CN116531374A - Application of pioglitazone and pioglitazone salt in preparation of product for treating systemic lupus erythematosus - Google Patents

Application of pioglitazone and pioglitazone salt in preparation of product for treating systemic lupus erythematosus Download PDF

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Publication number
CN116531374A
CN116531374A CN202310426497.2A CN202310426497A CN116531374A CN 116531374 A CN116531374 A CN 116531374A CN 202310426497 A CN202310426497 A CN 202310426497A CN 116531374 A CN116531374 A CN 116531374A
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pioglitazone
lupus erythematosus
systemic lupus
mice
use according
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陆前进
田婧汝
史丽晴
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Institute of Dermatology and Skin Disease Hospital of CAMS
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Institute of Dermatology and Skin Disease Hospital of CAMS
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • 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)
  • Immunology (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The invention discloses application of pioglitazone and a salt thereof in preparing a product for treating systemic lupus erythematosus, and the pioglitazone is used as an old medicine for clinically treating diabetes, and has small toxic and side effects. The first study of the invention shows that pioglitazone has a certain potential in treating systemic lupus erythematosus, and the new use of the pioglitazone as an old medicine can greatly shorten the research and development cost and the research and development risk. The invention explores the effect of pioglitazone on treating the systemic lupus erythematosus for the first time, and provides an experimental basis for treating the systemic lupus erythematosus.

Description

Application of pioglitazone and pioglitazone salt in preparation of product for treating systemic lupus erythematosus
Technical Field
The invention belongs to the field of biological medicine, and relates to a novel application of thiazolidinedione-selective PPAR gamma (peroxisome proliferator-activated receptor) agonist pioglitazone in preparing a product for treating systemic lupus erythematosus, in particular to an application of pioglitazone and a salt thereof.
Background
Systemic lupus erythematosus (systemic lupus erythematosus, SLE) is a complex autoimmune disease with diverse clinical manifestations characterized by excessive production of type I Interferons (IFNs) and autoantibodies. SLE pathogenesis is not clear, genetic susceptibility, environmental inducement and hormone level interaction together promote the occurrence and development of diseases. In recent years, SLE incidence rate is rising worldwide, global incidence rate is 43.7/10 ten thousand people, human health is seriously endangered, and even life is threatened.
SLE is well developed in women of childbearing age, the main treatment means are glucocorticoid and immunosuppressant, most of patients can be in stable or low activity state, but the SLE can not be thoroughly cured, and meanwhile, the problems of low responsiveness to drugs, no response and large side effects of long-term administration of the drugs exist. Thus, treatment for SLE has been a major concern and difficulty of research.
Pioglitazone (Pioglitazone) acts as a selective ppary (peroxisome proliferator-activated receptor) agonist and binds with high affinity to the ppary ligand binding domain, and activated ppary forms heterodimers with retinoid X receptors, which bind to the target gene promoter DNA and thereby modulate target gene expression to produce a biological effect. Pioglitazone is used for clinical treatment of type 2 diabetes and has been shown to alleviate nonalcoholic fatty liver and restore skin barrier function in eczema patients. Furthermore, studies and clinical trials have shown that pioglitazone can ameliorate vascular and metabolic dysfunction in SLE mice and patients, but the effect of pioglitazone on SLE disease itself has not been elucidated.
Disclosure of Invention
The invention aims to: aiming at the problem of large side effect of the traditional SLE therapeutic drug, the invention provides a new application of pioglitazone drug in treating SLE, and provides an experimental basis and a new therapeutic means for SLE treatment.
The invention provides application of pioglitazone and salt thereof in preparing a product for treating systemic lupus erythematosus for the first time. Specifically, the systemic lupus erythematosus is an autoimmune disease characterized by immune disorder and the generation of a large amount of autoantibodies, and is different from other types of lupus erythematosus.
External treatment of SLE model mice is carried out by using pioglitazone and pioglitazone salt, and the pioglitazone can obviously reduce the contents of anti-dsDNA, ANA and urine protein in the peripheral blood of the mice, and reduce the generation of autoantibodies. Pathological staining of skin tissue showed significantly reduced inflammatory cell infiltration and tissue injury compared to the untreated drug group, and kidney and skin immunofluorescence showed significantly reduced deposition of glomeruli and basement membrane band IgG. Experimental results show that pioglitazone can reduce the generation of autoantibodies, protect kidneys and exert the treatment effect of SLE.
Wherein, when in use, the pioglitazone and the salt thereof are used as active ingredients of medicines for treating systemic lupus erythematosus.
In particular, the product is a medicine and a health product.
The invention further proposes the use of a pharmaceutical composition comprising pioglitazone or a salt thereof for the preparation of a product for the treatment of systemic lupus erythematosus.
Further, the pharmaceutical composition comprises a pharmaceutically acceptable carrier or adjuvant.
Wherein the product is a medicine or a health product.
Preferably, the pharmaceutical composition is selected from the following dosage forms: solution, gel, paste, powder, tablet, injection, capsule or oral liquid, wherein the solution is a medicine solution for external application coated on skin lesions.
The above pharmaceutical compositions may be formulated in known ways for administration to a subject using routes including, but not limited to: parenteral, oral, topical, intradermal, intramuscular, intraperitoneal, subcutaneous, intravenous, and the like.
Preferably, the pharmaceutical composition is pioglitazone hydrochloride solution.
The beneficial effects are that: at present, the main treatment means of SLE are glucocorticoid and immunosuppressant, most of patients can be in a stable or low activity state, but the patients cannot be thoroughly cured, and the problems of low responsiveness, no response and large side effect of long-term administration of medicines exist. Pioglitazone is used as an old medicine for clinically treating diabetes, and has small toxic and side effects. The first study of the invention shows that pioglitazone has a certain potential in treating SLE, and the new use of the pioglitazone as an old medicine can greatly shorten the research and development cost and the research and development risk. The invention explores the effect of pioglitazone on treating the systemic lupus erythematosus for the first time, and provides an experimental basis for treating the systemic lupus erythematosus.
Drawings
The foregoing and/or other advantages of the invention will become more apparent from the following detailed description of the invention when taken in conjunction with the accompanying drawings and detailed description.
Figure 1 is a topical pioglitazone for the treatment of mouse SLE, wherein figure a shows pioglitazone can alleviate SLE mouse skin loss severity; panel B shows that pioglitazone can reduce urine protein and ANA content of SLE mice and peripheral blood anti-dsDNA; panel C shows that pioglitazone can relieve skin pathological damage of SLE mice; panel D shows pioglitazone can reduce deposition of IgG immune complexes on kidney glomeruli and skin basement membrane of SLE mice. Detailed Description
The present invention will be further described with reference to the following examples, but it should not be construed that the scope of the present invention is limited to the examples. Various substitutions and alterations are made according to the general technical knowledge and the conventional methods in the field without departing from the technical idea of the present invention, and all such substitutions and alterations are included in the protection scope of the present invention.
Examples topical pioglitazone was used to treat mouse SLE.
1. Experimental materials
1.1 drugs and reagents for experiments: pioglitazone hydrochloride (MedChemExpress), DMSO (Sigma-Aldrich), tamoxifen (Sigma-Aldrich), corn oil (beyotide), proteinuria test paper (ulite), urine protein quantification kit (Nanjing Jiancheng Bioengineering Institute), anti-nuclear and anti-double stranded DNA antibody ELISA kit (Cusabio), 4% paraformaldehyde (Biosharp), OCT embedding medium (Sakura), goat anti-mouse IgG-FITC (abcam).
1.2 laboratory animals
The mice used in this experiment were Krt5-CreERT2+/-PPARγflox/flox-/-SLE mice. The mice were about 6-12 weeks old and had a weight of 20-30g, which was offered by Shanghai, nannon model Biotech Co., ltd.
Specifically, krt5-CreERT2+/-PPARγflox/flox-/-SLE mice were constructed by the following method:
(1) Preparation of Krt5-CreERT2+/-PPARγflox/flox-/-mice: mating a Krt5-CreERT2 mouse with a PPARγflox/flox mouse containing loxP flanking sequences to generate offspring mice with genotypes of Krt5-CreERT2+/-PPARγflox/flox +/-and Krt5-CreERT2+/-PPARγflox/flox-/-and reserving PPARγflox/flox +/-Krt5-CreERT2 +/-mice, and mutually mating and breeding heterozygote mice to obtain mice with genotypes of PPARγflox/flox-/-Krt5-CreERT2 +/-; among them, PPARγflox/flox and Krt5-CreERT2 mice were supplied by Shanghai Nannon model Biotech Co. Krt5-CreERT2 mice are able to express the CreERT2 fusion protein targeted in keratinocytes by means of the endogenous promoter/enhancer element of the Krt5 locus. The CreERT2 fusion protein consists of a ligand binding region mutant (ERT) of the estrogen receptor (estrogen receptor, ER) and a Cre recombinase protein. PPARγflox/flox mice, i.e., PPARγ conditional knockout mice, have a loxP site inserted at both ends of the specific exon of the PPARγ gene, which can be cleaved by the active Cre recombinase.
(2) Specific knockout of keratinocyte pparγ: 50mg of 4-hydroxy tamoxifen was mixed in 1ml of DMSO, 9ml of corn oil was added, the suspension was thoroughly mixed using a vortexer, and sonicated in an ultrasonic bath at 37℃for 20 minutes to prepare a 4-hydroxy tamoxifen solution (5 mg/ml) ready for use. Then, 50ul of 5mg/ml of 4-hydroxy tamoxifen solution is smeared on two ears of a Krt5-CreERT2+/-PPARγflox/flox-/-mouse, the corresponding solution is smeared on two ears continuously for 5 days, and the phenotype of the mouse is observed, so that the Krt5-CreERT2+/-PPARγflox/flox-/-SLE mouse is obtained.
Mice were observed for skin lesions weekly and photographed with a camera for survival. The mice were periodically cleaned of midrange urine and urine protein was detected using a test paper for detection of ulide proteinuria. The urinary protein content of mice was quantified using CBB. The content of peripheral blood serum antinuclear antibodies and anti-double-stranded DNA antibodies was detected using ELISA kit (Cusabio).
On day 17, mice were sacrificed after anesthesia for cervical dislocation. Binaural skin of the same portion of the three groups of mice was cut with a sharp scalpel and ophthalmology, approximately 0.5 cm x 0.5 cm, spread on tinfoil, and snap frozen with liquid nitrogen or fixed to 4% paraformaldehyde. And (5) after fixation, dehydrating, waxing and embedding. And (3) slicing the tissue block, spreading, baking, dewaxing, hematoxylin and eosin staining, sealing, taking a view picture by using a microscope, and analyzing inflammatory cell infiltration in the skin damage of the mice.
After the skin tissue or kidney subjected to liquid nitrogen quick freezing is embedded by OCT, the skin tissue or kidney is placed on a frozen section mould, the frozen section mould is used for slicing, OCT is washed off, a goat anti-mouse IgG-FITC (1:200) is added after the immune fluorescence sealing liquid (Beyotime) is sealed for 1 hour at 37 ℃ for incubation at 4 ℃ overnight, the cell nucleus is stained with DAPI working liquid at room temperature for 10 minutes after PBS is cleaned, the sealing sheet is cleaned by PBS, and the skin and glomerular IgG deposition is observed by a fluorescence microscope imaging.
The results show that the constructed Krt5-CreERT2+/-PPARγflox/flox-/-SLE mice can efficiently, stably and spontaneously show SLE-like phenotypes such as immune cell disorder, inflammatory skin damage and dehairing, proteinuria, obvious elevation of peripheral blood dsDNA and ANA autoantibodies, skin basal membrane bands, glomerular IgG deposition and the like after activating PPARγgene knockout in local keratinocytes.
Feeding conditions: the room temperature is 18-20 ℃, the humidity is 50-60%, the brightness is alternate (12 hours), the luminosity is moderate, and the ventilation is clean. All experiments were approved and conducted as directed by the ethical committee of the dermatology hospital of the national academy of medical science (the dermatology institute of the national academy of medical science).
2. Experimental method
2.1 administration to mice
SLE mice were grouped as required: control group (corn oil+dmso), pioglitazone hydrochloride group, 5-8 per group. 120mg of pioglitazone hydrochloride was mixed in 1ml of DMSO, 9ml of corn oil was added, the suspension was thoroughly mixed using a vortexer, and sonicated in an ultrasonic bath at 37℃for 20 minutes to prepare pioglitazone hydrochloride solution (12 mg/ml) for use. The control group was applied with corn oil containing 10% DMSO and the pioglitazone hydrochloride group was applied with 50ul 12mg/ml pioglitazone hydrochloride solution. Two groups of mice were double-applied with the corresponding solution 1 time per day.
2.2 mouse skin lesions, urine proteins and autoantibody monitoring
Mice were observed for skin lesions weekly and photographed with a camera for survival. The mice were periodically cleaned of midrange urine and urine protein was detected using a test paper for detection of ulide proteinuria. The urinary protein content of mice was quantified using CBB. The content of peripheral blood serum antinuclear antibodies and anti-double-stranded DNA antibodies was detected using ELISA kit (Cusabio).
2.3 histopathology
On day 18, mice were sacrificed after anesthesia for cervical dislocation. Binaural skin of the same portion of the three groups of mice was cut with a sharp scalpel and ophthalmology, approximately 0.5 cm x 0.5 cm, spread on tinfoil, and snap frozen with liquid nitrogen or fixed to 4% paraformaldehyde. And (5) after fixation, dehydrating, waxing and embedding. And (3) slicing the tissue block, spreading, baking, dewaxing, hematoxylin and eosin staining, sealing, taking a view picture by using a microscope, and analyzing inflammatory cell infiltration in the skin damage of the mice.
2.4 immunofluorescent staining
After the skin tissue or kidney subjected to liquid nitrogen quick freezing is embedded by OCT, the skin tissue or kidney is placed on a frozen section mould, the frozen section mould is used for slicing, OCT is washed off, a goat anti-mouse IgG-FITC (1:200) is added after the immune fluorescence sealing liquid (Beyotime) is sealed for 1 hour at 37 ℃ for incubation at 4 ℃ overnight, the cell nucleus is stained with DAPI working liquid at room temperature for 10 minutes after PBS is cleaned, the sealing sheet is cleaned by PBS, and the skin and glomerular IgG deposition is observed by a fluorescence microscope imaging.
3. Experimental results
Figure 1A pioglitazone can alleviate SLE mice skin injury severity. On day 18 of treatment, the control mice showed significant depilation and inflammatory lesions, with less depilation in the overlying scale and less lesions in the pioglitazone mice. Pioglitazone is indicated to alleviate skin lesions in SLE mice.
FIG. 1B pioglitazone can reduce SLE mouse urine protein, peripheral blood anti-dsDNA and ANA content. Compared with the control group, the pioglitazone group urine protein (control group vs pioglitazone group: 67.26+/-20.70 mg/dl vs 30.30+/-7.73 mg/dl, P < 0.001), the peripheral blood autoantibody anti-dsDNA (control group vs pioglitazone group: 18.40+/-5.00 ng/ml vs 12.66+/-3.74 ng/ml, P < 0.05) and ANA (control group vs pioglitazone group: 37.58+/-4.46 ng/ml vs 23.03+/-7.53 ng/ml, P < 0.001) are obviously reduced. The results show that pioglitazone can significantly reduce SLE mouse urine protein and autoantibodies.
Fig. 1C pioglitazone can alleviate skin pathological lesions in SLE mice. HE histopathological staining is carried out on the skin of the mice, and the skin of the control group has hyperkeratosis, thickening of the acantha layer, liquefaction and denaturation of basal cells and infiltration of dermal layer immune cells. Pioglitazone group mice showed significantly reduced skin inflammatory changes at the same site. The above results again demonstrate that pioglitazone can alleviate skin pathological lesions in SLE mice.
Figure 1D pioglitazone can reduce SLE mice kidney glomerulus and skin basement membrane with IgG immune complex deposition. Tissue frozen sections indicated IgG deposition in the basal membrane band and glomeruli of the skin of the control group. Pioglitazone group mice had significantly reduced skin basal membrane band and glomerular IgG deposition at the same site. Pioglitazone is shown to reduce deposition of IgG immune complexes on kidney glomeruli and skin basement membrane of SLE mice.
The results show that pioglitazone can treat SLE mice by external application.
The invention provides ideas and methods for the application of pioglitazone in preparing medicaments for treating systemic lupus erythematosus, and the method and the way for realizing the technical scheme are numerous, the above description is only a preferred embodiment of the invention, and it should be pointed out that a plurality of improvements and modifications can be made by those skilled in the art without departing from the principle of the invention, and the improvements and modifications are also considered as the protection scope of the invention. The components not explicitly described in this embodiment can be implemented by using the prior art.

Claims (10)

1. The use of pioglitazone and its salts for the preparation of a product for the treatment of systemic lupus erythematosus.
2. The use according to claim 1, wherein pioglitazone and its salts reduce the content of anti-dsDNA, ANA and urinary proteins in the peripheral blood of mice, reducing the production of autoantibodies.
3. Use according to claim 1, characterized in that pioglitazone and its salts are used as active ingredient of a medicament for the treatment of systemic lupus erythematosus.
4. Use according to any one of claims 1-3, wherein the salt is the hydrochloride salt.
5. The use according to claim 1, wherein the products are pharmaceutical and health products.
6. Use of a pharmaceutical composition for the preparation of a product for the treatment of systemic lupus erythematosus, characterized in that the composition comprises pioglitazone or a salt thereof.
7. The use according to claim 6, wherein the pharmaceutical composition comprises a pharmaceutically acceptable carrier or adjuvant.
8. The use according to claim 6, wherein the products are pharmaceutical and health products.
9. The use according to claim 6, wherein the pharmaceutical composition is selected from the following dosage forms: solutions, gels, ointments, pastes, powders, tablets, injections, capsules or oral liquids.
10. The use according to claim 6, wherein the pharmaceutical composition is pioglitazone hydrochloride solution.
CN202310426497.2A 2023-04-20 2023-04-20 Application of pioglitazone and pioglitazone salt in preparation of product for treating systemic lupus erythematosus Pending CN116531374A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0108087D0 (en) * 2001-03-30 2001-05-23 Novartis Ag Organic compounds
CN1413105A (en) * 1999-04-15 2003-04-23 史密丝克莱恩比彻姆有限公司 Novel method of treatment
US20090082260A1 (en) * 2005-03-01 2009-03-26 Jonathan Robert Lamb Combination of an immunosuppressant and a ppar gamma agonist for the treatment of an undesirable immune response
EP2301539A1 (en) * 2009-09-07 2011-03-30 Rheinische Friedrich-Wilhelms Universität PPAR gamma agonists for treating illnesses with pathophysiological participation of TH17 lymphocytes

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1413105A (en) * 1999-04-15 2003-04-23 史密丝克莱恩比彻姆有限公司 Novel method of treatment
GB0108087D0 (en) * 2001-03-30 2001-05-23 Novartis Ag Organic compounds
US20090082260A1 (en) * 2005-03-01 2009-03-26 Jonathan Robert Lamb Combination of an immunosuppressant and a ppar gamma agonist for the treatment of an undesirable immune response
EP2301539A1 (en) * 2009-09-07 2011-03-30 Rheinische Friedrich-Wilhelms Universität PPAR gamma agonists for treating illnesses with pathophysiological participation of TH17 lymphocytes

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
S MOHAMMADI等: "Immunomodulation in systemic lupus erythematosus: induction of M2 population in monocyte-derived macrophages by pioglitazone.", 《LUPUS . 》, vol. 26, no. 12, pages 1318 - 1327 *
TAMAR R APRAHAMIAN等: "Peroxisome proliferator-activated receptor gamma agonists in the prevention and treatment of murine systemic lupus erythematosus", 《IMMUNOLOGY . 》, vol. 142, no. 3, pages 363 - 373, XP055381116, DOI: 10.1111/imm.12256 *
WENPU ZHAO等: "The peroxisome-proliferator activated receptor-γ agonist pioglitazone modulates aberrant T cell responses in systemic lupus erythematosus", 《CLIN IMMUNOL.》, vol. 149, no. 1, pages 119 - 132, XP028731164, DOI: 10.1016/j.clim.2013.07.002 *
孙文萍: "免疫复合物对人血管内皮细胞和单核细胞的活化作用及其机制研究", 医药卫生科技辑, pages 065 - 29 *

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