CN116115657A - Use of lysimachia capillipes or extracts thereof as medicines - Google Patents

Use of lysimachia capillipes or extracts thereof as medicines Download PDF

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CN116115657A
CN116115657A CN202310227614.2A CN202310227614A CN116115657A CN 116115657 A CN116115657 A CN 116115657A CN 202310227614 A CN202310227614 A CN 202310227614A CN 116115657 A CN116115657 A CN 116115657A
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lysimachia capillipes
medicament
extracts
lysimachia
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CN116115657B (en
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田景奎
李守信
朱玮
张晓勇
李伟
李瑶函
王露萍
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Institute Of Basic Medicine And Oncology Chinese Academy Of Sciences Preparatory
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Institute Of Basic Medicine And Oncology Chinese Academy Of Sciences Preparatory
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Inorganic Chemistry (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Dermatology (AREA)
  • Biotechnology (AREA)
  • Botany (AREA)
  • Medical Informatics (AREA)
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  • Mycology (AREA)
  • Medicines Containing Plant Substances (AREA)

Abstract

The invention provides an application of lysimachia capillipes or an extract thereof as a medicament, belonging to the field of traditional Chinese medicine pharmacy. The present invention prevents, improves or treats hand-foot syndrome or rash caused by a cancer therapeutic agent by administering an effective dose of lysimachia capillipes or an extract thereof to a cancer patient. The lysimachia capillipes or the extract thereof provided by the invention has the advantages of low cost, good curative effect and safe use.

Description

Use of lysimachia capillipes or extracts thereof as medicines
Technical Field
The invention belongs to the field of medicines, and in particular relates to application of a lysimachia capillipes extract in preventing, improving and treating hand-foot syndrome or rash of a patient caused by a cancer therapeutic drug.
Background
Cancer is one of the major causes of morbidity and mortality in humans, and 1929 ten thousand new cancer patients worldwide in 2020, resulted in 996 ten thousand deaths. With the deep understanding of cancer, the medicines for treating cancer are also greatly developed, and can be divided into chemotherapeutic medicines, hormone medicines, targeted medicines, immunodetection point inhibitors, biological reactants and the like according to different action mechanisms, and the application of the medicines delays the disease process of patients to a certain extent and prolongs the survival time of the patients. However, while benefiting from this, some patients suffer from the toxic side effects of these drugs. The skin toxicity is the common toxicity of the cancer therapeutic drugs, and is manifested by hand-foot syndrome, rash, skin itch and the like with different degrees. The hand-foot syndrome is characterized by numbness, dullness, paresthesia, tingling, no pain or pain, swelling or erythema of the skin, desquamation, chapping, induration-like blisters or severe pain, etc. Hand-foot syndrome is common skin toxicity of chemotherapy drugs such as gemcitabine and targeting drugs such as sunitinib. Rash is one of the common side effects of targeted drugs, wherein the drug with rash is tarcemide (erlotinib), iressa (gefitinib), kemelner (icotinib), crizotinib and the like, and the rash is also common skin toxicity of immune checkpoint drugs such as palbociclib, na Wu Liyou mab and the like. Skin toxicity such as hand-foot syndrome and rash caused by cancer treatment drugs not only directly brings pain to patients, but also is one of the common causes of dose reduction and/or treatment suspension of the anti-cancer drugs, and the potential benefits of anti-cancer therapy are often limited. Because of the complex and incomplete mechanisms by which cancer therapeutic agents are generated for skin toxicity, therapeutic, nursing agents and methods are also extremely limited, including only the use of emollients, corticosteroids and the discontinuation or reduction of doses of the associated anti-cancer therapies, there is an urgent need for new therapeutic methods that are more effective.
Herba Lysimachiae Foenumgraeci (Lysimachia capillipes hemsl.) is plant of genus Phyllostachys of family Prinsepiaceae, and also named caulis et folium Rhododendri mollis, herba Aristolochiae Kaempferi, herba Aristolochiae Mollissimae, etc., and is used for treating common cold, asthma, menoxenia, rheumatism and rheumatoid diseases in clinic, and comprises compounds such as flavone and saponin. Pharmacological studies show that the lysimachia capillipes hance saponin has a certain inhibition effect on the growth of tumor cells.
Disclosure of Invention
In order to overcome the defects of the prior art in preventing, improving and treating hand-foot syndrome or rash of a tumor patient caused by tumor treatment medicines, the invention provides the application of lysimachia capillipes or the extract thereof as medicines.
The invention is realized by adopting the following technical scheme:
the invention provides a use of lysimachia capillipes or extracts thereof as a medicament for preventing, ameliorating or treating hand-foot syndrome or rash caused by a tumor therapeutic medicament at an effective dose.
Preferably, the medicine is lysimachia capillipes, and the lysimachia capillipes adopts medicinal materials, decoction pieces, powder, superfine powder or nano powder.
Preferably, the medicament is a lysimachia capillipes extract. The herba Lysimachiae Foenumgraeci extract is obtained by directly extracting herba Lysimachiae Foenumgraeci medicinal materials, decoction pieces, powder, superfine powder or nanometer powder with aqueous solvent or nonaqueous solvent or further separating and purifying to obtain extract, effective component group and effective component.
Further, the content of the lysimachia capillipes hemsl saponin B and/or the lysimachia capillipes hemsl saponin C in the lysimachia capillipes hemsl extract is 1-99.9%; preferably, the content of the lysimachia capillipes hance saponin B and/or the lysimachia capillipes hance saponin C in the lysimachia capillipes hance extract is 30-70%.
Preferably, the medicament is in the form of an ointment, emulsion, gel latex, lotion or patch.
Preferably, the drug is in the form of a latex.
Further, pharmaceutically or cosmetically acceptable adjuvants are added to the latex, preferably one or more of moisturizer, preservative, antioxidant, emulsifier, thickener or transdermal enhancer.
Further, the latex comprises the following substances in parts by weight per 100 parts by weight: 0.1-20 parts of lysimachia capillipes extract, 0.2-5 parts of carbomer, 1-20 parts of glycerol, 1-10 parts of urea, 0.1-5 parts of borneol, 1-20 parts of liquid paraffin, 0.1-5 parts of tween-80, 0.05-0.4 part of nipagin ester and the balance of water.
Further, the chymosin consists of 5 parts of lysimachia capillipes extract, 0.5 part of carbomer, 10 parts of glycerol, 5 parts of urea, 2 parts of borneol, 8 parts of liquid paraffin, 1 part of tween-80, 0.1 part of nipagin ester and 68.4 parts of water by weight.
Preferably, the tumor therapeutic agent comprises a chemotherapeutic agent, a targeting agent and an immune checkpoint inhibitor.
The beneficial effects of the invention are as follows:
the invention provides an application of lysimachia capillipes or an extract thereof in preventing, improving and treating hand-foot syndrome or rash of patients caused by tumor therapeutic drugs. The lysimachia capillipes hance medicinal material has low cost, and the lysimachia capillipes hance or the extract thereof is used as a medicament for treating hand-foot syndrome or rash caused by a medicament for treating tumors, so that the lysimachia capillipes hance medicinal material has safe use and good curative effect, and has great clinical development value.
Detailed Description
The present invention will be further described with reference to specific examples, which are not intended to be limiting, so that those skilled in the art will better understand the present invention and practice it.
Example 1:
the present example provides clinical results of a patient with hand-foot syndrome or rash caused by vanilla chymosin as a drug to treat tumors.
The preparation method of the lysimachia capillipes gel emulsion comprises the following steps:
(1) Preparation of Lysimachia capillipes extract
50kg of lysimachia capillipes is taken, cut into segments, extracted twice with 70% ethanol, the ethanol is recovered from the extract and adsorbed by macroporous resin, then the extract is eluted by 4 times of volume of water, 3 times of volume of 40% ethanol and 4 times of volume of 70% ethanol in sequence, 70% ethanol eluent is collected, concentrated and dried, and 1.5kg of lysimachia capillipes extract is obtained, wherein the sum of the content of lysimachia capillipes saponin B and the content of lysimachia capillipes saponin C is 40.2%.
(2) Taking 5 parts of the lysimachia capillipes extract prepared in the step (1), 0.5 part of carbomer, 10 parts of glycerol, 5 parts of urea, 2 parts of borneol, 8 parts of liquid paraffin, 1 part of tween-80, 0.1 part of nipagin ester and 68.4 parts of purified water. Dissolving the carbomer, the lysimachia capillipes extract and urea with water to obtain a water phase; mixing glycerol, borneolum Syntheticum, liquid paraffin, tween-80 and nipagin ester, and dissolving to obtain oil phase. Mixing the water phase and the oil phase, homogenizing and emulsifying to obtain the lysimachia capillipes gel latex.
Example 2:
in this embodiment, the lysimachia capillipes gel latex is used as a medicament for treating 10 cases of patients suffering from hand-foot syndrome and 16 cases of patients suffering from skin rash caused by tumor treatment medicaments, and the specific treatment method is as follows:
the gel emulsion of the lysimachia capillipes is used for local treatment. The usage method is as follows: after the affected part is washed by local warm water, the lysimachia capillipes gel emulsion is applied to the affected part for 2-4 times per day.
6 patients with KPS score grade II among 6 patients with hand-foot syndrome and 4 patients with grade III. Under the condition that the tumor drug treatment is not stopped, the pain of 6 patients with II grades is obviously relieved after 7 days of treatment, the pain is completely relieved after 14 days, the swelling or the red spots are basically relieved, the normal life is not affected, and the HFS score is grade I; the treatment of the patients of class III for 7 days improves ulcers, blisters and/or pains, the treatment of 14 days reduces ulcers, blisters and/or pains basically, the treatment of 21 days reduces chapping and desquamation, the chapping and desquamation are completely relieved, normal life is not basically affected, the KPS score grade I is basically reduced, and the total relief rate is 100%.
The symptoms of 16 rash patients were rated II and had macula or pimple, or itching. Under the condition that the treatment of the tumor medicaments is not stopped, the rash or pimple or the pruritus of the patient are obviously relieved after 7 days of treatment, 10 cases of symptoms disappear after 14 days of treatment, 6 cases of patients with grade I are scored, and the total relief rate is 100%.
The application of 5 representative patients is as follows:
case 1: in men, patients with gastric cancer, treatment with his/her hands and feet syndrome, desquamation of the hands and feet, chapping, nail falling off and exudation, with severe pain, KPS grade III, has been afflicted with pain for 4 months, and his/her hands and feet are forced to decrease. The lysimachia capillipes gel latex prepared in the example 1 is applied to an affected part, chapping is relieved after one week, pain is relieved, desquamation and chapping are obviously improved after two weeks, the pain is basically relieved, chapping and desquamation are completely relieved after 21 days of treatment, normal life is not basically influenced, and KPS score grade I is realized.
Case 2: female patients with small intestinal stromal tumor, treatment with imatinib for three and a half years, recurrence and metastasis followed by treatment with sunitinib for 25 days, resulted in hand and foot syndrome, redness and swelling of finger tips, stinging such that night does not become somnolence, skin hardening, unfavorable finger flexion and extension, grade II KPS, were given the lysimachia capillipes gel prepared in example 1 above, applied to affected parts of both hands, and after 1 week, erythema and pain were significantly reduced, skin was softened, and after 2 weeks, grade I cancer treatment was continued.
Case 3: in men and patients with esophageal cancer, carelizumab treatment, after administration, large-area rash, itching and severe skin lesions occur in the back of the head and neck, and the vanilla gel latex prepared in the above example 1 is applied to the affected part 2-4 times a day, after 1 week, the rash subsides, and the skin lesions are basically healed.
Case 4: for men and patients with gastric cancer, the monoclonal antibody NA Wu Liyou is used for treating large-area rash, itching, skin lesions and pigmentation of the two lower legs, the lysimachia capillipes gel latex prepared in the example 1 is given, and the latex is applied to an affected part for 2-4 times a day, so that the rash is resolved after 10 days, and the skin lesions heal.
Case 5: in men, patients with non-small cell lung cancer, the treatment of Ecotinib caused large-area rash, itching, severe skin lesions, pigmentation on the back, and the administration of the vanilla gel latex prepared in example 1 above, the application to the affected area was 2-4 times per day, the itching was relieved after 2 days, the rash was resolved, and the skin lesions healed after 7 days.
The technical solutions of the examples described above are preferred embodiments of the present invention and do not limit the scope of the appended claims. Modifications and variations may be made without departing from the spirit and principles of the invention and are intended to be within the scope of the invention.

Claims (10)

1. Use of lysimachia capillipes or extracts thereof as a medicament for the prevention, amelioration or treatment of hand-foot syndrome or rash caused by a tumour treatment medicament at an effective dose.
2. The use of lysimachia capillipes or extracts thereof according to claim 1, as a medicament, wherein the medicament is lysimachia capillipes, and wherein the lysimachia capillipes is a medicinal material, a decoction piece, a powder, an ultra-micro powder or a nano powder.
3. Use of lysimachia capillipes or extracts thereof according to claim 1, as a medicament, wherein the medicament is a lysimachia capillipes extract; the herba Lysimachiae Foenumgraeci extract is extract, effective component group, and effective component obtained by directly extracting herba Lysimachiae Foenumgraeci medicinal material, decoction pieces, powder, superfine powder or nanometer powder with aqueous solvent or nonaqueous solvent or further separating and purifying.
4. Use of lysimachia capillipes or extracts thereof as a medicament according to claim 3, wherein the content of lysimachia capillipes saponins B and/or lysimachia capillipes saponins C in the lysimachia capillipes extract is 1-99.9%; preferably, the content of the lysimachia capillipes hance saponin B and/or the lysimachia capillipes hance saponin C in the lysimachia capillipes hance extract is 30-70%.
5. Use of lysimachia capillipes or extracts thereof according to claim 1, as a medicament, in the form of ointments, emulsions, gels, lotions or patches.
6. Use of lysimachia capillipes or extracts thereof according to claim 1, as a medicament, in the form of a latex.
7. The use of lysimachia capillipes or extracts thereof as a medicament according to claim 6, wherein pharmaceutically or cosmetically acceptable adjuvants are added to the gel latex, preferably one or more of moisturizers, preservatives, antioxidants, emulsifiers, thickeners or transdermal enhancers.
8. Use of lysimachia capillipes or extracts thereof as a medicament according to claim 6, wherein the latex comprises the following per 100 parts by weight: 0.1-20 parts of lysimachia capillipes extract, 0.2-5 parts of carbomer, 1-20 parts of glycerol, 1-10 parts of urea, 0.1-5 parts of borneol, 1-20 parts of liquid paraffin, 0.1-5 parts of tween-80, 0.05-0.4 part of nipagin ester and the balance of water.
9. The use of lysimachia capillipes or extracts thereof according to claim 6, wherein the chymosin consists of 5 parts of lysimachia capillipes extract, 0.5 parts of carbomer, 10 parts of glycerol, 5 parts of urea, 2 parts of borneol, 8 parts of liquid paraffin, 1 part of tween-80, 0.1 part of nipagin ester and 68.4 parts of water, in parts by weight.
10. Use of lysimachia capillipes or extracts thereof according to claims 1-9, as a medicament, wherein the tumour therapeutic agents include chemotherapeutic agents, targeted agents and immune checkpoint inhibitors.
CN202310227614.2A 2023-03-10 2023-03-10 Use of lysimachia capillipes or extracts thereof as medicines Active CN116115657B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108938759A (en) * 2017-05-25 2018-12-07 四川省中医药科学院 A kind of drug that treating hand-foot syndrome or daily chemical product composition and its preparation method and application
CN110772548A (en) * 2019-11-13 2020-02-11 常熟求是科技有限公司 Lysimachia capillipes extract and preparation method and application thereof
CN111184751A (en) * 2020-02-19 2020-05-22 常熟求是科技有限公司 External preparation containing lysimachia capillipes and application thereof

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108938759A (en) * 2017-05-25 2018-12-07 四川省中医药科学院 A kind of drug that treating hand-foot syndrome or daily chemical product composition and its preparation method and application
CN110772548A (en) * 2019-11-13 2020-02-11 常熟求是科技有限公司 Lysimachia capillipes extract and preparation method and application thereof
CN111184751A (en) * 2020-02-19 2020-05-22 常熟求是科技有限公司 External preparation containing lysimachia capillipes and application thereof

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
毛一鸣;郝利平;郭慧君;王琳;: "化疗性手足综合征中医治疗研究进展", 实用中医药杂志, no. 02, pages 269 - 270 *
汪洋等: "细梗香草总皂苷联合 5-氟尿嘧啶抗胆管癌 作用及其机制研究", 浙江中医药大学学报, vol. 42, no. 12, pages 989 - 995 *
洪挺;钱媛;杨毅生;: "细梗香草中化学成分及其抗肿瘤活性研究进展", 天然产物研究与开发, no. 06, pages 1092 - 1097 *

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