WO2019037682A1 - Enteric oxygen microcapsule for adjusting intestinal flora, preparation method therefor and use thereof - Google Patents

Enteric oxygen microcapsule for adjusting intestinal flora, preparation method therefor and use thereof Download PDF

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WO2019037682A1
WO2019037682A1 PCT/CN2018/101322 CN2018101322W WO2019037682A1 WO 2019037682 A1 WO2019037682 A1 WO 2019037682A1 CN 2018101322 W CN2018101322 W CN 2018101322W WO 2019037682 A1 WO2019037682 A1 WO 2019037682A1
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oxygen
enteric
microcapsule
intestinal flora
core material
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PCT/CN2018/101322
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French (fr)
Chinese (zh)
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萧湘
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萧湘
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Priority to CN201880053752.0A priority Critical patent/CN111246858A/en
Publication of WO2019037682A1 publication Critical patent/WO2019037682A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P33/00Antiparasitic agents
    • A61P33/10Anthelmintics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

Definitions

  • the invention relates to the technical field of medicine, in particular to an oxygen microcapsule for regulating intestinal flora, a preparation method thereof and the use thereof as a pharmaceutical active ingredient for adjusting the structure of an intestinal flora in preparing a medicament.
  • Oxygen is one of the most important substances in life activities.
  • Oxygen (O 2 ) the most common elemental form of oxygen. Not easily soluble in water, accounting for about 21% in the air.
  • Oxygen is a double-edged sword. While maintaining the body's survival, it also produces a lot of free radicals.
  • Oxygen the concentration in the environment, is a determining factor in regulating the distribution of microorganisms in the environment.
  • Oxygen is a broad-spectrum antibiotic-like effect and a special irreplaceable antibiotic-like substance. This is also the main mechanism of hyperbaric oxygen therapy (HBOT).
  • HBOT hyperbaric oxygen therapy
  • HBOT is a treatment aid and rehabilitation method often used in hospitals to breathe oxygen in an environment of more than one atmosphere.
  • One of its functions is to use the antibacterial effect of oxygen: oxygen is a broad-spectrum antibiotic, and high-concentration oxygen is not only resistant to anaerobic bacteria but also to aerobic bacteria.
  • hyperbaric oxygen therapy does not replace aerobic exercise - the amount of oxygen entering the intestine is still very low - unless dancing in the hyperbaric oxygen chamber jumps to fever.
  • Microencapsulation is a technology in which trace substances are encapsulated in polymer films. It is a micro-packaging technology for storing solids, liquids and gases. The size is generally from 5 to 200 ⁇ m, and the shape is varied depending on the raw materials and the preparation method.
  • the embedded substance is called a core material, and includes flavors and fragrances, acidulants, sweeteners, colorants, lipids, enzymes, microorganisms, and gases, and various other additives.
  • a substance that achieves microencapsulation by embedding a core material is called a wall material.
  • the present invention relates to a contrast agent composed of gas-containing particles for ultrasonic diagnosis, the particle wall being composed of polycyanoacrylate Or a polyester of ⁇ -, ⁇ - or ⁇ -hydroxycarboxylic acid.
  • the invention relates to an ultrasonic contrast agent made of microparticles, which is composed of amylose or a biodegradable synthetic polymer and A gas and/or a liquid having a boiling point below 60 ° C.
  • Chinese patent CN102973594A discloses an ophthalmic preparation containing oxygen microcapsules and a preparation method thereof, and the oxygen microcapsules are mainly used for controlling various eye diseases caused by hypoxia.
  • Chinese patent CN1191836 discloses the use of hydrogen as a pharmaceutically active ingredient in the preparation of a pharmaceutical product.
  • the hydrogen applied by the patenter Messer Group in the specification for the preparation of a pharmaceutical product describes that hydrogen is suitable for preparation. Treatment of inflammatory lesions in humans and mammals.
  • the human brain can use gas as a gasotransmitters, such as hydrogen sulfide, ammonia, or even carbon monoxide to transfer information between cells.
  • Gut bacteria also produce gas neurotransmitters that affect our brains, moods and behaviors.
  • the volume of gas is less than 200 ml, generally 31 ml to 200 ml, with an average of 100 ml; individual differences are large.
  • the composition of the gas in the lumen varies with the specific location of the entire gastrointestinal tract.
  • the gas in the stomach is similar to air, and the composition of the fart shows a huge individual difference. This reflects individuals with different constitutions and health conditions with different metabolic processes in the gastrointestinal tract.
  • More than 99% of the gas consists of five odorless gases: N 2 , O 2 , CO 2 , H 2 and CH 4 , with a small amount of other odorous gases.
  • the ratio of N 2 can be from 11% to 92%;
  • the ratio of O 2 can be from 0% to 11%
  • the ratio of CO 2 can be from 3% to 54%;
  • the ratio of H 2 can be from 0% to 86%
  • the ratio of CH 4 can range from 0% to 56%.
  • intestinal gas There are three sources of intestinal gas: air that is swallowed consciously or unconsciously, gases produced by bacteria in the gastrointestinal tract, and gases that diffuse from the blood.
  • gas samples are a good indicator of biology. Because different types of bacteria produce different gases, which in turn can affect intestinal function and changes in the intestinal flora.
  • Anaerobic bacteria which are mainly composed of thick-walled bacteria, produce hydrogen, which can be further utilized by methanogenic archaea, sulfur-reducing bacteria or acetogenic bacteria to produce methane and hydrogen sulfide.
  • methanogenic archaea sulfur-reducing bacteria or acetogenic bacteria to produce methane and hydrogen sulfide.
  • the gut microbiota known as the "second genome” of humans, has become one of the most popular research fields in recent years.
  • Bacteria are extremely complex and are classified into aerobic, facultative anaerobic, anaerobic, and obligate anaerobic bacteria based on the difference in bacterial oxygen requirements.
  • Metabolic diseases such as obesity and diabetes have become one of the most serious social and health problems in the world today.
  • the current treatments are mainly for the consequences of disease rather than metabolic disorders, and it is difficult to curb the epidemic trend of global patients, so we need to find new and more effective prevention strategies.
  • Obesity and diabetes occur as a result of genetic and environmental factors, but genomic analysis can only explain 10% to 20% of metabolic diseases.
  • Environmental factors such as eating habits are very important in the pathogenesis of metabolic diseases. effect.
  • human intestinal flora is closely related to the occurrence and development of metabolic diseases such as obesity and type 2 diabetes.
  • the rapid advances in this emerging academic field will not only help elucidate the pathogenesis of metabolic diseases, but will also provide direction for exploring new therapeutic targets and pathways. (Research progress on the relationship between Gu Lien's intestinal flora and obesity and type 2 diabetes. Chinese Journal of Endocrinology and Metabolism 2015, 31(7): 641-645)
  • JCEM The breath test can determine whether a person has an obesity tendency.
  • the high concentration of the two gases is closely related to a higher body mass index (BMI) and a higher percentage of body fat.
  • methane is associated with the intestinal methanobrevibacter smithii. This bacterium is responsible for the production of most of the methane in the human host.
  • Brevibacterium methane is an obligate anaerobic bacterium. It can be isolated in the gastrointestinal tract, anaerobic digester or other environment that is deficient in oxygen and has no other inorganic electron acceptors (such as nitrate or sulfate) other than CO 2 .
  • Periodontal disease and diabetes have a two-way relationship. Diabetes is one of the risk factors for circumferential disease, and periodontal disease can also affect diabetes.
  • Propionic acid is a metabolite produced by intestinal bacteria, and the body can enhance the production of propionic acid through high-fiber foods.
  • Indolepropionic acid and novel lipid metabolites are associated with a lower risk of type 2diabetes in the Finnish Diabetes Prevention Study doi:10.1038/srep46337)
  • tryptophan is a derivative of guanidine that can be metabolically degraded by bacteria in the intestines. For example, tryptophan is metabolized to produce 5-hydroxy-3-indolyl- ⁇ -ketone.
  • mice have shown that microbes interact with the host by releasing metabolites that act on histones, thereby affecting gene transcription, not only in the colon, but also in tissues elsewhere in the body.
  • Antibiotics have also been shown to be resistant to Alzheimer's disease (AD). "Antibiotic-induced perturbations in microbial diversity during post-natal development alters amyloid pathology in an aged APPSWE/PS1 ⁇ E9murine model of Alzheimer’s disease” (Scientific Reports volume 7, Article number: 10411 (2017))
  • lipopolysaccharide molecules can accumulate in amyloid plaques, which is directly related to the pathological manifestations and disease progression of patients with Alzheimer's disease.
  • bacteria are the association of the above two research results on Alzheimer's disease. And we know that Gram-negative anaerobic bacteria account for 75% of adults with periodontitis.
  • TNF tumor necrosis factor
  • pro-inflammatory cytokines in blood and tissues, which induce inflammation associated with aging.
  • Age-Associated Microbial Dysbiosis Promotes Intestinal Permeability, Systemic Inflammation, and Macrophage Dysfunction Cell Host & Microbe, VOLUME 21, ISSUE 4, P455-466.E4, APRIL 12, 2017
  • Fusobacterium nucleatum is a Gram-negative obligate anaerobic bacterium that has the potential to cause disease and can cause periodontal disease.
  • Fusobacterium nucleatum may promote colorectal cancer by interfering with the body's immune system and by activating the growth pathways of colon cells.
  • Fusobacterium nucleatum, and the methane-producing Brevibacterium methanei described above in this specification, are obligate anaerobic bacteria, plus anaerobic bacteria that produce hydrogen as the main force of thick-walled bacteria. Oxygen bacteria are very happy to stay in a low-oxygen or even anaerobic environment of their own preference.
  • Aerobic exercise refers to physical exercise performed by the human body with sufficient oxygen supply. That is, during exercise, the oxygen inhaled by the human body is equal to the demand and reaches a physiological balance.
  • aerobic exercise refers to any rhythmic exercise that has a longer exercise time (about 15 minutes or more) and a moderate or upper exercise intensity (75% to 80% of maximum heart rate). Aerobic exercise is a constant exercise, and it is exercise that lasts for more than 5 minutes. For example, walking, swimming, and cycling are all aerobics.
  • Aerobic exercise helps lower blood pressure and is widely recommended by the US and European guidelines for hypertension. Aerobic exercise, even in an uncontrolled and unsupervised manner, can significantly reduce dynamics and office blood pressure. (Pagonas, Nikolaos; et al. Aerobic versus isometric handgrip exercise in hypertension: a randomized controlled trial. Journal of Hypertension. 2017.)
  • Mild cognitive impairment is an intermediate state between normal aging and dementia. It occurs mostly in the elderly over 65 years of age and shows a slight decline in cognitive ability, but this symptom does not cause daily life. Significant negative impact. Studies have shown that about 5-20% of the elderly suffer from mild cognitive impairment. MCI often develops Alzheimer's disease (AD). Some published literature reveals that 80% of patients with mild cognitive impairment will progress to Alzheimer's disease after 6 years. Previous research suggests that aerobic exercise is expected to increase the volume of specific brain regions, thereby increasing memory. Recent research confirms that exercise not only increases brain volume, but also improves cognitive performance in patients with MCI (Aerobic exercise improves cognition in old age. Published Wednesday 30 November 2016, http://www.medicalnewstoday.com/articles/314448. Php).
  • aerobic exercise is very beneficial to the body, doctors often warn that it is not greedy, excessive exercise will produce a lot of free radicals, etc., which will have a negative effect. Therefore, aerobic exercise is a degree, and this degree is currently controlled by time and heart rate.
  • aerobic exercise the body cells of the body need more oxygen, breathing faster, blood circulation is intensified, and oxygen from the blood diffuses into the intestines.
  • the inventors believe that this is the most fundamental mechanism for aerobic exercise in health benefits - to increase the oxygen content of the intestinal environment of the body, to inhibit the anaerobic activity, and to regulate intestinal flora.
  • Vitamin C and vitamin E are extremely susceptible to oxidation. After entering the intestine, some of the vitamins are quickly oxidized by the oxygen in the intestines. In particular, fat-soluble vitamin E requires a certain amount of fat to prevent it from being rapidly oxidized. Vitamin E is absorbed in the form of micelles in the middle of the small intestine. Its absorption is similar to the absorption of dietary fat, and bile must be present. The absorption rate under normal conditions is 20% to 25%.
  • Draining bile acids into the last part of the small intestine is sufficient to produce a weight loss similar to more complex conventional bariatric surgery.
  • vitamin E reduces the reaction with intestinal oxygen due to the action of fat, and oxygen is not reduced by vitamin E.
  • the oxygen content of the intestine may also be increased during the operation of the procedure.
  • the intestines are usually deficient in oxygen.
  • Whether the intestinal flora is out of balance depends on changing the environment inside or/and outside the host, especially in the host's intestinal environment, whether it can bring health benefits to the host.
  • the original atmosphere is oxygen free.
  • all diseases may be struggles or efforts by anaerobic or anaerobic organisms to survive or rebuild their homes.
  • the intestinal flora is extremely complex and is currently poorly understood. Investigation and research on the substrate or metabolic products degraded by bacteria is more conducive to discovering the clues of some diseases related to the imbalance of intestinal flora.
  • Phenylalanine an essential amino acid. Any natural protein contains about 4% phenylalanine. (The content of animal protein is more than that of vegetable protein. Another thoughtful phenomenon about phenylalanine.)
  • Phenylalanine like tryptophan, is also an aromatic amino acid.
  • Bacteria having phenylalanine deaminase activity can deamination of phenylalanine in the medium to phenylpyruvate, which turns the ferric chloride indicator into green.
  • Proteus, Providencia and Morganella were positive, while other bacteria in Enterobacter were negative.
  • Proteus, Providencia, and Morganella are both facultative anaerobic bacteria. Among them, the anaerobicity of the genus Providencia and the genus Mortierella is even worse than that of the genus Bacillus, and it also metabolizes tryptophan, which is metabolized by deamination to produce 5-hydroxy-3-propionic acid. Alpha-ketone, not guanic acid which is beneficial for diabetes.
  • Lactobacillus reuteri is a facultative anaerobic bacterium, not an anaerobic bacterium, nor an obligate anaerobic bacterium.
  • Tryptophan is the only amino acid that binds to plasma albumin and has both bound and free forms in plasma. Under normal circumstances, these two forms of tryptophan are in equilibrium. The bound type tryptophan is about 90% in plasma and about 10% in free form. Only free-type tryptophan can be directly used by tissues and can pass the blood-brain barrier. Insufficient intake of tryptophan will inhibit the production of antibodies in the body, causing abnormalities in immune regulation.
  • the present inventors prepared a microbial preparation by using a natural non-pathogenic strain having phenylalanine deaminase activity and capable of metabolizing the properties of phenylalanine. Its preliminary pharmacodynamic experiments show a gratifying potential.
  • intestinal flora imbalance in the present invention means that the obligate anaerobic or/and anaerobic or/and facultative anaerobic bacteria in the intestinal tract of a host, particularly a human host, can be administered to give the host a health benefit.
  • enteric solubility in the present invention is not limited to the definition of conventionality, but should be understood as: "all feasible methods and tools for feeding oxygen into the intestine for the purpose of adjusting the intestinal flora”.
  • oxygen source means: a substance capable of generating oxygen, including the photosynthetic bacteria described herein before.
  • Oxygen refers to conventional medical oxygen, and the term oxygen (O) has a conventional meaning and includes all isotopes of oxygen, ie, isotopes 16O, 17O or 18O.
  • Oxygen molecules include a combination of all possible possibilities of isotopic oxygen with each other. The role of oxygen is not limited to the gas phase. A certain proportion of oxygen is completely dissolved in the liquid according to Henry's law.
  • oxygen-containing gas mixture also includes pure oxygen.
  • the technical problem to be solved by the present invention is to overcome the deficiencies of the prior art, to provide an oxygen microcapsule for adjusting intestinal flora, and an oxygen or oxygen source in the enteric oxygen microcapsule as an adjusted intestinal flora.
  • the use in the medicament for cancer and Alzheimer's disease also provides a preparation method for preparing the drug, i.e., enteric oxygen microcapsules, for achieving the use.
  • the pharmaceutical product of the invention may be in a variety of different forms.
  • the pharmaceutical product may be a gas mixture or liquid containing an oxygen/oxygen source (eg, a gas mixture containing oxygen or pure oxygen dispersed in a fat emulsion) or a solid formulation (eg, the gas is in a clathrate).
  • an oxygen/oxygen source eg, a gas mixture containing oxygen or pure oxygen dispersed in a fat emulsion
  • a solid formulation eg, the gas is in a clathrate
  • An enteric oxygen microcapsule for adjusting intestinal flora of the present invention characterized in that the enteric oxygen microcapsule is made of an enteric capsule wall and an oxygen-containing core material, and oxygen in the core material
  • the content is 75 to 100% (W/W)
  • the mass ratio of the core material to the wall of the capsule is 1:50 to 900, preferably 1:50 to 500, and most preferably 1:50 to 100.
  • enteric oxygen microcapsules are enteric microcapsules, enteric microparticles, enteric microdroplets, enteric microcapsule powder or enteric gel.
  • oxygen includes one or more isotopes of oxygen, 16O, 17O or 18O.
  • the core material comprises 1 to 15 parts of oxygen or/and oxygen source, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule;
  • the enteric wall includes 15-25 parts of sodium alginate, 15-25 parts of chitosan, 5-10 parts of polyvinyl alcohol, 35-65 parts of yeast powder and a small amount of cross-linking agent (eg, cross-linking agent).
  • the weight of the dialdehyde is 0.1 to 0.5% (w/w) of the enteric oxygen microcapsules.
  • the crosslinking agent is a combination of one or more of glutaraldehyde, CaCl2, BaCl2, FeCl3, CrCl3, genipin, an aqueous solution of ethylene glycol dimethacrylate, and sodium tripolyphosphate (TPP); preferably, pentane Dialdehyde acts as a crosslinking agent.
  • the enteric oxygen microcapsules are enteric microcapsules: 1 to 100 parts of oxygen or/and oxygen source, and the oxygen concentration is 5 to 100%, so that the core material accounts for the total amount of enteric oxygen microcapsules. 5 to 70% by volume; the enteric wall is mainly made of the following raw materials: 10 to 300 parts of enteric polymer, 5 to 400 parts of surfactant, 1 to 40 parts of isotonicity adjusting agent, pH adjustment The amount of the agent is adjusted to the pH of the enteric microcapsule preparation to 6.6 to 8.7, and the balance is water.
  • the enteric capsule wall further comprises an auxiliary agent such as a plasticizer, titanium dioxide or lake.
  • the plasticizer is used in an amount of 0-35%, preferably 10-30%, of the enteric polymer, and the plasticizer includes but is not limited to triethyl citrate, glycerol acetate, glycerin, PEG6000, PEG4000, Tween 80, 1 2-propanediol, monostearic acid glyceride, preferably triethyl citrate.
  • the amount of titanium dioxide or other lake is 2-40% by mass of the enteric polymer, preferably 10-30%, and most preferably 15-20%.
  • Enteric polymers are enteric materials commonly used in the field, including but not limited to formaldehyde gelatin, shell gum, cellulose acetate phthalate (CAP), copolymers of acrylic acid and methacrylic acid, methacrylic acid-A Methyl methacrylate copolymer, methacrylic acid-methyl acrylate (or ethyl ester, butyl ester) copolymer, ethyl acrylate-methacrylate copolymer, cellulose acetate, ethyl cellulose, polyacrylic resin, acrylic acid Ethyl ester-methyl methacrylate (2:1) copolymer, silicone elastomer (silicone rubber), polyvinyl acetate phthalate (PVAP), hypromellose phthalate (HPMCP) , hydroxypropyl methylcellulose peptidate, hydroxypropylmethylcellulose succinate (HPMCAS) or cross-linked alginate.
  • formaldehyde gelatin shell gum
  • the surfactant is mainly a phospholipid
  • the phospholipids include, but are not limited to, natural soybean phospholipids, natural lecithin, or derivatives thereof, and the mass ratio of oxygen to phospholipid is 1:0.1-100. The optimum is 1:10-50.
  • enteric oxygen microcapsules of the present invention for regulating the intestinal flora with oxygen as the sole active ingredient or active ingredient can also be used for the preparation of a drug containing a lipid-containing, peptide-containing or protein-containing liquid.
  • the preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the invention comprises the following steps:
  • the core material comprises 1 to 15 parts of oxygen or/and oxygen source, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule;
  • the enteric wall Including 15 to 25 parts of sodium alginate, 15 to 25 parts of chitosan, 5 to 10 parts of polyvinyl alcohol, 35 to 65 parts of yeast powder and a small amount of crosslinking agent.
  • step 1) combine the enteric coating liquid in step 1) and the auxiliary agent in step 2), add water or enteric polymer cosolvent to the full amount, stir at high speed, adjust the pH to 6.6 ⁇ 8.7;
  • step 4) passing oxygen into the high-speed stirring solution of step 3) to form fine microcapsules containing a large amount of oxygen, and homogenizing into stable oxygen microcapsules;
  • the enteric oxygen microcapsule is an enteric microcapsule: 1 to 100 parts of oxygen or/and oxygen source, and the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule.
  • the enteric capsule wall is mainly prepared by using the following raw materials: 10 to 300 parts of enteric polymer, 5 to 400 parts of surfactant, 1 to 40 parts of isotonicity adjusting agent, and the amount of pH adjusting agent is regulating intestinal
  • the microcapsule preparation has a pH of 6.6 to 8.7 and the balance is water.
  • enteric oxygen microcapsule for adjusting intestinal flora of the present invention is applied to the preparation of a medicament for regulating enteric oxygen microcapsules as one of the sole active ingredients or active ingredients for regulating intestinal flora.
  • the enteric oxygen microcapsules are used in the preparation of a medicament for preventing or/and treating a disease associated with intestinal flora imbalance or a medicament for aphid.
  • the disease associated with intestinal flora imbalance is one or more of obesity, diabetes, hypertension, cancer or Alzheimer's disease.
  • the invention has the beneficial effects of adjusting the enteric oxygen microcapsules of the intestinal flora: the composition is simple, the production cost is low, the preparation process is simple, and the regulation effect on the intestinal flora is good, especially for obesity, diabetes, Diseases related to intestinal flora imbalance such as hypertension, cancer or Alzheimer's disease have a good preventive/therapeutic effect and can also drive mites.
  • enteric oxygen microcapsules in the form of enteric solid particles have good stability, are convenient for storage and transportation, and are beneficial for the oxygen/oxygen source to efficiently regulate the intestinal flora in the intestine, so that the intestinal flora reaches equilibrium.
  • the invention has the beneficial effects of preparing the enteric oxygen microcapsule of the intestinal flora: the operation is simple, the preparation can be performed by using the existing pharmaceutical processing equipment, no additional equipment is required to be purchased, the equipment investment cost is low, and the scale is convenient. Production.
  • An enteric oxygen microcapsule (referred to as NDDK1) for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, wherein the enteric oxygen microcapsule is an intestine Solvent microcapsules, the specific composition is as follows: 20% oxygen 600ml; poloxamer 15.0g; soybean phospholipid 11.0g; glycerol 7.5g; cellulose acetate cellulose 4.0g; sodium hydroxide solution to adjust the pH value of 6.8; Add 1000 ml of water.
  • step 3 Combine the enteric coating liquid in step 1) and the solution in step 2), adjust the pH to 6.6-8.7 with NaOH solution, and then make up the water to the full amount (1000 ml), and stir at high speed;
  • step 4) The oxygen is introduced into the high-speed stirring solution of step 3) to form fine microcapsules containing a large amount of oxygen, and homogenized to form stable oxygen microcapsules by a homogenizer.
  • oxygen is medical oxygen; instruments are homogenizers; excipients are all pharmaceutical excipients.
  • An enteric oxygen microcapsule for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, wherein the enteric oxygen microcapsule is an intestine Microcapsules, specific composition such as: 45% oxygen 300ml, poloxamer 13.0g, soybean phospholipid 10.0g, sodium chloride 4.0g, polyvinyl acetate phthalate 7.0g, sodium hydroxide solution to adjust pH The value is 7.6 and 1000 ml is added with water.
  • the preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the present embodiment is the same as that of the first embodiment.
  • An enteric oxygen microcapsule (referred to as NDDK3) for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, wherein the enteric oxygen microcapsule is an intestine Microcapsules, specific composition such as: 90% oxygen 700ml, poloxamer 17.0g, lecithin 11.0g, glycerol 7.0g, shellac 9.0g, sodium hydroxide solution to adjust the pH value of 8.1, add water to make 1000ml .
  • the preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the present embodiment is the same as that of the first embodiment.
  • mice 50 males, 10 weeks old, weighing 50-55 g were randomly divided into 5 groups, namely, model group, NDDK1, NDDK2, NDDK3, correspondingly administered low, medium and high groups and normal. Group (control). Ten normal ob/ob mice were taken from each group. The model group, NDDK1, NDDK2, and NDDK3 were administered with low, medium, and high doses for 4 weeks. The rats were weighed and calculated for food intake, and glycosylated hemoglobin was measured. HbA1c), blood glucose, high density lipoprotein (HDL), low density lipoprotein (LDL) and triglycerides (TG). The differences between the respective drug-administered groups and the model group were compared. A T test was performed between groups. See Table 2 and Table 3 for the results.
  • the intestinal oxygen microcapsules used to adjust the intestinal flora have weight, glycated hemoglobin (HbA1c), blood glucose, and high-density lipoprotein (HDL) in obese mice regardless of the oxygen content.
  • Low-density lipoprotein (LDL) and triglyceride (TG) have a good regulatory effect, indicating that the enteric oxygen microcapsules of Examples 1 to 3 have a preventive or/and therapeutic effect on diseases such as obesity and diabetes, that is, Enteric oxygen microcapsules for regulating intestinal flora can be used to prepare drugs for preventing or/and treating obesity and diabetes.
  • Test animals Kunming mice, weighing 18-22g, male and female, a total of 60, randomly divided into 5 groups, 12 in each group;
  • Tumor species S 180 tumor-bearing mice ascites
  • Blank control group distilled water
  • Positive control group cyclophosphamide injection
  • Drug group NDDK1, NDDK2 and NDDK3 according to Embodiments 1 to 3 of the present invention, that is, the oxygen content is divided into three doses of high, medium and low;
  • mice 60 Kunming mice were taken, and S 180 tumor fluid (1 ⁇ 10 7 /ml, 0.2 ml/only) was inoculated into the right axilla. After inoculation, they were randomly divided into the next day, and then NDDK was administered intragastrically and intraperitoneally.
  • Cyclophosphamide (CTX) the dosage is calculated according to the body weight, and the blank control group is given the same volume of distilled water; the drug is administered for 10 days, weighed daily, and the neck is weighed after the drug is weighed the next day, and the subcutaneous tumor is removed.
  • CTX Cyclophosphamide
  • the block called the tumor weight, calculates the tumor inhibition rate, and its calculation formula is:
  • the tumor inhibition rate (%) (the average tumor weight of the control group - the average tumor weight of the experimental group) / the average tumor weight of the control group ⁇ 100,
  • enteric oxygen microcapsules used to adjust the intestinal flora have obvious inhibitory effects on the S 180 tumor-bearing tumor regardless of the oxygen content, indicating the enteric oxygen microcapsule pairs of Examples 1 to 3.
  • Diseases such as cancer have a preventive or/and therapeutic effect, that is, enteric oxygen microcapsules for adjusting the intestinal flora can be used for the preparation of a medicament for preventing or/and treating cancer.
  • An enteric oxygen microcapsule for adjusting an intestinal flora the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, the core material comprising oxygen or/and oxygen source 1 ⁇ 15 parts, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule;
  • the enteric wall includes 15 to 25 parts of sodium alginate, and chitosan 15 to 25 Parts, 5-10 parts of polyvinyl alcohol, 35-65 parts of yeast dipping powder and a trace amount of glutaraldehyde cross-linking agent.
  • an enteric oxygen microcapsule for adjusting intestinal flora is prepared from the following materials: core material: oxygen, orifice diameter: 1.2 ⁇ m, pressure: 3200 Pa, continuous ventilation for 1 h;
  • the soluble capsule wall includes 2.4 g of sodium alginate, 2.4 g of chitosan, 0.4 g of polyvinyl alcohol, 0.6 g of emulsifier Span 60, 11 g of yeast extract, and a crosslinking agent: glutaraldehyde, 4 ml.
  • the preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the invention comprises the following steps:
  • chitosan was dissolved in 3 ml of 36% acetic acid solution diluted with 100 ml of distilled water at 65 ° C, and 12 g of polyvinyl alcohol was dissolved in 2000 ml of distilled water at 95 ° C;
  • Rats were randomly selected as normal control group and fed with normal feed; the remaining 45 were used as obesity model, fed with high fat diet, and the body weight of the rats was weighed every Friday to measure the body length of the rats. Rats weighing more than 20% of the average body weight of the normal control group were taken 4 weeks later as a successful model rat.
  • the above 4 groups were divided into two cages, each with 5 cages. Ordinary feed, 250g/d per group, 125g/d per cage, once/d. Free drinking water.
  • the enteric oxygen microcapsules for adjusting the intestinal flora described in Example 4 were separately mixed in the feed at a set dose.
  • Table 5 shows the changes of serum inflammatory factors in obese rats by adjusting enteric oxygen microcapsules of intestinal flora
  • the results show that the enteric oxygen microcapsules used to adjust the intestinal flora, and the enteric oxygen microcapsules (obese group) used after breaking the wall have no inhibitory effect on the serum inflammatory level of obese rats, and Compared with the obese control group, the directly used enteric oxygen microcapsules (described in Example 4, solid enteric oxygen microcapsules) were treated with serum IL-1, IL- in the obese rats after 2 weeks of intervention. 6.
  • the levels of TNF- ⁇ and NF- ⁇ B decreased significantly (P ⁇ 0.001), indicating that enteric oxygen microcapsules can significantly reduce the inflammatory response in obese rats, and the intestinal tract is increased with the amount of enteric oxygen microcapsules.
  • the inflammatory slowing effect is more significant, indicating that the enteric oxygen microcapsules have the function of protecting the gastrointestinal mucosal barrier and can effectively promote the recovery of intestinal flora imbalance.

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Abstract

An enteric oxygen microcapsule for adjusting intestinal flora. The enteric oxygen microcapsule consists of an enteric capsule wall and a core material containing oxygen and/or an oxygen source. The oxygen in the core material accounts for 5-70% (V/V) of the total volume of the enteric oxygen microcapsule, and the oxygen concentration is 5-100%. The mass ratio of the core material to the enteric wall is 1:50-900. Also disclosed is a preparation method for the enteric oxygen capsule for adjusting intestinal flora, and further disclosed is an application of the enteric oxygen microcapsule in the preparation of drugs for treating diseases associated with intestinal flora imbalance such as obesity, diabetes, hypertension, cancer, or Alzheimer's or drugs for expelling ascarids, by using the enteric oxygen capsule as a sole active ingredient or one of a number of active ingredients.

Description

用于调整肠道菌群的肠溶氧气微囊及其制备方法与用途Enteric oxygen microcapsule for adjusting intestinal flora, preparation method and use thereof 技术领域Technical field
本发明涉及医药技术领域,尤其是涉及用于调整肠道菌群的氧气微囊、其制备方法以及它们作为调整肠道菌群结构的药物活性成分在制备药物中的用途。The invention relates to the technical field of medicine, in particular to an oxygen microcapsule for regulating intestinal flora, a preparation method thereof and the use thereof as a pharmaceutical active ingredient for adjusting the structure of an intestinal flora in preparing a medicament.
背景技术Background technique
氧,是生命活动中最重要的物质之一。Oxygen is one of the most important substances in life activities.
氧气(O 2),氧元素最常见的单质形态。不易溶于水,空气中约占21%。 Oxygen (O 2 ), the most common elemental form of oxygen. Not easily soluble in water, accounting for about 21% in the air.
氧是一把双刃剑。在维持机体生存的同时,也会产生大量的自由基。Oxygen is a double-edged sword. While maintaining the body's survival, it also produces a lot of free radicals.
氧气,在环境中浓度的高低是调控微生物在该环境中分布结构的一个决定性因素。Oxygen, the concentration in the environment, is a determining factor in regulating the distribution of microorganisms in the environment.
氧气是具有广谱抗生素样作用,是一种特殊的无可替代的类抗生素物质。这也是高压氧治疗(HBOT)的主要机制。高压氧治疗(HBOT),是医院经常使用的一种治疗辅助手段和康复方式,是在超过一个大气压的环境中呼吸氧气。其作用原理之一,就是利用了氧气的抗菌作用:氧是一种广谱抗生素,高浓度的氧不仅抗厌氧菌,也抗需氧菌。Oxygen is a broad-spectrum antibiotic-like effect and a special irreplaceable antibiotic-like substance. This is also the main mechanism of hyperbaric oxygen therapy (HBOT). Hyperbaric oxygen therapy (HBOT) is a treatment aid and rehabilitation method often used in hospitals to breathe oxygen in an environment of more than one atmosphere. One of its functions is to use the antibacterial effect of oxygen: oxygen is a broad-spectrum antibiotic, and high-concentration oxygen is not only resistant to anaerobic bacteria but also to aerobic bacteria.
但我们知道,不管环境中氧气浓度大小如何,血红蛋白的携氧能力一般来说是相对稳定的。加之,在平静状态下,肠系膜毛细血管的开放数只有大约1/5——所以,正常人做高压氧治疗更多的只是心里安慰。But we know that regardless of the oxygen concentration in the environment, the oxygen carrying capacity of hemoglobin is generally relatively stable. In addition, in the calm state, the number of mesenteric capillaries is only about 1/5 - so normal people do hyperbaric oxygen therapy more than just comfort.
这或是高压氧治疗(HBOT)并不能取代有氧运动的主要原因——进入肠道的氧气量仍然是非常的低——除非在高压氧舱跳舞跳到发热。This is the main reason why hyperbaric oxygen therapy (HBOT) does not replace aerobic exercise - the amount of oxygen entering the intestine is still very low - unless dancing in the hyperbaric oxygen chamber jumps to fever.
2013年美国食品药品管理局(FDA)在其网站的消费者警告栏目中对高压氧治疗发布警告:目前,尚无相关证据证明高压氧治疗在临床上对癌症、自闭症或糖尿病有治疗作用或对其有效。In 2013, the US Food and Drug Administration (FDA) issued a warning on hyperbaric oxygen therapy in the consumer warning section of its website: Currently, there is no evidence that hyperbaric oxygen therapy is clinically effective in treating cancer, autism or diabetes. Or valid for it.
微胶囊技术(Microencapsulation)是微量物质包裹在聚合物薄膜中的技术,是一种储存固体、液体和气体的微型包装技术。其大小一般为5-200μm不等,形状多样,取决于原料与制备方法。Microencapsulation is a technology in which trace substances are encapsulated in polymer films. It is a micro-packaging technology for storing solids, liquids and gases. The size is generally from 5 to 200 μm, and the shape is varied depending on the raw materials and the preparation method.
其中,被包埋的物质称为芯材,包括香精香料、酸化剂、甜味剂、色 素、脂类、酶、微生物和气体,以及其它各种添加剂。包埋芯材实现微胶囊化的物质称为壁材。Among them, the embedded substance is called a core material, and includes flavors and fragrances, acidulants, sweeteners, colorants, lipids, enzymes, microorganisms, and gases, and various other additives. A substance that achieves microencapsulation by embedding a core material is called a wall material.
2012年6月27日,Science子刊《科学转化医学》(Science Translational Medicine)的封面文章中,报道了来自波斯顿儿童医院的Kheir博士和同事们的报告。他们将制备的氧微粒注入低血氧水平的动物体内可在数秒内使血氧饱和度恢复到接近正常水平。中国专利,“微粒,其制造方法以及在诊断中的应用”(CN1064851)其摘要介绍:本发明涉及用于超声诊断的,由含气微粒构成的造影剂,微粒壁是由聚氰基丙烯酸酯或α-,β-或γ-羟基羧酸的聚酯构成。On June 27, 2012, the cover article of Science Translational Medicine, a science publication, reported reports from Dr. Kheir and colleagues from Boston Children's Hospital. They inject oxygen particles into the hypoxic animal to restore oxygen saturation to near normal levels in seconds. Chinese patent, "Particles, methods for their manufacture and applications in diagnosis" (CN1064851), the Abstract: The present invention relates to a contrast agent composed of gas-containing particles for ultrasonic diagnosis, the particle wall being composed of polycyanoacrylate Or a polyester of α-, β- or γ-hydroxycarboxylic acid.
中国专利,“超声波造影剂及其制造方法和在诊断治疗中的应用”(CN1033840)本发明涉及由微粒制成的超声波造影剂,该微粒由直链淀粉或能被生物分解的合成聚合物和气体和/或沸点低于60℃的液体组成。Chinese patent, "Ultrasonic contrast agent and its manufacturing method and application in diagnostic treatment" (CN1033840) The invention relates to an ultrasonic contrast agent made of microparticles, which is composed of amylose or a biodegradable synthetic polymer and A gas and/or a liquid having a boiling point below 60 ° C.
中国专利CN102973594A公开了一种含有氧气微囊的眼用制剂及制备方法,氧气微囊主要用于防治由于缺氧导致的各种眼部疾病。Chinese patent CN102973594A discloses an ophthalmic preparation containing oxygen microcapsules and a preparation method thereof, and the oxygen microcapsules are mainly used for controlling various eye diseases caused by hypoxia.
中国专利CN1191836公开了氢气作为药物活性成分在制备药物产品中的用途,此外,专利人德国梅塞尔(Messer)集团申请的氢气在制备药物产品中的说明书中记载了,氢气适于制备用于治疗人体和哺乳动物体内炎症病变。Chinese patent CN1191836 discloses the use of hydrogen as a pharmaceutically active ingredient in the preparation of a pharmaceutical product. In addition, the hydrogen applied by the patenter Messer Group in the specification for the preparation of a pharmaceutical product describes that hydrogen is suitable for preparation. Treatment of inflammatory lesions in humans and mammals.
人类的大脑能够利用气体作为神经递质(gasotransmitters),比如硫化氢、氨气甚至一氧化碳在细胞之间传递信息。肠道细菌也会产生气体神经递质影响我们的大脑、情绪和行为。(Oleskin,A.V.and B.A.Shenderov(2016)."Neuromodulatory effects and targets of the SCFAs and gasotransmitters produced by the human symbiotic microbiota."Microbial Ecology in Health and Disease 27:30971.)The human brain can use gas as a gasotransmitters, such as hydrogen sulfide, ammonia, or even carbon monoxide to transfer information between cells. Gut bacteria also produce gas neurotransmitters that affect our brains, moods and behaviors. (Oleskin, A.V. and B.A.Shenderov (2016). "Neuromodulatory effects and targets of the SCFAs and gasotransmitters produced by the human symbiotic microbiota." Microbial Ecology in Health and Disease 27:30971.)
人类肠道中,已有的研究表明气体的体积小于200毫升,一般为31ml~200ml,平均100ml;个体差异较大。In the human intestine, studies have shown that the volume of gas is less than 200 ml, generally 31 ml to 200 ml, with an average of 100 ml; individual differences are large.
管腔内的气体成分随着整个胃肠道的具体部位不同而有变化。胃里的气体和空气相似,而屁的成分则显示了巨大的个体差异。这反映了不同体质和健康状况的个体,其胃肠道的代谢过程不同。The composition of the gas in the lumen varies with the specific location of the entire gastrointestinal tract. The gas in the stomach is similar to air, and the composition of the fart shows a huge individual difference. This reflects individuals with different constitutions and health conditions with different metabolic processes in the gastrointestinal tract.
超过99%的气体由五个无臭味的气体组成:N 2,O 2,CO 2,H 2和CH 4,其它有味的气体量很少。 More than 99% of the gas consists of five odorless gases: N 2 , O 2 , CO 2 , H 2 and CH 4 , with a small amount of other odorous gases.
N 2的比例可以从11%到92%; The ratio of N 2 can be from 11% to 92%;
O 2的比例可以从0%到11%; The ratio of O 2 can be from 0% to 11%;
CO 2的比例可以从3%到54%; The ratio of CO 2 can be from 3% to 54%;
H 2的比例可以从0%到86%; The ratio of H 2 can be from 0% to 86%;
CH 4的比例可以从0%到56%。 The ratio of CH 4 can range from 0% to 56%.
肠道气体有三个来源:有意识或无意识吞咽的空气、胃肠道细菌产生的气体和从血液里弥散过来的气体。There are three sources of intestinal gas: air that is swallowed consciously or unconsciously, gases produced by bacteria in the gastrointestinal tract, and gases that diffuse from the blood.
关于肠道的气体代谢,可概括为来源和消除两个方面。见表1。Regarding the gas metabolism of the intestine, it can be summarized as two aspects of source and elimination. See Table 1.
表1 肠道的气体代谢Table 1 Gas metabolism in the intestine
肠道气体来源Gut gas source
吞咽气体(N 2,O 2) Swallowing gas (N 2 , O 2 )
血液弥散(N 2,O 2,CO 2) Blood dispersion (N 2 , O 2 , CO 2 )
·碳酸氢盐中和(CO 2) · Hydrocarbonate neutralization (CO 2 )
·细菌代谢(H 2,CO 2,CH 4和微量气体). · Bacterial metabolism (H 2 , CO 2 , CH 4 and trace gases).
肠道气体的清除Intestinal gas removal
·嗳气·Helium
·弥散入血·Diffuse into the blood
·细菌代谢·Bacterial metabolism
·肛门排气·Anal exhaust
为了监控胃肠道气体的代谢情况,利于人类健康管理。墨尔本皇家理工大学的库奥罗什·卡兰塔尔-扎德(Kourosh Kalantar-zadeh)教授团队,研制了一种人类肠道气体监测的“智能胶囊”。其目的是为了最为准确而实时实地来测量肠道气体样本。In order to monitor the metabolism of gastrointestinal gases, it is beneficial to human health management. A team of professors at the Royal Melbourne Institute of Technology, Kourosh Kalantar-zadeh, developed a "smart capsule" for human intestinal gas monitoring. Its purpose is to measure intestinal gas samples in the most accurate and real-time field.
确定肠道微生物的代谢情况,气体样本是个很好的生物指标。因为,不同类型的细菌会产生不同的气体,这些气体进而能影响肠道功能和肠道菌群的变化。To determine the metabolism of intestinal microbes, gas samples are a good indicator of biology. Because different types of bacteria produce different gases, which in turn can affect intestinal function and changes in the intestinal flora.
以厚壁菌为主力的厌氧菌产生氢气,而氢气又能进一步被产甲烷古菌、硫还原细菌或产乙酸菌利用,从而产生甲烷、硫化氢等。(Ou,J.Z.et al.(2015)Human intestinal gas measurement systems:in vitro fermentation and gas capsules.Trends in Biotechnology,In Press.)Anaerobic bacteria, which are mainly composed of thick-walled bacteria, produce hydrogen, which can be further utilized by methanogenic archaea, sulfur-reducing bacteria or acetogenic bacteria to produce methane and hydrogen sulfide. (Ou, J. Z. et al. (2015) Human intestinal gas measurement systems: in vitro fermentation and gas capsules. Trends in Biotechnology, In Press.)
被誉为人类的“第二基因组”的肠道菌群,近年来已经成为最火爆的研究领域之一。The gut microbiota, known as the "second genome" of humans, has become one of the most popular research fields in recent years.
这些高度多样化、数量惊人的细菌就生活在我们的身体里。These highly diverse and amazing numbers of bacteria live in our bodies.
细菌极为复杂,根据细菌对氧气的需求差异,将其分类为:需氧菌、兼性厌氧菌、厌氧菌和专性厌氧菌。Bacteria are extremely complex and are classified into aerobic, facultative anaerobic, anaerobic, and obligate anaerobic bacteria based on the difference in bacterial oxygen requirements.
肠道里,各种细菌按照一定比例组合,互相依存,互相制约,在质和量上形成了一定的生态平衡。当机体内部或/和外部环境发生变化时,正常的生态平衡就会被打破,触发肠道菌群失衡。In the intestines, various bacteria are combined according to a certain proportion, interdependent and mutually restrictive, forming a certain ecological balance in quality and quantity. When the internal or/and external environment changes, the normal ecological balance is broken, triggering an imbalance in the intestinal flora.
近期的多项研究表明,饮食、生活方式、药物等都会影响肠道菌群的种类、数量和功能,引起肠道菌群失衡,使得机体的免疫系统有不同的响应。肠道菌群和免疫系统的变化,促进胰岛素抵抗和慢性炎症等发生。肥胖、糖尿病、高血压、癌症、阿尔茨海默氏病、神经退行性疾病、帕金森氏病等有可能就此显现。A number of recent studies have shown that diet, lifestyle, drugs, etc. will affect the type, quantity and function of intestinal flora, causing imbalance of intestinal flora, which makes the body's immune system have different responses. Changes in the intestinal flora and immune system promote insulin resistance and chronic inflammation. Obesity, diabetes, hypertension, cancer, Alzheimer's disease, neurodegenerative diseases, Parkinson's disease, etc. may appear.
肠道菌群失衡与多种疾病密切相关。(Gut microorganisms affect our physiology.Medical press.December 29,2016.)The imbalance of intestinal flora is closely related to various diseases. (Gut microorganisms affect our physiology.Medical press.December 29, 2016.)
肠道菌群失衡与人类宿主健康之间的关系极为复杂,相关病理生理学机制还远不清楚。The relationship between intestinal flora imbalance and human host health is extremely complex, and the related pathophysiological mechanisms are far from clear.
肠道菌群失衡与肥胖症、糖尿病和高血压的关系:The relationship between intestinal flora imbalance and obesity, diabetes and hypertension:
肥胖及糖尿病等代谢性疾病已成为当今世界最为严重的社会和健康问题之一。目前的治疗手段主要针对疾病后果而非代谢紊乱的原因,难以遏制全球患者爆发式增长的流行趋势,因此我们需要寻找新的更为有效的防治策略。肥胖及糖尿病的发生是遗传和环境因素共同作用的结果,但基因组分析仅能解释10%~20%的代谢性疾病,环境因素如饮食习惯等生活方式在代谢性疾病的发病中具有非常重要的作用。近年来,越来越多的研究显示,人体肠道菌群与肥胖、2型糖尿病等代谢性疾病的发生发展密切相关。这一新兴学术领域的飞速进展不仅有助于阐明代谢性疾病的发病机制,而且将为探索新的治疗靶点和途径提供方向。(纪立农肠道菌群与肥胖及2型糖尿病关系的研究进展中华内分泌代谢杂志2015,31(7):641-645)Metabolic diseases such as obesity and diabetes have become one of the most serious social and health problems in the world today. The current treatments are mainly for the consequences of disease rather than metabolic disorders, and it is difficult to curb the epidemic trend of global patients, so we need to find new and more effective prevention strategies. Obesity and diabetes occur as a result of genetic and environmental factors, but genomic analysis can only explain 10% to 20% of metabolic diseases. Environmental factors such as eating habits are very important in the pathogenesis of metabolic diseases. effect. In recent years, more and more studies have shown that human intestinal flora is closely related to the occurrence and development of metabolic diseases such as obesity and type 2 diabetes. The rapid advances in this emerging academic field will not only help elucidate the pathogenesis of metabolic diseases, but will also provide direction for exploring new therapeutic targets and pathways. (Research progress on the relationship between Gu Lien's intestinal flora and obesity and type 2 diabetes. Chinese Journal of Endocrinology and Metabolism 2015, 31(7): 641-645)
2013年3月20日,JCEM:呼吸测试就能判断一个人是否有肥胖倾向。On March 20, 2013, JCEM: The breath test can determine whether a person has an obesity tendency.
这是世界上第一次大规模的研究,证实了气体中成分和体重之间的关联,这可能有助于揭示肥胖的另一个重要因素。研究人员分析了792人呼出的气体内含物。在呼气测试的基础上,受试者出现了四种模式:This is the world's first large-scale study, confirming the link between ingredients and body weight in gas, which may help reveal another important factor in obesity. The researchers analyzed the gas contents exhaled by 792 people. Based on the breath test, the subjects showed four patterns:
1.有正常的气体内含物;1. Have normal gas contents;
2.有更高浓度的甲烷;2. There is a higher concentration of methane;
3.有更高水平的氢;3. Have a higher level of hydrogen;
4.甲烷和氢两种气体都是高水平。4. Both methane and hydrogen are high levels.
两种气体的高浓度与较高的身体质量指数(BMI)和较高的体脂肪百分比密切相关。The high concentration of the two gases is closely related to a higher body mass index (BMI) and a higher percentage of body fat.
甲烷的存在与肠道史氏甲烷短杆菌(methanobrevibactersmithii)相关联。该细菌负责人类宿主大部分甲烷的生产。The presence of methane is associated with the intestinal methanobrevibacter smithii. This bacterium is responsible for the production of most of the methane in the human host.
甲烷短杆菌是一种专性厌氧菌。可在胃肠道、厌氧消化器或其他缺氧的且除CO 2外无其他无机电子受体(如硝酸盐或硫酸盐)存在的环境分离得到。 Brevibacterium methane is an obligate anaerobic bacterium. It can be isolated in the gastrointestinal tract, anaerobic digester or other environment that is deficient in oxygen and has no other inorganic electron acceptors (such as nitrate or sulfate) other than CO 2 .
已有研究证明,牙周病病人患糖尿病的概率是正常人的7倍。Studies have shown that patients with periodontal disease have seven times the probability of developing diabetes.
牙周病和糖尿病有双向关系。糖尿病是周牙病的危险因素之一,牙周病对糖尿病也会产生影响。Periodontal disease and diabetes have a two-way relationship. Diabetes is one of the risk factors for circumferential disease, and periodontal disease can also affect diabetes.
研究显示,成年人患牙周炎时,革兰氏阴性厌氧菌所占的比例,约为75%。Studies have shown that the proportion of Gram-negative anaerobic bacteria in adults with periodontitis is about 75%.
目前已有报告,患有牙周炎的糖尿病患者经牙周治疗后糖化血红蛋白水平下降,糖尿病用药量减少。([1].Mealey BL,Rose LF.Diabetes mellitus and inflammatory periodontal diseases.CompendContinEduc Dent,2008,29(7):402-408,410,412-403.[2].尚姝环等武汉市不同年龄公务员牙周炎危险因素的相关性研究。中华老年医学杂志,2008;27(12):931-934.)It has been reported that diabetic patients with periodontitis have decreased glycated hemoglobin levels after periodontal treatment and reduced the amount of diabetes medication. ([1]. Mealey BL, Rose LF. Diabetes mellitus and inflammatory periodontal diseases. Compend Contin Educ Dent, 2008, 29(7): 402-408, 410, 412-403. [2]. Shang Yihuan and other different ages in Wuhan Correlation study on risk factors of periodontitis in civil servants. Chinese Journal of Geriatrics, 2008; 27(12): 931-934.
2014年8月21日,Immunity报道:肠道细菌的代谢产物吲哚丙酸(Indole 3-propionic acid IPA)或可维持肠道上皮细胞的防御功能。(doi:10.1016/j.immuni.2014.06.014.Epub 2014Jul 24.)On August 21, 2014, Immunity reported that the intestinal bacterial metabolite Indole 3-propionic acid (IPA) may maintain the defense function of intestinal epithelial cells. (doi:10.1016/j.immuni.2014.06.014.Epub 2014Jul 24.)
2017年4月11日发表在Scientific Reports上的一项来自东芬兰大学的新研究表明血清中高浓度的吲哚丙酸可以预防2型糖尿病。A new study from the University of Eastern Finland published on Scientific Reports on April 11, 2017 showed that high levels of sputum in serum can prevent type 2 diabetes.
吲哚丙酸是肠道细菌产生的代谢产物,人体可以通过高纤维食物增强吲哚丙酸的产生。(Indolepropionic acid and novel lipid metabolites are associated with a lower risk of type 2diabetes in the Finnish Diabetes Prevention Study doi:10.1038/srep46337)Propionic acid is a metabolite produced by intestinal bacteria, and the body can enhance the production of propionic acid through high-fiber foods. (Indolepropionic acid and novel lipid metabolites are associated with a lower risk of type 2diabetes in the Finnish Diabetes Prevention Study doi:10.1038/srep46337)
但是,目前并不清楚在肠道中,吲哚丙酸的具体来源。However, it is not clear at this time the specific source of flupropionic acid in the intestine.
我们知道色氨酸是吲哚的衍生物,在肠道可以被细菌代谢降解。比如,色氨酸经脱氨基后代谢产生5-羟基-3-吲哚丙酸-α-酮。We know that tryptophan is a derivative of guanidine that can be metabolically degraded by bacteria in the intestines. For example, tryptophan is metabolized to produce 5-hydroxy-3-indolyl-α-ketone.
基于此,目前科学家们给出的最好建议是:通过高纤维食物增强吲哚丙酸的产生。Based on this, the best advice given by scientists is to enhance the production of cyanopropionic acid through high-fiber foods.
2015年10月29日,Cell Metabolism上发表研究文章称:On October 29, 2015, a research article published on Cell Metabolism stated:
肠道细菌分解产生的短链脂肪酸会增加肝脏脂质的堆积,将导致机体罹患非酒精脂肪肝,出现肝损伤。研究者还发现,过度摄入膳食纤维的小鼠Toll样受体5(TLR5)功能降低,并会导致肠道细菌过度生长。(Gut bacteria could be blamed for obesity and diabetes,MNT,30,Oct,2015)The short-chain fatty acids produced by the decomposition of intestinal bacteria increase the accumulation of lipids in the liver, which will cause the body to suffer from non-alcoholic fatty liver and liver damage. The researchers also found that mice that overdose dietary fiber had reduced Toll-like receptor 5 (TLR5) function and caused excessive bacterial growth in the gut. (Gut bacteria could be blamed for obesity and diabetes, MNT, 30, Oct, 2015)
既往研究已表明,肥胖与心血管病有关。近期,一项发表在JAMA心脏病学子刊上的英国研究再次证实,超重/肥胖与心脏代谢性疾病风险增加有关,包括冠心病、高血压和2型糖尿病。该研究纳入了将近12万人。(Lyall DM,Celis-Morales C,Ward J,et al.Association of Body Mass Index With Cardiometabolic Disease in the UK Biobank:A Mendelian Randomization Study.JAMA Cardiol.Published online July 5,2017.)Previous studies have shown that obesity is associated with cardiovascular disease. Recently, a British study published in the JAMA Cardiology Journal once again confirmed that overweight/obesity is associated with an increased risk of cardiac metabolic diseases, including coronary heart disease, hypertension, and type 2 diabetes. The study included nearly 120,000 people. (Lyall DM, Celis-Morales C, Ward J, et al. Association of Body Mass Index With Cardiometabolic Disease in the UK Biobank: A Mendelian Randomization Study. JAMA Cardiol. Published online July 5, 2017.)
研究人员已经知道,饮食会影响体内微生物的平衡,但这如何转化成对宿主的影响还没有被理解。现在,对老鼠的研究表明,微生物通过释放出作用于组蛋白的代谢物而与宿主进行交流,从而影响基因转录,这不仅发生在结肠,也在身体其他部位的组织中。Researchers already know that diet affects the balance of microbes in the body, but how this translates into a host's effects is not yet understood. Now, studies in mice have shown that microbes interact with the host by releasing metabolites that act on histones, thereby affecting gene transcription, not only in the colon, but also in tissues elsewhere in the body.
肠道菌群失衡与阿尔茲海默氏病的关系:The relationship between intestinal flora imbalance and Alzheimer's disease:
此前,加州大学洛杉矶分校(UCLA)的研究发现,通过喂食抗生素,“保持肠道细菌的平衡有助于延缓与衰老相关的疾病”。Walker教授表示,"这项研究可能会为科学家干预衰老过程、延缓帕金森病、阿尔茨海默病、癌症、中风、心血管疾病、糖尿病等疾病的发生,带来比较现实的方法,尽管这些进展可能还需要很多年。"(Cell Reports,2015,12(10):1656)Earlier, the University of California, Los Angeles (UCLA) study found that by feeding antibiotics, "keeping the balance of intestinal bacteria helps delay the disease associated with aging." Professor Walker said, "This study may bring more realistic methods for scientists to intervene in the aging process, delay Parkinson's disease, Alzheimer's disease, cancer, stroke, cardiovascular disease, diabetes, etc., even though these Progress may take many years." (Cell Reports, 2015, 12(10): 1656)
而抗生素也显示出了抗阿兹海默症病(AD)的作用。“Antibiotic-induced perturbations in microbial diversity during post-natal development alters amyloid pathology in an aged APPSWE/PS1ΔE9murine model of Alzheimer’s disease"(Scientific Reports  volume 7,Article number:10411(2017))Antibiotics have also been shown to be resistant to Alzheimer's disease (AD). "Antibiotic-induced perturbations in microbial diversity during post-natal development alters amyloid pathology in an aged APPSWE/PS1ΔE9murine model of Alzheimer’s disease" (Scientific Reports volume 7, Article number: 10411 (2017))
2016年12月一项刊登于Neurology上的研究报告中,来自加州大学戴维斯分校神经和大脑研究所的研究人员首次发现,在迟发性的阿尔兹海默氏病患者大脑样本中存在较高水平的革兰氏阴性菌的抗原,这些患者大脑样本中细菌脂多糖和大肠杆菌K99菌毛蛋白的水平较高。In a December 2016 study published in Neurology, researchers from the Institute of Neurology and Brain Research at the University of California, Davis, first discovered that there were differences in brain samples from patients with delayed Alzheimer's disease. High levels of Gram-negative bacteria antigens in these brain samples have higher levels of bacterial lipopolysaccharide and E. coli K99 pilin.
此外研究者还发现,这些脂多糖分子能够聚集在淀粉样斑块中,而这就和阿尔兹海默氏病患者的病理学表现及疾病进展直接相关了。In addition, the researchers also found that these lipopolysaccharide molecules can accumulate in amyloid plaques, which is directly related to the pathological manifestations and disease progression of patients with Alzheimer's disease.
文章说:这项研究提醒研究人员需要进行更为深入的研究来调查感染性因子影响阿尔兹海默氏病的机制,阐明细菌在其发病过程中所扮演的角色,细菌感染性因子与其发病之间的关联,为开发新型的治疗方法提供新思路,带来新希望。The article said: This study reminds researchers to conduct more in-depth research to investigate the mechanism of infectious factors affecting Alzheimer's disease, to clarify the role of bacteria in their pathogenesis, bacterial infectious agents and their pathogenesis The interrelationship provides new ideas and new hopes for the development of new treatments.
(Xinhua Zhan,MD,BoryanaStamova,PhD,Lee-Way Jin,MD,Charles DeCarli,MD,Brett Phinney,PhD and Frank R.Sharp,MD.Gram-negative bacterial molecules associate with Alzheimer disease pathology.Neurology.2016)(Xinhua Zhan, MD, Boryana Stamova, PhD, Lee-Way Jin, MD, Charles DeCarli, MD, Brett Phinney, PhD and Frank R. Sharp, MD. Gram-negative bacterial molecules associate with Alzheimer disease pathology. Neurology. 2016)
可以看出,细菌,是以上两个关于阿尔茲海默氏病研究成果的关联所在。而我们知道,成年人患牙周炎时,革兰氏阴性厌氧菌所占的比例达75%。It can be seen that bacteria are the association of the above two research results on Alzheimer's disease. And we know that Gram-negative anaerobic bacteria account for 75% of adults with periodontitis.
肠道菌群失衡与癌症的关系:The relationship between intestinal flora imbalance and cancer:
希波克拉底:一切疾病都始于肠道。诺贝尔奖得主免疫学先驱梅契尼柯夫:死亡始于大肠。Hippocrates: Every disease begins in the intestines. Nobel laureate immunologist Pioneer Mechnikov: Death begins in the large intestine.
衰老与血液和组织中的肿瘤坏死因子(TNF)以及促炎性细胞因子水平的增加有关,肠道微生物会诱发与衰老相关的炎症。(Age-Associated Microbial Dysbiosis Promotes Intestinal Permeability,Systemic Inflammation,and Macrophage Dysfunction Cell Host&Microbe,VOLUME 21,ISSUE 4,P455-466.E4,APRIL 12,2017)Aging is associated with increased levels of tumor necrosis factor (TNF) and pro-inflammatory cytokines in blood and tissues, which induce inflammation associated with aging. (Age-Associated Microbial Dysbiosis Promotes Intestinal Permeability, Systemic Inflammation, and Macrophage Dysfunction Cell Host & Microbe, VOLUME 21, ISSUE 4, P455-466.E4, APRIL 12, 2017)
Dawn Bowdish说:目前,减少与衰老相关炎症的唯一方法就是保持健康饮食和锻炼,并尽可能地控制住任何慢性炎症疾病。我们希望在未来能够使用药物、益生菌或益生素来增加肠道的屏障功能,让微生物留在它们该在的地方“安居乐业”,从而减少与衰老相关的炎症。Dawn Bowdish said: Currently, the only way to reduce inflammation associated with aging is to maintain a healthy diet and exercise, and to control as much as possible any chronic inflammatory disease. We hope to use drugs, probiotics or probiotics in the future to increase the barrier function of the intestines, leaving microbes to stay in their place where they live, thereby reducing inflammation associated with aging.
2014年《柳叶刀》杂志上有研究揭示了超重和肥胖者患癌症的概率比普通人显著提高。研究人员统计了英国每年因肥胖导致的12000例癌症, 并且预计肥胖人群患癌比例将以每年3700例的速度增长。(Bhaskaran K,Douglas I,Forbes H,et al.Body-mass index and risk of 22specific cancers:a population-based cohort study of 5·24million UK adults.The Lancet 13August 2014.)Research in the 2014 Lancet magazine revealed that the probability of cancer in overweight and obese people is significantly higher than that of the average person. The researchers counted 12,000 cancers caused by obesity each year in the UK, and the proportion of cancer in obese people is expected to increase at a rate of 3,700 per year. (Bhaskaran K, Douglas I, Forbes H, et al. Body-mass index and risk of 22 specific cancers: a population-based cohort study of 5·24million UK adults. The Lancet 13August 2014.)
2011年10月,来自加拿大BC癌症研究所和Broad研究所的两个研究小组,证实了具核梭杆菌(F.nucleatum)也存在于肠道中,且其在肠道中的丰度与结直肠癌相关。In October 2011, two research groups from the Canadian BC Cancer Institute and the Broad Institute confirmed that F. nucleatum is also present in the intestine, and its abundance in the intestine and colorectal cancer Related.
具核梭杆菌是一种革兰氏阴性专性厌氧菌,它有潜力致病,能够引起牙周病。Fusobacterium nucleatum is a Gram-negative obligate anaerobic bacterium that has the potential to cause disease and can cause periodontal disease.
近期研究结果表明,具核梭杆菌或会通过干扰机体的免疫系统以及激活结肠细胞的生长通路来促进结直肠癌的发生。(Mehta RS,Nishihara R,Cao Y et al.Association of Dietary Patterns With Risk of Colorectal Cancer Subtypes Classified by FusobacteriumNucleatum in Tumor Tissue.JAMA Oncol.2017Jan 26.)Recent studies have shown that Fusobacterium nucleatum may promote colorectal cancer by interfering with the body's immune system and by activating the growth pathways of colon cells. (Mehta RS, Nishihara R, Cao Y et al. Association of Dietary Patterns With Risk of Colorectal Cancer Subtypes Classified by Fusobacterium Nucleatum in Tumor Tissue. JAMA Oncol. 2017 Jan 26.)
显然,具核梭杆菌,以及本说明书前面所述的产生甲烷的史氏甲烷短杆菌,都是专性厌氧菌,加上以厚壁菌为主力的产生氢气的厌氧菌,它们作为厌氧菌,都是十分乐意待在一个自己偏好的低氧甚至无氧环境里的。Obviously, Fusobacterium nucleatum, and the methane-producing Brevibacterium methanei described above in this specification, are obligate anaerobic bacteria, plus anaerobic bacteria that produce hydrogen as the main force of thick-walled bacteria. Oxygen bacteria are very happy to stay in a low-oxygen or even anaerobic environment of their own preference.
综合起来看,种种现象表明:肥胖症、糖尿病特别是2型糖尿病、癌症和阿尔茨海默氏病等跟肠道的厌氧菌或专性厌氧菌密切相关。Taken together, various phenomena indicate that obesity, diabetes, especially type 2 diabetes, cancer and Alzheimer's disease are closely related to intestinal anaerobic or obligate anaerobic bacteria.
有氧运动是指人体在氧气充分供应的情况下进行的体育锻炼。即在运动过程中,人体吸入的氧气与需求相等,达到生理上的平衡状态。简单来说,有氧运动是指任何富于韵律性的运动,其运动时间较长(约15分钟或以上),运动强度在中等或中上的程度(最大心率之75%至80%)。有氧运动是一种恒常运动,是持续5分钟以上还有余力的运动。比如散步,游泳,骑自行车都属于有氧运动。Aerobic exercise refers to physical exercise performed by the human body with sufficient oxygen supply. That is, during exercise, the oxygen inhaled by the human body is equal to the demand and reaches a physiological balance. In simple terms, aerobic exercise refers to any rhythmic exercise that has a longer exercise time (about 15 minutes or more) and a moderate or upper exercise intensity (75% to 80% of maximum heart rate). Aerobic exercise is a constant exercise, and it is exercise that lasts for more than 5 minutes. For example, walking, swimming, and cycling are all aerobics.
胡大一教授在“有氧代谢运动与心血管疾病”的演讲中,用具体的事例,亲身经历,一一细数了有氧代谢运动的种种好处。“有氧能力”在美国已纳入“临床生命体征”(http://circ.ahajournals.org/content/134/24/e653)。Professor Hu Dayi's speech in "Aerobic Metabolism Exercise and Cardiovascular Disease", using specific examples, personal experience, detailed the benefits of aerobic exercise. "Aerobic capacity" has been included in the "Clinical Vital Signs" in the United States (http://circ.ahajournals.org/content/134/24/e653).
有氧运动有助于降低血压,并被美国和欧洲的高血压指南广泛推荐。有氧运动,即使是一种不受控制和无监督的方式进行,也能显著减少动态 和诊室血压。(Pagonas,Nikolaos;et al.Aerobic versus isometric handgrip exercise in hypertension:a randomized controlled trial.Journal of Hypertension.2017.)Aerobic exercise helps lower blood pressure and is widely recommended by the US and European guidelines for hypertension. Aerobic exercise, even in an uncontrolled and unsupervised manner, can significantly reduce dynamics and office blood pressure. (Pagonas, Nikolaos; et al. Aerobic versus isometric handgrip exercise in hypertension: a randomized controlled trial. Journal of Hypertension. 2017.)
近期,一项发表在杂志Diabetes Care上的研究旨在评估进行20周的有氧运动训练对正常青少年和1型糖尿病青少年的左室功能和血糖控制的影响。得出的结论是:有氧运动可以使胰岛素用量下降约10%,改善青少年糖尿病的心脏功能。(Gusso S,Pinto T,et al.Exercise Training Improves but Does Not Normalize Left Ventricular Systolic and Diastolic Function in Adolescents With Type 1Diabetes.Diabetes Care.2017Jul 18.pii:dc162347.doi:10.2337/dc16-2347.)Recently, a study published in the journal Diabetes Care was designed to assess the effects of 20-week aerobic exercise training on left ventricular function and glycemic control in normal adolescents and type 1 diabetic adolescents. The conclusion is that aerobic exercise can reduce the insulin dosage by about 10% and improve the heart function of juvenile diabetes. (Gusso S, Pinto T, et al. Exercise Training Improves but Does Not Normalize Left Ventricular Systolic and Diastolic Function in Adolescents With Type 1Diabetes.Diabetes Care.2017Jul 18.pii:dc162347.doi:10.2337/dc16-2347.)
轻度认知障碍(MCI)是一种介于正常衰老和痴呆之间的中间状态,多发于65岁以上老人群体,表现为认知能力轻微下降,但是这种症状并不会对日常生活造成显著负面影响。已有研究表明,约5-20%的老年人患有轻度认知障碍。MCI常常会发展成阿尔兹海默氏病(AD)。一些已发表的文献揭示,80%患有轻度认知障碍的患者会在6年后恶化成阿尔兹海默症。之前的研究建议,有氧运动有望增加特定大脑区域的体积,从而提高记忆力。现在最新研究证实,运动不仅仅会增加大脑体积,还有望改善MCI患者的认知能力(Aerobic exercise improves cognition in old age.Published Wednesday 30November 2016,http://www.medicalnewstoday.com/articles/314448.php)。Mild cognitive impairment (MCI) is an intermediate state between normal aging and dementia. It occurs mostly in the elderly over 65 years of age and shows a slight decline in cognitive ability, but this symptom does not cause daily life. Significant negative impact. Studies have shown that about 5-20% of the elderly suffer from mild cognitive impairment. MCI often develops Alzheimer's disease (AD). Some published literature reveals that 80% of patients with mild cognitive impairment will progress to Alzheimer's disease after 6 years. Previous research suggests that aerobic exercise is expected to increase the volume of specific brain regions, thereby increasing memory. Recent research confirms that exercise not only increases brain volume, but also improves cognitive performance in patients with MCI (Aerobic exercise improves cognition in old age. Published Wednesday 30 November 2016, http://www.medicalnewstoday.com/articles/314448. Php).
虽然,有氧运动对身体益处很大,但医生们常常告诫,不可贪多,过度的运动会产生大量的自由基等,带来负作用。所以,有氧运动是有度的,这个度目前是以时间和心率来控制。Although aerobic exercise is very beneficial to the body, doctors often warn that it is not greedy, excessive exercise will produce a lot of free radicals, etc., which will have a negative effect. Therefore, aerobic exercise is a degree, and this degree is currently controlled by time and heart rate.
2014年,诺贝尔奖获得者,DNA结构的发现者之一,詹姆斯·杜威·沃森在《柳叶刀》发表的一篇封面文章中提出了他对糖尿病的看法:沃森认为2型糖尿病的发病机制并不是氧化应激过度,相反是因为细胞内氧化应激不足;而且他还把氧化应激有益理论延伸到阿尔茨海默氏病和癌症。(Watson J.D.Type 2daibetes as a redox disease[J]Lancet,2014,383(9919):841-843.)In 2014, Nobel Laureate, one of the discoverers of DNA structure, James Dewey Watson, presented his thoughts on diabetes in a cover article published in The Lancet: Watson believes that type 2 diabetes The pathogenesis is not oxidative stress, but rather because of insufficient oxidative stress in cells; and he extends the theory of oxidative stress to Alzheimer's disease and cancer. (Watson J.D. Type 2daibetes as a redox disease [J]Lancet, 2014, 383 (9919): 841-843.)
沃森的这个推测源自于2013年他读到Michael Ristow及其同事于2009年的研究:Watson’s speculation stems from his 2013 study of Michael Ristow and his colleagues in 2009:
分别比较两组男性进行体育锻炼后的胰岛素的敏感性及活性氧的数量,一组服用维生素C和维生素E,另一组没有服用。The sensitivity of insulin and the amount of reactive oxygen species in the two groups of men after physical exercise were compared. One group took vitamin C and vitamin E, and the other group did not.
结果发现,没有服用维生素的一组体内活性氧的数量增加,而且活性氧增加的数量与运动后胰岛素的敏感性是成正比的,而服用了维生素C和维生素E的一组体内活性氧的数量则不变,而且运动后胰岛素的敏感性也不增加。It was found that the amount of active oxygen in the group without vitamins increased, and the amount of active oxygen increased was directly proportional to the sensitivity of insulin after exercise, while the amount of active oxygen in the group taking vitamin C and vitamin E increased. It does not change, and the sensitivity of insulin does not increase after exercise.
而且很多其他有关抗氧化剂的试验也证实了该发现:几乎所有用维生素C和维生素E来提高运动成绩的试验都失败了。And many other tests on antioxidants confirm the findings: almost all trials that used vitamin C and vitamin E to improve athletic performance failed.
本发明人认为对于引起沃森关注的这个有趣的现象可以这样来进行阐释:The inventor believes that this interesting phenomenon that causes Watson's attention can be explained in this way:
1.一般说来,有氧运动,身体各组织细胞都需要更多的氧气,呼吸加快,血液循环加剧,从血液弥散进入肠道的氧气也就增多。本发明人认为,这是有氧运动于健康有益的最根本的机制——提高机体肠道环境的氧气含量,抑制厌氧菌活力,调控肠道群菌。1. Generally speaking, aerobic exercise, the body cells of the body need more oxygen, breathing faster, blood circulation is intensified, and oxygen from the blood diffuses into the intestines. The inventors believe that this is the most fundamental mechanism for aerobic exercise in health benefits - to increase the oxygen content of the intestinal environment of the body, to inhibit the anaerobic activity, and to regulate intestinal flora.
2.维生素C和维生素E都极容易被氧化。进入肠道后,部分维生素会迅速被肠道里的氧气所氧化。特别是脂溶性的维生素E,需要有一定量的脂肪以避免它被迅速氧化。维生素E是在小肠中段以微胶粒的形式吸收,它的吸收与膳食脂肪的吸收相似,必须要有胆汁的存在。正常情况下的吸收率为20%~25%。2. Vitamin C and vitamin E are extremely susceptible to oxidation. After entering the intestine, some of the vitamins are quickly oxidized by the oxygen in the intestines. In particular, fat-soluble vitamin E requires a certain amount of fat to prevent it from being rapidly oxidized. Vitamin E is absorbed in the form of micelles in the middle of the small intestine. Its absorption is similar to the absorption of dietary fat, and bile must be present. The absorption rate under normal conditions is 20% to 25%.
这样一来,肠道中原本因有氧运动提高了的氧气含量也就由于维生素C和E的氧化反应而消沮了。As a result, the increased oxygen content in the intestine due to aerobic exercise is also aggravated by the oxidation of vitamins C and E.
根据循证医学的原则,我们还看到了一个与之相关联的有趣的现象。According to the principles of evidence-based medicine, we also saw an interesting phenomenon associated with it.
2015年7月21日,Nature杂志报道:On July 21, 2015, Nature magazine reported:
将胆汁酸向小肠的最后一部分回肠引流,足以产生与更复杂的常规减肥手术相似的减肥效果。Draining bile acids into the last part of the small intestine is sufficient to produce a weight loss similar to more complex conventional bariatric surgery.
研究者认为,小肠中减少的脂肪吸收与肠道菌群的变化是产生这些效果的部分原因。(Bile diversion to the distal small intestine has comparable metabolic benefits to bariatric surgery.Nature Communications 6,Article number:7715(2015))Researchers believe that reduced fat absorption in the small intestine and changes in the intestinal flora are part of the reason for these effects. (Bile diversion to the distal small intestine has comparable metabolic benefits to bariatric surgery. Nature Communications 6, Article number: 7715 (2015))
或可提示:维生素E由于脂肪的作用,减少了与肠道氧气反应,氧气并没有因维生素E而减少。相反,在手术的操作过程中可能还增加了肠道 的氧气含量。Or it may be suggested that vitamin E reduces the reaction with intestinal oxygen due to the action of fat, and oxygen is not reduced by vitamin E. Conversely, the oxygen content of the intestine may also be increased during the operation of the procedure.
本发明人有理由相信,不久的将来对于有氧运动的监控,还会加上一个“肠道氧气量”的监控指标,算是初步实现了肠道气体监测“智能胶囊”的主要发明人库奥罗什教授的一个心愿。The inventor has reason to believe that in the near future, for the monitoring of aerobic exercise, a monitoring index of "intestinal oxygen amount" will be added, which is regarded as the main inventor of the "intelligent capsule" of the intestinal gas monitoring. Professor Rosh’s wish.
一般说来,肠道通常是缺乏氧气的。In general, the intestines are usually deficient in oxygen.
基于此,调整肠道菌群平衡的“生物夺氧”机制应运而生。Based on this, the "bio-oxygenation" mechanism for adjusting the balance of intestinal flora has emerged.
“整肠生”,一种地衣芽孢杆菌活菌制剂。主要作用机理就是以菌治菌,造成肠道低氧环境。不过,这只是揭开了肠道菌群失衡的冰山一角,而远非肠道菌群失衡的全部。"Intestinal Health", a live Bacillus licheniformis preparation. The main mechanism of action is to treat bacteria by bacteria, resulting in a hypoxic environment in the intestine. However, this is only the tip of the iceberg that uncovers the imbalance of intestinal flora, and it is far from the imbalance of the intestinal flora.
不言而喻,世界上并没有绝对平衡的事物。一切都处在动态平衡之中。也没有哪一种平衡能够做到十全十美,让方方面面都获益,都满意。肠道菌群的平衡也是这样。It goes without saying that there is no absolute balance in the world. Everything is in dynamic balance. There is no balance that can be perfect, so that all aspects benefit and are satisfied. The same is true for the balance of the intestinal flora.
本发明人认为,确定肠道菌群是否失衡,应该是采取“无罪推定原则”(presumption of innocence)。而不是言必“肠道菌群失调”,动辄补充“益生菌”。The inventors believe that the determination of whether the intestinal flora is unbalanced should be based on the "presumption of innocence". Rather than saying “intestinal flora imbalance”, it is necessary to supplement “probiotics”.
我们知道,连膳食纤维都并非多多益善,本发明人并不认为,益生菌会比膳食纤维更安全。We know that even dietary fiber is not much better, and the inventors do not believe that probiotics are safer than dietary fiber.
肠道菌群是否失衡,要看改变宿主内或/和外的环境,特别是宿主肠道环境后,是否能给宿主带来健康益处。Whether the intestinal flora is out of balance depends on changing the environment inside or/and outside the host, especially in the host's intestinal environment, whether it can bring health benefits to the host.
而人为划分细菌的好与坏,贴上“好细菌”和“坏细菌”的标签,并以“好细菌”的多或/和“坏细菌”的少,来定性肠道菌群失衡与否,有失妥当,可以说是武断非科学的。And artificially divide the bacteria's good or bad, label the "good bacteria" and "bad bacteria", and use "good bacteria" or / and "bad bacteria" to determine the imbalance of intestinal flora or not. If there is a misconduct, it can be said to be arbitrary and unscientific.
有一条普适性常识:权力总是掌握在少数者的手里。细菌也有手,只是非手样。There is a common sense: power is always in the hands of a few. Bacteria also have hands, just non-hands.
原始大气是没有氧气的。The original atmosphere is oxygen free.
宏观上看,一切疾病都可能是厌氧菌或厌氧生物体为了生存或重建家园而做的挣扎或努力。At a macro level, all diseases may be struggles or efforts by anaerobic or anaerobic organisms to survive or rebuild their homes.
对于重大疾病,特别是一些如国人所谓的“疑难杂症”,给予厌氧菌以强烈的关注应该是一个不错的主意或思路。For major diseases, especially some so-called "difficult diseases", it is a good idea or idea to give anaerobic bacteria a strong focus.
再者,如果肠道菌群失衡都可以套用“生物夺氧”机制的话,那么,那些符合“生物夺氧”机制的活细菌制剂不说可以包治百病,那也应该对一种 以上的几种疾病都会有不错的治疗效果。In addition, if the intestinal flora imbalance can be applied to the "bio-oxygenation" mechanism, then those living bacteria preparations that meet the "bio-oxygenation" mechanism are not to cure all diseases, and should be more than one type. Several diseases will have a good therapeutic effect.
然而,情况并非如此。However, this is not the case.
可以说,一味盲目的套用“生物夺氧”机制,生搬硬套“肠道菌群失衡”,或会给机体带来诸多不利影响,风险不小。It can be said that blindly applying the "biological oxygen scavenging" mechanism, the hard-working "intestinal flora imbalance" may bring many adverse effects to the body, and the risk is not small.
肠道菌群极为复杂,目前知之不多。按细菌降解的底物或代谢的产物进行考察和研究,更利于发现与肠道菌群失衡相关的一些疾病的端倪。The intestinal flora is extremely complex and is currently poorly understood. Investigation and research on the substrate or metabolic products degraded by bacteria is more conducive to discovering the clues of some diseases related to the imbalance of intestinal flora.
苯丙氨酸,一种必需氨基酸。任何天然蛋白质都含有4%左右的苯丙氨酸。(动物性蛋白的含量要比植物性蛋白的含量要多。又一个关于苯丙氨酸的令人深思的现象。)Phenylalanine, an essential amino acid. Any natural protein contains about 4% phenylalanine. (The content of animal protein is more than that of vegetable protein. Another thoughtful phenomenon about phenylalanine.)
苯丙氨酸和色氨酸一样,也是一种芳香族氨基酸。Phenylalanine, like tryptophan, is also an aromatic amino acid.
具有苯丙氨酸脱氨酶活性的细菌,能将培养基中的苯丙氨酸脱氨变成苯丙酮酸,酮酸能使三氯化铁指示剂变为绿色。变形杆菌属、普罗威登斯菌属和摩根菌属细菌均为阳性,而肠杆菌中其他细菌均为阴性。Bacteria having phenylalanine deaminase activity can deamination of phenylalanine in the medium to phenylpyruvate, which turns the ferric chloride indicator into green. Proteus, Providencia and Morganella were positive, while other bacteria in Enterobacter were negative.
变形杆菌、普罗威登斯菌和摩根菌都是兼性厌氧菌。其中,普罗威登斯菌属和摩根菌属的厌氧性较之变性杆菌属或会更甚,而且还代谢色氨酸,经脱氨基后代谢产生5-羟基-3-吲哚丙酸-α-酮,而并不是于糖尿病有益的吲哚丙酸。Proteus, Providencia, and Morganella are both facultative anaerobic bacteria. Among them, the anaerobicity of the genus Providencia and the genus Mortierella is even worse than that of the genus Bacillus, and it also metabolizes tryptophan, which is metabolized by deamination to produce 5-hydroxy-3-propionic acid. Alpha-ketone, not guanic acid which is beneficial for diabetes.
最近,2017年8月3日《Science》发表文章华盛顿大学医学院的Marco Colonna教授团队找到了可以调节特殊免疫细胞的肠道微生物——罗伊氏乳杆菌(Lactobacillus reuteri)。不过,这个几乎可存在于所有脊椎动物和哺乳动物肠道内的乳酸杆菌,要发挥作用,还需色氨酸(Trp)。[Cervantes-Barragan L,Chai J N,Tianero M D,et al.Lactobacillus reuteri induces gut intraepithelial CD4+CD8αα+T cells[J].Science,2017:eaah5825.]Recently, on August 3, 2017, "Science" published a team of Professor Marco Colonna of the University of Washington School of Medicine to find the intestinal microbe that regulates specific immune cells, Lactobacillus reuteri. However, this Lactobacillus, which is almost present in the gut of all vertebrates and mammals, requires a tryptophan (Trp) to function. [Cervantes-Barragan L, Chai J N, Tianero M D, et al. Lactobacillus reuteri induces gut intraepithelial CD4+CD8αα+T cells[J].Science,2017:eaah5825.]
而罗伊氏乳杆菌是一种兼性厌氧菌,不是厌氧菌,更不是专性厌氧菌。Lactobacillus reuteri is a facultative anaerobic bacterium, not an anaerobic bacterium, nor an obligate anaerobic bacterium.
在2003年,本发明人发现,饮食中过多的苯丙氨酸是影响机体色氨酸代谢的一个重要因子。初步证实了,减少饮食中的苯丙氨酸于糖尿病鼠有益。In 2003, the inventors found that excessive phenylalanine in the diet is an important factor affecting the body's tryptophan metabolism. It was initially confirmed that reducing phenylalanine in the diet is beneficial to diabetic rats.
提出了“饮食搭配合理,饮食中Phe/Trp的比值要平衡。”的观点。The idea of "a reasonable diet and a balanced Phe/Trp ratio in the diet is proposed."
因为胰岛素能够促进氨基酸进入细胞而减少血流里氨基酸的浓度,但对不是其氨基酸组分的色氨酸却没有这种作用。Because insulin promotes the entry of amino acids into cells and reduces the concentration of amino acids in the bloodstream, it does not have this effect on tryptophan, which is not its amino acid component.
色氨酸是唯一与血浆白蛋白结合的氨基酸,在血浆中有结合和游离两种形式。正常情况下,这两种形式的色氨酸处于平衡状态。血浆中结合型色氨酸约90%,游离型约10%。只有游离型色氨酸才能直接被组织利用并能通过血脑屏障。色氨酸摄入的量不足,将抑制机体抗体的产生,引起免疫调节异常。Tryptophan is the only amino acid that binds to plasma albumin and has both bound and free forms in plasma. Under normal circumstances, these two forms of tryptophan are in equilibrium. The bound type tryptophan is about 90% in plasma and about 10% in free form. Only free-type tryptophan can be directly used by tissues and can pass the blood-brain barrier. Insufficient intake of tryptophan will inhibit the production of antibodies in the body, causing abnormalities in immune regulation.
从目前的研究看,只有大约20%的人体细菌已经被培养和研究,其他80%的细菌种类至今还不为人所知。因此,认识这些细菌、掌握它们的活动规律,任重而道远。According to current research, only about 20% of human bacteria have been cultured and studied, and the other 80% of bacterial species are still unknown. Therefore, it is a long way to go to recognize these bacteria and master the laws of their activities.
本发明人利用一株天然的非致病性菌株,其具有苯丙氨酸脱氨酶活力,能够代谢苯丙氨酸的特性,制备了微生物制剂。其初步的药效学实验,显示出了令人欣慰的潜力。The present inventors prepared a microbial preparation by using a natural non-pathogenic strain having phenylalanine deaminase activity and capable of metabolizing the properties of phenylalanine. Its preliminary pharmacodynamic experiments show a gratifying potential.
多年来,本发明人从没放弃进一步的优化工作。期间,令人兴奋的是,发现了一株能够降解色氨酸,但是其代谢产物与厌氧菌类的普罗威登斯菌和摩根菌代谢产物并不一样。而且,该菌株在有氧存在时的一个特性给了本发明人极大的触动。The inventors have never given up on further optimization work for many years. During this period, it was exciting to find that one strain was able to degrade tryptophan, but its metabolites were not the same as those of anaerobic fungi, the provenances of Morrowella and Morganella. Moreover, a characteristic of the strain in the presence of oxygen gives the inventors great touch.
应该可以另辟一条蹊径,调整肠道菌群结构,使之朝着有益于当前机体健康的模式重构一个新平衡。It should be possible to create a new path to adjust the structure of the intestinal flora to re-construct a new balance in a model that is conducive to the health of the current body.
提高哺乳动物尤其是人类宿主肠道环境的氧气含量,或是一条可行的路子。Increasing the oxygen content of the gut environment of mammals, especially human hosts, is a viable path.
至今,运用微囊制剂工艺技术,以氧气作芯材,包裹在肠溶性的壁材中,将氧气送入肠道后才释放,以提高肠道环境氧气含量,调整肠道菌群,进而到达预防或/和治疗与肠道菌群失衡相关的疾病的目的,并未见有相关文献和专利的报道。因此,急需提供一种用于调整肠道菌群的氧气微囊、及其制备方法和其用于预防或/和治疗与肠道菌群失衡相关的疾病的药物制备中的用途的方法。Up to now, using microcapsule preparation technology, oxygen as core material, wrapped in enteric wall material, oxygen is sent to the intestines before release, in order to improve the intestinal environment oxygen content, adjust the intestinal flora, and then arrive The purpose of preventing or/and treating diseases associated with intestinal flora imbalance has not been reported in related literature and patents. Accordingly, there is an urgent need to provide a method for the use of oxygen microcapsules for regulating intestinal flora, methods for their preparation, and their use in the manufacture of medicaments for preventing or/and treating diseases associated with intestinal flora imbalance.
发明内容Summary of the invention
本发明中术语“肠道菌群失衡”是指:抑制宿主特别是人类宿主肠道中的专性厌氧菌或/和厌氧菌或/和兼性厌氧菌,能给予宿主健康益处。The term "intestinal flora imbalance" in the present invention means that the obligate anaerobic or/and anaerobic or/and facultative anaerobic bacteria in the intestinal tract of a host, particularly a human host, can be administered to give the host a health benefit.
本发明中术语“肠溶性”,不只是局限于常规性的定义,应该理解成:“为了达到调整肠道菌群的目的将氧气送入肠道的一切可行的方法及其工具”。The term "enteric solubility" in the present invention is not limited to the definition of conventionality, but should be understood as: "all feasible methods and tools for feeding oxygen into the intestine for the purpose of adjusting the intestinal flora".
本发明中术语“氧气源”是指:能够产生氧气的物质,包括本文前面所述的光合细菌。氧气是指常规医用氧气,术语氧(O)具有常规含义并包括氧的所有同位素,即同位素16O、17O或18O。氧分子包括同位素氧彼此之间所有可能性的结合。氧气的作用并不仅限于气相。按照亨利定律(Henry's law)一定比例的氧气完全溶解在液体中。The term "oxygen source" as used in the present invention means: a substance capable of generating oxygen, including the photosynthetic bacteria described herein before. Oxygen refers to conventional medical oxygen, and the term oxygen (O) has a conventional meaning and includes all isotopes of oxygen, ie, isotopes 16O, 17O or 18O. Oxygen molecules include a combination of all possible possibilities of isotopic oxygen with each other. The role of oxygen is not limited to the gas phase. A certain proportion of oxygen is completely dissolved in the liquid according to Henry's law.
氧气的浓度太高,制剂容易氧化,所以氧气中或掺有惰性气体或其他气体等。术语“含氧气的气体混合物”也包括纯氧气。The concentration of oxygen is too high, and the preparation is easily oxidized, so oxygen is mixed with an inert gas or other gas. The term "oxygen-containing gas mixture" also includes pure oxygen.
本发明要解决的技术问题是:克服现有技术的不足,提供一种用于调整肠道菌群的氧气微囊,以及该肠溶氧气微囊中的氧气或氧气源作为调整肠道菌群的唯一活性成分或活性成分之一在制备预防或/和治疗与肠道菌群失衡相关的疾病的药物或驱蛔虫药物中的用途,包括在制备预防或/和治疗肥胖症、糖尿病、高血压、癌症和阿尔茨海默氏病药物中的用途,还提供了实现所述用途制备成药物即肠溶氧气微囊的制备方法。The technical problem to be solved by the present invention is to overcome the deficiencies of the prior art, to provide an oxygen microcapsule for adjusting intestinal flora, and an oxygen or oxygen source in the enteric oxygen microcapsule as an adjusted intestinal flora. Use of the sole active ingredient or one of the active ingredients in the preparation of a medicament for preventing or/and treating a disease associated with intestinal flora imbalance, or for the treatment of aphid, including prevention or/and treatment of obesity, diabetes, hypertension The use in the medicament for cancer and Alzheimer's disease also provides a preparation method for preparing the drug, i.e., enteric oxygen microcapsules, for achieving the use.
本发明所述药物产品可以是多种不同的形式。该药物产品可以是含氧气/氧气源的气体混合物或液体(例如,含氧气的气体混合物或纯氧气分散在脂肪乳液中)或固体制剂(例如气体处于包合物内)。The pharmaceutical product of the invention may be in a variety of different forms. The pharmaceutical product may be a gas mixture or liquid containing an oxygen/oxygen source (eg, a gas mixture containing oxygen or pure oxygen dispersed in a fat emulsion) or a solid formulation (eg, the gas is in a clathrate).
本发明解决其技术问题所采用的技术方案是:The technical solution adopted by the present invention to solve the technical problem thereof is:
本发明之一种用于调整肠道菌群的肠溶氧气微囊,其特征在于,所述肠溶氧气微囊由肠溶性囊壁和含氧气的芯材制成,所述芯材中氧气的含量为75~100%(W/W),所述芯材与囊壁的质量比为1∶50-900,优选为1∶50-500,最优为1∶50-100。An enteric oxygen microcapsule for adjusting intestinal flora of the present invention, characterized in that the enteric oxygen microcapsule is made of an enteric capsule wall and an oxygen-containing core material, and oxygen in the core material The content is 75 to 100% (W/W), and the mass ratio of the core material to the wall of the capsule is 1:50 to 900, preferably 1:50 to 500, and most preferably 1:50 to 100.
进一步,所述肠溶氧气微囊为肠溶微嚢、肠溶微粒、肠溶微滴、肠溶微囊粉或肠溶凝胶。Further, the enteric oxygen microcapsules are enteric microcapsules, enteric microparticles, enteric microdroplets, enteric microcapsule powder or enteric gel.
进一步,氧气包括一种或多种氧的同位素16O、17O或18O。Further, oxygen includes one or more isotopes of oxygen, 16O, 17O or 18O.
在某一示范实施例中,所述芯材包括氧气或/和氧气源1~15份,其中氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁包括海藻酸钠15~25份,壳聚糖15~25份,聚乙烯醇5~10份,酵母浸粉35~65份和微量交联剂(如,交联剂戊二醛的重量占肠溶氧气微囊的0.1~0.5%(w/w))。In a certain exemplary embodiment, the core material comprises 1 to 15 parts of oxygen or/and oxygen source, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule; The enteric wall includes 15-25 parts of sodium alginate, 15-25 parts of chitosan, 5-10 parts of polyvinyl alcohol, 35-65 parts of yeast powder and a small amount of cross-linking agent (eg, cross-linking agent The weight of the dialdehyde is 0.1 to 0.5% (w/w) of the enteric oxygen microcapsules.
交联剂为戊二醛、CaCl2、BaCl2、FeCl3、CrCl3、京尼平、乙二醇二甲基丙烯酸酯水溶液和三聚磷酸钠(TPP)中的一种或多种的组合;优选, 戊二醛作为交联剂。The crosslinking agent is a combination of one or more of glutaraldehyde, CaCl2, BaCl2, FeCl3, CrCl3, genipin, an aqueous solution of ethylene glycol dimethacrylate, and sodium tripolyphosphate (TPP); preferably, pentane Dialdehyde acts as a crosslinking agent.
在某一示范实施例中,所述肠溶氧气微囊为肠溶微囊:氧气或/和氧气源1~100份,氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁主要采用以下重量份原料制成:肠溶性聚合物10~300份,表面活性剂5~400份、等渗调节剂1~40份,pH调节剂的量为调节肠溶微囊制剂pH至6.6~8.7,余量为水。In an exemplary embodiment, the enteric oxygen microcapsules are enteric microcapsules: 1 to 100 parts of oxygen or/and oxygen source, and the oxygen concentration is 5 to 100%, so that the core material accounts for the total amount of enteric oxygen microcapsules. 5 to 70% by volume; the enteric wall is mainly made of the following raw materials: 10 to 300 parts of enteric polymer, 5 to 400 parts of surfactant, 1 to 40 parts of isotonicity adjusting agent, pH adjustment The amount of the agent is adjusted to the pH of the enteric microcapsule preparation to 6.6 to 8.7, and the balance is water.
其中,所述肠溶性囊壁还包括增塑剂、钛白粉或色淀等辅料。增塑剂的用量为肠溶聚合物的0-35%,优选10-30%,增塑剂包括但不仅限于柠檬酸三乙酯、醋酸甘油酯、甘油、PEG6000、PEG4000、吐温80、1,2-丙二醇、单硬酯酸甘油酯,优选为柠檬酸三乙酯。钛白粉或者其它色淀的用量为肠溶聚合物质量2-40%的,较优为10-30%,最优为15-20%。Wherein, the enteric capsule wall further comprises an auxiliary agent such as a plasticizer, titanium dioxide or lake. The plasticizer is used in an amount of 0-35%, preferably 10-30%, of the enteric polymer, and the plasticizer includes but is not limited to triethyl citrate, glycerol acetate, glycerin, PEG6000, PEG4000, Tween 80, 1 2-propanediol, monostearic acid glyceride, preferably triethyl citrate. The amount of titanium dioxide or other lake is 2-40% by mass of the enteric polymer, preferably 10-30%, and most preferably 15-20%.
肠溶性聚合物为本领域常用的肠用衣料,包括但不仅限于甲醛明胶、虫胶(Shellac)、苯二甲酸醋酸纤维素(CAP),丙烯酸和甲基丙烯酸的共聚物、甲基丙烯酸-甲基丙烯酸甲酯共聚物、甲基丙烯酸-丙烯酸甲酯(或乙酯、丁酯)共聚物、丙烯酸乙酯-甲基丙烯酸酯共聚物、醋酸纤维素、乙基纤维素、聚丙烯酸树脂、丙烯酸乙酯-甲基丙烯酸甲酯(2∶1)共聚物、硅酮弹性体(硅橡胶)、聚醋酸乙烯苯二甲酸酯(PVAP)、邻苯二甲酸羟丙甲纤维素酯(HPMCP)、羟丙基甲基纤维素肽酸酯、琥珀酸醋酸羟丙甲基纤维素(HPMCAS)或交联海藻酸盐等。Enteric polymers are enteric materials commonly used in the field, including but not limited to formaldehyde gelatin, shell gum, cellulose acetate phthalate (CAP), copolymers of acrylic acid and methacrylic acid, methacrylic acid-A Methyl methacrylate copolymer, methacrylic acid-methyl acrylate (or ethyl ester, butyl ester) copolymer, ethyl acrylate-methacrylate copolymer, cellulose acetate, ethyl cellulose, polyacrylic resin, acrylic acid Ethyl ester-methyl methacrylate (2:1) copolymer, silicone elastomer (silicone rubber), polyvinyl acetate phthalate (PVAP), hypromellose phthalate (HPMCP) , hydroxypropyl methylcellulose peptidate, hydroxypropylmethylcellulose succinate (HPMCAS) or cross-linked alginate.
所述表面活性剂主要为磷脂,磷脂包括但不限于天然大豆磷脂、天然卵磷脂、或者它们的衍生化物,氧气和磷脂的质量比为1∶0.1-100。最优为1∶10-50。The surfactant is mainly a phospholipid, and the phospholipids include, but are not limited to, natural soybean phospholipids, natural lecithin, or derivatives thereof, and the mass ratio of oxygen to phospholipid is 1:0.1-100. The optimum is 1:10-50.
本发明以氧气作为唯一活性成分或活性成分之一用于调整肠道菌群的肠溶氧气微囊还可用于制备成含类脂、含肽或含蛋白质的液体的药物。The enteric oxygen microcapsules of the present invention for regulating the intestinal flora with oxygen as the sole active ingredient or active ingredient can also be used for the preparation of a drug containing a lipid-containing, peptide-containing or protein-containing liquid.
本发明之一种用于调整肠道菌群的肠溶氧气微囊的制备方法,包括以下步骤:The preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the invention comprises the following steps:
1)分别制备乳化剂、增稠剂、稳定剂的水溶液;1) preparing an aqueous solution of an emulsifier, a thickener, and a stabilizer, respectively;
2)制备肠溶性囊壁水溶液;2) preparing an enteric cyst wall aqueous solution;
3)将芯材中的氧气用锐孔在高压下通入步骤1)制备的乳化剂的水溶液中,1h后,缓慢加入已经溶解的肠溶性囊壁中的壳聚糖和聚乙烯醇水溶液,搅拌15min,再加入酵母浸粉水溶液,继续搅拌乳化,再缓慢加入 肠溶性囊壁中的海藻酸钠水溶液,冰浴并搅拌;3) The oxygen in the core material is passed through an orifice in the aqueous solution of the emulsifier prepared in the step 1) under high pressure. After 1 hour, the chitosan and polyvinyl alcohol aqueous solution in the dissolved enteric wall are slowly added. Stir for 15min, then add yeast leachate aqueous solution, continue to stir and emulsify, then slowly add aqueous sodium alginate solution in the enteric wall, ice bath and stir;
4)在冰浴、搅拌的同时加入戊二醛交联剂稀释液,当韦森堡(Weissenberg)效应出现后,调节溶液pH使固体分散成微囊后,再继续搅拌10分钟以上;4) adding a glutaraldehyde cross-linking agent dilution solution while stirring in an ice bath, and after the Weissenberg effect occurs, adjust the pH of the solution to disperse the solid into microcapsules, and then continue stirring for more than 10 minutes;
5)将以上制得的溶液过筛,除去颗粒大的杂质和沉淀物;离心去上清液,用5%的硼氢化钠溶液洗涤,抽滤干燥得产品;5) sifting the solution prepared above to remove large particles of impurities and precipitates; centrifuging the supernatant, washing with 5% sodium borohydride solution, and drying by suction filtration;
其中,所述芯材包括氧气或/和氧气源1~15份,其中氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁包括海藻酸钠15~25份,壳聚糖15~25份,聚乙烯醇5~10份,酵母浸粉35~65份和微量交联剂。本发明之用于调整肠道菌群的肠溶氧气微囊的制备方法,包括以下步骤:Wherein, the core material comprises 1 to 15 parts of oxygen or/and oxygen source, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule; the enteric wall Including 15 to 25 parts of sodium alginate, 15 to 25 parts of chitosan, 5 to 10 parts of polyvinyl alcohol, 35 to 65 parts of yeast powder and a small amount of crosslinking agent. The preparation method of the enteric oxygen microcapsule for adjusting intestinal flora of the invention comprises the following steps:
1)将肠溶性聚合物浸泡,制备成肠溶包衣液;1) soaking the enteric polymer to prepare an enteric coating solution;
2)将辅料中的等渗调节剂、表面活性剂加水溶解或添加助溶剂使其均匀分散;2) dissolving the isotonic adjusting agent and the surfactant in the auxiliary material with water or adding a co-solvent to uniformly disperse;
3)将步骤1)中的肠溶包衣液和步骤2)中的助剂合并,加水或肠溶性聚合物助溶剂至全量,高速搅拌,调pH至6.6~8.7;3) combine the enteric coating liquid in step 1) and the auxiliary agent in step 2), add water or enteric polymer cosolvent to the full amount, stir at high speed, adjust the pH to 6.6 ~ 8.7;
4)将氧气通入步骤3)高速搅拌的溶液中,形成包含大量氧气的细小微囊,并均质成稳定的氧气微囊;4) passing oxygen into the high-speed stirring solution of step 3) to form fine microcapsules containing a large amount of oxygen, and homogenizing into stable oxygen microcapsules;
其中,所述肠溶氧气微囊为肠溶微囊:氧气或/和氧气源1~100份,氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁主要采用以下重量份原料制成:肠溶性聚合物10~300份,表面活性剂5~400份、等渗调节剂1~40份,pH调节剂的量为调节肠溶微囊制剂pH至6.6~8.7,余量为水。Wherein, the enteric oxygen microcapsule is an enteric microcapsule: 1 to 100 parts of oxygen or/and oxygen source, and the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule. The enteric capsule wall is mainly prepared by using the following raw materials: 10 to 300 parts of enteric polymer, 5 to 400 parts of surfactant, 1 to 40 parts of isotonicity adjusting agent, and the amount of pH adjusting agent is regulating intestinal The microcapsule preparation has a pH of 6.6 to 8.7 and the balance is water.
本发明之一种用于调整肠道菌群的肠溶氧气微囊的用途,在制备以肠溶氧气微囊作为调整肠道菌群的唯一活性成分或活性成分之一的药物中的应用。The use of an enteric oxygen microcapsule for adjusting intestinal flora of the present invention is applied to the preparation of a medicament for regulating enteric oxygen microcapsules as one of the sole active ingredients or active ingredients for regulating intestinal flora.
优选,所述肠溶氧气微囊在用于制备预防或/和治疗与肠道菌群失衡相关的疾病的药物或者驱蛔虫的药物中的应用。Preferably, the enteric oxygen microcapsules are used in the preparation of a medicament for preventing or/and treating a disease associated with intestinal flora imbalance or a medicament for aphid.
进一步,所述与肠道菌群失衡相关的疾病为肥胖症、糖尿病、高血压、癌症或阿尔茨海默氏病中的一种或几种。Further, the disease associated with intestinal flora imbalance is one or more of obesity, diabetes, hypertension, cancer or Alzheimer's disease.
本发明用于调整肠道菌群的肠溶氧气微囊的有益效果:组分简单,制 作成本低,制作工艺简单,且对肠道菌群的调节效果良好,尤其是对肥胖症、糖尿病、高血压、癌症或阿尔茨海默氏病等肠道菌群失衡的相关疾病有良好的预防/治疗作用,还可以驱蛔虫。The invention has the beneficial effects of adjusting the enteric oxygen microcapsules of the intestinal flora: the composition is simple, the production cost is low, the preparation process is simple, and the regulation effect on the intestinal flora is good, especially for obesity, diabetes, Diseases related to intestinal flora imbalance such as hypertension, cancer or Alzheimer's disease have a good preventive/therapeutic effect and can also drive mites.
肠溶固态微粒形式的肠溶氧气微囊,其稳定性好,便于储存和运输,且有利于氧气/氧气源高效地在肠道对肠道菌群进行调节,使肠道菌群到达平衡。The enteric oxygen microcapsules in the form of enteric solid particles have good stability, are convenient for storage and transportation, and are beneficial for the oxygen/oxygen source to efficiently regulate the intestinal flora in the intestine, so that the intestinal flora reaches equilibrium.
本发明用于调整肠道菌群的肠溶氧气微囊的制备方法的有益效果:操作简单,可以利用现有的药物加工设备进行制备,无需要额外购买设备,设备投资成本低,且便于规模化生产。The invention has the beneficial effects of preparing the enteric oxygen microcapsule of the intestinal flora: the operation is simple, the preparation can be performed by using the existing pharmaceutical processing equipment, no additional equipment is required to be purchased, the equipment investment cost is low, and the scale is convenient. Production.
具体实施方式Detailed ways
以下结合实施例对本发明作进一步说明。The invention is further illustrated by the following examples.
实施例1Example 1
以下技术方案及操作步骤实现的:The following technical solutions and operation steps are implemented:
一种用于调整肠道菌群的肠溶氧气微囊(简称NDDK1),所述肠溶氧气微囊由肠溶性囊壁和含氧气的芯材制成,所述肠溶氧气微囊为肠溶微囊,具体组成配比如下:20%氧气600ml;泊洛沙姆15.0g;大豆磷脂11.0g;甘油7.5g;苯二甲酸醋酸纤维素4.0g;氢氧化钠溶液调节pH值为6.8;加水制成1000ml。An enteric oxygen microcapsule (referred to as NDDK1) for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, wherein the enteric oxygen microcapsule is an intestine Solvent microcapsules, the specific composition is as follows: 20% oxygen 600ml; poloxamer 15.0g; soybean phospholipid 11.0g; glycerol 7.5g; cellulose acetate cellulose 4.0g; sodium hydroxide solution to adjust the pH value of 6.8; Add 1000 ml of water.
本实施例的用于调整肠道菌群的肠溶氧气微囊的制备方法,包括以下步骤:The preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the embodiment comprises the following steps:
1)将肠溶性聚合物浸泡,制备成肠溶包衣液;1) soaking the enteric polymer to prepare an enteric coating solution;
2)将等渗调节剂甘油、表面活性剂泊洛沙姆加水溶解或添加助溶剂使其均匀分散;2) dissolving the isotonic regulator glycerin, the surfactant poloxamer with water or adding a co-solvent to uniformly disperse;
3)将步骤1)中的肠溶包衣液和步骤2)中的溶液合并,用NaOH溶液调pH至6.6~8.7,再补水至全量(1000ml),高速搅拌;3) Combine the enteric coating liquid in step 1) and the solution in step 2), adjust the pH to 6.6-8.7 with NaOH solution, and then make up the water to the full amount (1000 ml), and stir at high speed;
4)将氧气通入步骤3)高速搅拌的溶液中,形成包含大量氧气的细小微囊,并用均质机均质成稳定的氧气微囊。4) The oxygen is introduced into the high-speed stirring solution of step 3) to form fine microcapsules containing a large amount of oxygen, and homogenized to form stable oxygen microcapsules by a homogenizer.
其中,实验药物、仪器和试剂:氧气为医用氧气;仪器为均质机;辅料均为药用辅料。Among them, experimental drugs, instruments and reagents: oxygen is medical oxygen; instruments are homogenizers; excipients are all pharmaceutical excipients.
氧气总体积的计算:通入氧气后该制剂增加部分的体积。Calculation of the total volume of oxygen: The volume of the formulation is increased by the addition of oxygen.
实施例2Example 2
一种用于调整肠道菌群的肠溶氧气微囊(简称NDDK2),所述肠溶氧气微囊由肠溶性囊壁和含氧气的芯材制成,所述肠溶氧气微囊为肠溶微囊,具体组成配比如下:45%氧气300ml,泊洛沙姆13.0g,大豆磷脂10.0g,氯化钠4.0g,聚醋酸乙烯苯二甲酸酯7.0g,氢氧化钠溶液调节pH值为7.6,加水制成1000ml。An enteric oxygen microcapsule (referred to as NDDK2) for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, wherein the enteric oxygen microcapsule is an intestine Microcapsules, specific composition such as: 45% oxygen 300ml, poloxamer 13.0g, soybean phospholipid 10.0g, sodium chloride 4.0g, polyvinyl acetate phthalate 7.0g, sodium hydroxide solution to adjust pH The value is 7.6 and 1000 ml is added with water.
本实施例的用于调整肠道菌群的肠溶氧气微囊的制备方法同实施例1。The preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the present embodiment is the same as that of the first embodiment.
实施例3Example 3
一种用于调整肠道菌群的肠溶氧气微囊(简称NDDK3),所述肠溶氧气微囊由肠溶性囊壁和含氧气的芯材制成,所述肠溶氧气微囊为肠溶微囊,具体组成配比如下:90%氧气700ml,泊洛沙姆17.0g,卵磷脂11.0g,甘油7.0g,虫胶9.0g,氢氧化钠溶液调节pH值为8.1,加水制成1000ml。An enteric oxygen microcapsule (referred to as NDDK3) for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, wherein the enteric oxygen microcapsule is an intestine Microcapsules, specific composition such as: 90% oxygen 700ml, poloxamer 17.0g, lecithin 11.0g, glycerol 7.0g, shellac 9.0g, sodium hydroxide solution to adjust the pH value of 8.1, add water to make 1000ml .
本实施例的用于调整肠道菌群的肠溶氧气微囊的制备方法同实施例1。The preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the present embodiment is the same as that of the first embodiment.
应用实例与效果对比Application examples and effects comparison
1)用于调整肠道菌群的肠溶氧气微囊对ob/ob肥胖小鼠的影响1) Effects of enteric oxygen microcapsules used to regulate intestinal flora on ob/ob obese mice
实验方案:ob/ob小鼠,雄性50只,10周龄,体重50~55g随机分为5组,即模型组、NDDK1、NDDK2、NDDK3灌胃对应的给药低、中、高三组和正常组(对照)。每组取10只正常ob/ob小鼠,模型组、NDDK1、NDDK2、NDDK3灌胃对应的给药低、中、高三组连续给药4周,分别称重和计算摄食量,测定糖化血红蛋白(HbA1c)、血糖,高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和甘油三酯(TG)。比较各给药组与模型组的差异。组间进行T检验。结果参见表2和表3。Experimental protocol: ob/ob mice, 50 males, 10 weeks old, weighing 50-55 g were randomly divided into 5 groups, namely, model group, NDDK1, NDDK2, NDDK3, correspondingly administered low, medium and high groups and normal. Group (control). Ten normal ob/ob mice were taken from each group. The model group, NDDK1, NDDK2, and NDDK3 were administered with low, medium, and high doses for 4 weeks. The rats were weighed and calculated for food intake, and glycosylated hemoglobin was measured. HbA1c), blood glucose, high density lipoprotein (HDL), low density lipoprotein (LDL) and triglycerides (TG). The differences between the respective drug-administered groups and the model group were compared. A T test was performed between groups. See Table 2 and Table 3 for the results.
表2 NDDK给药4周对ob/ob小鼠的影响(n=10)Table 2 Effect of NDDK administration for 4 weeks on ob/ob mice (n=10)
Figure PCTCN2018101322-appb-000001
Figure PCTCN2018101322-appb-000001
*,P<0.05,**,P<0.01,与模型组比较*, P < 0.05, **, P < 0.01, compared with the model group
表3 NDDK给药4周对ob/ob小鼠的血生化指标影响(n=10)Table 3 Effect of NDDK administration for 4 weeks on blood biochemical parameters of ob/ob mice (n=10)
Figure PCTCN2018101322-appb-000002
Figure PCTCN2018101322-appb-000002
*,p<0.05,**,p<0.01,与模型组比较*, p<0.05, **, p<0.01, compared with the model group
由表2和表3可知,用于调整肠道菌群的肠溶氧气微囊无论氧气含量的高低,均对肥胖小鼠的体重、糖化血红蛋白(HbA1c)、血糖,高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和甘油三酯(TG)有良好的调控作用,说明实施例1~3的肠溶氧气微囊对肥胖症、糖尿病等疾病有预防或/和治疗的作用,即用于调整肠道菌群的肠溶氧气微囊可以用于制备预防或/和治疗肥胖症、糖尿病的药物。It can be seen from Table 2 and Table 3 that the intestinal oxygen microcapsules used to adjust the intestinal flora have weight, glycated hemoglobin (HbA1c), blood glucose, and high-density lipoprotein (HDL) in obese mice regardless of the oxygen content. Low-density lipoprotein (LDL) and triglyceride (TG) have a good regulatory effect, indicating that the enteric oxygen microcapsules of Examples 1 to 3 have a preventive or/and therapeutic effect on diseases such as obesity and diabetes, that is, Enteric oxygen microcapsules for regulating intestinal flora can be used to prepare drugs for preventing or/and treating obesity and diabetes.
2)用于调整肠道菌群的肠溶氧气微囊对S180荷瘤小鼠肿瘤生长的影响2) Effect of enteric oxygen microcapsules used to regulate intestinal flora on tumor growth of S180 tumor-bearing mice
受试动物:昆明种小鼠,体重18-22g,雌雄各半,共60只,随机分5组,每组12只;Test animals: Kunming mice, weighing 18-22g, male and female, a total of 60, randomly divided into 5 groups, 12 in each group;
瘤种:S 180荷瘤小鼠腹水; Tumor species: S 180 tumor-bearing mice ascites;
空白对照组:蒸馏水;Blank control group: distilled water;
阳性对照组:环磷酰胺注射液;Positive control group: cyclophosphamide injection;
药物组:本发明实施例1~3所述的NDDK1、NDDK2和NDDK3,即氧气含量分为高、中、低三个剂量;Drug group: NDDK1, NDDK2 and NDDK3 according to Embodiments 1 to 3 of the present invention, that is, the oxygen content is divided into three doses of high, medium and low;
实验方法:取昆明种小鼠60只,右腋下接种S 180瘤液(1×10 7个/ml、0.2ml/只),接种后于次日随机分组,随即开始NDDK灌胃及腹腔注射环磷酰胺(CTX),给药剂量具体按体重计算,空白对照组灌胃等容积蒸馏水;给药10天,每日称重,于停药次日称重后脱颈处死,剥取皮下瘤块,称瘤重,计算抑瘤率,其计算公式为: Experimental method: 60 Kunming mice were taken, and S 180 tumor fluid (1×10 7 /ml, 0.2 ml/only) was inoculated into the right axilla. After inoculation, they were randomly divided into the next day, and then NDDK was administered intragastrically and intraperitoneally. Cyclophosphamide (CTX), the dosage is calculated according to the body weight, and the blank control group is given the same volume of distilled water; the drug is administered for 10 days, weighed daily, and the neck is weighed after the drug is weighed the next day, and the subcutaneous tumor is removed. The block, called the tumor weight, calculates the tumor inhibition rate, and its calculation formula is:
抑瘤率(%)=(对照组平均瘤重-实验组平均瘤重)/对照组平均瘤重×100,The tumor inhibition rate (%) = (the average tumor weight of the control group - the average tumor weight of the experimental group) / the average tumor weight of the control group × 100,
结果如表4所示。The results are shown in Table 4.
表4 NDDK对S 180荷瘤小鼠肿瘤生长的影响 Table 4 Effect of NDDK on tumor growth of S 180 tumor-bearing mice
Figure PCTCN2018101322-appb-000003
Figure PCTCN2018101322-appb-000003
**与空白组比较:P<0.01。**Compared with blank group: P<0.01.
由表4可知,用于调整肠道菌群的肠溶氧气微囊无论氧气含量的高低,均对:S 180荷瘤有明显的抑制作用,说明实施例1~3的肠溶氧气微囊对癌症等疾病有预防或/和治疗的作用,即用于调整肠道菌群的肠溶氧气微囊可以用于制备预防或/和治疗癌症的药物。 It can be seen from Table 4 that the enteric oxygen microcapsules used to adjust the intestinal flora have obvious inhibitory effects on the S 180 tumor-bearing tumor regardless of the oxygen content, indicating the enteric oxygen microcapsule pairs of Examples 1 to 3. Diseases such as cancer have a preventive or/and therapeutic effect, that is, enteric oxygen microcapsules for adjusting the intestinal flora can be used for the preparation of a medicament for preventing or/and treating cancer.
实施例4Example 4
一种用于调整肠道菌群的肠溶氧气微囊,所述肠溶氧气微囊由肠溶性囊壁和含氧气的芯材制成,所述芯材包括氧气或/和氧气源1~15份,其中氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁包括海藻酸钠15~25份,壳聚糖15~25份,聚乙烯醇5~10份,酵母浸粉35~65份和微量戊二醛交联剂。An enteric oxygen microcapsule for adjusting an intestinal flora, the enteric oxygen microcapsule being made of an enteric capsule wall and an oxygen-containing core material, the core material comprising oxygen or/and oxygen source 1~ 15 parts, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule; the enteric wall includes 15 to 25 parts of sodium alginate, and chitosan 15 to 25 Parts, 5-10 parts of polyvinyl alcohol, 35-65 parts of yeast dipping powder and a trace amount of glutaraldehyde cross-linking agent.
具体地,一种用于调整肠道菌群的肠溶氧气微囊,由以下原料制备而成:芯材:氧气,锐孔孔径:1.2微米,压力:3200帕,持续通气1h;所述肠溶性囊壁包括海藻酸钠2.4g,壳聚糖2.4g,聚乙烯醇0.4g;乳化剂Span 60 0.6g,酵母浸膏11g,交联剂:戊二醛,4ml。Specifically, an enteric oxygen microcapsule for adjusting intestinal flora is prepared from the following materials: core material: oxygen, orifice diameter: 1.2 μm, pressure: 3200 Pa, continuous ventilation for 1 h; The soluble capsule wall includes 2.4 g of sodium alginate, 2.4 g of chitosan, 0.4 g of polyvinyl alcohol, 0.6 g of emulsifier Span 60, 11 g of yeast extract, and a crosslinking agent: glutaraldehyde, 4 ml.
本发明之一种用于调整肠道菌群的肠溶氧气微囊的制备方法,包括以下步骤:The preparation method of the enteric oxygen microcapsule for adjusting the intestinal flora of the invention comprises the following steps:
1)分别制备乳化剂Span 60、酵母浸粉的水溶液:取0.6g Span 60溶解于60℃,80ml蒸馏水中,取11g酵母浸粉溶解于的80ml蒸馏水中,并将酵母浸粉常规处理:灭活,静置,过筛,;1) Prepare an aqueous solution of emulsifier Span 60 and yeast extract powder separately: 0.6g Span 60 is dissolved in 60 ° C, 80 ml of distilled water, 11 g of yeast dipping powder is dissolved in 80 ml of distilled water, and yeast dipping powder is routinely treated: Live, rest, sieve,
2)制备肠溶性囊壁水溶液:取2.4g海藻酸钠溶解于65℃,160ml蒸馏水中;2) Preparation of an aqueous solution of enteric cyst wall: 2.4 g of sodium alginate was dissolved in 65 ° C, 160 ml of distilled water;
取2.4g壳聚糖于65℃溶解在用100ml蒸馏水稀释的3ml 36%乙酸溶液中,取12g聚乙烯醇溶解于95℃2000ml蒸馏水中;2.4 g of chitosan was dissolved in 3 ml of 36% acetic acid solution diluted with 100 ml of distilled water at 65 ° C, and 12 g of polyvinyl alcohol was dissolved in 2000 ml of distilled water at 95 ° C;
3)将芯材中的氧气用锐孔在高压下通入步骤1)制备的乳化剂的水 溶液中,1h后,缓慢加入已经溶解的肠溶性囊壁中的壳聚糖和聚乙烯醇水溶液,搅拌15min,再加入酵母浸粉水溶液,继续搅拌乳化,再缓慢加入肠溶性囊壁中的海藻酸钠水溶液,冰浴并搅拌;3) The oxygen in the core material is passed through an orifice in the aqueous solution of the emulsifier prepared in the step 1) under high pressure. After 1 hour, the chitosan and polyvinyl alcohol aqueous solution in the dissolved enteric wall are slowly added. Stir for 15min, then add yeast leachate aqueous solution, continue to stir and emulsify, then slowly add aqueous sodium alginate solution in the enteric wall, ice bath and stir;
4)在冰浴、搅拌的同时加入戊二醛交联剂稀释液,当韦森堡(Weissenberg)效应出现后,调节溶液pH至8.0,30分钟后,固体分散成微囊后,再继续搅拌20分钟;4) Add the glutaraldehyde cross-linking agent dilution while stirring in an ice bath. When the Weissenberg effect occurs, adjust the pH of the solution to 8.0. After 30 minutes, the solid is dispersed into microcapsules and stirring is continued. 20 minutes;
5)将以上制得的溶液过筛,除去颗粒大的杂质和沉淀物;离心去上清液,用5%的硼氢化钠溶液洗涤,抽滤干燥得到固态的肠溶性氧气微囊。5) The solution prepared above was sieved to remove large particles of impurities and precipitates; the supernatant was centrifuged, washed with a 5% sodium borohydride solution, and dried by suction filtration to obtain a solid enteric oxygen microcapsule.
1)用于调整肠道菌群的肠溶氧气微囊对肥胖大鼠血清炎性因子的影响1) Effect of enteric oxygen microcapsules used to regulate intestinal flora on serum inflammatory factors in obese rats
实验方案:健康雄性,4周龄肥胖大鼠(SD大鼠)55只,体重116±15.3g,饲养环境:保持室内温度25±5℃,相对湿度50%~60%,光照12h/d,通风良好;自由饮水,标准大鼠饲料饲喂,适应3天。Experimental protocol: healthy males, 55 obese rats (SD rats) of 4 weeks old, weighing 116±15.3g, feeding environment: maintaining indoor temperature 25±5°C, relative humidity 50%~60%, illumination 12h/d, Well ventilated; free drinking water, standard rat feed, for 3 days.
随机选取10只大鼠作为正常对照组,饲喂普通饲料;剩余45只作为肥胖造模组,高脂饲料饲喂,每周五称量大鼠体重,测量大鼠体长。4周后取体重大于正常对照组平均体重20%的大鼠,作为造模成功的大鼠。Ten rats were randomly selected as normal control group and fed with normal feed; the remaining 45 were used as obesity model, fed with high fat diet, and the body weight of the rats was weighed every Friday to measure the body length of the rats. Rats weighing more than 20% of the average body weight of the normal control group were taken 4 weeks later as a successful model rat.
取造模成功大鼠30只,随机分为3组,改饲以普通饲料饲喂,每只大鼠25g/d。Thirty rats with successful model were randomly divided into 3 groups and fed with normal feed, 25 g/d per rat.
具体分组如下:The specific grouping is as follows:
正常组(N=10):自由饮水,定量普通饲料+适量破了囊壁的微囊粉;Normal group (N=10): free drinking water, quantitative ordinary feed + appropriate amount of broken microcapsule powder;
肥胖组(N=10):自由饮水,定量普通饲料+适量破了囊壁的微囊粉(实施例4所述);Obese group (N=10): free drinking water, quantitative ordinary feed + appropriate amount of broken microcapsule powder (described in Example 4);
高剂量组(N=10):自由饮水,定量普通饲料+每只300mg/d微囊粉(实施例4所述);High dose group (N=10): free drinking water, quantitative common feed + 300mg/d microcapsule powder (described in Example 4);
低剂量组(N=10):自由饮水,定量普通饲料+每只100mg/d微囊粉(实施例4所述)。Low dose group (N=10): free drinking water, quantitative normal feed + 100 mg/d microcapsule powder (described in Example 4).
上述4组均分两笼饲养,各5只/笼。普通饲料,每组250g/d,每笼125g/d,一次/d。自由饮水。实施例4所述的用于调整肠道菌群的肠溶氧气微囊分别按设定剂量混于饲料中。The above 4 groups were divided into two cages, each with 5 cages. Ordinary feed, 250g/d per group, 125g/d per cage, once/d. Free drinking water. The enteric oxygen microcapsules for adjusting the intestinal flora described in Example 4 were separately mixed in the feed at a set dose.
干预2周,而后处死动物,进行相关指标检测:包括白细胞介素1(IL-1)、白细胞介素6(IL-6)、肿瘤坏死因子-α(TNF-α)和NF-κB,结果如表5所述。After 2 weeks of intervention, the animals were sacrificed and relevant indicators were detected: including IL-1, IL-6, TNF-α and NF-κB. As described in Table 5.
表5用于调整肠道菌群的肠溶氧气微囊对肥胖大鼠血清炎性因子的变化Table 5 shows the changes of serum inflammatory factors in obese rats by adjusting enteric oxygen microcapsules of intestinal flora
Figure PCTCN2018101322-appb-000004
Figure PCTCN2018101322-appb-000004
注:###P<0.001,与正常对照组相比;*P<0.05,***P<0.001,与肥胖对照组相比。Note: ###P<0.001, compared with the normal control group; *P<0.05, ***P<0.001, compared with the obese control group.
由表5可知,结果表明,用于调整肠道菌群的肠溶氧气微囊,破壁后使用的肠溶氧气微囊(肥胖组)对肥胖大鼠的血清炎性水平没有抑制作用,而与肥胖对照组相比,而直接使用的肠溶氧气微囊(实施例4所述,固态的肠溶氧气微囊)2周干预后的肥胖大鼠,其体内的血清IL-1、IL-6、TNF-α、NF-κB水平均显著下降(P<0.001),说明肠溶氧气微囊可显著降低肥胖大鼠的炎症反应,且随肠溶氧气微囊的用量的增加,对肠道炎性的减缓作用更显著,说明肠溶氧气微囊具备保护胃肠道黏膜屏障功能,能有效促进肠道菌群失调的恢复。As can be seen from Table 5, the results show that the enteric oxygen microcapsules used to adjust the intestinal flora, and the enteric oxygen microcapsules (obese group) used after breaking the wall have no inhibitory effect on the serum inflammatory level of obese rats, and Compared with the obese control group, the directly used enteric oxygen microcapsules (described in Example 4, solid enteric oxygen microcapsules) were treated with serum IL-1, IL- in the obese rats after 2 weeks of intervention. 6. The levels of TNF-α and NF-κB decreased significantly (P<0.001), indicating that enteric oxygen microcapsules can significantly reduce the inflammatory response in obese rats, and the intestinal tract is increased with the amount of enteric oxygen microcapsules. The inflammatory slowing effect is more significant, indicating that the enteric oxygen microcapsules have the function of protecting the gastrointestinal mucosal barrier and can effectively promote the recovery of intestinal flora imbalance.

Claims (10)

  1. 一种用于调整肠道菌群的肠溶氧气微囊,其特征在于,所述肠溶氧气微囊由肠溶性囊壁和含氧气或/和氧气源的芯材组成,所述芯材中氧气占肠溶氧气微囊总体积的5~70%(V/V),氧气浓度为5~100%;所述芯材与肠溶性囊壁的质量比为1∶50-900。An enteric oxygen microcapsule for adjusting an intestinal flora, wherein the enteric oxygen microcapsule is composed of an enteric capsule wall and a core material containing oxygen or/and an oxygen source, wherein the core material Oxygen accounts for 5 to 70% (V/V) of the total volume of the enteric oxygen microcapsules, and the oxygen concentration is 5 to 100%; the mass ratio of the core material to the enteric capsule wall is 1:50-900.
  2. 如权利要求1所述用于调整肠道菌群的肠溶氧气微囊,其特征在于,所述肠溶氧气微囊为肠溶微嚢、肠溶微粒、肠溶微滴、肠溶微囊粉或肠溶凝胶。The enteric oxygen microcapsule for regulating intestinal flora according to claim 1, wherein the enteric oxygen microcapsule is enteric microcapsule, enteric microparticle, enteric microdroplet, enteric microcapsule Powder or enteric gel.
  3. 如权利要求1或2所述用于调整肠道菌群的肠溶氧气微囊,其特征在于,氧气包括一种或多种氧的同位素16O、17O或18O。An enteric oxygen microcapsule for regulating intestinal flora according to claim 1 or 2, wherein the oxygen comprises one or more isotopes of oxygen, 16O, 17O or 18O.
  4. 如权利要求2所述用于调整肠道菌群的肠溶氧气微囊,其特征在于,所述肠溶氧气微囊为主要采用以下重量份原料制成的肠溶固态微粒:所述芯材包括氧气或/和氧气源1~15份,其中氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁包括海藻酸钠15~25份,壳聚糖15~25份,聚乙烯醇5~10份,酵母浸粉35~65份和微量交联剂。The enteric oxygen microcapsule for regulating intestinal flora according to claim 2, wherein the enteric oxygen microcapsule is an enteric solid microparticle mainly prepared by using the following raw materials by weight: the core material Including 1 to 15 parts of oxygen or/and oxygen source, wherein the oxygen concentration is 5 to 100%, so that the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule; the enteric wall includes sodium alginate 15~ 25 parts, 15 to 25 parts of chitosan, 5 to 10 parts of polyvinyl alcohol, 35 to 65 parts of yeast powder and a small amount of crosslinking agent.
  5. 如权利要求2所述用于调整肠道菌群的肠溶氧气微囊,其特征在于,所述肠溶氧气微囊为肠溶微囊:氧气或/和氧气源1~100份,氧气浓度为5~100%,使芯材占肠溶氧气微囊总体积的5~70%;所述肠溶性囊壁主要采用以下重量份原料制成:肠溶性聚合物10~300份,表面活性剂、等渗调节剂份,pH调节剂的量为调节肠溶微囊制剂pH至6.6~8.7,余量为水。The enteric oxygen microcapsule for regulating intestinal flora according to claim 2, wherein the enteric oxygen microcapsule is an enteric microcapsule: 1 to 100 parts of an oxygen or/and oxygen source, and an oxygen concentration 5 to 100%, the core material accounts for 5 to 70% of the total volume of the enteric oxygen microcapsule; the enteric capsule wall is mainly made of the following parts by weight: 10 to 300 parts of the enteric polymer, surfactant The amount of the isotonicity adjusting agent is adjusted to adjust the pH of the enteric microcapsule preparation to 6.6 to 8.7, and the balance is water.
  6. 一种如权利要求1、2、3或4任一项所述用于调整肠道菌群的肠溶氧气微囊的制备方法,其特征在于,包括以下步骤:A method for preparing an enteric oxygen microcapsule for regulating intestinal flora according to any one of claims 1, 2, 3 or 4, comprising the steps of:
    1)分别制备乳化剂、增稠剂、稳定剂的水溶液;1) preparing an aqueous solution of an emulsifier, a thickener, and a stabilizer, respectively;
    2)制备肠溶性囊壁水溶液;2) preparing an enteric cyst wall aqueous solution;
    3)将芯材中的氧气/氧气源高压通入步骤1)制备的乳化剂的水溶液中,1h后,缓慢加入已经溶解的肠溶性囊壁中的壳聚糖和聚乙烯醇水溶液,搅拌15min,再加入酵母浸粉水溶液,继续搅拌乳化,再缓慢加入肠溶性囊壁中的海藻酸钠水溶液,冰浴并搅拌;3) The oxygen/oxygen source in the core material is passed through the aqueous solution of the emulsifier prepared in the step 1). After 1 hour, the chitosan and polyvinyl alcohol aqueous solution in the dissolved enteric wall are slowly added and stirred for 15 minutes. , adding yeast aqueous solution of powder, continue to stir and emulsify, and then slowly add aqueous sodium alginate solution in the enteric wall, ice bath and stir;
    4)在冰浴、搅拌的同时加入交联剂稀释液,当韦森堡(Weissenberg)效应出现后,调节溶液pH使固体分散成微囊后,再继续搅拌10分钟以上;4) adding a cross-linking agent dilution solution while stirring in an ice bath, and after the Weissenberg effect occurs, adjust the pH of the solution to disperse the solid into microcapsules, and then continue to stir for more than 10 minutes;
    5)将以上制得的溶液过筛,除去颗粒大的杂质和沉淀物;离心去上清液,用5%的硼氢化钠溶液洗涤,抽滤干燥得产品。5) The solution prepared above was sieved to remove large particles of impurities and precipitates; the supernatant was centrifuged, washed with a 5% sodium borohydride solution, and dried by suction filtration to obtain a product.
  7. 一种如权利要求1、2、3或5任一项所述用于调整肠道菌群的肠溶氧气微囊的制备方法,其特征在于,包括以下步骤:A method for preparing an enteric oxygen microcapsule for regulating intestinal flora according to any one of claims 1, 2, 3 or 5, comprising the steps of:
    1)将肠溶性聚合物浸泡,制备成肠溶包衣液;1) soaking the enteric polymer to prepare an enteric coating solution;
    2)将辅料中的等渗调节剂、表面活性剂加水溶解或添加助溶剂使其均匀分散;2) dissolving the isotonic adjusting agent and the surfactant in the auxiliary material with water or adding a co-solvent to uniformly disperse;
    3)将步骤1)中的肠溶包衣液和步骤2)中的助剂合并,加水或肠溶性聚合物助溶剂至全量,高速搅拌,调pH至6.6~8.7;3) combine the enteric coating liquid in step 1) and the auxiliary agent in step 2), add water or enteric polymer cosolvent to the full amount, stir at high speed, adjust the pH to 6.6 ~ 8.7;
    4)将氧气/氧气源通入步骤3)高速搅拌的溶液中,形成包含大量氧气的细小微囊,并均质成稳定的氧气微囊。4) Pass the oxygen/oxygen source into the high-speed stirring solution of step 3) to form fine microcapsules containing a large amount of oxygen, and homogenize into stable oxygen microcapsules.
  8. 一种如权利要求1~5任一项所述的用于调整肠道菌群的肠溶氧气微囊的用途,其特征在于,在制备以肠溶氧气微囊作为调整肠道菌群的唯一活性成分或活性成分之一的药物中的应用。Use of an enteric oxygen microcapsule for regulating intestinal flora according to any one of claims 1 to 5, characterized in that the preparation of intestinal oxygen microcapsules as the sole for regulating intestinal flora is prepared Application in medicines of one of the active ingredients or active ingredients.
  9. 一种如权利要求8所述的用于调整肠道菌群的肠溶氧气微囊的用途,其特征在于,所述肠溶氧气微囊在用于制备预防或/和治疗与肠道菌群失衡相关的疾病的药物或者驱蛔虫的药物中的应用。Use of an enteric oxygen microcapsule for regulating intestinal flora according to claim 8, wherein said enteric oxygen microcapsule is used for preparing a prophylactic or/and therapeutic and intestinal flora The use of drugs for imbalance-related diseases or drugs for mites.
  10. 一种如权利要求9所述的用于调整肠道菌群的肠溶氧气微囊的用途,其特征在于,所述与肠道菌群失衡相关的疾病为肥胖症、糖尿病、高血压、癌症或阿尔茨海默氏病中的一种或几种。Use of an enteric oxygen microcapsule for regulating intestinal flora according to claim 9, wherein said diseases associated with intestinal flora imbalance are obesity, diabetes, hypertension, cancer Or one or more of Alzheimer's disease.
PCT/CN2018/101322 2017-08-22 2018-08-20 Enteric oxygen microcapsule for adjusting intestinal flora, preparation method therefor and use thereof WO2019037682A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3548008A4 (en) * 2016-11-30 2020-06-03 Xeno Biosciences Inc. Pharmaceutical preparations and methods to manage weight and to modulate the gut microbiota
US10945974B2 (en) 2015-06-01 2021-03-16 Xeno Biosciences Inc. Methods and compositions to modulate the gut microbiota and to manage weight

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110558516A (en) * 2019-09-29 2019-12-13 乌林奇 Composition for treating obesity through targeted supplement of BDNF and FTO gene ligands and preparation method and application thereof
CN114099459B (en) * 2021-09-30 2023-02-24 国科温州研究院(温州生物材料与工程研究所) Prebiotics and metazoan composite microcapsule for treating enteritis and preparation method thereof

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102973594A (en) * 2012-12-19 2013-03-20 李洪江 Ophthalmic preparation containing oxygen micro-capsules and preparation method

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MX337857B (en) * 2006-05-15 2016-03-16 Univ Virginia Commonwealth Methods and compositions for controlled and sustained production and delivery of peroxides.
CN101731181A (en) * 2008-11-10 2010-06-16 谢坤 Method for hatching artemia cysts
KR20140101025A (en) * 2013-02-06 2014-08-19 경북대학교 산학협력단 Oxygen-releasing microcapsule composition containing hydrogen peroxide for protection of cells at room temperature

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102973594A (en) * 2012-12-19 2013-03-20 李洪江 Ophthalmic preparation containing oxygen micro-capsules and preparation method

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
LI, YAZHOU ET AL.: "Gut Fungal Microorganisms and Inflammatory Bowel Disease", WORLD CHINESE JOURNAL OF DIGESTOLOGY, vol. 25, no. 17, 18 June 2017 (2017-06-18), ISSN: 2219-2859 *

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10945974B2 (en) 2015-06-01 2021-03-16 Xeno Biosciences Inc. Methods and compositions to modulate the gut microbiota and to manage weight
US11179357B2 (en) 2015-06-01 2021-11-23 Xeno Biosciences Inc. Methods and compositions to modulate the gut microbiota and to manage weight
US11179356B2 (en) 2015-06-01 2021-11-23 Xeno Biosciences Inc. Methods and compositions to modulate the gut microbiota and to manage weight
EP3548008A4 (en) * 2016-11-30 2020-06-03 Xeno Biosciences Inc. Pharmaceutical preparations and methods to manage weight and to modulate the gut microbiota
US11311573B2 (en) 2016-11-30 2022-04-26 Xeno Biosciences Inc. Pharmaceutical preparations and methods to manage weight and to modulate the gut microbiota

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