2G4A、PLA2G10、PLA2G6、PLA2G2A、PLA2G7、PLA2G1B、PLA2G15、PLA2G3、PRDX6、PLA2G5、PLAAT3、PLA2G2C、PLA2G4F、PLA2G4E、PLA2G4B、OC90、PLA2R1、LYPLA2、PLA2G4D、PNPLA2、PAFAH2、PLA2G12B、PLA2G12A、PLA2G2F、PGAP6、PLA2G2E、PLA2G2D、PLA2G4C进行分子对接。
实验结果:将AlphaFold2蛋白结构数据库中所有人类PLA2亚型共计28种,与AAIVa进行分子对接,计算AAIVa与PLA2亚型结合反应能,如图2所示,亲和力最强的前三个分别为PLA2R1(-8.5kcal/mol)、PLA2G6(-8.6kcal/mol)和PLA2G1B(-7.6kcal/mol)。
实施例3AAIVa靶向结合PLA2R1的实验验证
实验试剂:AAIVa(CAS:17413-38-6,Lot:12645)购自上海诗丹德公司。
实验材料:RAW264.7细胞购自上海中国科学院细胞库。
实验仪器:Bio-Rad GelDox XR。
实验方法:DMSO或AAIVa处理RAW 264.7 2h后,收集细胞,用PBS清洗2次后,将细胞重悬到1mL体积。将细胞等体积分为4管细胞后,将DMSO/AAIVa分别用不同梯度温度孵育。温度孵育后化冻速溶三次,收集上清进行Western blotting实验。
实验结果:如图3所示,AAIVa处理后,PLA2R1稳定性增加,结果显示AAIVa靶向PLA2R1。
实施例4AAIVa在RAW264.7中降低TNFα表达
实验试剂:脂多糖(LPS)购自Sigma-Aldrich,Lot号:L2630。
通用型RNA提取裂解液(Lot号:9109)购自Takara。
逆转录试剂盒:HiScript II Q RT SuperMix(Lot号:R223-01)购自诺唯赞。
PCR试剂:ChamQ Universal SYBR qPCR Master Mix(Q711-02)购自诺唯赞。
AAIVa购自上海诗丹德公司。
实验材料:RAW264.7细胞购自上海中国科学院细胞库。
实验方法:经LPS诱导后的Raw264.7是一个经典的细胞炎症模型,细胞融合度80%–90%时在六孔板中种板。用AAⅠ与AAIVa处理细胞2h后,吸走上清,撤去AAⅠ与AAIVa。再用LPS(150ng/mL)处理细胞6h后,轻柔吹打下细胞,1000rpm 3min离心后,保留上清用以测定TNFα含量,加入1mL通用型RNA提取裂解液用于qRT PCR。
统计方法:数据均表示为均数±标准误,单因素方差分析用以计算显著性差异,p<0.05被认为有统计学意义。
实验结果:如图4所示,AAIVa降低LPS诱导后RAW 264.7细胞中的TNFα与IL-6含量,与空白对照组相比,LPS处理细胞约升高6倍TNFα含量,而AAIVa预处理则只升高了约4.3倍(AAIVa,50μM)、3倍(AAIVa,100μM)TNFα含量,预处理AAIVa(50,100μM)可显著降低IL-6在LPS诱导后RAW 264.7细胞上清中的含量。
实施例5AAIVa在TNF-IRES-Luc小鼠体内降低TNFα荧光强度
实验试剂:同实施例4。
实验材料:三月龄的SPF级别的TNF-IRES-Luc雄性C57BL/6J小鼠,饲养于SPF级条件,适应性喂养一周后进行实验。
实验仪器:IVIS Lumina Series III system(Perkin Elmer,WLM,USA)。
实验方法:TNF-IRES-Luc小鼠提前45min给0.9%生理盐水,或AAIVa(100mg/kg,i.g.)后,所有小鼠均腹腔注射LPS(n=3)。在0h、30min、3h、6h、8h、24h观察TNF荧光强度变化。
统计方法:同实施例4。
实验结果:如图5所示,AAIVa在TNF-IRES-Luc小鼠中降低LPS引起的TNFα荧光强度,提示AAIVa抗炎起效快且时间短。所有小鼠在0h本底TNFα荧光强度均在5-9×107(p/s),证明所有小鼠本底TNFα表达水平相同(图5b)。LPS刺激后,TNFα荧光强度在3h达到峰值(~8.7×108p/s)。AAIVa 100mg/kg在3h显著降低LPS诱导的TNFα荧光强度(~2.9×108p/s),但AAIVa在6、8、24h并未降低LPS诱导的TNFα荧光强度。同时,阳性对照地塞米松在检测的各个时间点都显著性降低LPS刺激后TNFα荧光强度。
实施例6AAIVa缓解葡聚糖硫酸钠诱导的结肠炎
实验试剂:葡聚糖硫酸钠(DSS,CAS:9011-18-1)购自MP Biomedicals公司,货号S2839。
AAIVa(CAS:17413-38-6,Lot:12645)购自上海诗丹德公司。
实验材料:鼠龄为八周左右的SPF级别C57BL/6J雄性小鼠购自北京维通利华公司,小鼠饲养于温度24-26℃,湿度40%-60%左右,采用12小时明暗昼夜节律照明的清洁级条件,小鼠适应性饲养三天后进行实验。
实验仪器:病理切片机(RM2016)购自徕卡公司,组织摊片机(KD-P)购自科迪仪器。
实验方法:小鼠随机分为两组:DSS造模组,DSS造模+AAIVa治疗组。一组予以3.5%DSS溶液并20mL/kg/天0.9%生理盐水灌胃(n=5),一组予以AAIVa 15mg/kg/天20mL/kg灌胃(n=5)。小鼠每天称重,第十一天后进行解剖并取材。
统计方法:数据均表示为均数±标准误,单因素方差分析用以计算显著性差异,p<0.05被认为有统计学意义。
实验结果:如图6所示,AAIVa可显著缓解DSS引起的小鼠肠炎,提示其可用于治疗结肠炎。仅饮用DSS溶液的小鼠在第7天出现严重腹泻、便血等急性结肠炎现象,解剖可见结肠缩短(图6a,b),病理可见DSS造模组小肠结构萎缩,局部糜烂并伴有大量炎性细胞浸润(图6e)。与DSS造模组相比,处理AAIVa 15mg/kg的DSS小鼠的便血情况更为轻微、体重下降较少,解剖可见结肠长度增加(图6a,b)。AAIVa+DSS组小鼠病理肠道结构清晰,无糜烂萎缩,仅有少量炎性细胞浸润(图6e)。与DSS造模组相比,AAIVa+DSS组显著降低结肠炎病理评分,AAIVa+DSS组小肠组织中炎症因子TNFα水平显著低于DSS造模组(图6c)。
以上所述为本发明的较佳实施例而已,但本发明不应该局限于该实施例所公开的内容。所以凡是不脱离本发明所公开的精神下完成的等效或修改,都落入本发明保护的范围。
Claims (8)
2.根据权利要求1所述的应用,其特征在于,所述药物以马兜铃酸IVa作为活性成分,应用剂量为0.1–100uM。
3.根据权利要求2所述的应用,其特征在于,所述药物还包括药学可接受的载体或稀释剂,所述药物选自片剂、胶囊剂、颗粒剂、滴丸剂、混悬剂、糖浆剂、敷剂、肠溶制剂、乳剂悬浮液和注射剂中的至少一种制剂形式。
4.马兜铃酸IVa在制备PLA2抑制剂中的应用。
5.根据权利要求4所述的应用,其特征在于,所述PLA2抑制剂以马兜铃酸IVa作为活性成分,应用剂量为0.1–100uM。
6.根据权利要求4所述的应用,其特征在于,PLA2为PLA2R1亚型。
7.马兜铃酸IVa在制备TNFα抑制剂中的应用。
8.根据权利要求7所述的应用,其特征在于,所述TNFα抑制剂以马兜铃酸IVa作为活性成分,马兜铃酸IVa通过靶向结合PLA2抑制TNFα,应用剂量为0.1–100uM。
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