WO2020253835A1 - Nitrate and vitamin-containing composition, preparation method therefor, formulation thereof and use thereof - Google Patents

Nitrate and vitamin-containing composition, preparation method therefor, formulation thereof and use thereof Download PDF

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WO2020253835A1
WO2020253835A1 PCT/CN2020/097156 CN2020097156W WO2020253835A1 WO 2020253835 A1 WO2020253835 A1 WO 2020253835A1 CN 2020097156 W CN2020097156 W CN 2020097156W WO 2020253835 A1 WO2020253835 A1 WO 2020253835A1
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nitrate
vitamin
composition
preparation
combination
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PCT/CN2020/097156
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French (fr)
Chinese (zh)
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王松灵
王玉记
李国情
秦力峥
胡亮
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爱希(北京)国际咨询有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • A61K31/375Ascorbic acid, i.e. vitamin C; Salts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4415Pyridoxine, i.e. Vitamin B6
    • 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
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/28Steroids, e.g. cholesterol, bile acids or glycyrrhetinic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/127Liposomes
    • 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
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • 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
    • A61P39/00General protective or antinoxious 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/08Vasodilators for multiple indications

Definitions

  • the present invention relates to the technical field of medicine, in particular, to a composition containing nitrate and vitamins, its preparation (Naruit), its preparation method, and its use in the preparation of drugs for increasing blood nitrate content or treating tumors and/ Or use in drugs that inhibit tumor cell proliferation.
  • Nitrate and nitrite are widely found in water, soil, air and plants.
  • the main source of nitrate absorption by the human body is food, and green vegetables account for the main part.
  • Nitrate plays a physiological function in various system activities, including blood pressure reduction, platelet aggregation inhibition and vascular protection (Lundberg JO et al., Cardiovasc Res, 2011; Kapil V et al, Nitric Oxide, 2014).
  • Rat skeletal muscle cells can take up nitrate from peripheral blood, and then reduce nitrate to nitric oxide through the xanthine oxidoreductase pathway, thereby increasing the body’s blood flow and promoting metabolism (Weitzberg E et al., Annu Rev Nutr, 2013).
  • Nitrate prevents ischemic heart disease by increasing vasodilatory epicardial blood flow, reducing vascular resistance, reducing coronary blood stealing and reducing preload (Pragani MA et al., Rev Cardiovasc Med, 2017). Nitrate in the diet can reduce endogenous nitric oxide production by inhibiting NADPH oxidase and regulating the expression of angiotensin (Ang) II receptors, thereby partially improving age-related hypertension and metabolic activity in mice (Hezel M et al., Free Radic Biol Med, 2016).
  • Ang angiotensin
  • inorganic nitrates inhibit acute and chronic inflammation by increasing neutrophil counts, which may reduce the occurrence of atherosclerotic plaques (Khambata RS et al., Proc Natl Acad Sci USA, 2017).
  • a long-term dietary nitrate deficiency experiment showed that after 22 months of a low-nitrate diet, mice will experience metabolic syndrome, endothelial dysfunction, and cardiovascular death (Kina-Tanada M et al., Diabatologia, 2017) .
  • Inorganic nitrates can reduce blood pressure and improve myocardial ischemia by enhancing the activity of epithelial cells and relaxing blood vessels, reducing platelet aggregation (Machha A et al., Eur J Nutr, 2011).
  • nitrates were considered harmful because under certain conditions, such as acidic gastric environment, carcinogenic nitrosamines may be produced, and nitrosamines are related to esophageal cancer, gastric cancer, colon cancer and other tumors (Bedale W et al., Meat Sci, 2016, Park JE et al, Toxicol Res, 2015). Therefore, the World Health Organization (WHO) recommends that the upper limit of daily intake of nitrate and nitrite is 3.7mg/kg and 0.06-0.07mg/kg respectively (Weitzberg E et al., Annu Rev Nutr, 2013) .
  • WHO World Health Organization
  • nitrate plays an important physiological regulation role in the body, and dietary nitrate can basically meet the amount of nitrate required by healthy people.
  • cardiovascular function damage gastrointestinal stress damage, liver degeneration, liver steatosis, systemic radiation damage and tumors
  • the intake of dietary nitrates simply cannot reach the therapeutic dose ( ⁇ 13mg /kg). So far, the prior art has not provided nitrate preparations that are suitable for direct use as drugs and produce good absorption effects and excellent therapeutic effects.
  • An object of the present invention is to provide a composition containing nitrates, said composition comprising nitrates and vitamins, wherein the ratio of the amount of nitrates and vitamins is 10:1 to 1:10, preferably 5:1 -1:5, more preferably 3:1-1:1, most preferably 2:1-1:1.
  • the nitrate is sodium nitrate, potassium nitrate or a combination thereof, preferably sodium nitrate or potassium nitrate, and most preferably sodium nitrate.
  • the vitamin is vitamin C, vitamin B6 or a combination thereof, preferably vitamin C or vitamin B6, most preferably vitamin C.
  • the ratio of the amount of the nitrate and the vitamin may be 10:1, 5:1, 2:1, 1:1, 1:2, 1:3, 1:5, 1:10, more preferably In particular, the ratio is 2:1, 1:1.
  • Another object of the present invention is to provide a preparation method of the composition comprising nitrate and vitamins according to the present invention, which includes dissolving nitrate and vitamins separately, filtering and sterilizing with a 0.22 ⁇ m microporous filter membrane, according to the above nitrate and vitamin
  • the ratio of the amount of the vitamin substance is mixed, the mixed solution is divided into sterile vials, sealed, frozen at -20 ⁇ -60°C for 2 ⁇ 18h, freeze-dried with a lyophilizer: set -20 ⁇ - Sublimation once at 20°C for 4-20h, and sublimation twice at 20-40°C for 1-30h, then take it out.
  • Another object of the present invention is to provide a preparation comprising the composition of the present invention including nitrate and vitamins and one or more pharmaceutically acceptable excipients.
  • the preparation can be any pharmaceutically acceptable preparation form, such as solid form or liquid form, such as tablet, capsule, granule, oral liquid, injection, liposome, lipid microemulsion, freeze-dried Powder preparations and so on.
  • pharmaceutically acceptable preparation form such as solid form or liquid form, such as tablet, capsule, granule, oral liquid, injection, liposome, lipid microemulsion, freeze-dried Powder preparations and so on.
  • the preparation method of the formulation can be prepared according to conventional methods known in the art.
  • the specific preparation form of the present invention preferably, it can be prepared according to the specific preparation method described in the embodiment of the present application.
  • the pharmaceutically acceptable excipients can be any suitable excipients suitable for the preparation of different formulations, such as fillers, diluents, binders, disintegrants, glidants Agents, lubricants, flavoring agents, inclusion materials, freeze-dried stabilizers.
  • a preferred form of preparation is liposome, with a nanometer particle size of 150-200nm, and the formula composition is as follows: sodium nitrate 0.2-2.0g, vitamin C 0.2-0.9g, lecithin 0.5-3.5g, cholesterol 0.1-0.5g, Lauryl alcohol 0.05 ⁇ 0.4g, phosphate buffered saline (PBS) 100 ⁇ 200mL.
  • PBS phosphate buffered saline
  • a preferred liposome includes 0.2 g of sodium nitrate, 0.2-0.83 g of vitamin C, 0.5-2.0 g of lecithin, 0.1-0.4 g of cholesterol, 0.05-0.2 g of lauryl alcohol, and an appropriate amount of phosphate buffered saline (PBS).
  • PBS phosphate buffered saline
  • Another object of the present invention is to provide the use of the composition comprising nitrate and vitamin or its preparation in the preparation of a medicine for increasing the nitrate content in blood.
  • nitrate can relax blood vessels. When the body is injured by ischemia, the pH of the damaged part often drops below 7. By quickly replenishing nitrate and increasing the content of nitrate in the blood, it can relax the aortic ring and produce regulation. The role of cardiovascular function. Moreover, studies have shown that increasing the nitrate content in the blood can regulate gastrointestinal function, improve and/or treat gastrointestinal stress damage, prevent liver degeneration and liver steatosis, and reduce damage caused by systemic radiation.
  • Still another object of the present invention is to provide the use of the composition comprising nitrate and vitamins or preparations thereof in the preparation of drugs for treating tumors and/or inhibiting the proliferation of tumor cells.
  • the tumor is oral cancer.
  • nitrate preparations that are suitable for direct use as drugs and produce better absorption effects and excellent therapeutic effects.
  • nitrate and vitamin are prepared into a composition (especially preferably, nanoliposome preparation composition) according to a specific ratio, which can significantly increase the nitrate content in the blood, increase the bioavailability, and can be used to regulate cardiovascular function , Improve and/or treat gastrointestinal stress damage, prevent liver degeneration and liver steatosis, or reduce damage caused by whole body radiation without any adverse side effects.
  • composition 5 in rats in 2 hours is 2.1 times that of the nitrate group alone, which is equivalent to that of composition 5 when the dose is reduced by one time and the effect of nitrate alone is still equivalent
  • composition 5 of nitrate and vitamins can produce a significant effect of treating tumors; the composition of the present invention is confirmed by animal experiments, without any toxicity, safe and effective. Therefore, the technical solution of the present invention produces unexpected technical effects, and has important clinical significance.
  • the dose of the composition of the present invention or the pharmaceutical composition administered to the patient may depend on, for example, the type of disease to be treated or the level of nitrate content in the blood that needs to be reached, and may be based on a dose-selection method known to those skilled in the art Make a selection.
  • the dosage of the composition administered to the patient is about 13 mg/kg or higher based on the nitrate content of the composition, such as about 15 mg/kg to 30 mg/kg.
  • the ratio of the nitrate to the vitamin is the ratio of the amount of the substance (ie, the molar ratio). If not specifically stated, the materials, devices or equipment, the preparation methods of the materials or compositions, etc., are all conventional or well-known in the art, or those skilled in the art can obtain them according to the description of this specification according to conventional technical means. of.
  • Fig. 1 is a graph of nitrate content in blood after gavage of 5 kinds of compositions of the present invention and sodium nitrate alone according to test example 1, according to body weight.
  • the combinations 1, 2, 3, 4 and 5 are the amount ratios of the substances prepared according to Example 1 of 5:1, 1:5, 1:1, 1:2, 2:1 sodium nitrate and vitamin C. combination.
  • Figure 2 is a graph showing the effect of a nitrate composition diet on the volume of transplanted tumors of oral cancer CAL27 cells in nude mice.
  • Figure 3 is a graph showing the effect of nitrate nanocomposites on the body weight of nude mice transplanted with oral cancer CAL27. Note: The results show that the application of nitrate has no significant change in the body weight of nude mice.
  • Figure 4 is a graph showing the effect of nitrate composition on the morphology of oral cancer CAL27 cells.
  • Figure 5 is a graph showing the effect of nitrate composition on the proliferation of oral cancer CAL27 cells.
  • Figure 6 is a graph showing the effect of nitrate composition on the scratch width of oral cancer CAL27 cells.
  • Figure 7 is a graph showing the anti-migration activity of a nitrate composition on oral cancer CAL27 cells.
  • Example 1 Composition of nitrate and vitamin
  • Composition 1 Sodium nitrate 0.85g, vitamin C 0.176g (substance ratio 10:1)
  • Composition 2 Sodium nitrate 0.85g, vitamin C 0.352g (substance ratio 5:1)
  • Composition 3 Sodium nitrate 0.85g, vitamin C 0.88g (substance ratio 2:1)
  • Composition 4 Sodium nitrate 0.85g, vitamin C 1.76g (substance ratio 1:1)
  • Composition 5 0.85g of sodium nitrate, 3.52g of vitamin C (substance ratio 1:2)
  • Composition 6 sodium nitrate 0.85g, vitamin C 5.28g (substance ratio 1:3)
  • Composition 7 0.85g of sodium nitrate, 8.8g of vitamin C (substance ratio 1:5)
  • Composition 8 0.85g of sodium nitrate, 17.6g of vitamin C (substance ratio 1:10)
  • Preparation method Weigh the corresponding amount of sodium nitrate or vitamin C according to the above ratio, dissolve the nitrate and vitamin C separately, filter and sterilize with a 0.22 ⁇ m microporous filter, mix separately according to different proportions, and pack the mixed solution.
  • a sterile vial sealed, frozen at -20 ⁇ -60°C for 2 ⁇ 18h, freeze-dried with a freeze dryer: set at -20 ⁇ 20°C for 4 ⁇ 20h once sublimation, 20 ⁇ 40°C for second sublimation 1 ⁇ 30h, take it out and get the composition.
  • Example 2 Tablets containing nitrate and vitamins
  • composition of tablets 1000 tablets:
  • Each tablet of this product contains about 1.76 ⁇ 176mg of vitamin C, 8.5mg of nitrate, and the tablet weight is about 250mg.
  • composition of microemulsion is composition of microemulsion:
  • Step 1 Under the protection of nitrogen, add 1000g soybean oil to 8g lecithin and 20g polyethylene glycol PEG2000, and heat to 30 ⁇ 70°C to form an oil phase mixture;
  • Step 2 Mix the composition of 0.176g ⁇ 17.6g vitamin C and 0.85g sodium nitrate, 200g poloxamer 188 and 8L water for injection in different proportions at 20 ⁇ 70°C to form an aqueous mixture;
  • Step 3 Under the protection of nitrogen, mix the water phase mixture obtained in step 2 with the mixture obtained in step 1, and then disperse at a high speed for 5 to 30 minutes under the conditions of 30 to 80°C and 5000 to 50000 r/min, then use 0.1 mol/L NaOH or HCl adjust the pH to 6.0-8.5, homogenize for 5-15 times under the pressure of 90-210MPa, until the mixed phase is in a uniform and transparent state, and the obtained uniform and transparent mixed phase is detected, Divide the packaging to obtain nano microemulsion.
  • Step 1 Weigh lecithin, cholesterol and lauryl alcohol, put them in an eggplant-shaped bottle, and dissolve them with chloroform. Make dry film by rotary evaporation for use;
  • Step 2 Prepare phosphate buffer solution, dissolve vitamin C in an appropriate amount of phosphate buffer solution (PBS) 100-200mL, and then add sodium nitrate to obtain a solution;
  • PBS phosphate buffer solution
  • Step 3 Slowly inject the solution of step 2 into the eggplant-shaped bottle of step 1, agitate slowly, and form liposomes after ultrasonic treatment.
  • the nanometer properties were characterized by a laser nanoparticle sizer, and the particle size was measured to be 150-200nm.
  • the encapsulation efficiency of the liposome composition of combinations 3, 4, and 5 is 92.5%, 94.3%, and 95.2%, respectively, as determined by the HPLC method.”
  • Example 5 Granules containing nitrate and vitamins
  • Sodium nitrate and 8.5g vitamin B 6 41.0g, and HPMC (HT-K80000S) 2.0g mixed with 20% ethanol solution 20mL obtain a soft material, extrusion and spheronization into particles, dried to a moisture less than 3%, Sodium nitrate and vitamin B6 composition granules are obtained.
  • Test Example 1 Detection of nitrate content in blood after administration of the composition of the present invention
  • C57BL6 mice male, 30 ⁇ 5 g (70 in total, 10 in each group) were anesthetized by intraperitoneal injection of pentobarbital physiological saline solution at a dose of 50 mg/kg.
  • the sodium nitrate and five nitrate-containing reagent compositions prepared in accordance with Example 1 respectively, and the ratio of the amount of substances is 5:1 (combination 1), 1:5 (combination 2), 1:1 ( Combination 3), 1:2 (combination 4), 2:1 (combination 5) sodium nitrate and vitamin C composition) (in the six groups of experiments, the nitrate content is the same) by intragastric administration at 0.2 mmol/kg, respectively At 0h, blood was taken from the tail vein at 2, 4, 6, 12 h after intragastric administration.
  • nitrate reductase Reconstitute nitrate reductase with 1.0 ml of nitrate reductase stock solution, vortex vigorously, let stand at room temperature for 15 minutes, vortex and let stand at room temperature for another 15 minutes, vortex again and immediately use.
  • reaction diluent (1 ⁇ ) step a ⁇ 4 times the volume
  • NADH reagent-Use 5.0 ml deionized water or distilled water to reconstitute NADH, let it stand for 3 minutes and gently stir before use, use within 15 minutes or place it on ice.
  • reaction diluent (1 ⁇ ) is blank (0 ⁇ mol/L).
  • mice Female nude mice aged 4 weeks were selected as experimental animals (female, 20 ⁇ 5g), human oral squamous cell carcinoma cell line CAL27 was routinely cultured, and the concentration was 2.5 ⁇ 10 7 /mL, and 0.2mL/mouse was injected into the right hind limb of nude mice subcutaneously . When the tumor body enters the rapid growth phase, give each group of compounds:.
  • the experimental animals were divided into 2 control groups (physiological saline group and sodium nitrate group) and 2 composition groups (combination 5 solid group and combination 5 liposome group, where the combination 5 solid was the amount of the substance prepared according to Example 1.
  • Two composition groups (combination 5 solid group and combination 5 liposome group) and 1 control group (sodium nitrate group) were given sodium nitrate composition (combination 5 solid or combination 5 liposome) or sodium nitrate drinking water, respectively.
  • the concentration is 2.5mmo1/L
  • the daily nitrate content of each rat is about 0.5mmo1/Kgbw
  • the nitrate drinking water is continuous for 1 month
  • a control group physiological saline group
  • the volume of the transplanted tumor and the weight of the nude mice were recorded regularly. The results are shown in Figure 2 and Figure 3.
  • composition of the present invention can significantly inhibit the growth of tumor cells without affecting the body weight of nude mice.
  • mice Female nude mice aged 4 weeks were selected as experimental animals (female, 20 ⁇ 5g), human oral squamous cell carcinoma cell line CAL27 was cultured routinely, and transferred to a 96-well plate at a concentration of 50,000 cells/mL, and the negative control physiological saline was detected by the CCK8 method
  • the anti-tumor cell proliferation activity of the composition of the present invention (the liposome of combination 5 prepared according to Example 4) in vitro.
  • the specific experimental method is as follows: inoculate 100 ⁇ L of cell suspension in a 96-well plate, pre-culture the plate in an incubator for 24 hours (at 37°C, 5% CO 2 ), and add test compound (physiological saline) after the cells adhere to the wall. Or the composition of the present invention), each well is administered with a volume of 25 ⁇ L, and then the culture plate is incubated in an incubator for 72 hours, each well is replaced with 100 ⁇ L of new medium, and 10 ⁇ L of CCK-8 solution is added to each well. After 2 hours, the absorbance at 450nm was measured with a microplate reader.
  • Figure 4 shows the effect of the composition of the present invention on the morphology of oral cancer CAL27 cells: under an inverted microscope, the control group cells grow adherently, the cells are fusiform or polygonal, the cytoplasm is rich, the growth is vigorous, and the adjacent cells grow and fuse into sheet. After adding 100mM sodium nitrate, CAL27 cells began to become smaller, rounded, increased refractive index, decreased cell adhesion, and showed typical apoptotic morphology. The morphology of chromatin aggregation, nuclear pyknosis, and nuclear fragmentation can be seen under the microscope. change.
  • Figure 5 shows the effect of different concentrations of the nitrate composition of the present invention on the proliferation of oral cancer CAL27 cells: nitrate (at a concentration of more than 30 mM) can significantly inhibit the proliferation of tumor cells.
  • SPSS 17.0 statistical software was used for statistical analysis. The measurement data of multiple groups were compared by ANOVA analysis, and P ⁇ 0.05 was statistically significant.
  • mice (30 in each group, half male and female) were given water (control group) and 2 compositions (combination 5 solid group and combination 5 liposome group) once within 24 hours.
  • the amount ratio of the substance prepared in Example 1 is a composition of sodium nitrate and vitamin C in a ratio of 2:1 (combination 5), and the combination 5 liposomes are the combination 5 liposomes prepared according to Example 4) (each, 380 mg/ kg, which is 9 times the daily dose under normal circumstances), the control group, the combination 5 solid group and the combination 5 liposome group on the day of administration and the observation period of 14 days after administration of animal movement, eyelid finger There were no abnormalities in symptoms, breathing, fur, excreta and secretions; no animal died during the experiment. It is shown that the composition of the present invention is non-toxic to animals at a certain dose and is safe and usable.

Abstract

A nitrate and vitamin-containing composition, a formulation thereof, a preparation method therefor, use thereof for preparing a medicament for improving the concentration of nitrates in blood, and use thereof in tumor treatment.

Description

含有硝酸盐和维生素的组合物、其制备方法、制剂及其用途Composition containing nitrate and vitamin, its preparation method, preparation and its use 技术领域Technical field
本发明涉及医药技术领域,具体地,涉及一种含硝酸盐和维生素的组合物、其制剂(耐瑞特)、其制备方法及其在制备提高血液中硝酸盐含量的药物或治疗肿瘤和/或抑制肿瘤细胞增殖的药物中的用途。The present invention relates to the technical field of medicine, in particular, to a composition containing nitrate and vitamins, its preparation (Naruit), its preparation method, and its use in the preparation of drugs for increasing blood nitrate content or treating tumors and/ Or use in drugs that inhibit tumor cell proliferation.
发明背景Background of the invention
硝酸盐和亚硝酸盐广泛存在于水、土壤、空气和植物中。人体吸收硝酸盐的主要来源是食物,绿色蔬菜占主要部分。Nitrate and nitrite are widely found in water, soil, air and plants. The main source of nitrate absorption by the human body is food, and green vegetables account for the main part.
硝酸盐在各种系统活动中发挥生理功能,包括血压降低、血小板聚集抑制和血管保护作用(Lundberg JO et al.,Cardiovasc Res,2011;Kapil V et al,Nitric Oxide,2014)。大鼠骨骼肌细胞能够从外周血中摄取硝酸盐,随后通过黄嘌呤氧化还原酶途径将硝酸盐还原为一氧化氮,从而增加了机体血流量,并能够促进新陈代谢(Weitzberg E et al.,Annu Rev Nutr,2013)。硝酸盐通过增加血管扩张的心外膜血流、降低血管阻力、减弱冠状动脉窃血和降低预负荷来预防缺血性心脏病(Pragani MA et al.,Rev Cardiovasc Med,2017)。饮食中的硝酸盐可以通过抑制NADPH氧化酶和调节血管紧张素(Ang)II受体表达来减少内源性一氧化氮生成,从而部分改善小鼠的年龄相关性高血压和代谢活动(Hezel M et al.,Free Radic Biol Med,2016)。此外,无机硝酸盐通过增加中性粒细胞计数来抑制急性和慢性炎症,这可能减少粥样斑块的发生(Khambata RS et al.,Proc Natl Acad Sci USA,2017)。此外,一项长期饮食硝酸盐缺乏实验表明,在低硝酸盐饮食22个月后,小鼠会出现代谢综合征、内皮功能障碍和心血管死亡(Kina-Tanada M et al.,Diabatologia,2017)。无机硝酸盐通过增强上皮细胞活性和舒张血管,减少血小板聚集,起到降低血压和改善心肌缺血的作用(Machha A et al.,Eur J Nutr,2011)。Nitrate plays a physiological function in various system activities, including blood pressure reduction, platelet aggregation inhibition and vascular protection (Lundberg JO et al., Cardiovasc Res, 2011; Kapil V et al, Nitric Oxide, 2014). Rat skeletal muscle cells can take up nitrate from peripheral blood, and then reduce nitrate to nitric oxide through the xanthine oxidoreductase pathway, thereby increasing the body’s blood flow and promoting metabolism (Weitzberg E et al., Annu Rev Nutr, 2013). Nitrate prevents ischemic heart disease by increasing vasodilatory epicardial blood flow, reducing vascular resistance, reducing coronary blood stealing and reducing preload (Pragani MA et al., Rev Cardiovasc Med, 2017). Nitrate in the diet can reduce endogenous nitric oxide production by inhibiting NADPH oxidase and regulating the expression of angiotensin (Ang) II receptors, thereby partially improving age-related hypertension and metabolic activity in mice (Hezel M et al., Free Radic Biol Med, 2016). In addition, inorganic nitrates inhibit acute and chronic inflammation by increasing neutrophil counts, which may reduce the occurrence of atherosclerotic plaques (Khambata RS et al., Proc Natl Acad Sci USA, 2017). In addition, a long-term dietary nitrate deficiency experiment showed that after 22 months of a low-nitrate diet, mice will experience metabolic syndrome, endothelial dysfunction, and cardiovascular death (Kina-Tanada M et al., Diabatologia, 2017) . Inorganic nitrates can reduce blood pressure and improve myocardial ischemia by enhancing the activity of epithelial cells and relaxing blood vessels, reducing platelet aggregation (Machha A et al., Eur J Nutr, 2011).
过去,硝酸盐曾经被认为是有害的,因为在某些条件下,如酸性条件的胃环境中可能产生致癌亚硝胺,而亚硝胺与食管癌、胃癌、结肠癌和其他肿瘤有关(Bedale W et al.,Meat Sci,2016,Park JE et al,Toxicol Res,2015)。因此,世界卫生组织(世卫组织)建议每日硝酸盐和亚硝酸盐摄入量的上限分别为3.7mg/kg和0.06-0.07mg/kg(Weitzberg E et al.,Annu Rev Nutr,2013)。然而,随着近年来对硝酸盐和肿瘤的流行病学调查显示,没有明确的证据证明饮食中的硝酸盐可以增加肿瘤的发生(Bryan NS et al.,Food Chem Toxicol,2012)。2012 年,Sialin蛋白首次被报道为硝酸盐细胞膜转运体,在膳食硝酸盐循环中发挥了重要作用。硝酸盐被唾液腺中的Sialin主动转运,集中在唾液中,然后分泌到口腔,通过胃肠道重新进入身体循环(Qin LZ ea al.,Proc Natl Acad Sci USA,2012)。由于饮食中的硝酸盐通过非酶合成被口腔和胃细菌转化为NO,硝酸盐在生理活动中被认为是不可或缺的。In the past, nitrates were considered harmful because under certain conditions, such as acidic gastric environment, carcinogenic nitrosamines may be produced, and nitrosamines are related to esophageal cancer, gastric cancer, colon cancer and other tumors (Bedale W et al., Meat Sci, 2016, Park JE et al, Toxicol Res, 2015). Therefore, the World Health Organization (WHO) recommends that the upper limit of daily intake of nitrate and nitrite is 3.7mg/kg and 0.06-0.07mg/kg respectively (Weitzberg E et al., Annu Rev Nutr, 2013) . However, with recent epidemiological investigations of nitrate and tumors, there is no clear evidence that dietary nitrates can increase the occurrence of tumors (Bryan NS et al., Food Chem Toxicol, 2012). In 2012, Sialin protein was first reported as a nitrate cell membrane transporter, which played an important role in the dietary nitrate cycle. Nitrate is actively transported by Sialin in the salivary glands, concentrated in saliva, then secreted into the mouth, and re-enters the body circulation through the gastrointestinal tract (Qin LZea al., Proc Natl Acad Sci USA, 2012). Since nitrate in the diet is converted into NO by oral and stomach bacteria through non-enzymatic synthesis, nitrate is considered to be indispensable in physiological activities.
因此,硝酸盐在体内发挥着重要的生理调节作用,膳食硝酸盐能够基本满足健康人所需的硝酸盐的量。然而,对于心血管功能损伤、胃肠的应激损伤、肝脏退行性病变、肝脏脂肪变性、全身辐射损伤和肿瘤等病人而言,膳食硝酸盐的摄入量根本无法达到到治疗剂量(~13mg/kg)。迄今为止,现有技术中没有提供适合直接作为药物且产生良好吸收效果和优异治疗效果的硝酸盐制剂。Therefore, nitrate plays an important physiological regulation role in the body, and dietary nitrate can basically meet the amount of nitrate required by healthy people. However, for patients with cardiovascular function damage, gastrointestinal stress damage, liver degeneration, liver steatosis, systemic radiation damage and tumors, the intake of dietary nitrates simply cannot reach the therapeutic dose (~13mg /kg). So far, the prior art has not provided nitrate preparations that are suitable for direct use as drugs and produce good absorption effects and excellent therapeutic effects.
本申请人经过反复深入的研究,意想不到地发现将硝酸盐与维生素按照特定的比例混合制备成组合物,特别是纳米脂质体制剂组合物,可以明显提高硝酸盐在体内的含量,并且产生治疗肿瘤的作用,从而完成了本发明。After repeated and in-depth research, the applicant unexpectedly found that mixing nitrate and vitamins in a specific ratio to prepare a composition, especially a nanoliposomal formulation composition, can significantly increase the content of nitrate in the body and produce The effect of treating tumors, thus completing the present invention.
发明内容Summary of the invention
本发明的一个目的是提供一种含有硝酸盐的组合物,所述组合物包括硝酸盐和维生素,其中硝酸盐和维生素的物质的量的比例为10:1-1:10,优选5:1-1:5,更优选3:1-1:1,最优选2:1-1:1。An object of the present invention is to provide a composition containing nitrates, said composition comprising nitrates and vitamins, wherein the ratio of the amount of nitrates and vitamins is 10:1 to 1:10, preferably 5:1 -1:5, more preferably 3:1-1:1, most preferably 2:1-1:1.
其中,所述硝酸盐为硝酸钠、硝酸钾或其组合,优选硝酸钠或硝酸钾,最优选硝酸钠。所述维生素为维生素C、维生素B6或其组合,优选维生素C或维生素B6,最优选维生素C。Wherein, the nitrate is sodium nitrate, potassium nitrate or a combination thereof, preferably sodium nitrate or potassium nitrate, and most preferably sodium nitrate. The vitamin is vitamin C, vitamin B6 or a combination thereof, preferably vitamin C or vitamin B6, most preferably vitamin C.
其中,所述硝酸盐和维生素的物质的量的比例可以为10:1、5:1、2:1、1:1、1:2、1:3、1:5、1:10,更优选地,所述比例为2:1、1:1。Wherein, the ratio of the amount of the nitrate and the vitamin may be 10:1, 5:1, 2:1, 1:1, 1:2, 1:3, 1:5, 1:10, more preferably In particular, the ratio is 2:1, 1:1.
本发明的另一个目的是提供本发明所述包括硝酸盐和维生素的组合物的制备方法,其包括将硝酸盐和维生素分别进行溶解,0.22μm微孔滤膜过滤除菌,按照上述硝酸盐和维生素的物质的量的比例混合,混合后的溶液分装于无菌的西林瓶中,密封,-20~-60℃下冷冻2~18h,用冻干机冻干:设定-20~-20℃一次升华4~20h,20~40℃二次升华1~30h,取出。Another object of the present invention is to provide a preparation method of the composition comprising nitrate and vitamins according to the present invention, which includes dissolving nitrate and vitamins separately, filtering and sterilizing with a 0.22 μm microporous filter membrane, according to the above nitrate and vitamin The ratio of the amount of the vitamin substance is mixed, the mixed solution is divided into sterile vials, sealed, frozen at -20~-60℃ for 2~18h, freeze-dried with a lyophilizer: set -20~- Sublimation once at 20℃ for 4-20h, and sublimation twice at 20-40℃ for 1-30h, then take it out.
本发明的另一个目的是提供一种制剂,其包括本发明所述包括硝酸盐和维生素的组合物和一种或多种药学上可接受的赋形剂。Another object of the present invention is to provide a preparation comprising the composition of the present invention including nitrate and vitamins and one or more pharmaceutically acceptable excipients.
其中,所述制剂可以为任何医药上可接受的制剂形式,比如固体形式或液体形式,比如片剂、胶囊剂、颗粒剂、口服液、注射液、脂质体、脂质微乳剂、冻干粉制剂等。Wherein, the preparation can be any pharmaceutically acceptable preparation form, such as solid form or liquid form, such as tablet, capsule, granule, oral liquid, injection, liposome, lipid microemulsion, freeze-dried Powder preparations and so on.
所述制剂的制备方法可以按照本领域已知的常规方法制备。对于本发明中具体制备的制剂形式,优选地,可以按照本申请实施方式中所述的具体制备方法制备。The preparation method of the formulation can be prepared according to conventional methods known in the art. For the specific preparation form of the present invention, preferably, it can be prepared according to the specific preparation method described in the embodiment of the present application.
在本发明的制剂中,药学上可接受的赋形剂可以为适于制备不同制剂形式所需的任何合适的赋形剂,比如填充剂、稀释剂、粘合剂、崩解剂、助流剂、润滑剂、矫味剂、包合材料、冻干稳定剂。In the formulations of the present invention, the pharmaceutically acceptable excipients can be any suitable excipients suitable for the preparation of different formulations, such as fillers, diluents, binders, disintegrants, glidants Agents, lubricants, flavoring agents, inclusion materials, freeze-dried stabilizers.
一种优选的制剂形式为脂质体,纳米粒径为150~200nm,配方组成如下:硝酸钠0.2~2.0g,维生素C 0.2~0.9g,卵磷脂0.5~3.5g,胆固醇0.1~0.5g,月桂醇0.05~0.4g,磷酸盐缓冲液(PBS)100~200mL。A preferred form of preparation is liposome, with a nanometer particle size of 150-200nm, and the formula composition is as follows: sodium nitrate 0.2-2.0g, vitamin C 0.2-0.9g, lecithin 0.5-3.5g, cholesterol 0.1-0.5g, Lauryl alcohol 0.05~0.4g, phosphate buffered saline (PBS) 100~200mL.
一种优选的脂质体包括:硝酸钠0.2g,维生素C 0.2-0.83g,卵磷脂0.5-2.0g,胆固醇0.1-0.4g,月桂醇0.05-0.2g,磷酸盐缓冲液(PBS)适量。A preferred liposome includes 0.2 g of sodium nitrate, 0.2-0.83 g of vitamin C, 0.5-2.0 g of lecithin, 0.1-0.4 g of cholesterol, 0.05-0.2 g of lauryl alcohol, and an appropriate amount of phosphate buffered saline (PBS).
本发明的还一个目的是提供本发明所述包括硝酸盐和维生素的组合物或其制剂在制备提高血液中硝酸盐含量的药物中的用途。Another object of the present invention is to provide the use of the composition comprising nitrate and vitamin or its preparation in the preparation of a medicine for increasing the nitrate content in blood.
研究表明,硝酸盐可以舒张血管,当机体缺血损伤时,受损部位pH经常会降到7以下,通过快速补充硝酸盐,提高血液中硝酸盐的含量,可以舒张主动脉环,从而产生调节心血管功能的作用。并且,研究表明,提高血液中硝酸盐的含量,可以产生调节胃肠功能,改善和/或治疗胃肠的应激损伤,预防肝脏退行性病变和肝脏脂肪变性,减轻全身辐射引起的损伤。Studies have shown that nitrate can relax blood vessels. When the body is injured by ischemia, the pH of the damaged part often drops below 7. By quickly replenishing nitrate and increasing the content of nitrate in the blood, it can relax the aortic ring and produce regulation. The role of cardiovascular function. Moreover, studies have shown that increasing the nitrate content in the blood can regulate gastrointestinal function, improve and/or treat gastrointestinal stress damage, prevent liver degeneration and liver steatosis, and reduce damage caused by systemic radiation.
本发明的仍然另一个目的是提供本发明所述包括硝酸盐和维生素的组合物或其制剂在制备治疗肿瘤和/或抑制肿瘤细胞增殖的药物中的用途。优选地,所述肿瘤为口腔癌。Still another object of the present invention is to provide the use of the composition comprising nitrate and vitamins or preparations thereof in the preparation of drugs for treating tumors and/or inhibiting the proliferation of tumor cells. Preferably, the tumor is oral cancer.
迄今为止,现有技术中没有提供适合直接作为药物且产生更好吸收效果和优异治疗效果的硝酸盐制剂。本发明中,将硝酸盐与维生素按照特定的比例制备成组合物(特别优选,纳米脂质体制剂组合物),可以显著提高血液中硝酸盐含量,提高生物利用度,可用于调节心血管功能、改善和/或治疗胃肠的应激损伤、预防肝脏退行性病变和肝脏脂肪变性、或减轻全身辐射引起的损伤,且无任何不良副作用。例如,经动物试验测定,2小时组合物5在大鼠体内血药浓度是单独给硝酸盐组的2.1倍,相当于组合物5在剂量降低一倍时仍然与单独给硝酸盐的药效相当;并且硝酸盐与维生素的组合物5能产生显著的治疗肿瘤的作用;本发明的组合物经动物试验证实,无任何毒性,安全有效。因此,本发明的技术方案产生了预料不到的技术效果,具有重要的临床使用意义。So far, the prior art has not provided nitrate preparations that are suitable for direct use as drugs and produce better absorption effects and excellent therapeutic effects. In the present invention, nitrate and vitamin are prepared into a composition (especially preferably, nanoliposome preparation composition) according to a specific ratio, which can significantly increase the nitrate content in the blood, increase the bioavailability, and can be used to regulate cardiovascular function , Improve and/or treat gastrointestinal stress damage, prevent liver degeneration and liver steatosis, or reduce damage caused by whole body radiation without any adverse side effects. For example, according to animal experiments, the blood concentration of composition 5 in rats in 2 hours is 2.1 times that of the nitrate group alone, which is equivalent to that of composition 5 when the dose is reduced by one time and the effect of nitrate alone is still equivalent And the composition 5 of nitrate and vitamins can produce a significant effect of treating tumors; the composition of the present invention is confirmed by animal experiments, without any toxicity, safe and effective. Therefore, the technical solution of the present invention produces unexpected technical effects, and has important clinical significance.
向患者给药的本发明组合物或药物组合物的剂量可以取决于例如要治疗的疾病的类型或者需要达到的血液中硝酸盐含量水平,并且可以根据本领域技术人员已知的剂量-选择方法进行选择。比如,在某些实施方案中,向患者给药的组合物的剂量为以组合物中硝酸盐 的含量计约13mg/kg或更高,比如约15mg/kg-30mg/kg。The dose of the composition of the present invention or the pharmaceutical composition administered to the patient may depend on, for example, the type of disease to be treated or the level of nitrate content in the blood that needs to be reached, and may be based on a dose-selection method known to those skilled in the art Make a selection. For example, in certain embodiments, the dosage of the composition administered to the patient is about 13 mg/kg or higher based on the nitrate content of the composition, such as about 15 mg/kg to 30 mg/kg.
在本申请中,如果没有特别地说明,则其中所述硝酸盐和维生素的比例为物质的量比例(即,摩尔比例)。如果没有特别地说明,则所述的物质、装置或设备、物质或组合物的制备方法等,都是本领域常规的或熟知的或者本领域技术人员根据本说明书的记载按照常规技术手段能够获得的。In this application, if there is no special description, the ratio of the nitrate to the vitamin is the ratio of the amount of the substance (ie, the molar ratio). If not specifically stated, the materials, devices or equipment, the preparation methods of the materials or compositions, etc., are all conventional or well-known in the art, or those skilled in the art can obtain them according to the description of this specification according to conventional technical means. of.
附图说明Description of the drawings
图1为根据试验例1,按照体重对小鼠灌胃本发明的5种组合物和单独的硝酸钠之后血液中硝酸盐含量图。其中组合1、2、3、4和5分别为按照实施例1制备的物质的量比例为5:1、1:5、1:1、1:2、2:1的硝酸钠和维生素C的组合物。Fig. 1 is a graph of nitrate content in blood after gavage of 5 kinds of compositions of the present invention and sodium nitrate alone according to test example 1, according to body weight. Wherein the combinations 1, 2, 3, 4 and 5 are the amount ratios of the substances prepared according to Example 1 of 5:1, 1:5, 1:1, 1:2, 2:1 sodium nitrate and vitamin C. combination.
图2为硝酸盐组合物饮食对口腔癌CAL27细胞裸鼠移植瘤体积的影响图。Figure 2 is a graph showing the effect of a nitrate composition diet on the volume of transplanted tumors of oral cancer CAL27 cells in nude mice.
图3为硝酸盐纳米组合物对口腔癌CAL27移植裸鼠体重的影响图。注:结果表明硝酸盐的应用对裸鼠体重无明显变化。Figure 3 is a graph showing the effect of nitrate nanocomposites on the body weight of nude mice transplanted with oral cancer CAL27. Note: The results show that the application of nitrate has no significant change in the body weight of nude mice.
图4为硝酸盐组合物对口腔癌CAL27细胞形态的影响图。Figure 4 is a graph showing the effect of nitrate composition on the morphology of oral cancer CAL27 cells.
图5为硝酸盐组合物对口腔癌CAL27细胞增殖的影响图。Figure 5 is a graph showing the effect of nitrate composition on the proliferation of oral cancer CAL27 cells.
图6为硝酸盐组合物对口腔癌CAL27细胞划痕宽度的影响图。Figure 6 is a graph showing the effect of nitrate composition on the scratch width of oral cancer CAL27 cells.
图7为硝酸盐组合物对口腔癌CAL27细胞有抗迁移的活性图。Figure 7 is a graph showing the anti-migration activity of a nitrate composition on oral cancer CAL27 cells.
具体实施方式Detailed ways
为了进一步阐述本发明,下面给出一些实施例和试验例。这些实施例完全是示例性的,它们仅用来对本发明进行具体描述,不应当理解为对本发明的限制。To further illustrate the present invention, some examples and test examples are given below. These embodiments are completely exemplary, and they are only used to specifically describe the present invention, and should not be construed as limiting the present invention.
实施例1硝酸盐和维生素的组合物Example 1 Composition of nitrate and vitamin
组成1:硝酸钠0.85g,维生素C 0.176g(物质的量比例10:1)Composition 1: Sodium nitrate 0.85g, vitamin C 0.176g (substance ratio 10:1)
组成2:硝酸钠0.85g,维生素C 0.352g(物质的量比例5:1)Composition 2: Sodium nitrate 0.85g, vitamin C 0.352g (substance ratio 5:1)
组成3:硝酸钠0.85g,维生素C 0.88g(物质的量比例2:1)Composition 3: Sodium nitrate 0.85g, vitamin C 0.88g (substance ratio 2:1)
组成4:硝酸钠0.85g,维生素C 1.76g(物质的量比例1:1)Composition 4: Sodium nitrate 0.85g, vitamin C 1.76g (substance ratio 1:1)
组成5:硝酸钠0.85g,维生素C 3.52g(物质的量比例1:2)Composition 5: 0.85g of sodium nitrate, 3.52g of vitamin C (substance ratio 1:2)
组成6:硝酸钠0.85g,维生素C 5.28g(物质的量比例1:3)Composition 6: sodium nitrate 0.85g, vitamin C 5.28g (substance ratio 1:3)
组成7:硝酸钠0.85g,维生素C 8.8g(物质的量比例1:5)Composition 7: 0.85g of sodium nitrate, 8.8g of vitamin C (substance ratio 1:5)
组成8:硝酸钠0.85g,维生素C 17.6g(物质的量比例1:10)Composition 8: 0.85g of sodium nitrate, 17.6g of vitamin C (substance ratio 1:10)
制备方法:分别按照上述比例称取相应量的硝酸钠或维生素C,将硝酸盐和维生素C 分别进行溶解,0.22μm微孔滤膜过滤除菌,按照不同比例分别混合,混合后的溶液分装于无菌的西林瓶中,密封,-20~-60℃下冷冻2~18h,用冷冻干燥机冻干:设定-20~20℃一次升华4~20h,20~40℃二次升华1~30h,取出,即得到组合物。Preparation method: Weigh the corresponding amount of sodium nitrate or vitamin C according to the above ratio, dissolve the nitrate and vitamin C separately, filter and sterilize with a 0.22μm microporous filter, mix separately according to different proportions, and pack the mixed solution. In a sterile vial, sealed, frozen at -20~-60℃ for 2~18h, freeze-dried with a freeze dryer: set at -20~20℃ for 4~20h once sublimation, 20~40℃ for second sublimation 1 ~30h, take it out and get the composition.
实施例2含硝酸盐和维生素的片剂Example 2 Tablets containing nitrate and vitamins
片剂的组成(1000片):Composition of tablets (1000 tablets):
Figure PCTCN2020097156-appb-000001
Figure PCTCN2020097156-appb-000001
制备方法:Preparation:
按处方量称取各种组分,将维生素C、硝酸钠以及HPMC(HT-K80000S)过100目筛,乳糖、乙基纤维素等辅料过80目筛,混合均匀。用1%聚乙烯吡咯烷酮乙醇溶液制成软材,接着用20目筛制粒,于60℃干燥1h,并加入硬脂酸镁混匀,过20目筛整粒,压片,抛光,包装,即得片剂。Weigh various components according to the prescription, pass the vitamin C, sodium nitrate and HPMC (HT-K80000S) through a 100-mesh sieve, and pass the lactose, ethyl cellulose and other auxiliary materials through an 80-mesh sieve, and mix well. Use 1% polyvinylpyrrolidone ethanol solution to make soft material, then use 20 mesh sieve to granulate, dry at 60°C for 1 hour, add magnesium stearate and mix well, pass through 20 mesh sieve to size, compress, polish, package, Ready to get tablets.
本品每片约含维生素C 1.76~176mg,硝酸盐8.5mg,片重约为250mg。Each tablet of this product contains about 1.76~176mg of vitamin C, 8.5mg of nitrate, and the tablet weight is about 250mg.
实施例3含硝酸盐和维生素的纳米微乳液Example 3 Nano microemulsion containing nitrate and vitamins
微乳液的组成:Composition of microemulsion:
Figure PCTCN2020097156-appb-000002
Figure PCTCN2020097156-appb-000002
制备方法:Preparation:
步骤1:在氮气保护下,将1000g大豆油加入8g的卵磷脂和20g的聚乙二醇PEG2000中,加热至30~70℃形成油相混合物;Step 1: Under the protection of nitrogen, add 1000g soybean oil to 8g lecithin and 20g polyethylene glycol PEG2000, and heat to 30~70℃ to form an oil phase mixture;
步骤2:将不同比例的0.176g~17.6g的维生素C和0.85g的硝酸钠的组合物、200g泊洛沙姆188和8L注射用水在20~70℃下进行混合,形成水相混合物;Step 2: Mix the composition of 0.176g~17.6g vitamin C and 0.85g sodium nitrate, 200g poloxamer 188 and 8L water for injection in different proportions at 20~70℃ to form an aqueous mixture;
步骤3:在氮气保护下,将步骤2得到的水相混合物与步骤1得到的混合物进行混合,然后在30~80℃、5000~50000r/min条件下高速分散5~30min后,用0.l mol/L NaOH或HCl调节pH值至6.0~8.5,在压力为90~210MPa条件下进行均质5~15次,直至混合相呈现均匀透明状态,对得到的均匀透明状态的混合相进行检测、分装,得到纳米微乳液。Step 3: Under the protection of nitrogen, mix the water phase mixture obtained in step 2 with the mixture obtained in step 1, and then disperse at a high speed for 5 to 30 minutes under the conditions of 30 to 80°C and 5000 to 50000 r/min, then use 0.1 mol/L NaOH or HCl adjust the pH to 6.0-8.5, homogenize for 5-15 times under the pressure of 90-210MPa, until the mixed phase is in a uniform and transparent state, and the obtained uniform and transparent mixed phase is detected, Divide the packaging to obtain nano microemulsion.
实施例4含硝酸盐和维生素的脂质体Example 4 Liposomes containing nitrate and vitamins
Figure PCTCN2020097156-appb-000003
Figure PCTCN2020097156-appb-000003
制备方法:Preparation:
步骤1:称取卵磷脂、胆固醇及月桂醇,置于茄形瓶中,加氯仿溶解。经旋转蒸发制成干膜备用;Step 1: Weigh lecithin, cholesterol and lauryl alcohol, put them in an eggplant-shaped bottle, and dissolve them with chloroform. Make dry film by rotary evaporation for use;
步骤2:配制磷酸盐缓冲液,将维生素C溶于适量磷酸盐缓冲液(PBS)100~200mL中,接着加入硝酸钠,得到溶液;Step 2: Prepare phosphate buffer solution, dissolve vitamin C in an appropriate amount of phosphate buffer solution (PBS) 100-200mL, and then add sodium nitrate to obtain a solution;
步骤3:将步骤2的溶液缓缓注入步骤1的茄形瓶中,缓缓搅动,经超声处理即形成脂质体。Step 3: Slowly inject the solution of step 2 into the eggplant-shaped bottle of step 1, agitate slowly, and form liposomes after ultrasonic treatment.
经激光纳米粒度仪表征其纳米性质,测得其粒径为150-200nm。经使用HPLC方法测定,组合3、4和5的脂质体组合物的包封率分别为92.5%、94.3%和95.2%”。The nanometer properties were characterized by a laser nanoparticle sizer, and the particle size was measured to be 150-200nm. The encapsulation efficiency of the liposome composition of combinations 3, 4, and 5 is 92.5%, 94.3%, and 95.2%, respectively, as determined by the HPLC method."
实施例5含有硝酸盐和维生素的颗粒剂Example 5 Granules containing nitrate and vitamins
颗粒剂1:Granule 1:
Figure PCTCN2020097156-appb-000004
Figure PCTCN2020097156-appb-000004
Figure PCTCN2020097156-appb-000005
Figure PCTCN2020097156-appb-000005
制备方法:Preparation:
将硝酸钠8.5g和维生素C 0.2~0.9g、以及HPMC(HT-K80000S)2.0g混合均匀,用20%乙醇溶液20mL制成软材,挤出滚圆法制成颗粒,干燥至水分不超过3%,即得硝酸钠和维生素C组合物颗粒剂。Mix 8.5g of sodium nitrate, 0.2~0.9g of vitamin C, and 2.0g of HPMC (HT-K80000S), and use 20ml of 20% ethanol solution to make soft material, and make pellets by extrusion spheronization method, and dry until the moisture does not exceed 3% , That is, sodium nitrate and vitamin C composition granules.
颗粒剂2:Granule 2:
Figure PCTCN2020097156-appb-000006
Figure PCTCN2020097156-appb-000006
制备方法:Preparation:
将硝酸钾10.1g和维生素C 35.2g、以及HPMC(HT-K80000S)2.0g混合均匀,用20%乙醇溶液20mL制成软材,挤出滚圆法制成颗粒,干燥至水分不超过3%,即得硝酸钾和维生素C组合物颗粒剂。Mix 10.1g of potassium nitrate, 35.2g of vitamin C, and 2.0g of HPMC (HT-K80000S) evenly, use 20ml of 20% ethanol solution to make soft material, extrude and spheronize to make pellets, and dry until the moisture does not exceed 3%, that is Obtain potassium nitrate and vitamin C composition granules.
颗粒剂3:Granule 3:
Figure PCTCN2020097156-appb-000007
Figure PCTCN2020097156-appb-000007
制备方法:Preparation:
将硝酸钠8.5g和维生素B 6 41.0g、以及HPMC(HT-K80000S)2.0g混合均匀,用20%乙醇溶液20mL制成软材,挤出滚圆法制成颗粒,干燥至水分不超过3%,即得硝酸钠和维生素B6组合物颗粒剂。 Sodium nitrate and 8.5g vitamin B 6 41.0g, and HPMC (HT-K80000S) 2.0g mixed with 20% ethanol solution 20mL obtain a soft material, extrusion and spheronization into particles, dried to a moisture less than 3%, Sodium nitrate and vitamin B6 composition granules are obtained.
试验例1给药本发明的组合物后的血液中硝酸盐含量检测Test Example 1 Detection of nitrate content in blood after administration of the composition of the present invention
将C57BL6小鼠(雄性,30±5g)(总共70只,每组10只)按50mg/kg的剂量腹腔注射戊巴比妥生理盐水溶液进行麻醉。麻醉后将硝酸钠和五种含硝酸盐试剂的组合物(分别为按照实施例1制备的,物质的量比例为5:1(组合1)、1:5(组合2)、1:1(组合3)、1:2(组合4)、2:1(组合5)的硝酸钠和维生素C的组合物)(六组实验中,硝酸盐含量相同)按照0.2mmol/kg灌胃,分别在0h,灌胃后2、4、6、12h尾静脉取血备用。C57BL6 mice (male, 30±5 g) (70 in total, 10 in each group) were anesthetized by intraperitoneal injection of pentobarbital physiological saline solution at a dose of 50 mg/kg. After anesthesia, the sodium nitrate and five nitrate-containing reagent compositions (prepared in accordance with Example 1 respectively, and the ratio of the amount of substances is 5:1 (combination 1), 1:5 (combination 2), 1:1 ( Combination 3), 1:2 (combination 4), 2:1 (combination 5) sodium nitrate and vitamin C composition) (in the six groups of experiments, the nitrate content is the same) by intragastric administration at 0.2 mmol/kg, respectively At 0h, blood was taken from the tail vein at 2, 4, 6, 12 h after intragastric administration.
具体硝酸盐检测实验方法(采用总一氧化氮和硝酸盐/亚硝酸盐测定试剂盒,PKGE001,R&D Systems,USA):Specific nitrate testing method (using total nitric oxide and nitrate/nitrite determination kit, PKGE001, R&D Systems, USA):
准备工作:Ready to work:
1)将血液样本置于4℃2h,14000rpm离心10min,吸取血清;1) Place the blood sample at 4°C for 2h, centrifuge at 14000rpm for 10min, and absorb the serum;
2)将获得的血清过滤,稀释10倍;2) Filter the obtained serum and dilute 10 times;
3)配制1×反应液:使用蒸馏水/去离子水将10×反应液稀释为1×反应液;3) Prepare 1× reaction solution: use distilled water/deionized water to dilute 10× reaction solution to 1× reaction solution;
4)配制硝酸盐还原酶:用1.0毫升硝酸还原酶储存液重组硝酸还原酶,用力涡旋,在室温下静置15分钟,涡旋后在室温下再静置15分钟,再次涡旋并立即使用。4) Preparation of nitrate reductase: Reconstitute nitrate reductase with 1.0 ml of nitrate reductase stock solution, vortex vigorously, let stand at room temperature for 15 minutes, vortex and let stand at room temperature for another 15 minutes, vortex again and immediately use.
用反应稀释剂(1×)稀释硝酸还原酶,制备浓度为母液1/5的硝酸盐还原酶,步骤如下:Dilute nitrate reductase with reaction diluent (1×) to prepare nitrate reductase with a concentration of 1/5 of the mother liquor. The steps are as follows:
a.硝酸还原酶(x孔+2)×5μL;a. Nitrate reductase (x hole + 2) × 5μL;
b.反应稀释剂(1×)=步骤a×4倍的体积;b. Reaction diluent (1×)=step a×4 times the volume;
c.将步骤a和b中的体积添加到干净的试管中,涡流;c. Add the volumes in steps a and b to a clean test tube, vortex;
d.置于冰上,15分钟内使用。d. Put on ice and use within 15 minutes.
5)NADH试剂-用5.0毫升去离子水或蒸馏水重组NADH,使用前静置3分钟并温和的搅拌,15分钟内使用或放置在冰上。5) NADH reagent-Use 5.0 ml deionized water or distilled water to reconstitute NADH, let it stand for 3 minutes and gently stir before use, use within 15 minutes or place it on ice.
6)硝酸盐标准品的制备:6) Preparation of nitrate standards:
用移液管将900μL反应稀释剂(1×)移入200μmol/L管中,再依次配制100μmol/L、50μmol/L、25μmol/L、12.5μmol/L、6.25μmol/L和3.12μmol/L的硝酸盐标准品。反应稀释剂(1×)为空白(0μmol/L)。Use a pipette to transfer 900 μL of reaction diluent (1×) into a 200 μmol/L tube, and then prepare 100 μmol/L, 50 μmol/L, 25 μmol/L, 12.5 μmol/L, 6.25 μmol/L, and 3.12 μmol/L in sequence Nitrate standards. The reaction diluent (1×) is blank (0μmol/L).
硝酸盐含量检测步骤:Nitrate content detection steps:
1)按照前述准备工作的步骤准备所有试剂、标准品和样品等;1) Prepare all reagents, standards, samples, etc. according to the aforementioned preparation steps;
2)在空白组的孔中加入50μL的反应稀释剂(1×);2) Add 50μL of reaction diluent (1×) to the wells of the blank group;
3)将50μL硝酸盐标准品或样品添加到剩余的孔中;3) Add 50μL of nitrate standard or sample to the remaining wells;
4)向所有孔中添加25μL NADH;4) Add 25μL NADH to all wells;
5)向所有孔中添加25μL稀释硝酸还原酶,混合均匀,用胶带覆盖;5) Add 25μL of diluted nitrate reductase to all wells, mix well, and cover with tape;
6)在37℃下孵育30分钟;6) Incubate at 37°C for 30 minutes;
7)将50μL Griess I反应液添加到所有孔中;7) Add 50μL Griess I reaction solution to all wells;
8)将50μL Griess II反应液添加到所有孔中,轻轻拍打板的侧面,搅拌均匀;8) Add 50μL Griess II reaction solution to all wells, tap the side of the plate gently, and stir evenly;
9)在室温下孵育10分钟;9) Incubate for 10 minutes at room temperature;
10)在540nm波长下测定光学密度(O.D.),波长校正690nm;10) Measure the optical density (O.D.) at a wavelength of 540nm, with a wavelength correction of 690nm;
11)根据标准品测量值生成标准曲线,并计算获得每组样本中硝酸盐含量,参见下表1和附图1。11) Generate a standard curve based on the measured values of the standard products, and calculate the nitrate content in each group of samples, see Table 1 below and Figure 1 below.
表1给药后小鼠血液中硝酸盐含量(mol/g)Table 1 Nitrate content in blood of mice after administration (mol/g)
Figure PCTCN2020097156-appb-000008
Figure PCTCN2020097156-appb-000008
注:上述各组数值为各组小鼠血液中硝酸盐含量的平均值。Note: The above values in each group are the average values of nitrate content in the blood of mice in each group.
从表1可以看出,在对小鼠灌胃给药单独的硝酸钠和本发明的组合物(组合1-组合5)之后,在2小时时,与给药单独的硝酸盐相比,给药组合4和5的小鼠血液中硝酸盐的含量已经产生了显著提高,尤其是给药组合5的组合物的小鼠血液中硝酸盐含量为给药单独硝酸盐的小鼠血液中硝酸盐含量的两倍以上;在长达6小时~12小时时,给药组合4和5的小鼠血液中硝酸盐的含量仍然显著高于给药单独的硝酸盐的小鼠血液中硝酸盐的含量。It can be seen from Table 1 that after intragastric administration of sodium nitrate alone and the composition of the present invention (combination 1-combination 5) to mice, at 2 hours, compared with administration of nitrate alone, The nitrate content in the blood of mice in combination 4 and 5 has been significantly increased, especially the nitrate content in the blood of mice administered the composition of combination 5 is the same as that in the blood of mice administered nitrate alone The content is more than twice as long as 6 hours to 12 hours, the blood nitrate content of mice administered with combination 4 and 5 is still significantly higher than the blood nitrate content of mice administered nitrate alone .
试验例2本发明的组合物的体内抗口腔癌活性评价Test Example 2 Evaluation of in vivo anti-oral cancer activity of the composition of the present invention
1)体内口腔癌裸鼠移植瘤模型的建立1) Establishment of nude mice transplanted tumor model of oral cancer in vivo
选择4周龄雌性裸鼠为实验动物(雌性,20±5g),常规培养人口腔鳞癌细胞系CAL27,按2.5×10 7/mL浓度,以0.2mL/只推注入裸鼠右后肢腹股沟皮下。当瘤体进入快速增长期时给予各组化合物:。 Female nude mice aged 4 weeks were selected as experimental animals (female, 20±5g), human oral squamous cell carcinoma cell line CAL27 was routinely cultured, and the concentration was 2.5×10 7 /mL, and 0.2mL/mouse was injected into the right hind limb of nude mice subcutaneously . When the tumor body enters the rapid growth phase, give each group of compounds:.
2)硝酸盐组合物饮水给药及裸鼠移植瘤观察2) Drinking water administration of nitrate composition and observation of transplanted tumor in nude mice
将实验动物分成2个对照组(生理盐水组和硝酸钠组)和2个组合物组(组合5固体组和组合5脂质体组,其中组合5固体为按照实施例1制备的物质的量比例为2:1(组合5)的硝酸钠和维生素C的组合物,组合5脂质体为按照实施例4制备的组合5的脂质体),每组10只。2个组合物组(组合5固体组和组合5脂质体组)和1个对照组(硝酸钠组)分别给予硝酸钠组合物(组合5固体或组合5脂质体)或硝酸钠饮水,浓度为2.5mmo1/L,每只大鼠每日摄取的硝酸盐含量约为0.5mmo1/Kg b.w.,连续硝酸盐饮水1个月;1个对照组(生理盐水组)给予与上述组合物等体积的生理盐水,正常饮水。定期记录移植瘤瘤体体积及裸鼠体重。结果显示在图2和图3中。The experimental animals were divided into 2 control groups (physiological saline group and sodium nitrate group) and 2 composition groups (combination 5 solid group and combination 5 liposome group, where the combination 5 solid was the amount of the substance prepared according to Example 1. A composition of sodium nitrate and vitamin C in a ratio of 2:1 (combination 5), and the combination 5 liposomes are the liposomes of the combination 5 prepared according to Example 4), each group has 10 mice. Two composition groups (combination 5 solid group and combination 5 liposome group) and 1 control group (sodium nitrate group) were given sodium nitrate composition (combination 5 solid or combination 5 liposome) or sodium nitrate drinking water, respectively. The concentration is 2.5mmo1/L, the daily nitrate content of each rat is about 0.5mmo1/Kgbw, and the nitrate drinking water is continuous for 1 month; a control group (physiological saline group) is given the same volume as the above composition Normal saline, drink water normally. The volume of the transplanted tumor and the weight of the nude mice were recorded regularly. The results are shown in Figure 2 and Figure 3.
从图2和图3中可以看出,给药本发明组合物组能显著抑制肿瘤细胞的增长,而对裸鼠体重无影响。It can be seen from Fig. 2 and Fig. 3 that the administration of the composition of the present invention can significantly inhibit the growth of tumor cells without affecting the body weight of nude mice.
试验例3本发明的组合物的体外抗口腔癌活性评价Test Example 3 Evaluation of in vitro anti-oral cancer activity of the composition of the present invention
选择4周龄雌性裸鼠为实验动物(雌性,20±5g),常规培养人口腔鳞癌细胞系CAL27,以浓度为50000个/mL转移至96孔板,用CCK8的方法检测阴性对照生理盐水和本发明的组合物(按照实施例4制备的组合5的脂质体)体外抗肿瘤细胞增殖的活性。Female nude mice aged 4 weeks were selected as experimental animals (female, 20±5g), human oral squamous cell carcinoma cell line CAL27 was cultured routinely, and transferred to a 96-well plate at a concentration of 50,000 cells/mL, and the negative control physiological saline was detected by the CCK8 method The anti-tumor cell proliferation activity of the composition of the present invention (the liposome of combination 5 prepared according to Example 4) in vitro.
具体实验方法如下:在96孔板中接种l00μL细胞悬液,将培养板在培养箱预培养24小时(在37℃,5%CO 2的条件下),细胞贴壁后加入测试化合物(生理盐水或本发明的组合物),每孔给药体积为25μL,随后将培养板在培养箱孵育72小时,各孔更换新的培养基l00μL,并向每孔加入l0μL CCK-8溶液。2小时后用酶标仪测定在450nm处的吸光度。 The specific experimental method is as follows: inoculate 100μL of cell suspension in a 96-well plate, pre-culture the plate in an incubator for 24 hours (at 37°C, 5% CO 2 ), and add test compound (physiological saline) after the cells adhere to the wall. Or the composition of the present invention), each well is administered with a volume of 25 μL, and then the culture plate is incubated in an incubator for 72 hours, each well is replaced with 100 μL of new medium, and 10 μL of CCK-8 solution is added to each well. After 2 hours, the absorbance at 450nm was measured with a microplate reader.
结果显示在图4-图5中。The results are shown in Figure 4-Figure 5.
图4显示本发明的组合物对口腔癌CAL27细胞形态的影响:在倒置显微镜下,对照组细胞贴壁生长,细胞呈梭形或多角形,胞浆丰富,生长旺盛,相邻细胞生长融合成片。加入100mM的硝酸钠后,CAL27细胞开始变小、变圆,折光性增强,细胞贴壁性降低,呈现典型的凋亡形态,镜下可见染色质凝集、核固缩、核碎裂等形态学改变。Figure 4 shows the effect of the composition of the present invention on the morphology of oral cancer CAL27 cells: under an inverted microscope, the control group cells grow adherently, the cells are fusiform or polygonal, the cytoplasm is rich, the growth is vigorous, and the adjacent cells grow and fuse into sheet. After adding 100mM sodium nitrate, CAL27 cells began to become smaller, rounded, increased refractive index, decreased cell adhesion, and showed typical apoptotic morphology. The morphology of chromatin aggregation, nuclear pyknosis, and nuclear fragmentation can be seen under the microscope. change.
图5显示不同浓度的的本发明的硝酸盐组合物对口腔癌CAL27细胞增殖的影响:硝酸盐(30mM以上浓度)能够明显抑制肿瘤细胞的增殖。Figure 5 shows the effect of different concentrations of the nitrate composition of the present invention on the proliferation of oral cancer CAL27 cells: nitrate (at a concentration of more than 30 mM) can significantly inhibit the proliferation of tumor cells.
试验例4本发明的组合物的抗粘附活性Test Example 4 Anti-adhesion activity of the composition of the present invention
划痕法检测细胞迀移:Scratch method to detect cell migration:
将1.6mL的50000个/mL细胞转移至6孔板中培养,细胞生长至完全汇合后使用200U灭菌吸样枪头将细胞划痕,1×PBS洗1次,加入阴性对照生理盐水和本发明的组合物(按照实施例4制备的组合5的脂质体)各0.4mL,继续培养6h,使细胞恢复,再更换用含0.5%胎牛血清的RPMI 1640培养基继续培养,在倒置显微镜下观察机械划伤后即刻(0h)各划痕部位并照相,24h后,再次在倒置显微镜下观察机械划痕并照相。Transfer 1.6mL 50,000 cells/mL cells to a 6-well plate for culture. After the cells grow to complete confluence, use a 200U sterile pipette tip to scratch the cells, wash once with 1×PBS, and add negative control saline and this The composition of the invention (the liposome of combination 5 prepared according to Example 4) was 0.4 mL each, and continued to culture for 6 hours to recover the cells, and then replaced with RPMI 1640 medium containing 0.5% fetal bovine serum to continue the culture, in the inverted microscope Observe the mechanical scratch immediately (0h) after the mechanical scratch and take a photo. After 24h, observe the mechanical scratch under an inverted microscope and take a photo again.
采用SPSS 17.0统计学软件进行统计学分析,多组计量资料比较采用ANOVA分析,P<0.05有统计学意义。SPSS 17.0 statistical software was used for statistical analysis. The measurement data of multiple groups were compared by ANOVA analysis, and P<0.05 was statistically significant.
将该试验例的结果显示在图6-图7中。从图6和图7可以看出,本发明的硝酸盐组合物对口腔癌CAL27细胞有显著的抗迁移的活性。The results of this test example are shown in Figs. 6-7. It can be seen from Figure 6 and Figure 7 that the nitrate composition of the present invention has significant anti-migration activity on oral cancer CAL27 cells.
试验例5毒性药理学实验Test Example 5 Toxicity Pharmacology Experiment
给小鼠(每组30只,雌雄各半)24h内1次灌胃给予水(对照组)、2种组合物(组合5固体组和组合5脂质体组,其中组合5固体为按照实施例1制备的物质的量比例为2:1(组合5) 的硝酸钠和维生素C的组合物,组合5脂质体为按照实施例4制备的组合5的脂质体)(各自,380mg/kg,即为正常情况下,每日剂量的9倍)后,对照组、组合5固体组和组合5脂质体组在给药当天及给药后14天观察期内动物运动情况、眼睑指征、呼吸、皮毛、排泄物及分泌物等均未见任何异常;实验期间无动物死亡。表明,本发明的组合物在一定剂量下对于动物体无毒性,安全可用。Mice (30 in each group, half male and female) were given water (control group) and 2 compositions (combination 5 solid group and combination 5 liposome group) once within 24 hours. The amount ratio of the substance prepared in Example 1 is a composition of sodium nitrate and vitamin C in a ratio of 2:1 (combination 5), and the combination 5 liposomes are the combination 5 liposomes prepared according to Example 4) (each, 380 mg/ kg, which is 9 times the daily dose under normal circumstances), the control group, the combination 5 solid group and the combination 5 liposome group on the day of administration and the observation period of 14 days after administration of animal movement, eyelid finger There were no abnormalities in symptoms, breathing, fur, excreta and secretions; no animal died during the experiment. It is shown that the composition of the present invention is non-toxic to animals at a certain dose and is safe and usable.
本领域技术人员应当理解,在没有背离本发明的精神或特征下,可以以任何其它等同范围的具体形式实施本发明。因此,在本发明的权利要求书的等效性的含义和范围内的所有变化均旨在包括在本发明的范围内。Those skilled in the art should understand that, without departing from the spirit or characteristics of the present invention, the present invention can be implemented in any other specific form within the equivalent scope. Therefore, all changes within the meaning and scope of equivalence of the claims of the present invention are intended to be included in the scope of the present invention.

Claims (10)

  1. 组合物,其包括硝酸盐和维生素,其中所述硝酸盐和维生素的物质的量的比例为10:1-1:10。The composition includes nitrate and vitamin, wherein the ratio of the amount of the nitrate and vitamin is 10:1 to 1:10.
  2. 根据权利要求1的组合物,其中所述硝酸盐选自硝酸钠、硝酸钾或其组合,优选硝酸钠。The composition according to claim 1, wherein the nitrate is selected from sodium nitrate, potassium nitrate or a combination thereof, preferably sodium nitrate.
  3. 根据权利要求1的组合物,其中所述维生素选自维生素C、维生素B6或其组合,优选维生素C。The composition according to claim 1, wherein the vitamin is selected from vitamin C, vitamin B6 or a combination thereof, preferably vitamin C.
  4. 根据权利要求1-3中任一项的组合物,其中所述硝酸盐和维生素的物质的量的比例为5:1-1:5,更优选3:1-1:1,最优选2:1。The composition according to any one of claims 1 to 3, wherein the ratio of the amount of the nitrate and vitamin substances is 5:1 to 1:5, more preferably 3:1 to 1:1, most preferably 2: 1.
  5. 制剂,其包括权利要求1-4中任一项所述的组合物和一种或多种药学上可接受的赋形剂。A formulation comprising the composition of any one of claims 1 to 4 and one or more pharmaceutically acceptable excipients.
  6. 根据权利要求5的制剂,其为缓释片、脂质体、脂质微乳剂或冻干制剂。The formulation according to claim 5, which is a sustained-release tablet, liposome, lipid microemulsion or lyophilized formulation.
  7. 根据权利要求6的制剂,其为粒径150-200nm的脂质体,其配方组成如下:硝酸钠0.2~2.0g,维生素C 0.2~0.9g,卵磷脂0.5~3.5g,胆固醇0.1~0.5g,月桂醇0.05~0.4g,磷酸盐缓冲液(PBS)100~200mL。The preparation according to claim 6, which is a liposome with a particle size of 150-200nm, and its formula is composed of: 0.2-2.0g sodium nitrate, 0.2-0.9g vitamin C, 0.5-3.5g lecithin, and 0.1-0.5g cholesterol , Lauryl alcohol 0.05 ~ 0.4g, phosphate buffered saline (PBS) 100 ~ 200mL.
  8. 根据权利要求1-4中任一项的组合物或根据权利要求5-7中任一项的制剂在制备提高血液中硝酸盐含量的药物中的用途。Use of the composition according to any one of claims 1 to 4 or the preparation according to any one of claims 5-7 in the preparation of a medicament for increasing blood nitrate content.
  9. 根据权利要求8的用途,其中所述药物用于调节心血管功能、改善和/或治疗胃肠的应激损伤、预防肝脏退行性病变和肝脏脂肪变性、或减轻全身辐射引起的损伤。The use according to claim 8, wherein the medicament is used for regulating cardiovascular function, improving and/or treating gastrointestinal stress damage, preventing liver degeneration and liver steatosis, or reducing damage caused by whole body radiation.
  10. 根据权利要求1-4中任一项的组合物或根据权利要求5-7中任一项的制剂在制备治疗肿瘤和/或抑制肿瘤细胞增殖药物中的用途。Use of the composition according to any one of claims 1 to 4 or the preparation according to any one of claims 5-7 in the preparation of a drug for treating tumors and/or inhibiting tumor cell proliferation.
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