CN101002808A - Medical use of bidentate achyanthes total sterone - Google Patents
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Abstract
本发明涉及牛膝总甾酮在制药领域中的用途,尤其涉及在制备治疗或预防骨质疏松的药物或保健品中的应用。牛膝总甾酮是指牛膝有效部位所含甾酮的总和,主要有蜕皮甾酮,牛膝甾酮,红苋甾酮等成分。研究发现服用牛膝总甾酮可用于治疗和预防人体骨质疏松,而且安全,毒副作用小。The present invention relates to the use of total sterone of Achyranthes bidentata in the field of pharmacy, in particular to the use in the preparation of medicines or health products for treating or preventing osteoporosis. The total sterone of Achyranthes bidentata refers to the sum of sterones contained in the effective parts of Achyranthes bidentata, mainly including ecdysterone, achyranthes sterone, and amaranthus sterone. Studies have found that taking Achyranthes bidentata total sterone can be used to treat and prevent human osteoporosis, and it is safe and has little toxic and side effects.
Description
技术领域technical field
本发明涉及牛膝总甾酮在制药领域中的用途,尤其涉及在制备治疗或预防骨质疏松的药物或保健品中的应用。The present invention relates to the use of total sterone of Achyranthes bidentata in the field of pharmacy, in particular to the use in the preparation of medicines or health products for treating or preventing osteoporosis.
背景技术Background technique
牛膝(Achyranthes bidentata BI.),又名怀牛膝,鸡胫骨,为苋科植物的根,多年生草本,栽培或野生于山野路旁,于冬季茎叶枯萎时采挖,去净须根、泥土,晒干切齐为药用。主产于湖南、湖北、河南、四川、贵州等地。牛膝系传统中药,其味甘苦酸,性平,入肝、肾经。具有补肝肾,强筋骨,活血通络的作用。主治:血滞经闭、痛经、月经不凋、跌打损伤、腰膝软、四肢拘挛、吐血、衄血、淋病尿血、牙龈肿痛、喉痹、痈肿等。甾酮是牛膝有效成分之一,主要有蜕皮甾酮、牛膝甾酮、红苋甾酮等。胥秀英、郑一敏、王龙撰写的《植物蜕皮激素的研究进度》(生物学杂志,2005.122(2):12~15页)公开了蜕皮甾酮的作用如下:给家兔口服蜕皮甾酮每天每只5~20mg,持续10~12周可显著抑制高胆固醇喂饲引起的血清总胆固醇及游离胆固醇的增加;经口服给予蜕皮甾酮每只每天20mg,连续12周可显著抑制高胆固醇喂饲引起肝总脂,总胆固醇及甘油三脂水平的增加;每只每天口服5~20mg可观察到肝中脂肪沉着有所改善。Achyranthes bidentata BI., also known as Achyranthes bidentata BI., is the root of Amaranthaceae, a perennial herb, cultivated or wild on the side of mountain roads, excavated in winter when the stems and leaves are withered, and the fibrous roots and soil are removed , dried and cut into pieces for medicinal purposes. Mainly produced in Hunan, Hubei, Henan, Sichuan, Guizhou and other places. Achyranthes bidentata is a traditional Chinese medicine. Its taste is sweet and bitter, and its nature is flat. It enters the liver and kidney meridians. It has the functions of invigorating liver and kidney, strengthening muscles and bones, promoting blood circulation and dredging collaterals. Indications: blood stagnation amenorrhea, dysmenorrhea, menstrual bleeding, bruises, soft waist and knees, spasms of limbs, hematemesis, epistaxis, hematuria due to gonorrhea, gingival swelling and pain, sore throat, carbuncle, etc. Sterosterone is one of the active ingredients of Achyranthes bidentata, mainly including ecdysterone, achyranthes sterone, and amaranthus sterone. Xu Xiuying, Zheng Yimin, and Wang Long's "Research Progress of Plant Ecdysteroids" (Journal of Biology, 2005.122 (2): 12-15 pages) discloses the effect of ecdysterone as follows: give rabbits oral ecdysterone per day 5-20 mg, for 10-12 weeks, can significantly inhibit the increase of serum total cholesterol and free cholesterol caused by high-cholesterol feeding; oral administration of ecdysterone 20 mg per day, for 12 consecutive weeks, can significantly inhibit the increase of serum total cholesterol and free cholesterol caused by high-cholesterol feeding. Increases in total fat, total cholesterol and triglyceride levels; oral administration of 5-20 mg per day can improve fat deposition in the liver.
发明内容Contents of the invention
本发明的目的在于提供牛膝总甾酮的新用途,即在制备药物中的新应用。The object of the present invention is to provide a new application of the total sterone of Achyranthes bidentata, that is, a new application in the preparation of medicines.
为达到上述目的,本发明采用的技术方案是:牛膝总甾酮在制备治疗或预防骨质疏松的药物或保健品中的应用。特别是含量在50%以上的牛膝总甾酮在制备治疗或预防骨质疏松的药物或保健品中的应用。In order to achieve the above-mentioned purpose, the technical scheme adopted in the present invention is: the application of Achyranthes bidentata total sterone in the preparation of medicines or health products for treating or preventing osteoporosis. In particular, the application of the total sterone of Achyranthes bidentata with a content of more than 50% in the preparation of medicines or health products for treating or preventing osteoporosis.
牛膝总甾酮是指牛膝有效部位所含甾酮的总和,主要有蜕皮甾酮,牛膝甾酮,红苋甾酮等成份。The total sterone of Achyranthes bidentata refers to the sum of sterones contained in the effective parts of Achyranthes bidentata, mainly including ecdysterone, sterone of achyranthes bidentata, and sterone of red amaranth.
我们在对牛膝总甾酮的研究中发现,牛膝总甾酮成份在人体内可以代谢为天然的雌性激素,这种雌性激素具有治疗骨质疏松的作用。下面以动物试验(牛膝总甾酮对大鼠骨质疏松的作用)加以说明:In our research on the total sterone of Achyranthes bidentata, we found that the total sterone of Achyranthes bidentata can be metabolized into natural estrogen in the human body, and this estrogen has the effect of treating osteoporosis. Explain with animal experiment (Achyranthes knee total sterone on the effect of rat osteoporosis) below:
SD大鼠66只,未孕雌性,15周龄,体重200±20g。动物称重后随机分为6组,即空白组、模型组、尼尔雌醇组及牛膝总甾酮大、中、小剂量组,每组11只。首先各组动物经腹腔注射2%戊巴比妥(5mg/kg),达到麻醉效果后,分别沿腹正中线剪开皮肤,分离肌肉、筋膜及腹腔脏层,暴露腹腔。除空白组行假手术,切除卵巢附近一小块脂肪组织外,各组结扎及剪断双侧卵巢组织,腹腔内注射庆大霉素0.01ml/kg后逐层缝合肌肉、皮肤。术后2周开始灌胃给药。实验过程中每周称重一次,根据体重调整给药量。空白组及模型组予蒸馏水灌胃,尼尔雌醇组按1.05mg/kg·w-1剂量灌胃,牛膝总甾酮大、中、小剂量组按100mg/kg·d-1、50mg/kg·d-1、25mg/kg·d-1的剂量灌胃给药。12周后股静脉取活血杀动物。取左侧股骨远端1/3部分,室温置于10%福尔马林溶液中固定24小时,在甲酸中浸泡至完全脱钙,沿矢状面剖开,H-E染色,经乙醇脱水,石蜡包埋,沿矢状面切开,切片厚度014μm,测骨组织形态学指标。对左侧股骨远端1/3部分直接测量以下3个参数:总组织面积(T-Ar),骨小梁面积(Tb-Ar)和骨小梁周长(Tb-Pm),用校正公式计算以下2个参数:小梁面积百分率(%Tb-Ar=Tb-Ar÷T-Ar×100%);骨小梁厚度[Tb-Th=(2÷1.99)×(Tb-Ar÷Tb-Pm)]。观察和比较小梁面积百分率和骨小梁厚度。采用SAS9.0及SPSS11.0统计软件进行数据处理。66 SD rats, non-pregnant females, 15 weeks old, weighing 200±20g. After weighing, the animals were randomly divided into 6 groups, namely blank group, model group, nylestriol group and high, medium and low dose groups of Achyranthes bidentata total sterone, with 11 animals in each group. Firstly, the animals in each group were intraperitoneally injected with 2% pentobarbital (5 mg/kg). After the anesthesia effect was achieved, the skin was cut along the midline of the abdomen, and the muscle, fascia and abdominal viscera were separated to expose the abdominal cavity. Except the blank group underwent sham operation and removed a small piece of adipose tissue near the ovary, each group ligated and cut bilateral ovary tissue, injected gentamicin 0.01ml/kg intraperitoneally, and then sutured the muscle and skin layer by layer. Intragastric administration was started 2 weeks after the operation. During the experiment, the rats were weighed once a week, and the dosage was adjusted according to the body weight. The blank group and the model group were intragastrically administered with distilled water, the nylestriol group was intragastrically administered at a dose of 1.05 mg/kg·w -1 , and the large, medium and small dose groups of Achyranthes bidentata total sterone were administered at 100 mg/kg·d -1 and 50 mg /kg·d -1 , 25mg/kg·d -1 doses were intragastrically administered. After 12 weeks, the femoral vein was used to collect live blood to kill the animals. Take the 1/3 part of the left distal femur, fix it in 10% formalin solution at room temperature for 24 hours, soak it in formic acid until it is completely decalcified, cut it along the sagittal plane, stain it with HE, dehydrate it with ethanol, and paraffin wax Embedded, cut along the sagittal plane, section thickness 0.14 μm, measured bone histomorphological indicators. The following three parameters were directly measured on the left distal 1/3 of the femur: total tissue area (T-Ar), trabecular bone area (Tb-Ar) and trabecular bone perimeter (Tb-Pm), using the correction formula Calculate the following two parameters: trabecular area percentage (%Tb-Ar=Tb-Ar÷T-Ar×100%); bone trabecular thickness [Tb-Th=(2÷1.99)×(Tb-Ar÷Tb- Pm)]. Observe and compare the trabecular area percentage and trabecular thickness. SAS9.0 and SPSS11.0 statistical software were used for data processing.
股骨远端1/3部分的组织形态学参数变化(x±s)Changes of histomorphological parameters in the 1/3 part of the distal femur (x±s)
注:与空白组比较,△P<0.05;与模型组比较,*P<0.05;与尼尔雌醇组比较,#P<0.05;n表示每组大鼠数量。Note: Compared with blank group, △P<0.05; compared with model group, * P<0.05; compared with nylestriol group, #P<0.05; n represents the number of rats in each group.
结果清楚地表明,牛膝总甾酮对去卵巢大鼠造成的骨质疏松有明显的预防和治疗作用,效果优于尼尔雌醇,是一个很好的治疗和预防骨质疏松的牛膝有效部位。The results clearly show that total steroids of Achyranthes bidentata have obvious preventive and therapeutic effects on osteoporosis caused by ovariectomized rats, and the effect is better than that of nilestriol, which is a good treatment and prevention of osteoporosis in Achyranthes bidentata effective part.
临床病例:对48例骨质疏松病症患者经临床诊断,X线表现:骨质普遍疏松,以脊柱、骨盆、股骨上端明显,骨密度平均值比同性别年轻成人的平均值低于2.0个标准差以上(T值≤-2.0)。然后48例骨质疏松病症患者按随机方法分为牛膝总甾酮组和葡萄糖酸钙对照组,两组病人各24例,治疗组男9例,年龄58-75岁;女15例,年龄60-73岁;对照组男8例,年龄60-74岁,女16例,年龄59-72岁。按骨质疏松程度分级:治疗组量度8例,中度11例,轻度5例;对照组重度7例,中度12例,轻度5例。两组性别、年龄、病变程度无统计学差异(p>0.05)。口服自制牛膝总甾酮胶囊(含量为200-300mg/粒)每次1-2粒,每日3次,连用3-5个月。对照组用葡萄糖酸钙口服液每次1-2支,一日3次,连用3-5个月。两组总有效率比较:牛膝总甾酮治疗组治愈8例,显效9例,有效6例,无效1例,总有效率为95.8%;葡萄糖酸钙对照组治愈4例,显效7例,有效7例,无效6例,总有效率为75%分析,总有效率差异有显著性(p<0.05)。Clinical cases: 48 patients with osteoporosis were clinically diagnosed. X-ray findings: generalized osteoporosis, evident in the spine, pelvis, and upper end of the femur, and the average bone density was lower than 2.0 standards for young adults of the same sex Poor or above (T value ≤ -2.0). Then 48 patients with osteoporosis were randomly divided into Achyranthes bidentata total sterone group and calcium gluconate control group. There were 24 patients in each of the two groups. There were 9 males in the treatment group, aged 58-75 years; 15 females, aged 58-75. 60-73 years old; control group 8 males, aged 60-74 years old, 16 females, aged 59-72 years old. Graded according to the degree of osteoporosis: in the treatment group, 8 cases were measured, 11 cases were moderate, and 5 cases were mild; in the control group, 7 cases were severe, 12 cases were moderate, and 5 cases were mild. There was no significant difference between the two groups in terms of gender, age, and degree of disease (p>0.05). Oral homemade Achyranthes bidentata total sterone capsules (content 200-300mg/capsule) 1-2 capsules each time, 3 times a day, for 3-5 consecutive months. The control group used calcium gluconate oral liquid 1-2 sticks each time, 3 times a day, for 3-5 consecutive months. Comparison of the total effective rate between the two groups: 8 cases were cured in the Achyranthes bidentata total sterone treatment group, 9 cases were markedly effective, 6 cases were effective, and 1 case was ineffective, with a total effective rate of 95.8%; 4 cases were cured in the calcium gluconate control group, 7 cases were markedly effective, 7 cases were effective, 6 cases were ineffective, the total effective rate was 75% analysis, and the difference of the total effective rate was significant (p<0.05).
作用机理:以往研究结果表明激素替代疗法中的雌激素能有效地预防绝经后快速失骨,保持骨量,增加骨密度,减少骨折率。但长期使用雌激素可出现乳房肿块、静脉血栓、高血压、水潴留、子宫内膜癌和乳房癌的危险。为此,寻找无上述副作用的植物雌激素已成为当前国内外医学研究热点。本发明牛膝总甾酮在人体内可以代谢为天然的植物雌性激素,植物雌激素是植物中具有弱雌激素作用的化合物。动物实验和临床实践表明牛膝总甾酮具有治疗骨质疏松的作用,其作用机理是:牛膝总甾酮具有植物雌激素样作用的活性,其通过与甾体雌激素受体以低亲和度结合而发挥弱的雌激素样效应。因此,以牛膝总甾酮为主要成份的药物可以应用于治疗或预防人体的骨质疏松症。Mechanism of action: Previous studies have shown that estrogen in hormone replacement therapy can effectively prevent postmenopausal rapid bone loss, maintain bone mass, increase bone density, and reduce fracture rate. However, long-term use of estrogen can lead to risks of breast lumps, venous thrombosis, high blood pressure, water retention, endometrial cancer, and breast cancer. For this reason, searching for phytoestrogens without the above-mentioned side effects has become a current domestic and foreign medical research hotspot. The total sterone of Achyranthes bidentata of the present invention can be metabolized into natural phytoestrogens in human body, and phytoestrogens are compounds with weak estrogenic effect in plants. Animal experiments and clinical practice show that total steroids of Achyranthes bidentata have the effect of treating osteoporosis. And degrees combined to exert weak estrogen-like effects. Therefore, the medicine with total sterone of Achyranthes bidentata as the main component can be applied to treat or prevent osteoporosis in human body.
总之,研究结果表明:作为药物时,采用口服方式服用牛膝总甾酮,可用于治疗和预防人体骨质疏松。服用量为7mg/kg·d-1左右,如果成人体重按70公斤计算,则服用量为0.5g/d-1左右。作为保健品时,成人服用量为0.2~0.3g/d-1左右即可。In a word, the results of the study show that: as a medicine, total sterone of Achyranthes bidentata can be used to treat and prevent human osteoporosis if taken orally. The dosage is about 7mg/kg·d -1 , if the adult body weight is calculated as 70 kg, the dosage is about 0.5g/d -1 . When used as a health product, the dosage for adults is about 0.2-0.3g/d -1 .
牛膝总甾酮在制备治疗或预防骨质疏松的药物或保健品时,主要制成口服剂型,如片剂、口服液、胶囊剂、粉剂、丸剂、颗粒剂等,其制药工艺均是成熟的技术,其剂型不影响疗效。Achyranthes bidentata total sterone is mainly made into oral dosage forms when preparing medicines or health care products for treating or preventing osteoporosis, such as tablets, oral liquids, capsules, powders, pills, granules, etc., and its pharmaceutical technology is mature The technology, its dosage form does not affect the curative effect.
本发明的优点是:以牛膝总甾酮为主的有效部位,具有较好的治疗和预防骨质疏松的作用,安全、毒副作用小。The invention has the advantages that: the active part mainly contains the total sterone of Achyranthes bidentata, has good effects of treating and preventing osteoporosis, is safe, and has little toxic and side effects.
具体实施方式Detailed ways
下面结合实施例对本发明作进一步描述:The present invention will be further described below in conjunction with embodiment:
实施例一:Embodiment one:
1、牛膝总甾酮的制备1. Preparation of total sterone in Achyranthes bidentata
取牛膝饮片适量,按1kg药材20L水比例,在90~100℃水煮3次,每次2.5小时。过滤后收集牛膝提取液。上D型大孔吸附树脂柱,吸附流速1BV/min,至树脂吸附饱和。用水漂洗树脂至流出液澄清透明,用10BV(C2H5OH)=85%的乙醇洗脱,洗脱流速0.5BV/min,洗脱液烘干至恒重。即为牛膝有效部位,收率不少于0.15%(牛膝总甾酮含量60%以上)。Take an appropriate amount of Achyranthes knuckles decoction pieces, boil 3 times at 90-100°C for 2.5 hours each time according to the ratio of 1kg of medicinal materials to 20L of water. After filtering, the extract of Achyranthes bidentata was collected. Put on a D-type macroporous adsorption resin column, and the adsorption flow rate is 1BV/min until the resin is saturated. Rinse the resin with water until the effluent is clear and transparent, elute with 10BV (C 2 H 5 OH) = 85% ethanol at an elution flow rate of 0.5 BV/min, and dry the eluent to constant weight. It is the effective part of Achyranthes bidentata, and the yield is not less than 0.15% (the total sterone content of Achyranthes bidentata is more than 60%).
2、采用牛膝总甾酮制备成药剂,通过口服方式给人体服用,服用量控制在7mg/kg·d-1±30%,如果成人体重按70公斤计算,则服用量为0.5g/d-1左右,具有较好的治疗和预防骨质疏松的作用,而且安全,毒副作用小。药剂主要制成口服剂型,如片剂、口服液、胶囊剂、粉剂、丸剂、颗粒剂等,其制药工艺均是成熟的技术,其剂型不影响疗效。2. The total sterone of Achyranthes bidentata is used to prepare a medicament, and it is administered to the human body orally, and the dosage is controlled at 7mg/kg·d -1 ± 30%. If the adult body weight is calculated as 70 kg, the dosage is 0.5g/d -1 or so, it has a better effect of treating and preventing osteoporosis, and is safe, with little toxic and side effects. Medicines are mainly made into oral dosage forms, such as tablets, oral liquids, capsules, powders, pills, granules, etc. The pharmaceutical technology is mature technology, and the dosage forms do not affect the curative effect.
实施例二:将上述实施例一中制备的牛膝总甾酮制成保健品,通过口服方式给人体服用,服用量在0.2~0.3g/d-1±30%,具有较好的治疗和预防骨质疏松的作用,而且安全,毒副作用小。Embodiment 2: The total sterone of Achyranthes bidentata prepared in the above embodiment 1 is made into a health care product, and it is taken orally to the human body, and the dosage is 0.2~0.3g/d -1 ±30%, which has good therapeutic and therapeutic effect. It has the function of preventing osteoporosis, and is safe, with little toxic and side effects.
上述实施例只为说明本发明的技术构思及特点,其目的在于让熟悉此项技术的人士能够了解本发明的内容并据以实施,并不能以此限制本发明的保护范围。凡根据本发明精神实质所作的等效变化或修饰,都应涵盖在本发明的保护范围之内。The above-mentioned embodiments are only to illustrate the technical concept and characteristics of the present invention, and the purpose is to enable those skilled in the art to understand the content of the present invention and implement it accordingly, and not to limit the protection scope of the present invention. All equivalent changes or modifications made according to the spirit of the present invention shall fall within the protection scope of the present invention.
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WO2010040345A3 (en) * | 2008-10-10 | 2010-08-12 | Verdevital Beratungs-, Import- Und Vertriebsgesellschaft Mbh | Ecdysone derivatives and the use thereof |
CN102805760A (en) * | 2012-07-19 | 2012-12-05 | 河南中医学院 | Application of twotooth achyranthes aqueous extract to preparation of estrogen medicines |
CN104055808A (en) * | 2014-04-15 | 2014-09-24 | 杨小林 | Application of teasel root powder in Weishi ancestral formula in preparing medicine for treating senile brain dementia |
-
2007
- 2007-01-12 CN CN 200710019546 patent/CN101002808A/en active Pending
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2010040345A3 (en) * | 2008-10-10 | 2010-08-12 | Verdevital Beratungs-, Import- Und Vertriebsgesellschaft Mbh | Ecdysone derivatives and the use thereof |
CN102805760A (en) * | 2012-07-19 | 2012-12-05 | 河南中医学院 | Application of twotooth achyranthes aqueous extract to preparation of estrogen medicines |
CN104055808A (en) * | 2014-04-15 | 2014-09-24 | 杨小林 | Application of teasel root powder in Weishi ancestral formula in preparing medicine for treating senile brain dementia |
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