CN116270582A - Use of fenofibrate - Google Patents

Use of fenofibrate Download PDF

Info

Publication number
CN116270582A
CN116270582A CN202211478021.5A CN202211478021A CN116270582A CN 116270582 A CN116270582 A CN 116270582A CN 202211478021 A CN202211478021 A CN 202211478021A CN 116270582 A CN116270582 A CN 116270582A
Authority
CN
China
Prior art keywords
fenofibrate
disease
preparation
alzheimer
medicament
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202211478021.5A
Other languages
Chinese (zh)
Inventor
宋冬梅
请求不公布姓名
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Liaoning Kangchen Nuoxin Pharmaceutical Technology Co ltd
Original Assignee
Liaoning Kangchen Nuoxin Pharmaceutical Technology Co ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Liaoning Kangchen Nuoxin Pharmaceutical Technology Co ltd filed Critical Liaoning Kangchen Nuoxin Pharmaceutical Technology Co ltd
Priority to CN202211478021.5A priority Critical patent/CN116270582A/en
Publication of CN116270582A publication Critical patent/CN116270582A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/216Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acids having aromatic rings, e.g. benactizyne, clofibrate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • 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

Abstract

The invention relates to the technical field of biological medicines, in particular to application of fenofibrate, which comprises application of fenofibrate or a derivative thereof in preparing medicines for preventing and/or treating nervous system degenerative diseases.

Description

Use of fenofibrate
Technical Field
The invention belongs to the technical field of biological medicines, and particularly relates to application of fenofibrate, in particular to application of fenofibrate in preparation of medicines for treating neurodegenerative diseases including Alzheimer's disease.
Background
Alzheimer's Disease (AD) is a degenerative disorder of the nervous system, and due to its complex pathological mechanism, the onset of the disease is hidden, usually with a course of up to 10-25 years. The main clinical manifestation of AD is progressive cognitive dysfunction, and is gradually aggravated until the AD is free of autonomy, the whole process has no obvious typical symptoms, so the AD is very easy to ignore, and along with the longer course of the AD, most patients have no regeneration opportunity of apoptotic nerves in the brain at the time of diagnosis, which makes the treatment of AD difficult. Therefore, the development of a drug with good curative effect and high safety is very important for the treatment of the disease.
Western medicines currently used for treating AD mainly comprise acetylcholinesterase inhibitors, glutamate receptor antagonists, piracetam and other medicines for relieving AD symptoms. The acetylcholinesterase inhibitor can inhibit AChE production, increase Ach content, thereby increasing choline activity in human body, improving learning and memory ability, and improving AD symptoms, such as tacrine, donepezil, galantamine, rismin, etc. Glutamate receptor antagonists can inhibit the hyperactive state of Glu in the central nervous system, thereby reducing neuronal damage. Piracetam is a brain metabolism improving drug, belongs to a ring-shaped derivative of Y-aminobutyric acid, and can promote acetylcholine synthesis, strengthen nerve excitation and conduction and promote brain metabolism; meanwhile, the Chinese medicinal composition can also resist brain injury caused by chemical, physical and other factors, improve retrograde amnesia symptoms caused by hypoxia, and has obvious promotion effects on enhancing memory and improving learning ability. In addition, the traditional Chinese medicine has the advantages of good treatment effect, small side effect and the like, and the research of the traditional Chinese medicine in recent years is in an increasing situation. For example, patent CN201610601343.2 discloses a preparation method of kudingcha extract and its application in the treatment of neurodegenerative diseases such as alzheimer's disease. Patent cn201810979961.X discloses the use of a brain-benefiting tablet in anti-alzheimer's disease, wherein the administration of an aqueous brain-benefiting tablet solution to mice is performed, and the brain-benefiting tablet has the effects of preventing and treating the alzheimer's disease through behavioral experiments (mining experiments, diving platform experiments, Y maze experiments and water maze experiments), immunohistochemistry, serum and cerebral cortex ELISA assays and western blot, can reduce the formation of aβ plaques in the brain, and can improve the pathological conditions of the alzheimer's disease through adjusting oxidative stress and cholinergic systems.
Fenofibrate (fenofibrate) with formula C 20 H 21 ClO 4 Is white or quasi-white crystalline powder, odorless and tasteless. Is very soluble in chloroform, is very soluble in acetone or diethyl ether, is slightly soluble in ethanol, and is almost insoluble in water. Fenofibrate is used primarily to lower cholesterol levels in patients at risk of cardiovascular disease, as other fibrates, reduces Low Density Lipoprotein (LDL) and Very Low Density Lipoprotein (VLDL) levels, and can raise High Density Lipoprotein (HDL) levels and lower Triglyceride (TG) levels. Fenofibrate can be used alone or in combination with statin to treat hypercholesterolemia and hypertriglyceridemia.
At present, fenofibrate has not been studied for the treatment of Alzheimer's disease.
Disclosure of Invention
In view of the above-mentioned shortcomings, the applicant has unexpectedly found that fenofibrate has a very good therapeutic effect on neurodegenerative disorders, in particular for alzheimer's disease, in a clinical real world study of fenofibrate; the applicant has verified through animal experiments.
The application provides application of fenofibrate in preparing a medicine for treating Alzheimer disease. According to the invention, the fenofibrate can reduce the content of beta-AP in brain tissues and improve memory disorder, so that the fenofibrate can be used for treating nervous system degenerative disorders such as Alzheimer's disease and the like, and a new thought is provided for treating the nervous system degenerative disorders such as Alzheimer's disease and the like.
In order to achieve the above object, the present invention has the following technical scheme:
in one aspect, the present invention provides the use of fenofibrate or a derivative thereof in the manufacture of a medicament for the prevention and/or treatment of a degenerative disorder of the nervous system.
Specifically, the neurodegenerative disorder is Alzheimer's disease.
In yet another aspect, the invention provides a medicament for treating a neurodegenerative disorder, the medicament comprising fenofibrate or a fenofibrate derivative.
The fenofibrate derivatives of the present invention include, but are not limited to: fenofibric acid, choline fenofibrate, and the like.
Specifically, the neurodegenerative disorder is Alzheimer's disease.
Specifically, the medicament also comprises a pharmaceutically acceptable carrier.
The carrier includes, but is not limited to, any one or more of a slow release agent, an excipient, a filler, a binder, a wetting agent, a disintegrant, an absorption enhancer, an adsorption carrier, a surfactant, or a lubricant.
Specifically, the medicine is any one of an external preparation, an oral preparation or an injection preparation.
Further specifically, the external preparation is a spray or an aerosol.
More specifically, the oral preparation is any one of granules, capsules, tablets or vesicles.
Further specifically, the injection preparation adopts intradermal, subcutaneous, intramuscular, local or intravenous injection as a mode of administration.
The fenofibrate is as follows: fenofibrate (fenofibrate) with formula C 20 H 21 ClO 4 Is white or quasi-white crystalline powder, odorless and tasteless. Is very soluble in chloroform, is very soluble in acetone or diethyl ether, is slightly soluble in ethanol, and is almost insoluble in water. Fenofibrate is used primarily to lower cholesterol levels in patients at risk of cardiovascular disease. As with other fibrates, fenofibrate reduces Low Density Lipoprotein (LDL) and Very Low Density Lipoprotein (VLDL) levels, and can raise High Density Lipoprotein (HDL) levels and lower Triglyceride (TG) levels. Fenofibrate can be used alone or in combination with statin to treat hypercholesterolemia and hypertriglyceridemia.
Compared with the prior art, the invention has the following positive and beneficial effects:
the fenofibrate or the derivative thereof can reduce the content of beta-AP in brain tissues and improve memory disorder, so that the fenofibrate or the derivative thereof can be used for treating nervous system degenerative disorders such as Alzheimer's disease and the like, and a new thought is provided for treating the nervous system degenerative disorders such as Alzheimer's disease and the like.
Alzheimer's Disease (AD) as described herein is a progressive degenerative disease of the nervous system with hidden onset. Clinically, global dementia characterized by memory impairment, aphasia, disuse, disrecognition, impairment of visual space skills, executive dysfunction, personality and behavioral changes, etc., has heretofore been unknown in etiology. The patient before 65 years old is called Alzheimer's disease; senile dementia is a disease occurring after 65 years of age.
The application adopts a classical pharmacodynamic method to verify the therapeutic effect of fenofibrate or derivatives thereof on Alzheimer's disease.
The fenofibrate or fenofibrate acid choline can be used as a pharmaceutical preparation which is already marketed currently or a new pharmaceutical preparation which is used in clinical application according to the specification.
The fenofibrate has good therapeutic effect on patients with Alzheimer's disease in the treatment process of patients with hyperlipidemia in real world research; the clinical test is to carry out systematic and scientific research; it is required to pass the verification of preclinical animal experiments and the clinical trial research of the system, so that the medicine can be used as a new indication.
The application is a conclusive use obtained by the applicant after years of clinical verification.
Detailed Description
The present invention will be described in further detail with reference to the following examples, which are not intended to limit the present invention, but are merely illustrative of the present invention. The experimental methods used in the following examples are not specifically described, but the experimental methods in which specific conditions are not specified in the examples are generally carried out under conventional conditions, and the materials, reagents, etc. used in the following examples are commercially available unless otherwise specified.
Where numerical ranges are provided in the examples, it is understood that unless otherwise stated herein, both endpoints of each numerical range and any number between the two endpoints are significant both in the numerical range. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
It should be noted that the raw materials used in the present invention are all common commercial products, and therefore the sources thereof are not particularly limited.
Example 1
The test method comprises the following steps:
balb/c mice, male, weighing 18-22g. (supplied by the university of Shenyang pharmacy department pharmacology)
Mice were taken and randomly divided into 3 groups: the blank control group, the model group and the test drug group are subjected to gastric administration, wherein the dosage of the aluminum trichloride is 20mg/kg, 1 time a day, 90 days continuously, and D-galactose is adopted for subcutaneous injection at 38 days, 150mg/kg, 1 time a 3 days and 90 days. On day 61, drug intervention was started, test drug group: fenofibrate was administered by gavage at a dose of 0.5g/kg 1 time per day for 30 consecutive days, and the model group and the blank group were given an equivalent amount of physiological saline by gavage for 30 consecutive days. The test method refers to the literature method.
(1) Morris Water Maze (MWM) experiment
The effect of fenofibrate on the learning and memory ability of mice was examined 3 hours after the last dose using Morris Water Maze (MWM) test, and the results are shown in Table 1 below.
TABLE 1 influence on learning and memory in mice
Figure BDA0003960114470000051
Figure BDA0003960114470000061
Note that: p <0.01, P <0.05 compared to model group.
(2) beta-AP detection
After the mice were sacrificed under anesthesia, the brains of the mice were taken and the content of β -AP in the brain tissues of the mice was detected.
The detection results are shown in the following table 2.
TABLE 2 content of beta-AP in brain tissue of mice
Group of Animal number (only) β-AP(pg/mL)
Blank pairPhoto group 10 41.79±3.85**
Model group 10 72.49±5.92
Experimental group 10 52.28±3.76**
Note that: p <0.01, P <0.05 compared to model group.
Conclusion of the test: from the above tables 1 and 2, the fenofibrate provided by the invention can effectively inhibit the increase of beta-AP in the brain tissue of the mouse, and improve the learning and memory ability of the mouse; fully shows that the fenofibrate has good preventing and relieving effects on Alzheimer's disease.
Example 2
The test method comprises the following steps:
balb/c mice, male, weighing 18-22g. (supplied by the university of Shenyang pharmacy department pharmacology department),
mice were randomly grouped into 3 groups: blank, model, test, 10 per group. Wherein, the model group is administrated with normal saline in a lavage way for 11 days continuously, the test group is administrated with fenofibrate in a lavage way for 0.5g/kg, 1 time a day continuously for 11 days. Starting on day 5 of dosing, mice were maze trained daily at 9:00 a.m. to 11:30 a.m., fasted 17:00 a.m. to 9:00 a.m. the next day, for 6 consecutive days. After the last training, mice in the model group and the test group respectively inject NaNO subcutaneously 2 120mg/kg, a blank group was intraperitoneally injected with an equal amount of physiological saline, and after 24 hours mice were tested for foraging time (time from maze starting point to feeding chamber). The test method refers to the literature method.
The detection results are shown in table 3 below.
TABLE 3 influence on the foraging time of mice
Figure BDA0003960114470000071
Note that: p <0.01, P <0.05 compared to model group.
Conclusion of the test: as can be seen from Table 3, the fenofibrate of the present invention is effective in improving NaNO 2 Resulting in dysmnesia in mice.
The fenofibrate derivatives of the present invention include, but are not limited to: fenofibric acid, choline fenofibrate, and the like.
Specifically, the medicament also comprises a pharmaceutically acceptable carrier.
The carrier is one or more of slow release agent, excipient, filler, adhesive, wetting agent, disintegrating agent, absorption promoter, adsorption carrier, surfactant or lubricant.
Specifically, the medicine is any one of an external preparation, an oral preparation or an injection preparation.
Further specifically, the external preparation is a spray or an aerosol.
More specifically, the oral preparation is any one of granules, capsules, tablets or vesicles.
Further specifically, the injection preparation adopts intradermal, subcutaneous, intramuscular, local or intravenous injection as a mode of administration.
Alzheimer's Disease (AD) as described herein is a progressive degenerative disease of the nervous system with hidden onset. Clinically, global dementia characterized by memory impairment, aphasia, disuse, disrecognition, impairment of visual space skills, executive dysfunction, personality and behavioral changes, etc., has heretofore been unknown in etiology. The patient before 65 years old is called Alzheimer's disease; senile dementia is a disease occurring after 65 years of age.
The application adopts a classical pharmacodynamic method to verify the therapeutic effect of fenofibrate or derivatives thereof on Alzheimer's disease.
The fenofibrate or fenofibrate acid choline can be used as a pharmaceutical preparation which is already marketed currently or a new pharmaceutical preparation which is used in clinical application according to the specification.
The fenofibrate has good therapeutic effect on patients with Alzheimer's disease in the treatment process of patients with hyperlipidemia in real world research; the clinical test is to carry out systematic and scientific research; it is required to pass the verification of preclinical animal experiments and the clinical trial research of the system, so that the medicine can be used as a new indication.
The application is a conclusive use obtained by the applicant after years of clinical verification.
The foregoing examples illustrate only a few embodiments of the invention and are described in detail herein without thereby limiting the scope of the invention. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the invention, which are all within the scope of the invention. Accordingly, the scope of protection of the present invention is to be determined by the appended claims.

Claims (9)

1. Use of fenofibrate or a derivative thereof for the preparation of a medicament for the prevention and/or treatment of a degenerative disorder of the nervous system.
2. The use according to claim 1, characterized in that: the neurodegenerative disorder is Alzheimer's disease.
3. A medicament for treating a degenerative disorder of the nervous system, characterized in that: the medicine comprises fenofibrate or fenofibrate derivatives.
4. A medicament according to claim 3, characterized in that: the medicine also comprises a pharmaceutically acceptable carrier, wherein the carrier is any one or more of a slow release agent, an excipient, a filler, an adhesive, a wetting agent, a disintegrating agent, an absorption promoter, an adsorption carrier, a surfactant or a lubricant.
5. A medicament according to claim 3, characterized in that: the medicine is any one of an external preparation, an oral preparation or an injection preparation.
6. A medicament according to claim 5, characterized in that: the external preparation is spray or aerosol.
7. A medicament according to claim 5, characterized in that: the oral preparation is any one of granules, capsules, tablets or vesicles.
8. A medicament according to claim 5, characterized in that: the injection preparation adopts intradermal, subcutaneous, intramuscular, local or intravenous injection as an administration mode.
9. A medicament according to claim 3, characterized in that: the neurodegenerative disorder is Alzheimer's disease.
CN202211478021.5A 2022-11-23 2022-11-23 Use of fenofibrate Pending CN116270582A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211478021.5A CN116270582A (en) 2022-11-23 2022-11-23 Use of fenofibrate

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211478021.5A CN116270582A (en) 2022-11-23 2022-11-23 Use of fenofibrate

Publications (1)

Publication Number Publication Date
CN116270582A true CN116270582A (en) 2023-06-23

Family

ID=86802017

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211478021.5A Pending CN116270582A (en) 2022-11-23 2022-11-23 Use of fenofibrate

Country Status (1)

Country Link
CN (1) CN116270582A (en)

Similar Documents

Publication Publication Date Title
US6608088B1 (en) Use of donerezil for the treatment of functional and/or organic pain syndromes
US5521178A (en) Combination medication containing flupirtin and morphine for the treatment of pain and the prevention of morphine dependence
US20210283206A1 (en) Composition containing mixed extract of mulberry and poria cocos bark
WO2018113027A1 (en) Application of bilobalide as synergist in preparation of drugs for preventing cranial nerve injury diseases
WO2007142810A2 (en) Methods of using low-dose doxepin for the improvement of sleep
US20210128656A1 (en) Composition containing poria cocos peel extract for treating neurodegenerative disorders
US10350230B2 (en) Use of albiflorin or pharmaceutically acceptable salt for prevention and/or treatment of irritable bowel syndrome
CN116270582A (en) Use of fenofibrate
US4624946A (en) Treatment of involutional brain syndromes and mental decay
US20190151272A1 (en) Lithium salts of n-substituted glycine compounds and uses thereof
KR100986194B1 (en) Statin therapy for enhancing cognitive maintenance
US10328051B2 (en) Proline or proline derivatives for the treatment of dementia
CN101461803B (en) Use of grape inner ester
WO2019100057A1 (en) Use of morphinans for treating cocaine addiction, pruritis, and seizure disorders
EP0630648B1 (en) Use of acyl L-carnitine gamma-hydroxybutyrate for the manufacture of a medicamentfor the treatment of drug addiction
CN106138168A (en) Cortex Eucommiae extract application in preparation prevention and treatment senile dementia
US20220362202A1 (en) Drug For Treating And Preventing Dementia
CN117530940A (en) Application of alpha-ketoglutarate in preparation of medicines for promoting myelin repair and improving neuroinflammation
CN116650482A (en) Application of 3-TYP in preparation of medicine for treating autoimmune demyelinating diseases
CN116350620A (en) Application of puerarin in preparing medicine for preventing or treating autoimmune demyelinating diseases
CN116987091A (en) Medicine for treating epileptic seizure disease and preparation method thereof
Chabukswar et al. A REVIEW ON APPLICATIONS OF DEXMEDETOMIDINE (BXCL501) IN CNS DISORDERS
CN115212194A (en) Application of nadolol in preparation of medicine for treating ischemia/reperfusion injury and cell protection medicine
JP2004531480A (en) Tripeptide derivatives for the treatment of neurodegenerative diseases
WO2023215277A1 (en) Trimeprazine for use in treating trigeminal neuralgia and for reducing pain related thereto

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination