CN116440068A - Vaginal gel for preventing and treating HPV infection and dysbacteriosis and preparation method thereof - Google Patents

Vaginal gel for preventing and treating HPV infection and dysbacteriosis and preparation method thereof Download PDF

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CN116440068A
CN116440068A CN202310556095.4A CN202310556095A CN116440068A CN 116440068 A CN116440068 A CN 116440068A CN 202310556095 A CN202310556095 A CN 202310556095A CN 116440068 A CN116440068 A CN 116440068A
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vaginal gel
gel
dysbacteriosis
lactoferrin
poloxamer
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CN116440068B (en
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张进
李树莲
奎书毅
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Jiangsu Hengrui Biomedical Technology Co ltd
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Pudite Taizhou Biotechnology Co ltd
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    • A61K47/55Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic compound the modifying agent being also a pharmacologically or therapeutically active agent, i.e. the entire conjugate being a codrug, i.e. a dimer, oligomer or polymer of pharmacologically or therapeutically active compounds
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Abstract

The invention discloses a vaginal gel for preventing and treating HPV infection and dysbacteriosis and a preparation method thereof, wherein the gel is prepared by mixing lactoferrin and polysialic acid and poloxamer, and the vaginal gel has the effects of preventing and treating cervical inflammation, lesions and canceration caused by HPV infection and/or dysbacteriosis; in particular to gardnerella and candida albicans which cause dysbacteriosis of vagina; has the effect of inhibiting proliferation of human cervical cancer cells and has low influence on normal cells.

Description

Vaginal gel for preventing and treating HPV infection and dysbacteriosis and preparation method thereof
Technical Field
The invention belongs to the technical field of synthetic biomedical materials, and particularly relates to a vaginal gel for preventing and treating HPV infection and dysbacteriosis and a preparation method thereof.
Background
Human Papilloma Virus (HPV) is continuously infected for a long time, especially high-risk oncogenic viruses such as HPV16, HPV18 and the like, cervical epithelium neoplasia is increased to a certain extent, cervical cancer incidence is also improved, and HPV16 and HPV18 are related to 70% -76% of cervical cancers in the world.
Meanwhile, gardnerella and the like cause cervical inflammation, and are also one of common gynecological cervical lesion diseases. Moreover, researches show that mucopurulent cervicitis caused by conditional pathogenic bacteria such as gardnerella and the like can increase the infection risk of HPV and further increase the occurrence risk of cervical cancer.
HPV infection and gardnerella dysbacteriosis are important factors for cervical cancer, and the condition and the mechanism of the infection are more complicated in clinic. Most of the current medicines are concerned with inhibiting HPV infection or inhibiting bacteria and regulating dysbacteriosis respectively, and few reports on prevention and treatment medicines for the common infection of the two medicines to develop cervical cancer are provided.
Lactoferrin is an 80kDa iron-binding glycoprotein, not only participates in iron transport, but also has powerful biological functions of broad-spectrum antibiosis, antioxidation, anticancer, immune system regulation and the like. Researches show that the lactoferrin is a natural protein in animal colostrum, is a multifunctional protein, has broad-spectrum antibacterial and antiviral infection effects, and can regulate the balance of iron in the body; regulating the generation of bone marrow cells and promoting the growth of the cells; regulating immunity and enhancing disease resistance; inhibiting the action of human tumor cells; can cooperate with various antibiotics and antifungal preparations to treat diseases more effectively. At present, research on prevention and treatment of HPV infection by lactoferrin is more and more, but the function of lactoferrin is single, and further improvement is needed.
Disclosure of Invention
The invention provides a vaginal gel for preventing and treating HPV infection and dysbacteriosis, which has the effects of preventing and treating HPV infection and gardnerella infection, and can greatly reduce the possibility of canceration by combining the prevention and treatment of two infection approaches, thereby providing a healthy environment for female private parts.
A vaginal gel for preventing and treating HPV infection and dysbacteriosis is prepared from lactoferrin and polysialic acid and poloxamer through mixing.
The lactoferrin includes, but is not limited to, one or a combination of lactoferrin, a modified product of lactoferrin, and a derivative of lactoferrin. Wherein the lactoferrin source includes, but is not limited to, mammalian sources, artificial lactoferrin obtained by means of biological fermentation; the lactoferrin, the modified product of the lactoferrin and the derivative of the lactoferrin comprise at least one tryptophan.
The polysialic acid (PSA) is a unique class of linear, homogeneous poly-alpha 2,8 linked sialic acid carbohydrates that are attached to vertebrate nervous system neural adhesion molecules primarily through typical N-linked glycosidic linkages. The hydrolysate is sialic acid, which is alpha-keto acid containing 9 carbons, and has various biological activities such as anti-tumor, anti-inflammatory, antiviral, and nerve development promotion, depending on the existence position and form.
Normally, a large number of pathogenic microorganisms can survive in the vagina, and are mutually dependent and restrained, and a certain amount of pathogenic microorganisms can be kept between the pathogenic microorganisms, so that the pathogenic microorganisms cannot be caused. However, if the organism immunity is low, the ecological balance of the vagina is destroyed, and the dominant pathogenic bacteria are propagated in a large quantity, so that the vagina inflammation is caused. Sialidase levels are an indicator of the evaluation of vaginal environment, produced by gardnerella and anaerobes, and if the values exceed 7IU/ml, bacterial vaginitis can be diagnosed. The sialidase content is thus greatly increased in the vagina suffering from inflammation. Sialidases are capable of hydrolyzing polysialic acid into individual sialic acid molecules.
Polysialic acid carries a large number of negative charges and is capable of electrostatically binding to positively charged lactoferrin; furthermore, polysialic acid is hydrolyzed into single sialic acid molecules under the action of sialidase, lactoferrin and sialic acid are released simultaneously after hydrolysis, the lactoferrin has the effects of resisting bacteria and cancers, and the sialic acid has the effects of resisting tumors, resisting inflammation and resisting viruses.
Because polysialic acid and lactoferrin have high water solubility and are difficult to form gel in water, poloxamer is added. The poloxamer is a block copolymer consisting of Polyoxyethylene (PEO) and polyoxypropylene (PPO), is white particles, and 15% or higher concentration aqueous solution of the poloxamer has the property of reversible thermosensitive gelation, is liquid at low temperature, and forms semisolid transparent gel when heated to above the gelation temperature; the poloxamer composition selected by the invention is flowing liquid at normal temperature and below, and is semisolid gel at the temperature of human body.
Further, the gel may further comprise a humectant such as glycerin, and a preservative such as one or a combination of parabens, sodium benzoate, and benzoic acid.
The beneficial effects are that:
the vaginal gel provided by the invention has the effects of preventing and treating cervical inflammation, lesions and canceration caused by HPV infection and/or dysbacteriosis; in particular to gardnerella and candida albicans which cause dysbacteriosis of vagina; has the effect of inhibiting proliferation of human cervical cancer cells and has low influence on normal cells.
Drawings
Fig. 1 shows the electrophoresis results, M is DNA Marker,500bp,1 is vaginal gel IV incubated in ph=6 enzyme-containing solution for 4h,2 is comparative example 2 (without lactoferrin) vaginal gel incubated in ph=6 enzyme-containing solution for 4h,3 is vaginal gel IV incubated in ph=6 enzyme-free solution for 4h, and 4 is comparative example 1 (without polysialic acid) vaginal gel incubated in ph=6 enzyme-containing solution for 4h.
FIG. 2 is a plot of the trend of fluorescence intensity values in terms of electrophoresis results of vaginal gel IV or comparative example 1 incubated in buffer with or without enzyme for several times.
FIG. 3 is a graph showing the trend of fluorescence intensity values and sialic acid concentration in terms of electrophoresis results of vaginal gel IV incubated in enzyme buffers of different pH values for 4 hours.
Detailed Description
The present invention will be described in further detail with reference to the following examples, which are not intended to limit the invention in any way. Unless specifically stated otherwise, the reagents, methods and apparatus employed in the present invention are those conventional in the art.
The vaginal gel disclosed by the invention is prepared by the following steps:
preparing Tris-HCl buffer solution with pH value of 7-7.5;
respectively dissolving lactoferrin and polysialic acid in a buffer solution, wherein the concentration of the lactoferrin is 150mg/mL, and the concentration of the polysialic acid is 100-200 mg/mL;
mixing lactoferrin buffer solution and polysialic acid buffer solution according to the prescription amount, stirring uniformly, adding poloxamer, stirring uniformly, continuously adding humectant and preservative, stirring uniformly to obtain vaginal gel
The poloxamer is selected from 407 and 188 series, the adding proportion of 407 is 18-20%, and the adding proportion of 188 is 0.5-2%.
The additive comprises 2-10% of lactoferrin, 5-15% of polysialic acid, 0-2% of humectant, 0-0.2% of preservative and the balance of water.
Lactoferrin (derived from cow milk) was purchased from Shanghai derived leaf Biotechnology Co.
Poloxamers, polysialic acid were purchased from sigma aldrich (Shanghai) trade limited.
Example 1
Vaginal gel component I:
poloxamer 407 18%;
poloxamer 108.5%;
lactoferrin 2%;
polysialic acid 8%;
glycerol 2%;
the balance being water.
The gel temperature is: 35 ℃.
Example 2
Vaginal gel II component:
poloxamer 407 19.2%;
poloxamer 108.2%;
lactoferrin 5%;
polysialic acid 8%;
glycerol 2%;
the balance being water.
The gel temperature is: 34 ℃.
Example 3
Vaginal gel III component:
poloxamer 407 19.5%;
poloxamer 108.8%;
lactoferrin 8%;
polysialic acid 8%;
glycerol 2%;
the balance being water.
The gel temperature is: 34 ℃.
Example 4
Vaginal gel IV component:
poloxamer 407 19.5%;
poloxamer 108.5%;
lactoferrin 10%;
polysialic acid 8%;
glycerol 2%;
the balance being water.
The gel temperature is: 33 ℃.
Example 5
Vaginal gel V component:
poloxamer 407 18.7%;
poloxamer 108.5%;
lactoferrin 10%;
polysialic acid 5%;
glycerol 2%;
the balance being water.
The gel temperature is: 35 ℃.
Example 6
Vaginal gel VI component:
poloxamer 407 18.5%;
poloxamer 108.2%;
lactoferrin 10%;
polysialic acid 15%;
glycerol 2%;
the balance being water.
The gel temperature is: 34 ℃.
Example 7
Vaginal gel VII component:
poloxamer 407 19.5%;
poloxamer 108.5%;
lactoferrin 10%;
polysialic acid 8%;
glycerol 2%;
0.2% of nipagin ester;
the balance being water.
The gel temperature is: 33 ℃.
Comparative example 1
Vaginal gel component:
poloxamer 407 18.5%;
poloxamer 108.5%;
lactoferrin 10%;
glycerol 2%;
the balance being water.
The gel temperature is: 35 ℃.
Comparative example 2
Vaginal gel component:
poloxamer 407 18.7%;
poloxamer 108.8%;
polysialic acid 8%;
glycerol 2%;
the balance being water.
The gel temperature is: 35 ℃.
Test example 1
Vaginal gels were tested for in vitro sialic acid and lactoferrin release.
Sialidases (extracted from Clostridium perfringens) were purchased from sigma aldrich (Shanghai) trade limited.
DL500 bp DNA marker is purchased from Takara company; FAM-DNA was purchased from Shanghai Biotechnology Co.
The sialidase solution (200U) was diluted with a buffer system of different pH values in the pH range 4-7, including citrate-sodium citrate buffer (pH 3.0-6.0), phosphate buffer (pH 6.0-8.0). The enzyme solutions with the enzyme activities of 8.5mU, pH=4, pH=5, pH=6 (phosphate buffer solution) and pH=7 are obtained and placed in a constant temperature environment of 40 ℃ for standby.
After 1g of vaginal gel was gelled at 40 ℃, it was poured into 1mL of enzyme solution, and the reaction was continued for several times (0, 1, 2, 4, 8 h) with shaking at constant temperature.
Determining sialic acid content: 20. Mu.L of the reacted supernatant was aspirated and boiled at 100℃for 5min to inactivate the enzymes and lactoferrin. The released sialic acid was detected by thiobarbituric acid (thiobarbituric acid, TBA) method.
Testing lactoferrin content: mu.L of the reacted supernatant was aspirated, 5. Mu.L of FAM-DNA (annealed, 1. Mu. Mol/L in PBS) was added, 1 XPBS buffer was added to a final volume of 20. Mu.L, and the mixture was incubated at 37℃for 20min, followed by gel electrophoresis (Bio-rad vertical electrophoresis apparatus). Adding 3 μl of 6×loading buffer (containing bromophenol blue) into sample to be tested, running at 100V for 35min under electrophoresis parameters of 1×TBE and 10% gel concentration, and measuring protein concentration (y=298.15972x+4730.3143, R 2 =0.9936)。
The vaginal gel 4 prepared in example 1 and the vaginal gel prepared in comparative example 1 without polysialic acid were assayed for in vitro release with or without sialidase by the above method.
Fig. 1 shows the electrophoresis results, M is DNA Marker,500bp,1 is vaginal gel IV incubated in ph=6 enzyme-containing solution for 4h,2 is comparative example 2 (without lactoferrin) vaginal gel incubated in ph=6 enzyme-containing solution for 4h,3 is vaginal gel IV incubated in ph=6 enzyme-free solution for 4h, and 4 is comparative example 1 (without polysialic acid) vaginal gel incubated in ph=6 enzyme-containing solution for 4h.
Fig. 2 is a plot of the trend of fluorescence intensity values converted from the electrophoresis results of vaginal gel IV or comparative example 1 incubated in buffer with or without enzyme for several times (analysis according to analytical software Image lab associated with gel imaging system, select ALEXA488 channel), after extraction of samples at the dry time, the same amount of buffer with or without enzyme was supplemented, ph=6.
FIG. 3 is a graph showing the trend of fluorescence intensity values and sialic acid concentration in terms of electrophoresis results of vaginal gel IV incubated in enzyme buffers of different pH values for 4 hours.
Test example 2
Antibacterial activity test: the antibacterial activity of the gel is determined by using gardnerella and candida albicans as test strains and using a inhibition zone method. The method comprises the following steps: the bacterial solutions are diluted to 1X 10 by PBS buffer solution 7 CFU/mL is evenly coated on an aseptic LB solid agar culture medium, 1g of vaginal gel is completely solidified at 40 ℃, 1mL of sialidase buffer solution (8.5 mU pH=4) is added for mixing and then is subjected to constant-temperature shaking reaction for 4 hours, supernatant liquid is taken to be placed in the center of the culture medium, aerobic bacteria are cultured in an electrothermal constant-temperature incubator at 37 ℃ for 24 hours, anaerobic bacteria are placed in an anaerobic tank firstly and then are placed in the same incubator at 37 ℃ for culturing for 48 hours, and after the culture is completed, a Scan-1200 microbiological technique instrument is used for photographing and measuring the diameter of a bacteriostasis ring. Control 1 was vaginal gel 1 with buffer without sialidase.
Candida albicans (10231) and gardnerella (14018) were purchased from ATCC.
The zone diameters of inhibition for each vaginal gel sample are listed in table 1.
TABLE 1
Test example 3
And (5) testing the activity of the vaginal gel in vitro cervical cancer resisting cells.
The MTT method is adopted to test the inhibition and proliferation effect of the vaginal gel on cervical cancer cells, and the specific method is as follows:
100. Mu.L of cells were concentrated to 1X 10 4 Human cervical cancer cells Hela or human cervical epithelial cells H8 of each mL are inoculated in a 96-well plate and cultured overnight; after 1g of vaginal gel was coagulated completely at 40℃1mL of sialidase was added slowlyAfter mixing the flushing liquid (8.5 mU pH=6) and performing constant temperature shaking reaction for 4 hours, taking supernatant, measuring the concentration of lactoferrin and sialic acid according to the method of test example 1, then using the supernatant to treat cells, adding an equivalent amount of cell culture liquid into a control group, taking cidofovir as a positive control group (the concentration is 80 mg/g), inoculating 5 compound holes at each dose, placing at 37 ℃ and 5% CO 2 After 48h of incubation, detection was performed.
The detection step comprises: adding 10 mu L of 5mg/mL MTT reagent into each hole of the culture plate, continuously culturing for 4 hours, adding 100 mu LDMSO, shaking and uniformly mixing for 10 minutes, testing the OD value by using an enzyme-labeling instrument (lambda=490 nm), and calculating the inhibition ratio according to the formula: inhibition = 1-dosing OD/control OD x 100%.
The inhibition of cancer cells and normal cells by vaginal gel is shown in table 2.
TABLE 2
The above examples are preferred embodiments of the present invention, but the embodiments of the present invention are not limited to the above examples, and any other changes, modifications, substitutions, combinations, and simplifications that do not depart from the spirit and principle of the present invention should be made in the equivalent manner, and the embodiments are included in the protection scope of the present invention.

Claims (8)

1. A vaginal gel for preventing and treating HPV infection and dysbacteriosis, characterized in that the vaginal gel comprises lactoferrin, polysialic acid and poloxamer; the gel temperature of the vaginal gel is within the range of 33-35 ℃, and the vaginal gel is liquid when the gel temperature is lower than the gel temperature.
2. The vaginal gel for preventing and treating HPV infection and dysbacteriosis according to claim 1, wherein the vaginal gel comprises lactoferrin and polysialic acid, poloxamer, moisturizer and preservative.
3. The vaginal gel for preventing and treating HPV infection and dysbacteriosis according to claim 2, wherein poloxamer is 407 and 188, wherein the addition proportion of 407 is 18-20wt% and the addition proportion of 188 is 0.5-2wt%.
4. A vaginal gel for preventing and treating HPV infection and dysbacteriosis according to claim 3, characterized in that it comprises the following components in mass percent: the poloxamer 407 is added in an amount of 18-20%, the poloxamer 188 is added in an amount of 0.5-2%, the lactoferrin is added in an amount of 2-10%, the polysialic acid is added in an amount of 5-15%, the glycerol is added in an amount of 0-2%, the preservative is added in an amount of 0-0.2%, and the balance is water.
5. The vaginal gel for preventing and treating HPV infection and dysbacteriosis according to claim 2, wherein the preparation method of the vaginal gel is as follows:
preparing Tris-HCl buffer solution with pH value of 7-7.5;
respectively dissolving lactoferrin and polysialic acid in a buffer solution, wherein the concentration of the lactoferrin is 150mg/mL, and the concentration of the polysialic acid is 100-200 mg/mL;
mixing lactoferrin buffer solution and polysialic acid buffer solution according to the prescription amount, stirring uniformly, adding poloxamer, stirring uniformly, continuing to add humectant and preservative, and stirring uniformly to obtain the vaginal gel.
6. The vaginal gel for preventing and treating HPV infection and dysbacteriosis according to claim 4, characterized in that it comprises the following components in mass percentage: the poloxamer 407 is added in an amount of 18-20%, the poloxamer 188 is added in an amount of 0.5-2%, the lactoferrin is added in an amount of 10%, the polysialic acid is added in an amount of 8%, the glycerol is added in an amount of 2%, the preservative is added in an amount of 0-0.2%, and the balance is water.
7. The vaginal gel for preventing and treating HPV infection and dysbacteriosis according to any one of claims 1 to 6, wherein the preservative is one or a combination of parabens, sodium benzoate and benzoic acid.
8. The use of a vaginal gel for preventing and treating HPV infection and dysbacteriosis according to any one of claims 1 to 6, wherein the pH environment of the vaginal gel is 4 to 7.
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